Published online Aug 31, 2014.
https://doi.org/10.4163/jnh.2014.47.4.268
Dietary total sugar intake of Koreans: Based on the Korea National Health and Nutrition Examination Survey (KNHANES), 2008-2011
Abstract
Purpose
The aim of this study is to estimate total sugar intake and identify major food sources of total sugar intake in the diet of the Korean population.
Methods
Dietary intake data of 33,745 subjects aged one year and over from the KNHANES 2008-2011 were used in the analysis. Information on dietary intake was obtained by one day 24-hour recall method in KNHANES. A database for total sugar content of foods reported in the KNHANES was established using Release 25 of the U.S. Department of Agriculture National Nutrient Database for Standard Reference, a total sugar database from the Ministry of Food and Drug Safety, and information from nutrition labeling of processed foods. With this database, total sugar intake of each subject was estimated from dietary intake data using SAS.
Results
Mean total sugar intake of Koreans was 61.4 g/person/day, corresponding to 12.8% of total daily energy intake. More than half of this amount (35.0 g/day, 7.1% of daily energy intake) was from processed foods. The top five processed food sources of total sugar intake for Koreans were granulated sugar, carbonated beverages, coffee, breads, and fruit and vegetable drinks. Compared to other age groups, total sugar intake of adolescents and young adults was much higher (12 to 18 yrs, 69.6 g/day and 19 to 29 yrs, 68.4 g/day) with higher beverage intake that beverage-driven sugar amounted up to 25% of total sugar intake.
Conclusion
This study revealed that more elaborated and customized measures are needed for control of sugar intake of different subpopulation groups, even though current total sugar intake of Koreans was within the range (10-20% of daily energy intake) recommended by Dietary Reference Intakes for Koreans. In addition, development of a more reliable database on total sugar and added sugar content of foods commonly consumed by Koreans is warranted.
Fig. 1
Total sugar intake as a percentage of daily energy intake by age in Koreans.
Fig. 2
Distribution of total sugar intake among different food groups by age in Koreans.
Fig. 3
Distribution of total sugar intake from beverage among different beverage sources by age in Koreans.
Table 1
Mean total sugar intake per person per day and its distribution among food groups by age in Koreans
Table 2
Major processed food sources contributing to total sugar intake by age in Koreans
Table 3
Mean total sugar intake from beverages and its contribution to total sugar intake by age in Koreans
This work was supported by grants from Ministry of Food and Drug Safety.
References
-
Korea Health Industry Development Institute. 2013 food industry analysis report. Cheongju: Korea Health Industry Development Institute; 2013.
-
-
World Health Organization (CH). Diet, nutrition and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation. Geneva: World Health Organization; 2002.
-
-
World Health Organization (CH). WHO opens public consultation on draft sugars guideline [Internet]. Geneva: World Health Organization; 2014 [cited 2014 Jul 29].Available from: http://www.who.int/mediacentre/news/notes/2014/consultation-
sugar- guideline/en/.
-
-
U.S. Department of Agriculture, U.S. Department of Health and Human Services. Dietary Guidelines for Americans 2010. 7th Edition. Washington, DC: U.S. Government Printing, USA; 2010.
-
-
Food Standards Agency (GB). FSA nutrient and food based guidelines for UK institutions. London: Food Standards Agency; 2006.
-
-
The Korean Nutrition Society. Dietary reference intakes for Koreans. Seoul: The Korean Nutrition Society; 2010.
-
-
Cho SH, Chung CE, Kim SH, Chung HK. Establishment of total sugar reference value for Koreans. Korean J Nutr 2007;40 Suppl:3–8.
-
-
Chung CE. Association of total sugar intakes and metabolic syndrome from Korean National Health and Nutrition Examination Survey 2001-2002. Korean J Nutr 2007;40 Suppl:29–38.
-
-
Chung CE. Dietary intakes and food sources of total sugars from Korean National Health and Nutrition Examination Survey 2001-2002. Korean J Nutr 2007;40 Suppl:9–21.
-
-
Korea Food and Drug Administration. Press release: campaign to reduce sugar intake. Cheongju: Korea Food and Drug Administration; 2012 May 24.
-
-
United States Department of Agriculture, Agricultural Research Service. USDA national nutrient database for standard reference, release 25. Washington, D.C.: United States Department of Agriculture; 2012.
-
-
Korea Food and Drug Administration. Food code: notification No. 2011-16 of the Ministry of Finance and Economy. Cheongju: Korea Food and Drug Administration; 2011 Apr 01.
-
-
Langlois K, Garrigue D. Sugar consumption among Canadians of all ages. Health Rep 2011;22(3):23–27.
-
-
Bates B, Lennox A, Bates C, Swan G. Department of Health. Food Standard Agency. In: National diet and nutrition survey: headline results from years 1 and 2 (combined) of the rolling programme (2008/2009-2009/10). London: Food Standard Agency; 2010.
-
-
Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANES V-3). Cheongwon: Korea Centers for Disease Control and Prevention; 2013.
-
-
Review of labelling reference intake values: scientific opinion of the Panel on Dietetic Products, Nutrition and Allergies on a request from the commission related to the review of labelling reference intake values for selected nutritional elements. (Question No EFSA-Q-2008-772). EFSA J 2009:1008.
-
-
EFSA Panel on Dietetic Products, Nutrition, and Allergies (NDA). Scientific opinion on dietary reference values for carbohydrates and dietary fibre. EFSA J 2010;8(3):1462.
-
-
Ministry of Health Malaysia, National Coordinating Committee on Food and Nutrition. Malaysia dietary guildline. Putrajaya: National Coordinating Committee on Food and Nutrition; 2010.
-
-
United States Department of Agriculture, Food and Nutrition Service. 7 CFR Parts 210 and 220. National school lunch program and school breakfast program: nutrition standards for all foods sold in school as required by the healthy, hunger-free kids act of 2010: interim final rule. Fed Regist 2013;78(125):39068–39120.
-
-
Centers for Disease Control and Prevention (US). The CDC guide to strategies for reducing the consumption of sugar-sweetened beverages. Atlanta (GA): Centers for Disease Control and Prevention; 2010.
-
-
Food Standard Agency (GB). Recommendations to industry on saturated fat and added sugar reductions, and portion size availability for biscuits, cakes, buns, chocolate confectionery and soft drinks. London: Food Standard Agency; 2010.
-
-
Academy of Medical Royal Colleges (GB). Measuring up: the medical profession's prescription for the nation's obesity crisis. London: Academy of Medical Royal Colleges; 2013.
-
-
Ministry of Food and Drug Safety. Special act on safety control of children's dietary life. Law No. 12671 (May 21 2005).
-