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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References
- Thirty years of national health insurance in South Korea: lessons for achieving universal health care coverage.Health Policy Plan. 2009; 24: 63-71
- Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial.Med. Care. 1999; 37: 5-14
- Health information seeking, receipt, and use in diabetes self-management.Ann. Fam. Med. 2010; 8: 334-340
- National standards for diabetes self-management education.Diabetes Care. 2009; 32: S87-S94
- A review of eHealth interventions for physical activity and dietary behavior change.Am. J. Prev. Med. 2007; 33 (e316): 336-345
J. Who, F.E. Consultation, Diet, nutrition and the prevention of chronic diseases, World Health Organ. Tech. Rep. Ser., 916 (2003).
- Nutrition policy in South Korea.Asia Pac. J. Clin. Nutr. 2008; 17: 343-345
- Use of the nutrition facts label in chronic disease management: results from the National Health and Nutrition Examination Survey.J. Am. Diet. Assoc. 2010; 110: 628-632
- Is nutritional labeling associated with individual health? The effects of labeling-based awareness on dyslipidemia risk in a South Korean population.Nutr. J. 2016; 15: 81
Korean Diabetes Association, Diabetes Fact Sheet in Korea 2016, in, 2016.
Health Insurance Review & Assessment Service, Statistics for Diseases in, 2017.
- Global estimates of the prevalence of diabetes for 2010 and 2030.Diabetes Res. Clin. Pract. 2010; 87: 4-14
- Relation of central obesity and insulin resistance with high diabetes prevalence and cardiovascular risk in South Asians.Lancet. 1991; 337: 382-386
- Insulin resistance: lifestyle and nutritional interventions.Altern. Med. Rev. J. Clin. Ther. 2000; 5: 109-132
- Optimal cut-off of homeostasis model assessment of insulin resistance (HOMA-IR) for the diagnosis of metabolic syndrome: third national surveillance of risk factors of non-communicable diseases in Iran (SuRFNCD-2007).Nutr. Metab. 2010; 7: 26
- Hyperglycaemia as an inducer as well as a consequence of impaired islet cell function and insulin resistance: implications for the management of diabetes.Diabetologia. 1985; 28: 119-121
- Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis.Lancet. 2005; 365: 36-42
- Exercise-induced reduction in obesity and insulin resistance in women: a randomized controlled trial.Obes. Res. 2004; 12: 789-798
- Insulin resistance as a predictor of age-related diseases.J. Clin. Endocrinol. Metab. 2001; 86: 3574-3578
- Homeostasis model assessment: insulin resistance and β-cell function from fasting plasma glucose and insulin concentrations in man.Diabetologia. 1985; 28: 412-419
- Identifying metabolic syndrome in African American children using fasting HOMA-IR in place of glucose.Prev. Chronic Dis. 2011; 8 (Article information: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3103569/): A64
- Inflammation: the link between insulin resistance, obesity and diabetes.Trends Immunol. 2004; 25: 4-7
- The determinants and comparison of health behavior and health service by private medical insurance on National Health-Nutrition Survey.J. Korea Contents Assoc. 2010; 10: 190-204
- Use characteristics of health examinations services from health insurance subscribers.J. Korea Contents Assoc. 2011; 11: 331-340
- What types of dietary supplements are used in Korea? Data from the Korean National Health and Nutritional Examination Survey 2005.Korean J. Fam. Med. 2009; 30: 934-943
- Dietary supplement use by South Korean adults: data from the national complementary and alternative medicine use survey (NCAMUS) in 2006.Nutr. Res. Pract. 2010; 4: 69-74
- Effects of nutrition education and exercise intervention on health and diet quality of middle-aged women.Korean J. Nutr. 2009; 42: 48-58
- Dairy consumption, obesity, and the insulin resistance syndrome in young adults: the CARDIA Study.JAMA. 2002; 287: 2081-2089
- Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis.Lancet. 2005; 365: 36-42
- Consumer understanding and use of nutrition labelling: a systematic review.Public Health Nutr. 2005; 8: 21-28
- Is nutritional labeling associated with individual health? The effects of labeling-based awareness on dyslipidemia risk in a South Korean population.Nutr. J. 2015; 15: 81
- Public perception of population health risks in Canada: health hazards and sources of information.Hum. Ecol. Risk Assess. 2006; 12: 626-644
- How to find the good and avoid the bad or ugly: a short guide to tools for rating quality of health information on the internet.Br. Med. J. 2002; 324: 598-600
- Studies on the mechanism of improved glucose control during regular exercise in type 2 (non-insulin-dependent) diabetes.Diabetologia. 1984; 26: 355-360
- Usefulness of a combined evaluation of the serum adiponectin level, HOMA-IR, and serum type IV collagen 7S level to predict the early stage of nonalcoholic steatohepatitis.Am. J. Gastroenterol. 2007; 102: 1931-1938
Article info
Publication history
Published online: May 29, 2018
Accepted:
May 10,
2018
Received in revised form:
April 9,
2018
Received:
December 27,
2017
Identification
Copyright
© 2018 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.