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Estimated dietary vitamin D intake and major vitamin D food sources of Koreans: based on the Korea National Health and Nutrition Examination Survey 2016-2019

  • Ki Nam Kim (Department of Food and Nutrition, Daejeon University) ;
  • Jung-Sug Lee (Department of Food and Nutrition, Kookmin University) ;
  • Jee-Seon Shim (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Mi Ock Yoon (Nutrition Information Center, Korean Nutrition Society) ;
  • Hyun Sook Lee (Department of Food Science and Nutrition, Dongseo University)
  • 투고 : 2021.12.24
  • 심사 : 2022.08.24
  • 발행 : 2023.06.01

초록

BACKGROUND/OBJECTIVES: The purpose of this study was to establish a database (DB) of foods containing vitamin D that were investigated in the Korea National Health and Nutrition Examination Survey (KNHANES), to estimate the dietary vitamin D intake, to evaluate the dietary adequacy of this intake, and to identify the major food sources of Koreans that contain vitamin D. SUBJECTS/METHODS: This study used data from the KNHANES 2016-2019. Individuals aged ≥ 1 year who participated in the nutrition survey (n = 28,418) were included. The dietary intake was assessed by the 24-h dietary recall method and individual dietary vitamin D intake was estimated using a newly established vitamin D DB. Dietary adequacy was evaluated by comparing the dietary intake of the participants with adequate intake (AI) as defined by Dietary Reference Intakes for Koreans (KDRIs) 2020. RESULTS: The average dietary vitamin D intake for all the subjects was 3.13 ㎍/d, which was 33.1% of AI. Dietary vitamin D intake was lower in rural residents, the elderly, and those with low income. The major food groups that contributed to the total dietary vitamin D intake were fish and shellfish (61.59%), eggs (17.75%), meat (8.03%), milk (4.25%), legumes (3.93%), and grains (3.84%). The top 10 individual food items that contributed to the total vitamin D intake were eggs (17.44%), squid (8.5%), eels (7.44%), salmon (5.35%), mackerel (5.27%), anchovies (4.65%), yellow croakers (4.58%), pork meat (4.47%), soymilk (4.46%), and skipjack tuna (3.80%). CONCLUSION: These results show that the mean dietary vitamin D intake of Koreans is lower than the reference AI level. Nutritional policies need to be put in place to increase the vitamin D intake of Koreans in the future. In addition, comprehensive research on all the sources of vitamin D, including intake of supplements and biosynthesis in the skin, is required.

키워드

과제정보

This work was supported by a grant from the Korea Disease Control and Prevention Agency (2020E341200) in 2020.

참고문헌

  1. Shin MY, Kwun IS. Vitamin D: hormone-like nutrient. J Nutr Health 2016;49:1-7.  https://doi.org/10.4163/jnh.2016.49.1.1
  2. Park JH, Hong IY, Chung JW, Choi HS. Vitamin D status in South Korean population: seven-year trend from the KNHANES. Medicine (Baltimore) 2018;97:e11032. 
  3. Thuesen B, Husemoen L, Fenger M, Jakobsen J, Schwarz P, Toft U, Ovesen L, Jorgensen T, Linneberg A. Determinants of vitamin D status in a general population of Danish adults. Bone 2012;50:605-10.  https://doi.org/10.1016/j.bone.2011.12.016
  4. Holick MF. McCollum Award Lecture, 1994: vitamin D--new horizons for the 21st century. Am J Clin Nutr 1994;60:619-30.  https://doi.org/10.1093/ajcn/60.4.619
  5. Cinar N, Harmanci A, Yildiz BO, Bayraktar M. Vitamin D status and seasonal changes in plasma concentrations of 25-hydroxyvitamin D in office workers in Ankara, Turkey. Eur J Intern Med 2014;25:197-201.  https://doi.org/10.1016/j.ejim.2013.11.004
  6. Ministry of Health & Welfare (KR); The Korean Nutrition Society. Dietary Reference Intakes for Koreans 2020: Vitamin D. Seoul: The Korean Nutrition Society; 2020.
  7. National Institute of Agricultural Sciences (KR). Korean food composition table (9.2 version) [Internet]. Wanju: National Institute of Agricultural Sciences; 2020 [cited 2020 September 1]. Available from: http://koreanfood.rda.go.kr/kfi/fct/fctIntro/list?menuId=PS03562.
  8. Ministry of Food and Drug Safety (KR). Nutrition Facts of Eating-Out (2019). Cheongju: Ministry of Food and Drug Safety; 2019.
  9. Ministry of Food and Drug Safety (KR). Nutrition Facts of Eating-Out (2020). Cheongju: Ministry of Food and Drug Safety; 2020.
  10. Ministry of Food and Drug Safety (KR). Nutrition Facts of Processed Food (2019). Cheongju: Ministry of Food and Drug Safety; 2019.
  11. Ministry of Food and Drug Safety (KR). Nutrition Facts of Processed Food (2020). Cheongju: Ministry of Food and Drug Safety; 2020.
  12. Kim MY, Kim MJ, Ly SY. Vitamin D intake, serum 25OHD, and bone mineral density of Korean adults: based on the Korea National Health and Nutrition Examination Survey (KNHANES, 2011). J Nutr Health 2016;49:437-46.  https://doi.org/10.4163/jnh.2016.49.6.437
  13. Greenfield S, Southgate DA. Food Composition Data, Production, Management and Use. 2nd ed. Rome: FAO/INFOODS; 2003.
  14. Food and Agriculture Organization of the United Nations. Compilation tool version 1.2.1 (FAO/INFOODS) and user guidelines [Internet]. Rome: FAO/INFOODS; 2021 [cited 2020 April 15]. Available from: https://www.fao.org/infoods/infoods/software-tools/en/.
  15. Korea Disease Control and Prevention Agency. Development of Database of Vitamin D and Vitamin E for Korea National Health and Nutrition Examination Survey's Data Processing. Cheongju: Korea Disease Control and Prevention Agency; 2020.
  16. Chinese Center for Disease Control and Prevention (CDC). Vegetable food. In: China Food Composition Tables Standard Edition. 6th ed. Beijing: Peking University Press; 2019.
  17. Chinese Center for Disease Control and Prevention (CDC). Animal food. In: China Food Composition Tables Standard Edition. 6th ed. Beijing: Peking University Press; 2019.
  18. Ministry of Education. Culture, Sports, Science and Technology (JP). Standard tables of food composition in Japan (seventh revised version) [Internet]. Tokyo: Ministry of Education. Culture, Sports, Science and Technology; 2015 [cited 2020 November 10]. Available from: https://www.mext.go.jp/en/policy/science_technology/policy/title01/detail01/1374030.htm.
  19. US Department of Agriculture. FoodData Central [Internet]. Washington, D.C.: US Department of Agriculture; 2020 [cited 2020 October 10]. Available from: https://fdc.nal.usda.gov/Laboratory.
  20. Food Standards Australia & New Zealand. Food nutrient database: AUSNUT 2011-13 [Internet]. Majura: Food Standards Australia & New Zealand; 2016 [cited 2020 November 1]. Available from: https://www.foodstandards.gov.au/science/monitoringnutrients/ausnut/foodnutrient/Pages/default.aspx.
  21. Food Standards Australia & New Zealand. Australian Food Composition Database - Release 1, 2019 [Internet]. Majura: Food Standards Australia & New Zealand; 2019 [cited 2020 November 2]. Available from: https://www.foodstandards.gov.au/science/monitoringnutrients/afcd/Pages/default.aspx.
  22. Tsuboyama-Kasaoka N, Takizawa A, Tsubota-Utsugi M, Nakade M, Imai E, Kondo A, Yoshida K, Okuda N, Nishi N, Takimoto H. Dietary intake of nutrients with adequate intake values in the dietary reference intakes for Japanese. J Nutr Sci Vitaminol (Tokyo) 2013;59:584-95.  https://doi.org/10.3177/jnsv.59.584
  23. Lee MS, Li HL, Hung TH, Chang HY, Yang FL, Wahlqvist ML. Vitamin D intake and its food sources in Taiwanese. Asia Pac J Clin Nutr 2008;17:397-407. 
  24. Gonzalez-Rodriguez LG, Estaire P, Penas-Ruiz C, Ortega RM; UCM Research Group VALORNUT (920030). Vitamin D intake and dietary sources in a representative sample of Spanish adults. J Hum Nutr Diet 2013;26 Suppl 1:64-72.  https://doi.org/10.1111/jhn.12061
  25. Calame W, Street L, Hulshof T. Vitamin D serum levels in the UK population, including a mathematical approach to evaluate the impact of vitamin D fortified ready-to-eat breakfast cereals: application of the NDNS database. Nutrients 2020;12:1868. 
  26. Herrick KA, Storandt RJ, Afful J, Pfeiffer CM, Schleicher RL, Gahche JJ, Potischman N. Vitamin D status in the United States, 2011-2014. Am J Clin Nutr 2019;110:150-7.  https://doi.org/10.1093/ajcn/nqz037
  27. Calvo MS, Whiting SJ, Barton CN. Vitamin D fortification in the United States and Canada: current status and data needs. Am J Clin Nutr 2004;80:1710S-6S.  https://doi.org/10.1093/ajcn/80.6.1710S
  28. Park HY, Lim YH, Park JB, Rhie J, Lee SJ. Environmental and occupation factors associated with vitamin D deficiency in Korean adults: The Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2014. Int J Environ Res Public Health 2020;17:9166. 
  29. Yu A, Kim J, Kwon O, Oh S, Kim J, Yang YJ. Association between serum 25-hydroxyvitamin D and consumption frequencies of vitamin D rich foods in Korean adults and older adults. Korean J Community Nutr 2014;19:122-32.  https://doi.org/10.5720/kjcn.2014.19.2.122
  30. Shin YS, Choi BY, Kim MK, Yang YJ. Serum 25-hydroxyvitamin D and cognitive function in Korean older adults living in rural area. J Nutr Health 2019;52:465-74.  https://doi.org/10.4163/jnh.2019.52.5.465
  31. Yoon L, Yang J, Kweon S, Oh K. Dietary supplement intake based on the Korea national health and nutrition examination survey in 2015. Public Health Wkly Rep 2015;11:188-92.
  32. Kim JM. Evaluation of nutritional status of vitamins and minerals according to consumption of dietary supplements in Korean adults and the elderly: report based on 2017 Korea National Health and Nutrition Examination Survey data. Korean J Community Nutr 2020;25:329-39.  https://doi.org/10.5720/kjcn.2020.25.4.329
  33. Yu A, Kim J, Kwon O, Oh SY, Kim J, Yang YJ. The association between serum 25-hydroxyvitamin D concentration and consumption frequencies of vitamin D food sources in Korean adolescents. Clin Nutr Res 2013;2:107-14.  https://doi.org/10.7762/cnr.2013.2.2.107
  34. Kalkwarf HJ, Khoury JC, Lanphear BP. Milk intake during childhood and adolescence, adult bone density, and osteoporotic fractures in US women. Am J Clin Nutr 2003;77:257-65. https://doi.org/10.1093/ajcn/77.1.257