Department of Food and Nutrition, Kyung Hee University, Seoul, South Korea.
Metab Syndr Relat Disord. 2021 Jun;19(5):272-280. doi: 10.1089/met.2020.0122. Epub 2020 Dec 29.
To investigate the association of dairy consumption with metabolic syndrome (MetS) in a representative sample of Korean adult and elderly population. We used data from the Korea National Health and Nutrition Examination Survey, 2013-2018. A total of 18,206 adults (19-64 years) and 5113 elderly people (≥65 years) were included in the analysis. Dairy product consumption was assessed with a 24-hr dietary recall, and the subjects were divided into three groups based on their total dairy consumption (0, <1, ≥1 serving/day). The primary outcome, MetS, was defined according to the National Cholesterol Education Program Adult Treatment Panel III and the Korean Society for the Study of Obesity. After adjusting for covariates, high dairy consumption was associated with 12% lower odds of MetS in adults compared with no dairy consumption [odds ratio (OR) 0.88, 95% confidence interval (CI) 0.78-0.998, for trend = 0.048]. A similar inverse association was found in adult men (OR 0.84, 95% CI 0.71-0.99), but no significant association was found in adult women (OR 0.93, 95% CI 0.78-1.11). For the elderly, high dairy consumption was associated with 20% lower odds of MetS (OR 0.80, 95% CI 0.65-0.98, for trend = 0.020); a significant inverse association was shown in elderly women (OR 0.72, 95% CI 0.56-0.94) but not in elderly men (OR 0.93, 95% CI 0.68-1.28). Our findings suggest that one or more servings/day of dairy products were associated with lower prevalence of MetS in Korean adult men and elderly women.
为了研究乳制品消费与代谢综合征（MetS）在韩国成年和老年人群体中的关联，我们使用了 2013-2018 年韩国国家健康和营养检查调查的数据。共有 18206 名成年人（19-64 岁）和 5113 名老年人（≥65 岁）纳入分析。乳制品的摄入量通过 24 小时膳食回忆来评估，根据总乳制品摄入量（0、<1、≥1 份/天）将受试者分为三组。主要结局指标 MetS 根据国家胆固醇教育计划成人治疗小组 III 和韩国肥胖研究学会定义。在调整了协变量后，与不食用乳制品相比，高乳制品摄入量与成年人 MetS 的发生几率降低 12%相关[比值比（OR）0.88，95%置信区间（CI）0.78-0.998，趋势 = 0.048]。在成年男性中也发现了类似的负相关关系（OR 0.84，95% CI 0.71-0.99），但在成年女性中无显著相关性（OR 0.93，95% CI 0.78-1.11）。对于老年人，高乳制品摄入量与 MetS 的发生几率降低 20%相关（OR 0.80，95% CI 0.65-0.98，趋势 = 0.020）；在老年女性中表现出显著的负相关关系（OR 0.72，95% CI 0.56-0.94），但在老年男性中无显著相关性（OR 0.93，95% CI 0.68-1.28）。我们的研究结果表明，每天食用一份或多份乳制品与韩国成年男性和老年女性 MetS 的患病率降低相关。
