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Korean J Community Nutr : Korean Journal of Community Nutrition

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Volume 22(3); June 2017
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Review
[English]
Systematic Review on the Study of the Childhood and Adolescent Obesity in Korea: Dietary Risk Factors
Eun Jeong Heo, Jae Eun Shim, Eun Young Yoon
Korean J Community Nutr 2017;22(3):191-206.   Published online June 30, 2017
DOI: https://doi.org/10.5720/kjcn.2017.22.3.191
AbstractAbstract PDFPubReader
OBJECTIVES
The present study systematically reviewed previous studies published in Korea regarding obesity status of children and adolescents in order to provide valid directions for future research and to help establish evidence-based prevention strategies.
METHODS
The articles were selected by searching the primary keyword ‘obesity’ and the secondary keywords ‘children’, ‘young children’, ‘adolescents’ or ‘kids’ on the KISS (Korean Studies Information Service System). Out of 503 articles excluding the overlap, 308 articles were selected with inclusion and exclusion criteria. Secular trends of obesity research, distribution of subjects, potential risk factors for obesity, and intervention method for obesity management were documented. The associations between obesity and dietary factors were summarized.
RESULTS
The overall number of research studies has increased since 2000 but obesity management studies have decreased in recent years. Most of the studies used a cross-sectional design. Research on preschool children were extremely limited. Intervention studies targeting males were prevalent. The most significant variables relevant to dietary habits were speed of eating, regular breakfast and snacking. The most significant food and nutrient intake factors were thiamin and iron. Intakes of cereals and animal foods were significantly higher in obese children than the counterparts.
CONCLUSIONS
The present review of locally published articles on the obesity status in children and adolescents suggested the need for well-designed further studies focused on risk factors of obesity and on a range of intervention methods conducive to the development of obesity prevention and management programs.

Citations

Citations to this article as recorded by  
  • Association of Infant Feeding Characteristics With Dietary Patterns and Obesity in Korean Childhood
    Kyoung-Nam Kim, Moon-Kyung Shin
    Journal of Preventive Medicine and Public Health.2023; 56(4): 338.     CrossRef
  • Using methylome data to inform exposome-health association studies: An application to the identification of environmental drivers of child body mass index
    Solène Cadiou, Mariona Bustamante, Lydiane Agier, Sandra Andrusaityte, Xavier Basagaña, Angel Carracedo, Leda Chatzi, Regina Grazuleviciene, Juan R. Gonzalez, Kristine B. Gutzkow, Léa Maitre, Dan Mason, Frédéric Millot, Mark Nieuwenhuijsen, Eleni Papadopo
    Environment International.2020; 138: 105622.     CrossRef
  • An Integrative Literature Review of Interventions for School-aged Overweight and Obese Children
    Juhyun Jo, Sang-Youn Jang, Dajeong Kum, Jihee Lim, Jeongeun Kim
    Perspectives in Nursing Science.2019; 16(2): 75.     CrossRef
  • A Qualitative Study on the Potential Utilization of a Mobile Phone for Obesity Management in Elementary-School Children : Parents Perspective
    Bo Young Lee, Mi-Young Park, Kirang Kim, Jea Eun Shim, Ji-Yun Hwang
    Korean Journal of Community Nutrition.2019; 24(2): 117.     CrossRef
  • Effects of Sodium Intake on the Association between the Salt-Sensitive Gene, Alpha-Adducin 1 (ADD1), and Inflammatory Cytokines in the Prevalence of Children Obesity
    Mi-Young Park, Myoung-sook Lee
    Journal of Lipid and Atherosclerosis.2018; 7(2): 98.     CrossRef
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  • 5 Crossref
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Original Articles
[English]
Needs for Development of IT-based Nutritional Management Program for Women with Gestational Diabetes Mellitus
Chan Jung Han, Sun Young Lim, Eunsuk Oh, Yoon Hee Choi, Kun Ho Yoon, Jin Hee Lee
Korean J Community Nutr 2017;22(3):207-217.   Published online June 30, 2017
DOI: https://doi.org/10.5720/kjcn.2017.22.3.207
AbstractAbstract PDFPubReader
OBJECTIVES
The aim of this study was to examine self-management status, nutritional knowledge, barrier factors in dietary management and needs of nutritional management program for women with Gestational Diabetes Mellitus (GDM).
METHODS
A total of 100 women with GDM were recruited from secondary and tertiary hospitals in Seoul. The questionnaire composed of general characteristics, status of self-management, dietary habits, nutrition knowledge, barrier factors in dietary management, needs for nutrition information contents and nutritional management programs. Data were collected by a self-administered questionnaire. All data were statistically analyzed using student's t-test and chi-square test using SAS 9.3.
RESULTS
About 35% of the subjects reported that they practiced medical nutrition and exercise therapy for GDM control. The main sources of nutrition information were ‘internet (50.0%)’ and ‘expert advice (45.0%)’. More than 70% of the subjects experienced nutrition education. The mean score of nutrition knowledge was 7.5 point out of 10, and only about half of the subjects were reported to be correctly aware of some questions such as ‘the cause of ketosis’, ‘the goal of nutrition management for GDM’, ‘the importance of sugar restriction on breakfast’. The major obstructive factors in dietary management were ‘eating more than planned when dining out’, ‘finding the appropriate menu when dining out’. The preferred nutrition information contents in developing management program were ‘nutritional information of food’, ‘recommended food by major nutrients’, ‘the relationship between blood glucose and food’, ‘tips on menu selection at eating out’. The subjects reported that they need management program such as ‘example of menu by calorie prescription’, ‘recommended weight gain guide’, ‘meal recording and dietary assessment’, ‘expert recommendation’, ‘sharing know-how’.
CONCLUSIONS
Based on the results of this study, it is necessary to develop a program that provide personalized information by identifying the individual characteristics of the subjects and expert feedback function through various information and nutrition information contents that can be used in real life.

Citations

Citations to this article as recorded by  
  • Chronically ailing or failing chronically: a typology of South African diners living with diabetes
    Adam Viljoen, Martinette Kruger
    International Journal of Spa and Wellness.2024; 7(2): 109.     CrossRef
  • Machine Learning-Based Prediction of Abdominal Subcutaneous Fat Thickness During Pregnancy
    Moon Sook Hwang, Eunjeong Song, Jeonghee Ahn, Seungmi Park
    Metabolic Syndrome and Related Disorders.2023; 21(9): 479.     CrossRef
  • Current Status and Effects of Nutrition Education Programs for Diabetic Patients in Korea
    Hae Jin Kang
    The Journal of Korean Diabetes.2018; 19(2): 106.     CrossRef
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  • 3 Crossref
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[English]
Feasibility Study on the Dietary Improvement Program Development for Senior Citizens
Sung Hee Kim, Boram Kim, Nami Joo
Korean J Community Nutr 2017;22(3):218-227.   Published online June 30, 2017
DOI: https://doi.org/10.5720/kjcn.2017.22.3.218
AbstractAbstract PDFPubReader
OBJECTIVES
The purpose of the study was to develop dietary change program items that could be used to improve dietary life of the elderly and investigate their validity.
METHODS
The survey was were analyzed by SPSS program (Ver. 21) and descriptive statistics was performed; a t-test, χ² test, One-way ANOVA and Friedman test were used to determine the priority.
RESULTS
Programs for feeding senior citizens that need to be newly established are largely divided into two fields, namely, application of welfare facilities and application of home care, classified into large, medium and sub-classes. The large class was divided into nutrition management, sanitary control, and other health management. The medium class of nutrition management was divided into nutrition education, nutrition intervention, and menu management and supply. The sub-class was composed of division into application of welfare facilities for the elderly and application of home care for the same age group. Responses showed high rate saying that all the categorized items were necessary and valid. With respect to expectation effect on a community program for old people feeding, ‘yes’ was 65 people (55.6%) showing very high expectation toward the question whether a community program for old people feeding are newly set up.
CONCLUSIONS
It is believed that nutrition for the aged will be improved and it will be a help not only to a small facilities without obligation of employing a dietician but also to the aged at home if a community program for old people feeding are newly established.
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[English]
Study on Sugar Consumption of Adult Workers According to Smoking Status
Jung Yeon Yun, Boram Kim, Hee Sun Jeong, Nami Joo
Korean J Community Nutr 2017;22(3):228-237.   Published online June 30, 2017
DOI: https://doi.org/10.5720/kjcn.2017.22.3.228
AbstractAbstract PDFPubReader
OBJECTIVES
The purpose of this study was to investigate the smoking status among adult workers, and current status of sugar intake.
METHODS
The survey included 500 men working in Gyeonggi-do from October to November in 2016. Questionnaire items covered their age, working status, smoking status, eating habits, eating behaviors, snack consumption status, habits and behaviors related to sugar intake. All data were analyzed by SPSS program (Ver. 23) and descriptive statistics was performed; a t-test, χ² test, One-way ANOVA and Scheffe test were used for post-hoc test.
RESULTS
The study results showed that eating habits and behaviors of non-smokers were better than those of smokers. The frequency of daily snack consumption was the highest in smokers compared to and non-smokers. The smokers' favorite taste after smoking was ‘Sweet’. The average score of sugar-related nutrition knowledge was higher in non-smokers compared to smokers. Non-smokers had better recognition of ‘sugar reduction’, and smokers were more likely to eat sweet foods, respectively. On the other hand, non-smokers could observe that they were trying to control themselves for health reasons. According to the results of the study, non-smokers showed better eating habits and dietary habits and consumed less sugar. Also, it was found that non-smokers tried to drink more water than beverages and refrain from eating sweets to reduce their sugar intake. Further, the most of the bread, coffee and beverages were also consumed at a lower frequency by non-smokers compared to smokers.
CONCLUSIONS
This study results showed that smoking and sugar consumption were closely related. Therefore, adult workers should actively promote and learn so that they can maintain healthy and suitable dietary habits through reduction of sugar consumption.

Citations

Citations to this article as recorded by  
  • Factors affecting sugar intake in adults based on the social cognitive theory
    Kilye Kim, Yeon-Kyung Lee
    Journal of Nutrition and Health.2024; 57(1): 120.     CrossRef
  • Diet habits of employees in higher education
    Hajnalka Požar, Sanja Šumonja, Nataša Sekulić, Nataša Čamprag-Sabo, Valentin Puškaš
    Sestrinska rec.2023; 26(86): 5.     CrossRef
  • Study on Cardiopulmonary Function, Maximal Oxygen Uptake, and Obesity Index according to Smoking Status in Middle-Aged and Older Office Workers
    Deok-Ju Kim
    Osong Public Health and Research Perspectives.2018; 9(3): 95.     CrossRef
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[English]
Leveraging Multimodal Supports using Mobile Phones for Obesity Management in Elementary-School Children: Program Providers' Perspective from a Qualitative Study
Mi Young Park, Jae Eun Shim, Kirang Kim, Ji Yun Hwang
Korean J Community Nutr 2017;22(3):238-247.   Published online June 30, 2017
DOI: https://doi.org/10.5720/kjcn.2017.22.3.238
AbstractAbstract PDFPubReader
OBJECTIVES
This study was conducted to investigate providers' perspectives on current challenges in implementing a program for prevention and management of childhood obesity and adoption of mobile phone as a potential solution of leveraging multimodal delivery and support in a school setting.
METHODS
The qualitative data were collected through face-to-face in-depth interviews with 23 elementary-school teachers, 6 pediatricians, and 6 dieticians from community health centers and analyzed using a qualitative research methodology.
RESULTS
Current challenges and potential solutions of obesity-prevention and -management program for obesity program for elementary school children were deduced as two themes each. Lack of tailored intervention due to limited recipient motivation, lack of individualized behavioral intervention, and different environmental conditions can be solvable by mobile technology-based personalized intervention which brings about interactive recipient participation, customized behavioral intervention, and ubiquitous accessibility. Lack of sustainable management due to stigmatization, limited interactions between program providers and inconsistent administrative support can be handled by multimodal support based on school setting using mobile platform providing education of health promoting behaviors toward larger scale and interactive networking between program participants, and minimizing administrative burden.
CONCLUSIONS
Adoption of mobile-based health management program may overcome current limitations of child obesity program such as lack of tailored intervention and sustainable management via personalized intervention and multimodal supports although some concerns such as increased screen time need to be carefully considered in a further study.

Citations

Citations to this article as recorded by  
  • A Qualitative Study on the Potential Utilization of a Mobile Phone for Obesity Management in Elementary-School Children : Parents Perspective
    Bo Young Lee, Mi-Young Park, Kirang Kim, Jea Eun Shim, Ji-Yun Hwang
    Korean Journal of Community Nutrition.2019; 24(2): 117.     CrossRef
  • 45 View
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  • 1 Crossref
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[English]
Development of Education Materials as a Card News Format for Nutrition Management of Pregnant and Lactating Women
Young Hee Han, Jung Hyun Kim, Min Jun Lee, Taeksang Yoo, Taisun Hyun
Korean J Community Nutr 2017;22(3):248-258.   Published online June 30, 2017
DOI: https://doi.org/10.5720/kjcn.2017.22.3.248
AbstractAbstract PDFPubReader
OBJECTIVES
The purpose of the study was to develop a series of education materials as a card news format to provide nutrition information for pregnant and lactating women.
METHODS
The materials were developed in seven steps. As a first step, the needs of pregnant and lactating women were assessed by reviewing scientific papers and existing education materials, and by interviewing a focus group. The second step was to construct main categories and the topics of information. In step 3, a draft of the contents in each topic was developed based on the scientific evidence. In step 4, a draft of card news was created by editors and designers by editing the text and embedding images in the card news. In step 5, the text, images and sequences were reviewed to improve readability by the members of the project team and nutrition experts. In step 6, parts of the text or images or the sequences of the card news were revised based on the reviews. In step 7, the card news were finalized and released online to the public.
RESULTS
A series of 26 card news for pregnant and lactating women were developed. The series covered five categories such as nutrition management, healthy food choices, food safety, favorites to avoid, nutrition management in special conditions for pregnant and lactating women. The satisfaction of 7 topics of the card news was evaluated by 140 pregnant women, and more than 70% of the women were satisfied with the materials.
CONCLUSIONS
The card news format materials developed in this study are innovative nutrition education tools, and can be downloaded on the homepage of the Ministry of Food and Drug Safety. Those materials can be easily shared in social media by nutrition educators or by pregnant and lactating women to use.

Citations

Citations to this article as recorded by  
  • A comparative study on nutritional knowledge and dietary behavior between Korean and Chinese postpartum women
    Sohyun Kim, Heewon L Gray, Jia Li, Haeryun Park, Youngmi Lee, Kyunghee Song
    Nutrition Research and Practice.2019; 13(6): 535.     CrossRef
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  • 1 Crossref
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