Korean J Health Promot.  2014 Dec;14(4):131-140. 10.15384/kjhp.2014.14.4.131.

Nutrition Label Use and Its Relation to Dietary Intake among Chronic Disease Patients in Korea: Results from the 2008-2009 Fourth Korean National Health and Nutrition Examination Survey (KNHANES-IV)

Affiliations
  • 1Department of Family Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
  • 2Department of Family Medicine, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Korea. mdoc74@daum.net
  • 3Department of Family Medicine, SamYook Seoul Medical Center, Seoul, Korea.

Abstract

BACKGROUND
Nutrition label reading is helpful in attaining a healthy diet. Nutrition label use and its related factors have been studied in many Korean articles, but their research samples were the general population and not chronic disease patients. This study aimed to explore the use of nutrition labels and its relation to dietary intake among chronic disease patients in Korea.
METHODS
A total of 3160 respondents aged> or =20 years from the 2008-2009 Fourth Korean National Health and Nutrition Examination Survey (KNHANES-IV) participated in the study. Their chronic medical conditions included hypertension, hyperlipidemia, coronary artery disease, diabetes and/or stroke and they were interviewed regarding their use of nutrition labels. Nutrition intake was also estimated by 24-hour dietary recalls.
RESULTS
Overall, 10.4% of the chronic disease patients reported to using nutrition labels. The nutrients they looked at first were total calories, fat and cholesterol. Factors related to reading nutrition labels were relatively higher education, high body mass index and lower frequency of alcohol intake in males and relatively younger age and higher education in females. Nutrition label users consumed lower total calories, protein and fat in the male CAD group, lower total calories and carbohydrate in both diabetes and total groups and lower total calories and fiber in the female stroke group.
CONCLUSIONS
Our study found that, in Korea, a significantly lower rate of patients with chronic disease read nutrition labels. Strategies need to be developed to improve clinical application of nutrition labels in this population.

Keyword

Nutrition labeling; Chronic disease; Utilization

MeSH Terms

Body Mass Index
Cholesterol
Chronic Disease*
Coronary Artery Disease
Surveys and Questionnaires
Diet
Education
Female
Food Labeling
Humans
Hyperlipidemias
Hypertension
Korea
Male
Nutrition Surveys*
Stroke
Cholesterol

Reference

References

1. Park HK. Nutrition policy in South Korea. Asia Pac J Clin Nutr. 2008; 17(Suppl 1):343–45.
2. Kim S, Moon S, Popkin BM. The nutrition transition in South Korea. Am J Clin Nutr. 2000; 71(1):44–53.
Article
3. Park YS, Son SM, Lim WJ, Kim SB, Chung YS. Comparison of dietary behaviors related to sodium intake by gender and age. Korean J Community Nutr. 2008; 13(1):1–12.
4. World Health Organization. Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser. 2003; 916:1–149.
5. Hu FB, Willett WC. Optimal diets for prevention of coronary heart disease. JAMA. 2002; 288(20):2569–78.
Article
6. Hu FB, Stampfer MJ, Manson JE, Rimm E, Colditz GA, Rosner BA, et al. Dietary fat intake and the risk of coronary heart disease in women. N Engl J Med. 1997; 337(21):1491–9.
Article
7. Park SH, Lee KS, Park HY. Dietary carbohydrate intake is associated with cardiovascular disease risk in Korean: analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III). Int J Cardiol. 2010; 139(3):234–40.
Article
8. Chobanian AV, Hill M. National heart, lung, and blood institute workshop on sodium and blood pressure: a critical review of current scientific evidence. Hypertension. 2000; 35(4):858–63.
9. Kang HN, Shin EJ, Kim HN, Eom KY, Kwon KI, Kim SY, et al. Food nutrition labeling (processing food, food service business) in Korea. Food Science and Industry. 2011; 44(1):21–7.
10. Kreuter MW, Brennan LK, Scharff DP, Lukwago SN. Do nutrition label readers eat healthier diets? Behavioral correlates of adults' use of food labels. Am J Prev Med. 1997; 13(4):277–83.
Article
11. Neuhouser ML, Kristal AR, Patterson RE. Use of food nutrition labels is associated with lower fat intake. J Am Diet Assoc. 1999; 99(1):45–53.
Article
12. Temple JL, Johnson K, Recupero K, Suders H. Nutrition labels decrease energy intake in adults consuming lunch in the laboratory. J Am Diet Assoc. 2010; 110(7):1094–7.
Article
13. Variyam JN. Do nutrition labels improve dietary outcomes? Health Econ. 2008; 17(6):695–708.
Article
14. Lewis JE, Arheart KL, LeBlanc WG, Fleming LE, Lee DJ, Davila EP, et al. Food label use and awareness of nutritional information and recommendations among persons with chronic disease. Am J Clin Nutr. 2009; 90(5):1351–7.
Article
15. Post RE, Mainous AG 3rd, Diaz VA, Matheson EM, Everett CJ. Use of the nutrition facts label in chronic disease management: results from the National Health and Nutrition Examination Survey. J Am Diet Assoc. 2010; 110(4):628–32.
Article
16. Hyon SM, Kim JW. Improvement of dietary attitudes of elementary students by nutrition labeling education. Korean J Community Nutr. 2007; 12(2):168–77.
17. Cho SH, Yu HH. Nutrition knowledge, dietary attitudes, dietary habits and awareness of food-nutrition labelling by girl's high school students. Korean J Community Nutr. 2007; 12(5):519–33.
18. Lee KA, Lee HJ, Park EJ. The effect of use of nutrition labelling on knowledge and perception of nutrition labelling, and awareness of nutrition labelling usefulness with among college students. J Korean Soc Food Sci Nutr. 2010; 39(2):253–66.
Article
19. Lee HY, Kim MK. Dietary behavioral correlates of nutrition label use in Korean women. Korean J Nutr. 2008; 41(8):839–50.
20. Chang SO. A study on the perception, use, and demand of housewife-consumers for nutrition label. Korean J Nutr. 2000; 33(7):763–73.
21. Kim NY, Lee JS. A study on perception and utilization of food-nutrition labeling by age in Busan residents. J Korean Soc Food Sci Nutr. 2009; 38(12):1801–10.
Article
22. Kim SY, Lee JH. Effect of nutrition labeling use on consumers'food choices. J Consumer Studies. 2010; 21(3):107–28.
23. Kim MS, Kim JS, Yu JO. Factors relating to use of food labels among adults with metabolic syndrome. Korean J Health Educ Promot. 2012; 29(5):1–12.
24. Kang HT, Shim JY, Lee YJ, Linton JA, Park BJ, Lee HR. Reading nutrition labels is associated with a lower risk of metabolic syndrome in Korean adults: the 2007–2008 Korean NHANES. Nutr Metab Cardiovasc Dis. 2013; 23(9):876–82.
Article
25. Korea National Health and Nutrition Examination Survey. Korea health statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Reston: Korea Center for Disease Control and Prevention;2010. [Accessed Jun 11, 2013].https://knhanes.cdc.go.kr/knhanes/index.do.
26. Chung J, Kim MJ. Using and understanding of nutrition labels and related factors among female adults in the Seoul area. Korean J Community Nutr. 2007; 12(4):417–25.
27. Campos S, Doxey J, Hammond D. Nutrition labels on prepackaged foods: a systematic review. Public Health Nutr. 2011; 14(8):1496–506.
Article
28. Ollberding NJ, Wolf RL, Contento I. Food label use and its relation to dietary intake among US adults. J Am Diet Assoc. 2010; 110(8):1233–7.
Article
Full Text Links
  • KJHP
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