Korean Journal of Community Nutrition

Volume 18(4); August 2013

Original Articles

[English]
Development of 'Children's Food Avatar' Application for Dietary Education: Joo Han Cho, Sook Bae Kim, Soon Kyung Kim, Mi Hyun Kim, Gap Soo Kim, Se Na Kim, So Young Kim, Jeong Weon Kim; Korean J Community Nutr 2013;18(4):299-311. Published online August 31, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.4.299

An educational application (App) called 'Children's Food Avatar' was developed in this study by using a food DB of nutrition and functionality from Rural Development Administration (RDA) as a smart-learning mobile device for elementary school students. This App was designed for the development of children's desirable dietary habits through an on-line activity of food choices for a meal from food DB of RDA provided as Green Water Mill guide. A customized avatar system was introduced as an element of fun and interactive animation for children which provides nutritional evaluation of selected foods by changing its appearance, facial look, and speech balloon, and consequently providing chances of correcting their food choices for balanced diet. In addition, nutrition information menu was included in the App to help children understand various nutrients, their function and healthy dietary life. When the App was applied to 54 elementary school students for a week in November, 2012, significant increases in the levels of knowledge, attitude and behavior in their diet were observed compared with those of the control group (p < 0.05, 0.01). Both elementary students and teachers showed high levels of satisfaction ranging from 4.30 to 4.89 for the App, therefore, it could be widely used for the dietary education for elementary school students as a smart-learning device.

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
Effects of Nutrition Education Using Dietary Guidebook in Higher Grade Elementary Students of Jeonbuk Area
Mi-Ran Park, Sook-Bae Kim
Korean Journal of Community Nutrition.2018; 23(1): 13. CrossRef
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 Journal of Community Nutrition.2017; 22(3): 248. CrossRef
A study on Consumer's Needs for Development of Diet Guide Application for Pregnant Women
Sook-Bae Kim, Jeong-Weon Kim, Mi-Hyun Kim, Young-Sook Cho, Se-Na Kim, Hee-Sook Lim, Soon-Kyung Kim
Korean Journal of Community Nutrition.2013; 18(6): 588. CrossRef

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[English]
Factors Related to Calceneal Broadband Ultrasound Attenuation, Anthropometric Indexes and Nutrient Intakes among Elementary School Children in Chungnam: Ye Jung Kim, Yoon Jeong Choi, Hee Seon Kim; Korean J Community Nutr 2013;18(4):312-323. Published online August 31, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.4.312

Abstract PDF PubReader

Variables affecting bone heath of growing children were analyzed among forty nine 10-12 year old elementary students in three rural regions of north west Chungnam area. Information on age of the parents, duration of breast feeding and birth weight were collected from the guardians of the participants and nutrient intake and diet quality were assessed by average of three-day food records of participants with the help of dietitians. Bone health status was measured by calceneal broadband ultrasound attenuation (BUA) using quantitative ultrasound (QUS). Results showed that anthropometic indexes and nutrient intake levels were not different between boys and girls. However, iron intake was significantly lower in girls than in boys. Girls after menarche showed lower intake levels for thiamin, riboflavin, pyridoxine and niacin than girls before menarche. z-scores of BMI were lower than -1 and higher than +1 showed shorter breast feeding period than others but the difference was statistically non-significant. Overall, the subjects did not consume enough s of calcium, vitamin C and folic acid. Zinc intake and BMI were the most significant factors affecting BUA by the results of backward elimination in multiple regression models. Phosphorous and beta-carotene intakes showed significant negative relation with BUA. This study showed that children living in the rural area of Chungnam need extra care to keep their health and nutrient intakes especially for the nutrients known to affect growth. Tailored nutrition education needs to be more focused on the improvement of bone health status of children.

Citations

Citations to this article as recorded by

Children's Food Intake and Nutrition Levels, and Obesity by Maternal Employment: Based on the Korea National Health and Nutrition Examination Survey 2013–2015
Geunyeong Kang, Yoonna Lee, Mihyang UM, Seunghee Kye
Korean Journal of Community Nutrition.2019; 24(4): 331. CrossRef
Effects of Nutrition Education Using Dietary Guidebook in Higher Grade Elementary Students of Jeonbuk Area
Mi-Ran Park, Sook-Bae Kim
Korean Journal of Community Nutrition.2018; 23(1): 13. CrossRef
Effects of Dietary Education on Elementary Children in After-school Program in Seoul
Kyung-Hee Kim
Journal of the Korean Society of Food Culture.2014; 29(2): 222. CrossRef

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[English]
Middle School Students' Perception of Environment-friendly Agricultural Products (EAPs) and the Degree of Confidence about the Certification Mark in Daegu: Ji Yeon Jang, Mi Kyung Choi; Korean J Community Nutr 2013;18(4):324-332. Published online August 31, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.4.324

Abstract PDF PubReader: The purpose of this study was to investigate middle school students' perception of environment-friendly agricultural products (EAPs) and the degree of confidence about the certification mark. Questionnaires were distributed to 444 students of 6 middle schools located in Daegu, and a total of 416 responses were used for analysis. 28.6% of the respondents were using EAPs at home, and 62.0% of respondents didn't know whether to use EAPs at home. The 6 items representing the perception of EAPs were analyzed, resulting in 2 distinct dimensions-'benefits of EAPs' and 'attitude toward EAPs'. Regarding Benefits of EAPs, the score of 'EAPs better for health' was the highest, followed by 'EAPs have higher quality', 'EAPs were better for environmental protection', respectively. The proportion of students responded that 'the amount of pesticides should be reduced gradually' was 65.5% and only 3.4% for 'current level of pesticide use is not a problem'. There were significant differences between male and female students with regard to an interest in EAPs (p < 0.05) and opinion on the use of pesticides (p < 0.05), while no significant difference was found between groups with different education level of mothers. The respondents who use EAPs at home showed significantly higher scores with attitude toward EAPs (p < 0.001), and higher response rate for 'pesticides should not be used even if the price increases' (p < 0.05). Degree of confidence about the EAPs certification mark also affected students' perception of EAPs (p < 0.001). Our results indicate the importance of education for students on EAPs to enhance students' attitude towards EAPs and improve school meal satisfaction.

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[English]
Assessment of Menu Plan Prepared by Middle School Students According to Ordinary Meal Pattern and Single Serving Size: Jung Ok Kim, Youngnam Kim; Korean J Community Nutr 2013;18(4):333-343. Published online August 31, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.4.333

Abstract PDF PubReader

It is important to prepare and execute the menu plan for proper and balanced intake of nutrients in the adolescence. This study investigated the new approach for planning menu by ordinary meal pattern based on cooked foods groups. The amounts of cooked foods in the menu plan assumed to be single serving size. The middle school second graders participated for the study. A total of 313 questionnaires were analyzed using CAN-pro 3.0 and SPSS WIN 12.0 program. The average content of energy in the menu plan was 2,453 kcal, the average ratios of energy contribution by carbohydrate, protein and fat were 54.3%, 17.9%, 27.8%, respectively. A total of 56.9% menu plans (94.9% of male and 8.7% of female students') were below the lowest limit of optimum carbohydrate energy ratio of 55%. A total of 29.1% menu plans (33.1% of male and 23.9% of female students') were exceed the highest limit of optimum fat energy ratio of 30%. The NAR of minerals and vitamins were all 1.0 except for calcium (0.92) and folate (0.88). When INQ of the individual cooked food groups were calculated, kimch was the highest in all minerals and vitamins examined, suggesting that kimch may be the best source for all minerals and vitamins, including calcium and folate with the minimum change in energy content. In conclusion, the menu plan by ordinary meal pattern in this study was low in carbohydrate, high in fat, and contained enough minerals and vitamins except for calcium and folate for middle school students.

Citations

Citations to this article as recorded by

Status of serving labeling of home meal replacement-soups and stews, and evaluation of their energy and nutrient content per serving
Mi-Hyun Kim, In-Young Choi, Jee-Young Yeon
Journal of Nutrition and Health.2021; 54(5): 560. CrossRef
Nutritional Adequacy Analysis of Recommended Menu in Dietary Reference Intakes for Koreans 2015
Youngnam Kim
Korean Journal of Community Nutrition.2017; 22(4): 279. CrossRef
Proposition and Application of a Dish-Based Target Pattern for Korean Adolescent Girls
Mi Jin Park, Youngnam Kim
Korean Journal of Community Nutrition.2015; 20(2): 87. CrossRef
Validation of Nutrient Intake Estimation based on One Serving Size
Yi-Yeong Kim, Mi-Hyun Kim, Mi-Kyeong Choi
The Korean Journal of Food And Nutrition.2015; 28(5): 871. CrossRef
Revision of the Target Pattern based on Single Serving Size of Dishes for Korean Adolescent Meal Plan
Mi Jin Park, Youngnam Kim
Korean Journal of Community Nutrition.2015; 20(1): 21. CrossRef
Revision and Application of the Target Pattern in Food Guidance System: Administered to 2nd grade middle school students
Ha Yeon Lee, Youngnam Kim
Korean Journal of Community Nutrition.2014; 19(3): 274. CrossRef

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[English]
Wanting Extremely Low BMI May be Associated with Higher Depression and Undesirable Dietary Habits in High School Girls Who were Not Overweight: Hyeyoung Park, Hongmie Lee; Korean J Community Nutr 2013;18(4):344-353. Published online August 31, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.4.344

Abstract PDF PubReader

The widespread pursuit for the thin physique may have detrimental impact on the wellbeing of the young generation, especially females. This study aimed to determine the effect of wanting very low body weight on dietary habits and psychological factors of female adolescents. Participants were 619 girls from 5 high schools in Kyeonggi, Korea. Information on dietary behaviors, psychological factors as well as current heights and weights and the desired weight for current height were obtained by questionnaire. Of total subjects, 38.1%, 35.5%, and 26.5% desired weights corresponding to normal (10~85 percentile), low (3~10 percentile) and very low BMI (< 3 percentile), respectively. The subjects who wanted to be very low weight had the average BMI of 18.57 kg/m2, which was significantly lower than 21.21 kg/m2 of those who wanted to be normal weight (p < 0.001). The subjects who desired very low weight had significantly higher scores for depression symptoms (p < 0.05), while there were no differences in obsession to lose weight and obesity stress. Moreover, more subjects in this group had undesirable dietary habits such as eating fast foods more than weekly (p < 0.05). These findings suggest that the desire for extreme thinness may lead female adolescents to have not only unreasonably similar obesity stress and obsession to lose weight but also higher depression symptoms, along with undesirable dietary habits. The findings suggest the potential harm from excessive weight concerns of female adolescents; thus efforts to teach this group about healthy weights are urgently needed.

Citations

Citations to this article as recorded by

Body Image Perception and Eating Behaviors among Male Middle and High School Students according to Weight Status in Seoul
Bo-Mi Kim, Kyung-Hee Kim
Journal of the East Asian Society of Dietary Life.2018; 28(2): 123. CrossRef
Agreement Between Actual and Perceived Body Weight in Adolescents and Their Weight Control Behaviors
Sun Mi Shin
Journal of Obesity & Metabolic Syndrome.2017; 26(2): 138. CrossRef
Body Image Perception, Eating Disorder Risk, and Depression Level according to Dieting Experience of Female High School Students in Seoul
Jisun Min, Kyunghee Song, Hongmie Lee
Journal of the Korean Dietetic Association.2016; 22(4): 241. CrossRef
The Associations between Discordance of Body Image and Physical Activities among Adults Aged 19 to 64 Years: Based on the Data from 2010 Community Health Survey
In Ae Chun, So Yeon Ryu, Jong Park, Mi Ah Han, Seong Woo Choi, Dae Sik Ko
The Korean Journal of Obesity.2014; 23(4): 274. CrossRef

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[English]
Comparison of Serum Adiponectin Levels According to Body Mass Index and Dietary Behaviors of Female University Students in Seoul: Mi Joung Kim, Hyun Young Jun, Hye Bog Rha; Korean J Community Nutr 2013;18(4):354-364. Published online August 31, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.4.354

Abstract PDF PubReader

This study was conducted to determine whether dietary factors could be related with serum adiponectin concentrations in 243, year-three female university students living in Seoul. The mean of body mass index (BMI) and adiponectin levels of all subjects were 20.17 kg/m2 and 11.07 microg/ml, respectively. When the subjects were divided into 3 groups based on BMI (underweight: < 18.5, normal: 18.5 < or = < 23, overweight and obesity: > or = 23), serum adiponectin levels in underweight group was significantly higher than that in 'normal' or 'overweight and 'obesity' groups. Also when the subjects were divided into two groups by mean adequacy ratio (MAR), serum adiponectin concentration of the high MAR group (MAR > 75) was slightly higher than that the low MAR group (MAR < or = 75). Serum adiponectin levels showed a negative correlation with body weight (p < 0.01) or BMI (p < 0.001) and a positive correlation with intakes of of animal or total protein (please clarify) or vegetable protein.Among the dietary behaviors, serum adiponectin levels of females who answered 'yes' to the question about 'eating breakfast' was significantly higher than that of those who answered 'sometimes' or 'No' (p < 0.05) and serum adiponectin levels were higher among those who reported higher fruit intakes. Overall, our results suggested that healthy lifestyle including acceptable BMI, eating breakfast and higher fruit consumption might play an important role in the prevention of obesity and enhancement of blood adiponectin levels.

Citations

Citations to this article as recorded by

A Study on Food Habits and Nutrient Intakes according to BMI in Food and Nutrition Major and Non-major Female Students in Kyungnam University
Eun-Hee Seo
Korean Journal of Community Nutrition.2014; 19(4): 297. CrossRef
Relationships among Serum Adiponectin, Leptin and Vitamin D Concentrations and the Metabolic Syndrome in Farmers
Seo-Eun Yeon, Hee-Ryoung Son, Jung-Sook Choi, Eun-Kyung Kim
Korean Journal of Community Nutrition.2014; 19(1): 12. CrossRef

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[English]
Survey on Dietary Behaviors and Intakes of Instant Noodle (Ramyeon) Soup among College Students: Hyung Sook Kim, Eun Young Lee, Kyungmin Kim, Kyung Won Kim, Jinwon Pyun, Sang Jin Chung, Young Hye Kwon, Ikhyun Yeo, Sangyun Lee, Kisun Nam; Korean J Community Nutr 2013;18(4):365-371. Published online August 31, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.4.365

Abstract PDF PubReader

High intakes of sodium may increase the risk of hypertension or cardiovascular diseases. According to the 2010 Korea National Health and Nutrition Survey, the average intake of sodium was 4,878 mg/day with salt, kimchi, soy sauce, fermented soybean paste and Ramyeon being the five main sources of sodium. In order to identify solutions to reduce the intake of sodium, we investigated the intake patterns and eating behaviors of Ramyeon among 347 college students (male 146, female 201) using survey questionnaires. The average age of study subjects was 23.7 years for males and 20.5 years for females. The average Body Mass Index (kg/m2) was 21.9 for males and 20.1 for females. The average frequency of Ramyeon intake was 2.0 times/week. The main reason for eating Ramyeon was convenience (56%), followed by good taste (27%), low price (11%) and other reasons (9%). The criteria for choosing Ramyeon were taste (72%), convenience (14%), price (7%), nutrition (1%), and the other factors (2%). Males' average intake of Ramyeon soup (61%) was higher than that of the females (36%). The estimated intake of Ramyeon soup by survey showed a positive correlation with the measured intake of Ramyeon soup. Sodium contents of Ramyeon were measured separately for the noodles and the soup, which were 1,185 mg/serving and 1,148 mg/serving each. Therefore, the amount of sodium intake can be reduced if students eat less Ramyeon soup. Also, we observed that dietary behaviors and soup intakes of Ramyeon between the sexes were different. Appropriate nutritional education for proper eating habits may help decrease the intake of sodium.

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Comparison of the nutrition quotient by types of eating behavior among male and female university students in Gwangju
Geum-Bi Ryu, Young-Ran Heo
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Effects from the Use of Nutrition Labels and the Levels of Sodium-related Nutrition Knowledge on the Consumption of Instant Noodles (Ramyeon) by Middle School Students in the Incheon Area
Yang-Hee Kwon, Hyung-Sook Kim
Korean Journal of Community Nutrition.2022; 27(5): 397. CrossRef
A Qualitative Study on the Dietary Experience with the Children’s Meal Card : Focused on College Students Living in Busan
Soo Jin Lee, Ho Kyung Ryu
The Korean Journal of Community Living Science.2022; 33(2): 205. CrossRef
Flavor principle as an implicit frame: Its effect on the acceptance of instant noodles in a cross-cultural context
Meng Li, Seo-Jin Chung
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Qi Li, Ji Eun Lee, Jeong Ok Rho
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A Cross-National Study on Selection Attributes of Instant Noodle between China and Korea
Seong Soo Cha, Xiao-Wu Wang
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Comparison of the sodium content of Korean soup-based dishes prepared at home, restaurants, and schools in Seoul
Yanghee Park, Jihyun Yoon, Sang-Jin Chung
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Hoyoun Cho, Youngjoo Kwon
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Chang-Hwan Oh, Chung Ha-Yull
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Jee-Young Yeon, Yun-Jung Bae
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Min-Ji Kang, Ki-Bo Choi, Eun-Soon Lyu
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Soon Myung Hong, Jee Hye Lee, Hye-Kyung Kim, Rina Yu, Jeong Hee Seo, Eun Jeong Huh, Seong Suk Cho, Jeongah Yang
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A Study on Food Habits and Nutrient Intakes according to BMI in Food and Nutrition Major and Non-major Female Students in Kyungnam University
Eun-Hee Seo
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Diet-Related Health Risk Appraisal for Cardiometabolic Diseases of the College Students in Gyunggi-do
Hyung-Sook Kim
The Korean Journal of Community Living Science.2014; 25(1): 89. CrossRef

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[English]
Food Habits and Dietary Behavior Related to Using Processed Food among Male College Students Residing in Dormitory and Self-boarding in Gangwon: Mi Hyun Kim, Hyun Kim, Woo Keun Lee, Soon Joo Kim, Jee Young Yeon; Korean J Community Nutr 2013;18(4):372-385. Published online August 31, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.4.372

Abstract PDF PubReader

The purpose of this study was to examine food habits and dietary behavior related to using processed food among male college students residing in dormitory and self-boarding in Gangwon. A total of 344 students (dormitory group: 227, self-boarding group: 117) were surveyed from May to June of 2012. The results are summarized as follows: self-boarding group had a significantly higher frequency of skipping breakfast and lunch and frequency of out meal compared with the dormitory group (p < 0.05, p < 0.05, p < 0.05 respectively). The self-boarding group had a significantly lower the score of 'eat vegetables and Kimchi at every meal' (p < 0.001) and 'eat a variety of food everyday' (p < 0.001) compared with the dormitory group. The self-boarding group had a significantly higher the preference for meat products (p < 0.05) and canned food (p < 0.01) for selecting processed food compared with the dormitory group. The consideration for selecting processed food was ranked by 'taste', 'price', 'expiration', 'appearance' and 'nutrition' in both dormitory and the self-boarding group. In the dormitory group, nutrition labels were identified certainly 2.6%, sometimes 12.8%, and rarely 17.2%. In the self-boarding group, nutrition labels were identified certainly 1.7%, sometimes 18.0%, and rarely 24.8%. The necessity of nutrition education was high in both dormitory group (51.6%) and the self-boarding group (62.4%). Therefore, development of an educational program and application of the information from nutrition labels for male college students, especially self-boarding students will be effective in improving dietary life in order to maintain healthy dietary habits.

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Youngmee Lee, Yu Jin Oh, Wookyoun Cho, Pil Kyoo Jo
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Yi-Yeong Kim, Su-Jin Kim, Mi-Kyeong Choi
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A Study on Sodium-related Dietary Attitude and Behaviors According to Sodium-related Nutrition Knowledge of University Students
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Yun-Jung Bae, Seung-Eun No, Jeong-Hwa Seo, Joo-Hee Son, Mi-Jin Lee, Da-Woon Jung
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Energy Content Estimation by Collegians for Portion Standardized Foods Frequently Consumed in Korea
Jin Kim, Hee Jung Lee, Hyun Jung Lee, Sun Ha Lee, Jee-Young Yun, Mi-Kyeong Choi, Mi-Hyun Kim
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[English]
Evaluation of Traditional Aspects of School Lunch Menus in Korea by Analyzing Dish Group Composition: Youngmi Lee, Meeyoung Kim, Hae Kyung Chung, Haeng Ran Kim, Jae Eun Shim, Hyeyeong Cho, Jihyun Yoon; Korean J Community Nutr 2013;18(4):386-401. Published online August 31, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.4.386

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This study was conducted to analyze traditional aspects of school lunch menus in Korea. We conducted a content analysis of menu-related contents included in guidelines for school lunch programs provided by 16 city and provincial education offices. In addition, the data of 10,495 menus for the third week of December 2010 and March, July, October 2011 from 557 elementary, middle, and high school were analyzed by school grade, area, and province. The results showed that there were no specific and detailed guidelines for menu planning in terms of traditional food culture in most of the guidelines for school lunch programs. However, the basic traditional menu composition was maintained in school lunch menus. The percentage of menus including rice and Kimchi was 97% and 95%, respectively, and that including Korean soup was about 72%. However, the frequency of serving Namul, Korean seasoned vegetable dish, accounted for only about 52% of the menus. The percentage of the menus following the traditional food group pattern including such five food groups as rice, Korean soup, Kimchi, Namul, and optional Korean side dish was only about 35%. The percentage of the menus following the traditional food group pattern excluding Namul from the five food groups accounted for about 30%. The traditional food group score, calculated by allocating 1 point to each of the five food groups was 4.06 out of 5 points on average. Elementary schools and schools in rural area and in Jeolla-do province served traditional menus more frequently. In conclusion, school lunch programs need to consider establishing traditional foods-based standards and relevant guidelines for school lunch, particularly for high schools and schools in urban areas and in some provinces.

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[English]
Effectiveness of Nutrition Education and Counseling on the Salty Taste Assessment, Nutrition Knowledge and Dietary Attitude of Hemodialysis Patients: Young Mi Lee, Yeon Kyung Lee; Korean J Community Nutr 2013;18(4):402-412. Published online August 31, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.4.402

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The purpose of this study was to evaluate the effectiveness of nutrition education and counseling on the salty taste assessment, nutrition knowledge and dietary attitude of 21 hemodialysis patients. Five times of the nutrition education and three times of nutrition counseling were performed for a period of 5 months. Biochemical analysis revealed that creatinine was significantly high (p < 0.001), blood urea nitrogen and serum albumin were significantly low (p < 0.05, p < 0.01) and Na, K, Cl, K, P and uric acid were not significantly different. The distribution rate of unsalty taste preference were significantly high and the distribution rate of salty taste preference were significantly low after nutrition education and counseling (p < 0.001). Nutrition knowledge significantly improved following 5th month of education and counseling (p < 0.01). Particularly, the scores for questions related to sodium were improved. The dietary attitude was significantly improved during the counseling period (p < 0.05). There were improvements in responses to 'use food exchange list on diet' and 'habitually add salt or soy sauce before the meal'. According to these results, salty taste assessment, nutrition knowledge and dietary attitude were significantly improved by the hemodialysis diet therapy practices of hemodialysis patients. Therefore, we conclude that there was a need for low-salt diet education and nutrition counseling to help them recognize the taste of low-salt foods and strive towards a preference for less salty tasting foods and the consumption of a low-salt diet.

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Comparison Between Semi-Quantitative Frequency Methods and 7-day Dietary Records Methods in Food and Nutrition Intake Status For Hemodialysis Patients
Dong-Ryeol Ryu, Jung-Hyun Kim, Hyun-Jung Kim, Min-Sook Kyung, Jung-Tak Park
Korean Journal of Community Nutrition.2017; 22(5): 426. CrossRef

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