Browse > Article
http://dx.doi.org/10.3346/jkms.2012.27.5.512

Prevalence of Dietary Supplement Use in Korean Children and Adolescents: Insights from Korea National Health and Nutrition Examination Survey 2007-2009  

Yoon, Ji Ye (Department of Family Medicine, Inje University College of Medicine)
Park, Hyun Ah (Department of Family Medicine, Inje University College of Medicine)
Kang, Jae Heon (Department of Family Medicine, Inje University College of Medicine)
Kim, Kyung Woo (Department of Family Medicine, Inje University College of Medicine)
Hur, Yang Im (Department of Family Medicine, Inje University College of Medicine)
Park, Jin Joo (Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital)
Lee, Ran (Department of Pediatrics, Konkuk University School of Medicine)
Lee, Hyun Hye (Department of Family Medicine, Inje University College of Medicine)
Publication Information
Journal of Korean Medical Science / v.27, no.5, 2012 , pp. 512-517 More about this Journal
Abstract
The purpose of this study was to estimate the prevalence of dietary supplement (DS) use in Korean children and adolescents and to examine the related factors associated with DS use from the 4th Korea National Health and Nutrition Examination Survey. Total 6,131 participants aged between 2 and 18 yr were included in the analysis. We estimated the prevalence of DS use mainly from the DS questionnaire data of the Nutrition Survey. Reported supplements were classified according to the Health Functional Food Code. We also assessed the relationship between DS use and anthropometry, socioeconomic factors, health behaviors, and chronic diseases. Approximately 34% of Korean children and adolescent was taking DS. Younger age (P = 0.003), higher household income (P < 0.001), presence of chronic diseases (P = 0.05), regular meal consumption (P = 0.002), frequent snack consumption (P = 0.001), and normal body mass index rather than overweight (P = 0.10) or obesity (P = 0.03) were associated with the DS use after adjustment for related factors. Vitamin/mineral supplements (343.5/103 persons) were the most commonly taken DS in Korean children and adolescents, followed by Omega-3 (28.8), ginseng (18.3), colostrums (14.1) and chlorella/spirulina (10.0). In conclusion, DS use is common as much as in 34% of Korean children and adolescents and is associated with age, household income level, chronic diseases, meal regularity, and obesity status.
Keywords
Dietary Supplements; Child; Adolescent; Korean;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
Times Cited By Web Of Science : 2  (Related Records In Web of Science)
연도 인용수 순위
1 Park JS, Lee JH. Elementary school children's intake patterns of health functional foods and parent's requirements in Daejeon Area. Korean J Community Nutr 2008 ;13: 463-75.
2 Kim SH, Han JH, Kim WY. Health functional food use and related variables among the middle-aged in Korea. Korean J Nutr 2010; 43: 294-303.   DOI   ScienceOn
3 Kim EM, Jung HJ, Jeong JW, Kim JW. Analysis of elementary students' intake of dietary supplements. Korean J Food Cookery Sci 2008; 24: 672-81.
4 Ulbricht C, Chao W, Costa D, Rusie-Seamon E, Weissner W, Woods J. Clinical evidence of herb-drug interactions: a systematic review by the natural standard research collaboration. Curr Drug Metab 2008; 9: 1063-120.   DOI   ScienceOn
5 Kleinman RE, editor. Pediatric nutrition handbook. 5th ed. Elk Grove Village, ILL: American Academy of Pediatrics, 2003, p125.
6 Kim SH, Han JH, Keen CL. Vitamin and mineral supplement use by healthy teenagers in Korea: motivating factors and dietary consequences. Nutrition 2001; 17: 373-80.   DOI   ScienceOn
7 Kim SH, Han JH, Zhu QY, Keen CL. Use of vitamins, minerals, and other dietary supplements by 17- and 18-year-old students in Korea. J Med Food 2003; 6: 27-42.   DOI   ScienceOn
8 Lee JY, Jang YA, Moon JJ, Lee HS, Lee HJ, Lee Y, Kim DH, Koh E, Lee HY, Yoon HS, et al. Children's vitamins and minerals intake from dietary supplements in Korea. FASEB J 2010; 24: lb345.
9 Korea Centers for Disease Control and Prevention & The Korean Pediatric Society. 2007 Korean children and adolescents growth standard. Available at http://www.cdc.go.kr/ [accessed on 3 Feburary 2012].
10 Korean Nutrition Society. 2010 dietary reference intakes for Koreans. Seoul: Korean Nutrition Society, 2010, p25-46.
11 Health Functional Foods Act, Articles III, Rules one. Available at http://hfoodi.kfda.go.kr/laws [accessed on 17 March 2012].
12 Korea Food & Drug Administration. Health Functional Food Code 2010- 7 (18 Feburary 2010). Available at http://hfoodi.kfda.go.kr/laws [accessed on 17 March 2012].
13 Picciano MF, Dwyer JT, Radimer KL, Wilson DH, Fisher KD, Thomas PR, Yetley EA, Moshfegh AJ, Levy PS, Nielsen SJ, et al. Dietary supplement use among infants, children, and adolescents in the United States, 1999-2002. Arch Pediatr Adolesc Med 2007; 161: 978-85.   DOI   ScienceOn
14 Bell A, Dorsch KD, McCreary DR, Hovey R. A look at nutritional supplement use in adolescents. J Adolesc Health 2004; 34: 508-16.   DOI
15 Sichert-Hellert W, Kersting M. Vitamin and mineral supplements use in German children and adolescents between 1986 and 2003: results of the DONALD Study. Ann Nutr Metab 2004; 48: 414-9.   DOI   ScienceOn
16 Yi HH, Park HA, Kang JH, Kang JH, Kim KW, Cho YG, Song HR, Lee JS. What types of dietary supplements are used in Korea? Data from the Korean National Health and Nutritional Examination Survey 2005. Korean J Fam Med 2009; 30: 934-43.   DOI
17 Yu SM, Kogan MD, Gergen P. Vitamin-mineral supplement use among preschool children in the United States. Pediatrics 1997; 100: E4.
18 Shaikh U, Byrd RS, Auinger P. Vitamin and mineral supplement use by children and adolescents in the 1999-2004 National Health and Nutrition Examination Survey: relationship with nutrition, food security, physical activity, and health care access. Arch Pediatr Adolesc Med 2009; 163: 150-7.   DOI   ScienceOn
19 Radimer K, Bindewald B, Hughes J, Ervin B, Swanson C, Picciano MF. Dietary supplement use by US adults: data from the National Health and Nutrition Examination Survey, 1999-2000. Am J Epidemiol 2004; 160: 339-49.   DOI   ScienceOn
20 Kim SH. Patterns of vitamin / mineral supplements usage among the middle-aged in Korea. Korean J Nutr 1994; 27: 236-52.
21 Kim YJ, Mun JA, Min H. Supplement dose and health-related life style of vitamin-mineral supplement user among Korean middle-aged. Korean J Community Nutr 2004; 9: 303-14.
22 Vernacchio L, Kelly JP, Kaufman DW, Mitchell AA. Vitamin, fluoride, and iron use among US children younger than 12 years of age: results from the Slone Survey 1998-2007. J Am Diet Assoc 2011; 111: 285-9.   DOI   ScienceOn
23 Hong CY. Pediatrics. 9th ed. Seoul: Daehankyokwaseo, 2008, p74-102.
24 Kim HS, Lee CY, Lee TW, Ham OK. Health problems and health behaviors of preschoolers. J Korean Acad Nurs 2004; 34: 182-90.   DOI
25 Innis SM. Dietary (n-3) fatty acids and brain development. J Nutr 2007; 137: 855-9.   DOI
26 Sohn M. Treatment effects of red ginseng extracts in asthma. Korean J Asthma Allergy Clin Immunol 2010; 30: 12-3.
27 Playford RJ, Macdonald CE, Johnson WS. Colostrum and milk-derived peptide growth factors for the treatment of gastrointestinal disorders. Am J Clin Nutr 2000; 72: 5-14.   DOI
28 Korea Food & Drug Administration. 2009 food & drug statistical yearbook. Seoul: Korea Food & Drug Administration, 2009, p197-224.
29 Ministry of Health and Welfare. The 2nd wave plan for the deveolopment of Korean oriental medicine. Available at http://www.mw.go.kr/front/mw_sch/index.jsp [accessed on 3 Feburary 2012].
30 Ministry of Health and Welfare, Korea Health Industry Development Institute. The Third Korea National Health & Nutrition Examination Survey (KNHANES III), 2005 - Nutrition Survey (I). Ministry of Health and Wellfare, Korea Centers for Disease Control and Prevention, 2006.