J Nutr Health. 2015 Feb;48(1):94-104. Korean.
Published online Feb 28, 2015.
© 2015 The Korean Nutrition Society
Original Article

Dietary folate intake and food sources of children and adolescents in Chungcheong area - Using nutrient database revised by measured folate in selected foods

Ji Hyun Kim, Eunjung Lee and Taisun Hyun
    • Department of Food and Nutrition, Chungbuk National University, Cheongju 362-763, Korea.
Received January 12, 2015; Revised January 30, 2015; Accepted February 06, 2015.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to estimate dietary folate intake and food sources of children and adolescents using a nutrient database revised based on measured folate in selected foods.

Methods

Folate content in 51 foods known as folate sources was measured by microbiological assay after trienzyme extraction. Folate intake was estimated from a part of the data of 'Dietary Intake Survey of Infants, Children and Adolescents in 2007~2008' conducted by the Korea Food and Drug Administration (KFDA) and the Korea Health Industry Development Institute (KHIDI). The study subjects were 567 children aged 1~19 years living in the Chungcheong area who completed two 24-hour recalls.

Results

Folate values were revised by replacing the values in the current database with the analyzed values except when the value in the current database was between the analytical values or was not different from the mean analytical value by more than 10%. Among the revised values of 40 food items, folate values of 36 foods were lower than the current values. Mean folate intakes estimated with the revised database were approximately 70~80% lower than those estimated with the current database. Mean folate intakes of males aged 12~14 and females aged 12~19 were lower than the 2010 Recommended Nutrient Intakes (RNIs). Chicken's eggs, Kimchi, rice, mandarin, and laver were found to be main food sources of folate.

Conclusion

In this study, mean dietary folate intakes were lower than those estimated with the current database. Further analyses for folate content especially in cooked foods commonly consumed in Korea are needed using a reliable assay in order to accurately assess folate intake of the Korean population. In addition, nutrition education should be provided for adolescent females in order to increase consumption of folate-rich foods.

Keywords
folate content; dietary folate intake; food sources; children; adolescents

Figures

Fig. 1
Percentage of dietary folate intake compared with 2010 Recommended Nutrient Intakes (RNIs). ***p < 0.001 : Significantly different between the values estimated using KNS database and revised database by paired t-test.

Tables

Table 1
Folate content in selected foods

Table 2
General characteristics of the subjects

Table 3
Mean dietary intake of energy and folate

Table 4
Food sources of folate

Notes

This work was supported by the research grant of the Chungbuk National University in 2012.

References

    1. Tamura T, Picciano MF, McGuire MK. Chapter 5. Folate in pregnancy and lactation. In: Bailey LB, editor. Folate in Health and Disease. 2nd edition. Boca Raton (FL): CRC press; 2010. pp. 111-131.
    1. Kalin SR, Rimm EB. Chapter 11. Folate and vascular disease: Epidemiological perspective. In: Bailey LB, editor. Folate in Health and Disease. 2nd edition. Boca Raton (FL): CRC press; 2010. pp. 263-290.
    1. Chen J, Xu X, Liu A, Ulrich CM. Chapter 9. Folate and cancer: Epidemiological perspective. In: Bailey LB, editor. Folate in Health and Disease. 2nd edition. Boca Raton (FL): CRC press; 2010. pp. 205-233.
    1. Kanani SJ, Poojara RH. Supplementation with iron and folic acid enhances growth in adolescent Indian girls. J Nutr 2000;130 2S Suppl:452S–455S.
    1. Hatamizadeh N, Eftekhar H, Shafaghi B, Mohammad K. Effects of folic acid on preschool childrenzzzs appetite: randomized triple-blind clinical trial. Pediatr Int 2007;49(5):558–563.
    1. Namdari M, Abadi A, Taheri SM, Rezaei M, Kalantari N, Omidvar N. Effect of folic acid on appetite in children: ordinal logistic and fuzzy logistic regressions. Nutrition 2014;30(3):274–278.
    1. Kim YN, Lee JY, Driskell JA. Marginal folate inadequacy observed in a group of young children in Kwangju, Korea. Nutr Res Pract 2007;1(2):120–125.
    1. The Korean Nutrition Society. Recommended dietary allowances for Koreans. 7th revision. Seoul: The Korean Nutrition Society; 2000.
    1. Hyun T, Han YH. Comparison of folate intake and food sources in college students using the 6th vs. 7th nutrient database. Korean J Nutr 2001;34(7):797–808.
    1. The Korean Nutrition Society. Food values. Seoul: The Korean Nutrition Society; 2009.
    1. Shim YJ, Paik HY. Reanalysis of 2007 Korean National Health and Nutrition Examination Survey (2007 KNHANES) results by CAN-Pro 3.0 nutrient database. Korean J Nutr 2009;42(6):577–595.
    1. Choi AR. In: Folate intake and food sources in the Korean population based on 2008-2009 Korea National Health and Nutrition Examination Survey [dissertation]. Chungju: Chungbuk National University; 2013.
    1. Han YH, Yon M, Hyun TH. Folate intake estimated with an updated database and its association to blood folate and homocysteine in Korean college students. Eur J Clin Nutr 2005;59(2):246–254.
    1. Lee E. In: Folate intake and food sources of folate in infants, children, and adolescents [dissertation]. Chungju: Chungbuk National University; 2010.
    1. United States Department of Agriculture, Agricultural Research Service. USDA National Nutrient Database for Standard Reference, Release 26 [Internet]. Beltsville (MA): Agricultural Research Service; 2013 [cited 2014 Jun 2].
    1. Yon M, Hyun TH. Folate content of foods commonly consumed in Korea measured after trienzyme extraction. Nutr Res 2003;23(6):735–746.
    1. Lee SY, Ha SA, Seo JS, Sohn CM, Park HR, Kim KW. Eating habits and eating behaviors by family dinner frequency in the lowergrade elementary school students. Nutr Res Pract 2014;8(6):679–687.
    1. Song J. In: Folate assay of high fat foods after removal of fat [dissertation]. Chungju: Chungbuk National University; 2011.
    1. Hyun TH, Tamura T. Trienzyme extraction in combination with microbiologic assay in food folate analysis: an updated review. Exp Biol Med (Maywood) 2005;230(7):444–454.
    1. Hyun T, Han YH, Lim EY. Blood folate level determined by a microplate reader and folate intake measured by a weighted food record. Korean J Community Nutr 1999;4(4):512–520.
    1. Korea Food and Drug Administration, Korea Health Industry Development Institute. Dietary intake survey of infants, children and adolescents. Chungju: Korea Health Industry Development Institute; 2008.
    1. Korea Food and Drug Administration, Korea Health Industry Development Institute. In-depth analysis on the dietary intake survey of infant, children and adolescents (II). Chungju: Korea Health Industry Development Institute; 2010.
    1. Yon M, Hyun T. Additional data for the folate database for foods common in Korea. Korean J Nutr 2005;38(7):586–604.
    1. The Korean Nutrition Society. Dietary reference intakes for Koreans. Seoul: The Korean Nutrition Society; 2010.
    1. Williams VR, Fieger EA. Oleic acid as a growth stimulant for Lactobacillus casei. J Biol Chem 1946;166(1):335–343.
    1. Goyer A, Sweek K. Genetic diversity of thiamin and folate in primitive cultivated and wild potato (Solanum) species. J Agric Food Chem 2011;59(24):13072–13080.
    1. Iniesta MD, Pérez-Conesa D, García-Alonso J, Ros G, Periago MJ. Folate content in tomato (Lycopersicon esculentum). influence of cultivar, ripeness, year of harvest, and pasteurization and storage temperatures. J Agric Food Chem 2009;57(11):4739–4745.
    1. Shohag MJ, Wei YY, Yu N, Zhang J, Wang K, Patring J, He ZL, Yang XE. Natural variation of folate content and composition in spinach (Spinacia oleracea) germplasm. J Agric Food Chem 2011;59(23):12520–12526.
    1. Bassett MN, Sammán NC. Folate content and retention in selected raw and processed foods. Arch Latinoam Nutr 2010;60(3):298–305.
    1. Phillips KM, Ruggio DM, Ashraf-Khorassani M, Haytowitz DB. Difference in folate content of green and red sweet peppers (Capsicum annuum) determined by liquid chromatography-mass spectrometry. J Agric Food Chem 2006;54(26):9998–10002.
    1. Hefni M, Öhrvik V, Tabekha M, Witthöft C. Folate content in foods commonly consumed in Egypt. Food Chem 2010;121(2):540–545.
    1. Westenbrink S, Jansen-van der Vliet M, van Rossum C. Updated folate data in the Dutch Food Composition Database and implications for intake estimates. Food Nutr Res 2012;56:5449.
    1. Yeung LF, Cogswell ME, Carriquiry AL, Bailey LB, Pfeiffer CM, Berry RJ. Contributions of enriched cereal-grain products, readyto-eat cereals, and supplements to folic acid and vitamin B-12 usual intake and folate and vitamin B-12 status in US children: National Health and Nutrition Examination Survey (NHANES), 2003-2006. Am J Clin Nutr 2011;93(1):172–185.
    1. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics (US). Dietary intake of macronutrients, micronutrients, and other dietary constituents: United States, 1988-94 [internet]. Atlanta (GA): National Center for Health Statistics; 2002 [cited 2010 Feb 14].
    1. Serra-Majem L. Vitamin and mineral intakes in European children. Is food fortification needed? Public Health Nutr 2001;4(1A):101–107.
    1. Diethelm K, Huybrechts I, Moreno L, De Henauw S, Manios Y, Beghin L, González-Gross M, Le Donne C, Cuenca-García M, Castillo MJ, Widhalm K, Patterson E, Kersting M. Nutrient intake of European adolescents: results of the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. Public Health Nutr 2014;17(3):486–497.
    1. Bouckaert KP, Slimani N, Nicolas G, Vignat J, Wright AJ, Roe M, Witthöft CM, Finglas PM. Critical evaluation of folate data in European and international databases: recommendations for standardization in international nutritional studies. Mol Nutr Food Res 2011;55(1):166–180.
    1. Park JY, Nicolas G, Freisling H, Biessy C, Scalbert A, Romieu I, Chajès V, Chuang SC, Ericson U, Wallström P, Ros MM, Peeters PH, Mattiello A, Palli D, María Huerta J, Amiano P, Halkjær J, Dahm CC, Trichopoulou A, Orfanos P, Teucher B, Feller S, Skeie G, Engeset D, Boutron-Ruault MC, Clavel-Chapelon F, Crowe F, Khaw KT, Vineis P, Slimani N. Comparison of standardised dietary folate intake across ten countries participating in the European Prospective Investigation into Cancer and Nutrition. Br J Nutr 2012;108(3):552–569.
    1. Tamai Y, Wada K, Tsuji M, Nakamura K, Sahashi Y, Watanabe K, Yamamoto K, Ando K, Nagata C. Dietary intake of vitamin B12 and folic acid is associated with lower blood pressure in Japanese preschool children. Am J Hypertens 2011;24(11):1215–1221.
    1. Kobayashi M, Adachi HY, Ishihara J, Tsugane S. JPHC FFQ Validation Study Group. Effect of cooking loss in the assessment of vitamin intake for epidemiological data in Japan. Eur J Clin Nutr 2011;65(4):546–552.
    1. Imaeda N, Goto C, Tokudome Y, Ikeda M, Maki S, Tokudome S. Folate intake and food sources in Japanese female dietitians. Environ Health Prev Med 2002;7(4):156–161.
    1. Subar AF, Block G, James LD. Folate intake and food sources in the US population. Am J Clin Nutr 1989;50(3):508–516.
    1. Subar AF, Krebs-Smith SM, Cook A, Kahle LL. Dietary sources of nutrients among US children, 1989-1991. Pediatrics 1998;102(4 Pt 1):913–923.
    1. United States Department of Agriculture, Agricultural Research Service. Nutrient intakes from food and beverages: mean amounts consumed per individual, by gender and age, in the United States, 2011-2012. What we eat in America, NHANES 2011-2012, individuals 2 years and over (excluding breast-fed children), day 1 [Internet]. Washington, D.C.: Agricultural Research Service; 2014 [cited 2015 Jan 7].
    1. Berner LA, Keast DR, Bailey RL, Dwyer JT. Fortified foods are major contributors to nutrient intakes in diets of US children and adolescents. J Acad Nutr Diet 2014;114(7):1009–1022.

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