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KMID : 1039620180080060855
Korean Journal of Family Practice
2018 Volume.8 No. 6 p.855 ~ p.859
Association between Carbohydrate to Fat Caloric Intake Ratio and Metabolic Indices of Cardiovascular Diseases
Lim Hee-Kyung

Roh Yong-Kyun
Choi Min-Kyu
Kim Dong-Hyun
Byun Joon-Suk
Kwak Hyeong-Seok
Abstract
Background: Obesity is a risk factor for cardiovascular disease, and the prevalence of obesity is increasing. Accordingly, numerous weight loss diet strategies have been developed. Low-fat and low-carbohydrate diets have shown mixed results with respect to weight loss or metabolic indices of cardiovascular disease. This study investigated the association between the carbohydrate to fat caloric intake ratio and metabolic indices of cardiovascular disease.

Methods: The study evaluated 7,620 adults who underwent physical examinations, laboratory tests, and 24-hour dietary recall surveys as part of the Korea National Health and Nutrition Examination Survey from 2012 to 2014; the total caloric intake and nutrient ratios were then calculated. We analyzed the associations between quartiles of carbohydrate to fat caloric intake ratio and body mass index, lipid profiles, glycated hemoglobin levels, and fasting blood glucose levels.

Results: With aging, the ratio of carbohydrate to fat caloric intake increases and the total caloric intake decreases (P<0.01). After adjusting for confounding factors, no statistical significance was found in the association between quartile and body mass index, glycated hemoglobin levels, and triglyceride levels. However, comparted to the patients in the highest quartile, the patients in the lowest quartile had significantly increased total cholesterol, low-density lipoprotein (110.2¡¾0.1 vs. 115.5¡¾0.1 mg/dL), and high-density lipoprotein (50.0¡¾0.3 vs. 52.8¡¾0.4 mg/dL) levels (P<0.01).

Conclusion: We did not identify a positive association between the carbohydrate to fat caloric intake ratio and metabolic indices of cardiovascular disease.
KEYWORD
Carbohydrate, Fat, Carbohydrate to Fat Intake Ratio, Metabolic Indices
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