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명민 필
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1 기획특집 어린이 먹거리 안전관리 - 당 섭취 실태 및 당 함량 모니터링 - Safety Management of Children s Foods - Dietary Intakes of Total Sugar and Monitoring of Total Sugar Contents in Foods 최미희 1 권광일 2 김지영 2 이지선 2 김종욱 2 박혜경 2 김명철 2 김건희 1 Mi Hee Choi1, Kwang Il Kwon2, Jee Young Kim2, Jee Sun Lee2 Jong Wook Kim2, Hye Kyung Park2, Myung Chul Kim2, Gun-Hee Kim1 1 1 덕성여자대학교, 2식품의약품안전청 Duksung Women s University, 2Korea Food and Drug Administration Ⅰ. 어린이 먹거리의 당 저감화의 필요성 세계 비만은 스낵류, 인스턴트식품 및 탄산음료 섭취로 인한 지방 과 당분의 과잉섭취에 의한 것으로, 이러한 가공식품의 과잉 보건기구(WHO)는 1996년 5월 세계 비만 인구 섭취는 비만 뿐 만 아니라 미량원소결핍, 충치, 당뇨병 등을 가 5 년마다 두 배씩 증가하고 있다고 밝히면 유발하고 특히 어린이들에는 집중력 결핍 및 충동적인 행동 서 비만을 지구의 심각한 보건문제 중의 하나인 치료가 필요 을 가져오는 원인으로 여겨지고 있다. 세계보건기구(WHO) 한 만성질병이라고 경고하였다. 우리나라의 어린이 비만 발 와 유엔 식량농업기구(FAO)는 설탕류 섭취량을 전체 열량의 생률 역시 현저히 증가하고 있으며 최근 10년 사이 거의 두 10% 미만으로 제한하지 않으면 비만 등 만성질환의 위험에 배 이상의 증가를 보여 초등학생 5명 중 한 명이 비만일 정도 빠진다고 보고하였다. 지난 20년간 설탕소비량은 무려 20% 로 급격히 증가하는 양상을 보이고 있다. 2005년 국민건강영 가까이 증가했고, 한국영양학회가 정한 한국인의 1일 영양 권 양조사에 따르면 20세까지 소아 및 청소년의 비만 유병률은 장량으로는 8살 이상 남녀의 경우 설탕류의 1일 섭취량은 대 1998년 6.8%에서 2005년 12.0%로 성장기 학생들의 비만 체로 50g을 넘지 않아야 하지만, 이미 한국인들의 설탕섭취 율이 급격히 증가하고 있는 것으로 나타났으며, 남자 어린이 량은 1일 100g 이상을 섭취하고 있는 것으로 조사되고 있다. 의 비만율은 80년대 2%에서 최근 20% 대로 10배 증가했으 현재 우리나라에서는 어린이 식생활 안전 확보가 국가의 주 며, 여자 어린이도 같은 기간 비만율이 5배 이상 늘어난 것으 요관심사로대두되고있다. 이러한가운데어린이들의비만유 로 보고되고 있다. 또한 비만율이 급격히 증가함에 따라 비만 발등영양불균형을초래하는주요요인이되고있는당류에관 진료 인원 변화 추이가 10대의 경우 2003년 1일당 1,274명 한 섭취 실태 및 가공식품의 당 함량 모니터링 정보의 제공은 으로 2000년에 비해 2.6배 이상 증가하였다. 이러한 어린이 어린이먹거리의당저감화를위한유용한자료가될것이다. Corresponding author : Gun-Hee Kim Department of Food and Nutrition, Duksung Women s University, 419 Ssangmun-dong, Tobong-gu, Seoul , Korea Tel : Fax : ghkim@duksung.ac.kr 22 Safe Food Vol.03, No. 1

2 . < 1> Country Recommendation Rationale - 90 g/day total sugars for 2000Kcal Dental decay Australia - current intake is 80~100g Contribution to total sugar/day, which is energy intake 15~20% total energy Current intakes and COMA - 130g/day for men and recommendations United 100g for women As above but Kingdom - 90g/d [IGD] lowered to be based on female diet Malaysia WHO, IOM - 111g/day Recommendations [15% available energy] and current Intake Susan Cho. KNS workshop-sugar Intake Review. July 2006 < 2> Organization/country Recommendation Rationale World Health No more than 10% Organization(WHO) free sugar Institute of Maximum of 25% Medicine, USA added sugars Australian National Dental caries Up to 15~20% Health and Medical Energy added sugars Research Council contribution New Zealand No more than 15% Nutrition Task force added sugars COMA, UK No more than 11% added sugars Susan Cho. KNS workshop-sugar Intake Review. July

Recommendations [15% available energy] and current Intake Susan Cho. KNS workshop-sugar Intake Review.

3 < 3> Country Recommendation - Use small amounts of sugar in food guide pyramid Singapore - Choose beverages and food with less Malaysia sugar use small amounts of sugar Thai - Avoid sweet food no more than 10% of total energy from sugar daily intake should not be more than 30~45g Brunei - Reduce intake of foods high in sugar Vietnam - Consume less than 500g/month or 17g/day India - Sugar should be used sparingly - Consume only moderate amounts of sugars Australla and foods containing added sugars Korea, Japan, - No specific message on sugar intake China, Indonesia Susan Cho. KNS workshop-sugar Intake Review. July : 1, : 1 24 Safe Food Vol.03, No. 1

Vietnam - Consume less than 500g/month or 17g/day India - Sugar should be used sparingly - Consume only moderate amounts of sugars Australla and foods containing

5 . < 4> Confectionery Drinks Ice cream Dairy products No. of Mean SD Total sugar Food category of total /1 serving sample sugar(%) size Biscuits /30g Snacks /30g Candies /10g Caramels /10g Jelly /10g Chocolates /30g Prosessed chocolate products /30g Fruit juices /200mL Vegetable Juice /200mL Fruit beverage /200mL Vegetable beverage /200mL Carbonated beverage /200mL Soy milk /200mL Soy-based Formula /200mL Mixing beverage /200mL Extracted beverage /200mL Friut fermented beverage /100mL Liquid extract tea /100mL Liquid coffee /100mL Other drinks Food in the school zone Ice cream /100mL Ice milk /100mL Sherbet /100mL Low-fat ice cream /100mL Non-fat ice cream /100mL Ice cakes /100mL Milk /200mL Fortified milk /200mL Fortified low fat milk /200mL Processed milk /200mL Low fat processed milk /200mL Liquid yogurt /200mL Stirred yogurt /150g Cream yogurt /110g Fermented milk /150g 26 Safe Food Vol.03, No. 1

64/30g Fruit juices 23 10.97 2.74 21.94/200mL Vegetable Juice 4 6.41 2.65 12.82/200mL Fruit beverage 30 11.04 1.07 22.08/200mL Vegetable beverage 5 9.12 0.94 18.24/200mL Carbonated beverage 27 9.95 3.

6 < 5> Main dishes Dairy products No. of Range of Mean SD Food category total of total sample sugar(%) sugar(%) Cooked rice 18 ND ND Cooke rice with seasoning Breads 3 ND Noodles Cooked gruels Side dishes Soups Stews Tangs and chon-gol Steamed foods Pan-fried foods Hard boiled foods Roasted foods Stir-fried foods Fried foods Seasoned vegetables/ dried fish/seaweed Salads Kimchies

81 Tangs and chon-gol 21 0.05-6.39 1.47 1.41 Steamed foods 19 0.14-8.97 2.93 2.58 Pan-fried foods 26 0.38-6.81 2.80 1.87 Hard boiled foods 51 0.60-29.56 7.37 6.50 Roasted foods 18 0.19-9.

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386-390.hwp 386 HANYANG MEDICAL REVIEWS Vol. 29 No. 4, 2009 우리나라 미숙아의 통계와 의료비용 Statistics and Medical Cost of Preterm in Korea 윤혜선 을지대학교 노원을지병원 소아청소년과학교실 Hye Sun Yoon, M.D., Ph.D., Department of Pediatrics, Nowon