Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
권호 표지
DOI QR코드

DOI QR Code

Association between Sugar-Sweetened Beverage Intake and Dietary Quality using Nutritional Quotient among Adults in Daegu, Korea

대구지역 성인의 가당음료 섭취와 영양지수를 활용한 식사의 질과의 관련성

  • Kim, Kilye (Department of Food Science and Nutrition, Kyungpook National University) ;
  • Lee, Yeon-Kyung (Department of Food Science and Nutrition, Center for Beautiful Aging, Kyungpook National University)
  • 김길례 (경북대학교 식품영양학과) ;
  • 이연경 (경북대학교 식품영양학과 및 장수생활과학연구소)
  • Received : 2021.09.16
  • Accepted : 2021.10.15
  • Published : 2021.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study investigated an association between sugar-sweetened beverage (SSB) intake and the dietary quality of adults in Deagu, Korea. Methods: A questionnaire survey was conducted in 1,022 adults aged 19 ~ 49 years (502 men and 520 women) in the Deagu area of Korea. Daily intake of SSB was obtained by the food frequency questionnaire, and the dietary quality was assessed using the nutrition quotient (NQ) for Korean adults. Multiple logistic regression analysis was used to estimate the association between dietary quality and daily intake of SSB in adults. Results: Daily intake of SSB was 463.6 mL/d for total subjects, and the highest intakes were sweetened coffees (192.7 mL/d), followed by carbonated drinks (77.1 mL/d). Higher intake of SSB was associated with higher intake frequency of fast food or sweet and greasy bread, processed beverage, ramyon, eating out or delivery food and night snack, and also associated with lower frequency of water, breakfast intake and nutrition label checking in men or women. Men and women who had a higher intake SSB had significantly greater odds for being in the low grade of NQ (P for trend = 0.0006 for men, P for trend = 0.0007 for women), especially in the moderation factor (P for trend < 0.0001 for men and women). Conclusions: This study showed that high SSB intake was significantly associated with low dietary quality among adults. These study results suggest that nutrition education programs and guidelines should be provided to adults for improving their consumption of SSB and related diets.

Keywords

References

  1. Korea Agro-Fisheries & Food Trade Corporation. 2019 Statistics report of processed food (beverage). Korea Agro-Fisheries & Food Trade Corporation; 2019 Oct. Report No.11-1543000-002888-01.
  2. Korea Disease Control and Prevention Agency. Korea Health Statistics 2019: Korea National Health and Nutrition Examination Survey (KNJANES VIII-1). Korea Disease Control and Prevention Agency; 2020 Dec. Report No. 11-1351159-000027-10.
  3. Yeon SY, Kweon SH, Oh KW. The daily dietary sugar intake in Korea, 2018. Public Health Wkly Rep, KCDC 2020; 13(7): 359-366.
  4. Ministry of Food and Drug Safety, The Korean Nutrition Society. The study of cost-effectiveness and other benefits of sugars reduction policy [Internet]. The Korean Nutrition Society; 2018 [cited 2020 Jul 10]. Available from: https://rnd.mfds.go.kr.
  5. Qin P, Li Q, Zhao Y, Chen Q, Sun X, Liu Y et al. Sugar and artificially sweetened beverages and risk of obesity, type 2 diabetes mellitus, hypertension, and all-cause mortality: A dose-response meta-analysis of prospective cohort studies. Eur J Epidemiol 2020; 35(7): 655-671. https://doi.org/10.1007/s10654-020-00655-y
  6. Malik VS, Hu FB. Sugar-sweetened beverages and cardiometabolic health: An update of the evidence. Nutrients 2019; 11(8): 1840-1857. https://doi.org/10.3390/nu11081840
  7. Kim SO, Bae EM, Lee YN, Son JS. Association between consumption of sugar-sweetened beverages and risk of cardiovascular disease in Korean men: Analysis Based on the Korea National Health and Nutrition Examination Survey 2014-2016. Korean J Fam Med 2021; 42(3): 212-218. https://doi.org/10.4082/kjfm.20.0114
  8. Valenzuela MJ, Waterhouse B, Aggarwal VR, Bloor K, Doran T. Effect of sugar-sweetened beverages on oral health: A systematic review and meta-analysis. Eur J Public Health 2020; 32(1): 122-129.
  9. Singh GM, Micha R, Khatibzadeh S, Lim S, Ezzati M, Mozaffarian D. Estimated global, regional, and national disease burdens related to sugar-sweetened beverage consumption in 2010. Circulation 2015; 132(8): 639-666. https://doi.org/10.1161/CIRCULATIONAHA.114.010636
  10. Shim JS, Kang NH, Lee JS, Kim KN, Chung HK, Chung HR et al. Socioeconomic burden of sugar-sweetened beverages consumption in Korea. Nutr Res Pract 2019; 13(2): 134-140. https://doi.org/10.4162/nrp.2019.13.2.134
  11. Cassady BA, Considine RV, Mattes RD. Beverage consumption, appetite, and energy intake: What did you expect? Am J Clin Nutr 2012; 95(3): 587-593. https://doi.org/10.3945/ajcn.111.025437
  12. An R. Beverage consumption in relation to discretionary food intake and diet quality among US adults 2003 to 2012. J Acad Nutr Diet 2016; 116(1): 28-37. https://doi.org/10.1016/j.jand.2015.08.009
  13. Fontes AS, Pallottini AC, Vieira DAS, Batista LD, Fontanelli MM, Fisberg RM. Increased sugar-sweetened beverage consumption is associated with poorer dietary quality: A cross-sectional population-based study. Nutr 2019; 32: e180121.
  14. Gu HM, Park J, Ryu SY. Health behavior factors associated with sugar-sweetened beverage intake among adolescents. Korean J Community Nutr 2018; 23(3): 193-201. https://doi.org/10.5720/kjcn.2018.23.3.193
  15. Kim SH. Yearly trend of sugar-sweetened beverage (SSB) intake and nutritional status by SSB Intake Level in Korean middle school students using the 2007~2015 Korea National Health and Nutrition Examination Survey. J Korean Home Econ Educ Assoc 2021; 33(1): 63-79. https://doi.org/10.19031/jkheea.2021.3.33.1.63
  16. Kim SH. Food group and dietary nutrient intakes by sugar-sweetened beverage intake level in Korean high school students using the data from 2007~2015 Korea National Health and Nutrition Examination Survey. J Korean Home Econ Educ Assoc 2021; 33(2): 95-113. https://doi.org/10.19031/jkheea.2021.6.33.2.95
  17. Lee YJ. You JS, Chang KJ. Dietary habits score, nutrients intake and dietary quality related to coffee consumption of college students in Incheon. J Nutr Health 2013; 46(6): 560-572. https://doi.org/10.4163/jnh.2013.46.6.560
  18. Kim SH. Coffee consumption behaviors, dietary habits, and dietary nutrient intakes according to coffee intake amount among university student. J Nutr Health 2017; 50(3): 270-283. https://doi.org/10.4163/jnh.2017.50.3.270
  19. Korean Society for the Study of Obesity. 2019 Obesity fact sheet [Internet]. Korean Society for the Study of Obesity; 2019 [cited 2021 Aug 3]. Available from: http://www.kosso.or.kr.
  20. National Institute of Food & Drug Safety Evaluation, Korea Health Industry Development Institute. Sugar database compilation of for commonly consumed foods [Internet]. National Institute of Food & Drug Safety Evaluation; 2015 [cited 2020 Jul 10]. Available from: https://rnd.mfds.go.kr.
  21. Ministry of Food and Drug Safety. Food labeling, an annexed paper 4. 1 serving size. [Internet]. Ministry of Food and Drug Safety; 2018 [updated 2018 May 31; cited 2019 Aug 12]. Available from: https://members.wto.org/crnattachments/2018/TBT/KOR/18_3252_00_x.pdf.
  22. Lee JS, Kim HY, Hwang JY, Kwon S, Chung HR, Kwak TK et al. Development of nutrition quotient for Korean adults: Item selection and validation of factor structure. J Nutr Health 2018; 51(4): 340-356. https://doi.org/10.4163/jnh.2018.51.4.340
  23. Lim DH, Yoon SH, Oh KW. Trends in dietary risk factors contributing to burden of chronic disease in Korean adults: Findings in Korea National Health and Nutrition Examination Survey, 2007-2015. Public Health Wkly Rep, KCDC 2018; 11(2): 27-33.
  24. Kim WS, Han YH. Consumption and purchasing behavior of beverages among college students in urban areas. Korean J Hum Ecol 2020; 29(2): 241-253. https://doi.org/10.5934/kjhe.2020.29.2.241
  25. Ministry of Food and Drug Safety. Know exactly how much sugar and sodium are in food and choose from it [Internet]. Ministry of Food and Drug Safety; 2018 [updated 2018 Oct 17; cited 2021 Sep 12]. Available from: https://www.mfds.go.kr/brd/m_99/view.do?seq=43074.
  26. Ministry of Health and Welfare, The Korean Nutrition Society. Dietary reference intakes for Koreans 2020. Sejong: The Korean Nutrition Society; 2020.
  27. Forouzanfar MH, Afshin A, Alexander LT, Anderson HR, Bhutta ZA, Biryukov S. Global, regional, and national comparative risk assessment of 79 behavioral, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: A systematic analysis for the Global Burden of Disease Study 2015. The Lancet 2016; 388(10053): 1659-1724. https://doi.org/10.1016/S0140-6736(16)31679-8
  28. Sharkey JR, Johnson CM, Dean WR. Less-healthy behaviors have a greater association with a high level of sugar-sweetened beverage consumption among rural adults than among urban adults. Food Nutr Res 2011; 55(1): 5819-5829. https://doi.org/10.3402/fnr.v55i0.5819
  29. Kwon SH, Lee JS. Study on relationship between milk intake and prevalence rates of chronic diseases in adults based on 5th and 6th Korea National Health and Nutrition Examination Survey data. J Nutr Health 2017; 50(2): 158-170. https://doi.org/10.4163/jnh.2017.50.2.158
  30. Bae YJ, Yeon JY. A study on nutritional status and dietary quality according to carbonated drink consumption in male adolescents: Based on 2007-2009 Korean National Health and Nutrition Examination Survey. J Nutr Health 2015; 48(6): 488-495. https://doi.org/10.4163/jnh.2015.48.6.488
  31. Kim DM, Kim YR, Kim KH. Dietary habits and nutritional status of young women according to breakfast frequency in Seoul. Korean J Community Nutr 2018; 23(2): 102-115. https://doi.org/10.5720/kjcn.2018.23.2.102
  32. Yeon SY, Kweon SH, Oh KW. Water intake and its impact as a factor of behavior among Korean adolescents: Results of the 2019 Korea youth risk behavior survey. Public Health Wkly Rep, KCDC 2020; 13(7): 367-370.
  33. An R, McCaffrey J. Plain water consumption in relation to energy intake and diet quality among US adults, 2005-2012. J Hum Nutr Diet 2016; 29(5): 624-632. https://doi.org/10.1111/jhn.12368
  34. Duffey KJ, Poti J. Modeling the effect of replacing sugar-sweetened beverage consumption with water on energy intake, HBI score, and obesity prevalence. Nutrients 2016; 8(7): 395-405. https://doi.org/10.3390/nu8070395
  35. 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. https://doi.org/10.3945/ajcn.111.032698
  36. Kim A, Kim J, Kye S. Sugar-sweetened beverage consumption and influencing factors in Korean adolescents: based on the 2017 Korea Youth Risk Behavior Web-based Survey. J Nutr Health 2018; 51(5): 465-479. https://doi.org/10.4163/jnh.2018.51.5.465
  37. Fung TT, Willett WC, Stampfer MJ, Manson JE, Hu FB. Dietary patterns and the risk of coronary heart disease in women. Arch Intern Med 2001; 161(15): 1857-1862. https://doi.org/10.1001/archinte.161.15.1857
  38. Pereira MA, Kartashov AI, Ebbeling CB, Van Horn L, Slattery ML, Jacobs Junior DR et al. Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis. Lancet 2005; 365(9453): 36-42. https://doi.org/10.1016/S0140-6736(04)17663-0
  39. Dennis EJ, Kang M, Han SN. Relation between beverage consumption pattern and metabolic syndrome among healthy Korean adults. Korean J Community Nutr 2017; 22(5): 441-455. https://doi.org/10.5720/kjcn.2017.22.5.441
  40. Kim K, Lee YK. Daegu citizens' perceptions and factors affecting behavioral intention to reduce sugars in the coffee shop beverages. J Nutr Health 2021; 54(4): 355-372. https://doi.org/10.4163/jnh.2021.54.4.355
  41. Gruner J, Ohri-Vachaspati P. Food and beverage selection patterns among menu label users and nonusers: Results from a cross-sectional study. J Acad Nutr Diet 2017; 117(6): 929-936. https://doi.org/10.1016/j.jand.2016.12.012
  42. Bae YJ. Evaluation of dietary intake in Korean adults according to energy intake from eating-out: Based on 2013~2014 Korea National Health and Nutrition Examination Survey. J Nutr Health 2016; 49(6): 482-494. https://doi.org/10.4163/jnh.2016.49.6.482