Korean Journal of Community Nutrition

Volume 26(6); December 2021

Research Note

[Korean]
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 J Community Nutr 2021;26(6):429-440. Published online December 31, 2021; DOI: https://doi.org/10.5720/kjcn.2021.26.6.429

Abstract PDF: Objectives
Standardized guidelines and reference points for a food security policy are necessary to guarantee that basic social safety nets work properly. Therefore, this study aimed to explore the basic concepts and detailed dimensions of food security, including the potential relevant indicators, and sought to establish standardized well-being baselines.
Methods
A literature review and 14 expert roundtable discussions were carried out to analyze and extract the key concepts of food security. After determining these concepts and detailed dimensions of food security, a conceptual framework was modeled. Then, indicators for each local government that could be monitored and evaluated for each sub-area were suggested.
Results
The concept of food security was defined as follows: Individuals should be provided with sufficient, safe, and quality food, which should be accessible to the community and available for use to achieve health and well-being. In addition, food security should be ensured sustainably in a changing environment. Four dimensions were suggested while conceptualizing food security. First, sufficient food, which means sufficient food supply in quantity, quality, and safety. Second, equitable food which includes creating environments in which high-quality and safe food can be purchased at an appropriate price and can be provided regardless of the socioeconomic gap. Third, healthy food which should be provided to promote people’s health and happiness through the eco-friendly consumption of food. Fourth, sustainable food, which can be supplied in a sustainable manner and as part of an eco-friendly food system that considers the conservation of natural environments.
Conclusions
The basic concepts and detailed areas of food security including the potential indicators proposed in this study, may be useful for developing and implementing various policies and programs to support food and nutrition security in the future.

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Research Articles

[Korean]
Association between Eating Alone Patterns and Mental Health Conditions by Region among Korean Adults: Kyung Won Lee, Dayeon Shin; Korean J Community Nutr 2021;26(6):441-454. Published online December 31, 2021; DOI: https://doi.org/10.5720/kjcn.2021.26.6.441

Abstract PDF

Objectives
This study investigated the association between the frequency and pattern of eating alone and the mental health status according to region in Korean adults.
Methods
The data of 10,040 Korean adults aged ≥ 19 years from the Korea National Health and Nutrition Examination Survey (KNHANES) 2017 and 2019 were used. Participants were divided into 4 groups based on their frequency of eating alone: none (all meals together), 1, 2, and 3 meals/day alone. The regions were divided into urban and rural areas. Mental health status was assessed by stress recognition, depressive symptoms, and suicidal ideation. Multivariable logistic regressions were conducted to estimate the adjusted odds ratios (AORs) with 95% confidence intervals (CIs) on the association of the frequency and pattern of eating alone with poor mental health after controlling for covariates.
Results
Among Korean adults, 74.1% ate more than one meal a day alone. Individuals having 3 meals a day alone tended to be less educated, single, single person households, or living in urban areas (all P < 0.05). In rural areas, those having 3 meals/ day alone had higher odds of stress recognition (AOR: 1.55, 95% CI: 1.02-2.35) than those having all meals together. In urban areas, individuals eating alone 3 times/day had higher odds of stress recognition (AOR: 1.60, 95% CI: 1.31-1.96), depressive symptoms (AOR: 1.61, 95% CI: 1.23-2.12), and suicidal ideation (AOR: 2.14, 95% CI: 1.42-3.22) compared to those having all meals together. Urban residents having dinner alone had higher odds of depressive symptoms (AOR: 1.29, 95% CI: 1.05-1.58) and suicidal ideation (AOR: 1.66, 95% CI: 1.19-2.33) than those having dinner with others.
Conclusions
Our findings showed that the frequency and patterns of eating alone were differentially associated with increased odds of poor mental health according to region of residence. Nutrition education is needed for those frequently eating alone, particularly those living in urban areas, to highlight the advantages of eating together and to ensure that they have balanced and healthy meals even if they eat alone.

Citations

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Association of ultra-processed food with diabetes and impaired fasting glucose in elderly populations (urban and rural): a cross-sectional study
Seung Jae Lee, Mi Sook Cho
Korean Journal of Community Nutrition.2024; 29(1): 51. CrossRef
How Does the Frequency of Eating-Alone among Older People in Korea Affect Their Health and Dietary Behavior?
Yongseok Kwon, Kyung Hee Hong, Yoo-Kyung Park, Sohye Kim
Nutrients.2023; 15(9): 2085. CrossRef
Impact assessment of a primary care physician counseling program for youth population
Yun-Su Kim, Shin-Ae Kim
Medicine.2022; 101(46): e31916. CrossRef

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[Korean]
Influence of Internal and External Capacity on Adults' Food Waste Disposal Capacity: Ji Eun Kim, Kyoung Sook Choi; Korean J Community Nutr 2021;26(6):455-466. Published online December 31, 2021; DOI: https://doi.org/10.5720/kjcn.2021.26.6.455

Abstract PDF: Objectives
The purpose of this study was to investigate the effects of internal and external capacity on the practical capacity for food waste disposal in adults.
Methods
The study subjects were 410 adults who answered a structured questionnaire. The survey was conducted in January 2021. Data were analyzed through descriprive analysis, t-test, ANOVA, and multiple regression analysis using the SPSS Win 24.0.
Results
First, in the analysis of internal capacity, attitude (3.95 out of 5 points) scored higher than knowledge (3.59 points). Attitudes showed significant differences according to gender (P < 0.001), age (P < 0.001), and income (P < 0.001). Knowledge showed significant differences according to gender (P < 0.01) and age (P < 0.05). Second, in the analysis of capacity, market constraints (3.73 points) scored the highest, followed by institutional conditions (3.48 points) and reference group (3.36 points). Market constraints differed according to gender (P < 0.001), and institutional conditions differed according to income (P < 0.001). There was a significant difference in the reference group according to the level of education (P < 0.05) and income (P < 0.05). Third, the practical capacity scores appeared in the order of separating discharge behavior, using behavior, purchasing behavior, and leadership behavior. Separating discharge behavior showed significant differences according to gender (P < 0.001), education level (P < 0.05), and income (P < 0.01). Using behavior showed a difference according to gender (P < 0.01), and purchasing behavior showed a significant difference according to income (P < 0.05). Leadership behavior showed no difference according to demographic factors. Fourth, internal capacity and external capacity showed a significant positive relationship with practical capacity. Factors affecting purchasing behavior were knowledge, attitude, institutional conditions, and reference group, and their explanatory power was 53%. Factors influencing using behavior were knowledge, attitude, institutional conditions, and reference group, and had an explanatory power of 37%. Leadership behavior was influenced by institutional conditions and the reference group, with an explanatory power of 31%.
Conclusions
Internal capacity, external capacity, and practical capacity show differences according to demographic factors. Factors influencing the practical capacity of adults were knowledge, attitude, institutional conditions, and reference group.

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[Korean]
Biochemical Characteristics and Dietary Intake according to Household Income Levels of Korean Adolescents: Using Data from the 6th (2013 ~ 2015) Korea National Health and Nutrition Examination Survey: Yu-Kyeong Kwon, Sook-Bae Kim; Korean J Community Nutr 2021;26(6):467-481. Published online December 31, 2021; DOI: https://doi.org/10.5720/kjcn.2021.26.6.467

Abstract PDF

Objectives
The purpose of this study was to examine the biochemical characteristics, intake of energy, and nutrients by household income levels of Korean adolescents aged 12 to 18 years.
Methods
Data from the 6th (2013 ~ 2015) Korea National Health and Nutrition Examination Survey (KNHNES) were used for the study. A total of 1,839 (966 boys, 873 girls) subjects were included, and they were divided into four income groups according to their household income level. We examined general characteristics (gender, region of residence, skipping or not-skipping breakfast, lunch, dinner, frequency of eating-out), anthropometric characteristics (height, weight, weight status), biochemical characteristics (fasting plasma glucose, blood urea nitrogen, creatinine, triglycerides, cholesterol, HDLcholesterol, hemoglobin, and hematocrit), the quantitative intake of energy and nutrients using the Korean Dietary Reference Intakes (KDRI), and the qualitative intake evaluated by the nutrition adequacy ratio (NAR) and mean nutrition adequacy ratio (MAR) of the four groups.
Results
There were significant differences by income group within the region of residence and the rate of skipping breakfast, lunch, and dinner. The low-income group had a higher rate of skipping breakfast, lunch, and dinner. According to the income group, there was a difference in the height of boys, and there was no difference in the weight and obesity of boys and girls. In the biochemical characteristics, only the hematocrit of girls showed differences by income group. The quantitative intake of energy and nutrients compared with KDRI differed by income group. There were differences in energy, carbohydrates, proteins, thiamin, riboflavin, niacin, and phosphorus levels in boys and protein, vitamin A, niacin, and sodium levels in girls. The qualitative intake of energy and nutrients examined using NAR and MAR also differed according to the income group. The NAR showed differences in calcium in boys and vitamin C and calcium in girls. The MAR revealed differences in both boys and girls by income group.
Conclusions
Among adolescents in the low-income group, the rate of skipping meals was high, and the quantitative and qualitative intake of energy and some nutrients was low. It is suggested that the nutritional intake can be improved by lowering the rate of skipping breakfast, lunch, dinner. We suggest that even just providing breakfast in schools can be considered highly effective in improving the rate of avoidance of skipping meals and improving nutrient intake. Also, we suggest that it is necessary to improve the food environment, food availability, and food accessibility through national and social support for low-household income adolescents.

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Correlation between adolescents’ dietary safety management competency and value recognition, efficacy, and competency of convergence using dietary area: a descriptive study
Yunhwa Kim, Yeon-Kyung Lee
Korean Journal of Community Nutrition.2023; 28(4): 317. CrossRef
제한적인 등교 상황에서 중고등학생의 신체적·정신적 건강 및 식생활 행태 변화:
민지 손, 은주 윤
Korean Journal of Food and Cookery Science.2023; 39(3): 213. CrossRef
A Qualitative Study of Changes in Adolescent Dietary Behavior during the COVID-19 Pandemic and Improvement Strategies for School-Provided Nutrition Counseling
Yeseul Na, Jieun Oh, Kyung Won Lee
Human Ecology Research.2023; 61(1): 39. CrossRef

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[Korean]
Dietary Factors Associated with Metabolic Syndrome Status in Korean Menopausal Women: Based on the 2016 ~ 2017 Korea National Health and Nutrition Examination Survey: Pil-Sook Park, Mei-Sheng Li, Mi-Yeon Park; Korean J Community Nutr 2021;26(6):482-494. Published online December 31, 2021; DOI: https://doi.org/10.5720/kjcn.2021.26.6.482

Abstract PDF

Objectives
This study evaluated dietary behavior and nutritional status according to the metabolic syndrome status in Korean menopausal women.
Methods
The subjects were 1,392 menopausal women aged 50 to 64 who took part in the Korea National Health and Nutrition Examination Survey of 2016 and 2017. Subjects were classified into normal (NOR) group, pre-metabolic syndrome (Pre-MetS) group, and metabolic syndrome (MetS) groups according to the number of metabolic syndrome risk factors present.
Results
The overall prevalence of metabolic syndrome was 33.7%. Using the NOR group as a reference, the odds of belonging to the MetS group in Model 1 adjusted for age were higher at 53% (OR = 1.53, 95% CI:1.011-2.307) for ‘not used’ subjects compared to ‘used’ subjects of the nutrition labeling system. Using the NOR group as a reference, every 1g increase in the intake of monounsaturated fatty acids (MUFA) and polyunsaturated fatty acids (PUFA) decreased the odds of belonging to the MetS group in Model 1 adjusted for age by 3% (MUFA, OR = 0.97, 95% CI:0.946-0.991; PUFA, OR = 0.97, 95% CI:0.942-0.993).
Conclusions
These results suggest that to reduce the number of risk factors of metabolic syndrome in menopausal women, nutritional education should emphasize the adequate intake of riboflavin, unsaturated fatty acids, protein, and calcium, and also encourage the recognition and use of nutritional labeling. Results of this study are expected to be utilized as basic data for the health management of menopausal women.

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Cardiocerebrovascular Disease or Fatty Liver Incidence Associated with Pattern of Metabolic Risk Factors and Nutritional Status of Korean Adults: A Prospective Cohort Study
Pil Sook Park, Mei Sheng Li, Chong Yu Ding, Mi Yeon Park
Journal of Health Informatics and Statistics.2023; 48(2): 165. CrossRef
The Relationship Between the Korean Adults Diet Evaluated Using Dietary Quality Indices and Metabolic Risk Factors: Based on the 2016 ~ 2019 Korea National Health and Nutrition Examination Survey
Chong-Yu Ding, Pil-Sook Park, Mi-Yeon Park
Korean Journal of Community Nutrition.2022; 27(3): 223. CrossRef

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[Korean]
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 J Community Nutr 2021;26(6):495-507. Published online December 31, 2021; DOI: https://doi.org/10.5720/kjcn.2021.26.6.495

Abstract PDF

Objectives
This study examined regional differences in the intake of dietary total fat and saturated fatty acid (SFA) and their food sources among Korean adults. We also investigated the associations of SFA intake with metabolic diseases by region.
Methods
This study included 13,926 adults ( 19y) who participated in the 2016 ~ 2019 Korea National Health and Nutrition Examination Surveys. The regions were divided into urban and rural areas according to the administrative districts where the participants lived. Using dietary data obtained from a 24-h recall, intake of total fat and SFA and their food sources were assessed by region. Metabolic diseases included obesity, abdominal obesity, and elevated total cholesterol and their association with SFA intake by region were examined using multiple logistic regression.
Results
Of the participants, 19.6% lived in rural areas. In urban areas, the total fat and SFA intakes were higher than in rural areas: 21.2% of energy (%E) came from total fat and 6.9%E from SFA in urban areas, whereas 18.0%E came from total fat and 5.8%E from SFA in rural areas. The percentage of participants who exceeded the dietary reference intakes for total fat and SFA in urban areas was 16.5% and 41.9%, respectively, but 43.4% of participants in rural areas showed lower intake levels for total fat compared to the reference level. Young adults did not show regional differences in fat intake, and the percentage of subjects who exceeded the reference for SFA was high both in urban (58.5%) and rural (55.7%) areas. Among middle-aged and older adults, intake of fatty acids except for n-3 fatty acid was significantly higher in urban areas than in rural areas. About 69% of older adults in rural areas showed a lower intake of total fat compared to the reference level. The food sources for total fat and SFA were meat, soybean oil, eggs, and milk in both areas. The intake of fat from eggs, milk, mayonnaise, and bread was higher in urban areas, but the intake of fat from white rice and coffee mix was higher in rural areas. The SFA intake was positively associated with elevated serum total cholesterol in urban areas (4th quartile vs. 1st quartile, OR: 1.22, 95% CI: 1.06-1.40, P for trend: 0.043), but not in rural areas.

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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
Estimating and evaluating usual total fat and fatty acid intake in the Korean population using data from the 2019–2021 Korea National Health and Nutrition Examination Surveys: a cross-sectional study
Gyeong-yoon Lee, Dong Woo Kim
Korean Journal of Community Nutrition.2023; 28(5): 414. CrossRef
Associations of Dietary Intakes of Total and Specific Types of Fat with Blood Lipid Levels in the Filipino Women’s Diet and Health Study (FiLWHEL)
Heejin Lee, Hyojin Kim, Sherlyn Mae P. Provido, Minji Kang, Grace H. Chung, Jae W. Lee, Sangmo Hong, Sung Hoon Yu, Chang Beom Lee, Jung Eun Lee
Global Heart.2023; 18(1): 29. CrossRef
Regional Differences in Metabolic Risk in the Elderly in Korea
Ji-Myung Kim, Yun-Jung Bae
International Journal of Environmental Research and Public Health.2022; 19(18): 11675. CrossRef

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Retraction of Publication

[English]
Retraction notice to “ Assessing Nutritional Status in Outpatients after Gastric Cancer Surgery : A Comparative Study of Five Nutritional Screening Tools”: Jae Won Cho, Jiyoung Youn, Min-Gew Choi, Mi Young Rha 4, Jung Eun Lee; Korean J Community Nutr 2021;26(6):508-508. Published online December 31, 2021; DOI: https://doi.org/10.5720/kjcn.2021.26.6.508

Abstract PDF: no abstract available.

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