Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Comparison of Food Intakes and Serum Lipid Levels in Overweight and Obese Women by Body Mass Index

과체중 및 비만여성의 식습관, 식이섭취실태 및 혈청지질 양상 비교

  • Kim, Ok-Hyun (Department of Food & Nutrition, College of Natural Sciences, Seoul Women's University) ;
  • Jung, Ha-Na (Department of Food & Nutrition, College of Natural Sciences, Seoul Women's University) ;
  • Kim, Jung-Hee (Department of Food & Nutrition, College of Natural Sciences, Seoul Women's University)
  • 김옥현 (서울여자대학교 자연과학대학 식품영양학과) ;
  • 정하나 (서울여자대학교 자연과학대학 식품영양학과) ;
  • 김정희 (서울여자대학교 자연과학대학 식품영양학과)
  • Published : 2007.02.28
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Abstract

This study was done to investigate the health-related habits, dietary intakes and serum lipid levels in overweight and obese women by body mass index(BMI). Subjects were 137 pre-menopausal women aged 19 to 49 years. They were divided by 3 groups, overweight($23{\leqq}BMI<25$), obese($25{\leqq}BMI<30$) and morbidly obese($BMI{\geq}30$) according to their BMI. Body composition was determined by bioelectrical impedance analysis(BIA) method. Dietary intakes were examined by 3-day record method and nutrient intakes were analyzed by the Computer Aided Nutritional analysis program for professionals(CAN-pro 3.1). Serum lipid levels were measured using automatic biochemical analyzer(Selectra E). The average age, height weight and BMI of subjects were 31.7 years old, 159.3cm, 69.4kg, and $27.4kg/m^2$, respectively. Their average consumption of energy were 1712kca1 and 86.4% of estimated energy requirement(EER). Their mom ratio of carbohydrate:protein:fat was 55.2:14.6:30.2. Particularly, the fat consumption of subjects tended to be elevated with increasing BMI. There was no significant difference in nutrient intakes among 3 groups. But the mom intakes of Ca, Fe, vitamin C and Na of all the subjects were 70.1%, 81.2%, 75.7% of recommended intake(RI) and 258.9% of adequate intake(AI), respectively, The intakes of vegetables and seaweeds were significantly higher in morbidly obese group while the intake of fruits was higher in overweight group compared to the other groups. Serum lipid analysis showed that there were no significant differences in the levels of total cholesterol, triglyceride and LDL-cholesterol among the groups. But the serum HDL-cholesterol level of the overweight group was significantly higher than that of the other groups. LDL-/HDL-cholesterol ratio and AI index were significantly higher in the morbidly obese group compared to the other groups. In addition, The systolic blood pressure of morbidly obese group was significantly higher compared to the other groups. Overall data suggest that morbidly obese women have to more concern about reducing systolic blood pressure and nm lipid levels by decreasing their fat consumption and salt intakes as well as loosing body fat. In addition, all the subjects participated in this study have to be careful about their meals and health-related behaviors in order to prevent obesity-related chronic diseases.

Keywords

References

  1. Abdulla S (1998): Alcohol friend or foe to the cardiovascular system? Alcohol and cardiovascular disease. Mol Med Today 4(1): 9 https://doi.org/10.1016/S1357-4310(97)01182-9
  2. Ahn BC, Joung HJ (2005): Socioeconomic cost of obesity in Korea. Korean J Nutr 38(9): 786-792
  3. Beaton, GH, Thein M, Milne, H, Veen, MJ (1970): Iron requirements of menstruating women. Am J Clin Nutr 23(3): 275-283 https://doi.org/10.1093/ajcn/23.3.275
  4. Berchtold P, Jorgens V, Finke C, Berger M (1981): Epidemiology of obeisty and hypertension. Int J Obesity 5(suppl 1): 1-7
  5. Berger K, Ajani VA, Kase CS, Gazino JM, Buring JE, Glynn RJ, Hennekens CH (1999): Light-to-moderate alcohol consumption and risk of stroke among U.S. male physicians. N Eng J Med 341: 1557-1564 https://doi.org/10.1056/NEJM199911183412101
  6. Brischetto CS, Connor WE, Connor SL, Matarazzo JD (1983): Plasma lipid and lipoprotein profiles of cigarette smokers from randomly selected families: enhancement of hyperlipidemia and depression of high-density lipoprotein. Am J Cardiol 52(7): 675-680 https://doi.org/10.1016/0002-9149(83)90396-X
  7. Bryant AS, Sharleen M, Ronald DF, Paula P (1986): Effects of smoking cessation rate, caloric consumption and blood lipids. Am J Clin Nutr 43: 486-494 https://doi.org/10.1093/ajcn/43.4.486
  8. Choi MJ, Jung YJ (1998): The relationship between food habit, nutrient intakes and bone mineral density and bone mineral content in adult women. Korean J Nutr 31 (9): 1446-1456
  9. Choi MJ (2001): Effects of exercise and calcium intake on blood pressure and blood lipids in premenopausal women. Korean J Nutr 34(1): 62-68
  10. 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
  11. Garfinkel L (1985): Overweight and cancer. Ann Intern Med, 103: 1034-1036 https://doi.org/10.7326/0003-4819-103-6-1034
  12. Gastineau CF (1994): Mayo clinic diet manual. 7th ed. B C Decker Inc. Toronto. Philadephia
  13. Hyun WJ (2001): The relationship between obesity, lifestyle, and dietary intake and serum lipid level in male university students. Korean J Comm Nutr 6(2): 162-171
  14. Kim AJ, Chang OJ, Kim HK, Kim SK, Kim ill, Choi HY, Kim SY (1998): Relationship of serum chrominum with serum lipids and blood glucose level in rural college Women. Korean J Nutr 31(8): 1307-1314
  15. Kim KJ, Lee WJ, Lee SJ, Ahn NY, Oh HR, Shin YJ et al. (2005): Health status and lifestyle including diet, exercise, and daily activities in obese adults. J Kor Sports Med. 23(1): 54-63
  16. Kim SJ, Park SR, Seo YS, Bae CY, Shin DH (1994): The prevalence of obesity and the relationship between obesity and its associated diseases. J Korean Acad Fam Med 15(7): 401-410
  17. Lauer RM, Lee J, Clarke WR (1988): Factors affecting the relationship between childhood and adult cholesterol levels. The Muscatine Study Pediatrics 82(3): 309-318
  18. Law MR, Frost CD, Wald NJ (1991): Analysis of data from trials of salt reduction. BMJ 302: 819-824 https://doi.org/10.1136/bmj.302.6780.819
  19. Lee YK, Sung CJ, Choi MK, Lee YS (2002): Effects of sodium intakes on blood pressure. and blood parameters in Korean normal adult women. Korean J Nutr 35(7): 745-762
  20. Lee JS, Lee HO, Yim JG, Kim YG, Choue RW (2005): Effects of medical nutrition therapy on changes of anthropometric measurements, dietary pattern and blood parameters in over weight or obese women. Korean J Nutr 38(6): 432-444
  21. Ministry of Health and Welfare (2006): 2005 National health and nutrition survey report
  22. National Cholesterol Education Program (2001): The third report of the expert panel on detection, evaluation and treatment of high blood cholesterol in adults
  23. Solomon CG, Manson JE (1997): Obesity and mortality: a review of the epidemiologic data. Am J Clin Nutr 66(4 suppl): 1044S-1050S
  24. Swahn E, Von schenck H (1993): Prognostic importance of plasma lipoprotein analysis in patients with unstable coronary artery disease. Scand J Clin Lab Invest 53(3): 289-295 https://doi.org/10.3109/00365519309088421
  25. The Korean Nutrition Society (2005) : Dietary reference intakes for Koreans
  26. Wattigney WA, Harsha DW, Srinivasan SR, Webber LS, Berenson GS (1991): Increasing impact of obesity on serum lipids and lipoprotein in young adults. The Bogalusa Heart Study. Arch Intern Med 151(10): 2017-2022 https://doi.org/10.1001/archinte.151.10.2017
  27. 송찬희(2004): 비만 측정 및 평가법. 2004년 대한비만학회 추계학술대회 초록집 104-111
  28. 윤영숙(2004): 여성의 비만; Background of epidemiology. 2004년도 대한비만학회 춘계학술대회 초록집 211-224
  29. 조종구(2000): 비만과 체중감량, 대한비만학회지 9(1): 48-54
  30. 한국지질동맥경화학회 고지혈증 치료지침위원회 (2003): 고지혈증 치료지침 -고지혈증과 동맥경화-