Nutr Res Pract.  2011 Aug;5(4):329-336.

Comparison of the dietary intake and clinical characteristics of obese and normal weight adults

Affiliations
  • 1Department of Food and Nutrition, College of Human Ecology, Seoul National University, Gwanak-ro, Gwanak-gu, Seoul 151-742, Korea. snhan@snu.ac.kr
  • 2Seoul National University Health Service Center, Seoul 151-742, Korea.
  • 3Department of Food Science and Nutrition, The Catholic University of Korea, Bucheon 420-743, Korea.
  • 4Human Ecology Research Institute, Seoul National University, Gwanak-ro, Gwanak-gu, Seoul 151-742, Korea.

Abstract

Obesity contributes to an increased risk for chronic diseases, including diabetes, cardiovascular diseases, and certain types of cancer. The prevalence of obesity has increased in Korea. We compared the clinical and dietary characteristics of obese adults (n = 30, 17 men and 13 women, mean age 29.9) to those with a normal weight (n = 15, 8 men and 7 women, mean age 26.5). We determined lipid profiles, fasting blood sugar (FBS), blood pressure, and serum free fatty acid (FFA). Dietary intake was estimated using a food frequency questionnaire (FFQ) and a 3-day dietary record. Exercise patterns and average alcohol intake were determined. The average body mass index was 28.3 kg/m2 in the obese and 21.2 kg/m2 in the normal weight groups. The obese group had significantly higher levels of total cholesterol, LDL cholesterol, and triglycerides, lower levels of HDL cholesterol, and higher blood pressures compared to the normal weight group. FBS was not significantly different between the two groups. The obese group had significantly more subjects with metabolic syndrome (26.7%) compared to the normal weight group (0%). Serum FFA levels tended to be higher in the obese (P = 0.087). No significant difference in caloric intake was observed between the two groups. No differences in carbohydrate, protein, or fat intake between two groups were observed from the FFQ. However, results from the 3-day dietary record showed that the percentage of energy from fat was significantly higher in the obese group. The frequency and amount of exercise did not differ between the two groups. Alcohol consumed per drinking episode was significantly higher in the obese group. These results confirm that excessive weight is associated with disturbances in lipid metabolism in these fairly young and otherwise healthy adults. Dietary factors, including higher fat intake and alcohol consumption, seem to be contributing to the obesity of these subjects.

Keyword

Obesity; lipid profile; metabolic syndrome; dietary intake

MeSH Terms

Adult
Alcohol Drinking
Blood Glucose
Blood Pressure
Body Mass Index
Cardiovascular Diseases
Cholesterol
Cholesterol, HDL
Cholesterol, LDL
Chronic Disease
Diet Records
Drinking
Energy Intake
Fasting
Female
Humans
Korea
Lipid Metabolism
Male
Obesity
Prevalence
Surveys and Questionnaires
Triglycerides
Blood Glucose
Cholesterol
Cholesterol, HDL
Cholesterol, LDL
Triglycerides

Figure

  • Fig. 1 Serum free fatty acid levels of obese and normal weight subjects. Bars with different letters are significantly different at P < 0.05 by Fisher's Least-Significant-Difference test.

  • Fig. 2 Average reported alcohol consumption per drinking episode. *Significantly different from the normal weight group by Kruskal-Wallis nonparametric test (P < 0.05). Amount of alcohol consumed was calculated from the volume of the drink consumed and the percentage of alcohol in the drink.


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