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Dietary Behaviors and Status of Nutrient Intakes by the Obesity Levels of Housewives in Daegu
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Jung A Park, Jin Sook Yoon
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Korean J Community Nutr 2005;10(5):623-632. Published online October 31, 2005
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- This study was intended to collect the baseline information on dietary behavior of adults to develop nutrition education program in the context of healthy weights at community level. Nutrient intakes of 128 housewives were assessed by 24 hour recall method. Also food habits, nutrition knowledge and attitude were investigated by self-administered questionnaires. Subjects were divided to under-weight, normal-weight, over-weight groups by body mass index (BMI). Most under-weight groups evaluated as their current body images were normal. 41% of normal-weight groups judged as their current body images were obese. Energy and fat intakes of over-weight group were significantly higher than that of under-weight and normal weight groups (p < 0.05). However, carbohydrate and protein intakes showed no significant differences among the three groups. It appeared that active attitude toward change in nutrition attitude of normalweight group was significantly higher than that of under-weight group (p < 0.05). There were no significant differences of food habit score, nutrition knowledge, and obesity habit scores among the three groups. The frequency of eating-out showed significant difference among three groups (p < 0.05). Food habit scores were positively related to health-concerned attitude (r = 0.174), convenience-concerned attitude (r = 0.229) and food enjoyed attitude (0.213) and negatively related to obesity habit score (r = -0.206). Also, positive correlation of body fat mass with frequency of eatingout (r = 0.213), instant food (r = 0.227) and amount of meal (r = 0.187) existed (p < 0.05). We concluded that nutrition education programs for housewives should include specific strategies to modify unsound food behaviors and inappropriate perception of body image for a healthy weight.
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A Comparison of Energy Intake and Energy Expenditure in Normal-Weight and Over-Weight Korean Adults
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Jung A Park, Ki Jin Kim, Jin Sook Yoon
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Korean J Community Nutr 2004;9(3):285-291. Published online June 30, 2004
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- The purpose of this study was to compare the energy expenditure and energy intake of normal-weight and overweight Korean adults. We recruited 242 adults to determine resting energy expenditure, physical activity and energy intake. Resting energy expenditure was measured by indirect calorimetry. Energy intake for consecutive two days was assessed by 24 hour recall method. Daily activity pattern for 24 hour was collected from each subject. Body weight, lean body mass and percentage body fat were measured by INBODY 3.0. The subjects were divided into normal (20 < or = BMI < 25) and overweight (BMI > or = 25) groups by BMI. There was no significant difference in intake of energy between two groups. Energy intake of each group was lower than the 7th Korean RDA of energy. Overweight subjects showed significantly lower REE/kg body weight. However, REE/kg lean body mass (LBM) did not differ between the two groups. Total activity energy was significantly higher in the overweight group compared to the normal group. Daily activity coefficient of overweight group in male was lower than that of normal group. Daily activity coefficient was almost same in two female groups. LBM was highly correlated with REE and total energy expenditure. We concluded that the overweight group consumed more energy than the normal group due to the heavier body weight.
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A Comparison of the Resting Energy Expenditure of Korean Adults Using Indirect Calorimetry
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Jung A Park, Ki Jin Kim, Joung Hee Kim, Young Sook Park, Jaeok Koo, Jin Sook Yoon
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Korean J Community Nutr 2003;8(6):993-1000. Published online December 31, 2003
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- The purpose of this study was to provide baseline data for revising the recommended energy intake for Korean adults. We recruited 290 adults so as to determine their resting energy expenditure (REE) and energy intake. The REE was measured by indirect calorimetry. We also calculated the REE from prediction equations formulated by World Health Organization (WHO). The energy intake for two consecutive days was assessed using the 24 hour recall method. The body weight, lean body mass (LBM) and percentage body fat were measured using the INBODY 3.0 system. We compared the results of three age groups; 20 to 29 years, 30 to 49 years and 50 years or more. The average energy intake of each age group was below the 7th Korean Recommended Dietary Allowances (RDA). The average energy intake was lower in the older age groups. However, no difference was observed among the age groups when the energy intake as a percentage of the Korean RDA was compared. Our measurement of the REE was higher than the REE calculated by the WHO's method. Correlation coefficients between the measured and the calculated values of REE for all age groups showed significant correlations (r = 0.475-0.672). As the ages of all the subjects increased, the REE/kg of body weight decreased. There were no significant differences in the REE / kg of the LBM between the different age groups; however, the REE/kg of the LBM was higher in the female group than in the male group. Negative correlations of the REE with the age (r = -0.242) and body fat ratio (r = -0.313) were observed; positive correlations of the REE with the BMI (r = 0.265), height (r = 0.570), weight (r = 0.562) and LBM (r = 0.586) were also found (p < 0.01).
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The Iron Status and Diet Quality of Pregnant Women during the First Five Months of Pregnancy
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Jin Sook Yoon, Jung A Park, Sook Mee Son
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Korean J Community Nutr 2003;8(6):803-813. Published online December 31, 2003
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- Literature suggests that iron deficiency anemia is prevalent among pregnant women all over the world. This study was designed to evaluate the iron status of pregnant women during the fist five months, with the intention of determining ways to reduce the prevalence of iron deficiency anemia among pregnant women in Korea. We collected dietary information and measured the biochemical status of iron in 171 pregnant women over 16 weeks of gestation (= 16.7 +/- 2.34 week). Dietary intakes for 3 days were collected using the 24 hour recall and food record methods. The daily Fe intake was measured using the food frequency method. The Body Mass Index (BMI), calculated by using the pre-pregnancy weight and height, indicated that 31.3% of subjects were under-weight. We divided the subjects into normal and anemic group by using the serum ferritin levels. It appeared that the mean dietary intake of iron was 52.3% of the recommended level for pregnant women. The dietary quality evaluation showed that pregnant women ate only 58% of the recommended amount in the food groups of meat, fish, eggs, beans and milk and dairy products. The hematological indices showed that the mean Hemoglobin (Hb) was 11.9 g/dl, Hematocrit (Hct) was 35.1%, ferritin was 23.9 ng/ml, and transferrin was 297.3 microgram/dl. The dietary intake of iron was significantly lower and the vitamin C intake was significantly higher in the anemic group. The pre-pregnancy BMI was significantly lower in the anemic group. Variables affecting iron intake were the Fe intake frequency index and the food group score. The Fe index showed significantly positive correlation with the pre-pregnancy food intake and the food group score. Hb showed a significantly positive correlation with the prepregnancy food intake. We concluded that strategies to improve iron status be implemented in the pre-pregnant stage so as to reduce the prevalence of iron deficiency and that we should stress on the importance of an adequate diet as well as the maintenance of a heathy weight.
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A Screening Tool for Identifying High-Risk Pregnant Women of Fe Deficiency Anemia : Process II
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Jung A Park, Jin Sook Yoon
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Korean J Community Nutr 2003;8(2):160-170. Published online April 30, 2003
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- Pregnant women in South Korea are a highly risk group for iron deficiency anemia. Previous studies indicated that the 24-hour recall method was insensitive in distinguishing iron deficiency anemic women from normal women. This method is also impractical to when used at community health centers where no public health dietitians are employed. The objective of this study was to develop a convenient tool to evaluate the usual iron (Fe) intake of pregnant women.
The study participants were 115 pregnant women (age 23 to 37 years) at gestational stage of 13 to 24 weeks. Anemic subjects were classified on the basis of their serum ferritin < 12.0 microgram/L and hemoglobin < 12.0microgram/dL levels. Food frequency questionnaires with 46, 29, and 15 commonly consumed food items were used to measure the usual intake of iron of the subjects. Hemoglobin and serum ferritin were measured from fasting blood samples. Nutrients intake was assessed on three consecutive days using the 24-hour recall method and the food record method. The iron index score calculated using the food frequency method showed a significantly positive correlation with iron intake for the three days dietary intake. The iron index showed a significantly difference (p < 0.05) between the normal and anemic groups. However, there was no significant difference in the iron intake between the anemic and the normal women as measured by the 24-hour recall and food record method. Our study indicated that the 29-food items questionnaire could be used as a screening tool to identify poor dietary intake of iron.
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The Effect of Individualized Nutritional Education on Adults having two or more Symptoms of Chronic Degenerative Disease
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Jin Sook Yoon, Young Hye Jeong, Jung A Park, Hyun Mee Oh
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Korean J Community Nutr 2002;7(6):794-802. Published online December 31, 2002
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- This study was intended to evaluate the overall effects of nutritional education on adults having two or more symptoms of chronic degenerative disease. A nine week nutritional education program was provided for 65 adults with chronic diseases. We assessed the changes in dietary knowledge, eating behavior and socio-psychological factors. When we evaluated the nutrient intakes of the subjects, their energy intake was 79.4% of the Korean Recommended Dietary Allowances (RDA). Their dietary intake of other nutrients was also below the RDA level except for Vitamin C. Their knowledge of dietary therapy was slightly improved after the implementing of nutritional education. The dietary behavior of 'night snacks before sleep' was significantly improved. While the overall fear due to disease was significantly increased, self-efficacy was not improved. Self-efficacy for eating "three regular meals" and "choosing fruit, vegetable and grain" were significantly decreased. Family support for "buying food which is good for my health" was also significantly increased, whereas "advises me to eat appropriate foods for health" was decreased. Biochemical analysis indicated that blood levels of triglyceride, cholesterol and blood pressure improved after nutrition education. Therefore, we concluded that nutritional education program for people with chronic degenerative diseases could change the diet therapy knowledge, dietary behavior, and the fear due to disease, support from family and behavior intention toward the direction to improve the chronic disease condition. However, it did not improve self-efficacy. Our study also indicated that nutritional education strategies to improve self-efficacy should be an important aspect in a long term education plan for patients to establish desirable eating habits.
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A Screening Tool for Identifying High-Risk Pregnant Women of Fe Deficiency Anemia : Process I
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Jung A Park, Jin Sook Yoon
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Korean J Community Nutr 2001;6(5):734-743. Published online December 31, 2001
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- Iron deficiency anemia is a worldwide public health problem relevant to unsound nutritional practice. While the prevalence of iron deficiency anemia is very common among pregnant women, appropriate nutritional service programs to improve the iron status are lacking in Korea. In an attempt to develop a nutritional screening tool to separate the high-risk subjects of iron deficiency, we carried out a nutritional survey for 115 Korean pregnant women whose gestational age ranged from 13 to 24 weeks. Each subject was interviewed with questionnaires for general characteristics and dietary habits. Food intake was measured by 24-hour recap method and 2 day record. Fasting blood was drawn for measuring hemoglobin and serum ferritin. It appeared that half of the pregnant women belonged to the anemia group and had insufficient dietary habits to provide adequate amounts of dietary iron. The first gravida and the working women had better hematological iron indicators than the second or more gravida and the housewives. It also appeared that women who had bigger family size and lower BMI in pre-pregnancy had poorer iron status. Among the food consumption habits, fruit dependent dietary habit was related to poor iron status. Sufficiently consumed green leafy vegetable and appropriate amount of food before morning sickness were positive factors of iron stares. Our results indicated that parity, BMI, current job, family size, food habits including consumption of fruits, green & yellow vegetables, and food habits before the onset of morning sickness are significant factors to contribute the Fe deficiency anemia during pregnancy.
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