Human Ecology Research

  • 제55권4호
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  • Pages.385-397
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  • 2017
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  • 2982-5725(pISSN)
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  • 2982-6608(eISSN)
대한가정학회 (The Korean Home Economics Association)
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한국 청소년의 일상 섭취량 추정 및 영양소 섭취량 평가: 국민건강영양조사 제5기(2010-2012) 분석

Estimation of Usual Intake and Assessment of Nutrient Intake for Korean Adolescents: Analysis of the 2010-2012 Korea National Health and Nutrition Examination Survey

  • 투고 : 2017.04.18
  • 심사 : 2017.06.22
  • 발행 : 2017.08.30
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초록

This study assessed the nutrient intake for Korean adolescents using the estimated usual intake. The usual intake of 1,763 adolescents aged 12-17 years old was estimated from one-day 24-hour recall data in the 2010-2012 Korean National Health and Nutrition Survey. The nutrient intakes of four groups according to sex (male and female) and age (12-14 and 15-17 years old) were then assessed in reference to the 2015 Dietary Reference Intakes for Koreans. For macronutrients, the proportions of subjects below and above the Acceptable Macronutrient Distribution Ranges (AMDR) were calculated. The Estimated Average Requirement (EAR) cut-point method was used to assess insufficient intakes of protein, vitamin C, thiamin, riboflavin, niacin, calcium, phosphorus, and iron; the full probability approach was used to assess the insufficient intake for iron among females. The proportions of subjects over the Tolerable Upper Intake Levels for vitamin C, niacin, calcium, phosphorus, and iron and the proportions over the Intake Goal for sodium were calculated to assess excessive intake. The proportions of subjects above AMDR for carbohydrates ranged from 22.5% to 38.0% by group. The proportions of subjects by group with insufficient intake for vitamin C, riboflavin, calcium, phosphorus, and iron ranged 29.1-39.7%, 22.5-34.3%, 73.1-89.3%, 14.3-43.6%, and 23.2-55.5%, respectively. The proportions of subjects by group with excessive intake for sodium ranged from 91.5% to 99.3%. The results of this study represent important basic information to establish nutritional standards for school lunches as well as to decide on relevant nutrition policies for adolescents.

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참고문헌

  1. Berkey, C. S., Rockett, H. R. H., Field, A. E., Gillman, M. W., Frazier, A. L., Camargo, C. A., et al. (2000). Activity, dietary intake, and weight changes in a longitudinal study of preadolescent and adolescent boys and girls. Pediatrics, 105 (4), e56. https://doi.org/10.1542/peds.105.4.e56
  2. Boisvert, W. A., Castaneda, C., Mendoza, I., Langeloh, G., Solomons, N. W., Gershoff, S. N., et al. (1993). Prevalence of riboflavin deficiency among Guatemalan elderly people and its relationship to milk intake. The American Journal of Clinical Nutrition, 58 (1), 85-90. https://doi.org/10.1093/ajcn/58.1.85
  3. Chang, H. Y., Suchindran, C. M., & Pan, W. H. (2001). Using the overdispersed exponential family to estimate the distribution of usual daily intakes of people aged between 18 and 28 in Taiwan. Statistics in Medicine, 20 (15), 2337-2350. http://dx.doi.org/10.1002/ sim.838
  4. Dodd, K. W., Guenther, P. M., Freedman, L. S., Subar, A. F., Kipnis, V., Midthune, D., et al. (2006). Statistical methods for estimating usual intake of nutrients and foods: a review of the theory. Journal of American Dietetic Association, 106 (10), 1640-1650. http://dx.doi. org/10.1016/j.jada.2006.07.011
  5. Gibson, R. S., & Ferguson, E. L. (2008). An interactive 24-hour recall for assessing the adequacy of iron and zinc intakes in developing countries. Washington D.C.: HarvestPlus.
  6. Han, M. R., Lim, J. H., & Song, Y. J. (2014). The effect of highcarbohydrate diet and low-fat diet for the risk factors of metabolic syndrome in Korean adolescents: Using the Korean National Health and Nutrition Examination Surveys (KNHANES) 1998-2009. Journal of Nutrition and Health, 47 (3), 186-192. https://doi.org/10.4163/ jnh.2014.47.3.186
  7. He, F. J., & MacGregor, G. A. (2009). A comprehensive review on salt and health and current experience of worldwide salt reduction programmes. Journal of human hypertension, 23 (6), 363-384. https://doi.org/10.1038/jhh.2008.144
  8. He, F. J., Marrero, N. M., & MacGregor, G. A. (2008). Salt intake is related to soft drink consumption in children and adolescents. Hypertension, 51 (3), 629-634. https://doi.org/10.1161/HYPERTENSIONAHA.107.100990
  9. Health Canada. (2004). Canadian community health survey. Cycle 2.2, nutrition-nutrient intakes from food . Ottawa: Minister of Health.
  10. Hoffmann, K., Boeing, H., Dufour, A., Volatier, J. L., Telman, J., Virtanen, M., et al. (2002). Estimating the distribution of usual dietary intake by short-term measurements. European Journal of Clinical Nutrition, 56 (S2), S53-62. https://doi.org/10.1038/sj.ejcn.1601429
  11. Institute of Medicine. (1997). Dietary reference intakes for calcium, phosphorus, magnesium, vitamin D, and fluoride . Washington, DC: National Academies Press.
  12. Institute of Medicine. (2000). Dietary reference intakes: Application in dietary assessment. Washington, DC: National Academy Press.
  13. Institute of Medicine. (2003). Dietary reference intakes: Application in dietary planning. Washington, DC: The National Academies Press.
  14. Institute of Medicine. (2008). School meals: Building blocks for healthy children. Washington, DC: The National Academies Press.
  15. Iowa State University. (1996). A user's guide to C-SIDE: Software for intake distribution estimation . Iowa: Iowa State University Statistical Laboratory.
  16. Ishiwaki, A., Yokoyama, T., Fujii, H., Saito, K., Nozue, M., Yoshita, K., et al. (2007). 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). Journal of Nutritional Science and Vitaminology, 53 (4), 337-344. http://doi. org/10.3177/jnsv.53.337
  17. Jahns, L., Arab, L., Carriquiry, A., & Popkin, B. M. (2005). The use of external within-person variance estimates to adjust nutrient intake distributions over time and across populations. Public Health Nutrition, 8 (1), 69-76. https://doi.org/10.1079/PHN2004671
  18. Joshipura, K. J., Hu, F. B., Manson, J. E., Stampfer, M. J., Rimm, E. B., Speizer, F. E., et al. (2001). The effect of fruit and vegetable intake on risk for coronary heart disease. Annals of Internal Medicine, 134 (12), 1106-1114. https://doi.org/10.7326/0003-4819-134-12-200106190-00010
  19. Jung, H. K., Jo, H. J., &, Choi, M. J. (2011). A study on vegetable & fruit eating habits and dietary fiber intake of high school students: focusing on high school students in Daegu. The Journal of Korean Society for School & Community Health Education, 12 (3), 43-64.
  20. Kim, C. S., Hong, H. O., Lee, J. S., Kim, J. Y., & Maeng, W. J. (2007). A study on nutrient intake status and food sources of iron by dietary iron density of high school girls in Seoul. Korean Journal of Nutrition, 40 (4), 371-384.
  21. Kim, D. W. (2008). Evaluation of nutrient intake in Koreans using usual intake distribution: Analysis of 2001 Korean National Health and Nutrition Survey and 2002 National Nutrition Survey by Season (Unpublished Master's thesis). Seoul National University, Seoul, Korea.
  22. Kim, D. W., Shim, J. E., Paik, H. Y., Song, W. O., & Joung, H. (2011). Nutritional intake of Korean population before and after adjusting for within-individual variations: 2001 Korean National Health and Nutrition Survey Data. Nutrition Research and Practice, 5 (3), 266-274. http://dx.doi.org/10.4162/nrp.2011.5.3.266
  23. Kim, E. K., Lee, J. S., Hong, H. O., & Yu, C. H. (2009). Association between glycemic index, glycemic load, dietary carbohydrates and diabetes from Korean National Health and Nutrition Examination Survey 2005. Korean Journal of Nutrition, 42 (7), 622-630. https:// doi.org/10.4163/kjn.2009.42.7.622
  24. Kim, K., Yun, S. H., Choi, B. Y., & Kim, M. K. (2008). Cross-sectional relationship between dietary carbohydrate, glycaemic index, glycaemic load and risk of the metabolic syndrome in a Korean population. British Journal of Nutrition, 100 (3), 576-584. https://doi. org/10.1017/S0007114508904372
  25. Kim, M. H., & Bae, Y. J. (2010). Evaluation of diet quality of children and adolescents based on nutrient and food group intake and Diet Quality Index-International (DQI-I). Korean Journal of Community Nutrition, 15 (1), 1-14.
  26. Kim, S. H. (2016). A study on the relationship between milk consumption, dietary nutrient intake and physical strength of adolescents in middle and small-sized cities in Korea for dietary education of home economics subject at middle and high Schools. Journal of Korean Home Economics Education Association, 28 (4), 159-167. https://doi.org/10.19031/jkheea.2016.12.28.4.159
  27. Kim, S. H., Kim, W. K., & Kang, M. H. (2013). Effect of milk and milk products consumption on physical growth and bone mineral density in Korean adolescents. Nutrition Research and Practice, 7 (4), 309-314. https://doi.org/10.4162/nrp.2013.7.4.309
  28. Kim, S. M., & Sung, H. J. (1999). A study on the nutritional intake status of female adolescents. Journal of Living Science Research, 25 , 51-58.
  29. Kim, T. Y., & Kim, H. S. (2009). Comparison of calcium intake status among elementary students by participation in the school milk program. Journal of the Korean Society of Food Culture, 24 (1), 106-115.
  30. Koo, S. M., Seo, D. G., Park, Y. J., & Hwang, J. Y. (2014). Association between consumption of milk and dairy products, calcium and riboflavin, and periodontitis in Korean adults: Using the 2007-2010 Korea National Health and Nutrition Examination Surveys. Journal of Nutrition and Health, 47 (4), 258-267. https://doi.org/10.4163/ jnh.2014.47.4.258
  31. Korea Centers for Disease Control and Prevention. (2016). The 12th Korea youth risk behavior web-based survey. Cheongju: Korea Centers for Disease Control and Prevention.
  32. Korean Nutrition Society. (2010). Dietary reference intakes for Korean. Seoul: Korean Nutrition Society.
  33. Korean Nutrition Society. (2015). Dietary reference intakes for Korean. Sejong: Ministry of Health and Welfare.
  34. Kurosawa, M., Kikuchi, S., Xu, J., & Inaba, Y. (2006). Highly salted food and mountain herbs elevate the risk for stomach cancer death in a rural area of Japan. Journal of Gastroenterology and Hepatology, 21 (11), 1681-1686. https://doi.org/10.1111/j.1440-1746.2006.04290.x
  35. Lee, Y. K., & Kim, Y. (2014). Comparisons of consumption attitude toward vegetables and fragrance vegetables preference among primary school to university students in Gyeongbuk area. Korean Journal of Community Nutrition, 19 (3), 223-230. https://doi. org/10.5720/kjcn.2014.19.3.223
  36. Lee, Y. S., Yim, S. H., An, H. S., & Jang, N. S. (2003). Nutrition through the life cycle . Paju: Gyomoon.
  37. Lotz, M., Zisman, E., & Bartter, F. C. (1968). Evidence for a phosphorusdepletion syndrome in man. New England Journal of Medicine, 278 (8), 409-415. https://doi.org/10.1056/NEJM196802222780802
  38. Mackerras, D., & Rutishauser, I. (2005). 24-hour national dietary survey data: how do we interpret them most effectively? Public Health Nutrition, 8 (6), 657-665. https://doi.org/10.1079/ PHN2005720
  39. Meneton, P., Jeunemaitre, X., de Wardener, H. E., & Macgregor, G. A. (2005). Links between dietary salt intake, renal salt handling, blood pressure, and cardiovascular diseases. Physiological Reviews, 85 (2), 679-715. https://doi.org/10.1152/physrev.00056.2003
  40. Ministry of Health and Welfare. (2015). Korea health statistics 2015: Korea National Health and Nutrition Examination Survey (KNHANES VI-2). Sejong: Ministry of Health and Welfare.
  41. Moon, H. K., & Kong, J. E. (2010). Assessment of nutrient intake for middle aged with and without metabolic syndrome using 2005 and 2007 Korean National Health and Nutrition Survey. Korean Journal of Nutrition, 43 (1), 69-78. https://doi.org/10.4163/kjn.2010.43.1.69
  42. Morimoto, J. M., Marchioni, D. M. L., & Fisberg, R. M. (2006). Using dietary reference intake: based methods to estimate prevalence of inadequate nutrient intake among female students in Brazil. Journal of the American Dietetic Association, 106 (5), 733-736. https://doi. org/10.1016/j.jada.2006.02.005
  43. Moshfefg, A., Goldman, J. L. C., & Linda, C. (2005). What we eat in America, NHANES 2001-2002: Usual nutrient intakes from food compared to dietary reference intakes. Washington, DC: United States Department of Agriculture & Agricultural Research Service.
  44. Nagata, C., Takatsuka, N., Shimizu, N., & Shimizu, H. (2004). Sodium intake and risk of death from stroke in Japanese men and women. Stroke, 35 (7), 1543-1547. https://doi.org/10.1161/01.STR.0000130425.50441.b0
  45. National Research Council. (1986). Nutrient adequacy: Assessment using food consumption survey . Washington, DC: National Academy Press.
  46. Oh, K. W., Nam, C. M., Kim, C. I., & Lee, Y. C. (2004). The effects of dietary carbohydrate on serum triglyceride concentrations in Korea. Korean Journal of Nutrition , 37(6), 448-454.
  47. Oh, M. H., & Kim, K. N. (2012). Preferences, frequency and consumption of vegetables, fruits & milk, and practices of dietary guidelines among middle school students in Chungbuk area. Journal of Human Ecology, 16 (2), 43-54.
  48. Oh, S. Y. (2016). The association of dietary life, nutrition and mental health in Korean adolescents. Journal of the Korea Entertainment Industry Association, 10 (5), 235-250. https://doi.org/10.21184/jkeia.2016.10.10.5.235
  49. Oh, S. Y., & Wang, S. G. (2013). A comparative study on dietary life and nutrition, health behaviors, mental health of adolescent students according to residential type. Journal of the Korea Entertainment Industry Association, 7 (3), 293-305. https://doi. org/10.21184/jkeia.2013.09.7.3.293
  50. Pak, S., Lee, J. S., & Hong, H. (2010). The food and nutrient intakes on weekdays and weekends among high school girls in Seoul. Korean Journal of Nutrition, 43 (5), 513-523. https://doi.org/10.4163/kjn.2010.43.5.513
  51. Park, S. H., & Kim, M. J. (2008). Acceptance and preference of vegetables in menus for middle school students. Journal of the Korean Society of Food Science and Nutrition, 37 (12), 1660-1666. https://doi.org/10.3746/jkfn.2008.37.12.1660
  52. Park, S. H., Lee, K. S., Choi, S. K., & Seo, J. S. (2014). Calcium and milk intake of elementary school students from school foodservices: focus on the Gyeongsangbukdo province. Journal of the Korean Dietetic Association, 20 (1), 12-25. https://doi.org/10.14373/ JKDA.2014.20.1.12
  53. Park, S. H., Lee, K. S., & Park, H. Y. (2010). Dietary carbohydrate intake is associated with cardiovascular disease risk in Korean: analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III). International Journal of Cardiology, 139 (3), 234-240. https://doi.org/10.1016/j.ijcard.2008.10.011
  54. Pesa, J. A. & Turner, L. W. (2001) Fruit and vegetable intake and weight-control behaviors among US youth. American Journal of Health Behavior, 25 (1), 3-9. https://doi.org/10.5993/AJHB.25.1.1
  55. Song, Y. J., Joung, H. J., Kim, Y. N., & Paik, H. Y. (2006). The physical development and dietary intake for Korean children and adolescents: food and nutrient intake. Korean Journal of Nutrition, 39 (1), 50-57.
  56. Strazzullo, P., D'Elia, L., Kandala, N. B., & Cappuccio, F. P. (2009). Salt intake, stroke, and cardiovascular disease: meta-analysis of prospective studies. British Medical Journal, 339, b4567. http://dx.doi.org/10.1136/bmj.b4567
  57. Suh, Y. S., Park, M. S., & Chung, Y. J. (2015). An evaluation of chronic disease risk based on the percentage of energy from carbohydrates and the frequency of vegetable intake in the Korean elderly: using the 2007-2009 Korea National Health and Nutrition Examination Survey. Korean Journal of Community Nutrition, 20 (1), 41-52. https://doi.org/10.5720/kjcn.2015.20.1.41
  58. Tchai, B. S., Han, J. H., & Nam, M. H. (1980). Study on menstrual blood loss and iron nutrition in Korean women. Korean Journal of Nutrition, 13 (2), 82-91.
  59. Veer, P. V., Jansen, M. C. J. F., Klerk, M., & Kok, F. J. (2000). Fruits and vegetables in the prevention of cancer and cardiovascular disease. Public Health Nutrition, 3 (1), 103-107. https://doi.org/10.1017/S1368980000000136
  60. Wiley, A. S. (2009). Consumption of milk, but not other dairy products, is associated with height among US preschool children in NHANES 1999-2002. Annals of Human Biology, 36 (2), 125-138. http://dx.doi.org/10.1080/03014460802680466

피인용 문헌

  1. Selection of Target Nutrients for the Nutritional Standards of School Lunches in Korea vol.11, pp.11, 2017, https://doi.org/10.3390/nu11112578