Department of Family Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin 16995, Korea.
Department of Research Affairs, Biostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul 06273, Korea.
Nutrients. 2021 Aug 28;13(9):3008. doi: 10.3390/nu13093008.
Dietary choices may have differing effects on low-density lipoprotein cholesterol or triglyceride levels. The aim of this study was to investigate daily nutrient intake and dietary patterns of individuals with hyper-low-density lipoprotein cholesterolemia (hLDL) and hypertriglyceridemia (hTG) in a large Korean population-based study using propensity score (PS) matching. This study used data from the Korea National Health and Nutrition Examination Survey. Propensity score values for the predicted probability of patients with hLDL or hTG were estimated using logistic regression analysis, with age, sex, body mass index, alcohol consumption, smoking status, physical activity status, hypertension, and diabetes. After PS matching, intake of carbohydrates (%) was significantly lower ( = 0.021), and intake of fats (%) and saturated fatty acids (%) was significantly higher in the hLDL group than in the non-hLDL group ( = 0.025 and = 0.013, respectively). The percentage of individuals with a high score for the Korean Healthy Eating Index (KHEI) "whole grains" or "saturated fatty acids" components was higher in the non-hLDL group than in the hLDL group ( < 0.05 for both). Dietary sodium/potassium ratio was significantly higher in the hTG than in the non-hTG ( = 0.049). Our results suggest that individualized dietary information and counseling require consideration of a person's specific lipid levels.
饮食选择可能对低密度脂蛋白胆固醇或甘油三酯水平产生不同的影响。本研究旨在使用倾向评分 (PS) 匹配的大型韩国人群研究调查患有极低密度脂蛋白胆固醇血症 (hLDL) 和高甘油三酯血症 (hTG) 的个体的日常营养素摄入和饮食模式。本研究使用了韩国国家健康和营养检查调查的数据。使用逻辑回归分析估计了 hLDL 或 hTG 患者的预测概率的倾向评分值,这些概率与年龄、性别、体重指数、饮酒状况、吸烟状况、身体活动状况、高血压和糖尿病有关。经过 PS 匹配后,hLDL 组的碳水化合物 (%)摄入量显著降低( = 0.021),脂肪 (%)和饱和脂肪酸 (%)摄入量显著升高( = 0.025 和 = 0.013)。非 hLDL 组的韩国健康饮食指数 (KHEI)“全谷物”或“饱和脂肪酸”成分高分个体比例高于 hLDL 组(均<0.05)。hTG 组的膳食钠/钾比值明显高于非 hTG 组( = 0.049)。我们的结果表明,需要考虑个体的特定血脂水平来提供个性化的饮食信息和咨询。