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Dietary sodium and potassium intake of Koreans estimated using 2 different sources of their contents in foods, Food & Nutrient Database and the Korean Total Diet Study : a comparative study

우리 국민의 나트륨 및 칼륨 섭취량 평가: 식품별 영양성분 함량 DB와 한국형 총 식이조사 기반 추정량 비교 연구

  • Jee Yeon Lee (Center for Health Industry Policy, Korea Health Industry Development Institute) ;
  • Sung Ok Kwon (Research Institute of Human Ecology, Seoul National University) ;
  • Soo Hyun Lee (Department of Medical Record and Health Information Management, Kongju National University) ;
  • Min Jeong Seo (Korea Research Institute of Analytical Technology) ;
  • Gae Ho Lee (Korea Research Institute of Analytical Technology) ;
  • Cho-il Kim (Department of Food and Nutrition, Seoul National University)
  • 이지연 (한국보건산업진흥원 보건산업정책연구센터) ;
  • 권성옥 (서울대학교 생활과학연구소) ;
  • 이수현 (공주대학교 의료정보학과) ;
  • 서민정 (한국분석기술연구소) ;
  • 이계호 (한국분석기술연구소) ;
  • 김초일 (서울대학교 생활과학대학 식품영양학과)
  • Received : 2023.06.08
  • Accepted : 2023.06.23
  • Published : 2023.06.30

Abstract

Objectives: Based on the results from the Korean Total Diet Study (KTDS), the sodium (Na) and potassium (K) intake of Koreans were estimated and compared with intake estimates from the Food & Nutrient Database (FNDB), as in the Korea National Health and Nutrition Examination Survey (KNHANES) to verify the validity of these estimates. Methods: One hundred and thirty-four representative foods (RFs) covering 92.5% of the total food intake of Koreans were selected, and 228 pairs of corresponding 'RF x representative cooking method' were derived by reflecting the methods used mainly in terms of frequency and quantity in their cooking. RF samples were collected from three cities with a larger population size in three regions (nine cities) nationwide, and six composite samples were made for each RF, considering its regional and/or seasonal characteristics. One thousand three hundred and sixty-eight 'RF x representative cooking method' pair samples were prepared, and the Na and K contents were assessed using inductively coupled plasma atomic emission spectrometry (ICP-MS). The Na and K intake of the Korean population was estimated by linking the content with the food intake data from the 7th KNHANES. Results: The mean Na and K intake of Koreans were 2,807.4 mg and 2,335.0 mg per person per day, respectively. A comparison with the Na and K intake from KNHANES, including only RFs of KTDS, showed comparable results with less than 5% variation. While the contribution and ranking of food items to Na intake were similar between KNHANES and KTDS, there were differences in K intake. This was attributed to the large discrepancies in the K content of rice and coffee between KTDS results and the values in the 9th Revision of the National Food Composition Table used in KNHANES. Conclusions: The Na and K intake of Koreans estimated based on the KTDS, which performed nutrient analysis on samples prepared to a 'table-ready' state using foods of the representative collection, was similar and comparable with that of KNHANES. This supports the validity and usefulness of FNDB-based nutrient intake estimation at the population level. The list of nutrients studied in KTDS is expected to be expanded, allowing for intake estimation of nutrients with currently insufficient or absent information in the FNDBs in use.

Keywords

Acknowledgement

This study was supported by a grant (20220204691-00, Korean Total diet Study) from the Ministry of Food and Drug Safety in 2018-2022.

References

  1. Statistics Korea, Causes of Death Statistics in 2021 [internet]. Statistics Korea; 2022 [cited 2022 Sep. 27]. Available from: https://kostat.go.kr/.
  2. Kim HC, Ihm SH, Kim GH, Kim KI, Lee HY, Lee JH et al. 2018 Korean Society of Hypertension guidelines for the management of hypertension: part I- epidemiology of hypertension. Clin Hypertens 2019; 25(1): 1-24. https://doi.org/10.1186/s40885-018-0104-6
  3. Larson S, Cho MC, Tsioufis K, Yang E. 2018 Korean Society of Hypertension guidelines for the management of hypertension: A Comparison of American, European, and Korean Blood Pressure Guidelines. Eur Heart J 2020; 41(14): 1384-1386. https://doi.org/10.1093/eurheartj/ehaa114
  4. Korea Disease Control and Prevention Agency. Korea Health Statistics 2021: Korea National Health and Nutrition Examination Survey (KNHANES VIII-2). Cheongju: Korea Disease Control and Prevention Agency; 2022.
  5. Lee HY, Shin J, Kim GH, Park S, Ihm SH, Kim HC et al. 2018 Korean Society of Hypertension guidelines for the management of hypertension: part II- diagnosis and treatment of hypertension. Clin Hypertens 2019; 25: 1-24. https://doi.org/10.1186/s40885-018-0104-6
  6. The Ministry of Health and Welfare. A study on the revision and application of 2020 Dietary Reference Intakes for Koreans. The Korean Nutrition Society; 2018 Nov. Report No. 11-1352000-002366-01.
  7. Lee CH, Shin J. Effect of low sodium and high potassium diet on lowering blood pressure. J Korean Med Assoc 2022; 85(6): 368-376.
  8. Park HK, Lee Y, Kang BW, Kwon KI, Kim JW, Kwon OS et al. Progress on sodium reduction in South Korea. BMJ Global Health 2020; 5: e002028.
  9. Korea Disease Control and Prevention Agency. Korean National Health and Nutrition Examination Survey [internet]. Korea Disease Control and Prevention Agency 2020 [cited 2022 Feb 1]. Available from: https://knhanes.cdc.go.kr/knhanes.
  10. Rural Development Administration, National Rural Resources Development Institute (KR). 7th Revision food composition table. Wanju-gun, Jeollabuk-do: National Rural Resources Development Institute, R.D.A; 2006.
  11. Rural Development Administration, National Rural Resources Development Institute (KR). 8th Revision standard food composition table. Wanju-gun, Jeollabuk-do: National Academy of Agricultural Science; 2011.
  12. Rural Development Administration, National Rural Resources Development Institute (KR). Korean food composition table (9.3th revision). Wanju-gun, Jeollabuk-do: National Academy of Agricultural Science; 2021.
  13. Kim CI, Lee JY, Kwon SO, Yeo YJ. Korean Total Diet Study. Cheongju: Ministry of Food and Drug Safety; 2018.
  14. 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
  15. Lee JY, Kwon S, Seo MJ, Lee GH, Kim CI. 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 Korean Total Diet Study. Korean J Community Nutr 2022; 27(3): 245-253. https://doi.org/10.5720/kjcn.2022.27.3.245
  16. Korean Statistical Information Service. Population by census [Internet]. 2019 [cited 2020 Mar 2]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B040A3.
  17. Ministry of Food and Drug Safety. Korean Food Standards Codex. Cheongju: Ministry of Food and Drug Safety; 2013. p. 55-59.
  18. The Ministry of Health and Welfare, The Korean Nutrition Society. 2015 Dietary Reference Intakes for Koreans: Minerals Seoul. Seoul: The Korean Nutrition Society; 2015. p 638-676.
  19. Rural Development Administration, National Rural Resources Development Institute (KR). Korean food composition table (10th revision). Wanju-gun, Jeollabuk-do: National Academy of Agricultural Science; 2022.
  20. 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
  21. Avegliano 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
  22. The Government of the Hong Kong Special Administrative Region. The First Hong Kong Total Diet Study: Minerals. Hong Kong: The Government of the Hong Kong Special Administrative Region; 2014.
  23. Babaali E, Rahmdel S, Berizi E, Akhlaghi M, Gotz F, Mazloomi SM. Dietary intakes of Zinc, Copper, Magnesium, Calcium, Phosphorus, and Sodium by the general adult population aged 20-50 years in Shiraz, Iran: A Total Diet Study Approach. Nutrients 2020; 12(11): 3370.
  24. 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
  25. French agency for food, environmental and occupational Health & Safety. Second French Total Diet Study (TDS2) Report1-inorganic contaminants, minerals, persistent organic pollutants, mycotoxins and phytoestrogens. Bialec; 2011 Jun. Report No. 76441.
  26. Egan SK, Tao SS-H, 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
  27. Food Standards Australia New Zealand. The 23rd Australian Total Diet Study. Wellington: Food Standards Australia New Zealand; 2011.
  28. Ministry of Education, Culture, Sports, Science and Technology. Standard tables of food composition in Japan 2015 (Seventh Revised Edition) [internet]. Ministry of Education, Culture, Sports, Science and Technology; 2015 [cited 2016 Feb 3]. Available from: http://www.MEXT.go.jp/.
  29. Kimura M, Itokawa Y. Cooking losses of minerals in foods and its nutritional significance. J Nutr Sci Viaminol 1990; 36: s25-s33. https://doi.org/10.3177/jnsv.36.4-SupplementI_S25