Nutrition Research and Practice

The Korean Nutrition Society (한국영양학회)
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Nutritional intake of Korean population before and after adjusting for within-individual variations: 2001 Korean National Health and Nutrition Survey Data

  • Kim, Dong-Woo (Department of Food and Nutrition, Seoul National University) ;
  • Shim, Jae-Eun (Research Institute of Human Ecology, Seoul National University) ;
  • Paik, Hee-Young (Department of Food and Nutrition, Seoul National University) ;
  • Song, Won-O (Department of Food Science and Human Nutrition, Michigan State University) ;
  • Joung, Hyo-Jee (The Graduated School of Public Health, Seoul National University)
  • Received : 2011.01.03
  • Accepted : 2011.04.11
  • Published : 2011.06.30
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Abstract

Accurate assessment of nutrient adequacy of a population should be based on usual intake distribution of that population. This study was conducted to adjust usual nutrient intake distributions of a single 24-hour recall in 2001 Korean National Health and Nutrition Surveys (KNHNS) in order to determine the magnitude of limitations inherent to a single 24-hour recall in assessing nutrient intakes of a population. Of 9,960 individuals who provided one 24-hour recall in 2001 KNHNS, 3,976 subjects provided an additional one-day 24-hour recall in 2002 Korean National Nutrition Survey by Season (KNNSS). To adjust for usual intake distribution, we estimated within-individual variations derived from 2001 KNHNS and 2002 KNNSS using the Iowa State University method. Nutritionally at risk population was assessed in reference to the Dietary Reference Intakes for Koreans (KDRIs). The Korean Estimated Average Requirement (Korean EAR) cut-point was applied to estimate the prevalence of inadequate nutrient intakes except for iron intakes, which were assessed using the probability approach. The estimated proportions below Korean EAR for calcium, riboflavin, and iron were 73%, 41%, and 24% from usual intake distribution and 70%, 51%, and 39% from one-day intake distribution, respectively. The estimated proportion of sodium intakes over the Intake Goal of 2,000 mg/day was 100% of the population after adjustment. The energy proportion from protein was within Korean Acceptable Macronutrient Distribution Ranges (Korean AMDR), whereas that of carbohydrate was higher than the upper limit and that of fat was below the lower limit in the subjects aged 30 years or older. According to these results, the prevalence of nutritional inadequacy and excess intake is over-estimated in Korea unless usual intake distributions are adjusted for one-day intakes of most nutrients.

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References

  1. Freudenheim JL, Marshall JR. The problem of profound mismeasurement and the power of epidemiological studies of diet and cancer. Nutr Cancer 1988;11:243-50. https://doi.org/10.1080/01635588809513994
  2. Hebert JR, Miller DR. Methodologic considerations for investigating the diet-cancer link. Am J Clin Nutr 1988;47:1068-77. https://doi.org/10.1093/ajcn/47.6.1068
  3. Subar AF, Thompson FE, Kipnis V. Respond to "A further look at dietary questionnaire validation" and "Another perspective on food frequency questionnaires". Am J Epidemiol 2001;154:1105-6. https://doi.org/10.1093/aje/154.12.1105
  4. Basiotis PP, Welsh SO, Cronin FJ, Kelsay JL, Mertz W. Number of days of food intake records required to estimate individual and group nutrient intakes with defined confidence. J Nutr 1987;117:1638-41. https://doi.org/10.1093/jn/117.9.1638
  5. Subar AF, Kipnis V, Troiano RP, Midthune D, Schoeller DA, Bingham S, Sharbaugh CO, Trabulsi J, Runswick S, Ballard-Barbash R, Sunshine J, Schatzkin A. Using intake biomarkers to evaluate the extent of dietary misreporting in a large sample of adults: the OPEN study. Am J Epidemiol 2003;158:1-13. https://doi.org/10.1093/aje/kwg092
  6. Kipnis V, Subar AF, Midthune D, Freedman LS, Ballard-Barbash R, Troiano RP, Bingham S, Schoeller DA, Schatzkin A, Carroll RJ. Structure of dietary measurement error: results of the OPEN biomarker study. Am J Epidemiol 2003;158:14-21. https://doi.org/10.1093/aje/kwg091
  7. Freedman LS, Midthune D, Carroll RJ, Krebs-Smith S, Subar AF, Troiano RP, Dodd K, Schatzkin A, Bingham SA, Ferrari P, Kipnis V. Adjustments to improve the estimation of usual dietary intake distributions in the population. J Nutr 2004;134:1836-43. https://doi.org/10.1093/jn/134.7.1836
  8. Byers T. Food frequency dietary assessment: how bad is good enough? Am J Epidemiol 2001; 154: 1087-8. https://doi.org/10.1093/aje/154.12.1087
  9. Dodd KW, Guenther PM, Freedman LS, Subar AF, Kipnis V, Midthune D, Tooze JA, Krebs-Smith SM. Statistical methods for estimating usual intake of nutrients and foods: a review of the theory. J Am Diet Assoc 2006; 106:1640-50. https://doi.org/10.1016/j.jada.2006.07.011
  10. Dwyer J, Picciano MF, Raiten DJ. Estimation of usual intakes: What We Eat in America-NHANES. J Nutr 2003;133:609S-623S. https://doi.org/10.1093/jn/133.2.609S
  11. Hoffmann K, Boeing H, Dufour A, Volatier JL, Telman J, Virtanen M, Becker W, De Henauw S; EFCOSUM Group. Estimating the distribution of usual dietary intake by short-term measurements. Eur J Clin Nutr 2002;56:S53-62.
  12. The Korean Nutrition Society. Dietary Reference Intakes for Koreans. Seoul, South Korea: The Korean Nutrition Society; 2005 (in Korean).
  13. Barr SI, Murphy SP, Poos MI. Interpreting and using the dietary references intakes in dietary assessment of individuals and groups. J Am Diet Assoc 2002;102:780-8. https://doi.org/10.1016/S0002-8223(02)90177-X
  14. Chang HY, Suchindran CM, Pan WH. Using the overdispersed exponential family to estimate the distribution of usual daily intakes of people aged between 18 and 28 in Taiwan. Stat Med 2001;20:2337-50. https://doi.org/10.1002/sim.838
  15. Korean Ministry of Health and Welfare. Report on 2001 National Health and Nutrition Survey. Ministry of Health and Welfare; 2002 (in Korean).
  16. Korean Ministry of Health and Welfare. Report on 2002 National Nutrition Survey by Season. Ministry of Health and Welfare; 2002 (in Korean).
  17. Dodd KW. A User's Guide to C-SIDE: Software for Intake Distribution Estimation. Version 1.02. CARD Technical Report 96-TR32. Ames, IA: Center for Agricultural and Rural Development, Iowa State University; 1996.
  18. Dodd KW. A Technical Guide to C-SIDE. Dietary Assessment Research Series Report 9. CARD Technical Report 96-TR32. Ames, IA: Center for Agricultural and Rural Development, Iowa State University; 1996.
  19. Nusser SM, Carriquiry AL, Dodd KW, Fuller WA. A semiparametric transformation approach to estimating usual daily intake distributions. J Am Stat Assoc 1996;91:1440-9. https://doi.org/10.1080/01621459.1996.10476712
  20. US Department of Agriculture, Agricultural Research Service FSRG, Beltsville Human Nutrition Research Center [Internet]. What we eat in America, NHANES 2001-2002: usual nutrient intakes from food compared to dietary reference intakes; [Accessed on 2010 December 25]. Available from: http://www.ars.usda.gov/SP2UserFiles/Place/12355000/pdf/0102/usualintaketables2001-02.pdf.
  21. Lee EJ, Kim MH, Cho MS, Kim YJ, Kim WY. A study on nutrient intakes and hematological status in women of childbearing age: comparison between non-pregnant and pregnant women. Korean J Nutr 2003;36:191-199 (in Korean).
  22. Park SY, Paik HY, Skinner JD, Spindler AA, Park HR. Nutrient intake of Korean-American, Korean, and American adolescents. J Am Diet Assoc 2004;104:242-5. https://doi.org/10.1016/j.jada.2003.11.015
  23. Kim HS, Kim JS, Kim NS, Kim JH, Lee BK. Association of vitamin D receptor polymorphism with calcaneal broadband ultrasound attenuation in Korean postmenopausal women with low calcium intake. Br J Nutr 2007;98:878-81.
  24. Park MA, Kim ES, Lee KH, Moon HK, Song IJ, Tchai BS. The trend of food and nutrient intakes of Korean (1969-1989) - The third report, nutrient intake from the annual report of the National Nutrition Survey -. J Korean Soc Food Nutr 1992;21:655-661 (in Korean).
  25. Mackerras D, Rutishauser I. 24-Hour national dietary survey data: how do we interpret them most effectively? Public Health Nutr 2005;8:657-65.
  26. Ishiwaki A, Yokoyama T, Fujii H, Saito K, Nozue M, Yoshita K, Yoshiike N. A statistical approach for estimating the distribution of usual dietary intake to assess nutritionally at-risk populations based on the new Japanese Dietary Reference Intakes (DRIs). J Nutr Sci Vitaminol (Tokyo) 2007;53:337-44. https://doi.org/10.3177/jnsv.53.337
  27. Park YJ, Choi BS, Seo YJ. Comparative studies on food consumption pattern between Korea and Japan - I. Annual change of nutrient intake -. J Korean Soc Diet Cult 1992;7:65-72 (in Korean).
  28. Garriguet D. Canadians' eating habits. Health Rep 2007;18:17-32.
  29. Joossens JV, Hill MJ, Elliott P, Stamler R, Lesaffre E, Dyer A, Nichols R, Kesteloot H. Dietary salt, nitrate and stomach cancer mortality in 24 countries. European Cancer Prevention (ECP) and the INTERSALT Cooperative Research Group. Int J Epidemiol 1996;25:494-504. https://doi.org/10.1093/ije/25.3.494
  30. Korean Ministry of Health and Welfare. The third Korea National Health and Nutrition Examination Survey (KNHNES III), 2005 - Health Examination -. Ministry of Health and Welfare; 2006 (in Korean).
  31. Frohlich ED, Varagic J. The role of sodium in hypertension is more complex than simply elevating arterial pressure. Nat Clin Pract Cardiovasc Med 2004;1:24-30.
  32. Tsugane S, Sasazuki S. Diet and the risk of gastric cancer: review of epidemiological evidence. Gastric Cancer 2007;10:75-83. https://doi.org/10.1007/s10120-007-0420-0
  33. Dias-Neto M, Pintalhao M, Ferreira M, Lunet N. Salt intake and risk of gastric intestinal metaplasia: systematic review and meta-analysis. Nutr Cancer 2010;62:133-47. https://doi.org/10.1080/01635580903305391
  34. Karppanen H, Mervaala E. Sodium intake and hypertension. Prog Cardiovasc Dis 2006;49:59-75. https://doi.org/10.1016/j.pcad.2006.07.001
  35. Son SM, Park YS, Lim HJ, Kim SB, Jeong YS. Sodium intakes of Korean adults with 24-hour urine analysis and dish frequency questionnaire and comparison of sodium intakes according to the regional area and dish group. Korean J Community Nutr 2007;12:545-58.
  36. Park HR, Jeong GO, Lee SL, Kim JY, Kang SA, Park KY, Ryou HJ. Workers intake too much salt from dishes of eating out and food service cafeterias; direct chemical analysis of sodium content. Nutr Res Pract 2009;3:328-33. https://doi.org/10.4162/nrp.2009.3.4.328
  37. Goldberg GR, Black AE, Jebb SA, Cole TJ, Murgatroyd PR, Coward WA, Prentice AM. Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr 1991;45:569-81.

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