Browse > Article
http://dx.doi.org/10.14373/JKDA.2013.19.4.343

Nutrient Intake Status of Korean Drinkers: Analysis of Data from Korea National Health and Nutrition Examination Survey (KNHANES), 2011  

Kim, Hyung-Tae (Dept. of Public Health, Sahmyook University Graduate School)
Chun, Sung-Soo (Dept. of Health Management, Sahmyook University)
Joung, Sun-Hee (The Korean Institute on Alcohol Problems)
Yun, Mi-Eun (Dept. of Food & Nutrition, Sahmyook University)
Publication Information
Journal of the Korean Dietetic Association / v.19, no.4, 2013 , pp. 343-355 More about this Journal
Abstract
This study analyzed the dietary habits and nutrient intake status of adult drinkers in Korea. Alcohol drinking patterns were obtained from the Korea National Health and Nutrition Examination Survey (KNHANES). Among 4,968 persons, 91.5% were drinkers. Classification of their drinking patterns by the Alcohol Use Disorders Identification Test (AUDIT) score showed 64.5% of the drinkers were normal drinkers, 22.4% problem drinkers and 13.2% alcohol-dependent drinkers. Overall, 47% of the drinkers were considered alcohol-dependent in the Rapid Alcohol Problems Screen (RAPS4). Significant differences were found between those who abstained from alcohol (86.8%) and alcohol-dependent drinkers (68.9%); when asked about breakfast habits 73.4% of non-drinkers often had family meals, while only 55.4% of the alcohol-dependent drinkers had family meals. Dietary energy, alcohol energy, and total energy intake significantly increased for the alcohol-dependents (P<0.001). In addition, the intake of eight nutrients (protein, vitamin A, vitamin $B_1$, vitamin $B_2$, niacin, calcium, phosphorous and iron), significantly increased in the following order (least to highest): abstainers, normal drinkers, drinkers with a moderate addiction to alcohol and alcohol-dependent drinkers (P <0.05). Nutrient Adequacy Ratios (NAR) of all nutrients, except vitamin C, and the Mean nutrient Adequacy Ratio (MAR) significantly increased in the following order (least to highest): abstainers, normal drinkers, drinkers with a moderate addiction to alcohol and alcohol-dependent drinkers (P<0.05). The intake of vitamin $B_1$, vitamin $B_2$, and niacin per 1,000 kcal, according to drinking pattern, decreased in the order of abstainers, normal drinkers, drinkers with a moderate addiction to alcohol, and alcohol-dependent drinkers (P<0.001). The above results show that the nutrient intake of normal drinkers, drinkers with a moderate addiction to alcohol, and alcohol-dependent drinkers are higher than abstainers. However, overall intake of vitamin $B_1$, vitamin $B_2$, and niacin per 1,000 kcal was low. Therefore it is necessary to increase vitamin $B_1$, vitamin $B_2$, and niacin intake for drinkers.
Keywords
Korean adult; problem drinker; alcohol dependence; nutrient; NAR (Nutrient Adequacy Ratio);
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 승정자, 홍원주, 김순경, 이현옥, 조혜경, 김애정, 최미경, 김미현 (2007): 영양판정. 청구문화사. 서울. pp.57-58
2 전승훈 (2010): 특집: 고령화 사회와 국민건강 : 음주와 흡연의 사회경제적 비용감소를 위한 조세정책. ITBI Review 16(2):57-94
3 조맹제, 박종익, 배안, 배재남, 손정우, 안준호, 이동우, 이영문, 이준영, 장성만, 정인원, 조성진, 홍진표 (2011): 2011년도 정신질환실태 역학조사. 보건복지부 학술연구 용역사업 보고서. 서울대학교 의과대학. 서울. pp.17-18
4 Agarwal DP, Srivastava LM (2001): Does moderate alcohol intake protect against coronary heart disease? Indian Heart J 53(2):224-230
5 Kim MH, You OS (1999): A comparative study on nutrients intake and serum lipid levels in drinkers and non-drinkers. Korean J Nutr 32(5):570-576
6 Kim YO (2006): Moderate alcohol consumption does not prevent the hypertension among Korean: the 2001 Korean national health and nutrition examination survey. Korean J Community Nutr 11(6):707-713   과학기술학회마을
7 Korea Centers for Disease Control & Prevention (2012): Korea National Health and Nutrition Examination Survey. Seoul
8 Korean Nutrition Society (2005): Dietary reference intakes for Koreans. The Korean Nutrition Society. Seoul. pp.119-163
9 Lee SU, Choi SN, Yun ME (2008): Effects of lacto-ovo vegetarian diet on nutrient intakes and serum lipid levels in non-smoking non-alcohol drinking college male students. J Korean Diet Assoc 14(4):371-381   과학기술학회마을
10 Lesch OM, Walter H, Wetschka C, Hesselbrock MN, Hesselbrock V (2011): Alcohol and Tobacco. Therapeutic strategies in alcohol and tobacco addiction. Springer. New York. pp.131-177
11 Mo SM, Koo JO, Park YJ, Park YS, Son SM, Seo JS (2006): Community nutrition. Kyomunsa. Paju. pp.128-129
12 Park SH, Kang YH, Park HY (2008): Alcohol consumption and the coronary heart disease-related risk factors in Korean adults: the Third Korea National Health and Nutrition Examination Survey (KNHANES III), 2005. Korea J Nutr 41(3):232-241   과학기술학회마을
13 Park SN (2008): Differences of dietary intake and blood biomarkers according to alcohol intake level of Korean adults using 2005 Korean Health & Nutrition Examination Survey. Masters degree thesis. Chungnam National University. pp. 27-30
14 Breslow RA, Smothers BA (2005): Drinking patterns and body mass index in never smokers: National Health Interview Survey, 1997-2001. Am J Epidemiol 161(4):368-376   DOI   ScienceOn
15 American Psychiatric Association (2000): Diagnostic and statistical manual of mental disorders. Text revision (DSM-IV-TR). 4th ed. American Psychiatric Association. Washington, DC. pp.261-271
16 Babor TF, de la Fuente JR, Saunders J, Grant M (1989): AUDIT. The alcohol use disorders identification test: guidelines for use in the primary health care. WHO publication No 89.4. World Health Organization. Geneva. pp.8-13
17 Breslow RA, Guenther PM, Juan W, Graubard BI (2010): Alcoholic beverage consumption, nutrient intakes, and diet quality in the US adult population, 1999-2006. J Am Diet Assoc 110(4):551-562   DOI   ScienceOn
18 Cherpitel CJ (1995): Screening for alcohol problems in the emergency room: a rapid alcohol problems screen. Drug Alcohol Depend 40(2):133-137   DOI   ScienceOn
19 Cherpitel CJ (2000): A brief screening instrument for problem drinking in the emergency room: the RAPS4. Rapid Alcohol Problems Screen. J Stud Alcohol 61(3):447-449   DOI
20 Cherpitel CJ (2002): Screening for alcohol problems in the U.S. general population: comparison of the CAGE, RAPS4, and RAPS4-QF by gender, ethnicity, and service utilization. Rapid Alcohol Problems Screen. Alcohol Clin Exp Res 26(11):1686-1691   DOI   ScienceOn
21 Choi EY, Im YS, Kim KN, Park CY, Kim HJ, Cho B, Lee S, Yoo T, Huh BY (1998): Alcohol habits in Korea. J Korean Acad Fam Med 19(10):858-869
22 Russell M, Martier SS, Sokol RJ, Mudar P, Bottoms S, Jacobson S, Jacobson J (1994): Screening for pregnancy riskdrinking. Alcohol Clin Exp Res 18(5):1156-1161   DOI   ScienceOn
23 Pokorny AD, Miller BA, Kaplan HB (1972): The brief MAST: a shortened version of the Michigan Alcoholism Screening Test. Am J Psychiatry 129(3):342-345   DOI   ScienceOn
24 Rolfes S, Pinna K, Whitney E (2011): Understanding normal and clinical nutrition. Wadsworth Cengage Learning. Belmont. pp.230-240
25 Rubelyn EI (2011): Drinking patterns and alcohol-attributable fractions of diseases in South Korea. Masters degree thesis. Sahmyook University. pp.1-3
26 Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M (1993): Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. Addiction 88(6):791-804   DOI   ScienceOn
27 Shin KO, An CH, Hwang HJ, Choi KS, Chung KH (2009): Effect of smoking and drinking habits on the nutrient intakes and health of middle and high school boy students. J Korean Soc Food Sci Nutr 38(6):694-708   과학기술학회마을   DOI   ScienceOn
28 Soares MJ, Satyanarayana K, Bamji MS, Jacob CM, Ramana YV, Rao SS (1993): The effect of exercise on the riboflavin status of adult men. Br J Nutr 69(2):541-551   DOI   ScienceOn
29 Sohn JG, Song HR, Lee KY, Kim JH, Kim HC (2003): A study on the relationship between alcohol use disorders identification test and liver function test in blue collar workers. Korean J Occup Envoron Med 15(3):281-289   과학기술학회마을
30 Wannamethee SG, Shaper AG, Whincup PH (2005): Alcohol and adiposity: effects of quantity and type of drink and time relation with meals. Int J Obes (Lond) 29(12):1436-1444   DOI
31 Ewing JA (1984): Detecting alcoholism. The CAGE questionnaire. JAMA 252(14):1905-1907   DOI   ScienceOn
32 Deshmukh-Taskar PR, Nicklas TA, O'Neil CE, Keast DR, Radcliffe JD, Cho S (2010): The relationship of breakfast skipping and type of breakfast consumption with nutrient intake and weight status in children and adolescents: the National Health and Nutrition Examination Survey 1999-2006. J Am Diet Assoc 110(6):869-878   DOI   ScienceOn
33 Dorn JM, Hovey K, Muti P, Freudenheim JL, Russell M, Nochajski TH, Trevisan M (2003): Alcohol drinking patterns differentially affect central adiposity as measured by abdominal height in women and men. J Nutr 133(8):2655-2662
34 Elmadfa I, Majchrzak D, Rust P, Genser D (2001): The thiamine status of adult humans depends on carbohydrate intake. Int J Vitam Nutr Res 71(4):217-221   DOI   ScienceOn
35 Jequier E (2002): Pathways to obesity. Int J Obes Relat Metab Disord 26 Suppl 2:S12-17   DOI
36 Kang MH (2008): A study on diet quality evaluation of blood composition according to the alcohol or smoking in adult male workers. Masters degree thesis. Dongshin University. pp.25-27
37 Kim BJ, Kim BS, Kang JH (2012a): Alcohol consumption and incidence of metabolic syndrome in Korean men. A 3-year follow-up study. Circ J 76(10):2363-2371   DOI
38 Kim EJ (1998): Vitamin $B_1,\;B_2,\;B_6$ and folate status of subjects with alcohol dependency in rural area. Masters degree thesis. Ewha Womans University. pp.40-42
39 Kim KH, Oh SW, Kwon H, Park JH, Choi H, Cho B (2012b): Alcohol consumption and its relation to visceral and subcutaneous adipose tissues in healthy male Koreans. Ann Nutr Metab 60(1):52-61
40 Whitney E, Debruyne LK, Pinna K, Rolfes S (2007): Nutrition for health and health care. Wadsworth Cengage Learning. Belmont. pp.200
41 World Health Organization (1992): The ICD-10 classification of mental and behavioural disorders. World Health Organization. Geneva. Switzerland
42 Yeomans MR (2004): Effects of alcohol on food and energy intake in human subjects: evidence for passive and active over-consumption of energy. Br J Nutr 92 Suppl 1:S31-34   DOI   ScienceOn