Health Promotion through Promotion of Fruits and Vegetables in … · Change in population...
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Health Promotion through Promotion of Fruits and Vegetables in the Republic of Korea Cho-il Kim Korea Health Industry Development Institute
Transcript of Health Promotion through Promotion of Fruits and Vegetables in … · Change in population...
Health Promotion through Promotion
of Fruits and Vegetables in the
Republic of Korea
Cho-il Kim
Korea Health Industry Development Institute
Change in Gross National Income (GNI) from 1980 to 2002
0
10
20
30
40
50
60
70
80+
(1970)
여남
0
10
20
30
40
50
60
70
80+
(1980)
여남
0
10
20
30
40
50
60
70
80+ (1990)
여남
Change in population structure
Male Female Female Female Male Male
0
10
20
30
40
50
60
70
80+ (1990)
여남
0
10
20
30
40
50
60
70
80+
(2000)
여남
0
10
20
30
40
50
60
70
80+
(2010)
여남
Change in population structure
Male Male Male Female Female Female
Ch an g e in m ean fo o d in take p er capi ta p er d ay b y fo o d gr ou p(u n it: g)
Yea r F oo d G ro up
1 97 0 1 97 5 19 8 0 19 8 5 19 90 1 9 95 1 99 8 20 01
Plan t Fo odG rain s / C e re alsTu be rs / S ta rch esBe an s / Le gu m e sVe ge ta b le sFru itsSe aw ee dD rinks / Liqu o r/Se a son in gsFa ts / oi ls (plan t)O th ers (pla nt)
5 1 7.04 9.85 3.1
2 9 5.01 8.9
2.41 6.9
-0.0
4 7 4.05 4.63 1.1
2 4 6.02 2.4
1.91 7.7
3.10.1
4 95 .035 .846 .9
3 01 .041 .3
1 .536 .6
4 .40 .0
3 84 .039 .874 .2
2 73 .064 .1
3 .221 .7
6 .90 .0
3 44 .043 .158 .1
2 81 .068 .8
6 .034 .7
5 .69 .4
30 8 .92 1 .23 4 .7
28 6 .214 6 .0
6 .64 7 .6
7 .51 1 .9
34 7 .03 6 .63 1 .0
28 3 .519 7 .5
7 .711 6 .0
5 .71 7 .5
3 1 0.52 6.53 1.6
2 9 0.82 0 7.4
9.01 4 3.9
9.82 3.4
P lan t O rig in S ub to ta l 9 5 3.0 8 5 0.0 9 63 .0 8 67 .0 8 50 .0 87 1 .0 1 ,042.5 1,0 52.9
A n im a l F o odM ea ts / P o ul tryE g gsF is he s / S he ll fish e sD a iry p ro du c tsF a ts / O ils (a n im al )O th ers (an im a l )
1 9.88.8
4 4.54.9
-4.2
1 4.35.1
4 7.84.70.10.0
13 .68 .3
65 .79 .90 .10 .0
38 .920 .680 .642 .8
0 .10 .0
47 .319 .578 .652 .2
0 .40 .0
6 7 .02 1 .87 5 .16 5 .6
0 .1-
6 9 .02 2 .56 6 .38 7 .5
2 .10 .1
9 1.72 1.16 4.18 4.6
0.10.2
A n im a l O rig in S ub to ta l 8 2.0 7 2.0 98 .0 1 83 .0 1 98 .0 23 0 .0 24 7 .5 2 6 1.8
T o ta l 1 ,0 35.0 92 2.0 1,06 1.0 1,05 0.0 1,048 .0 1 ,101 .0 1 ,290.0 1,3 14.7
P ro p ort io n of p la n t f oo d (％ ) 9 2.1 9 2.2 90 .8 82 .6 81 .1 7 9 .1 8 0 .8 8 0.1
P ro p ort io n of an im a l f o od (％ ) 7 . 9 7.8 9 .2 17 .4 18 .9 2 0 .0 1 9 .2 1 9.9197 0∼ 1995; by w eigh ing m ethod with in ho useho ld 19 98 & 200 1; by ind ividua l 24 h our reca ll.
Change in Food intake per capita per day by food group
309.9
459.5
395.4
351.0325.8
304.3
259.7246.1
216.9
0
50
100
150
200
250
300
350
400
450
500
'69 '80 '83 '86 '89 '92 '95 '98 '01
쌀섭취량쌀섭취량쌀섭취량쌀섭취량
Change in rice intake (g)/capita/day
T able 1> M ean in take per capita per day by food group and age (U nit: g)
A ge(yr )Food group
Tota l 1∼ 2 3∼ 6 7∼ 12 13∼ 19 20∼ 29 30∼ 49 50∼ 6 4 65≤
G rains/cerea lsTubers /starchS ugars/sw eetsB eans/legum esN uts/seedsV egetab lesMus hroom sFru itsS eaw eedD rinks/ liquorsS eason in gsP lant o ilsO thers
310.526.510.931.6
2.7290.8
4.7207.4
9.0112.7
31.29.85.1
115.112.3
3.577.5
1.442.7
0.8138.4
2.920.8
5.21.8
12.2
223.222.9
5.515.6
1.5100.9
2.4194.7
5.746.714.0
4.26.5
302.725.1
6.418.8
2.3173.0
4.7201.6
6.541.423.7
6.17.0
347.928.0
6.922.2
2.7228.8
4.1174.7
5.7111.0
26.67.87.1
321.126.411.730.7
3.3297.0
5.8208.5
9.0188.6
32.412.4
6.5
329.330.015.738.2
3.0365.5
5.9225.2
11.5150.9
37.313.5
4.5
319.024.911.133.5
3.0355.8
4.6228.5
9.193.936.1
8.72.0
291.821.8
7.330.1
1.8299.5
2.2173.8
9.746.130.8
6.12.7
P lant food to ta l 1052 .9 434.6 643.8 819.3 973.5 1153.4 1230.5 1130.2 923.7
Meat/pou ltryE ggsF is hes/she llfishD airy productsFats /o ilsO thers
91.721.164.184.6
0.10.2
27.312.717.8
280.70.00.0
62.024.530.2
199.50.10.4
89.726.441.9
189.40.30.5
110.728.049.6
131.20.20.1
101.927.768.570.9
0.10.3
109.922.482.842.9
0.10.3
76.011.474.735.4
0.00.0
53.68.4
47.635.2
0.10.0
A nim al food to ta l 261.8 338.5 316.7 348.2 319.8 269.4 258.4 197.5 144.9
Tota l 1314 .7 773.1 960.5 1167.5 1293.3 1422.8 1488.9 1327.7 1068.6P ropor tion o fp la nt food (％ )
80.1 56.2 67.0 70.2 75.3 81.1 82.6 85.1 86.4
P ropor tion o fan im al food (％ )
19.9 43.8 33.0 29.8 24.7 18.9 17.4 14.9 13.6
Food intake per capita per day by food group and age in 2001
0
100
200
300
400
500
600
'69 '71 '74 '77 '80 '83 '86 '89 '92 '95 '98 '01
연도(Y e a r)
Intake(g)
Intake(g)
Intake(g)
Intake(g)
곡류 및 그 제품 두류 및 그 제품
감자 및 전분류 채소
과실류 해조류
조미료, 주류, 음료수류 유지류(식물성)
Change in Plant Food Group Intake
Grains/cerealsTubers/starchFruitsSeasonings/drinks
Beans/legumesVegetablesSeaweedPlant oils
0
10
20
30
40
50
60
70
80
90
100
'69 '71 '74 '77 '80 '83 '86 '89 '92 '95 '98 '01
연도(Y ear)
Intake(g)
Intake(g)
Intake(g)
Intake(g)
육류 및 그 제품 난류 어패류
유류 및 낙농제품 유지류(동물성)
Change in Animal Food Group Intake
Meats/poultry
Dairy products
Eggs
Fats & oils
Fishes/shellfishes
Food intake per capita per day by food group and season(uni t: g)
SeasonFood Group
W inter Spring Su mm er Fall
G rains/ C erealsTubers/ S tarchesSw eets/ Suga rsBeans/ Legum esN uts/ See dsVegeta blesMu shroom sFruitsSeaw eedD rinks/ L iquorSeasoningsFats / o ils (p lant)O thers (p lant)
310.526.510.931.6
2.7290.8
4.7207.4
9.0112.7
31.29.85.1
302.719.9
9.029.4
1.6259.6
3.584.2
9.099.028.7
8.65.2
306.242.0
8.928.4
1.6286.7
2.4153.1
6.0109.6
30.58.44.1
305 .524.58.3
30.88.5
265 .84.1
171 .95.9
91.827.98.35.2
P lan t Or ig in Subtotal 1,05 2.9 860.4 987.9 958.5
Me ats/ PoultryEggsF is hes/ Shellf is hesD airy p roductsFats / Oils (animal)O thers (animal)
91.721.164.184.6
0.10.2
83.518.948.692.9
0.10.2
88.019.742.296.9
0.10.2
94.118.552.390.20.10.1
Anim al O rig in Subtotal 261.8 244.3 247.1 255.3
Total 1,31 4.7 1,104.6 1,235.0 1,213.8
Proportion of p lant food (％ ) 80.1 77.9 80.0 79.0
Proportion of animal food (％ ) 19.9 22.1 20.0 21.0
Food Intake per capita per day by Food group and Season
5.8
10.8
1 7.4
57.9
12.9
21.6 22
17
3.6
0
5
10
15
20
25
1983 1985 1990 1995 1999 Y ear
per so0
M ale
Fem ale
Person/100,000Person/100,000
Death Rate due to DiabetesDeath Rate due to Diabetes
0
50
100
150
200
250
300
'69 '71 '74 '77 '80 '83 '86 '89 '92 '95 '98 '01
연도(Y e a r)
Proportion (%) of intake
in 1969
Proportion (%) of intake
in 1969
Proportion (%) of intake
in 1969
Proportion (%) of intake
in 1969
에너지 단백질 지방 당질
칼슘 철 비타민 A 티아민
리보플라빈 나이 비타민 C
Change in nutrients intake compared to the values in 1969
EnergyCalciumRiboflavin
ProteinIronNiacin
FatVitamin AVitamin C
CarbohydratesThiamin
12.5
12.6
13.0
13.6
12.5
13.2
12.8
12.5
13.3
13.0
13.3
13.1
13.7
13.5
13.8
14.6
15.4
15.4
15.6
16.4
16.1
16.9
15.1
15.8
15.9
16.3
16.1
15.0
14.9
7.2
8.9
6.3
9.1
8.4
6.8
8.6
9.6
11.8
11.1
11.2
9.6
9.0
9.5
12.5
11.4
13.7
13.1
14.7
14.0
13.4
13.9
16.6
16.6
18.2
18.4
19.1
19.0
80.3
78.5
80.7
77.6
79.1
80.0
80.0
80.0
77.9
74.9
75.9
77.3
77.3
77.0
75.7
74.0
70.9
71.5
69.7
69.6
70.5
69.2
68.3
67.6
65.9
65.3
64.8
66.0
19.5 65.6
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
'69
'71
'73
'75
'77
'79
'81
'83
'85
'87
'89
'91
'93
'95
'01
단백질(Protein) 지방(Fat) 당질(Car
Change in protein, fat and carbohydrate driven energy ratio
(Carbohydrates)
표 62 지방섭취에너지비율 10%미만, 20%이상, 30% 이상인 대상자 분포
Less than 10 % 20 % and up 30 % and upClassification
Total Male Female Total Male Female Total Male FemaleNationwide 19.1 16.1 21.8 39.3 42.0 36.8 11.6 12.7 10.5
AreaMetropolitan cities 16.9 14.7 18.8 41.2 44.7 38.1 12.6 14.5 10.8
Mid-sized cities 16.0 13.4 18.5 42.3 43.1 41.5 12.5 12.3 12.8
Rural area 31.0 25.3 36.3 28.4 32.4 24.7 6.9 8.5 5.5
Age (year)
13∼19 7.0 7.3 6.7 57.5 57.7 57.3 18.7 19.5 17.9
20∼29 11.6 11.3 11.9 47.2 47.1 47.3 13.2 11.9 14.2
30∼49 17.7 15.4 19.8 34.5 36.5 32.7 10.1 11.5 8.8
50∼64 36.9 31.6 41.2 17.7 21.7 14.4 4.0 5.7 2.7
65 48.0 40.1 52.9 15.0 19.5 12.2 3.0 4.1 2.3
Distribution of population by proportion of fat in total energy intake
표 31 식품군별 1인 1일 평균 에너지 섭취비율의 변화 추이 (전국 ) (u nit: % )
Y e ar F oo d Grou p
19 71 1 97 6 1 98 1 1 98 6 19 91 19 95 19 98 2 00 1
P la nt Foo dG rains / C e realsTu be rs/ S ta rch esSw ee ts / Su ga rsBe an s/ Leg um esN uts/ See dsVe ge tab lesMu s hro om sFru it sSe aw ee dD rin ks / Liq uo rSe as on ing sFa ts / o ils (plan t)O the rs (plan t)
8 4.12.6
-4.9
-3.9
-0.40.0
0 .9*---
82 .61 .7
-2 .6
-4 .7
-0 .80 .20 .7
-1 .4
-
75 .51 .7
-2 .7
-4 .9
-0 .90 .41 .9
-1 .9
-
69 .52 .5
-4 .7
-5 .1
-2 .10 .50 .9
-2 .4
-
6 5.81.20.52.30.65.00.02.80.00.31.82.60.6
6 1.21.20.82.20.35.10.14.10.00.72.23.50.5
58 .52 .41 .51 .90 .43 .60 .14 .90 .43 .62 .02 .50 .3
56 .01 .62 .11 .80 .43 .70 .14 .80 .43 .92 .53 .70 .6
P la nt O rigin Su btota l 9 6.8 94 .7 89 .9 87 .7 8 3.5 8 1.8 82 .1 81 .5Anim al Foo dMe ats/ Pou lt ryEg gsFish es / Sh el lfis h esD airy pro duc tsFa ts / O ils (a nima l)O the rs (an im al)
0.20.12.10.00.8
-
0 .90 .43 .10 .30 .6
-
1 .00 .67 .90 .30 .1
-
2 .91 .76 .21 .50 .0
-
7.21.65.82.00.0
-
7.71.86.32.30.1
-
7 .81 .84 .43 .30 .60 .0
9 .11 .84 .53 .10 .00 .0
Anim al Origin Su bto tal 3.2 5 .3 10 .1 12 .3 1 6.5 1 8.2 17 .9 18 .5
Total 10 0.0 1 00 .0 1 00 .0 1 00 .0 10 0.0 10 0.0 1 00 .0 1 00 .01970∼ 1995 ; by we igh ing m e thod w ith in hous eho ld 1998 & 2001; by ind iv idua l 24 hou r reca ll.
Change in the proportion of energy intake from each food group
식품군별 1인 1일 평균 지방 섭취비율의 변화 추이 (전국 ) un it: % )
Y ea rF oo d G ro up
19 71 1 97 6 1 98 1 1 98 6 1 99 1 1 99 5 1 99 8 2 00 1
P la nt Foo dG rains / C e realsTu be rs/ S ta rch esSw ee ts / Su ga rsBe an s/ Leg um esN uts/ See dsVe ge tab lesMu sh ro om sFru itsSe aw ee dD rin ks / Liq uo rSe as on ing sFa ts / oi ls (plan t)O the rs (plan t)
23 .72 .3
-32 .0
-10 .7
--
0 .00 .7 *
---
34 .21 .0
-9 .8
-9 .3
-0 .50 .01 .0
-14 .7
-
26 .10 .5
-9 .9
-5 .9
-0 .50 .05 .9
-20 .2
-
1 8.50.7
-1 6.7
-6.8
-1.10.31.4
-1 8.5
-
1 6.60.30.06.32.03.70.00.60.40.02.9
1 6.10.3
1 7.70.30.05.50.83.10.01.00.30.04.7
1 8.71.3
2 4.20.70.53.61.52.40.00.70.20.53.1
1 3.70.7
1 9.00.50.54.61.42.40.00.50.20.23.8
1 7.31.2
P la nt Or igin Su btota l 69 .4 70 .5 69 .0 6 4..0 4 9.2 5 3.2 5 1.8 5 1.7
Anima l F oo dMe ats/ Pou lt ryEg gsFish es / Sh el lfis h esD airy pro duc tsFa ts / O ils (a nima l)O the rs (an im al)
2 .30 .8
12 .20 .0
15 .3-
6 .43 .5
11 .21 .56 .9
-
4 .94 .4
20 .71 .00 .0
-
8.98.9
1 2.85.00.4
-
3 0.06.09.94.80.1
-
2 5.56.09.95.20.3
-
2 6.85.86.07.51.90.2
2 8.46.06.77.00.20.0
Anima l O rigin Su bto tal 30 .6 29 .5 31 .0 3 6.0 5 0.8 4 6.8 4 8.2 4 8.3Total 1 00 .0 1 00 .0 1 00 .0 10 0.0 10 0.0 10 0.0 10 0.0 10 0.0
1970∼ 1995 ; by we igh ing m e thod w ith in househo ld 1998 & 2001 ; by ind iv idua l 24 hou r reca ll .
Change in the proportion of fat intake from each food group
표 5 1인 1일 영양 소 섭취량 (지역 별 )
A re a N u trie n ts
T o ta l M e tro p o litanci tie s
M id -size dc it ie s
R u ra l a re a
E n e rg y (k c al) 1,9 7 5.8 2 ,0 0 2 .2 1 ,9 8 5 .3 1 ,8 8 3 .1P ro te in (g) 7 1.6 7 3.4 7 3 .1 6 5 .3 A n im a l p ro te in (g ) (3 4 .3 ) (3 5 .5 ) (3 5 .9) (2 7 .8 )F a t (g ) 4 1.6 43 .5 4 3 .1 3 3 .7 A n im a l fa t (g ) (2 0 .1 ) (2 1 .2 ) (2 1 .1) (1 5 .0 )C a rb o h yd ra te s (g ) 3 1 5 .0 3 1 5 .2 3 1 4 .1 3 1 5 .9C a lc iu m (㎎ ) 4 9 6 .9 5 0 2 .3 4 9 2 .0 4 9 0 .6P h o sp h o ru s (㎎ ) 1,1 6 8.9 1 ,1 8 5 .2 1 ,1 7 7 .1 1 ,1 07 .9Iro n (㎎ ) 1 2.2 1 2.3 1 2 .0 1 2 .1S o d iu m (㎎ ) 4,9 0 3.4 4 ,8 1 8 .7 4 ,9 0 2 .4 5 ,1 47 .0P o ta s s iu m (㎎ ) 2,8 4 3.9 2 ,9 0 4 .2 2 ,8 2 0 .1 2 ,7 1 6 .6V itam in A (R E ) 6 2 3 .8 6 4 5 .4 6 1 9 .5 5 6 9 .4T h ia m in (㎎ ) 1 .2 7 1.3 0 1 .2 9 1 .1 3R ib o fla vin (㎎ ) 1 .1 3 1 .1 7 1 .1 6 0 .9 9N ia c in (㎎ ) 1 6.9 1 7.4 1 7 .0 1 5 .1V itam in C (㎎ ) 1 3 2 .6 1 3 4 .7 1 3 3 .2 1 2 6 .4A n im a l p ro te in (％ )1 ) 4 7.9 48 .4 4 9 .1 4 2 .6F a t d r iv en e ne rgy (％ )2 ) 1 9.5 2 0.4 2 0 .2 1 5 .8
1) A n im a l P ro te in (％ ) = A n im a l p ro te in / to ta l p ro te in × 1 002 ) F a t d ri ven ene rg y (％ ) = [F a t ene rgy/ (p ro te in + fa t + ca rbohyd ra t es) ene rgy]×100
Nutrient intake per capita per day (2001)
Change in apparent prevalence (per 1,000 person)
Female 49.65 63.47
Year 1998 2001
Hypertension 41.62 57.68Male 33.22 51.61
Diabetes 21.56 25.52Male 21.51 26.25Female 21.61 24.83
Source: 1998 & 2001 National Health and Nutrition Survey
Overweight/Obesity prevalence among adults
26.3
2.4
NHNS 1998 NHNS 2001
3.2
30.6
10
20
Korea
40
30
23.9
27.4
U.S. adults, 20 years and over
Population (20-59 yrs.) with regular exercise (%)
0.0
5.0
10.0
15.0
20.0
(% )
남자 17.5 19.3 20.4 20.5
여자 9.8 11.7 11.8 19.8
전체 13.4 15.2 16.0 20.1
1989 1992 1995 2001
male
female total
Physical activity level in daily life (% of population)
female 5.9 43.2 41.6 8.8 0.5
sedentary light moderate heavy very heavy
1998 5.9 40.5 38.1 13.8 1.7male 6.0 37.4 34.3 19.3 3.0
2001 6.3 45.0 39.1 8.6 1.0male 6.1 40.5 36.8 14.8 1.8
female 6.5 48.6 40.9 3.7 0.3
14.5
1998 2001 Male Female
10
5
13.816.5
10.8
20
Korea10-19 years
U.S. children/adolescents 6-19 years 15
Overweight Prevalenceamong children
Health Plan 2010Health Plan 2010
In April 2002, the Ministry of Health and Welfare promulgatedthe ‘Comprehensive Health Promotion Policy’ with health goalsfor 2010. The basis of this policy is the Health Plan 2010 inwhich plans for improving nutritional status of population isincluded.Some of important programs for nutrition are the revision anddissemination of dietary guidelines, enforcing mandatorynutrition labeling, providing nutrition services to vulnerablegroups (eg. young children at day care, elderly at welfarecenters), and dissemination of science-based nutritioninformation.
Ultimate goal; ‘healthy life expectancy of 75.1 years by 2010
Area 1998 2010 goal
Proportion of population withadequate intake for calcium, iron, vitamin A and riboflavin
Proportion of population with healthy weight (18.5≤≤≤≤BMI<25)
30% 50%
68.7% 75%
Health Plan 2010Health Plan 2010
The goals for 2010 in nutrition section are as follows;
