본문 바로가기
KERD
논문KCI 등재

한국인의 흡연 행태와 대사이상 지표 사이 관련성에 관한 융복합 연구: 2013-2015 국민건강영양조사 자료에 근거하여

Convergence of the relationship between smoking behavior and metabolic abnormalities in the Korean population: data from the Korean National Health and Nutrition Examination Surveys 2013-2015

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류학제간연구

초록

본 연구에서는 2013-2015년 국민건강영양조사 결과를 이용하여 우리나라 20-64세 성인 남녀 5,597명의 자료를 분석하였다. 현재 흡연자인 남성은 41.1%, 여성은 5.5%였으며, 현재 흡연자에서 대사증후군이 발생할 위험은 남성에서 연령 및 음주, 신체활동, 비만, 수면시간을 보정하였을 경우 1.785배 유의하게 증가하는 것으로 나타났지만, 여성에서는 유의하지 않았다. 흡연 및 대사증후군 유무에 따른 평균 영양소 섭취 차이를 분석 결과, 흡연자이면서 대사증후군이 있는 군에서 연령과 성별을 보정하였을 경우 에너지, 레티놀 및 비타민 C 섭취량에서만 유의한 결과를 보였다. 본 연구 결과 흡연 행태와 대사증후군 여부가 영양소 섭취와 연관이 있다는 것을 확인할 수 있었으며, 이에 따라 대사증후군의 예방과 관리를 위한 국가적인 수준의 생활습관 중재가 필요하겠다.

Abstract

A total of 5,597 Korean subjects aged 20-64 years were analyzed using the KNHANES 2013-2015. Among the subjects, 41.1% of males and 5.5% of females were smokers, and risk of developing metabolic syndrome in smokers was significantly increased in men with age, alcohol, physical activity, obesity, and sleep(aOR 1.785, 95% CI 1.004-3.174), whereas it was not significantly higher in women. As a result of analyzing the difference of average nutrient intake according to smoking and metabolic syndrome, the energy, retinol and vitamin C intake were significant when age and gender were corrected in the smoker and metabolic syndrome group. In this study, we found that smoking behavior and metabolic syndrome were related to nutrient intake which requires a national level of lifestyle intervention for the prevention and management of metabolic syndrome.

참고문헌 (34)

  1. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults, "Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)", JAMA: The Journal of the American Medical Association, 285(19), pp.2486~2497 (2001), American Medical Association (AMA)[DOI]
  2. Eun Shil Lim, "Prevalence and risk factors of metabolic syndrome in the Korean population - Korean National Health Insurance Corporation Survey 2008", Journal of Advanced Nursing, 69(7), pp.1549~1561 (2013), Wiley[DOI]
  3. Sunghwan Suh, "Metabolic Syndrome and Cardiovascular Diseases in Korea", Journal of Atherosclerosis and Thrombosis, pp.S31~S35 (2014), Japan Atherosclerosis Society[DOI]
  4. 김유미, "한국 건강불평등의 현황과 문제점", 예방의학회지, 40(6), pp.431~438 (2007), 대한예방의학회
  5. 정찬희, "한국 성인에서 흡연, 음주, 운동, 교육정도 및 가족력이 대사증후군에 미치는 영향", 대한내과학회지, 63(6), pp.5~667 (2002), 대한내과학회
  6. H. S. Park, "The metabolic syndrome and associated lifestyle factors among South Korean adults", International Journal of Epidemiology, 33, pp.328~336 (2004)[DOI]
  7. Ching-Chu Chen, "Association among cigarette smoking, metabolic syndrome, and its individual components: the metabolic syndrome study in Taiwan", Metabolism, 57(4), pp.544~548 (2008), Elsevier BV[DOI]
  8. W. P. Jia, "The impact of cigarette smoking on metabolic syndrome", Biomedical and Environmental Sciences, 26(12), pp.947~952 (2013)[DOI]
  9. Scott M. Grundy, "Diagnosis and Management of the Metabolic Syndrome", Circulation, 112(17), pp.2735~2752 (2005), Ovid Technologies (Wolters Kluwer Health)[DOI]
  10. Sang Yeoup Lee, "Appropriate waist circumference cutoff points for central obesity in Korean adults", Diabetes Research and Clinical Practice, 75(1), pp.72~80 (2007), Elsevier BV[DOI]
  11. Dong-Hyun Choi, "Usefulness of the Waist Circumference-to-Height Ratio in Screening for Obesity and Metabolic Syndrome among Korean Children and Adolescents: Korea National Health and Nutrition Examination Survey, 2010–2014", Nutrients, 9(3), pp.256~ (2017), MDPI AG[DOI]
  12. 유은경, "Waist- to-Height Ratio as an Index for Cardiometabolic Risk in Adolescents: Results from the 1998−2008 KNHANES", Yonsei Medical Journal, 57(3), pp.658~663 (2016), 연세대학교의과대학[DOI]
  13. Y. Je, "Development of a self-assessment score for metabolic syndrome risk in non-obese Korean adults", Asia Pacific Journal of Clinical Nutrition, 26(2), pp.220~226 (2017)[DOI]
  14. Marissa B Reitsma, "Smoking prevalence and attributable disease burden in 195 countries and territories, 1990–2015: a systematic analysis from the Global Burden of Disease Study 2015", The Lancet, 389(10082), pp.1885~1906 (2017), Elsevier BV[DOI]
  15. Binh Thang Tran, "The prevalence trend of metabolic syndrome and its components and risk factors in Korean adults: results from the Korean National Health and Nutrition Examination Survey 2008–2013", BMC Public Health, 17(1), pp.71~ (2017), Springer Science and Business Media LLC[DOI]
  16. Seung Ha Park, "Smoking-Related Differential Influence of Alcohol Consumption on the Metabolic Syndrome", Substance Use & Misuse, 2, pp.1~8 (2019), Informa UK Limited[DOI]
  17. Debasish Kar, "Relationship of cardiometabolic parameters in non-smokers, current smokers, and quitters in diabetes: a systematic review and meta-analysis", Cardiovascular Diabetology, 15(1), pp.158~ (2016), Springer Science and Business Media LLC[DOI]
  18. M. J. Park, "The relationship between socioeconomic status and metabolic syndrome among Korean adults", The Korean Journal of Obesity, 15(1), pp.10~17 (2006)[DOI]
  19. Kun Kug Choi, "Variation in the rate of well-controlled status of chronic disease by income level in Korea", Medicine, 97(34), pp.e12059~ (2018), Ovid Technologies (Wolters Kluwer Health)[DOI]
  20. Jun-Pyo MYONG, "Disparities of Metabolic Syndrome Prevalence by Age, Gender and Occupation among Korean Adult Workers", Industrial Health, 50(2), pp.115~122 (2012), National Institute of Industrial Health[DOI]
  21. So-Jung Park, "Sex differences in the relationship between socioeconomic status and metabolic syndrome: The Korean National Health and Nutrition Examination Survey", Diabetes Research and Clinical Practice, 96(3), pp.400~406 (2012), Elsevier BV[DOI]
  22. Hak-Seon Kim, "Metabolic syndrome related health inequalities in Korean elderly: Korean National Health and Nutrition Examination Survey (KNHAES)", International Journal for Equity in Health, 13(1), pp.463~ (2014), Springer Science and Business Media LLC[DOI]
  23. 최상글, "Association between Change in Alcohol Consumption and Metabolic Syndrome: Analysis from the Health Examinees Study", Diabetes and Metabolism Journal, 43(5), pp.615~626 (2019), 대한당뇨병학회[DOI]
  24. Jinhee Kim, "Alcohol use behaviors and risk of metabolic syndrome in South Korean middle-aged men", BMC Public Health, 11(1), pp.489~ (2011), Springer Science and Business Media LLC[DOI]
  25. Sarah Soyeon Oh, "Alcohol consumption frequency or alcohol intake per drinking session: Which has a larger impact on the metabolic syndrome and its components?", Alcohol, 71, pp.15~23 (2018), Elsevier BV[DOI]
  26. Soonyoung Kim, "Association of regular walking and body mass index on metabolic syndrome among an elderly Korean population", Experimental Gerontology, 106, pp.178~182 (2018), Elsevier BV[DOI]
  27. 김윤진, "Clustering Effects of Metabolic Factors and the Risk of Metabolic Syndrome", Journal of Obesity & Metabolic Syndrome, 27(3), pp.166~174 (2018), 대한비만학회
  28. Seong-Su Moon, "Low skeletal muscle mass is associated with insulin resistance, diabetes, and metabolic syndrome in the Korean population: The Korea National Health and Nutrition Examination Survey (KNHANES) 2009-2010", Endocrine Journal, 61(1), pp.61~70 (2014), Japan Endocrine Society[DOI]
  29. Ji-Youn Chung, "Body composition and its association with cardiometabolic risk factors in the elderly: A focus on sarcopenic obesity", Archives of Gerontology and Geriatrics, 56(1), pp.270~278 (2013), Elsevier BV[DOI]
  30. Jin Young Nam, "Associations of sitting time and occupation with metabolic syndrome in South Korean adults: a cross-sectional study", BMC Public Health, 16(1), pp.943~ (2016), Springer Science and Business Media LLC[DOI]
  31. E. S. Ford, "The Metabolic Syndrome and Antioxidant Concentrations: Findings From the Third National Health and Nutrition Examination Survey", Diabetes, 52(9), pp.2346~2352 (2003), American Diabetes Association[DOI]
  32. G C Kabat, "Longitudinal association of measures of adiposity with serum antioxidant concentrations in postmenopausal women", European Journal of Clinical Nutrition, 70(1), pp.47~53 (2016), Springer Science and Business Media LLC[DOI]
  33. Thirumagal Kanagasabai, "The Association Between Metabolic Syndrome and Serum Concentrations of Micronutrients, Inflammation, and Oxidative Stress Outside of the Clinical Reference Ranges: A Cross-Sectional Study", Metabolic Syndrome and Related Disorders, 17(1), pp.29~36 (2019), Mary Ann Liebert Inc[DOI]
  34. SA Chiplonkar, "Are lifestyle factors good predictors of retinol and vitamin C deficiency in apparently healthy adults?", European Journal of Clinical Nutrition, 56(2), pp.96~104 (2002), Springer Science and Business Media LLC[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (20건)