Korean J Community Nutr.  2012 Oct;17(5):664-675. 10.5720/kjcn.2012.17.5.664.

Dietary Behaviors Related to Metabolic Syndrome in Korean Adults

• Park J
• Kweon S
• Kim Y
• Jang MJ
• Oh K

• KMID: 2267452
• DOI: http://doi.org/10.5720/kjcn.2012.17.5.664

Abstract

This study was conducted to investigate the cross-sectional associations between dietary factors and the risk of metabolic syndrome (MetS) in 12,755 subjects (males 5,146, females 7,609) aged 19 years or above using data from the 4th (2007-2009) Korea National Health and Nutrition Examination Survey (KNHANES). The prevalence of MetS in Korean adults was 23.6% (males 26.1%, females 20.9%) with the criteria for modified National Cholesterol Education Program Adult Treatment Panel III. While males had a higher prevalence of abdominal obesity, hyperglycemia, hypertriglyceridemia, and high blood pressure than females, the prevalence of low HDL-cholesterol level was higher in females than in males. Among dietary guidelines, the response of 'yes' for asking practice of 'avoiding salty foods', and 'eating moderately and increasing physical activity for healthy weight' were significantly associated with the decreased risk of MetS in both males and in females. Especially, the risk of MetS was significantly lower in the subjects that responded the practice of all items of Korean Dietary Guidelines. Significantly negative associations with MetS were also found in the responding for practice of 'limiting consumption of alcoholic beverages' in males, and taking dietary supplements in females. Skipping breakfast was positively associated with the risk of MetS. In conclusion, dietary behaviors such as having breakfast, practice of dietary guidelines, and food consumption in moderation could modify the prevalence of MetS, and our findings could be useful for establishing guidelines for preventing MetS.

Keyword

Korea National Health and Nutrition Examination Survey; metabolic syndrome; dietary behaviors

MeSH Terms

Adult
Aged
Alcoholics
Breakfast
Cholesterol
Dietary Supplements
Female
Humans
Hyperglycemia
Hypertension
Hypertriglyceridemia
Korea
Male
Motor Activity
Nutrition Surveys
Obesity, Abdominal
Prevalence
Cholesterol

Reference

1. Ahn SH, Son SM, Park JK. Health and nutritional factors related to hypertension of subjects aged over 50 in high income class - based on the 2005 Korea National Health and Nutrition Examination Survey. J Korean Diet Assoc. 2009. 15(3):311–327.

2. Alkerwi A, Boutsen M, Vaillant M, Barre J, Lair ML, Albert A, Guillaume M, Dramaix M. Alcohol consumption and the prevalence of metabolic syndrome: a meta-analysis of observational studies. Atherosclerosis. 2009. 204(2):624–635.

3. American Heart Association. Tips for eating out and Tips for dining out. 2010. cited 2010 September. Available from http://www.heart.org/HEARTORG/Conditions/Tips-for-Eating-Out_UCM_308333_Article.jsp and http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/DiningOut/Dining-Out_UCM_304183_SubHomePage.jsp.

4. Arai H, Yamamoto A, Matsuzawa Y, Saito Y, Yamada N, Oikawa S, Mabuchi H, Teramoto T, Sasaki J, Nakaya N, Itakura H, Ishikawa Y, Ouchi Y, Horibe H, Shirahashi N, Kita T. Prevalence of metabolic syndrome in the general Japanese population in 2000. J Atheroscler Thromb. 2006. 13(4):202–208.

5. Babor TF, Higgins-Biddle JC, Sunders JB, Monteiro MG. AUDIT : The Alcohol Use Disorders Identification Test Guidelines for Use in Primary Care. 2001. Geneva: World Health Organization;1–40.

6. Baik I, Abbott RD, Curb JD, Shin C. Intake of fish and n-3 fatty acids and future risk of metabolic syndrome. J Am Diet Assoc. 2010. 110(7):1018–1026.

7. Baik I, Shin C. Prospective study of alcohol consumption and metabolic syndrome. Am J Clin Nutr. 2008. 87(5):1455–1463.

8. Baraona E, Lieber CS. Effects of ethanol on lipid metabolism. J Lipid Res. 1979. 20(3):289–315.

9. Bessembinders K, Wielders J, van de Wiel A. Severe hypertriglyceridemia influenced by alcohol (SHIBA). Alcohol Alcohol. 2011. 46(2):113–116.

10. Carpentier YA, Portois L, Malaisse WJ. n-3 fatty acids and the metabolic syndrome. Am J Clin Nutr. 2006. 83:6 Suppl. 1499S–1504S.

11. Chung HK, Kang JH, Shin MJ. Assessment for nutrient intakes in Korean women according to obesity and metabolic syndrome. Korean J Community Nutr. 2010. 15(5):694–703.

12. Czernichow S, Vergnaud AC, Galan P, Arnaud J, Favier A, Faure H, Huxley R, Hercberg S, Ahluwalia N. Effects of long-term antioxidant supplementation and association of serum antioxidant concentrations with risk of metabolic syndrome in adults. Am J Clin Nutr. 2009. 90(2):329–335.

13. Ebrahimi M, Ghayour-Mobarhan M, Rezaiean S, Hoseini M, Parizade SM, Farhoudi F, Hosseininezhad SJ, Tavallaei S, Vejdani A, Azimi-Nezhad M, Shakeri MT, Rad MA, Mobarra N, Kazemi-Bajestani SM, Ferns GA. Omega-3 fatty acid supplements improve the cardiovascular risk profile of subjects with metabolic syndrome, including markers of inflammation and auto-immunity. Acta Cardiol. 2009. 64(3):321–327.

14. Ervin RB. Prevalence of metabolic syndrome among adults 20 years of age and over, by sex, age, race and ethnicity, and body mass index: United States, 2003-2006. Natl Health Stat Report. 2009. (13):1–7.

15. Fan AZ, Russell M, Dorn J, Freudenheim JL, Nochajski T, Hovey K, Trevisan M. Lifetime alcohol drinking pattern is related to the prevalence of metabolic syndrome. The Western New York Health Study (WNYHS). Eur J Epidemiol. 2006. 21(2):129–138.

16. Fogli-Cawley JJ, Dwyer JT, Saltzman E, McCullough ML, Troy LM, Meigs JB, Jacques PF. The 2005 Dietary Guidelines for Americans and risk of the metabolic syndrome. Am J Clin Nutr. 2007. 86(4):1193–1201.

17. Freiberg MS, Cabral HJ, Heeren TC, Vasan RS, Curtis Ellison R. Alcohol consumption and the prevalence of the Metabolic syndrome in the US.: a cross-sectional analysis of data from the Third National Health and Nutrition Examination Survey. Diabetes Care. 2004. 27(12):2954–2959.

18. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith SC Jr, Spertus JA, Costa F. Diagnosis and management of the metabolic syndrome. An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Executive summary. Cardiol Rev. 2005. 13(6):322–327.

19. Hoffmann IS, Cubeddu LX. Salt and the metabolic syndrome. Nutr Metab Cardiovasc Dis. 2009. 19(2):123–128.

20. Hwang YC, Jee JH, Oh EY, Choi YH, Lee MS, Kim KW, Lee MK. Metabolic syndrome as a predictor of cardiovascular diseases and type 2 diabetes in Koreans. Int J Cardiol. 2009. 134(3):313–321.

21. Jung HJ, Song WO, Paik HY, Joung H. Dietary characteristics of macronutrient intake and the status of metabolic syndrome among Koreans. Korean J Nutr. 2011. 44(2):119–130.

22. Katano S, Nakamura Y, Nakamura A, Murakami Y, Tanaka T, Nakagawa H, Takebayashi T, Yamato H, Okayama A, Miura K, Okamura T, Ueshima H. HIPOP-OHP Research Group. Relationship among physical activity, smoking, drinking and clustering of the metabolic syndrome diagnostic components. J Atheroscler Thromb. 2010. 17(6):644–650.

23. Kim J, Chu SK, Kim K, Moon JR. Alcohol us behaviors and risk of metabolic syndrome in South Korean middle-aged men. BMC Public Health. 2011. 11:489.

24. Korea Centers for Disease Control and Prevention. The Report of the Fourth (2010) Korea National Health and Nutrition Examination Survey (KNHANES IV). 2009. Chungbuk, Korea: Ministry of Health and Welfare;233.

25. Lee MY, Kim MY, Kim SY, Kim JH, Kim BH, Shin JY, Shin YG, Yun JH, Ryu SY, Lee TY, Koh SB, Chung CH. Association between alcohol intake amount and prevalence of metabolic syndrome in Korean rural male population. Diabetes Res Clin Pract. 2010. 88(2):196–202.

26. Lutsey PL, Steffen LM, Stevens J. Dietary intake and the development of the metabolic syndrome: the Atherosclerosis Risk in Communities study. Circulation. 2008. 117(6):754–761.

27. McNaughton SA, Mishra GD, Brunner EJ. Food patterns associated with blood lipids are predictive of coronary heart disease: the Whitehall II study. Br J Nutr. 2009. 102(4):619–624.

28. Melanson EL, Astrup A, Donahoo WT. The relationship between dietary fat and fatty acid intake and body weight, diabetes, and the metabolic syndrome. Ann Nutr Metab. 2009. 55(1-3):229–243.

29. Millen BE, Pencina MJ, Kimokoti RW, Zhu L, Meigs JB, Ordovas JM, D'Agostino RB. Nutritional risk and the metabolic syndrome in women: opportunities for preventive intervention from the Framingham Nutrition Study. Am J Clin Nutr. 2006. 84(2):434–441.

30. Ministry of Health and Welfare. The third Health Plan (2011-2020). 2011. 18–19.

31. Moon HK, Kong JE. Assessment of nutrient intake for middle aged with and without metabolic syndrome using 2005 and 2007 Korean National Health and Nutrition Survey. Korean J Nutr. 2010. 43(1):69–78.

32. Moon HK, Park JH. Comparative analysis and evaluation of dietary intake between with and without hypertension using 2001 Korea National Heath and Nutrition Examination Survey (KNHANES). Korean J Nutr. 2007. 40(4):347–361.

33. Muzio F, Mondazzi L, Harris WS, Sommariva D, Branchi A. Effects of moderate variations in the macronutrient content of the diet on cardiovascular disease risk factors in obese patients with the metabolic syndrome. Am J Clin Nutr. 2007. 86(4):946–951.

34. National Institute on Alcohol Abuse and Alcoholism. Alcohol Alert. 2000. cited 2000 October. US Department of Health and Human Services, National Institutes of Health;Available from http://pubs.niaaa.nih.gov/publications/aa16.htm.

35. Papathanasopoulos A, Camilleri M. Dietary fiber supplements: effects in obesity and metabolic syndrome and relationship to gastrointestinal functions. Gastroenterology. 2010. 138(1):65–72.

36. 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(3):234–240.

37. Park YS, Son SM, Lim WJ, Kim SB, Chung YS. Comparison of dietary behaviors related to sodium intake by gender and age. Korean J Community Nutr. 2008. 13(1):1–12.

38. Rimm EB, Williams P, Fosher K, Criqui M, Stampfer MJ. Moderate alcohol intake and lower risk of coronary heart disease: meta-analysis of effects on lipids and haemostatic factors. BMJ. 1999. 319(7224):1523–1528.

39. Sakata K, Matumura Y, Yoshimura N, Tamaki J, Hashimoto T, Oguri S, Okayama A, Yanagawa H. Relationship between skipping breakfast and cardiovascular disease risk factors in the national nutrition survey data. Nihon Koshu Eisei Zasshi. 2001. 48(10):837–841.

40. Shin A, Lim SY, Sung J, Shin HR, Kim J. Dietary intake, eating habits, and metabolic syndrome in Korean men. J Am Diet Assoc. 2009. 109(4):633–640.

41. Smith KJ, Gall SL, McNaughton SA, Blizzard L, Dwyer T, Venn AJ. Skipping breakfast: longitudinal associations with cardiometabolic risk factors in the childhood determinants of Adult Health Study. Am J Clin Nutr. 2010. 92(6):1316–1325.

42. Song Y, Joung H. A traditional Korean dietary pattern and metabolic syndrome abnormalities. Nutr Metab Cardiovasc Dis. 2011. 22(5):456–462.

43. Statistics Korea. Cause of Death Statistics. 2011. cited 2011 September 8. Available from http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&bSeq=&aSeq=250282&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=%EC%82%AC%EB%A7%9D.

44. The Korean Society for the Study of Obesity. The criteria of Body Mass Index and Waist Circumference for obesity and central adiposity in Koreans. 2005. Seoul, Korea:

45. U.S. Department of Agriculture, U.S. Department of Health & Human Services. 2010. cited 2010 December. available from www.dietaryguidelines.gov.

46. World Health Organization. Review and updating of current WHO recommendations on salt/sodium and potassium consumption. 2011. Geneva, Switzerland: 1–8.

47. Yoo HJ, Kim YH. A study on the characteristics of nutrient intake in metabolic syndrome subjects. Korean J Nutr. 2008. 41(6):510–517.

48. Yoon YS, Oh SW, Baik HW, Park HS, Kim WY. Alcohol consumption and the metabolic syndrome in Korean adults: the 1998 Korean National Health and Nutrition Examination Survey. Am J Clin Nutr. 2004. 80(1):217–224.

49. Zhu S, St-Onge MP, Heshka S, Heymsfield SB. Lifestyle behaviors associated with lower risk of having the metabolic syndrome. Metabolism. 2004. 53(11):1503–1511.

50. Zuo HJ, Yao CH, Hu YS, Kong LZ. Relations between smoking, alcohol intake, physical activity, sleeping hours and the metabolic syndrome in Chinese male aged 18-45 years old. Zhonghua Liu Xing Bing Xue Za Zhi. 2011. 32(3):235–238.