[논문]중년 여성의 혈당수준에 따른 영양상태 및 식이염증지수의 융합적 관련성 평가: 2013-2018 국민건강영양조사 자료 이용

박필숙; 안토니키됴; 박미연

doi:10.15207/jkcs.2021.12.7.069

중년 여성의 혈당수준에 따른 영양상태 및 식이염증지수의 융합적 관련성 평가: 2013-2018 국민건강영양조사 자료 이용
Evaluation of the Relevance of Nutritional Status and Dietary Inflammation Index to Blood Glucose Levels in Middle-aged Women: in terms of 2013-2018's Korean National Health and Nutrition Survey Data 원문보기

한국융합학회논문지 = Journal of the Korea Convergence Society, v.12 no.7, 2021년, pp.69 - 82

박필숙 (경북대학교 식품영양학과 및 장수생활과학연구소) , 안토니키됴 (경북대학교 식품영양학과) , 박미연 (경상국립대학교 식품영양학과)

초록
AI-Helper

본 연구는 국민건강영양조사 원시자료를 활용하여 혈당수준에 따른 영양상태와 식이염증지수와의 관련성을 확인하기 위해 중년여성 4,572명을 대상으로 이루어진 연구이다. 데이터는 SPSS Win 25.0 프로그램의 복합표본분석 기능의 교차분석, 일반선형모형, 로지스틱 회귀모형 등으로 분석하였으며, 결과는 다음과 같다. 혈당이 높은군(정상혈당군→당뇨군)의 대상자일수록 비만율과 혈중 TG/HDL-콜레스테롤 비율이 높게 나타난 반면 평균영양소 적정섭취비(10 종)와 두류, 종실류, 버섯류, 과일류 등의 항염증식이의 섭취량은 낮았다. 또한 식이염증지수에 대한 혈당과의 관련성 결과는, 당뇨경계 및 당뇨병의 위험도가 항염증식이 Q1에 비해 친염증식이 Q5에서 유의하게 높았다. 따라서 중년여성의 혈당 개선을 위해서는 다양한 식품의 섭취를 강조하는 교육이 효과적으로 이루어져야 함을 제안한다.

Abstract ▼ AI-Helper

This study targeted 4,572 middle-aged women to examine the relationship between nutritional status and dietary inflammatory index according to blood glucose level using data from the Korean National Health and Nutrition Examination Survey (KNHANES). Data were analyzed using complex survey chi-square, General Linear Model and logisitc regression in SPSS Win 25.0 program. Women with high blood glucose (normal blood sugar→diabetes) had high rates of obesity and blood TG/HDL-cholesterol ratio. On the other hand, the Mean Adequacy Ratio (10 nutrients) and the intake of anti-inflammatory foods: beans, seeds, mushrooms, and fruits, were lower in the diabetic category. When we analysed the association between blood glucose and the Dietary Inflammatory Index, the risk of pre-diabetes and diabetes was significantly higher in the most pro-inflammatory diet category (Q5) compared to the most anti-inflammatory diet category (Q1). These findings suggest that nutritional education emphasizing the intake of various foods should be effectively conducted effectively in order to improve blood glucose among middle-aged women.

주제어

표/그림 (9)

표 Table 1. Socio-demographic characteristics of respondnets according to blood glucose category
표 Table 2. Biochemical characteristics of participants according to blood glucose category
표 Table 3. Nutrient intake of participants according to blood glucose category
표 Table 4. Nutrient adequacy ratio(NAR) and mean adequacy ratio(MAR) of participants by blood glucose category
표 Table 5. Index of nutrient quality(INQ) of participants according to blood glucose category
표 Table 6. Food group intake of participants according to blood glucose category
표 Table 7. Quintiles of dietary inflammatory index(DII) according to blood glucose category
표 Table 8. Odds ratio(OR) and 95% confidence intervals(CI) for association between the dietary inflammatory index(DII) and pre-diabetes
표 Table 9. Odds ratio(OR) and 95% confidence intervals(CI) for association between the dietary inflammatory index(DII) and diabetes

참고문헌 (43)

GBD 2016 Causes of Death Collaborators. (2017). Global, regional, and national age-sex specific mortality for 264 causes of death, 1980-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet, 390, 1-59. DOI : 10.1016/S0140-6736(17)32152-9

상세보기
J. M. Bennett, G. Reeves, G. E. Billman & J. P. Sturmberg. (2018). Inflammation-Nature's way to efficiently respond to all types of challenges: Implications for understanding and managing "the Epidemic" of chronic diseases. Front. Med, 27(5), 1-30. DOI : 10.3389/fmed.2018.00316

상세보기
G. S. Hotamisligil. (2017). Inflammation, metaflammation and immunometabolic disorders. Nature, 542, 1-8. DOI : 10.1038/nature21363.

상세보기
P. C. Calder et al. (2011). Dietary factors and low-grade inflammation in relation to overweight and obesity. Br. J. Nutr, 106(S3), 1-73. DOI : 10.1017/S0007114511005460

상세보기
N. Shivappa, S. E. Steck, T. G. Hurley, J. R. Hussey & J. R. Hebert. (2014). Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutr, 17(8), 1-7. DOI : 10.1017/S1368980013002115

상세보기
C. Julia et al. (2017). Long-term associations between inflammatory dietary scores in relation to long-term C-reactive protein status measured 12 years later: findings from the Supplementation en Vitamines et Mineraux Antioxydants (SU. VI. MAX) cohort. Br J Nutr, 117(2), 1-8. DOI : 10.1017/S0007114517000034

상세보기
N. Shivappa, C. Bosetti, A. Zucchetto, D. Serraino, C. La. Vecchia & J. R. Hebert. (2014). Dietary inflammatory index and risk of pancreatic cancer in an Italian case-control study. Br J Nutr, 113(2), 1-6. DOI : 10.1017/S0007114514003626

상세보기
M. Wirth et al. (2014). Association of a dietary inflammatory index with inflammatory indices and metabolic syndrome among police officers. J Occup Environ Med, 56(9), 1-3. DOI : 10.1097/JOM.0000000000000213

상세보기
T. N. Akbaraly et al. (2016). Dietary inflammatory index and recurrence of depressive symptoms: Results from the Whitehall II Study. Clin Psychol Sci, 4(6), 1-9. DOI : 10.1177/2167702616645777

상세보기
E. Denova-Gutierrez et al. (2018). Dietary inflammatory index and Type 2 diabetes mellitus in adults: The diabetes mellitus survey of Mexico City. Nutrients, 10(4), 1-15. DOI : 10.3390/nu10040385

상세보기
N. Shivappa, J. R. Hebert, M. Kivimaki & T. Akbaraly. (2017). Alternate Healthy Eating Index 2010, Dietary Inflammatory Index and risk of mortality: results from the Whitehall II cohort study and meta-analysis of previous dietary inflammatory index and mortality studies. Br J Nutr, 118(3), 1-11. DOI : 10.1017/S0007114517001908

상세보기
L. Ferrucci, A. Cherubini, S. Bandinelli, B. Bartali, A. Corsi & F. Lauretani et al. (2006). Relationship of plasma polyunsaturated fatty acids to circulating inflammatory markers. J Clin Endocrinol Metab, 91(2), 1-7. DOI : 10.1210/jc.2005-1303
S. G. Wannamethee, G. D. Lowe, A. Rumley, K. R. Bruckdorfer & P. H. Whincup. (2006). Associations of vitamin C status, fruit and vegetable intakes, and markers of inflammation and hemostasis. Am J Clin Nutr, 83(3), 1-7. DOI : 10.1093/ajcn.83.3.567

상세보기
D. E. King, A. G. Mainous 3rd, M. E. Geesey & R. F. Woolson. (2005). Dietary magnesium and C-reactive protein levels. J Am Coll Nutr, 24(3), 1-5. DOI : 10.1080/07315724.2005.10719461

상세보기
A. Johansson-Persson, M. Ulmius, L. Cloetens, T. Karhu, K. H. Herzig & G. Onning. (2014). A high intake of dietary fiber influences C-reactive protein and fibrinogen, but not glucose and lipid metabolism, in mildly hypercholesterolemic subjects. Eur J Nutr, 53, 1-9. DOI : 10.1007/s00394-013-0496-8

상세보기
B. J. Willcox et al. (2007). Caloric restriction, the traditional Okinawan diet, and healthy aging: The diet of the world's longest-lived people and its potential impact on morbidity and life span. Ann N Y Acad Sci, 1114, 1-21. DOI : 10.1196/annals.1396.037

상세보기
S. Vasto, C. Rizzo & C. Caruso. (2012). Centenarians and diet: what they eat in the Western part of Sicily. Immunity & Ageing, 9(10), 1-6. DOI : 10.1186/1742-4933-9-10

상세보기
International Diabetes Federation. (2019). IDF diabetes atlas: 9th edition 2019. https://www.diabetesatlas.org/en
Korean Diabetes Association.(2020). Diabetes fact sheet in Korea. https://www.diabetes.or.kr/pro/news/admin.php
A. K. Imkampe & M. C. Gulliford. (2011). Increasing socio-economic inequality in type 2 diabetes prevalence-repeated cross-sectional surveys in England 1994-2006. Eur J Public Health, 21(4), 1-6. DOI : 10.1093/eurpub/ckq106

상세보기
A. Espelt, A. E. Kunst, L. Palencia, R. Gnavi & C. Borrell. (2012). Twenty years of socio-economic inequalities in type 2 diabetes mellitus prevalence in Spain, 1987-2006. Eur J Public Health, 22(6), 1-6. DOI : 10.1093/eurpub/ckr158

상세보기
R. M. van Dam. (2003). The epidemiology of lifestyle and risk for type 2 diabetes. Eur. J. Epidemiol. 18(12), 1-10. DOI : 10.1023/b:ejep.0000006612.70245.24

상세보기
P. S. Park, J. K. Jeon, G. R. Kim & M. Y. Park. (2020). A convergence study on desired frequency of meat side dishes and preference of fish side dishes in school meals of high school girls in coastal cities. Journal of the Korea Convergence Society, 11(1), 1-10. DOI : 10.15207/JKCS.2020.11.1.065

원문보기 상세보기
M. Y Park, C. Y. Ding & P. S. Park. (2017). Comparison of factors influencing change stages in balanced diet among female university students in Korea and China. Korean J Community Living Sci, 28(1), 1-13. DOI : 10.7856/kjcls.2017.28.1.45

원문보기 상세보기
P. S. Park, Q. H. Liu, G. R. Kim & M. Y. Park. (2020). Convergence study between determinants of delivery food and eating habits in adults in their 20s to 30s. Journal of the Korea Convergence Society, 11(6), 1-12. DOI : 10.15207/JKCS.2020.11.6.105

원문보기 상세보기
M. Y. Park & P. S. Park. (2016). Factors related to eating habits and nutrition status of mother affecting on body mass index of children aged 1-5years: Data from the Fifth Korea National Health and Nutrition Examination Survey, 2010-2011. Korean J Community Nutr, 21(1), 1-9. DOI : 10.5720/kjcn.2016.21.1.102

원문보기 상세보기
M. Y. Park & P. S. Park. (2016). Factors affecting the frequency of skipping meals of prime-aged mothers with children : Data from the Fifth Korea National Health and Nutrition Examination Survey, 2010-2011. Korean J Community Nutr, 21(5), 1-11. DOI : 10.5720/kjcn.2016.21.5.451

원문보기 상세보기
S. A. Shin, S. A. Kim, J. W. Ha & K. J. Lim. (2018). Sugar-sweetened beverage consumption in relation to obesity and metabolic syndrome among Korean adults: a cross-sectional study from the 2012-2016 Korean national health and nutrition examination survey (KNHANES). Nutrients, 10(10), 1-13. DOI : 10.3390/nu10101467

상세보기
Ministry of Health and Welfare, The Korean Nutrition Society. (2020). Dietary reference intakes for Koreans 2020. http://www.kns.or.kr/FileRoom/FileRoom_view.asp?idx108&BoardIDKdr
R. S. Gibson. (1990). Principles of Nutritional Assessment. Oxford University Press, New York, p 143.
R. G. Hansen. (1973). An index of food quality. Nutr Rev, 31(1), 1-7.

상세보기
E. Agardh, P. Allebeck, J. Hallqvist, T. Moradi & A. Sidorchuk. (2011). Type 2 diabetes incidence and socio-economic position: a systematic review and meta-analysis. International Journal of Epidemiology, 40(3), 1-14. DOI : 10.1093/ije/dyr029

상세보기
A. Espelt, L. Arriola, C. Borrell, I. Larranaga, M. Sandin & A. Escolar-Pujolar. (2011). Socioeconomic position and type 2 diabetes mellitus in Europe 1999-2009: a panorama of inequalities. Current Diabetes Reviews, 7(3), 148-158. DOI : 10.2174/157339911795843131

상세보기
J. Hwang & C. Shon. (2014). Relationship between socioeconomic status and type 2 diabetes: results from Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2012. BMJ Open, 4(e005710). DOI : 10.1136/bmjopen-2014-005710

상세보기
A. R. Weinstein et al. (2004). Relationship of physical activity vs body mass index with type 2 diabetes in women. JAMA, 292(10), 1188-1194. DOI : 10.1001/jama.292.10.1188

상세보기
F. B. Hu et al. (2001). Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N. Engl. J. Med, 345(11), 1-7. DOI : 10.1056/NEJMoa010492

상세보기
V. J. Carey et al. (1997). Body fat distribution and risk of non-insulin-dependent diabetes mellitus in women. The Nurses' Health Study. Am. J. Epidemiol. 145(7), 1-5. DOI : 10.1093/oxfordjournals.aje.a009158

상세보기
Korean Society for the Study of Obesity. (2014). Clinical practice guideline for obesity. http://general.kosso.or.kr/html/
T. McLaughlin, F. Abbasi, K. Cheal, J. Chu, C. Lamendola & G. Reaven. (2003). Use of metabolic markers to identify overweight individuals who are insulin resistant. Ann Intern Med 139(10), 1-7. DOI :10.7326/0003-4819-139-10-200311180-00007

상세보기
M. B Schulze, S. Liu, E. B. Rimm, J. E. Manson, W. C. Willett & F. B. Hu. (2004). Glycemic index, glycemic load, and dietary fiber intake and incidence of type 2 diabetes in younger and middle-aged women. Am. J. Clin. Nutr. 80(2), 1-8. DOI : 10.1093/ajcn/80.2.348

상세보기
A. G. Pittas et al. (2006). Vitamin D and calcium intake in relation to type 2 diabetes in women. Diabetes Care, 29(3), 1-6. DOI : 10.2337/diacare.29.03.06.dc05-1961

상세보기
P. Carter, L. J. Gray, J. Troughton, K. Khunti & M. J. Davies. (2010). Fruit and vegetable intake and incidence of Type 2 diabetes mellitus: systematic review and meta-analysis. BMJ, 341, c4229. DOI : 10.1136/bmj.c4229

상세보기
M. Y. Park, J. H. Kwon, D. J. Lee, E. K. Cho & P. S. Park. (2004). A study on the dietary attitudes and nutritional status of lifestyle disease patients living on Tongyoung City. Korean J Health Promot Dis Prev, 4(3), 1-10.

저자의 다른 논문 :

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

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].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format