A healthy dietary pattern consisting of a variety of food choices is inversely associated with the development of metabolic syndrome
1
조회
0
다운로드
9
인용
0
참고문헌
키워드
초록
There are limited data on healthy dietary patterns protective against metabolic syndrome (MetSyn) development. We identified dietary patterns among middle-aged and older adults and investigated the associations with the incidence of MetSyn. A population-based prospective cohort study included 5,251 male and female Koreans aged 40-69 years. At baseline, all individuals were free of MetSyn, other major metabolic diseases, and known cardiovascular disease or cancer. Cases of MetSyn were ascertained over a 6-year of follow-up. Dietary patterns and their factor scores were generated by factor analysis using the data of a food frequency questionnaire. We performed pooled logistic regression analysis to estimate multivariable-adjusted relative risk (RR) and 95% confidence interval (CI) for associations between factor scores and MetSyn risk. Two dietary patterns were identified; (1) a healthy dietary pattern, which included a variety of foods such as fish, seafood, vegetables, seaweed, protein foods,fruits, dairy products, and grains; and (2) an unhealthy dietary pattern, which included a limited number of food items. After controlling for confounding factors, factor scores for the healthy dietary pattern were inversely associated with MetSyn risk (P-value for trend < 0.05) while those for the unhealthy dietary pattern had no association. Individuals in the top quintile of the healthy diet scores showed a multivariable-adjusted RR [95% CI] of 0.76[0.60-0.97] for MetSyn risk compared with those in the bottom quintile. The beneficial effects were derived from inverse associations with abdominal obesity, low HDL-cholesterol levels, and high fasting glucose levels. Our findings suggest that a variety of healthy food choices is recommended to prevent MetSyn.
Abstract
There are limited data on healthy dietary patterns protective against metabolic syndrome (MetSyn) development. We identified dietary patterns among middle-aged and older adults and investigated the associations with the incidence of MetSyn. A population-based prospective cohort study included 5,251 male and female Koreans aged 40-69 years. At baseline, all individuals were free of MetSyn, other major metabolic diseases, and known cardiovascular disease or cancer. Cases of MetSyn were ascertained over a 6-year of follow-up. Dietary patterns and their factor scores were generated by factor analysis using the data of a food frequency questionnaire. We performed pooled logistic regression analysis to estimate multivariable-adjusted relative risk (RR) and 95% confidence interval (CI) for associations between factor scores and MetSyn risk. Two dietary patterns were identified; (1) a healthy dietary pattern, which included a variety of foods such as fish, seafood, vegetables, seaweed, protein foods,fruits, dairy products, and grains; and (2) an unhealthy dietary pattern, which included a limited number of food items. After controlling for confounding factors, factor scores for the healthy dietary pattern were inversely associated with MetSyn risk (P-value for trend < 0.05) while those for the unhealthy dietary pattern had no association. Individuals in the top quintile of the healthy diet scores showed a multivariable-adjusted RR [95% CI] of 0.76[0.60-0.97] for MetSyn risk compared with those in the bottom quintile. The beneficial effects were derived from inverse associations with abdominal obesity, low HDL-cholesterol levels, and high fasting glucose levels. Our findings suggest that a variety of healthy food choices is recommended to prevent MetSyn.
참고문헌 (34)
- Fung TT, "Dietary patterns and the risk of coronary heart disease in women", Arch Intern Med, 161, pp.1857~1862 (2001)
- van Dam RM, "Dietary patterns and risk for type 2 diabetes mellitus in U.S. men", Ann Intern Med, 136, pp.201~209 (2002)
- Dixon LB, "Dietary patterns associated with colon and rectal cancer: results from the Dietary Patterns and Cancer (DIETSCAN) Project", Am J Clin Nutr, 80, pp.1003~1011 (2004)
- Kastorini CM, "The effect of the Mediterranean diet on metabolic syndrome and its components: a meta-analysis of 50 studies and 534,906 individuals", J Am Coll Cardiol, 57, pp.1299~1313 (2011)
- Lutsey PL, "Dietary intake and the development of the metabolic syndrome: the Atherosclerosis Risk in Communities study", Circulation, 117, pp.754~761 (2008)
- Sonnenberg L, "Dietary patterns and the metabolic syndrome in obese and nonobese Framingham women", Obes Res, 13, pp.153~162 (2005)
- Esmaillzadeh A, "Dietary patterns, insulin resistance, and prevalence of the metabolic syndrome in women", Am J Clin Nutr, 85, pp.910~918 (2007)
- Berg CM, "Food patterns and cardiovascular disease risk factors: the Swedish INTERGENE research program", Am J Clin Nutr, 88, pp.289~297 (2008)
- Noel SE, "A traditional rice and beans pattern is associated with metabolic syndrome in Puerto Rican older adults", J Nutr, 139, pp.1360~1367 (2009)
- Song Y, "A traditional Korean dietary pattern and metabolic syndrome abnormalities", Nutr Metab Cardiovasc Dis, 22, pp.456~462 (2012)
- Yeh CJ, "Time trend of obesity, the metabolic syndrome and related dietary pattern in Taiwan: from NAHSIT 1993-1996 to NAHSIT 2005-200", Asia Pac J Clin Nutr, 20, pp.292~300 (2011)
- Tortosa A, "Mediterranean diet inversely associated with the incidence of metabolic syndrome: the SUN prospective cohort", Diabetes Care, 30, pp.2957~2959 (2007)
- Rumawas ME, "Mediterranean-style dietary pattern, reduced risk of metabolic syndrome traits, and incidence in the Framingham Offspring Cohort", Am J Clin Nutr, 90, pp.1608~1614 (2009)
- Mizoue T, "Dietary patterns and glucose tolerance abnormalities in Japanese men", J Nutr, 136, pp.1352~1358 (2006)
- He K, "Accumulated evidence on fish consumption and coronary heart disease mortality: a meta-analysis of cohort studies", Circulation, 109, pp.2705~2711 (2004)
- Shimazu T, "Dietary patterns and cardiovascular disease mortality in Japan: a prospective cohort study", Int J Epidemiol, 36, pp.600~609 (2007)
- Bazzano LA, "Legume consumption and risk of coronary heart disease in US men and women: NHANES I Epidemiologic Follow-up Study", Arch Intern Med, 161, pp.2573~2578 (2001)
- Zhang X, "Soy food consumption is associated with lower risk of coronary heart disease in Chinese women", J Nutr, 133, pp.2874~2878 (2003)
- Baik I, "Prospective study of alcohol consumption and metabolic syndrome", Am J Clin Nutr, 87, pp.1455~1463 (2008)
- Baik I, "Genome-wide association studies identify genetic loci related to alcohol consumption in Korean men", Am J Clin Nutr, 93, pp.809~816 (2011)
- Ahn Y, "Validation and reproducibility of food frequency questionnaire for Korean genome epidemiologic study", European Journal of Clinical Nutrition, 61(12), pp.1435~1441 (2007), Nature Publishing Group
- 김지혜, "Grains, Vegetables, and Fish Dietary Pattern Is Inversely Associated with the Risk of Metabolic Syndrome in South Korean Adults", JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION, 111(8), pp.1141~1149 (2011), AMER DIETETIC ASSOC
- National Rural Living Science Institute, "Food composition table" (1996), Rural Development Administration of Korea
- Alberti KG, "International Diabetes Federation Task Force on Epidemiology and Prevention; Hational Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; International Association for the Study of Obesity. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity", Circulation, 120, pp.1640~1645 (2009)
- Lee SY, "Appropriate waist circumference cutoff points for central obesity in Korean adults", DIABETES RES CLIN PRACT, 75(1), pp.72~80 (2007), ELSEVIER IRELAND LTD
- Al-Attar SA, "Association between the FTO rs9939609 polymorphism and the metabolic syndrome in a non-Caucasian multi-ethnic sample", Cardiovasc Diabetol, 7, pp.5~ (2008)
- Cho YS, "A large-scale genome-wide association study of Asian populations uncovers genetic factors influencing eight quantitative traits", NATURE GENETICS, 41, pp.527~534 (2009), NATURE PUBLISHING GROUP
- The Korean Nutrition Society, "Dietary reference intakes for Koreans", ~ (2010)
- Dhingra R, "Soft drink consumption and risk of developing cardiometabolic risk factors and the metabolic syndrome in middle-aged adults in the community", Circulation, 116, pp.480~488 (2007)
- Pereira MA, "Dairy consumption, obesity, and the insulin resistance syndrome in young adults: the CARDIA Study", JAMA, 287, pp.2081~2089 (2002)
- Snijder MB, "Is higher dairy consumption associated with lower body weight and fewer metabolic disturbances? The Hoorn Study", Am J Clin Nutr, 85, pp.989~995 (2007)
- Baik I, "Intake of fish and n-3 fatty acids and future risk of metabolic syndrome", J Am Diet Assoc, 110, pp.1018~1026 (2011)
- Zemel MB, "Dairy augmentation of total and central fat loss in obese subjects", Int J Obes (Lond), 29, pp.391~397 (2005)
- Wien MA, "Almonds vs complex carbohydrates in a weight reduction program", Int J Obes Relat Metab Disord, 27, pp.1365~1372 (2003)