J Korean Med Sci.  2013 Jun;28(6):869-875. 10.3346/jkms.2013.28.6.869.

Less Healthy Dietary Pattern is Associated with Smoking in Korean Men According to Nationally Representative Data

Affiliations
  • 1Department of Medicine, Dongguk University, Seoul, Korea. lisasuhmd@hotmail.com
  • 2Department of Family Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.
  • 3Department of Family Medicine, Hanmaum Hospital, Donghae, Korea.
  • 4Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas, USA.
  • 5Department of Statistics, Dongguk University, Seoul, Korea.
  • 6Health Promotion Center, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 7Department of Palliative Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

Abstract

The relationship between smoking and nutrient intake has been widely investigated in several countries. However, Korea presents a population with a smoking rate of approximately 50% and dietary consumption of unique foods. Thus, the aim of this study was to evaluate the association of dietary patterns with smoking in Korean men using a nationally representative sample. The study subjects were comprised of 4,851 Korean men over 19 yr of age who participated in the fourth Korean National Health and Nutrition Examination Survey. Dietary data were assessed by the 24-hr recall method. The smoking group comprised 2,136 men (46.6%). Five dietary patterns were derived using factor analysis: 'sugar & fat', 'vegetables & seafood', 'meat & drinks', 'grains & eggs', and 'potatoes, fruits and dairy products.' Current smokers showed a more significant 'sugar & fat' pattern (P = 0.001) while significantly less of the 'vegetables & seafood' and 'potatoes, fruits and dairy products' patterns (P = 0.011, P < 0.001, respectively). As found in similar results from Western studies, Korean male smokers showed less healthy dietary patterns than nonsmokers. Thus, the result of this study underlines the need for health professionals to also provide advice on dietary patterns when counseling patients on smoking cessation.

Keyword

Dietary Patterns; Smoking; Korean; KNHANES

MeSH Terms

Adult
Asian Continental Ancestry Group
Body Mass Index
Carbohydrates
Diet/*statistics & numerical data
Dyslipidemias/epidemiology
Energy Intake
Food Habits
Fruit
Humans
Male
Meat
Middle Aged
Nutrition Surveys
Odds Ratio
Republic of Korea/epidemiology
Seafood
*Smoking
Vegetables
Carbohydrates

Cited by  1 articles

Evaluation of Food Labeling Policy in Korea: Analyzing the Community Health Survey 2014–2017
Heui Sug Jo, Su Mi Jung
J Korean Med Sci. 2019;34(32):.    doi: 10.3346/jkms.2019.34.e211.


Reference

1. Diana JN. Tobacco smoking and nutrition. Ann N Y Acad Sci. 1993. 686:1–11.
2. Ma J, Betts NM, Hampl JS. Clustering of lifestyle behaviors: the relationship between cigarette smoking, alcohol consumption, and dietary intake. Am J Health Promot. 2000. 15:107–117.
3. Marangon K, Herbeth B, Lecomte E, Paul-Dauphin A, Grolier P, Chancerelle Y, Artur Y, Siest G. Diet, antioxidant status, and smoking habits in French men. Am J Clin Nutr. 1998. 67:231–239.
4. Thornton A, Lee P, Fry J. Differences between smokers, ex-smokers, passive smokers and non-smokers. J Clin Epidemiol. 1994. 47:1143–1162.
5. Palaniappan U, Starkey LJ, O'Loughlin J, Gray-Donald K. Fruit and vegetable consumption is lower and saturated fat intake is higher among Canadians reporting smoking. J Nutr. 2001. 131:1952–1958.
6. Dallongeville J, Marécaux N, Fruchart JC, Amouyel P. Cigarette smoking is associated with unhealthy patterns of nutrient intake: a meta-analysis. J Nutr. 1998. 128:1450–1457.
7. The Organisation for Economic Co-operation and Development. Health at a glance 2009: OECD Indicators. 2009. Paris: OECD.
8. Statistics Korea. Cause of death/mortality, mortality rate, age adjusted mortality rate (2005~2010). 2010. Daejeon: South Korea Statistics Korea.
9. Bae YJ, Cho HK, Kim MH. Nutrient intake and bone health status of Korean male college students as related to smoking situations. Nutr Res Pract. 2008. 2:184–190.
10. Cho ER, Shin A, Lim SY, Kim J. Dietary patterns and their associations with health behaviours in Korea. Public Health Nutr. 2011. 14:356–364.
11. Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM, Bray GA, Vogt TM, Cutler JA, Windhauser MM, et al. A clinical trial of the effects of dietary patterns on blood pressure: DASH Collaborative Research Group. N Engl J Med. 1997. 336:1117–1124.
12. Korea Centers for Disease Control & Prevention. National Health And Nutrition Examination Survey Report 2008. 2008. Seoul: Ministry of Health and Welfare.
13. Song DY, Park JE, Shim JE, Lee JE. Trends in the major dish groups and food groups contributing to sodium intake in the Korea National Health and Nutrition Examination Survey 1998-2010. Korean J Nutr. 2013. 46:72–85.
14. Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002. 13:3–9.
15. Schulze MB, Hoffmann K, Kroke A, Boeing H. Dietary patterns and their association with food and nutrient intake in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam Study. Br J Nutr. 2001. 85:363–373.
16. Kim J, Jo I. Grains, vegetables, and fish dietary pattern is inversely associated with the risk of metabolic syndrome in South Korean adults. J Am Diet Assoc. 2011. 111:1141–1149.
17. Odegaard AO, Koh WP, Butler LM, Duval S, Gross MD, Yu MC, Yuan JM, Pereira MA. Dietary patterns and incident type 2 diabetes in Chinese men and women: the Singapore Chinese Health Study. Diabetes Care. 2011. 34:880–885.
18. Paek KW, Chun KH, Lee SJ. A factor of fasting blood glucose and dietary patterns in Korean adults using data from the 2007, 2008 and 2009 Korea National Health and Nutrition Examination Survey. J Prev Med Public Health. 2011. 44:93–100.
19. Meydani M. A Mediterranean-style diet and metabolic syndrome. Nutr Rev. 2005. 63:312–314.
20. Kang K, Sung J, Kim CY. High risk groups in health behavior defined by clustering of smoking, alcohol, and exercise habits: National Heath and Nutrition Examination Survey. J Prev Med Public Health. 2010. 43:73–83.
21. Lee EH, Park SK, Ko KP, Cho IS, Chang SH, Shin HR, Kang D, Yoo KY. Cigarette smoking and mortality in the Korean Multi-center Cancer Cohort (KMCC) Study. J Prev Med Public Health. 2010. 43:151–158.
22. Northrop-Clewes CA, Thurnham DI. Monitoring micronutrients in cigarette smokers. Clin Chim Acta. 2007. 377:14–38.
23. Bui MH, Sauty A, Collet F, Leuenberger P. Dietary vitamin C intake and concentrations in the body fluids and cells of male smokers and nonsmokers. J Nutr. 1992. 122:312–316.
24. Heikkinen H, Jallinoja P, Saarni SI, Patja K. The impact of smoking on health-related and overall quality of life: a general population survey in Finland. Nicotine Tob Res. 2008. 10:1199–1207.
25. Kim HK, Kim JH. Relationship between stress and eating habits of adults in Ulsan. Korean J Nutr. 2009. 42:536–546.
26. McClave AK, Dube SR, Strine TW, Mokdad AH. Associations between health-related quality of life and smoking status among a large sample of U.S. adults. Prev Med. 2009. 48:173–179.
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr