The Relationship between Serum Cholesterol Level and Dietary Intake in Obese Children

비만 아동의 식이 섭취 양상과 혈청 콜레스테롤 수준과의 상관성

  • Published : 1996.06.01

Abstract

To assess the relationship between serum cholesterol level and dietary intake in obese children, 50 subjects were selected as an obese group and 50 subjects as a normal group depending upon body mass index. Fasting blood samples were obtained and analyzed for serum total cholesterol(TC), high density lipoprotein cholesterol(HDLC), low density lipoprotein cholesterol(LDLC) and triglyceride(TG). The dietary intake and information on dietary behavior and family environment were obtained by questionaire using 24 hour dietary recall method for 2-consecutive days. The concentrations of TC, LDLC, HDLC and TG of obese group were estimated to be 193.3mg/dl, 122.5mg/dl, 53.7mg/dl and 86.0mg/dl, respectively. The obese group showed higher TC, LDLC, TG level(p<0.001) and lower HDLC level(p<0.001) than normal group. Food intakes in obese group were similar to those of normal group except meats & fishes(P<0.01), milk & dairy products, fruits(p<0.05), and green & yellow vegetables(p<0.001). Nutrient intakes in obese group exceeded Korean recommended dietary allowance for the corresponding ages. Saturated fatty acid(p<0.05) and cholesterol(p<0.001) intakes in obese group were higher than those of normal group. In correlation analysis, meats & fishes, eggs and milk & dairy products intakes were positively related to serum TC, LDLC and TG ; on the contrary, green & yellow vegetables and fruits intakes were negatively related to serum TC, LDLC and TG ; but positively to HDLC. Obesity index, serum cholesterol level, cholesterol and saturated fatty acid intake were positively correlated with parent's obesity index, frequency of snack per day, eating rate and late snack.

Keywords

References

  1. 어린이 비만 이렇게 예방하자 대한영양사회
  2. Practitioner v.227 Obesity in childhood Brook, C. G. D.
  3. 소아과학회지 v.28 학동기 소아에 있어서의 비만증의 조사연구 유호성;나창수
  4. Progress in obesity research Dietary treatment of childhood obese Kinugasa, A.;Kusunolci, T.;Oomura, Y.(ed.)
  5. Top Clin. Nutr. v.6 Practical management of pediatric hyperlipidemia Copperman, N.;Schebendach, J.;Arden, M. R.;Jacobson, M. S.
  6. 한국영양학회지 v.23 비만과 관련된 질환 이홍규
  7. J. Pediatr. v.103 Childhood obesity : Susceptibility, cause and management Dietz, W. H.
  8. Clin. Nutr. v.71 Obesity of children Kinosaka, A.
  9. 대한보건협회지 v.11 대도시 비만아동의 비만요인에 관련된 사회조사연구 하명주
  10. Textbook of pediatric nutrition Childhood obesity Knittle, J. L.;Merritt, R. J.;Dixon-shanies, D.;Ginberg, F.;Timmer, K. I.;Katz, D. P.;Suskind, R. M.(ed.)
  11. 한국영양학회지 v.15 식습관과 성격적 특성에 관한 조사연구-미국의 일부 대학생들을 중심으로 김기남
  12. J. Pediatr. v.91 Current controversies in childhood obesity Weil, W. B.
  13. Pediatr. Clin. North. Am. v.33 Prevention of childhood obese Dietz, W. H.
  14. Pediatr. Clin. North Am. v.32 Childhood obesity Epstein, L. H.;Wing, R. R.;Valoski, A.
  15. Am. J. Epidemiol. v.111 Relationships of measurements of body mass to plasma lipoproteins in school children and adults Laskarzawski, P.;Morrison, J. A.;Kelly, K.;Gartside, P. S.;Khoury, P.;Glueck, C. J.
  16. J. Am. Diet. Assoc. v.71 Dietary studies of rural school children in a cardiovascular survey Frank. G. C.;Voors, A. W.;Schilling, P. E.;Berrenson, G. S.
  17. Pediatrics v.82 Factors affecting the relationship between childhood and adult cholesterol levels Lauer, R. M.;Lee, J.;Clarke, W. R.
  18. J. Pediatr. v.103 cholesterol screening in child hood: Does it predict adult hypercholesterolemia? Orchard, T. J.;Donahue, R. P.;Kuller, L. H.;Hodge, P. N.;Drash, A. L.
  19. Arteriosclerosis v.8 Dietary factors relate to cardiovascular risk factors in early life Nicklas, T. A.;Farris, R. P.;Smoak, C. G.;Frank, G. C.;Srinivasan, S. R.;Webber, L. S.;Berenson, G. S.
  20. Pediatrics v.65 Interrelationships between nutrient intake and plasma lipids and lipoprotein in school children aged 6∼19 Morrison, J. A.;Larsen, R.;Glatfelter, L.;Boggs, D.;Burton, K.;Smith, C.;Kelly, K.;Mellies, M. J.;Glueck, C. J.
  21. J. Am. Diet. Assoc. v.92 Weight for height measurement and saturated fatty acid intake are predictors of serum cholesterol level in children Dorinda, K.;Weidenbach, W.;Nancy, L.
  22. Prev. Med. v.12 Summary and recommendations of the conference on blood lipids in children : Optimal levels for early prevention of coronary artery disease Wynder, E. L.;Berenson, G. S.;Epstein, F. H.;Glueck, C. J.;Lewis, B.;Wissler, R. W.;McGill, H.
  23. Circulation v.67 Diet in the healthy child Weidman, W.;Kwiterovich, P.;Jesse, M. J.;Nugent, E.
  24. 한국 소아 발육 표준치 대한소아과학회
  25. 식품과 영양 no.춘계호 영양상태의 평가방법 채범석
  26. 營養指導事典 濱喜代治;岩養裕之
  27. Clin. Chem. v.36 Triglyceride measurements : A review of methods and interferences Klotzsch, S. G.;McNamara, J. R.
  28. Clin. Chem. v.18 Estimation of the concentration of low density lipoprotein cholesterol without use of the preparative ultracentrifuge Friedwald, W. T.;Levy, R. I.;Fredrickson, D. S.
  29. 한국영양식량학회지 v.22 식품군별 영양평가를 위한 전산화 연구 한지숙;이숙희
  30. 인간과학 v.2 비만증 안부호
  31. PC/SAS 해설 성내경
  32. SAS를 이용한 통계자료 분석 송문섭;이영조;조신섭;김병천
  33. Circulation v.54 Serum cholesterol and triglyceride levels in 3,446 children from a biracial community Frerichs, R. R.;Srinivasan, S. R.;Webber, L. S.
  34. Am. J. Clin. Nutr. v.31 Dietary studies and relationship of diet to cardiovascular disease risk factor variables in 10-year-old children Frank, G. C.;Berenson, G. S.;Webber, L. S.
  35. Am. J. Epidemiol. v.132 The relation between body mass index and plasma total cholesterol in a multiracial sample of US school children Resicow, K.;Morabia, A.
  36. Am. J. Med. v.62 High density lipoprotein as a protective factor against coronary heart disease Gordon, T.;Gastelli, W. P.;Hjortland, M. C.;Kannel, W. B.;Dawber, T. R.
  37. 식생활관리 윤서석;안명수;안숙자
  38. 영양·식이요법 이기열
  39. Implications for reducing chronic disease risk National Research Council
  40. Ann. Rev. Nutr. v.5 Effects of diet on lipoprotein metabolism Goldberg, A. C.;Schonfield, G.