Korean J Community Nutr.  2018 Dec;23(6):525-537. 10.5720/kjcn.2018.23.6.525.

Risk of Metabolic Syndrome according to Intake of White Rice and Kimchi in Korean Adults: based on the 6th Korea National Health and Nutrition Examination Survey, 2013–2015

Affiliations
  • 1Department of Clinical Nutrition, Research Institute & Hospital, National Cancer Center, Goyang 10408, Korea, Internship.
  • 2Department of Food and Nutrition, The Catholic University of Korea, Bucheon, Korea, Instructor.
  • 3Department of Food Science and Nutrition, The Catholic University of Korea, Bucheon, Korea, Professor. sonsm@catholic.ac.kr

Abstract


OBJECTIVES
This study was conducted to examine the relationship between white rice and Kimchi intakes and the risk of metabolic syndrome (Mets) in Korean adults.
METHODS
Dietary intake and health data of 8289 subjects aged 19 years and over from the 2013-2015 Korea National Health and Nutrition Examination Survey (KNHANES) were used. Daily total intake of white rice and Kimchi was assessed by 24-hour recall data. Multivariate logistic regression analysis was used to estimate the risk of Mets according to the daily intake of white rice and Kimchi.
RESULTS
The highest intake of white rice and Kimchi was associated with a higher risk of metabolic syndrome (Q1 vs Q5, multivariable adjusted OR=1.45, 95% CI: 1.03-2.03) in women. In addition, a significantly increased risk of elevated blood pressure (multivariable adjusted P for trend 0.0459) was associated with a higher intake of white rice and Kimchi in women. There was no significant trend in the risk of metabolic syndrome according to the intake of white rice and Kimchi in men.
CONCLUSIONS
A higher intake of white rice and Kimchi was only associated with an increased risk of metabolic syndrome in women indicating it is necessary to consume more various food groups beside white rice and Kimchi, especially in women.

Keyword

odds ratio; metabolic syndrome; consumption of rice and kimchi

MeSH Terms

Adult*
Blood Pressure
Female
Humans
Korea*
Logistic Models
Male
Nutrition Surveys*
Odds Ratio

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Suk Hyeon Seo, Jiyoun Hong, Im Huei Son, Young Hee Han, Taisun Hyun
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Reference

1. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, et al. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Circulation. 2005; 112(17):2735–2752.
2. Reaven GM. Role of insulin resistance in human disease. Diabetes. 1988; 37(12):1595–1607.
Article
3. DeFronzo RA, Ferrannini E. Insulin resistance: a multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia, and atherosclerotic cardiovascular disease. Diabetes Care. 1991; 14(3):173–194.
Article
4. Grundy SM, Brewer HB Jr, Cleeman JI, Smith SC Jr, Lenfant C. Definition of metabolic syndrome: report of the National Heart, Lung, and Blood Institute/American Heart Association conference on scientific issues related to definition. Circulation. 2004; 109(3):433–438.
5. Lim S, Shin H, Song JH, Kwak SH, Kang SM, Yoon JW, et al. Increasing prevalence of metabolic syndrome in Korea: The Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care. 2011; 34(6):1323–1328.
Article
6. Tran BT, Jeong BY, Oh JK. The prevalence trend of metabolic syndrome and its components and risk factors in Korean adults: results from the Korean National Health and Nutrition Examination Survey 2008–2013. BMC Public Health. 2017; 17(1):71–78.
Article
7. Aguilar M, Bhuket T, Torres S, Liu B, Wong RJ. Prevalence of the metabolic syndrome in the United States, 2003-2012. JAMA. 2015; 313(19):1973–1974.
Article
8. Song Y, Joung H. A traditional Korean dietary pattern and metabolic syndrome abnormalities. Nutr Metab Cardiovasc Dis. 2012; 22(5):456–462.
Article
9. Ahn Y, Park SJ, Kwack HK, Kim MK, Ko KP, Kim SS. Rice-eating pattern and the risk of metabolic syndrome especially waist circumference in Korean Genome and Epidemiology Study(KoGES). BMC Public Health. 2013; 13(1):61–71.
Article
10. Song SJ, Lee JE, Paik H, Park MS, Song YJ. Dietary patterns based on carbohydrate nutrition are associated with the risk for diabetes and dyslipidemia. Nutr Res Pract. 2012; 6(4):349–356.
Article
11. Song SJ, Lee JE, Song WO, Paik H, Song Y. Carbohydrate intake and refined-grain consumption are associated with metabolic syndrome in the Korean adult population. J Acad Nutr Diet. 2014; 114(1):54–62.
Article
12. Kang JH, Kim KA, Han JS. Korean diet and obesity. J Korean Soc Study Obes. 2004; 13(1):34–41.
13. 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(8):1141–1149.
Article
14. Lim H, Kim SY, Wang Y, Lee SJ, Oh K, Sohn CY, et al. Preservation of a traditional Korean dietary pattern and emergence of fruit and dairy dietary pattern among adults in South Korea : secular transitions in dietary patterns of a prospective study from 1998 to 2010. Nutr Res. 2014; 34(9):760–770.
15. Joung H, Hong S, Song Y, Ahn BC, Park MJ. Dietary patterns and metabolic syndrome risk factors among adolescents. Korean J Pediatr. 2012; 55(4):128–135.
Article
16. Kim HJ, Ju SY, Park CR, Park YK. Relationship between Kimchi and metabolic syndrome in Korean adults: data from the Korea National Health and Nutrition Examination Surveys (KNHANES) 2007~2012. J Korean Diet Assoc. 2016; 22(3):151–162.
17. Hyun T, Seo SH, Han YH, Song Y. Kimchi consumption and the incidence of metabolic syndrome in Korean adults : results from 10-year longitudinal study. FASEB J. 2017; 31(1S):789-7.15.
18. Son SM, Park YS, Lim HJ, Kim SB, Jeong YS. Sodium intakes of Korean adults with 24-hour urine analysis and dish frequency questionnaire and comparison of sodium intakes according to the regional area and dish group. Korean J Community Nutr. 2007; 12(5):545–558.
19. Yon M, Lee Y, Kim D, Lee J, Koh E, Nam E, et al. Major sources of sodium intake of the Korean population at prepared dish level: -based on the KNHANES 2008–2009. Korean J Community Nutr. 2011; 16(4):473–487.
20. 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(1):72–85.
Article
21. Yoo JE, Kim JS, Son SM. Risk of metabolic syndrome according to intakes of vegetables and Kimchi in Korean adults: Using the 5th Korea National Health and Nutrition Examination Survey 2010-2011. Korean J Community Nutr. 2017; 22(6):507–519.
22. Kim MK, Kim K, Shin MH, Shin DH, Lee YH, Chun BY, et al. The relationship of dietary sodium, potassium, fruits and vegetables intake with blood pressure among Korean adults aged 40 and elder. Nutr Res Pract. 2014; 8(4):453–462.
23. 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.
Article
24. Parks EJ, Hellerstein MK. Carbohydrate-induced hypertriacylglycerolemia: historical perspective and review of biological mechanisms. Am J Clin Nutr. 2000; 71(2):412–433.
Article
25. The Ministry of Health and Welfare. The Korean Nutrition Society. Dietary reference intakes for Koreans. 2nd revision. Seoul: The Korean Nutrition Society;2015.
26. Villegas R, Liu S, Gao Y, Yang G, Li H, Zheng W, et al. Prospective study of dietary carbohydrates, glycemic index, glycemic load, and incidence of type 2 diabetes mellitus in middle-aged Chinese women. Arch Intern Med. 2007; 167(21):2310–2316.
Article
27. Murakami K, Sasaki S, Takahashi Y, Okubo H, Hosoi Y, Horiguchi H, et al. Dietary glycemic index and load in relation to metabolic risk factors in Japanese female farmers with traditional dietary habits. Am J Clin Nutr. 2006; 83(5):1161–1169.
Article
28. Radhika G, Van Dam RM, Sudha V, Ganesan A, Mohan V. Refined grain consumption and metabolic syndrome in urban Asian Indians (Chennai Urban Rural Epidemiology Study 57). Metab Clin Exp. 2009; 58(5):675–681.
29. Kim K, Yun SH, Choi BY, Kim MK. Cross-sectional relationship between dietary carbohydrate, glycaemic index, glycaemic load and risk of the metabolic syndrome in a Korean population. Br J Nutr. 2008; 100(3):576–584.
Article
30. Choi H, Song S, Kim J, Chung J, Yoon J, Paik H. High carbohydrate intake was inversely associated with high-density lipoprotein cholesterol among Korean adults. Nutr Res. 2012; 32(2):100–106.
Article
31. Park SH, Lee KS, Park HY. Dietary carbohydrate intake is associated with cardiovascular disease risk in Korean: analysis of the third Korea National Health and Nutrition Examination Survey. Int J Cardiol. 2010; 139(3):234–240.
32. Gaziano JM, Buring JE, Breslow JL, Goldhaber SZ, Rosner B, Van B, et al. Moderate alcohol intake, increased levels of high-density lipoprotein and its subfractions, and decreased risk of myocardial infarction. N Engl J Med. 1993; 329(25):1829–1834.
Article
33. Park SH, Kang YH, Park HY. Alcohol consumption and the coronary heart disease-related risk factors in Korean adults: the Third Korea National Health and Nutrition Examination Survey (KNHANES III) 2005. Korean J Nutr. 2008; 41(3):232–241.
34. Son SM, Huh GY. Dietary risk factors associated with hypertension in patients. Korean J Community Nutr. 2006; 11(5):661–672.
35. Appel LJ, Brands MW, Daniels SR, Karanja N, Elmer PJ, Sacks FM. Dietary approaches to prevent and treat hypertension: a scientific statement from the American Heart Association. Hypertension. 2006; 47(2):296–308.
36. Morris RC Jr, Sebastian A, Forman A, Tanaka M, Schmidlin O. Normotensive salt sensitivity effects of race and dietary potassium. Hypertension. 1999; 33(1):18–23.
37. de La Iglesia R, Loria-Kohen V, Zulet MA, Martinez JA, Reglero G, Ramirez de Molina A. Dietary strategies implicated in the prevention and treatment of metabolic syndrome. Int J Mol Sci. 2016; 17(11):pii: E1877.
Article
38. Chen JP, Chen GC, Wang XP, Qin L, Bai Y. Dietary fiber and metabolic syndrome: A meta-analysis and review of related mechanism. Nutrients. 2017; 10(1):pii: E24.
39. Kang Y, Kim J. Gender difference on the association between dietary patterns and metabolic syndrome in Korean population. Eur J Nutr. 2016; 55(7):2321–2330.
Article
40. Nanri A, Mizoue T, Noda M, Takahashi Y, Kato M, Inoue MS. Rice intake and type 2 diabetes in Japanese men and women the Japan Public Health Center: Based Prospective Study. Am J Clin Nutr. 2010; 92(6):1468–1477.
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