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Association between Dietary Habits and Self-rated Health According to Sasang Constitution

사상체질에 따른 식습관과 주관적 건강상태와의 연관성

  • Jeong, Kyoungsik (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Kim, Hoseok (Clinical Medicine Division, Korea Institute of Oriental Medicine) ;
  • Lee, Siwoo (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Baek, Younghwa (Future Medicine Division, Korea Institute of Oriental Medicine)
  • 정경식 (한국한의학연구원 미래의학부) ;
  • 김호석 (한국한의학연구원 임상의학부) ;
  • 이시우 (한국한의학연구원 미래의학부) ;
  • 백영화 (한국한의학연구원 미래의학부)
  • Received : 2019.11.05
  • Accepted : 2020.01.17
  • Published : 2020.02.25

Abstract

Dietary habits are known to be closely related not only to chronic diseases such as cardiovascular disease and diabetes, but also to self-rated health (SRH). Consequently, there is a highly important lifestyle component in maintaining a healthy life. The aim of the present study was to determine the correlation between diverse dietary habits based on the Sasang constitutions (SC) and SRH. The data were collected from 2,984 participants who met the constitution pharmacology criteria and whose SC were clinically confirmed by SC professionals. Dietary habits were observed by assessing the regularity of diet, meal volume, and meal speed; single-answer questions were used for SRH. Fisher's exact/chi-square test and logistic regression were used to analyze the correlation between dietary habits depending on constitutional type and SRH. In association with constitutional SRH, the Taeum type is related to the amount of meal, the Soeum and Soyang types are related to the regularity of meal and meal volume. In the Taeum type, there was a significantly higher risk of lower SRH when meal volumes were irregular less than previous amounts. Irregular diet, as well as increased or decreased meal volume, negatively correlated with SRH in the Soeum type; in the Soyang type, irregular diet and decreased or irregular meal volume negatively affected SRH. This showed the presence of the different effects of dietary habits on health depending on constitution and also confirmed the association of the regularity of diet and meal volume based on constitution and the frequency of bad dietary habits with SRH. We suggest that personalized healthcare with adequate dietary improvement considering constitution is needed for health management or improvement.

Keywords

References

  1. Jo JS, Kim KN. Development of a Questionnaire for Dietary Habit Survey of Korean Adults. Korean Journal of Community Nutrition. 2014;19(3).
  2. Korea S. Death Cause Statistics of National Statistics Potal. 2017.
  3. Lee JS, Mishra G, Hayashi K, Watanabe E, Mori K, Kawakubo K. Combined eating behaviors and overweight: Eating quickly, late evening meals, and skipping breakfast. Eating behaviors. 2016;21:84-8. https://doi.org/10.1016/j.eatbeh.2016.01.009
  4. Hsieh SD, Muto T, Murase T, Tsuji H, Arase Y. Eating until feeling full and rapid eating both increase metabolic risk factors in Japanese men and women. Public health nutrition. 2011;14(7):1266-9. https://doi.org/10.1017/S1368980010003824
  5. Yahia N, Achkar A, Abdallah A, Rizk SJNJ. Eating habits and obesity among Lebanese university students. 2008;7(1):32. https://doi.org/10.1186/1475-2891-7-32
  6. Paz-Graniel I BN, Mendez I, Salas-Salvado J. Association between Eating Speed and Classical Cardiovascular Risk Factors: A Cross-Sectional Study. Nutrients. 2019;11(1).
  7. Sierra-Johnson J, Unden AL, Linestrand M, Rosell M, Sjogren P, Kolak M, et al. Eating meals irregularly: a novel environmental risk factor for the metabolic syndrome. Obesity. 2008;16(6):1302-7. https://doi.org/10.1038/oby.2008.203
  8. Choi Y. Is Subjective Health Reliable as a Proxy Variable for True Health? A Comparison of Self-rated Health and Self-assessed Change in Health among Middle-aged and Older South Koreans. Health and Social Welfare Review. 2016;36(4):431-59. https://doi.org/10.15709/hswr.2016.36.4.431
  9. Lee H-S. The Factors Influencing Health-Related Quality of Life in the Elderly - Focused on the General Characteristics, Health Habits, Mental Health, Chronic Diseases, and Nutrient Intake Status: Data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010-2012. The Korean Society of Community Nutrition. 2014;19(5):479-89. https://doi.org/10.5720/kjcn.2014.19.5.479
  10. Heller DA, Ahern FM, Pringle KE, Brown TV. Among older adults, the responsiveness of self-rated health to changes in Charlson comorbidity was moderated by age and baseline comorbidity. Journal of clinical epidemiology. 2009;62(2):177-87. https://doi.org/10.1016/j.jclinepi.2008.05.009
  11. Bae A, Yoon J, Yun S-Y, Asano K. Dietary and health characteristics of the young-old and the old-old by food security status: analysis of data from the 6th (2013-2015) Korea National Health and Nutrition Examination Survey. J Nutr Health. 2019;52(1):104-17. https://doi.org/10.4163/jnh.2019.52.1.104
  12. Kim J-H. Association between Body Shape Index, Perceived Body Shape and Self-Rated Health, Quality of Life in Korean Adults population Using Sixth Korea National Health and Nutrition Examination Survey. Health and Social Welfare Review. 2018;38(4):323-40. https://doi.org/10.15709/HSWR.2018.38.4.323
  13. Kim M, Choi KS, Suh M, Jun JK, Chuck KW, Park B. Risky Lifestyle Behaviors among Gastric Cancer Survivors Compared with Matched Non-cancer Controls: Results from Baseline Result of Community Based Cohort Study. Cancer research and treatment: official journal of Korean Cancer Association. 2018;50(3):738. https://doi.org/10.4143/crt.2017.129
  14. Welfare MoHa. OECD Health Statistics 2018. 2018.
  15. Kwak H-K, Lee MY, Kim MJ. Comparisons of Body Image Perception, Health Related Lifestyle and Dietary Behaior Based on the Self-RAted Health of University Students in Seoul. Korean J Community Nutr. 2011;16(6):672-82. https://doi.org/10.5720/kjcn.2011.16.6.672
  16. Choi M-K, Kim J-G, Kim J-M. A Study on the Dietary Habit and Health of Office Workers in Seoul. J of the Korean Society of Food Culture. 2003;18(1):45-55.
  17. Yu J-S. The Preventive Thoughts of Sasnang Constitutional Medicine. J Sasang Constitut Med. 2018;30(1):7-13. https://doi.org/10.7730/JSCM.2018.30.1.7
  18. Park G-S, Kim H-K. A Study on Eating Habits by Body Constitution Types of the Sasang Constitutional Medicine Among Female College Students. Journal of the Korean Society of Food Science and Nutrition. 2003;32(2):302-6. https://doi.org/10.3746/JKFN.2003.32.2.302
  19. Ko W-S, Kim K-S, Ko B-H, Lee E-J. The Study on Sasangin's Appearance and Eating Habit of Elementary School Students. Journal of Sasang Constitutional Medicine. 2007;19(1):116-26.
  20. Baek YH, Kim HS, Lee SW, Ryu JH, Kim YY, Jang ES. Study On the Ordinary Symptoms Characteristics of Gender Difference According to Sasang Constitution. Journal of Physiology & Pathology in Korean Medicine. 2009;23(1):251-8.
  21. Kim J, Lee S, Baek Y. Effects of Life Style on Metabolic Syndrome Stage according to the Sasang Constitution. J Sasang Constitut Med. 2017;29(3):232-41. https://doi.org/10.7730/JSCM.2017.29.3.232
  22. Baek Y-H, Kim S-H, Lee S-W, Kim S-H, Ryu J-H, Jang E-S. Association between health practices and health state according to Sasang constitution. Journal of Physiology & Pathology in Korean Medicine. 2009;23(6):1521-8.
  23. Jin H-J, Baek Y, Kim H-S, Ryu J, Lee S. Constitutional multicenter bank linked to Sasang constitutional phenotypic data. BMC complementary and alternative medicine. 2015;15(1):1. https://doi.org/10.1186/s12906-015-0520-z
  24. Hyun MK, Baek Y, Lee S. Association between digestive symptoms and sleep disturbance: a cross-sectional community-based study. BMC gastroenterology. 2019;19(1):34. https://doi.org/10.1186/s12876-019-0945-9
  25. Baek Y-H, Kim H-S, Lee S-W, Ryu J-H, Kim Y-Y, Jang E-SJJoP, et al. Study on the ordinary symptoms characteristics of gender difference according to Sasang constitution. 2009;23(1):251-8.
  26. Mesas A, Munoz-Pareja M, Lopez-Garcia E, Rodriguez-Artalejo F. Selected eating behaviours and excess body weight: a systematic review. Obesity Reviews. 2012;13(2):106-35. https://doi.org/10.1111/j.1467-789X.2011.00936.x
  27. Tao L, Yang K, Huang F, Liu X, Li X, Luo Y, et al. Association between self-reported eating speed and metabolic syndrome in a Beijing adult population: a cross-sectional study. BMC public health. 2018;18(1):855. https://doi.org/10.1186/s12889-018-5784-z
  28. Ohkuma T, Hirakawa Y, Nakamura U, Kiyohara Y, Kitazono T, Ninomiya T. Association between eating rate and obesity: a systematic review and meta-analysis. International journal of obesity. 2015;39(11):1589. https://doi.org/10.1038/ijo.2015.96
  29. Jeong KS, Lee SW, Baek YH. Trends of Study on Sasang Constitution and Eating Habits in Recent 20 Years. J Sasang Constitut Med. 2019;31(2):11.
  30. Yamane M, Ekuni D, Mizutani S, Kataoka K, Sakumoto-Kataoka M, Kawabata Y, et al. Relationships between eating quickly and weight gain in J apanese university students: A longitudinal study. Obesity. 2014;22(10):2262-6. https://doi.org/10.1002/oby.20842
  31. Dynesen AW, Haraldsdottir J, Holm L, Astrup A. Sociodemographic differences in dietary habits described by food frequency questions-results from Denmark. European Journal of Clinical Nutrition. 2003;57(12):1586. https://doi.org/10.1038/sj.ejcn.1601728
  32. Franks P, Gold MR, Fiscella K. Sociodemographics, self-rated health, and mortality in the US. Social science & medicine. 2003;56(12):2505-14. https://doi.org/10.1016/S0277-9536(02)00281-2
  33. Kim S-H, Kim H-S, Lee S-W. Comparison of Lifestyle by Sasang Constitution Type and Health Status. J Sasang Constitut Med. 2018;30(1):24-31. https://doi.org/10.7730/JSCM.2018.30.1.24
  34. Jang E-S, Kim Y-Y, Baek Y-H, Lee S-W. The Association between Seven Health Practices and Self Rated Health by Sasang Constitution. J Sasang Constitut Med. 2018;30(1):32-42. https://doi.org/10.7730/JSCM.2018.30.1.32
  35. Fayers PM, Sprangers MAJTL. Understanding self-rated health. 2002;359(9302):187-8. https://doi.org/10.1016/S0140-6736(02)07466-4
  36. Korean Statistical Information Service. Subjective health status awareness: 27, June, 2019; 2019 [Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1YL21011E&conn_path=I2.
  37. Korean Statistical Information Service. Health evauation (over 13 years old) 06, November, 2018 [Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1SSHE010R&conn_path=I2.
  38. Seo S, Chung S, Shumway M. How good is "very good"? Translation effect in the racial/ethnic variation in self-rated health status. Quality of Life Research. 2014;23(2):593-600. https://doi.org/10.1007/s11136-013-0522-6
  39. Jang E-S, Kim H-S, Lee H-J, Baek Y-H, Lee S-W. The Clinical Study on the Ordinary and Pathological Symptoms according to Sasang Constitution. Journal of Sasang Constitutional Medicine. 2007;19(3):144-55.
  40. Baek T-H, Park S-S. A Correlation Research of Appetite and Dining Habits According to Sasang Constitution. The Journal of Korean Medicine. 2004;25(2):77-86.
  41. Jang ES, Hwang JH, Kim SH, Lee SW, Kim JY. Study on the Weight ofHealth Evaluation Indexes according to Sasang Constitution. Korean J Oriental Physiology & Pathology. 2009;23(6):1267-72.
  42. Lee, Jung S, Kim, Hye Y, Hwang, Ji Y, et al. Development of Nutrition Quotient for Korean adults: item selection and validation of factor structure. Journal of Nutrition and Health. 2018;51(4):340-56. https://doi.org/10.4163/jnh.2018.51.4.340

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