J Nutr Health.  2014 Dec;47(6):403-415. 10.4163/jnh.2014.47.6.403.

Evaluation of nutrient and food intake status, and dietary quality according to abdominal obesity based on waist circumference in Korean adults: Based on 2010-2012 Korean National Health and Nutrition Examination Survey

Affiliations
  • 1Graduate School of Public Health and Institute of Health and Environment, Seoul National University, Seoul 151-742, Korea.
  • 2Department of Radiology, Korean National Cancer Center, Goyang-si, Gyeonggi 410-769, Korea.
  • 3Department of Radiologic Science, Shinhan University, Gyeonggi 480-701, Korea.
  • 4Division of Food Science and Culinary Arts, Shinhan University, Gyeonggi 483-777, Korea. byj@shinhan.ac.kr

Abstract

PURPOSE
This study was conducted in order to investigate the nutrient and food intake status, and dietary quality in Korean adults according to abdominal obesity based on waist circumference.
METHODS
We analyzed data from the combined 2010~2012 KNHANES (Korean National Health and Nutrition Examination Survey). The analysis included 6,974 adults aged 40 to 64 years. In this study, according to abdominal obesity based on waist circumference (male > or = 90 cm, female > or = 85 cm), we classified the subjects into the obesity group (male, n = 775, female, n = 1,113) and control group (male, n = 2,038, female, n = 3,048). The nutrient and food group intake, ND (nutrient density), NAR (nutrient adequacy ratio), MAR (mean adequacy ratio), INQ (index of nutritional quality), DDS (dietary diversity score), and DVS (dietary variety score) were analyzed using data from the 24-recall method.
RESULTS
For male, no significant difference in quality index of the diet was observed between the obesity group and the normal group. In female, in diet quality (ND, NAR, and INQ), vitamin B2 (ND, NAR, and INQ) calcium (NAR), phosphorous (ND, INQ) and potassium (ND) of the obesity group was significantly lower than those of the control group. DDS and DVS in the obesity group (3.57, 30.95) were significantly lower than those of the control group (3.68, 32.84) (p = 0.0043, 0.0002). DVS (DVS > or = 39.9) showed association with lower risk of waist obesity in a logistic regression model after adjustments for multiple confounding factors including age, education, income, alcohol intake frequency, smoking, physical activity, energy intake, and body mass index (OR: 0.616, 95% CI: 0.420-0.903).
CONCLUSION
In conclusion, females with abdominal obesity had lower micronutrient intake quality, DVS than those of the control group. In Korean females, food intake variety can adversely affect waist circumference.

Keyword

waist circumference; obesity; dietary quality; food and nutrient intake; adults

MeSH Terms

Adult*
Body Mass Index
Calcium
Diet
Eating*
Education
Energy Intake
Female
Humans
Logistic Models
Male
Micronutrients
Motor Activity
Nutrition Surveys*
Obesity
Obesity, Abdominal*
Potassium
Riboflavin
Smoke
Smoking
Waist Circumference*
Calcium
Micronutrients
Potassium
Riboflavin
Smoke

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