DOI QR코드

DOI QR Code

Evaluation of dietary intake in Korean adults according to energy intake from eating-out: Based on 2013~2014 Korea National Health and Nutrition Examination Survey

성인 남녀에서 외식을 통한 열량 섭취 정도에 따른 영양소 및 식품군별 섭취 상태 평가 : 2013~2014 국민건강영양조사 자료를 이용하여

  • Bae, Yun-Jung (Division of Food Science and Culinary Arts, Shinhan University)
  • 배윤정 (신한대학교 식품조리과학부)
  • Received : 2016.10.10
  • Accepted : 2016.12.15
  • Published : 2016.12.31

Abstract

Purpose: The objective of the present study was to evaluate nutrient and food group intakes in Korean adults according to energy intake from eating-out. Methods: This study was a cross-sectional study based on the 2013~2014 Korea National Health and Nutritional Examination Survey, and study subjects were 5,186 males (2,151) and females (3,035) aged 19~64 years. Energy intake from eating-out was analyzed using the 24-hour dietary recall method, and groups were classified by quartile according to energy intake from eating-out. Results: Subjects who had more energy intake from eating-out tended to be younger, highly educated, have a higher income, and have higher alcohol consumption. Total energy intake and fat intake density of the highest quartile group of energy intake from eating-out were higher than those of the other groups. However, fiber, vitamin $B_1$, calcium, phosphorus, potassium, and iron intake density levels were significantly lower in the highest quartile group of energy intake from eating-out. The highest quartile group of energy intake from eating-out consumed significantly more meat and beverages compared to the other groups. In addition, regarding diet quality (Index of nutritional quality), significantly lower vitamin $B_1$, calcium, phosphorus, and iron levels were observed in the highest quartile group of energy intake from eating-out compared to those in the other groups. Conclusion: In conclusion, in Korean adults, consumption of eating-out decreased dietary quality, including vitamin $B_1$, calcium, phosphorus, and iron levels. Further studies are needed to confirm these findings.

본 연구에서는 국가 단위 대규모의 데이터 (2013~2014년 국민건강영양조사 자료)를 활용하여 성인 남녀별 외식으로부터 섭취하는 열량의 사분위에 따른 군간 일반사항, 영양소 및 식품군별 섭취 상태를 분석하고, 영양소별 섭취 밀도 및 영양의 질적 지수를 평가하였으며, 그 결과는 다음과 같다. 남녀 모두에서 외식을 통한 열량의 섭취 정도가 높은 성인일수록 연령이 유의적으로 낮았고, 음주 빈도, 가구소득 및 교육수준이 유의적으로 높은 결과를 보였다. 또한 외식을 통한 열량 섭취가 높은 남녀 성인에서 전체 열량 섭취량 및 지방의 섭취 밀도는 높게 나타난 반면, 식이섬유소, 비타민 $B_1$, 칼슘, 인, 칼륨 및 철과 같은 미량 영양소의 섭취 밀도는 유의적으로 낮은 결과를 보였으며, 비타민 $B_1$, 칼슘, 인 및 철의 INQ와 같은 식사의 질 지수 역시 유의적으로 낮게 나타났다. 식품군별 섭취 비율을 분석시 남녀 모두에서 외식을 통한 열량 섭취가 높은 군에서 육류, 음료 및 주류의 섭취 비율이 유의적으로 높았던 반면, 곡류, 채소류, 어패류 및 해조류의 섭취 비율은 유의적으로 낮게 나타났다. 이와 같은 결과는 식생활에서 외식이 차지하는 비율이 계속적으로 증가하고 있는 현 시점에서, 외식을 많이 하는 대상자와 관련된 전반적인 영양소 및 식품군별 섭취 상태를 파악할 수 있는 기초자료로써 활용될 것으로 예상된다.

Keywords

References

  1. Han KS, Seo KM, Park HN, Hong SY. Issues of Korean restaurant industry by content analysis of food yearly statistics. Korean J Food Cult 2004; 19(3): 313-325.
  2. Lee SL. The effect of household demographic trend on food expenditure pattern. J Consum Cult 2014; 17(3): 85-104.
  3. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2). Cheongju: Korea Centers for Disease Control and Prevention; 2015.
  4. Kant AK, Graubard BI. Eating out in America, 1987-2000: trends and nutritional correlates. Prev Med 2004; 38(2): 243-249. https://doi.org/10.1016/j.ypmed.2003.10.004
  5. Guthrie JF, Lin BH, Frazao E. Role of food prepared away from home in the American diet, 1977-78 versus 1994-96: changes and consequences. J Nutr Educ Behav 2002; 34(3): 140-150. https://doi.org/10.1016/S1499-4046(06)60083-3
  6. Clemens LH, Slawson DL, Klesges RC. The effect of eating out on quality of diet in premenopausal women. J Am Diet Assoc 1999; 99(4): 442-444. https://doi.org/10.1016/S0002-8223(99)00107-8
  7. Lachat C, Nago E, Verstraeten R, Roberfroid D, Van Camp J, Kolsteren P. Eating out of home and its association with dietary intake: a systematic review of the evidence. Obes Rev 2012; 13(4): 329-346. https://doi.org/10.1111/j.1467-789X.2011.00953.x
  8. Chung YS, Yang IS, Ham S. Customer' perceptions of motivators, barriers, and expansion of menu labeling in restaurants. Korean J Food Cult 2015; 30(2): 190-196. https://doi.org/10.7318/KJFC/2015.30.2.190
  9. Yoo JN, Jeong HS. Consumer awareness of nutrition labelling in restaurants according to level of health consciousness. Korean J Food Nutr 2011; 24(3): 282-290. https://doi.org/10.9799/ksfan.2011.24.3.282
  10. Lee CH, Oh ST. Changes in dining out consumption behaviors by sociodemographic characteristics of people over 50 years and elderly in Korea: analysis of data from the Korea National Health and Nutrition Examination Surveys of 2001 and 2011. J East Asian Soc Diet Life 2014; 24(3): 301-314.
  11. Oh HJ, Yoon J, Jeong HS. Influence of SNS usage characteristics on consumers' dine-out motivation, restaurant satisfaction, and quality of life. Korean J Food Nutr 2014; 27(6): 1182-1192. https://doi.org/10.9799/ksfan.2014.27.6.1182
  12. Kwon YS, Ju SY. Trends in nutrient intakes and consumption while eating-out among Korean adults based on Korea National Health and Nutrition Examination Survey (1998-2012) data. Nutr Res Pract 2014; 8(6): 670-678. https://doi.org/10.4162/nrp.2014.8.6.670
  13. Koo S, Park K. Dietary behaviors and lifestyle characteristics related to frequent eating out among Korean adults. J Korean Soc Food Sci Nutr 2014; 42(5): 705-712. https://doi.org/10.3746/jkfn.2013.42.5.705
  14. Kwon YS, Park YH, Choe JS, Yang YK. Investigation of variations in energy, macronutrients and sodium intake based on the places meals are provided: using the Korea National Health and Nutrition Examination Survey (KNHANES, 1998-2009). Nutr Res Pract 2014; 8(1): 81-93. https://doi.org/10.4162/nrp.2014.8.1.81
  15. Bak H, Kim HS. A study of association dining-out, nutritional intakes and health risk factors among Korean women using the data of Korean National Health and Nutrition Examination Survey (KNHANES). Korean J Culinary Res 2015; 21(5): 139-146.
  16. Chung SJ, Kang SH, Song SM, Ryu SH, Yoon J. Nutritional quality of Korean adults' consumption of lunch prepared at home, commercial places, and institutions: analysis of the data from the 2001 National Health and Nutrition Survey. Korean J Nutr 2006; 39(8): 841-849.
  17. Hansen RG. An index of food quality. Nutr Rev 1973; 31(1): 1-7. https://doi.org/10.1111/j.1753-4887.1973.tb05134.x
  18. Ministry of Health and Welfare (KR); The Korean Nutrition Society. Dietary reference intakes for Koreans 2015. Sejong: Ministry of Health and Welfare; 2016.
  19. Lee JW. Effects of frequent eating-out and breakfast skipping on body mass index and nutrients intake of working male adults: analysis of 2001 Korea National Health and Nutrition Survey data. Korean J Community Nutr 2009; 14(6): 789-797.
  20. Vandevijvere S, Lachat C, Kolsteren P, Van Oyen H. Eating out of home in Belgium: current situation and policy implications. Br J Nutr 2009; 102(6): 921-928. https://doi.org/10.1017/S0007114509311745
  21. Bes-Rastrollo M, Basterra-Gortari FJ, Sanchez-Villegas A, Marti A, Martinez JA, Martinez-Gonzalez MA. A prospective study of eating away-from-home meals and weight gain in a Mediterranean population: the SUN (Seguimiento Universidad de Navarra) cohort. Public Health Nutr 2010; 13(9): 1356-1363. https://doi.org/10.1017/S1368980009992783
  22. Adams J, Goffe L, Brown T, Lake AA, Summerbell C, White M, Wrieden W, Adamson AJ. Frequency and socio-demographic correlates of eating meals out and take-away meals at home: crosssectional analysis of the UK national diet and nutrition survey, waves 1-4 (2008-12). Int J Behav Nutr Phys Act 2015; 12(1): 51. https://doi.org/10.1186/s12966-015-0210-8
  23. Lee WJ, Kim HC, Oh SM, Choi DP, Cho J, Suh I. Factors associated with a low-sodium diet: the Fourth Korean National Health and Nutrition Examination Survey. Epidemiol Health 2013; 35: e2013005. https://doi.org/10.4178/epih/e2013005
  24. Mejean C, Macouillard P, Castetbon K, Kesse-Guyot E, Hercberg S. Socio-economic, demographic, lifestyle and health characteristics associated with consumption of fatty-sweetened and fattysalted foods in middle-aged French adults. Br J Nutr 2011; 105(5): 776-786. https://doi.org/10.1017/S0007114510004174
  25. Lampure A, Schlich P, Deglaire A, Castetbon K, Péneau S, Hercberg S, Mejean C. Sociodemographic, psychological, and lifestyle characteristics are associated with a liking for salty and sweet tastes in French adults. J Nutr 2015; 145(3): 587-594. https://doi.org/10.3945/jn.114.201269
  26. Kim MG, Kim KY, Nam HM, Hong NS, Lee YM. The relationship between lifestyle and sodium intake in Korean middle-aged workers. J Korea Acad Ind Coop Soc 2014; 15(5): 2923-2929. https://doi.org/10.5762/KAIS.2014.15.5.2923
  27. Choi KH, Park MS, Kim JA, Lim JA. Associations between excessive sodium intake and smoking and alcohol intake among Korean men: KNHANES V. Int J Environ Res Public Health 2015; 12(12): 15540-15549. https://doi.org/10.3390/ijerph121215001
  28. Sorenson AW, Wyse BW, Wittwer AJ, Hansen RG. An index of nutritional quality for a balanced diet. New help for an old problem. J Am Diet Assoc 1976; 68(3): 236-242.
  29. Binkley JK, Eales J, Jekanowski M. The relation between dietary change and rising US obesity. Int J Obes Relat Metab Disord 2000; 24(8): 1032-1039. https://doi.org/10.1038/sj.ijo.0801356
  30. Orfanos P, Naska A, Trichopoulos D, Slimani N, Ferrari P, van Bakel M, Deharveng G, Overvad K, Tjonneland A, Halkjaer J, Santucci de Magistris M, Tumino R, Pala V, Sacerdote C, Masala G, Skeie G, Engeset D, Lund E, Jakszyn P, Barricarte A, Chirlaque MD, Martinez-Garcia C, Amiano P, Quiros JR, Bingham S, Welch A, Spencer EA, Key TJ, Rohrmann S, Linseisen J, Ray J, Boeing H, Peeters PH, Bueno-de-Mesquita HB, Ocke M, Johansson I, Johansson G, Berglund G, Manjer J, Boutron-Ruault MC, Touvier M, Clavel-Chapelon F, Trichopoulou A. Eating out of home and its correlates in 10 European countries. The European Prospective Investigation into Cancer and Nutrition (EPIC) study. Public Health Nutr 2007; 10(12): 1515-1525.

Cited by

  1. Meal Types by Cooking Method Consumed by Korean Adults according to Meal Provision Place: Using 2015 Korea National Health and Nutrition Examination Survey vol.33, pp.3, 2017, https://doi.org/10.9724/kfcs.2017.33.3.264
  2. Male Korean workers eating out at dinner vol.120, pp.8, 2018, https://doi.org/10.1108/BFJ-12-2017-0680
  3. 한국 성인의 시판 주식류 섭취 현황: 국민건강영양조사 2010~2014년 데이터를 중심으로 vol.23, pp.8, 2016, https://doi.org/10.20878/cshr.2017.23.8.006
  4. 1인가구 청년의 건강행태, 식습관 및 심리적 건강이 대사증후군에 미치는 영향 vol.16, pp.7, 2018, https://doi.org/10.14400/jdc.2018.16.7.493
  5. Analysis of the association between health-related and work-related factors among workers and metabolic syndrome using data from the Korean National Health and Nutrition Examination Survey (2016) vol.13, pp.5, 2016, https://doi.org/10.4162/nrp.2019.13.5.444
  6. Association between the Frequency of Dining Out and the Risk of Obesity, Diabetes Mellitus, and Dyslipidemia among Korean Adults vol.58, pp.6, 2016, https://doi.org/10.1080/03670244.2019.1644327
  7. Socio-Economic Factors are Associated with Risk of Inadequate Protein Intake among Korean Elderly: Based on the Seventh Korean National Health and Nutrition Examination Survey (KNHANES Ⅶ), 2016-2018 vol.31, pp.2, 2016, https://doi.org/10.7856/kjcls.2020.31.2.215
  8. 한국 독거노인의 식사패턴에 따른 식사의 질 평가: 2016-2018 국민건강영양조사 자료를 이용하여 vol.27, pp.3, 2016, https://doi.org/10.14373/jkda.2021.27.3.133
  9. 대구지역 성인의 가당음료 섭취와 영양지수를 활용한 식사의 질과의 관련성 vol.26, pp.5, 2021, https://doi.org/10.5720/kjcn.2021.26.5.350