Clin Nutr Res.  2016 Oct;5(4):290-304. 10.7762/cnr.2016.5.4.290.

Associations of Obesity and Dyslipidemia with Intake of Sodium, Fat, and Sugar among Koreans: a Qualitative Systematic Review

Affiliations
  • 1Nutrition and Functional Food Research Team, National Institute of Food and Drug Safety Evaluation, Cheongju 28159, Korea. kangyj2000@korea.kr

Abstract

A qualitative systematic review was performed to identify associations of obesity and dyslipidemia with intake of sodium, fat, and sugar among Koreans. We reviewed 6 Korean research databases (KMbase, KoreaMed, NDSL, DBpia, RISS, KISS) with the keywords "sodium intake,""fat intake," and "sugar intake." Total of 11 studies were investigated in this present study. Of these articles, 7 studies were related to sodium intake, 2 studies had a relation to fat intake, and 2 studies were associated with sugar intake. We indicated general characteristics, concentration of serum lipids, nutrition intake, and statistically significant results. High sodium intake contributed to increased etiology of hypertriglyceridemia, high-density lipoprotein (HDL) hypocholesterolemia, and a risk of being overweight. Fat intake was significantly associated with body fat, low-density lipoprotein (LDL) hypercholesterolemia, and HDL hypocholesterolemia. Sugar intake from coffee drinks and sugar-sweetened beverages contributed to increased HDL hypocholesterolemia and continuous metabolic syndrome score. This qualitative review among Koreans represented that intake of sodium, fat, and sugar has a positive relationship with cause of obesity-related diseases. Especially, this present study has a great significance in terms of considered study that intake of the potentially hazardous nutrients among Koreans has an association with obesity and dyslipidemia. However, further studies such as randomized controlled trials on associations between sodium, fat, and sugar and obesity and dyslipidemia need to be continuously required in order to conduct quantitative systematic reviews and a meta-analysis for Koreans.

Keyword

Sodium intake; Sugar intake; Fat intake; Obesity; Dyslipidemia

MeSH Terms

Adipose Tissue
Beverages
Coffee
Dyslipidemias*
Hypercholesterolemia
Hypertriglyceridemia
Lipoproteins
Obesity*
Overweight
Sodium*
Coffee
Lipoproteins
Sodium

Reference

1. Clément K, Ferré P. Genetics and the pathophysiology of obesity. Pediatr Res. 2003; 53:721–725.
Article
2. Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in obesity among adults in the United States, 2005 to 2014. JAMA. 2016; 315:2284–2291.
Article
3. World Health Organization. Global status report on noncommunicable diseases 2014 [Internt]. Geneva: World Health Organization;2014. cited 2016 June. Available from: http://www.who.int/nmh/publications/ncd-status-report-2014/en/.
4. Daniels SR, Arnett DK, Eckel RH, Gidding SS, Hayman LL, Kumanyika S, Robinson TN, Scott BJ, St Jeor S, Williams CL. Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment. Circulation. 2005; 111:1999–2012.
5. Flodmark CE, Lissau I, Moreno LA, Pietrobelli A, Widhalm K. New insights into the field of children and adolescents’ obesity: the European perspective. Int J Obes Relat Metab Disord. 2004; 28:1189–1196.
Article
6. Dietz WH. Childhood weight affects adult morbidity and mortality. J Nutr. 1998; 128:Suppl. 411S–4S.
Article
7. Oh SW. Obesity and metabolic syndrome in Korea. Diabetes Metab J. 2011; 35:561–566.
Article
8. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2007??009: Korea National Health and Nutrition Examination Survey (KNHANES IV). Cheongwon: Korea Centers for Disease Control and Prevention;2008??010.
9. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2010??012: Korea National Health and Nutrition Examination Survey (KNHANES V). Cheongwon: Korea Centers for Disease Control and Prevention;2011??013.
10. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2013: Korea National Health and Nutrition Examination Survey (KNHANES VI-1). Cheongju: Korea Centers for Disease Control and Prevention;2014.
11. Slochower J, Kaplan SP, Mann L. The effects of life stress and weight on mood and eating. Appetite. 1981; 2:115–125.
Article
12. Garenc C, Vohl MC, Bouchard C, Pérusse L. LIPE C-60G influences the effects of physical activity on body fat and plasma lipid concentrations: the Quebec Family Study. Hum Genomics. 2009; 3:157–168.
Article
13. Hubert HB, Feinleib M, McNamara PM, Castelli WP. Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham Heart Study. Circulation. 1983; 67:968–977.
Article
14. Alberti KG, Zimmet P, Shaw J. Metabolic syndrome--a new world-wide definition. A Consensus Statement from the International Diabetes Federation. Diabet Med. 2006; 23:469–480.
Article
15. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972; 18:499–502.
Article
16. Kannel WB, Doyle JT, Ostfeld AM, Jenkins CD, Kuller L, Podell RN, Stamler J; Atherosclerosis Study Group. Optimal resources for primary prevention of atherosclerotic diseases. Circulation. 1984; 70:155A–205A.
17. Hauner H, Stangl K, Schmatz C, Burger K, Blömer H, Pfeiffer EF. Body fat distribution in men with angiographically confirmed coronary artery disease. Atherosclerosis. 1990; 85:203–210.
Article
18. Franssen R, Monajemi H, Stroes ES, Kastelein JJ. Obesity and dyslipidemia. Med Clin North Am. 2011; 95:893–902.
Article
19. Haskell WL. Cardiovascular disease prevention and lifestyle interventions: effectiveness and efficacy. J Cardiovasc Nurs. 2003; 18:245–255.
20. Grimes CA, Riddell LJ, Campbell KJ, Nowson CA. Dietary salt intake, sugar-sweetened beverage consumption, and obesity risk. Pediatrics. 2013; 131:14–21.
Article
21. Song HJ, Cho YG, Lee HJ. Dietary sodium intake and prevalence of overweight in adults. Metabolism. 2013; 62:703–708.
Article
22. Yoon YS, Oh SW. Sodium density and obesity; the Korea National Health and Nutrition Examination Survey 2007-2010. Eur J Clin Nutr. 2013; 67:141–146.
Article
23. Larsen SC, Ängquist L, Sørensen TI, Heitmann BL. 24h urinary sodium excretion and subsequent change in weight, waist circumference and body composition. PLoS One. 2013; 8:e69689.
Article
24. Navia B, Aparicio A, Perea JM, Pérez-Farinós N, Villar-Villalba C, Labrado E, Ortega RM. Sodium intake may promote weight gain; results of the FANPE study in a representative sample of the adult Spanish population. Nutr Hosp. 2014; 29:1283–1289.
25. Libuda L, Kersting M, Alexy U. Consumption of dietary salt measured by urinary sodium excretion and its association with body weight status in healthy children and adolescents. Public Health Nutr. 2012; 15:433–441.
Article
26. Ministry of Health and Welfare, Korea Institute for Health and Social Affairs. Korea Health Statistics 1998: Korea National Health and Nutrition Examination Survey (KNHANES I). Seoul: Korea Institute for Health and Social Affairs;1999.
27. Ministry of Health and Welfare, Korea Institute for Health and Social Affairs. Korea Health Statistics 2001: Korea National Health and Nutrition Examination Survey (KNHANES II). Seoul: Korea Institute for Health and Social Affairs;2002.
28. Ministry of Health and Welfare, Korea Institute for Health and Social Affairs. Korea Health Statistics 2005: Korea National Health and Nutrition Examination Survey (KNHANES III). Seoul: Korea Institute for Health and Social Affairs;2006.
29. World Health Organization.Sodium intake for adults and children: guideline. Geneva: World Health Organization;2012.
30. Griffiths RR, Vernotica EM. Is caffeine a flavoring agent in cola soft drinks? Arch Fam Med. 2000; 9:727–734.
Article
31. Chung SJ, Kim JH, Lee JS, Lee DH, Kim SH, Yu CH. A suggestion to develop a nutrition policy on food and nutrition labeling and education systems for fast food and carbonated soft drinks in Korea. Korean J Nutr. 2004; 37:394–405.
32. Kromhout D. Dietary fats: long-term implications for health. Nutr Rev. 1992; 50:49–53.
Article
33. Murphy SP, Johnson RK. The scientific basis of recent US guidance on sugars intake. Am J Clin Nutr. 2003; 78:827S–33S.
Article
34. Te Morenga L, Mallard S, Mann J. Dietary sugars and body weight: systematic review and meta-analyses of randomised controlled trials and cohort studies. BMJ. 2012; 346:jan15 3. e7492.
Article
35. Chung CE. Association of total sugar intakes and metabolic syndrome from Korean National Health and Nutrition Examination Survey 2001–2002. Korean J Nutr. 2007; 40:29–38.
36. Lee HS, Kwon SO, Yon M, Kim D, Lee JY, Nam J, Park SJ, Yeon JY, Lee SK, Lee HY, Kwon OS, Kim CI. Dietary total sugar intake of Koreans: based on the Korea National Health and Nutrition Examination Survey (KNHANES), 2008–2011. J Nutr Health. 2014; 47:268–276.
Article
37. Tomeleri CM, Ronque ER, Silva DR, Cardoso Júnior CG, Fernandes RA, Teixeira DC, Barbosa DS, Venturini D, Okino AM, Oliveira JA, Cyrino ES. Prevalence of dyslipidemia in adolescents: comparison between definitions. Rev Port Cardiol. 2015; 34:103–109.
Article
38. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). 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.
39. Yoon YS, Oh SW. Optimal waist circumference cutoff values for the diagnosis of abdominal obesity in korean adults. Endocrinol Metab (Seoul). 2014; 29:418–426.
Article
40. Lee SY, 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.
41. Batey LS, Goff DC Jr, Tortolero SR, Nichaman MZ, Chan W, Chan FA, Grunbaum J, Hanis CL, Labarthe DR. Summary measures of the insulin resistance syndrome are adverse among Mexican-American versus non-Hispanic white children: the Corpus Christi Child Heart Study. Circulation. 1997; 96:4319–4325.
Article
42. Eisenmann JC. On the use of a continuous metabolic syndrome score in pediatric research. Cardiovasc Diabetol. 2008; 7:17.
Article
43. Rhie SG, Lee DT, Kim HN, Kim AJ, Sung CJ. The comparison mineral intakes with serum lipids and minerals in some rural housewives. J Korean Soc Food Nutr. 1990; 19:411–417.
44. Choi MK, Lee WY, Park JD. Relation among mineral (Ca, P, Fe, Na, K, Zn) intakes, blood pressure, and blood lipids in Korean adults. Korean J Nutr. 2005; 38:827–835.
45. Lim SY, Yang SJ. Association between dietary sodium intake and abdominal obesity in pre-diabetes Korean adults. J Korean Soc Food Sci Nutr. 2014; 43:763–771.
Article
46. Kim JH, Lim GE, Kang S, Lee K, Park TJ, Kim J. The relationship between daily sodium intake and obesity in Korean adults. Korean J Health Promot. 2015; 15:175–184.
Article
47. Oh HW, Kim HJ, Jun DW, Lee SM. Associations between 24-hour Urine sodium excretion level and obesity-related metabolic risk factors. Korean J Community Nutr. 2015; 20:460–467.
Article
48. Oh SW, Han KH, Han SY, Koo HS, Kim S, Chin HJ. Association of sodium excretion with metabolic syndrome, insulin resistance, and body fat. Medicine (Baltimore). 2015; 94:e1650.
Article
49. Lee KY, Kim KJ. The association between dietary fat and body fat in obese adults. J Korean Acad Fam Med. 2001; 22:87–95.
50. Park YS, Park HJ, Won SI. Association of fatty acid intake and dyslipidemia in Korean adults: Korea National Health and Nutrition Survey, 1998-2007. J East Asian Soc Diet Life. 2011; 21:789–807.
51. Kim EK, Choe JS, Kim EK. Correlation of nutrient intake, obesity-related anthropometrics, and blood lipid status with instant coffee-mix intakes in Gangneung and Samcheok residents. Korean J Community Nutr. 2013; 18:134–141.
Article
52. Hur YI, Park H, Kang JH, Lee HA, Song HJ, Lee HJ, Kim OH. Associations between sugar intake from different food sources and adiposity or cardio-metabolic risk in childhood and adolescence: the Korean Child-Adolescent Cohort Study. Nutrients. 2015; 8:E20.
Article
53. World Health Organization. Diet, nutrition, and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation. Geneva: World Health Organization;2013.
54. Bibbins-Domingo K, Chertow GM, Coxson PG, Moran A, Lightwood JM, Pletcher MJ, Goldman L. Projected effect of dietary salt reductions on future cardiovascular disease. N Engl J Med. 2010; 362:590–599.
Article
55. Centers for Disease Control and Prevention (CDC). Application of lower sodium intake recommendations to adults--United States, 1999-2006. MMWR Morb Mortal Wkly Rep. 2009; 58:281–283.
56. Boden G. Obesity, insulin resistance and free fatty acids. Curr Opin Endocrinol Diabetes Obes. 2011; 18:139–143.
Article
57. Zalesin KC, Franklin BA, Miller WM, Peterson ED, McCullough PA. Impact of obesity on cardiovascular disease. Med Clin North Am. 2011; 95:919–937.
Article
58. Cocores JA, Gold MS. The Salted Food Addiction Hypothesis may explain overeating and the obesity epidemic. Med Hypotheses. 2009; 73:892–899.
Article
59. Oh SY, Monaco PA. Effect of dietary cholesterol and degree of fat unsaturation on plasma lipid levels, lipoprotein composition, and fecal steroid excretion in normal young adult men. Am J Clin Nutr. 1985; 42:399–413.
Article
60. Bowman BA, Russell RM. Present knowledge in nutrition. 8th ed. Washington (D.C.): ILSI Press;2001.
61. Whitney EN, Rolfes SR. Understanding nutrition. 9th ed. Belmont (CA): Wadsworth;2002.
62. Psota TL, Gebauer SK, Kris-Etherton P. Dietary omega-3 fatty acid intake and cardiovascular risk. Am J Cardiol. 2006; 98:4A. 3i–18i.
Article
63. He K, Liu K, Daviglus ML, Mayer-Davis E, Jenny NS, Jiang R, Ouyang P, Steffen LM, Siscovick D, Wu C, Barr RG, Tsai M, Burke GL. Intakes of long-chain n-3 polyunsaturated fatty acids and fish in relation to measurements of subclinical atherosclerosis. Am J Clin Nutr. 2008; 88:1111–1118.
Article
64. Kim J, Jo I, Joung H. A rice-based traditional dietary pattern is associated with obesity in Korean adults. J Acad Nutr Diet. 2012; 112:246–253.
Article
65. Jung HJ, Song WO, Paik HY, Joung HJ. Dietary characteristics of macronutrient intake and the status of metabolic syndrome among Koreans. Korean J Nutr. 2011; 44:119–130.
Article
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