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Grains, Vegetables, and Fish Dietary Pattern Is Inversely Associated with the Risk of Metabolic Syndrome in South Korean Adults

      Abstract

      Background

      Dietary patterns are critical in the prevention and management of chronic diseases.

      Objective

      We examined the association between habitual dietary patterns and the risk of metabolic syndrome in South Korean adults.

      Design

      The study sample was composed of 9,850 Korean adults (aged ≥19 years) who participated in the second and third Korean National Health and Nutrition Examination Survey. Dietary data were assessed by the 24-hour recall method. Metabolic syndrome was defined by the joint of interim statement of the International Diabetes Federation and the American Heart Association/National Heart, Lung, and Blood Institute.

      Results

      Four dietary patterns were derived using factor analysis (white rice and kimchi pattern; meat and alcohol pattern; high fat, sweets, and coffee pattern; and grains, vegetables, and fish pattern). Each dietary pattern explained 8.6%, 6.7%, 5.7%, and 5.7% of the variation in food intakes, respectively. The meat and alcohol pattern was adversely associated with hypertriglyceridemia (P for trend 0.01) and elevated blood pressure (P for trend 0.01) after adjustments for potential risk factors of metabolic syndrome such as age, sex, body mass index, energy intake, alcohol intake, smoking status, and physical activity. In contrast, the grains, vegetables, and fish pattern was associated with lower risk of hypertriglyceridemia (P for trend 0.0002) and was also inversely associated with the risk of metabolic syndrome after adjusting for risk factors of the metabolic syndrome (P for trend 0.02).

      Conclusions

      Our study suggests that a specific Korean dietary pattern that includes grains, vegetables, and fish may be associated with lower risk of metabolic syndrome in South Korean adults.
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      References

        • Ambrosini G.L.
        • Huang R.C.
        • Mori T.A.
        • Hands B.P.
        • O'Sullivan T.A.
        • de Klerk N.H.
        • Beilin L.J.
        • Oddy W.H.
        Dietary patterns and markers for the metabolic syndrome in Australian adolescents.
        Nutr Metab Cardiovasc Dis. 2010; 20: 274-283
        • McNeill A.M.
        • Rosamond W.D.
        • Girman C.J.
        • Golden S.H.
        • Schmidt M.I.
        • East H.E.
        • Ballantyne C.M.
        • Heiss G.
        The metabolic syndrome and 11-year risk of incident cardiovascular disease in the atherosclerosis risk in communities study.
        Diabetes Care. 2005; 28: 385-390
        • Ministry of Health and Welfare
        National Health And Nutrition Examination Survey Report 2005.
        Ministry of Health and Welfare, Seoul, South Korea2005
        • Lutsey P.L.
        • Steffen L.M.
        • Stevens J.
        Dietary intake and the development of the metabolic syndrome: The Atherosclerosis Risk in Communities study.
        Circulation. 2008; 117: 754-761
        • Rumawas M.E.
        • Meigs J.B.
        • Dwyer J.T.
        • McKeown N.M.
        • Jacques P.F.
        Mediterranean-style dietary pattern, reduced risk of metabolic syndrome traits, and incidence in the Framingham Offspring Cohort.
        Am J Clin Nutr. 2009; 90: 1608-1614
        • Mishra G.
        • Ball K.
        • Arbuckle J.
        • Crawford D.
        Dietary patterns of Australian adults and their association with socioeconomic status: Results from the 1995 National Nutrition Survey.
        Eur J Clin Nutr. 2002; 56: 687-693
        • Kim J.A.
        • Kim S.M.
        • Lee J.S.
        • Oh H.J.
        • Han J.H.
        • Song Y.
        • Joung H.
        • Park H.S.
        Dietary patterns and the metabolic syndrome in Korean adolescents: 2001 Korean National Health and Nutrition Survey.
        Diabetes Care. 2007; 30: 1904-1905
        • Kim J.
        • Paik H.Y.
        • Joung H.
        • Woodhouse L.R.
        • Li S.
        • King J.C.
        Zinc supplementation reduces fractional zinc absorption in young and elderly korean women.
        J Am Coll Nutr. 2004; 23: 309-315
        • Popkin B.M.
        Nutrition in transition: the changing global nutrition challenge.
        Asia Pac J Clin Nutr. 2001; 10: S13-S18
        • Korean Nutrition Society
        Dietary Reference Intake for Korean.
        Kookjin Press, Seoul, South Korea2005
        • Song Y.
        • Park M.J.
        • Paik H.Y.
        • Joung H.
        Secular trends in dietary patterns and obesity-related risk factors in Korean adolescents aged 10-19 years.
        Int J Obes (Lond). 2009;
        • Berg C.M.
        • Lappas G.
        • Strandhagen E.
        • Wolk A.
        • Toren K.
        • Rosengren A.
        • Aires N.
        • Thelle D.S.
        • Lissner L.
        Food patterns and cardiovascular disease risk factors: The Swedish INTERGENE research program.
        Am J Clin Nutr. 2008; 88: 289-297
        • Newby P.K.
        • Muller D.
        • Hallfrisch J.
        • Qiao N.
        • Andres R.
        • Tucker K.L.
        Dietary patterns and changes in body mass index and waist circumference in adults.
        Am J Clin Nutr. 2003; 77: 1417-1425
        • The American Society of Hypertension
        Recommendations for routine blood pressure measurement by indirect cuff sphygmomanometry.
        Am J Hypertens. 1992; 5: 207-209
        • Alberti K.G.
        • Eckel R.H.
        • Grundy S.M.
        • Zimmet P.Z.
        • Cleeman J.I.
        • Donato K.A.
        • Fruchart J.C.
        • James W.P.
        • Loria C.M.
        • Smith Jr, S.C.
        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. 2009; 120: 1640-1645
        • Grundy S.M.
        • Cleeman J.I.
        • Daniels S.R.
        • Donato K.A.
        • Eckel R.H.
        • Franklin B.A.
        • Gordon D.J.
        • Krauss R.M.
        • Savage P.J.
        • Smith Jr, S.C.
        • Spertus J.A.
        • Costa F.
        Diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement.
        Circulation. 2005; 112: 2735-2752
        • Kim J.
        • Jo I.
        Relationship between body mass index and alanine aminotransferase concentration in non-diabetic Korean adults.
        Eur J Clin Nutr. 2010; 64: 169-175
        • World Health Organization
        The Asia-Pacific Perspective: Redefining Obesity and its Treatment.
        IOTF, Health Communications Australia Pty Ltd, Brisbane, Australia2000
        • McNaughton S.A.
        • Ball K.
        • Mishra G.D.
        • Crawford D.A.
        Dietary patterns of adolescents and risk of obesity and hypertension.
        J Nutr. 2008; 138: 364-370
        • Kim J.O.
        • Mueller C.W.
        Factor Analysis: Statistical Methods and Practical Issues.
        Sage Publications Inc, Thousand Oaks, CA1978
        • Millen B.E.
        • Quatromoni P.A.
        • Nam B.H.
        • O'Horo C.E.
        • Polak J.F.
        • Wolf P.A.
        • D'Agostino R.B.
        Dietary patterns, smoking, and subclinical heart disease in women: Opportunities for primary prevention from the Framingham Nutrition Studies.
        J Am Diet Assoc. 2004; 104: 208-214
        • Kimokoti R.W.
        • Newby P.K.
        • Gona P.
        • Zhu L.
        • Jasuja G.K.
        • Pencina M.J.
        • McKeon-O'Malley C.
        • Fox C.S.
        • D'Agostino R.B.
        • Millen B.E.
        Diet quality, physical activity, smoking status, and weight fluctuation are associated with weight change in women and men.
        J Nutr. 2010; 140: 1287-1293
        • Park S.H.
        • Lee K.S.
        • Park H.Y.
        Dietary carbohydrate intake is associated with cardiovascular disease risk in Koreans: Analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III).
        Int J Cardiol. 2010; 132: 102-108
        • Panagiotakos D.B.
        • Pitsavos C.
        • Skoumas Y.
        • Stefanadis C.
        The association between food patterns and the metabolic syndrome using principal components analysis: The ATTICA Study.
        J Am Diet Assoc. 2007; 107: 979-987
        • Deshmukh-Taskar P.R.
        • O'Neil C.E.
        • Nicklas T.A.
        • Yang S.J.
        • Liu Y.
        • Gustat J.
        • Berenson G.S.
        Dietary patterns associated with metabolic syndrome, sociodemographic and lifestyle factors in young adults: The Bogalusa Heart Study.
        Public Health Nutr. 2009; 12: 2493-2503
        • Tortosa A.
        • Bes-Rastrollo M.
        • Sanchez-Villegas A.
        • Basterra-Gortari F.J.
        • Nunez-Cordoba J.M.
        • Martinez-Gonzalez M.A.
        Mediterranean diet inversely associated with the incidence of metabolic syndrome: The SUN prospective cohort.
        Diabetes Care. 2007; 30: 2957-2959
        • Fung T.T.
        • Rimm E.B.
        • Spiegelman D.
        • Rifai N.
        • Tofler G.H.
        • Willett W.C.
        • Hu F.B.
        Association between dietary patterns and plasma biomarkers of obesity and cardiovascular disease risk.
        Am J Clin Nutr. 2001; 73: 61-67
        • Shimazu T.
        • Kuriyama S.
        • Hozawa A.
        • Ohmori K.
        • Sato Y.
        • Nakaya N.
        • Nishino Y.
        • Tsubono Y.
        • Tsuji I.
        Dietary patterns and cardiovascular disease mortality in Japan: A prospective cohort study.
        Int J Epidemiol. 2007; 36: 600-609
        • Meydani M.A.
        Mediterranean-style diet and metabolic syndrome.
        Nutr Rev. 2005; 63: 312-314
        • Chrysohoou C.
        • Panagiotakos D.B.
        • Pitsavos C.
        • Das U.N.
        • Stefanadis C.
        Adherence to the Mediterranean diet attenuates inflammation and coagulation process in healthy adults: The ATTICA Study.
        J Am Coll Cardiol. 2004; 44: 152-158
        • DiBello J.R.
        • McGarvey S.T.
        • Kraft P.
        • Goldberg R.
        • Campos H.
        • Quested C.
        • Laumoli T.S.
        • Baylin A.
        Dietary patterns are associated with metabolic syndrome in adult Samoans.
        J Nutr. 2009; 139: 1933-1943
        • Schaefer E.J.
        Lipoproteins, nutrition, and heart disease.
        Am J Clin Nutr. 2002; 75: 191-212
        • Rimm E.B.
        • Williams P.
        • Fosher K.
        • Criqui M.
        • Stampfer M.J.
        Moderate alcohol intake and lower risk of coronary heart disease: Meta-analysis of effects on lipids and haemostatic factors.
        BMJ. 1999; 319: 1523-1528
        • Birkett N.J.
        Comments on a meta-analysis of the relation between dietary calcium intake and blood pressure.
        Am J Epidemiol. 1998; 148: 223-228
        • Miller G.D.
        • DiRienzo D.D.
        • Reusser M.E.
        • McCarron D.A.
        Benefits of dairy product consumption on blood pressure in humans: A summary of the biomedical literature.
        J Am Coll Nutr. 2000; 19: 147S-164S
        • Dauchet L.
        • Kesse-Guyot E.
        • Czernichow S.
        • Bertrais S.
        • Estaquio C.
        • Peneau S.
        • Vergnaud A.C.
        • Chat-Yung S.
        • Castetbon K.
        • Deschamps V.
        • Brindel P.
        • Hercberg S.
        Dietary patterns and blood pressure change over 5-y follow-up in the SU.VI.MAX cohort.
        Am J Clin Nutr. 2007; 85: 1650-1656
        • Utsugi M.T.
        • Ohkubo T.
        • Kikuya M.
        • Kurimoto A.
        • Sato R.I.
        • Suzuki K.
        • Metoki H.
        • Hara A.
        • Tsubono Y.
        • Imai Y.
        Fruit and vegetable consumption and the risk of hypertension determined by self measurement of blood pressure at home: the Ohasama study.
        Hypertens Res. 2008; 31: 1435-1443
        • Martinez M.E.
        • Marshall J.R.
        • Sechrest L.
        Invited commentary: Factor analysis and the search for objectivity.
        Am J Epidemiol. 1998; 148: 17-19

      Biography

      J. Kim is a professor, Department of Food and Nutrition, Daegu University, Gyeongsan, Gyeongbuk, South Korea.

      Biography

      I. Jo is a professor, Department of Molecular Medicine, Ewha Womans University Medical School, Seoul, South Korea.