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Does the active use of nutrition labeling reduce the risk of diabetes mellitus? Results of insulin resistance using Korean National Health and Nutrition Examination Survey

  • Author Footnotes
    1 These authors equally contributed in this study.
    Kyu-Tae Han
    Footnotes
    1 These authors equally contributed in this study.
    Affiliations
    Research and Analysis Team, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea

    Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea
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  • Author Footnotes
    1 These authors equally contributed in this study.
    Seung Ju Kim
    Footnotes
    1 These authors equally contributed in this study.
    Affiliations
    Department of Nursing, College of Nursing, Eulji University, Seongnam, Republic of Korea
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  • Dong Jun Kim
    Affiliations
    Department of Health Administration and Management, Soonchunhyang University, Asan, Republic of Korea
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  • Sun Jung Kim
    Correspondence
    Corresponding author at: Department of Health Administration and Management, College of Medical Science, Soonchunhyang University, 22 Soonchunhyang-ro, Asan, 31538, Republic of Korea.
    Affiliations
    Department of Health Administration and Management, Soonchunhyang University, Asan, Republic of Korea
    Search for articles by this author
  • Author Footnotes
    1 These authors equally contributed in this study.

      Highlights

      • High perception on nutrition labeling play positive roles in the management of health status.
      • It was more significant in people with vulnerable conditions or attention for their health.
      • Our results could be helpful for establishing healthcare programs for managing chronic conditions.

      Abstract

      Aims

      In 1995, nutrition labeling became mandatory in South Korea. These regulations help consumers make reasonable choices when purchasing food based on nutritional value by providing the nutritional properties of processed foods. We investigated the association between perceptions about nutrition labeling and insulin resistance (IR) in people with no diagnosis of diabetes mellitus (DM).

      Methods

      This study used data from the sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-3 in 2015, n = 2931). We used multiple regression analysis to investigate the relationship between perceptions about nutrition labeling and the homeostatic model assessment for insulin resistance (HOMA-IR).

      Results

      75.2% of participants were aware of nutrition labeling and 24.8% of participants checked nutrition labeling and actively used the information. “Actively checked and used the nutrition labeling” was inversely associated with HOMA-IR scores (check nutrition facts and make labeling-dependent purchase decisions: β = −0.108, p = 0.0164). These associations were more significant in people who were obese or paid more attention to their health.

      Conclusion

      High levels of perceptions about nutrition labeling and active use of such information could have positive effects on reducing IR and preventing DM. Therefore, it is necessary to improve public perception for effective implementation of healthcare programs.

      Abbreviations:

      DM (diabetes mellitus), IR (insulin resistance), KNHANES (Korea National Health and Nutrition Examination Survey), HOMA-IR (homeostatic model assessment for insulin resistance), BMI (body mass index), ANOVA (analysis of variance)

      Keywords

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