Differences in the Association Among the Vitamin D Concentration, Dietary Macronutrient Consumption, and Metabolic Syndrome Depending on Pre- and Postmenopausal Status in Korean Women: A Cross-Sectional Study

Hyejin Chun,1 Gi Dae Kim,2 Miae Doo3 1Department of Family Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Gyeonggi, 13496, Republic of Korea; 2Department of Food and Nutrition, Kyungnam University, Changwon, Gyeongnam 51767, Republic of Korea; 3Department of Food and Nutrition, Kuns...

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Autores principales:	Chun H, Kim GD, Doo M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	dietary macronutrient korean national health and nutrition examination survey menopausal status metabolic syndrome vitamin d Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/f0aadbe00a7347c5b50611543fade413
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spelling	oai:doaj.org-article:f0aadbe00a7347c5b50611543fade4132021-12-02T13:02:59ZDifferences in the Association Among the Vitamin D Concentration, Dietary Macronutrient Consumption, and Metabolic Syndrome Depending on Pre- and Postmenopausal Status in Korean Women: A Cross-Sectional Study1178-7007https://doaj.org/article/f0aadbe00a7347c5b50611543fade4132020-10-01T00:00:00Zhttps://www.dovepress.com/differences-in-the-association-among-the-vitamin-d-concentration-dieta-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Hyejin Chun,1 Gi Dae Kim,2 Miae Doo3 1Department of Family Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Gyeonggi, 13496, Republic of Korea; 2Department of Food and Nutrition, Kyungnam University, Changwon, Gyeongnam 51767, Republic of Korea; 3Department of Food and Nutrition, Kunsan National University, Gunsan, Jeonbuk 54150, Republic of KoreaCorrespondence: Miae DooDepartment of Food and Nutrition, Kunsan National University, Daehak-Ro 558, Gunsan, Jeonbuk 54150, Republic of KoreaTel +82-63-469-4635Fax +82-63-469-2085Email miae_doo@kunsan.ac.krBackground and Objectives: To assess whether the consumption of dietary macronutrient could change metabolic syndrome (MetS) related to vitamin D deficiency according to menopausal status.Methods and Study Design: In a cross-sectional study of 8326 Korean women from the Korean National Health and Nutrition Examination Survey V (2010– 2012), we investigated the combined interaction effect of serum 25-hydroxyvitamin D [25(OH)D] concentration and menopausal status on MetS-related variables.Results: The prevalence rates of 25(OH)D deficiency (vitamin D < 50 nmol/L) among premenopausal and postmenopausal women were 84.5% and 67.9%, respectively. Significant differences in MetS-related variables such as body mass index (P< 0.001), waist circumference (P=0.005), fast glucose (P=0.048), triglycerides (P=0.001), and high-density lipoprotein cholesterol (P=0.027) based on 25(OH)D concentration were observed among postmenopausal women but not among premenopausal women. Among the postmenopausal women with high consumption of dietary carbohydrate, the adjusted odds ratios (ORs) [95% confidence intervals (95% CIs)] of MetS among participants with 25(OH)D deficiency increased 1.380-fold (95% CI = 1.086– 1.753) using the 25(OH)D-sufficient group as a reference. In contrast, the participants with 25(OH)D deficiency showed an increased risk of MetS [OR (95% CI) = 1.313 (1.041– 1.655)] with low-fat consumption. However, the aforementioned findings did not differ among premenopausal women.Conclusion: Thus, MetS due to 25(OH)D deficiency among postmenopausal women may be modified by the consumption of dietary macronutrient.Keywords: dietary macronutrient, Korean national health and nutrition examination survey, menopausal status, metabolic syndrome, vitamin DChun HKim GDDoo MDove Medical Pressarticledietary macronutrientkorean national health and nutrition examination surveymenopausal statusmetabolic syndromevitamin dSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 3601-3609 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	dietary macronutrient korean national health and nutrition examination survey menopausal status metabolic syndrome vitamin d Specialties of internal medicine RC581-951
spellingShingle	dietary macronutrient korean national health and nutrition examination survey menopausal status metabolic syndrome vitamin d Specialties of internal medicine RC581-951 Chun H Kim GD Doo M Differences in the Association Among the Vitamin D Concentration, Dietary Macronutrient Consumption, and Metabolic Syndrome Depending on Pre- and Postmenopausal Status in Korean Women: A Cross-Sectional Study
description	Hyejin Chun,1 Gi Dae Kim,2 Miae Doo3 1Department of Family Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Gyeonggi, 13496, Republic of Korea; 2Department of Food and Nutrition, Kyungnam University, Changwon, Gyeongnam 51767, Republic of Korea; 3Department of Food and Nutrition, Kunsan National University, Gunsan, Jeonbuk 54150, Republic of KoreaCorrespondence: Miae DooDepartment of Food and Nutrition, Kunsan National University, Daehak-Ro 558, Gunsan, Jeonbuk 54150, Republic of KoreaTel +82-63-469-4635Fax +82-63-469-2085Email miae_doo@kunsan.ac.krBackground and Objectives: To assess whether the consumption of dietary macronutrient could change metabolic syndrome (MetS) related to vitamin D deficiency according to menopausal status.Methods and Study Design: In a cross-sectional study of 8326 Korean women from the Korean National Health and Nutrition Examination Survey V (2010– 2012), we investigated the combined interaction effect of serum 25-hydroxyvitamin D [25(OH)D] concentration and menopausal status on MetS-related variables.Results: The prevalence rates of 25(OH)D deficiency (vitamin D < 50 nmol/L) among premenopausal and postmenopausal women were 84.5% and 67.9%, respectively. Significant differences in MetS-related variables such as body mass index (P< 0.001), waist circumference (P=0.005), fast glucose (P=0.048), triglycerides (P=0.001), and high-density lipoprotein cholesterol (P=0.027) based on 25(OH)D concentration were observed among postmenopausal women but not among premenopausal women. Among the postmenopausal women with high consumption of dietary carbohydrate, the adjusted odds ratios (ORs) [95% confidence intervals (95% CIs)] of MetS among participants with 25(OH)D deficiency increased 1.380-fold (95% CI = 1.086– 1.753) using the 25(OH)D-sufficient group as a reference. In contrast, the participants with 25(OH)D deficiency showed an increased risk of MetS [OR (95% CI) = 1.313 (1.041– 1.655)] with low-fat consumption. However, the aforementioned findings did not differ among premenopausal women.Conclusion: Thus, MetS due to 25(OH)D deficiency among postmenopausal women may be modified by the consumption of dietary macronutrient.Keywords: dietary macronutrient, Korean national health and nutrition examination survey, menopausal status, metabolic syndrome, vitamin D
format	article
author	Chun H Kim GD Doo M
author_facet	Chun H Kim GD Doo M
author_sort	Chun H
title	Differences in the Association Among the Vitamin D Concentration, Dietary Macronutrient Consumption, and Metabolic Syndrome Depending on Pre- and Postmenopausal Status in Korean Women: A Cross-Sectional Study
title_short	Differences in the Association Among the Vitamin D Concentration, Dietary Macronutrient Consumption, and Metabolic Syndrome Depending on Pre- and Postmenopausal Status in Korean Women: A Cross-Sectional Study
title_full	Differences in the Association Among the Vitamin D Concentration, Dietary Macronutrient Consumption, and Metabolic Syndrome Depending on Pre- and Postmenopausal Status in Korean Women: A Cross-Sectional Study
title_fullStr	Differences in the Association Among the Vitamin D Concentration, Dietary Macronutrient Consumption, and Metabolic Syndrome Depending on Pre- and Postmenopausal Status in Korean Women: A Cross-Sectional Study
title_full_unstemmed	Differences in the Association Among the Vitamin D Concentration, Dietary Macronutrient Consumption, and Metabolic Syndrome Depending on Pre- and Postmenopausal Status in Korean Women: A Cross-Sectional Study
title_sort	differences in the association among the vitamin d concentration, dietary macronutrient consumption, and metabolic syndrome depending on pre- and postmenopausal status in korean women: a cross-sectional study
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/f0aadbe00a7347c5b50611543fade413
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Differences in the Association Among the Vitamin D Concentration, Dietary Macronutrient Consumption, and Metabolic Syndrome Depending on Pre- and Postmenopausal Status in Korean Women: A Cross-Sectional Study

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