Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Reanalysis of 2007 Korean National Health and Nutrition Examination Survey (2007 KNHANES) Results by CAN-Pro 3.0 Nutrient Database

2007년도 국민건강영양조사 결과 재분석 : CAN-Pro 3.0 식품영양가표의 활용

  • Shim, Youn-Jeong (Department of Food and Nutrition and , Seoul National University) ;
  • Paik, Hee-Young (Department of Food and Nutrition and , Seoul National University)
  • 심연정 (서울대학교 생활과학대학 식품영양학과) ;
  • 백희영 (서울대학교 생활과학연구소)
  • Published : 2009.09.30
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Abstract

This study aimed to reanalyze energy and nutrient intakes of 2007 Korean Nutrition and Health Examination Survey (KNHANES) using CAN-Pro 3.0, a commonly used nutrient analysis software in Korea. Food items and their codes were selected from 2007 KNHANES dietary intake file and converted to food codes of CAN-Pro 3.0 nutrient database (NDB). Of the 1,324 total food items, 1,155 items were converted by direct matching, 123 items were matched using other items in CAN-Pro 3.0 NDB and 42 items were matched using external sources. Consumption frequencies of items converted by direct matching contributed 94.5% of total consumption. Nutrient intakes of 4,091 participants of 2007 KNHANES, over 1 year old, were recalculated using CAN-Pro 3.0 NDB and compared with intakes in 2007 KNHANES dietary intake file. Intakes for energy and all nutrients except protein and Vitamin C calculated by two NDBs were significantly different by paired t-test (p < 0.001), but significantly correlated by Pearson' correlation coefficients (p < 0.001). Percent differences between the NDBs ranged from 0.3% to 15.1%, low for protein, energy, vitamin C, iron, vitamin B$_2$ (below 5%) but high for phosphorus, retinol, vitamin A, and $\beta$-carotene (over 10%). Age group, sex, and their interactions significantly influenced six nutrients (p < 0.05). Intake levels of zinc, vitamin B6, vitamin E, folate and cholesterol were not available in 2007 KNHANES but were calculated by CAN-Pro 3.0. Mean intake levels of zinc, vitamin B$_6$, vitamin E, and folate by age and sex groups revealed that some groups had mean levels below RI (Recommended Intake) or AI (Adequate Intake) levels. Intake level of cholesterol was higher than the recommended level (below 300 mg/day) in some groups, especially males. Results of the present study indicate the need for comparable and more comprehensive NDB to be used for dietary assessment of KNHANES and other researches. More rigorous evaluation of nutrients which have not been reported in KNHANES is needed.

본 연구에서는 2007 KNHANES 식이섭취자료를 우리나라 일반 연구자들이 많이 사용하는 CAN-Pro 3.0 NDB를 이용하여 재분석함으로써, NDB 차이에 따른 영양소 섭취결과의 차이를 평가하고 지금까지 계산되지 않았던 아연, 비타민 B$_6$, 엽산, 비타민 E, 콜레스테롤 섭취량과 급원식품을 분석하였으며 그 결과를 요약하면 다음과 같다. 1) 단백질과 비타민 C를 제외한 모든 영양소에서 두 NDB를 사용하여 계산한 영양소 섭취량이 유의적인 차이를 보였으나 (p < 0.001) 일부 영양소를 제외하고 0.75$\sim$0.99 사이의 높은 상관관계를 가지고 있었다 (p < 0.001). 2) 두 방법으로 계산한 결과의 차이가 섭취량의 5% 이내인 것은 에너지, 단백질, 비타민 B$_2$, 비타민 C, 철분이었으며 일곱 개의 영양소가 5$\sim$10%, 4가지 영양소가 10% 이상의 비교적 큰 차이를 보였다. 두 방법 간의 차이에 대해서 6가지 영양소에서 연령 군, 성별, 혹은 연령과 성의 교호작용이 유의적인 영향을 미치는 것으로 나타났다 (p < 0.05). 3) 본 연구에서 CAN-Pro 3.0 NDB를 이용하여 2007 KNHANES 대상자들의 아연, 비타민 B$_6$, 엽산, 비타민 E, 콜레스테롤 섭취량을 성별, 연령군으로 나누어 계산하였다. 그 결과 여러 성별, 연령 군에서 아연, 비타민 B$_6$, 엽산, 비타민 E의 평균 섭취량이 권장섭취량이나 충분섭취량에 비하여 낮았으며 그 내용은 영양소에 따라 달랐다. 콜레스테롤은 일부 계층에서 섭취가 과다한 것으로 나타났다. 4) 아연, 비타민 B6, 엽산, 비타민 E, 콜레스테롤의 공급에 중요한 식품군과 식품들을 분석하여 제시하였다. 2007 국민건강영양조사의 식이섭취조사 자료를 CAN-Pro 3.0 NDB를 이용하여 영양소 섭취량을 재계산하여 비교 분석한 본 연구를 통해 식이섭취조사에서 영양소 데이타베이스가 차지하는 중요성을 살펴보았다. 앞으로 영양소 데이터베이스에 관한 많은 정보 교환 및 검증이 이루어져야 하며, 일반 연구자들이 영양소 데이터베이스의 호환성 검증과 함께 정확한 영양소 섭취량 추정 및 식생활 평가를 할 수 있도록 다양한 방안이 모색되어야 할 것이다.

Keywords

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