Journal of Nutrition and Health

  • 제54권5호
  • /
  • Pages.425-434
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  • 2021
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  • 2288-3886(pISSN)
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  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
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2020 한국인 영양소 섭취기준 제·개정: 교훈과 도전

The development of the 2020 Dietary Reference Intakes for Korean population: Lessons and challenges

  • 권오란 (이화여자대학교 식품영양학과) ;
  • 김혜숙 (이화여자대학교 식품영양학과) ;
  • 김정선 (국립암센터 국제암대학원대학교) ;
  • 황지윤 (상명대학교 식품영양학과) ;
  • 이정희 (군산대학교 식품생명과학부 식품영양학전공) ;
  • 윤미옥 (한국영양학회)
  • Kwon, Oran (Department of Nutritional Science and Food Management, Graduate Program in System Health Science and Engineering, Ewha Womans University) ;
  • Kim, Hyesook (Department of Nutritional Science and Food Management, Graduate Program in System Health Science and Engineering, Ewha Womans University) ;
  • Kim, Jeongseon (Graduate School of Cancer Science and Policy, National Cancer Center) ;
  • Hwang, Ji-Yun (Department of Foodservice Management and Nutrition, Sangmyung University) ;
  • Lee, Jounghee (Department of Food and Nutrition, Kunsan National University) ;
  • Yoon, Mi Ock (Nutrition Information Committee, The Korean Nutrition Society)
  • 투고 : 2021.09.06
  • 심사 : 2021.09.17
  • 발행 : 2021.10.31
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초록

The discovery of the relationship between nutrients and deficiency diseases during the 100 years from the mid-1800s to the mid-1900s was a breakthrough that led to advances in the study of nutrition. The Recommended Dietary Allowances (RDA) were created as a quantitative standard for avoiding diseases caused by nutrient deficiency. In addition, a reductionism paradigm has become generally accepted among nutrition scholars in health and disease, which focused on the properties of individual nutrients, content in foods, cellular levels, and mechanisms of action. The reductionist paradigm worked very well for the prevention and treatment of malnutrition diseases. However, as the incidence of nutrient deficiencies decreased and that of chronic diseases increased, the nutrition goals have been changed to secure safe and adequate nutrient intake and to reduce chronic disease risks. Accordingly, Dietary Reference Intakes (DRIs), a set of nutrient-based reference values, were designed to replace the RDA. The revised Korean DRIs were published for 40 nutrients in 2020. However, there is still room for improvement in the reference intake levels targeted at reducing the risk of chronic disease. The reductionist approach can no longer be practical because chronic diseases are related to the interactions between multi-components in the foods and multi-targets in the body. Therefore, a second innovative leap is needed following the nutrition development breakthrough made over 100 years ago. To this end, the nutrition paradigm must evolve from reductionism to a holism approach. Cutting-edge scientific technologies, such as metabolomics, transcriptomics, microbiomics, and bioinformatics, should also be acceptable in nutrition science based on the knowledge gained from basic nutrition studies.

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참고문헌

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피인용 문헌

  1. Establishment and future tasks of estimated energy requirement in 2020 dietary reference intakes for Koreans vol.54, pp.6, 2021, https://doi.org/10.4163/jnh.2021.54.6.573
  2. The development of the 2020 Dietary Reference Intakes for Koreans: carbohydrate vol.54, pp.6, 2021, https://doi.org/10.4163/jnh.2021.54.6.584