Relationship between food and nutrient intake and the risk of hypertriglyceridemia in Vietnamese women residing in Bavi: the Korean Genome and Epidemiology Study (KoGES)

Jeong Ki Kim; Ji Myung Kim; Hyesook Kim; Hye Won Chung; Namsoo Chang

doi:10.4163/kjn.2013.46.1.15

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Kim, Kim, Kim, Chung, and Chang: Relationship between food and nutrient intake and the risk of hypertriglyceridemia in Vietnamese women residing in Bavi: the Korean Genome and Epidemiology Study (KoGES)

Research Article

Korean Journal of Nutrition 2013; 46(1): 15-25.

Published online: 28 February 2013

DOI: https://doi.org/10.4163/kjn.2013.46.1.15

Relationship between food and nutrient intake and the risk of hypertriglyceridemia in Vietnamese women residing in Bavi: the Korean Genome and Epidemiology Study (KoGES)

Jeong Ki Kim^1,^**, Ji Myung Kim^2,^**, Hyesook Kim¹, Hye Won Chung³, Namsoo Chang¹

¹Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 120-750, Korea.

²Department of Food and Nutritional Sciences, Hanbuk University, Dongducheon 483-777, Korea.

³Department of Obstetrics and Gynecology, Ewha Womans University School of Medicine, Seoul 158-710, Korea.

To whom correspondence should be addressed. (nschang@ewha.ac.kr)

Equal contributor:

**These authors contributed equally to this work.

Received 28 January 2013 Revised 15 February 2013 Accepted 19 February 2013

(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

The purpose of this study is to investigate the proportion and associated risk factors of hypertriglyceridemia in rural Vietnamese women. Research data were collected as part of the Korean Genome and Epidemiology Study (KoGES). A cross-sectional study of 957 Vietnamese women in their 20 to 30s was conducted in rural areas of Bavi, Vietnam. Subjects were classified as hypertriglyceridemic (serum TG ≥ 150 mg/dL). Demographic, socio-economic details, anthropometric measurements, and blood profiles were recorded. The proportion of hypertriglyceridemic subjects was 22.0%, and the mean age of hypertriglyceridemics subjects was older than that of normo-triglyceridemic subjects (p < 0.05). In hypertriglyceridemic subjects, height, HDL-cholesterol, and LDL-cholesterol were significantly lower, compared to subjects with normo-triglyceridemia, while weight, body mass index, waist hip ratio, body fat %, blood pressure, fasting blood sugar, total cholesterol, and atherogenic index were higher, compared to those with normo-triglyceridemia. Intake of cereal and cereal products, total plant food, and cereal/potato fiber in subjects with hypertriglyceridemia was significantly higher, compared to normo-triglyceridemic subjects. Hypertriglyceridemic subjects had a significantly lower intake of animal calcium and retinol than normo-triglyceridemic subjects. Significant positive relationships were observed between the prevalence of hypertriglyceridemia and consumption of total plant food [OR (95% CI) for the highest tertile, compared to the lowest: 1.764 (1.131-2.750); p for trend = 0.008] and crude fiber [OR (95% CI) for the highest tertile compared to the lowest: 1.651 (1.092-2.497); p for trend = 0.027]. In addition, a significant inverse relationship was observed between the prevalence of hypertriglyceridemia and cholesterol intake [OR (95% CI) for the highest tertile, compared to the lowest: 0.601 (0.400-0.901); p for trend = 0.012]. These findings may provide basic data for use by policymakers and dieticians in future development of nutrition and health programs to encourage healthier eating habits, and to prevent hypertriglyceridemia advancing cardiovascular disease in rural Vietnamese women.

Keywords: Vietnamese women, hypertriglyceridemia, cereals, total plant food

Figures and Tables

Table 1

General characteristics and health behaviors according to plasma triglyceride level

1) Values are mean ± SD 2) Values are n (%) 3) Significance between two groups by Student's t-test 4) Chi-square test between two groups 5) More than 20% of the events have expected frequencies below 5

Table 2

Anthropometric parameters and blood profiles according to plasma triglyceride level

1) Values are mean ± SD 2) Significance between two groups by student's t-test 3) Blood profiles were log transformed

Table 3

Daily food intake of each food groups according to plasma triglyceride level¹⁾

1) Food intake values were log transformed 2) Values are mean ± SD 3) Significance between two groups by student's t-test 4) Adjusted by age, BMI and energy intake

Table 4

Daily nutrient intake according to plasma triglyceride level

1) Values are mean ± SD 2) Nutrient intake values were log transformed 3) Significance between two groups by student's t-test 4) Adjusted by age and BMI and energy intake

Table 5

Odds ratio (OR) and 95% confidence interval (CI) of hypertriglyceridemia (≥ 150 mg/dL) according to food group intake level

1) Median value (range) of food intake by tertile group 2) Multivariate OR (95% CI) adjusted by age, BMI 3) Multivariate OR (95% CI) adjusted by age, BMI and energy intake

Table 6

Odds ratio (OR) and 95% confidence interval (CI) of hypertriglyceridemia (≥ 150 mg/dL) according to nutrient intake level

1) Median value (range) of nutrient intake by tertile group 2) Multivariate OR (95% CI) adjusted by age, BMI 3) Multivariate OR (95% CI) adjusted by age, BMI and energy intake

Notes

This work was supported by Korea Centers for Disease Control and Prevention in 2010 (2010-E71002-00) and by the second stage of the Brain Korea 21 project.

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