Effects of Health Behaviors on Triglyceride/High Density Lipoprotein Cholesterol Ratio in Korean Adults
Keywords:Aerobic physical activity, High density lipoprotein cholesterol, Triglyceride
Triglyceride (TG)/high density lipoprotein cholesterol (HDL-C) ratio is significantly related to insulin resistance. This study aimed to assess the impact of health behaviors on the TG/HDL-C ratio in Korean adults. This was a cross-sectional study using data from 16,722 subjects (7,328 men and 9,394 women) aged over 20 years of the 7th (2016-2018) Korean National Health and Nutrition Examination Survey (KNHANES). Effects of health behaviors on TG/HDL-C was determined by comparing TG/HDL-C after combining different health behaviors. In male subjects, TG/HDL-C ratio was high if they did not perform aerobic physical activity while smoking or drinking alcohol (p < 0.05). Their TG/HDL-C ratio was also high when smoking and drinking at the same time even if aerobic physical activity was performed (p < 0.05). In female subjects, all TG/HDL-C ratios were high if they did not perform aerobic physical activity except when they were drinking alcohol (p < 0.05). In Koreans, to lower the TG/HDL-C ratio, regular aerobic physical activity is necessary. For males, smoking cessation and abstinence should be done at the same time to lower the TG/HDL-C ratio
Salazar MR, Carbajal HA, Espeche WG, Aizpurúua M, Maciel PM, Reaven GM. Identification of cardiometabolic risk: visceral adiposity index versus triglyceride/HDL cholesterol ratio. Am J Med, 127(2), 152-157, 2014.
Han T, Cheng Y, Tian S, Wang L, Liang X, Duan W, Na L, Sun C. Changes in triglycerides and high-density lipoprotein cholesterol may precede peripheral insulin resistance, with 2-h insulin partially mediating this unidirectional relationship: A prospective cohort study. Cardiovasc Diabetol, 15, 154, 2016.
Kwiterovich PO Jr. The metabolic pathways of high-density lipoprotein, low-density lipoprotein, and triglycerides: A current review. Am J Cardiol, 86, 5L–10L, 2000.
The Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII), 2018, Korea Centers for Disease Control and Prevention. Available online: https://knhanes.cdc.go.kr (accessed on 1 November 2020).
Brewer HB Jr. Hypertriglyceridemia: Changes in the plasma lipoproteins associated with an increased risk of cardiovascular disease. Am J Cardiol, 83, 3F–12F, 1999.
Salazar MR, Carbajal HA, Espeche WG, Leiva Sisnieguez CE, March CE, Balbín E, Dulbecco CA, Aizpurúa M, Marillet AG, Reaven GM. Comparison of the abilities of the plasma triglyceride/high-density lipoprotein cholesterol ratio and the metabolic syndrome to identify insulin resistance. Diab Vasc Dis Res, 10, 346-352, 2013.
Facchini FS, Hollenbeck CB, Jeppesen J, Chen YD, Reaven GM. Insulin resistance and cigarette smoking. Lancet, 339, 1128–1130, 1992.
Craig WY, Palomaki GE, Haddow JE. Cigarette smoking and serum lipid and lipoprotein concentrations: An analysis of published data. BMJ, 298, 784–788, 1989.
Churilla JR, Johnson TM, Curls R, Richardson MR, Boyer WR, Devore SR, Alnojeidi AH. Association between alcohol consumption patterns and metabolic syndrome. Diabetes Metabol Syndr, 8(2), 119–123, 2014.
Moriyama K. Association between the triglyceride to high-density lipoprotein cholesterol ratio and metabolic syndrome, insulin resistance, and life style habits in healty Japanese. Metab Syndr Relat Disord, 18(5), 260-266, 2020.
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