Impact of dietary risk factors on cardiometabolic and cancer mortality burden among Korean adults: results from nationally representative repeated cross-sectional surveys 1998–2016
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BACKGROUND/OBJECTIVES: Dietary factors are important contributors to cardiometabolic and cancer mortality. We examined the secular trends of nine dietary factors (fruits, vegetables, whole grains, nuts and seeds, milk, red meat, processed meat, sugar-sweetened beverages, and calcium) and the associated burdens of cardiometabolic and cancer mortality in Korea using representative cross-sectional survey data from 1998 to 2016. SUBJECTS/METHODS: Using dietary data from Korean adults aged ≥ 25 years in the Korea National Health and Nutrition Examination Survey (KNHANES), we characterized secular trends in intake levels. We performed comparative risk assessment to estimate the population attributable fraction and the number of cardiometabolic and cancer deaths attributable to each dietary factor. RESULTS: A total of 231,148 cardiometabolic and cancer deaths were attributable to nine dietary risk factors in Korea from 1998 to 2016. Suboptimal intakes of fruits and whole grains were the leading contributors. Although the intakes of fruits, vegetables, and whole grains moderately improved over time, the intake levels in 2016 (192.1 g/d, 225.6 g/d, and 10.9 g/d, respectively) remained far below the optimal levels. Deaths attributable to the low intakes of nuts and seeds (4.5 g/d), calcium (440.5 mg/d), and milk (37.1 g/d) and the high intakes of red meat (54.7 g/d), processed meat (4.7 g/d), and sugar-sweetened beverages (33.0 g/d) increased since 1998. Compared with older age groups (≥ 45 years), more unfavorable changes in dietary patterns were observed in the younger population aged 25–44 years, including more sharply increased intakes of processed meat. CONCLUSIONS: We observed improvement in the intakes of fruits, vegetables, and whole grains and unfavorable changes in the intakes of processed meat and sugar-sweetened beverages over the past few decades. Our data suggest that to reduce the chronic disease burden in Korea, more effective nutritional policies and interventions are needed to target these dietary risk factors.
Abstract
BACKGROUND/OBJECTIVES: Dietary factors are important contributors to cardiometabolic and cancer mortality. We examined the secular trends of nine dietary factors (fruits, vegetables, whole grains, nuts and seeds, milk, red meat, processed meat, sugar-sweetened beverages, and calcium) and the associated burdens of cardiometabolic and cancer mortality in Korea using representative cross-sectional survey data from 1998 to 2016. SUBJECTS/METHODS: Using dietary data from Korean adults aged ≥ 25 years in the Korea National Health and Nutrition Examination Survey (KNHANES), we characterized secular trends in intake levels. We performed comparative risk assessment to estimate the population attributable fraction and the number of cardiometabolic and cancer deaths attributable to each dietary factor. RESULTS: A total of 231,148 cardiometabolic and cancer deaths were attributable to nine dietary risk factors in Korea from 1998 to 2016. Suboptimal intakes of fruits and whole grains were the leading contributors. Although the intakes of fruits, vegetables, and whole grains moderately improved over time, the intake levels in 2016 (192.1 g/d, 225.6 g/d, and 10.9 g/d, respectively) remained far below the optimal levels. Deaths attributable to the low intakes of nuts and seeds (4.5 g/d), calcium (440.5 mg/d), and milk (37.1 g/d) and the high intakes of red meat (54.7 g/d), processed meat (4.7 g/d), and sugar-sweetened beverages (33.0 g/d) increased since 1998. Compared with older age groups (≥ 45 years), more unfavorable changes in dietary patterns were observed in the younger population aged 25–44 years, including more sharply increased intakes of processed meat. CONCLUSIONS: We observed improvement in the intakes of fruits, vegetables, and whole grains and unfavorable changes in the intakes of processed meat and sugar-sweetened beverages over the past few decades. Our data suggest that to reduce the chronic disease burden in Korea, more effective nutritional policies and interventions are needed to target these dietary risk factors.
참고문헌 (24)
- Mc Namara K, "Cardiovascular disease as a leading cause of death : how are pharmacists getting involved", Integr Pharm Res Pract, 8, pp.1~11 (2019)
- Naghavi M, "Global, regional, and national age-sex specific mortality for 264 causes of death, 1980-2016: a systematic analysis for the global burden of disease study 2016", Lancet, 390, pp.1151~1210 (2017)
- Statistics Korea, "Causes of Death Statistics in 2017", Statistics Korea, ~ (2017)
- The Associations between Food, Nutrition and Physical Activity and the Risk of Colorectal Cancer, "Norat T", World Cancer Research Fund, 2010
- Ruel G, "Association between nutrition and the evolution of multimorbidity: the importance of fruits and vegetables and whole grain products", Clin Nutr, 33, pp.513~520 (2014)
- Lim SS, "A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the global burden of disease study 2010", Lancet, 380, pp.2224~2260 (2012)
- Begg SJ, "Burden of disease and injury in Australia in the new millennium: measuring health loss from diseases, injuries and risk factors", Med J Aust, 188, pp.36~40 (2008)
- Danaei G, "The preventable causes of death in the United States: comparative risk assessment of dietary, lifestyle, and metabolic risk factors", PLoS Med, 6, pp.e1000058~ (2009)
- Farzadfar F, "National and subnational mortality effects of metabolic risk factors and smoking in Iran: a comparative risk assessment", Popul Health Metr, 9, pp.55~ (2011)
- Afshin A, "2010 Global Burden of Diseases, Injuries, and Risk Factors Study: NUTRItrition and ChrOnic Diseases Expert Group (NUTRICODE), and Metabolic Risk Factors of ChrOnic Diseases Collaborating Group. The impact of dietary habits and metabolic risk factors on cardiovascular and diabetes mortality in countries of the Middle East and North Africa in 2010: a comparative risk assessment analysis", BMJ Open, 5, pp.e006385~ (2015)
- Murray CJ, "Comparative quantification of health risks conceptual framework and methodological issues", Popul Health Metr, 1, pp.1~ (2003)
- Meier T, "Cardiovascular mortality attributable to dietary risk factors in 51 countries in the WHO European Region from 1990 to 2016: a systematic analysis of the global burden of disease study", Eur J Epidemiol, 34, pp.37~55 (2019)
- He Y, "The dietary transition and its association with cardiometabolic mortality among Chinese adults, 1982–2012: a cross-sectional population-based study", Lancet Diabetes Endocrinol, 7, pp.540~548 (2019)
- Cho Y, "Estimating change in cardiovascular disease and diabetes burdens due to dietary and metabolic factors in Korea 1998–2011: a comparative risk assessment analysis", BMJ Open, 6, pp.e013283~ (2016)
- 조윤수, "Burdens of Cardiometabolic Diseases Attributable to Dietary and Metabolic Risks in Korean Adults 2012–2013", Yonsei Medical Journal, 58(3), pp.540~551 (2017), 연세대학교의과대학[DOI]
- Micha R, "Etiologic effects and optimal intakes of foods and nutrients for risk of cardiovascular diseases and diabetes: systematic reviews and meta-analyses from the Nutrition and Chronic Diseases Expert Group (NutriCoDE)", PLoS One, 12, pp.e0175149~ (2017)
- Feigin VL, "Global burden of stroke and risk factors in 188 countries, during 1990–2013: a systematic analysis for the global burden of disease study 2013", Lancet Neurol, 15, pp.913~924 (2016)
- Shulkin ML, "Major dietary risk factors for cardiometabolic disease: current evidence for causal effects and effect sizes from the global burden of diseases (GBD) 2015 study", Circulation, 133, pp.AP279~ (2016)
- Kim Y, "The Korea National Health and Nutrition Examination Survey (KNHANES): current status and challenges", Epidemiol Health, 36, pp.e2014002~ (2014)
- Singh GM, "The age-specific quantitative effects of metabolic risk factors on cardiovascular diseases and diabetes: a pooled analysis", PLoS One, 8, pp.e65174~ (2013)
- Forouzanfar MH, "Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2015: a systematic analysis for the global burden of disease study 2015", Lancet, 388, pp.1659~1724 (2016)
- Cuzick J, "A Wilcoxon-type test for trend", Stat Med, 4, pp.87~90 (1985)
- Rural Development Administration, "Consumer Friendly Food Composition Table for Adults", Rural Development Administration, ~ (2009)
- Korea Health Statistics 2017: Korea National Health and Nutrition Examination Survey (KNHANES VII-2), "Ministry of Health and Welfare", Korea Centers for Disease Control and Prevention, ~ (2018)