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Korean J Pediatr 2012 April;55(4) :128-135.
Published online 2012 April 16.        doi:
Dietary patterns and metabolic syndrome risk factors among adolescents
Hyojee Joung (Joung Hj)1, Soyoung Hong (Hong Sy)2, Yoonju Song Song (Song YS)3, Byung Chul Ahn (Ahn BC)4, Mi Jung Park (Park MJ)5
1Division of Public Health Nutrition, School of Public Health and Institute of Health and Environment, Seoul National University, Seoul, Korea
2Research Institute, Seoul Medical Center, Seoul, Korea
3Major of Food and Nutrition, The Catholic University of Korea, Bucheon, Korea
4School of Economics and Finance, Yeungnam University, Gyeongsan, Korea
5Department of Pediatrics, Inje University Sanggye Paik Hospital, Seoul, Korea
Corresponding Author: Mi Jung Park ,Tel: +82-2-950-1130, Fax: +82-2-951-1246, Email:
Copyright © 2012 by The Korean Pediatric Society
Purpose: Unbalanced diets and decreased physical activity have contributed to increased prevalence of obesity and metabolic syndrome in adolescents. We have performed a systematic review and data analysis to examine the association between dietary pattern and metabolic syndrome risk factors in adolescents. Methods: We searched the PubMed and BioMedLib databases for appropriate articles published during the past 10 years and selected 6 articles. The studies reviewed applied factor analysis or cluster analysis to extract dietary patterns. For data analysis, we examined the association between dietary patterns and the prevalence of metabolic syndrome risk factors using data of 3,168 adolescents (13 to 18 years) obtained from 4 consecutive Korean Nutrition Health and Nutrition Examination Surveys (1998, 2001, 2005, and 2007 to 2009). Results: Our systematic review confirmed that western dietary patterns are positively associated with metabolic syndrome risk factors such as obesity and elevated triglycerides, while traditional dietary patterns were negatively associated. Data analysis found that the number of adolescents aged 16 to 18 years who had Rice & Kimchi dietary pattern decreased, while the number having western dietary patterns increased during the 1998 to 2009 time frame. There were no changes in the dietary patterns in adolescents aged 13 to 15 years. The risk of elevated serum triglycerides and reduced serum high density lipoprotein cholesterol was high in the Rice & Kimchi dietary pattern compared to the other dietary pattern groups.Conclusion: Because adolescents dietary patterns are changing continuously and have long-term effects, further studies on the dietary patterns of adolescents and their health effects into adulthood are necessary.
Keywords: Dietary pattern | Adolescent | Metabolic syndrome | KNHANES | Systematic review
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Supplementary Material  Supplementary Material
Metabolic syndrome in children and adolescents  2009 July;52(7)
Leptin, adiponectin, interleukin-6 and tumor necrosis factor- in obese adolescents  2008 June;51(6)
Epidemiology of the metabolic syndrome among Korean children and adolescents  2008 June;51(6)
Relationship between Body Fat Distribution and Metabolic Risk Factors in Adolescents  2003 April;46(4)
Carbohydrate Metabolism and Lactose Intolerance  1992 July;35(7)
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