Trends in dietary intake and food sources of long-chain polyunsaturated fatty acids among Korean adults between 2007 and 2018
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
OBJECTIVES: This study examined trends in the dietary intake and food sources of long-chain polyunsaturated fatty acids (LC-PUFAs) in Korean adults from 2007 to 2018. METHODS: In total, 46,307 adults (aged 19-64 years) were selected from the 2007-2018 Korea National Health and Nutrition Examination Surveys. Dietary data were obtained using 24-hour dietary recall. Intake levels and food sources of LC-PUFAs, including alpha-linolenic acid (ALA), eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), and linoleic acid (LA), were evaluated across the survey years and assessed based on compliance with dietary recommendations over the 2007-2018 period. Linear trends in LC-PUFAs intake levels over time were examined through multiple linear regression analysis. RESULTS: From 2007 to 2018, ALA and LA consumption increased from 1.1 g (0.5% of energy) to 1.4 g (0.6% of energy) and from 8.6 g (3.9% of energy) to 10.0 g (4.5% of energy), respectively. EPA intake decreased from 0.14 g to 0.12 g, and EPA+DHA intake showed a decreasing trend. The proportion of individuals who did not meet the recommended intake of EPA+DHA (250 mg/day) increased (64.4 to 68.4%). Regarding changes in food sources of ALA and LA, the contributions from mayonnaise, eggs, and bread increased, while those from plant food sources decreased. Among food sources of EPA and DHA, anchovy, saury, and Atka mackerel showed lower contributions over time. CONCLUSIONS: Our findings suggest that strategies to encourage the consumption of EPA and DHA from healthy food sources are necessary to improve cardiovascular health in the Korean population.
Abstract
OBJECTIVES: This study examined trends in the dietary intake and food sources of long-chain polyunsaturated fatty acids (LC-PUFAs) in Korean adults from 2007 to 2018. METHODS: In total, 46,307 adults (aged 19-64 years) were selected from the 2007-2018 Korea National Health and Nutrition Examination Surveys. Dietary data were obtained using 24-hour dietary recall. Intake levels and food sources of LC-PUFAs, including alpha-linolenic acid (ALA), eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), and linoleic acid (LA), were evaluated across the survey years and assessed based on compliance with dietary recommendations over the 2007-2018 period. Linear trends in LC-PUFAs intake levels over time were examined through multiple linear regression analysis. RESULTS: From 2007 to 2018, ALA and LA consumption increased from 1.1 g (0.5% of energy) to 1.4 g (0.6% of energy) and from 8.6 g (3.9% of energy) to 10.0 g (4.5% of energy), respectively. EPA intake decreased from 0.14 g to 0.12 g, and EPA+DHA intake showed a decreasing trend. The proportion of individuals who did not meet the recommended intake of EPA+DHA (250 mg/day) increased (64.4 to 68.4%). Regarding changes in food sources of ALA and LA, the contributions from mayonnaise, eggs, and bread increased, while those from plant food sources decreased. Among food sources of EPA and DHA, anchovy, saury, and Atka mackerel showed lower contributions over time. CONCLUSIONS: Our findings suggest that strategies to encourage the consumption of EPA and DHA from healthy food sources are necessary to improve cardiovascular health in the Korean population.
참고문헌 (29)
- GBD 2019 Diseases and Injuries Collaborators, "Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019 : a systematic analysis for the Global Burden of Disease Study 2019", Lancet, 396, pp.1204~1222 (2020)
- GBD 2019 Risk Factors Collaborators, "Global burden of 87 risk factors in 204 countries and territories, 1990-2019 : a systematic analysis for the Global Burden of Disease Study 2019", Lancet, 396, pp.1223~1249 (2020)
- Mensink RP, "Effects of dietary fatty acids and carbohydrates on the ratio of serum total to HDL cholesterol and on serum lipids and apolipoproteins : a meta-analysis of 60 controlled trials", Am J Clin Nutr, 77, pp.1146~1155 (2003)
- Micha R, "Saturated fat and cardiometabolic risk factors, coronary heart disease, stroke, and diabetes : a fresh look at the evidence", Lipids, 45, pp.893~905 (2010)
- Mozaffarian D, "Quantitative effects on cardiovascular risk factors and coronary heart disease risk of replacing partially hydrogenated vegetable oils with other fats and oils", Eur J Clin Nutr, 63(Suppl 2), pp.S22~S33 (2009)
- "Fats and fatty acids in human nutrition. Report of an expert consultation", FAO Food Nutr Pap, 91, pp.1~166 (2010)
- "Effects of saturated fatty acids on serum lipids and lipoproteins: a systematic review and regression analysis" (2016)[URL]
- Djoussé L, "Fish consumption, omega-3 fatty acids and risk of heart failure : a meta-analysis", Clin Nutr, 31, pp.846~853 (2012)
- Jiang L, "Intake of fish and marine n-3 polyunsaturated fatty acids and risk of cardiovascular disease mortality : a meta-analysis of prospective cohort studies", Nutrients, 13, pp.2342~ (2021)
- Harika RK, "Intake of fatty acids in general populations worldwide does not meet dietary recommendations to prevent coronary heart disease : a systematic review of data from 40 countries", Ann Nutr Metab, 63, pp.229~238 (2013)
- Papanikolaou Y, "U. S. adults are not meeting recommended levels for fish and omega-3 fatty acid intake : results of an analysis using observational data from NHANES 2003-2008", Nutr J, 13, pp.31~ (2014)
- Sioen I, "Systematic review on N-3 and N-6 polyunsaturated fatty acid intake in European countries in light of the current recommendations-focus on specific population groups", Ann Nutr Metab, 70, pp.39~50 (2017)
- 송수진, "우리나라 성인의 총 지방 및 지방산 섭취량 평가: 2016–2017년 국민건강영양조사 자료를 활용하여", 대한지역사회영양학회지, 24(3), pp.223~231 (2019), 대한지역사회영양학회[DOI]
- Song S, "Trends in total fat and fatty acid intakes and chronic health conditions in Korean adults over 2007-2015", Public Health Nutr, 22, pp.1341~1350 (2019)
- Kweon S, "Data resource profile : the Korea National Health and Nutrition Examination Survey(KNHANES)", Int J Epidemiol, 43, pp.69~77 (2014)
- 윤미옥, "국민건강영양조사 자료를 이용한 지방산 데이터베이스 구축", Journal of Nutrition and Health, 47(6), pp.435~442 (2014), 한국영양학회
- Song S, "Trends in dietary intake of total fat and fatty acids among Korean adolescents from 2007 to 2017", Nutrients, 11, pp.3073~ (2019)
- Shen X, "Trends in dietary fat and fatty acid intakes and related food sources among Chinese adults : a longitudinal study from the China Health and Nutrition Survey(1997-2011)", Public Health Nutr, 20, pp.2927~2936 (2017)
- "South Korea: seafood market update 2021" (2021)[URL]
- "France: fish and seafood report" (2017)[URL]
- Welch AA, "Variability of fish consumption within the 10 European countries participating in the European Investigation into Cancer and Nutrition(EPIC)study", Public Health Nutr, 5, pp.1273~1285 (2002)
- "Korea nutrition statistics" (2022)[URL]
- Astorg P, "Dietary intakes and food sources of n-6 and n-3 PUFA in French adult men and women", Lipids, 39, pp.527~535 (2004)
- Grube FW, "Meat foods of the Anglo-Saxons", J Engl Ger Philol, 34, pp.511~529 (1935)
- Hulshof KF, "Intake of fatty acids in western Europe with emphasis on trans fatty acids : the TRANSFAIR Study", Eur J Clin Nutr, 53, pp.143~157 (1999)
- Song SuJin, "Food behaviors accounting for the recent trends in dietary fatty acid profiles among Korean adults", Nutrition Research and Practice, 16(3), pp.405~417 (2022), 한국영양학회[DOI]
- He K, "Fish, long-chain omega-3 polyunsaturated fatty acids and prevention of cardiovascular disease--eat fish or take fish oil supplement?", Prog Cardiovasc Dis, 52, pp.95~114 (2009)
- Siscovick DS, "Omega-3 polyunsaturated fatty acid(fish oil)supplementation and the prevention of clinical cardiovascular disease : a science advisory from the American Heart Association", Circulation, 135, pp.e867~e884 (2017)
- Rimm EB, "Seafood long-chain n-3 polyunsaturated fatty acids and cardiovascular disease : a science advisory from the American Heart Association", Circulation, 138, pp.e35~e47 (2018)
