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A Study of Serum Lipid, Blood Sugar, Blood Pressure of Buddhist Nuns in Vegetarians and Non-Vegetarians (III) - Based on Age -

채식인과 비채식 일반인의 혈중 지질, 혈당, 혈압에 관한 연구(III) -연령을 중심으로-

  • Cha, Bok-Kyeong (Dept. of Naturopathic Medicine, The Postgraduate School of Hanseo University)
  • 차복경 (한서대학교 자연요양복지학과)
  • Published : 2004.10.01

Abstract

The purpose of this study was to compare the serum lipid level, blood sugar and blood pressure in vegetarians and non-vegetarians. The subjects of the study were 127 Buddhist nuns (age: 23∼79 y) from Oonmoon Temple in Choungdo district Gyeongsang Bookdo province and 118 Buddhist nuns practicing Zen meditation at Soodeok Temple in Yeosan district Chongcheong Namdo province. For control subjects, 235 healthy female adults (age: 23∼79 y) were selected. They were the nurses in the Gyeongsang National University Hospital, teachers and housekeepers living in Jinju, Gyeongsang Namdo province. The period of this study was from October 1996 to February 1997. The contents were consisted of food consumption survey, anthropometric measurement, estimated amount of energy expenditure, physical activity and clinical examination. The mean ages of the subjects were 44.2 y for vegetarians and 40.5 y for non-vegetarians, respectively. Average body mass index (BMI) of vegetarians and non-vegetarians were 22.47 and 21.08, WHR 0.85 and 0.84, percentage of body fat 28.79 and 26.55 respectively. The average duration of vegetarian diet of the vegetarians was 13.16 y. Levels of total cholesterol, LDL-cholesterol, atherogenic index (AI), diastolic blood pressure, blood sugar and HDL-cholesterol were significantly higher (p<0.01) in non-vegetarians than those of vegetarians. In both of subjects, levels of TG, total cholesterol, LDL-cholesterol, atherogenic index (AI) and systolic blood pressure were significantly higher (p<0.01) with an increment of age and the vegetarians showed a lower ratio of rise than the non-vegetarians. Levels of serum TG, LDL-cholesterol and AI were utmost in the 60 s and declined in the 70 s. Consequently, vegetarian diet can be considerably effective in reducing the level of the risk factors causing cardiovascular disease.

우리나라에도 심혈관 질환으로 인한 사망률이 점차 증가하고 있다. 이에 본 연구에서는 채식과 심혈관 질환과기 관계를 규명하기 위한 연구의 일환으로 채식을 하는 비구니스님을 대상으로 하여 연구한 결과를 요약하면 다음과 같다. 조사대상자의 평균나이는 채식인 44.20세, 비채식인 40.52세, BMI는 각각 22.47, 21.08이었고, WHR은 0.85, 0.84였고, %BF는 28.79, 26.55였으며, 활동량은 각각 507.8 kg/day, 400.0kg/day였고, 채식인의 평균채식기간은 13.16년이었다. 조사대상자의 총 콜레스테롤, LDL-콜레스테롤, AI, 이완기 혈압 및 혈당은 비채식인이 유의적으로(p<0.01) 높았고, HDL-콜레스테롤도 비채식인이 유의적으로(p<0.05) 높았으며 심 질환 예견지수인 HDL-콜레스테롤/총 콜레스테롤비는 채식인이 유의적으로(p<0.01) 높았다. 두군 모두 중성지방, 혈청 총 콜레스테롤, LDL-콜레스테롤, AI는 WHR, BMI,% BF, 활동량과는 유의적으로 높은 정의상관 관계를 보였다(p<0.05, p<0.01). HDL-콜레스테롤은 BMI, WHR과는 유의한 부의 상관관계를 보였다. 수축기 혈압은 BMI, WHR과는 높은 정의 상관관계를 보였다(p<0.01). 나이는 채식인에서 중성지방과는 정의 상관관계(p<0.05), 비채식인에서는 중성지방 혈청 총 콜레스테롤, LDL-콜레스테롤, AI, 수축기 혈압과는 정의 상관관계를 보였다. 두군 모두 연령 증가와 함께 중성지방, 혈청 총 콜레스테롤, LDL-콜레스테롤, AI, 수축기혈압은 유의적으로 높아졌고 채식인은 비채식인에 비해 유의적으로 낮았다(p<0.01). 이완기 혈압, 혈당은 뚜렷한 경향을 보이지 않았으나 연령증가에 따라 증가하였다. 중성지방, 혈청 총 콜레스테롤, LDL-콜레스테롤, AI, 수축기 혈압은 두군 모두 60대에 최고치를 나타내었고 70대에는 낮아지는 경향을 보였다. 따라서 혈청지질농도, 혈압은 연령 증가에 따라 유의하게 높아지고 채식인은 그 상승률이 비채식인에 비해 완만하게 증가하는 것으로 조사되었다. 이상의 결과에서 채식인은 심혈관 질환 관련인자인 혈청 총콜레스테롤, LDL-콜레스테롤, AI, 수축기혈압이 유의적으로 낮았다. 또한 나이가 듦에 따라 두군 모두 혈중지질 농도와 혈압이 높아지지만 채식군은 비채식군에 비해 상승률이 낮았다. 이로 미루어볼 때 채식은 가령과 함께 증가하는 심혈관 질환 관련인자의 상승률을 낮출 수 있을 뿐만 아니라 심혈관 질환의 예방과 치료에 효과가 있다고 볼 수 있다.

Keywords

References

  1. Lee JH. 1990. Management of obesity. Korean J Nutr 23: 347-350
  2. Kim JQ, Song JH, Cho HI, Kim SI. 1991. Survey results on the prevalence of the hyperlipidemia and other risk factors of coronary artery disease among Korean population. Kor J Clin Pathol 11: 341-347
  3. Kim MK. 2000. Serum lipids by gender, ge and lifestyle in Korean adults. Korean J Community Nutrition 5: 109- 119
  4. Heltmann BL. 1991. Body fat in the adult Danish population aged 35-65 years: an epidemiological study. Int J Obes 15: 535-545
  5. Cooper R, Allen A, Goldberg R, Trevisan M, Van Horn L, Liu K, Steinhaur M, Rubenstein A, Stamler J. 1984. Seventh- Day Adventist adolescents-lifestyle patterns and cardiovascular disease risk factors. West J Med 40: 471-477
  6. Albrink MJ. 1978. Dietary fiber, plasma insulin, and obesity. Am J Clin Nutr 31: S277-S279 https://doi.org/10.1093/ajcn/31.10.S277
  7. Keys A, Taylor HL, Blacburn H, Brozek J, Anderson JT, Simonson E. 1963. Coronary heart disease among Minnesota business and professional men followed 15 years. Circulation 28: 381-395 https://doi.org/10.1161/01.CIR.28.3.381
  8. Fisher M, Levine PH, Weiner B, Ockend IS, Johnson B, Johnson MH, Natale AM, Vaudreuil CH, Hoogasian J. 1986. The effect of vegetarian diets on plasma lipid and platelet levels. Arch Intern Med 146: 1193-1197 https://doi.org/10.1001/archinte.146.6.1193
  9. Phillips RL. 1975. Role of life-style and dietary habits in of cancer among Seventh-Day-Adventists. Cancer Res 35: 3513-3522
  10. Winder EL, Walden RT, Woods RW. 1964. Cancer, coronary artery disease in Seventh Day Adventists cancer. Cancer Res 17: 486-497
  11. Harland BF, Peterson M. 1978. Nutritional status of lacto- ovo-vegetarian, Trappist monks. J Am Diet Assoc 72: 259- 264
  12. Abdulla M, Andersson I, Asp NG, Berthlsen K, Birkhed D, Dencker Johansson CG, Jagerstad M, Kolar K, Nair BM, Nilsson-Ehle P, Norden A, Rassner S, Akesson B, Ockerman PA. 1981. Nutrient intake and health status of vegans. Am J Clin Nutr 34: 2464-2477 https://doi.org/10.1093/ajcn/34.11.2464
  13. Gordon T, Castelli WP, Hjortland MC, Kannel WB, Dawber TR. 1977. High density lipoprotein as a protective factor against coronary heart disease. Am J Med 62: 707-714 https://doi.org/10.1016/0002-9343(77)90874-9
  14. Bang HO, Dyerberg J. 1972. Plasma lipids and lipoproteins in Greenlandic west coast Eskimos. Acta Med Scand 192: 85-94 https://doi.org/10.1111/j.0954-6820.1972.tb04782.x
  15. Kim JS. 1995. A comparative study on CHD risk factors among vegetarians and non-vegetarians. MS Thesis. Sookmyung women's university. p 23-30
  16. Fredeickson DS, Levy RI, Lees RS. 1967. Fat tranaport in lipoproteins: an integrated approach to mechanisms and disorders. N Engl J Med 276: 273-281 https://doi.org/10.1056/NEJM196702022760507
  17. Doba T, Burton G, Ingold KU. 1985. Antioxidant and co- antioxidant activity of vitamin C, vitamin E or water- soluble vitamin E analogue upon the peroxidation of aqueous multillamella phospholipid liposomes. Biochem Biophys Acta 835: 298-303 https://doi.org/10.1016/0005-2760(85)90285-1
  18. Yatassery GT, Smith WE, Quach HT. 1985. Ascorbic acid glutathione and synthetic antioxidants prevents the oxidation of vitamin E in platelets. Lipids 24: 1043-1047 https://doi.org/10.1007/BF02544077
  19. Burton GW. 1989. Antioxidant action of carotenoids. J Nutr119: 109-111 https://doi.org/10.1093/jn/119.1.109
  20. Register UD, Sonnenbang LM. 1972. The vegetarian diet. J Am Diet Assoc 62: 253-258
  21. Beilin LJ. 1994. Vegetarian and other complex diets, fats, fiber, and hypertension. Am J Clin Nutr 59 (Suppl): 1130s- 1135s https://doi.org/10.1093/ajcn/59.5.1130S
  22. Pi-Sunye FX, Shils ME, Young VR. 1988. Modern nutrition in health and disease. 7ed. Lea & Febiger, Philadelphia. p 795-796
  23. Burr ML, Sweetnam PM, Barasi ME, Bates CJ. 1985. Dietary fibre, blood pressure and plasma cholesterol. Nutr Res 5: 456-472
  24. Lee RD, Nieman DC. 1996. Nutritional Assessment. 2nd ed. Mosby, New York, USA. p 56-58
  25. Hall TR, Young TB. 1989. A validation study of body fat distribution as determined by self-measurement of waist and hip circumference. Int J Obes 13 (suppl.3): 801-807
  26. Lukaski HC. 1987. Methods for the assessment or human body composition, traditional and new. Am J Clin Nutr 46: 537-556 https://doi.org/10.1093/ajcn/46.4.537
  27. Kkitzsch SG, McNamara JR. 1990. Triglyceride measurements, a review of methods and interferences. Clin Chem 36: 1605-1613
  28. Friedewald WT, Levy RI, Fredrickson DS. 1972. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 18: 499-502
  29. Ruth LP. 1984. Nutrition and integrated approach. 3rd. John willey and Sons Ins., New York, USA. p 832
  30. Haffner SM, Stern MP, Hazuda HP, Pugh J, Patterson JK. 1987. Do upperbody and centralized adiposity measure different aspects of regional body fat distribution? Relationship to non-insulin-dependent diabetes mellitus, lipids, and lipoproteins. Diabetes 36: 43-51 https://doi.org/10.2337/diabetes.36.1.43
  31. Peiris AN, Sturve MF, Kisseah AH. 1987. Relationship of body fat distribution to the metabolic clearance of insulin in premenopausal women. Int J Obes 11: 581-589
  32. Tak YJ, Yoo SM, Son YM, Yoo TW, Cho BL. 1992. Factors related to serum total cholesterol. J Korean Acad Fam Med 13: 935-941
  33. Shin YG, Bae SG. 1994. The levels of serum lipid in healthy korean adults. The Korean J Int Med 47: 587-599
  34. Sung YH, Han JH, Song JH, Choi DH, Lee SD, Jeon JM, Bae JH, Choi CP. 1993. The study on serum total cholesterol and triglyceride levels in normal adult korean wokers resident in Pohang and Kangyang. The Korean J Int Med 45: 307-315
  35. Sacks FM, Castelli WP, Donner A, Kass EH. 1975. Plasma lipids and lipoproteins in vegetarians and controls. N Engl J Med 292: 1148-1151 https://doi.org/10.1056/NEJM197505292922203
  36. Burr ML, Bates AM, Fehily AS. 1981. Plasma cholesterol and blood pressure in vegetarians. J Human Nutr 35: 437- 441