Journal of the East Asian Society of Dietary Life (동아시아식생활학회지)

The East Asian Society of Dietary Life (동아시아식생활학회)
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Relationship among Pack-Years of Smoking, Metabolic Biomarkers, and Diet Quality in Male Adults: From the Korean National Health and Nutrition Examination Surveys, 2007~2009

성인 남성에서 흡연력이 건강 관련 대사적 지표 및 식사의 질에 미치는 영향: 2007~2009 국민건강영양조사 자료를 바탕으로

  • Yeon, Jee-Young (Dept. of Food and Nutrition, Sookmyung Women's University) ;
  • Kim, Eun-Young (Dept. of Food and Nutrition, Sookmyung Women's University) ;
  • Lee, Eun-Ju (Asan Institute for Life Science) ;
  • Bae, Yun-Jung (Dept. of Food and Nutritional Sciences, Hanbuk University)
  • 연지영 (숙명여자대학교 식품영양학과) ;
  • 김은영 (숙명여자대학교 식품영양학과) ;
  • 이은주 (아산생명과학연구소) ;
  • 배윤정 (한북대학교 식품영양학과)
  • Received : 2012.03.28
  • Accepted : 2012.04.26
  • Published : 2012.04.30
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Abstract

The purpose of this study was to investigate the relationship between pack-years of smoking, metabolic biomarkers, and diet quality in male adults. We analyzed data from the combined 2007-2009 Korean National Health and Nutrition Examination Survey (KNHANES). The extent of smoking was quantified in pack-years (py), with 1 py equivalent to 20 cigarettes per day for 1 year. Subjects (n=1,318) were recruited and divided into two groups according to age (30~49 years age group, n=695; ${\geq}50$ years age group, n=623). In ach age group, subjects were divided into three groups according to the extent of smoking, which included non-smokers (30~49 years, n=156; ${\geq}50$ years, n=217), light smoker (30~49 years, n=269; py<16; ${\geq}50$ years, n=189, py<31), and moderate smoker (30~49 years, n=270; $py{\geq}16$; ${\geq}50$ years, n=217, $py{\geq}31$). The Nutrient Adequacy Ratio (NAR) and the number of foods (Dietary Variety Score, DVS) were analyzed by using the data from the 24-recall method. The results showed that moderate smokers were significantly more likely to drink alcohol compared with the other two groups. Triglyceride and cholesterol levels were significantly higher in smoker groups. The non-smoker group consumed significantly higher levels of vitamin C and potassium compared to the smoker groups. In the diet quality, vitamin C NAR of non-smoker group was significantly higher than those of smoker groups. In the ${\geq}50$ age group, the MAR of nonsmoker, light, and moderate smoker groups were 0.81, 0.78, and 0.78 respectively. The smoker group consumed significantly greate sugar and oils compared to the non-smoker group. Py showed a significantly positive relationship with serum triglyceride level, and a negative relationship with MAR after adjusting for potential confounding factors. In conclusion, male moderate smokers take too little vitamin C, partly due to low diet quality. Therefore, a well-planed diet must be used to replace the nutrients lost from excluded food groups in smoker.

Keywords

References

  1. Bolton-Smith C, Casey CE, Gey KF, Smith WC, Tunstall-Pedoe H (1991) Antioxidant vitamin intakes assessed using a foodfrequency questionnaire: correlation with biochemical status in smokers and non-smokers. Br J Nutr 65: 337-346. https://doi.org/10.1079/BJN19910094
  2. Cade JE, Margetts BM (1991) Relationship between diet and smoking-is the diet of smokers different? J Epidemiol Commun H 45: 270-272. https://doi.org/10.1136/jech.45.4.270
  3. Chen CC, Li TC, Chang PC, Liu CS, Lin WY, Wu MT, Li CI, Lai MM, Lin CC (2008) Association among cigarette smoking, metabolic syndrome, and its individual components:the metabolic syndrome study in Taiwan. Metabolism 57: 544-548. https://doi.org/10.1016/j.metabol.2007.11.018
  4. Dallongeville J, Marecaux N, Fruchart JC, Amouyel P (1998) Cigarette smoking is associated with unhealthy patterns of nutrient intake: A meta-analysis. J Nutr 128: 1450-1457.
  5. Dallongeville J, Marecaux N, Richard F, Bonte D, Zylberberg G, Fantino M, Fruchart JC, Amouyel P (1996) Cigarette smoking is associated with differences in nutritional habits and related to lipoprotein alterations independently of food and alcohol intake. Eur J Clin Nutr 50: 647-654.
  6. Drake I, Gullberg B, Ericson U, Sonestedt E, Nilsson J, Wallstrom P, Hedblad B, Wirfalt E (2011) Development of a diet quality index assessing adherence to the Swedish nutrition recommendations and dietary guidelines in the Malmo Diet and Cancer cohort. Public Health Nutr 14: 835-845. https://doi.org/10.1017/S1368980010003848
  7. Drewnowski A, Fiddler EC, Dauchet L, Galan P, Hercberg S (2009) Diet quality measures and cardiovascular risk factors in France: applying the Healthy Eating Index to the SU.VI.MAX study. J Am Coll Nutr 28: 22-29. https://doi.org/10.1080/07315724.2009.10719757
  8. Duell EJ (2012) Epidemiology and potential mechanisms of tobacco smoking and heavy alcohol consumption in pancreatic cancer. Mol Carcinogen 51: 40-52. https://doi.org/10.1002/mc.20786
  9. Dyer AR, Elliott P, Stamler J, Chan Q, Ueshima H, Zhou BF; INTERMAP Research Group (2003) Dietary intake in male and female smokers, ex-smokers, and never smokers: The INTERMAP study. J Hum Hypertens 17: 641-654. https://doi.org/10.1038/sj.jhh.1001607
  10. Ervin RB (2008) Healthy Eating Index scores among adults, 60 years of age and over, by sociodemographic and health characteristics: United States, 1999-2002. Adv Data 20: 1-16.
  11. Fisberg RM, Morimoto JM, Slater B, Barros MB, Carandina L, Goldbaum M, de Oliveira Latorre Mdo R, Cesar CL (2006) Dietary quality and associated factors among adults living in the state of Sao Paulo, Brazil. J Am Diet Assoc 106: 2067-2072. https://doi.org/10.1016/j.jada.2006.09.010
  12. Fisher M, Gordon T (1985) The relation of drinking and smoking habits to diet: the Lipid Research Clinics Prevalence Study. Am J Clin Nutr 41: 623-630.
  13. Frei B (2004) Efficacy of dietary antioxidants to prevent oxidative damage and inhibit chronic disease. J Nutr 134: 3196S-3198S.
  14. Gibson RS (1990) Principles of nutritional assessment. Oxford University Press, New York. p 143.
  15. Ji J, Pan E, Li J, Chen J, Cao J, Sun D, Lu X, Chen S, Gu D, Duan X, Wu X, Huang J (2011) Classical risk factors of cardiovascular disease among Chinese male steel workers: a prospective cohort study for 20 years. BMC Public Health 11: 497-504. https://doi.org/10.1186/1471-2458-11-497
  16. Jiao L, Zhu J, Hassan MM, Evans DB, Abbruzzese JL, Li D (2007) K-ras mutation and p16 and preproenkephalin promoter hypermethylation in plasma DNA of pancreatic cancer patients: in relation to cigarette smoking. Pancreas 34:55-62. https://doi.org/10.1097/01.mpa.0000246665.68869.d4
  17. Jung YR, Bae YJ, Sung CJ (2006) Comparative study on nutrient intakes, serum lipid profiles of smoking male college students. J East Asian Soc Dietary Life 16: 515-522.
  18. Kallner AB, Hartmann D, Hornig DH (1981) On the requirements of ascorbic acid in man: Steady-state turnover and body pool in smokers. Am J Clin Nutr 34: 1347-1355.
  19. Kawamoto R, Tabara Y, Kohara K, Miki T, Ohtsuka N, Kusunoki T, Abe M (2010) Smoking status is associated with serum high molecular adiponectin levels in community- dwelling Japanese men. J Atheroscler Thromb 17:423-430. https://doi.org/10.5551/jat.3681
  20. Kim MH, Bae YJ, Sung CJ (2006) A evaluation study on nutrient intake and diet quality of male college students according to packyear in Korea. Korean J Nutr 39: 572-584.
  21. Kim SH, Kim JY, Ryu KA, Sohn CM (2007) Evaluation of the dietary diversity and nutrient intakes in obese adults. Korean J Comm Nutr 12: 583-591.
  22. Kim SK, Yeon BY, Choi MK (2003) Comparison of nutrient intakes and serum mineral levels between smokers and non-smokers. Korean J Nutr 36: 635-645.
  23. Krebs-Smith SM, Smiciklas-Wright H, Guthrie HA, Krebs- Smith J (1987) The effects of variety in food choices on dietary quality. J Am Diet Assoc 87: 897-903.
  24. Loft S, Poulsen HE (1996) Cancer risk and oxidative DNA damage in man. J Mol Med (Berl) 74: 297-312. https://doi.org/10.1007/BF00207507
  25. Mayne ST, Cartmel B, Kirsh V, Goodwin WJ Jr (2009) Alcohol and tobacco use prediagnosis and postdiagnosis, and survival in a cohort of patients with early stage cancers of the oral cavity, pharynx and larynx. Cancer Epidem Biomar Prev 18: 3368-3374. https://doi.org/10.1158/1055-9965.EPI-09-0944
  26. McNaughton SA, Ball K, Crawford D, Mishra GD (2008) An index of diet and eating patterns is a valid measure of diet quality in an Australian population. J Nutr 138: 86-93.
  27. Midgette AS, Baron JA, Rohan TE (1993) Do cigarette smokers have diets that increase their risks of coronary heart disease and cancer? Am J Epidemiol 137: 521-529.
  28. Ministry of Health, Welfare and Family Affairs [MOHWFA] & Korea Center for Disease Control and Prevention [KCDCP] (2010a) 2009 National Health Statistics - The 4th Korea National Health and Nutrition Examination Survey, the third year (2009), Seoul. pp 205-206.
  29. Ministry of Health, Welfare and Family Affairs [MOHWFA] & Korea Center for Disease Control and Prevention [KCDCP] (2010b) 2009 National Health Statistics - The 4th Korea National Health and Nutrition Examination Survey, the third year (2009), Seoul. p 5.
  30. Morabia A, Wynder EL (1990) Dietary habits of smokers, people who never smoked, and exsmokers. Am J Clin Nutr 52: 933-937.
  31. Muff C, Dragano N, Jockel KH, Moebus S, Mohlenkamp S, Erbel R, Mann K, Siegrist J (2010) Is the co-occurrence of smoking and poor consumption of fruits and vegetables confounded by socioeconomic conditions? Int J Public Health 55: 339-346. https://doi.org/10.1007/s00038-010-0152-5
  32. Nakashita Y, Nakamura M, Kitamura A, Kiyama M, Ishikawa Y, Mikami H (2010) Relationships of cigarette smoking and alcohol consumption to metabolic syndrome in Japanese men. J Epidemiol 20: 391-397. https://doi.org/10.2188/jea.JE20100043
  33. Padrao P, Lunet N, Santos AC, Barros H (2007) Smoking, alcohol, and dietary choices: evidence from the Portuguese National Health Survey. BMC Public Health 7: 138. https://doi.org/10.1186/1471-2458-7-138
  34. Shannon J, Shikany JM, Barrett-Connor E, Marshall LM, Bunker CH, Chan JM, Stone KL, Orwoll E; Osteoporotic Fractures in Men (MrOS) Research Group (2007) Demographic factors associated with the diet quality of older US men: baseline data from the Osteoporotic Fractures in Men (MrOS) study. Public Health Nutr 10: 810-818.
  35. Shatenstein B, Nadon S, Ferland G (2004) Determinants of diet quality among Quebecers aged 55-74. J Nutr Health Aging 8: 83-91.
  36. Song KH, Kim HA (2002) Comparison of attitudinal beliefsregarding smoking and antioxidant vitamins status in the college male smokers and non-smokers. Korean J Dietary Culture 17: 329-336.
  37. Suminski RR, Wier LT, Poston W, Arenare B, Randles A, Jackson AS (2009) The effect of habitual smoking on measuredand predicted VO2(max). J Phys Act Health 6: 667-673.
  38. The Korean Nutrition Society (2010) Dietary reference intakes for Koreans. Seoul. p 215.
  39. Vardavas CI, Linardakis MK, Hatzis CM, Malliaraki N, Saris WH, Kafatos AG (2008) Smoking status in relation to serum folate and dietary vitamin intake. Tob Induc Dis 4: 8. https://doi.org/10.1186/1617-9625-4-8
  40. Wu M, Zhao JK, Zhang ZF, Han RQ, Yang J, Zhou JY, Wang XS, Zhang XF, Liu AM, van' t Veer P, Kok FJ, Kampman E (2011) Smoking and alcohol drinking increased the risk of esophageal cancer among Chinese men but not women in a high-risk population. Cancer Cause Control 22: 649-657. https://doi.org/10.1007/s10552-011-9737-4
  41. Yun YH, Jung KW, Bae JM, Lee JS, Shin SA, Park SM, Yoo T, Huh BY (2005) Cigarette smoking and cancer incidence risk in adult men: National health insurance corporation study. Cancer Detect Prev 29: 15-24. http://www.cancer.gov/dictionary?CdrID=306510. https://doi.org/10.1016/j.cdp.2004.08.006