Dietary Patterns and the Metabolic Syndrome in Korean Adolescents

Kim, Jeong Ah; Kim, Seon Mee; Lee, Jee Sung; Oh, Han Jin; Han, Jee Hye; Song, YoonJu; Joung, Hyojee; Park, Hye Soon

doi:10.2337/dc06-2591

Cited by 54 publications

(54 citation statements)

References 10 publications

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“…In addition, for pattern analysis with the combined data set, we applied the same standards for identifying dietary patterns. We found three distinct dietary patterns in this study, similar to other studies conducted in Korean populations or in those of Korean descent 7,24,37,38 . Most studies reported a 'traditional' dietary pattern, with high consumption of rice and kimchi.…”

Section: Secular Trends In Dietary Patterns and Obesity Y Song Et Alsupporting

confidence: 90%

“…K-mean cluster analysis was performed on the percent of energy from each food group. We used principal components analysis and our earlier work 7,24 to identify the number of clusters. On the basis of analyses with larger numbers of cluster solutions and initial exploratory analyses, we determined three distinctive clusters based on the eigenvalue of 1.30 and differences.…”

Section: Study Population and Designmentioning

confidence: 99%

“…[1][2][3][4] Despite some inconsistency in the findings, generally dietary patterns rich in whole grains, legumes, vegetables, and fish had favorable effects on metabolic abnormalities, 2,3 whereas western patterns, characterized by high-fat foods, increased the risk of metabolic abnormalities, such as type 2 diabetes and cardiovascular disease. [5][6][7] These studies often measured diet at a single point, so that associations between changes in dietary patterns over time and health outcomes have rarely been investigated. One study did examine secular trends not in dietary patterns, but in food consumption and eating behaviors of adult Americans using four consecutive US National Health and Nutrition Examination Surveys (NHANES) ).…”

Section: Introductionmentioning

confidence: 99%

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Secular trends in dietary patterns and obesity-related risk factors in Korean adolescents aged 10–19 years

Song

et al. 2009

Int J Obes

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Background: Along with its rapid economic growth, Korea has been undergoing considerable changes in the diet. But the influence of these changes on nutrition and health profiles has scarcely been investigated. Objective: We explored secular trends in dietary patterns to clarify their influence on obesity and its related risk factors among Korean adolescents using data from three consecutive Korean Nutrition Health and Nutrition Examination Survey (KNHANES). Design: Using data from the three KNHANES, 4347 adolescents (1572 from 1998, 1484 from 2001, and 1291 from 2005), who completed a 24-h diet recall, were included in the analysis. Percentiles of BMI were used to determine obesity; abdominal obesity was identified by waist circumference; and serum triglycerides and HDL-cholesterol ¼ high density lipoproteins (HDL)-cholesterol were measured for obesity-related risk factors. Results: We identified evident three dietary patterns: 'traditional' (45.8% of total population), 'modified' (19%), and 'western' (35.2%). Secular trends were observed in dietary patterns, with a decline in the traditional diet pattern and gradual increases in the modified and western patterns. The percent of energy from fat increased over time, and it was positively associated with abdominal obesity in boys. The western dietary pattern increased the risk of being overweight (P ¼ 0.05) and having elevated serum triglycerides (P ¼ 0.07) in boys. Conclusions: Gradual changes over time in dietary patterns are occurring in Korean adolescents. The emerging western dietary pattern and high-fat intake could negatively affect the adolescent population studied here in later life; therefore, appropriate monitoring is suggested.

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Section: Secular Trends In Dietary Patterns and Obesity Y Song Et Alsupporting

confidence: 90%

Section: Study Population and Designmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Secular trends in dietary patterns and obesity-related risk factors in Korean adolescents aged 10–19 years

Song

et al. 2009

Int J Obes

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“…6 The cutoff points for lipid disorders were modified from age-modified standards of the National Cholesterol Education Program (NCEP)-Adult Treatment Panel (ATP) III metabolic syndrome criteria. 7 Three blood pressure readings were taken after a 10-min rest from the right arm of each subject at intervals of 5 min using an oscillometric device. The average of the three measurements was used for the analysis.…”

Section: Measurementsmentioning

confidence: 99%

Association between human adenovirus-36 and lipid disorders in Korean schoolchildren

Hong

Kim

et al. 2009

Int J Obes

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Background: Although the human adenovirus-36 (Ad-36) has been associated with obesity and related lipid disorders in the United States, this association has yet to be identified in other countries. Therefore, we tried to determine whether Ad-36 is associated with obesity or lipid disorders in Korean schoolchildren. Method: A total of 318 Korean schoolchildren aged 6-15 years, who participated in the Ewha Womans University Obesity Research Study, were selected for a community-based cohort study. Non-obese and obese were defined as body mass index (BMI) o85th and X95th percentiles of the Korean reference BMI-for-age curves, respectively, according to International Obesity Task Force definitions. The cutoff points for lipid disorders were modified from the age-modified standards of the National Cholesterol Education Program (NCEP)-Adult Treatment Panel (ATP) III metabolic syndrome criteria. The Ad-36 antibody was measured using a serum neutralization assay. Results: More obese participants than non-obese participants tested positive for the Ad-36 antibody (28.57 vs 13.56%, respectively; P ¼ 0.0174). Within the obese group, the participants who tested positive for the Ad-36 antibody had higher levels of triglycerides (TG) and total cholesterol than those who tested negative for the Ad-36 antibody (Po0.001). However, these associations were not present in the non-obese group. The unadjusted odds ratio (OR) for Ad-36 antibody positivity was greater in obese participants than non-obese participants (OR ¼ 2.550, 95% confidence interval (CI): 1.154-5.633). However, this OR seemed to be nonsignificant when age, sex and lipid variables were included in the analysis (OR ¼ 1.752, 95% CI: 0.763-4.020). The unadjusted OR for the elevated TG was significantly higher in participants who were Ad-36 antibody-positive than those who were Ad-36 antibody-negative (OR ¼ 2.511, 95% CI: 1.448-4.353). This trend remained constant even after adjustment for age, sex and obesity (OR ¼ 2.328, 95% CI: 1.296-4.181). Conclusion: Ad-36 seems to be strongly associated with lipid disorders in Korean schoolchildren regardless of obesity.

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“…These findings are of concern because such diets may impact on dental health (4,5) , physical development (6) , academic achievement (7) and the risk of developing chronic diseases, such as CVD (8)(9)(10) and osteoporosis (11) . Without effective intervention, poor eating habits developed during adolescence may 'track' into adulthood (6,12,13) .…”

mentioning

confidence: 99%

Dietary patterns in Irish adolescents: a comparison of cluster and principal component analyses

Hearty

Gibney

2011

Public Health Nutr.

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Objective: Pattern analysis of adolescent diets may provide an important basis for nutritional health promotion. The aims of the present study were to examine and compare dietary patterns in adolescents using cluster analysis and principal component analysis (PCA) and to examine the impact of the format of the dietary variables on the solutions. Design: Analysis was based on the Irish National Teens Food Survey, in which food intake data were collected using a semi-quantitative 7 d food diary. Thirtytwo food groups were created and were expressed as either g/d or percentage contribution to total energy. Dietary patterns were identified using cluster analysis (k-means) and PCA. Setting: Republic of Ireland, 2005Ireland, -2006. Subjects: A representative sample of 441 adolescents aged 13-17 years.

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Dietary Patterns and the Metabolic Syndrome in Korean Adolescents

Cited by 54 publications

References 10 publications

Secular trends in dietary patterns and obesity-related risk factors in Korean adolescents aged 10–19 years

Secular trends in dietary patterns and obesity-related risk factors in Korean adolescents aged 10–19 years

Association between human adenovirus-36 and lipid disorders in Korean schoolchildren

Dietary patterns in Irish adolescents: a comparison of cluster and principal component analyses

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