Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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The correlation between triglyceride to HDL cholesterol ratio and metabolic syndrome, nutrition intake in Korean adults: Korean National Health and Nutrition Examination Survey 2016

한국 성인에서 중성지방/고밀도지단백콜레스테롤 비와 대사증후군 및 영양소 섭취와의 연관성 : 2016년 국민건강영양조사 자료를 이용하여

  • Kim, Youngjon (Department of Medical Education, Wonkwang University School of Medicine) ;
  • Han, A Lum (Department of Family Medicine, Wonkwang University Hospital)
  • 김영전 (원광대학교 의과대학 의학교육학교실) ;
  • 한아름 (원광대학병원 가정의학과)
  • Received : 2019.02.07
  • Accepted : 2019.04.15
  • Published : 2019.06.30
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Abstract

Purpose: Metabolic syndrome causes diabetes and increases the risk of cardiovascular disease. This study examined the correlation between metabolic syndrome, nutrition intake, and triglyceride (TG)/high-density lipoprotein (HDL) cholesterol ratio. Methods: Using the data from the $7^{th}$ KNHANES (2016), this study was conducted on healthy adults aged 19 and older. The components and existence of metabolic syndrome and nutrition intake were independent variables and the TG/HDLcholesterol ratio was a dependent variable. A complex sample logistic progress test was used with age, sex, smoking, and drinking frequency corrected. Results: The TG/HDLcholesterol ratio of people with metabolic syndrome was as high as 1.314 on average, compared to people without metabolic syndrome (p < 0.0001). Among each component of metabolic syndrome, the TG/HDL cholesterol ratio had a significant association with fasting blood glucose, TG, HDL cholesterol, and waist circumference (p < 0.05). Only energy and carbohydrate intake were significantly related to the TG/HDLcholesterol ratio (p < 0.05). Conclusion: The TG/HDLcholesterol ratio is associated with each component of metabolic syndrome, but in particular, it is positively correlated with the presence of metabolic syndrome. Lower energy intakehad a positive correlation with the TG/HDLcholesterol ratio. These results show that metabolic syndrome can be predicted using the TG/HDLcholesterol ratio, and a diet strategy through nutrition and health education is necessary to prevent metabolic syndrome.

본 연구의 목적은 건강한 한국 성인을 대상으로 손쉽게 측정 가능한 지표인 TG/HDL콜레스테롤 비에 영향을 주는 영양소 섭취 및 일반적 요소를 파악하고, 이 비와 대사 증후군과의 연관성을 통해 대사증후군을 미리 예측하기 위함이다. 본 연구는 2016년도 국민건강영양조사에 참여한 건강한 성인 2,828명을 대상으로 건강 설문조사, 식이 섭취 현황과 검진조사를 활용하여 TG/HDL콜레스테롤 비와 대사증후군 유무, 영양소 섭취와의 상관성을 알아보았다. 연구결과 TG/HDL콜레스테롤 비와 연관성이 있는 일반적 지표는 나이, 성별, 흡연, 음주 횟수, 혈압, 공복 시 혈당, 당화혈색소, 총콜레스테롤, 고밀도지단백콜레스테롤, 중성지방, 저밀도지단백콜레스테롤, 허리둘레, BMI, 고민감도 CRP, 요산, 크레아티닌, 요산/크레아티닌 비였다. 관련 요인을 보정한 후 분석한 결과 대사증후군 유무와 TG/HDL 콜레스테롤 비는 양의 상관관계를 보였고, 대사증후군 구성요소 중 공복 시 혈당, 중성지방, 고밀도지단백콜레스테롤이 이 비와 양의 상관성을 보였다. 영양소 섭취에서는 에너지와 당질 섭취량이 TG/HDL콜레스테롤 비와 연관성을 보였다. 특히 에너지 섭취량을 줄이는 것이 TG/HDL콜레스테롤 비를 낮추고 대사증후군의 위험성을 낮출 수 있음을 알 수 있다. 연구결과를 볼 때 TG/HDL콜레스테롤 비가 높은 일반인을 대상으로 하는 대사관련 영양 교육 및 보건 교육 관련 구체적인 프로그램의 실행이 필요함을 알 수 있다.

Keywords

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