Inverse association of improved adherence to dietary guidelines with metabolic syndrome: the Seoul Metabolic Syndrome Management program
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BACKGROUND/OBJECTIVES: The Seoul Metabolic Syndrome Management (SMESY) program is a 1-yr lifestyle modification program targeting metabolic syndrome (MetS) in Seoul residents. This study investigated the associations between adherence to dietary guidelines and MetS among the SMESY program participants. SUBJECTS/METHODS: Data of 54,385 participants aged 20–64 yrs who completed the SMESY program in 2015, had information on adherence to dietary guidelines, and were not medicated for diabetes, hypertension, or dyslipidemia were analyzed. Participants underwent MetS screening and completed a lifestyle questionnaire including adherence to 10 dietary guidelines before and after participation. Participants were classified according to the number of MetS risk factors at baseline (MetS group, ≥ 3; risk group, 1–2; healthy group, none). Adherence to dietary guidelines was determined from the number of “yes” responses regarding the fulfillment of each guideline on ≥ 5 days/week. Multiple logistic regression was used to evaluate associations between newly diagnosed MetS and changes in adherence to dietary guidelines. RESULTS: In the MetS group, MetS prevalence decreased after the SMESY program (men, −41.9%p; women, −48.7%p), and all risk factors were significantly improved (P < 0.0001). All groups exhibited improved adherence to all dietary guidelines after participation (P < 0.0001). In the MetS group with positively changed adherence scores, the MetS prevalence decreased by −44.1%p for men and −49.5%p for women, whereas the prevalence in those with negative changes decreased by −38.1%p for men and −48.6%p for women. In the risk group, those with positively changed adherence scores had significantly decreased odds ratios (ORs) for newly diagnosed MetS compared with those with negative changes (OR, 0.70; 95% confidence interval [CI], 0.61–0.80 for men; OR, 0.88; 95% CI, 0.79–0.99 for women). CONCLUSIONS: The SMESY program may effectively reduce the risk of MetS among adults with risk factors by improving adherence to dietary guidelines.
Abstract
BACKGROUND/OBJECTIVES: The Seoul Metabolic Syndrome Management (SMESY) program is a 1-yr lifestyle modification program targeting metabolic syndrome (MetS) in Seoul residents. This study investigated the associations between adherence to dietary guidelines and MetS among the SMESY program participants. SUBJECTS/METHODS: Data of 54,385 participants aged 20–64 yrs who completed the SMESY program in 2015, had information on adherence to dietary guidelines, and were not medicated for diabetes, hypertension, or dyslipidemia were analyzed. Participants underwent MetS screening and completed a lifestyle questionnaire including adherence to 10 dietary guidelines before and after participation. Participants were classified according to the number of MetS risk factors at baseline (MetS group, ≥ 3; risk group, 1–2; healthy group, none). Adherence to dietary guidelines was determined from the number of “yes” responses regarding the fulfillment of each guideline on ≥ 5 days/week. Multiple logistic regression was used to evaluate associations between newly diagnosed MetS and changes in adherence to dietary guidelines. RESULTS: In the MetS group, MetS prevalence decreased after the SMESY program (men, −41.9%p; women, −48.7%p), and all risk factors were significantly improved (P < 0.0001). All groups exhibited improved adherence to all dietary guidelines after participation (P < 0.0001). In the MetS group with positively changed adherence scores, the MetS prevalence decreased by −44.1%p for men and −49.5%p for women, whereas the prevalence in those with negative changes decreased by −38.1%p for men and −48.6%p for women. In the risk group, those with positively changed adherence scores had significantly decreased odds ratios (ORs) for newly diagnosed MetS compared with those with negative changes (OR, 0.70; 95% confidence interval [CI], 0.61–0.80 for men; OR, 0.88; 95% CI, 0.79–0.99 for women). CONCLUSIONS: The SMESY program may effectively reduce the risk of MetS among adults with risk factors by improving adherence to dietary guidelines.
참고문헌 (48)
- Alberti KG, "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)
- Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults, "Executive summary of the 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)", JAMA, 285, pp.2486~2497 (2001)
- Eddy DM, "The metabolic syndrome and cardiovascular risk : implications for clinical practice", Int J Obes, 32(Suppl 2), pp.S5~S10 (2008)
- "Cardiovascular diseases (CVDs)" (2017)[URL]
- Ranasinghe P, "Prevalence and trends of metabolic syndrome among adults in the Asia-Pacific region : a systematic review", BMC Public Health, 17, pp.101~ (2017)
- "National Health Examinations Statistics" (2019)[URL]
- O'Neill S, "Metabolic syndrome : a closer look at the growing epidemic and its associated pathologies", Obes Rev, 16, pp.1~12 (2015)
- McKeown NM, "Whole-grain intake is favorably associated with metabolic risk factors for type 2 diabetes and cardiovascular disease in the Framingham Offspring Study", Am J Clin Nutr, 76, pp.390~398 (2002)
- Shin JY, "Effect of fruits and vegetables on metabolic syndrome : a systematic review and meta-analysis of randomized controlled trials", Int J Food Sci Nutr, 66, pp.416~425 (2015)
- 이창진, "우유 섭취와 대사증후군의 관련성 - 2007~2010년 국민건강영양조사 자료를 이용하여", 대한지역사회영양학회지, 17(6), pp.795~804 (2012), 대한지역사회영양학회
- Hong S, "A fruit and dairy dietary pattern is associated with a reduced risk of metabolic syndrome", Metabolism, 61, pp.883~890 (2012)
- Jun S, "Meat and milk intake in the rice-based Korean diet : impact on cancer and metabolic syndrome", Proc Nutr Soc, 75, pp.374~384 (2016)
- Kim Y, "Meat consumption and risk of metabolic syndrome : results from the Korean population and a meta-analysis of observational studies", Nutrients, 10, pp.E390~ (2018)
- 이무용, "High Sodium Intake in Women with Metabolic Syndrome", Korean Circulation Journal, 44(1), pp.30~36 (2014), 대한심장학회
- Riccardi G, "Dietary fat, insulin sensitivity and the metabolic syndrome", Clin Nutr, 23, pp.447~456 (2004)
- Kim YJ, "Diet quality, physical activity, and their association with metabolic syndrome in Korean adults", Nutrition, 59, pp.138~144 (2019)
- DeSalvo KB, "Dietary Guidelines for Americans", JAMA, 315, pp.457~458 (2016)
- Hercberg S, "The French National Nutrition and Health Program : 2001-2006-2010", Int J Public Health, 53, pp.68~77 (2008)
- Fogli-Cawley JJ, "The 2005 Dietary Guidelines for Americans and risk of the metabolic syndrome", Am J Clin Nutr, 86, pp.1193~1201 (2007)
- Kesse-Guyot E, "Adherence to French nutritional guidelines is associated with lower risk of metabolic syndrome", J Nutr, 141, pp.1134~1139 (2011)
- 정현주, "Association between adherence to the Korean Food Guidance System and the risk of metabolic abnormalities in Koreans", Nutrition Research and Practice, 5(6), pp.560~568 (2011), 한국영양학회
- Al Thani M, "Adherence to the Qatar dietary guidelines : a cross-sectional study of the gaps, determinants and association with cardiometabolic risk amongst adults", BMC Public Health, 18, pp.503~ (2018)
- Hosseini-Esfahani F, "Adherence to dietary recommendations and risk of metabolic syndrome : Tehran Lipid and Glucose Study", Metabolism, 59, pp.1833~1842 (2010)
- Lassale C, "Association between adherence to nutritional guidelines, the metabolic syndrome and adiposity markers in a French adult general population", PLoS One, 8, pp.e76349~ (2013)
- Choo J, "The Seoul Metropolitan lifestyle intervention program and metabolic syndrome risk : a retrospective database study", Int J Environ Res Public Health, 13, pp.E667~ (2016)
- Lee YH, "Design and preliminary results of a metropolitan lifestyle intervention program for people with metabolic syndrome in South Korea", Diabetes Res Clin Pract, 101, pp.293~302 (2013)
- "The Seoul Metabolic Syndrome Management program" (2010)[URL]
- Park MS, "Introduction and effectiveness of the Seoul Metabolic Syndrome Management", Public Health Aff, 1, pp.25~39 (2017)
- Trinder P, "Determination of glucose in blood using glucose oxidase with an alternative oxygen acceptor", Ann Clin Biochem, 6, pp.24~27 (1969)
- Lee S, "Cut-off points of waist circumference for defining abdominal obesity in the Korean population", Korean J Obes, 15, pp.1~9 (2006)
- 백희영, "2008 한국 성인을 위한 식생활목표와 식생활지침", Journal of Nutrition and Health, 41(8), pp.887~899 (2008), 한국영양학회
- Fogelholm M, "International physical activity questionnaire : validity against fitness", Med Sci Sports Exerc, 38, pp.753~760 (2006)
- Craig CL, "International physical activity questionnaire : 12-country reliability and validity", Med Sci Sports Exerc, 35, pp.1381~1395 (2003)
- Hosmer DW, "Applied logistic regression" (2000), Wiley
- 김혜진, "대사증후군 관리를 위한 직장기반 식생활 중재 프로그램의 효과", 대한지역사회영양학회지, 21(3), pp.237~246 (2016), 대한지역사회영양학회
- Bo S, "Effectiveness of a lifestyle intervention on metabolic syndrome. A randomized controlled trial", J Gen Intern Med, 22, pp.1695~1703 (2007)
- Aucott L, "Effects of lifestyle interventions and long-term weight loss on lipid outcomes-a systematic review", Obes Rev, 12, pp.e412~e425 (2011)
- Ma Y, "Single-component versus multicomponent dietary goals for the metabolic syndrome : a randomized trial", Ann Intern Med, 162, pp.248~257 (2015)
- Mensink M, "Lifestyle intervention according to general recommendations improves glucose tolerance", Obes Res, 11, pp.1588~1596 (2003)
- Pettman TL, "Health benefits of a 4-month group-based diet and lifestyle modification program for individuals with metabolic syndrome", Obes Res Clin Pract, 3, pp.221~235 (2009)
- Baudrand R, "High sodium intake is associated with increased glucocorticoid production, insulin resistance and metabolic syndrome", Clin Endocrinol(Oxf), 80, pp.677~684 (2014)
- Räisänen JP, "Increased daily sodium intake is an independent dietary indicator of the metabolic syndrome in middle-aged subjects", Ann Med, 44, pp.627~634 (2012)
- Oh HY, "Macronutrient composition and sodium intake of diet are associated with risk of metabolic syndrome and hypertension in Korean women", PLoS One, 8, pp.e78088~ (2013)
- 이원준, "Factors Associated with a Low-sodium Diet: The Fourth Korean National Health and Nutrition Examination Survey", Epidemiology and Health, 35, pp.1~7 (2013), 한국역학회
- Hong JW, "Factors associated with high sodium intake based on estimated 24-hour urinary sodium excretion: the 2009–2011 Korea National Health and Nutrition Examination Survey", Medicine(Baltimore), 95, pp.e2864~ (2016)
- Schroeder N, "A randomized trial on the effects of 2010 Dietary Guidelines for Americans and Korean diet patterns on cardiovascular risk factors in overweight and obese adults", J Acad Nutr Diet, 115, pp.1083~1092 (2015)
- Song Y, "A traditional Korean dietary pattern and metabolic syndrome abnormalities", Nutr Metab Cardiovasc Dis, 22, pp.456~462 (2012)
- 이경원, "The Traditional Korean Dietary Pattern Is Associated with Decreased Risk of Metabolic Syndrome: Findings from the Korean National Health and Nutrition Examination Survey, 1998–2009", Journal of Medicinal Food, 17(1), pp.43~56 (2014), 한국식품영양과학회[DOI]
