Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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The Association between Consumption of Processed Meat and Prevalence of Metabolic Syndrome Among Korean Adults: Based on 2007-2008 Korean National Health and Nutrition Examination Survey

한국 성인의 육가공품 섭취 빈도와 대사증후군과의 관련성: 2007~2008년 국민건강영양조사 자료 분석

  • Koo, Sle (Department of Food & Nutrition, Yeungnam University) ;
  • Park, Kyong (Department of Food & Nutrition, Yeungnam University)
  • 구슬 (영남대학교 식품영양학과) ;
  • 박경 (영남대학교 식품영양학과)
  • Received : 2011.06.04
  • Accepted : 2011.07.18
  • Published : 2011.10.31
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Abstract

Recent studies have shown that high consumption of processed meat may be associated with increasing risk of metabolic syndrome, which have been suggested as a predictor of diabetes and cardiovascular disease. However, limited studies have investigated this association in Korean population. The purpose of this study was to investigate the cross-sectional association between processed meat/unprocessed (beef, pork, chicken) intakes and the prevalence of metabolic syndrome. Using data from 2007-2008 Korean National Health and Nutrition Examination Survey (KNHANES), we analyzed data including 5,545 men and women who were aged older than 20 years, and who were free of chronic disease such as hypertension, type 2 diabetes and cardiovascular disease. Subjects who frequently consumed processed meat tended to be younger and more likely to be current smokers. In addition, men were more likely to consume processed meat than women. Although higher processed/unprocessed meat intakes were significantly associated with the lower risk of metabolic syndrome in a crude model, these associations were no longer significant after adjustment for potential confounding factors. For example, comparing subjects in the highest intake quartile of processed meat with the lowest intake group, the multivariate-adjusted odds ratio (OR) of metabolic syndrome was 0.92 (95% CI: 0.58-1.46) for processed meat, 1.09 (95% CI: 0.76-1.56) for beef, 1.10 (95% CI: 0.74-1.62) for pork and 0.75 (95% CI: 0.51-1.12) for chicken. In conclusion, we found no evidence of any adverse effects of frequent processed or unprocessed meat intakes on the prevalence of metabolic syndrome among Korean adults at the exposure levels seen in this study.

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References

  1. Lutsey PL, Steffen LM, Stevens J. Dietary intake and the development of the metabolic syndrome: the Atherosclerosis Risk in Communities study. Circulation 2008; 117(6): 754-761 https://doi.org/10.1161/CIRCULATIONAHA.107.716159
  2. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith SC Jr, Spertus JA, Costa F; American Heart Association; National Heart, Lung, and Blood Institute. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation 2005; 112(17): 2735-2752 https://doi.org/10.1161/CIRCULATIONAHA.105.169404
  3. McNeill AM, Rosamond WD, Girman CJ, Golden SH, Schmidt MI, East HE, Ballantyne CM, Heiss G. The metabolic syndrome and 11-year risk of incident cardiovascular disease in the atherosclerosis risk in communities study. Diabetes Care 2005; 28(2): 385-390 https://doi.org/10.2337/diacare.28.2.385
  4. Bonora E, Targher G, Formentini G, Calcaterra F, Lombardi S, Marini F, Zenari L, Saggiani F, Poli M, Perbellini S, Raffaelli A, Gemma L, Santi L, Bonadonna RC, Muggeo M. The Metabolic Syndrome is an independent predictor of cardiovascular disease in Type 2 diabetic subjects. Prospective data from the Verona Diabetes Complications Study. Diabet Med 2004; 21(1): 52-58 https://doi.org/10.1046/j.1464-5491.2003.01068.x
  5. Korea Centers for Disease Control and Prevention; Korea Health Industry Development Institute. In-depth analysis on the 3rd Korea national health and nutrition examination survey. 2007
  6. Ministry of Health & Welfare, Korea Centers for Disease Control and Prevention. 2008 national health statistic: the 4th Korea national health and nutrition examination survey. 2008
  7. Rosell MS, Hellenius ML, de Faire UH, Johansson GK. Associations between diet and the metabolic syndrome vary with the validity of dietary intake data. Am J Clin Nutr 2003; 78(1): 84-90
  8. Esmaillzadeh A, Mirmiran P, Azizi F. Whole-grain consumption and the metabolic syndrome: a favorable association in Tehranian adults. Eur J Clin Nutr 2005; 59(3): 353-362 https://doi.org/10.1038/sj.ejcn.1602080
  9. Freire RD, Cardoso MA, Gimeno SG, Ferreira SR; Japanese- Brazilian Diabetes Study Group. Dietary fat is associated with metabolic syndrome in Japanese Brazilians. Diabetes Care 2005; 28(7): 1779-1785 https://doi.org/10.2337/diacare.28.7.1779
  10. Mennen LI, Lafay L, Feskens EJM, Novak M, Lepinay P, Balkau B. Possible protective effect of bread and dairy products on the risk of the metabolic syndrome. Nutr Res 2000; 20(3): 335-347 https://doi.org/10.1016/S0271-5317(00)00127-5
  11. Azadbakht L, Esmaillzadeh A. Red meat intake is associated with metabolic syndrome and the plasma C-reactive protein concentration in women. J Nutr 2009; 139(2): 335-339
  12. Damiao R, Castro TG, Cardoso MA, Gimeno SG, Ferreira SR; Japanese-Brazilian Diabetes Study Group. Dietary intakes associated with metabolic syndrome in a cohort of Japanese ancestry. Br J Nutr 2006; 96(3): 532-538
  13. Babio N, Sorli M, Bullo M, Basora J, Ibarrola-Jurado N, Fernandez-Ballart J, Martinez-Gonzalez MA, Serra-Majem L, Gonzalez-Perez R, Salas-Salvado J. Association between red meat consumption and metabolic syndrome in a Mediterranean population at high cardiovascular risk: Cross-sectional and 1-year follow-up assessment. Nutr Metab Cardiovasc Dis 2010. [Epub ahead of print]
  14. Yoon GS, Woo J. The perception and the consumption behavior for the meats in Koreans. J Korean Soc Food Sci Nutr 1999; 28(1): 246-256
  15. Ministry of Health & Welfare. The third Korea national health and nutrition examination survey (KNHANES III). 2006
  16. Genuth S, Alberti KG, Bennett P, Buse J, Defronzo R, Kahn R, Kitzmiller J, Knowler WC, Lebovitz H, Lernmark A, Nathan D, Palmer J, Rizza R, Saudek C, Shaw J, Steffes M, Stern M, Tuomilehto J, Zimmet P; Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Follow-up report on the diagnosis of diabetes mellitus. Diabetes Care 2003; 26(11): 3160-3167 https://doi.org/10.2337/diacare.26.11.3160
  17. Wang Y, Beydoun MA, Caballero B, Gary TL, Lawrence R. Trends and correlates in meat consumption patterns in the US adult population. Public Health Nutr 2010; 13(9): 1333-1345 https://doi.org/10.1017/S1368980010000224
  18. Mannisto S, Kontto J, Kataja-Tuomola M, Albanes D, Virtamo J. High processed meat consumption is a risk factor of type 2 diabetes in the Alpha-Tocopherol, Beta-Carotene Cancer Prevention study. Br J Nutr 2010; 103(12): 1817-1822 https://doi.org/10.1017/S0007114510000073
  19. Fung TT, Schulze M, Manson JE, Willett WC, Hu FB. Dietary patterns, meat intake, and the risk of type 2 diabetes in women. Arch Intern Med 2004; 164(20): 2235-2240 https://doi.org/10.1001/archinte.164.20.2235
  20. Kahn HS, Tatham LM, Heath CW Jr. Contrasting factors associated with abdominal and peripheral weight gain among adult women. Int J Obes Relat Metab Disord 1997; 21(10): 903-911 https://doi.org/10.1038/sj.ijo.0800490
  21. Schulz M, Kroke A, Liese AD, Hoffmann K, Bergmann MM, Boeing H. Food groups as predictors for short-term weight changes in men and women of the EPIC-Potsdam cohort. J Nutr 2002; 132(6): 1335-1340
  22. Bes-Rastrollo M, Sanchez-Villegas A, Gomez-Gracia E, Martinez JA, Pajares RM, Martinez-Gonzalez MA. Predictors of weight gain in a Mediterranean cohort: the Seguimiento Universidad de Navarra Study 1. Am J Clin Nutr 2006; 83(2): 362-370; quiz 394-395
  23. van Dam RM, Willett WC, Rimm EB, Stampfer MJ, Hu FB. Dietary fat and meat intake in relation to risk of type 2 diabetes in men. Diabetes Care 2002; 25(3): 417-424 https://doi.org/10.2337/diacare.25.3.417
  24. Feskens EJ, Virtanen SM, Rasanen L, Tuomilehto J, Stengard J, Pekkanen J, Nissinen A, Kromhout D. Dietary factors determining diabetes and impaired glucose tolerance. A 20-year follow- up of the Finnish and Dutch cohorts of the Seven Countries Study. Diabetes Care 1995; 18(8): 1104-1112 https://doi.org/10.2337/diacare.18.8.1104
  25. Lee DH, Folsom AR, Jacobs DR Jr. Dietary iron intake and Type 2 diabetes incidence in postmenopausal women: the Iowa Women's Health Study. Diabetologia 2004; 47(2): 185-194 https://doi.org/10.1007/s00125-003-1307-1
  26. Rajpathak S, Ma J, Manson J, Willett WC, Hu FB. Iron intake and the risk of type 2 diabetes in women: a prospective cohort study. Diabetes Care 2006; 29(6): 1370-1376 https://doi.org/10.2337/dc06-0119
  27. Knight TM, Forman D, Al-Dabbagh SA, Doll R. Estimation of dietary intake of nitrate and nitrite in Great Britain. Food Chem Toxicol 1987; 25(4): 277-285 https://doi.org/10.1016/0278-6915(87)90123-2
  28. Rajpathak SN, Crandall JP, Wylie-Rosett J, Kabat GC, Rohan TE, Hu FB. The role of iron in type 2 diabetes in humans. Biochim Biophys Acta 2009; 1790(7): 671-681 https://doi.org/10.1016/j.bbagen.2008.04.005
  29. Papakonstantinou E, Panagiotakos DB, Pitsavos C, Chrysohoou C, Zampelas A, Skoumas Y, Stefanadis C. Food group consumption and glycemic control in people with and without type 2 diabetes: the ATTICA study. Diabetes Care 2005; 28(10): 2539-2540 https://doi.org/10.2337/diacare.28.10.2539
  30. Hua NW, Stoohs RA, Facchini FS. Low iron status and enhanced insulin sensitivity in lacto-ovo vegetarians. Br J Nutr 2001; 86(4): 515-519 https://doi.org/10.1079/BJN2001421
  31. Tuomainen TP, Nyyssonen K, Salonen R, Tervahauta A, Korpela H, Lakka T, Kaplan GA, Salonen JT. Body iron stores are associated with serum insulin and blood glucose concentrations. Population study in 1,013 eastern Finnish men. Diabetes Care 1997; 20(3): 426-428 https://doi.org/10.2337/diacare.20.3.426
  32. Salonen JT, Tuomainen TP, Nyyssonen K, Lakka HM, Punnonen K. Relation between iron stores and non-insulin dependent diabetes in men: case-control study. BMJ 1998; 317(7160): 727 https://doi.org/10.1136/bmj.317.7160.727
  33. Lijinsky W. N-Nitroso compounds in the diet. Mutat Res 1999; 443(1-2): 129-138 https://doi.org/10.1016/S1383-5742(99)00015-0
  34. LeDoux SP, Hall CR, Forbes PM, Patton NJ, Wilson GL. Mechanisms of nicotinamide and thymidine protection from alloxan and streptozocin toxicity. Diabetes 1988; 37(8): 1015-1019 https://doi.org/10.2337/diabetes.37.8.1015

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