Department of Food and Nutrition, Chung-Ang University, Gyeonggi-do 17546, Korea.
Department of Preventive Medicine, Seoul National University College of Medicine, Seoul 03080, Korea.
Nutrients. 2017 Oct 8;9(10):1102. doi: 10.3390/nu9101102.
It has been suggested that a greater dairy consumption, particularly of milk, may have contributed in lowering the prevalence of metabolic syndrome (MetS). A cross-sectional analysis was conducted to examine the association between milk consumption and MetS, and its components among Korean adults aged 40-69. A total of 130,420 subjects (43,682 men and 86,738 women) from the Health Examinees Study were selected for the final analysis. Milk consumption was estimated using a validated 106-item food frequency questionnaire. MetS was defined using the National Cholesterol Education Program, Adult Treatment Panel III (NCEP III). Logistic regression analyses were performed to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) between milk consumption and MetS after adjusting for potential confounders. In this study, the average milk consumption was 77.9 g/day, with the overall prevalence of MetS being 26.1% (29.1% in men and 24.6% in women). We found that the prevalence of the MetS was significantly lower in subjects with higher milk consumption ( < 0.0001). Adjusted OR for MetS was significantly lower in the highest milk consumption category (≥1 serving/day among men; ≥2 serving/day among women) than those in the lowest milk consumption category (OR: 0.92 95%CI: 0.86-0.99, trend = 0.0160 in men; OR: 0.68, 95%CI: 0.60-0.76, trend < 0.0001 in women). Overall, higher milk consumption was inversely associated with the MetS components: elevated waist circumference, elevated triglyceride, and reduced high-density lipoprotein cholesterol (HDL-C) (all trend < 0.05). This study concludes that higher milk consumption is associated with the lower odds of MetS in Korean adults.
有人认为,增加乳制品的摄入量,特别是牛奶的摄入量,可能有助于降低代谢综合征(MetS)的流行率。本研究采用横断面分析,旨在探讨韩国 40-69 岁成年人中牛奶摄入量与 MetS 及其各组分之间的相关性。最终纳入了健康体检研究中的 130420 名受试者(男性 43682 名,女性 86738 名)进行分析。牛奶摄入量采用经过验证的 106 项食物频率问卷进行评估。MetS 采用美国国家胆固醇教育计划成人治疗专家组 III(NCEP III)的标准进行定义。调整潜在混杂因素后,采用 logistic 回归分析计算牛奶摄入量与 MetS 之间的比值比(OR)和 95%置信区间(CI)。本研究中,牛奶的平均摄入量为 77.9g/天,MetS 的总患病率为 26.1%(男性为 29.1%,女性为 24.6%)。我们发现,随着牛奶摄入量的增加,MetS 的患病率显著降低(<0.0001)。与最低牛奶摄入量组(男性<1 份/天,女性<2 份/天)相比,最高牛奶摄入量组(男性≥1 份/天,女性≥2 份/天)发生 MetS 的调整 OR 显著降低(OR:0.92,95%CI:0.86-0.99,趋势=0.0160,男性;OR:0.68,95%CI:0.60-0.76,趋势<0.0001,女性)。总体而言,较高的牛奶摄入量与 MetS 的各组分呈负相关:腰围增大、甘油三酯升高和高密度脂蛋白胆固醇(HDL-C)降低(所有趋势<0.05)。本研究表明,较高的牛奶摄入量与韩国成年人 MetS 的低患病风险相关。