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Volume 24(6); December 2019
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Original Articles
[English]
Effect of Geographic Area on Dietary Quality across Different Age Groups in Korea
Hyun Ja Kim, Kirang Kim
Korean J Community Nutr 2019;24(6):453-464.   Published online December 31, 2019
DOI: https://doi.org/10.5720/kjcn.2019.24.6.453
AbstractAbstract PDFPubReader
OBJECTIVES
The objective of this study was to examine whether dietary quality varies among different age groups and geographic areas, and whether the difference between geographic areas varies across several age groups in Korea.
METHODS
The subjects were 14,170 subjects who participated in the 2013–2015 Korea National Health and Nutrition Examination Survey. The dietary quality was assessed using the Korean Health Eating Index (KHEI). Age groups were categorized into six groupings, and areas were categorized into urban and rural according to their administrative districts. The effect of area on the KHEI score was analyzed by multiple linear regression analysis.
RESULTS
The KHEI was the lowest in the 20-30s group (57.7 ± 0.4 score for 20s and 61.2 ± 0.3 score for 30s) and increased with age (p<0.001), showing the highest score in the 60s (67.9 ± 0.3 score), and then decreased again in the 70s and older (64.6 ± 0.3 score). As a result of comparing the KHEI score by area, the urban areas had higher KHEI scores than did the rural areas (63.5 ± 0.2 score for urban area and 62.2 ± 0.4 score for rural area, p=0.002). The difference between areas was dependent on the age group, showing a significant difference for subjects who were aged from 50s and older (p=0.002 for 50s, p<0.001 for 60s and p<0.001 for 70s and older). After adjusting for confounding factors, the effect of area on the KHEI score was only shown for those subjects in the over 60 years old group (p=0.035 for 60s and p<0.001 for 70s and older).
CONCLUSIONS
The dietary quality differed according to the age group and geographic area. The dietary quality was lower for younger people than that for older people, and in rural areas compared to that in urban areas, and especially for older adults. The area factor was a very important factor for the dietary quality.

Citations

Citations to this article as recorded by  
  • Risk of all-cause mortality is associated with multiple health-related lifestyle behaviors and does not differ between urban and rural areas in Korea
    Seunghee Kim, Clara Yongjoo Park
    Nutrition Research and Practice.2024; 18(4): 554.     CrossRef
  • Regional differences in protein intake and protein sources of Korean older adults and their association with metabolic syndrome using the 2016–2019 Korea National Health and Nutrition Examination Surveys: a cross-sectional study
    You-Sin Lee, Yoonna Lee
    Korean Journal of Community Nutrition.2024; 29(3): 173.     CrossRef
  • Development and Validation of a Perceived Community Food Accessibility Measurement Questionnaire for Korean Older Adults
    Jisoo Hong, Narae Yang, Kirang Kim
    Nutrients.2023; 15(19): 4301.     CrossRef
  • Improving the nutrition quotient and dietary self-efficacy through personalized goal setting and smartphone-based nutrition counseling among adults in their 20s and 30s
    Dahyeon Kim, Dawon Park, Young-Hee Han, Taisun Hyun
    Journal of Nutrition and Health.2023; 56(4): 419.     CrossRef
  • Regional Difference in the Effect of Food Accessibility and Affordability on Vegetable and Fruit Acquisition and Healthy Eating Behaviors for Older Adults
    Dong Eun Lee, Kirang Kim
    International Journal of Environmental Research and Public Health.2022; 19(22): 14973.     CrossRef
  • Regional Differences in Dietary Total Fat and Saturated Fatty Acid Intake and Their Associations with Metabolic Diseases among Korean Adults: Using the 2016~2019 Korea National Health and Nutrition Examination Surveys
    SuJin Song, Jae Eun Shim
    Korean Journal of Community Nutrition.2021; 26(6): 495.     CrossRef
  • Basic Concepts and Detailed Dimensions of Food Security and Related Indicators for Policy Development and Evaluation
    Sohyun Park, Ji-Yun Hwang, Jae Eun Shim, Kirang Kim
    Korean Journal of Community Nutrition.2021; 26(6): 429.     CrossRef
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[English]
Dietary and Lifestyle Factors Associated with Weight Status among Korean Adolescents from Multicultural Families: Using Data from the 2017–2018 Korea Youth Risk Behavior Surveys
SuJin Song, Hyojune Song
Korean J Community Nutr 2019;24(6):465-475.   Published online December 31, 2019
DOI: https://doi.org/10.5720/kjcn.2019.24.6.465
AbstractAbstract PDFPubReader
OBJECTIVES
This study investigated dietary and lifestyle factors associated with the weight status among Korean adolescents in multicultural families.
METHODS
This cross-sectional study analyzed 1,751 multicultural families' adolescents who participated in the 2017–2018 Korea Youth Risk Behavior Surveys. Information on dietary and lifestyle factors was self-reported using a web-based questionnaire and this information included breakfast and foods consumption, perceived health status, alcohol drinking, smoking, physical activity, and weight control efforts. Body mass index (BMI) was calculated based on the self-reported height and body weight (kg/m²). Weight status was assessed according to the 2017 Korean National Growth Chart: underweight (weight-for-age <5(th) percentiles), overweight (85(th)≤ BMI-for-age <95(th) percentiles), and obese (BMI-for-age ≥95(th) percentiles). Multiple logistic regression analysis was performed to examine the dietary and lifestyle factors associated with weight status after adjustment for covariates.
RESULTS
Among Korean adolescents from multicultural families, the prevalence of overweight/obesity was 20.9%, whereas about 7% of adolescents were underweight. The weight status did not show differences according to gender, school level, area of residence, and household income. Compared to adolescents who did not have breakfast during the previous week, those who had breakfast 3–4 days/week and ≥5 days/week had a 42% (p=0.021) and a 37% (p=0.009) lower prevalence of overweight/obesity, respectively. The adolescents who frequently consumed carbonated soft drinks (≥5 times/week) showed an odds ratio (OR) of 1.69 (95% CI=1.01–2.83) for overweight/obesity relative to those adolescents who did not consume carbonated soft drinks. The OR of being underweight for adolescents who ate fast food ≥3 times/week was 1.97 (95% CI=1.04–3.71) compared to those adolescents who had not eaten fast food during the previous week.
CONCLUSIONS
Dietary and lifestyle factors were associated with overweight/obesity as well as underweight among Korean adolescents in multicultural families. Our findings could be used to design and provide nutrition interventions for this specific population.

Citations

Citations to this article as recorded by  
  • Identification of important features in overweight and obesity among Korean adolescents using machine learning
    Serim Lee, JongSerl Chun
    Children and Youth Services Review.2024; 161: 107644.     CrossRef
  • Dietary Behaviors Associated with Health Perception of Korean Adolescents from Multicultural Families: based on data from the 2017 ~ 2019 Korea Youth Risk Behavior Surveys
    YueRong Hu, SuJin Song
    Korean Journal of Community Nutrition.2022; 27(3): 192.     CrossRef
  • Effects of heavy metal, vitamin, and curry consumption on metabolic syndrome during menopause: a Korean community-based cross-sectional study
    Hai Duc Nguyen, Min-Sun Kim
    Menopause.2021; 28(8): 949.     CrossRef
  • Association between levels of thiamine intake, diabetes, cardiovascular diseases and depression in Korea: a national cross-sectional study
    Hai Nguyen Duc, Hojin Oh, In Mo Yoon, Min-Sun Kim
    Journal of Nutritional Science.2021;[Epub]     CrossRef
  • Effects of Antioxidant Vitamins, Curry Consumption, and Heavy Metal Levels on Metabolic Syndrome with Comorbidities: A Korean Community-Based Cross-Sectional Study
    Hai Nguyen Duc, Hojin Oh, Min-Sun Kim
    Antioxidants.2021; 10(5): 808.     CrossRef
  • Study on the Dietary Behavior of Adolescents in Multicultural Families Using the Nutrition Quotient and Their Changes in the Nutrition Knowledge and the Dietary Attitudes after Nutrition Education
    Yoo-Jin Jung, Sung Hee Min, Min June Lee
    Journal of the East Asian Society of Dietary Life.2020; 30(3): 208.     CrossRef
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[English]
Home Meal Replacement Use and Eating Habits of Adults in One-Person Households
Mi Kyeong Choi, Eun Sun Park, Mi Hyun Kim
Korean J Community Nutr 2019;24(6):476-484.   Published online December 31, 2019
DOI: https://doi.org/10.5720/kjcn.2019.24.6.476
AbstractAbstract PDFPubReader
OBJECTIVES
The rise of one-person households may have consequences for food consumption patterns, and eating habits. This study investigated the home meal replacement (HMR) use and eating habits among adults in their 20s-30s living in one-person households.
METHODS
A total of 247 adults aged 26–39 years participated in this study. The subjects were divided into three group according to the household type; one-person households (n=80), two-person households (n=49), and multi-family (three and more members) households (n=118). Their use of HMRs (classified as ready-to-eat, ready-to-cook, and fresh convenience foods) and their eating habits were all compared.
RESULTS
The mean age of the subjects was 30.5 years, 47.8% were male, and there was no significant difference in age, gender, occupation, and monthly income according to the type of household. The intake frequency of total HMR and ready-to-eat foods was significantly higher in one-person households among the three groups. People in one-person households consumed more HMRs alone, and spent more money to buy HMRs. Undesirable dietary habit scores like unbalanced eating (p<0.05) and eating salty foods (p<0.05) were significantly higher in the one-person households. Among the total subjects, the unbalanced eating scores showed a significant positive correlation with the intake frequency of ready-toeat foods, while the unbalanced eating scores showed negative correlation with the preference of fresh convenience foods. The scores for eating salty foods showed a significant positive correlation with the intake frequency and preference of ready-to-eat foods and ready-to-cook foods, while there was negative correlation with the intake frequency and preference of fresh convenience foods.
CONCLUSIONS
Adults in their 20s–30s in one-person households consumed more ready-to-eat foods than those in multi-family households. In addition, people with one-person households had more unbalanced diets and ate more salty foods, and these undesirable eating habits showed a significant positive correlation with the use of ready-to-eat or ready-to-cook foods. These results should be addressed for producing healthier ready-to-eat/ready-to-cook foods and implementing nutrition education for making healthy food choices of one-person households, which are steadily increasing.

Citations

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  • Development of Functional Material by Using Bacillus subtilis Harboring α-Amylase and Protease Enzyme Activity
    Jae-Hyuk Lee, Gi-Seong Moon
    Current Topic in Lactic Acid Bacteria and Probiotics.2023; 9(2): 81.     CrossRef
  • The frequency of convenience food consumption and attitude of sodium and sugar reduction among middle and high school students in Seoul: a descriptive study
    Seoyeon Park, Yeonhee Shin, Seoyeon Lee, Heejung Park
    Korean Journal of Community Nutrition.2023; 28(4): 269.     CrossRef
  • Problems Encountered in Analyzing the Market Size, Purchase, and Consumption of HMR in the Republic of Korea
    Sung Ok Kwon, Injoo Choi, Yoojeong Joo, Jihyun Yoon
    Korean Journal of Community Nutrition.2022; 27(6): 480.     CrossRef
  • Qualities of rice-based home meal replacement products upon microwave cooking
    Gi-Un Seong, Yu Mi Kim, Jun-Hyeon Cho, Ji-Yoon Lee, Sais-Beul Lee, Dongjin Shin, Dong-Soo Park, Kwang-Sup Youn, Ju-Won Kang
    Korean Journal of Food Preservation.2022; 29(5): 715.     CrossRef
  • Comparison of Dietary Behaviors and the Prevalence of Metabolic Syndrome in Single- and Multi-Person Households among Korean Adults
    Kyung Won Lee, Dayeon Shin
    Healthcare.2021; 9(9): 1116.     CrossRef
  • Relationship between Eating Behavior and Healthy Eating Competency of Single-Person and Multi-Person Households by Age Group
    Seung-Hee Hong, Ji-Myung Kim
    Korean Journal of Community Nutrition.2021; 26(5): 337.     CrossRef
  • Analysis of Contamination of Total Aerobic Bacteria and Foodborne Pathogens in Home Meal Replacement (HMR) and the Importance of Food Hygiene Management
    Hyun Jin Cho, Jeeyeon Lee
    Resources Science Research.2021; 3(2): 63.     CrossRef
  • Studies of Selection Attributes for Lunch Boxes (Dosirak) Using Conjoint Analysis among Single Men
    A Reum Han, Sung Suk Chung, Jeong Ok Rho
    Journal of the Korean Society of Food Science and Nutrition.2021; 50(8): 884.     CrossRef
  • Healthy Eating Capability of One-person Households-The Effects of Eating Alone, Meal Types, and Dietary Lifestyles
    Seonglim Lee, Ilsook Choi, Junghoon Kim
    Family and Environment Research.2020; 58(4): 483.     CrossRef
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[English]
Effects of Low-Calorie Diet Including High Protein-Low Carbohydrate Protein Bar on Weight Loss and Serum Lipid Indicators in Overweight Women according to Dietary Compliance
Dasom Park, Hyun Joo Lee, Sook Mee Son
Korean J Community Nutr 2019;24(6):485-496.   Published online December 31, 2019
DOI: https://doi.org/10.5720/kjcn.2019.24.6.485
AbstractAbstract PDFPubReader
OBJECTIVES
This study was conducted to investigate the effect of a 6-week low-calorie diet (LCD) program including high protein-low carbohydrate protein bar on weight loss, blood pressure, and blood lipid profile in 40 overweight women according to dietary compliance.
METHODS
Subjects were 62 healthy overweight women (BMI ≥ 23.0 or body fat percentage ≥ 28%), aged 20~59 yrs who were provided a high protein-low carbohydrate protein bar (each 35 g, 154 kcal, protein energy %: 28.6%, carbohydrate energy %: 38.7%) as part of dinner for 6 weeks. Forty subjects who completed the whole diet program were categorized into high compliance (HC) group (days of eating protein bar ≥ 5 weeks) or low compliance (LC) group (days < 5 weeks).
RESULTS
Energy intake significantly decreased from 1,867.5 kcal at baseline to 1,137.4 kcal at 6 weeks for the HC group and from 1,971.7 kcal to 1,362.2 kcal for the LC group, respectively. On the other hand, a significant increase in protein energy percentage was observed in each group (HC group: 3.5%, LC group: 2.2%). Both groups showed significant decreases in weight (HC group: 1.8 kg, LC group: 1.1 kg), BMI, fat mass, systolic blood pressure, total cholesterol, and LDL-cholesterol. Reduction of body fat percentage and diastolic blood pressure were only observed in the HC group.
CONCLUSIONS
The inclusion of a high protein-low carbohydrate protein bar as part of a low-calorie diet for a short period can be effective to achieve weight loss and concomitantly improve blood cholesterol level without serious physiological side effects. More evident results can be achieved by eating a diet with low calorie diet including high protein-low carbohydrate protein bar for more than 5 weeks.
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[English]
Development and Application of an Education Program for Healthy Dietary Life for Elementary School Aftercare Class Children
Jung Hyun Kim, Min Sook Kyung, In Young Park, Young Sim Park
Korean J Community Nutr 2019;24(6):497-511.   Published online December 31, 2019
DOI: https://doi.org/10.5720/kjcn.2019.24.6.497
AbstractAbstract PDFPubReader
OBJECTIVES
This study aimed to develop a school-centered healthy eating environment for children in elementary care classrooms and prevent incorrect eating habits and obesity through the development and application of standardized healthy eating habit-forming educational materials.
METHODS
Ten schools in eight districts of Gyeonggi-do and 400 students from 19 care classes were selected. Based on the developed educational materials, the program was applied to students once in two weeks. ‘Notices for Parents’ forms were also sent to the students' home to educate their parents. Pre and post-surveys were conducted to evaluate the effectiveness of the education. The pre-education, education, and aftercare were conducted from September 28 to September 31, 2016, from October 3 to November 30, 2016, and from December 5 to December 9, 2016, respectively.
RESULTS
The healthy eating program for elementary care classes was designed to develop a school-centered healthy eating environment and provide standardized educational material for healthy eating habits. Twelve educational topics were developed: 〈Eat Evenly〉, 〈Eat Breakfast〉, 〈Eat vegetables and Fruits〉, 〈Clean Body, Strong Body〉, 〈Healthy and Tasty Snacks〉, 〈Keep Healthy Weight〉, 〈Food that enters our body〉, 〈What is safe food?〉, 〈Food selection and Storage〉, 〈Our land, Our grain〉, 〈Enjoy Traditional Food〉, and 〈Food manners〉. Moreover, the materials were produced in four forms: for students, for after school caring teachers, for external specialists, and for parents. The effectiveness evaluation was conducted to confirm the application of the program. The average eating habits score was 3.3 ± 0.6, with no significant difference between before and after application. The score of overall satisfaction of the education was 3.9 ± 0.9. The most satisfying content was ‘Did you get to know how to eat evenly?’. Significant increases were observed in two contents for parents regarding their children's knowledge changes after the education: ‘Five nutrients needed for growing children’ and ‘Knowing sugar foods and sugar-containing foods’. On the other hand, their educational satisfaction was 3.6 ± 0.6, which was lower than the children's satisfaction. This might be because their education was conducted only through the ‘Notices for Parents’ form.
CONCLUSIONS
In the long term, the healthy eating habit-formation education for lower elementary school children is expected to be beneficial. To prevent obesity and establish healthy eating habits of children, it is important to develop healthy eating education programs centered on elementary school aftercare classes, including the development of educational materials and an application system through connection with the home and community.

Citations

Citations to this article as recorded by  
  • An Interactive Live and Online Cooking Program for Children in Vulnerable Families—An Exploratory Study
    Jiyoung Park, Sein Hwang, Seolhyang Baek, Gill A. Ten Hoor
    Healthcare.2022; 10(12): 2389.     CrossRef
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  • 1 Crossref
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[English]
Food Allergy-related Awareness and Performance of Dietitians at Children's Hospitals in Korea: Comparison of Certificate Possession among Clinical Dietitians
Hye Ran Shin, Sook Bae Kim
Korean J Community Nutr 2019;24(6):512-524.   Published online December 31, 2019
DOI: https://doi.org/10.5720/kjcn.2019.24.6.512
AbstractAbstract PDFPubReader
OBJECTIVES
The purpose of this study was to examine the food allergy-related knowledge, awareness, and performance of dietitians at children's hospitals, depending on whether or not they have a clinical dietitian certificate.
METHODS
A questionnaire survey was administered to 41 dieticians at children's hospitals registered as a part of the Korean Hospital Association. The survey consisted of questionnaires examining general characteristics, nutritional counseling-related characteristics, and food allergy-related characteristics (food allergy-related knowledge, awareness, and performance). We examined differences according to the status of clinical dietitian certification.
RESULTS
The proportion of subjects who were holders of clinical dietitian certificates was 48.8%. There were differences between holders of clinical dietitian certificates and non-holders as follows. Regarding nutritional awareness and performance, ‘needs to provide nutrition counseling in children's hospitals’, ‘providing nutrition counseling services in working hospitals’, and ‘whether there is a nutrition counseling room’ scored higher among holders of clinical dietitian certificates than non-holders. Holders of clinical dietitian certificates showed higher scores for knowledge of food allergy symptoms and food allergy management than non-holders. For food allergy awareness and performance, ‘self-assessment of food allergy knowledge understanding level’, ‘awareness of open oral food challenge (OFC)’, ‘recognition of the need for education and counseling on food allergy for patients/guardians’, and ‘food allergy related educational experience’ scored higher among holders of clinical dietitians certificates than in non-holders.
CONCLUSIONS
Children's hospital dietitians with a clinical dietitian certificate showed high knowledge, awareness, and performance related to food allergies. It is thus necessary to employ a clinical dietitian for food allergy management in children's hospitals. In addition, training and conservative education are necessary for the management of food allergies for children's hospital dietitians.
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[English]
Effects of Low-carbohydrate and High-fat Diet Supplemented with Ketogenic Drink on Cognitive Function and Physical Performance in the Elderly at High Risk for Dementia
Eun Ji Kim, Jung Sik Park, Won Sun Choi, Yoo Kyoung Park
Korean J Community Nutr 2019;24(6):525-534.   Published online December 31, 2019
DOI: https://doi.org/10.5720/kjcn.2019.24.6.525
AbstractAbstract PDFPubReader
OBJECTIVES
Reduced glucose utilization in the main parts of the brain involved in memory is a major cause of Alzheimer's disease, in which ketone bodies are used as the only and effective alternative energy source of glucose. This study examined the effects of a low-carbohydrate and high-fat (LCHF) diet supplemented with a ketogenic nutrition drink on cognitive function and physical activity in the elderly at high risk for dementia.
METHODS
The participants of this study were 28 healthy elderly aged 60-91 years showing a high risk factor of dementia or whose Korean Mini-Mental State Examination (K-MMSE) score was less than 24 points. Over 3 weeks, the case group was given an LCHF diet with nutrition drinks consisting of a ketone/non-ketone ratio of 1.73:1, whereas the control group consumed well-balanced nutrition drinks while maintaining a normal diet. After 3 weeks, K-MMSE, body composition, urine ketone bodies, and physical ability were all evaluated.
RESULTS
Urine ketone bodies of all case group subjects were positive, and K-MMSE score was significantly elevated in the case group only (p=0.021). Weight and BMI were elevated in the control group only (p<0.05). Grip strength was elevated in all subjects (p<0.01), and measurements of gait speed and one leg balance were improved only in the case group (p<0.05).
CONCLUSIONS
We suggest that adherence to the LCHF diet supplemented with a ketogenic drink could possibly influence cognitive and physical function in the elderly with a high risk factor for dementia. Further, we confirmed the applicability of this dietary intervention in the elderly based on its lack of any side effects or changes in nutritional status.

Citations

Citations to this article as recorded by  
  • To Keto or Not to Keto? A Systematic Review of Randomized Controlled Trials Assessing the Effects of Ketogenic Therapy on Alzheimer Disease
    Maria G Grammatikopoulou, Dimitrios G Goulis, Konstantinos Gkiouras, Xenophon Theodoridis, Kalliopi K Gkouskou, Athanasios Evangeliou, Efthimis Dardiotis, Dimitrios P Bogdanos
    Advances in Nutrition.2020; 11(6): 1583.     CrossRef
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