Saved dossier · 29 September 2026, 16:15

Health and filings round 4

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Health and business facts

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The U.S. Food and Drug Administration granted full approval to Pfizer's COVID-19 vaccine in December 2020.

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The provided sources do not contain information about the FDA's approval of Pfizer's COVID-19 vaccine in December 2020.

  • Source 01
    Ministry of Food and Drug Safety>Information>COVID-19>Latest COVID-19 News | Ministry of Food and Drug Safety

    mfds.go.kr Regulator 35% relevance Neutral exa

    The source discusses the approval process in South Korea, not the U.S. FDA approval.

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    5, 2021] - Registration Date 2021-03-19 - Hit 339002 [Press Release, Mar. 5, 2021 / Unofficial Translation] □ On March 5, at the Final Evaluation Committee meeting involving internal and external experts, the Ministry of Food and Drug Safety (MFDS, Minister Kim Ganglip) granted marketing authorization to Pfizer Korea for its COVID-19 vaccine, COMIRNATY Inj., on condition that the final report of the currently ongoing clinical study be submitted. The pharmaceutical company filed for marketing authorization on Jan. 25, 2021. 1) Product Overview □ COMIRNATY Inj. is a COVID-19 vaccine jointly developed by U.S. pharmaceutical firm Pfizer and Germany’s BioNTech. It is a messenger RNA (mRNA) vaccine which induces immune response by inserting the antigen genes of SARS-CoV-2 into human cells in the form of mRNA for antigen protein synthesis. This triggers the production of neutralizing antibodies in the human body, leading to the neutralization of SARS-CoV-2 for destruction. ○ mRNA vaccines can be produced much faster in a larger scale than conventional vaccines. However, mRNA vaccines require ultra-cold chain storage to maintain its stability since mRNA, the major substance of the vaccine, can easily be degraded by RNase. ○ The Pfizer Korea COVID-19 vaccine is indicated for active immunization to prevent COVID-19 in individuals 16 years of age and older. It is administered as a series of two doses (0.3 mL each after dilution*) 3 weeks apart. The vaccine can be stored for 6 months in a temperature between -60˚C to -90˚C. *Each vial (0.45mL) is diluted with 1.8mL of 0.9% Sodium Chloride Injection. □ COMIRNATY Inj. is the first mRNA vaccine authorized in Korea and has been granted conditional marketing authorization or emergency use authorization by the WHO and 59 states and authorities including the EU (EMA), the U.S. and Japan. 2) Approval Procedure ○ The MFDS has secured as much time as possible to evaluate safety and efficacy data by starting a rolling review on available data even before the application is filed. ○The COVID-19 Vaccine/Treatment Review Task Force, composed of competent reviewers from the MFDS, was established to focus on review of non-clinical, clinical and quality data required for the approval. - Reviewed non-clinical data include the vaccine’s pharmacology (virus neutralizing titer, immune response and symptom, among others) in animal testing, pharmacokinetics and toxicity (repeated dose toxicity and reproductive toxicity, among others). - There have been submissions of data from two clinical studies including a clinical study conducted in Germany (phase I·II) and a multi-national clinical study carried out in six countries* (phase I·I·III) including the U.S. The safety and efficacy evaluation was based on the multi-national clinical study. * The U.S., Argentina, Brazil, Germany, South Africa and Turkey ● Immunogenicity Evaluation was carried out based on the phase I·II clinical studies conducted in Germany and the U.S. - Quality evaluation included a review on the submitted application, which comprises information such as manufacturing methods and standards, and test methods. The evaluation was also conducted on documents on foreign manufacturers’ compliance of Good Manufacturing Practice (GMP), which demonstrate whether the manufacturers have the facilities or management system that can guarantee the consistency of product quality. 3) 3-Tier Advisory Review □ In order to obtain expertise and maintain objectivity in the marketing authorization evaluation process for COVID-19 vaccines, the MFDS carries out the 3-tier advisory review composed of the meetings of the following advisory committees: 1) the COVID-19 Treatment and Vaccine Safety and Efficacy Assessment Advisory Committee (hereinafter the Advisory Committee); 2) the Central Pharmaceutical Advisory Committee, a legal advisory body of the MFDS in accordance with the Pharmaceutical Affairs Act; and 3) the Final Evaluation Committee. ○ The MFDS sought expert advice at the meetings of the Advisory Committee on February 22 and of the Central Pharmaceutical Advisory Committee on February 25, regarding the vaccine’s indications, safety, efficacy and post-authorization safety management plans based on the submissions from Pfizer Korea including the clinical data. ○ The Final Evaluation Committee meeting was held at the MFDS at 10 am on March 5, to make a final decision on the vaccine’s marketing authorization. -The meeting, which is the final step of marketing authorization of COVID-19 vaccines, was attended by three external experts including Chairman Oh Il-hwan of the Subcommittee on Biologics of the Central Pharmaceutical Advisory Committee and five members of the MFDS including the Minister of Food and Drug Safety. 4) Review Results of the Final Evaluation Committee □ Based on the results of the MFDS’s review on the application and the previous two committee meetings, the Final Evaluation Committee recommended granting marketing authorization to COMIRNATY Inj. on condition of submitting final results of clinical studies. ○ (Safety) The Final Evaluation Committee viewed that most of the reported adverse events were solicited adverse events following the vaccine administration and that they are in a range of acceptable level. - Most common adverse events were pain at the injection site, tenderness, fatigue, fever, chills, headache and muscle pain. These were mild to moderate symptoms and disappeared within a few days after the administration. - There was one report of drug-related hypersensitivity (urticaria) in vaccine recipients and no vaccine-related anaphylaxis reported during clinical studies. - Among a total of 43,448 participants enrolled in the study, serious adverse events have been reported in 0.6% (126 cases) of vaccine recipients and in 0.5% (111 cases) of placebo recipients. Among them, four serious adverse events were considered to be related to vaccine administration: lymphadenopathy, ventricular arrhythmia, shoulder injury and low back pain and bilateral lower extremity pain with radicular paresthesia. Patients with lymphadenopathy and ventricular arrhythmia have made recovery and the rest are currently recovering. - Based on the data, the Final Evaluation Committee concluded that the vaccine has met the safety standard for granting marketing authorization. Meanwhile, continuous monitoring is required even after the authorization regarding hypersensitivity including anaphylaxis. Further reports on adverse reactions will be reflected in relevant notifications including conditions of authorization. ○ (Efficacy) As the result of the previous two committee meetings, the Final Evaluation Committee concluded that the available data provides clear evidence of the Pfizer Korea COVID-19 vaccine’s effectiveness in preventing COVID-19. - Clinical study data showed that the vaccine is 95% effective in preventing COVID-19 among the participants with eight cases in the vaccinated group and 162 in the placebo group. - The effectiveness data is based on an analysis of the multi-national clinical study carried out in six countries including the U.S. on 36,523 participants (18,198 vaccine, 18,325 placebo) who had not been tested positive to SARS-CoV-2. ○ (Appropriateness for Use in Persons Aged 16 and Older) As the results of the previous two advisory committee meetings, the Final Evaluation Committee recommended granting marketing authorization for the vaccine to be used in persons 16 years of age and older considering the following: ▲ The vaccine has demonstrated meaningful preventive effect in individuals 16 years of age and older in clinical studies designed to evaluate its safety and efficacy in the age groups. ▲ Immune response in adolescents aged 16 and 17 is deemed to be similar to that of adults. ▲ Results from the clinical studies in adults can be used as reference. ▲ In multiple countries including the U.S., E.U.

  • Source 02
    Ministry of Food and Drug Safety>Information>News&Notice>News&Notice | Ministry of Food and Drug Safety

    mfds.go.kr Regulator 28% relevance Neutral exa

    The source is about clinical trials in Korea, not FDA approval in the U.S.

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    Ministry of Food and Drug Safety>Information>News&Notice>News&Notice | Ministry of Food and Drug Safety [Press Release, Dec 31, 2020] COVID-19 vaccine developed in Korea approved for clinical trial (Phase I/II) - Registration Date 2021-01-07 - Hit 269 ... COVID-19 vaccine developed in Korea approved for clinical trial (Phase I/II) - 21 COVID-19 therapeutics and vaccines under clinical trial in Korea - □ The Ministry of Food and Drug Safety (MFDS, Minister Kim Ganglip) granted approval, on Dec. 31, for the clinical trial of GBP510, a vaccine developed by SK Bioscience in Korea. ○ 15 drugs (13 APIs) and 6 vaccines under development have received the approval for COVID-19-related clinical trials in Korea. □ The clinical trial of SK Bioscience’s vaccine is conducted in healthy adults to evaluate the safety and immunogenicity* of GBP510. Phase II clinical trial will follow after the completion of Phase I. * immunogenicity : the rate at which the amount of neutralizing antibodies that removes or reduces virus infectivity increases. ... One Life Science (GL ... -5310) I/II Recombinant vaccine (2) SK Bioscience (NBP2001) ... SK Bioscience (GBP510) I/II Viral vector vaccine (1) Cellid(AdCLD-CoV19) I/II

  • Source 03
    (LEAD) S. Korea approves Pfizer's COVID-19 vaccine amid immunization push | Yonhap News Agency

    en.yna.co.kr 26% relevance Neutral exa

    The source discusses South Korea's approval of Pfizer's vaccine, not the U.S. FDA approval.

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    (ATTN: ADDS more details in paras 3, 10) By Kim Han-joo SEOUL, March 5 (Yonhap) -- South Korea's drug safety agency on Friday approved the vaccine for the novel coronavirus developed by U.S. pharmaceutical company Pfizer Inc. as the country is pushing for the COVID-19 inoculation campaign. The Ministry of Food and Drug Safety allowed use of Pfizer's two full-dose regimen following three separate independent evaluations on the efficacy and safety. The Pfizer vaccine is the second coronavirus vaccine approved here, following AstraZeneca developed by British-Swedish pharmaceutical giant AstraZeneca and Oxford University. Pfizer products for about 23 million people, under a direct contract between the pharmaceutical firm and the Seoul government, are expected to start arriving here later this month. The ministry said Pfizer's two full-dose regimen showed more than a 95 percent efficacy rate, including for people aged between 16 and 17, and aged 65 and older. ... Pfizer products through the COVAX earlier received "special import" approval from the ministry. The ministry also said it granted approval on the condition that the Pfizer vaccine be stored and transported at temperatures between minus 90 C and 60 C.

  • Source 04
    Drug regulators shorten timeframe to approve Covid vaccines, treatments

    koreajoongangdaily.com 24% relevance Neutral exa

    The source discusses the approval process in Korea, not the U.S. FDA approval.

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    The authorization period for coronavirus vaccines and treatments will be reduced from 180 days to 40 days, under plans announced by the Ministry of Food and Drug Safety Sunday. After authorization, vaccines must receive another approval prior to sales of each batch — a system known as lot release, which is mandatory for biological products before market release. This step would be reduced to 20 days, from the usual two to three months, the ministry added. Altogether, Covid-19 vaccines may reach the market in around two months' time from the point the importer or manufacturer starts the process for government approval. The details were part of a set of guidelines published by the Drug Safety Ministry on Sunday in regards to Covid-1 ... As of Sunday, three vaccines developed by foreign pharmaceuticals were under previews for approval — AstraZeneca, Janssen and Pfizer. The government recently announced closing on deals to secure supplies of all three of them. Under Korean pharmaceutical regulations, a preview is a process in which an importer or manufacturer asks for an advisory review of clinical data and other documents before officially embarking on procedures to obtain government approval. ... authorization typically requires a long trail of paperwork that includes animal test results, clinical trial data to documents detailing mass production procedures and quality control standards. ... As of Sunday, five vaccines and 15 treatments were undergoing clinical trials in Korea to fight off the coronavirus.

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Leqembi (lecanemab) received traditional FDA approval for early Alzheimer's disease on July 6, 2023.

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In South Korea, new medicines are approved by the Ministry of Food and Drug Safety.

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The claim that in South Korea, new medicines are approved by the Ministry of Food and Drug Safety is confirmed by multiple sources.

  • Source 01
    Ministry of Food and Drug Safety>Our Works>Drugs>Approval Process | Ministry of Food and Drug Safety

    mfds.go.kr Regulator 69% relevance Supports exa

    Source 1 describes the approval process for pharmaceuticals in South Korea, which is managed by the Ministry of Food and Drug Safety.

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    Ministry of Food and Drug Safety>Our Works>Drugs>Approval Process | Ministry of Food and Drug Safety ##### Overview of ... - Approve pharmaceuticals whose safety, efficacy, and quality are identified (including pharmaceutical ingredients) through technological review and inspection for their manufacturing and distribution.(「Pharmaceutical Affairs Act」Article 31) - Classification of pharmaceuticals : Drug products, pharmaceutical ingredients - Classification of drug products : New Drug, Pharmaceutical required for data submission and Generic Drug - New Drug refers to a new material pharmaceutical whose chemical structure or original composition is totally different from a pharmaceutical previously approved in Korea or a multiple preparation containing a new material as an active drug substance, which is designated by Minister of Food and Drug Safety. (「Pharmaceutical Affairs Act」Article 2 Subparagraph 8) - Pharmaceutical required for data submission refers to not a new drug but a pharmaceutical required for the safety and efficacy evaluation. (Regulation on Pharmaceuticals Approval, Notification and Review (MFDS Notification) Article 2 Subparagraph 8) e.g.) pharmaceuticals with new effectiveness, new composition or increase/decrease of strength of active drug substance, and pharmaceuticals with new route of administration etc. ... - New Drug (「Regulation on Safety of Pharmaceuticals」(Ordinance of the Prime Ministerial) Article 9) - (Review by Drug Evaluation Department) Safety & efficacy data, specifications & test methods, Drug Master Files (DMF), certificate of manufacturing and marketing(Imported Pharmaceutical) Data such as name and address of manufacturers of active pharmaceutical ingredients - (Review by Other Departments) Evaluation data of conducting of Good Manufacturing Practice (GMP) Zoom Figure 1. Dossier for Safety & Efficacy Evaluation ... - Pharmaceutical required for data submission : Selectively submit data required for safety and efficacy evaluation among submission data for new drug. - Generic Drug : Submit bioequivalence test data and quality data instead of safety and efficacy data such as toxicity, pharmacology, clinical trials. 「Regulation on Safety of Pharmaceuticals」(Ordinance of the Prime Ministerial) Article 4 (1) 3 - Generic drugs are reviewed by Drug Evaluation Department and approved by regional FDAs. ##### Work Flow for Approval of Pharmaceuticals - New drug, Pharmaceutical required for data submission | Submission | Pre-review | review | Approval | Issue | | --- | --- | --- | --- | --- | | Drug Review Management Division | Drug Review Management Division | Pharmaceeutical standardization Division | Drug Review Management Division | Customer Support Office | | Based on related regulation, evaluate user fee | Composition of preliminary report Assign product manager (PM)* Identify applied regulations Check history of civil petition Check whether requested for product briefing* Check incrementally modified drug(IMD) etc. | Cardiovascular & neurology products division | Designate as new drug. IMD, drug require for reexamination Manage review results such as efficacy & effectiveness Limit approval condition Delist specifications Open approval information | Issuing certificate of approval result | ... of manufacturing and management ... Quality Division) Domestic ... Product Safety Division ... - In the whole process of drug review and approval, consult with Central Pharmaceutical Affairs Advisory Committee (CPAC), if necessary - Product Manager (PM) a general manager from submission, pre-review, supplementation, approval and revision for each product - Pre-review system : PM examines submission data and the adequacy of data requirements - Product Briefing - (Priority) new drug, IMD and when requested by civil petitioner - (Participants) civil petitioner, Review Division, Pharmaceutical Policy Division Improve efficiency and predictability of review and approval process by enhancing mutual understanding between reviewer and petitioner of a product required for approval process - Drug Approval Update Weekly withdrawals, monthly approvals, approval report (NDA), evaluation results of safety and efficacy (pharmaceuticals required for data submission) - Generic Drug - Required Application Documents : Bioequivalence study, GMP documents and CMC(Chemistry, Manufacturing, Controls) data Zoom Pharmaceutical Company and MFDS,NIFDS interact as shown below. 1.Application of BE protocol 2.Protocol Approval 4.Generic Drug Submission 5.Generic Drug Approval(Inspection for some products) Pharmaceutical Company influences 3.Conduct of study Be Study except for parenteral use influences Pharmaceutical Company Be Study except for parenteral use is Recruiting Healthy Volunteers -> First Administration(Group1:Reference Drug Group2:TestDrug), Second Administration(Group1:TestDrug Group2:Reference Drug) -> Blood Sampling -> Pharmacokinetic Parameter Measurement, statistical Analysis -> Bioequivalence Assessment ... - RFDA approve generic drugs via drug approval evaluation - In the whole process of drug review and approval, consult with Central Pharmaceutical Affairs Advisory Committee (CPAC), if necessary.

  • Source 02
    Korea approves Latica eye drops, its first homegrown dry eye treatment - The Herald Business

    biz.heraldcorp.com 50% relevance Supports exa

    Source 2 confirms that the Ministry of Food and Drug Safety approved a new drug, indicating its role in the approval process.

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    Korea has produced its 44th homegrown new drug and ... first time, a domestically developed treatment for dry eye disease. The Ministry of Food and Drug Safety said Wednesday that it had approved Latica Ophthalmic Solution 5% (ingredient name recoflavone hydrate) as the country's 44th locally developed new drug. The prescription medicine was jointly developed by GL Pharm Tech, a biotech venture specializing in improved new drugs, and Aju Pharm, a midsize pharmaceutical company. ... This is also the first approval granted under an expedited review process based on the Ministry of Food and Drug Safety's "New Drug Item Approval and Review Procedures" guideline. The ministry enacted the guideline in 2025. It formed a 20-member "Latica task force," including review specialists, to prioritize examination of Good Clinical Practice and Good Manufacturing Practice standards. It also held ongoing customized in-person meetings with the companies before and after the approval application, significantly shortening the review period. "We plan to continue enhancing the predictability and transparency of drug approval and review so that safe and effective new drugs can be swiftly supplied to patients," the Ministry of Food and Drug Safety said.

  • Source 03
    Ministry of Food and Drug Safety>Our Works>Bio&Cosmetics>Biosimilar | Ministry of Food and Drug Safety

    mfds.go.kr Regulator 41% relevance Neutral exa

    Source 3 discusses biosimilar products but does not directly address the approval of new medicines.

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    Biosimilar products are defined as a biological product that is comparable to already marketed reference products in terms of quality, safety and efficacy. It would therefore be mandatory to demonstrate their comparability to a reference product through an extensive comparability exercise of the quality, non-clinical and clinical studies. (Guidelines on Evaluation of Biosimilar Products, MFDS Guideline 2015) (Regulation on Approval and Review of Biological Products, MFDS Notification) ... Biosimilar product should be demonstrated to be biosimilar to already marketed reference product in terms of quality, safety and efficacy under Regulation on Approval and Review of Biological Products, MFDS Notification. Comprehensive comparability assessment should be carried out between the biosimilar product and the reference product based on all the data obtained from comparative quality, nonclinical and clinical studies. ... MFDS established the scientific guidelines for the biosimilar assessment - Biosimilar Product Evaluation Guideline, English Version, (2022.7) - Guideline on the Evaluation of Biosimilar Products Containing Recombinant Erythropoietins (Korean)(2011.12.) - Guideline on the Evaluation of Biosimilar Products Containing Somatropin(Korean)(2011.12.) - Guideline on the Evaluation of Biosimilar Products Containing Recombinant Granulocyte-Colony Stimulating Factor(Korean)(2012.10) - Guideline on the Evaluation of Biosimilar Products Containing Monoclonal Antibodies(Korean)(2013.9.) - Guideline on the Evaluation of Biosimilar Products Containing Recombinant Insulin and Insulin Analogues (Korean)(2015.10.) - Questions and Answers on Biosimilar Products(Korean)(2018.12.) - Guideline on the Evaluation of Quality, Safety, and Efficacy of Recombinant Protein Products (Korean)(2014.12) - Guideline on Stability Testing of Biological Products(Korean)(2015.11.) - Guideline on the Immunogenecity Evaluation of Biotechnology-Derived Therapeutic Proteins (Korean)(2019.7.) - Guideline on the Comparability of Biothechnological/Biological Products to Changes in their Manufacturing Process (Korean)(2018.11.) - Guideline on the Clinical Evaluation of Biological Products for the Treatment of Rheumatoid Arthritis (Korean)(2007) - Guideline on the Characterization and Specification of the Sugar Chain of Glycoprotein Products (Korean)(2015.6.) ... MFDS has approved 49 biosimilar products(marked 91 presentation) #### MFDS published the assessment report of biosimilar products MFDS has disclosed review summaries to promote transparency and consistency of its review and approval processes after approval of biosimilar products. MFDS published the assessment report of biosimilar products ... #### MFDS' Performance as Chair of the IPRP Biosimilar Working Group For biosimilars, in particular, MFDS has developed the Template for Assessment Summary Information for Biosimilar (PASIB) as Chair of the IPRP Biosimilars Working Group, which is currently publicly accessible MFDS also has prepared the 'Reflection Paper on Extrapolation of Indications in Authorization of Biosimilar Products', which is currently publicly accessible. ... prepared the 'Reflection Paper ... Biosimilar Products', ... currently publicly accessible.

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Drinking a glass of red wine every day lowers the risk of heart disease.

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Partially supported AI checked 70% confidence

While some sources suggest moderate red wine consumption may lower heart disease risk, others highlight the lack of conclusive evidence and potential health risks.

  • Source 01
    With Correct Measurements, Wine Really May Protect Heart | Loris Drug Store (843) 756-4021 | Loris, SC

    lorisdrug.mysecurescripts.com 63% relevance Supports exa

    Indicates that drinking half to one glass of wine daily may reduce heart disease risk.

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    A little wine every day can protect your heart health, a new study suggests. People who drank half to one glass of wine a day had a 50% lower risk of heart attack, stroke or heart disease, compared to wine teetotalers, researchers reported Dec. 18 in the European Heart Journal. Even light drinking -- one glass a week, or less than half a glass a day -- reduced heart risk by 38%, results showed. However, these benefits evaporated in people who had more than one glass of wine a day. ... “A reduction in risk of 50% is much higher than can be achieved with some drugs, such as statins,” Estruch added in a journal news release. ... In people at high risk of heart disease following a Mediterranean diet, light-to-moderate wine drinking reduced heart risk by 50%, results show. ... Estruch also noted that because these participants were older people at high risk of heart disease living in Spain, the study’s ... might not apply to other people. “Another key question is at what age moderate wine consumption could be considered 'acceptable’. Recent studies indicate that the protective effects of wine consumption are observed starting from the age of 35 to 40,” Estruch said.

  • Source 02
    Contribution of Red Wine Consumption to Human Health Protection - PMC

    pmc.ncbi.nlm.nih.gov Foreign jurisdiction 63% relevance Supports exa

    Suggests moderate red wine consumption is associated with a lower risk of cardiovascular diseases.

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    The objective of the study of Yoo et al. [47] was to examine the health perceptions of red and white wine drinkers from Australia and Korea. Consumers prefer red wine, consuming this with an awareness of the health benefits and protection against myocardial infarction, cardiovascular diseases, and hypertension. The cardioprotective effect of moderate alcohol consumption was examined by Djoussé et al. [48]. The participants of this study were women, including both alcohol consumers and non-drinkers. The participants’ cardiovascular mortality and alcohol consumption rates were followed for 12 years. As compared with abstainers, alcohol drinkers, with an intake of 5 to 15 g per day, were associated with a 26% lower risk of cardiovascular disease, 35% lower risk of total mortality, and 51% lower risk of cardiovascular disease mortality, if the alcohol consumption was mostly red wine. Another study investigated the effects of regular alcohol consumption on the incidence of cardiovascular diseases and all-cause mortality. They studied the aspects of the overall alcohol-drinking pattern, all-cause mortality, and the risk of cancer and cardiovascular disease. The participants were more than 20,000 Mediterranean university graduates, surveyed every two years. The results showed a significantly lower incidence of death and cardiovascular diseases among wine drinkers than among beer or other alcohol drinkers. This outcome was associated with alcohol intake volume (men 20 g/day, women 10 g/day) in combination with polyphenol intake and the healthier lifestyle of wine-drinkers [49]. ... study had ... dose alcohol intake ... 0.1 L of ... 0.2 L of wine ... for men) ... decrease in the ... . The most suitable ... source seemed to be red wine ... During few last decades, the French paradox has been mentioned quite often. It means that French people have a relatively low incidence of coronary heart disease despite a diet that includes a high amount of saturated fat. Yamagata et al. [51] studied the preventive effects of polyphenols on cardiovascular diseases and their positive effects on the function of the endothelial cells. Observations of 129,000 adults showed a decreased risk of mortality from cardiovascular diseases in wine consumers compared to other alcohol drinkers. Sinkiewicz et al. [52] also reviewed the reason for the French paradox. Here, lower coronary artery disease occurrence was associated with consumption of wine rather than beer and other alcoholic beverages. People drinking three glasses of red wine every day had the lowest risk of cardiac diseases and mortality. Sufficient daily wine intake also decreased high blood pressure and the risk of myocardial infarction in men aged 65 years and older. ... | Recommendation | Kind of Alcohol | Effect | Refs. | | --- | --- | --- | --- | | 0.2 L | Red wine | Increased systolic and diastolic blood pressure, hypertension | [41,47] | | 0.15 L of wine or 0.33 L of beer or 0.03 L of liquor | | Lowered the risk of ischemic myocardium, cardiomyopathy and overall mortality | [42] | | 0.2 L | Red wine | Beneficial effects on coronary artery disease, cardioprotective effect | [43,48] | | 0.1 L women or 0.2 L men of red wine | | Improved independently the LDL/HDL ratio in patients with arteriosclerosis | [45,50] | | 0.375 L of wine or 0.1 L of vodka | | Reduce the risk of cardiovascular diseases | [46] | | 0.15 L for ... , 0.45 L for men of red wine | | Reduced inflammation, atherosclerosis, improved lipid metabolism, antioxidant state, and endothelial function | [54] | ... consumption of wine is ... tests and clinical

  • Source 03
    Protective effect of wine against CHD unclear

    medscape.com 55% relevance Neutral exa

    Acknowledges potential benefits but emphasizes the lack of conclusive evidence and advises caution.

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    Dallas, TX - Although a large number of studies have suggested an association between moderate red wine consumption and a reduced risk for cardiovascular disease (CVD), the American Heart Association (AHA) advises physicians to downplay the popular but still unproven hypothesis that drinking red wine could benefit the heart. The AHA has published an advisory from their Nutrition Committee, Council on Epidemiology and Prevention and Council on Cardiovascular Nursing on the current scientific status about "Wine and Your Heart" in the January 23, 2001 issue of Circulation. ... Despite the health risks of heavy drinking, moderate wine drinking does have health benefits, Dr R Curtis Ellison (Professor of Medicine and Public Health, Boston University School of Medicine, Boston, MA) told CBSHealthWatch. Ellison believes the AHA advisory is "cautious and conservative": "In my opinion, there's really no question that alcohol is related to a lower risk of heart disease." He points to long-term studies showing moderate drinking to be beneficial. Studies don't prove whether wine is better than other forms of alcohol, Ellison says, or what precisely is in wine that makes it so beneficial, CBSHealthWatch reports, adding, "Other lifestyle factors associated with wine drinking, such as drinking in moderation, drinking with meals, or having an overall healthy lifestyle could also explain some of the benefits of wine over other types of alcohol." ... "Without a large-scale, randomized, clinical endpoint trial of wine intake, there is little current justification to recommend alcohol (or wine specifically) as a cardioprotective strategy," writes the advisory panel, headed by Dr Ira J Goldberg (Columbia University). Lack of decisive evidence Without a large-scale, randomized, clinical end-point trial of wine intake, there is little current justification to recommend alcohol (or wine specifically) as a cardioprotective strategy. Numerous population-based surveys support the hypothesis that people who drink one to two glasses of red wine per day have a lower CVD risk than nondrinkers. Moreover, in certain parts of Europe where wine is consumed frequently, CVD mortality is an estimated 50% lower than in the US, despite an otherwise similar high-fat diet. Despite this observation, a phenomenon called the "French paradox," the AHA is cautious about attributing this reduced CVD rate to red wine alone, because study data regarding its effects on the cardiovascular system have not been consistent. The supposed cardioprotective effect of red wine requires further investigation, say Goldberg et al, because "the pattern of consumption of alcoholic beverages may be a marker for other lifestyle factors related to heart disease risk." Some European populations, they say, consume diets rich in fruits, vegetables, and fish, which are readily associated with a lower CVD risk. The best-known biological effect of alcohol on the cardiovascular system is the increase in blood levels of HDL cholesterol, with a 12% increase with 1-2 glasses per day. However, "this increase is similar to that seen with exercise programs and medications," says Goldberg. He points out that niacin therapy can result in an even greater 20% increase of HDL. ... A different question the advisory team members raise is whether the potential cardiovascular benefits associated with red wine outweigh its potential health hazards, such as fetal alcohol syndrome, cardiomyopathy, hypertention, stroke, cardiac arrhythmia and sudden death, most of which, however, are associated with long-term, heavy alcohol consumption. But, although moderate red wine intake does not appear to lead to severe adverse events, Goldberg et al advise physicians not to recommend red wine as a cardioprotective strategy until a large-scale trial has documented its benefits.

  • Source 04
    ATTR-CM and Alcohol: Is Drinking Safe? - Everyday Health

    news.google.com 49% relevance Neutral google-news

    Does not provide relevant information on red wine and heart disease.

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    ATTR-CM and Alcohol: Is Drinking Safe? Everyday Health

  • Source 05
    Routinely drinking alcohol may raise blood pressure even in adults without hypertension - www.heart.org

    news.google.com 49% relevance Neutral google-news

    Focuses on alcohol raising blood pressure, not specifically on red wine or heart disease risk.

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    Routinely drinking alcohol may raise blood pressure even in adults without hypertension www.heart.org

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Taking vitamin D supplements prevents cancer in older adults.

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No source provides evidence that vitamin D supplements prevent cancer in older adults.

  • Source 01
    Vitamin-Mineral Supplement Use Patterns in Elderly Koreans: Data from the 2007–2008 Korean National Health and Nutrition Examination Survey

    kjfm.or.kr 55% relevance Neutral exa

    Discusses vitamin-mineral supplements but does not specifically address vitamin D or cancer prevention.

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    Vitamin-mineral supplements are the most popular dietary supplements in Korea. However, few studies have assessed the relationship between vitamin-mineral supplementation and associated factors among the Korean elderly. The purpose of this study was to assess the use of vitamin-mineral supplements among elderly in Korea as well as its association with sociodemographic factors, health-related behaviors, medical conditions, and nutrient intake. ... This study was based on data from the Korean National Health and Nutrition Examination Survey, conducted by the Korean Ministry of Health and Welfare from 2008 to 2009. Data from 3,294 elderly men and women (65 years of age and older) were analyzed. Multivariable-weighted logistic regression model analysis was used to evaluate the association between ... -mineral supplement use and sociodemographic factors, health-related habits, and medical conditions. ... Vitamin-mineral supplementation was reported by 16.3% of the participants. The most common reason for using dietary supplements was recommendations from friends and acquaintances. Highly educated person, female participants had a greater likelihood of taking vitamin-mineral supplements. In addition, analysis of nutrient intake from food sources alone revealed a lower proportion of vitamin-mineral supplement users with nutrient intakes below the estimated average requirements for vitamin A, vitamin C, thiamine, riboflavin, niacin, calcium, iron, and phosphorus, compared to nonusers. However, vitamin-mineral supplementation was not associated with health-related behaviors or medical conditions. ... Highly educated person, elderly Korean women had a greater likelihood of using vitamin-mineral supplements. In addition, nutrient intakes from food sources alone were significantly higher among vitamin-mineral supplement users. Finally, vitamin-mineral supplementation may be an indicator of healthier diet in elderly Koreans. ... The results of a previous cohort study revealed that vitamin-mineral supplementation reduced the risk of myocardial infarction by 30%, and longer duration of supplementation was associated with further reduced risk. 5) Another meta-analysis reported that intake of vitamin supplements including the antioxidants vitamins C and E reduced glycated hemoglobin (A1c) levels. 6) In addition, daily vitamin-mineral supplementation prevented colorectal cancer and was associated with a reduction in total cancer, especially in men. 7 8) With increasing evidence of the effect of vitamin-mineral supplementation on disease prevention and cure, studies on the prevalence of supplement use and factors related to their use are also increasing. Previous research has indicated that older age, 4 9 10) female sex, 11 12 13) higher educational level, 4 11 12) lower body mass index, 10) higher economic status, 10 13 14) physical activity, 9 11) and healthier diet 9 10 11 12 14) are associated with increased use of vitamin-mineral supplements. ... users were defined ... The reasons, categories, ... , and frequency of ... Among 3,294 elderly aged 65 years and above, 537 (16.3%) reported using vitamin-mineral supplements. The mean participant age was 72 years and 40.6% were men. 1. Reason ... The most common reason for dietary supplement use was recommendation from friends and acquaintances (72.8%). The elderly in Korea prefer functional foods (56.3%) to vitamin-mineral supplements (42.1%). The mean duration of supplement use was about 17 months, and most reported taking supplements once per day (60%) (Table 1). 2. Demographic and Lifestyle Characteristics, and Health Behaviors among Vitamin-Mineral Supplement Users ... demographic, lifestyle characteristics, and health behaviors, vitamin-mineral supplementation was associated with higher household income (OR, 2.0 ... 1.3–3.3), city ... ), higher education level (OR, 3. ... ; 95% CI, 2.5–6.3), nonsmoking (OR, 1.5; 95% CI, 1.1–2.2), and drinking tea more than once a week ... OR, 1. ... ; 95 ... , 1 ... 3–2.3 ... However, after adjustment, the likelihood of vitamin ... mineral supplement use was greater if participants were female (adjusted OR, 2.0; 95% CI, 1 ... –2.9), and with a higher education level (adjusted OR, 4.3; 95% CI, 2.6–7.1); ... other demographic and lifestyle characteristics. In addition ... health behaviors such as regular diet, selfreported health ... , regular health check-ups and ... vaccination were not related ... use of vitamin-mineral supplements (Table 2). ... There was no significant difference between vitamin-mineral supplement use and the incidence of hypertension, DM, dyslipidemia, CVD, CHD, osteoporosis, cancer, and abdominal obesity (Table 3). 4. Nutrient Intakes from Food Alone (Except for Supplements) among Vitamin-Mineral Supplement Users ... vitaminmineral supplement users ... 4-hour recall method ... We investigated the prevalence of ... -mineral supplement use and ... characteristics of these users ... 6.3 ... and acquaintances, (73%), ... 4.3%. ... result suggests that participants didn't get Information ... . Therefore, health professionals should inquire about ... The vitamin-mineral supplement users did not have any association to medical conditions. Lee and Kim 10) reported that participants with bone disease more commonly reported vitamin supplementation. Similarly, the Physicians' Health Study cohort study in the US found that men with history of hypercholesterolemia, cancer, and hypertension were more likely to use multivitamins. 9) The differences in findings between our study and previous studies are probably because our study focused on the elderly population. During the same period (2007–2009), the KNHANES reported that dietary supplement use was ... in middle-aged than in older adult Koreans. 12) However, in ... US, multivitamin use was more common in older people than among those of middle age. 17) This result suggests that vitamin-mineral supplementation is less prevalent among the elderly in Korea, which may partially explain the lack of association between vitamin-mineral use and medical conditions. However, the link between vitamin-mineral supplement use and medical conditions requires further research. Health behaviors, regular diet behavior, self-reported health status, regular health check-up, and influenza vaccination were not related to use of vitamin-mineral supplements. According to the 1999–2000 US National health and nutrition examination survey (NHANES), the use of dietary supplements was higher among those who perceived their health status as good. 2) In contrast, data from the European Prospective Investigation into Cancer and Nutrition and other studies in Germany, the Netherlands, Sweden, and Denmark showed higher use of dietary supplements in those who perceived their health status as moderate or poor. 3 18 19) One might hypothesize that people in the US use dietary supplements to prevent diseases, whereas people in Europe use dietary supplements to treat diseases. 20) According to a previous study of Korean elderly, the most commonly reported reasons for using vitamin-mineral supplements were to stay healthy (37.6%) and to relieve fatigue (22.3%), suggesting that use of dietary supplements among the elderly in Korea as a preventive measure. 13) ... in this study ... users consumed more nutritious diets ... 2 17 ... US, a ... In conclusion, highly educated person, elderly women in Korea had a greater likelihood of using vitamin-mineral supplements. In addition, the ratio of nutrient intake from food sources alone was higher among vitamin-mineral supplement users than nonusers. The results of our study suggest that vitamin-mineral supplement use may be an indicator of healthier diet in the elderly; however, this observation requires further validation. Health professionals should routinely determine supplement use history and provide patients with specific information.

  • Source 02
    Effect of a Single Multi-Vitamin and Mineral Supplement on Nutritional Intake in Korean Elderly: Korean National Health and Nutrition Examination Survey 2018–2020

    mdpi.com 55% relevance Neutral exa

    Focuses on micronutrient deficiencies and improvements with supplements, not cancer prevention.

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    Inadequate nutritional intake is common, especially among elderly individuals. Although micronutrient intake may help fill nutritional gaps, the effects of multi-vitamin and mineral supplements (MVMS) among the Korean elderly are not well known. Therefore, we investigated the nutrition-improving effects of a single MVMS. A total of 2478 people aged ≥65 years who participated in the Korea National Health and Nutrition Survey 2018–2020 were analyzed. Nutrient intake from food and supplements was measured using the 24 h recall method. We compared the nutritional intake and insufficiency between the food-only group (n = 2170) and the food and MVMS group (n = 308). We also evaluated the differences in inadequate nutritional intake after taking MVMS with food. The analysis included vitamins A and C, thiamine, riboflavin, niacin, calcium, iron, and phosphorus. The proportion of insufficient intake ranged from 6.2% to 80.5% for men and from 21.2% to 82.4% for women, depending on the nutrients. Intake of MVMS with food was associated with lower rates of inadequacy (3.8–68.5% for men and 3.3–75.5% for women) compared to the food-only group. The results suggest that micronutrient deficiency frequently occurs in the Korean elderly population and can be improved by MVMS intake. ... Older people experience nutritional deficiencies for various reasons, including anorexia, oral health problems, biological changes in the digestive system, chronic diseases, multiple drug use, and social factors [4,5,6]. Nutritional deficiencies in food intake can also lead to macronutrient and micronutrient deficiencies [4]. In particular, micronutrient deficiencies such as iron and vitamins A, C, D, and E are more common in older adults than in younger adults [7]. ... Previous studies [7,15,16,17,18,19,20,21,22] have shown that taking vitamins and minerals through dietary supplements (DS) can help improve micronutrient deficiencies and achieve the recommended levels of these micronutrients. In Korea, some studies have shown that the supplementation of vitamins and minerals through DS in addition to food can help reach the recommended daily nutritional intake for the general population [17,18] and adolescents [22]. Some studies conducted in Korea showed the DS usage patterns and micronutrient deficiencies in elderly Korean individuals [23], and some studies suggested the improvement effect after taking multi-vitamin and mineral supplements (MVMS) in older people. Therefore, the improvements in older Korean individuals taking MVMS with food need to be clarified. We hypothesized that the intakes of micronutrients in older Koreans need to ... a single MVMS, this study was conducted with subjects who only took MVMS purely by ... hypotheses, in this study, based on data from the large nationally representative Korean National Nutrition and Health Survey (KNHANES) 2018–2020, we investigated the micronutrient intake status in older Korean people. We also evaluated the MVMS ... insufficient nutritional intake below the ... Figure 2 shows the proportion of people who consumed less than the EAR for each nutrient in the MVMS user group. We also evaluated the percentage differences in nutritional intake status after taking MVMS (Table S1). When participants consume food only, more than 50% of male participants consumed less than the EAR of vitamin A (80.3%), vitamin C (80.5%), and calcium (67.3%), and more than 50% of female participants consumed less than the EAR of vitamin A (78.1%), niacin (69.4%), vitamin C (82.4%), and calcium (80.5%). In addition, the rates of inadequate intake of thiamine (21.0%), phosphorus (6.2%), and iron (18.2%) in males and iron (21.2%) in females were low, at less than 20%. After MVMS intake (in the food + MVMS group), micronutrient intake in older adults increased for almost all nutrients. The most significant improvement was observed in vitamin C levels in both sexes (68.5% in males and 75.5% in females). Additionally, niacin, riboflavin, thiamine, and vitamin A also showed improved intake rates lower than the EAR between 21.7% and 46.1% in both males and females (Table S1). However, even after taking MVMS with food, more than 50% of the male and female participants did not reach the EAR for vitamin A and calcium intake. ... This study confirmed the effects of supplementing insufficient micronutrient intake with a single MVMS. The proportion of participants who did not achieve adequate micronutrient intake through their diet was greater than 50% for vitamin A, vitamin C, and calcium in men and vitamins A, niacin, vitamin C, and calcium in women. On the other hand, MVMS intake helped reduce the proportion of undernourished men and women. However, although MVMS intake improved the nutrient levels, more than 50% of the participants still required more vitamin A and calcium intake. Nevertheless, concerns about the problems caused by excessive intake were not serious. ... Overall, MVMS supplementation improved micronutrient intake in older adults. This improvement effect was mainly observed for vitamins. Although vitamin C showed one of the highest rates of insufficiency among participants in the food-only group, this vitamin also showed the best improvement after taking MVMS. The proportion of men and women who consumed vitamin C below the EAR was 80% in the food-only group, and the intake level was very vulnerable. The intake of fruits and vegetables, which can be considered representative vitamin C sources for the elderly, has tended to increase gradually in comparison with the past. However, consumption exceeding the recommended amount is still essential [31]. Vitamin C is a representative antioxidant that plays a role in enhancing immunity [8]. The intake of MVMS improved the insufficiency rate by nearly 70%. As a water-soluble vitamin, vitamin C has fewer known toxicities than fat-soluble vitamins and minerals; therefore, supplemental intake contributes to reducing inadequate intake in the elderly by providing these nutrients in a safer form. ... In this study, the proportion of participants who exceeded the intake limit after taking MVMS was approximately 2% for vitamin A and calcium, which was lower than that in previous studies [15,16]. Excessive intake of vitamin A can lead to hip fractures, and excessive iron intake in older adults increases the risk of coronary heart disease [15,16]. Weeden et al. showed that more than 10% of older adults exceeded the UL intake for vitamin A, niacin, folic acid, and magnesium [16], and Sebastian et al. found that more than 10% of older men exceeded the UL for iron and zinc [15]. Our study showed fewer UL exceedances than other studies, probably because it evaluated people who used only one MVMS as a nutritional supplement. Thus, exceeding the ULs may be a concern when consuming multiple nutritional supplements. Nevertheless, the benefits of MVMS intake are clear, and the risk of side effects is not high, with some levels remaining below the recommended amount despite supplementation. These results highlight the importance of educating elderly individuals to consume mineral supplements without exceeding the UL of mineral or vitamin intake in food. ... This study showed a cross-section of insufficient and excessive nutritional status through food intake and MVMS in older Korean adults. When Korean older adults consumed most micronutrients only with food, the intake of most nutrients was less than recommended. However, the intake of a single MVMS helped improve micronutrient intake in older Korean adults. Dietary supplement intake improved the nutritional status of vitamins and minerals, but the proportion of inadequate intake of some nutrients was still higher. Although excessive nutritional intake is not a cause for concern, the risk of excessive intake cannot be ruled out. Therefore, elderly Koreans should receive education on proper vitamin and mineral intake through a proper diet and, if necessary, MVMS.

  • Source 03
    Evaluation of Nutritional Status of Vitamins and Minerals According to Consumption of Dietary Supplements in Korean Adults and the Elderly: Report Based on 2017 Korea National Health and Nutrition Examination Survey data -Korean Journal of Community Nutrition | Korea Science

    doi.or.kr 8% relevance Neutral exa

    Evaluates nutrient intake from supplements but does not mention cancer prevention.

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    Objectives: This study was undertaken to evaluate the intake of vitamins and minerals from dietary supplements (DSs) in Korean adults and elderly. Methods: Data for this study was generated from the 2017 Korea National Health and Nutrition Examination Survey (KNHANES). We analyzed 4,204 individuals aged 19 years and older (2,579 users and 1,625 non-users). The survey included 24-h recall questions on food and DS intakes, as well as questions on DS use over the past year. The nutrient DSs evaluated were calcium, phosphorus, iron, vitamin A, thiamin, riboflavin, niacin, and vitamin C. Total nutrient intakes were obtained by combining nutrient intakes of foods and DSs consumed by each subject. Results: Most micronutrient intakes from food (except for thiamin) in adult users, and the four micronutrient intakes (iron, vitamin A, vitamin B2 and vitamin C) in elderly users, were significantly higher than values obtained in non-users. For total intake of nutrients and DSs, both adult and elderly users had a significantly higher intake than non-users. While proportions below Estimated Average Requirements for all micronutrients by adding respective DSs in users were significantly reduced in adults and elderly as compared to non-users, the proportions of above Tolerable Upper Intake Levels for calcium and vitamin A in adults, and vitamin A in elderly, were significantly increased. In the total subjects examined, consumption of DSs was associated with lower odds ratios of undernutrition of micronutrients, and with higher odds ratios of overnutrition of calcium, iron, and vitamin A, as compared to non-users of DSs. Conclusions: Although DSs consumption by adults and the elderly improves the micronutrient status, it also increases the risk of excessive intake of certain vitamins and minerals. ... 11. Song S, Youn J, Lee YJ, Kang M, Hyun T, Song Y et al. Dietary supplement use among cancer survivors and the general population: a nation-wide cross-sectional study. BMC cancer 2017; 17(1): 891-902. ... 21. Sebastian RS, Cleveland LE, Goldman J, Moshfegh A. Older adults who use vitamin/mineral supplements differ from nonusers in nutrient intake adequacy and dietary attitudes. J Am Diet Assoc 2007; 107(8): 1322-1332.

  • Source 04
    Relationship between use of multivitamins and mineral supplements and frailty in older Korean population: a cross-sectional study using the Korea National Health and Nutrition Examination Survey 2018–2019

    kjfm.or.kr 8% relevance Neutral exa

    Examines frailty and supplement use, not cancer prevention.

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    Interest in healthy aging has grown with the increase in the older population. Nutritional intake is crucial in frailty. Therefore, we aimed to investigate the relationship between frailty and multivitamin and mineral supplements (MVMS), which can easily provide micronutrients. ... The Korea National Health and Nutrition Examination Survey (KNHANES) conducted from 2018 to 2019 included 3,395 adults aged ≥65 years. Of these, 1,511 who did not consume dietary supplements (DS, non-DS group) and 415 who took MVMS (MVMS group) were included in the study. We modified Fried’s definition of frailty to fit the KNHANES data. Using multivariate logistic regression, we examined the association between MVMS use and frailty, which varied with satisfaction with total energy intake. Additional subgroup analyses were performed based on age, sex, and income. ... MVMS reduced most micronutrient deficiencies compared to obtaining nutrients solely through food. The overall analysis revealed no association between MVMS use and frailty (odds ratio [OR], 0.75; 95% confidence interval [CI], 0.52–1.09). However, a subanalysis revealed that participants with a low income (≤25%) who took MVMS had decreased odds for frailty (OR, 0.55; 95% CI, 0.35–0.88) compared with the non-DS group. Furthermore, a significant association between using MVMS and frailty was confirmed in the group with low income and energy intake below the recommended daily allowance, with a low OR of 0.52 (95% CI, 0.30–0.90). ... MVMS use was significantly associated with frailty among the low-income and low-daily energy intake groups. ... The US National Institute of Health defines multivitamin and mineral supplements (MVMS) as supplements containing three or more vitamins or minerals that may be unavailable in the diet at doses below the daily upper intake level [13, 14]. MVMS should not be considered a replacement for a balanced diet. However, it may be particularly beneficial for people who consume insufficient food or are malnourished for various reasons. In previous studies, regular supplementation resulted in an estimated 75% reduction in the number of older adults with inadequate micronutrient intake [12, 15, 16]. ... The sociodemographic factors examined in this study included age, sex, education level, household income, living arrangements, physical activity level, smoking status, frequency of alcohol consumption, body mass index (BMI), and presence of comorbidities (chronic diseases or cancers). The participants were categorized into two age groups: 65–74 years and ≥75 years. Educational level was classified as below middle school, high school, or above. Household income was divided into quartiles (high, middle-high, middle-low, and low) and then reclassified into low income (≤25%) and other income levels (>25%). Smoking status was categorized as current smoker, former smoker, or nonsmoker. Alcohol consumption was defined as drinking less than once or more than twice per week. Physical activity was assessed by calculating the total MET score for 1 week. BMI (kg/m2) was categorized as underweight (BMI <18.5), normal (18.5≤ BMI <23), overweight (23≤ BMI <25), and obese (BMI ≥25) [22]. Comorbidities were classified based on the number of chronic diseases present: two or fewer chronic diseases versus three or more chronic diseases. Chronic diseases include hypertension, myocardial infarction, angina pectoris, stroke, diabetes, chronic kidney disease, and various cancers (stomach, liver, colon, breast, cervix, lungs, and thyroid). ... In this study, no correlation was identified between MVMS intake and frailty (odds ratio [OR], 0.75; 95% confidence interval [CI], 0.52–1.09), even after adjusting for age, sex, education level, BMI, frequency of drinking, smoking status, presence of chronic disease, and total energy. In an additional subanalysis according to age, sex, and income level, the MVMS group showed a significantly lower rate of frailty than did the non-DS group, which comprised the lowest 25% quartile of the income group (OR, 0.55; 95% CI, 0.35–0.88). However, we observed no significant differences between age and sex subgroups regarding the association between MVMS intake and frailty (Table 4). In the analysis of total energy intake based on RNI, no overall correlation was observed between MVMS and frailty. In the group with low total energy intake and low income, a significant relationship was identified between MVMS intake and frequency of frailty (OR, 0.52; 95% CI, 0.30–0.90) (Table 5). ... In this study, no clear association was identified between MVMS use and frailty in the entire population aged ≥65 years. However, in older Korean adults with low income and insufficient daily energy intake, MVMS use was associated with a lower prevalence of frailty, suggesting that MVMS may help reduce the risk of frailty by supplementing deficient micronutrients. ... In this analysis, most micronutrients were consumed at a lower rate than the recommended daily intake when obtained solely from food, and the use of supplements increased the proportion of older adults meeting the RNI for all nutrients except iron. Our study did not directly compare the prevalence of micronutrient inadequacy according to socioeconomic status (SES). However, previous studies have demonstrated that the prevalence of micronutrient inadequacy is also associated with income and is higher among low-SES groups than among high-SES [16]. MVMS use significantly increases micronutrient intake and reduces the proportion of people with an inadequate intake (below the estimated average requirement) of most nutrients [9, 10, 13, 16]. Our results, and those of previous studies, suggest that MVMS intake is a simple and effective method for addressing multiple micronutrient deficiencies. Therefore, MVMS intake may reduce the risk of frailty. The MVMS may play various roles in reducing the risk of frailty. Vitamin D is associated with muscle function [23, 24], vitamin B12 is essential for neurological and cognitive function [3, 13], and antioxidant vitamins, such as vitamins C and E, are crucial for preventing frailty owing to their antioxidant function [5]. Minerals, such as calcium and magnesium, are important for bone and muscle health [25]. These nutrients may act either individually or synergistically to influence frailty. Multivitamins contain different vitamins and minerals; therefore, determining which micronutrients contributed primarily to the decreased occurrence of frailty in patients using the MVMS was difficult. Assessing nutrient deficiency in terms of nutrient intake and absorption is challenging. ... In conclusion, the effects of MVMS use on frailty differed based on income level, with significantly lower odds of frailty especially among the low-income and lower-daily energy intake groups. Older adults with a low SES were particularly vulnerable to healthcare policies aimed at preventing frailty. Providing more active support is necessary to prevent and manage frailty including addressing nutritional imbalances in older adults with lower SES. Further, thorough and wellstructured studies are required to address this issue. Although our research suggests some potential benefits of MVMS, MVMS is not a substitute for a balanced diet or healthy lifestyle. No supplements can compensate for poor dietary habits and unhealthy behaviors. Although multivitamins provide essential nutrients, they cannot completely prevent or treat specific diseases or health conditions. This should be considered part of a comprehensive healthcare plan that includes a balanced diet, appropriate medical care, physical activity, and nutritional supplementation.

  • Source 05
    Nutrient intakes from supplement and factors associated with supplement use among breast cancer survivors: A cross-sectional study

    onlinelibrary.wiley.com 7% relevance Neutral exa

    Discusses supplement use among cancer survivors, not prevention of cancer with vitamin D.

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    We investigated the contribution of supplement use to total nutrient intake, the prevalence of inadequate nutrient intake and the factors associated with supplement use among breast cancer survivors. ... A total of 701 Korean breast cancersurvivors were included. We calculated the contribution of dietary supplements to total nutrient intake and the proportion of the population below the estimated average requirements (EARs) or exceeding the tolerable upper intake levels (ULs). Stepwise logistic regression was used to identify factors associated with dietary supplement use. ... A total of 66.5% of the survivors used dietary supplements, with multivitamins and minerals being the most commonly consumed ones. The per cent contribution of supplement to the total intake was the highest for vitamin C. 28.2%–55.4% of the non-users consumed below the EAR of riboflavin, folate and calcium; 6.1%, 4.9% and 6.5% of the supplement users consumed above the UL of vitamins A and C, and iron, respectively. Supplement users had higher education levels or longer survival time. ... 66.5% of Korean breast cancer survivors used dietary supplements. A higher education level or prolonged survival time was associated with higher use of dietary supplements. ... * Korean Ministry of Food and Drug Safety(2020). ... * Miller, P.,Demark-Wahnefried, W.,Snyder, D. C.,Sloane, R.,Morey, M. C.,Cohen, H.,Kranz, S.,Mitchell, D. C., &Hartman, T. J.(2008).Dietary supplement use among elderly, long-term cancer survivors.*Journal of Cancer Survivorship*,2,138–148. ... * Ock, S.-M.,Hwang, S.-S.,Lee, J.-S.,Song, C.-H., &Ock, C.-M.(2010).Dietary supplement use by South Korean adults: Data from the national complementary and alternative medicine use survey (NCAMUS) in 2006.*Nutrition Research and Practice*,4,69–74.

Sentence 07 from line 07 - 2 retries

Coffee is the most consumed beverage in the world after water.

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The provided sources do not address the global consumption ranking of coffee compared to other beverages.

  • Source 01
    Ministry of Food and Drug Safety>Information>International Risk Information | Ministry of Food and Drug Safety

    mfds.go.kr Regulator 55% relevance Neutral exa

    The source discusses caffeine regulations but does not address coffee's global consumption ranking.

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    [Australia] High-moderate risk changes to permissible ingredients - Caffeine (2019-09-03) ... The Therapeutic Goods (Permissible Ingredients) Determination ('the Determination') is a legislative instrument under section 26BB of the Therapeutic Goods Act 1989. This instrument specifies all of the ingredients that are available for use in listed and assessed listed medicines and their associated requirements. The Determination is continually reviewed by the TGA to ensure that all ingredients and their requirements are appropriate for use in low-risk medicines. Following a safety review, new requirements for caffeine and caffeine-containing ingredients within listed medicines are specified in the Therapeutic Goods Amendment (Permissible Ingredients) Determination (No. 1) 2019. A delay to implementation of these changes was considered likely to pose an imminent or serious safety risk to consumers (see High-moderate risk changes). As such, the Delegate of the Minister of Health has considered it appropriate to make this change to the Determination commencing 2 September 2019. [Background] The TGA wrote to sponsors of caffeine containing ingredients on 13 March 2018 and 17 May 2018 regarding changes relating to caffeine and caffeine-containing ingredients. Feedback from stakeholders at these times referenced a review of caffeine safety conducted by the European Food Safety Authority (EFSA) and the Health Canada (HC) monograph for caffeine. We also sought advice from the Advisory Committee on Complementary Medicines (ACCM) regarding requirements for caffeine in listed medicines in 2018. In June 2019, the TGA was contacted by the NSW Coroner's Court regarding the death of an individual associated with acute caffeine toxicity. The caffeine is suspected to have been ingested from an unlabelled pure or highly concentrated caffeine powder. Further, on 10 July 2019 Minister Colbeck and Minister Hunt wrote to Food Standards Australia New Zealand (FSANZ) to request a review of the safety of caffeine powders and high caffeine content products. The Ministers also requested that FSANZ engages with TGA to align therapeutic goods regulations with food regulation to the extent possible. Subsequently, the TGA reviewed the current toxicology data pertaining to caffeine and reconsidered the requirements for caffeine; as an individual ingredient, when present as a component of other herbal ingredients (e.g. Camellia sinensis), and when present from both these sources (i.e. total caffeine). [New requirements for the use of caffeine] Following consideration of options to manage the safety concerns with concentrated caffeine powders and other dosage forms, and taking into account the request from Minister Colbeck and Minister Hunt, and feedback from last year's review of caffeine, highly concentrated caffeine in any dosage form will become ineligible for listing. Caffeine as an individual ingredient remains only for oral use and at a maximum daily dose of 100mg. However, caffeine when present as a component of other herbal ingredients will now have dosage restrictions so that the medicine does not provide more than 400mg total caffeine per day. A maximum dose of 100mg per 3 hours will also be required. These limits consider consumption from other sources such as food, and the adverse effects which are seen with caffeine intake exceeding 400mg/day and more frequent dosing. The additional restrictions have been included to be consistent with all caffeine containing ingredients and cover routes of administration where caffeine is present from other ingredients. The warning statement (CAFF) has been adjusted to increase consumer awareness of caffeine intake. An additional warning statement of (CAFFPREG) addresses concerns for caffeine use in pregnancy and lactation. Caffeine as an individual ingredient currently has the requirement for a warning statement for 'Adults only'. The same concerns for caffeine intake for children apply to other ingredients containing caffeine and this statement has been applied to all caffeine containing ingredients above 10mg daily dose. For doses greater than 80mg/day (which equates to a cup of instant coffee), additional warning statements will be required to address specific safety concerns of inadvertent misuse, interactions with other medicines which may lead to increased caffeine plasma levels or interactions between medicines, and potential adverse effects due to high caffeine intake. A caffeine concentration of 1% in undivided preparations was considered acceptable given that 30 g (estimated equivalent of a heaped tablespoon) would deliver only 300 mg of caffeine, which sufficiently reduces the likelihood of inadvertent overdose. A concentration of 33% is considered acceptable in divided preparations that do not require the consumer to measure dosage. This is considered to pose a lower risk of inadvertent overdose and is in line with the highest caffeine concentration in existing OTC products. The new requirements for caffeine below will be applied to the following ingredients for internal use or oral application in listed medicines: - caffeine - Camellia sinensis - Coffea arabica - Coffea canephora - coffee - Cola acuminata - Cola nitida - Ilex paraguariensis - Paullinia cupana - Theobroma cacao The following requirements will have immediate effect: - Undivided preparations (e.g. bulk powders) must not contain a concentration of total caffeine greater than 4%. - Divided preparations (e.g. tablets) must not contain a concentration of total caffeine greater than 33%. For the following requirements, sponsors of existing listed medicines will have until 2 March 2021 to bring affected products into compliance, and any new listed medicines will need to comply immediately: - The maximum recommended daily dose must not provide more than 400mg of total caffeine from all ingredient sources. NOTE: The existing 100mg maximum daily dose limit for caffeine as an individual ingredient still applies. - Undivided preparations must not contain a concentration of total caffeine greater than 1%. - The maximum recommended dose must not provide more than 100 mg of total caffeine within a 3 hour period. - When the maximum recommended daily dose provides greater than 10 mg of total caffeine, the following warning statements are required: (ADULT) 'Adults only' (or words to that effect). (CAFF) 'Contains caffeine [state quantity per dosage unit or per mL or per gram of product] total caffeine [per dosage unit or per mL or per gram]. A cup of instant coffee contains approximately 80mg of caffeine.'. (CAFFPREG) 'Caffeine intake more than 200 mg per day is not recommended during pregnancy or breastfeeding.'. - When the maximum recommended daily dose provides greater than 80 mg of total caffeine, the following warning statements are required: (CAFFLIMIT) 'Limit the use of caffeine-containing products (including tea and coffee) when taking this product.'. (CAFFCYP) 'Caffeine interacts with the liver enzyme CYP1A2. Consult your health professional before taking with other medicines' (or words to that effect). [What the TGA will do] Following the expiration of the compliance transition period, the TGA will identify any listed medicines in the ARTG containing caffeine from any source and may initiate a review and cancel products that are not complying with the regulatory requirements that are in force at the time. If you have any concerns or would like to discuss this issue further, please do not hesitate to contact the Complementary and OTC Medicines Branch at complementary.medicines@tga.gov.au.

  • Source 02
    Caffeine consumption of medical students in Korea: amount and symptoms based on a 2023 survey

    exa.ai 55% relevance Neutral exa

    The source focuses on caffeine consumption among medical students, not on global beverage consumption rankings.

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    Purpose: To investigate the form and level of daily caffeine intake recommended above 400 mg in medical students expected to consume caffeinated beverages to enhance their performance. Methods: From May to June 2023, freshman through senior medical students at a medical school in Korea were administered a seven-item questionnaire designed to measure the amount of caffeine-containing foods consumed, the weekly interval between consumption, the reason for consumption, and the level of caffeine-induced symptoms experienced. Results: Out of 443 students, 361 responded (81.5%). The most commonly consumed caffeine beverages were coffee (79.2%), followed by soda (33.2%), tea (27.4%), chocolate (25.2%), and energy drinks (20.5%). The estimated (average±standard deviation) daily intake was estimated to 274.6±276.5 mg, and they consumed caffeine on an average of 4.25±2.26 days per week. Students who consumed 400 mg or more of caffeine daily consumed 19.9%. The primary motivation for caffeine intake was "to improve academic performance" (60.9%) and "preferred food" (51.8%). Among the responders, 98% of them replied they had symptoms that could be caused by caffeine, in order of palpitations (47.4%), frequent urination (42.9%), anxiety (27.1%), indigestion (17.5%), and excitement (17.5%). A total of 45.7% reported two symptoms, and 24.7% reported three or more. Conclusion: Caffeinated beverage consumption was routine among current medical students, with 20% consuming more than the recommended daily amount. Most students experienced at least one caffeine-induced symptom, with two symptoms in half, suggesting the need for policy measures and warnings about caffeine-containing foods. ... As an attempt to reduce its reported toxicities, the Ministry of Food and Drug Safety recommends a maximum daily caffeine intake of 400 mg or less for adults, 2.5 mg/kg or less for children, and 300 mg or less for pregnant women [7] [8] [9] . In an average adult, 400 mg of caffeine per day would be exceeded by consuming four cups of Americano coffee or five cans of energy drinks [10] . Nevertheless, no studies have been reported that examine the extent and propensity to consume caffeine in contemporary college students, especially medical students, who are thought to be highly motivated to drink caffeinated beverages to enhance their academic performance. Substance addiction and abuse are common medical problems in modern times and can be a practical issue for medical students who will grow up to be healthcare providers. In this background, this study aims to investigate caffeine consumption among students in a single medical school in 2023 to understand their caffeine consumption behavior, thereby suggesting ways to consume caffeine more healthily. ... The type of caffeine-containing foods was categorized, and the subjects were asked whether they usually consumed each item. In order to estimate the caffeine intake per serving for each food, we set a daily serving size based on the caffeine-containing foods. The caffeine content of each food was calculated based on data published by the Korea Food and Drug Safety Evaluation Service in 2020 [6] . Participants were asked how many times per day they consumed each category of food, based on the number of servings, and multiplied by the number of servings to calculate their daily caffeine intake and the number of days per week they consumed caffeine. Also, the perception of caffeine consumption, reasons for caffeine consumption, and symptoms of caffeine consumption that can be associated with caffeine overdose were surveyed (Supplement 1). Multiple responses were allowed for all questions related to tastes and symptoms. ... Coffee was the most common food consumed by respondents, with 286 (79.2%) reporting that they usually drink coffee. This was followed by soda (120, 33.2%), tea (99, 27.4%), chocolate (91, 25.2%), and energy drinks (74, 20.5%). Based on this, the calculated average±standard deviation daily caffeine intake of all respondents was estimated to be 274.6±276.5 mg, and they consumed caffeine on an average of 4.25±2.26 days per week (Table 2 ). Students who consumed 400 mg or more of caffeine per day were 19.9% of the total, in order of first-year medicine (25.4%), first-year pre-med (26.3%), secondyear medicine (19.2%), second-year pre-med (15.6%), third-year medicine (15.1%), and fourth-year medicine students (12.5%). First-year medicine students had the highest average daily caffeine intake at 314.5±278.2 mg, and second-year medicine students consumed the most caffeine days per week at 4.94±2.49 days. ... The extent of caffeine-containing beverage con- The survey of our data had a high response rate of 81.5%, which ensured its reliability. In particular, the study was conducted among all grades, confirming the caffeine consumption needs of students in the familiar medical school environment. Regarding caffeine consumption among students, coffee was the most commonly consumed food, accounting for 79.2%. This may be attributed to the ease of access to coffee, as coffee franchises are widely located in and around schools. ... Among medical students, 98% have experienced abnormal symptoms after consuming caffeine, 49% have experienced two or more, and more than 25% have experienced three or more. Caffeine acts on ... stimulating the release of norepinephrine, which sensitizes dopamine receptors [13] . This process causes ... body to block signals from the brain that it needs to rest, and blood pressure and heart rate increase. Beyond ... short-term discomfort of performing daily activities, these symptoms can lead to problems such as anxiety, digestive issues, restlessness, and even death [14] [15] [16] [17] . These side effects and overconsumption have led to the establishment of a recommended daily allowance for caffeine in Korea, but 20% of medical students consume more than the recommended amount. This suggests that most students continue to consume caffeine despite experiencing adverse symptoms. There is a need for policy research and procedures to prevent caffeine overuse and abuse, such as awareness of the amount of caffeine consumed by individuals and information and education on the recommended intake. According to data from the Ministry of Food and Drug Safety of Korea, the average daily intake of caffeine per person in Korea over the past 3 years (2015-2017) was 65.7 mg, which is 17.6% higher than the maximum recommended daily intake of 400 mg [18] . In addition, according to a previous study on the consumption of high-caffeine beverages by college students, the average daily intake of caffeine from high-caffeine beverages was 13.81 mg, and sumption among medical students known for their heavy academic workload has been scarcely reported. The first data was published based on a cross-sectional study investigating caffeine use for "academic purposes" by first -to third-year medical students at the University of the Free State of South Africa in 2006 [11] . The second cross-sectional report was published based on 400 medical students of the Dao University of Pakistan in 2016 [12] .Unlike the West, where coffee and other beverages are commonplace, these countries have been drinking caffeine-containing beverages since the 20th century, like South Korea, so comparing their data with ours is helpful, especially in the early 21st century, when caffeinated drinks are more readily available and exposed in the media globally. the average daily intake of caffeine from caffeinecontaining drinks such as coffee, excluding high-caffeine beverages, was 75.19 mg among the 291 college students who participated in the study. The average daily caffeine intake from energy drinks during the trial was 30.00 mg, group of students who participated in the Good Will project, a medical humanities class conducted as part of the fourth-year medical student class at Yeungnam University in 2023.

  • Source 03
    High caffeine warnings: South Korea enforces mandatory warning labels and tightens rules for coffee and tea

    foodnavigator.com 55% relevance Neutral exa

    The source discusses caffeine regulations in South Korea, not the global consumption ranking of coffee.

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    High caffeine warnings: South Korea enforces mandatory warning labels and tightens rules for coffee and tea ... The South Korean Ministry of Food and Drug Safety (MFDS) has introduced mandatory warning labels and tightened regulations governing ‘high caffeine’ beverages, including coffee and tea products. ©Getty Images ## The South Korean Ministry of Food and Drug Safety (MFDS) has introduced mandatory warning labels and tightened regulations governing ‘high caffeine’ beverages, including coffee and tea products. This was announced as part of the latest amendment to the Enforcement Regulations of the Act on Labeling and Advertisement of Food under Prime Minister Decree No. 1642, and will formally enter into force after December 31 2021. “The packages of all liquid foods containing 0.15mg or more caffeine per ml will be required to display a warning label mentioning ‘high caffeine content’ as well as the phrase ‘Total Caffeine Content OOO mg’ (sic, OOO being the amount of caffeine present),” said MFDS. ... In addition, once the total caffeine content is printed on the label, the range of actual caffeine content found in the product will not be allowed to vary by more than 10% from the number displayed. This means that a product that declares 100mg per ml caffeine must contain not less than 90mg and not more than 110mg if tested in order to avoid any penalties. “Coffees, teas or other liquid beverages made from coffee and tea ingredients [will be given slightly more leeway on the upper limit] and allowed to go up to 20% above the displayed caffeine content before being penalised,” added MFDS. These labelling rules will apply to both locally produced and imported products – importers would be expected to attach the relevant warning labels to any high caffeine imports on the main display side of the product. ... South Korea has a history of paying special attention to regulations governing caffeine consumption in the country because local students tend to rely heavily on caffeine in order to study through the night, even though excessive intake could cause palpitations, nausea, and sleep disorders. Back in 2016, MFDS issued a ban on media ads for all high caffeine foods and drinks which covered television, radio and print media advertisements and also involved foods and snacks like caffeinated ice cream. ... South Korea has also banned high caffeine drinks sales to students in schools since 2013, but tightened this in 2018 by also banning coffee vending machines (previously still made available for teachers) after realising that students had been making use of these. According to Euromonitor data, South Koreans drink an average of 181 cups of coffee a year – the highest consumption amongst Asian countries.

  • Source 04
    Assessment of caffeine intake in the Korean population

    exa.ai 55% relevance Neutral exa

    The source provides data on caffeine intake in Korea, not on global beverage consumption rankings.

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    An improved method for the analysis of caffeine in foods by HPLC was validated by measuring several analytical parameters. The caffeine contents of 1202 products available from Korean markets were analysed. A consumption study was conducted by using data from the Korea National Health and Nutrition Examination Survey (KNHANES), 2010-12, to estimate the caffeine intakes of the Korean population. The mean intakes of caffeine from all sources in the general population and consumers were 67.8 and 102.6 mg day(-1) for all age groups, respectively. The 95th percentile intakes of the general population and consumers were 250.7 and 313.7 mg day(-1), respectively. In those aged 30-49 years, the caffeine intakes of the general population and consumers were highest at 25.5% (101.8 mg kg(-1) day(-1)) and 36.6% (0.9 mg kg(-1) day(-1)), respectively, compared with the maximum recommended daily intake (400 mg day(-1)) for adults. In the general population, the main contributors to the total caffeine intake were carbonated beverage for the younger age groups and coffee for the adults. These data provide a current perspective on caffeine intake in the Korean population. ... - Coffee research and ... - Tea Polyphenols and Effects - Nutrition, Health and Food Behavior ... Yu‐Mi Lee, Byung-Jin Na, Yu-Si Lee, Shin Young Park, Myung‐Sub Chung, Young‐Soo Chang, et al. Exposure ... of caffeine in children’s snacks ... Food Science and Biotechnology. 20 ... 3;22(3):865 ... 869 ... doi:10.1007/s10068-013- ... -y.

  • Source 05
    Caffeine is widely found in favorite foods for children - Concerns over caffeine overconsumption - Necessity for caffeine content labeling 상세보기 > Press Releases

    ciss.go.kr 55% relevance Neutral exa

    The source discusses caffeine content in foods, not the global consumption ranking of coffee.

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    Caffeine is widely contained in favorite foods for children such as chocolate, caffeinated snacks, breads, and milk as well as soda like coke. However, as caffeine content labeling is inappropriately kept, children and pregnant women, who are sensitive to caffeine consumption, cannot aware how much caffeine is taken from food. Therefore, they are facing high possibility to over-consume the recommended daily allowance for caffeine. ... In conjunction with the Korea Food and Drug Administration, the KCA made a proposal to the industry to adopt voluntary product labeling for caffeine contents to prevent caffeine over-consumption. Meanwhile, the KCA continued to request parents to keep kids’ consumption of chocolate-containing foods, caffeinated foods, and caffeinated soda to a minimum, considering that children can be sensitive to caffeine. ※ Caffeine is a substance widely found in coffee, green tea, cocoa, and chocolate. When taken in moderation, caffeine may help to restore energy, ward off drowsiness, and get rid of body wastes through a diuretic effect. Yet, when taken in excess, side effects may include: anxiety, irritation, jitteriness, excitement, and insomnia. In particular, the vulnerable such as children and pregnant women may face comparatively severe side effects from caffeine over-consumption. ... According to the recent results from the KCA and the Korea Food and Nutrition Foundation, caffeine was widely contained in favorite foods for children. ... Processed milk (containing coffee) ... In 2007, the Korea Food and Drug Administration presented daily caffeine intake guidelines for children (no more than 2.5 milligrams per one kilogram of body weight), pregnant women (no more than 300 milligrams), and adults (no more than 400 milligrams) There is a possibility for children to over-consume the recommended daily allowance for caffeine when repeatedly taking foods containing coffee (mentioned in the above table). ... There is no current labeling standard for caffeine contents in foods. It is stipulated that liquid foods use a ‘Highly-caffeinated’ label if containing more than 0.15 milligram of caffeine per one milliliter. Yet, as tea, coffee, and other products using ‘coffee’ or ‘tea’ as part of its name do not have to adopt the labeling, there are scarcely any products with caffeine content labeled in reality. ... The KCA made a proposal to the industry to label whether caffeine is contained as well as how much caffeine is contained in the product and use decaffeinated coffee for raw material to enable consumers to select low caffeinated products. In conjunction with the Korea Food and Drug Administration, the KCA made a proposal to the industry to adopt voluntary product labeling for caffeine contents to prevent caffeine over-consumption. Furthermore, the KCA plans to make a request for introducing a mandatory labeling system to the KFDA if the voluntary labeling is unsatisfactory. Meanwhile, the KCA continued to request children to keep kids’ consumption of chocolate-containing foods, caffeinated foods, and caffeinated soda to a minimum, considering that children can be sensitive to caffeine.

Sentence 08 from line 08

Samsung Electronics reported consolidated revenue of 300.9 trillion won for 2024.

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Sentence 09 from line 09 - 2 retries

Apple reported total net sales of $383.3 billion for fiscal year 2023 in its Form 10-K, which was lower than in fiscal 2022.

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The provided sources do not contain any specific information about Apple's net sales figures for fiscal years 2023 or 2022, nor do they confirm whether the 2023 figure was lower than 2022.

  • Source 01
    2023 Business Report

    images.samsung.com Company website 62% relevance Neutral exa

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    in those regions ... and SSS (Shanghai) and SSCX (Xian ... Production sites for finished products include SSEC (Suzhou) and semiconductor production facilities are located in SCS (Xian) among others. The Company in 2023 recorded total revenue of KRW 258,935.5 billion, a decrease of 14.3% year-on-year. Major customers (listed in alphabetical order) included Apple, Best Buy, Deutsche Telekom, Qualcomm, and Verizon. ... In 2023, reported revenue was KRW 169,992.3 billion (65.7% of total net sales) for DX; KRW 66,594.5 billion (25.7%) for DS; KRW 30,975.4 billion (12.0%) for SDC; and KRW 14,388.5 billion (5.6%) for Harman. ... 5 5 ... transactions.

  • Source 02
    23-11-02 Apple reports fourth quarter results

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    Apple Inc.

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    Apple Inc.

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  • Source 05
    II. Defendant Apple

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