Review of recommended energy and nutrient intake values in Southeast Asian countries

@#This review summarises the officially published recommended energy and nutrient intake values in five Southeast Asia (SEA) countries namely Indonesia, Malaysia, Philippines, Thailand and Vietnam. The background information, general approaches and references used for setting up recommendations and the recommended intakes levels for energy, protein, fat and carbohydrate, dietary fibre, sugars,14 vitamins and 15 minerals of these countries were tabulated and compared. The recommended intake values show remarkable similarities in terms of approaches and principles taken, as well as references used as the basis for the recommendations development and the application of the recommendations in respective country. There are nevertheless some differences in age groupings, reference height and weight used, as well as the final recommendations of the intake levels for some nutrients, after adjustment to suit local situations. All five countries had provided recommendations in terms of recommended nutrient intakes (RNI) or recommended dietary allowance (RDA) for almost all the nutrients. Due to the limited availability of local data and resources, countries in the region have referred to several references, including those from Food and Agriculture Organization/World Health Organization (FAO/WHO) consultation report and recommendations from research organisations in United States and Europe and adapted the values for local uses. Opportunities should be created to enable closer dialogue and collaboration regarding future developments in nutrient recommendations for populations in the region. These could include consideration of establishing more appropriate nutrient recommendations and the call for setting up harmonised approaches to establishing recommended nutrient intake values for the region.

Socio-demographic factors, overweight/obesity and nutrients associated with hypertension among rural adults (≥18 years): Findings from National Nutrition Monitoring Bureau survey

Background: Hypertension is the leading cause of death throughout the world. The study was conducted to assess the prevalence, determinants and knowledge & practices about hypertension among rural adults in India. Methods: A community-based cross-sectional study was carried out in 10 major states of India. Information on socio-economic & demographic particulars was collected and anthropometric measurements like height, weight, waist & hip circumference and blood pressure were measured. Foods and nutrient intakes were assessed by 24-h recall method. Analysis was done using SPSS window 22. Results: The prevalence of pre-hypertension was 45.3% (95% CI: 44.6e46.0) and hypertension was 22% (95% CI: 21.5e22.3) (age standardized prevalence; 20.2%) while, overweight/obesity was 22.6% (95% CI: 22.2e23.0) as per Asian cut offs (BMI_x0001_23). The prevalence of hypertension was higher in West Bengal (29.5%) and Kerala (28.9%) and low in Madhya Pradesh and Uttar Pradesh (16e19%). The odds of hypertension was 1.2 times higher among forward communities, businessmen, tobacco users and those consuming alcohol, 2e3 times higher among overweight (CI: 1.87e2.25) and obese (2.65e3.27). The odds of hypertension was 1.2 times higher among those consuming lower tertile of carbohydrates (CI ¼ 1.02e1.41) and zinc (CI ¼ 1.11e1.42). About 76% were aware of hypertension, 21% were old hypertensive & 19% were on treatment. Conclusions: Age standardized prevalence of hypertension was 20% among adults and was associated with age, occupation, overweight/obesity, tobacco and alcohol use, low intake of carbohydrates and zinc. Therefore, increasing awareness and consumption of healthy diet through behavior change communication will help to control hypertension among adults.

Nutritional requirements for the elderly in India: A status paper

Advances in the medical field and healthcare sector during the last few decades have resulted in increased longevity. Increased lifespans have in turn led to a rapid global rise of the elderly population. However, ensuring the health and quality of life, especially in the context of chronic age-related ailments, among the growing geriatric population is a challenge. Ageing is associated with several changes in body composition including a decline in the lean body mass usually accompanied by an increase in body fat content which have a bearing on the nutrient requirements for the elderly. The nutrient requirements currently recommended for Indian adults are primarily computed using a factorial approach, that considers the cumulative loss of nutrients and is adjusted for optimal body weights and bioavailability. It is logical that physiological and metabolic changes associated with ageing influence several of these factors: body weight, lean mass, energy expenditure, nutrient retention and bioavailability and thus alter nutrient requirements compared to the adult population. Acknowledging these age-related changes, some international organizations have suggested nutrient requirements specific to the elderly. Given the contextual differences in physiology, caution needs to be exercised in adopting these guidelines for the Indian elderly. In addition, in the Indian context, there is sparse information on the diet and nutrient intakes vis-à-vis nutritional status and physiology of the elderly. This status paper highlights some of the pertinent issues related to nutritional requirements for the elderly that advocate a need for deriving nutritional requirements for the elderly in India

The correlations between gut microbiota of Muslim Thai lactating women and their dietary intake and gut microbiota of breastfed infants

@#Introduction: Foods and nutrients are essential not only for human health, but also for the balance of gut microbiota. This research aimed to correlate the gut microbiota of lactating women with their food/ nutrient intakes, as well as with their infants’ gut microbiota. Methods: A cross-sectional study was conducted in 27 pairs of mothers and their exclusively breastfed infants. For lactating women, the dietary assessment was conducted by 24-hour recall, and food groups were assessed following the Food and Agriculture Organization’s guidelines, while nutrient intake was analysed using INMUNCAL V3 programme. Gut microbiota of mothers and infants were measured in stool samples using fluorescent in situ hybridisation technique. Results: It was found that energy intake of mothers was only 66% of the recommended Thai Dietary Reference Intakes (DRIs). Most micronutrient and dietary fibre intakes were below the Thai DRIs. Vitamin A (VA)-rich fruits and vegetables food group correlated positively with Lactobacillus species (spp). The association between gut microbiota and nutrient intake of lactating women showed that total protein, phosphorus, and VA were positively correlated with Bifidobacterium spp.; while β-carotene and vitamin C were also positively correlated with Lactobacillus spp. In contrast, consumption of eggs and calcium correlated negatively with Clostridium spp./ Enterobacter spp. Bifidobacterium spp. and Lactobacillus spp. of lactating women and breastfed infants showed strong correlations. Conclusion: Food and nutrient intakes of lactating women were correlated with their Clostridium spp./Enterobacter spp., Bifidobacterium spp. and Lactobacillus spp. Furthermore, Bifidobacterium spp. and Lactobacillus spp. of mothers and breastfed infants showed strong correlations.

Anemia status and related factors among left-behind children in poverty-stricken rural areas, in China, 2016 / 中华流行病学杂志

Objective@#To explore the prevalence of anemia and related factors among left-behind children in poverty-stricken rural areas in China, to provide basic information for anemia prevention and treatment for children.@*Methods@#Data from the National Nutrition Improvement Program for Rural Compulsory Education Students in 2016 were used to express the prevalence of anemia among left-behind children. By using the multistage stratified random cluster sampling method, left-behind children of the 6-17-years-old in poverty-stricken rural areas were recruited in this study. Blood hemoglobin concentration of these students was determined by cyanmethemoglobin method. Anemia was judged by the WHO recommended standard and combined with the sea level elevation correction standard. Frequencies of food intake were collected through questionnaires. Data was then available for analysis including the level of hemoglobin and anemia rates. Relationship between anemia and food intakes as well as other influential factors was also analyzed.@*Results@#The overall anemia prevalence (AP) was 11.6% among the participants. Rates of AP among the 6-, 7-, 15- and 16-17-years-old were 21.1%, 18.0%, 20.6% and 17.3%, respectively. Rates of AP among left-behind girls of 10-11-years-old and the 13-15-years-old were significantly higher than those in boys at the same age (P<0.01) group. Factors including: being girls (OR=1.34, 95%CI: 1.23-1.45), at grade 7 to 9 (OR=1.47, 95%CI:1.30-1.67) and mother being migrant worker (OR=1.32, 95%CI:1.16- 1.50) had higher proportions of getting anemia. Factors as living in the western area (OR=0.85, 95%CI: 0.78-0.93), taking breakfast every day (OR=0.70, 95%CI: 0.64-0.76), having meat more than twice per week (OR=0.84, 95%CI: 0.75-0.93) and having two kinds of vegetables per day (OR=0.85, 95%CI: 0.75-0.96) appeared protective.@*Conclusions@#Prevalence of anemia in left-behind children from the poverty-stricken rural areas was high, including junior middle school students from grade 7 to 9 at the early stage of youth development, girls and children with mothers as migrant workers. Anemia should be reduced by promoting the protective factors as having breakfast, increasing intakes of meat and fresh vegetables.

Dietary intakes and obesity of Malaysian adults

BACKGROUND/OBJECTIVES: Over the past few decades, Malaysia has been experiencing an increased prevalence of overweight and obesity that threatens the health of Malaysians. Poor dietary intake is one of the major contributors to the development of obesity and many non-communicable diseases. The dietary intakes of adults in Malaysia were assessed to determine the association between the dietary intake variables and the body mass index (BMI) and waist circumference (WC) measurements. This study examined whether the dietary intake achieved the recommended nutritional guidelines and compared the intakes between both sexes. SUBJECTS/METHODS: The height, weight, and WC of four-hundred-and-ninety adults (n = 490) in Malaysia were measured using standard procedures. The three-day 24-hour dietary recalls were conducted on 422 out of the 490 adults and their dietary intakes were evaluated in detail. The selected dietary intake variables were used to determine the associations with the obesity indicators. RESULTS: Among the participants, 52.8% were overweight or obese. After data analysis, the mean energy intake was 1,550 kcal/day, in which male participants had a significantly higher energy and macronutrients intake than females. Protein consumption and its percentage of energy contribution exceeded the recommended range. The consumption of fruits, vegetables, and milk and milk products were lower than the recommended number of servings for a healthy diet. The male participants consumed significantly more servings of carbohydrate-based foods, meat, and fats, oils, and sweets than females. Among the selected dietary intake variables, only the carbohydrate intake was negatively associated with the BMI (Estimate b = −0.008) and WC measurements (Estimate b = −0.019) after adjusting for covariates. CONCLUSIONS: This study evaluated the dietary intakes of a sample of Malaysian adults and its association with the obesity indicators. The results highlight the need for improvements and modifications of the dietary intake of Malaysians to reduce the overweight and obesity rates.

ESTADO NUTRICIONAL DE ALUMNOS UNIVERSITARIOS DE LA PROVINCIA DE MISIONES / NUTRITIONAL STATE OF UNIVERSITY STUDENTS FROM PROVINCE OF MISIONES

las actuales presiones sociales condicionan conductas que conducen a desequilibrios nutricionales.

Prácticas alimentarias parentales y su relación con la conducta alimentaria infantil: Problemas para la explicación / Parental feeding practices and their relation to child eating behavior: Problems for explanation

Resumen Desde la infancia, las prácticas alimentarias parentales (PAP) influyen en el aprendizaje del comer saludablemente. Sin embargo, la terminología inconsistente y la falta de descripciones claras de las PAP obstaculizan la comprensión de su influencia en dicho aprendizaje. A partir de una revisión selectiva de artículos científicos que incluyeron descripciones de las PAP y su relación con algún aspecto de la conducta alimentaria infantil (CAI), se buscó analizar las descripciones conductuales planteadas en la literatura durante la última década (2006-2016), con el propósito de clarificar las relaciones documentadas entre éstas y la CAI. Los resultados fueron categorizados a partir de las relaciones planteadas entre las PAP y algunos de los retos principales que el tópico de la CAI, como son: la aceptación de alimentos nuevos, el desarrollo de preferencias alimentarias y la autorregulación alimentaria. Los resultados reflejan algunas PAP asociadas tanto a conductas alimentarias deseables como indeseables para la salud de los niños. La confusión en la terminología y la falta de consistencia en las descripciones conductuales de las PAP, así como las explicaciones sobre los mecanismos por los cuales tales prácticas influyen en la CAI son todavía desconocidas. Se proponen algunas consideraciones a retomar en investigaciones futuras.

Abstract Parental feeding practices influence the learning of healthy eating since childhood. But the lack of clear descriptions and inconsistent terminology of such practices hampers the understanding of their influence on such learning. From a selected review of scientific articles that included descriptions of parental feeding practices and relationships with any aspect of children's eating behavior, we analyzed the behavioral descriptions stated in literature during the last decade (2006-2016) with the purpose to clarify relations among these and the children's eating behavior. The results were categorized based on the relationships between feeding practices and the challenges in infant feeding behavior such as acceptance of new foods, development of food preferences, and food self-regulation. The results reflect some practices associated with both desirable and undesirable children's eating behavior. Confusion in terminology and lack of consistency in behavioral descriptions of parental feeding practices and explanations of the mechanisms of such practices are still unknown. Some considerations are proposed for future research.

Study on the Relationship between the Nutrient Intake and Level of Depressive Symptoms: Using the Data from the Korea National Health and Nutrition Examination Survey 2016

The purpose of this study was to examine the relationships between the nutrient intake and level of depressive symptoms. A total of 5,761 subjects with depression were selected for the main data analysis from a Korean National Health and Nutrition Examination Survey, KNHANES (2016), and were divided into low depressed and high depressed groups. The data were analyzed by descriptive analysis, χ2-test, logistic regression, and t-test using SPSS 24.0 statistics. The results revealed significant differences in the prevalence of depression according to sex (P < 0.001), age (P < 0.001), income (P < 0.001), and education (P < 0.001). Regarding the health behavior, higher stress levels (P < 0.001) and smoking habit (P < 0.001) appeared to be strongly associated with high levels of depression. On the other hand, the possibility of experiencing depressive symptoms was lower when the number of walking days per week was more than 3 days (P < 0.05), when the number of working days per week was more than 5 days (P < 0.01), and the rate of aerobic physical activity was higher. Based on the ‘Dietary Reference Intakes for Koreans 2015’, the subjects in the low depression group showed better intake of energy and 22 nutrients than the high depression group.

Anthropometic Characteristics, Serum Profiles and Nutrient Intakes by Drinking and Non-Drinking Status of Korean Women Aged 30–49 Years: Based on Korean National Health and Nutrition Examination Survey (2008–2015)

This study was conducted to investigate the anthropometric data, serum profiles, food intakes frequency, and nutrient intakes of women aged 30–49 years. The subjects were divided into two groups: drinking group and non-drinking group. For the study, we obtained data for analysis from the combined 2008–2015 Korean National Health and Nutrition Examination Survey (KNHANES). Height and weight were 159.2 cm and 58.1 kg in the drinking group as well as 158.1 cm and 57.7 kg in the non-drinking group, respectively. Obesity percentage in the two groups were 22.5% and 24.8%, respectively. HDL-cholesterol (P < 0.001) and Vitamin D (P=0.0248) levels in the drinking group were significantly higher than those of the non-drinking group. In the drinking group, rates of hypertension, myocardial infarction, and diabetes were significantly lower than those of the non-drinking group. Food and nutrient intakes, including energy, water, protein, fat, retinol, thiamin, riboflavin, and niacin, in the drinking group were significantly higher than those of the non-drinking group. In the two groups, energy, water, fiber, calcium, and potassium intakes were low while Na intakes were extremely high considering KDRIs (Dietary Reference Intakes for Koreans). The mean adequacy ratio (MAR) in the two groups was not significant.

Effects of Nutrition Education and Exercise Program on Obesity Index and Behavioral Modification in Moderate Obese Women / 대한지역사회영양학회지

OBJECTIVES: The purpose of this study was to investigate the behavioral modification of obese adults who underwent nutritional and physical activity education. Twenty obese females, aged 20–60 years old, with BMIs (Body Mass Index) >30 or body fat (%) >40 were subjected to this study. METHODS: The physical activity education program consisted of doing exercise in a gymnasium together or home exercise. Dietary attitudes and dietary intakes were assessed using weight control, physical activity, and eating habits. The nutrition-exercise educational period was 12 weeks. RESULTS: After the study period, there was significant improvement in physical activity and eating habits score. Furthermore, there was a significant increase in the dietary intakes of fiber, iron, potassium, vitamin A, vitamin B6, and niacin. Blood pressure, blood glucose, and total cholesterol levels showed a tendency to decrease, but there was no significant difference. BMI, fat mass, abdominal circumference, and visceral fat levels were significantly reduced while muscle mass significantly increased. CONCLUSIONS: This study suggests that behavioral modification by nutrition and physical activity education with feedback has positive effects on dietary intake and anthropometric biomarkers in obese adults. Therefore, lifestyle interventions of this kind could be recommended as a method for obesity management.

Effects of Nutrition Education and Exercise Program on Obesity Index and Behavioral Modification in Moderate Obese Women / 대한지역사회영양학회지

OBJECTIVES: The purpose of this study was to investigate the behavioral modification of obese adults who underwent nutritional and physical activity education. Twenty obese females, aged 20–60 years old, with BMIs (Body Mass Index) >30 or body fat (%) >40 were subjected to this study. METHODS: The physical activity education program consisted of doing exercise in a gymnasium together or home exercise. Dietary attitudes and dietary intakes were assessed using weight control, physical activity, and eating habits. The nutrition-exercise educational period was 12 weeks. RESULTS: After the study period, there was significant improvement in physical activity and eating habits score. Furthermore, there was a significant increase in the dietary intakes of fiber, iron, potassium, vitamin A, vitamin B6, and niacin. Blood pressure, blood glucose, and total cholesterol levels showed a tendency to decrease, but there was no significant difference. BMI, fat mass, abdominal circumference, and visceral fat levels were significantly reduced while muscle mass significantly increased. CONCLUSIONS: This study suggests that behavioral modification by nutrition and physical activity education with feedback has positive effects on dietary intake and anthropometric biomarkers in obese adults. Therefore, lifestyle interventions of this kind could be recommended as a method for obesity management.

A review of radioactivity level in whole diet of Chinese residents / 中华放射医学与防护杂志

Studies about the radioactivity level in whole diet of Chinese residents were presented in this paper. Related method and result were analyzed and compared between different countries. A summary and an outlook of this field were put forward in the end. This study estimated the radioactivity level in whole diet of Chinese residents and those in other countries. It also provided information for food safety and radiation protection of the public.

Evidence-based approaches for establishing the 2015 Dietary Reference Intakes for Koreans

BACKGROUND/OBJECTIVES: The Dietary Reference Intakes for Koreans (KDRIs), a set of reference intake values, have served as a basis for guiding a balanced diet that promotes health and prevents disease in the general Korean population. In the process of developing DRIs, a systematic review has played an important role in helping the DRI committees make evidence-based and transparent decisions for updating the next DRIs. Thus, the 2015 KDRI steering committee applied the systematic review framework to the revision process of the KDRIs. The purpose of this article is to summarize the revision process for the 2015 KDRIs by focusing on the systematic review framework. MATERIALS/METHODS: The methods used to develop the systematic review framework for 2015 KDRIs followed the Agency for Healthcare Research and Quality (AHRQ) and the Tufts Evidence-based Practice Center (EPC). The framework for systematic review of the 2015 KDRIs comprised of the 3 following steps: (1) development of an analytic framework and refinement of key questions and search terms; (2) literature search and data extraction; and, (3) appraisal of the literature and summarizing the results. RESULTS: A total of 203,237 studies were retrieved through the above procedure, with 2,324 of these studies included in the analysis. General information, main results, comments of reviewers, and results of quality assessment were extracted and organized by study design. The average points of quality appraisals were 3.0 (range, 0–5) points for intervention, 6.1 (0–9) points for cohort, 6.0 (3–9) points for nested case-control, 5.4 (1–8) points for case-control, 14.6 (0–22) points for cross-sectional studies, and 7.0 (0–11) points for reviews. CONCLUSIONS: Systematic review helped to establish the 2015 KDRIs as a useful tool for evidence-based approach. Collaborative efforts to improve the framework for systematic review should be continued for future KDRIs.

Ingestas diarias de selenio a partir de su cuantificación en alimentos cocinados en una región endémica afectada por arsenicismo en Argentina / Daily selenium intakes from quantification in foods cooked in an arsenic-endemic region of Argentina

RESUMEN Cuantificar los niveles de selenio en alimentos cocinados y consumidos en una zona endémica de arsénico y calcular las ingestas diarias para estudiar si contribuyen a disminuir la acción tóxica del arsénico. Se muestrearon n= 38 alimentos consumidos en comedores escolares y en una casa de familia de Taco Pozo. La cuantifícación se realizó con Flow Injection Hydride Generation Atomic Absorption Spectrometry (FI-HG-AAS). Para el cálculo de ingesta se consideró los pesos de las porciones de alimentos consumidos y el peso corporal de referencia para los individuos (adultos y menores) según la edad. Las concentraciones promedios de selenio en los desayunos/meriendas oscilan entre 32,2 a 69,1 ng/g peso húmedo (ph), los almuerzos/cenas entre 14,0 a 67,6 ng/g ph. La ingesta diaria total se encuentra entre 13,0 a 67,4 μg/día. Los desayunos presentaron mayores concentraciones que los almuerzos/cenas. Las ingestas diarias resultaron inferiores a la dosis diaria recomendada a excepción de uno de los puntos muestreados. Se estima que estas dietas no mitigarían los efectos tóxicos del arsénico, aumentando la posibilidad de apariciones de patologías asociadas a éste.

ABSTRACT Quantify selenium levels in cooked and consumed foods in an arsenic endemic area and calculate the daily intakes to study if they contribute to diminish the toxic action of arsenic. We sampled n= 38 foods consumed in school canteens and in a family home in Taco Pozo. Quantification was performed with Flow Injection Hydride Generation Atomic Absorption Spectrometry (FI-HG-AAS). The weights of the portions of food consumed and the reference body weight for individuals (adults and minors) according to age were considered for the calculation of intake. We quantified selenium levels in foods cooked and consumed in an arsenic-endemic area and calculated daily intake to study if consumption contributed to a decrease in the toxic activity of arsenic. Thirty-eight foods consumed in school cafeterias and in a family home in Taco Pozo were sampled. Quantification was performed using Flow Injection Hydride Generation Atomic Absorption Spectrometry (FI-HG-AAS). For consumption calculation, we considered portion weight of each food and the body weight of the individuals studied. The average selenium concentration in breakfast / snacks ranged from 32.2 to 69.1 ng/g wet weight (ww) and between 14.0 and 67.6 ng/g ww for lunches/dinners. The total daily intake was between 13.0 and 67.4 μg/day1. The daily intakes were lower than the recommended daily dose except for one of the points sampled. These diets do not help to mitigate the toxic effects of arsenic, thus increasing the possibility of occurrences of associated pathologies.

Lípidos, sodio y fibra dietética en harina de trigo y pan artesanal en Uruguay: aporte nutricional según recomendaciones para distintos grupos de población / Lipids, sodium and dietary fiber in wheat flour and artisan bread in Uruguay: nutritional intake according to the recommendations for different population groups

This research assessed the proportion of whole-wheat flour in whole-wheat bread relative to the level mandated by law, as well as the content of lipids (Lip) and sodium (Na) in French bread, and of Lip, Na and total dietary fiber (TDF) in whole-wheat bread made in bakeries in Montevideo and Canelones, Uruguay. The percentage ofNa and TDF using both Adequate Intakes (Als) and Tolerable Upper Intake levels (Uls) were estimated in reference to recommended daily quantities. Na in French bread consists of 64% of AIs for individuals aged nine and older, and over 100% of AIs for adults aged 51 and older. Whole-wheat bread values are slightly lower. TDF consists of 38% of AIs in 9 year-old children and 53% in adults older than 50 years of age. This work helps to establish a baseline for the development of formulations with minimum levels of Na and optimum levels of TDF in artisan bread.

La presente investigación evaluó la proporción de harina integral en pan integral con el nivel legislado; el contenido de lípidos y sodio (Na) en pan francés y lípidos, Na y fibra dietética total (FDT) en pan integral elaborado en panaderías de Montevideo y Canelones. Se estimó según cantidades diarias recomendadas el porcentaje de Na y FDT en relación a las Ingestas Adecuadas (AIs) y los Límites Máximos Tolerables (Uls). El Na en pan francés cubre desde los 9 años un 64% de las IAs hasta cerca del 100% en adultos desde los 51 años; el pan integral alcanza valores algo inferiores. La FDT cubre en niños de 9 años el 38% de las IAs y 53% en adultos mayores de 50 años. Este trabajo contribuye a disponer de una línea de base para el desarrollo de formulaciones con mínimos niveles de Na y óptimos de FDT en panes artesanales.

Anthropometic Characteristics, Serum Profiles, Health Status, Food Intakes Frequency and Nutrient Intakes by Married Status of Men Aged 30-39: Based on Korean National Health and Nutrition Examination Survey (2008-2015)

This study was conducted to investigate the anthropometric data, serum profiles, nutrient intakes and diet quality of men in their 30s. The subjects were divided into a married group and an unmarried group. For the study, we obtained data for analysis from the combined 2008∼2015 Korean National Health and Nutrition Examination Survey (KNHANES). Mean height and weight of study population were 173.5 cm, and 74.0 kg in the married group and 173.1 cm, and 73.6 kg in the unmarried group, respectively. Systolic blood pressure in the unmarried group was significantly higher than that of the married group (P<0.001), while circulating vitamin D levels in the married group were significantly higher than those of the unmarried group (P <0.001). The proportion of obesity in the two groups was 42.41% and 38.40%, respectively. In the unmarried group, prevalence of depression was significantly higher than that those of the married group. Intakes of energy, water, protein, fat, carbohydrate and calcium in the married group were significantly higher than those of the unmarried group. In both groups, water and fiber intakes were low and sodium intakes were extremely high based on the KDRIs (Dietary Reference Intakes for Koreans). The mean adequacy ratio (MAR) of the married group was higher than that of the unmarried group. The index of nutritional quality (INQ) in the married group was also higher than that of the unmarried group. Therefore, we propose development of dietary guidelines and education programs for improvement of food and nutrient intakes, nutrition balance and dietary quality of unmarried men in their 30s.

Coffee consumption behaviors, dietary habits, and dietary nutrient intakes according to coffee intake amount among university students / 한국영양학회지

PURPOSE: This study was conducted to examine coffee consumption behaviors, dietary habits, and nutrient intakes by coffee intake amount among university students. METHODS: Questionnaires were distributed to 300 university students randomly selected in Gongju. Dietary survey was administered during two weekdays by the food record method. RESULTS: Subjects were divided into three groups: NCG (non-coffee group), LCG (low coffee group, 1~2 cups/d), and HCG (high coffee group, 3 cups/d) by coffee intake amount and subjects' distribution. Coffee intake frequency was significantly greater in the HCG compared to the LCG (p < 0.001). The HCG was more likely to intake dripped coffee with or without milk and/or sugar than the LCG (p < 0.05). More than 80% of coffee drinkers chose their favorite coffee or accompanying snacks regardless of energy content. More than 75% of coffee takers did not eat accompanying snacks instead of meals, and the HCG ate them more frequently than LCG (p < 0.05). Breakfast skipping rate was high while vegetable and fruit intakes were very low in most subjects. Subjects who drank carbonated drinks, sweet beverages, or alcohol were significantly greater in number in the LCG and HCG than in the NCG (p < 0.01). Energy intakes from coffee were 0.88 ± 5.62 kcal/d and 7.07 ± 16.93 kcal/d for the LCG and HCG. For total subjects, daily mean dietary energy intake was low at less than 72% of estimated energy requirement. Levels of vitamin C and calcium were lower than the estimated average requirements while that of vitamin D was low (24~34% of adequate intake). There was no difference in nutrient intakes by coffee intake amount, except protein, vitamin A, and niacin. CONCLUSION: Coffee intake amount did not affect dietary nutrient intakes. Dietary habits were poor,and most nutrient intakes were lower than recommend levels. High intakes of coffee seemed to be related with high consumption of sweet beverages and alcohol. Therefore, it is necessary to improve nutritional intakes and encourage proper water intake habits, including coffee intake, for improved nutritional status of subjects.

Metabolic Syndrome Status of Chinese Workers and Their Physical Profiles, Lifestyle Scores, and Nutrient Intakes / 대한지역사회영양학회지

OBJECTIVES: This study was conducted to survey the related factors of metabolic syndrome of Chinese workers aged 20 years and above. METHODS: The study was conducted at three locations in Shandong, China, currently working and took the physical examination (PE) within one year in the area as target participants. Personal characteristics, physical and biochemical results based on the PE, lifestyle habits, and food intake of the participants were used to analyze the relationship with metabolic syndrome. RESULTS: Results showed that overall, thirty-one subjects (22.5%) had metabolic syndrome, twenty males (32.7%) and eleven females (14.2%). Metabolic syndrome was related to age, gender, educational level and occupational type with more risk in male (P < 0.05), people of older age (P < 0.001), low educational level (P < 0.05) and nonoffice workers (P < 0.01). According to the life style scores, lifestyle evaluation showed specifically alcohol consumption and smoking (P < 0.001) and stress management (P < 0.05) as important factors that were associated with the metabolic syndrome. High calorie (P < 0.01) and carbohydrate (P < 0.01) intakes were observed on male participants with metabolic syndrome in comparison to the non-metabolic syndrome but no significant difference on female participants. CONCLUSIONS: This results of this study can be used as significant supporting data to prevent and control metabolic syndrome in Chinese workers.

Nutritional intake analysis of hospital diets in elderly inpatients in Peking Union Medical College Hospi-tal / 中华临床营养杂志

Objective To investigate the nutritional management level of Department of Clinical Nutrition in elderly inpatients through analyzing the actual hospital dietary intakes in elderly inpatients in Peking Union Medical College Hospital from 2013-2015.Methods Using continuous sampling, the nutrients contents and the eating rates of hospital meals ordered by the elderly inpatients on the 1st, 15th, 29th of every month from May 2013 to October 2015 were selected.The intake levels of energy, protein, calcium, vitamin A, vitamin B1 , and vitamin C were calculated and compared with the Chinese dietary reference intakes (DRIs).The nutritional in-take differences between diabetes diet and the basic hospital diet were also compared.Results A total of 90 days of hospital dietary data from 8 402 elderly inpatients were included in the study.The average eating rate was (50.1 ±4.2)%, which was lower than the general eating rate of the hospital [ (59.0 ±4.0)%, P<0.001]. Only protein intake from hospital diet reached the requirement target [male (103.1 ±47.3)%, femal (98.3 ± 33.8)%].Individual compliance rates were 63.2%and 59.8%, respectively, while the other kinds of nutrients were lower.The compliance rates of energy [ (73.3 ±26.3)%vs.(62.1 ±38.2)%, P<0.001] and ma-jor nutrient intake [ protein: ( 119.1 ±41.2 )% vs.( 93.3 ±65.1 )%, P <0.001; calcium: ( 55.5 ± 26.7)% vs.(34.3 ±34.2)%, P <0.001; vitamin A: (75.2 ±48.3)% vs.(57.4 ±97.1)%, P<0.001;vitamin B1:(76.4 ±38.2)%vs.(52.1 ±46.6)%, P<0.001;vitamin C:(92.2 ±51.4)%vs. (49.3 ±55.0)%, P<0.001) in diabetes diet group were significantly higher than those in the basic hospi-tal diet group.Conclusions The nutritional intakes from hospital diets may not meet the nutritional require-ments based on DRIs in elderly inpatients.Medical diet designed by physicians and dietitians should be ex-panded to improve the nutritional management level for these patients.