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KMID : 1039620160060040227
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Korean Journal of Family Practice
2016 Volume.6 No. 4 p.227 ~ p.234
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Dietary Patterns Associated with the Metabolic Syndrome in Adults over 40 Years
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Kang Dong-Woo
Kim Sung-Hi
Cho Yoon-Jeong
Kim Eun-Mi
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Abstract
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Background: Changing health behaviors is the most effective intervention to prevent and manage chronic diseases. Of the health behaviors, which include diet, physical activity, and smoking, diet are the most influential factors over the entire life. In this study, we investigated the association between diet and chronic diseases as well as the association between diet and metabolic syndrome.
Methods: Using city-based cohort data for the years 2004?2008, we collected information about health behaviors using a structured questionnairebased interview and performed anthropometric measurements and blood tests. We collected data on food consumption using a quantitative food frequency questionnaire. Subjects were divided into three groups based on dietary pattern (Healthy, Grain, and White rice), after K-means clustering analysis, and metabolic syndrome was defined according to the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATPIII, 2006). Multivariate logistic regression analysis was performed to examine the relationship between metabolic syndrome and dietary patterns.
Results: The Healthy, Grain, and White rice dietary pattern groups represented 6.5%, 49.1%, and 44.5% of the subjects, respectively. Adults in urban areas generally had Grain or White rice dietary patterns. The Healthy pattern consisted of plenty of fruits, vegetables, legumes, and fish. With metabolic syndrome as the outcome and the Healthy pattern as the reference group, the odds ratios for Grain and White rice patterns were 1.42 (95% confidence interval [CI], 1.21?1.67) and 1.47 (95% CI, 1.25?1.73), respectively.
Conclusion: A dietary pattern consisting of greater intake of fruits, vegetables, legumes, and fish reduces the risk of metabolic syndrome.
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KEYWORD
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Dietary Pattern, Health Behavior, Metabolic Syndrome
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