Journal List > J Nutr Health > v.52(3) > 1128193

J Nutr Health. 2019 Jun;52(3):268-276. Korean.
Published online Jun 24, 2019.
© 2019 The Korean Nutrition Society
The correlation between triglyceride to HDL cholesterol ratio and metabolic syndrome, nutrition intake in Korean adults: Korean National Health and Nutrition Examination Survey 2016
Youngjon Kim,1 and A Lum Han2
1Department of Medical Education, Wonkwang University School of Medicine, Iksan, Jeonbuk 54538, Korea.
2Department of Family Medicine, Wonkwang University Hospital, Iksan, Jeonbuk 54538, Korea.

To whom correspondence should be addressed. tel: +82-63-859-1301, Email:
Received Feb 07, 2019; Revised Apr 05, 2019; Accepted Apr 15, 2019.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.



Metabolic syndrome causes diabetes and increases the risk of cardiovascular disease. This study examined the correlation between metabolic syndrome, nutrition intake, and triglyceride (TG)/high-density lipoprotein (HDL) cholesterol ratio.


Using the data from the 7th KNHANES (2016), this study was conducted on healthy adults aged 19 and older. The components and existence of metabolic syndrome and nutrition intake were independent variables and the TG/HDLcholesterol ratio was a dependent variable. A complex sample logistic progress test was used with age, sex, smoking, and drinking frequency corrected.


The TG/HDLcholesterol ratio of people with metabolic syndrome was as high as 1.314 on average, compared to people without metabolic syndrome (p < 0.0001). Among each component of metabolic syndrome, the TG/HDL cholesterol ratio had a significant association with fasting blood glucose, TG, HDL cholesterol, and waist circumference (p < 0.05). Only energy and carbohydrate intake were significantly related to the TG/HDLcholesterol ratio (p < 0.05).


The TG/HDLcholesterol ratio is associated with each component of metabolic syndrome, but in particular, it is positively correlated with the presence of metabolic syndrome. Lower energy intakehad a positive correlation with the TG/HDLcholesterol ratio. These results show that metabolic syndrome can be predicted using the TG/HDLcholesterol ratio, and a diet strategy through nutrition and health education is necessary to prevent metabolic syndrome.

Keywords: metabolic syndrome; triglyceride/high-density lipoprotein cholesterol ratio; nutrition intake; Korean National Health and Nutrition Examination Survey


Table 1
General characteristic according to the TG/HDL cholesterol ratio
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Table 2
TG/HDL cholesterol ratio according to the metabolic components and existence
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Table 3
Adjusted correlation of TG/HDL cholesterol ratio and the metabolic syndrome
Click for larger image

Table 4
Correlation of TG/HDL cholesterol ratio and the dietary intake
Click for larger image


This work was supported by grants from Wonkwang University.

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