Journal List > J Nutr Health > v.49(5) > 1081454

Oh, Kim, Kim, and Chang: Relationship between fruit and fish intakes and cardiovascular disease risk factors in Korean women with type 2 diabetes mellitus: Based on the 4th and 5th Korea National Health and Nutrition Examination Surveys

Abstract

Purpose

The purpose of the study was to investigate the association between food intakes and cardiovascular disease (CVD) risk factors in Korean women with type 2 diabetes mellitus (T2DM).

Methods

The data were collected from the 2007~2012 Korea National Health and Nutrition Examination Survey (KNHANES). In this study, subjects were divided into two groups, the normal fasting glucose (NFG) group (n = 7,738) and the T2DM group (n = 225). Dietary intake was derived from the nutrition survey, which was collected by trained dietitians using 24-hour dietary recall through the face-to-face interview method in the sample person's home.

Results

After adjustment for confounding factors, mean fruit (p = 0.0265), fruit and vegetable without kimchi (p = 0.0295), and fish (p = 0.0112) intakes were significantly lower in the T2DM group than in the NFG group. In the multiple logistic regression analysis, odds ratio (OR) for risk of high systolic blood pressure (≥ 140 mmHg) was lower in the over the median compared to under the median for fruit intakes (OR; 0.657, 95% CI; 0.523~0.824). The OR for the risk of hypertriglyceridemia was lower in the over the median compared to under the median for fruit and vegetable without kimchi (OR; 0.828, 95% CI; 0.7111~0.963) and fish (OR; 0.783, 95% CI; 0.673~0.910) intakes.

Conclusion

These results show that intakes of fruits, fish, and fruits and vegetables without kimchi have beneficial effects on CVD in Korean women with T2DM.

Figures and Tables

Table 1

Characteristics and dietary intake for the female subjects aged 30 years and over, KNHANES 2007~20121)

jnh-49-304-i001

Abbreviations: NFG, normal fasting glucose; T2DM, type 2 diabetes mellitus; BMI, body mass index; SBP, systolic blood pressure; DBP, diastolic blood pressure; TC, total cholesterol; TG, triglyceride; HDL-C, HDL-cholesterol; LDL-C, LDL-cholesterol; AI, atherogenic index

1) Values are presented as mean ± SE. 2) Values are adjusted for age, body mass index, education, menopausal status. 3) Included mushrooms and seaweeds 4) Excluded kimchi

Table 2

Association between food intakes and CVD risk factors in the female subjects aged 30 years and over, KNHANES 2007~2012 (n = 7,963)

jnh-49-304-i002

Abbreviations: NFG, normal fasting glucose; T2DM, type 2 diabetes mellitus; SBP, systolic blood pressure; DBP, diastolic blood pressure; TC, total cholesterol; TG, triglyceride; HDL-C, HDL-cholesterol; LDL-C, LDL-cholesterol; AI, atherogenic index

1) Included vegetables, mushrooms, seaweeds and excluded kimchi 2) Adjusted for age, body mass index, education, menopausal status

Table 3

Odds ratio (OR) and 95% confidence interval (CI) of CVD risk factors and food intakes in the female subjects aged 30 years and over, KNHANES 2007~2012 (n = 7,963)1)

jnh-49-304-i003

1) Values are adjusted for age, body mass index, education, menopausal status. 2) Included vegetables, mushrooms, seaweeds and excluded kimchi

Table 4

Odds ratio (OR) and 95% confidence interval (CI) of CVD risk factors and fruits and fishes (FF) intakes in the female subjects aged 30 years and over, KNHANES 2007~2012 (n = 7,963)

jnh-49-304-i004

Abbreviations: FF, fruits and fishes; NFG, normal fasting glucose; T2DM, type 2 diabetes mellitus; SBP, systolic blood pressure; DBP, diastolic blood pressure; TC, total cholesterol; TG, triglyceride; HDL-C, HDL-cholesterol; LDL-C, LDL-cholesterol; AI, atherogenic index

1) MedianA: Fruits's median = 104.5 g, medianB: Fishes's median = 18.2 g

2) Values are adjusted for age, body mass index, education, menoposal status.

Table 5

Odds ratio (OR) and 95% confidence interval (CI) of CVD risk factors and fruits and fishes and vegetables without kimchi (FFV) intakes in the female subjects aged 30 years and over, KNHANES 2007~2012 (n = 7,963)

jnh-49-304-i005

Abbreviations: FFV, fruits and fishes, vegetables without kimchi (included mushrooms and seaweeds); NFG, normal fasting glucose; T2DM, type 2 diabetes mellitus; SBP, systolic blood pressure; DBP, diastolic blood pressure; TC, total cholesterol; TG, triglyceride; HDL-C, HDL-cholesterol; LDL-C, LDL-cholesterol; AI, atherogenic index

1) MedianA: Fruits and vegetables without kimchi's median = 317.5 g (included mushrooms and seaweeds), medianB: Fishes's median = 18.2 g 2) Values are adjusted for age, body mass index, education, menoposal status.

Notes

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (NRF-2013R1A1A2011544).

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