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Association of carbohydrate and fat intake with metabolic syndrome

Authors
 Yu-Jin Kwon  ;  Hye-Sun Lee  ;  Ji-Won Lee 
Citation
 Clinical Nutrition, Vol.37(2) : 746-751, 2018 
Journal Title
 Clinical Nutrition 
ISSN
 0261-5614 
Issue Date
2018
Keywords
Carbohydrate ; Diet ; Fat ; Korean population ; Metabolic syndrome
Abstract
BACKGROUND & AIMS: In Asia, dietary pattern has been changed with increased intake of refined carbohydrates, sugar, and saturated fat, while the prevalence of metabolic syndrome (MetS) is on the rise. However, it remains unclear whether a high-carbohydrate or a high-fat diet is more metabolically harmful, and the optimal amount of carbohydrates and fat has not been determined. The aim of our study was to examine the role of carbohydrate and fat intake in MetS in a Korean population. METHODS: Data were obtained from a large, population-based, cross-sectional study (6737 males and 8845 females). The subjects were divided into nine groups based on carbohydrate and fat proportion, and multiple logistic regression analysis was performed after adjusting for confounding variables. RESULTS: Regardless of fat intake, the risk of MetS significantly increased in males with higher carbohydrate proportions (of total energy intake). In females, the risk of MetS was significantly elevated only in those with both the highest carbohydrate proportion and lowest fat proportion. CONCLUSION: A high carbohydrate proportion was associated with a higher prevalence of MetS in males, and a high carbohydrate proportion combined with a low fat proportion was associated with MetS in females. Our results indicate that reduction of excessive carbohydrate intake paired with an adequate fat intake, taking into consideration optimal types of fat, is useful for MetS prevention. Longitudinal studies are needed to clarify the optimal types and amounts of carbohydrate and fat proportions as well as the mechanism underlying these relationships.
Full Text
https://www.sciencedirect.com/science/article/pii/S0261561417302339
DOI
10.1016/j.clnu.2017.06.022
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Family Medicine (가정의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
Yonsei Authors
권유진(Kwon, Yu-Jin) ORCID logo https://orcid.org/0000-0002-9021-3856
이지원(Lee, Ji Won) ORCID logo https://orcid.org/0000-0002-2666-4249
이혜선(Lee, Hye Sun) ORCID logo https://orcid.org/0000-0001-6328-6948
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/161825
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