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http://dx.doi.org/10.4163/jnh.2022.55.4.419

2020 Dietary Reference Intakes of water for Koreans: establishment and future tasks  

Lee, Jae Hyun (Major of Exercise Rehabilitation, Woosong College)
Kim, Sun Hyo (Department of Technology and Home Economics Education, Kongju National University)
Publication Information
Journal of Nutrition and Health / v.55, no.4, 2022 , pp. 419-429 More about this Journal
Abstract
Water accounts for the largest proportion of body weight and is an essential element for the physiological functioning of the human body. According to 2013-2017 Korea National Health and Nutrition Examination Survey (KNHANES) data, the average water intake of Koreans was 2,167.3 mL/day and 62% of them did not meet the Dietary Reference Intakes for Koreans (KDRIs) for water. However, the consumption of beverages is continuously increasing. KDRIs sets the adequate intake (AI) for water, but tolerable upper intake level (UL) and chronic disease risk reduction intake (CDRR) are not provided. Compared to 2015, the AI of total water from both food and fluids in the 2020 KDRIs slightly increased or decreased according to age. The AI for children 1-2 years old, boys 6-8 years and 9-11 years old, and girls 6-8 years old decreased by 100 mL/day, while that of boys 12-14 years old increased by 100 mL/day. The AI of total water was the sum of the water intake from food and fluids reported by the KNHANES, with an extra milk intake of 200 mL/day. Therefore, it is not appropriate to use the AI of total water intakes for the reference of beverage intakes. It is preferable to consume water or milk rather than beverages containing sugar and others including caffeine, sodium, etc. when drinking fluid water. We suggest the following improvements in the future KDRIs for water: improving the adequacy of the water content ratio of Korean conventional foods, supplementing the fluid water intake survey, reflecting the current water intake status by life cycle, setting KDRIs for water for the elderly considering the physiological changes, health status and dietary habits, and promotion of research on the relationship between water intake and health for Koreans.
Keywords
recommended dietary allowances; water; beverages;
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1 Jequier E, Constant F. Water as an essential nutrient: the physiological basis of hydration. Eur J Clin Nutr 2010; 64(2): 115-123.   DOI
2 Popkin BM, D'Anci KE, Rosenberg IH. Water, hydration, and health. Nutr Rev 2010; 68(8): 439-458.   DOI
3 Daniels MC, Popkin BM. Impact of water intake on energy intake and weight status: a systematic review. Nutr Rev 2010; 68(9): 505-521.   DOI
4 Ministry of Health and Welfare; The Korean Nutrition Society. Dietary Reference Intakes for Koreans 2015. Sejong: Ministry of Health and Welfare; 2016.
5 Korea Disease Control and Prevention Agency. 2020 National Health Statistics. Cheongju: Korea Disease Control and Prevention Agency; 2022.
6 Park YS. Effects of dietary factors on urinary sodium excretion and establishing simplified method to estimate salt intake [dissertation]. Seoul: Seoul National University; 1988.
7 Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Report presentation of the Korea National Health and Nutrition Examination Survey (KNHANES) VI, VII; 2013-2017. Sejong: Ministry of Health and Welfare; 2018.
8 McArdle WD, Katch FI, Katch VL. Essentials of exercise physiology. Philadelphia (PA): Lippincott, Williams & Wilkins; 2010.
9 Hillyer M, Menon K, Singh R. The effects of dehydration on skill-based performance. Int J Sports Sci 2015; 5(3): 99-107.
10 Clark WF, Sontrop JM, Macnab JJ, Suri RS, Moist L, Salvadori M, et al. Urine volume and change in estimated GFR in a community-based cohort study. Clin J Am Soc Nephrol 2011; 6(11): 2634-2641.   DOI
11 Roussel R, Fezeu L, Bouby N, Balkau B, Lantieri O, Alhenc-Gelas F, et al. Low water intake and risk for new-onset hyperglycemia. Diabetes Care 2011; 34(12): 2551-2554.   DOI
12 Strippoli GF, Craig JC, Rochtchina E, Flood VM, Wang JJ, Mitchell P. Fluid and nutrient intake and risk of chronic kidney disease. Nephrology (Carlton) 2011; 16(3): 326-334.   DOI
13 Sontrop JM, Dixon SN, Garg AX, Buendia-Jimenez I, Dohein O, Huang SH, et al. Association between water intake, chronic kidney disease, and cardiovascular disease: a cross-sectional analysis of NHANES data. Am J Nephrol 2013; 37(5): 434-442.   DOI
14 Altieri A, La Vecchia C, Negri E. Fluid intake and risk of bladder and other cancers. Eur J Clin Nutr 2003; 57 Suppl 2: S59-S68.   DOI
15 Manz F, Wentz A. The importance of good hydration for the prevention of chronic diseases. Nutr Rev 2005; 63(6 Pt 2): S2-S5.   DOI
16 Pan A, Malik VS, Schulze MB, Manson JE, Willett WC, Hu FB. Plain-water intake and risk of type 2 diabetes in young and middle-aged women. Am J Clin Nutr 2012; 95(6): 1454-1460.   DOI
17 Kenney EL, Cradock AL, Long MW, Barrett JL, Giles CM, Ward ZJ, et al. Cost-effectiveness of water promotion strategies in schools for preventing childhood obesity and increasing water intake. Obesity (Silver Spring) 2019; 27(12): 2037-2045.   DOI
18 Davy BM, Dennis EA, Dengo AL, Wilson KL, Davy KP. Water consumption reduces energy intake at a breakfast meal in obese older adults. J Am Diet Assoc 2008; 108(7): 1236-1239.   DOI
19 Dennis EA, Dengo AL, Comber DL, Flack KD, Savla J, Davy KP, et al. Water consumption increases weight loss during a hypocaloric diet intervention in middle-aged and older adults. Obesity (Silver Spring) 2010; 18(2): 300-307.   DOI
20 Stookey JD, Constant F, Popkin BM, Gardner CD. Drinking water is associated with weight loss in overweight dieting women independent of diet and activity. Obesity (Silver Spring) 2008; 16(11): 2481-2488.   DOI
21 Choi EJ. Breastfeeding-related social environmental factors and their policy implications. Korea Inst Health Soc Affairs 2017; 249: 72-81.
22 Guyton AC, Hall JE. Textbook of medical physiology. Philadelphia (PA): W. B. Saunders Company; 2000.
23 Read W, Hoyt AH. Environmental influences on body fluid balance during exercise: altitude. In: Buskrik ER, Puhl SM, editors. Body Fluid Balance: Exercise and Sport. Boca Raton (FL): CRC Press; 1996. p.183-196.
24 Institute of Medicine. Dietary Reference Intakes for water, potassium, sodium, chloride, and sulfate. Washington, D.C.: The National Academies Press; 2005.
25 Lee J, Kim SH. Establishment of reference intake of water for Korean adults in 2015. J Nutr Health 2017; 50(2): 121-132.   DOI