Journal List > Korean J Community Nutr > v.16(1) > 1038314

Korean J Community Nutr. 2011 Feb;16(1):51-61. Korean.
Published online February 28, 2011.
Copyright © 2011 The Korean Society of Community Nutrition
Relationship between Nutrients Intakes, Dietary Quality, and Serum Concentrations of Inflammatory Markers in Metabolic Syndrome Patients
Misung Kim,1 Juyoung Kim, Wookyung Bae, Sohye Kim, Yesong Lee,1 Woori Na,1 and Cheongmin Sohn1
Health Promotion Center, Seoul National Universitiy of Bundang Hospital, Seongnam, Korea.
1Major in Food and Nutrition, Wonkwang University, Iksan, Korea.

Corresponding author: Cheongmin Sohn, Major in Food and Nutriton, Wonkwang University, 344-2 Sinyong-Dong, Iksan, Jeonbuk 570-749, Korea. Tel: (063) 850-6656, Fax: (063) 850-7301, Email:
Received January 13, 2011; Revised February 07, 2011; Accepted February 16, 2011.


Elevated serum concentration of inflammation markers is known as an independent risk factor of metabolic syndrome (MS) and dietary intake is an important factor to control MS. The purpose of this study was to investigated the hypothesis that inflammatory indices are associated with dietary intake and diet quality index-international (DQI-I) in subjects with MS. A cross-sectional study was conducted on 156 men and 73 postmenopausal women with MS, defined by three or more risk factors of the modified Adult Treatment Panel III criteria. Serum levels of high sensitive C-reactive protein (hs-CRP), adiponectin were examined and nutrients intake and DQI-I were assessed using a semi-quantitative food frequency questionnaire. The total DQI-I score was significantly higher in female subjects (65.87 ± 9.86) than in male subjects (62.60 ± 8.95). There was a positive association between hs-CRP and polyunsaturated fatty acid intake (p < 0.05) and a negative association between adiponectin and lipid (p < 0.05), total sugar (p < 0.01), and total fatty acids (p < 0.05). When the subjects were divided into 5 groups by quintile according to serum adiponectin and hs-CRP level, there was no association between DQI-I score and hs-CRP levels. Moderation score of DQI-I was significantly higher in highest quintile group than the lower quintile groups. Therefore, our results provide some evidence that dietary intake and diet quality are associated with inflammation markers and dietary modification might be a predictor to decrease risk for metabolic syndrome complications. However further research is needed to develop the dietary quality index reflecting the inflammatory change by considering the dietary habit and pattern of Koreans.

Keywords: metabolic syndrome; diet quality index-international; hs-CRP; adiponectin; nutrients intake


Fig. 1
Comparison of nutrient intakes of the two groups with KDRIs1)(%)

DRI for reference : Energy EER2), Protein EAR3), Fiber AI4), Calcium EAR, Phosphorus EAR, Iron EAR, Sodium AI, Zinc EAR, Vitamin A EAR, Vitamin B1 EAR, Vitamin B2 EAR, Vitamin B6 EAR, Niacin EAR, Vitamin C EAR, Folate EAR, Vitamin E AI

1) KDRIs : Dietary Reference Intakes for Koreans

2) EER : Estimated energy requirement

3) EAR : Estimated average requirement

4) RNI : Recommended nutrient intake

Significantly different between men and women groups by student's t test at *: P < 0.05 , **: P < 0.01 and ***: P < 0.001

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Table 1
Comparison of anthropometric measurements, blood pressure and biochemical indices in men and women groups
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Table 2
Correlation of inflammatory markers and metabolic syndrome factors
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Table 3
Comparison of daily nutrients intake in men and women groups
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Table 4
Correlation of inflammatory markers and nutrients Intake
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Table 5
Comparison of Diet Quality index-international(DQI-I) in men and women groups
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Table 6
Comparison of DQI-I in the subjects according to serum hs-CRP and Adiponectin level
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This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2010-0015498).

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