• 제목/요약/키워드: Dietary reference intakes for Koreans

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제2형 당뇨병 환자의 영양소 섭취와 임상지표의 상관성에 관한 연구 (Study on the Correlation between the Nutrient Intakes and Clinical Indices of Type 2 Diabetes Patients)

  • 권지영;정혜연
    • 한국식품영양학회지
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    • 제26권4호
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    • pp.909-918
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    • 2013
  • The objective of this study is to investigate the effects of dietary nutrient intakes for markers of blood glucose and inflammation which is important to the progress of type 2 diabetes and the development of its complications. For this study, 76 adults with diabetes (42 males, 34 females) were recruited from a group of patients who had visited the department of endocrine medicine. Data on anthropometric characteristics, clinical indices such as hemoglobin A1c (HbA1c) and C-reactive protein (CRP), and dietary nutrient intakes were collected. Our results have shown that 66% of subjects were either overweight or obese. Serum analysis indicates that levels of C-peptide, glucose, HbA1c, CRP, triglyceride, LDL-cholesterol were higher than normal range. Results from the dietary nutrient intake survey displayed that intakes of cholesterol and sodium were higher than Dietary Reference Intakes for Koreans. On the contrary, folate intake was lower than the guideline. Within the females, energy contribution from carbohydrate was higher than Korean Diabetes Association guideline. Statistical analysis has revealed a negative correlation between serum HbA1c level and dietary intakes of polyunsaturated fatty acid (PUFA), n-3 PUFA, ${\beta}$-carotene and vitamin E after adjustments for age, BMI, smoking habits, alcohol consumption, exercise and ingestion of diabetes mellitus medication (p<0.05). Serum CRP level was inversely associated with dietary intakes of carbohydrate, protein, vitamin C and fiber (p<0.05). Our results suggest that dietary nutrient intakes may influence the levels of HbA1c and CRP, and subsequently, it may help in the management/treatment of type 2 diabetes.

2020 한국인 영양소 섭취기준 개정: 탄수화물 (The development of the 2020 Dietary Reference Intakes for Koreans: carbohydrate)

  • 김우경
    • Journal of Nutrition and Health
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    • 제54권6호
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    • pp.584-593
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    • 2021
  • 2020 한국인 영양소 섭취기준에서 탄수화물은 만성질환 예방을 위한 섭취기준으로 총 에너지 섭취량에 대한 탄수화물로부터의 에너지 섭취비율인 에너지적정비율을 1세 이후 모든 연령에서 55-65%로설정하였다. 그리고 2020년에 처음으로 탄수화물의 평균필요량과 권장섭취량을 설정하였다. 인체의 탄수화물 필요량은 뇌에서 하루에 소비되는 포도당량과 케톤체 생성이 나타나지 않는 양을 기준으로 1세 이후 모든 연령에서 1일 100 g을 설정하고, 권장섭취량은 15% 변이계수를 사용하여 두 배의 변이계수를 더한 130 g/일로 설정하였다. 탄수화물의 평균필요량은 최소필요량의 개념이지 에너지원으로서 적절한 섭취량에 대한 개념은 아니므로 탄수화물의 영양소섭취상태를 평가할 경우에는 평균필요량이나 권장섭취량에 비교하는 것은 적절하지 않고, 에너지적정비율을 활용하여 탄수화물로부터의 에너지 섭취비율의 적절성을 평가하는 것이 적절하다. 탄수화물은 에너지 적정비율범위에서 섭취할 때 만성질환의 위험을 낮출 수 있으며, 이를 탄수화물의 양뿐만 아니라 급원도 고려하는 식생활에 활용해야 할 것이다.

한국 연안산 해산 무척추동물의 미네랄 함량과 영양평가 (Mineral Content and Nutritional Evaluation of Marine Invertebrates from the Korean Coast)

  • 목종수;이두석;심길보;윤호동
    • 한국수산과학회지
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    • 제42권2호
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    • pp.93-103
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    • 2009
  • To measure the mineral contents of marine invertebrates, we collected 239 individuals from 52 species from the east (Pohang), west (Gunsan), and south (Tongyeong) coasts of Korea: 34 species of molluscan shellfish (Gastropoda and Bivalvia), 6 species of Cephalopoda, 8 species of Crustacea, and 4 other species. The mean contents of the macro mineral in the 100g edible portion of molluscan shellfish were high in the oder of Na (355.1 mg), P (128.1 mg), K (110.8 mg), Mg (83.8 mg) and Ca (57.5 mg). And the mean contents of the micro mineral in the molluscan shellfish were high in the oder of Fe ($41.12{\mu}g/g$), Zn ($30.48{\mu}g/g$), Mn ($3.81{\mu}g/g$), Cu ($3.49{\mu}g/g$) and Ni ($0.35{\mu}g/g$). We could not observe clear regional variation in the mineral content of the molluscan shellfish species. The mean contents of the macro mineral in the 100g edible portion of other marine invertebrates (Cephalopoda, Crustacea, etc.) were high in the oder of Na (400.7 mg), P (145.1 mg), K (105.0 mg), Mg (63.2 mg) and Ca (49.0 mg). And the mean contents of the micro mineral in other marine invertebrates were high in the oder of Zn ($24.4{\mu}g/g$), Fe ($13.8{\mu}g/g$), Cu ($4.88{\mu}g/g$), Mn ($2.14{\mu}g/g$) and Ni ($0.12{\mu}g/g$). The daily average intakes of the macro mineral through fisheries products consisted of P (125.9 mg), Na (119.3 mg), K (101.8 mg), Ca (31.0 mg), Mg (27.6 mg). And the daily average intakes of the micro mineral through fisheries products consisted of Zn (0.92 mg), Fe (0.68 mg), Cu (0.12 mg) and Mn (0.07 mg). The respective intakes of the minerals (P, Mg, Na, Ca, K) from fish were about 18.0, 7.9, 8.0, 4.4 and 2.2% of the dietary reference intakes for Koreans (KDRIs) set by the Korean Nutrition Society. And the respective intakes of micro mineral (Cu, Zn, Fe, Mn) from fish were about 14.6, 9.2, 6.7, and 2.1% of the dietary reference intakes for Koreans (KDRIs). Therefore, fisheries products play a very important role as a source of mineral.

우리나라 성인의 총 지방 및 지방산 섭취량 평가: 2016-2017년 국민건강영양조사 자료를 활용하여 (Evaluation of Total Fat and Fatty Acids Intakes in the Korean Adult Population using Data from the 2016-2017 Korea National Health and Nutrition Examination Surveys)

  • 송수진;심재은
    • 대한지역사회영양학회지
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    • 제24권3호
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    • pp.223-231
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    • 2019
  • Objectives: This study evaluated dietary intakes of total fat and fatty acids among the Korean adult population. Methods: This cross-sectional study used the 2016-2017 Korea National Health and Nutrition Examination Survey data. A total of 10,772 subjects aged ${\geq}19y$ for which dietary data were available were selected. Data pertaining to energy and nutrient intakes were obtained by a 24-h recall method. Total fat and fatty acids intakes were evaluated based on the Acceptable Macronutrient Distribution Ranges (AMDR) of 2015 Dietary Reference Intakes for Koreans by sex and age groups. All statistical analyses accounted for the complex sampling design effect and sampling weights. Results: The mean intakes of energy and total fat were 1,952 kcal (95% CI: 1928-1977) and 46.1 g (45.2-47.1), respectively, and about 21% of the energy was obtained from fat in this study population (21.7% in men and 20.2% in women). The mean percentages of energy from saturated, monounsaturated, and polyunsaturated fatty acids were 6.4%, 6.7%, and 5.2%, respectively. About 18% of adults exceeded the AMDR for fat (30% of energy), whereas 37.6% exceeded the AMDR for saturated fatty acids (7% of energy). The proportions of subjects who consumed more than the AMDR for fat and saturated fatty acids decreased across age groups in both sexes. Among young adults (19-29 y), about 63% of the subjects obtained ${\geq}7%$ of their energy from saturated fatty acids. About 61% of older adults obtained less than 15% of their energy from total fat. Conclusions: Increased intake of fat energy was prominent in saturated fatty acids. Our findings suggest current information on total fat and fatty acids intakes in Korean adults and can be used to provide dietary guidelines for the improvement of public health.

Dietary Reference Intakes of sodium for Koreans: focusing on a new DRI component for chronic disease risk reduction

  • Kim, Hyun Ja;Lee, Yeon-Kyung;Koo, Hoseok;Shin, Min-Jeong
    • Nutrition Research and Practice
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    • 제16권sup1호
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    • pp.70-88
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    • 2022
  • Sodium is a physiologically essential nutrient, but excessive intake is linked to the increased risk of various chronic diseases, particularly cardiovascular. It is, therefore, necessary to accomplish an evidence-based approach and establish the Korean Dietary Reference Intakes (KDRIs) index, to identify both the nutritional adequacy and health effects of sodium. This review presents the rationale for and the process of revising the KDRIs for sodium and, more importantly, establishing the sodium Chronic Disease Risk Reduction Intake (CDRR) level, which is a new specific set of values for chronic disease risk reduction. To establish the 2020 KDRIs for dietary sodium, the committee conducted a systematic literature review of the intake-response relationships between the selected indicators for sodium levels and human chronic diseases. In this review, 43 studies published from January 2014 to December 2018, using databases of PubMed and Web of Science, were finally included for evaluating the risk of bias and strength of evidence (SoE). We determined that SoE of the relationship between dietary sodium and cardiovascular diseases, cerebrovascular disease, and hypertension, was moderate to strong. However, due to insufficient scientific evidence, we were unable to establish the estimated average requirement and the recommended nutrient intake for dietary sodium. Therefore, the adequate intake of sodium for adults was established to be 1,500 mg/day, whereas the CDRR for dietary sodium was established at 2,300 mg/day for adults. Intake goal for dietary sodium established in the 2015 KDRIs instead of the tolerable upper intake level was not presented in the 2020 KDRIs. For the next revision of the KDRIs, there is a requirement to pursue further studies on nutritional adequacy and toxicity of dietary sodium, and their associations with chronic disease endpoint in the Korean population.

2020 한국인 영양소 섭취기준: 비타민 A (2020 Dietary Reference Intakes for Koreans: vitamin A)

  • 김유리
    • Journal of Nutrition and Health
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    • 제55권2호
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    • pp.201-210
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    • 2022
  • 비타민 A는 필수 미량영양소로써, 시력, 생식, 성장과 발생, 세포 분화 등의 다양한 체내 정상 기능 유지에 필요하다. 선행연구들을 통해서 비타민 A는 감염, 면역저하, 암 등에서 치료적 효과를 가진다고 보고되었다. 본 논문은 2020 한국인 영양소 섭취기준에서 비타민 A의 제정과 개정 근거 기준에 대해 설명하고, 단위변경에 따른 문제점과 향후 2025 한국인 영양소 섭취기준 설정을 위한 제안에 대해 논의하였다. 2020 한국인 영양소 섭취기준에서는 2015 한국인 영양소 섭취기준 대비 표준체중의 변경에 따라 비타민 A의 한국인 영양소 섭취기준에 성별, 연령별 약간의 개정이 있었다. 2015 한국인 영양소 섭취기준에서부터 비타민 A의 단위가 RE에서 RAE로 변경되면서 카로티노이드의 비타민 A 활성도는 절반으로 감소되었다. 한국인의 비타민 A 주요 공급원은 식물성 식품이므로 한국인의 비타민 A 섭취량은 불량하게 평가되고 있는 문제점이 나타나고 있다. 국민건강영양조사의 비타민 A 섭취분석에는 레티놀과 베타-카로틴만이 포함되어 있다. 따라서, 추후에는 다른 형태의 비타민 A 전구체인 알파-카로틴, 베타-크립토잔틴과 등의 카로티노이드들의 함량도 포함되어야 할 것이다. 또한, 계절 차이가 뚜렷한 우리나라의 특성에 맞는 비타민 A의 함량 분석방법이 필요하다. 보다 더 정확한 한국인 영양소 섭취기준 설정을 위해서는 연령과 성별에 따른 데이터와 기초 미량영양소 상태, 비만도, 식이 패턴 등과 같은 다양한 요소들에 대한 고려가 필요하다고 사료된다. 무엇보다 비타민 A의 공급이 제한적인 식물성 식품에서도 비타민 A섭취가 가능한 다양한 급원식품을 찾고, 동물성 식품으로부터의 비타민 A의 섭취를 증가시킬 수 있는 방법의 모색도 요구된다.

A review of recent evidence of dietary protein intake and health

  • Park, Yoon Jung;Chung, Sangwon;Hwang, Jin-Taek;Shon, Jinyoung;Kim, Eunjung
    • Nutrition Research and Practice
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    • 제16권sup1호
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    • pp.37-46
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    • 2022
  • The Korea National Health and Nutrition Examination Survey of 2013 to 2017 reported that the average protein consumption of the Korean population is above the current recommended nutrient intake of protein proposed by the Dietary Reference Intakes for Koreans. Some health professionals and the media often advise consuming diets high in protein for promoting metabolic regulation, weight control, and muscle synthesis. However, due to lack of scientific evidence, the validity and safety of high protein consumption are yet to be fully ascertained. The present review assesses recent evidence published in 2014-2020 from human studies, focusing on adequate protein intake and protein sources for the prevention of chronic diseases, particularly metabolic disorders and sarcopenia.

한국인의 에너지 섭취권장량 변화 (Change of Recommended Energy Intake for Korea)

  • 나현주;김미정;김영남
    • 한국가정과교육학회지
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    • 제23권3호
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    • pp.121-138
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    • 2011
  • 1962년 한국인 영양권장량의 제정부터 7차 개정을 거쳐 한국인 영양섭취기준으로 전환되고, 한국인 영양섭취기준이 개정되기까지 에너지를 중심으로 섭취권장량의 양적 변화 및 산출 방법 변화를 살펴보았다. 이에 근거하여 한국인의 에너지 섭취권장량의 개정 방향 및 설정 방법 등에 대하여 검토하고, 설정의 새로운 기법 마련을 위한 기초자료로 활용될 수 있기를 기대한다. 에너지 섭취권장량은 기초대사량(또는 휴식대사량), 활동대사량, 식이성 발열효과의 3가지 요인을 합한 양이다. 1962년 체중을 대입하여 산출하는 공식으로 시작하여 95년에는 휴식대사량(체중 대입 산출)에 평균활동계수를 적용하는 공식으로 전환되었다. 그리고 2005년 연령, 체격(신장, 체중)과 함께 4단계 활동단계를 구분, 대입하여 산출하는 에너지필요추정량이라는 새로운 에너지 섭취권장량이 소개되었다. 1962년 제정 이후 50년이 조금 안 되는 기간 동안 다소의 차이는 있으나 모든 연령대에서 에너지 섭취권장량이 감소하였으며, 이는 생활환경의 변화 즉 활동(노동)량의 감소가 원인으로 생각된다. 비만 인구의 증가와 이에 따른 만성 질환 이환율이 증가함에 따라 에너지 섭취권장량만은 다른 영양소와 달리 개인별 산출 및 적용이 권고되고 있으며, 현재 개인별 산출이 가능하다. 에너지 섭취권장량의 보다 정확한 추정을 위하여 우리 국민 대상의 에너지 소비량 연구 결과를 적용한 우리 국민의 공식이 마련될 수 있기를 기대한다.

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폐경 전후 여성의 신체계측, 골밀도, 식품섭취빈도, 영양소섭취 및 식사의 질 평가 - 국민건강영양조사 2008~2011에 기초하여 - (Evaluation of Anthropometric Characteristics, Bone Density, Food Intake Frequency, Nutrient Intakes, and Diet Quality of Pre- and Postmenopausal Women - Based on 2008~2011 Korean National Health and Nutrition Examination Survey -)

  • 최순남;조광현;정남용
    • 동아시아식생활학회지
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    • 제27권5호
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    • pp.500-511
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    • 2017
  • This study was conducted to investigate the anthropometric data, bone density, serum profiles, nutrient intakes and diet quality of premenopausal and postmenopausal women. For the study, we obtained data for analysis from the combined 2008~2011 Korean National Health and Nutrition Examination Survey (KNHANES). The height and weight were 157.8 cm and 58.7 kg in premenopausal women and 155.5 cm and 58.3 kg in postmenopausal women, respectively. The obesity rate was 27.49% in premenopausal women and 34.98% in postmenopausal women (p<0.001). Total cholesterol, LDL-cholesterol, triglyceride, GOT, GPT and alkaline phosphatase in postmenopausal women were significantly higher than those in premenopausal women (p<0.001). The prevalence of osteoporosis was 0.0~0.89% in premenopausal women and 0.48~13.22% in postmenopausal women (p<0.001). In postmenopausal women, rates of hypertension, stroke, myocardial infarction, depression, and diabetes were significantly higher than those in premenopausal women. Water, fat. ash, sodium, retinol, thiamin, riboflavin and niacin intakes in premenopausal women were significantly higher than those in postmenopausal women. Water, fiber, Ca, and, K intakes were below KDRIs (Dietary Reference Intakes for Koreans) in both groups. The mean adequacy ratio (MAR) of premenopausal women was higher than that of postmenopausal women (p<0.001). The index of nutritional quality (INQ) in premenopausal women was also higher than that of postmenopausal women except iron and vitamin C. Therefore dietary guidelines and an education program should be developed for desirable improvement of health, bone density, nutrient status and dietary quality of postmenopausal women.

우리나라 고등학생의 식품 및 영양소 섭취 변화 추이 - 2007~2015 국민건강영양조사를 이용하여 - (Trends in Food and Nutrient Intake of High School Students based on the Korea National Health and Nutrition Examination Survey 2007~2015)

  • 김선효
    • 한국식품영양학회지
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    • 제33권5호
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    • pp.447-458
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    • 2020
  • This study assessed yearly trends of food and nutrient intake among high school students aged 16 to 18 years (n=2,377) using the 2007~2015 Korea National Health and Nutrition Examination Survey (KNHANES). Yearly trends of food or nutrient intake were analyzed via logistic regression analysis. The results showed that consumption of sugars & sweets, and beverages & alcohols was increased rapidly during this period (p<0.0001). Intake of meat & meat products, and fish & shellfish also was increased (p=0.0008). Intake of grains and grain products was increased until year 2011 but declined after 2012 (p=0.0025). Consumption of vegetables, and milk & milk products was decreased (p=0.0395). Intake of protein, fat, thiamin, riboflavin, niacin, and iron was increased (p=0.0445). Carbohydrate energy ratio was decreased, whereas fat energy ratio was increased (p=0.0235). Most nutrient intakes satisfied the dietary reference intakes for Koreans except dietary fiber (19.6~26.2%), calcium (46.9~55.2%) and sodium (more than 221.4%) during this period. There was a significant positive correlation between most food group intakes and most nutrient intakes (p=0.0468). Therefore, it is crucial to increase dietary fiber and calcium intake and decrease consumption of sugars, fats and sodium through diverse eating of food groups to ensure balanced nutrition of subjects.