Journal List > J Nutr Health > v.47(6) > 1081360

J Nutr Health. 2014 Dec;47(6):403-415. Korean.
Published online December 31, 2014.  https://doi.org/10.4163/jnh.2014.47.6.403
© 2014 The Korean Nutrition Society
Evaluation of nutrient and food intake status, and dietary quality according to abdominal obesity based on waist circumference in Korean adults: Based on 2010-2012 Korean National Health and Nutrition Examination Survey
Myeong Seong Kim,1,2 Dae Cheol Kweon,3 and Yun Jung Bae4
1Graduate School of Public Health and Institute of Health and Environment, Seoul National University, Seoul 151-742, Korea.
2Department of Radiology, Korean National Cancer Center, Goyang-si, Gyeonggi 410-769, Korea.
3Department of Radiologic Science, Shinhan University, Gyeonggi 480-701, Korea.
4Division of Food Science and Culinary Arts, Shinhan University, Gyeonggi 483-777, Korea.

To whom correspondence should be addressed. tel: 82-31-870-0463, (Email: byj@shinhan.ac.kr )
Received August 13, 2014; Revised November 12, 2014; Accepted November 21, 2014.

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

Purpose

This study was conducted in order to investigate the nutrient and food intake status, and dietary quality in Korean adults according to abdominal obesity based on waist circumference.

Methods

We analyzed data from the combined 2010~2012 KNHANES (Korean National Health and Nutrition Examination Survey). The analysis included 6,974 adults aged 40 to 64 years. In this study, according to abdominal obesity based on waist circumference (male ≥ 90 cm, female ≥ 85 cm), we classified the subjects into the obesity group (male, n = 775, female, n = 1,113) and control group (male, n = 2,038, female, n = 3,048). The nutrient and food group intake, ND (nutrient density), NAR (nutrient adequacy ratio), MAR (mean adequacy ratio), INQ (index of nutritional quality), DDS (dietary diversity score), and DVS (dietary variety score) were analyzed using data from the 24-recall method.

Results

For male, no significant difference in quality index of the diet was observed between the obesity group and the normal group. In female, in diet quality (ND, NAR, and INQ), vitamin B2 (ND, NAR, and INQ) calcium (NAR), phosphorous (ND, INQ) and potassium (ND) of the obesity group was significantly lower than those of the control group. DDS and DVS in the obesity group (3.57, 30.95) were significantly lower than those of the control group (3.68, 32.84) (p = 0.0043, 0.0002). DVS (DVS ≥ 39.9) showed association with lower risk of waist obesity in a logistic regression model after adjustments for multiple confounding factors including age, education, income, alcohol intake frequency, smoking, physical activity, energy intake, and body mass index (OR: 0.616, 95% CI: 0.420-0.903).

Conclusion

In conclusion, females with abdominal obesity had lower micronutrient intake quality, DVS than those of the control group. In Korean females, food intake variety can adversely affect waist circumference.

Keywords: waist circumference; obesity; dietary quality; food and nutrient intake; adults

Tables


Table 1
General characteristics, metabolic parameters, dietary habits and lifestyles of the subjects
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Table 2
Energy and nutrient intakes per 1,000 kcal of the subjects
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Table 3
Nutrient adequacy ratio (NAR) and mean adequacy ratio (MAR) of the subjects
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Table 4
Index of Nutritional Quality (INQ) of the subjects
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Table 5
Food intakes from each food group of the subjects
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Table 6
Dietary diversity score (DDS) and dietary variety score (DVS) of the subjects
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Table 7
Adjusted odd radios (ORs) and 95% confidence intervals (CIs) of waist obesity by dietary diversity
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Notes

*The present research has been conducted by the Research Grant of Shinhan University in 2014.

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