Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of metabolic syndrome indicators and nutrient intakes in postmenopausal women : from the Korean National Health and Nutrition Examination Survey, 2010~2012

폐경 후 여성의 대사증후군 지표와 영양소 섭취에 대한 비교 융합연구 : 2010~2012 국민건강영양조사자료 이용

  • 황효정 (삼육대학교 식품영양학과) ;
  • 최연정 (극동대학교 식품영양학과)
  • Received : 2019.08.08
  • Accepted : 2019.09.20
  • Published : 2019.09.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate the comparison between metabolic syndrome indicators and nutrient intakes in Korean menopausal women from the Korean National Health and Nutrition Examinations Survey data (2010~2012). Menopausal Status were classified into premature menopause(n=214) and natural menopause(n=2,546). Among the nutrient groups, retinol intake was a significant factor in natural menopausal women according to BMI levels and riboflavin intake was another significant factor in premature menopausal women according to fasting glucose levels. The results suggested that micronutrient including retinol, riboflavin, fiber and calcium were significantly associated with metabolic syndrome risk in Korean postmenopausal women. Further research is required for elucidating the association between nutrient intakes and incidence of metabolic syndrome in postmenopausal women within a large population in prospective studies.

본 연구는 제 5기 국민건강영양조사(2010~2012) 결과를 바탕으로 폐경여성의 대사증후군 지표에 따른 영양소 섭취를 비교 조사하였다. 조기폐경 여성 214명과 일반폐경 여성 2,545명을 분류하였으며, 폐경여성의 영양섭취에서 비만인 경우 레티놀 섭취와의 연관을 나타내고 있음을 확인하였고, 당뇨인 경우 리보플라빈 섭취량에 있어서 유의함을 확인하였다. 본 연구 결과 폐경여성에서 레티놀과 리보플라빈, 조섬유, 칼슘 및 나트륨 등의 미량영양소가 대사증후군 위험과 관련성이 있음을 보였는데, 추후 대규모 전향적 연구가 실시되어 각 영양소 섭취량과 폐경 후 대사증후군의 인과관계를 더욱 명확히 규명할 필요가 있을 것이라 사료된다.

Keywords

References

  1. Statistics Korea. (2018). Korean Social Index 2018. Daejeon: Statistics Korea.
  2. M. Han. (2011). Metabolic Syndrome Emerging from Menopause. Journal of menopausal medicine. 17(3), 127-135. DOI: 10.6118/jksm.2011.17.3.127
  3. P. Anagnostis, J. C. Stevenson, D. Crook, D. G. Johnston & I. F. Godsland. (2016). Effects of gender, age and menopausal status on serum apolipoprotein concentrations. Clinical Endocrinology. 85(5), 733-740. DOI: 10.1111/cen.1308.
  4. F. Shobeiri, E. Jenabi, J. Poorolajal & S. M. Hazavehei. (2016). The association between body mass index and hot flash in midlife women: a meta-analysis. Journal of Menopausal Medicine. 22, 14-19. DOI: 10.6118/jmm.2016.22.1.14.
  5. F. Mauvais-Jarvis, D. J. Clegg & A. L. Hevener. (2013). The role of estrogens in control of energy balance and glucose homeostasis. Endocrine Reviews. 34(3), 309-338. DOI: 10.1210/er.2012-1055.
  6. W. M. Kohrt & M. E. Wierman. (2017). Preventing fat gain by blocking follicle-stimulating hormone. The New England Journal of Medicine. 377(3), 293-295. DOI: 10.1056/NEJMcibr1704542.
  7. T. Muka et al. (2016). Association of age at onset of menopause and time since onset of menopause with cardiovascular outcomes, intermediate vascular traits, and all-cause mortality: a systematic review and meta-analysis. JAMA Cardiology. 1(7), 767-776. DOI: 10.1001/jamacardio.2016.2415.
  8. L. Shen et al. (2017). Effects of early age at natural menopause on coronary heart disease and stroke in Chinese women. International Journal of Cardiology. 241, 6-11. DOI: 10.1016/j.ijcard.2017.03.127.
  9. Y. Heianza et al. (2013). Effect of postmenopausal status and age at menopause on type 2 diabetes and prediabetes in Japanese individuals: Toranomon Hospital Health Management Center Study 17 (TOPICS 17). Diabetes Care. 36(12), 4007-4014. DOI: 10.2337/dc13-1048.
  10. H. S. Shim, H. S. Kim & J. H. Kim. (2010). Analysis of Metabolic Syndrome Risk Factors among the Menopausal Women in Her Fifties. Journal of Korean Biological Nursing Science. 12(1), 58-62. DOI: 10.7586/jkbns.2010.12.1.58.
  11. H. S. Lee, J. H. Ok, J. M. Kim & Y. J. Cho. (2013). A Clinical Analysis of Patients with Premature Ovarian Failure: Compliance with Hormonal Treatment. The Journal of Korean Society of Menopause. 19(2), 87-92. DOI: 10.6118/jksm.2013.19.2.87.
  12. J. K. Joo, J. B. Son, J. E. Jeong, S. C. Kim & K. S. Lee. (2012). Differences of Prevalence and Components of Metabolic Syndrome according to Menopausal Status. The Journal of Korean Society of Menopause. 18(3), 155-162. DOI: 10.6118/jksm.2012.18.3.155.
  13. S. H. Kim, N. Y. Kim & I. S. Yeo. (2007). A study on the relationship between nutritional status and select blood parameters in premenopausal and postmenopausal women. Journal of the East Asian Society Dietary Life. 17(4), 483-489. DOI: 10.17495/easdl.2007.17.4.483.
  14. Y. J. Park et al. (2003). Association of diet with menopausal symptoms in Korean middle-aged women. Journal of Korean Academy of Nursing. 33(3), 386-394. DOI: 10.4040/jkan.2003.33.3.386.
  15. Y. S. Park et al. (2009). Nutrient Intake and Osteoporosis: A case-control study in Korean postmenopausal women. Journal of bone metabolism. 16(2), 103-110. DOI: 10.11005/jbm.2009.16.2.103.
  16. Y. H. Choi & T. H. Song. (2013). Correlation of Anthropometric Data, Nutrient Intakes and Serum Lipids in Premenopausal and Postmenopausal Women. The Korean Journal of Food and Nutrition. 26(3), 476-484. DOI: 10.9799/ksfan.2013.26.3.476.
  17. J. M. Heo, Y. S. Park & H. M. Park. (2011). Dietary Intake of Nutrients and Food in Postmenopausal Korean Women. Journal of menopausal medicine. 17(1), 12-20. DOI: 10.6118/jksm.2011.17.1.12.
  18. Ministry of Health and Welfare.The Korean Nutrition Society. (2015). Dietary Reference Intakes For Koreans 2015. Sejong: Ministry of Health and Welfare.
  19. H. S. Lim, T. H. Kim, H. H. Lee, Y. H. Park, J. M. Kim & B. R. Lee. (2016). Hypertension and age at onset of natural menopause in Korean postmenopausal women: Results from the Korea National Health and Nutrition Examination Survey (2008-2013). Maturitas. 90, 17-23. DOI: 10.1016/j.maturitas.2016.04.019.
  20. S. H. Kang, K. H. Cho & J. Y. Do. (2018). Association between the modified dietary approaches to stop hypertension and metabolic syndrome in postmenopausal women without diabetes. Metabolic Syndrome and Related Disorders. 16(6), 282-289. DOI: 10.1089/met.2018.0007.
  21. S. Giovinazzo, A. Alibrandi, A. Campennì, F. Trimarchi & R. M. Ruggeri. (2017). Correlation of cardio-metabolic parameters with vitamin D status in healthy premenopausal women. Journal of Endocrinological Investigation. 40(12), 1337-1343. DOI: 10.1007/s40618-017-0707-x.
  22. C. De Gregorio et al. (2017). Genistein supplementation and cardiac function in postmenopausal women with metabolic syndrome: results from a Pilot Strain-Echo Study. Nutrients. 9(6), 584. DOI: 10.3390/nu9060584.
  23. I. E. Lofgren et al. (2005). Weight loss favorably modifies anthropometrics and reverses the metabolic syndrome in premenopausal women. Journal of the American College of Nutrition. 24(6), 486-93. DOI: 10.1080/07315724.2005.10719494.
  24. Korea Centers for Disease Control and Prevention. (2010). The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1), Cheongju: Korea Centers for Disease Control and Prevention.
  25. Y. M. Lim, K. Jeong, S. R. Lee, H. W. Chung & W. Lee. (2019). Association between premature ovarian insufficiency, early menopause, socioeconomic status in a nationally representative sample from Korea. Maturitas. 121, 22-27. DOI: 10.1016/j.maturitas.2018.12.004.
  26. C. C. Chen et al. (2008). Association among cigarette smoking, metabolic syndrome, and its individual components: the metabolic syndrome study in Taiwan. Metabolism. 57(4), 544-548. DOI: 10.1016/j.metabol.2007.11.018.
  27. W. P. Jia. (2013). The impact of cigarette smoking on metabolic syndrome. Biomedical and Environmental Sciences. 26(12), 947-952. DOI: 10.3967/bes2013.029.
  28. D. Kar et al. (2016). Relationship of cardiometabolic parameters in non-smokers, current smokers, and quitters in diabetes: a systematic review and meta-analysis. Cardiovascular Diabetology. 15(1), 158. DOI: 10.1186/s12933-016-0475-5.
  29. S. Choi et al. (2019). Association between Change in Alcohol Consumption and Metabolic Syndrome: Analysis from the Health Examinees Study. Diabetes & Metabolism Journal. 43, e33. DOI: 10.4093/dmj.2018.0128.
  30. C. Ostman, N. A. Smart, D. Morcos, A. Duller, W. Ridley & D. Jewiss. (2017). The effect of exercise training on clinical outcomes in patients with the metabolic syndrome: a systematic review and meta-analysis. Cardiovascular Diabetology. 16(1), 110. DOI: 10.1186/s12933-017-0590-y.
  31. Korea Centers for Disease Control and Prevention. (2010). The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1), Cheongju: Korea Centers for Disease Control and Prevention.
  32. D. Ham, S. A. Kim, S. Jun, M. S. Kang & H. Joung. (2018). Association between antioxidant vitamin intake and obesity among Korean women: using the Korea National Health and Nutrition Examination Survey 2007-2016. Journal of Nutrition and Health. 51(5), 400-413. DOI: 10.4163/jnh.2018.51.5.400.
  33. S. Park, J. O. Ham & B. K. Lee. (2018). Effects of total vitamin A, vitamin C, and fruit intake on risk for metabolic syndrome in Korean women and men. Nutrition. 31(1), 111-118. DOI: 10.1016/j.nut.2014.05.011.
  34. W. Y. Shin & J. H. Kim. (2019). Low riboflavin intake is associated with cardiometabolic risks in Korean women. Asia Pacific Journal of Clinical Nutrition. 28(2), 285-299. DOI: 10.6133/apjcn.201906_28(2).0011.
  35. J. P. Chen, G. C. Chen, X. P. Wang, L. Qin & Y. Bai. (2017) Dietary Fiber and Metabolic Syndrome: A Meta-Analysis and Review of Related Mechanisms. Nutrients. 10(1), 24. DOI: 10.3390/nu10010024.
  36. M. K. Kim et al. (2017). Associations of dietary calcium intake with metabolic syndrome and bone mineral density among the Korean population: KNHANES 2008-2011. Osteoporosis International. 28(1), 299-308. DOI: 10.1007/s00198-016-3717-1.
  37. Y. Manios, G. Moschonis, E. Grammatikaki, I. Katsaroli, P. Kanelou & S. Tanagra. (2006). Nutrition education in postmenopausal women: changes in dietary and cardiovascular indices. Maturitas. 55(4), 338-347. DOI: 10.1016/j.maturitas.2006.05.006.
  38. Y. Choi, S. Kim, K. Jung & Y Chang. (2002). The Analysis of the Factors Related to Diet Quality in the Postmenopausal Women. Journal of Nutrition and Health. 35(1), 102-114. DOI: 10.4163/jnh.2002.35.1.102.
  39. S. M. George et al. (2014). Comparing indices of diet quality with chronic disease mortality risk in postmenopausal women in the Women's Health Initiative Observational Study: evidence to inform national dietary guidance. American Journal of Epidemiology. 180(6), 616-625. DOI: 10.1093/aje/kwu173.
  40. S. E. Ahn et al. (2017). Association between intake of antioxidant vitamins and metabolic syndrome risk among Korean adults. Journal of Nutrition and Health. 50(4), 313-324. DOI: 10.4163/jnh.2017.50.4.313.
  41. A. Esmaillzadeh, M. Kimiagar, Y. Mehrabi, L. Azadbakht, F. B. Hu & W. C. Willett. (2006). Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome. The American Journal of Clinical Nutrition. 84(6), 1489-1497. DOI: 10.1093/ajcn/84.6.1489.
  42. D. B. Panagiotakos, C. Pitsavos, Y. Skoumas & C. Stefanadis. (2007). The association between food patterns and the metabolic syndrome using principal components analysis: the ATTICA Study. Journal of the American Dietetic Association. 107(6), 979-987. DOI: 10.1016/j.jada.2007.03.006.
  43. M. Rodriguez-Monforte, E. Sanchez, F. Barrio, B. Costa & G. Flores-Mateo. (2017). Metabolic syndrome and dietary patterns: a systematic review and meta-analysis of observational studies. European Journal of Nutrition. 56(3), 925-947. DOI: 10.1007/s00394-016-1305-y.
  44. A. Agodi et al. (2018). Association of Dietary Patterns with Metabolic Syndrome: Results from the Kardiovize Brno 2030 Study. Nutrients. 10(7), 898. DOI: 10.3390/nu10070898.
  45. S. Hong et al. (2012). A fruit and dairy dietary pattern is associated with a reduced risk of metabolic syndrome. Metabolism, 61(6), 883-890. DOI: 10.1016/j.metabol.2011.10.018.
  46. A. C. Vergnaud et al. (2008) Dairy consumption and 6-y changes in body weight and waist circumference in middle-aged French adults. The American Journal of Clinical Nutrition. 88(5), 1248-1255. DOI: 10.3945/ajcn.2007.25151.
  47. C. E. Dugan, J. Barona & M. L. Fernandez. (2014). Increased dairy consumption differentially improves metabolic syndrome markers in male and female adults. Metabolic Syndrome Related Disorders. 12(1), 62-69. DOI: 10.1089/met.2013.0109.
  48. K. D. Ballard, E. Mah, Y. Guo, R. Pei, J. S. Volek & R. S. Bruno. (2013). Low-fat milk ingestion prevents postprandial hyperglycemia-mediated impairments in vascular endothelial function in obese individuals with metabolic syndrome. Journal of Nutrition. 143(10), 1602-1610. DOI: 10.3945/jn.113.179465.
  49. Y. J. Lee et al. (2016). Effects of low-fat milk consumption on metabolic and athero genic biomarkers in Korean adults with the metabolic syndrome: a randomised controlled trial. Journal of Human Nutrition and Dietetics. 29(4), 477-486. DOI: 10.1111/jhn.12349.
  50. D. Kim & J. Kim. (2017). Dairy consumption is associated with a lower incidence of the metabolic syndrome in middle-aged and older Korean adults: the Korean Genome and Epidemiology Study (KoGES). British Journal of Nutrition. 117(1), 148-160. DOI: 10.1017/S000711451600444X.
  51. A. C. Purdue-Smithe et al. (2019). A prospective study of dairy-food intake and early menopause. American Journal of Epidemiology. 188(1), 188-196. DOI: 10.1093/aje/kwy212.
  52. S. R. El Khoudary. (2017). Gaps, limitations and new insights on endogenous estrogen and follicle stimulating hormone as related to risk of cardiovascular disease in women traversing the menopause: A narrative review. Maturitas. 104, 44-53. DOI: 10.1016/j.maturitas.2017.08.003.
  53. H. Dehaini, M. Fardoun, H. Abou-Saleh, A. El-Yazbi, A. A. Eid & A. H. Eid. (2018). Estrogen in vascular smooth muscle cells: A friend or a foe? Vascular Pharmacology. 111, 15-21. DOI: 10.1016/j.vph.2018.09.001.
  54. A. Iorga, C. M. Cunningham, S. Moazeni, G. Ruffenach, S. Umar & M. Eghbali. (2017). The protective role of estrogen and estrogen receptors in cardiovascular disease and the controversial use of estrogen therapy. Biology of Sex Differences. 8(1), 33. DOI: 10.1186/s13293-017-0152-8.
  55. O. Joakimsen, K. H. Bonaa, E. Stensland-Bugge & B. K. Jacobsen. (2000). Population-based study of age at menopause and ultrasound assessed carotid atherosclerosis: The Tromso Study. Journal of Clinical Epidemiology. 53(5), 525-530. DOI: 10.1016/S0895-4356(99)00197-3.
  56. Y. Lee, H. N. Lee, S. J. Kim, J. Koo, K. E. Lee & J. E. Shin. (2018) Higher parity and risk of metabolic syndrome in Korean postmenopausal women: Korea National Health and Nutrition Examination Survey 2010-2012. Journal of Obstetrics and Gynaecology Research. 44(11), 2045-2052. DOI: 10.1111/jog.13766.
  57. B. Matulonga-Diakiese et al. (2018). Risk of asthma onset after natural and surgical menopause: Results from the French E3N cohort. Maturitas, 118, 44-50. DOI: 10.1016/j.maturitas.2018.10.006.