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일반우유, 저지방우유 섭취와 대사증후군의 연관성: 2013-2015 국민건강영양조사를 이용하여

Association of Metabolic Syndrome with Whole Milk and Low Fat Milk: Using Data from the Korean National Health and Nutrition Examination Survey 2013-2015

이태영|박성지|정명철|최다혜|김택영|문현철|안영인
대한임상건강증진학회 (Korean Society For Health Promotion And Disease Prevention)|2017.12|Korean Journal of Health Promotion|제17권 제4호|pp. 234-241|DOI http://dx.doi.org/10.15384/kjhp.2017.17.4.234

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국민건강영양조사대사증후군Metabolic syndrome우유MilkKorea National health and nutrition examination survey
주제분류기타자연과학

초록

연구배경: 우리나라 국민의 우유 소비가 과거에 비해 큰폭으로 증가하였고 저지방 우유의 판매율도 매년 증가추세에 있다. 본 연구는 2013-2015 국민건강영양조사를 이용하여 일반 우유와 저지방 우유의 섭취 분포를 파악한 후 대사증후군과의 관련성을 알아보고자 하였다. 방법:2013년부터 2015년까지 제6기 국민건강영양조사에참여한 19세부터 65세 미만의 성인 5,553명을 대상으로 하였다. 우유 비섭취군, 저지방 우유 섭취군, 일반 우유 섭취군으로 나누고 교차분석, T검정을 시행하였고 연령을 구분하고 로지스틱회귀분석을 시행하여 일반 우유와 저지방 우유의 대사증후군 관련성을 확인하였다. 결과: 일반 우유 섭취군에서 대사증후군 대상자의 비율이 16.1%로 가장 낮았고 저지방 우유 섭취군 17.6%, 우유비섭취군이 23.3%로 나타났다. 연령을 19-39세, 40-64세로구분하여 성별, 흡연, 음주, 신체활동 변수를 보정하고 이분형 로지스틱회귀분석을 실시하여 각 군별 대사증후군의위험성을 확인하였고 그 결과 40-64세 대상자의 일반 우유섭취군이 우유 비섭취군보다 대사증후군의 관련성이 낮았으나(OR 0.807, P=0.035, 95% CI 0.660-0.985) 저지방 우유 섭취군은 그렇지 않았다(OR 0.879, P=0.350, 95% CI 0.670-1.152). 19-39세 대상자의 일반 우유 섭취군과 저지방우유 섭취군은 대사증후군 관련성이 없었다(OR 1.023, P=0.911, 95% CI 0.686-1.525; OR 1.547, P=0.103, 95% CI 0.915-2.617). 결론: 이번 연구 결과는 일반 우유가 우유 비섭취군보다대사증후군에 관련성이 낮음을 보여준다. 저지방 우유와일반 우유의 대사증후군에 대한 영향을 밝히기 위해 더 많은 연구가 필요하다.

Abstract

Background:Korean milk consumption and low-fat milk sales are steadily increasing. The purpose of this study was to examine the association of metabolic syndrome according to the type of milk. Methods:The subjects included 5,553 persons who aged 19 to 64 years, from the data of the Korea National Health and Nutrition Examination Survey (KNHANES) 2013-2015. All subjects were divided by intake of type of milk that are 'whole milk intake group', 'low-fat milk intake group' and 'no milk intake group'. And the subects were classified as 19-39 years old and 40-64 years old. In order to check differences of demo-sociographic characteristics and metabolic risk factors in three groups, the data was analyzed by chi-square test, t-test and binary logistic regression analysis. Results:For subjects aged 40-64, whole milk intake group had lower relevance with metabolic syndrome than no milk intake group (odds ratio [OR] 0.807, P=0.035, 95% confidence interval [CI] 0.660-0.985). But low fat milk intake group was't relevant (OR 0.879, P=0.350, 95% CI 0.670-1.152). Looking at the 19-39 year-old subjects, whole milk and low fat milk intake group were not associated with metaboic syndrome (OR 1.023, P=0.911, 95% CI 0.686-1.525; OR 1.547, P=0.103, 95% CI 0.915-2.617). Conclusions:The results of this study show that whole milk intake is less relevant to the metabolic syndrome than no milk intake. Low fat milk intake was not relevant. More researches are needed to determine the effects of low fat milk and whole milk on metabolic syndrome.

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