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중년 여성의 혈당수준에 따른 영양상태 및 식이염증지수의 융합적 관련성 평가: 2013-2018 국민건강영양조사 자료 이용

Evaluation of the Relevance of Nutritional Status and Dietary Inflammation Index to Blood Glucose Levels in Middle-aged Women: in terms of 2013-2018's Korean National Health and Nutrition Survey Data

박미연|박필숙|KITYO ANTHONY
한국융합학회 (Korea Convergence Society)|2021.07|한국융합학회논문지 (Journal of the Korea Convergence Society)|제12권 제7호|pp. 69-82|DOI https://doi.org/10.15207/JKCS.2021.12.7.069

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키워드

당뇨병중년여성영양상태Diabetes mellitusMiddle-aged womenNutrition status식이염증지수혈당수준Dietary inflammtory indexBlood glucose level
주제분류학제간연구

초록

본 연구는 국민건강영양조사 원시자료를 활용하여 혈당수준에 따른 영양상태와 식이염증지수와의 관련성을 확인하기 위해 중년여성 4,572명을 대상으로 이루어진 연구이다. 데이터는 SPSS Win 25.0 프로그램의 복합표본분석 기능의 교차분석, 일반선형모형, 로지스틱 회귀모형 등으로 분석하였으며, 결과는 다음과 같다. 혈당이 높은군(정상혈당군→당뇨군)의 대상자일수록 비만율과 혈중 TG/HDL-콜레스테롤 비율이 높게 나타난 반면 평균영양소 적정섭취비(10종)와 두류, 종실류, 버섯류, 과일류 등의 항염증식이의 섭취량은 낮았다. 또한 식이염증지수에 대한 혈당과의 관련성 결과는, 당뇨경계 및 당뇨병의 위험도가 항염증식이 Q1에 비해 친염증식이 Q5에서 유의하게 높았다. 따라서 중년여성의 혈당 개선을 위해서는 다양한 식품의 섭취를 강조하는 교육이 효과적으로 이루어져야 함을 제안한다.

Abstract

This study targeted 4,572 middle-aged women to examine the relationship between nutritional status and dietary inflammatory index according to blood glucose level using data from the Korean National Health and Nutrition Examination Survey (KNHANES). Data were analyzed using complex survey chi-square, General Linear Model and logisitc regression in SPSS Win 25.0 program. Women with high blood glucose (normal blood sugar→diabetes) had high rates of obesity and blood TG/HDL-cholesterol ratio. On the other hand, the Mean Adequacy Ratio (10 nutrients) and the intake of anti-inflammatory foods: beans, seeds, mushrooms, and fruits, were lower in the diabetic category. When we analysed the association between blood glucose and the Dietary Inflammatory Index, the risk of pre-diabetes and diabetes was significantly higher in the most pro-inflammatory diet category (Q5) compared to the most anti-inflammatory diet category (Q1). These findings suggest that nutritional education emphasizing the intake of various foods should be effectively conducted effectively in order to improve blood glucose among middle-aged women.

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