Yonsei Med J.  2016 Jan;57(1):197-202. 10.3349/ymj.2016.57.1.197.

Milk Consumption and Framingham Risk Score: Analysis of the Korea National Health and Nutrition Examination Survey Data (2008-2011)

Affiliations
  • 1Department of Family Practice and Community Health, Ajou University School of Medicine, Suwon, Korea.
  • 2Division of Food Bioscience, College of Biomedical and Health Sciences, Konkuk University, Chungju, Korea. kyeum@kku.ac.kr

Abstract

PURPOSE
The benefit of milk intake remains controversial. The association between milk consumption and Framingham Risk Score (FRS) in a population consuming relatively low amounts of dairy products is undetermined.
MATERIALS AND METHODS
A total of 13736 adults (5718 male and 8018 female) aged 20-80 years from the Korea National Health and Nutrition Examination Survey (2008-2011) were divided into groups according to milk consumption (rarely, monthly, weekly, and daily) and compared according to FRS after relevant variable adjustments.
RESULTS
The mean FRS in males and females were 6.53 and 5.74, respectively. Males who consumed milk daily (15.9%) had a significantly lower FRS than males having milk rarely (31.6%) or monthly (17.4%; p=0.007). Females who consumed milk daily (22.3%) also had significantly lower FRS than rarely (29.8%), monthly (13.8%), or weekly (34%; p=0.001) consumers. In particular, males > or =60 years old who consumed milk daily had a significantly lower FRS than males who consumed less milk (p<0.001). The odds ratio in this age group showed a significant and gradual increase in the weekly [OR=2.15; 95% confidence interval (CI) 1.14-4.03], monthly (OR=2.29; 95% CI 1.15-4.54), and rarely (OR=3.79; 95% CI 2.01-7.14) milk consumption groups when compared with the daily milk consumption group.
CONCLUSION
Milk consumption was associated with a lower FRS in a low milk-consuming population. In particular, daily milk consumption in males over 60 years old may be beneficial for those at risk for cardiovascular disease.

Keyword

Milk consumption; Framingham Risk Score; Koreans

MeSH Terms

Adult
Aged
Aged, 80 and over
Animals
Cardiovascular Diseases/epidemiology
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
*Milk
*Nutrition Surveys
Nutritional Status
Republic of Korea/epidemiology
*Risk Assessment
Sex Distribution
Sex Factors
Socioeconomic Factors
Surveys and Questionnaires

Figure

  • Fig. 1 Selection of study data. KNHANES, Korea National Health and Nutrition Examination Survey; FRS, Framingham Risk Score.


Cited by  1 articles

Associations of Dietary Intake with Cardiovascular Disease, Blood Pressure, and Lipid Profile in the Korean Population: a Systematic Review and Meta-Analysis
Jeongseon Kim, Tung Hoang, So Young Bu, Ji-Myung Kim, Jeong-Hwa Choi, Eunju Park, Seung-Min Lee, Eunmi Park, Ji Yeon Min, In Seok Lee, So Young Youn
J Lipid Atheroscler. 2020;9(1):205-229.    doi: 10.12997/jla.2020.9.1.205.


Reference

1. Steffen LM, Kroenke CH, Yu X, Pereira MA, Slattery ML, Van Horn L, et al. Associations of plant food, dairy product, and meat intakes with 15-y incidence of elevated blood pressure in young black and white adults: the coronary artery risk development in young adults (CARDIA) study. Am J Clin Nutr. 2005; 82:1169–1177.
Article
2. Turner KM, Keogh JB, Clifton PM. Dairy consumption and insulin sensitivity: a systematic review of short- and long-term intervention studies. Nutr Metab Cardiovasc Dis. 2015; 25:3–8.
Article
3. German JB, Gibson RA, Krauss RM, Nestel P, Lamarche B, van Staveren WA, et al. A reappraisal of the impact of dairy foods and milk fat on cardiovascular disease risk. Eur J Nutr. 2009; 48:191–203.
Article
4. Soedamah-Muthu SS, Ding EL, Al-Delaimy WK, Hu FB, Engberink MF, Willett WC, et al. Milk and dairy consumption and incidence of cardiovascular diseases and all-cause mortality: dose-response meta-analysis of prospective cohort studies. Am J Clin Nutr. 2011; 93:158–171.
Article
5. Patterson E, Larsson SC, Wolk A, Åkesson A. Association between dairy food consumption and risk of myocardial infarction in women differs by type of dairy food. J Nutr. 2013; 143:74–79.
Article
6. Rice BH, Quann EE, Miller GD. Meeting and exceeding dairy recommendations: effects of dairy consumption on nutrient intakes and risk of chronic disease. Nutr Rev. 2013; 71:209–223.
Article
7. Markey O, Vasilopoulou D, Givens DI, Lovegrove JA. Dairy and cardiovascular health: friend or foe? Nutr Bull. 2014; 39:161–171.
Article
8. Wang C, Yatsuya H, Tamakoshi K, Iso H, Tamakoshi A. Milk drinking and mortality: findings from the Japan collaborative cohort study. J Epidemiol. 2015; 25:66–73.
Article
9. Goldbohm RA, Chorus AM, Galindo Garre F, Schouten LJ, van den Brandt PA. Dairy consumption and 10-y total and cardiovascular mortality: a prospective cohort study in the Netherlands. Am J Clin Nutr. 2011; 93:615–627.
Article
10. Michaëlsson K, Wolk A, Langenskiöld S, Basu S, Warensjö Lemming E, Melhus H, et al. Milk intake and risk of mortality and fractures in women and men: cohort studies. BMJ. 2014; 349:g6015.
Article
11. Sun Y, Lin LJ, Sang LX, Dai C, Jiang M, Zheng CQ. Dairy product consumption and gastric cancer risk: a meta-analysis. World J Gastroenterol. 2014; 20:15879–15898.
Article
12. Zhu B, Haruyama Y, Muto T, Yamasaki A, Tarumi F. Evaluation of a community intervention program in Japan using Framingham risk score and estimated 10-year coronary heart disease risk as outcome variables: a non-randomized controlled trial. BMC Public Health. 2013; 13:219.
Article
13. Wilson PW, D'Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. Prediction of coronary heart disease using risk factor categories. Circulation. 1998; 97:1837–1847.
Article
14. National cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III). Third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III) final report. Circulation. 2002; 106:3143–3421.
15. Ferket BS, van Kempen BJ, Hunink MG, Agarwal I, Kavousi M, Franco OH, et al. Predictive value of updating Framingham risk scores with novel risk markers in the U.S. general population. PLoS One. 2014; 9:e88312.
Article
16. National Rural Resources Development Institute. Food Composition Table. 7th ed. Suwon: Rural Development Administration;2006.
17. Hegsted DM. Fractures, calcium, and the modern diet. Am J Clin Nutr. 2001; 74:571–573.
Article
18. Segall JJ. Hypothesis: is lactose a dietary risk factor for ischaemic heart disease? Int J Epidemiol. 2008; 37:1204–1208.
Article
19. Song Y, Chavarro JE, Cao Y, Qiu W, Mucci L, Sesso HD, et al. Whole milk intake is associated with prostate cancer-specific mortality among U.S. male physicians. J Nutr. 2013; 143:189–196.
Article
20. Lampe JW. Dairy products and cancer. J Am Coll Nutr. 2011; 30:5 Suppl 1. 464S–470S.
Article
21. Sonestedt E, Wirfält E, Wallström P, Gullberg B, Orho-Melander M, Hedblad B. Dairy products and its association with incidence of cardiovascular disease: the Malmö diet and cancer cohort. Eur J Epidemiol. 2011; 26:609–618.
Article
22. Gross KC, Acosta PB. Fruits and vegetables are a source of galactose: implications in planning the diets of patients with galactosaemia. J Inherit Metab Dis. 1991; 14:253–258.
Article
23. Cui X, Zuo P, Zhang Q, Li X, Hu Y, Long J, et al. Chronic systemic D-galactose exposure induces memory loss, neurodegeneration, and oxidative damage in mice: protective effects of R-alpha-lipoic acid. J Neurosci Res. 2006; 84:647–654.
Article
24. Jumbo-Lucioni PP, Hopson ML, Hang D, Liang Y, Jones DP, Fridovich-Keil JL. Oxidative stress contributes to outcome severity in a drosophila melanogaster model of classic galactosemia. Dis Model Mech. 2013; 6:84–94.
25. Livingstone KM, Lovegrove JA, Cockcroft JR, Elwood PC, Pickering JE, Givens DI. Does dairy food intake predict arterial stiffness and blood pressure in men?: evidence from the Caerphilly prospective study. Hypertension. 2013; 61:42–47.
Article
26. Kondo I, Ojima T, Nakamura M, Hayasaka S, Hozawa A, Saitoh S, et al. Consumption of dairy products and death from cardiovascular disease in the Japanese general population: the NIPPON DATA80. J Epidemiol. 2013; 23:47–54.
Article
27. Sun Y, Jiang C, Cheng KK, Zhang W, Leung GM, Lam TH, et al. Milk consumption and cardiovascular risk factors in older Chinese: the Guangzhou biobank cohort study. PLoS One. 2014; 9:e84813.
Article
28. Gander J, Sui X, Hazlett LJ, Cai B, Hébert JR, Blair SN. Factors related to coronary heart disease risk among men: validation of the Framingham risk score. Prev Chronic Dis. 2014; 11:E140.
Article
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