Nutrition Research and Practice

  • 제17권1호
  • /
  • Pages.135-148
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  • 2023
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  • 1976-1457(pISSN)
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  • 2005-6168(eISSN)
한국영양학회 (The Korean Nutrition Society)
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Development of nutrient-based nutritional standards for foodservice at shelters during disasters in the Republic of Korea

  • Satoko Abe (Department of Food and Nutrition, Seoul National University) ;
  • Meeyoung Kim (Department of Food and Nutrition, Kongju National University) ;
  • Jihyun Yoon (Department of Food and Nutrition, Seoul National University)
  • 투고 : 2021.07.26
  • 심사 : 2021.10.19
  • 발행 : 2023.02.01
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초록

BACKGROUND/OBJECTIVES: In times of disaster, simplified and minimized nutritional standards are necessary for a quick response to provide nutritious relief food. This study aimed to develop nutrient-based nutritional standards for foodservice at shelters during disasters in the Republic of Korea (South Korea). SUBJECTS/METHODS: The standards were developed in 2 phases. First, nutrients to be included in the standards were selected. Initial candidates were selected considering 3 aspects: preceding standards, insufficient intake during disasters, and inadequate intake among South Koreans. Final selection was made by excluding nutrients for 3 reasons: nutrients for which there is no deficiency concern in South Korea, nutrients whose intake data were not available, or nutrients whose values presented by Dietary Reference Intakes for Koreans are difficult to achieve based on the current diet among South Koreans. Second, the reference values of energy and the selected nutrients were calculated. The reference values for the entire population who were 1-year-old and over were calculated by multiplying the estimated energy requirements or the recommended nutrient intake and the proportion of each age and sex group. Respective reference values were also calculated for 4 different age groups (1-5, 6-11, 12-64, and ≥ 65-year-old). RESULTS: The standards for the entire population were 2,000 kcal for energy, 55 g for protein, 650 ㎍ retinol activity equivalents for vitamin A, 95 mg for vitamin C, 1.1 mg for thiamin, 1.3 mg for riboflavin, 14 mg niacin equivalents for niacin, 350 ㎍ dietary folate equivalents for folic acid, 750 mg for calcium, and 11 mg for iron. Four additional standards corresponding to each age group were developed. CONCLUSIONS: The nutritional standards during disasters were developed for South Korea, including energy and 9 nutrients with reference values for the entire population and 4 different age groups. The standards will contribute to maintaining the health of disaster evacuees in South Korea.

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참고문헌

  1. International Federation of Red Cross and Red Crescent Societies. World Disasters Report 2020 [Internet]. Geneva: International Federation of Red Cross and Red Crescent Societies; 2020 [cited 2021 May 2]. Available from: https://media.ifrc.org/ifrc/world-disaster-report-2020.
  2. Okuda K, Kuragano T, Nakano H, Kitao A, Kitao N. Refugee camp meals at the Great Kobe Earthquake: the refugees responses and the problems. J Integr Stud Diet Habits 1996;7:35-41. https://doi.org/10.2740/jisdh.7.35
  3. Nakano H, Okuda K, Kuragano T, Kitao A, Kitao N. Refugee camp meals at the Great Kobe Earthquake: how did the refugees respond to the rationed meals? J Integr Stud Diet Habits 1996;7:29-34. https://doi.org/10.2740/jisdh.7.29
  4. Noji EK. Public health issues in disasters. Crit Care Med 2005;33:S29-33. https://doi.org/10.1097/01.CCM.0000151064.98207.9C
  5. World Health Organization; United Nations High Commissioner for Refugees; International Federation of Red Cross; World Food Programme. The Management of Nutrition in Major Emergencies [Internet]. Geneva: World Health Organization; 2000 [cited 2021 May 2]. Available from: https://www.who.int/publications/i/item/9241545208.
  6. Weise Prinzo Z, de Benoist B. Meeting the challenges of micronutrient deficiencies in emergency-affected populations. Proc Nutr Soc 2002;61:251-7. https://doi.org/10.1079/PNS2002151
  7. United Nations High Commissioner for Refugees; United Nations Children's Fund; World Food Programme; World Health Organization. Food and Nutrition Needs in Emergencies [Internet]. Geneva: World Health Organization; 2002 [cited 2021 May 2]. Available from: https://www.unhcr.org/uk/45fa745b2.pdf.
  8. Food and Nutrition Service (FNS), USDA. Nutrition standards in the National School Lunch and School Breakfast Programs. Final rule. Fed Regist 2012;77:4088-167.
  9. Storcksdieck Genannt Bonsmann S, Kardakis T, Wollgast J, Nelson M, Caldeira S. Mapping of National School Food Policies across the EU28 plus Norway and Switzerland. Luxembourg: Publications Office of the European Union; 2014. p.30-1, 34-5.
  10. Enforcement Rules of School Meals Act. Nutritional Standards for the School Lunch Program. Sejong: Ministry of Education of Korea; 2021.
  11. School-Meals Act. School Meals Performance Standards. Tokyo: Ministry of Education, Culture, Sports, Science and Technology of Japan; 2021.
  12. Department for Education. The Requirements for School Food Regulations 2014 [Internet]. London: Department for Education, England; 2014 [cited 2021 May 2]. Available from: https://www.legislation.gov.uk/uksi/2014/1603/pdfs/uksi_20141603_en.pdf.
  13. Ministry of Agriculture, Food, Fisheries, Rural Affairs and Regional Planning. 2011 Relating to the Nutritional Quality of Meals Served as Part of School Catering [Internet]. Paris: Ministry of Agriculture, Food, Fisheries, Rural Affairs and Regional Planning; 2011 [cited 2021 July 17]. Available from: https://www.legifrance.gouv.fr/loda/id/JORFTEXT000024614763.
  14. Ministry of Health, Labour and Welfare. About the Immediate Target Nutrition Reference Amount for Planning and Evaluation of Meal Provision at Shelters [Internet]. Tokyo: Ministry of Health, Labour and Welfare; 2011 [cited 2021 May 2]. Available from: https://www.mhlw.go.jp/stf/houdou/2r9852000001a159-img/2r9852000001a29m.pdf.
  15. National Institute of Health and Nutrition. Example of Food Composition of Meals in an Emergency Shelter [Internet]. Tokyo: National Institute of Health and Nutrition; 2011 [cited 2021 May 2]. Available from: https://www.nibiohn.go.jp/eiken/info/hinan_kousei.html.
  16. Ministry of the Interior and Safety. 2019 Annual Natural Disaster Report [Internet]. Sejong: Ministry of the Interior and Safety; 2020 [cited 2021 October 13]. Available from: https://www.mois.go.kr.
  17. Ministry of the Interior and Safety. Guidelines for Operating Temporary Housing Facilities for Victims. Sejong: Ministry of the Interior and Safety; 2018.
  18. Ministry of the Interior and Safety. Enforcement Decree of the Disaster Relief Act. Sejong: Ministry of the Interior and Safety; 2020.
  19. Kim M, Kim D, Yoon J. Selection of target nutrients for the nutritional standards of school lunches in Korea. Nutrients 2019;11:2578.
  20. Ministry of Health and Welfare, Korea Disease Control and Prevention Agency. Korea Health Statistics 2019: Korea National Health and Nutrition Examination Survey (KNHANES VIII-1) [Internet]. Cheongju: Ministry of Health and Welfare, Korea Disease Control and Prevention Agency; 2020 [cited 2021 May 2]. Available from: https://knhanes.kdca.go.kr/knhanes/sub04/sub04_04_01.do.
  21. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Guidelines for the Use of Raw Data of the 8th (2019). Korean National Health and Nutrition Examination Survey. Cheongju: Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention; 2021.
  22. Ministry of Health and Welfare; Korean Nutrition Society. Dietary Reference Intakes for Koreans 2020. Seoul: Korean Nutrition Society; 2020. p.xix, xxiv, xxv.
  23. Ministry of Health and Welfare; Korean Nutrition Society. Dietary Reference Intakes for Koreans 2020: Energy and Macronutrients. Seoul: Korean Nutrition Society; 2020. p.13-4, 22-3, 121-6, 169-74, 211.
  24. Brooks GA, Butte NF, Rand WM, Flatt JP, Caballero B. Chronicle of the Institute of Medicine physical activity recommendation: how a physical activity recommendation came to be among dietary recommendations. Am J Clin Nutr 2004;79:921S-30S. https://doi.org/10.1093/ajcn/79.5.921S
  25. Ministry of Health, Labour and Welfare. Dietary Reference Intakes for Japanese, 2010 [Internet]. Tokyo: Ministry of Health, Labour and Welfare; 2009 [cited 2021 July 7]. Available from: https://www.mhlw.go.jp/shingi/2009/05/s0529-4.html.
  26. Murakami H, Yoshimura E, Ishikawa-Takata K, Hasegawa Y, Kubota T, Tsuboyama-Kasaoka N, Nishi N, Yokoyama Y, Yaegashi Y, Sakata K, et al. Validity and reproducibility of a physical activity questionnaire used for health surveying among victims of the Great East Japan Earthquake. Nihon Koshu Eisei Zasshi 2013;60:222-30.
  27. Moriyama N, Urabe Y, Onoda S, Maeda N, Oikawa T. Effect of residence in temporary housing after the Great East Japan Earthquake on the physical activity and quality of life of older survivors. Disaster Med Public Health Prep 2017;11:701-10. https://doi.org/10.1017/dmp.2017.19
  28. Statistics Korea. 2019 Population and Housing Census. Daejeon: Statistics Korea; 2020.
  29. Ministry of Health and Welfare; Korean Nutrition Society. Dietary Reference Intakes for Koreans 2020: Vitamins. Seoul: Korean Nutrition Society; 2020. p.9-15, 19, 24, 140-4, 166-70, 188-93, 212-7, 266-8.
  30. Ministry of Health and Welfare; Korean Nutrition Society. Dietary Reference Intakes for Koreans 2020: Minerals. Seoul: Korean Nutrition Society; 2020. p.7-15, 75-7, 80-1, 99-101, 142-51.
  31. Morishita T, Kubo K. Survey of the diets of persons in refuge centers after the Great Hanshin-Awaji Earthquake and the effect of the latter supplements: Higashinada-ku, Kobe. J Cookery Sci Jpn 1997;30:347-54.
  32. Magkos F, Arvaniti F, Piperkou I, Katsigaraki S, Stamatelopoulos K, Sitara M, Zampelas A. Identifying nutritionally vulnerable groups in case of emergencies: experience from the Athens 1999 earthquake. Int J Food Sci Nutr 2004;55:527-36.  https://doi.org/10.1080/09637480400029324
  33. Dong C, Ge P, Ren X, Zhao X, Fan H, Yin SA, Weiderpass E. Evaluating the micronutrient status of women of child-bearing age living in the rural disaster areas one year after Wenchuan Earthquake. Asia Pac J Clin Nutr 2014;23:671-7.
  34. Dong C, Ge P, Ren X, Zhao X, Wang J, Fan H, Yin SA. The micronutrient status of children aged 24-60 months living in rural disaster areas one year after the Wenchuan Earthquake. PLoS One 2014;9:e88444.
  35. Yuasa M, Sawamura H, Ebara S, Matsui A, Watanabe T. Securing vitamin nutrition in the event of a disaster. Vitamins 2011;85:389-99.
  36. Asano K, Yang H, Lee Y, Kim M, Yoon J. Designing optimized food intake patterns for Korean adults using linear programming (II): adjustment of the optimized food intake pattern by establishing stepwise intake goals of sodium. J Nutr Health 2019;52:342-53. https://doi.org/10.4163/jnh.2019.52.4.342
  37. Drewnowski A, Rehm CD, Maillot M, Mendoza A, Monsivais P. The feasibility of meeting the WHO guidelines for sodium and potassium: a cross-national comparison study. BMJ Open 2015;5:e006625.
  38. Heaney RP. Sodium: how and how not to set a nutrient intake recommendation. Am J Hypertens 2013;26:1194-7. https://doi.org/10.1093/ajh/hpt130
  39. Tsuboyama-Kasaoka N, Purba MB. Nutrition and earthquakes: experience and recommendations. Asia Pac J Clin Nutr 2014;23:505-13.
  40. Ministry of Health, Labour and Welfare. Implementation of Appropriate Nutritional Management Related to Meal Provision at Evacuation Shelters [Internet]. Tokyo: Ministry of Health, Labour and Welfare; 2011 [cited 2021 May 2]. Available from: https://www.mhlw.go.jp/stf/houdou/2r9852000001fjb3-att/2r9852000001fxtu.pdf.
  41. Ministry of Health, Labour and Welfare. Implementation of Appropriate Nutritional Management Related to Meal Provision at Evacuation Shelters [Internet]. Tokyo: Ministry of Health, Labour and Welfare; 2016 [cited 2021 May 2]. Available from: https://www.mhlw.go.jp/content/000622116.pdf.
  42. Food and Agriculture Organization of the United Nations; World Health Organization. Requirements of Vitamin A, Iron, Folate, and Vitamin B12: Report of a Joint FAO/WHO Expert Consultation. Rome: Food and Agriculture Organization of the United Nations; 1988. p.17, 30-1.
  43. Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, D.C.: National Academies Press; 2001. p.2.
  44. Passmore R, Nicol BM, Rao MN, Beaton GH, DeMaeyer EM. Handbook on human nutritional requirements. Monogr Ser World Health Organ 1974:1-66.
  45. World Health Organization; Food and Agriculture Organization of the United Nations. Requirements of Vitamin A, Thiamine, Riboflavine and Niacin: Report of a Joint FAO/WHO expert group, Rome, Italy, 6-17 September 1965 [Internet]. Geneva: World Health Organization; 1967 [cited 2021 May 2]. Available from: https://apps.who.int/iris/handle/10665/40656.
  46. Hallberg L, Hulthen L. Prediction of dietary iron absorption: an algorithm for calculating absorption and bioavailability of dietary iron. Am J Clin Nutr 2000;71:1147-60. https://doi.org/10.1093/ajcn/71.5.1147
  47. DeMaeyer EM, Dallman P, Gurney JM, Hallberg L, Sood SK, Srikantia SG; World Health Organization. Preventing and Controlling Iron Deficiency Anaemia through Primary Health Care: A Guide for Health Administrators and Programme Managers [Internet]. Geneva: World Health Organization; 1989 [cited 2021 May 2]. Available from: https://apps.who.int/iris/handle/10665/39849.