Relationship between metabolic syndrome and intake of ultra-processed foods in Korean adults: based on 6th and 7th Korea National Health and Nutrition Examination Survey (2013–2018)
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
BACKGROUND/OBJECTIVES: Metabolic syndrome is closely associated with lifestyle factors, including diet and nutritional intake. Modern trends show a shift in food consumption from healthy home-cooked meals to processed and instant foods. Therefore, this study analyzed the association between ultra-processed food intake and the development of metabolic syndrome in Korean adults based on the data from the Korea National Health and Nutrition Examination Sur vey (KNHANES) 2013–2018. SUBJECTS/METHODS: The subjects of this study were 17,414 adults aged 19–80 years who participated in the 6th–7th KNHANES. Processed food was classified into four categories, NOVA1 to NOVA4, using 24-h recall data. The higher the NOVA categor y, the more processed the food. Statistical analysis was conducted using logistic regression to investigate the prevalence of metabolic syndrome according to the consumption of ultra-processed foods. RESULTS: Among the diagnostic criteria for metabolic syndrome, hypertension (odds ratio [OR], 0.72; 95% confidence inter val [CI], 0.62–0.85; Q4 vs. Q1, P-trend < 0.001) and high triglycerides (OR, 0.83; 95% CI, 0.72–0.94; Q4 vs. Q1, P-trend < 0.001) showed a correlation with the percentages of energy consumed from ultra-processed foods. The OR for metabolic syndrome, according to the percentages of energy consumed from ultra-processed foods, is shown only for men. The OR showed that the percentages of energy consumed from ultra- processed foods were associated with increased metabolic syndrome. CONCLUSIONS: This study suggests that consumption of ultra-processed foods raises the risk of metabolic syndrome especially among men. To prevent metabolic syndrome, it is necessar y to prepare appropriate dietar y guidelines for Korean adults.
Abstract
BACKGROUND/OBJECTIVES: Metabolic syndrome is closely associated with lifestyle factors, including diet and nutritional intake. Modern trends show a shift in food consumption from healthy home-cooked meals to processed and instant foods. Therefore, this study analyzed the association between ultra-processed food intake and the development of metabolic syndrome in Korean adults based on the data from the Korea National Health and Nutrition Examination Sur vey (KNHANES) 2013–2018. SUBJECTS/METHODS: The subjects of this study were 17,414 adults aged 19–80 years who participated in the 6th–7th KNHANES. Processed food was classified into four categories, NOVA1 to NOVA4, using 24-h recall data. The higher the NOVA categor y, the more processed the food. Statistical analysis was conducted using logistic regression to investigate the prevalence of metabolic syndrome according to the consumption of ultra-processed foods. RESULTS: Among the diagnostic criteria for metabolic syndrome, hypertension (odds ratio [OR], 0.72; 95% confidence inter val [CI], 0.62–0.85; Q4 vs. Q1, P-trend < 0.001) and high triglycerides (OR, 0.83; 95% CI, 0.72–0.94; Q4 vs. Q1, P-trend < 0.001) showed a correlation with the percentages of energy consumed from ultra-processed foods. The OR for metabolic syndrome, according to the percentages of energy consumed from ultra-processed foods, is shown only for men. The OR showed that the percentages of energy consumed from ultra- processed foods were associated with increased metabolic syndrome. CONCLUSIONS: This study suggests that consumption of ultra-processed foods raises the risk of metabolic syndrome especially among men. To prevent metabolic syndrome, it is necessar y to prepare appropriate dietar y guidelines for Korean adults.
참고문헌 (36)
- Wilson PW, "Clustering of metabolic factors and coronary heart disease", Arch Intern Med, 159, pp.1104~1109 (1999)
- 신은영, "우리나라 성인의 고감도 C-반응성 단백과 대사증후군의 관련성: 성별 분석", 보건행정학회지, 31(2), pp.158~172 (2021), 한국보건행정학회
- Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2), "Ministry of Health and Welfare", Korea Centers for Disease Control and Prevention, ~ (2015)
- Korea Health Statistics 2018: Korea National Health and Nutrition Examination Survey (KNHANES VII-3), "Ministry of Health and Welfare", Korea Centers for Disease Control and Prevention, ~ (2019)
- Park YW, "The metabolic syndrome : prevalence and associated risk factor findings in the US population from the Third National Health and Nutrition Examination Survey, 1988-1994", Arch Intern Med, 163, pp.427~436 (2003)
- 전진혁, "40세 이상 여성에서 우울, 스트레스와 건강행동 및 대사증후군의 관련성", 한국모자보건학회지, 16(2), pp.263~273 (2012), 한국모자보건학회[DOI]
- Azadbakht L, "Beneficial effects of a Dietary Approaches to Stop Hypertension eating plan on features of the metabolic syndrome", Diabetes Care, 28, pp.2823~2831 (2005)
- Kim DY, "Effect of walking exercise on changes in cardiorespiratory fitness, metabolic syndrome markers, and high-molecular-weight adiponectin in obese middle-aged women", J Phys Ther Sci, 26, pp.1723~1727 (2014)
- 김아린, "1인가구 청년의 건강행태, 식습관 및 심리적 건강이 대사증후군에 미치는 영향", 디지털융복합연구, 16(7), pp.493~509 (2018), 한국디지털정책학회[DOI]
- Yun GS, "A study on the development of fresh-cut foods by changing food culture", Food Preserv Process Ind, 13, pp.26~31 (2014)
- Poti JM, "Ultra-processed food intake and obesity : what really matters for health—processing or nutrient content?", Curr Obes Rep, 6, pp.420~431 (2017)
- Monteiro CA, "Ultra-processed foods : what they are and how to identify them", Public Health Nutr, 22, pp.936~941 (2019)
- Shim JS, "Socioeconomic characteristics and trends in the consumption of ultra-processed foods in Korea from 2010 to 2018", Nutrients, 13, pp.1120~ (2021)
- Sung H, "Consumption of ultra-processed foods increases the likelihood of having obesity in Korean women", Nutrients, 13, pp.698~ (2021)
- Martínez Steele E, "Dietary share of ultra-processed foods and metabolic syndrome in the US adult population", Prev Med, 125, pp.40~48 (2019)
- Tavares LF, "Relationship between ultra-processed foods and metabolic syndrome in adolescents from a Brazilian Family Doctor Program", Public Health Nutr, 15, pp.82~87 (2012)
- Monteiro CA, "The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing", Public Health Nutr, 21, pp.5~17 (2018)
- National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III), "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) final report", Circulation, 106, pp.3143~3421 (2002)
- International Obesity Task Force, "Asia-Pacific Regional Obesity Guideline", International Association for the Study of Obesity, ~ (1999)
- Lavigne-Robichaud M, "Diet quality indices in relation to metabolic syndrome in an Indigenous Cree(Eeyouch)population in northern Québec, Canada", Public Health Nutr, 21, pp.172~180 (2018)
- Blanco-Rojo R, "Consumption of ultra-processed foods and mortality : a national prospective cohort in Spain", Mayo Clin Proc, 94, pp.2178~2188 (2019)
- Julia C, "Contribution of ultraprocessed foods in the diet of adults from the French NutriNet-Santé study", Public Health Nutr, 21, pp.27~37 (2018)
- Rauber F, "Ultra-processed food consumption and chronic non-communicable diseases-related dietary nutrient profile in the UK(2008-2014)", Nutrients, 10, pp.587~ (2018)
- Martínez Steele E, "Ultra-processed foods and added sugars in the US diet : evidence from a nationally representative cross-sectional study", BMJ Open, 6, pp.e009892~ (2016)
- Dinu M, "Consumption of ultraprocessed foods is inversely associated with adherence to the Mediterranean diet : a cross-sectional study", Nutrients, 14, pp.2073~ (2022)
- Kim H, "Ultra-processed food intake and mortality in the USA : results from the Third National Health and Nutrition Examination Survey(NHANES III, 1988-1994)", Public Health Nutr, 22, pp.1777~1785 (2019)
- Mendonça RD, "Ultraprocessed food consumption and risk of overweight and obesity : the University of Navarra Follow-Up(SUN)cohort study", Am J Clin Nutr, 104, pp.1433~1440 (2016)
- Mendonça RD, "Ultra-processed food consumption and the incidence of hypertension in a Mediterranean cohort : the Seguimiento Universidad de Navarra Project", Am J Hypertens, 30, pp.358~366 (2017)
- Fiolet T, "Consumption of ultra-processed foods and cancer risk : results from NutriNet-Santéprospective cohort", BMJ, 360, pp.k322~ (2018)
- Ivancovsky-Wajcman D, "Ultraprocessed food is associated with features of metabolic syndrome and non-alcoholic fatty liver disease", Liver Int, 41, pp.2635~2645 (2021)
- Pagliai G, "Consumption of ultra-processed foods and health status : a systematic review and meta-analysis", Br J Nutr, 125, pp.308~318 (2021)
- Nasreddine L, "A minimally processed dietary pattern is associated with lower odds of metabolic syndrome among Lebanese adults", Public Health Nutr, 21, pp.160~171 (2018)
- Marrón-Ponce JA, "Associations between consumption of ultraprocessed foods and intake of nutrients related to chronic non-communicable diseases in Mexico", J Acad Nutr Diet, 119, pp.1852~1865 (2019)
- Ames BN, "Low micronutrient intake may accelerate the degenerative diseases of aging through allocation of scarce micronutrients by triage", Proc Natl Acad Sci U S A, 103, pp.17589~17594 (2006)
- Agodi A, "Association of dietary patterns with metabolic syndrome : results from the Kardiovize Brno 2030 study", Nutrients, 10, pp.898~ (2018)
- 나우리, "A Relationship between Dietary Patterns and Dyslipidemia in Urban-dwelling Middle-Aged Korean Men: Using Korean Genome and Epidemiology Study (KoGES)", Clinical Nutrition Research, 8(3), pp.219~228 (2019), 한국임상영양학회[DOI]