Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Department of Family Medicine, Busan Paik Hospital, Inje University College of Medicine, Bokjiro 75, Busan Jin-Gu, Busan, 47392, Republic of Korea.
Eat Weight Disord. 2020 Jun;25(3):545-552. doi: 10.1007/s40519-019-00640-9. Epub 2019 Feb 4.
We evaluated the longitudinal associations between eating behaviors (EB) and risk of metabolic syndrome (MetS).
We obtained complete data on EB, assessed using the Dutch Eating Behavior Questionnaire, and MetS components at baseline and follow-up. Participants included 1876 individuals (704 men, 1172 women; mean age, 45.0 ± 12.8 years) from those participating in the Korean Healthy Twin study. A generalized estimating equation model was applied, with sociodemographic factors, health-related factors, follow-up interval, and EB (baseline and changes over time) as independent factors.
MetS at baseline was 21.5%, while incident MetS and persistent MetS were 12.0% and 66.6%, respectively, at the 3.13 ± 1.38 years follow-up period. In men, baseline restrained EB had positive associations with concurrent MetS (odds ratio [95% confidence interval] per 1 point increase in the score, 1.55 [1.33-1.81]) and persistent MetS (1.53 [1.16-2.01]); baseline external EB and change in external EB had positive associations with persistent MetS (1.56 [1.04-2.33], 1.37 [1.01-2.22], respectively). In women, baseline restrained EB had a positive association with concurrent MetS (1.14 [1.01-1.30]); baseline external EB had an inverse association with persistent MetS (0.71[0.52-0.98]); baseline emotional EB had positive associations with concurrent, incident, and persistent MetS (1.23 [1.01-1.50], 2.14 [1.50-3.06], and 1.92 [1.40-2.64], respectively); and change in emotional EB had positive associations with incident and persistent MetS (1.50 [1.05-2.15], 1.62 [1.14-2.29], respectively).
Higher restrained and external EB, and an increase in external EB in men; and higher restrained and emotional EB, and an increase in emotional EB in women may be associated with increased risk of concurrent, incident, or persistent MetS.
III, cohort study.
我们评估了饮食习惯（EB）与代谢综合征（MetS）风险之间的纵向关联。
我们获得了完整的 EB 数据，使用荷兰饮食行为问卷进行评估，并在基线和随访时评估了 MetS 成分。参与者包括来自韩国健康双胞胎研究的 1876 名个体（704 名男性，1172 名女性；平均年龄，45.0±12.8 岁）。应用广义估计方程模型，将社会人口统计学因素、与健康相关的因素、随访间隔以及 EB（基线和随时间的变化）作为独立因素。
基线时 MetS 的发生率为 21.5%，而在 3.13±1.38 年的随访期间，新发 MetS 和持续性 MetS 的发生率分别为 12.0%和 66.6%。在男性中，基线时的约束性 EB 与同时发生的 MetS（每增加 1 分的比值比[95%置信区间]，1.55[1.33-1.81]）和持续性 MetS（1.53[1.16-2.01]）呈正相关；基线时的外部 EB 和外部 EB 的变化与持续性 MetS 呈正相关（1.56[1.04-2.33]，1.37[1.01-2.22]）。在女性中，基线时的约束性 EB 与同时发生的 MetS 呈正相关（1.14[1.01-1.30]）；基线时的外部 EB 与持续性 MetS 呈负相关（0.71[0.52-0.98]）；基线时的情绪性 EB 与同时发生的、新发的和持续性的 MetS 呈正相关（1.23[1.01-1.50]，2.14[1.50-3.06]和 1.92[1.40-2.64]）；情绪性 EB 的变化与新发和持续性 MetS 呈正相关（1.50[1.05-2.15]，1.62[1.14-2.29]）。
男性中更高的约束性和外部性 EB，以及外部性 EB 的增加；以及女性中更高的约束性和情绪性 EB，以及情绪性 EB 的增加，可能与同时发生、新发或持续性 MetS 的风险增加相关。
III 级，队列研究。
