Less Healthy Dietary Pattern is Associated with Smoking in Korean Men According to Nationally Representative Data

다국어 초록 (Multilingual Abstract)

The relationship between smoking and nutrient intake has been widely investigated in several countries. However, Korea presents a population with a smoking rate of approximately 50% and dietary consumption of unique foods. Thus, the aim of this study was to evaluate the association of dietary patterns with smoking in Korean men using a nationally representative sample. The study subjects were comprised of 4,851 Korean men over 19 yr of age who participated in the fourth Korean National Health and Nutrition Examination Survey. Dietary data were assessed by the 24-hr recall method. The smoking group comprised 2,136 men (46.6%). Five dietary patterns were derived using factor analysis: ‘sugar & fat’, ‘vegetables & seafood’, ‘meat & drinks’, ‘grains & eggs’, and ‘potatoes,fruits and dairy products.’ Current smokers showed a more significant ‘sugar & fat’ pattern (P = 0.001) while significantly less of the ‘vegetables & seafood’ and ‘potatoes, fruits and dairy products’ patterns (P = 0.011, P < 0.001, respectively). As found in similar results from Western studies, Korean male smokers showed less healthy dietary patterns than nonsmokers. Thus, the result of this study underlines the need for health professionals to also provide advice on dietary patterns when counseling patients on smoking cessation.

참고문헌 (Reference)

1 강기원, "흡연, 음주와 운동습관의 군집현상을 통한 건강행태의 고위험군: 국민건강영양 조사" 대한예방의학회 43 (43): 73-83, 2010

2 이은하, "한국인의 흡연과 사망 위험에 관한 코호트 연구" 대한예방의학회 43 (43): 151-158, 2010

3 송다영, "한국인의 나트륨 섭취에 기여하는 주요 음식군 및 식품군의 추이 분석: 1998~2010 국민건강영양조사 자료 분석" 한국영양학회 46 (46): 72-85, 2013

4 김혜경, "울산지역 성인 남녀의 스트레스와 식습관" 한국영양학회 42 (42): 536-546, 2009

5 백경원, "우리나라 성인의 공복혈당 수준과 식이패턴요인: 제4기(2007-2009) 국민건강영양조사를 중심으로" 대한예방의학회 44 (44): 93-100, 2011

6 Marangon K, "and smoking habits in French men" 67 : 231-239, 1998

7 Diana JN, "Tobacco smoking and nutrition" 686 : 1-11, 1993

8 Heikkinen H, "The impact of smoking on health-related and overall quality of life: a general population survey in Finland" 10 : 1199-1207, 2008

9 배윤정, "Nutrient intake and bone health status of Korean male college students as related to smoking situations" 한국영양학회 2 (2): 184-190, 2008

10 Korea Centers for Disease Control & Prevention, "National Health And Nutrition Examination Survey Report 2008" Ministry of Health and Welfare 2008

11 Northrop-Clewes CA, "Monitoring micronutrients in cigarette smokers" 377 : 14-38, 2007

12 The Organisation for Economic Co-operation and Development, "Health at a glance 2009: OECD Indicators" OECD 2009

13 Kim J, "Grains, vegetables, and fish dietary pattern is inversely associated with the risk of metabolic syndrome in South Korean adults" 111 : 1141-1149, 2011

14 Palaniappan U, "Fruit and vegetable consumption is lower and saturated fat intake is higher among Canadians reporting smoking" 131 : 1952-1958, 2001

15 Thornton A, "Differences between smokers, ex-smokers, passive smokers and non-smokers" 47 : 1143-1162, 1994

16 Bui MH, "Dietary vitamin C intake and concentrations in the body fluids and cells of male smokers and nonsmokers" 122 : 312-316, 1992

17 Cho ER, "Dietary patterns and their associations with health behaviours in Korea" 14 : 356-364, 2011

18 Schulze MB, "Dietary patterns and their association with food and nutrient intake in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam Study" 85 : 363-373, 2001

19 Odegaard AO, "Dietary patterns and incident type 2 diabetes in Chinese men and women: the Singapore Chinese Health Study" 34 : 880-885, 2011

20 Hu FB, "Dietary pattern analysis: a new direction in nutritional epidemiology" 13 : 3-9, 2002

21 Ma J, "Clustering of lifestyle behaviors: the relationship between cigarette smoking, alcohol consumption, and dietary intake" 15 : 107-117, 2000

22 Dallongeville J, "Cigarette smoking is associated with unhealthy patterns of nutrient intake: a meta-analysis" 128 : 1450-1457, 1998

23 Statistics Korea, "Cause of death/mortality, mortality rate, age adjusted mortality rate (2005~2010)" South Korea Statistics Korea 2010

24 McClave AK, "Associations between health-related quality of life and smoking status among a large sample of U.S. adults" 48 : 173-179, 2009

25 Appel LJ, "A clinical trial of the effects of dietary patterns on blood pressure: DASH Collaborative Research Group" 336 : 1117-1124, 1997

26 Meydani M, "A Mediterranean-style diet and metabolic syndrome" 63 : 312-314, 2005