Journal of Nutrition and Health

  • 제56권6호
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  • Pages.742-755
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  • 2023
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  • 2288-3886(pISSN)
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  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
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한국 성인의 인구사회학적 특성 및 생활습관에 따른 식생활지침 인식수준

Perception to the dietary guidelines for Koreans among Korean adults based on sociodemographic characteristics and lifestyle

  • 윤예진 (서울대학교 보건대학원 보건학과) ;
  • 김수현 (서울대학교 보건대학원 보건학과) ;
  • 정효지 (서울대학교 보건대학원 보건학과) ;
  • 안서은 (서울대학교 보건환경연구소)
  • Yejin Yoon (Department of Public Health Science, Graduate School of Public Health, Seoul National University) ;
  • Soo Hyun Kim (Department of Public Health Science, Graduate School of Public Health, Seoul National University) ;
  • Hyojee Joung (Department of Public Health Science, Graduate School of Public Health, Seoul National University) ;
  • Seoeun Ahn (Institute of Health and Environment, Seoul National University)
  • 투고 : 2023.11.23
  • 심사 : 2023.11.29
  • 발행 : 2023.12.31
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초록

본 연구는 한국 성인을 대상으로 한국인을 위한 식생활지침에 대한 인식 수준을 파악하고, 이러한 인식 수준이 인구사회학적 요인 및 생활습관에 따라 차이가 있는지 확인하고자 수행되었다. 식생활지침에 대한 인지도는 연령이 높고 (50-64세), 거주형태가 1인 가구이며, 신체활동 수준이 활동적이고, 외식빈도가 적고, 식생활 정보에 대한 관심이 높은 참여자에서 유의하게 높았으며, 식생활지침에 대한 이해도는 여성, 젊은 연령 (19-29세), 저체중/정상체중, 현재 비흡연자, 스스로의 식사의 질을 건강하다고 평가한 참여자, 식생활 정보에 대한 관심이 높은 참여자에서 유의하게 높았다. 식생활지침의 활용가능도는 연령이 높고 (50-64세), 신체활동 수준이 활동적이고, 스스로의 식사의 질을 건강하다고 평가했으며, 식생활 정보에 대한 관심이 높은 참여자에서 유의하게 높았다. 또한 식생활지침에 대한 인식 수준이 높은 참여자가 대부분의 영양소와 식품군을 더 중요하다고 평가했으며, 인식 수준에 상관없이 가공육류 및 기타 가공식품류, 음료류, 주류에 대한 중요도 점수가 낮았다. 이러한 결과는 식생활지침에 대한 인식과 활용을 증진시키기 위해선 다양한 인구사회학적 및 생활습관 요인에 대한 고려가 필요하며, 추후 식생활지침을 개정할 때에는 우리나라 국민의 식생활 트랜드를 반영할 필요가 있음을 시사한다.

Purpose: This study aimed to investigate the perceptions of the dietary guidelines for Koreans (DGK) among Korean adults based on sociodemographic and lifestyle factors. Methods: A total of 514 Korean adults aged 19-64 years completed a self-administered online questionnaire assessing their perceptions of DGK, sociodemographic and lifestyle factors, and subjective assessments regarding the importance of 11 nutrients and 16 food groups. The differences in the perceptions of DGK according to the characteristics of the participants were analyzed using t-tests or ANOVA. Additionally, the differences in the subjective assessments of nutrients and food groups according to the perceptions of DGK were examined using t-tests. Results: The awareness of DGK was significantly higher among participants aged 50-64 years, living in single-person households, who were physically active, with a lower frequency of eating out, and with a higher interest in dietary information (p < 0.05 for all). The understanding of DGK was significantly higher among participants aged 19-29 years, females, individuals who were under or normal weight, non-smokers, those who self-evaluated their diet as healthy, and those with a high interest in dietary information (p < 0.05 for all). Additionally, the applicability of DGK was significantly higher among participants aged 50-64 years, who were physically active, who self-evaluated their diet as healthy, and who had a high interest in dietary information (p < 0.05 for all). Participants with a higher perception of DGK tended to attribute greater importance to most nutrients and food groups compared to those with a lower perception level. However, processed meat and foods, beverages, and alcoholic drinks consistently received lower importance ratings compared to other nutrients and food groups, regardless of the perception level. Conclusion: This research suggests that the perceptions of DGK among Korean adults may vary depending on sociodemographic and lifestyle factors. Consequently, there is a need to customize and diversify the methods for providing dietary guidelines.

키워드

과제정보

This work was carried out with the support of "Cooperative Research Program for Agriculture Science and Technology Development (Project No. PJ01704702)" Rural Development Administration, Republic of Korea.

참고문헌

  1. Lim S, Shin H, Song JH, Kwak SH, Kang SM, Yoon JW, et al. Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care 2011; 34(6): 1323-1328. https://doi.org/10.2337/dc10-2109
  2. Lee SK, Sobal J. Socio-economic, dietary, activity, nutrition and body weight transitions in South Korea. Public Health Nutr 2003; 6(7): 665-674. https://doi.org/10.1079/PHN2003485
  3. Ministry of Health and Welfare (KR); Korea Centers for Disease Control and Prevention. Korea health statistics 2021: Korea National Health and Nutrition Examination Survey (KNHANES VIII-3) [Internet]. Sejong: Korea Centers for Disease Control and Prevention; 2022 [cited 2023 Oct 12]. Available from: https://knhanes.kdca.go.kr/knhanes/sub04/sub04_04_01.do.
  4. Kweon S, Park JY, Park M, Kim Y, Yeon SY, Yoon L, et al. Trends in food and nutrient intake over 20 years: findings from the 1998-2018 Korea National Health and Nutrition Examination Survey. Epidemiol Health 2021; 43: e2021027.
  5. Kopp W. How western diet and lifestyle drive the pandemic of obesity and civilization diseases. Diabetes Metab Syndr Obes 2019; 12: 2221-2236. https://doi.org/10.2147/DMSO.S216791
  6. Senapati S, Bharti N, Bhattacharya A. Modern lifestyle diseases: chronic diseases, awareness and prevention. Int J Curr Res Acad Rev 2015; 3(7): 215-223.
  7. Bergman P, Brighenti S. Targeted nutrition in chronic disease. Nutrients 2020; 12(6): 1682.
  8. van Dooren C, Marinussen M, Blonk H, Aiking H, Vellinga P. Exploring dietary guidelines based on ecological and nutritional values: a comparison of six dietary patterns. Food Policy 2015; 44: 36-46. https://doi.org/10.1016/j.foodpol.2013.11.002
  9. Ministry of Health and Welfare (KR). National Nutrition Management Act [Internet]. Sejong: Ministry of Health and Welfare; 2015 [cited 2023 Nov 13]. Available from: https://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EA%B5%AD%EB%AF%BC%EC%98%81%EC%96%91%EA%B4%80%EB%A6%AC%EB%B2%95.
  10. Ministry of Health and Welfare (KR). The General Dietary Guidelines for Koreans [Internet]. Sejong: Ministry of Health and Welfare; 2015 [cited 2023 Nov 14]. Available from: https://www.mohw.go.kr/board.es?mid=a10402000000&bid=0009&act=view&list_no=332757.
  11. Ministry of Health and Welfare, Ministry of Agriculture, Food and Rural Affairs, Ministry of Food and Drug Safety. Dietary Guidelines for Koreans 2021 [Internet]. Sejong: Ministry of Health and Welfare; 2021 [cited 2023 Sep 11]. Available from: https://www.mohw.go.kr/board.es?mid=a10503010100&bid=0027&cg_code=.
  12. Dunkley AJ, Bodicoat DH, Greaves CJ, Russell C, Yates T, Davies MJ, et al. Diabetes prevention in the real world: effectiveness of pragmatic lifestyle interventions for the prevention of type 2 diabetes and of the impact of adherence to guideline recommendations: a systematic review and meta-analysis. Diabetes Care 2014; 37(4): 922-933.
  13. Gomez-Donoso C, Martinez-Gonzalez MA, Martinez JA, Sayon-Orea C, de la Fuente-Arrillaga C, Bes-Rastrollo M. Adherence to dietary guidelines for the Spanish population and risk of overweight/obesity in the SUN cohort. PLoS One 2019; 14(12): e0226565.
  14. Bae SJ, Lee SM, Ahn HS. Comparison of nutritional knowledge, dietary habits, and practice level of eating behavior guidelines between part-time working and non-working adolescents attending a vocational high school in Yongin, Gyeonggi-Do. J Korean Soc Food Cult 2010; 25(1): 17-24.
  15. Kim JR, Lim HS. Relationships between children's Nutrition Quotient and the practice of the dietary guidelines of elementary school students and their mothers. J Nutr Health 2015; 48(1): 58-70. https://doi.org/10.4163/jnh.2015.48.1.58
  16. Ministry of the Interior and Safety (KR). Resident registration population and household status [Internet]. Sejong: Ministry of the Interior and Safety; 2022 [cited 2023 Nov 23]. Available from: https://jumin.mois.go.kr/.
  17. Food and Agriculture Organization of the United Nations. Food-based dietary guidelines [Internet]. Rome: Food and Agriculture Organization of the United Nations; 2022 [cited 2022 Jun 9]. Available from: https://www.fao.org/nutrition/education/food-dietary-guidelines/home/en/.
  18. World Health Organization. Healthy diet [Internet]. Geneva: World Health Organization; 2022 [cited 2023 Nov 24]. Available from: https://www.who.int/news-room/fact-sheets/detail/healthy-diet.
  19. Hendrie GA, Coveney J, Cox D. Exploring nutrition knowledge and the demographic variation in knowledge levels in an Australian community sample. Public Health Nutr 2008; 11(12): 1365-1371. https://doi.org/10.1017/S1368980008003042
  20. Kim HK, Kim JH, Jung HK. A comparison of health related habits, nutrition knowledge, dietary habits, and blood composition according to gender and weight status of college students in Ulsan. Korean J Nutr 2012; 45(4): 336-346. https://doi.org/10.4163/kjn.2012.45.4.336
  21. Almansour FD, Allafi AR, Al-Haifi AR. Impact of nutritional knowledge on dietary behaviors of students in Kuwait University. Acta Biomed 2020; 91(4): e2020183.
  22. Bellows AC, Alcaraz V G, Hallman WK. Gender and food, a study of attitudes in the USA towards organic, local, U.S. grown, and GM-free foods. Appetite 2010; 55(3): 540-550. https://doi.org/10.1016/j.appet.2010.09.002
  23. Grunert KG, Fernandez-Celemin L, Wills JM, Storcksdieck Genannt Bonsmann S, Nureeva L. Use and understanding of nutrition information on food labels in six European countries. Z Gesundh wiss 2010; 18(3): 261-277.  https://doi.org/10.1007/s10389-009-0307-0
  24. Koch F, Hoffmann I, Claupein E. Types of nutrition knowledge, their socio-demographic determinants and their association with food consumption: results of the NEMONIT Study. Front Nutr 2021; 8: 630014.
  25. Ong RH, Chow WL, Cheong M, Lim GH, Xie W, Baggs G, et al. Associations between socio-demographics, nutrition knowledge, nutrition competencies and attitudes in community-dwelling healthy older adults in Singapore: findings from the SHIELD study. J Health Popul Nutr 2021; 40(1): 52.
  26. Lee KW, Shin D. Comparison of dietary behaviors and the prevalence of metabolic syndrome in single- and multi-person households among Korean adults. Healthcare (Basel) 2021; 9(9): 1116.
  27. Kang NY, Jung BM. Analysis of the difference in nutrients intake, dietary behaviors and food intake frequency of single-and non single-person households: The Korea National Health and Nutrition Examination Survey (KNHANES), 2014-2016. Korean J Community Nutr 2019; 24(1): 1-17. https://doi.org/10.5720/kjcn.2019.24.1.1
  28. Hong SH, Kim JM. Relationship between eating behavior and healthy eating competency of single-person and multi-person households by age group. Korean J Community Nutr 2021; 26(5): 337-349. https://doi.org/10.5720/kjcn.2021.26.5.337
  29. He Y, Li Y, Lai J, Wang D, Zhang J, Fu P, et al. Dietary patterns as compared with physical activity in relation to metabolic syndrome among Chinese adults. Nutr Metab Cardiovasc Dis 2013; 23(10): 920-928. https://doi.org/10.1016/j.numecd.2012.09.001
  30. Blakely F, Dunnagan T, Haynes G, Moore S, Pelican S. Moderate physical activity and its relationship to select measures of a healthy diet. J Rural Health 2004; 20(2): 160-165. https://doi.org/10.1111/j.1748-0361.2004.tb00023.x
  31. Hong H, Chung W. Integrating health consciousness, self-efficacy, and habituation into the attitude-intention-behavior relationship for physical activity in college students. Psychol Health Med 2022; 27(5): 965-975. https://doi.org/10.1080/13548506.2020.1822533
  32. Woglom C, Gray V, Hill M, Wang L. Significant relationships exist between perceived and objective diet quality in young adults. J Acad Nutr Diet 2020; 120(1): 103-110. https://doi.org/10.1016/j.jand.2019.06.002
  33. Rodrigues PR, Goncalves-Silva RM, Ferreira MG, Pereira RA. Feasibility of using of a simplified question in assessing diet quality of adolescents. Cien Saude Colet 2017; 22(5): 1565-1578. https://doi.org/10.1590/1413-81232017225.14102015
  34. Loftfield E, Yi S, Immerwahr S, Eisenhower D. Construct validity of a single-item, self-rated question of diet quality. J Nutr Educ Behav 2015; 47(2): 181-187. https://doi.org/10.1016/j.jneb.2014.09.003
  35. Powell-Wiley TM, Miller PE, Agyemang P, Agurs-Collins T, Reedy J. Perceived and objective diet quality in US adults: a cross-sectional analysis of the National Health and Nutrition Examination Survey (NHANES). Public Health Nutr 2014; 17(12): 2641-2649. https://doi.org/10.1017/S1368980014000196
  36. Vaudin A, Wambogo E, Moshfegh A, Sahyoun NR. Awareness and use of nutrition information predict measured and self-rated diet quality of older adults in the USA. Public Health Nutr 2021; 24(7): 1687-1697. https://doi.org/10.1017/S1368980020004681
  37. Vrinten J, Van Royen K, Pabian S, De Backer C, Matthys C. Motivations for nutrition information-seeking behavior among Belgian adults: a qualitative study. BMC Public Health 2022; 22(1): 2432.
  38. Bennett JA, Cameron LD, Whitehead LC, Porter D. Differences between older and younger cancer survivors in seeking cancer information and using complementary/alternative medicine. J Gen Intern Med 2009; 24(10): 1089-1094. https://doi.org/10.1007/s11606-009-0979-8
  39. Davis CA, Britten P, Myers EF. Past, present, and future of the Food Guide Pyramid. J Am Diet Assoc 2001; 101(8): 881-885. https://doi.org/10.1016/S0002-8223(01)00217-6
  40. Cordova R, Kliemann N, Huybrechts I, Rauber F, Vamos EP, Levy RB, et al. Consumption of ultra-processed foods associated with weight gain and obesity in adults: A multi-national cohort study. Clin Nutr 2021; 40(9): 5079-5088. https://doi.org/10.1016/j.clnu.2021.08.009
  41. Srour B, Fezeu LK, Kesse-Guyot E, Alles B, Mejean C, Andrianasolo RM, et al. Ultra-processed food intake and risk of cardiovascular disease: prospective cohort study (NutriNet-Sante). BMJ 2019; 365: l1451. 
  42. Srour B, Fezeu LK, Kesse-Guyot E, Alles B, Debras C, Druesne-Pecollo N, et al. Ultraprocessed food consumption and risk of type 2 diabetes among participants of the NutriNet-Sante Prospective Cohort. JAMA Intern Med 2020; 180(2): 283-291. https://doi.org/10.1001/jamainternmed.2019.5942
  43. Shim JS, Shim SY, Cha HJ, Kim J, Kim HC. Association between Ultra-processed food consumption and dietary intake and diet quality in Korean adults. J Acad Nutr Diet 2022; 122(3): 583-594. https://doi.org/10.1016/j.jand.2021.07.012
  44. Neelakantan N, Park SH, Chen GC, van Dam RM. Sugar-sweetened beverage consumption, weight gain, and risk of type 2 diabetes and cardiovascular diseases in Asia: a systematic review. Nutr Rev 2021; 80(1): 50-67. https://doi.org/10.1093/nutrit/nuab010
  45. Ministry of Health and Welfare (KR); Korea Centers for Disease Control and Prevention (KR). Public health weekly report: trends in the intake of non-alcoholic beverages 2012-2021 [Internet]. Sejong: Korea Centers for Disease Control and Prevention; 2022 [cited by 2023 Oct 30] Available from: https://knhanes.kdca.go.kr/knhanes/sub04/sub04_04_02.do.