J Bone Metab.  2015 Aug;22(3):119-126. 10.11005/jbm.2015.22.3.119.

Comparison of Calcium Intake Status by Region and Socioeconomic Status in Korea: The 2011-2013 Korea National Health and Nutrition Examination Survey

Affiliations
  • 1Department of Preventive Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.
  • 2Department of Nutrition, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
  • 3Department of Food Sciences & Nutrition, Soonchunhyang University, Asan, Korea. soon56@sch.ac.kr
  • 4Department of Obstetrics and Gynecology, Soonchunhyang University College of Medicine, Bucheon, Korea. heeobgy@naver.com

Abstract

BACKGROUND
Calcium is an essential element nutrient in our body, and insufficient calcium intake is very common in Korean. Socioeconomic status (SES) is known to be associated with quality of diet and health. The purpose of this study was to compare between calcium intake by region and SES.
METHODS
This study used data from a nationally represented sample of Koreans (n=19,249) from 2011 to 2013 Korea National Health and Nutrition Examination Survey. We were divided into six regions: Seoul and Gyeonggi-do, Gangwon-do, Chungcheong-do, Jeolla-do, Gyeongsang-do, and Jeju-do. Daily calcium intake and dietary quality based on 24 hr recall data was calculated and analyzed by the sex, age, SES.
RESULTS
The regions with the highest calcium intakes in both males and females were Seoul and Gyeonggi-do. The age groups with a significant difference in calcium intake, nutrient adequacy ratio, and nutrient density by region were 14 to 19, 20 to 29, and > or =65 years. Calcium intake and dietary quality were lowest in the low household income group. In terms of being a recipient of the dietary life supply, the calcium intake and dietary quality of the recipient group was low.
CONCLUSIONS
We found that daily calcium intake was very different by region and was significantly lower in region with lower SES. The findings of this study suggest social inequalities in calcium intake by region can be addressed in the development and implementation of tailored nutritional interventions to promote calcium nutritional status of Koreans.

Keyword

Calcium; Diet; Socioeconomic factors

MeSH Terms

Calcium*
Diet
Family Characteristics
Female
Gangwon-do
Gyeonggi-do
Humans
Jeju-do
Korea*
Male
Nutrition Surveys*
Nutritional Status
Seoul
Social Class*
Socioeconomic Factors
Calcium

Figure

  • Fig. 1 Factors showed the lowest calcium intake by region. *Calcium intake. †Calcium intakes ratio vs. the Korean recommended calcium allowance. NBLSS, national basic livelihood security supply; NDLS, national dietary life supply.


Cited by  2 articles

Comparison in Adherence to Osteoporosis Guidelines according to Bone Health Status in Korean Adult
Hee-Sook Lim, Soon-Kyung Kim, Hae-Hyeog Lee, Dong Won Byun, Yoon-Hyung Park, Tae-Hee Kim
J Bone Metab. 2016;23(3):143-148.    doi: 10.11005/jbm.2016.23.3.143.

Current status and trends in estimated intakes and major food groups of vitamin E among Korean adults: Using the 1~6th Korea National Health and Nutrition Examination Survey
Seoeun Ahn, Shinyoung Jun, Seong-Ah Kim, Kyungho Ha, Hyojee Joung
J Nutr Health. 2017;50(5):483-493.    doi: 10.4163/jnh.2017.50.5.483.


Reference

1. Metz JA, Anderson JJ, Gallagher PN Jr. Intakes of calcium, phosphorus, and protein, and physical-activity level are related to radial bone mass in young adult women. Am J Clin Nutr. 1993; 58:537–542.
Article
2. Suleiman S, Nelson M, Li F, et al. Effect of calcium intake and physical activity level on bone mass and turnover in healthy, white, postmenopausal women. Am J Clin Nutr. 1997; 66:937–943.
Article
3. Kraft MD. Phosphorus and calcium: a review for the adult nutrition support clinician. Nutr Clin Pract. 2015; 30:21–33.
4. Bryant RJ, Cadogan J, Weaver CM. The new dietary reference intakes for calcium: implications for osteoporosis. J Am Coll Nutr. 1999; 18:406s–412s.
Article
5. Kris-Etherton PM, Grieger JA, Hilpert KF, et al. Milk products, dietary patterns and blood pressure management. J Am Coll Nutr. 2009; 28:Suppl 1. 103s–119s.
Article
6. Thys-Jacobs S. Micronutrients and the premenstrual syndrome: the case for calcium. J Am Coll Nutr. 2000; 19:220–227.
Article
7. Ministry of Health & Welfare and Family Affairs. Korea Center for Disease Control & Prevention. Korea health statistics 2013: Korea national health and nutrition examination survey (KNHANES VI-1). Seoul: Ministry of Health & Welfare;2014.
8. Koo SM, Seo DG, Park YJ, et al. Association between consumption of milk and dairy products, calcium and riboflavin, and periodontitis in Korean adults: using the 2007-2010 Korea National Health and Nutrition Examination Surveys. J Nutr Health. 2014; 47:258–267.
Article
9. Nitzan Kaluski D, Basch CE, Zybert P, et al. Calcium intake in preschool children--a study of dietary patterns in a low socioeconomic community. Public Health Rev. 2001; 29:71–83.
10. Mayén AL, Marques-Vidal P, Paccaud F, et al. Socioeconomic determinants of dietary patterns in low- and middle-income countries: a systematic review. Am J Clin Nutr. 2014; 100:1520–1531.
Article
11. Mark S, Lambert M, O'Loughlin J, et al. Household income, food insecurity and nutrition in Canadian youth. Can J Public Health. 2012; 103:94–99.
Article
12. Lim H, Cho G, Kim S. Evaluation of nutrient intake and diet quality of gastric cancer patients in Korea. Nutr Res Pract. 2012; 6:213–220.
Article
13. Han JS, Kim JH. Calcium intake and cognition on calcium of adolescents in Busan area. J Korean Soc Food Sci Nutr. 2002; 31:1026–1034.
Article
14. Kim TY, Kim HS. Comparison of calcium intake status among elementary students by participation in the school milk program. Korean J Food Cult. 2009; 24:106–115.
15. Leung CW, Ding EL, Catalano PJ, et al. Dietary intake and dietary quality of low-income adults in the Supplemental Nutrition Assistance Program. Am J Clin Nutr. 2012; 96:977–988.
Article
16. Choi MK, Sung CJ, Kim MH. Relation among calcium intake, bone metabolism parameters, serum protein and lipids of female college students in Chungnam. J Korean Diet Assoc. 2000; 6:108–116.
17. Chung CE. Ready-to-eat cereal consumption enhances milk and calcium Intake in Korean population from 2001 Korean national health and nutrition survey. Korean J Nutr. 2006; 39:786–794.
18. Kim Y. Food and nutrient consumption patterns of Korean adults by socioeconomic status. Korean J Community Nutr. 2001; 6:645–656.
19. Moon HK, Kim EG. Nutrient intake patterns of Koreans by the economic status using 1998 Korean national health and nutrition survey. Korean J Nutr. 2003; 36:1061–1070.
20. Oh SY, Hong MJ. Food insecurity is associated with dietary intake and body size of Korean children from low-income families in urban areas. Eur J Clin Nutr. 2003; 57:1598–1604.
Article
21. Lee KI, Hwang YJ, Lee DS, et al. Strategic approach toward vitalizing food assistance programs. Seoul: Korea Rural Economic Institute;2012.
22. Lee HJ, Cho JI, Lee HS, et al. Intakes of dairy products and calcium and obesity in Korean adults: Korean National Health and Nutrition Examination Surveys (KNHANES) 2007-2009. PLoS One. 2014; 9:e99085.
Article
Full Text Links
  • JBM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr