DOI QR코드

DOI QR Code

Relationships Between Dietary Behavior and Serum Lipids of Health Examinees at General Hospitals in Busan

부산지역 건강검진 수검자의 식행태와 혈청 지질과의 관계

  • Son, Eun-Joo (Dept. of Nutrition Care, Dongnam Institute of Radiological & Medical Sciences) ;
  • Lyu, Eun-Soon (Dept. of Food Science and Nutrition, Pukyong National University)
  • 손은주 (동남권원자력의학원 영양실) ;
  • 류은순 (부경대학교 식품영양학과)
  • Received : 2012.09.14
  • Accepted : 2012.11.26
  • Published : 2013.01.31

Abstract

The purpose of this study was to measure the serum lipid concentrations by gender and age, and to investigate the relationship between dietary behavior and serum lipid levels in Korean adults. The subjects consisted of 209 volunteers (121 men and 88 women) who visited a health promotion center. Their anthropometric and biochemical blood indices were measured, and data on lifestyles were obtained using structured questionnaires. The blood total cholesterol, LDL-cholesterol, and triglyceride concentrations increased significantly with age in women (p<0.01). The food habit score of men and women increased with age, and total food habit score was negatively correlated with BMI (p<0.05). The rate of skipping meals (p<0.001), overeating (p<0.05), eating instant food (p<0.001), and eating out (p<0.05) decreased significantly with age, and the intake rate of vegetables (p<0.001) and carbohydrates (p<0.05) significantly increased with it. The food intake frequency of 21 food items was also measured, and snacks (p<0.05), high fat foods (p<0.01) meats (p<0.05), and instant foods (p<0.01) were negatively correlated with HDL-cholesterol. Snacks (p<0.05) and high fat foods (p<0.01) were positively correlated with LDL-cholesterol. Snacks (p<0.05) and fats/oils (p<0.01) were positively correlated with triglycerides. These results suggest that the food habits and food intake frequency may be one of the important factors affecting serum lipid concentrations in Korean adults.

본 연구는 건강검진센터에서 건강검진을 받은 수검자 209명을 대상으로 성별, 연령별 혈청지질 농도의 분포 양상을 살펴보고 한국인의 식습관 및 식품섭취유형과의 관련성을 파악하여 건강증진센터 이용자 및 심혈관계질환자들을 위한 교육의 기초 자료를 마련하고자 수행하였다. 본 연구 결과에서 조사대상자의 BMI는 여자의 경우 연령이 증가함에 따라 유의적(p<0.01)으로 높았고, 남자가 여자보다 BMI가 높았다. 혈청 지질 농도는 여자가 TC, LDL, TG가 연령이 증감함에 따라 모두 유의적(p<0.01)으로 증가하였고, 남자는 TG가 연령이 증가함에 따라 높아졌지만 유의적인 차이는 보이지 않았다. 식습관 점수는 여자가 남자보다 높았지만 유의적인 차이가 없었고, 남녀 모두 연령이 높아질수록 식습관 점수가 높게 나타났다. 식습관 전체 점수는 BMI와 유의적인(p<0.05) 음의 상관관계를, 인스턴트식품 섭취 안함은 HDL과 유의적인 양(p<0.01)의 상관관계를 보였다. 식품의 섭취빈도에서 과자류 섭취빈도는 HDL과는 유의적인(p<0.05) 음의 상관관계를, LDL과 TG와는 유의적인(p<0.05) 양의 상관관계를 보였다. 고지방 식품 섭취빈도는 HDL과는 유의적인(p<0.01) 음의 상관관계를, LDL과는 유의적인(p<0.01) 양의 상관관계가 있었다. 육류(p<0.05)와 인스턴트식품(p<0.01) 섭취빈도는 HDL과 유의적인 음의 상관관계가 있었다. 튀김류(p<0.01) 섭취빈도는 TG와 유의적인 양의 상관관계를 보였다. 본 연구에서 다양한 식품군별 섭취빈도와 혈청지질 농도와 의미있는 관계를 보인 식품군들이 나타났지만 앞으로 조사대상자를 확대시킨 이와 관련된 연구를 수행함으로써 우리나라 사람들의 식사패턴에 맞는 식사관리 지침 프로그램 지침이 마련되어야 하겠다.

Keywords

References

  1. Hwang GH, Noh YH, Heo YR. 1999. A study on hyperlipidemia in Koreans-specially related to hematological characteristics and risk factors of hypercholoesterolemia-. J Korean Soc Food Sci Nutr 28: 710-721.
  2. Krauss RM. 1998. Triglycerides and atherogenic lipoproteins: rationale for lipid management. Am J Med 105: 58S-62S. https://doi.org/10.1016/S0002-9343(98)00213-7
  3. Ministry for Health, Welfare and Family Affairs. 2009. Korean Health Statistics 2009: Korea National Health and Nutrition Examination Survey(KNHANES IV-3) . Seoul, Korea. p 48-52,159,287,196-198.
  4. Hubert DB, Feinleib M, McNamara PM, Castelli WP. 1983. Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham heart study. Circulation 67: 968-977. https://doi.org/10.1161/01.CIR.67.5.968
  5. Stamler J, Wentworth D, Neaton JD. 1986. Is the relationship between serum cholesterol and risk of premature death from coronary heart disease continuous and graded? Findings in 356,222 primary screenees of the Multiple Risk Factor Intervention Trial (MRFIT). JAMA 256: 2823-2828. https://doi.org/10.1001/jama.1986.03380200061022
  6. Grundy SM, Denke MA. 1990. Dietary influence on serum lipid and lipoproteins. J Lipid Res 31: 1149-1172.
  7. Friedman GD, Cutter GR, Donahue RP, Hughes GH, Hulley SB, Jacobs DR Jr, Liu K, Savage PJ. 1988. CARDIA: study design, recruitment, and some characteristics of the examined subject. J Clin Epidemiol 41: 1105-1116. https://doi.org/10.1016/0895-4356(88)90080-7
  8. Eaton CB, Schaad DC, Rybicki B, Pearson TA, Van Citters RL, Stone EJ, Castle CH, Cohen JD, Davidson DM, Greenland P. 1990. Risk factors for cardiovascular disease in U.S. medical students: the Preventive Cardiology Academic Award Collaborative Data Project. Am J Prev Med 6: 14-22.
  9. Freedman DS, Strogatz DS, Williamson DS, Aubert RE. 1992. Education, race, and high-density lipoprotein cholesterol among US adults. Am J Public Health 82: 999-1006. https://doi.org/10.2105/AJPH.82.7.999
  10. Pekkanen J, Linn S, Heiss G, Suchindran CM, Leon A, Rifkind BM, Tyroler HA. 1990. Ten-year mortality from cardiovascular disease in relation to cholesterol level among men with and without preexisting cardiovascular disease. N Engl J Med 322: 1700-1707. https://doi.org/10.1056/NEJM199006143222403
  11. Amsterdam EA, Deedwania PC. 1998. A perspective on hyperlipidemia: concepts of management in the prevention of coronary artery disease. Am J Med 105: 69S-74S. https://doi.org/10.1016/S0002-9343(98)00215-0
  12. Kim JS, Han JS. 2004. Effect of a web-based nutrition counseling on food intake and serum lipids in hyperlipidemic patients. J Korean Soc Food Sci Nutr 33: 1302-1310. https://doi.org/10.3746/jkfn.2004.33.8.1302
  13. Kim MK. 2000. Serum lipids by gender, age and lifestyle in Korean adults. Korean J Community Nutr 5: 109-119.
  14. Kim JO, Wee HJ. 2001. The association of body mass index with dietary intake, serum lipid levels, lipoprotein(a) and PAI-1 in middle class Korean adults from 1995 to 1999. Korean J Community Nutr 6: 51-68.
  15. Joung HJ, Paik HY, Choi YS, Cho SH, Park WH. 2002. A case-control study for dietary intakes of patients with coronary heart disease. Korean J Nutr 35: 763-770.
  16. Jung MS, Bae JH, Kim YH. 2008. Relationships between dietary intake and serum lipid profile of subjects who visited health promotion center. J Korean Soc Food Sci Nutr 37: 1583-1588. https://doi.org/10.3746/jkfn.2008.37.12.1583
  17. Kay RM, Truswell AS. 1977. Effect of citrus pectin on blood lipids and fecal steroid excretion in men. Am J Clin Nutr 30: 171-175.
  18. Joshipura KJ, Hu FB, Manson JE, Stampter MJ, Rimm EB, Speizier FE, Colditz G, Ascherio A, Rosner B, Spiegelman D, Willett WC. 2001. The effect of fruit and vegetable intake on risk for coronary heart disease. Ann Intern Med 134:1106-1114. https://doi.org/10.7326/0003-4819-134-12-200106190-00010
  19. Choi YS, Seo JM, Lee NH, Cho SH, Park WH. 1999. Diet, lifestyle behaviors, serum antioxidant and lipid status in patients with coronary artery disease. Spring Meeting of the Korean Society of Lipidology and Atherosclerosis, Daegu, Korea. p 183-194.
  20. Park MK, Lee HO. 2003. A comparative analysis on the environmental and dietary factors in Korean adult males classified by serum lipid profiles. Korean J Nutr 36: 64-74.
  21. Committee of establishing guidelines of treatment for Korean hyperlipidemic patients. 2003. Guidelines of treatment for Korean hyperlipidemic patients. 2nd ed. Seoul, Korea.
  22. Thompson G. 1990. A Handbook of Hyperlipidemia. Current Science, London, UK. p 69-85.
  23. Gordon T, Castelli WP, Hjortland MC, Kannel WB, Dawber TR. 1977. Diabetes blood lipids and the fat of obesity in coronary heart disease risk for women. The Framingham study. Ann Intern Med 87: 393-401. https://doi.org/10.7326/0003-4819-87-4-393
  24. Kang GJ, Choi JS, Han HJ, Hwang YH. 2006. The study on food habits and nutritional status of adults in the Seoul area. J Natural Science 12: 139-156.
  25. Choi JS, Ji SM, Paik HY, Hong SM. 2003. A study on the eating habits and dietary consciousness of adults in urban area. J Korean Soc Food Sci Nutr 32: 1132-1146. https://doi.org/10.3746/jkfn.2003.32.7.1132
  26. Lee MS, Woo MK. 2000. A study on health-related habits, dietary behaviors and health status of the middle aged and the elderly living in Chonju area. Korean J Nutr 33: 343-352.
  27. Robertson TL, Kato H, Rhoads GG, Kagan A, Marmot M, Syme SL, Gordon T, Worth RM, Belsky JL, Dock DS, Miyanishi M, Kawamoto S. 1997. Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California: incidence of myocardial infarction and death from coronary heart disease. Am J Cardiol 39: 239-243.
  28. Lim HS, Baik IK, Lee HS, Lee YJ, Chung NS, Jho SY, Kim SS. 1995. Effects of the life style in patients with coronary artery disease on the serum lipid concentrations and atherosclerotic coronary lesion. Korean J Lipidol 5: 71-83.
  29. Ornish D, Brown SE, Scherwitz LW, Billings JH, Armstrong WT, Ports TA, McLanahan SM, Kirkeeide RL, Brand RJ, Gould KL. 1990. Can lifestyle change reverse coronary heart disease?: the lifestyle heart trial. Lancet 336:129-133. https://doi.org/10.1016/0140-6736(90)91656-U
  30. Kramer LM. 1995. Implementing new dietary guidelines of National Cholesterol Education Program. AACN Clin Issues 6: 418-431. https://doi.org/10.1097/00044067-199508000-00007

Cited by

  1. Understanding the sensory characteristics and drivers of liking for gochujang (Korean fermented chili pepper paste) vol.26, pp.2, 2017, https://doi.org/10.1007/s10068-017-0056-8