J Korean Med Sci.  2010 Oct;25(10):1473-1479. 10.3346/jkms.2010.25.10.1473.

Milk Intake and Its Association with Metabolic Syndrome in Korean: Analysis of the Third Korea National Health and Nutrition Examination Survey (KNHANES III)

Affiliations
  • 1Department of Family Medicine, Healthcare system Gangnam Center, Seoul National University Hospital, Seoul, Korea. bigbangx@hanmail.net
  • 2Department of Family Medicine, Seoul National University Hospital, Seoul, Korea.
  • 3Department of Family Medicine, Gangbuk Samsung Hospital, Seoul, Korea.

Abstract

Although previous studies have shown that milk intake has some protective effects on metabolic syndrome (MS), there are few data on the relation between MS and milk consumption in Korean. To evaluate the association between milk intake frequency and MS, 4,890 subjects (2,052 men and 2,838 women) were included in the analysis, based on the national data from representative random sample of the third Korea National Health and Nutrition Examination Survey (KNHANES III) in 2005. We conducted both univariate and multivariate logistic regression analysis with adjustment for confounding factors associated with MS. Mean (+/-SD) age of subjects was 47.1+/-15.5 yr. In univariate analysis, the risk of MS was inversely associated with the frequency of milk intake, but this relation was attenuated in multivariate regression. In the individuals with BMI > or =23 kg/m2, those with highest quartile of milk consumption (once daily or more) had significantly lower risk of MS (OR [95% CI] 0.72 [0.57-0.92] compared with lowest quartile [those rarely consumed]) after adjustment, but not among leaner individuals (BMI <23 kg/m2). Korean overweight adults who drink milk more frequently may be protected against MS. But it seems that this relation is somewhat different among MS components.

Keyword

Metabolic Syndrome X; Obesity; Milk

MeSH Terms

Adult
Aged
Animals
Blood Pressure
Body Mass Index
Cattle
Cholesterol, HDL/blood
Female
Health Surveys
Humans
Male
Metabolic Syndrome X/diagnosis/*epidemiology/prevention & control
Middle Aged
*Milk
Multivariate Analysis
Nutrition Surveys
Odds Ratio
Republic of Korea
Serum Albumin/analysis
Triglycerides/blood
Waist Circumference

Figure

  • Fig. 1 Adjusted odds ratio of metabolic syndrome and its components according to milk intake (BMI <23 kg/m2 vs. BMI ≥23 kg/m2). FBS, fasting blood sugar; HDL, high-density lipoprotein.


Cited by  8 articles

Relationship between Milk and Calcium Intake and Lipid Metabolism in Female Patients with Type 2 Diabetes
JaeHee Kim, Ji-Yun Hwang, Ki Nam Kim, Young-Ju Choi, Namsoo Chang, Kap-Bum Huh
Yonsei Med J. 2013;54(3):626-636.    doi: 10.3349/ymj.2013.54.3.626.

Association between adherence to the Korean Food Guidance System and the risk of metabolic abnormalities in Koreans
Hyun Ju Jung, Sung Nim Han, SuJin Song, Hee Young Paik, Hyun Wook Baik, Hyojee Joung
Nutr Res Pract. 2011;5(6):560-568.    doi: 10.4162/nrp.2011.5.6.560.

Dietary changes in Vietnamese marriage immigrant women: The KoGES follow-up study
Ji-Yun Hwang, Hakim Lee, Ahra Ko, Chan-Jung Han, Hye Won Chung, Namsoo Chang
Nutr Res Pract. 2014;8(3):319-326.    doi: 10.4162/nrp.2014.8.3.319.

Associations of Dietary Intake with Cardiovascular Disease, Blood Pressure, and Lipid Profile in the Korean Population: a Systematic Review and Meta-Analysis
Jeongseon Kim, Tung Hoang, So Young Bu, Ji-Myung Kim, Jeong-Hwa Choi, Eunju Park, Seung-Min Lee, Eunmi Park, Ji Yeon Min, In Seok Lee, So Young Youn
J Lipid Atheroscler. 2020;9(1):205-229.    doi: 10.12997/jla.2020.9.1.205.

Diet, Sleep and Metabolic Syndrome Among a Legal Amazon Population, Brazil
Poliana Rodrigues dos Santos, Graziele Souza Lira Ferrari, Carlos K B Ferrari
Clin Nutr Res. 2015;4(1):41-45.    doi: 10.7762/cnr.2015.4.1.41.

Association of Metabolic Syndrome with Whole Milk and Low Fat Milk: Using Data from the Korean National Health and Nutrition Examination Survey 2013–2015
Hyun-Chul Moon, Da-Hye Choi, Tae-Young Lee, Taek-Young Kim, Young-In An, Seong-Jee Park, Myung-Chul Jung
Korean J Health Promot. 2017;17(4):234-241.    doi: 10.15384/kjhp.2017.17.4.234.

Association between dairy product intake and hypertriglyceridemia in Korean adults
Seon-Joo Park, Junghyun Park, Hong Ji Song, Chang-Ho Lee, Hae-Jeung Lee
Nutr Res Pract. 2020;14(2):152-159.    doi: 10.4162/nrp.2020.14.2.152.

Effects of a nutrition education program on metabolic syndrome risk factors in middle-aged Korean adults: an intervention study
Minji Kang, Young-Hee Park, Subeen Kim, Eunyoung Tak, Hyun Wook Baik, Hee Young Paik, Hyojee Joung
Korean J Community Nutr. 2024;29(4):265-277.    doi: 10.5720/kjcn.2024.00005.


Reference

1. The Third Korea national Health and Nutrition Examination Survey (KNHANES III), 2005 - Summary. Korea Institute for Health and Social Affairs. 2006. accessed on 2 March 2010. Ministry of Health and Welfare;Available at http://knhanes.cdc.go.kr/.
2. The Korean Nutrition Society. Dietary Reference Intakes for Korean. 2005. Seoul: Hanarum;199–207.
3. Alvarez-Leon EE, Roman-Vinas B, Serra-Majem L. Dairy products and health: a review of the epidemiological evidence. Br J Nutr. 2006. 96:Suppl 1. S94–S99.
Article
4. Barba G, Russo P. Dairy foods, dietary calcium and obesity: a short review of the evidence. Nutr Metab Cardiovasc Dis. 2006. 16:445–451.
Article
5. Tholstrup T. Dairy products and cardiovascular disease. Curr Opin Lipidol. 2006. 17:1–10.
Article
6. Huth PJ, DiRienzo DB, Miller GD. Major scientific advances with dairy foods in nutrition and health. J Dairy Sci. 2006. 89:1207–1221.
Article
7. Elwood PC, Pickering JE, Fehily AM, Hughes J, Ness AR. Milk drinking, ischaemic heart disease and ischaemic stroke I. Evidence from the Caerphilly cohort. Eur J Clin Nutr. 2004. 58:711–717.
Article
8. Elwood PC, Pickering JE, Hughes J, Fehily AM, Ness AR. Milk drinking, ischaemic heart disease and ischaemic stroke II. Evidence from cohort studies. Eur J Clin Nutr. 2004. 58:718–724.
Article
9. Elwood PC, Strain JJ, Robson PJ, Fehily AM, Hughes J, Pickering J, Ness A. Milk consumption, stroke, and heart attack risk: evidence from the Caerphilly cohort of older men. J Epidemiol Community Health. 2005. 59:502–505.
Article
10. Pereira MA, Jacobs DR Jr, Van Horn L, Slattery ML, Kartashov AI, Ludwig DS. Dairy consumption, obesity, and the insulin resistance syndrome in young adults: the CARDIA Study. JAMA. 2002. 287:2081–2089.
Article
11. Elwood PC, Pickering JE, Fehily AM. Milk and dairy consumption, diabetes and the metabolic syndrome: the Caerphilly prospective study. J Epidemiol Community Health. 2007. 61:695–698.
Article
12. Snijder MB, van der Heijden AA, van Dam RM, Stehouwer CD, Hiddink GJ, Nijpels G, Heine RJ, Bouter LM, Dekker JM. Is higher dairy consumption associated with lower body weight and fewer metabolic disturbances? The Hoorn Study. Am J Clin Nutr. 2007. 85:989–995.
Article
13. Lawlor DA, Ebrahim S, Timpson N, Davey Smith G. Avoiding milk is associated with a reduced risk of insulin resistance and the metabolic syndrome: findings from the British Women's Heart and Health Study. Diabet Med. 2005. 22:808–811.
Article
14. Beydoun MA, Gary TL, Caballero BH, Lawrence RS, Cheskin LJ, Wang Y. Ethnic differences in dairy and related nutrient consumption among US adults and their association with obesity, central obesity, and the metabolic syndrome. Am J Clin Nutr. 2008. 87:1914–1925.
Article
15. Azadbakht L, Mirmiran P, Esmaillzadeh A, Azizi F. Dairy consumption is inversely associated with the prevalence of the metabolic syndrome in Tehranian adults. Am J Clin Nutr. 2005. 82:523–530.
Article
16. Liu S, Choi HK, Ford E, Song Y, Klevak A, Buring JE, Manson JE. A prospective study of dairy intake and the risk of type 2 diabetes in women. Diabetes Care. 2006. 29:1579–1584.
Article
17. Park SH, Lee KS, Park HY. Dietary carbohydrate intake is associated with cardiovascular disease risk in Korean: Analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III). Int J Cardiol. 2010. 139:234–240.
Article
18. World Health Organization Western Pacific Region. The Asia-Pacific Perspective: Redefining Obesity and Its Treatment. 2000. Sydney, Australia: Health Communications Australia Pty Limit.
19. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002. 106:3143–3421.
20. Lee S, Park HS, Kim SM, Kwon HS, Kim DY, Kim DJ, Cho GJ, Han JH, Kim SR, Park CY, Oh SJ, Lee CB, Kim KS, Oh SW, Kim YS, Choi WH, Yoo HJ. Cut-off points of waist circumference for defining abdominal obesity in the Korean population. Korean J Obes. 2006. 15:1–9.
21. Nutritional aspects of cardiovascular disease. Report of the Cardiovascular Review Group Committee on Medical Aspects of Food Policy. Rep Health Soc Subj (Lond). 1994. 46:1–186.
22. Moss M, Freed D. The cow and the coronary: epidemiology, biochemistry and immunology. Int J Cardiol. 2003. 87:203–216.
Article
23. Segall JJ. Is milk a coronary health hazard? Br J Prev Soc Med. 1977. 31:81–85.
Article
24. Choi HK, Willett WC, Stampfer MJ, Rimm E, Hu FB. Dairy consumption and risk of type 2 diabetes mellitus in men: a prospective study. Arch Intern Med. 2005. 165:997–1003.
25. Wirfalt E, Hedblad B, Gullberg B, Mattisson I, Andren C, Rosander U, Janzon L, Berglund G. Food patterns and components of the metabolic syndrome in men and women: a cross-sectional study within the Malmo Diet and Cancer cohort. Am J Epidemiol. 2001. 154:1150–1159.
Article
26. Schrager S. Dietary calcium intake and obesity. J Am Board Fam Pract. 2005. 18:205–210.
Article
27. Snijder MB, van Dam RM, Stehouwer CD, Hiddink GJ, Heine RJ, Dekker JM. A prospective study of dairy consumption in relation to changes in metabolic risk factors: the Hoorn Study. Obesity (Silver Spring). 2008. 16:706–709.
Article
28. Woo J, Ho SC, Sham A, Sea MM, Lam KS, Lam TH, Janus ED. Diet and glucose tolerance in a Chinese population. Eur J Clin Nutr. 2003. 57:523–530.
Article
29. Mizoue T, Yamaji T, Tabata S, Yamaguchi K, Ogawa S, Mineshita M, Kono S. Dietary patterns and glucose tolerance abnormalities in Japanese men. J Nutr. 2006. 136:1352–1358.
Article
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr