우리나라 성인의 사상체질에 따른 식생활 상태와 신체구성의 상관성에 관한 단면분석연구
A relationship of healthy eating status and body composition in Korean adults by their constitution type: A cross-sectional study
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Background Adherence to healthy diet acts as a key role to modify sedentary lifestyle in real life setting. Constitution type of traditional Korean medicine has been prediagnosed to risk factors of cardiometabolic diseases. This study aims to evaluate the associations between body composition and healthy eating status in Korean adults by their constitution type. Methods Of 4046 participants from Korean Medicine Daejeon Citizen Cohort study, Korean Medicine Daejeon Citizen Cohort (KDCC) study were included for analysis. Demographic, health-related behaviors and Korean Medicine (KM) type were surveyed based on a general health-related questionnaire. Anthropometric measurements and dietary factors by using Korean Healthy Eating Index (KHEI) were assessed only in the half of the original participants. Results 50.8% of Taeeum was observed from eligible 1967 participants (66.7%, women). The highest KHEI score was observed in soyang group (52.0±0.3, p=0.006) compared to other two groups. In taeeum group, lower appendicular skeletal muscle mass (ASM)(%)(Taeeum: 38.7±0.1 vs. Soeum/Soyang: 39.2±0.1, p < 0.05), and higher percent of body fat (PBF)(%) (Taeeum: 32.9±0.2 vs. Soeum/Soyang: 29.0±0.2, p < 0.05) by the lowest tertile (T1) of the KHEI score, respectively. When the KHEI score increased by 1 point in taeeum group, a positive relationship was observed, which increased by 0.015% of ASM, however, a negatively related to in which body fat mass (BFM) decreased by 0.022 kg and PBF decreased by 0.024%. Conclusion Customized nutritional management is required that could help maintaining physical health and diet by their constitution type.
Abstract
Background Adherence to healthy diet acts as a key role to modify sedentary lifestyle in real life setting. Constitution type of traditional Korean medicine has been prediagnosed to risk factors of cardiometabolic diseases. This study aims to evaluate the associations between body composition and healthy eating status in Korean adults by their constitution type. Methods Of 4046 participants from Korean Medicine Daejeon Citizen Cohort study, Korean Medicine Daejeon Citizen Cohort (KDCC) study were included for analysis. Demographic, health-related behaviors and Korean Medicine (KM) type were surveyed based on a general health-related questionnaire. Anthropometric measurements and dietary factors by using Korean Healthy Eating Index (KHEI) were assessed only in the half of the original participants. Results 50.8% of Taeeum was observed from eligible 1967 participants (66.7%, women). The highest KHEI score was observed in soyang group (52.0±0.3, p=0.006) compared to other two groups. In taeeum group, lower appendicular skeletal muscle mass (ASM)(%)(Taeeum: 38.7±0.1 vs. Soeum/Soyang: 39.2±0.1, p < 0.05), and higher percent of body fat (PBF)(%) (Taeeum: 32.9±0.2 vs. Soeum/Soyang: 29.0±0.2, p < 0.05) by the lowest tertile (T1) of the KHEI score, respectively. When the KHEI score increased by 1 point in taeeum group, a positive relationship was observed, which increased by 0.015% of ASM, however, a negatively related to in which body fat mass (BFM) decreased by 0.022 kg and PBF decreased by 0.024%. Conclusion Customized nutritional management is required that could help maintaining physical health and diet by their constitution type.
참고문헌 (35)
- Song KH, "Prevalence of Metabolic Syndrome according to Sasang Constitutional Medicine in Korean Subjects", Evidence-Based Complementary and Alternative Medicine, 2012, pp.646794~ (2012)[DOI]
- Lee S, "Sasang constitutional types for the risk prediction of metabolic syndrome : a 14-year longitudinal prospective cohort study", BMC Complement Altern Med, 17(1), pp.438~ (2017)[DOI]
- Cho NH, "The relationship of metabolic syndrome and constitutional medicine for the prediction of cardiovascular disease", Diabetes Metab Syndr, 7(4), pp.226~232 (2013)[DOI]
- Jang E, "Could the Sasang constitution itself be a risk factor of abdominal obesity?", BMC Complementary and Alternative Medicine, 13(1), pp.72~ (2013)[DOI]
- Lee SK, "Association of Sasang Constitutional Types with Incident Hypertension : A 12-Year Follow-Up Study", The Journal of Alternative and Complementary Medicine, 22(9), pp.706~712 (2016)[DOI]
- Cho NH, "Predicting type 2 diabetes using Sasang constitutional medicine", Journal of Diabetes Investigation, 5(5), pp.525~532 (2014)[DOI]
- Lee HY, "A Systematic Review on Sasang Constitutional Type-Associated Susceptibility to Disorders in Korea", The Journal of Alternative and Complementary Medicine, 22(12), pp.950~956 (2016)[DOI]
- 정경식, "사상체질에 따른 식습관 행태와 건강관련 삶의 질과의 연관성", 사상체질의학회지, 33(2), pp.37~46 (2021), 사상체질의학회[DOI]
- de Hollander EL, "The association between waist circumference and risk of mortality considering body mass index in 65-to 74-year-olds : a meta-analysis of 29 cohorts involving more than 58 000 elderly persons", International Journal of Epidemiology, 41(3), pp.805~817 (2012)[DOI]
- Wannamethee SG, "Muscle loss and obesity : the health implications of sarcopenia and sarcopenic obesity", Proc Nutr Soc, 74(4), pp.405~412 (2015)[DOI]
- Force UPST, "Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors : US Preventive Services Task Force Recommendation Statement", JAMA, 324(20), pp.2069~2075 (2020)[DOI]
- 신새롬, "한국 성인의 식생활평가지수에 기반한 전체 식사의 질과 대사증후군 구성요소 및 대사증후군 발생의 연관성", 대한지역사회영양학회지, 25(1), pp.61~70 (2020), 대한지역사회영양학회[DOI]
- Park S, "Association of the Healthy Eating Index with Estimated Cardiovascular Age in Adults from the KNHANES 2013-2017", Nutrients, 12(10), pp.2912~ (2020)[DOI]
- 이정숙, "한국 성인을 위한 영양지수 개발과 타당도 검증", Journal of Nutrition and Health, 51(4), pp.340~356 (2018), 한국영양학회
- Kim J, "Low nutritional status links to the prevalence of pre-metabolic syndrome and its cluster in metabolically high-risk Korean adults : A cross-sectional study", Medicine, 100(20), pp.e25905~ (2021)[DOI]
- Kim J, "Relationship between Low Vegetable Consumption, Increased High-Sensitive C-Reactive Protein Level, and Cardiometabolic Risk in Korean Adults with Tae-Eumin : A Cross-Sectional Study", Evidence-Based Complementary and Alternative Medicine, 2021, pp.3631445~ (2021)[DOI]
- Priego T, "Vitamins and Hormones. Vol 115", pp.535~570 (2021), Academic Press
- Baek Y, "Lifestyle, genomic types and non-communicable diseases in Korea : a protocol for the Korean Medicine Daejeon Citizen Cohort study(KDCC)", BMJ Open, 10(4), pp.e034499~ (2020)[DOI]
- 백영화, "체형, 성격, 소증 기반 단축형 사상체질 진단설문지(KS-15) 개발 및 타당도 연구", 사상체질의학회지, 27(2), pp.211~221 (2015), 사상체질의학회[DOI]
- 육성민, "국민건강영양조사 자료를 이용한 한국 성인의 식생활평가지수 개발", Journal of Nutrition and Health, 48(5), pp.419~428 (2015), 한국영양학회
- Chen L-K, "Asian Working Group for Sarcopenia : 2019 Consensus Update on Sarcopenia Diagnosis and Treatment", Journal of the American Medical Directors Association, 21(3), pp.300~307.e302 (2020)[DOI]
- Studenski SA, "The FNIH Sarcopenia Project : Rationale, Study Description, Conference Recommendations, and Final Estimates", The Journals of Gerontology : Series A, 69(5), pp.547~558 (2014)[DOI]
- Armstrong T, "Development of the World Health Organization Global Physical Activity Questionnaire(GPAQ)", Journal of Public Health, 14(2), pp.66~70 (2006)[DOI]
- 장은수, "사상체질별 7대 건강행위와 주관적 건강상태의 연관성", 사상체질의학회지, 30(1), pp.32~42 (2018), 사상체질의학회[DOI]
- Park J-E, "Effect of Lifestyle Factors on Hypertension by Constitution Type : A Large Community-Based Study", Evidence-Based Complementary and Alternative Medicine, 2019, pp.3231628~ (2019)[DOI]
- 이지원, "Can the Sasang Constitutional Type Trait Act as an Independent Risk Factor for Dyslipidemia?", 한방비만학회지, 14(2), pp.63~71 (2014), 한방비만학회
- Lee SK, "Association of adiponectin, ghrelin, and leptin with metabolic syndrome and its metabolic components in Sasang constitutional type", European Journal of Integrative Medicine, 22, pp.16~21 (2018)[DOI]
- Cha S, "Genetic Effects of FTO and MC4R Polymorphisms on Body Mass in Constitutional Types", Evidence-Based Complementary and Alternative Medicine, 2011, pp.106390~ (2011)[DOI]
- 정경식, "성인 영양지수(Nutrition Quotient)를 이용한 사상체질에 따른 식습관 평가: 대전시민건강코호트", 사상체질의학회지, 32(4), pp.86~95 (2020), 사상체질의학회[DOI]
- 김지영, "사상체질에 따른 생활습관이 대사증후군 및 위험군에 미치는 영향", 사상체질의학회지, 29(3), pp.232~241 (2017), 사상체질의학회[DOI]
- 정경식, "사상체질에 따른 식습관과 주관적 건강상태와의 연관성", 동의생리병리학회지, 34(1), pp.53~59 (2020), 한의병리학회
- Kivimäki M, "Overweight, obesity, and risk of cardiometabolic multimorbidity : pooled analysis of individual-level data for 120 813 adults from 16 cohort studies from the USA and Europe", The Lancet Public Health, 2(6), pp.e277~e285 (2017)[DOI]
- Giugliano D, "The effects of diet on inflammation : emphasis on the metabolic syndrome", Journal of the American College of Cardiology, 48(4), pp.677~685 (2006)[DOI]
- Calle MC, "Assessment of dietary patterns represents a potential, yet variable, measure of inflammatory status: a review and update", Disease markers (2019)[DOI]
- Eichelmann F, "Effect of plant based diets on obesity related inflammatory profiles : a systematic review and meta analysis of intervention trials", Obesity Reviews, 17(11), pp.1067~1079 (2016)[DOI]
