Dietary Reference Intakes for Koreans with special consideration to older adults
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BACKGROUND/OBJECTIVES: The Dietary Reference Intakes for Koreans (KDRIs) were revised in 2020. Due to the rapidly aging Korean population, special consideration was given to reclassify the KDRI age group categories of older adults. This article examines the evidence for modifying the current KDRI age group ranges of older adults (65–74 and ≥ 75 yrs). SUBJECTS/METHODS: We first reviewed the domestic and international data on the elderly, following which we received expert opinions on age classification from the KDRI Advisory Committee. Finally, the 6th and 7th (2013–2017) Korea National Health and Nutrition Examination Survey (KNHANES) data were used to analyze the nutritional intake statuses by considering the age of older adults. RESULTS: According to the review results of domestic and international data and the inputs received from the expert advisory committee, the minimum age considered for the elderly was maintained at 65 yrs. However, the KNHANES data was analyzed to review whether there was a need to subdivide the later periods. Examining the differences in nutrient intakes by age group through the interaction effect term of the piecewise linear regression model revealed the interaction effect was maximum in the groups divided by 65 yrs (50–64 and 65–80), as compared to the groups divided by 70 yrs (50–69 and 70–80) and 75 yrs (50–74 and 75–80). The mean adequacy ratio was calculated per 1 yr of age, and a 3-yr (age) moving average analysis was performed to examine the change in the trends of overall nutrient intake. However, it was challenging to secure a scientific basis for subdivision into age groups in older adults from the results obtained. CONCLUSIONS: This study could not find any scientific evidence for modifying the KDRI age groups for older adults.
Abstract
BACKGROUND/OBJECTIVES: The Dietary Reference Intakes for Koreans (KDRIs) were revised in 2020. Due to the rapidly aging Korean population, special consideration was given to reclassify the KDRI age group categories of older adults. This article examines the evidence for modifying the current KDRI age group ranges of older adults (65–74 and ≥ 75 yrs). SUBJECTS/METHODS: We first reviewed the domestic and international data on the elderly, following which we received expert opinions on age classification from the KDRI Advisory Committee. Finally, the 6th and 7th (2013–2017) Korea National Health and Nutrition Examination Survey (KNHANES) data were used to analyze the nutritional intake statuses by considering the age of older adults. RESULTS: According to the review results of domestic and international data and the inputs received from the expert advisory committee, the minimum age considered for the elderly was maintained at 65 yrs. However, the KNHANES data was analyzed to review whether there was a need to subdivide the later periods. Examining the differences in nutrient intakes by age group through the interaction effect term of the piecewise linear regression model revealed the interaction effect was maximum in the groups divided by 65 yrs (50–64 and 65–80), as compared to the groups divided by 70 yrs (50–69 and 70–80) and 75 yrs (50–74 and 75–80). The mean adequacy ratio was calculated per 1 yr of age, and a 3-yr (age) moving average analysis was performed to examine the change in the trends of overall nutrient intake. However, it was challenging to secure a scientific basis for subdivision into age groups in older adults from the results obtained. CONCLUSIONS: This study could not find any scientific evidence for modifying the KDRI age groups for older adults.
참고문헌 (23)
- Dietary Reference Intakes for Koreans 2010, "The Korean Nutrition Society", The Korean Nutrition Society, ~ (2010)
- Dietary Reference Intakes for Koreans 2005, "The Korean Nutrition Society", The Korean Nutrition Society, ~ (2005)
- Dietary Reference Intakes for Koreans 2015, "Ministry of Health and Welfare (KR)", The Korean Nutrition Society, ~ (2015)
- "World report on ageing and health" (2015)[URL]
- "Population projections for Korea" (2015)[URL]
- Population Statistics of Resident Registration 2017, "Ministry of the Interior and Safety (KR)", Ministry of the Interior and Safety, ~ (2017)
- "Population and housing census" (2015)[URL]
- "e-National indicators: population structure by age" (2016)[URL]
- Statistics Korea, "Statistics of Aged People 2016", Statistics Korea, ~ (2016)
- "Projected population by major age group" (2017)[URL]
- Brief Statistics on Korean Education 2016, "Ministry of Education(KR)", Ministry of Education, ~ (2016)
- Korean National Survey on Elderly 2017, "Korea Institute for Health and Social Affairs", Korea Institute for Health and Social Affairs, ~ (2017)
- Korea Community Health Survey 2018, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~ (2018)
- Korea National Health and Nutrition Examination Survey 2018, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~ (2018)
- Dietary Reference Intakes for Japanese 2015, "Ministry of Health, Labour and Welfare (JP)", Ministry of Health, Labour and Welfare, ~ (2015)
- Food and Nutrition Board (US), "Dietary Reference Intakes for Calcium and Vitamin D" (2011), National Academy Press
- Nutrient Reference Values for Australia and New Zealand, "Department of Health and Ageing, New Zealand Ministry of Health", National Health and Medical Research Council, ~ (2017)
- Dietary Reference Values for Food Energy and Nutrients in the United Kingdom. Report of the Panel on Dietary Reference Values of the Committee on Medical Aspects of the Food Policy, "Committee on Medical Aspects of Food Policy", HMSO, ~ (2011)
- Chinese Nutrition Society, "Chinese Dietary Reference Intakes Handbook 2013" (2014), China Standard Press
- Guthrie HA, "Validity of a dietary score for assessing nutrient adequacy", J Am Diet Assoc, 78, pp.240~245 (1981)
- Kim HJ, "Permutation tests for joinpoint regression with applications to cancer rates", Stat Med, 19, pp.335~351 (2000)
- Pickle LW, "A new method of estimating United States and state-level cancer incidence counts for the current calendar year", CA Cancer J Clin, 57, pp.30~42 (2007)
- Hatløy A, "Food variety--a good indicator of nutritional adequacy of the diet? A case study from an urban area in Mali, West Africa", Eur J Clin Nutr, 52, pp.891~898 (1998)