DOI QR코드

DOI QR Code

Dietary Iron Intake of Koreans Estimated using 2 Different Sources of Iron Contents are Comparable: Food & Nutrient Database and Iron Contents of Cooked Foods in the Korean Total Diet Study

우리 국민의 철 섭취량 평가: 식품별 영양성분 함량자료와 한국형 총식이조사 기반 추정량 비교

  • Lee, Jeeyeon (Department of Senior-friendly Industry, Korea Health Industry Development Institute) ;
  • Kwon, Sung Ok (Research Institute of Human Ecology, Seoul National University) ;
  • Yeoh, Yoonjae (Human Resources Development Team, Department of Human resources Development, Korea Health Industry Development Institute) ;
  • Seo, Min Jeong (Department of Health Administration, Kongju National University Graduate School) ;
  • Lee, Gae Ho (Korea Research Institute of Analytical Technology) ;
  • Kim, Cho-il (Department of Food and Nutrition, Seoul National University)
  • 이지연 (한국보건산업진흥원 고령친화서비스단) ;
  • 권성옥 (서울대학교 생활과학연구소) ;
  • 여윤재 (한국보건산업진흥원 인력개발실) ;
  • 서민정 (공주대학교 대학원 보건행정학과) ;
  • 이계호 (한국분석기술연구소) ;
  • 김초일 (서울대학교 생활과학대학 식품영양학과)
  • Received : 2022.06.17
  • Accepted : 2022.06.27
  • Published : 2022.06.30

Abstract

Objectives: This study was conducted to find out if the dietary iron intake of Koreans estimated by 2 different methods (iron content sources) using the food intake data from the Korea National Health and Nutrition Examination Survey (KNHANES) are comparable. One method was based on the KNHANES's Food & Nutrient Database (FND) derived mainly from the Korean Food Composition Table and the other used the iron content (IC) of food samples processed in the Korean Total Diet Study (KTDS). Methods: Dietary intake data from the 2013-2016 KNHANES was used to select representative foods (RFs) in KTDS for iron analysis. Selection of the RFs and cooking methods for each RF (RF × cooking method pair) was performed according to the 'Guidebook for Korean Total Diet Studies' and resulted in a total of 132 RFs and 224 'RF × cooking method' pairs. RFs were collected in 9 metropolitan cities nationwide once or twice (for those with seasonality) in 2018 and made into 6 composites each, based on the origin and season prior to cooking. Then, the RF composites prepared to a 'table ready' state for KTDS were analyzed by Inductively Coupled Plasma-Mass Spectrometry (ICP-MS). Dietary iron intake of the Korean population was estimated using only RFs' intake data based on the 2 sources of iron content, namely FND-KNHANES and IC-KTDS. Results: RFs in KTDS covered 92.0% of total food intake of Koreans in the 2016-2018 KNHANES. Mean iron intake of Koreans was 7.77 mg/person/day by IC-KTDS vs 9.73 mg/person/day by FND-KNHANES. The major food groups contributing to iron intake were meats (21.7%), vegetables (20.5%), and grains & cereals (13.4%) as per IC-KTDS. On the other hand, the latter source (FND-KNHANES) resulted in a very different profile: grains & cereals (31.1%), vegetables (16.8%), and meats (15.3%). While the top iron source was beef, accounting for 8.6% in the former, it was polished rice (19.2%) in the latter. There was a 10-fold difference in the iron content of polished rice between 2 sources that iron intakes excluding the contribution by polished rice resulted in very similar values: 7.58 mg/person/day by IC-KTDS and 7.86 mg/person/day by FND-KNHANES. Conclusions: This study revealed that the dietary iron intake estimated by 2 different methods were quite comparable, excluding one RF, namely polished rice. KTDS was thus proven to be a useful tool in estimating a 'closer-to-real' dietary intake of nutrients for Koreans and further research on various nutrients is warranted.

Keywords

Acknowledgement

이 연구는 식품의약품안전처의 지원을 받아 수행된 연구입니다(20220204691-00, 한국형총식이조사).

References

  1. Wessling-Resnick M. Iron. 11th Ed. In: Ross AC, Caballero B, Cousins RJ, Tucker KL, Ziegler RG, editors. Modern nutrition in health and disease. Baltimore, MD: Lippincott Williams & Wilkins; 2014. p. 176-188.
  2. Aggett PJ. Iron. 10th ed. In: Erdman JW, Macdonald IA, Zeisel SH, editors. Present knowledge in nutrition. Washington, DC: WileyBlackwell; 2012. p. 506-520.
  3. The Ministry of Health and Welfare, The Korean Nutrition Society. 2020 Dietary Reference Intakes for Koreans: Minerals. Seoul: The Korean Nutrition Society; 2020. p. 138-165.
  4. Korea Disease Control and Prevention Agency. Korea Health Statistics 2020: Korea National Health and Nutrition Examination Survey (KNHANES VIII-2). Cheongju: Korea Disease Control and Prevention Agency; 2020. p. 120-129.
  5. Lee J, Kim C, Kwon S, Yeo Y. Korean total diet study. Cheongju: Ministry of Food and Drug Safety; 2018.
  6. Kim C, Lee J, Kwon S, Yoon H. Total Diet Study: For a closer-to-real estimate of dietary exposure to chemical substances. Toxicol Res 2015; 31(3): 227-240. https://doi.org/10.5487/TR.2015.31.3.227
  7. Food Standards Australia New Zealand. The 22nd Australian Total Diet Study [internet]. Food Standards Australia New Zealand; 2008 [cited 2011 Jun 10]. Available from: https://www.foodstandards.gov.au/publications/documents/ATDS.pdf.
  8. German Federal Institute for Risk Assessment. BfR Meal Study [Internet]. BfR; 2022 [cited 2022 May 10]. Available from: http://www.bfrmeal-studie.de/en/the-bfr-meal-study.html.
  9. Schwerbel K, Tungerthal M, Nagl B, Niemann B, Drosser C, Bergelt S et al. Results of the BfR MEAL Study: The food type has a stronger impact on calcium, potassium and phosphorus levels than factors such as seasonality, regionality and type of production. Food Chem X 2022; 13: 100221. https://doi.org/10.1016/j.fochx.2022.100221
  10. Rural Development Administration, National Institute of Agricultural Science (KR). Korean food composition table (9.3th revision). Wanjugun, Jeollabuk-do: National Institute of Agricultural Science; 2021.
  11. Kim CI, Park HM, Lee HS, Kim DH, Lee JY, Yon MY et al. A guidebook for Korean total diet studies. Ministry of Food and Drug Safety; 2017 Dec. Report No. 11-1471000-000303-01.
  12. Korean Statistical Information Service. Population by census [Internet]. 2016 [Accepted 2018 Mar 2]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B040A3.
  13. Lee JY, Yeo YJ, Seo MJ, Lee GH, Kim CI. Estimation of dietary iodine intake of Koreans through a Total Diet Study (TDS). Korean J Community Nutr 2021; 26(1): 48-55. https://doi.org/10.5720/kjcn.2021.26.1.48
  14. Ministry of Food and Drug Safety. Korean Food Standards Codex. Cheongju: Ministry of food and drug safety; 2013. p. 55-59.
  15. French Agency for Food, Environmental and Occupational Health & Safety. Second French Total Diet Study (TDS2) report1. France: Bialec; 2011.
  16. The Government of the Hong Kong Special Administrative Region. The First Hong Kong Total Diet Study: Minerals. Hong Kong: Centre for Food Safety Food and Environmental Hygiene Department; 2014.
  17. Ysart G, Miller P, Crews H, Robb P, Bazter M, Harrison N et al. Dietary exposure estimates of 30 elements from the UK Total Diet Study. Food Addit Contam 1999; 16(9): 391-406. https://doi.org/10.1080/026520399283876
  18. Lombardi-Boccia G, Aguzzi A, Cappelloni M, Lullo GD, Lucarini M. Total-diet study: Dietary intakes of macro elements and trace elements in Italy. Br J Nutr 2003; 90(6): 1117-1121. https://doi.org/10.1079/BJN2003997
  19. Aveglianon RP, Maihara VA, da Silva FF. A Brazilian Total Diet Study: Evaluation of essential elements. J Food Compos Anal 2011; 24(7): 1009-1016. https://doi.org/10.1016/j.jfca.2011.01.017
  20. Thomson BM, Vannoort RW, Haslemore RM. Total-diet study: Dietary exposure and trends of exposure to nutrient elements iodine, iron, selenium and sodium from the 2003-4 New Zealand Total Diet Survey. Br J Nutr 2008; 99(3): 614-625. https://doi.org/10.1017/S0007114507812001
  21. Food Standards Australia New Zealand. The 23rd Australian Total Diet Study. Canberra: Food Standards Australia New Zealand; 2011.
  22. Egan SK, Tao SSH, Pennington, JAT, Bolger PM. US Food and Drug Administration's Total Diet Study: Intake of nutritional and toxic elements 1991-96. Food Addit Contam 2002; 19(2): 103-125. https://doi.org/10.1080/02652030110071354
  23. Hunt CD, Meacham SL. Aluminum, boron, calcium, copper, iron, magnesium, manganese, molybdenum, phosphorus, potassium, sodium, and zinc: Concentrations in common Western foods and estimated daily intakes by infants; toddlers; and male and female adolescents, adults, and seniors in the United States. J Am Diet Assoc 2001; 101(9): 1058-1080. https://doi.org/10.1016/S0002-8223(01)00260-7