Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Yearly trend of milk intake in Korean children and adolescents and their nutritional status by the milk intake level using 2007-2015 Korea National Health and Nutrition Examination Survey

아동과 청소년의 연도별 우유 섭취량 변화와 우유 섭취량에 따른 영양상태 평가: 2007-2015 국민건강영양조사를 바탕으로

  • Kim, Wookyoung (Department of Food Science and Nutrition, Dankook University) ;
  • Ha, Ae Wha (Department of Food Science and Nutrition, Dankook University) ;
  • Lee, Jae-Hyun (Department of Sport Science, Chungnam National University) ;
  • Kim, Sun Hyo (Department of Technology and Home Economics Education, Kongju National University)
  • Received : 2020.06.27
  • Accepted : 2020.08.11
  • Published : 2020.10.31
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Abstract

Purpose: This study examined the yearly trend of milk consumption and the nutritional status of subjects aged 6-18 years using the 2007-2015 Korea National Health and Nutrition Examination Survey data. Methods: Milk and dairy products were classified into plain milk, flavored milk, and dairy products (ice cream, milkshakes, cheese, and yogurt, etc.). This study compared the milk and dairy products intakes, some nutrients intakes and percent of dietary reference intakes for Koreans in the milk intake and non-milk intake groups. Results: Plain milk intake decreased with year (male, p = 0.0199; female, p < 0.0001; elementary school, p = 0.0013; high school, p = 0.0061), whereas flavored milk and dairy products intake in these subjects increased with year. In all subjects, 49.9% of subjects did not drink milk at all. The intakes of energy, protein, fat, calcium, phosphorus, and riboflavin in the milk intake group were significantly higher than those in the non-milk intake group, even after adjusting for covariates (p < 0.05). The odds ratio of the prevalence of nutritional deficiency in the non-milk intake group was 3.2 times higher than that of the milk intake group (p < 0.001), even after adjusting for covariates. The odds ratio for the prevalence of excess intake of the energy/fat was not significant with milk intake. Conclusion: The prevalence of milk intake decreased every year in the subjects. Calcium deficiency and nutritional deficiency were very high in the non-milk intake group. Efforts should be made to improve the calcium status in children and adolescents by strengthening nutrition education about the importance of milk intake.

본 연구는 2007-2015년 국민건강영양조사 자료를 이용하여 아동과 청소년 (6-18세, n = 10,043)에서 연도별 우유 섭취 실태와 우유비섭취군과 우유섭취군의 영영상태를 비교 분석하였다. 그 결과 흰우유 섭취량은 연도에 따라 감소한 반면 (남자 p = 0.0199, 여자 p < 0.0001, 전체 p < 0.0001), 가공우유 섭취량 (초등학생 p = 0.0304, 전체 p = 0.0419)과 유제품 섭취량 (남자 p = 0.0002, 여자 p < 0.0001, 초등학생 p < 0.0001, 중학생 p < 0.0001, 고등학생 p = 0.0426)은 증가하였다. 그러나 연도별로 우유 및 유제품의 총 섭취량뿐만 아니라, 우유비섭취군과 우유섭취군 비율은 유의적인 변화가 없었다. 학교급별 우유섭취군 비율은 초등학생 59.7%, 중학생 44.7%, 고등학생 35.2%이었으며, 모든 학교급에서 우유섭취군에 남학생이 여학생보다 더 많았다 (p < 0.01). 모든학교급에서우유섭취군의칼슘 (p < 0.001), 인 (p < 0.001), 리보플라빈 (p < 0.001) 섭취량은 우유비섭취군보다 유의적으로 높았다. 모든 학교급에서 우유비섭취군의 영양불량 분율이 유의적으로 높았고, 특히 초등학생에서 이 분율이 가장 높았다. 우유비섭취군의 칼슘부족 분율이 우유섭취군에 비하여 유의적으로 높았다 (초등학생 15.7배 [p < 0.001], 중학생 12.1배 [p < 0.001], 고등학생 10.3배 [p < 0.001]). 이상에서 전체 대상자의 흰우유 섭취량이 연도별로 감소하였고, 모든 학교급에서 우유섭취군의 영양소 섭취 및 영양상태가 우유비섭취군보다 유의적으로 좋았다. 따라서 아동과 청소년 시기에 우유를 매일 2컵 이상 섭취할 수 있도록 영양교육을 강화하고, 학교우유급식을 통해 우유 섭취를 증가시킨다면 성장기의 칼슘을 포함하는 영양상태 개선에 도움이 될 것으로 생각된다.

Keywords

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