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KMID : 1036720160490060459
Journal of Nutrition and Health
2016 Volume.49 No. 6 p.459 ~ p.470
Relationship among practicing healthy diet and metabolic syndrome indicators in adults - From the Korea National Health and Nutrition Examination Survey, 2013~2014
Bae Yun-Jung

Abstract
Purpose: The purpose of the present study is to identify the relationship between practicing healthy diet and metabolic
syndrome indicators in Koreans.

Methods: This research is a cross-sectional study based on the 2013~2014 Korea National Health and Nutritional Examination Survey. This study investigated 6,748 adults aged 19 to 64 yr (19~49 yr: n = 4,230, 50~64 yr: n = 2,518) to examine practice of healthy diet and metabolic syndrome indicators. In this study, according to practicing healthy diet, we classified subjects into the ¡°Practicing healthy diet (PHD)¡± group (19~49 yr: n = 1,782, 50~64 yr: n = 937) and ¡°Non-practicing healthy diet (NPHD)¡± group (19~49 yr: n = 2,448, 50~64 yr: n = 1,581). PHD score was determined by adding the number of practicing factors: adequate fat intake, sodium intake ¡Â 2,000 mg/day, fruit & vegetable intake ¡Ã 500 g/day, and using nutrition label information in food selection.

Results: Female adults had a larger proportion of subjects who practiced a healthy diet compared to male adults (p < 0.001), and the percentages of 19~49 yr and 50~64 yr were 40.46% and 37.07%, respectively. The PHD group consumed significantly more calcium, vitamin B1, B2, and vitamin C density compared to the NPHD group. In 50~64 yr females, the subjects practicing healthy diet (PHD score ¡Ã 2) was inversely associated with risk of abdominal obesity (OR: 0.71, 95% CI: 0.54~0.93, p value = 0.0131) and metabolic syndrome (OR: 0.70, 95% CI: 0.52~0.94, p value = 0.0166) after adjustments for multiple confounding factors, compared with the lower PHD score (PHD score ¡Â 1).

Conclusion: Good dietary practice such as adequate fat intake, sodium intake ¡Â 2,000 mg/day, sufficient fruit & vegetable intake, and using nutrition label information in food selection could be useful in decreasing metabolic syndrome risk of Korean adults.
KEYWORD
practicing healthy diet, metabolic syndrome indicators, adults
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