Background/objectives The risk factors for metabolic syndrome may differ between Western and Asian countries due to their distinct dietary cultures. However, few studies have directly compared macronutrient intake and its association with the risk of metabolic syndrome in the US and Korean adults using national survey data. Subject/methods Based on the data from the US and Korean versions of the 2007–2012 National Health and Nutrition Examination Survey (NHANES, KNHANES), a total of 3,324 American and 20,515 Korean adults were included. In both countries, dietary intake was measured using a 24-h dietary recall method and metabolic syndrome was deﬁned using the National Cholesterol Education Program Adult Treatment Panel III criteria. Results The percentages of energy intake from carbohydrate, protein, and fat were 50:16:33 in the US adults and 66:15:19 in the Korean adults. Regarding metabolic abnormalities, Korean adults in the highest quintile of carbohydrate intake showed an increased risk of metabolic syndrome in men and women, with abnormalities of reduced HDL cholesterol and elevated triglyceride levels. In contrast, the US men showed no signiﬁcant association with metabolic syndrome and its abnormalities, while the US women showed an increased risk of reduced HDL cholesterol and elevated triglycerides. Conclusions A high carbohydrate
European Journal of Clinical Nutrition – Springer Journals
Published: Jan 16, 2018
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