Shin Bo-Ra, Choi Yeon-Kyeong, Kim Ha-Na, Song Sang-Wook
Department of Family Medicine, College of Medicine, St Vincent's Hospital, The Catholic University of Korea, Suwon, Republic of Korea.
Nutr Res. 2016 Jun;36(6):518-25. doi: 10.1016/j.nutres.2016.01.002. Epub 2016 Jan 9.
Metabolic syndrome (MetS) has been increasing rapidly worldwide and is associated with elevated risks of cardiovascular disease and mortality. The relationship between MetS and dietary calcium intake is controversial. We hypothesized that high dietary calcium intake is associated with MetS in males and that the associations vary according to obesity status. Using data from the Korean National Health and Nutrition Examination Survey V, a cross-sectional survey of Korean civilians was conducted from January 2010 to December 2012 to test these hypotheses. Data from a total of 5946 males were analyzed with no association observed between dietary calcium intake and the presence of MetS. However, males deriving high calcium intake levels from dairy products had a lower prevalence of MetS than did those who did not ingest such products (adjusted odds ratio [OR], 0.75; 95% confidence interval [CI], 0.58-0.96). In obese males, the highest dietary calcium intake was positively associated with the presence of MetS (adjusted OR, 1.61; 95% CI, 1.12-2.36). However, obese males who consume dairy products had a lower prevalence of MetS than did those who did not consume such products (adjusted OR, 0.51; 95% CI, 0.29-0.90). In conclusion, the results suggest that the high dietary calcium intake, in the absence of dairy product consumption, was associated with the increased prevalence of MetS in obese males. Additional studies are required to determine whether dietary calcium intake affects the development of MetS.
代谢综合征(MetS)在全球范围内迅速增加,并且与心血管疾病风险和死亡率升高相关。MetS与膳食钙摄入量之间的关系存在争议。我们假设高膳食钙摄入量与男性的MetS相关,并且这种关联因肥胖状况而异。利用韩国国家健康与营养检查调查V的数据,于2010年1月至2012年12月对韩国平民进行了一项横断面调查,以检验这些假设。共分析了5946名男性的数据,未观察到膳食钙摄入量与MetS存在之间的关联。然而,从乳制品中获取高钙摄入量的男性患MetS的患病率低于未摄入此类产品的男性(调整后的优势比[OR],0.75;95%置信区间[CI],0.58 - 0.96)。在肥胖男性中,最高膳食钙摄入量与MetS的存在呈正相关(调整后的OR,1.61;95%CI,1.12 - 2.36)。然而,食用乳制品的肥胖男性患MetS的患病率低于未食用此类产品的男性(调整后的OR,0.51;95%CI,0.29 - 0.90)。总之,结果表明,在不食用乳制品的情况下,高膳食钙摄入量与肥胖男性中MetS患病率增加相关。需要进一步研究以确定膳食钙摄入量是否影响MetS的发展。