Metabolic syndrome risk factors are associated with white rice intake in Korean adolescent girls and boys

Song, SuJin,Young Paik, Hee,Song, Won O.,Song, YoonJu Cambridge University Press 2015 The British journal of nutrition Vol.113 No.3

<P>In the present study, we examined the associations of total carbohydrate intake, dietary glycaemic load (DGL) and white rice intake with metabolic syndrome risk factors by sex in Korean adolescents. For the present cross-sectional study, data from the Fourth Korea National Health and Nutrition Examination Survey (2007-9) were used. A total of 2209 adolescents (<I>n</I> 1164 boys and <I>n</I> 1045 girls) aged 10-18 years with complete anthropometric, biochemical and dietary intake data were included in the study. Dietary intake data were obtained using the 24 h recall method, and total carbohydrate intake, DGL and white rice intake were divided into quartiles by sex. The metabolic syndrome and its risk factors were defined using the International Diabetes Federation criteria for children and adolescents. Fasting insulin levels and insulin resistance were included as the metabolic syndrome risk factors. All statistical analyses considered the complex sampling design effect and appropriate sampling weights. Multivariate linear regression analysis was used to estimate means with their standard errors of the mean for the metabolic syndrome risk factors across the quartiles of total carbohydrate intake, DGL and white rice intake. While high DGL was significantly associated with increased fasting glucose levels in boys, high total carbohydrate intake, DGL and white rice intake were consistently associated with reduced HDL-cholesterol levels in girls. High white rice intake was significantly associated with an increased risk of insulin resistance and the metabolic syndrome in girls but not in boys. Optimising dietary carbohydrate intake with respect to the source or amount is fundamental to preventing and managing metabolic diseases in Asian adolescents.</P>

Dietary Frequencies of Korean American Adolescents in California: Correlation of Acculturation and Parental Dietary Consumption

Song YoonJu,Paik Hee Young,Park Haeryun,Hofstetter C. Richard,Hovell Melbourne F.,Irvin Veronica,Lee Jooeun The Korean Nutrition Society 2005 Nutritional Sciences Vol.8 No.2

The purpose of this study was to examine dietary frequencies among Korean American adolescents in California, including the correlation of acculturation and parental dietary Consumption. This study was drawn from cross-sectional telephone surveys based on data from a larger study of Korean Americans in California using random sampling of residential phone listings. A total of 494 Korean American adolescents, ages 12 through 17, in California were collected with dietary frequencies and acculturation and one parents' demographic and dietary consumption information. Three-quarters of adolescents were classified as 'more acculturated group' into the U.S. society with a lower preference to Korean foods, frequent snacking, and lower consumptions of rice and kimchi. Other quarter of adolescents was classified as 'less acculturated group'. However, the most frequent food items by both groups were rice and kimchi. Fruit and vegetable consumption was associated between adolescents and parents in both groups, but rice and kimchi were associated only among the more-acculturated group. In conclusion, dietary frequencies of Korean American adolescents were influenced by acculturation and parental dietary consumption. These findings should inform future epidemiological researches as well as efforts to enhance the diet of Koreans and other immigrants.

Association of added sugar intake with all-cause and cardiovascular disease mortality: a systematic review of cohort studies

Song SuJin,Shim Jae Eun,Song YoonJu 한국영양학회 2022 Nutrition Research and Practice Vol.16 No.3

BACKGROUND/OBJECTIVES The long-term health impacts of dietary sugar have begun to be reported. The committee on the 2020 Dietary Reference Intakes for Koreans for sugar intended to update the scientific evidence on the association of added sugar intake with health outcomes, including mortality. This study evaluated the evidence on the association of dietary sugar with the all-cause and cardiovascular disease mortality from cohort studies. SUBJECTS/METHODS The PubMed and ScienceDirect databases were searched until July 2021. The search terms were based on multiple combinations of keywords, such as added sugar, beverage, and mortality, included in the title or abstract. Two authors independently assessed the eligibility criteria of study selection and extracted the information from each selected article for this systematic review. RESULTS The literature search identified 276 articles. Seventeen cohort studies met the inclusion criteria and were included in this systematic review. This study extracted information on the cohort and participants, dietary assessment methods, exposure and its comparison groups, health outcomes, and risk measures. Five articles reported added sugar intake, and 15 articles reported the food sources of the added sugar in the association with mortality. Increased mortality was observed in higher added sugar intake and a lower intake of less than 5% of energy, while higher discrepancies between gender, age groups, and countries were noted. In addition, nutritious sugary foods and beverages did not increase mortality. CONCLUSIONS A ‘U’ or ‘J’ shaped relationship between the added sugar intake and mortality was estimated. The observed discrepancy indicated the need for more evidence to establish the dose-response relationship for Koreans.

Dietary Frequencies of Korean American Adolescents in California : Correlation of Acculturation and Parental Dietary Consumption

YoonJu Song,Hee Young Paik,Haeryun Park,C. Richard Hofstetter,Melbourne F. Hovell,Veronica Irvin,Jooeun Lee 한국영양학회 2005 Nutritional Sciences Vol.8 No.2

Dietary carbohydrate and fat intakes are differentially associated with lipid abnormalities in Korean adults

Song, SuJin,Song, Won O.,Song, YoonJu Elsevier 2017 Journal of clinical lipidology Vol.11 No.2

<P><B>Background</B></P> <P>A high prevalence of metabolic syndrome along with increasing rates of low high-density lipoprotein cholesterol (HDL-C) and elevated triglycerides (TGs) is shown in Korean adults. Little is known about the associations between macronutrient intake and lipid abnormalities in the Asian population, whose major energy source is carbohydrates.</P> <P><B>Objective</B></P> <P>We examined the associations of dietary carbohydrate and fat intakes with lipid abnormalities in Korean adults.</P> <P><B>Methods</B></P> <P>A total of 14,301 adults (5715 men and 8586 women) aged ≥30 years with no diagnosis and treatment for diabetes, hypertension, or dyslipidemia were selected from the 2008 to 2012 Korea National Health and Nutrition Examination Survey data. From the 24-hour recall data, dietary carbohydrate and fat intakes were estimated. Multivariate logistic regression was used to estimate odds ratios for lipid abnormalities, that is, elevated total cholesterol (TC), low HDL-C, high TC to HDL-C ratio, elevated non–HDL-C, elevated LDL cholesterol (LDL-C), and elevated TG across quintiles of dietary carbohydrate and fat intakes.</P> <P><B>Results</B></P> <P>Percentage of energy from carbohydrate was positively associated with elevated TG and low HDL-C but inversely associated with elevated TC and elevated LDL-C in both men and women. Energy-adjusted carbohydrate intake also showed a positive association with low HDL-C. Dietary fat intakes had the opposite associations with lipid abnormalities than results for carbohydrate.</P> <P><B>Conclusion</B></P> <P>High carbohydrate diet is undesirable with regard to increased TG and reduced HDL-C despite the benefit for LDL-C. Dietary strategies emphasizing appropriate macronutrient intakes by the type of lipid abnormalities are recommended for the prevention of cardiovascular disease in Korean adults.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Macronutrient were differentially associated with individual lipid abnormalities. </LI> <LI> High carbohydrate diet was linked with high triglycerides and low high-density lipoprotein cholesterol. </LI> <LI> Fat intake was positively related to total cholesterol and low-density lipoprotein cholesterol levels. </LI> <LI> Dietary guideline for dyslipidemia is needed in Asians with high-carbohydrate diet. </LI> </UL> </P>

Socioeconomic, Acculturation, and Lifestyle Factors Affecting the Dietary Patterns of Korean-Americans in California

YoonJu Song,Hee-Young Paik,Haeryun Park,C. Richard Hofstetter,Melbourne F. Hovell,Veronica Irvin,Jooeun Lee 한국영양학회 2004 Nutritional Sciences Vol.7 No.3

Association of added sugar intake with all-cause and cardiovascular disease mortality: a systematic review of cohort studies

SuJin Song,Jae Eun Shim,YoonJu Song 한국영양학회 2022 Nutrition Research and Practice Vol.16 No.no.sup1

BACKGROUND/OBJECTIVES: The long-term health impacts of dietary sugar have begun to be reported. The committee on the 2020 Dietary Reference Intakes for Koreans for sugar intended to update the scientific evidence on the association of added sugar intake with health outcomes, including mortality. This study evaluated the evidence on the association of dietary sugar with the all-cause and cardiovascular disease mortality from cohort studies. SUBJECTS/METHODS: The PubMed and ScienceDirect databases were searched until July 2021. The search terms were based on multiple combinations of keywords, such as added sugar, beverage, and mortality, included in the title or abstract. Two authors independently assessed the eligibility criteria of study selection and extracted the information from each selected article for this systematic review. RESULTS: The literature search identified 276 articles. Seventeen cohort studies met the inclusion criteria and were included in this systematic review. This study extracted information on the cohort and participants, dietary assessment methods, exposure and its comparison groups, health outcomes, and risk measures. Five articles reported added sugar intake, and 15 articles reported the food sources of the added sugar in the association with mortality. Increased mortality was observed in higher added sugar intake and a lower intake of less than 5% of energy, while higher discrepancies between gender, age groups, and countries were noted. In addition, nutritious sugary foods and beverages did not increase mortality. CONCLUSIONS: A ‘U’ or ‘J’ shaped relationship between the added sugar intake and mortality was estimated. The observed discrepancy indicated the need for more evidence to establish the dose-response relationship for Koreans.

한국인 상용 식품의 혈당지수 (Glycemic Index) 추정치를 활용한 한국 성인의 식사혈당지수 산출

송수진(Song SuJin),최하늬(Choi Hanui),이사야(Lee Saya),박정민(Park Jeong-min),김보라(Kim Bo Ra),백희영(Paik Hee-Young),송윤주(Song YoonJu) 한국영양학회 2012 Journal of Nutrition and Health Vol.45 No.1

Recent studies have reported that the glycemic index (GI) has an effect on developing the risk for metabolic abnormalities such as diabetes, dyslipidemia, and obesity. As there are no reliable GI values for common Korean foods, only a few studies have been carried out using the dietary GI for Korean adults. The aim of this study was to establish a table of GI values for common Korean foods and evaluate dietary glycemic index (DGI) and dietary glycemic load (DGL) among the Korean adult population. International tables of GI values and other published values were used to tabulate GI values for common Korean foods. Among 653 food items, 149 (22.8%) were adapted from published data, 60 (9.2%) were imputed from similar foods, and 444 (68.0%) were assigned a zero. Data from 7,940 subjects aged 20 years and older in the 2007-2008 Korea National Health and Nutrition Examination Survey were obtained, and DGI and DGL were calculated. The average DGI was 60.0 and the average DGL was 182.5 when the reference food GI value was glucose. After adjusting for potential confounding variables, DGI and DGL increased significantly according to age group (p for trend < 0.001). The food group that contributed most to DGL was grain and its products supplying 85.3% of total DGL, whereas the mean GI value in grain and its products was 72.6. Fruits and potatoes also contributed to DGL (5.8 and 2.9%, respectively), and their GIs were high (67.7 for potatoes and 45.8 for fruits). For individual food items, white rice supplied 66.7% of total GI followed by glutinous rice (2.3%) and steamed white rice cakes (2.0%). In conclusion, a table of GI values for 653 common food items was established in which white rice was the most contributing item to DGL. Our results will be useful to examine the relationships between DGI, DGL, and metabolic abnormalities in the Korean population.

우리나라 성인의 인슐린 저항성과 관련된 영양소 및 식품군 섭취

송수진(Song, SuJin),백희영(Paik, Hee-Young),송윤주(Song, YoonJu) 한국영양학회 2013 Journal of Nutrition and Health Vol.46 No.1

The aim of this study was to examine the relationship between dietary variables and the prevalence of insulin resistance (IR) in middle-aged Korean adults using data from the 2007-2009 Korea National Health and Nutrition Examination Survey. Because IR is closely linked with metabolic syndrome, subjects were divided into three groups according to symptoms of metabolic syndrome: the ‘Normal group’ without any symptoms, the ‘Risk group’ with one or two symptoms, and the ‘Metabolic syndrome (MetS) group’ with three or more symptoms. Subjects between the ages of 30 and 65 years with no prior diagnosis or treatment for diabetes, hypertension, or dyslipidemia were selected. The number of subjects per group was as follows: 2,085 adults in the Normal group, 3,699 adults in the Risk group, and 1,160 adults in the MetS group. Metabolic syndrome was defined according to Adult Treatment Panel III criteria with modified waist circumference cutoff values (men ≥ 90 cm, women ≥ 85 cm). Subjects with HOMA-IR > 2.0 were classified as IR. Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) was calculated using the following formula: (fasting plasma glucose × fasting plasma insulin)/22.5. Nutrients and food groups intake were obtained from a single 24-hour recall. Subjects with IR in the Normal group were more obese and less physically active than non-IR subjects. In the MetS group, subjects with IR were more obese and had a lower prevalence of smoking and drinking, compared with non-IR subjects. Men with IR in the Normal group had a tendency to consume more oils and sugars than non-IR men, while women with IR in the same group had higher intake of carbohydrate, dietary glycemic index, and dietary glycemic load than non-IR women. Women with IR in the Risk group had lower energy intake but higher intake of oils and sugars than non-IR women. In the MetS group, consumption of fruits was higher in subjects with IR than in non-IR subjects. In conclusion, findings of this study suggest that dietary carbohydrate intake, including glycemic index, may be associated with IR in healthy women. Further research in prospective cohort studies in order to examine the effects of dietary carbohydrate on IR incidence will be necessary. (Korean J Nutr 2013; 46(1): 61 ~ 71)

Low consumption of fruits and dairy foods is associated with metabolic syndrome in Korean adults from outpatient clinics in and near Seoul

SuJin Song,Eun-Kyung Kim,Soyoung Hong,Sangah Shin,YoonJu Song,Hyun Wook Baik,Hyojee Joung,Hee Young Paik 한국영양학회 2015 Nutrition Research and Practice Vol.9 No.5

BACKGROUND/OBJECTIVES: The aim of this study was to examine differences in nutrient intake and food consumption by the presence of metabolic syndrome in Korean adults. SUBJECTS/METHODS: Study subjects in this cross-sectional study were recruited from four outpatient clinics in and near the Seoul metropolitan area of South Korea between 2006 and 2012. A total of 668 subjects (413 men and 255 women) aged ≥ 30 y were included in the final data analyses. For each subject, daily nutrient intake and food consumption were calculated using three days of dietary intake data obtained from a combination of 24-hour recalls and dietary records. To evaluate food consumption, mean number of servings consumed per day and percentages of recommended number of servings for six food groups were calculated. Metabolic syndrome was defined using the National Cholesterol Education Program Adult Treatment Panel Ⅲ criteria. The general linear model was performed to examine differences in nutrient intake and food consumption by sex and the presence of metabolic syndrome after adjustment for potential confounding variables. RESULTS: Nutrient intake did not differ by the presence of metabolic syndrome in both men and women. Men with metabolic syndrome had lower consumption and percentage of the recommendation for fruits compared with those without metabolic syndrome (1.6 vs. 1.1 servings/day, P-value = 0.001; 63.5 vs. 49.5%, P-value = 0.013). Women with metabolic syndrome showed lower consumption and percentage of the recommendation for dairy foods than those without metabolic syndrome (0.8 vs. 0.5 servings/day, P-value = 0.001; 78.6 vs. 48.9%, P-value = 0.001). CONCLUSIONS: Low intakes of fruits and dairy foods might be associated with the risk of having metabolic syndrome among Korean adults. Dietary advice on increasing consumption of these foods is needed to prevent and attenuate the risk of metabolic syndrome.