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http://dx.doi.org/10.4163/jnh.2015.48.6.496

Estimated dietary flavonoids intake of Korean adolescent: Based on the Korea National Health and Nutrition Examination Survey 2007~2012  

Kim, Seong-Ah (Division of Public Health Nutrition, Department of Public Health Science, Graduate School of Public Health, Seoul National University)
Jun, Shinyoung (Division of Public Health Nutrition, Department of Public Health Science, Graduate School of Public Health, Seoul National University)
Joung, Hyojee (Division of Public Health Nutrition, Department of Public Health Science, Graduate School of Public Health, Seoul National University)
Publication Information
Journal of Nutrition and Health / v.48, no.6, 2015 , pp. 496-506 More about this Journal
Abstract
Purpose: The purpose of this study was to estimate dietary flavonoids intake of Korean adolescents. Methods: Using data from the 2007-2012 Korean National Health and Nutrition Examination Survey, a total of 3,957 subjects aged 12-18 were included in this study. We estimated individual daily intake of total flavonoid and six flavonoid classes including flavonols, flavones, flavanones, flavan-3-ols, anthocyanidins, and isoflavones by linking food consumption data with the flavonoids in the commonly consumed food database. The distribution of sociodemographic, health-related, and dietary factors according to flavonoids intake was examined. Results: Average dietary flavonoids intake of the study subjects was 195.6 mg/d in girls, and 189.4 mg/d in boys. The highest flavonoids intake group consumed significantly more fiber, vitamin C, legumes, fruits, and vegetables (p < 0.01) and less fat, grains, meats and dairy foods than other lower consumption groups (p < 0.001). Dietary flavonoid intake showed negative correlation with waist circumference and systolic blood pressure (p < 0.05). Conclusion: This study provided basic data for estimation of flavonoids intake of Korean adolescents. Further research will be required for analysis of the association of flavonoids intake and health-related factors such as cardiovascular risk factors.
Keywords
flavonoid; fruit; vegetable; adolescent; KNHANES;
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1 Chun OK, Chung SJ, Song WO. Estimated dietary flavonoid intake and major food sources of U.S. adults. J Nutr 2007; 137(5): 1244-1252.   DOI
2 Graf BA, Milbury PE, Blumberg JB. Flavonols, flavones, flavanones, and human health: epidemiological evidence. J Med Food 2005; 8(3): 281-290.   DOI
3 Kris-Etherton PM, Keen CL. Evidence that the antioxidant flavonoids in tea and cocoa are beneficial for cardiovascular health. Curr Opin Lipidol 2002; 13(1): 41-49.   DOI
4 O'Byrne DJ, Devaraj S, Grundy SM, Jialal I. Comparison of the antioxidant effects of Concord grape juice flavonoids alphatocopherol on markers of oxidative stress in healthy adults. Am J Clin Nutr 2002; 76(6): 1367-1374.   DOI
5 Vinson JA, Su X, Zubik L, Bose P. Phenol antioxidant quantity and quality in foods: fruits. J Agric Food Chem 2001; 49(11): 5315- 5321.   DOI
6 Rein D, Paglieroni TG, Wun T, Pearson DA, Schmitz HH, Gosselin R, Keen CL. Cocoa inhibits platelet activation and function. Am J Clin Nutr 2000; 72(1): 30-35.   DOI
7 Vita JA. Polyphenols and cardiovascular disease: effects on endothelial and platelet function. Am J Clin Nutr 2005; 81(1 Suppl): 292S-297S.   DOI
8 Yao LH, Jiang YM, Shi J, Tomas-Barberan FA, Datta N, Singanusong R, Chen SS. Flavonoids in food and their health benefits. Plant Foods Hum Nutr 2004; 59(3): 113-122.   DOI
9 Beatty S, Koh H, Phil M, Henson D, Boulton M. The role of oxidative stress in the pathogenesis of age-related macular degeneration. Surv Ophthalmol 2000; 45(2): 115-134.   DOI
10 Lee SA, Shu XO, Li H, Yang G, Cai H, Wen W, Ji BT, Gao J, Gao YT, Zheng W. Adolescent and adult soy food intake and breast cancer risk: results from the Shanghai Women's Health Study. Am J Clin Nutr 2009; 89(6): 1920-1926.   DOI
11 Dominguez C, Ruiz E, Gussinye M, Carrascosa A. Oxidative stress at onset and in early stages of type 1 diabetes in children and adolescents. Diabetes Care 1998; 21(10): 1736-1742.   DOI
12 Jun S, Shin S, Joung H. Estimation of dietary flavonoid intake and major food sources of Korean adults. Br J Nutr. Forthcoming 2015.
13 Knekt P, Jarvinen R, Reunanen A, Maatela J. Flavonoid intake and coronary mortality in Finland: a cohort study. BMJ 1996; 312 (7029): 478-481.   DOI
14 Mink PJ, Scrafford CG, Barraj LM, Harnack L, Hong CP, Nettleton JA, Jacobs DR Jr. Flavonoid intake and cardiovascular disease mortality: a prospective study in postmenopausal women. Am J Clin Nutr 2007; 85(3): 895-909.   DOI
15 McCullough ML, Peterson JJ, Patel R, Jacques PF, Shah R, Dwyer JT. Flavonoid intake and cardiovascular disease mortality in a prospective cohort of US adults. Am J Clin Nutr 2012; 95(2): 454-464.   DOI
16 Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2007: Korea National Health and Nutrition Examination Survey (KNHANES IV-1) [Internet]. Cheongwon: Korea Centers for Disease Control and Prevention; 2008 [cited 2014 Sep 1]. Available from: https:// knhanes.cdc.go.kr/knhanes/index.do.
17 Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2008: Korea National Health and Nutrition Examination Survey (KNHANES IV-2) [Internet]. Cheongwon: Korea Centers for Disease Control and Prevention; 2009 [cited 2014 Sep 1]. Available from: https://knhanes.cdc.go.kr/knhanes/index.do.
18 Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANES V-3) [Internet]. Cheongwon: Korea Centers for Disease Control and Prevention; 2013 [cited 2014 Sep 1]. Available from: https://knhanes.cdc.go.kr/knhanes/index.do.
19 Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES IV-3) [Internet]. Cheongwon: Korea Centers for Disease Control and Prevention; 2010 [cited 2014 Sep 1]. Available from: https://knhanes.cdc.go.kr/knhanes/index.do.
20 Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1)[Internet]. Cheongwon: Korea Centers for Disease Control and Prevention; 2011 [cited 2014 Sep 1]. Available from: https://knhanes.cdc.go.kr/knhanes/index.do.
21 Knaze V, Zamora-Ros R, Lujan-Barroso L, Romieu I, Scalbert A, Slimani N, Riboli E, van Rossum CT, Bueno-de-Mesquita HB, Trichopoulou A, Dilis V, Tsiotas K, Skeie G, Engeset D, Quiros JR, Molina E, Huerta JM, Crowe F, Wirfäl E, Ericson U, Peeters PH, Kaaks R, Teucher B, Johansson G, Johansson I, Tumino R, Boeing H, Drogan D, Amiano P, Mattiello A, Khaw KT, Luben R, Krogh V, Ardanaz E, Sacerdote C, Salvini S, Overvad K, Tjonneland A, Olsen A, Boutron-Ruault MC, Fagherazzi G, Perquier F, Gonzalez CA. Intake estimation of total and individual flavan-3-ols, proanthocyanidins and theaflavins, their food sources and determinants in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Br J Nutr 2012; 108(6): 1095-1108.   DOI
22 Casagrande SS, Wang Y, Anderson C, Gary TL. Have Americans increased their fruit and vegetable intake? The trends between 1988 and 2002. Am J Prev Med 2007; 32(4): 257-263.   DOI
23 Schroeter H, Heiss C, Balzer J, Kleinbongard P, Keen CL, Hollenberg NK, Sies H, Kwik-Uribe C, Schmitz HH, Kelm M. (-)-Epicatechin mediates beneficial effects of flavanol-rich cocoa on vascular function in humans. Proc Natl Acad Sci U S A 2006; 103(4): 1024-1029.   DOI
24 Kim JH, Lee MJ, Yang IS, Moon SJ. Analysis of factors affecting Korean eating behavior. Korean J Diet Cult 1992; 7(1): 1-8.
25 Galleano M, Calabro V, Prince PD, Litterio MC, Piotrkowski B, Vazquez-Prieto MA, Miatello RM, Oteiza PI, Fraga CG. Flavonoids and metabolic syndrome. Ann N Y Acad Sci 2012; 1259: 87-94.   DOI
26 Steffen Y, Gruber C, Schewe T, Sies H. Mono-O-methylated flavanols and other flavonoids as inhibitors of endothelial NADPH oxidase. Arch Biochem Biophys 2008; 469(2): 209-219.   DOI
27 Cassidy A, O'Reilly EJ, Kay C, Sampson L, Franz M, Forman JP, Curhan G, Rimm EB. Habitual intake of flavonoid subclasses and incident hypertension in adults. Am J Clin Nutr 2011; 93(2): 338-347.   DOI
28 Yang YJ, Kim YJ, Yang YK, Kim JY, Kwon O. Dietary flavan-3- ols intake and metabolic syndrome risk in Korean adults. Nutr Res Pract 2012; 6(1): 68-77.   DOI
29 Holt EM, Steffen LM, Moran A, Basu S, Steinberger J, Ross JA, Hong CP, Sinaiko AR. Fruit and vegetable consumption and its relation to markers of inflammation and oxidative stress in adolescents. J Am Diet Assoc 2009; 109(3): 414-421.   DOI
30 Kim SH, Cho SW, Hwang SS, Ahn M, Lee D, Kang SW, Park YK. Increased whole grain, fruits and vegetable intake reduced oxidative stress in high school students. Korean J Nutr 2012; 45(5): 452-461.   DOI
31 Kwon WJ, Chang KJ, Kim SK. Comparison of nutrient intake, dietary behavior, perception of body image and iron nutritional status among female high school students of urban and rural areas in Kyunggi-do. Korean J Nutr 2002; 35(1): 90-101.
32 Ness AR, Maynard M, Frankel S, Smith GD, Frobisher C, Leary SD, Emmett PM, Gunnell D. Diet in childhood and adult cardiovascular and all cause mortality: the Boyd Orr cohort. Heart 2005; 91(7): 894-898.   DOI
33 The Korean Nutrition Society. Dietary reference intakes for Koreans. 1st revision. Seoul: The Korean Nutrition Society; 2010.
34 Kim JH, Kim YS, Kim Y, Kang MS. Fruit and vegetable consumption and factors affecting fruit and vegetable consumption of school children and adolescents: findings from focus-group interviews with school nutrition teachers and nutritionists. Korean J Community Living Sci 2013; 24(4): 567-581.   DOI
35 Lifshitz F, Tarim O, Smith MM. Nutrition in adolescence. Endocrinol Metab Clin North Am 1993; 22(3): 673-683.
36 Kim KW, Shin EM. A study on nutrition knowledge, nutritional attitudes, dietary behavior and dietary intake by weight control attempt among middle school female students. Korean J Community Nutr 2002; 7(1): 23-31.
37 An GS, Shin DS. A comparison of the food and nutrient intake of adolescents between urban areas and islands in south Kyungnam. Korean J Community Nutr 2001; 6(3): 271-281.
38 Oh K, Jang MJ, Lee NY, Moon JS, Lee CG, Yoo MH, Kim YT. Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005. Korean J Pediatr 2008; 51(9): 950-955.   DOI
39 Baek SH. Effect of % body fat, physical fitness on impact on cardiovascular risk index in female middle-school students. Korean J Sports Sci 2012; 21(2): 1009-1017.
40 Chang JH, Kim DH, Kim HS, Choi IK, Cheong MY, Kim DK. Prevalence of metabolic syndrome in obese children. Korean J Pediatr 2004; 47(11): 1149-1156.
41 Hertog MG, van Poppel G, Verhoven D. Potentially anticarcinogenic secondary metabolites from fruit and vegetables. In: Tomas-Barberan FA, Robins RJ, editors. Phytochemistry of Fruit and Vegetables. Oxford: Clarendon Press; 1997. p.313-330.
42 Ministry of Health and Welfare (KR). The third national health promotion plan (2011-2020). Seoul: Ministry of Health and Welfare; 2011.
43 Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2011: Korea National Health and Nutrition Examination Survey (KNHANES V-2). Cheongwon: Korea Centers for Disease Control and Prevention; 2012.
44 Doll R. An overview of the epidemiological evidence linking diet and cancer. Proc Nutr Soc 1990; 49(2): 119-131.   DOI
45 Hertog MG, Feskens EJ, Hollman PC, Katan MB, Kromhout D. Dietary antioxidant flavonoids and risk of coronary heart disease: the Zutphen elderly study. Lancet 1993; 342(8878): 1007-1011.   DOI
46 Hertog MG, Kromhout D, Aravanis C, Blackburn H, Buzina R, Fidanza F, Giampaoli S, Jansen A, Menotti A, Nedeljkovic S, Pekkarinen M, Simic BS, Toshima H, Feskens EJ, Hollman PC, Katan MB. Flavonoid intake and long-term risk of coronary heart disease and cancer in the seven countries study. Arch Intern Med 1995; 155(4): 381-386.   DOI
47 Hertog MG, Sweetnam PM, Fehily AM, Elwood PC, Kromhout D. Antioxidant flavonols and ischemic heart disease in a Welsh population of men: the Caerphilly study. Am J Clin Nutr 1997; 65(5): 1489-1494.   DOI
48 Chun OK, Kim DO, Smith N, Schroeder D, Han JT, Lee CY. Daily consumption of phenolics and total antioxidant capacity from fruit and vegetables in the American diet. J Sci Food Agric 2005; 85(10): 1715-1724.   DOI