Korean J Community Nutr KJCN Korean Journal of Community Nutrition 1226-0983 2287-1624 The Korean Society of Community Nutrition 10.5720/kjcn.2019.24.3.223 Research Article Evaluation of Total Fat and Fatty Acids Intakes in the Korean Adult Population using Data from the 2016–2017 Korea National Health and Nutrition Examination Surveys https://orcid.org/0000-0003-1871-4346 Song SuJin 1 https://orcid.org/0000-0001-8458-9112 Shim Jae Eun 2 Department of Food and Nutrition, Hannam University, Daejeon, Korea, Professor. Department of Food and Nutrition, Daejeon University, Daejeon, Korea, Professor. Corresponding author: Jae Eun Shim. Department of Food and Nutrition, Daejeon University, 62 Daehak-ro, Dong-gu, Daejeon, 34520, South Korea. Tel: (042) 280-2469, Fax: (042) 280-2468, jshim@dju.kr 06 2019 30 06 2019 24 3 223 231 18 05 2019 10 06 2019 10 06 2019 Copyright © 2019 The Korean Society of Community Nutrition 2019 The Korean Society of Community Nutrition This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Objectives

This study evaluated dietary intakes of total fat and fatty acids among the Korean adult population.

 Methods

This cross-sectional study used the 2016–2017 Korea National Health and Nutrition Examination Survey data. A total of 10,772 subjects aged ≥19 y for which dietary data were available were selected. Data pertaining to energy and nutrient intakes were obtained by a 24-h recall method. Total fat and fatty acids intakes were evaluated based on the Acceptable Macronutrient Distribution Ranges (AMDR) of 2015 Dietary Reference Intakes for Koreans by sex and age groups. All statistical analyses accounted for the complex sampling design effect and sampling weights.

 Results

The mean intakes of energy and total fat were 1,952 kcal (95% CI: 1928–1977) and 46.1 g (45.2–47.1), respectively, and about 21% of the energy was obtained from fat in this study population (21.7% in men and 20.2% in women). The mean percentages of energy from saturated, monounsaturated, and polyunsaturated fatty acids were 6.4%, 6.7%, and 5.2%, respectively. About 18% of adults exceeded the AMDR for fat (30% of energy), whereas 37.6% exceeded the AMDR for saturated fatty acids (7% of energy). The proportions of subjects who consumed more than the AMDR for fat and saturated fatty acids decreased across age groups in both sexes. Among young adults (19–29 y), about 63% of the subjects obtained ≥7% of their energy from saturated fatty acids. About 61% of older adults obtained less than 15% of their energy from total fat.

 Conclusions

Increased intake of fat energy was prominent in saturated fatty acids. Our findings suggest current information on total fat and fatty acids intakes in Korean adults and can be used to provide dietary guidelines for the improvement of public health.

 dietary fats saturated fatty acids Korean adults KNHANES National Research Foundation of Korea https://doi.org/10.13039/501100003725 2016R1D1A1B03931820 2017R1C1B5017637 Acknowledgments

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT; Ministry of Science and ICT) (Grant No. 2016R1D1A1B03931820 and 2017R1C1B5017637).

 World Health Organization (WHO) Diet, nutrition and the prevention of chronic diseases: Report of a joint WHO/FAO expert consultation WHO 2003 WHO Technical Report Series no. 916 Korea Centers for Disease Control and Prevention (KCDC) Ministry of Health and Welfare (MoHW) Current status and issues regarding chronic disease KCDC 2018 12 Statistics Korea Cause-of-death statistics in 2017 in the Republic of Korea [internet] National Center for Health Statistics 2018 cited 2018 Sep 19 Available from: http://kostat.go.kr Pot GK Prynne CJ Roberts C Olson A Nicholson SK Whitton C National Diet and Nutrition Survey: fat and fatty acid intake from the first year of the rolling programme and comparison with previous surveys Br J Nutr 2012 107 3 405 415 Li K McNulty BA Tiernery AM Devlin NF Joyce T Leite JC Dietary fat intakes in Irish adults in 2011: how much has changed in 10 years? Br J Nutr 2016 115 10 1798 1809 Sette S Le Donne C Piccinelli R Arcella D Turrini A Leclercq C The third Italian national food consumption survey, INRAN-SCAI 2005-06-part 1: nutrient intakes in Italy Nutr Metab Cardiovasc Dis 2011 21 12 922 932 National Center for Health Statistics (NCHS) Health, United States, 2016: With chartbook on long-term trends in health Washington, DC NCHS 2017 Song S Shim JE Song WO Trends in total fat and fatty acid intakes and chronic health conditions in Korean adults over 2007–2015 Public Health Nutr 2019 22 8 1341 1350 Hooper L Martin N Abdelhamid A Smith GD Reduction in saturated fat intake for cardiovascular disease Cochrane Database Syst Rev 2015 6 CD011737 Hu FB Stampfer MJ Manson JE Rimm E Colditz GA Rosner BA Dietary fat intake and the risk of coronary heart disease in women N Engl J Med 1997 337 21 1491 1499 Jakobsen MU O'Reilly EJ Heitmann BL Pereira MA Bälter K Fraser GE Major types of dietary fat and risk of coronary heart disease: a pooled analysis of 11 cohort studies Am J Clin Nutr 2009 89 5 1425 1432 Mozaffarian D Micha R Wallace S Effects on coronary heart disease of increasing polyunsaturated fat in place of saturated fat: a systematic review and meta-analysis of randomized controlled trials PLoS Med 2010 7 3 e1000252 Wong ND Epidemiological studies of CHD and the evolution of preventive cardiology Nat Rev Cardiol 2014 11 5 276 289 Mensink RP Effects of saturated fatty acids on serum lipids and lipoproteins: A systematic review and regression analysis Geneva WHO 2016 Kweon S Kim Y Jang MJ Kim Y Kim K Choi S Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES) Int J Epidemiol 2014 43 1 69 77 The Korean Nutrition Society Dietary reference intakes for Koreans 2015 Seoul MoHW & the Korean Nutrition Society 2016 Anderson JW Randles KM Kendall CW Jenkins DJ Carbohydrate and fiber recommendations for individuals with diabetes: a quantitative assessment and meta-analysis of the evidence J Am Coll Nutr 2004 23 1 5 17 Li Y Hruby A Bernstein AM Ley SH Wang DD Chiuve SE Saturated fats compared with unsaturated fats and sources of carbohydrates in relation to risk of coronary heart disease: a prospective cohort study J Am Coll Cardiol 2015 66 14 1538 1548 Welsh JA Sharma A Abramson JL Vaccarino V Gillespie C Vos MB Caloric sweetener consumption and dyslipidemia among US adults JAMA 2010 303 15 1490 1497 Korea Center for Disease Control and Prevention Ministry of Health and Welfare Korea Health Statistics 2017: Korea National Health and Nutrition Examination Survey (KNHANES VII-1) MoHW 2018 12 Robinson SF Quarfordt SH The effect of ethanol on lipoprotein metabolism Alcohol Clin Exp Res 1981 5 1 101 109 Siler SQ Neese RA Hellerstein MK De novo lipogenesis, lipid kinetics, and whole-body lipid balances in humans after acute alcohol consumption Am J Clin Nutr 1999 70 5 928 936 Rimm EB Williams P Fosher K Criqui M Stampfer MJ Moderate alcohol intake and lower risk of coronary heart disease: meta-analysis of effects on lipids and haemostatic factors BMJ 1999 319 7224 1523 1528 Pownall HJ Ballantyne CM Kimball KT Simpson SL Yeshurun D Gotto AM Jr Effect of moderate alcohol consumption on hypertriglyceridemia: a study in the fasting state Arch Intern Med 1999 159 9 981 987 Distribution of study subjects according to percentage of energy from total fat by sex and age group<sup>a,b</sup>

aAll analyses accounted for the complex sampling design effect and appropriate sampling weights.

bBased on the 2015 Dietary Reference Intakes for Koreans, the Acceptable Macronutrient Distribution Range for total fat is 15–30% in adults.

 Proportion of study subjects who consumed more than 7% of energy from saturated fatty acids by sex and age group<sup>a,b</sup>

aAll analyses accounted for the complex sampling design effect and appropriate sampling weights.

bBased on the 2015 Dietary Reference Intakes for Koreans, the Acceptable Macronutrient Distribution Range for saturated fatty acids is less than 7% in adults.

 Study subjects by sex and age group Intakes of total fat and fatty acids by sex and age group<sup>a</sup>

SFA, saturated fatty acids; MUFA, monounsaturated fatty acids; PUFA, polyunsaturated fatty acids; FA, fatty acids.

aAll analyses accounted for the complex sampling design effect and appropriate sampling weights.

b95% confidence interval