Warning: mkdir(): Permission denied in /home/virtual/lib/view_data.php on line 81

Warning: fopen(upload/ip_log/ip_log_2024-11.txt): failed to open stream: No such file or directory in /home/virtual/lib/view_data.php on line 83

Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 84
Comparison of Nutrient Intake between Hypercholesterolemic and Normal groups based on the 6th Korea National Health and Nutrition Examination Survey
Skip Navigation
Skip to contents

Korean J Community Nutr : Korean Journal of Community Nutrition

OPEN ACCESS

Articles

Page Path
HOME > Korean J Community Nutr > Volume 25(5); 2020 > Article
Research Article
Comparison of Nutrient Intake between Hypercholesterolemic and Normal groups based on the 6th Korea National Health and Nutrition Examination Survey
Hyun-A Lee, Hyung-Sook Kim
Korean Journal of Community Nutrition 2020;25(5):396-405.
DOI: https://doi.org/10.5720/kjcn.2020.25.5.396
Published online: October 31, 2020
1Master’s graduate, Graduate School of Education (Nutrition education), The University of Suwon, Hwaseong, Korea
2Assistant Professor, Department of Food and Nutrition, The University of Suwon, Hwaseong, Korea
Corresponding author:  Hyung-Sook Kim,
Email: hyungsook@suwon.ac.kr
Received: 31 July 2020   • Revised: 7 October 2020   • Accepted: 8 October 2020
  • 148 Views
  • 0 Download
  • 2 Crossref
  • 0 Scopus
prev next

Objectives
This study was conducted to compare the nutrient intake of normal healthy adults with those having hypercholesterolemia. Methods We analyzed data from the 6th Korea National Health and Nutrition Examination Survey (KNHANES VI). A total of 12,636 adults (5,223 males and 7,413 females) aged 19 or older were included in the study. Results Males with hypercholesterolemia were older and had a higher waist circumference, body mass index, fasting blood sugar levels (FBS) and serum triglyceride (TG) concentrations compared to the normal group. Females with hypercholesterolemia were older and had higher FBS levels and serum TG concentrations compared to the normal group. While comparing nutrient intake by the 24-hour recall method, the male normal group showed a higher intake of fat, saturated fatty acid (SFA), monounsaturated fatty acid (MUFA), vitamin A and thiamin compared to the hypercholesterolemic group. However, the male normal group had a lower intake of iron and vitamin C compared to the hypercholesterolemic group. The female normal group had a higher intake of energy, protein, fat, SFA, MUFA, polyunsaturated fatty acids, cholesterol, riboflavin, and niacin compared to the hypercholesterolemic group, but had a lower intake of iron compared to the hypercholesterolemic group. A comparison of nutrient intake by food frequency questionnaire (FFQ) showed the following: There was no significant difference in nutrient intake between the normal men and women and those with hypercholesterolemia. After adjustment for confounding factors, nutrient intake by FFQ of the male normal group showed higher levels of n-3 fatty acid and vitamin C compared to the group with hypercholesterolemia. However, there was no significant difference in nutrient intake between the two groups of women. Conclusions The average intake of n-3 fatty acids and vitamin C of the male group with hypercholesterolemia was lower than that of the normal group. However, since KNHANES is a cross-sectional study, prospective cohort studies are required to analyze the risk factors of hypercholesterolemia.


Korean J Community Nutr. 2020 Oct;25(5):396-405. Korean.
Published online Oct 31, 2020.
Copyright © 2020 The Korean Society of Community Nutrition
Original Article

Comparison of Nutrient Intake between Hypercholesterolemic and Normal groups based on the 6th Korea National Health and Nutrition Examination Survey

Hyun-A Lee,1 and Hyung-Sook Kim2
    • 1Master's graduate, Graduate School of Education (Nutrition education), The University of Suwon, Hwaseong, Korea.
    • 2Assistant Professor, Department of Food and Nutrition, The University of Suwon, Hwaseong, Korea.
Received July 31, 2020; Revised October 07, 2020; Accepted October 08, 2020.

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

This study was conducted to compare the nutrient intake of normal healthy adults with those having hypercholesterolemia.

Methods

We analyzed data from the 6th Korea National Health and Nutrition Examination Survey (KNHANES VI). A total of 12,636 adults (5,223 males and 7,413 females) aged 19 or older were included in the study.

Results

Males with hypercholesterolemia were older and had a higher waist circumference, body mass index, fasting blood sugar levels (FBS) and serum triglyceride (TG) concentrations compared to the normal group. Females with hypercholesterolemia were older and had higher FBS levels and serum TG concentrations compared to the normal group. While comparing nutrient intake by the 24-hour recall method, the male normal group showed a higher intake of fat, saturated fatty acid (SFA), monounsaturated fatty acid (MUFA), vitamin A and thiamin compared to the hypercholesterolemic group. However, the male normal group had a lower intake of iron and vitamin C compared to the hypercholesterolemic group. The female normal group had a higher intake of energy, protein, fat, SFA, MUFA, polyunsaturated fatty acids, cholesterol, riboflavin, and niacin compared to the hypercholesterolemic group, but had a lower intake of iron compared to the hypercholesterolemic group. A comparison of nutrient intake by food frequency questionnaire (FFQ) showed the following: There was no significant difference in nutrient intake between the normal men and women and those with hypercholesterolemia. After adjustment for confounding factors, nutrient intake by FFQ of the male normal group showed higher levels of n-3 fatty acid and vitamin C compared to the group with hypercholesterolemia. However, there was no significant difference in nutrient intake between the two groups of women.

Conclusions

The average intake of n-3 fatty acids and vitamin C of the male group with hypercholesterolemia was lower than that of the normal group. However, since KNHANES is a cross-sectional study, prospective cohort studies are required to analyze the risk factors of hypercholesterolemia.

Keywords
serum cholesterol concentration; nutrients intake; KNHANES VI

Tables

Table 1
General characteristics of subjects

Table 2
Mean daily nutrient intake and nutrition density by the 24hour recall

Table 3
Mean daily nutrient intake and nutrition density by food frequency questionnaire

Table 4
Adjusted means of nutrient Intake by the 24hour recall and food frequency questionnaire (FFQ)

Acknowledgments

This paper is part of the master's degree research.

References

    1. Heo ML, Kim HD. An analysis of hypertension status and related factors in Korean early adults. Korean J Food Nutr 2018;31(5):720–728.
    1. Korea Disease Control and Prevention Agency. 2017 Report on noncommunicable disease and issue, 2018 [Internet]. 2018 [updated 2018 Jan 5]. [cited 2018 Dec 1].
    1. Kim S, Sohn C, Chung WY. Effects of medical nutrition therapy on food habits and serum lipid levels of hypercholesterolemic patients. J Korean Diet Assoc 2005;11(1):125–132.
    1. Grundy SM. Third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation 2002;106(25):3143–3421.
    1. Ko SK. The effect of BMI and %Fat as an obesity Index on the diagnosis of hyperlipidemia in adult men. Exerc Sci 2005;14(1):21–30.
    1. Ha KH, Kwon HS, Kim DJ. Epidemiologic characteristics of dyslipidemia in Korea. J Lipid Atheroscler 2015;4(2):93–99.
    1. Jeong JH, Choi YS, Kim SM, Choi SY, Kim JE, Kim EY. Correlation between physical activity status and dyslipidemia in Korean adults: The 2010 Korea National Health and Nutrition Examination Survey. Korean J Clin Geriatr 2014;15(1):35–44.
    1. Eckel RH, Jakicic JM, Ard JD, de Jesus JM, Houston Miller N, Hubbard VS. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association task force on practice guidelines. Circulation 2014;129(25 Suppl 2):S76–S99.
    1. Shin MJ, Lim HS, Chung NS, Cho SY, Kim SS. Effect of dietary therapy on blood lipidin outpatients with hypercholesterolemia. J Korean Diet Assoc 2001;7(4):313–319.
    1. Kim JS, Han JS. Effects of a web-based nutrition counseling on food intake and serum lipids in hyperlipidemic patients. J Korean Soc Food Sci Nutr 2004;33(8):1302–1310.
    1. Pack JS, Hong SA. A study on the evaluation and improvement of an integrated health promotion program in the local community. J Korean Converg Soc 2017;8(7):131–139.
    1. Berger S, Raman G, Vishwanathan R, Jacques PF, Johnson EJ. Dietary cholesterol and cardiovascular disease: a systematic review and meta-analysis. Am J Clin Nutr 2015;102(2):276–294.
    1. McNamara DJ. Dietary cholesterol and atherosclerosis. Biochim Biophys Acta 2000;1529(1):310–320.
    1. Dietary Guidelines Advisory Committee 2015. Scientific report of the 2015 dietary guidelines advisory committee. Washington DC: U.S. Department of Agriculture, Agricultural Research Service; 2015. pp. 47-182.
    1. Lecerf JM, De Lorgeril M. Dietary cholesterol: from physiology to cardiovascular risk. Br J Nutr 2011;106(1):6–14.
    1. Kelley GA, Kelley KS, Roberts S, Haskell W. Efficacy of aerobic exercise and a prudent diet for improving selected lipids and lipoproteins in adults: a meta-analysis of randomized controlled trials. BMC Med 2011;9(1):74–88.
    1. The Korean Nutrition Society. Dietary Reference Intakes for Koreans 2015. Seoul: The Korean Nutrition Society; 2015. pp. 101-130.
    1. Lee SL, Kim SY, Chang YK. A study on dietary patterns and nutrient intake in women with hypercholesterolemia. Korean J Community Nutr 2001;6(5):819–829.
    1. Kim S, Jung K, Choi YJ, Lee S, Chang Y. Comparisons of nutrients intake of normocholesterolemia and hypercholesterolemia in the postmenopausal women. Korean J Community Nutr 2000;5(3):461–474.
    1. Hwang KH, Heo YR, Lim HS. The effects of lowering dietary fat and cholesterol on hypercholessterolemic men. Korean J Nutr 1999;32(5):552–560.
    1. Korean Society of Epidemiology. Nutritional epidemiology (translated version). 3rd ed. Paju: Kyomunsa; 2013.
      English original written by Willett W.
    1. Park HJ. In: The association of secondhand smoke and dyslipidemia [master's thesis]. Yonsei University; 2018.
    1. Jung MS. In: Correlation coefficient between dietary intakes and serum lipid levels of Korean adult males and females [master's thesis]. Ewha Womans University; 2008.
    1. Shin MG, Yoon KH, Song MY. Comparison of health behaviors and nutritional status related to dyslipidemia in Korean middleaged adults: From the Korean National Health and Nutrition Examination Surveys, 2007~2010. Korean J Food Nutr 2016;29(5):724–734.
    1. Kim HS. In: A study on development and validation of computerized food frequency questionnaire for Korean with high-risk of hypercholesterolemia [dissertation]. Seoul National University; 2000.
    1. Cha D, Park Y. Association between dietary cholesterol and their food sources and risk for hypercholesterolemia: The 2012-2016 Korea National Health and Nutrition Examination Survey. Nutrients 2019;11(4):846–856.
    1. Kim JS, Suh YK, Kim HS, Chang KJ, Choi H. The relationship between serum cholesterol levels and dietary fatty acid patterns, plasma fatty acids, and other lipid profile among Korean adults. Korean J Community Nutr 2003;8(2):192–201.
    1. Atakisi E, Atakisi O, Yaman H, Arslan I. Omega-3 fatty acid application reduces yolk and plasma cholesterol levels in Japanese quails. Food Chem Toxicol 2009;47(10):2590–2593.
    1. Ramprasath VR, Jones PJ, Buckley DD, Woollett LA, Heubi JE. Decreased plasma cholesterol concentrations after PUFA-rich diets are not due to reduced cholesterol absorption/synthesis. Lipids 2012;47(11):1063–1071.
    1. Park YS, Park HJ, Won SI. Association of fatty acid intake and dyslipidemia in Korean adults: Korea National Health and Nutrition Survey, 1998-2007. J East Asian Soc Dietary Life 2011;21(6):789–807.
    1. McRae MP. Vitamin C supplementation lowers serum lowdensity lipoprotein cholesterol and triglycerides: a meta-analysis of 13 randomized controlled trials. J Chiropr Med 2008;7(2):48–58.

Figure & Data

References

    Citations

    Citations to this article as recorded by  Crossref logo
    • Comparison of blood biochemical characteristics and dietary intake by sex in gastric cancer patients over 40 years in Korea based on 7th (2016-2018) Korea National Health and Nutrition Examination Survey: a cross-sectional study
      Hyeon-Ju Lee, Sung-Won Oh, Sook-Bae Kim
      Korean Journal of Community Nutrition.2023; 28(1): 48.     CrossRef
    • Analysis of Fruit Consumption and the Korean Healthy Eating Index of Adults Using the 2018 Korea National Health and Nutrition Examination Survey
      Sun A Choi, Sung Suk Chung, Jeong Ok Rho
      Journal of the Korean Society of Food Science and Nutrition.2021; 50(10): 1124.     CrossRef


    Korean J Community Nutr : Korean Journal of Community Nutrition
    Close layer
    TOP