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Nutritional Epidemiology (Poster Session)

(P13-021-24) Association of Dietary Intake with Metabolically Healthy and Unhealthy Obesity Among Filipino Migrant Women in South Korea

Sunday, June 30, 2024
12:45 PM – 1:45 PM CT
Location: Poster Board 410

    Presenting Author(s)

  • Winny Dhestina, BS, RD (she/her/hers)

    Graduate student
    Seoul National University, Department of Food and Nutrition, College of Human Ecology
    Seoul, Seoul-t'ukpyolsi, Republic of Korea

    • Co-Author(s)

  • HL

    Heejin Lee, MS

    Graduate student
    Seoul National University
    Seoul, Seoul-t'ukpyolsi, Republic of Korea

  • GC

    Grace H. Chung, PhD

    Seoul National University
    Seoul, Seoul-t'ukpyolsi, Republic of Korea

  • SH

    Sangmo Hong, PhD

    Hanyang University Guri Hospital, Hanyang University College of Medicine
    Guri, Seoul-t'ukpyolsi, Republic of Korea

  • SY

    Sung Hoon Yu, PhD

    Hanyang University Guri Hospital, Hanyang University College of Medicine
    Guri, Seoul-t'ukpyolsi, Republic of Korea

  • CL

    Chang Beom Lee, PhD

    Hanyang University Guri Hospital, Hanyang University College of Medicine
    Guri, Seoul-t'ukpyolsi, Republic of Korea

  • JL

    Jung Eun Lee, ScD

    Associate Professor
    Seoul National University
    Seoul, Seoul-t'ukpyolsi, Republic of Korea

Disclosure(s):
Winny Dhestina, BS, RD: No relevant financial relationship(s) with ineligible companies to disclose.


Objectives: This study aimed to investigate the association between adherence to the EAT-Lancet diet, and the prevalence of metabolically healthy obesity (MHO) and unhealthy obesity (MUHO) among Filipino migrant women in Korea.

Methods: The study involved 528 baseline participants from the Filipino Women’s Diet and Health Study (FiLWHEL) in 2014-2022. We collected data through a questionnaire and measured the body weight, height, blood pressure, fasting blood lipid profile, insulin, and glucose level. Participants with a BMI of at least 25 kg/m2 were categorized as obese. Metabolically unhealthy was defined as having at least two symptoms out of the five criteria, that is blood triglyceride >150 mg/dL, LDL-C >100 mg/dL, HDL-C < 50 mg/dL, HOMA-IR >2.7, and hsCRP >3 mg/dL, or receiving medication. The outcomes were MHO and MUHO, while participants with non-obese BMI were considered as the reference. We collected the dietary data through 24-hour recalls, categorized it into quartiles of food group consumption, and calculating adherence score according to the EAT-Lancet reference diet adapted from the Malmö Diet and Cancer Cohort Study. Polytomous multivariate logistic regression was used to evaluate the association between the EAT-Lancet diet with MHO and MUHO conditions.

Results: We identified 62 women with MHO and 98 with MUHO condition. There was no significant association between adherence to the EAT-Lancet diet and MHO, but a suggestive inverse association was found for intakes of vegetables, legumes and nuts, fish and other seafood with MHO. For MUHO, compared to the first quartile of the EAT-Lancet score, the ORs (95% CIs) were 0.41 (0.19-0.89), 1.14 (0.64-2.02), and 0.66 (0.33-1.31) for each subsequent quartiles. Higher consumption of pork was associated with MUHO, while egg consumption was shown to be inversely associated with MUHO condition.

Conclusions: This FiLWHEL study observed no clear association between adherence to the EAT-Lancet diet and metabolically healthy obesity, but a suggestive inverse association with metabolically unhealthy obesity. Future prospective studies are needed to confirm these findings.

Funding Sources: This work was supported by Hanmi Pharmaceutical Co., Ltd., Chong Kun Dang Pharm., Handok Inc., and Yuhan Corporation, Seoul, Korea.