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Relationships Between Dietary Intake and Serum Lipid Profile of Subjects Who Visited Health Promotion Center

건강검진 수진자들을 대상으로 한 식이 섭취와 혈중지질과의 상관관계

  • Jung, Mi-Suk (Graduate School of Clinical Health Sciences, Ewha Womans University) ;
  • Bae, Jea-Hurn (Team of Nutrition, Soonchunhyang University Buchon Hospital) ;
  • Kim, Yang-Ha (Dept. of Nutritional Science and Food Management, Ewha Womans University)
  • 정미숙 (이화여자대학교 임상보건과학대학원 임상영양) ;
  • 배제헌 (순천향대학교 부천병원 영양팀) ;
  • 김양하 (이화여자대학교 식품영양학과)
  • Published : 2008.12.31

Abstract

The purpose of this work was to study the relationships between dietary intake and serum lipid profile in 293 adult subjects (mean age: $45.9{\pm}0.7$, men: 163, women: 130) who visited health promotion center. The anthropometric and biochemical blood indices were measured, and nutritional intakes were assessed using a food frequency questionnaire method. The subjects were divided by three groups in accordance with a standard for treating hyperlipidemia; those who had blood cholesterol levels above 240 mL/dL or triglyceride levels above 200 mL/dL were put into the risk group (Risk), while those with blood cholesterol levels below 200 mL/dL and triglyceride levels below 150 mL/dL were put into the control group (Control). Subjects who were between the two groups in terms of blood cholesterol and triglyceride levels were put into the borderline group (Borderline). Risk group showed significantly higher body mass index, body weight, waist circumference, and fat content compared to control group. The levels of calorie, carbohydrate, fat, and protein intake were significantly higher in the risk group than control group. There were significantly positive correlations between dietary calorie, carbohydrate, fat, and protein intake and blood triglyceride concentration. The blood HDL-cholesterol concentration had negative correlation with carbohydrate intake. These results suggested that overeating may be one of important factors affecting hyperlipidemia in Korean adults.

본 연구는 건강진단센터에서 건강검진을 받은 검진자 293 명을 고지혈증 치료지침 혈중지질 농도 기준에 따라 정상군, 경계군, 위험군으로 분류하여 신체계측, 혈액 성분 및 혈압, 영양소 섭취량을 조사하여 혈중지질 농도에 영향을 주는 요인을 분석하였다. 각 군별 체중, 체지방율, 허리둘레, 체질량지수 평균은 정상군에 비해 경계군, 위험군이 유의적으로 높았다. 열량 섭취량은 정상군 1,818.3 kcal, 경계군 1,803.0 kcal, 위험군 1,999.5 kcal로 정상군에 비해 위험군이 유의적으로 높았다. 에너지원인 탄수화물, 지질, 단백질 섭취량에 서 정상군에 비하여 위험군이 모두 유의적으로 높았다. 한편 연구대상자들의 혈중 중성지방 농도에 따라 영양소 섭취량을 비교한 결과 정상혈중중성지방군보다 위험혈중중성지방군인 대상자에서 열량, 탄수화물, 지질, 단백질 섭취량이 유의적으로 높았다. 영양소 섭취와 혈중지질 농도 간의 상관관계 분석 결과 열량, 탄수화물, 지질, 단백질 섭취량이 혈중 중성지방 농도와 양의 상관관계를 나타내었고, 탄수화물 섭취량과 혈중 HDL-콜레스테롤 농도는 음의 상관관계를 나타내었다. 결론적으로 본 연구에서 고지혈증 혹은 혈중 중성지방 농도가 높은 대상자들에게서 모두 열량, 탄수화물, 지질, 단백질 섭취량이 높게 나타나 우리나라 사람들의 고지혈증 요인 중의 하나가 과잉 식이섭취에 의한 것임을 알 수 있다. 따라서 성인의 건강한 혈중지질 농도를 유지하기 위해 과잉 식이섭취에 의한 비만을 예방하고 특히 적절한 지방 및 탄수화물의 섭취를 위한 영양교육이 필요할 것으로 사료된다.

Keywords

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