Beverage consumption and individual-level associations in South Korea

BMC Public Health

Lisa M Powell¹  Tae Hyun Kim³  Euna Han² 

[1] Department of Health Policy and Administration, School of Public Health and Institute for Health Research and Policy, University of Illinois, 1747 West Roosevelt Road, Chicago, IL, MC 275, USA;Department of Pharmacy, College of Pharmacy and Gachon Institute of Pharmaceutical Sciences, Gachon University, Hambakmeoro 19, Yeonsu-Gu, Incheon, 406-799, South Korea;School of Public Health and Institute of Health Services Research, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, South Korea

关键词: South Korea;    Two-part regression model;    Individual-level associations;    Beverage consumption;   

Others  :  1162484
DOI  :  10.1186/1471-2458-13-195

 received in 2012-09-10, accepted in 2013-02-22,  发布年份 2013

【 摘 要 】

Background

Few previous studies investigated consumption distributions of sugar-sweetened beverages (SSBs) over time and individual-level associations in Asia despite the recent interest in SSBs regarding obesity control. This study aimed to provide recent evidence on beverage consumption trends from 2001 to 2009 for overall and subtypes of SSBs and for milk as a comparable healthy beverage in South Korea, as well as associations with individual-level socioeconomic status (SES).

Methods

The Korean National Health and Nutrition Examination Surveys from 2001 to 2009 were used. Consumption prevalence and average caloric intake by SSB type were examined. Associations of SES with consumption were assessed in a multivariate logistic regression model (consumption prevalence) and in a multivariate two-part regression model (overall caloric intake adjusting for consumption probability).

Results

SSB consumption prevalence increased to 38%, 69%, 70%, and 50% by 2009 up from 31%, 66%, 63%, and 32% in 2001 among adolescents, young adults, adults, and the elderly, respectively. Miscellaneous SSBs (sports/energy drinks, coffee/tea products, flavored milk, and others) were the most prevalent and their prevalence increased among adults (from 62% to 69%) and the elderly (from 30% to 47%) between 2001 and 2009. Adolescents consumed the most calories from miscellaneous SSBs among all beverage types although its prevalence was lower than regular soda and milk in both 2001 and 2009. Women (top- income group only) and men in higher income groups showed higher odds of consuming total SSBs (OR = 1.18-1.25), soda (OR = 1.18, men only), fruit drinks (OR = 1.18, the top-income only for both genders), and miscellaneous SSBs (OR = 1.1-1.2). Men with higher-education showed higher odds of total SSB consumption (OR = 1.14-1.20), and all subtypes of SSBs (OR = 1.18, 1.29, 1.19 for soda, fruit drinks, and miscellaneous SSBs, respectively for the top-education group only). There were statistically significant but minimal differences in the overall amount of caloric intake from SSBs by individual SES for both genders.

Conclusions

South Korea is following the global nutrition transition toward greater consumption of SSBs. However, unlike other developed countries, SSB consumption prevalence was higher among high-SES individuals, particularly for fruit drinks and miscellaneous SSBs. Further research is needed to build the international evidence base.

【 授权许可】

   
2013 Han et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Popkin BM, Adair LS, Ng SW: Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev 2012, 70(1):3-21.
• [2]World Health Organization: Information sheet on obesity and overweight. World Health Organization; 2003.
• [3]Flegal KM, Carroll MD, Ogden CL, Curtin LR: Prevalence and trends in obesity among US adults, 1999-2008. JAMA 2010, 303(3):235-241.
• [4]Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM: Prevalence of overweight and obesity in the United States, 1999-2004. JAMA 2006, 295(13):1549-1555.
• [5]Ministry of Health and Welfare: Healthy Eating Styles for Korean Adults. http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=223072&page=1 webcite
• [6]Brownell KD, Frieden TR: Ounces of prevention–the public policy case for taxes on sugared beverages. N Engl J Med 2009, 360(18):1805-1808.
• [7]McKinley J: San Francisco’s Mayor Proposes Fee on Sales of Sugary Soft Drinks. In: New York Times; 2007.
• [8]Patrick DL, Murray TP: FY2010. House Budget Recommendation: Policy Brief. Governor of Massachusetts. 2009. http://www.mass.gov/bb/h1/fy10h1/exec10/hbudbrief19.htm webcite
• [9]New York State Division of Budget: 2009-2010 Executive Budget – Briefing Book.
• [10]Wang YC, Bleich SN, Gortmaker SL: Increasing caloric contribution from sugar-sweetened beverages and 100% fruit juices among US children and adolescents, 1988-2004. Pediatrics 2008, 121:e1604-e1614.
• [11]Han E, Powell LM: Consumption patterns of sugar-sweetened beverages in the United States. J Acad Nutr Dietetics 2013, 113(1):43-53.
• [12]Center for Science in the Public Interest: Liquid candy: why tax soft drinks?. 2009. http://www.cspinet.org/liquidcandy/whytax.html webcite
• [13]Korean Statistical Information Service: Mining and Manufacturing Survey; c2008. Seoul, South Korea; 2009.
• [14]Dennis EA, Flack KD, Davy BM: Beverage consumption and adult weight management: A review. Eat Behav 2009, 10(4):237-246.
• [15]Harnack L, Stang J, Story M: Soft drink consumption among US children and adolescents: nutritional consequences. J Am Diet Assoc 1999, 99(4):436-441.
• [16]Nielsen SJ, Popkin BM: Changes in beverage intake between, 1977 and 2001. Am J Prev Med 2004, 27(3):205-210.
• [17]Vartanian LR, Schwartz MB, Brownell KD: Effects of soft drink consumption on nutrition and health: a systematic review and meta-analysis. Am J Public Health 2007, 97(4):667-675.
• [18]Harris SS, Dawson-Hughes B: Caffeine and bone loss in healthy postmenopausal women. Am J Clin Nutr 1994, 60(4):573-578.
• [19]Fung TT, Malik V, Rexrode KM, Manson JE, Willett WC, Hu FB: Sweetened beverage consumption and risk of coronary heart disease in women. Am J Clin Nutr 2009, 89(4):1037-1042.
• [20]Ehlen LA, Marshall TA, Qian F, Wefel JS, Warren JJ: Acidic beverages increase the risk of in vitro tooth erosion. Nutr Res 2008, 28(5):299-303.
• [21]Park S, Blanck HM, Sherry B, Brener N, O’Toole T: Factors associated with sugar-sweetened beverage intake among United States high school students. J Nutr 2012, 142(2):306-312.
• [22]Evans AE, Springer AE, Evans MH, Ranjit N, Hoelscher DM: A descriptive study of beverage consumption among an ethnically diverse sample of public school students in Texas. J Am Coll Nutr 2010, 29(4):387-396.
• [23]Rehm CD, Matte TD, Van Wye G, Young C, Frieden TR: Demographic and behavioral factors associated with daily sugar-sweetened soda consumption in New York City adults. J Urban Health 2008, 85(3):375-385.
• [24]Bleich SN, Wang YC: Consumption of sugar-sweetened beverages among adults with type 2 diabetes. Diabetes Care 2011, 34(3):551-555. Epub 2011 Jan 27
• [25]Ambrosini GL, Oddy WH, Robinson M, O’Sullivan TA, Hands BP, de Klerk NH, Silburn SR, Zubrick SR, Kendall GE, Stanley FJ: Adolescent dietary patterns are associated with lifestyle and family psycho-social factors. Public Health Nutr 2009, 12(10):1807-1815.
• [26]Hafekost K, Mitrou F, Lawrence D, Zubrick SR: Sugar sweetened beverage consumption by Australian children: implications for public health strategy. BMC Public Health 2011, 11:950.
• [27]Zoellner J, You W, Connell C, Smith-Ray RL, Allen K, Tucker KL, Davy BM, Estabrooks P: Health literacy is associated with healthy eating index scores and sugar-sweetened beverage intake: findings from the rural Lower Mississippi Delta. J Am Diet Assoc 2011, 111(7):1012-1020.
• [28]Eisenmann JC, Alaimo K, Pfeiffer K, Paek HJ, Carlson JJ, Hayes H, Thompson T, Kelleher D, Oh HJ, Orth J: Project FIT: rationale, design and baseline characteristics of a school- and community-based intervention to address physical activity and healthy eating among low-income elementary school children. BMC Public Health 2011, 11:607.
• [29]Popkin BM, Gordon-Larsen P: The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes Relat Metab Disord 2004, 28(Suppl 3):S2-S9.
• [30]Ezendam NP, Evans AE, Stigler MH, Brug J, Oenema A: Cognitive and home environmental predictors of change in sugar-sweetened beverage consumption among adolescents. Br J Nutr 2010, 103(5):768-774.
• [31]Lee HS, Duffey KJ, Popkin BM: South Korea’s entry to the global food economy: shifts in consumption of food between, 1998 and 2009. Asia Pac J Clin Nutr 2012, 21(4):618-629.
• [32]International Monetary Fund: World Economic Outlook Database. 2010. [http://www.imf.org/external/pubs/ft/weo/2010/01/weodata/index.aspx webcite] (accessed on 4 September 2011
• [33]Lee SK, Sobal J: Socio-economic, dietary, activity, nutrition and body weight transitions in South Korea. Public Health Nutr 2003, 6(7):665-674.
• [34]Korean Center of Disease and Control. Korea Ministry of Health and Welfare. Users’ Guide for Korean National Health and Nutrition Examination Survey.. 2011.
• [35]Kim S, Moon S, Popkin BM: The nutrition transition in South Korea. Am J Clin Nutr 2000, 71(1):44-53.
• [36]Lee MJ, Popkin BM, Kim S: The unique aspects of the nutrition transition in South Korea: the retention of healthful elements in their traditional diet. Public Health Nutr 2002, 5(1A):197-203.
• [37]Park MH, Park MS, Paik HY: Cultural Life in Korea. Seoul: Kyomunsa Ltd; 2003.
• [38]Song Y, Joung H, Engelhardt K, Paik HY, Yoo SY: Traditional v. modified dietary patterns and their influence on adolescents’ nutritional profile. Br J Nutr 2005, 93(6):943-949.
• [39]Putnam JJ, Allshouse JE: Food Consumption, Prices and Expenditures, 1970-1997. Washington, D.C: Economic Research Service, U.S. Department of Agriculture; 1999.
• [40]Korea Food and Drug Administration: Sugar consumption level of Korean. http://kfda.korea.kr/gonews/branch.do?act=detailView&dataId=155830075§ionId=p_sec_1&type=news&flComment=1&flReply=0 webcite
• [41]Arcan C, Kubik MY, Fulkerson JA, Story M: Sociodemographic differences in selected eating practices among alternative high school students. J Am Diet Assoc 2009, 109(5):823-829.
• [42]Han E, Liu GG: Racial disparities in prescription drug use for mental illness among population in US. J Ment Health Policy Econ 2005, 8(3):131-143.
• [43]Manning WG, Duan N, Rogers WH: Monte Carlo evidence on the choice between sample selection and two-part models. J Econom 1987, 35:59-82.
• [44]Moon HK: The method of the Korean National Nutrition Survey. Korean J Nutr 1994, 27:509-524.
• [45]Block G: Foods contributing to energy intake in the US: data from NHANES III and NHANES 1999-2000. J Food Compost Anal 2004, 17:439-447.
• [46]Malik VS, Schulze MB, Hu FB: Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr 2006, 84(2):274-288.
• [47]Centers for Disease Control and Prevention: Surveillance summaries: youth risk behavior surveillance-united states. MMWR Morb Mortal Wkly Rep 2006, 55:1-65. No. SS-12
• [48]Kim E, Hwang JY, Woo EK, Kim SS, Jo SA, Jo I: Body mass index cutoffs for underweight, overweight, and obesity in South Korean schoolgirls. Obes Res 2005, 13(9):1510-1514.
• [49]Hawkes C: Marketing activities of global soft drink and fast food companies in emerging markets: A review. In Globalization, Diets and Noncommunicable Diseases. Geneva: World Health Organization; 2002.