Korean J Intern Med > Epub ahead of print
ORIGINAL ARTICLE
Fact sheet: nationwide trends in dietary intakes among Korean adults, 2013-2022
Hannah Oh1,2, Garam Jo3, Oh Yoen Kim4,5, Hyunjung Lim6, SuJin Song7, Jeong-Hwa Choi8, Jae Hyun Bae9, Eun-Sun Jin10, Rockli Kim1,2, Yujin Lee11, In-Kyung Jeong12 , Min-Jeong Shin1,13 , and on Behalf of the Committee of Nutrition and Public Relation of the Korean Society of Lipid and Atherosclerosis
1Interdisciplinary Program in Precision Public Health, Department of Public Health Sciences, Graduate School of Korea University, Seoul, Korea
2Department of Health Policy and Management, Korea University, Seoul, Korea
3Institute for BioMaterials, Korea University, Seoul, Korea
4Department of Food Science and Nutrition, Dong-A University, Busan, Korea
5Department of Health Sciences, Graduate School of Dong-A University, Busan, Korea
6Department of Medical Nutrition, Graduate School of EastWest Medical Science, Kyung Hee University, Yongin, Korea
7Department of Food and Nutrition, Hannam University, Daejeon, Korea
8Department of Food Science and Nutrition, Keimyung University, Daegu, Korea
9Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
10Department of Cardiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, Korea
11Department of Food and Nutrition, Myongji University, Yongin, Korea
12Division of Endocrinology and Metabolism, Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, Korea
13School of Biosystems and Biomedical Sciences, College of Health Science, Korea University, Seoul, Korea
Corresponding Author: In-Kyung Jeong  , Tel: +82-2-440-6126, Fax: +82-2-440-7053, Email: jik1016@khu.ac.kr
Min-Jeong Shin  , Tel: +82-2-3290-5643, Fax: +82-2-940-2849, Email: mjshin@korea.ac.kr
Received: September 25, 2024;   Revised: November 14, 2024;   Accepted: December 2, 2024.
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Abstract
Background/Aims: Cardiovascular disease is the leading cause of death worldwide. This study aimed to investigate the recent nationwide trends in major dietary risk factors for dyslipidemia and atherosclerosis.
Methods: We estimated age-standardized mean intakes of fresh fruits, fresh vegetables, whole grains, dietary fiber, and sugar-sweetened beverages (SSBs); and mean percentage of energy intake from protein, total fat, saturated fat, and polyunsaturated fat using nationally representative samples from the Korean National Health Examination and Nutrition Survey 2013–2022. To assess overall diet quality, we calculated mean Korean Healthy Eating Index (KHEI) (range 0–100, higher scores indicating greater diet quality).
Results: In 2013–2022, there were overall decreasing trends in age-standardized mean KHEI score and intakes of fresh fruits and vegetables, whole grains, and dietary fiber; and overall increasing trends in mean intakes of SSBs, protein, and dietary fat among both male and female. The KHEI score increased in older adults aged ≥ 60 years, whereas it decreased among younger adults. Throughout the study period, younger adults tended to have lower intakes of fresh fruits, fresh vegetables, and whole grains; higher intakes of SSBs, protein, and dietary fat; and lower KHEI score. The mean KHEI score was lower in male (vs. female) and lower (vs. higher) income groups.
Conclusions: Our data suggest that, from 2013 to 2022, there was a trend toward an unhealthy diet in Korean adults. Our findings also suggest dietary inequalities among age, sex, and income groups, suggesting the need for more intense interventions targeting the vulnerable populations.
Keywords: Trend analysis ; Dietary intake ; Healthy Eating Index ; Dyslipidemia ; Atherosclerosis
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