우리나라 청소년의 플라보노이드 섭취 실태 = 2007~2012년 국민건강영양조사 자료를 이용하여

국문 초록 (Abstract)

본 연구에서는 우리나라 12~18세 청소년의 플라보노이드 섭취 실태와 그 역학적 특성을 파악하기 위해 제 4·5기 국민건강영양조사 (2007~2012) 자료의 24시간 회상법 자료와 상용식품 중 플라보노이드 함량 데이터베이스를 연계하여 1일 총 플라보노이드 및 개별 플라보노이드 (플라보놀, 플라본, 플라바논, 플라반-3-올, 안토시아니딘, 이소플라본) 섭취량을 추정하였다. 그 결과, 한국 12~18세 청소년의 1일 평균 총 플라보노이드 섭취량은 남자 청소년이 195.6 mg/d, 여자 청소년이 189.4 mg/d 였으며, 개별 플라보노이드 중에는 플라보놀, 이소플라본 순으로 섭취량이 많았다. 플라보노이드 섭취량에 따라 영양소 및 식품군의 섭취량에 뚜렷한 차이가 있었는데, 플라보노이드 섭취량이 많은 군에서 지방 섭취량과 지방 기여 에너지 섭취량이 유의하게 낮았으며, 식이섬유와 비타민 C 섭취량은 유의하게 증가하였다. 식품군 별로 살펴보았을 때, 플라보노이드 섭취량이 많은 군일수록 곡류와 육류, 우유 및 유제품군의 섭취량이 적었고, 두류와 과일류의 섭취가 선형적으로 증가하였다. 플라보노이드 섭취량에 따른 사회인구학적 요인, 건강 관련 지표, 식생활 요인의 분포를 살펴보았을 때, 플라보노이드 섭취량이 많은 그룹일수록 여성의 비율이 더 많았으며, 허리둘레와 수축기 혈압의 평균값이 유의하게 적었다. 여러 역학연구를 통해 플라보노이드가 심혈관계 질환, 당뇨병 등 만성질환의 예방에 긍정적인 영향을 미침이 증명되었고, 청소년기의 식생활은 성인기 이후 만성질환의 발생과 연관이 있으므로, 성인기의 건강을 위해서 청소년기부터 플라보노이드가 풍부한 식생활을 하는 것이 중요할 것으로 사료된다. 청소년의 플라보노이드 섭취 실태를 확인한 본 연구에서 더 나아가 플라보노이드 섭취량과 대사지표 및 질병의 유병률 등과의 연관성에 대한 후속 연구가 필요할 것이다.

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to estimate dietary flavonoids intake of Korean adolescents. Methods: Using data from the 2007-2012 Korean National Health and Nutrition Examination Survey, a total of 3,957 subjects aged 12-18 were included in this study. We estimated individual daily intake of total flavonoid and six flavonoid classes including flavonols, flavones, flavanones, flavan-3-ols, anthocyanidins, and isoflavones by linking food consumption data with the flavonoids in the commonly consumed food database. The distribution of sociodemographic, health-related, and dietary factors according to flavonoids intake was examined. Results: Average dietary flavonoids intake of the study subjects was 195.6 mg/d in girls, and 189.4 mg/d in boys. The highest flavonoids intake group consumed significantly more fiber, vitamin C, legumes, fruits, and vegetables (p ＜ 0.01) and less fat, grains, meats and dairy foods than other lower consumption groups (p ＜ 0.001). Dietary flavonoid intake showed negative correlation with waist circumference and systolic blood pressure (p ＜ 0.05). Conclusion: This study provided basic data for estimation of flavonoids intake of Korean adolescents. Further research will be required for analysis of the association of flavonoids intake and health-related factors such as cardiovascular risk factors.

목차 (Table of Contents)

• ABSTRACT
• 서론
• 연구방법
• 결과
• 고찰
• 요약
• References

참고문헌 (Reference)

1 오경원, "한국 소아청소년의 비만 유병률 추이: 1997년과 2005년 비교" 대한소아과학회 51 (51): 950-955, 2008

2 김지현, "학령기 어린이와 청소년의 채소ㆍ과일 섭취 현황 및섭취에 영향을 미치는 요인- 영양(교)사 포커스 그룹 인터뷰를 이용하여 -" 한국지역사회생활과학회 24 (24): 567-581, 2013

3 김소현, "전곡류 및 채소, 과일 섭취의 증가가 청소년의 체내 항산화능 개선에 미치는 영향" 한국영양학회 45 (45): 452-461, 2012

4 백승희, "여자 중학생의 비만도, 체력이 심혈관 위험지수에 미치는 영향" 한국체육과학회 21 (21): 1009-1017, 2012

5 장진하, "소아비만증에서 대사 증후군의 유병률" 대한소아과학회 47 (47): 1149-1156, 2004

6 김경원, "대전지역 여중생들의 체중조절 여부에 따른 영양지식, 식태도, 식행동 및 영양소 섭취실태에 관한 연구" 대한지역사회영양학회 7 (7): 3-31, 2002

7 권우정, "경기도 일부 도시 및 농촌지역 여고생의 영양섭취, 식행동, 체형인식 및 철분영양상태 비교연구" 한국영양학회 35 (35): 90-101, 2002

8 Ministry of Health and Welfare, "The third national health promotion plan (2011-2020)" Ministry of Health and Welfare 2011

9 Beatty S, "The role of oxidative stress in the pathogenesis of age-related macular degeneration" 45 (45): 115-134, 2000

10 Vita JA, "Polyphenols and cardiovascular disease: effects on endothelial and platelet function" 81 (81): 292S-297S, 2005

11 Hertog MG, "Phytochemistry of Fruit and Vegetables" Clarendon Press 313-330, 1997

12 Vinson JA, "Phenol antioxidant quantity and quality in foods: fruits" 49 (49): 5315-5321, 2001

13 Dominguez C, "Oxidative stress at onset and in early stages of type 1 diabetes in children and adolescents" 21 (21): 1736-1742, 1998

14 Lifshitz F, "Nutrition in adolescence" 22 (22): 673-683, 1993

15 Steffen Y, "Mono-O-methylated flavanols and other flavonoids as inhibitors of endothelial NADPH oxidase" 469 (469): 209-219, 2008

16 Ministry of Health and Welfare, "Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANES V-3)" Korea Centers for Disease Control and Prevention

17 Ministry of Health and Welfare, "Korea Health Statistics 2011: Korea National Health and Nutrition Examination Survey" Korea Centers for Disease Control and Prevention 2012

18 Ministry of Health and Welfare, "Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1)" Korea Centers for Disease Control and Prevention

19 Ministry of Health and Welfare, "Korea Health Statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES IV-3)" Korea Centers for Disease Control and Prevention

20 Ministry of Health and Welfare, "Korea Health Statistics 2008: Korea National Health and Nutrition Examination Survey (KNHANES IV-2)" Korea Centers for Disease Control and Prevention

21 Ministry of Health and Welfare, "Korea Health Statistics 2007: Korea National Health and Nutrition Examination Survey (KNHANES IV-1)" Korea Centers for Disease Control and Prevention

22 Knaze V, "Intake estimation of total and individual flavan-3-ols, proanthocyanidins and theaflavins, their food sources and determinants in the European Prospective Investigation into Cancer and Nutrition (EPIC) study" 108 (108): 1095-1108, 2012

23 Casagrande SS, "Have Americans increased their fruit and vegetable intake? The trends between 1988 and 2002" 32 (32): 257-263, 2007

24 Cassidy A, "Habitual intake of flavonoid subclasses and incident hypertension in adults" 93 (93): 338-347, 2011

25 Holt EM, "Fruit and vegetable consumption and its relation to markers of inflammation and oxidative stress in adolescents" 109 (109): 414-421, 2009

26 Jeffrey B. Blumberg, "Flavonols, Flavones, Flavanones, and Human Health: Epidemiological Evidence" 한국식품영양과학회 8 (8): 281-290, 2005

27 Yao LH, "Flavonoids in food and their health benefits" 59 (59): 113-122, 2004

28 Galleano M, "Flavonoids and metabolic syndrome" 1259 : 87-94, 2012

29 Hertog MG, "Flavonoid intake and long-term risk of coronary heart disease and cancer in the seven countries study" 155 (155): 381-386, 1995

30 Knekt P, "Flavonoid intake and coronary mortality in Finland: a cohort study" 312 (312): 478-481, 1996

31 Mink PJ, "Flavonoid intake and cardiovascular disease mortality: a prospective study in postmenopausal women" 85 (85): 895-909, 2007

32 McCullough ML, "Flavonoid intake and cardiovascular disease mortality in a prospective cohort of US adults" 95 (95): 454-464, 2012

33 Kris-Etherton PM, "Evidence that the antioxidant flavonoids in tea and cocoa are beneficial for cardiovascular health" 13 (13): 41-49, 2002

34 Jun S, "Estimation of dietary flavonoid intake and major food sources of Korean adults" 2015

35 Chun OK, "Estimated dietary flavonoid intake and major food sources of U.S. adults" 137 (137): 1244-1252, 2007

36 The Korean Nutrition Society, "Dietary reference intakes for Koreans. 1st revision"

37 양윤정, "Dietary flavan-3-ols intake and metabolic syndrome risk in Korean adults" 한국영양학회 6 (6): 68-77, 2012

38 Hertog MG, "Dietary antioxidant flavonoids and risk of coronary heart disease:the Zutphen elderly study" 342 (342): 1007-1011, 1993

39 Ness AR, "Diet in childhood and adult cardiovascular and all cause mortality: the Boyd Orr cohort" 91 (91): 894-898, 2005

40 Chun OK, "Daily consumption of phenolics and total antioxidant capacity from fruit and vegetables in the American diet" 85 (85): 1715-1724, 2005

41 O’Byrne DJ, "Comparison of the antioxidant effects of Concord grape juice flavonoids alphatocopherol on markers of oxidative stress in healthy adults" 76 (76): 1367-1374, 2002

42 Rein D, "Cocoa inhibits platelet activation and function" 72 (72): 30-35, 2000

43 Hertog MG, "Antioxidant flavonols and ischemic heart disease in a Welsh population of men: the Caerphilly study" 65 (65): 1489-1494, 1997

44 Kim JH, "Analysis of factors affecting Korean eating behavior" 7 (7): 1-8, 1992

45 Doll R, "An overview of the epidemiological evidence linking diet and cancer" 49 (49): 119-131, 1990

46 Lee SA, "Adolescent and adult soy food intake and breast cancer risk: results from the Shanghai Women's Health Study" 89 (89): 1920-1926, 2009

47 An GS, "A comparison of the food and nutrient intake of adolescents between urban areas and islands in south Kyungnam" 6 (6): 271-281, 2001

48 Schroeter H, "(-)-Epicatechin mediates beneficial effects of flavanol-rich cocoa on vascular function in humans" 103 (103): 1024-1029, 2006