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과일·채소 섭취량과 Pooled Cohort Equation 이용한 심혈관질환 10년 예측 위험도와의 관련성
강민재(Cheong-Min),손정민(Sohn, Cheong-Min) 한국생활과학회 2016 한국생활과학회지 Vol.25 No.4
The consumption of fruits and vegetables is recognized as one of the contributing factors for preventing heart disease. However, recommendations of fruits and vegetables for preventing cardiovascular disease (CVD) have not yet been investigated in Korea. We conducted this study to determine the amounts of fruits and vegetables which would lower the risk of cardiovascular disease in Koreans. This study used cross-sectional data from the Fifth Korea National Health and Nutrition Examination Survey in 2010-2011. Subjects were community-dwelling, 2,639 men and 3,720 women aged 40-79 years. The estimated 10-year risk of CVD was calculated by the Pooled Cohort Equation (PCE). The amount and diversity of fruits and vegetables consumed were obtained by using 24-hour dietary recall data. Fruit and vegetable consumption is expressed as an odds ratio (OR) of individuals in the highest tertile compared with those in the lowest tertile. Men having a high consumption of fruits (OR : 0.772 ; 95 % confidence interval (CI) 0.597-0.997), vegetables (OR : 0.672 ; 95% CI 0.512-0.883) and vegetables plus fruits (OR : 0.604 ; 95% CI 0.452-0.807) showed a lower risk of CVD. Similarly for women, those having a high consumption of fruits (OR : 0.340 ; 95% CI 0.259-0.445), vegetables (OR : 0.628 ; 95% CI 0.496-0.796) and fruits and vegetables (OR : 0.395 ; 95% CI 0.306-0.510) demonstrated a lower risk of CVD. Dietary diversity of fruits, vegetables and both vegetables and fruits was associated with a significantly reduced risk of CVD in men (P for trend <0.05, P for trend <0.001, P for trend <0.001, respectively) and women (P for trend <0.001, P for trend <0.001, P for trend <0.001, respectively). There is a clear association between the estimated 10-year CVD risk and consumption of fruits and vegetables with regard to the total amount and variety consumed by healthy Korean adults.
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