The Application of the Korean Dietary Pattern Score; KNHANES (Korean National Health and Nutrition Examination Survey) 2007

Abstract

The aim of this study was to apply the Korean Dietary Pattern Score (KDPS) to Korean subjects based on traditional Korean-style meals. The KDPS is based on the 3-Chup Bansang (the traditional Korean daily table setting) and considers the intake of 6 major food groups according to the Korean Dietary Reference Intakes (KDRIs). The KDPS consists of 2 parts: the Korean-Style Meal Score (KSMS) and the Food Group Score (FGS). The KDPS was applied dietary data collected during the Korean National Health and Nutrition Examination Survey (KNHANES) in 2007. Socio-demographic status, gender, age, and body mass index are all factors that have been shown to be meaningful predictors for the KDPS. When the effect of the KDPS on risk of disease was evaluated, a higher total KDPS was associated with a decreased risk of elevated systolic blood pressure (p < 0.05) and hypercholesterolemia (p < 0.05). In addition, as the KSMS increased, the risk of central obesity (p < 0.05) and hypertension (p < 0.01) significantly decreased. A higher total KDPS suggests a greater diversity of food intake, and therefore greater dietary diversity appears to lower the risk of disease. The KDPS is relevant because it integrates scores for Korean-style meal patterns and meal evaluation from a nutritional perspective. In conclusion, the KDPS is appropriate for evaluating the quality of diet, adherence to Korean-style meal patterns, and risk of related diseases. These results will be useful for evaluating the nation’s dietary patterns, nutrition, and health status when planning nutrition policies and programs.

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K. Lee, J. Oh and M. Cho, "The Application of the Korean Dietary Pattern Score; KNHANES (Korean National Health and Nutrition Examination Survey) 2007," Food and Nutrition Sciences, Vol. 3 No. 12, 2012, pp. 1688-1696. doi: 10.4236/fns.2012.312221.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] K. Kant, “Indexes of Overall Diet Quality: A Review,” Journal of the American Dietetic Association, Vol. 96, No. 8, 1996, pp. 785-791. doi:10.1016/S0002-8223(96)00217-9
[2] M. Gerber, “The Comprehensive Approach to Diet: A Critical Review,” Journal of Nutrition, Vol. 131, No. 11, 2001, pp. 3051S-3055S.
[3] P. F. Jacques and K. L. Tucker, “Are Dietary Patterns Useful for Understanding the Role of Diet in Chronic Disease?” The American Journal of Clinical Nutrition, Vol. 73, No. 1, 2001, pp. 1-2.
[4] D. R. Jacobs, Jr. and L. M. Steffen, “Nutrients, Foods, and Dietary Patterns as Exposures in Research: A Framework for Food Synergy,” The American Journal of Clinical Nutrition, Vol. 78, No. 3, 2003, pp. 508S-513S.
[5] A. K. Kant, A. Schatzkin, B. I. Graubard and C. Schairer, “A Prospective Study of Diet Quality and Mortality in Women,” JAMA, Vol. 283, No. 16, 2000, pp. 2109-2115. doi:10.1001/jama.283.16.2109
[6] L. Harnack, K. Nicodemus, D. R. Jacobs, Jr. and A. R. Folsom, “An Evaluation of the Dietary Guidelines for Americans in Relation to Cancer Occurrence,” The American Journal of Clinical Nutrition, Vol. 76, No. 4, 2002, pp. 889-896.
[7] J. D. Seymour, E. E. Calle, E. W. Flagg, R. J. Coates, E. S. Ford and M. J. Thun, “Diet Quality Index as a Predictor of Short-Term Mortality in the American Cancer Society Cancer Prevention Study II Nutrition Cohort,” American Journal of Epidemiology, Vol. 157, No. 11, 2003, pp. 980-988. doi:10.1093/aje/kwg077
[8] D. B. Panagiotakos, C. Pitsavos and C. Stefanadis, “Dietary Patterns: A Mediterranean Diet Score and Its Relation to Clinical and Biological Markers of Cardiovascular Disease Risk,” Nutrition, Metabolism & Cardiovascular Diseases, Vol. 16, No. 8, 2006, pp. 559-568. doi:10.1016/j.numecd.2005.08.006
[9] M. E. Rumawas, J. T. Dwyer, M. N. Mckeown, J. B. Meigs, G. Rogers and P. F. Jacques, “The Development of the Mediterranean-Style Dietary Pattern Score and Its Application to the American Diet in the Framingham Offspring Cohort,” Journal of Nutrition, Vol. 139, No. 6, 2009, pp. 1150-1156. doi:10.3945/jn.108.103424
[10] W. C. Willett, F. Sacks, A. Trichopoulou, G. Drescher, A. Ferro-Luzzi and E. Helsing, “Mediterranean Diet Pyramid: A Cultural Model for Healthy Eating,” The American Journal of Clinical Nutrition, Vol. 61, No. 6, 1995, pp. 1402-1406.
[11] L. Serra-Majem, B. Roman and R. Estruch, “Scientific Evidence of Interventions Using the Mediterranean Diet: A Systematic Review,” Nutrition Reviews, Vol. 64, No. 1, 2006, pp. S27-S47. doi:10.1111/j.1753-4887.2006.tb00232.x
[12] H. K. Moon, H. R. Chung and E. Y. Cho, “Analysis of Menu Patterns from the Korean National Nutrition Survey in 1990,” Korean Journal of Food Culture, Vol. 9, No. 3, 1994, pp. 241-250.
[13] H. Y. Cho, “The Historical Background and Characteristics of Korean Food,” Korean Journal of Food Culture, Vol. 13, No. 1, 1998, pp. 1-8.
[14] J. H. Kang, K. A. Kim and J. S. Han, “Korean Diet and Obesity,” The Korean Journal of Obesity, Vol. 13, No. 1, 2004, pp. 34-41.
[15] H. O. Jung, “A Study on Developing Korean Food Brands,” Korean Studies, Vol. 8, 2006, pp. 161-191.
[16] K. W. Lee and M. S. Cho, “The Development and Validation of the Korean Dietary Pattern Score (KDPS),” Korean Journal of Food Culture, Vol. 25, No. 6, 2010, pp. 652-660.
[17] A. K. Kant, A. Schatzkin, T. B. Harris, R. G. Ziegler and G. Block, “Dietary Diversity and Subsequent Mortality in the First National Health and Nutrition Examination Survey Epidemiologic Follow-Up Study,” The American Journal of Clinical Nutrition, Vol. 57, No. 3, 1993, pp. 434-440.
[18] S. Kim, P. S. Haines, A. M. Siega-Riz and B. M. Popkin, “The Diet Quality Index-International (DQI-I) Provides an Effective Tool for Cross-National Comparisons of Diet Quality as Illustrated by China and the United States,” Journal of Nutrition, Vol. 133, No. 11, 2003, pp. 3476-3484.
[19] J. W. Lee, H. J. Hyun, C. S. Kwak, C. I. Kim and H. S. Lee, “Relationship between the Number of Different Food Consumed and Nutrient Intakes,” Korean Journal of Community Nutrition, Vol. 5, No. 2, 2000, pp. 297-306.
[20] S. H. Kim, C. H. Yu, J. Y. Kim and S. S. Lee, “The Effect of Milk Consumption on Blood Lipid Levels of the Korean College Women,” Korean Journal of Nutrition, Vol. 38, No. 7, 2005, pp. 561-569.
[21] J. S. Lee, C. H. Yu and C. E. Chung, “Relation between Milk Consumption and Bone Mineral Density of Female College Students in Korea,” Korean Journal of Nutrition, Vol. 39, No. 5, 2006, pp. 451-459.
[22] C. E. Chung, “Ready-to-Eat Cereal Consumption Enhances Milk and Calcium Intake in Korean Population from 2001 Korean National Health and Nutrition Survey,” Korean Journal of Nutrition, Vol. 39, No. 8, pp. 786-794.
[23] H. Schroder, J. Marrugat, J. Vila, M. I. Covas and R. Elosua, “Adherence to the Traditional Mediterranean Diet Is Inversely Associated with Body Mass Index and Obesity in a Spanish Population,” Journal of Nutrition, Vol. 134, No. 12, 2004, pp. 3355-3361.
[24] M. A. Mendez, B. M. Popkin, P. Jakszyn, A. Berenguer, M. J. Tormo and M. J. Sanchez, “Adherence to a Mediterranean Diet Is Associated with Reduced 3-Year Incidence of Obesity,” Journal of Nutrition, Vol. 136, No. 11, 2006, pp. 2934-2938.
[25] D. Romaguera, T. Norat, T. Mouw, A. M. May, C. Bamia, N. Slimani, N. Travier, H. Besson, J. Luan and N. Wareham, “Adherence to the Mediterranean Diet Is Associated with Lower Abdominal Adiposity in European Men and Women,” Journal of Nutrition, Vol. 139, 2009, pp. 1150-115.

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