Korean Journal of Community Nutrition

Volume 21(3); June 2016

Original Articles

[English]
Effect of a Worksite-based Dietary Intervention Program for the Management of Metabolic Syndrome: Hye Jin Kim, Injoo Choi, Won Gyoung Kim, Kana Asano, Jeongmin Hong, Young Min Cho, Jihyun Yoon; Korean J Community Nutr 2016;21(3):237-246. Published online June 30, 2016; DOI: https://doi.org/10.5720/kjcn.2016.21.3.237

OBJECTIVES
To investigate the effect of a worksite-based dietary intervention program for the management of metabolic syndrome (MS) among male employees.
METHODS
A dietary intervention program combining individual and environmental approach was implemented targeting white-collar employees at a worksite located in Seoul for 10 weeks. Out of 104 employees having agreed to participate in the program, those having three or more out of five components of MS and having two components, including a waist circumference component were classified into "the high risk group" (n=41) and received group nutrition education and individual nutrition counseling three times each. The rest of the study subjects were considered as "the low risk group" (n=63). The food environment at the worksite, where both the high and low risk groups were exposed, was changed to promote healthy eating. Physical data including MS components were collected and a questionnaire on dietary behaviors was administered before and after the intervention. The data from the high risk group (n=17) and the low risk group (n=20), excluding the subjects ineligible for or failed to complete the study (n=67), were analyzed. The difference before and after intervention was tested for significance by Wilcoxon signed-rank tests.
RESULTS
Weight, body mass index (BMI), waist circumference, blood pressure, HDL-cholesterol, and HbA1c and the healthy dietary practice score improved significantly after intervention in the high risk group. The median number of MS components decreased significantly from 3.0 to 1.0 in the high risk group. In the low risk group, only HbA1c significantly decreased. Conclusions: The 10-week worksite-based dietary intervention program combining individual and environmental approach was found to be effective for managing MS of male employees.
CONCLUSIONS
The 10-week worksite-based dietary intervention program combining individual and environmental approach was found to be effective for managing MS of male employees.

Citations

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A cohort study of the effects of social support on cerebral cardiovascular disease in subjects with metabolic syndrome
Sung-Kyung Kim, Yong Whi Jeong, Dae Ryong Kang, Jang Young Kim, Hunju Lee, Sang-baek Koh, Yoshihiro Fukumoto
PLOS ONE.2024; 19(7): e0305637. CrossRef
Salutogenesis intervention improves cardio‐cerebrovascular health in at‐risk office workers: A quasi‐experimental study
Ji Hyun Moon, Hosihn Ryu
Public Health Nursing.2024; 41(4): 690. CrossRef
Process evaluation of a mobile healthcare program among employees with overweight and obesity: a 12-week intervention study investigating the role of engagement
Imhuei Son, Jiyoun Hong, Young Hee Han, Bo Jeong Gong, Meng Yuan Zhang, Woori Na, Cheongmin Sohn, Taisun Hyun
Korean Journal of Community Nutrition.2023; 28(6): 466. CrossRef
Facilitators and barriers to achieving dietary and physical activity goals: focus group interviews with city bus drivers and counseling dietitians
Yongmin Jo, Suhyeun Cho, Young-Hee Han, Taisun Hyun
Korean Journal of Community Nutrition.2023; 28(5): 376. CrossRef
Effectiveness of a mobile health intervention on weight loss and dietary behavior changes among employees with overweight and obesity: a 12-week intervention study investigating the role of engagement
Imhuei Son, Jiyoun Hong, Young-Hee Han, Bo Jeong Gong, Meng Yuan Zhang, Woori Na, Cheongmin Sohn, Taisun Hyun
Korean Journal of Community Nutrition.2023; 28(2): 141. CrossRef
Predictors of Health Promotion Behaviors Among Working Adults at Risk for Metabolic Syndrome
Sungwon Park, Min Kyeong Jang, Chang Gi Park, Oi Saeng Hong
Nursing Research.2022; 71(4): 275. CrossRef
Inverse association of improved adherence to dietary guidelines with metabolic syndrome: the Seoul Metabolic Syndrome Management program
Dongwoo Ham, YoungYun Cho, Mi-Suk Park, Yun-Sug Park, Sun-Young Kim, Hye-Min Seol, Yoo Mi Park, Sunok Woo, Hyojee Joung, Do-Sun Lim
Nutrition Research and Practice.2020; 14(6): 621. CrossRef
The Effect of Community-based Health Intervention Program to Improve Metabolic Disease in Jeju Island
Woo Jin Kim, Sang Hoon Kim, Shin Young Park
The Korean Journal of Clinical Laboratory Science.2018; 50(3): 297. CrossRef

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[English]
Food Allergy Management Status by Dietitians and Nutrition Teachers in Elementary and Middle Schools in Incheon: Aruem Yoon, Soo Kyung Lee; Korean J Community Nutr 2016;21(3):247-255. Published online June 30, 2016; DOI: https://doi.org/10.5720/kjcn.2016.21.3.247

Abstract PDF PubReader

OBJECTIVES
Food allergy appears to be increasing in prevalence and can potentially result in significant damaging impact on children's mental and physical health. This study investigated how dietitians/nutrition teachers in Incheon, where a fatal fool allergy incidence occurred, manage food allergy issues in school lunch systems.
METHODS
A survey with a pre-tested questionnaire was conducted with 358 dietitians/nutrition teachers in Incheon area. The final analytical sample included questionnaire data from 208 study participants (58.1%). Statistical analyses used SPSS ver 19.0.
RESULTS
A total of 99.5% respondents reported having received food allergy education. The respondents showed a correction rate of the food allergy test slightly higher than 70%, where nutrition teachers and respondents working in elementary schools had correction rates higher than dietitians and those working in middle schools (p<0.05). All respondents reported regular monitoring to identify students with food allergy and making notification of allergy-prone foods on menu in their school. More nutrition teachers provided "elimination meals" (57.6%) or "replacement meals" (37.0%) than dietitians (43.1%, 19.8%, respectively) (p<0.05). Elimination and replacement meals were provided more in elementary schools than in middle schools (p<0.05). Although counseling students with food allergy on nutrition was done by 64.9% of respondents, the areas of counseling were limited to basics of food allergy and how to use the notification system on menu. To prepare for handling food allergy events effectively, networks with regional clinics or hospitals (34.1%), hotline with parents (87.4%), and keeping an Epi-Pen ready (46.7% elementary school) were established. Only 34.1% of respondents knew how to use Epi-Pens.
CONCLUSIONS
Dietitians and nutrition teachers in Incheon widely adapted food allergy management methods. It appears that education/training on food allergy for dietitians/nutrition teachers can move on from teaching basics of food allergy to providing applicable food allergy management methods at school system.

Citations

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Study on the status of food allergy management and importance-performance analysis about precautions of food allergy in school foodservice according to the school types in Jeonbuk area
Ji Yeon Kim, Jeong Ok Rho
Journal of Nutrition and Health.2020; 53(3): 329. CrossRef
The School Meal Workers' Recognition and Management of Food Allergy in Gangwon Province
Meera Jang, Soo-Jin Lee
Journal of the East Asian Society of Dietary Life.2018; 28(6): 391. CrossRef

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[English]
Diet and Health Status of Elderly Women According to the Family Type: Mi Kyeong Choi, Myung Hwa Kang, Mi Hyun Kim; Korean J Community Nutr 2016;21(3):256-264. Published online June 30, 2016; DOI: https://doi.org/10.5720/kjcn.2016.21.3.256

Abstract PDF PubReader

OBJECTIVES
This study aimed to evaluate the diet and health status of elderly women according to the family type.
METHODS
A total of 307 elderly women participated in this study were divided into one of three groups according to their family type: residing with spouse (RSP; n=88), residing with son or daughter (RSD; n=119), and residing alone (RAL; n=100). Chi-square test was used to assess dietary habits and health status of the subjects by the family types.
RESULTS
Results demonstrated significant associations between eating regular meals, person preparing meals, coffee intake, and bone fracture experience and family type. Among the three groups, the RSP and RAL groups had a higher percentage for preparing meals by themselves (p<0.001) than the RSD group. The RAL group had a lower percentage for eating regular meals (p<0.01) but a higher percentage for bone fracture experience (p<0.05) than the other groups. There were no significant differences in monthly allowance, self-estimated health status, physical activity, exercise, drinking, and dietary habits such as frequency of consumption of dairy, beans, eggs, fish, meat, fruits, and vegetables among the three groups.
CONCLUSIONS
The results showed that elderly women residing alone without a son, daughter, or spouse had more diet-related and health problems such as irregular meals and high bone fracture experience. These findings suggested that elderly women residing alone need more attention and support.

Citations

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Mental Health and Handgrip Strength Among Older Adults: A Nationwide Study
Yeunhee Kwak, Yoonjung Kim
INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2022;[Epub] CrossRef
Health and nutrition intake status of the Korean elderly according to their food security level: data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII), 2016–2018
Ahreum Maeng, Jeehyun Lee, Eunju Yoon
Journal of Nutrition and Health.2021; 54(2): 179. CrossRef
Sex-Associated Differences in the Handgrip Strength of Elderly Individuals
Yeunhee Kwak, Yoonjung Kim, Haekyung Chung
Western Journal of Nursing Research.2020; 42(4): 262. CrossRef
Social participation, health‐related behavior, and depression of older adults living alone in Korea
Seojin Won, Hyemee Kim
Asian Social Work and Policy Review.2020; 14(1): 61. CrossRef
Evaluation of the Nutrition Status and Metabolic Syndrome Prevalence of the Members according to the Number of Household Members based on the Korea National Health and Nutrition Examination Survey (2013–2014)
Jin-Young Lee, Soo-Kyong Choi, Jung-Sook Seo
Korean Journal of Community Nutrition.2019; 24(3): 232. CrossRef
Quality of life and subjective health status according to handgrip strength in the elderly: a cross-sectional study
Yeunhee Kwak, Yoonjung Kim
Aging & Mental Health.2019; 23(1): 107. CrossRef
Eating alone and metabolic syndrome: A population-based Korean National Health and Nutrition Examination Survey 2013–2014
A Rom Kwon, Yeong Sook Yoon, Kyong Pil Min, Yoon Kyung Lee, Ji Ho Jeon
Obesity Research & Clinical Practice.2018; 12(2): 146. CrossRef
Effects of the Elderly's Health Statuses, Health Behavior, and Social Relations on Their Health-related Quality of Life: Focusing on Family Types
Young Bum Kim, Seung-Hee Lee
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 310. CrossRef

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[English]
Status of Maternal Nutrition in South and North Korea: Soh Yoon Yun, Young Hye Kwon, Jihyun Yoon; Korean J Community Nutr 2016;21(3):265-273. Published online June 30, 2016; DOI: https://doi.org/10.5720/kjcn.2016.21.3.265

Abstract PDF PubReader

OBJECTIVES
This study compared the nutritional status of child-bearing age women between the Democratic People's Republic of Korea (North Korea) and the Republic of Korea (South Korea).
METHODS
The data presented in the DPRK Final Report of the National Nutrition Survey 2012 was utilized for the nutritional status and food intake of North Korean women. To produce the South Korean women's data comparable to those of North Korean women, the data from the 2012 National Health and Nutrition Survey were analyzed and the data presented in the 2010 Report of the Korean Agency for Technology and Standards were utilized.
RESULTS
The prevalence of maternal anemia (blood hemoglobin < 12.0 g/dL) was over 30% in all the age groups of North Korean women and 8.9%, 14.2%, 16.4% in 20-29, 30-39, 40-49 year old South Korean women, respectively. The prevalence of maternal protein-energy malnutrition (Mid-Upper Arm Circumference < 22.5 cm) was 25.2%, 21.4%, 21.8% in 20-29, 30-39, 40-49 year old North Korean women, respectively and less than 10% in all the age groups of South Korean women. Result of dietary diversity comparison showed that North Korean women consumed less food than South Korean women at all food groups: grains, fruits, vegetables, meat, and dairy. Percentage of North Korean women having consumed protein rich foods-meat and fish, eggs or dairy products-were much lower than those of South Korean women.
CONCLUSIONS
The striking disparity of nutritional status between South and North Korean women indicates that nutrition support for North Korean women is essential in the process of preparation for a unified nation.

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Nutritional status of North Koreans and related perceptions among South Korean adults
Youngmin Nam, Jihyun Yoon
Korean Journal of Community Nutrition.2024; 29(4): 288. CrossRef
The Present and Future Status of Maternal and Child Health From the Perspective of Unification Medicine
Ji Young Kim, Eun Saem Choi, Ki Hoon Ahn
Journal of The Korean Society of Maternal and Child Health.2022; 26(3): 132. CrossRef
Timely Initiation of Complementary Feeding and Associated Factors among Mothers of Children Aged 6–24 Months in Dessie Referral Hospital, Northeast Ethiopia, 2019
Atsedemariam Andualem, Afework Edmealem, Belachew Tegegne, Lehulu Tilahun, Yitayish Damtie, C. S. Johnston
Journal of Nutrition and Metabolism.2020; 2020: 1. CrossRef
Systematic review of evidence on public health in the Democratic People’s Republic of Korea
John J Park, Ah-Young Lim, Hyung-Soon Ahn, Andrew I Kim, Soyoung Choi, David HW Oh, Owen Lee-Park, Sharon Y Kim, Sun Jae Jung, Jesse B Bump, Rifat Atun, Hee Young Shin, Kee B Park
BMJ Global Health.2019; 4(2): e001133. CrossRef
Frequently covered diseases in North Korean internal medicine journal Internal Medicine [Naegwa]—Secondary publication
Shin Ha, Yo Han Lee
Science Editing.2019; 6(2): 99. CrossRef

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[English]
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 J Community Nutr 2016;21(3):274-283. Published online June 30, 2016; DOI: https://doi.org/10.5720/kjcn.2016.21.3.274

Abstract PDF PubReader

OBJECTIVES
The purpose of the study was to examine dietary life characteristics such as knowledge, self-efficacy and dietary behavior of preschoolers in Namyangju, Kyunggi-province, Korea.
METHODS
The survey questionnaire was developed based on literature review. Preschoolers aged 4-5 years (n=208) responded to the questionnaire to measure knowledge, self-efficacy, food preference, and dietary behavior. After excluding incomplete responses, the data of 197 subjects were used for analysis.
RESULTS
Mean score of dietary life knowledge was 8.0 out of 12, showing a low level of knowledge. Two out of 12 knowledge items were significantly different by gender. Percentage of correct answer on items of 'foods to make bones strong' and 'kinds of fast foods' was higher in girls than in boys (p<0.05). Total score of self-efficacy regarding dietary life was 40.1 (possible score: 12~48), on average. Compared to girls, boys had more confidence in 'not over-eating', and 'eating balanced meals with meat, fish and vegetables' (p<0.05). Boys scored higher on total score of food preference than girls (p<0.01). The preference for fruits was quite high. Among food items, boys scored higher on the preference for rice (p<0.01), fish (p<0.01), pork (p<0.05), beef (p<0.05), milk (p<0.01), and ice cream (p<0.05) than girls. Boys also liked fast foods more than girls did, showing preference for chicken (p<0.01) and soda (p<0.05). Compared to girls, boys showed more desirable behavior in 'eating breakfast everyday' (p<0.01). Dietary behavior was significantly correlated with self-efficacy (r=0.52, p<0.01), food preference (r=0.35, p<0.01), and knowledge (r=0.25, p<0.01) of subjects.
CONCLUSIONS
In this study, we observed differences in food preference by gender. Dietary behavior of preschoolers was correlated with several factors, including dietary life related knowledge, self-efficacy and food preference. Thus, it is needed to develop nutrition education programs focusing on increasing dietary life related knowledge and self-efficacy, and consider the differences in food preference of preschoolers by gender.

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Minji Kang, So Yoon Choi, Minyoung Jung
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Jung-Sug Lee, Ji-Yun Hwang, Sehyug Kwon, Hae-Rang Chung, Tong-Kyung Kwak, Myung-Hee Kang, Young-Sun Choi, Hye-Young Kim
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Journal of Nutrition and Health.2018; 51(4): 330. CrossRef
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Sung Hee Min
Korean Journal of Food and Cookery Science.2018; 34(4): 413. CrossRef

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[English]
Relationship between Bone Mineral Density and Bone Metabolic Biochemical Markers and Diet Quality Index-International(DQI-I) in Postmenopausal Obese Women: Yeonah Jeong, Misung Kim, Saeron Shin, Ahreum Han, Geomsuk Seo, Cheongmin Sohn; Korean J Community Nutr 2016;21(3):284-292. Published online June 30, 2016; DOI: https://doi.org/10.5720/kjcn.2016.21.3.284

Abstract PDF PubReader: OBJECTIVES
This study compared the differences of postmenopausal women's bone mineral density in relation to the degree of obesity, metabolism index and dietary factors that affect bone mineral density.
METHODS
The subjects included in the study are 39 postmenopausal women of normal weight with body mass index less than 25 kg/m2 and 32 postmenopausal who are obese. Anthropometry and biochemical analysis were performed and nutrient intakes and DQI-I were assessed.
RESULTS
Normal weight women were 56.03 Â± 3.76 years old and obese women were 58.09 Â± 5.13 years old and there was no significant difference in age between the two groups. The T-score of bone mineral density was 0.03 Â± 1.06 in normal weight women and -0.60 Â± 1.47 in obese women and this was significantly different between the two groups (p<0.05). Blood Leptin concentration was significantly lower in normal weight women (6.09 Â± 3.37 ng/mL) compared to obese women in (9.01 Â± 4.99 ng/mL) (p<0.05). The total score of diet quality index-international was 70.41Â±9.34 in normal weight women and 64.93 Â± 7.82 in obese women (p<0.05). T-score of bone mineral density showed negative correlations with percentage of body fat (r = -0.233, p=0.05), BMI (r = -0.197, p=0.017), triglyceride (r = -0.281, p=0.020) and leptin (r = -0.308, p=0.011). The results of multiple regression analysis performed as the method of entry showed that with 22.0% of explanation power, percentage of body fat (Î²=-0.048, p<0.05), triglyceride (Î²=-0.005, p<0.05) and HDL-cholesterol (Î²=0.034, p<0.01), moderation of DQI-I (Î²=-0.231, p<0.05) affected T-score significantly.
CONCLUSIONS
The results of the study showed that obese women have less bone density than those with normal weight women. In addition, the factor analysis result that affect bone mineral density showed that intake of fat is a very important factor. Therefore, postmenopausal women need to maintain normal weight and manage blood lipid levels within normal range. They also need to take various sources of protein and reduce consumption of empty calorie foods that have high calories, fat, cholesterol and sodium.

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[English]
Development of a Dietary Fiber Composition Table and Intakes of Dietary Fiber in Korea National Health and Nutrition Examination Survey (KNHANES): Soyeong Yeon, Kyungwon Oh, Sanghui Kweon, Taisun Hyun; Korean J Community Nutr 2016;21(3):293-300. Published online June 30, 2016; DOI: https://doi.org/10.5720/kjcn.2016.21.3.293

Abstract PDF PubReader

OBJECTIVES
The purpose of the study was to develop a dietary fiber composition table (DFCT) and to assess dietary fiber intakes in Korea National Health and Nutrition Examination Survey (KNHANES).
METHODS
The DFCT was developed by compiling the food composition tables published by the agencies of Korea, United States, or Japan. When there was no available data from the same species or status (dried, boiled, etc.) of food, the values were imputed by estimating from the same species with different status or substituting familiar species in biosystematic grouping. Using KNHANES VI-2 (2014) microdata and DFCT, intake of dietary fiber of Koreans was estimated.
RESULTS
Among the 5,126 food items of DFCT, the proportion of items of which dietary fiber contents were taken from the analytical values of the same foods was 40.9%. The data from the domestic food composition tables was 37.5%, and the data from the foreign tables was 49.6%. The rest was assumed as zero, or estimated with recipe database and nutrition labeling. Mean daily intake of dietary fiber was 23.2 g, and mean intake per 1,000 kcal was 10.7 g in men and 12.6 g in women. The mean percentage of dietary fiber intake compared to adequate intake was higher than 100%. The major food groups contributing to dietary fiber intakes were vegetables and cereals, and the percent contribution were 32.9% and 23.0% of total dietary fiber intakes, respectively.
CONCLUSIONS
This DFCT could serve as a useful database for assessing dietary fiber intakes and for investigating the association between dietary fiber intakes and non-communicable diseases.

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