Korean J Fam Pract. 2018; 8(1): 125-130  https://doi.org/10.21215/kjfp.2018.8.1.125
Sex Difference in the Relationship between Evening Meal-Sharing and Prevalence of Metabolic Syndrome: The 2013-2014 Korean National Health and Nutrition Examination Survey
Mi-Ri Kim, Hyung-Jin Kim, Ji-Hye Kim, Byoungjin Park*
Department of Family Medicine, Yonsei University College of Medicine, Seoul, Korea
Byoungjin Park
Tel: +82-31-331-8710, Fax: +82-31-331-5551
E-mail: bjpark96@yuhs.ac
ORCID: http://orcid.org/0000-0003-1733-5301
Received: March 2, 2017; Revised: October 11, 2017; Accepted: October 24, 2017; Published online: February 20, 2018.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: The rapid socioeconomic growth in Korea has resulted in profound lifestyle changes, such as the Westernization of diet or single-person household, which may be related to metabolic alterations. We examined the relationship between evening meal sharing and the prevalence of metabolic syndrome by using representative data for Korean men and women.
Methods: We analyzed data from the 2013–2014 Korea National Health and Nutrition Examination Survey. To investigate outcome variables in the relationship between evening meal sharing and the risk factors for metabolic syndrome, weighted chi-square and simple linear analyses were used. Logistic regression models were used to assess the associations between evening meal sharing and the prevalence of metabolic syndrome according to sex.
Results: In the complex sample logistic analysis, metabolic syndrome was significantly associated with having dinner alone, after adjustment for age, sex, body mass index, smoking status, regular exercise, marital status, systolic blood pressure, diastolic blood pressure, triglyceride level, high-density lipoprotein-cholesterol level, and total energy intake in men (odds ratio [OR], 1.87; 95% confidence interval [CI], 1.08–3.24). However, the risk of metabolic syndrome was lower with evening meal sharing than with having dinner alone in women (OR, 0.49; 95% CI, 0.28–0.86).
Conclusion: Our study suggests that evening meal sharing may have a sex-related difference in influence on metabolic syndrome.
Keywords: Evening Meal Sharing; Metabolic Syndrome; Sex Difference; Korean Adults
  1. Fink SK, Racine EF, Mueffelmann RE, Dean MN, Herman-Smith R. Family meals and diet quality among children and adolescents in North Carolina. J Nutr Educ Behav 2014; 46: 418-22.
    Pubmed CrossRef
  2. Bae HO. A study on one person households in Korea. J Popul Assoc Korea 1993; 16: 125-39.
  3. Statistics Korea. Complete enumeration results of the 2010 population and housing census. Daejeon: Statistics Korea; 2011.
  4. Woolf SH, Jonas S, Kaplan-Liss E. Health promotion and disease prevention in clinical practice. 2nd ed. Baltimore: Lippincott Williams & Wilkins; 2008.
  5. Park YW, Zhu S, Palaniappan L, Heshka S, Carnethon MR, Heymsfield SB. The metabolic syndrome: prevalence and associated risk factor findings in the US population from the Third National Health and Nutrition Examination Survey, 1988-1994. Arch Intern Med 2003; 163: 427-36.
    Pubmed KoreaMed CrossRef
  6. Lee JY, Shin AS. Vegetable and fruit intake in one person household: The Korean National Health and Nutrition Examination Survey (2010-2012). J Nutr Health 2015; 48: 269-76.
  7. Song Y, Joung H, Engelhardt K, Yoo SY, Paik HY. Traditional v. modified dietary patterns and their influence on adolescents’ nutritional profile. Br J Nutr 2005; 93: 943-9.
    Pubmed CrossRef
  8. van Dam RM, Rimm EB, Willett WC, Stampfer MJ, Hu FB. Dietary patterns and risk for type 2 diabetes mellitus in U.S. men. Ann Intern Med 2002; 136:201-9.
    Pubmed CrossRef
  9. Berg CM, Lappas G, Strandhagen E, Wolk A, Torén K, Rosengren A, et al. Food patterns and cardiovascular disease risk factors: the Swedish INTERGENE research program. Am J Clin Nutr 2008; 88: 289-97.
    Pubmed CrossRef
  10. Michalsen A, Lehmann N, Pithan C, Knoblauch NT, Moebus S, Kannenberg F, et al. Mediterranean diet has no effect on markers of inflammation and metabolic risk factors in patients with coronary artery disease. Eur J Clin Nutr 2006; 60: 478-85.
    Pubmed CrossRef
  11. Oh NR, Hwang AR, Jeong JI, Park SH, Yang JS, Lee YH. Effects of long-term high-fat diet feeding on gene expression of inflammatory cytokines in mouse adipose tissue. J Exp Biomed Sci 2012; 18: 56-62.
  12. Wilson PW, Kannel WB, Silbershatz H, D’Agostino RB. Clustering of metabolic factors and coronary heart disease. Arch Intern Med 1999; 159: 1104-9.
    Pubmed CrossRef
  13. Alberti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med 1998;15: 539-53.
  14. Park HS, Oh SW, Kang JH, Park YW, Choi JM, Kim YS, et al. Prevalence and associated factors with metabolic syndrome in South Korea. J Korean Obesity 2003; 12: 1-14.
  15. Report on national health and nutrition survey 1998, 2005, 2006, 2007 (Korean) [Internet]. Cheongju: Korea Centers for Disease Control and Prevention.
  16. Kant AK. Indexes of overall diet quality: a review. J Am Diet Assoc 1996; 96:785-91.
  17. Jeong JH, Jun KY, Yoon BR, Cho YS. A study on food intake related dietary habits and life-behavioral characteristics among adult women in Gyunggido. J East Asian Soc Dietary Life 2012; 22: 711-9.
  18. Lee HY, Chung L, Yang IS. Conceptualizing and prospecting for home meal replacement (HMR) in Korea by Delphi technique. Korean J Nutr 2005; 38:251-8.
  19. Paik AJ. ‘HMR products’ golden age in the recession [Internet]. Seoul: The Food Service Economy News; 2012 [cited 2012 Jul 5].
    Available from: http://foodbank.co.kr

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