Protein Intake by Korean Adults through Meals

Background@#This study aimed to evaluate the adequacy of protein intake through meals and present the major protein sources of Korean adults. @*Methods@#Cross-sectional data of 15,639 adults aged 19 years or older from the 2016-2018 Korea National Health and Nutrition Examination Survey were obtained. The total, animal, plant protein intakes were assessed using 1-day 24-hour recall. The distinction between breakfast, lunch, and dinner was based on the subjective answers of the participants. @*Results@#The adequacy of protein intake based on the Recommended Nutrient Intake was 67.4±1.2% and 62.9±1.1% in young men and women, respectively; it was 51.9±1.4% and 35.7±1.3% in older men and women, respectively. For men, the proportions of proteins through meals were 17.4±0.3%, 32.6±0.3%, 38.4±0.3%, and 11.6±0.2% for breakfast, lunch, dinner, and snacks, respectively. The women showed a similar distribution. In both men and women, as the age group progressed from the young (10.9±0.4 g/day, 12.2±0.4%) to the old (16.9±0.3 g/day, 27.3±0.4%), their intake of proteins and their proportions in meals taken as breakfast also increased, while their dinner protein intake and proportion decreased. The highest-ranked and the 2nd highest-ranked protein sources among the young and middle-aged groups were meat and grains, respectively; the third sources were fish and shellfish. In the old-age group, grains were the highest-ranked protein sources across all three meals. @*Conclusions@#Despite the increase in protein intake, one out of three young people and two out of three older adults in Korea had inadequate protein intake and uneven meal distributions of protein intake.

Reliability and Validity of an Ultrasonic Device for Measuring Height in Adults / 가정의학회지

Background@#The ultrasonic stadiometer was originally developed as a device to measure and monitor children’s height. However, an ultrasonic stadiometer (InLab S50; InBody Co., Seoul, Korea) was used to measure adults’ height in the 2018 Korea Community Health Survey (KCHS). This study was conducted to assess the reliability and validity of the InLab S50 in adults. @*Methods@#The study subjects were 120 adults (reliability test, n=20; validity test, n=100) who had visited a health screening center. The intra- and inter-rater reliabilities of InLab S50 were assessed using the intraclass correlation coefficient (ICC). The agreement between InLab S50 and an automatic stadiometer (HM-201; Fanics, Busan, Korea) was assessed using Pearson’s correlation coefficient and Bland-Altman analysis. @*Results@#The intra- and inter-rater reliabilities of the InLab S50 were excellent (ICC=0.9999 and 0.9998, respectively). The correlation coefficient of the height measured by the two measurement devices was very high (r=0.996). The difference (Δheight [HM-201-InLab S50]) was -0.15±0.78 cm (95% limit of agreement [LOA], -1.69 to 1.38). After excluding the values outside 95% LOA, the difference was further reduced to -0.05±0.59 cm (95% LOA, -1.20 to 1.10). @*Conclusion@#This study showed that the InLab S50 is a reliable and valid device for the measurement of adults’ height. Therefore, we think that InLab S50 could be used to measure adults’ height in household health surveys such as the KCHS.

Protein Intake by Korean Adults through Meals

Background@#This study aimed to evaluate the adequacy of protein intake through meals and present the major protein sources of Korean adults. @*Methods@#Cross-sectional data of 15,639 adults aged 19 years or older from the 2016-2018 Korea National Health and Nutrition Examination Survey were obtained. The total, animal, plant protein intakes were assessed using 1-day 24-hour recall. The distinction between breakfast, lunch, and dinner was based on the subjective answers of the participants. @*Results@#The adequacy of protein intake based on the Recommended Nutrient Intake was 67.4±1.2% and 62.9±1.1% in young men and women, respectively; it was 51.9±1.4% and 35.7±1.3% in older men and women, respectively. For men, the proportions of proteins through meals were 17.4±0.3%, 32.6±0.3%, 38.4±0.3%, and 11.6±0.2% for breakfast, lunch, dinner, and snacks, respectively. The women showed a similar distribution. In both men and women, as the age group progressed from the young (10.9±0.4 g/day, 12.2±0.4%) to the old (16.9±0.3 g/day, 27.3±0.4%), their intake of proteins and their proportions in meals taken as breakfast also increased, while their dinner protein intake and proportion decreased. The highest-ranked and the 2nd highest-ranked protein sources among the young and middle-aged groups were meat and grains, respectively; the third sources were fish and shellfish. In the old-age group, grains were the highest-ranked protein sources across all three meals. @*Conclusions@#Despite the increase in protein intake, one out of three young people and two out of three older adults in Korea had inadequate protein intake and uneven meal distributions of protein intake.

Reliability and Validity of an Ultrasonic Device for Measuring Height in Adults / 가정의학회지

Background@#The ultrasonic stadiometer was originally developed as a device to measure and monitor children’s height. However, an ultrasonic stadiometer (InLab S50; InBody Co., Seoul, Korea) was used to measure adults’ height in the 2018 Korea Community Health Survey (KCHS). This study was conducted to assess the reliability and validity of the InLab S50 in adults. @*Methods@#The study subjects were 120 adults (reliability test, n=20; validity test, n=100) who had visited a health screening center. The intra- and inter-rater reliabilities of InLab S50 were assessed using the intraclass correlation coefficient (ICC). The agreement between InLab S50 and an automatic stadiometer (HM-201; Fanics, Busan, Korea) was assessed using Pearson’s correlation coefficient and Bland-Altman analysis. @*Results@#The intra- and inter-rater reliabilities of the InLab S50 were excellent (ICC=0.9999 and 0.9998, respectively). The correlation coefficient of the height measured by the two measurement devices was very high (r=0.996). The difference (Δheight [HM-201-InLab S50]) was -0.15±0.78 cm (95% limit of agreement [LOA], -1.69 to 1.38). After excluding the values outside 95% LOA, the difference was further reduced to -0.05±0.59 cm (95% LOA, -1.20 to 1.10). @*Conclusion@#This study showed that the InLab S50 is a reliable and valid device for the measurement of adults’ height. Therefore, we think that InLab S50 could be used to measure adults’ height in household health surveys such as the KCHS.