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SuJin Song1
, Jae Eun Shim2
, Jae Eun Shim2
Abstract
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.
Figures and Tables
Fig. 1
Distribution of study subjects according to percentage of energy from total fat by sex and age groupa,b
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.
Fig. 2
Proportion of study subjects who consumed more than 7% of energy from saturated fatty acids by sex and age groupa,b
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.
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).
References
1. 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.
2. Korea Centers for Disease Control and Prevention (KCDC). Ministry of Health and Welfare (MoHW). Current status and issues regarding chronic disease. KCDC;2018. 12.
3. 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.
4. Pot GK, Prynne CJ, Roberts C, Olson A, Nicholson SK, Whitton C, et al. 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.
5. Li K, McNulty BA, Tiernery AM, Devlin NF, Joyce T, Leite JC, et al. Dietary fat intakes in Irish adults in 2011: how much has changed in 10 years? Br J Nutr. 2016; 115(10):1798–1809.
6. Sette S, Le Donne C, Piccinelli R, Arcella D, Turrini A, Leclercq C, et al. 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.
7. National Center for Health Statistics (NCHS). Health, United States, 2016: With chartbook on long-term trends in health. Washington, DC: NCHS;2017.
8. 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.
9. Hooper L, Martin N, Abdelhamid A, Smith GD. Reduction in saturated fat intake for cardiovascular disease. Cochrane Database Syst Rev. 2015; (6):CD011737.
10. Hu FB, Stampfer MJ, Manson JE, Rimm E, Colditz GA, Rosner BA, et al. Dietary fat intake and the risk of coronary heart disease in women. N Engl J Med. 1997; 337(21):1491–1499.
11. Jakobsen MU, O'Reilly EJ, Heitmann BL, Pereira MA, Bälter K, Fraser GE, et al. 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.
12. 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.
13. Wong ND. Epidemiological studies of CHD and the evolution of preventive cardiology. Nat Rev Cardiol. 2014; 11(5):276–289.
14. Mensink RP. Effects of saturated fatty acids on serum lipids and lipoproteins: A systematic review and regression analysis. Geneva: WHO;2016.
15. Kweon S, Kim Y, Jang MJ, Kim Y, Kim K, Choi S, et al. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol. 2014; 43(1):69–77.
16. The Korean Nutrition Society. Dietary reference intakes for Koreans 2015. Seoul: MoHW & the Korean Nutrition Society;2016.
17. 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.
18. Li Y, Hruby A, Bernstein AM, Ley SH, Wang DD, Chiuve SE, et al. 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.
19. 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.
20. 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.
21. Robinson SF, Quarfordt SH. The effect of ethanol on lipoprotein metabolism. Alcohol Clin Exp Res. 1981; 5(1):101–109.
22. 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.
23. 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.
24. 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.
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