[논문]한국 성인의 식사 패턴과 인슐린 저항성 간의 상관성: 2015년도 국민건강영양조사를 이용하여

김이슬; 양윤정

doi:10.4163/jnh.2021.54.3.247

한국 성인의 식사 패턴과 인슐린 저항성 간의 상관성: 2015년도 국민건강영양조사를 이용하여
The association of dietary patterns with insulin resistance in Korean adults: based on the 2015 Korea National Health and Nutrition Examination Survey 원문보기

Journal of nutrition and health, v.54 no.3, 2021년, pp.247 - 261

김이슬 (동덕여자대학교 임상영양학과) , 양윤정 (동덕여자대학교 식품영양학과)

초록
AI-Helper

본 연구는 제6기 2015년도 국민건강영양조사 자료를 활용하여 만 19-64세 한국 성인의 주요 식사 패턴을 도출한 후, 식사 패턴과 인슐린 저항성 간의 상관성을 분석하기 위해 수행되었다. 그 결과는 다음과 같다. 대상자의 식사 패턴을 요인분석 방법으로 분석한 결과, 'Healthy Korean meal pattern', 'Western meal pattern', 'White rice, alcohol, meat pattern'으로 나타났다. 'Healthy Korean meal pattern' 점수가 높을수록 연령이 높게 나타났으며, 식사 패턴에 따른 영양소 섭취량 분석 결과, 'Healthy Korean meal pattern' 섭취 점수가 높을수록 총 에너지, 탄수화물, 단백질, 비타민 A, 비타민 C, 칼슘, 인, 철, 칼륨, 식이섬유의 섭취가 유의하게 증가하였으며 'Western meal pattern' 섭취 점수가 높을수록 총 에너지, 단백질, 지방, 콜레스테롤의 섭취가 유의하게 증가하였고, 'White rice, alcohol, meat pattern' 점수가 높을수록 총 에너지와 나트륨의 섭취는 유의하게 증가하였고, 탄수화물, 비타민 C, 칼슘, 인, 칼륨, 식이섬유의 섭취는 유의하게 감소하였다. 식사 패턴에 따른 인슐린 저항성의 위험도를 분석한 결과 'Healthy Korean meal pattern'과 'Western meal pattern'은 인슐린 저항성과 유의한 연관성을 보이지 않았고, 'White rice, alcohol, meat pattern'은 인슐린 저항성의 위험도와 양의 연관성을 보였다. 이상의 결과로부터 'White rice, alcohol, meat pattern'의 식사를 많이 할수록 인슐린 저항성의 위험도가 높아지는 것을 알 수 있었다. 본 연구는 단면연구라는 제한점이 있으므로 향후 식사 패턴과 인슐린 저항성의 상관성을 확인할 수 있는 전향적 코호트 등의 연구가 필요하다.

Abstract ▼ AI-Helper

Purpose: This study was conducted to identify the association between insulin resistance and the major dietary patterns of Korean adults. Methods: This study used data from the 2015 Korea National Health and Nutrition Examination Survey. The subjects were 2,276 adults aged 19 to 64 years old. Based on the food frequency questionnaire data, 112 food items were reclassified into 30 food groups. The principal component analysis method was applied to identify major dietary patterns. We used homeostatic model assessment of insulin resistance (HOMA-IR) and quantitative insulin sensitivity check index (QUICKI) value as indicators of insulin resistance. The association between major dietary patterns and insulin resistance was investigated using logistic regression analysis. Results: Three major dietary patterns were identified and assigned descriptive names based on the food items with high loadings: 'healthy Korean meal pattern', 'western meal pattern', and 'white rice, alcohol, meat pattern'. As the 'white rice, alcohol, meat pattern' score increased, significant increasing trends for fasting glucose concentration and HOMA-IR and a significant decreasing trend for QUICKI were observed after adjusting for age and sex. The odds ratio of insulin resistance according to the 'healthy Korean meal pattern' and the 'western meal pattern' were not statistically significant. the 'white rice, alcohol, meat pattern' showed a significant positive association with the risk of insulin resistance after adjusting for covariates. Conclusion: These results suggest that the 'white rice, alcohol, meat pattern' is positively associated with the risk of insulin resistance. The white rice, alcohol, meat pattern was related to the high consumption of alcohol together with rice or meat. This pattern was also associated with the high intake of sodium and low intakes of vitamin C, calcium, potassium, and dietary fiber. To confirm the association, further longitudinal studies are required.

주제어

표/그림 (7)

표 Table 1. General characteristics of the study subjects
표 Table 2. Rotated factor loading matrix for dietary patterns
표 Table 3. Characteristics of the subjects in the lowest (Q1) and highest (Q4) quartiles of each pattern
표 Table 4. Dietary intake of the subjects in the lowest (Q1) and highest (Q4) quartiles of each pattern
표 Table 5. Fasting glucose, serum insulin concentration, QUICKI, and HOMA-IR by quartiles of each pattern
표 Table 6. Odds ratio with 95% confdence interval for insulin resistance by QUICKI across quartiles of each pattern
표 Table 7. Odds ratio with 95% confdence interval for insulin resistance by HOMA-IR across quartiles of each pattern

참고문헌 (36)

Reaven GM. Banting lecture 1988. Role of insulin resistance in human disease. Diabetes 1988; 37(12): 1595-1607.
Choi CS. Pathogenesis of insulin resistance. Korean J Med 2009; 77(2): 171-177.
Ministry of Health and Welfare; Korea Centers for Disease Control and Prevention. Korea health statistics 2017: Korea National Health and Nutrition Examination Survey (KNHANES VII-2) [Internet]. Sejong: Korea Centers for Disease Control and Prevention; 2019 [cited 2020 Nov 4]. Available from: https://knhanes.cdckdca.go.kr./knhanes/main.do.
Ahn SH, Kim YM, Ko SK. The effects of aerobic exercise and lifestyle modifying education program on body composition, lipoprotein and insulin resistance in the obese women. Korean J Sports Sci 2011; 20(4): 1097-1109.
Song SJ, Paik HY, Song YJ. The relationship between intake of nutrients and food groups and insulin resistance in Korean adults: Using the Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV, 2007-2009). Korean J Nutr 2013; 46(1): 61-71.
Jung HJ, Song WO, Paik HY, Joung H. Dietary characteristics of macronutrient intake and the status of metabolic syndrome among Koreans. Korean J Nutr 2011; 44(2): 119-130.
Yoo H, Kim YH. A study on the characteristics of nutrient intake in metabolic syndrome subjects. Korean J Nutr 2008; 41(6): 510-517.
Newby PK, Tucker KL. Empirically derived eating patterns using factor or cluster analysis: a review. Nutr Rev 2004; 62(5): 177-203.

상세보기
Ahn YJ, Park YJ, Park SJ, Min HS, Kwak HK, Oh KS, et al. Dietary patterns and prevalence odds ratio in middle-aged adults of rural and mid-size city in Korean Genome Epidemiology Study. Korean J Nutr 2007; 40(3): 259-269.
Rumawas ME, Meigs JB, Dwyer JT, McKeown NM, Jacques PF. Mediterranean-style dietary pattern, reduced risk of metabolic syndrome traits, and incidence in the Framingham Offspring Cohort. Am J Clin Nutr 2009; 90(6): 1608-1614.

상세보기
Song YJ, Joung HJ, Paik HY. Socioeconomic, nutrient, and health risk factors associated with dietary patterns in adult populations from 2001 Korean National Health and Nutrition Survey. Korean J Nutr 2005; 38(3): 219-225.
Ministry of Health and Welfare (KR). The physical activity guide for Koreans [Internet]. Sejong: Ministry of Health and Welfare; 2013 [cited 2020 Nov 4]. Available from: http://mohw.go.kr.
Lee S, Choi S, Kim HJ, Chung YS, Lee KW, Lee HC, et al. Cutoff values of surrogate measures of insulin resistance for metabolic syndrome in Korean non-diabetic adults. J Korean Med Sci 2006; 21(4): 695-700.

상세보기
Lee SM, Oh AR, Ahn HS. Major dietary patterns and their associations with socio-demographic, psychological and physical factors among generally healthy Korean middle-aged women. Korean J Community Nutr 2008; 13(3): 439-452.
Kang M, Joung H, Lim JH, Lee YS, Song YJ. Secular trend in dietary patterns in a Korean adult population, using the 1998, 2001, and 2005 Korean National Health and Nutrition Examination Survey. Korean J Nutr 2011; 44(2): 152-161.
Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC. Dietary patterns, insulin resistance, and prevalence of the metabolic syndrome in women. Am J Clin Nutr 2007; 85(3): 910-918.

상세보기
Buscemi S, Nicolucci A, Mattina A, Rosafio G, Massenti FM, Lucisano G, et al. Association of dietary patterns with insulin resistance and clinically silent carotid atherosclerosis in apparently healthy people. Eur J Clin Nutr 2013; 67(12): 1284-1290.

상세보기
Arisawa K, Uemura H, Yamaguchi M, Nakamoto M, Hiyoshi M, Sawachika F, et al. Associations of dietary patterns with metabolic syndrome and insulin resistance: a cross-sectional study in a Japanese population. J Med Invest 2014; 61(3-4): 333-344.
McNaughton SA, Mishra GD, Brunner EJ. Dietary patterns, insulin resistance, and incidence of type 2 diabetes in the Whitehall II Study. Diabetes Care 2008; 31(7): 1343-1348.

상세보기
Soleimani M. Insulin resistance and hypertension: new insights. Kidney Int 2015; 87(3): 497-499.

상세보기
Lee SY, Lee SY, Ko YE, Ly SY. Potassium intake of Korean adults: based on 2007~2010 Korea national health and nutrition examination survey. J Nutr Health 2017; 50(1): 98-110.

원문보기 상세보기
Park YH, Chung SJ. A comparison of sources of sodium and potassium intake by gender, age and regions in Koreans: Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2012. Korean J Community Nutr 2016; 21(6): 558-573.

원문보기 상세보기
Lim SY, Yang SJ. Association between dietary sodium intake and abdominal obesity in pre-diabetes Korean adults. J Korean Soc Food Sci Nutr 2014; 43(5): 763-771.

원문보기 상세보기
Lee YS, Lee SY. The relationship between dietary sodium-to-potassium ratio and metabolic syndrome in Korean adults: using data from the Korean National Health and Nutrition Examination Survey 2013-2015. Korean J Health Promot 2020; 20(3): 116-124.
Noh YM, Lee KW, Chung JH, Yum KS. The relationship between the levels of sodium intake and insulin resistance in Korean population: findings from the fifth Korean national health and nutrition examination survey 2010. Korean J Fam Pract 2015; 5(1): 38-42.
Hirashima O, Kawano H, Motoyama T, Hirai N, Ohgushi M, Kugiyama K, et al. Improvement of endothelial function and insulin sensitivity with vitamin C in patients with coronary spastic angina: possible role of reactive oxygen species. J Am Coll Cardiol 2000; 35(7): 1860-1866.

상세보기
Ahn S, Jun S, Kang M, Shin S, Wie GA, Baik HW, et al. Association between intake of antioxidant vitamins and metabolic syndrome risk among Korean adults. J Nutr Health 2017; 50(4): 313-324.

원문보기 상세보기
Schrager S. Dietary calcium intake and obesity. J Am Board Fam Pract 2005; 18(3): 205-210.

상세보기
Lee TY, Yoo HJ, Joo NS. Daily calcium intake and obesity in middle-aged Koreans. Korean J Obes 2009; 18(2): 59-64.
Moon H, Ha K, Song Y. High fiber and high carbohydrate intake and its association with the metabolic disease using the data of KNHANES 2013~2017. J Nutr Health 2019; 52(6): 540-551.

원문보기 상세보기
Yeon S, Oh K, Kweon S, Hyun T. Development of a dietary fiber composition table and intakes of dietary fiber in Korea National Health and Nutrition Examination Survey (KNHANES). Korean J Community Nutr 2016; 21(3): 293-300.

원문보기 상세보기
Pereira MA, Jacobs DR Jr, Pins JJ, Raatz SK, Gross MD, Slavin JL, et al. Effect of whole grains on insulin sensitivity in overweight hyperinsulinemic adults. Am J Clin Nutr 2002; 75(5): 848-855.

상세보기
Lee SH, Kim WY. Relationship of habitual alcohol consumption to the nutritional status in middle aged men. Korean J Nutr 1991; 24(1): 58-65.
Suter PM, Schutz Y, Jequier E. The effect of ethanol on fat storage in healthy subjects. N Engl J Med 1992; 326(15): 983-987.

상세보기
Nam SM, Yu HY, Lee MY, Koh JH, Shin JY, Shin YG, et al. Alcohol consumption, liver enzymes, and prevalence of metabolic syndrome in Korean adult men. Korean Diabetes J 2007; 31(3): 253-260.
Slattery ML, Boucher KM. The senior authors' response: Factor analysis as a tool for evaluating eating patterns. Am J Epidemiol 1998; 148(1): 20-21.

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