Eating patterns in Korean adults, 1998–2018: increased energy contribution of ultra-processed foods in main meals and snacks.

Purpose: Unfavorable changes in eating patterns over time may contribute to upward trends in chronic diseases, such as obesity. We examined 20-year trends in the percentage of energy from main meals and snacks and the food sources of each eating occasion among Korean adults. Methods: This study used...

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Publicado en:European Journal of Nutrition Vol. 63; no. 1; pp. 279 - 290
Autores principales: Jung, Sukyoung, Kim, Jee Young, Park, Sohyun
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2024
      vid: 63
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00394-023-03258-x
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        atl: Eating patterns in Korean adults, 1998–2018: increased energy contribution of ultra-processed foods in main meals and snacks.
      aug:
        au:
          Jung, Sukyoung
          Kim, Jee Young
          Park, Sohyun
        affil: https://ror.org/04353mq94 Chungnam National University Hospital Biomedical Research Institute, Daejeon, South Korea
      sug:
        subj:
          Food Habits Evaluation
          Food Habits Trends
          Food, Commercially Packaged Adverse Effects
          Energy Intake
          Meals
          Snacks
          Human
          Adult
          Middle Age
          Aged
          South Korea
          Descriptive Statistics
          Linear Regression
          Eating Behavior
          Food Intake
          Energy Metabolism
          Interviews
          Breakfast
          Lunch
          Chronic Disease Risk Factors
          Obesity Risk Factors
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
      ab: Purpose: Unfavorable changes in eating patterns over time may contribute to upward trends in chronic diseases, such as obesity. We examined 20-year trends in the percentage of energy from main meals and snacks and the food sources of each eating occasion among Korean adults. Methods: This study used nationally representative data from the 1st, 4th, and 7th Korea National Health and Nutrition Examination Surveys (1998, 2007–2009, and 2016–2018) among adults aged 20–69 years (n = 29,389). Each eating occasion (breakfast, lunch, dinner, and snacks) was defined by respondents during a 24-h dietary recall interview. To identify the food sources of each eating occasion, we used the NOVA system. The percentage of energy at each eating occasion and that from each NOVA group across survey cycles were estimated, and tests for linear trends were conducted using orthogonal polynomial contrasts in linear regression models. All analyses accounted for the complex survey design. Results: After adjusting for age and sex, the percentage of energy from breakfast decreased from 25.0% in 1998 to 16.7% in 2018 (difference, − 8.2%; standard error [SE], 0.3), whereas that from dinner and snacks increased from 31.1 to 33.8% (difference, + 2.7%; SE, 0.4) and from 14.0 to 19.0% (difference, + 5.0%; SE, 0.5), respectively (all P < 0.001). At all eating occasions, the percentage of energy from minimally processed foods declined (difference, − 18.6% for breakfast; − 13.1% for lunch; − 21.1% for dinner; − 20.7% for snacks), while that from ultra-processed foods increased (difference, + 17.0% for breakfast; + 11.3% for lunch; + 18.0% for dinner; + 30.7% for snacks). When stratified by age, the given trends were shown to a greater extent in younger adults (< 50 years old) than in older adults (≥ 50 years old). Conclusions: The eating patterns of Korean adults changed from 1998 to 2018, with the greatest decrease in energy intake from breakfast and the greatest increase from snacking. At all eating occasions, the contribution of minimally processed foods declined, while that of ultra-processed foods increased, especially among younger adults.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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