Korean J Nutr.  2013 Feb;46(1):15-25. 10.4163/kjn.2013.46.1.15.

Relationship between food and nutrient intake and the risk of hypertriglyceridemia in Vietnamese women residing in Bavi: the Korean Genome and Epidemiology Study (KoGES)

Affiliations
  • 1Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 120-750, Korea. nschang@ewha.ac.kr
  • 2Department of Food and Nutritional Sciences, Hanbuk University, Dongducheon 483-777, Korea.
  • 3Department of Obstetrics and Gynecology, Ewha Womans University School of Medicine, Seoul 158-710, Korea.

Abstract

The purpose of this study is to investigate the proportion and associated risk factors of hypertriglyceridemia in rural Vietnamese women. Research data were collected as part of the Korean Genome and Epidemiology Study (KoGES). A cross-sectional study of 957 Vietnamese women in their 20 to 30s was conducted in rural areas of Bavi, Vietnam. Subjects were classified as hypertriglyceridemic (serum TG > or = 150 mg/dL). Demographic, socio-economic details, anthropometric measurements, and blood profiles were recorded. The proportion of hypertriglyceridemic subjects was 22.0%, and the mean age of hypertriglyceridemics subjects was older than that of normo-triglyceridemic subjects (p < 0.05). In hypertriglyceridemic subjects, height, HDL-cholesterol, and LDL-cholesterol were significantly lower, compared to subjects with normo-triglyceridemia, while weight, body mass index, waist hip ratio, body fat %, blood pressure, fasting blood sugar, total cholesterol, and atherogenic index were higher, compared to those with normo-triglyceridemia. Intake of cereal and cereal products, total plant food, and cereal/potato fiber in subjects with hypertriglyceridemia was significantly higher, compared to normo-triglyceridemic subjects. Hypertriglyceridemic subjects had a significantly lower intake of animal calcium and retinol than normo-triglyceridemic subjects. Significant positive relationships were observed between the prevalence of hypertriglyceridemia and consumption of total plant food [OR (95% CI) for the highest tertile, compared to the lowest: 1.764 (1.131-2.750); p for trend = 0.008] and crude fiber [OR (95% CI) for the highest tertile compared to the lowest: 1.651 (1.092-2.497); p for trend = 0.027]. In addition, a significant inverse relationship was observed between the prevalence of hypertriglyceridemia and cholesterol intake [OR (95% CI) for the highest tertile, compared to the lowest: 0.601 (0.400-0.901); p for trend = 0.012]. These findings may provide basic data for use by policymakers and dieticians in future development of nutrition and health programs to encourage healthier eating habits, and to prevent hypertriglyceridemia advancing cardiovascular disease in rural Vietnamese women.

Keyword

Vietnamese women; hypertriglyceridemia; cereals; total plant food

MeSH Terms

Adipose Tissue
Animals
Asian Continental Ancestry Group
Blood Glucose
Blood Pressure
Body Weight
Calcium
Cardiovascular Diseases
Cholesterol
Cross-Sectional Studies
Eating
Edible Grain
Fasting
Female
Genome
Humans
Hypertriglyceridemia
Plants
Prevalence
Risk Factors
Vietnam
Vitamin A
Waist-Hip Ratio
Blood Glucose
Calcium
Cholesterol
Vitamin A

Cited by  2 articles

Dietary behaviors of female marriage immigrants residing in Gwangju, Korea
Eun Ju Yang
J Nutr Health. 2016;49(3):179-188.    doi: 10.4163/jnh.2016.49.3.179.

Food intake and nutritional status of female marriage immigrants residing in Gwangju, Korea
Eun Ju Yang, Jin Mo Khil
J Nutr Health. 2016;49(5):358-366.    doi: 10.4163/jnh.2016.49.5.358.


Reference

1. World Health Organization. Global status report on noncommunicable diseases 2010. 2011. Geneva: World Health Organization.
2. World Health Organization. World Health Organization - NCD country profiles. 2011. Geneva: World Health Organization.
3. Yusuf S, Hawken S, Ôunpuu S, Dans T, Avezum A, Lanas F, McQueen M, Budaj A, Pais P, Varigos J, Lisheng L. INTERHEART Study Investigators. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004; 364(9438):937–952.
Article
4. O'Donnell MJ, Xavier D, Liu L, Zhang H, Chin SL, Rao-Melacini P, Rangarajan S, Islam S, Pais P, McQueen MJ, Mondo C, Damasceno A, Lopez-Jaramillo P, Hankey GJ, Dans AL, Yusoff K, Truelsen T, Diener HC, Sacco RL, Ryglewicz D, Czlonkowska A, Weimar C, Wang X, Yusuf S. INTERSTROKE investigators. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study. Lancet. 2010; 376(9735):112–123.
5. Nguyen QN, Pham ST, Do LD, Nguyen VL, Wall S, Weinehall L, Bonita R, Byass P. Cardiovascular disease risk factor patterns and their implications for intervention strategies in Vietnam. Int J Hypertens. 2012; 2012:560397.
Article
6. Korea Centers for Disease Control and Prevention, Ministry of Health and Welfare. The analysis of raw data in the fourth Korea National Health and Nutrition Examination Survey 2008 (KNHANES IV). 2009. Cheongwon: Korea Centers for Disease Control and Prevention.
7. Lee SE, Yu JE, Kim SH, Jung HW, Kim WY. Blood profiles and dietary intakes of female immigrants into Korea through marriage according to blood triglyceride levels. Proceedings of symposium at Korean Society of Lipidology and Atherosclerosis; 2008. 2008. Seoul: Korean Society of Lipidology and Atherosclerosis;p. 185.
8. Tillin T, Forouhi N, Johnston DG, McKeigue PM, Chaturvedi N, Godsland IF. Metabolic syndrome and coronary heart disease in South Asians, African-Caribbeans and white Europeans: a UK population-based cross-sectional study. Diabetologia. 2005; 48(4):649–656.
Article
9. Son le NT, Kunii D, Hung NT, Sakai T, Yamamoto S. The metabolic syndrome: prevalence and risk factors in the urban population of Ho Chi Minh City. Diabetes Res Clin Pract. 2005; 67(3):243–250.
Article
10. Erkkilä AT, Sarkkinen ES, Lindi V, Lehto S, Laakso M, Uusitupa MI. APOE polymorphism and the hypertriglyceridemic effect of dietary sucrose. Am J Clin Nutr. 2001; 73(4):746–752.
Article
11. Liu K, Daviglus ML, Loria CM, Colangelo LA, Spring B, Moller AC, Lloyd-Jones DM. Healthy lifestyle through young adulthood and the presence of low cardiovascular disease risk profile in middle age: the Coronary Artery Risk Development in (Young) Adults (CARDIA) study. Circulation. 2012; 125(8):996–1004.
Article
12. Laitinen TT, Pahkala K, Magnussen CG, Viikari JS, Oikonen M, Taittonen L, Mikkilä V, Jokinen E, Hutri-Kähönen N, Laitinen T, Kähönen M, Lehtimäki T, Raitakari OT, Juonala M. Ideal cardiovascular health in childhood and cardiometabolic outcomes in adulthood: the Cardiovascular Risk in Young Finns Study. Circulation. 2012; 125(16):1971–1978.
Article
13. Lee YA, Kim KN, Chang N. The effect of nutrition education on weight control and diet quality in middle-aged women. Korean J Nutr. 2008; 41(1):54–64.
14. Choi HN, Chung HW, Hwang JY, Chang N. Intrahousehold discrepancy regarding food insecurity within intermarried couples of Vietnamese wives and Korean husbands in South Korea. Nutr Res Pract. 2011; 5(5):471–480.
Article
15. Khor GL. Cardiovascular epidemiology in the Asia-Pacific region. Asia Pac J Clin Nutr. 2001; 10(2):76–80.
Article
16. National Institute of Nutrition. The United Nations Children's Fund. A review of the nutrition situation in Vietnam 2009-2010. 2011. Hanoi: Medical Publishing House.
17. Esmaillzadeh A, Mirmiran P, Azizi F. Whole-grain intake and the prevalence of hypertriglyceridemic waist phenotype in Tehranian adults. Am J Clin Nutr. 2005; 81(1):55–63.
Article
18. Liu S, Willett WC, Manson JE, Hu FB, Rosner B, Colditz G. Relation between changes in intakes of dietary fiber and grain products and changes in weight and development of obesity among middle-aged women. Am J Clin Nutr. 2003; 78(5):920–927.
Article
19. Newby PK, Maras J, Bakun P, Muller D, Ferrucci L, Tucker KL. Intake of whole grains, refined grains, and cereal fiber measured with 7-d diet records and associations with risk factors for chronic disease. Am J Clin Nutr. 2007; 86(6):1745–1753.
Article
20. Slavin JL, Jacobs D, Marquart L. Grain processing and nutrition. Crit Rev Food Sci Nutr. 2000; 40(4):309–326.
Article
21. Foster-Powell K, Holt SH, Brand-Miller JC. International table of glycemic index and glycemic load values: 2002. Am J Clin Nutr. 2002; 76(1):5–56.
Article
22. Oh KW, Nam CM, Kim CI, Lee-Kim YC. The effects of dietary carbohydrate on serum triglyceride concentrations in Korea. Korean J Nutr. 2004; 37(6):448–454.
23. Lairon D, Arnault N, Bertrais S, Planells R, Clero E, Hercberg S, Boutron-Ruault MC. Dietary fiber intake and risk factors for cardiovascular disease in French adults. Am J Clin Nutr. 2005; 82(6):1185–1194.
Article
24. Holmes BA, Kaffa N, Campbell K, Sanders TA. The contribution of breakfast cereals to the nutritional intake of the materially deprived UK population. Eur J Clin Nutr. 2012; 66(1):10–17.
Article
25. Jacobs DR, Pereira MA, Meyer KA, Kushi LH. Fiber from whole grains, but not refined grains, is inversely associated with all-cause mortality in older women: the Iowa women's health study. J Am Coll Nutr. 2000; 19:3 Suppl. 326S–330S.
Article
26. Layman DK, Boileau RA, Erickson DJ, Painter JE, Shiue H, Sather C, Christou DD. A reduced ratio of dietary carbohydrate to protein improves body composition and blood lipid profiles during weight loss in adult women. J Nutr. 2003; 133(2):411–417.
Article
27. Hu FB, Stampfer MJ, Manson JE, Rimm E, Colditz GA, Speizer FE, Hennekens CH, Willett WC. Dietary protein and risk of ischemic heart disease in women. Am J Clin Nutr. 1999; 70(2):221–227.
Article
28. Halbesma N, Bakker SJ, Jansen DF, Stolk RP, De Zeeuw D, De Jong PE, Gansevoort RT. PREVEND Study Group. High protein intake associates with cardiovascular events but not with loss of renal function. J Am Soc Nephrol. 2009; 20(8):1797–1804.
Article
29. Jacqmain M, Doucet E, Després JP, Bouchard C, Tremblay A. Calcium intake, body composition, and lipoprotein-lipid concentrations in adults. Am J Clin Nutr. 2003; 77(6):1448–1452.
Article
30. Schrager S. Dietary calcium intake and obesity. J Am Board Fam Pract. 2005; 18(3):205–210.
Article
31. Reaven GM, Abbasi F, Bernhart S, Coulston A, Darnell B, Dashti N, Kim H, Kulkarni K, Lamendola C, McLaughlin T, Osterlund L, Schaff P, Segrest J. Insulin resistance, dietary cholesterol, and cholesterol concentration in postmenopausal women. Metabolism. 2001; 50(5):594–597.
Article
32. Zhao S, Li R, Li Y, Chen W, Zhang Y, Chen G. Roles of vitamin A status and retinoids in glucose and fatty acid metabolism. Biochem Cell Biol. 2012; 90(2):142–152.
Article
Full Text Links
  • KJN
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