DOI QR코드

DOI QR Code

Contribution of foods to absolute nutrient intake and between-person variations of nutrient intake in Korean preschoolers

  • Kang, Minji (Center for Gendered Innovations in Science and Technology Research (GISTeR), Korea Federation of Women's Science & Technology Associations) ;
  • Shim, Jae Eun (Department of Food and Nutrition, Daejeon University) ;
  • Kwon, Kyungmin (Department of Food and Nutrition, College of Human Ecology, Seoul National University) ;
  • Song, SuJin (Department of Food and Nutrition, Hannam University)
  • Received : 2019.02.28
  • Accepted : 2019.07.05
  • Published : 2019.08.01

Abstract

BACKGROUND/OBJECTIVES: The aim of this study was to analyze specific foods influencing absolute nutrient intake and between-person variations of nutrient intake among Korean preschoolers. SUBJECTS/METHODS: This study included 2,766 participants aged 1-5 years in the 2009-2013 Korea National Health and Nutrition Examination Surveys. Dietary data were obtained from a 24-h dietary recall method. Major food sources of absolute nutrient intake were evaluated based on percent contribution of each food. To assess the contribution of specific foods to between-person variations in nutrient intake, stepwise multiple regressions were performed and cumulative $R^2$ was used. RESULTS: White rice and milk were main food sources of energy, protein, carbohydrate, phosphorus, iron, potassium, thiamin, riboflavin, and niacin. The percentage of fat contributed by milk was 21.3% which was the highest, followed by pork, soybean oil, and egg. White rice accounted for 25% and 40% of total variability in total energy and carbohydrate intakes, respectively. About 39% of variation in calcium intake was explained by milk while 40% of variation in phosphorous intake was explained by cheese. The top 10 foods contributing to between-person variations in nutrient intakes were similar with food items that mainly contributed to absolute nutrient intakes. The number of foods explaining 90% of absolute amounts of nutrient intakes varied from 28 for vitamin A to 80 for iron. CONCLUSIONS: This study identified specific foods that contributed to absolute nutrient intakes and between-person variations in nutrient intakes among Korean preschoolers. Our findings can be used to develop dietary assessment tools and establish food-based dietary guidelines for young children.

Keywords

References

  1. Mikkila V, Rasanen L, Raitakari OT, Pietinen P, Viikari J. Consistent dietary patterns identified from childhood to adulthood: the cardiovascular risk in Young Finns Study. Br J Nutr 2005;93:923-31. https://doi.org/10.1079/BJN20051418
  2. Kobayashi T, Tanaka S, Toji C, Shinohara H, Kamimura M, Okamoto N, Imai S, Fukui M, Date C. Development of a food frequency questionnaire to estimate habitual dietary intake in Japanese children. Nutr J 2010;9:17. https://doi.org/10.1186/1475-2891-9-17
  3. Taillie LS, Afeiche MC, Eldridge AL, Popkin BM. The contribution of at-home and away-from-home food to dietary intake among 2-13-year-old Mexican children. Public Health Nutr 2017;20:2559-68. https://doi.org/10.1017/S1368980016002196
  4. Huysentruyt K, Laire D, Van Avondt T, De Schepper J, Vandenplas Y. Energy and macronutrient intakes and adherence to dietary guidelines of infants and toddlers in Belgium. Eur J Nutr 2016;55:1595-604. https://doi.org/10.1007/s00394-015-0978-y
  5. Goldbohm RA, Rubingh CM, Lanting CI, Joosten KF. Food consumption and nutrient intake by children aged 10 to 48 months attending day care in the Netherlands. Nutrients 2016;8:428. https://doi.org/10.3390/nu8070428
  6. Satheannoppakao W, Kasemsup R, Nontarak J, Kessomboon P, Putwatana P, Taneepanichskul S, Sangthong R, Chariyalertsak S, Aekplakorn W. Energy and macronutrient intakes and food sources in preschool children: Thai NHES IV. J Med Assoc Thai 2015;98:957-67.
  7. Grimes CA, Szymlek-Gay EA, Campbell KJ, Nicklas TA. Food sources of total energy and nutrients among U.S. infants and toddlers: National Health and Nutrition Examination Survey 2005-2012. Nutrients 2015;7:6797-836. https://doi.org/10.3390/nu7085310
  8. Wang H, Denney L, Zheng Y, Vinyes-Pares G, Reidy K, Wang P, Zhang Y. Food sources of energy and nutrients in the diets of infants and toddlers in urban areas of China, based on one 24-hour dietary recall. BMC Nutr 2015;1:19. https://doi.org/10.1186/s40795-015-0014-x
  9. Denney L, Afeiche MC, Eldridge AL, Villalpando-Carrion S. Food sources of energy and nutrients in infants, toddlers, and young children from the Mexican National Health and Nutrition Survey 2012. Nutrients 2017;9:494. https://doi.org/10.3390/nu9050494
  10. Neufingerl N, Djuwita R, Otten-Hofman A, Nurdiani R, Garczarek U, Sulaeman A, Zock PL, Eilander A. Intake of essential fatty acids in Indonesian children: secondary analysis of data from a nationally representative survey. Br J Nutr 2016;115:687-93. https://doi.org/10.1017/S0007114515004845
  11. Bautista LE, Herran OF, Pryer JA. Development and simulated validation of a food-frequency questionnaire for the Colombian population. Public Health Nutr 2005;8:181-8. https://doi.org/10.1079/PHN2004672
  12. Neelakantan N, Whitton C, Seah S, Koh H, Rebello SA, Lim JY, Chen S, Chan MF, Chew L, van Dam RM. Development of a semiquantitative food frequency questionnaire to assess the dietary intake of a multi-ethnic urban Asian population. Nutrients 2016;8:528. https://doi.org/10.3390/nu8090528
  13. Perez-Rodrigo C, Artiach Escauriaza B, Artiach Escauriaza J, Polanco Allue I. Dietary assessment in children and adolescents: issues and recommendations. Nutr Hosp 2015;31 Suppl 3:76-83.
  14. Livingstone MB, Robson PJ, Wallace JM. Issues in dietary intake assessment of children and adolescents. Br J Nutr 2004;92 Suppl 2:S213-22. https://doi.org/10.1079/BJN20041169
  15. Mubarik F, Bhaskaran K, Kho S, Vereijken C, Nambiar S, Eussen S, Muhardi L. Development of food lists as a first step to develop a food frequency questionnaire for toddlers in a multi-ethnic population. Nutr Diet 2017;74:11-7. https://doi.org/10.1111/1747-0080.12323
  16. Kong A, Odoms-Young AM, Schiffer LA, Berbaum ML, Porter SJ, Blumstein L, Fitzgibbon ML. Racial/ethnic differences in dietary intake among WIC families prior to food package revisions. J Nutr Educ Behav 2013;45:39-46. https://doi.org/10.1016/j.jneb.2012.04.014
  17. Kweon S, Kim Y, Jang MJ, Kim Y, Kim K, Choi S, Chun C, Khang YH, Oh K. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol 2014;43:69-77. https://doi.org/10.1093/ije/dyt228
  18. National Institute of Agricultural Sciences. Food Composition Table, 7th ed. Suwon: Rural Development Administration; 2006.
  19. Korea Centers for Disease Control and Prevention. Korea Health Statistics 2016: Korea National Health and Nutrition Examination Survey (KNHANES VII-1). Sejong: Ministry of Health and Welfare; 2017.
  20. Huybrechts I, Lin Y, De Keyzer W, Sioen I, Mouratidou T, Moreno LA, Slimani N, Jenab M, Vandevijvere S, De Backer G, De Henauw S. Dietary sources and sociodemographic and economic factors affecting vitamin D and calcium intakes in Flemish preschoolers. Eur J Clin Nutr 2011;65:1039-47. https://doi.org/10.1038/ejcn.2011.71
  21. Huybrechts I, De Keyzer W, Lin Y, Vandevijvere S, Vereecken C, Van Oyen H, Tilleman K, Bellemans M, De Maeyer M, De Backer G, De Henauw S. Food sources and correlates of sodium and potassium intakes in Flemish pre-school children. Public Health Nutr 2012;15:1039-46. https://doi.org/10.1017/S1368980011002497
  22. O'Halloran SA, Grimes CA, Lacy KE, Campbell KJ, Nowson CA. Dietary intake and sources of potassium and the relationship to dietary sodium in a sample of Australian pre-school children. Nutrients 2016;8:496. https://doi.org/10.3390/nu8080496
  23. O'Halloran SA, Grimes CA, Lacy KE, Nowson CA, Campbell KJ. Dietary sources and sodium intake in a sample of Australian preschool children. BMJ Open 2016;6:e008698. https://doi.org/10.1136/bmjopen-2015-008698
  24. Irish Universities Nutrition Alliance. National Pre-School Nutrition Survey -Summary Report. Cork: Irish Universities Nutrition Alliance; 2012.
  25. Joyce T, Wallace AJ, McCarthy SN, Gibney MJ. Intakes of total fat, saturated, monounsaturated and polyunsaturated fatty acids in Irish children, teenagers and adults. Public Health Nutr 2009;12:156-65. https://doi.org/10.1017/S1368980008002772
  26. Vyncke KE, Libuda L, De Vriendt T, Moreno LA, Van Winckel M, Manios Y, Gottrand F, Molnar D, Vanaelst B, Sjostrom M, Gonzalez-Gross M, Censi L, Widhalm K, Michels N, Gilbert CC, Xatzis C, Cuenca Garcia M, de Heredia FP, De Henauw S, Huybrechts I; HELENA consortium. Dietary fatty acid intake, its food sources and determinants in European adolescents: the HELENA (healthy lifestyle in Europe by nutrition in adolescence) study. Br J Nutr 2012;108:2261-73. https://doi.org/10.1017/S000711451200030X
  27. Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: causes and consequences. J Family Med Prim Care 2015;4:187-92. https://doi.org/10.4103/2249-4863.154628
  28. Kim J, Kim YJ, Ahn YO, Paik HY, Ahn Y, Tokudome Y, Hamajima N, Inoue M, Tajima K. Contribution of specific foods to fat, fatty acids, and cholesterol in the development of a food frequency questionnaire in Koreans. Asia Pac J Clin Nutr 2004;13:265-72.

Cited by

  1. Dairy Intake Would Reduce Nutrient Gaps in Chinese Young Children Aged 3–8 Years: A Modelling Study vol.12, pp.2, 2019, https://doi.org/10.3390/nu12020554