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Suh, Park, and Chung: An Evaluation of Chronic Disease Risk Based on the Percentage of Energy from Carbohydrates and the Frequency of Vegetable Intake in the Korean Elderly: Using the 2007-2009 Korea National Health and Nutrition Examination Survey
Research Article

Korean Journal of Community Nutrition 2015; 20(1): 41-52.

Published online: 28 February 2015

DOI: https://doi.org/10.5720/kjcn.2015.20.1.41

An Evaluation of Chronic Disease Risk Based on the Percentage of Energy from Carbohydrates and the Frequency of Vegetable Intake in the Korean Elderly: Using the 2007-2009 Korea National Health and Nutrition Examination Survey

Yoon Suk Suh1, Min Seon Park2, Young-Jin Chung2

1Graduate School of Education, Chungnam National University, Daejeon, Korea.

2Department of Food and Nutrition, Chungnam National University, Daejeon, Korea.

Corresponding author: Young-Jin Chung. Department of Food and Nutrition, College of Human Ecology, Chungnam National University, 99 Daehak-ro(St), Yusong-gu, Daejeon 305-764, Korea. Tel: (042) 821-6833, Fax: (042) 821-8887, yjchung@cnu.ac.kr

Received 26 January 2015       Revised 25 February 2015       Accepted 26 February 2015

Copyright © 2015 The Korean Society of Community Nutrition

(open-access):

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

Korean elderly people are known to consume diets high in carbohydrates low in vegetables compared to other age groups. This study evaluated the chronic disease risks and nutritional status in this group based on the percentage of energy from carbohydrates and the frequency of vegetable intake.

Methods

Using the 2007~2009 Korean National Health Nutrition Examination Survey data, except those who were undergoing treatment for chronic disease, final 1,487 subjects aged 65 and older were divided into 4 groups: moderate carbohydrate energy ratio of 55~70% and low frequency of vegetable intake defined as less than 5 times per day (MCLV), moderate carbohydrate ratio and high frequency of vegetable intake more than 5 times (MCHV), high carbohydrate energy ratio above 70% and low frequency of vegetable intake less than 5 times (HCLV), and high carbohydrate ratio and high frequency of vegetable intake more than 5 times (HCHV). All data were analyzed after the application of weighted value, using a general linear model or logistic regression.

Results

More than half of Korean elderly consumed diets with HCLV, and this group showed poor nutritional status and lower frequency of intake of most food items, but with no risk of chronic disease such as diabetes, obesity, hypertension, cardiovascular disease or anemia probably due to low intake of energy. On the contrary, MCHV group with a high percentage of energy from fat and protein showed the highest intake of energy and most nutrients, the highest frequency of intake of most of food items and a tendency of high risk of abdominal obesity, being followed by the MCLV group. Meanwhile, HCHV group showed a tendency of high risk of hypertension, followed by HCLV group with low frequency of intake of vegetables compared with the two moderate carbohydrate groups.

Conclusions

The results suggested that the percentage of energy from carbohydrate and the frequency of vegetable intake affected the nutritional status, but not significantly affected the risk of chronic disease in Korean elderly. Further studies using more detailed category of % energy from carbohydrates and of type and amount of vegetables with consideration of individual energy intake level, excessive or deficient, are needed to confirm the results.

Keywords: elderly, percentage of energy from carbohydrate, vegetable frequency, chronic disease risk factor, nutrition

Figures and Tables

Table 1

General characteristics of the study subjects by the dietary carbohydrate energy ratio and the frequency of vegetable intake

kjcn-20-41-i001

1) MCLV: Moderate carbohydrate·low vegetables, MCHV: Moderate carbohydrate·high vegetables

HCLV: High carbohydrate·low vegetables, HCHV: high carbohydrate·high vegetables

2) Calculated by Complex Samples χ2-test

3) N (%)

Table 2

Anthropometric, blood pressure, and blood biochemical indices of the study subjects by carbohydrate energy ratio and the frequency of vegetable intake1)

kjcn-20-41-i002

1) Adjusted for sex, age, residential area, income, education level, and energy intake

2) MCLV: Moderate carbohydrate·low vegetables, MCHV: Moderate carbohydrate·high vegetables

HCLV: high carbohydrate·low vegetables, HCHV: high carbohydrate·high vegetables

3) Calculated by Complex Samples General Linear Model ANOVA

4) Mean±SE

Table 3

Daily energy and nutrient intakes of the study subjects by carbohydrate energy ratio and the frequency of vegetable intake1)

kjcn-20-41-i003

1) Adjusted for sex, age, residential area, income, education level, and energy intake

2) MCLV: Moderate carbohydrate·low vegetables, MCHV: Moderate carbohydrate·high vegetables

HCLV: high carbohydrate·low vegetables, HCHV: high carbohydrate·high vegetables

3) Calculated by Complex Samples General Linear Model ANOVA 4) Mean±SE

†: Adjusted not for energy intake

‡: macronutrient energy ratio

Table 4

Nutrient adequacy ratio (NAR) and mean adequacy ratio (MAR) of the study subjects by the carbohydrate energy ratio and the frequency of vegetable intake1)

kjcn-20-41-i004

1) Adjusted for sex, age, residential area, income, education level, and energy intake

2) MCLV: Moderate carbohydrate·low vegetables, MCHV: Moderate carbohydrate·high vegetables

HCLV: high carbohydrate·low vegetables, HCHV: high carbohydrate·high vegetables

3) Calculated by Complex Samples General Linear Model ANOVA

4) Mean±SE

Table 5

Daily food item consumption frequency (times/day) of the study subjects by carbohydrate energy ratio and the frequency of vegetable intake1)

kjcn-20-41-i005

1) Adjusted for sex, age, residential area, income, and education level

2) MCLV: Moderate carbohydrate·low vegetables, MCHV: Moderate carbohydrate·high vegetables

HCLV: high carbohydrate·low vegetables, HCHV: high carbohydrate·high vegetables

3) Calculated by Complex Samples General Linear Model ANOVA

4) Mean±SE

Table 6

The odds ratio of chronic disease risk in the study population by carbohydrate energy ratio and the frequency of intake of vegetables1)

kjcn-20-41-i006

1) Adjusted for sex, age, residential area, income, education level, and energy intake

2) MCLV: Moderate carbohydrate·low vegetables, MCHV: Moderate carbohydrate·high vegetables

HCLV: high carbohydrate·low vegetables, HCHV: high carbohydrate·high vegetables

3) Calculated by Complex Samples Logistic Regression

4) N (%), 5) 95% confidence interval of Odds ratio, 6) Cut off point for male, 7) Cut off point for female

References

1. Cooper AJ, Forouhi NG, Ye Z, Buijsse B, Arriola L, Balkau B, Barricarte A, Beulens JWJ, Boeing H, Büchner FL, Dahm CC, Lauzon-Guillain B, Fagherazzi G, Franks PW, Gonzalez C, Grioni S, Kaaks R, Key TJ, Masala G, Navarro C, Nilsson P, Overvad K, Panico S, Ramón Quirós J, Rolandsson O, Roswall N, Sacerdote C, Sánchez M-J, Slimani N, Sluijs I, Spijkerman AMW, Teucher B, Tjonneland A, Tumino R, Sharp SJ, Langenberg C, Feskens EJM, Riboli E, Wareham NJ. The InterAct Consortium. Fruit and vegetable intake and type 2 diabetes: EPIC-InterAct prospective study and meta-analysis. Eur J Clin Nutr. 2012; 66(10):1082–1092.
2. Choi MK, Bae YJ. A study on blood lipids and blood pressure of adult men and women according to vegetable intake. Korean J Community Nutr. 2007; 12(6):761–772.
3. Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC. Fruit and vegetable intakes, C-reactive protein and the metabolic syndrome. Am J Clin Nutr. 2006; 84(6):1489–1497.
4. Kang M, Joung HJ, Lim JH, Lee YS, Song YJ. Secular trend in dietary patterns in a Korean adult population using the 1998, 2001, and 2005 Korean national health and nutrition examination Survey. Korean J Nutr. 2011; 44(2):152–161.
5. Kim J, Jo I, Joung H. A rice-based traditional dietary pattern is associated with obesity in Korean adults. J Acad Nutr Diet. 2012; 112(2):246–253.
6. Kim Y. Food and nutrient consumption patterns of Korean adults by socioeconomic status. Korean J Community Nutr. 2001; 6(4):645–656.
7. Kwon JH, Shim JE, Park MK, Paik HY. Evaluation of fruits and vegetables intake for prevention of chronic disease in Korean adults aged 30 years and over: using the third Korea National Health and Nutrition Examination Survey(KNHANES III) 2005. Korean J Nutr. 2009; 42(2):146–157.
8. Mann J. Dietary carbohydrate: relationship to cardiovascular disease and disorders of carbohydrate metabolism. Eur J Clin Nutr. 2007; 61(1):S100–S111.
9. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea National Health and Nutrition Examination Survey(KNHANES IV-3). Cheongwon: Korea Centers for Disease Control and Prevention;2008. p. 504.
10. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea National Health and Nutrition Examination Survey(KNHANES V-3). Cheongwon: Korea Centers for Disease Control and Prevention;2013. p. 466–468.
11. Panagiotakos DB, Pitsavos C, Skoumas Y, Stefanadis C. The association between food patterns and the metabolic syndrome using principal components analysis: The ATTICA study. J Am Diet Assoc. 2007; 107(6):979–987.
12. Park J, Kweon SH, Kim YH, Jang MJ, Oh KW. Dietary behaviors related to metabolic syndrome in Korean adults. Korean J Community Nutr. 2012; 17(5):664–675.
13. Park MS, Suh YS, Chung YJ. Comparison of chronic disease risk by dietary carbohydrate energy ratio in Korean elderly: Using the 2007-2009 Korea National Health and Nutrition Examination Survey. J Nutr Health. 2014; 47(4):247–257.
14. Shin JY, Kim JM, Kim YR. Associations between dietary patterns and hypertension among Korean adults: the Korean National Health and Nutrition Examination Survey(2008-2010). Nutr Res Pract. 2013; 7(3):224–232.
15. Song SJ, Lee JE, Paik HY, Park MS, Song YJ. Dietary patterns based on carbohydrate nutrition are associated with the risk for diabetes and dyslipidemia. Nutr Res Pract. 2012; 6(4):349–356.
16. Song Y, Joung H. A traditional Korean dietary pattern and metabolic syndrome abnormalities. Nutr Metab Cardiovasc Dis. 2012; 22(5):456–462.
17. The Korean Nutrition Society. Dietary reference intakes for Koreans. Seoul: The Korean Nutrition Society;2010. p. 51–53.
18. The Korean Nutrition Society. Dietary reference intakes for Koreans. Seoul: The Korean Nutrition Society;2005. p. 30–31.
19. Wirfält E, Hedblad B, Gullberg B, Mattisson I, Andrén C, Rosander U, Janzon L, Berglund G. Food patterns and components of the metabolic syndrome in men and women: A cross-sectional study within the Malmödiet and cancer cohort. Am J Epidemiol. 2001; 154(12):1150–1159.
20. Yang EJ, Chung HK, Kim WY, Kerver JM, Song WO. Carbohydrate intake is associated with diet quality and risk factors for cardiovascular disease in U.S. adults: NHANES III. J Am Coll Nutr. 2003; 22(1):71–79.
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