[논문]한국 노인의 쌀 섭취와 대사위험지표에 관한 연구: 근육량 중심으로

오초롱; 노재경

doi:10.20878/cshr.2015.21.5.014

한국 노인의 쌀 섭취와 대사위험지표에 관한 연구: 근육량 중심으로
Study on White Rice Consumption and Metabolic Risk Factor in Korean Elderly: Focused on Muscle Mass 원문보기

Culinary science & hospitality research = 한국조리학회지, v.21 no.5 = no.74, 2015년, pp.147 - 159

오초롱 (경성대학교 호텔관광.외식경영학과) , 노재경 (경성대학교 식품응용공학부)

초록
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한국인의 주식인 쌀 중심의 식사패턴은 다양한 식품군의 섭취와 영양의 균형을 얻을 수 있는 장점을 가지고 있다. 따라서 본 연구에서는 노화과정에서 생리적 기능 저하에 따른 노인기 쉽게 야기될 수 있는 영양의 불균형으로 인한 영양결핍이 쌀을 중심으로 한 식사 패턴이 노인기 근육량에 미치는 영향에 대해 살펴보고자 하였다. 본 연구 대상자는 2010년 제5기 국민건강영양조사 자료를 이용한 60세 이상 노인 남녀 각각 658명, 775명을 대상으로 연구하였다. 연구 결과로 특히 남성의 경우, 결혼 및 배우자 유무 그리고 교육 수준에 따라 쌀의 섭취량에 유의적 차이가 있음을 알 수 있었다. 본 연구의 흥미로운 점은 노인기 남녀 모두 쌀 섭취량이 높을수록 더 높은 근육량을 보여주었다. 또한 쌀 섭취가 높을수록 육류 섭취가 낮았고, 다른 곡물, 면류, 만두류, 밀 및 빵에 대한 섭취가 남녀 모두 낮았다. 노인기의 식사패턴에서 쌀 섭취량의 증가가 근감소와 대사관련 위험 요인에 대한 위험도를 낮추어 주었다. 그러나 쌀 섭취량과 포도당 대사의 위험성에 대한 결과는 유의한 차이를 나타내지 않았다. 본 연구의 결과를 통해 노인기에 충분한 쌀 섭취를 통한 식사 패턴은 근감소와 대사증의 위험 지표에 영향을 미친다는 것을 살펴볼 수 있었다.

Abstract ▼ AI-Helper

White rice consumption, a staple food for the Korean influence the other food consumption and nutrition balance. The aim of this study was to investigate the association with rice consumption based dietary intake and muscle mass for the Korean elderly who are easily in mal-nutrition. A total of 1,433 subjects (658 male and 775 female) 60 years or older from the fifth Korea National Health and Nutritional Examination Survey 2010 participated in this study. One of the findings was that there was association white rice consumption and marital status (single/with/without spouse) as well as education for men. Other interesting finding was the member of highest white rice consumption group showed higher muscle mass in both sexes. The other finding was that the more white rice consumption group showed the less meat consumption as well as the less consumption of other grains, noodle & dumpling, and flours & bread in both sexes. We found the significant association between white rice consumption level and muscle mass and several metabolic syndrome related factors in the elderly. But the association with white rice consumption and glucose metabolism related factor had not shown consistently.

주제어

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문제 정의

In this study, we explore the association between white rice consumption level and metabolic risk factors and food/nutrient intake as well. There is believe that white rice consumption has been affected to deteriorate glucose metabolism because refined rice is negative for insulin sensitivity, but brown rice is positive.

제안 방법

Fasting glucose, fasting insulin, homeostasis model assessment of insulin resistance (HOMA-IR), total cholesterol, triglycerides (TG), and high-density lipoprotein (HDL) were analyzed in a central, certified laboratory. A dual-energy X-ray absorptiometry (DXA) scan was performed to measure total body fat mass, total body fat percentage, and lean mass using fan-beam technology (Lunar Corp, Madison, WI). A general questionnaire was administered to assess basic demographic and health-related information.
All model were adjusted by sex and age.
All model were adjusted by sex, age, smoking and diabetes.
A general questionnaire was administered to assess basic demographic and health-related information. Dietary intake was measured by the single 24-h dietary recall method and trained staff instructed the respondents to recall and describe all the foods and beverages they had consumed in the previous day. Food models and measuring bowls, cups, and spoons were used to assist in estimating portion sizes.
In brief, health examination, dietary measurement, height, and weight were obtained using standardized techniques and calibrated equipment. Information on socio-demographic factors, such as gender, age, level of education, income, drinking, smoking and marital status, and more specific information regarding sex and white rice consumption were obtained by a personal interview with a structured questionnaire. Body mass index (BMI) was calculated by dividing weight (kg) by height (m2 ).
Chi-square test for categorical variables. Logistic regression models were used to calculate odds ratios (ORs) with 95% confidence intervals (CIs) for the relationships between white rice consumption and metabolic syndrome risk factors. The level of significance was set at p<0.
0 (SPSS, IBM, NY, USA). The generalized linear model was used to compare numerical variables such as anthropometric measurements, metabolic risk factors, and nutrient intakes among the four groups classified by white rice consumption quartile. Adjustments for age, sex.

대상 데이터

5% of the total target population of 10,938) participants in 2010 (Oh C et al 2015). A total of 1,687 subjects (748 male and 939 females) 60 years or older who participated in the health examination and nutrition surveys were included in this study. We excluded those who did not have data on oral daily nutrition intake, and had not undergone blood tests.
The survey’s target population included non-institutionalized Korean civilians.

성능/효과

There were several limitations in this study. First, the cross-sectional design of this study precluded our ability to identify on causal inference between white rice consumption and socio-demographic factors, metabolic risk factors and food/nutrient. Second, all participants in the present study were relatively healthy because those who were admitted to hospital or nursing homes were not included in KNHANES.
One of findings was the more white rice consume and the less meat consume and other grains, noodle & dumpling, flours & bread in both sexes as well.
Individuals with sarcopenic obesity had significantly higher fasting insulin, homeostasis model assessment of insulin resistance, and triglycerides (Oh C et al 2015). Other interesting finding was that the member of highest white rice consumption group showed insulin abnormality related factors like fasting glucose, HOMA IR, and weight became reduced. As consider with result of food group intake according to white rice consumption, we could presume that their rich in protein, calcium intake and low in fat diet reduced inflammation which could degrade muscle by cytokine.

후속연구

Third, at the population level, 24-h recall which might not represent accurate usual intake could be one of another limitation in our study. We could not control for all of epigenetic influence, thus, these results need to be confirmed by additional study with longitudinal data to make it possible to generalize the results. In conclusion, there are various health problems due to malnutrition in aging.

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저자의 다른 논문 :

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동의어: Packet Collision Rate

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용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

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