Clin Nutr Res.  2019 Jul;8(3):219-228. 10.7762/cnr.2019.8.3.219.

A Relationship between Dietary Patterns and Dyslipidemia in Urban-dwelling Middle-Aged Korean Men: Using Korean Genome and Epidemiology Study (KoGES)

Affiliations
  • 1Department of Food and Nutrition, Wonkwang University, Iksan 54538, Korea. ccha@wku.ac.kr

Abstract

An increase in the prevalence of dyslipidemia has been strongly associated with the mortality rate of cardiovascular disease. We conducted a cross-sectional analysis to determine the relationship between dietary patterns and dyslipidemia in adult men aged 40-64 years. A total of 5,643 subjects from the Korean Genome and Epidemiology Study (KoGES) were selected for the final analysis. We analyzed 24-hour dietary recall data. Using principal component analysis, 3 dietary patterns were identified: rice based Korean food pattern, flour based western dietary pattern, and convenience food dietary pattern. The flour based western dietary pattern was significantly and positively associated with total cholesterol, and low density lipoprotein (LDL) cholesterol (p for trend < 0.05). With regard to the rice based Korean food pattern, the group with the highest factor score had a significantly lower risk of hyper LDL cholesterolemia (odds ratio [OR], 0.802; 95% confidence interval [CI], 0.698-0.922) and high total cholesterol levels (OR, 0.868; 95% CI, 0.761-0.990) than the group with the lowest factor score. For the flour based western dietary pattern the group with the highest factor score showed a significantly high risk of hyper LDL cholesterolemia (OR, 1.189; 95% CI, 1.033-1.367; p for trend < 0.05) than the group with the lowest factor score. Our results showed that the rice based Korean food pattern protected against dyslipidemia. In contrast, the western staple pattern, which is rich in flour and processed foods, was independently associated with dyslipidemia in urban male residents of Korea.

Keyword

Diet; Dyslipidemia; Korea; Urbanization; Men

MeSH Terms

Adult
Cardiovascular Diseases
Cholesterol
Cross-Sectional Studies
Diet
Diet, Western
Dyslipidemias*
Epidemiology*
Fast Foods
Flour
Genome*
Humans
Korea
Lipoproteins
Male
Mortality
Prevalence
Principal Component Analysis
Urbanization
Cholesterol
Lipoproteins
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