Future Medicine Division, Korea Institute of Oriental Medicine, 1672 Yuseong-daero, Yuseong-gu, Daejeon, Republic of Korea.
Medicine (Baltimore). 2021 May 21;100(20):e25905. doi: 10.1097/MD.0000000000025905.
Diet plays a crucial role as a modifiable risk factor related to the development of metabolic syndrome (MetS) and its cluster. Constitution type of traditional Korean medicine has shown accuracy to predict the risk for MetS. We attempted to examine the association between nutritional status, pre-MetS, and its cluster in Korean adults by their constitution type.Participants aged 30 to 55 years who had no cancer or cardiovascular diseases (CVDs) were assigned to join in the present study. Pre-MetS was defined as ≥2 of the following factors: abdominal obesity; elevated triglycerides (TG); reduced high-density lipoprotein cholesterol (HDL-C); elevated blood pressure (BP); and elevated fasting plasma glucose (FPG). Constitution type was categorized into Tae-Eumin (TE) or non-TE. Dietary assessment of the subjects were surveyed using a short-form of the food frequency questionnaire (FFQ) and the nutrition quotient (NQ), which uses 4 factors, namely, balance, diversity, moderation, and dietary behavior.A total of 986 subjects were evaluated by constitution type with MetS status. Of these subjects, 48.6% had pre-MetS, 89.5% were obese and had the highest waist circumference (WC) in Pre-MetS TE. BP, FPG, TG were higher, while HDL-C was lower, than normal TE or non-TE both in Pre-MetS TE and non-TE. The prevalence of pre-MetS was positively associated with lower status of dietary behavior (odds ratio [ORs]: 2.153, 95% confidence interval [CI]: 1.179-3.931) while negatively related to higher vegetables and fruits intakes (ORs: 0.594, 95% CI: 0.359-0.983) in TE. Lower status of NQ had about 2 times higher risk of Pre-MetS (ORs: 1.855, 95% CI: 1.018-3.380) and abdominal obesity (ORs: 2.035, 95% CI: 1.097-3.775) in TE compared with higher status of NQ after controlling for covariates.Poor diet was a key contributor to the development of Pre-MetS and abdominal obesity in Korean adults with TE. Customized nutrition care and integrated medicinal approaches are strongly suggested to conduct optimal preventive care for people who are vulnerable to health risk.
饮食作为与代谢综合征（MetS）及其簇相关的可改变的风险因素起着关键作用。传统韩国医学的体质类型已被证明可以准确预测 MetS 的风险。我们试图通过韩国成年人的体质类型来检查营养状况、前 MetS 及其簇之间的关系。
无癌症或心血管疾病（CVDs）的 30 至 55 岁的参与者被分配参加本研究。前 MetS 定义为以下因素≥2：腹部肥胖；甘油三酯（TG）升高；高密度脂蛋白胆固醇（HDL-C）降低；血压（BP）升高；空腹血糖（FPG）升高。体质类型分为 Tae-Eumin（TE）或非-TE。通过短形式的食物频率问卷（FFQ）和营养商（NQ）对受试者的饮食进行评估，NQ 使用 4 个因素，即平衡、多样性、适度和饮食行为。
共有 986 名受试者根据体质类型和 MetS 状况进行评估。在这些受试者中，48.6%有前 MetS，89.5%肥胖，前 MetS TE 的腰围（WC）最高。前 MetS TE 和非-TE 中，BP、FPG、TG 较高，而 HDL-C 较低。前 MetS 的患病率与较低的饮食行为状态呈正相关（比值比[ORs]：2.153，95%置信区间[CI]：1.179-3.931），而与较高的蔬菜和水果摄入量呈负相关（ORs：0.594，95% CI：0.359-0.983）。TE 中，NQ 状态较低与前 MetS（ORs：1.855，95% CI：1.018-3.380）和腹部肥胖（ORs：2.035，95% CI：1.097-3.775）的风险增加约 2 倍，而 NQ 状态较高。在控制协变量后，TE 中较差的饮食是导致韩国成年人前 MetS 和腹部肥胖发展的关键因素。建议对易患健康风险的人群进行个性化营养护理和综合药物治疗，以进行最佳预防保健。
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