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- 저자 : 김진옥(Rim Jean Chinock Kim) (검색결과 2 건)
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한국인 체질량지수와 식이섭취, 혈청지질 및 동맥경화 위험인자와의 연관성 오년간의 연구조사(1995~1999)
김진옥,위효정 대한지역사회영양학회 2001 대한지역사회영양학회지 Vol.6 No.1
This investigation studied the relationship between Body Mass Index(BMI) and dietary intake, levels of serum lipid, lipoprotein(a) and plasminogen activator inhibitor-1(PAI-1) of 28,449 Korean adults(16,937 men, 11,542 women) from 1995 to 1999. The dietary assessment was conducted using 24-hour dietary records and food frequency questionnaires. During this five year study, the BMI normal-weight group, as a percentage of the annual test population, decreased from 68.0% to 60.2%, while the BMI overweight and obese groups collectively increased from 25.0% to 29.7%. The levels of serum total cholesterol (TC), LDL-cholesterol(LDL-C), Triacylglycerol(TG) and PAI-1 increased as the values of BMI increased, while the levels of HDL-cholesterol(HDL-C) and lipoprotein(a)(men only) appeared to decrease as values of BMI increased. The levels of daily energy intake also increased as values of BMI increased in both men and women. The obese group had significantly higher levels of carbohydrate, protein, fat(men only), alcohol(men only), and cholesterol intake than those of the normal-weight, underweight, and overweight groups. In men, BMI positively correlated with the levels of macronutrients and cholesterol intake(p < 0.001), % energy of protein, fat, and alcohol intake(p < 0.001), and the levels of serum TC, LDL-C, TG and PAI-1(p < 0.001), while BMI negatively correlated with % energy of carbohydrate intake, and the levels of Lp(a) and HDL-C(p < 0.001). In women, BMI negatively correlated with the level of cholesterol(p < 0.01), fat(p < 0.001), alcohol intake(p < 0.05), % energy of fat (p < 0.001), % energy of alcohol intake and level of and HDL-C(p < 0.001). Subjects who had serum TC, LDL-C, HDL-C, and TG levels greater than the standard reference values(TC > 240 mg/dl, LDL-C > 130 mg/dl, HDL-C > 35, TG > 200 mg/dl)' exhibited a higher intake of the three macronutrients, iron, calcium, meat, milk and fatty foods than those subjects who had serum lipid concentrations less-than-or-equal-to the standard reference values. Overall, there was positive correlation between the high risk factors of vascular disease variables, dietary intake, and BMI. Prevalence of hypertension and high blood sugar were increased as BMI increased, but the prevalence of hypertension is decreased as the year goes by. These findings showed that dietary intake, level of serum lipids and other vascular disease risk factors increased as BMI increased. Therefore, middle or upper class Korean adults who have high BMI should improve their eating habits. This would involve reducing alcohol, animal fat, high carbohydrate foods, and overall food intake, and balancing daily dietary intake in order to lower vascular disease risk factors, including obesity.
ScienceON
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