Development of a food-based index of dietary inflammatory potential for Koreans and its relationship with metabolic syndrome
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BACKGROUND/OBJECTIVES: Inflammation is known to be a risk factor for metabolic diseases. This study aimed to develop a Food-based Index of Dietary Inflammatory Potential (FBDI) and examine its association with metabolic biomarkers. SUBJECTS/METHODS: This study analyzed the raw data from the 2012-2014 Korean Genome and Epidemiology Study data of 17,771 people. To analyze the relationship between foods consumed by Koreans and inflammation, we conducted a correlation analysis between 51 food groups and hs-CRP levels. The FBDI was developed from 17 food groups selected by multiple regression method. We examined whether FBDI was associated with metabolic markers (waist circumference, blood pressure, fasting glucose, triglyceride, and HDL-cholesterol) in the 6th Korea National Health and Nutrition Examination Survey (KNHANES). We used binary logistic regression analysis to examine the association. RESULTS: The FBDI model included seven of the anti-inflammatory food groups and three of the pro-inflammatory food groups. The FBDI formula was calculated by multiplying the intake of food group by β-coefficients derived from the multiple regression model based on the correlation analysis. The FBDI was significantly associated with waist circumference (P < 0.001), blood pressure (P < 0.001), triglyceride level (P < 0.001), and HDL-cholesterol (P < 0.001) level among adults aged 20-64 years in the KNHANES. The prevalence of metabolic syndrome was 2.618 times higher in the group with the highest FBDI than in the group with the lowest one (95% confidence interval: 1.778-3.856, P for trend < 0.001). CONCLUSIONS: This study established an FBDI reflecting food intake patterns of Koreans, which showed a significant relationship with the prevalence of metabolic syndrome.
Abstract
BACKGROUND/OBJECTIVES: Inflammation is known to be a risk factor for metabolic diseases. This study aimed to develop a Food-based Index of Dietary Inflammatory Potential (FBDI) and examine its association with metabolic biomarkers. SUBJECTS/METHODS: This study analyzed the raw data from the 2012-2014 Korean Genome and Epidemiology Study data of 17,771 people. To analyze the relationship between foods consumed by Koreans and inflammation, we conducted a correlation analysis between 51 food groups and hs-CRP levels. The FBDI was developed from 17 food groups selected by multiple regression method. We examined whether FBDI was associated with metabolic markers (waist circumference, blood pressure, fasting glucose, triglyceride, and HDL-cholesterol) in the 6th Korea National Health and Nutrition Examination Survey (KNHANES). We used binary logistic regression analysis to examine the association. RESULTS: The FBDI model included seven of the anti-inflammatory food groups and three of the pro-inflammatory food groups. The FBDI formula was calculated by multiplying the intake of food group by β-coefficients derived from the multiple regression model based on the correlation analysis. The FBDI was significantly associated with waist circumference (P < 0.001), blood pressure (P < 0.001), triglyceride level (P < 0.001), and HDL-cholesterol (P < 0.001) level among adults aged 20-64 years in the KNHANES. The prevalence of metabolic syndrome was 2.618 times higher in the group with the highest FBDI than in the group with the lowest one (95% confidence interval: 1.778-3.856, P for trend < 0.001). CONCLUSIONS: This study established an FBDI reflecting food intake patterns of Koreans, which showed a significant relationship with the prevalence of metabolic syndrome.
참고문헌 (46)
- Zhu S, "Lifestyle behaviors associated with lower risk of having the metabolic syndrome", Metabolism, 53, pp.1503~1511 (2004)
- Hoffmann IS, "Salt and the metabolic syndrome", Nutr Metab Cardiovasc Dis, 19, pp.123~128 (2009)
- Shaw JE, "Global estimates of the prevalence of diabetes for 2010 and 2030", Diabetes Res Clin Pract, 87, pp.4~14 (2010)
- Lim S, "Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998-2007", Diabetes Care, 34, pp.1323~1328 (2011)
- Tran BT, "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, pp.71~ (2017)
- "KIRI Research Report. Strengthening the protection of national health insurance through efficient expenditure of medical expenses" (2017)[URL]
- Danesh J, "C-reactive protein and other circulating markers of inflammation in the prediction of coronary heart disease", N Engl J Med, 350, pp.1387~1397 (2004)
- Pearson TA, "Markers of inflammation and cardiovascular disease: application to clinical and public health practice: a statement for healthcare professionals from the Centers for Disease Control and Prevention and the American Heart Association", Circulation, 107, pp.499~511 (2003)
- Kitabchi AE, "Effects of high-protein versus highcarbohydrate diets on markers of β-cell function, oxidative stress, lipid peroxidation, proinflammatory cytokines, and adipokines in obese, premenopausal women without diabetes: a randomized controlled trial", Diabetes Care, 36, pp.1919~1925 (2013)
- Ferrucci L, "Relationship of plasma polyunsaturated fatty acids to circulating inflammatory markers", J Clin Endocrinol Metab, 91, pp.439~446 (2006)
- Ma Y, "Association between dietary fiber and serum C-reactive protein", Am J Clin Nutr, 83, pp.760~766 (2006)
- Bertran N, "Diet and lifestyle are associated with serum C-reactive protein concentrations in a population-based study", J Lab Clin Med, 145, pp.41~46 (2005)
- Wannamethee SG, "Associations of vitamin C status, fruit and vegetable intakes, and markers of inflammation and hemostasis", Am J Clin Nutr, 83, pp.567~574 (2006)
- Esmaillzadeh A, "Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome", Am J Clin Nutr, 84, pp.1489~1497 (2006)
- Lutsey PL, "Whole grain intake and its cross-sectional association with obesity, insulin resistance, inflammation, diabetes and subclinical CVD: the MESA study", Br J Nutr, 98, pp.397~405 (2007)
- Esposito K, "Effect of a mediterranean-style diet on endothelial dysfunction and markers of vascular inflammation in the metabolic syndrome: a randomized trial", JAMA, 292, pp.1440~1446 (2004)
- Johansson-Persson A, "A high intake of dietary fiber influences C-reactive protein and fibrinogen, but not glucose and lipid metabolism, in mildly hypercholesterolemic subjects", Eur J Nutr, 53, pp.39~48 (2014)
- Shivappa N, "Designing and developing a literature-derived, population-based dietary inflammatory index", Public Health Nutr, 17, pp.1689~1696 (2014)
- Shivappa N, "Inflammatory potential of diet and all-cause, cardiovascular, and cancer mortality in National Health and Nutrition Examination Survey III Study", Eur J Nutr, 56, pp.683~692 (2017)
- 김미성, "대사증후군 한국인의 식사염증지표 분석: 도시기반코호트자료를 활용하여 (2012-2014)", 한국생활과학회지, 25(6), pp.823~834 (2016), 한국생활과학회
- Garcia-Arellano A, "Dietary inflammatory index and incidence of cardiovascular disease in the PREDIMED study", Nutrients, 7, pp.4124~4138 (2015)
- Ramallal R, "Dietary inflammatory index and incidence of cardiovascular disease in the SUN Cohort", PLoS One, 10, pp.e0135221~ (2015)
- Neufcourt L, "Prospective association between the dietary inflammatory index and cardiovascular diseases in the SUpplémentation en VItamines et Minéraux AntioXydants (SU.VI.MAX) cohort", J Am Heart Assoc, 5, pp.e002735~ (2016)
- Tabung FK, "Development and validation of an empirical dietary inflammatory index", J Nutr, 146, pp.1560~1570 (2016)
- 나우리, "대사성 질환자의 영양평가를 위한 한국형 식사염증지표 개발 및 타당성 검증: 한국인 유전체역학조사자료를 활용하여", 한국생활과학회지, 26(4), pp.369~381 (2017), 한국생활과학회[DOI]
- Kim Y, "Cohort Profile: the Korean Genome and Epidemiology Study (KoGES) Consortium", Int J Epidemiol, 46, pp.1350~ (2017)
- Vainio H, "IARC Handbooks of Cancer Prevention, Volume 8. Fruit and Vegetables" (2003), IARC Press
- Linseisen J, "Meat consumption in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohorts: results from 24-hour dietary recalls", Public Health Nutr, 5, pp.1243~1258 (2002)
- Grundy SM, "Diagnosis and management of the metabolic syndrome: an American Heart Association", National Heart, Lung, and Blood Institute Scientific Statement, 2005, pp.112, 2735~2752
- Oliveira A, "The association of fruits, vegetables, antioxidant vitamins and fibre intake with highsensitivity C-reactive protein: sex and body mass index interactions", Eur J Clin Nutr, 63, pp.1345~1352 (2009)
- Chun OK, "Serum C-reactive protein concentrations are inversely associated with dietary flavonoid intake in U.S. adults", J Nutr, 138, pp.753~760 (2008)
- Esmaillzadeh A, "Legume consumption is inversely associated with serum concentrations of adhesion molecules and inflammatory biomarkers among Iranian women", J Nutr, 142, pp.334~339 (2012)
- Bonaccio M, "Nut consumption is inversely associated with both cancer and total mortality in a Mediterranean population: prospective results from the Moli-sani study", Br J Nutr, 114, pp.804~811 (2015)
- Yu Z, "Associations between nut consumption and inflammatory biomarkers", Am J Clin Nutr, 104, pp.722~728 (2016)
- Zuñiga YL, "Rice and noodle consumption is associated with insulin resistance and hyperglycaemia in an Asian population", Br J Nutr, 111, pp.1118~1128 (2014)
- Yamashita K, "Association of coffee consumption with serum adiponectin, leptin, inflammation and metabolic markers in Japanese workers: a cross-sectional study", Nutr Diabetes, 2, pp.e33~ (2012)
- Je Y, "Coffee consumption patterns in Korean adults: the Korean National Health and Nutrition Examination Survey (2001-2011)", Asia Pac J Clin Nutr, 23, pp.691~702 (2014)
- 손재근, "한식에 대한 인식, 이미지, 태도와 행동의도간의 관계 - 한국음식소비자를 중심으로 -", 외식경영연구, 14(4), pp.321~336 (2011), 한국외식경영학회
- Kim WY, "Nutritional risk and metabolic syndrome in Korean type 2 diabetes mellitus", Asia Pac J Clin Nutr, 17(Suppl 1), pp.47~51 (2008)
- 송수진, "Dietary patterns based on carbohydrate nutrition are associated with the risk for diabetes and dyslipidemia", Nutrition Research and Practice, 6(4), pp.349~356 (2012), 한국영양학회[DOI]
- Ghayour-Mobarhan M, "Association between serum CRP concentrations with dietary intake in healthy and dyslipidaemic patients", Asia Pac J Clin Nutr, 16, pp.262~268 (2007)
- 김미성, "대사증후군 환자의 영양소 섭취상태 및 식사의 질과 염증지표 농도의 상관성", 대한지역사회영양학회지, 16(1), pp.51~61 (2011), 대한지역사회영양학회
- Ridker PM, "C-reactive protein, the metabolic syndrome, and risk of incident cardiovascular events: an 8-year follow-up of 14 719 initially healthy American women", Circulation, 107, pp.391~397 (2003)
- Santos AC, "Central obesity as a major determinant of increased high-sensitivity C-reactive protein in metabolic syndrome", Int J Obes, 29, pp.1452~1456 (2005)
- Indulekha K, "High sensitivity C-reactive protein, tumor necrosis factor-α, interleukin-6, and vascular cell adhesion molecule-1 levels in Asian Indians with metabolic syndrome and insulin resistance (CURES-105)", J Diabetes Sci Technol, 5, pp.982~988 (2011)
- Vu JD, "Impact of C-reactive protein on the likelihood of peripheral arterial disease in United States adults with the metabolic syndrome, diabetes mellitus, and preexisting cardiovascular disease", Am J Cardiol, 96, pp.655~658 (2005)
