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

Song, Su Jin; Song, Won O.; Song, Young‐Sun

doi:10.1016/j.jacl.2017.01.016

Cited by 27 publications

(29 citation statements)

References 30 publications

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“…Many studies have examined the relationship between carbohydrate intake and obesity, metabolic syndrome, hypertriglyceridemia, low HDL-cholesterolemia, hypertension, or impaired fasting glucose. In accordance with our study, a high carbohydrate intake was associated with low HDL-cholesterolemia in the previous studies [11,12,14,34]. A study with subjects aged 19 years or older reported that the odds ratio for low HDL-cholesterolemia of those in the highest quintile of energy intake from carbohydrate was 1.31 in men and 1.45 in women compared to the lowest quintile of energy intake from carbohydrate [11].…”

Section: Discussionsupporting

confidence: 92%

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Dietary and Health Characteristics of Korean Adults According to the Level of Energy Intake from Carbohydrate: Analysis of the 7th (2016–2017) Korea National Health and Nutrition Examination Survey Data

2020

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The purpose of this study was to examine the association between the level of energy intake from carbohydrate and the dietary and health characteristics among Korean adults. We examined the diet quality and health conditions of Korean adults by segmenting them into eight groups according to the level of energy intake from carbohydrate (<45%, 45–50%, 50–55%, 55–60%, 60–65%, 65–70%, 70–75%, and ≥75%). From the data of the 7th (2016–2017) Korea National Health and Nutrition Examination Survey (KNHANES), 7566 subjects aged 19 to 64 years were analyzed. Diet quality was much lower in the groups whose energy intake from carbohydrate was <50% or ≥65%, compared to the groups whose energy intake from carbohydrate was 50–65%. Hypertension or low HDL-cholesterolemia was associated with low (<45%) or high (≥70%) energy intake from carbohydrate. We found no considerable difference in the diet quality and health conditions between the groups whose energy intake from carbohydrate was 50–55% and 55–65%. In conclusion, it is suggested to expand the current acceptable macronutrient distribution range (AMDR) for carbohydrate for Korean adults (i.e., 55% to 65%) to include 50–55%.

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Section: Discussionsupporting

confidence: 92%

“…Several studies reported that high carbohydrate intake was associated with metabolic syndrome or its risk factors, such as hypertriglyceridemia in men or women [9,[11][12][13]15,[34][35][36]. Obesity was also reported to be associated with high carbohydrate intake due to continued elevation of blood insulin [37].…”

Section: Discussionmentioning

confidence: 99%

Dietary and Health Characteristics of Korean Adults According to the Level of Energy Intake from Carbohydrate: Analysis of the 7th (2016–2017) Korea National Health and Nutrition Examination Survey Data

2020

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“…Carbohydrates significantly contribute to the total energy intake, particularly in the Chinese population who use rice and wheat as their staple food. At present, several studies have assessed the effect of carbohydrate intake on dyslipidemia [6][7][8][9][10]. Moreover, most of these studies have been conducted in European and American populations, and a few Asian studies have been conducted in the Korean population [9,10].…”

Section: Introductionmentioning

confidence: 99%

Association between Three Low-Carbohydrate Diet Scores and Lipid Metabolism among Chinese Adults

2020

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This study investigated the blood lipid levels of 5921 Chinese adults aged >18 years using data from the China Health and Nutrition Survey 2009. Diet information was collected through 3 day, 24 h recalls by trained professionals. The low-carbohydrate diet (LCD) score was determined according to the percentage of energy obtained from carbohydrate, protein, and fat consumption. Dyslipidemia was defined when one or more of the following abnormal lipid levels were observed: high cholesterol levels, high triglyceride levels, and low high-density lipoprotein cholesterol levels. Multivariate adjusted odds ratios (ORs) and their 95% confidence intervals (95% CIs) were calculated using logistic regression models. After adjusting the confounding variables, in males, the OR of hypercholesterolemia was 1.87 (95% CI, 1.23–2.85; p for trend = 0.0017) and the OR of hypertriglyceridemia was 1.47 (95% CI, 1.04–2.06; p for trend = 0.0336), on comparing the highest and lowest quartiles of the LCD score. The animal-based LCD score showed a similar trend. The OR of hypercholesterolemia was 2.15 (95% CI, 1.41–3.29; p for trend = 0.0006) and the OR of hypertriglyceridemia was 1.51 (95% CI, 1.09–2.10; p for trend = 0.0156). However, there was no significant difference between plant-based LCD scores and dyslipidemia. In females, lipid profiles did not differ much among the quartiles of LCD scores—only the animal-based LCD score was statistically significant with hypercholesterolemia. The OR of hypercholesterolemia was 1.64 (95% CI, 1.06–2.55), on comparing the highest and lowest quartiles of the LCD score. In conclusion, a higher LCD score, indicating lower carbohydrate intake and higher fat intake, especially animal-based fat, was significantly associated with higher odds of hypercholesterolemia and hypertriglyceridemia in Chinese males. Future studies investigating the potential mechanisms by which macronutrient types and sex hormones affect lipid metabolism are required.

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“…Nutrients and dietary pattern have been related to the most commonly studied metabolic risk factors, such as hypertension, dyslipidemia, hyperglycemia, and abdominal obesity (de la Iglesia et al, 2016;Hong et al, 2012;de Oliveira et al, 2012;Song et al, 2017;Cho et al, 2017;Damiao et al, 2006), demonstrating the importance of diet composition in the prevention and treatment of MetS and/or its components.…”

Section: Introductionmentioning

confidence: 99%

Lower protein and higher carbohydrate intake are related with altering metabolic syndrome components in elderly women: A cross-sectional study

Nabuco

Tomeleri

Sugihara

et al. 2018

Experimental Gerontology

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

Cited by 27 publications

References 30 publications

Dietary and Health Characteristics of Korean Adults According to the Level of Energy Intake from Carbohydrate: Analysis of the 7th (2016–2017) Korea National Health and Nutrition Examination Survey Data

Dietary and Health Characteristics of Korean Adults According to the Level of Energy Intake from Carbohydrate: Analysis of the 7th (2016–2017) Korea National Health and Nutrition Examination Survey Data

Association between Three Low-Carbohydrate Diet Scores and Lipid Metabolism among Chinese Adults

Lower protein and higher carbohydrate intake are related with altering metabolic syndrome components in elderly women: A cross-sectional study

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