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Dietary Factors Associated with Attention Deficit Hyperactivity Disorder (ADHD) in School-aged Children
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Minji An, Hyojin An, Hwang Hyo Jeong, Ho Jang Kwon, Mina Ha, Yun Chul Hong, Soo Jong Hong, Se Young Oh
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Korean J Community Nutr 2018;23(5):397-410. Published online October 31, 2018
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DOI: https://doi.org/10.5720/kjcn.2018.23.5.397
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Abstract
PDFPubReader
- OBJECTIVES
An association between dietary patterns and mental health in children has been suggested in a series of studies, yet detailed analyses of dietary patterns and their effects on ADHD (attention deficit hyperactivity disorder) are limited. METHODS We included 4569 children who had dietary intake data as part of the CHEER (Children's Health and Environmental Research) study conducted nationwide from 2005 to 2010. We assessed ADHD (Attention Deficit Hyperactivity Disorder) by the DuPaul's ADHD Rating Scales and dietary intake by a semi-quantitative food frequency questionnaire. Using intake data, we constructed five dietary patterns: “Plant foods & fish,â€â€œSweets,â€â€œMeat & fish,â€â€œFruits & dairy products,†and “Wheat based.†RESULTS: The overall proportion of ADHD was 12.3%. Boys (17.8%) showed a higher rate of ADHD than girls (6.5%). The total intake of calories (85 kcal) and plant fat (2g) in the ADHD group was significantly higher than that of the normal group. ADHD was significantly negatively associated with dietary habits such as having breakfast and meal frequency, and positively associated with eating speed, unbalanced diet, overeating, and rice consumption. Regarding dietary patterns, the “Sweets†category was relevant to high ADHD risk (OR 1.59, 95% CI: 1.18, 2.15 for Q5 vs. Q1) in a linear relationship. An inverse, non-linear association was found between “Fruits & dairy products†and ADHD (OR 0.55, 95% CI: 0.39, 0.76 for Q4 vs. Q1). CONCLUSIONS Our study confirms both positive and negative associations between diet and ADHD in elementary school age children. Moreover, linear or nonlinear associations between diet and ADHD draw attention to the possible threshold role of nutrients. Further studies may consider characteristics of diet in more detail to develop better intervention or management in terms of diet and health.
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- Correlation of attention deficit hyperactivity disorder with gut microbiota according to the dietary intake of Korean elementary school students
Tae-Hwan Jung, Hyo-Jeong Hwang, Kyoung-Sik Han, Regis Moreau PLOS ONE.2022; 17(9): e0275520. CrossRef - Awareness and Practice of Sugar Reduction in School Foodservice and the Practice of Nutrition Education in Daegu
Suhyang Jang, Kilye Kim, Yeon-Kyung Lee Korean Journal of Community Nutrition.2021; 26(3): 167. CrossRef - Effect of Nutrition Education on Reduced Sugar Intake in Elementary School Students
Young-Mi Seo, Ok-Jin Park, Min-June Lee Journal of the East Asian Society of Dietary Life.2021; 31(1): 14. CrossRef - Analysis of the consumer perception and related education effect on the reduction of sugar for elementary school students in Seoul and Gyeonggi-do
Ki Nam Kim, Jung Sug Lee, Jee-Seon Shim, Hae Kyung Chung, Hae Rang Chung, Moon-Jeong Chang Journal of Nutrition and Health.2020; 53(3): 303. CrossRef
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The Development of a Nutrition Education Program for Low-income Family Children by applying the Social Cognitive Theory and Health Belief Model
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Saes Byoul Lee, Yu Ri Jeong, Hyo Jin Ahn, Min Ji Ahn, Su A Ryu, Nam E Kang, Se Young Oh
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Korean J Community Nutr 2015;20(3):165-177. Published online June 30, 2015
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DOI: https://doi.org/10.5720/kjcn.2015.20.3.165
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- OBJECTIVES
Based on individual and environmental characteristics of low-income children, we developed a nutrition education program for school-aged children from low-income families according to effective use in social welfare centers. METHODS We conducted in-depth group interviews to assess program needs in 28 participants, 10 low-income school-aged children and 9 of their care givers, 9 social workers and 9 care-givers. Theoretical backgrounds of our program were heath belief model and social cognitive theory considering motivation, action and environment characteristics. RESULTS Based on the findings of this qualitative study, we developed major program themes and contents. Five selected key themes were 'balanced diet', 'processed food', 'food hygiene and safety', 'Korean healthy traditional diet', and 'family cooking' to induce changes in dietary behaviors. Main findings of in-depth group interviews included 'child's active participation', 'simple and easy to understand messages', and 'environmental constraints' such as a lack of child care at home, limited budget of social welfare centers, and less qualified educators for nutrition and health. Each lesson was constructed as a 1-hour program particularly emphasizing activity-based programs, including cooking and teamwork exercises. Program contents in each session consisted of activities that could induce outcome and value expectations, self-efficacy, perceived benefits, and barriers and cues to actions regarding diet behavior. CONCLUSIONS We developed a nutrition education programthat is rarely available for low-income children in Korea, considering theoretical bases. Further studies are needed to validate our program.
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Yerin Kim, Gyeong Seob Shin, Jungwon Park, Minji Kang, Kumhee Son, Yoon Myung Kim, Kyung Hee Park, Hyunjung Lim Clinical Nutrition Research.2024; 13(1): 8. CrossRef - Developing educational programs to increase awareness of food additives among elementary school students
Soo Rin Ahn, Jae Wook Shin, Jung-Sug Lee, Hyo-Jeong Hwang Journal of Nutrition and Health.2024; 57(4): 451. CrossRef - A Qualitative Study of the Awareness and Influencing Factors of the Dietary Habits of the Male and Female Workers' at a Manufacturing Facility in Gwangju
Ji Suk Yim, Young-Ran Heo Korean Journal of Community Nutrition.2022; 27(1): 12. CrossRef - Evaluation of the Need for Obesity Prevention Education Programs through Analysis of Factors Affecting Student Obesity Factors in Seoul during the COVID-19 Pandemic
Seoung Hi Kim, Seonyeong Baek, Min Jeong Choi, Sunny Ham Journal of the East Asian Society of Dietary Life.2022; 32(3): 214. CrossRef - Evaluation of a Nutrition Education Program Designed to Reduce Sugar Intake in Preschool Children
Ma-Young Yeom, Youn-Ok Cho Journal of the Korean Dietetic Association.2016; 22(3): 179. CrossRef - Status of Dietary Life Related Knowledge, Self-Efficacy, Food Preference and Dietary Behavior of Preschoolers in Kyunggi Area
A Reum Lee, Ye Lee Yu, Hye Jin Kim, Kyung A Kim, Kyung Won Kim Korean Journal of Community Nutrition.2016; 21(3): 274. CrossRef - Perception on Optimal Diet, Diet Problems and Factors Related to Optimal Diet Among Young Adult Women Using Focus Group Interviews: Based on Social Cognitive Theory
Hye Jin Kim, A Reum Lee, Kyung Won Kim Korean Journal of Community Nutrition.2016; 21(4): 332. CrossRef
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Associations between Serum 25-hydroxyvitamin D and Consumption Frequencies of Vitamin D Rich Foods in Korean Adults and Older Adults
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Areum Yu, Jihye Kim, Oran Kwon, Se Young Oh, Junghyun Kim, Yoon Jung Yang
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Korean J Community Nutr 2014;19(2):122-132. Published online April 30, 2014
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DOI: https://doi.org/10.5720/kjcn.2014.19.2.122
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Abstract
PDFPubReader
- OBJECTIVES
This study was conducted to investigate the vitamin D status and to determine the association between serum 25-hydroxyvitamin D [25(OH)D] concentrations and consumption frequencies of vitamin D rich foods in Korean adults and older adults. METHODS Subjects were 10,374 adults and 2,792 older adults participating in the 2008-2009 Korea National Health and Nutrition Examination Survey (KNHANES). Consumption frequencies of vitamin D rich foods were estimated by using a qualitative food frequency questionnaire (FFQ). Eleven food items such as beef, egg, mackerel, tuna, yellow corvina, pollack, anchovy, mushroom, milk, yogurt, and ice cream were selected as vitamin D rich foods based on previous research. RESULTS The proportions of deficiency (< 12 ng/mL), inadequacy (12-20 ng/mL) and sufficiency (> or = 20 ng/mL) of serum 25(OH)D concentrations from June to November and December to May in adults were 8.8%, 42.3%, 48.8%, and 28.2%, 52.8%, 19.1%, respectively. The proportions of deficiency, inadequacy and sufficiency of serum 25 (OH)D concentrations from June to November and December to May in older adults were 10.1%, 32.4%, 57.5%, and 24.1%, 45.4%, 30.5%, respectively. The mean serum 25(OH)D concentrations in adults were positively related to the consumption frequencies of mackerel, anchovy, all fish, milk and milk.dairy products. The mean serum 25(OH)D concentrations in older adults were positively related to the consumption frequencies of yellow corvina and negatively related to the consumption frequencies of ice cream. CONCLUSIONS Our results suggest that Korean adults were more deficient in serum 25(OH)D concentrations than older adults. The consumption of vitamin D rich foods may affect vitamin D status in Korean adults. Further studies are required to confirm these findings.
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Ki Nam Kim, Jung-Sug Lee, Jee-Seon Shim, Mi Ock Yoon, Hyun Sook Lee Nutrition Research and Practice.2023; 17(3): 451. CrossRef - Impacts of serum vitamin D levels on sleep and daytime sleepiness according to working conditions
Hyuk Joo Lee, Hayun Choi, In-Young Yoon Journal of Clinical Sleep Medicine.2020; 16(7): 1045. CrossRef - Serum 25-hydroxyvitamin D and cognitive function in Korean older adults living in rural area
Ye Som Shin, Bo Youl Choi, Mi Kyung Kim, Yoon Jung Yang Journal of Nutrition and Health.2019; 52(5): 465. CrossRef - Vitamin D intake, serum 25OHD, and bone mineral density of Korean adults: Based on the Korea National Health and Nutrition Examination Survey (KNHANES, 2011)
Mi-Yeon Kim, Mi-Ja Kim, Sun Yung Ly Journal of Nutrition and Health.2016; 49(6): 437. CrossRef - Relationship of vitamin D status and obesity index in Korean women
Ji-Young Park, Young-Ran Heo Journal of Nutrition and Health.2016; 49(1): 28. CrossRef - The relationship between Physical Growth and Major Sources of Serum Vitamin D among Hospitalized Children of Changwon City
Haeyoung Kang, Eunsil Her, Kyung-Hea Lee Korean Journal of Community Nutrition.2015; 20(3): 197. CrossRef
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Validation of Food Security Measures for the Korean National Health and Nutrition Examination Survey
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Kirang Kim, Seo Ah Hong, Sung Ok Kwon, Bo Youl Choi, Ga Young Kim, Se Young Oh
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Korean J Community Nutr 2011;16(6):771-781. Published online December 31, 2011
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DOI: https://doi.org/10.5720/kjcn.2011.16.6.771
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- The objective of this study was to assess the reliability and validity of food security measures, which was developed based on the US household food security survey module (US HFSSM) with content validity in the Korean population. The reliability and validity were assessed by internal consistency, construct validity and criterion-related validity. The study included 446 households. Among those, 46.2% were households with children. The proportion of food insecure households was 33.3%. Among those, 35.4% and 64.6% households were food insecure with hunger and without hunger, respectively. The Cronbach's alpha coefficients were 0.84 and the infit value by the Rasch model analysis ranged from 0.68 to 1.43. The scale item response curves by food insecurity severity explained well the nature and characteristics of food security, indicating the highest proportion of "yes" for the items on diet quality, followed by those with diet quantity. The result of criterion-related validity showed that food insecurity status was significantly related in a dose-response manner with the household income level, food expenditure, subjective health state, subjects' educational level. Household food security status was also related to dietary diversity regarding protein foods, fruits and fruit juice, and milk and dairy product. These findings suggest that the food security instrument is reliable and valid and would be used to assess food security status in the Korean population.
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- Changes in food sufficiency among Korean adults in urban and rural areas during the COVID-19 pandemic: an analysis of the 7th and 8th Korea National Health and Nutrition Examination Survey
Sarang Jeong, Jin-Young Jeong, Sohyun Park Epidemiology and Health.2024; 46: e2024045. CrossRef - Association of food insecurity with the use of tobacco products and urine cotinine-measured smoking intensity: evidence from a population-based study in South Korea, 2019–2021
Seong-Uk Baek, Yu-Min Lee, Jong-Uk Won, Jin-Ha Yoon Tobacco Control.2024; : tc-2024-058754. CrossRef - Hazardous alcohol use is associated with food insecurity in adults living alone: Findings from a nationwide study in Korea
Seong-Uk Baek, Yu-Min Lee, Jin-Ha Yoon, Jong-Uk Won Social Science & Medicine.2024; 362: 117468. CrossRef - Factors Associated with Metabolically Unhealthy Obesity and Its Relation to Food Insecurity in Korean Adults with Obesity
Jimin Lee, Wonsock Kim, Jae-Min Park, Youn Huh, Jung Hwan Kim, Young Sik Kim, Seo Young Kang Nutrients.2024; 16(22): 3833. CrossRef - How does young adults’ dietary and health-related quality of life vary by food security and household income?
Eun-kyung Kim, Yong-Seok Kwon, Sena Kim, Jin-Young Lee, Young Hee Park Frontiers in Nutrition.2024;[Epub] CrossRef - Associations of Food Insecurity with Dietary Inflammatory Potential and Risk of Low Muscle Strength
Su Min Kim, Yoon Jung Park, Hyesook Kim, Oran Kwon, Kwang Suk Ko, Yuri Kim, Yangha Kim, Hyesook Park, Seungyoun Jung Nutrients.2023; 15(5): 1120. CrossRef - Food insecurity and unmet healthcare needs in South Korea
Hwi Choe, Tae-Young Pak International Journal for Equity in Health.2023;[Epub] CrossRef - Food Insecurity Is Associated with Dietary Consumption during the COVID-19 Pandemic: Data from the Korea National Health and Nutrition Examination Survey 2019–2020
Jeong-Hwa Choi Nutrients.2023; 15(3): 772. CrossRef - A relationship between food environment and food insecurity in households with immigrant women residing in the Seoul metropolitan area
Sung-Min Yook, Ji-Yun Hwang Journal of Nutrition and Health.2023; 56(3): 264. CrossRef - The Health and Nutritional Status of Children (10–18 years) Belonging to Food Insecure Households: The Korea National Health and Nutrition Examination Survey (2012–2019)
Sowon Jung, Jieun Shin, Myoungsook Lee International Journal of Environmental Research and Public Health.2023; 20(17): 6695. CrossRef - Relationships of food security with skeletal muscle mass and handgrip strength by sex
Kayoung Lee Nutrition.2022; 102: 111746. CrossRef - The Gangwon Obesity and Metabolic Syndrome Study: Methods and Initial Baseline Data
Yoon Jeong Cho, Sohyun Park, Sung Soo Kim, Hyo Jin Park, Jang Won Son, Tae Kyung Lee, Sangmo Hong, Jee-Hyun Kang, Seon Mee Kim, Yang-Hyun Kim, Won Jun Kim, Young Eun Seo, Yoosuk An, Sang Youl Rhee, Suk Chon, Sookyoung Jeon, Kyungho Park, Bong-Soo Kim, Cha Journal of Obesity & Metabolic Syndrome.2022; 31(4): 303. CrossRef - Food Security Moderates the Relationships of Muscle Mass with Metabolic Syndrome and Insulin Resistance
Kayoung Lee Journal of Bone Metabolism.2022; 29(1): 23. CrossRef - Association Between the Use of Tobacco Products and Food Insecurity Among South Korean Adults
Seo Young Kang, Hong-Jun Cho International Journal of Public Health.2022;[Epub] CrossRef - Socioeconomic status, food security, and chewing discomfort of Korean elders: results from the Korea National Health and Nutrition Examination Survey
Hye-Sun Shin, Ae-Jung Im, Hee-Jung Lim Nutrition Research and Practice.2022; 16(1): 94. CrossRef - Food Security Status is not Associated with Increased Risk of Metabolic Syndrome in Korean Adults
Jung Woo Lee, Woo-Kyoung Shin, Yookyung Kim Metabolic Syndrome and Related Disorders.2021; 19(4): 192. CrossRef - Association Between Food Security and 10-Year Cardiovascular Disease Risk Differs by Gender and Weight Status
Kayoung Lee Metabolic Syndrome and Related Disorders.2021;[Epub] CrossRef - Household Food Insecurity: Comparison between Families with and without Members with Disabilities
Jong Eun Park, So Young Kim, Se Hee Kim, Eun Ju Jeoung, Jong Hyock Park International Journal of Environmental Research and Public Health.2020; 17(17): 6149. CrossRef - Combined effects of disease management and food insecurity on physical and mental health in Korean adults
Hyun Ja Kim, Kirang Kim Public Health Nutrition.2020; 23(1): 112. CrossRef - Objective and perceived food environment and household economic resources related to food insecurity in older adults living alone in rural areas
Jae Eun Shim, Ji-Yun Hwang, Kirang Kim BMC Geriatrics.2019;[Epub] CrossRef - Spatial Disparity in Food Environment and Household Economic Resources Related to Food Insecurity in Rural Korean Households with Older Adults
Jae Eun Shim, Seo-jin Kim, Kirang Kim, Ji-Yun Hwang Nutrients.2018; 10(10): 1514. CrossRef - Health and nutritional status of Korean adults according to age and household food security: Using the data from 2010~2012 Korea National Health and Nutrition Examination Survey
Geun Ah Park, Sung Hee Kim, Seok Joong Kim, Yoon Jung Yang Journal of Nutrition and Health.2017; 50(6): 603. CrossRef - The Influence of Community Characteristics on Food Insecurity Korean Adults
Jun Park, Gilwon Kang, Yangju Tak, Sounghoon Chang, Kunsei Lee, Hyeongsu Kim Health Policy and Management.2016; 26(3): 226. CrossRef - Association of food insecurity and depression in Korean adults
Kowoon Lee, Hye-Sook Yoo Journal of the Korea Academia-Industrial cooperation Society.2016; 17(1): 62. CrossRef - Household Food Insecurity Is Associated with Adverse Mental Health Indicators and Lower Quality of Life among Koreans: Results from the Korea National Health and Nutrition Examination Survey 2012–2013
Hye-Kyung Chung, Oh Kim, So Kwak, Yoonsu Cho, Kyong Lee, Min-Jeong Shin Nutrients.2016; 8(12): 819. CrossRef - Household food insufficiency is associated with dietary intake in Korean adults
Sang Eun Lee, Yoon Ju Song, Young Kim, Jeongsook Choe, Hee-Young Paik Public Health Nutrition.2016; 19(6): 1112. CrossRef - Household food insecurity and dietary intake in Korea: results from the 2012 Korea National Health and Nutrition Examination Survey
Hyun Ja Kim, Kyungwon Oh Public Health Nutrition.2015; 18(18): 3317. CrossRef - Nutritional and health consequences are associated with food insecurity among Korean elderly: Based on the fifth (2010) Korea National Health and Nutrition Examination Survey (KNHANES V-1)
Seungjae Lee, Kyung Won Lee, Ji Eun Oh, Mi Sook Cho Journal of Nutrition and Health.2015; 48(6): 519. CrossRef - Food Insecurity and Related Risk Factors in the Elderly: Korea National Health and Nutrition Examination Survey 2013 Data
Hye-Sang Lee Journal of the Korean Dietetic Association.2015; 21(4): 308. CrossRef - Flavonoid intake according to food security in Korean adults: Based on the Korea National Health and Nutrition Examination Survey 2007~2012
Shinyoung Jun, Eunju Hong, Hyojee Joung Journal of Nutrition and Health.2015; 48(6): 507. CrossRef - A Study on the Living Conditions of Rural Women and the Determinants of Their Life Satisfaction
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Changes of Eating Habits of the Residents of Taean, Korea after the Herbei Oil Spill Accident Based on Focus Group Interviews
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Ji Hyun Park, Sung Ok Kwon, Woo Cheol Jeong, Jong Il Huh, Se Young Oh
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Korean J Community Nutr 2011;16(4):466-472. Published online August 31, 2011
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DOI: https://doi.org/10.5720/kjcn.2011.16.4.466
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- Hazardous chemicals, such as polycyclic aromatic hydrocarbons (PAHs), volatile organic compounds (VOCs) and heavy metals, are known as being harmful to human health were included in oils released by the Herbei Spirit Oil Spill accident in December 2007. To investigate changes of eating habits by the exposure to harmful substances, we conducted 5 focus group interviews for residents at Taean coast areas, who had experienced the oil spill accident. Participants included 46 women (mean age: 57.2 +/- 10.9) who were mainly responsible for preparing family meals. Focus group discussions were audio-taped, transcribed and categorized by themes. Participants expressed more frequent illness symptoms such as dizziness, vomiting, visual loss, and skin diseases after the accident. They mentioned that their worries about economic hardship and worsened health status since the accident induced mental problems, such as depression about their children. Regarding eating habits, participants reported less intakes of fishes and meats and relatively more intakes of vegetables and kimchi due to the lack of household incomes after the accident. Although the participants had been used to collecting or catching fish or shellfish for their consumption previously, they mainly purchased these foods from local markets after the accident. Changes of eating habits induced by the accident included drinking boiled water and having steamed or fried seafood rather than raw seafood. Changes of food intakes occurred less frequently in older adults due to their long-term fixed eating habits, although they felt uncomfortable for having raw fish. The findings of this study clearly present that the exposure of hazardous substances by the oil spill accident had a significant impact on changes in eating habits besides economic, physical, and mental problems among the residents in Taean. Continuous health and nutrition monitoring and support are needed.
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- Who has sustained psychological symptoms nine years after the Hebei Spirit oil spill?: The Health Effect Research on Hebei Spirit oil spill (HEROS) study
Kyung-Hwa Choi, Myung-Sook Park, Myung Ho Lim, Jong-Il Hur, Su Ryeon Noh, Woo-Chul Jeong, Hae-Kwan Cheong, Mina Ha Journal of Environmental Management.2021; 294: 112936. CrossRef - Health effect research on Hebei Spirit Oil Spill (HEROS) in Korea: a cohort profile
Myung Sook Park, Kyung-Hwa Choi, Seung-Hwa Lee, Jong-Il Hur, Su Ryeon Noh, Woo-Chul Jeong, Hae-Kwan Cheong, Mina Ha BMJ Open.2019; 9(8): e026740. CrossRef
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Estimated Iron Intakes from Simulated Fortification to Selected Grain Products in the Korea Food Supply
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Hae Rang Chung, Min Ji Hong, Rafael Perez Escamilla, Se Young Oh
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Korean J Community Nutr 2006;11(6):808-813. Published online December 31, 2006
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- Until now, South Korea does not have either fortification or enrichment program as intervention tools, although the addition of micronutrients to foods is for the most part not regulated. The aim of this study was to determine which scenario would most effectively reduce the proportion of the population with low iron intake while not putting other population groups at risk of excessive intakes. In order to investigate potential dietary consequences of iron fortification, we analyzed 2 day dietary record data (n=3,955) from the 2001 National Nutrition Surveys. The Proportion of the population consuming dietary iron less than the estimated average requirement (EAR) ranged from 12.4~87.5% depending upon gender and age group. Iron fortification at the level of 100% of Recommended Intake (RI) per 100g to breads and instant or dried noodles was estimated to result in a 15% decrease of proportion of those with iron less than EAR, while putting 1.4 % of the population greater than the Upper Limit (UL). Iron fortification appeared to be the most effective for the 15~19 year old age group, showing 39% reduction of iron intake insufficiency. The results suggest that carefully designed fortification or enrichment to staple foods may contribute to increase dietary iron intakes of Koreans, especially for the young population with a high prevalence of iron inadequacy. As the estimation in this study was based solely upon dietary intake data, iron intake from supplements should be considered in further studies.
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Development of a Theory Based Nutrition Education Program for Childbearing Aged Women in Korea
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Se Young Oh, Kyung A Kim, Hye Eun You, Hae Rang Chung
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Korean J Community Nutr 2004;9(6):725-733. Published online December 31, 2004
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- It was well received that well grounded behavioral theories were important in the development of effective nutrition education programs, but there are only a few programs available for Korean women. The objective of this study was to develop nutrition education programs for childbearing-aged women in Korea. Based on the findings of the needs assessment for the program and theoretical backgrounds, we developed behaviorally oriented tailored nutrition education program including motivation (MT), modifying (MD) and maintenance (MA) stages. The key concepts of the stages were motivation promotion for MT, increasing behavioral capabilities for MD, and strengthening self-management and building favorable environmental condition for MA. The education program was intended to be need in individual nutrition counseling, but it could be well used for group education by developing materials using the relevant contents. The primary users of the program were nutrition educators, however it could be also used by clients as needed. The introductory chapter provided dietary assessment tools and nutrition education tips. MT chapter included subjects such as nutritional status screening, costs of inappropriate nutrition and weight management, benefits of eating right, and activities for motivation promotion. MD stage chapter dealt with topics of healthy weight, knowledges and skills for better eating habits and physical activity status, and activities related to setting tailored behavioral objectives. MA stage focused on facilitating self management skills and building helping relationships. Each stage underlined activities using various educational tools in order to promote active participation of the client (s). For better use of this program, it was recommended to conduct program validation study.
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Development of a Semi-Quantitative Food Frequency Questionnaire for Pre-school Children in Korea
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Young Lim, Se Young Oh
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Korean J Community Nutr 2002;7(1):58-66. Published online February 28, 2002
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- The purpose of the study was to develop and evaluate the reliability of a semi-quantitative food frequency questionnaire (SFFQ) intended to measure mainly nutrient intake (energy, protein, fat, calcium and iron) related to growth in pre-schoolers in Korea. Based on foods with up to 90 cumulative percent contribution of the 5 nutrients, we developed a SFFQ for 86 foods. In order to evaluate the reliability of both nutrient and food intakes, caregivers of a sample of 101 children aged 4 to 6 years completed the SFFQ repeatedly at 3 month intervals. There were small differences in the nutrient intakes assessed by the SFFQ ranging from 0.55% to 9.91%. There were no significant differences in nutrient values calculated from the repeat questionnaires, except in the case of niacin and vitamin C. The Pearson correlation coefficients of most of the nutrients ranged form 0.54 to 0.75 (mean = 0.66). When energy intake was adjusted, there was approximately a 0.2 decrease in the correlation coefficient of most nutrients, due to the high correlation of energy intake with other nutrients (r=0.7-0.9). The amount of food intake differed by 0.1 to 66.4% (mean = 17.5%), depending on the food item. Out of 86 foods, 74 foods (86%) showed less than a 30% difference in intake and 30 foods (35%) showed less than a 10% difference. Only 6 (7%) out of the 86 foods presented statistically significant differences in intake. The Spearman correlation coefficients of most food intakes assessed repeatedly by the SFFQ ranged from 0.4 to 0.7. Reproducibility of the nutrient and food intakes found in this study was better or similar to those found in cases of Korean adults. Therefore, the SFFQ developed in the present study can be a useful tool to assess the dietary intake of pre-schoolers in Korea.
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Analysis on the Stages of Change in Fat Reducing Behavior and Social Psychological Correlates in adult Female
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Se Young Oh, Mi Ran Cho, Jean O Kim Rim
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Korean J Community Nutr 2000;5(4):615-623. Published online December 31, 2000
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- Under the assumption that people go through stages in making dietary behavior change, this study was attempted to apply the stages of a change model for fat intake by examining the associations of social psychological variables with stages of change in dietary fat reduction. Derived from social psychological theories, 10 social psychological variables on motivational beliefs(6), social influence(3) and self-efficacy(1) related specifically to selecting every day diets low in fat were constructed. Fat and energy intakes were assessed by a short form semi-quantitative food frequency questionnaire. The associations of stages of change with motivational beliefs, social influence, and self-efficacy variables and energy and fat intakes were assessed in 333 female adults from large cities in Korea. Dietary stage groups differed significantly on most of the social psychological variables in ways predicted by theory. Motivational factors that lead to a psychological state of readiness to take action were important in the early stages of the dietary change process. Social influences were more important in the stages as people decide to take action. Self efficacy and motivational beliefs, particularly, reduction of perceived barriers were important in maintaining fat reduction behavior. The results of our study indicate differences in stages of change in fat reduction behavior in terms of nutrient intakes and social psychological correlates and suggests that adding a time dimension to social psychological models increases our understanding of dietary change, which assist us in designing nutrition education interventions that are more appropriately targeted by stage of change.
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The Experience and Intention of Health Food Use among Middle-aged Men in Urban Areas
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Hwa Suk Song, Se Young Oh
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Korean J Community Nutr 2000;5(2):193-200. Published online July 31, 2000
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- This study examined the experience and intention of health food use regarding the different type of health foods among 201 middle-aged Korean men form urban areas. Based upon the results of a prestudy, health foods were classified into 4 groups including Chinese medicine(CM), toner foods(TF), vitamin or mineral supplements(VMS), and other manufactured heath food supplements(MHFS). compared with the4 case of health food experience, the similar proportion of the subjects were intended to use CM( 70%) and MHFS( 40%), yet the smaller proportion of them had the intention for TF(46%) and VMS(52%). Our subjects mainly obtained information on CM and TF from social networks, such as families, relatives, friends and neighbors and VMS and MHFS from mass media. Expected effects of health food consumption were different by the type of health food. The most positive expected effects were found in CM, followed by VMS. However, there was weak evidence for the positive effects of the TF and MHFS. Upon the consumption of health foods, our subject appeared to expect to their body energy to increased and body functions to be improved in general. Multivariate analyses indicated the importance of expected effects of health food consumption and aging symptoms as determinants of future health food use. Experience was rarely associated with intention in health food use. This study suggests that educated middle-aged Korean men may have a rational attitude toward health food use. Regarding different attitudes and behavior toward the different type of health foods, further research should consider the nature of each type of health foods. The limitations of this study are also discussed.
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Within-and between-person Variation in Nutrient Intakes by the Korean Elderly
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Myung Hee Hong, Se Young Oh
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Korean J Community Nutr 1998;3(3):423-429. Published online August 31, 1998
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Abstract
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- This study examined within- and between-person variation in nutrient intakes in order to estimate the degree of precision in dietary assessment among 37 males and 46 females whose mean age was 70.4 years old. To collect dietary data, each subject was interviewed 5 or 6 times using a 24-hour recall method during a 3 month period. Within-person variation ranged from 23.5% to 101.2%. Lower values of within-person variation were observed in energy, carbohydrated, protein and phosphorous while higher value was observed in vitamin A. Between person variations of nutrient intakes ranged 12.6-23.5% in most nutrients. With 1 day dietary data, observed nutrient intakes were estimated to within 6-25% of the group's usual9true) intakes and 52-198% of the individuals' usual intakes. The values of these maximum percentage deviations became smaller when the number of dietary recalls increased. The results of this study suggest that the Korean elderly subjects appear to have a slightly less diverse diet compared to young Korean women. Within persons, intakes of nutrients largely from animal sources were more variable for the Korean elderly than for their counterparts in Western countries. This study also implies that commonly used 1 day dietary study may be appropriate for assessing group means of nutrient intakes, but clearly not appropriate for assessing individual's nutrient intakes.
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