Korean Journal of Community Nutrition

[English]
Effect-Evaluation on Nutrition Education in Related Curriculums for Elementary School Children: Focused on Change of Dietary Habits: Eun Sil Her, Sang Gyun Lee, Hye Jin Park, Kyung Hea Lee; Korean J Community Nutr 2005;10(6):795-804. Published online December 31, 2005

Abstract PDF: The purpose of this study was to develop of nutritional education activities and effect evaluation in related curriculums for all Dongbu Elementary School children in Jinhae by the teacher in charge. This educational purpose was to build a desirable dietary behavior for optimal growth and health in elementary school children. The educational program contents were developed according to 1) selection of content related curriculums 2) analysis of contents related on dietary habits by grade 3) preparation teaching plans to build desirable dietary habits 4) development of teaching manual by turns. Twelve hours of nutrition education at all school classes were done from March 2 to December 10 2004 in Dongbu Elementary School in Jinhae, Gyeongnam. The education effects were evaluated through the questionnaire surveys before and after the education and their comparative analysis. The results of this study were summarized as follows : Forty percent of the underweight group, 22.8% of the normal group, 42.2% of the obese group had the wrong perceptions on their body figures, but after nutrition education 80.5% of the underweight group, 94.3% of the normal group, 97.9% of the obese group gleaned the correct perceptions on their body figures (p<0.001). As the effects of the education, the subjects who exercise more than 3 times in a week increased in all groups (p<0.01 - 0.001), notably in the obese group. Meal regularity (p<0.001), skipping meals (p<0.001), eating rate and snack selection patterns (p<0.01 - p<0.001) also improved by nutrition education. We could also observe the effects of the nutrition education through the affirmative statements which appeared in their dietary records. These results showed a possibility of nutrition education activities in related curriculums to improve in dietary habits of school children. Next year, we will start with the system of nutrition teachers in elementary school, but nutrition teacher cannot undertake the task of teaching and food service management alone. Because of that, we intend to develop this program as an alternative proposal for the nutrition education in elementary schools.

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[English]
A Study of Body Image, Weight Control and Dietary Habits with Different BMI in Female High School Students: Hee Jeong Lee, Mi Rae Choi, Jae Ok Koo; Korean J Community Nutr 2005;10(6):805-813. Published online December 31, 2005

Abstract PDF: Concern about body weight among adolescents is too much, so distorted body images and weight control are serious problems among Korean girl students. This study was carried out to investigate perception of body images, weight control, food habits and eating behavior of 237 high school girl students in Seoul and Incheon. The subjects were divided into four groups based on Body Mass Index (BMI)-under weight (21.3%), normal (62.6%), over weight (8.1%) and obesity (8.1%). The survey was conducted from June to July 2005. The mean weight, length and BMI of the subjects was 53.4 +/- 7.4 g, 101 +/- 4.8 cm, and 20.6 +/- 2.7, respectively. 56% of the under weight group and 40.8% of normal group had incorrect perception about their body images and 28.5% of the under weight group and 76.9% of the normal group had dissatisfaction about their body images. Most of the students were concerned about their body images and weight control. Dietary habit scores showed significant differences among the groups. These results suggested that effective nutritional programs should be developed including correct perception of body image and good dietary habits.

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[English]
A Study of Weight Control and Associated Factors among High School Female Students: Yun Ahn, Hyungmee Kim, Kyungwon Kim; Korean J Community Nutr 2005;10(6):814-824. Published online December 31, 2005

Abstract PDF: The study purpose was to examine weight control status and related factors among 370 high school girls in Seoul. Factors examined included interest toward weight control, body satisfaction, body image, beliefs regarding weight control and self-efficacy. 65.1% had attempted to control weight and were categorized into attempt group. Those in the attempt group had higher body weight (p<0.001) and BMI (p<0.001) than the counterparts. They tried to control weight 2.9 times on average (22.4 days each time). The major information sources for weight control were internet (62.8%), and TV/ radio (17.1%). Exercise was most commonly used for weight control, followed by reducing meal amount and skipping dinner. The attempt group was less satisfied with body size (p<0.001) and perceived their body sizs as heavier than the counterparts (p<0.001), but they showed more interest toward weight control (p<0.001). The ideal body size of society or the body size that they want was very thin in both groups. Twelve out of 20 beliefs regarding weight control were significantly different between the two groups. The attempt group believed more strongly on the advantages such as increased self-confidence, appearance, attractiveness (p<0.001) and 'good for making friends' (p<0.01). In contrast, the attempt group believed less strongly about the disadvantages including harmful effects on health (p<0.001), parents' dislike, feelings of discouragement (p<0.01) and becoming (p<0.05). The attempt group showed lower overall self-efficacy to control overeating (p<0.05) than the counterparts. Especially, the attempt group felt less control of overeating in situations such as eating-out, after school, when they are with family (p<0.01) or with friends, when they feel hungry, during examination periods and when others offer food (p<0.05). This study suggested that weight management education for adolescents include strategies for changing body image and beliefs regarding weight control, as well as increasing self-efficacy to control overeating.

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[English]
Effects of the Life Style and Self-Recognition of Health Conditions on the of Body Fat % in Hotel Culinary College Students: Sookhee Kim, Kyunghee Joung, Yoonjung Kim; Korean J Community Nutr 2005;10(6):825-834. Published online December 31, 2005

Abstract PDF: This study was to investigate the effects of the body fat % on life styles and self-recognition of health conditions in hotel culinary college students. This survey was conducted using the questionnaires for 144 students (110 males, 34 female) in Hongseung-located college. More exercise time and less frequency of alcoholic beverage they intake, lowered their body fat %. Males did stronger exercise and had lower body fat % than females. The stronger exercise they did, the lower body fat % they had, and were more satisfied with their present weight. Since they had more alcoholic beverage, they smoked more. Less smoking, more abdominal obesity they were. The less satisfaction with their body weights, the higher body fat % they had. The obese less were content with their weights. More recognition of obese shape, higher body fat % they had and abdominal obesity they were. Female had higher body fat % and were more abdominal obesity, did weak action, less smoke and weak exercise than male. Higher body fat % they had, more abdominal obesity they were. The more part time jobs they had, they did not smoke or were not satisfied with their body weights. Female students in culinary arts division had higher body fat % and were dissatisfied with their body weights and did less exercise or subnormal exercises.

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[English]
A Study on Dietary Behaviors, Nutritional Status and Hematological Status in Female Ballet Majors in University: Na Young Kim, Hee Kyung Kim, Seog Ji Kim, Myoung Ju Park, Seok Hwan Kim, Jeong Sook Lee; Korean J Community Nutr 2005;10(6):835-844. Published online December 31, 2005

Abstract PDF: This study was carried out to investigate the dietary behaviors, nutritional status and hematological status of female ballet majors a university. The study was conducted from May 11 to June 20, 2004 by questionnaires, anthropometry and blood analysis and data analyzed by SPSS program. The results are summarized as follows: The body mass index (BMI) and body fat rate of the ballet majors were significantly lower than those of the controls. Eighty-six point four percent of the ballet majors and 58.3% of the controls had weight control experiences. Intakes of the nutrients were lower than those of the Korean recommended dietary allowances (RDAs), except vitamin C in the ballet majors. Intakes of calories, calcium and iron were lower than those of the RDAs in the controls. Serum triglyceride levels of the ballet majors were significantly lower than that of the controls. HDL-cholesterol concentration was higher in the ballet majors than in the controls. No differences were found in the serum total cholesterol level, hemoglobin level, and hematocrit value between the groups. Total iron binding capacity of the ballet majors was higher than that of the controls. Serum iron level was significantly lower in the ballet majors than in the controls. Nutrition knowledge scores and dietary attitude scores were lower in the ballet majors than in the controls. Self esteem and body-cathexis of the ballet majors were higher than that of the controls. These results indicate that the ballet majors should be given more nutritional education to improve their nutritional status and the dancing performance.

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[English]
Regional Differences in Taste and Food Preferences of College Students Attending Nutritional Education via Internet I. Main and Side Dishes: Sun Hee Cheong, Kyung Ja Chang; Korean J Community Nutr 2005;10(6):845-859. Published online December 31, 2005

Abstract PDF: The purpose of this study was to investigate the regional differences in food preference among college students participating in a nutrition education program via internet. The subjects were 1672 college students (male: 762, female: 910) and divided into 4 regional groups. A survey using a self-administered questionnaire was conducted using a self-administered questionnaire on taste and food preferences. Data was collected via internet or by mail. Prevalence of the food preferences among regional groups was examined using SPSS statistical package. Food preferences were significantly associated with sex and region. Female students in Chungcheong and Kyungsang areas showed significantly higher preference of the hot taste compared to Seoul and Kyunggi areas. Female students in Seoul, Kyunggi and Chungcheong areas showed significantly higher preference of the boiled bean rice compared to the Kyungsang area. The preference for Kimchi stew of female students in Seoul and Kyunggi was significantly higher than those in Chungcheong and Kyungsang areas. Male students in the Chungcheong area showed significantly higher preferences of the Young radish kimchi, while female students in this area showed significantly higher preference of the Radish kimchi compared to other areas. The preference for roasted laver of female students in Seoul, Kyunggi and Kyungsang areas was significantly higher compared to the Chungcheong area. The preference for fried chicken of male students in Seoul was significantly higher than that in other areas. The preference for bean sprouts and season bonnet bellflower of male students in Seoul, Chungcheong and Kyungsang areas were significantly higher compared to the Kyunggi area. Therefore, these results provide nation-wide information on food preferences among Korean college students.

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[English]
Serum Iron Concentration of Maternal and Umbilical Cord Blood during Pregnancy: Hey Mi Jang, Hong Seok Ahn; Korean J Community Nutr 2005;10(6):860-868. Published online December 31, 2005

Abstract PDF: Anemia diagnosed early in pregnancy is associated with increased risks of low birth weight and preterm delivery. The purposes of this study were to assess the maternal iron status during pregnancy and to evaluate the relationships between the iron indices of maternal-umbilical cord serum iron and ferritin levels and pregnancy outcomes. Dietary intakes of the pregnant women were estimated by 24 hour-recall (3 times). Serum iron and ferritin levels in maternal blood and umbilical cord were measured at 1st-, 2nd-, 3rd- trimester and delivery, respectively. The mean of maternal serum iron levels of the trimester and delivery were 124.27microgram/dl, 97.03microgram/dl, 94.32microgram/dl, and 145.53microgram/dl. Those maternal levels were significantly lower than that of umbilical cord blood (222.59microgram/dl). Serum ferritin levels of maternal trimester and delivery were 22.68microgram/l, 11.09microgram/l, 14.18microgram/l and 24.54microgram/l, which were significantly lower than those of umbilical cord blood (184.35microgram/l)(p<0.0001). This prevalence of anemia of total subjects was 30.3% by WHO criteria (Hb<11.0 g/dl, Hct<33%). Iron levels of 2nd-trimester was significantly higher in the normal group than in the anemia group. And ferritin levels of 3rd-trimester and delivery was significantly higher in the normal group than in the anemia group. Therefore, we suggest for successful pregnancy outcome and delivery differential iron supplementation programs will be carried out with individual pregnant women on the basis of pre-pregnancy nutrition.

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[English]
A Evaluation Study on Nutrient Intake Status and Diet Quality of Middle and Old Aged Vegetarian Women in Korea: Mi Hyun Kim, Yun Jung Bae, Da Hong Lee, Hye Kyung Cho, Sun Hae Choi, Chung Ja Sung; Korean J Community Nutr 2005;10(6):869-879. Published online December 31, 2005

Abstract PDF: The purpose of this study was to evaluate on nutrient intake status and diet quality of middle and old aged vegetarian women in Korea. The research group was composed of vegetarian women (n = 91), all of them were Seven Day Adventists, who had been on vegetarian diets, over 20 yrs. Their anthropometric measurements, dietary intakes, and diet quality indices were compared to omnivores (n = 122). The average age of vegetarians and omnivores were 61.8 yrs and 60.3 yrs, respectively. The mean daily energy intakes of vegetarians and omnivores were 1428.8 kcal and 1424.5 kcal, respectively and there was no significant difference. The vegetarians consumed significantly lower intakes of protein (p<0.05), zinc (p<0.001) and vitamin B2 (p<0.05) compared to omnivores. In the diet quality, zinc and vitamin B2 nutrient adequacy ratio (NAR) of vegetarians were significantly lower than those of omnivores. Mean adequacy ratio (MAR) of vegetarians and omnivores were 0.80 and 0.77, respectively and there was no significant difference. The KDDS (Korean's Dietary Diversity Score) of vegetarians and omnivores were 3.7 and 4.0, respectively, and there was significant difference (p<0.01). The KDQI (Korean's Diet Quality Index) of vegetarians (1.5) was significantly lower than that (2.1) of omnivores (p<0.001). In conclusion, vegetarian women have low intake status of protein, zinc and vitamin B2, and partly low diet quality. Therefore it was needed that well planed diets to replace the nutrients supplied from excluded food groups in middle and old aged vegetarian women.

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[English]
A Study on Nutritional Intakes in Elderly People in Wando Area: Bok Kyeong Cha; Korean J Community Nutr 2005;10(6):880-891. Published online December 31, 2005

Abstract PDF: The purpose of this study was to investigate nutrients intakes and nutritional quality of Adults and Elderly People in an island area (Wando). A three-day dietary intakes survey, using a 24 hour recall method was obtained from 187 subjects aged 46 to 84 (mean age 65.3) living in an island area (Wando). Nutient intakes were analyzed using CAN-pro soft program and compared to Korean RDA. The quality of nutrients was assessed by analyzing nutrient adequacy ratio (NAR), mean adequacy ratio (MAR), and index of nutritional quality (INQ). The average daily mean energy intakes were 1869.0 kcal for males and 1943.9 kcal for females, respectively. Daily intakes of protein for males and females were 28.0 and 30.4 g and those of fat were 31.5 and 28.51 g, respectively. Nutrient consumed below 75% of Korean RDA was protein, vitamin A, Ca and Zn in both males and females. Average CPF ratio of males and females were 78.8 : 6.0 : 15.1 and 80.0 : 6.4 : 13.4, respectively. Energy intake ratio from protein was significantly higher in over 60 years males. Carbohydrate dependency decreased with age. Protein dependency increased with age. Nutrient adequacy ratio (NAR) of energy, protein, vitamin A and vitamin E were increased with age in males. The mean adequacy ratio (MAR), an index of overall dietary quality, were not significantly different by age group. Average MAR for males and females was 0.77 and 0.78, respectively. The index of nutritional quality (INQ) showed the tendency to decrease with age. Especially, there were significantly decreases in INQ of all nutrients, except protein, with age. Based on these results, it is evident that people in the island area did not consume enough nutrients. Specially, dietary intake of protein, vitamin A, vitamin E, and Ca were not adequate.

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[English]
A Study on Dietary Pattern and Nutritional Status of the Long-Lived Elderly People by Food Habit Index in Ganghwa-gun Area: Myung Wha Kim, Hye Kyoung Han, Sung Sook Choi, Sung Dong Lee; Korean J Community Nutr 2005;10(6):892-904. Published online December 31, 2005

Abstract PDF: This study was carried out to assess the food habit index of the long-lived elderly who were aged over 85 years living in Ganghwa-gun. A survey was conducted during December 2003. Dietary nutrient intake data was obtained through the 24-hr recall method. The subjects were 96 (32 males, 64 females) aged people and divided into three groups based on food habit index scores. Such as group A: good 16~20, group B: fair 11~15, and group C: poor 5~10. The three groups of the subjects were 90.7 years of age and 21.3 kg/m2 of BMI on average. Healthy eating index scores of the subjects were 9.4% in group A, 54.2% in group B and 36.5% in group C. Their level of education were lower and their levels of living standards tended to have been middle and lower of the middle class. The percentage of living together with their families or spouses in all groups were over 60.0% and the rates of the subjects who have responsibility for their meal preparations were also very high in all groups. Most subjects tended not to drirk nor smoke, and spend 8~10 hours for their sleep. The percent of number of diseases in group A was lower than in groups B and C. Their dietary habits such as taking three meals a day regularly have shown that they have good eating habit in general. There was a positive correlation between the eating behaviors and nutrient intakes. The protein, animal protein, fat, PUFA, vitamin E, vitamin B2, niacin, P and K intaks in group A were significantly higher than that of the groups B and C. For group A of good food habits aged had no sufficient intake of Ca and vitamin A than the Korean RDA and long-lived elderly of group C in Ganghwa areas had worse nutrients intakes, especially Ca, vitamin A, vitamin B2 and vitamin E. According to this research having a good eating habits could be considered as increasing of the health and nutritional status.

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[English]
Development of Performance Indicators Based on Balanced Score Card for School Food Service Facilities: Tongkyung Kwak, Hyeja Chang, Jiyong Song; Korean J Community Nutr 2005;10(6):905-919. Published online December 31, 2005

Abstract PDF: This study raised the necessity of developing performance indicators for measuring the management efficiency and effectiveness of school food service, and as a means of helping its implementation, a balanced score card (BSC) approach developed by Norton and Kaplan was adopted. This study established BSC in seven phases through literature: Phase 1 Defining a school food service and the scope of working activities, Phase 2 Establishing the vision of a school food service, Phase 3 Setting strategic goals, Phase 4 Identifying critical success factors (CSFs), Phase 5 Developing Key Performance Indicators (KPIs), Phase 6 Extracting cause and effect relationship, and Phase 7 Completing a preliminary BSC. The preliminary BSC was turned into a survey, which was administered to food service related people working at the Office of Education and School Food Service including 16 offices, 209 dietitians, 48 school administrators both from self-operated and contract-managed, and 9 experts in areas related to school food service. They were asked questions about strategics from 4 different perspectives, 12 CSFs, 39 KPIs, and the cause and effect relationships among them. As a result, among the CSFs based on 4 different perspectives, all factors other than "zero sum on profit/loss" from the financial perspective turned out to be valid. In terms of KPIs, manufacturing cost percentages, casualty loss count/reduction rates, school foodervice participation rates, and sales goal achievement rates were found to be valid from the financial perspective, while student satisfaction index, faculty satisfaction index, leftover ratio, nutrition educational performance count, index of evaluating nutrition education, customer claim count/reduction rate, handling customer claim count/reduction rate, and parent satisfaction index were found to be valid from the customers' perspective. Besides, nutritional requirement sufficient ratio, nutritional management score, food poisoning outbreak count, employee safety accident count, sanitary inspection assessment index, meals per labor hour (productivity index), computerization ratio, operational management index, and purchase management assessment index were also found to be valid from the perspective of internal business processes. From the perspective of innovation and learning, employee turnover ratio/rate of absenteeism, annual education and training count, employee satisfaction index, human resource management assessment index, annual menu-related customer feedback, food service information index for employees and parents/schools were also found to be valid. The significance of this study is to present indices for measuring overall performance of school lunch food service operations without putting any limitation on types of school food service management, and to help correctly assess the contribution of the current types of school food service management to schools and students.

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[English]
A Survey of Teachers' Recognition on Nutrition Knowledge and Nutrition Education at Day-care Centers: Kum Mi Park; Korean J Community Nutr 2005;10(6):920-929. Published online December 31, 2005

Abstract PDF: This study was aimed at knowing the recognition of teachers' nutrition knowledge and nutrition education at day-care centers in Seong-nam. Teachers were all female, most of whom were in the 20, and their careers were less than 3 years. And 76.2% of the teachers graduated from high school and junior college. The score of the nutrition knowledge was average 14.3 +/- 2.2 (out of 20). It shows that they are lack of general information of nutrition. As the teachers had higher education, they scored higher nutrition knowledge levels (p<0.01). It also says that there was meaningful interrelationship between the nutrition knowledge and the number of children they had (p<0.05). 93% of the teachers said that nutrition education should be given when children are three years old, at least and most of the teachers thought that nutrition education is necessary and should be taught in a separate course. 50.4% of the teachers thought that nutrition education for early childhood should be taught by a nutritionist, but 35.2% of them thought that the teachers themselves should be in charge of it. About 60% of the teachers thought that 'Cooking Activity for Early Childhood' course should be established and it is desirable that the nutrition education should be in the area of cooking activity for childhood at daycare centers. The teachers thought that dietary habit is the most important subject in nutrition education and they got more information from the internet rather than in the class related to nutrition.

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[English]
Personal Maternal Body Image Perceptions Their Preschool Children: Wha Jin Hyun, Yi Joung Hong; Korean J Community Nutr 2005;10(6):930-942. Published online December 31, 2005

Abstract PDF: This study was performed to investigate body image perceptions of women about themselves and their preschool children and also to investigate the relationship between these perceptions. Subjects were 545 women and their children (279 boys and 268 girls) residing in Daejeon city. 67.7% of women were classified as normal group, 18.6% as overweight group, and 13.8% as underweight group by BMI. 68.5% and 78.7% of their boys and girls, respectively, were classified as normal group, 22.4% and 16.4% as overweight group, 9.1% and 4.9% as underweight group by WLI. Women made relatively accurate judgments on their current body sizes and selected their body images as the most desirable one. But they preferred plumper figures for their children and failed to perceive their overweight children as overweight. While 74.7% of women wished to be thinner, 81.1% of them wished their children to be fatter. Women spending less then 100 thousand won and more than 500 thousand won as monthly food expenses and having only one child perceived their children's current body sizes the lowest and the highest, respectively. Women wished boys to be fatter than girls. Their current body sizes were correlated positively with the children's current body size (p<.01), and their healthiest, attractive, and 'wish' figures were correlated positively with children's current, healthiest, attractive, and 'wish' figures (p<.05 - p<.01). Body size dissatisfaction (wish to be thinner) and BMI of women were correlated negatively with children's healthiest and attractive figures (p<.01). These findings suggest that in order to correct the women's body image misperceptions and to prevent childhood obesity, mother's perception about healthy body images for themselves and their children need to be included in nutrition education. Also, it is necessary to assist mothers to understand the relationship of body size and weight status with the risk of chronic disease which might appear later in their children's life.

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A Gap Analysis between Inpatients' and Personnel's Perception of Hospital Foodservice Quality: Hae Young Lee, Seung Hee Chang, Il Sun Yang; Korean J Community Nutr 2005;10(6):943-951. Published online December 31, 2005

Abstract PDF: The purposes of this study were to analyze the gap between foodservice personnel and inpatients, to urge foodservice providers to reconsider by identifying the problems in service delivery for customer satisfaction, and to deduce the priority for foodservice quality improvement. The results of this study can be summarized as follows : the average perception score of personnel (4.32 out of 5) was higher than that of customers (3.90). In particular, the customers' perceptions of 17 attributes, which included 'removal service of tray by foodservice personnel', 'nutrition and health-related information service', 'handling inpatient's complaint ASAP', 'delicious meals' and 'salty enough meals' and so on, was significantly lower than personnel's. Both service providers and customers perceived that 'personnel attitude' was the highest and 'meal quality' was the lowest among the 4 factors, but there was significant difference on 'meal quality' (p<.001), 'customer reception' (p<.001) and 'personnel attitude' (p<.05) between the two groups. As a results of quadrant analysis, 'removal service of tray by foodservice personnel', 'handling inpatient's complaints ASAP' and 'meal service according to doctor's orders were categorized into Quadrant A with meaning of high personnel's perceptions and low customers'. Therefore service providers have to perceive the gap between the two viewpoints and grant priority to these attributes in improving foodservice quality.

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[English]
Food and Nutrient Consumption Patterns of the Korean Adult Population by Income Level - 2001 National Health and Nutrition Survey: Bok Hee Kim, Joung Won Lee, Yoonna Lee, Haeng Shin Lee, Young Ai Jang, Cho il Kim; Korean J Community Nutr 2005;10(6):952-962. Published online December 31, 2005

Abstract PDF: To explore the relationship between economic status and food and nutrient intake patterns, the 2001 National Health and Nutrition Survey result was analyzed. Dietary intake data of 6,978 Korean adults of 20 years and older who participated in the 2001 National Health and Nutrition Survey were used along with their demographic data. Economic status of the subjects was classified into the following 4 groups based on the self-reported average monthly income of household with reference to the minimum monthly living expenses (MLE) in 2001: low<100% MLE < or = middle<200% MLE < or = high<300% MLE < or = higher. Individuals in the higher income class had significantly higher mean intake for most of the nutrients including energy, protein, carbohydrate, fat, calcium, thiamin, riboflavin, niacin and vitamin C, and a higher percentage of energy intake from fat. In addition, they consumed more animal foods including meats, eggs, fish/shellfish, milk/dairy products and fats. On the other hand, the mean intakes of individuals in the lower economic class for calcium, vitamin A, and riboflavin were lower than 75% of RDAs. And, there was a predominant difference in contribution of fat to total energy intake among the groups of different economic status. These results showed that household income is an important factor influencing the food and nutrient intake patterns of the Korean adult population. Although individuals at different age classes may respond differently to a change in economic status, developing and implementing nutrition policy and intervention programs for those nutritionally vulnerable groups should consider the economic status as an important factor to customize and differentiate the content of the program.

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Plasma Total Homocysteine, Folate and Vitamin B12 Concentrations in Patients with Coronary Stenosis: Hyeon Sook Lim, Young Ran Heo; Korean J Community Nutr 2005;10(6):963-970. Published online December 31, 2005

Abstract PDF: Recently elevated plasma homocysteine concentration is considered an independent risk factor for atherosclerosis and thrombosis with coronary artery disease. Folate and vitamin B12 are cofactors and closely related with metabolism of homocysteine. The purpose of this study is to evaluate the correlation between homocysteine and folate and vitamin B12 in patients with ischemic heart disease. Twenty-six patients, in whom coronary angiographic finding revealed more than 50% of stenosis at least in one coronary vessel were enrolled as the patient group, and thirty subjects, in whom angiographic finding revealed in not significant stenosis, but complained of chest pain, were selected as the control group. Fasting venous blood was obtained and measured the concentration of plasma total homocysteine, folate and vitamin B12 by high performance liquid chromatography and fluorescence detection method. We examined the correlation between homocysteine and folate and/or vitamin B12 in the control group and the patient group, respectively. Compared with the control group, the patient group had relatively higher plasma total homocysteine concentration (10.7 +/- 4.2 vs 9.6 +/- 3.5 umol/L), but showed no significant difference. Folate and vitamin B12 concentration are low in the patient group, but showed no significant difference between patient and control group. Plasma total homocysteine concentration showed negative correlation with folate and vitamin B12 in both the control group and the patient group, and showed significantly negative correlation in patient group {r = -0.550 (p<0.01) vs r = -0.609 (p<0.01)}. We knew that the plasma total homocysteine concentration were relatively elevated in patient group compared with the control group. Because plasma total homocysteine concentrations are closely negative correlated with folate and vitamin B12 in the patient group, folate and vitamin B12 supplement can lower the mortality and morbidity of ischemic heart disease.

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