Sang-Joon Pae1, Hyoung-Ji Lim2, Joo-Yeon Kim2, Hee-Taik Kang2, Jae-woo Lee2

1Health Promotion Center, National Health Insurance Service Ilsan Hospital, Goyang, Korea 2Department of Family Medicine, Chungbuk National University Hospital, Cheongju, Korea


Background: The purpose of this study was to investigate the differences in health behaviors and dietary habits between the metabolically healthy group and the metabolically abnormal group in overweight and obese subjects based on the data of National Health and Nutrition Survey (NHANES).
Methods: Using the NHANES data (2007-2010), a total of 18,188 subjects were grouped into the metabolically healthy group and the abnormal group using the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) definition. Then we compared their health behaviors, dietary behaviors and nutrient intakes after adjustment for variables in overweight and obese groups.
Results: The proportion of metabolic abnormalities tended to increase with increasing age in both overweight and obesity groups.(P for trend <0.001) After adjusting various confounding variables, the odds ratio (95% confidence interval) of skipping any meal and breakfast for metabolically abnormality were 1.318 (1.066-1.631) and 1.354 (1.076-1.705) in male obese group and those of skipping breakfast and carbonated drink intake were 1.578 (1.168-2.133) and 1.540 (1.188-2.492) in female obese group. Daily potassium intake (P=0.032) and daily vitamin C intake (P=0.048) in the male overweight group and daily water intake (P=0.046) and daily carbohydrate intake (P=0.038) in the female overweight group were associated with metabolically abnormality.
Conclusions: There were differences in health behaviors and nutrient intake according to metabolically abnormality in overweight and obese groups.
Korean J Health Promot 2017;17(3):137-144

Keywords: Metabolic syndrome, Health behavior, Nutrient intake, Obesity phenotype