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[English]
Outcome expectations, self-efficacy, eating environment, and eating behaviors by the stages of change in adequate sodium intake among university students: a cross-sectional study
Yeon Gyu Im, Kyung Won Kim
Korean J Community Nutr 2024;29(5):382-395.   Published online October 31, 2024
DOI: https://doi.org/10.5720/kjcn.2024.00010
AbstractAbstract PDFPubReaderePub
Objectives
This study investigated whether outcome expectations, self-efficacy, eating environment, and eating behaviors differed according to the stages of change in adequate sodium intake among university students. Methods: The participants were students recruited from nine universities in Seoul, Korea. An online survey was conducted, and data from 351 participants were analyzed. Participants were classified into pre-action and action stages based on adequate sodium intake. Data were analyzed using t-test, χ2-test, analysis of covariance, and correlation analysis. Results: Participants in the action stage (22.8%) felt fewer disadvantages of eating sodium adequately compared to those in the pre-action stage (77.2%, P < 0.001) and perceived more self-efficacy for healthy eating behaviors (P < 0.001) and controlling sodium intake (P < 0.01). The participants in the action stage also showed more desirable eating behaviors than those in the pre-action stage, including general eating behaviors, behaviors related to sodium intake, and sodium checks (P < 0.001). The physical environment in the action stage was more supportive of adequate sodium intake (P < 0.05). Eating behaviors, self-efficacy, and outcome expectations were significantly correlated with the stages of change; however, some differences were noticed in the correlation of the subscales of variables with the stages of change when examined by sex. Conclusion: We observed differences in factors according to the stages of change in adequate sodium intake. For the pre-action stage, nutrition education can be planned to modify negative expectations of eating adequate sodium, foster self-efficacy, and practice general eating behaviors and behaviors to gradually reduce sodium intake. It is also necessary to alter the physical environment to reduce sodium intake. In the action stage, support and reinforcement are needed to continually practice and maintain desirable eating behaviors. Nutrition education for women may be planned using multiple paths, whereas a simple strategy may be useful for men.
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[English]
Eating habits and dietary supplement utilization according to food-related lifestyle among Korean adults: a cross-sectional study
EunJung Lee, Jin A Jang, Ji-Myung Kim
Korean J Community Nutr 2024;29(4):253-264.   Published online August 31, 2024
DOI: https://doi.org/10.5720/kjcn.2024.00017
AbstractAbstract PDFPubReaderePub
Objectives
This study investigated the association between eating habits and the utilization of dietary supplements (DSs) according to food-related lifestyle (FRL) among Korean adults. Methods: This study included a total of 300 participants (150 men and 150 women) in their 20s to 60s living in Seoul and Gyeonggi Province. We identified two groups by factor and cluster analysis: an ‘active pursuit’ group and a ‘passive pursuit’ group. Differences in eating habits and DS utilization between the two groups were analyzed by chi-square test and t-test. Logistic regression analysis was used to analyze the effect of variables on DS consumption according to FRL. Results: There were significant differences between the two groups in terms of age, alcohol drinking frequency, total dietary score, change in DS consumption after coronavirus disease 2019, and current DS consumption (P < 0.05). The proportion who perceived many health benefits of DSs was higher in the ‘active pursuit’ group than in the ‘passive pursuit’ group (P = 0.003). The most commonly consumed type of DSs was multivitamins & minerals for the ‘active pursuit’ group, and omega-3 fatty acids for the ‘passive pursuit’ group. The ‘an active pursuit’ group consumed DSs 2.93 times more (95% confidence interval [CI]: 1.44–5.97) compared to the ‘passive pursuit’ group, after adjusting for confounders. In the ‘active pursuit’ group, the health pursuit (odds ratio [OR] = 6.54, 95% CI: 1.44– 29.61) and rational consumption pursuit factors (OR = 0.26, 95% CI: 0.08–0.83) were associated with DS consumption, whereas only the health pursuit factor had a significant association (OR = 5.37, 95% CI: 2.08–13.88) within the ‘passive pursuit’ group. However, total dietary score and DSs consumption did not show a relationship. Conclusions: By understanding the consumption characteristics of DSs according to FRL, this can serve as basic data necessary for promoting health through the utilization of DSs and healthy behaviors.
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[English]
Effects of a nutrition education program on metabolic syndrome risk factors in middle-aged Korean adults: an intervention study
Minji Kang, Young-Hee Park, Subeen Kim, Eunyoung Tak, Hyun Wook Baik, Hee Young Paik, Hyojee Joung
Korean J Community Nutr 2024;29(4):265-277.   Published online August 31, 2024
DOI: https://doi.org/10.5720/kjcn.2024.00005
AbstractAbstract PDFPubReaderePub
Objectives
This study was conducted to evaluate the effects of a nutrition education program on metabolic syndrome in middle-aged Korean adults.
Methods
A total of 411 Korean adults 30–59 years of age were allocated randomly into three groups: the nutrition education group for promoting Han-sik consumption (HG), the nutrition education group for eating balanced diet (EG), and the control group (CG). The HG and EG received four face-to-face nutrition education sessions over 16 weeks to improve nutritional problems based on the individual’ usual diet. Effectiveness of the program was evaluated with the differences of self-reported dietary behaviors, dietary intakes, anthropometric measurements and biochemical indices between the baseline and the end of the nutrition education program. The changes within groups were analyzed using paired t-test and McNemar test and effectiveness among three groups was analyzed by repeated analysis of variance.
Results
After the nutrition education, the percentages of participants who achieved the recommended food group consumption in the Korean Food Guidance Systems significantly increased in HG (P = 0.022). Body weight (P = 0.007), body mass index (P = 0.002), and triglycerides (P = 0.002) significantly decreased in HG. Waist circumference and diastolic blood pressure decreased in all three groups (P < 0.05).
Conclusions
This study found that tailored nutrition education program for middle aged Korean adults showed beneficial effects on improving dietary behaviors and metabolic syndrome risk factors. Further studies are needed to assess the long-term effects of the nutrition education programs on metabolic syndrome risks.
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[English]
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 J Community Nutr 2024;29(3):173-188.   Published online June 30, 2024
DOI: https://doi.org/10.5720/kjcn.2024.29.3.173
AbstractAbstract PDFPubReaderePub
Objectives
The study aim was to analyze the regional differences in dietary protein intake and protein sources of Korean older adults and their association with metabolic syndrome.
Methods
Study participants were 1,721 older adults aged 65 and over who participated in 2016–2019 Korea National Health and Nutrition Examination Survey. Using 24-hour recall dietary intake data, protein intake and their food sources were examined. The association between protein intake and metabolic syndrome, obesity, and abdominal obesity were analyzed by multiple logistic regression.
Results
Total protein and animal protein intakes were higher in urban area (60.0 g, 24.4 g, respectively) than in rural area (54.6 g, 19.6 g, respectively). With increase of protein intake level, animal to total protein proportion was increased in both areas. Total protein and plant protein intake was negatively associated with the risk of obesity, abdominal obesity in both areas. Animal protein intake was negatively associated with the risk of obesity in both areas, and with abdominal obesity only in urban area. In urban area, plant protein intake was also negatively associated with the risks of metabolic syndrome, elevated triglyceride, and reduced high density lipoprotein-cholesterol. In urban area, the risk of metabolic syndrome was decreased when their protein intake was more than 0.91 g/kg and was lowest when their protein intake was more than 1.5 g/kg (P for trend < 0.001).
Conclusions
Korean older adults showed inadequate protein intake and those in rural area showed lower animal protein intake than in urban area. The risk of obesity and metabolic syndrome was decreased with the increase of protein intake level. These findings may help develop effective nutrition support strategy for older adults to reduce regional health disparity.
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[Korean]
Comparative study on the health and dietary habits of Korean male and female adults before and after the coronavirus disease 2019 pandemic: utilizing data from the 8 th Korea National Health and Nutrition Examination Survey (2019–2021)
Chaemin Kim, Eunjung Kim
Korean J Community Nutr 2024;29(1):65-80.   Published online February 29, 2024
DOI: https://doi.org/10.5720/kjcn.2024.29.1.65
AbstractAbstract PDF
Objectives
This study aims to compare changes in physical factors, health behaviors, eating habits, and nutritional intake among Korean male and female adults over a period of three years (2019–2021) before and after the outbreak of coronavirus disease 2019 (COVID-19).
Methods
This study utilized raw data from the 8th Korea National Health and Nutrition Examination Survey (2019–2021). The participants in this study included 6,235 individuals in 2019, 5,865 individuals in 2020, and 5,635 individuals in 2021. Individuals whose daily energy intake was less than 500 kcal or exceeded 5,000 kcal were excluded from the study.
Results
In comparison to 2019, overweight/obesity rates, weight, waist circumference, weekend sleep hours, and resistance exercise days/week increased in both male and female during the COVID-19 pandemic. Regarding eating habits, the proportions of people skipping breakfast, not eating out, consuming health supplements, and recognizing nutritional labels increased in 2020 and 2021, whereas the rate of skipping dinner decreased. Total energy intake has continued to decrease for the two years since 2019. A comparison of nutrient intake per 1,000 kcal before and after the outbreak of COVID-19 revealed that intake of nutrients, including protein, phosphorus, iron, vitamin A, riboflavin, and niacin increased, while folic acid intake decreased. In male, calcium, phosphorus, riboflavin, and niacin intakes increased, whereas iron, vitamin C, and folic acid intakes decreased. In female, phosphorus, iron, vitamin A, and riboflavin intake increased significantly, while protein and niacin intake decreased significantly.
Conclusions
After COVID-19, the obesity rate, breakfast skipping rate, health supplement intake, and nutritional label use increased, while the frequency of eating out, dinner skipping rate, and total energy intake decreased. These environmental changes and social factors highlight the need for nutritional education and management to ensure proper nutritional intake and reduce obesity rates in the post-COVID-19 era.

Citations

Citations to this article as recorded by  
  • Intake of energy and macronutrients according to household income among elementary, middle, and high school students before and during the COVID-19 pandemic: a cross-sectional study
    Chae-Eun Jeong, Heejin Lee, Jung Eun Lee
    Korean Journal of Community Nutrition.2024; 29(3): 234.     CrossRef
  • 성인 남녀의 먹방 시청시간에 따른 식행동에 대한 연구
    하얀 남, 복미 정, 은례 전
    Korean Journal of Food and Cookery Science.2024; 40(4): 275.     CrossRef
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[Korean]
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 J Community Nutr 2024;29(1):51-64.   Published online February 29, 2024
DOI: https://doi.org/10.5720/kjcn.2024.29.1.51
AbstractAbstract PDF
Objectives
This study examined the association between ultra-processed food (UPF) consumption and chronic diseases in elderly Koreans.
Methods
Data from the 2019–2021 Korea National Health and Nutrition Examination Survey were analyzed. Dietary intake and UPF consumption were assessed using the NOVA food classification based on 24-hour recall data from 3,790 participants (aged 65+ years). Participants were divided into 4 groups based on the quartile of energy intake from UPFs. Regions were classified as urban or rural. Multivariable logistic regression was employed to estimate the adjusted odds ratios (AORs) with 95% confidence intervals (CIs) after controlling for potential confounders.
Results
Among the participants, 71.3% resided in urban and 28.7% in rural areas. Compared to the urban elderly, rural participants tended to be older, have lower education and income levels, be more likely to live in single-person households, and have a higher smoking rate (P < 0.05). Urban elderly consumed more UPFs daily (146.1 g) compared to rural residents (126.6 g; P < 0.05). “Sugar-sweetened beverages” were the most consumed category in both regions. “Sweetened milk and its products” and “traditional sauces” were prominent in urban areas, while rural elderly consumed more “traditional sauces” and “distilled alcoholic beverages.” Rural areas also had a higher carbohydrate-to-calorie ratio than urban areas. Compared to the lowest quartile of UPF intake, the highest quartile was significantly associated with impaired fasting glucose only in rural areas (AOR, 1.48; 95% CI, 1.00–2.19; P for trend = 0.0014). No significant associations were observed for diabetes in either urban or rural areas.
Conclusions
This study suggests that high intake of UPFs is associated with increased odds of impaired fasting glucose in rural elderly. Further research is needed to elucidate the specific negative health effects of UPFs in different populations, and targeted efforts should promote healthy diets in both urban and rural areas.

Citations

Citations to this article as recorded by  
  • A Study of the Chemosensory Properties of Commercial Processed Foods Using Electronic Sensors
    Hyeonjin Park, Younglan Ban, Sojeong Yoon, Hyangyeon Jeong, Seong Jun Hong, Hee Sung Moon, Se Young Yu, Hyun-Wook Kim, Kyeong Soo Kim, Eun Ju Jeong, Eui-Cheol Shin
    Journal of the Korean Society of Food Science and Nutrition.2024; 53(8): 805.     CrossRef
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Educational Materialses
[Korean]
Systematization of food and nutrition education content based on national kindergarten curriculum: a qualitative formative study
Jung-Hyun Kim, Eugene Shim, Eunyoung Baik
Korean J Community Nutr 2023;28(6):509-522.   Published online December 31, 2023
DOI: https://doi.org/10.5720/kjcn.2023.28.6.509
AbstractAbstract PDF
Objectives
This study is intended to develop a curriculum for kindergarten food and nutrition education aimed at preschool children, reflecting government policy and meeting the demands of preschool settings.
Methods
Existing educational materials were analyzed, and key elements of the 2019 Revised Nuri Curriculum (“Nuri Curriculum”) and Guidelines for Nutrition and Food Education in Kindergartens, Elementary, Middle, and High Schools (“Guidelines”) were examined as foundational information for developing the curriculum for food and nutrition education.
Results
Basing ourselves on the five domains of the Nuri Curriculum, “Physical Activity and Health,” “Communication,” “Social Relationships,” “Art Experience,” and “Natural Science Inquiry,” we integrated three areas from the Guidelines, namely “Dietary Habits and Health,” “Dietary Habits and Safety,” and “Dietary Habits and Culture,” to structure the curriculum for kindergarten food and nutrition education. Three specific domains, “Nutrition and Health,” “Food and Culture,” and “Safe Dietary Practices,” were tailored for preschool children, each comprising core concepts, content elements, and educational materials. In the “Nutrition and Health” domain, core concepts such as “nutrition” were addressed through content elements such as “balanced eating” and “vegetables and fruit,” while “health” included elements such as “eating regularly” and “nutrients for disease prevention,” each with two educational content components. The “Food and Culture” domain focused on “food” with content on “local foods (vegetable-garden experience)” and “food culture” with content on “our dining table (rice and side dishes),” “our agricultural products,” “global cuisine (multiculture),” and “considerate dietary practices,” each with four educational content components. The “Safe Dietary Practices” domain included core concepts such as “hygiene” with content on “hand-washing habits” and “food poisoning management,” and “safety” with content on “food labeling.” Conclusions: The systematized curriculum for kindergarten food and nutrition education aligns with the Nuri Curriculum and is interconnected with the Guidelines. This curriculum can be used as foundational material for developing educational resources tailored to the characteristics of preschoolers, contributing to effective implementation in early childhood education.
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[English]
Development of a campus-based intervention program to strengthen food literacy among university students: A qualitative formative study
Eunji Ko, Eunjin Jang, Jiwon Sim, Minjeong Jeong, Sohyun Park
Korean J Community Nutr 2023;28(6):495-508.   Published online December 31, 2023
DOI: https://doi.org/10.5720/kjcn.2023.28.6.495
AbstractAbstract PDF
Objectives
This study aimed to develop a campus-based intervention program to enhance food literacy (FL) among university students.
Methods
In the initial phase, we conducted a literature review of FL intervention studies and held in-depth interviews with university students to identify facilitators and barriers to improving and practicing FL. Expert counseling sessions were conducted with nutrition education, marketing, and service design professionals. The results of this phase led to the creation of an initial curriculum draft. In the second phase, a follow-up survey was conducted with young adults to assess the acceptability of the developed curriculum. After the follow-up survey, additional meetings were conducted with the aforementioned experts, and the curriculum was further refined based on their input.
Results
An 11-week FL intervention program was devised using constructs from the Social Cognitive Theory. The weekly curriculum consisted of 90-min theory-based and 90-min hands-on experience sessions. Three primary aspects of FL were covered: nutrition and food safety, cultural and relational dimensions, and socio-ecological aspects. Program highlights included cooking sessions for crafting traditional Korean desserts, lectures on animal welfare, insights into zero-waste practices, and communal eating experiences. Based on the study team’s previous research, the program also addressed mindful eating, helping participants understand the relationship with their eating habits, and providing strategies to manage negative emotions without resorting to food. Yoga sessions and local farm visits were incorporated into the curriculum to promote holistic well-being.
Conclusions
This study elucidated the comprehensive process of creating a campus-based curriculum to enhance FL among university students, a group particularly susceptible to problematic eating behaviors and low FL levels. The developed program can serve as a blueprint for adaptation to other campuses seeking to bolster students’ FL.
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Research Articles
[Korean]
Health behaviors and eating habits in people’s 20s and 30s according to food content usage level on social media: a cross-sectional study
Seo-Yeon Bang, Bok-Mi Jung
Korean J Community Nutr 2023;28(5):392-403.   Published online October 31, 2023
DOI: https://doi.org/10.5720/kjcn.2023.28.5.392
AbstractAbstract PDF
Objectives
This study was intended to investigate adults’ health behaviors and eating habits according to their levels of social media use.
Methods
From May 27 to July 11, 2022, an online survey was conducted of 452 male and female social media users in their 20s and 30s, and their eating habits and health behaviors were compared and analyzed according to their degree of social media use. For each of the three levels of food content use, the frequency of social media content use, and the total score range of average social media viewing time per day were divided into three parts, and a group with a score of less than 2 points was classified as low-use; a group with a score of 2 or more and less than 3 points was classified as middle-use; and a group with a score of 3 points or more was classified as high-use.
Results
The use of food content was higher in women than in men (P < 0.001), and higher in those in their 20s than in those in their 30s (P < 0.001). The group with a high level of food content use showed a higher rate of post-use hunger than the group with a low level (P < 0.01). The experience of eating after using food content was also higher in the group with a high level of use than in the group with a low level of use (P < 0.001). The group with a normal or high level of food content use had more negative eating habits than the group with a low level.
Conclusions
The study highlighted the need to provide desirable food content to people in their 20s and 30s with negative eating habits and to promote them so that they can use the right healthy nutrition–related content.

Citations

Citations to this article as recorded by  
  • The relationship between smartphone usage and eating behavior for elementary school students in Gangneung, South Korea: cross-sectional study
    Minji Kim, Meera Jang
    Korean Journal of Community Nutrition.2024; 29(4): 278.     CrossRef
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[Korean]
Changes in nutritional status of Korean older adults during COVID-19 Pandemic by household income and demographic factors -using the Korea National Health and Nutrition Examination Survey(2019-2020): a cross-sectional study
You-Sin Lee, Yoonna Lee
Korean J Community Nutr 2023;28(4):302-316.   Published online August 31, 2023
DOI: https://doi.org/10.5720/kjcn.2023.28.4.302
AbstractAbstract PDF
Objectives
The study aim was to identify changes in the nutritional status of older adults during the COVID-19 pandemic according to household income and demographic characteristics.
Methods
Study participants were 2,408 adults aged 65 and over who participated in the 2019–2020 Korea National Health and Nutrition Examination Survey (KNHANES). To examine changes in nutrient intake levels resulting from COVID-19, data of 2019 and of 2020 were compared. Study participants were divided into three groups based on household income level to compare these changes. The changes were compared according to household income level, age group, and household type.
Results
Percentages of recommended intakes for energy, protein, and most micronutrients were the lowest for the low-income group of both males and females in 2020. The Mean Adequacy Ratio (MAR) score was the lowest for the low-income group in both years. When comparing nutrient density for 2019 and 2020 by income group, the male low-income group experienced a decrease in nutrient densities of vitamin A, thiamine, calcium, and iron. For the same group, a decreased percentage for energy intake from protein was noted. Fruit intake was lowest in the low-income group for both males and females. Low-income males had the lowest intake levels for meat, fish, eggs, and legumes in both 2019 and 2020 and the lowest milk and milk product intake levels in 2020. Older adults living alone or single older adults with children had lower MAR scores than those living with a spouse. Older adults living alone experienced decreases in energy and thiamine and iron intake levels in 2020 compared to their intake levels in 2019.
Conclusions
Because of the COVID-19 pandemic, nutrition intake levels worsened for older adult males in the low-income group and older adults living alone. This finding shows the need for a more systematic nutritional support strategy for the vulnerable older adults population in national disaster situations.

Citations

Citations to this article as recorded by  
  • Development of Protein Enhanced Diet for Socially Vulnerable Elderly
    Jihye Hong, Hyung-Geun Jeon, Seulgi Kim, Gitae Park
    Journal of the East Asian Society of Dietary Life.2024; 34(1): 39.     CrossRef
  • Comparison of nutrient intake and Korean Healthy Eating Index among the elderly in rural areas pre- and post- COVID-19 pandemic: the 2018–2021 Korea National Health and Nutrition Examination Survey data
    Sangyeon Kim, Hye-Sook Hong, Hae-Jeung Lee
    Journal of Nutrition and Health.2024; 57(5): 496.     CrossRef
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[Korean]
Status of Iodine Intake and Comparison of Characteristics according to Iodine-sourced Food Intake Patterns of Chinese Adults: A Study Encompassing Three Regions with Different Iodine Nutritional Statuses
Danying Zhang, Ho Kyung Ryu
Korean J Community Nutr 2022;27(6):503-514.   Published online December 31, 2022
DOI: https://doi.org/10.5720/kjcn.2022.27.6.503
AbstractAbstract PDF
Objectives
This study examines the status of iodine intake and compares the characteristics (region and thyroid disease prevalence) according to the iodine-sourced food intake pattern in Chinese adults.
Methods
An online survey was conducted by enrolling 437 Chinese adults aged 18-65 years, living in three regions with different iodine nutritional statuses: Sichuan, Chongqing, and Guangdong.
Results
The prevalence of thyroid diseases in Sichuan, Chongqing, and Guangdong were 12.5%, 8.5%, and 2.8%, respectively. Conversely, the proportion of people who received thyroid disease-related examinations was a mere 37.5%. Among the subjects who underwent thyroid examination, the prevalence of thyroid disease in the three regions was 32.2%, 21.8%, and 8.0%, respectively. No differences were obtained in the total iodine intake by region, but the type of iodine source foods differed. Regardless of the region, the highest iodine content was obtained from seaweed. However, the iodine content from iodized salt and other foods differed significantly by region. Factor analysis revealed three food intake patterns according to the iodine food source. The study further determined regional differences and differences in the prevalence of thyroid disease according to food intake patterns.
Conclusions
High salt intake can also increase iodine intake, which is thought to have an effect on the occurrence of iodine-excess thyroid disease. Hence, efforts focused on improving salty eating habits need to be implemented.
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[Korean]
Development of Korean NOVA Food Classification and Estimation of Ultra-Processed Food Intake Among Adults: Using 2018 Korea National Health and Nutrition Examination Survey
Hae Jin Park, Sohyun Park, Jee Young Kim
Korean J Community Nutr 2022;27(6):455-467.   Published online December 31, 2022
DOI: https://doi.org/10.5720/kjcn.2022.27.6.455
AbstractAbstract PDF
Objectives
In this study, we suggest a Korean NOVA food classification that can be applied to food consumption among Korean. Based on this suggestion, the nutritional intake of Korean adults from ultra-processed foods (UPFs) was estimated.
Methods
Korean commercial food was categorized based on the NOVA food classification criteria through the Korea Food Code and expert meetings. Then, the nutrient intake status of 6,991 participants in the 2018 National Health and Nutrition Examination Survey was analyzed according to the food processing level. Then, 4,152 adult participants (age 19-65) were divided into quartiles on the basis of their intake of UPFs, and the nutrient intakes from UPFs were compared.
Results
Korean NOVA Food Classification defines with priority Group I (Unprocessed/ Minimally processed foods) and Group II (Processed culinary ingredients) foods based on the food cooking or consumption. Then, Group III (Processed foods) and Group IV (UPFs) are classified according to whether the characteristics of the raw materials used are maintained or whether the food was consumed before the 1970s. Our analysis results showed that most of the calories in the diet were consumed by Group I (52.7%), followed by Group IV (29.3%). After categorization of the adult participants into four groups according to their energy consumption from UPFs, we found that the highest consumption group (Q4) was younger and had higher percentage of men than women. The comparative analysis of the consumption of ultra-processed foods by Korean adults revealed that participants of a younger age and men consumed higher energy from UPFs than older participants and women, respectively (P < 0.01). Furthermore, the larger intake of UPFs was associated with an increasing trend for a higher intake of energy, sugar, saturated fat (P for trend < 0.001), total fat (P for trend = 0.021), and sodium (P for trend = 0.005), whereas the intake of carbohydrate, protein, and dietary fiber had a decreasing trend (P for trend < 0.001).
Conclusions
With the current increase in the consumption of processed and ultra-processed foods, it is important to carefully consider not only nutrient intake but also the level of food processing.

Citations

Citations to this article as recorded by  
  • Associations of Ultra-Processed Food Intake with Body Fat and Skeletal Muscle Mass by Sociodemographic Factors
    Sukyoung Jung, Jaehee Seo, Jee Young Kim, Sohyun Park
    Diabetes & Metabolism Journal.2024; 48(4): 780.     CrossRef
  • Navigating Ultra-Processed Foods with Insight
    Ji A Seo
    Diabetes & Metabolism Journal.2024; 48(4): 713.     CrossRef
  • 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
  • Sustainable diets: a scoping review and descriptive study of concept, measurement, and suggested methods for the development of Korean version
    Sukyoung Jung
    Korean Journal of Community Nutrition.2024; 29(1): 34.     CrossRef
  • Eating patterns in Korean adults, 1998–2018: increased energy contribution of ultra-processed foods in main meals and snacks
    Sukyoung Jung, Jee Young Kim, Sohyun Park
    European Journal of Nutrition.2024; 63(1): 279.     CrossRef
  • Association Between Ultraprocessed Food Consumption and Metabolic Disorders in Children and Adolescents with Obesity
    Gyeong-yoon Lee, Joo Hyun Lim, Hyojee Joung, Dankyu Yoon
    Nutrients.2024; 16(20): 3524.     CrossRef
  • Higher consumption of ultra-processed food is associated with cardiovascular risk in Korean adults: KNHANES 2016–2018
    Sukyoung Jung, Eunjin Jang, Hyeongyeong Lee, Jee Young Kim, Sohyun Park
    Frontiers in Nutrition.2023;[Epub]     CrossRef
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[Korean]
Effect of Type of Nutrition Labeling on the Healthfulness Evaluation and Purchase Intentions of Home Meal Replacements (HMR) in South Korea
Mee-Young Joe
Korean J Community Nutr 2022;27(5):387-396.   Published online October 31, 2022
DOI: https://doi.org/10.5720/kjcn.2022.27.5.387
AbstractAbstract PDF
Objectives
The purpose of this study was to examine the effects of the types of nutrition labeling on the processing fluency, health evaluation and purchase intentions of home meal replacements.
Methods
This online experimental study was conducted from December 29 to 31, 2019 and included 134 participants. The research design was 2 (Objective nutrition labeling: present vs. absent) X 2 (Evaluative nutrition labeling: present vs. absent) and each participant was randomly assigned to one of four groups. As stimuli, five types of ready-to-heat foods sold in the market were used.
Results
Processing fluency (4.91 points) and purchase intention (4.13 points) were significantly high when both evaluative nutrition labeling and objective nutrition labeling were presented, and healthfulness evaluation (4.47 points) was significantly high when only evaluative nutrition labeling was presented. All three variables were measured to be high when evaluative nutrition labeling was presented. The evaluative nutrition labeling that visually represented nutritional values was found to be more effective for processing fluency, healthfulness evaluation, and purchase intention than the objective nutrition labeling representing the nutritional value of the product in numbers and proportions.
Conclusions
These results show that it is necessary to develop various types of evaluative nutrition labeling to enable consumers to choose and purchase healthful home meal replacements. Also, consumer education and public campaigns are needed to encourage consumers to select healthier home-cooked meals using nutrition labeling.

Citations

Citations to this article as recorded by  
  • Analysis of Dietary Behavior and Sustainable Dietary Life Competency in Families According to Parents’ Dietary Lifestyle: Using the 2021 Korea Consumer Behavior Survey for Food
    Sun A Choi, Jeong Ok Rho
    Journal of the Korean Society of Food Science and Nutrition.2023; 52(11): 1179.     CrossRef
  • Study on the consumption practices and Importance-Satisfaction Analysis of meal-kit selection attributes among adults in their 20s and 30s
    Se-Eun Kim, Hyun-Joo Bae
    Journal of Nutrition and Health.2023; 56(3): 315.     CrossRef
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[Korean]
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 J Community Nutr 2022;27(3):192-204.   Published online June 30, 2022
DOI: https://doi.org/10.5720/kjcn.2022.27.3.192
AbstractAbstract PDF
Objectives
This study examined the association between dietary behaviors and perceived health status among Korean adolescents from multicultural families.
Methods
This cross-sectional study included 2,459 Korean adolescents from multicultural families (aged 13 ~ 18 years) who participated in the 2017 ~ 2019 Korea Youth Risk Behavior Surveys. Information on the sociodemographic variables, dietary behaviors, and lifestyle variables was selfreported using a web-based questionnaire. The dietary behaviors analyzed in this study were the breakfast and food intake frequencies, including fruit, vegetable, milk, fast food, carbonated drink, sweet drink, and high caffeine/energy drinks. The adolescents’ health perception was self-rated as healthy, average, or unhealthy. The dietary behaviors associated with health perception were examined using a multiple logistic regression after adjusting for the confounding variables.
Results
In this study population, 7.6% of adolescents perceived their health status as unhealthy, and 25.4% perceived it as average. The adolescents who were girls, middle school students, and in households with a low economic status showed significantly higher percentages of poor health perception (P-values < 0.001). Skipping breakfast was significantly associated with a negative health perception. Compared to the adolescents who consumed fruits every day, those who did not consume fruits during the previous week showed a higher odd ratio (OR) for a negative health perception [OR = 2.29, 95% confidence interval (CI) = 1.32–3.97]. The adolescents who frequently consumed carbonated drinks ( 5 times/week) perceived their health status as unhealthy relative to those who did not consume carbonated drinks (OR = 2.15, 95% CI = 1.25–3.71). Skipping breakfast was significantly associated with an increased OR for a negative health perception in girls but not in boys. Compared to adolescents with a normal weight, those with overweight/ obesity (OR = 1.75, 95% CI = 1.21–2.52) and underweight (OR = 2.19, 95% CI = 1.25–3.82) showed higher ORs for negative health perception. Positive associations of overweight/obesity and underweight with negative health perception were observed in boys but not in girls.
Conclusions
Dietary behaviors and weight status were associated with the health perception in Korean adolescents from multicultural families. These findings suggest that nutrition interventions on breakfast intake and healthy food choices for this population might effectively improve their weight and perceived health status.

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  • The unequal weight of COVID-19 pandemic: national trends in body mass index among Korean adolescents by immigrant-origin and gender from 2013 to 2022
    Nari Yoo, Yumin Hong, Yoonyoung Choi
    International Journal of Adolescence and Youth.2024;[Epub]     CrossRef
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  • 1 Crossref
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Research Note
[Korean]
Using Service Design Tools in Community Nutrition Research: A Case Study in Developing Dietary Guidelines for Young Adults
Eunbin Jo, Jae Eun Shim, Hyun Joo Ryou, Kirang Kim, Su Jin Song, Hyun Ja Kim, Jeong Sun Ahn, Kwang-il Kwon, Hye Young Lee, Sohyun Park
Korean J Community Nutr 2022;27(3):177-191.   Published online June 30, 2022
DOI: https://doi.org/10.5720/kjcn.2022.27.3.177
AbstractAbstract PDF
Objectives
Recent epidemiological data reported that young adults in their 20 ~ 30s are a vulnerable population with unhealthy dietary practices and a few signs of deteriorated health indicators. However, there are no dietary guidelines that are specifically developed for the young adult population. This study introduces some data collection tools that are mostly used in the service design field, and demonstrates how these tools can be used in nutrition research for developing dietary guidelines for specific target groups.
Methods
To understand the context of food choices among young people, 39 people were enrolled to complete a probes booklet. Thematic analysis and word cloud were performed to capture the main themes from the probes and a persona was developed based on the findings.
Results
Data from the probes enabled us to grasp the various contextual meanings of eating practices among young people. Most participants understand what a healthy diet is and often have a willingness to practice it. However, there were very few participants who were following the practices. We created four types of persona for developing dietary guidelines: healthy eating, emotional eating, convenient eating, and trendy eating.
Conclusions
Probes and persona were used in order to understand the lives of young adults and develop targeted messages. We hope that this introduction will be helpful to researchers who are looking for new ways of understanding their target population in the field of community nutrition.

Citations

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  • Development of a campus-based intervention program to strengthen food literacy among university students: A qualitative formative study
    Eunji Ko, Eunjin Jang, Jiwon Sim, Minjeong Jeong, Sohyun Park
    Korean Journal of Community Nutrition.2023; 28(6): 495.     CrossRef
  • 351 View
  • 11 Download
  • 1 Crossref
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Research Articles
[Korean]
Consumption of Weight-control or Health Functional Foods, Dietary Habits, and Weight Perceptions According to the Body Mass Index of Adult Women in the Chungcheong Area
Gayoung Seong, Munkyong Pae
Korean J Community Nutr 2022;27(2):81-93.   Published online April 30, 2022
DOI: https://doi.org/10.5720/kjcn.2022.27.2.81
AbstractAbstract PDF
Objectives
This study was conducted to investigate the experience and perception among adult women regarding weight control and the consumption of weight-control foods or health functional foods based on their body mass index (BMI).
Methods
The subjects were 634 adult women from the Chungcheong province, Korea, and data were collected through a self-administered questionnaire from July 2021 through September 2021. The subjects were divided into four groups based on their BMI status: underweight (< 18.5 kg/㎡ , 7.6%), normal weight (18.5 ~ 22.9 kg/㎡ , 53.3%), overweight (23 ~ 24.9 kg/㎡ , 19.7%), and obese ( ≥ 25 kg/㎡ , 19.4%).
Results
Over the past 3 years, almost two-thirds (68.6%) of the adult women had tried weight control measures, despite the fact that a significant proportion of them were normal or underweight. More importantly, 57.6% of subjects reported the consumption of weightcontrol foods, with a lower proportion in the underweight (35.4%) group compared to the normal (56.2%), overweight (62.4%), and obese (65.0%) groups. The food items used for weight control were mostly salads, chicken breasts, low fat (soy) milk, slimming tea, protein shakes, low-calorie cereals, and energy/protein bars among others. In addition, one-third (31.1%) of the subjects reported the use of health functional foods containing ingredients for fat reduction. A significantly higher proportion of these was from the overweight (36.0%) and obese (38.2%) groups compared to the underweight (20.8%) and normal weight (28.1%) groups. Products containing Garcinia cambogia extract, green tea, or Cissus extract, were popular among users. Subjects who were obese had a poorer perception of their health and body. Most subjects felt the need for correct information regarding weight control, but this number was significantly more in the higher BMI groups.
Conclusions
Our results suggest that the use of weight-control foods or health functional foods is popular among adult women, especially those who are obese. Thus, nutrition education courses covering facts about weight control and practice need to be developed and provided based on the BMI status of subjects.

Citations

Citations to this article as recorded by  
  • Consumption of protein supplements/protein-fortified foods among young adults in Jeju
    Hyoju Lee, Youjeong Jang, Sumin Kim, Kyungho Ha
    Journal of Nutrition and Health.2024; 57(2): 261.     CrossRef
  • Prediction model of weight control experience in men with obesity in their 30 s and 40 s using decision tree analysis
    Myeunghee Han
    Scientific Reports.2024;[Epub]     CrossRef
  • A Study on Diet Perceptions and Trends Before and After COVID-19 Using Big Data Analysis
    Eunjung Lee, Hyosun Jung, Jina Jang
    Journal of the Korean Society of Food Science and Nutrition.2023; 52(6): 659.     CrossRef
  • A Narrative Approach to the Diet History of Female College Students : Focusing on the Role of SNS and Social Media Influencers and Individuals’ Motivation for Dieting
    Kyungbo Kim
    Korean Journal of Journalism & Communication Studies.2022; 66(3): 139.     CrossRef
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  • 4 Crossref
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[Korean]
Trends in Dietary Protein Intake and Its Adequacy among Korean Adults: Data from the 2010 ~ 2019 Korea National Health and Nutrition Examination Survey (KNHANES)
Hyunji Ham, Kyungho Ha
Korean J Community Nutr 2022;27(1):47-60.   Published online February 28, 2022
DOI: https://doi.org/10.5720/kjcn.2022.27.1.47
AbstractAbstract PDF
Objectives
This study aimed to evaluate dietary protein intake and its adequacy among Korean adults during recent 10 years.
Methods
Based on the 2010 ~ 2019 Korea National Health and Nutrition Examination Survey (KNHANES) data, a total of 51,296 adults aged 19 years old or more who participated in a one-day 24-hr dietary recall were included. Dietary protein intake was estimated as percentages of total energy (% of energy) and grams per body weight (g/kg/ day) and compared with the 2020 Dietary Reference Intakes for Koreans to evaluate the adequacy of protein intake. In addition, proportions of people whose protein intakes were less than the estimated average requirement (EAR) and above the upper limit of the acceptable macronutrient distribution range (AMDR) (> 20% of energy) were calculated according to sociodemographic characteristics.
Results
Protein intake was increased from 14.7% of energy in 2010 to 15.6% of energy in 2019 among Korean adults. However, there was no increase in protein intake relative to the recommended nutrient intake (% RNI) during the recent 10 years. Protein intake relative to the RNI was decreased from 130.2% in 2010 to 121.1% in 2019 (P for trend < 0.0001) among total participants, and a significant decreasing trend was observed in all age groups except for over 65 years old. However, protein intake relative to the RNI was lowest in the elderly (98.6%). Proportions of low protein intake (< EAR) and high protein intake (> AMDR) increased in the past 10 years (P for trend < 0.0001 for all), and these were associated with socioeconomic statuses, such as education and household income levels.
Conclusions
These findings suggest that protein adequacy in Korean adults has not been improved over the past decade compared with recommended levels. Nutritional education and intervention programs should consider different intake levels according to sociodemographic characteristics.

Citations

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  • High-Protein Products in 2013 and 2023: Shifts in Diverse Aspects Over the Last Ten Years
    Hye Ran Lee, Ihyeon Cho, Hyejin Yi, Hee Jung Park
    Food Supplements and Biomaterials for Health.2024;[Epub]     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 of Protein Enhanced Diet for Socially Vulnerable Elderly
    Jihye Hong, Hyung-Geun Jeon, Seulgi Kim, Gitae Park
    Journal of the East Asian Society of Dietary Life.2024; 34(1): 39.     CrossRef
  • Consumption of protein supplements/protein-fortified foods among young adults in Jeju
    Hyoju Lee, Youjeong Jang, Sumin Kim, Kyungho Ha
    Journal of Nutrition and Health.2024; 57(2): 261.     CrossRef
  • Association between Processed Meat Protein Consumption and Incident Osteoporosis in Adults Aged 50 Years and Older: A Prospective Cohort Study Based on Korean Genome and Epidemiology Study Data (2005–2020)
    Dohee Lee, Soo Hyoung Lee, Ki Hyun Park, Kunhee Han, Eunjin Jeong
    Korean Journal of Family Medicine.2024; 45(5): 268.     CrossRef
  • Relationship between protein intake and grip strength in qualitative and quantitative aspects among the elderly in Korea: results from the Korea National Health and Nutrition Examination Survey
    Mi‑Hyun Kim, Mi‑Kyeong Choi, Yun‑Jung Bae
    BMC Geriatrics.2023;[Epub]     CrossRef
  • Current status of nutrient intake in Korea: focused on macronutrients
    Seung-Won Oh
    Journal of the Korean Medical Association.2022; 65(12): 801.     CrossRef
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[Korean]
Away-from-Home Eating and Dietary Patterns of Ugandan Adults: a Web-based- Survey
Anthony Kityo, Pil-Sook Park
Korean J Community Nutr 2022;27(1):1-11.   Published online February 28, 2022
DOI: https://doi.org/10.5720/kjcn.2022.27.1.1
AbstractAbstract PDF
Objectives
Away-from-home (AFH) eating has been associated with poor diet quality and health outcomes like obesity in developed countries. AFH eating is also emerging in lowincome countries, but its influence on overall diet quality is under-researched. We examined the prevalence of AFH eating and its influence on the dietary patterns of Ugandan adults.
Methods
This cross-sectional study employed a web-based survey to interview Ugandan adults aged 18 ~ 65 years. A qualitative food frequency questionnaire was used to assess the food group intake, which was then converted into daily intake frequencies. Principal component analysis was used to derive dietary patterns. The participants were then classified based on the tertiles (T) of dietary pattern scores.
Results
About 75% of the 375 participants reported eating AFH. The young men, food insecure, and urban dwellers were more likely to eat AFH  5 times/week. Three dietary patterns emerged; the animal-based, beverage pattern; the high fat, sweet pattern; and the traditional, plant-based pattern. Participants who frequently ate AFH were 2.85 times and 5.64 times more likely to be in the second and third tertiles, respectively, of the animalbased, beverage pattern compared to the rare eaters (OR = 2.85, 95% CI: 1.35-6.06 for T2 vs T1; and OR = 5.64, 95% CI: 2.50-12.73 for T3 vs T1). The odds of being in the second tertile of the high fat, sweet pattern was significantly higher for frequent AFH eaters compared to the rare eaters (OR = 2.61, 95% CI:1.23-5.52).
Conclusions
The prevalence of AFH eating was high. Frequent AFH eating was common among the young, male, food insecure, and urban dwellers, and was associated with unhealthy dietary patterns.

Citations

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  • Difficulties in eating out of home while diagnosed with inflammatory bowel disease: A qualitative interview study from China
    Tingting Yin, Ran Ye, Qiuqin Wang, Lulu Wang, Wenjing Xu, Wenjing Tu, Guihua Xu, Yogesh Kumar Jain
    PLOS ONE.2023; 18(12): e0288908.     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
AbstractAbstract 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]
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
AbstractAbstract 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
  • 284 View
  • 5 Download
  • 3 Crossref
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[Korean]
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 J Community Nutr 2021;26(5):337-349.   Published online October 31, 2021
DOI: https://doi.org/10.5720/kjcn.2021.26.5.337
AbstractAbstract PDF
Objectives
The purpose of this study was to analyse the relationship between eating behaviour and healthy dietary competency of single and multi-person households, to improve healthy eating behavior.
Methods
This study was conducted on 6,355 adult household members who participated in the Food Consumption Behavior Survey 2020. The subjects were divided into age groups comprising young people in their 20s and 30s, middle-aged people in their 40s and 50s, and the elderly in their 60s and above. The eating behavior and healthy dietary competency of single-person and multi-person households were then analyzed.
Results
The average age of the members in the single-person households was found to be higher. Single-person households were also found to have a lower marriage rate and lower monthly household income than multi-person households across the age groups of young, middle-aged, and elderly people (P < 0.05). Among each of the age groups, single-person households had significantly higher rates of skipping breakfast and eating breakfast, lunch, and dinner alone than multi-person households (P < 0.05). Young single-person households had lower average scores on healthy dietary competency than multi-person households (P = 0.032). When adjusted for age, gender, marriage, education, occupation, and household income, single-person households had a higher risk of delivery/take-out, eating out, or skipping meals compared to multi-person households (P < 0.05). In multi-person households, the risk of skipping meals, eating alone, eating out, or delivery/take-out decreased as healthy dietary competency improved (P< 0.05). On the other hand, in single-person households, as healthy dietary competency increased, the risk of delivery/take-out or eating alone decreased (P< 0.05).
Conclusions
The results of this study suggest that healthy dietary competency and eating practices can be improved by providing customized dietary education by age group for single and multi-person households.

Citations

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  • Single-Person Households: Insights from a Household Survey of Fruit and Vegetable Purchases
    Andres Silva, Maripaz Rivera, Samuel Durán-Agüero, Maria Isabel Sactic
    Nutrients.2024; 16(17): 2851.     CrossRef
  • Association of delivered food consumption with dietary behaviors and obesity among young adults in Jeju
    Minjung Ko, Kyungho Ha
    Journal of Nutrition and Health.2024; 57(3): 336.     CrossRef
  • Comparison of Food and Nutrient Intake according to the Income Level in Korean Adult Single-Person Households: Using Data from the Korea National Health and Nutrition Examination Survey (2016-2018)
    Min-Hee Han, Bok-Mi Jung
    The Korean Journal of Community Living Science.2024; 35(3): 445.     CrossRef
  • Hazardous alcohol use is associated with food insecurity in adults living alone: Findings from a nationwide study in Korea
    Seong-Uk Baek, Yu-Min Lee, Jin-Ha Yoon, Jong-Uk Won
    Social Science & Medicine.2024; 362: 117468.     CrossRef
  • Malnutrition risk, nutritional knowledge, and dietary intake in chronic kidney disease patients on hemodialysis: comparison according to coexisting diabetes
    HyunJung Yoo, Sang Cheol Lee, Hye-Kyeong Kim
    Journal of Nutrition and Health.2024; 57(5): 481.     CrossRef
  • Associations of cooking practices and healthy eating habits among young Korean adults in their 20s
    So-Young Kim, Ji Yu Choi
    International Journal of Gastronomy and Food Science.2023; 31: 100644.     CrossRef
  • 밀키트 이용 고객의 식생활 양식과 밀키트 선택속성이 밀키트 제품의 만족도에 미치는 영향 분석
    세은 김, 현주 배
    Korean Journal of Food and Cookery Science.2023; 39(3): 187.     CrossRef
  • The relationship between the prevalence of anemia and dietary intake among adults according to household types based on data from the 7th (2016–2018) Korea National Health and Nutrition Examination Survey
    Hye Won Kim, Ji-Myung Kim
    Journal of Nutrition and Health.2023; 56(5): 510.     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
  • Comparison of Eating Habits and Behaviors of Young Single-Person Households based on Food-Related Lifestyle
    Dokyung Kim, Sim-Yeol Lee
    Korean Journal of Health Promotion.2023; 23(3): 117.     CrossRef
  • Perception to the dietary guidelines for Koreans among Korean adults based on sociodemographic characteristics and lifestyle
    Yejin Yoon, Soo Hyun Kim, Hyojee Joung, Seoeun Ahn
    Journal of Nutrition and Health.2023; 56(6): 742.     CrossRef
  • Association between Healthy Eating Index and Mental Health in Middle-Aged Adults Based on Household Size in Korea
    Ji-Myung Kim, EunJung Lee
    International Journal of Environmental Research and Public Health.2022; 19(8): 4692.     CrossRef
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[Korean]
Evaluation of Dietary Habits and Health-Related Factors According to the Employment in Women in Early Adulthood - Based on the 2016~2019 Korea National Health and Nutrition Examination Survey
Yun-Jung Bae
Korean J Community Nutr 2021;26(4):249-258.   Published online August 31, 2021
DOI: https://doi.org/10.5720/kjcn.2021.26.4.249
AbstractAbstract PDF
Objectives
This study aimed to compare the factors of dietary and health behavior according to the employment in women in early adulthood and to analyze their relationship. Methods: In this study, adult women aged 20~29 who participated in the Korea National Health and Nutrition Examination Survey (KNHANES) 2016~2019 were classified into two groups depending on their permanent worker status, namely tenured employees (n = 254) and temporary employees (n = 377). Dietary habits (prevalence of skipping meals, food nutrition label use, etc.), nutrient intake, and metabolic syndrome factors were analyzed. Results: The tenured employees' group showed a significantly lower proportion of subjects who skipped breakfast (P = 0.0254) and significantly higher daily energy intake (P = 0.0264) than the temporary employees' group. However, there were no significant differences in the intake of energy nutrients and most of the micronutrients per 1,000 kcal of energy intake between the two groups. The proportion of subjects who consumed energy nutrients under 75% of the estimated energy requirement (EER) was 38.11% in the tenured employees' group, which was significantly lower than the 48.30% in the temporary employees' group (P = 0.0159). In economically active women aged 19~29 years, the odds ratio of low HDL-cholesterolemia prevalence was 1.80 times higher (95% CI, 1.06-3.06) in the temporary employees' group compared to that in the tenured employees' group after adjustment for confounding factors (P = 0.0295). Conclusions: In conclusion, among Korean adult women in their twenties, temporary employees showed inappropriate eating habits such as skipping breakfast, and had abnormal blood lipid levels.

Citations

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  • Temporary Employment Is Associated with Poor Dietary Quality in Middle-Aged Workers in Korea: A Nationwide Study Based on the Korean Healthy Eating Index, 2013–2021
    Seong-Uk Baek, Myeong-Hun Lim, Yu-Min Lee, Jong-Uk Won, Jin-Ha Yoon
    Nutrients.2024; 16(10): 1482.     CrossRef
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[Korean]
Do American Consumers Perceive Corporate Social Responsibility Actions and Exhibit Loyalty Intentions Differently according to the Reputation of Fast Food Restaurants?
Kiwon Lee, Youngmi Lee
Korean J Community Nutr 2021;26(3):177-187.   Published online June 30, 2021
DOI: https://doi.org/10.5720/kjcn.2021.26.3.177
AbstractAbstract PDF
Objectives
This study investigated the different perceptions of customers toward traditional and non-traditional fast-food restaurants regarding restaurant healthfulness, corporate reputation, and the impact of corporate reputation on loyalty intentions through corporate social responsibility (CSR) motive.
Methods
An online survey was conducted on U.S. residents who were aware of fast food restaurants’ CSR activities. Participants selected one fast food restaurant participating in CSR activities, coded as either traditional (n = 117) or non-traditional (n = 48), and answered questions about the selected restaurant’s healthfulness, reputation, CSR motives, and loyalty intentions. The participants’ perceptions of healthfulness and corporate reputation of the two types of fast-food restaurants were compared. A mediation path of corporate reputation – CSR motive – loyalty intention was analyzed.
Results
Non-traditional fast-food restaurants (5.02 ± 1.26) were perceived to be more healthful than traditional ones (3.93 ± 1.72). The participants perceived that compared to traditional fastfood restaurants, non-traditional ones had a better overall corporate reputation (P = 0.037), were more concerned about their customers (P = 0.029), better workplaces (P = 0.007), more environmentally and socially responsible (P < 0.001), and offered higher quality products and services (P = 0.042). Significant positive correlations were shown between restaurant healthfulness and corporate reputation (P < 0.001 for all reputation items). The suggested mediation path was supported with 95% CIs excluding zero, implying that when fast-food restaurants had a better reputation overall, were customer oriented, good employers, strong companies with a good product and service quality, social and environmental responsibility, the participants were more likely to perceive their CSR activities to be sincere and were hence loyal to that restaurant.
Conclusions
Overall, participants were more favorable towards non-traditional fast-food restaurants which had a healthier image and better reputation than traditional ones. Therefore, fast food restaurants need to consider offering healthy food and enhance their image, which would maximize the return on their investment in CSR.
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[English]
A Comparative Study of the Dietary Behavior of Adults Aged 20 and Over according to the Mukbang Viewing Time
Ha-Yan Nam, Bok-Mi Jung
Korean J Community Nutr 2021;26(2):93-102.   Published online April 30, 2021
DOI: https://doi.org/10.5720/kjcn.2021.26.2.93
AbstractAbstract PDF
Objectives
This study was conducted to investigate the relationship between watching Mukbang (eating broadcasts) and dietary and health behavior in adults who watch Mukbang Methods: The questionnaire was administered on a self-written basis through online and offline formats to 800 adults (400 men and 400 women). The contents of the survey consisted of general characteristics, Mukbang viewing time per week, breakfast intake frequency, preference for menus when viewing Mukbang , delivery food intake frequency per week, late meal intake frequency per week, and health behavior. The subjects were divided into three groups according to Mukbang viewing time.
Results
The body weight of viewers was significantly higher whenMukbang viewing time was over 14 hours for both men and women. In particular, based on the BMI (body mass index), those who watched Mukbang for more than 14 hours were found to be overweight. People with more than 14 hours of Mukbang viewing time per week were found to prefer mostly carbohydrate-rich food and meat, while those with less than 7 hours of Mukbang viewing time per week showed a higher preference for vegetables and fruits. An analysis of the frequency of breakfast eaten showed that the rate of skipping breakfast was the highest for those who watched Mukbang for more than 14 hours per week, and the rate of eating breakfast daily was the highest in the case of fewer than 7 hours of viewing. In the case of high Mukbang viewing time per week, the frequency of food delivery and night eating was high. When Mukbang viewing time was high, the viewer’s interest in health was low and the frequency of exercising too was low.
Conclusions
Viewers with high Mukbang viewing time showed undesirable health and eating behavior. Thus, it is believed that proper nutrition education on improving eating habits and raising the awareness of correct eating habits is necessary for such viewers.

Citations

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  • Addictive symptoms of mukbang watching: A qualitative interview study using directed content analysis
    Kagan Kircaburun, Filipa Calado, Andrew Harris, Mark D. Griffiths
    Emerging Trends in Drugs, Addictions, and Health.2024; 4: 100147.     CrossRef
  • Mukbang and Cookbang watching and dietary behavior in Korean adolescents
    Jimin Sung, Jae-Young Hong, Jihong Kim, Jihye Jung, Seoeun Choi, Ji Yun Kang, Mi Ah Han
    Nutrition Research and Practice.2024; 18(4): 523.     CrossRef
  • Effects of watching Mukbang and Cookbang videos on adolescents’ dietary habits and mental health: cross-sectional study using the 18th Korea Youth Risk Behavior Survey
    Seung-Hee Hong
    Korean Journal of Community Nutrition.2024; 29(2): 156.     CrossRef
  • Mukbang watching in Iran: a brief report validating the Persian version of the mukbang addiction scale and its relationship with disordered eating decisions and habits
    Reza Shabahang, Sohee Kim, Xiuhan Chen, Mara S. Aruguete, Ágnes Zsila
    Current Psychology.2024; 43(37): 29296.     CrossRef
  • 성인 남녀의 먹방 시청시간에 따른 식행동에 대한 연구
    하얀 남, 복미 정, 은례 전
    Korean Journal of Food and Cookery Science.2024; 40(4): 275.     CrossRef
  • Changes In the Activation of Supra-hyoid Muscles and Heart Rate of College Students During Food Intake According to Watching Mukbang
    Byung-o Ahn, Sung-Min Son, Hyeong-Min Kim
    American Journal of Health Behavior.2023; 47(4): 832.     CrossRef
  • 밀키트 이용 고객의 식생활 양식과 밀키트 선택속성이 밀키트 제품의 만족도에 미치는 영향 분석
    세은 김, 현주 배
    Korean Journal of Food and Cookery Science.2023; 39(3): 187.     CrossRef
  • The Relationship Between Watching Mukbang (Eating Show), Eating Behaviors, and Anthropometric Parameters in Iranian Female Students
    Fatemeh Manafi Anari, Shahryar Eghtesadi
    Journal of Research in Health Sciences.2023; 23(1): e00574.     CrossRef
  • Health behaviors and eating habits in people’s 20s and 30s according to food content usage level on social media: a cross-sectional study
    Seo-Yeon Bang, Bok-Mi Jung
    Korean Journal of Community Nutrition.2023; 28(5): 392.     CrossRef
  • Development and validation of Problematic Mukbang Watching Scale and Mukbang Watching Motives Scale: A cross-sectional study with adult mukbang watchers
    Kagan Kircaburun, Andrew Harris, Filipa Calado, Mark D. Griffiths
    Psychiatry Research Communications.2023; 3(3): 100138.     CrossRef
  • Actual Status of Mukbang Viewing and Food Habits of University Students in Wonju Area
    Seung-Lim Lee, Sun Hee Lee
    The Korean Journal of Community Living Science.2022; 33(4): 631.     CrossRef
  • Uses and gratifications of problematic mukbang watching – The role of eating and social gratification: A pilot study
    Kagan Kircaburun, Mustafa Savcı, Emrah Emirtekin, Mark D. Griffiths
    Journal of Psychiatric Research.2022; 146: 28.     CrossRef
  • Problematic video-streaming: a short review
    Maryam Rahat, Juliette Mojgani, Grace Lethbridge, Hashim Al-Bya, Beth Patterson, Carolina Goldman Bergmann, Michael Van Ameringen
    Current Opinion in Behavioral Sciences.2022; 48: 101232.     CrossRef
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[English]
Health and Nutrition Status of Elderly People with Multimorbidity: A Korea National Health and Nutrition Examination Survey (2013~2015)
Na-Gyeong Oh, Jung-Sook Seo
Korean J Community Nutr 2020;25(6):502-511.   Published online December 31, 2020
DOI: https://doi.org/10.5720/kjcn.2020.25.6.502
AbstractAbstract PDF
Objectives
This study investigated the health and nutritional status of the elderly according to the number of chronic diseases, using data obtained from the Korea National Health and Nutrition Examination Survey 2013~2015. Methods: Data from a total of 2,310 individuals, aged 65 years and over, were used for the analysis. The elders were divided into 0 (n=375), 1 (n=673), 2 (n=637) and 3 or more (n=625) groups, by considering the number of chronic diseases. Results: Compared to other groups, the elderly subjects who were living with their spouse had the highest ratio in group 0 (P < 0.05), whereas subjects without economic activities had highest ratio in 3 or more group (P < 0.05). The EQ-5D index of subjects in the 0 group (0.90 ± 0.01) was higher than that in the 3 or more group (0.86 ± 0.01) (P< 0.05). After adjusting for confounding factors, the energy intake of subjects was determined to be lowest in the 3 or more group (P < 0.05). Protein (P < 0.05) and riboflavin (P < 0.05) intakes of the 3 or more group were also lower than other groups. Conclusions: This study indicates that multimorbidity of the elderly is associated with their health and nutritional status. The nutrients intake of the elderly, especially energy, protein and riboflavin, tended to be lowest in the 3 or more group. Further research is required to elucidate the risk factors related to presence of multimorbidity in the elderly.

Citations

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  • Breastfeeding Duration Is Associated with the Risk of Tooth Loss, Chewing Difficulty, and Undernutrition among Older Korean Women: Results of the Korea National Health and Nutrition Examination Survey (KNHANES) 2013–2015
    Ye Rang Jo, Yoo Kyoung Park, Hee-Sook Lim
    Nutrients.2023; 15(24): 5024.     CrossRef
  • Nutritional Status according to the Frailty Status of the Elderly at Home in Seo-gu, Gwangju, Korea
    Ye Eun Kim, Young-Ran Heo
    Korean Journal of Community Nutrition.2021; 26(5): 382.     CrossRef
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[English]
E-commerce Food Purchases by Adult Women according to their Household Types
Yu-Jin Park, Yu-Mi Kim, Mi-Kyeong Choi
Korean J Community Nutr 2020;25(6):464-473.   Published online December 31, 2020
DOI: https://doi.org/10.5720/kjcn.2020.25.6.464
AbstractAbstract PDF
Objectives
The purpose of this study was to compare and analyze e-commerce food purchase behavior and the perceptions of adult women according to their household types. Methods: The e-commerce food purchases of 318 adult women were surveyed and analyzed according to their household types (one-person or couple household (OCH); a household with children (HC); a household with parents (HP)). Results: The total amount of food purchases over 6 months through e-commerce according to household types was in the descending order of OCH (60.3%), HC (57%), and HP (55.1%) thus showing a significant difference (P < 0.05) in behavior between household types. The reasons for purchasing food through e-commerce included: a lower price than offline (30.8%), convenient delivery and transportation (30.2%), and food diversity (21.1%). When purchasing food online, the most important factor was price and quality, followed by quick and accurate delivery for OCH, exact information given about the product for HC, and recommendation from other consumers for HP (P < 0.01). The main foods purchased through e-commerce were coffee, tea (42.1%), instant and frozen foods (39.9%), water, beverages, dairy products (37.7%), snacks, bread, rice cakes (31.5%), and functional foods (27.4%). The percentage of respondents who were very satisfied or satisfied with their ecommerce food purchases was HP (84.1%), OCH (69.9%), and HC (65.6%) in that order (P < 0.05), and 96.5% of all subjects stated that they would be willing to purchase food through e-commerce in the future. The advantages of purchasing food through e-commerce were seen to be the highest in order and payment convenience with 4.1 points out of 5, followed by low price (4.0), variety of products (3.9), and ease of food purchase (3.9).Among the disadvantages listed, concerns about product damage and deterioration during delivery and differences between the displayed product and the delivered product were the highest with 3.7 points. Conclusions: The characteristics and perceptions of female consumers according to household types are important factors in enhancing the reach of e-commerce, and in preparing guidelines for food selection through e-commerce.

Citations

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  • Effects of the Perceived Quality and Attitude on Satisfaction in Online Fresh Food Shopping
    Jin-Yi Jeong, Yoon-Ji Choi, Hye-Sung Chae, Jung Shin Choi, Joo-Lee Son
    Journal of the East Asian Society of Dietary Life.2022; 32(3): 202.     CrossRef
  • Examination the Factors that Influence Online Food Purchase Intention : An Empirical Study Based on the Technology Acceptance Model (TAM)
    Jin-Yi Jeong, Yoon-Ji Choi, Hye-Sung Chae, Jung Shin Choi, Joo-Lee Son
    Journal of the East Asian Society of Dietary Life.2021; 31(5): 320.     CrossRef
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[English]
Evaluation of Nutritional Status of Vitamins and Minerals According to Consumption of Dietary Supplements in Korean Adults and the Elderly: Report Based on 2017 Korea National Health and Nutrition Examination Survey data
Ji-Myung Kim
Korean J Community Nutr 2020;25(4):329-339.   Published online August 31, 2020
DOI: https://doi.org/10.5720/kjcn.2020.25.4.329
AbstractAbstract PDF

Objective
This study was undertaken to evaluate the intake of vitamins and minerals from dietary supplements (DSs) in Korean adults and elderly.
Methods
Data for this study was generated from the 2017 Korea National Health and Nutrition Examination Survey (KNHANES). We analyzed 4,204 individuals aged 19 years and older (2,579 users and 1,625 non-users). The survey included 24-h recall questions on food and DS intakes, as well as questions on DS use over the past year. The nutrient DSs evaluated were calcium, phosphorus, iron, vitamin A, thiamin, riboflavin, niacin, and vitamin C. Total nutrient intakes were obtained by combining nutrient intakes of foods and DSs consumed by each subject.
Results
Most micronutrient intakes from food (except for thiamin) in adult users, and the four micronutrient intakes (iron, vitamin A, vitamin B2 and vitamin C) in elderly users, were significantly higher than values obtained in non-users. For total intake of nutrients and DSs, both adult and elderly users had a significantly higher intake than non-users. While proportions below Estimated Average Requirements for all micronutrients by adding respective DSs in users were significantly reduced in adults and elderly as compared to non-users, the proportions of above Tolerable Upper Intake Levels for calcium and vitamin A in adults, and vitamin A in elderly, were significantly increased. In the total subjects examined, consumption of DSs was associated with lower odds ratios of undernutrition of micronutrients, and with higher odds ratios of overnutrition of calcium, iron, and vitamin A, as compared to non-users of DSs.
Conclusions
Although DSs consumption by adults and the elderly improves the micronutrient status, it also increases the risk of excessive intake of certain vitamins and minerals.

Citations

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  • Folate intake in Korean adults: analysis of the 2016–2018 Korea National Health and Nutrition Examination Survey with newly established folate database
    Eun-Ji Park, Inhwa Han, Kyoung Hye Yu, Sun Yung Ly
    Journal of Nutrition and Health.2024; 57(4): 418.     CrossRef
  • Effect of Dietary Supplements on Vitamin and Mineral Intake Among Koreans: Data From the 2018-2020 Korea National Health and Nutrition Examination Survey
    Moon Yeong Hwang, Jiyoun Hong
    Food Supplements and Biomaterials for Health.2023;[Epub]     CrossRef
  • Estimated dietary vitamin D intake and major vitamin D food sources of Koreans: based on the Korea National Health and Nutrition Examination Survey 2016–2019
    Ki Nam Kim, Jung-Sug Lee, Jee-Seon Shim, Mi Ock Yoon, Hyun Sook Lee
    Nutrition Research and Practice.2023; 17(3): 451.     CrossRef
  • A Study on the Dietary Behavior of Korean Adults: Focus on Dietary Supplement Intake, Household Size, and COVID-19
    Jinkyung Choi
    Korean Journal of Community Nutrition.2022; 27(6): 468.     CrossRef
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[English]
Relationship between Arterial Stiffness and Physical Activity Level Assessed by International Physical Activity Questionnaireshort form (IPAQSF) in the Elderly
HyunJu Lee, JiYeon Gwak, HaYeon Jun, EunKyung Kim
Korean J Community Nutr 2020;25(3):236-245.   Published online June 30, 2020
DOI: https://doi.org/10.5720/kjcn.2020.25.3.236
AbstractAbstract PDF
Objectives
Cardiovascular disease is a major cause of death in the elderly in Korea. Increased arterial stiffness is linked to risk of cardiovascular disease and mortality. The purpose of this study was to investigate the relationship between arterial stiffness and physical activity in the elderly.
Methods
A total of 209 older adults (110 men and 99 women) participated in this study. Arterial stiffness of subjects such as brachial–ankle pulse wave velocity (baPWV) and ankle brachial pressure index (ABI) was measured using a non-invasive vascular screening device (VP-1000 Plus, Omron, Kyoto, Japan). The interviewed Korean version of the international physical activity questionnaire short form (IPAQ-SF) was used to evaluate subject’s physical activity level and classify subjects as active or inactive group based on the time spent doing moderate to vigorous physical activity (MVPA).
Results
The mean age of total subjects was 75.3 ± 5.6 years. There was no significant difference in sex distribution between the active group (39.7%) and inactive group (60.3%). The baPWV (1,758.1 ± 375.2cm /sec) of the active group was significantly lower than that (1,969.7 ± 372.3 cm/sec) of the inactive group (P < 0.05). There was a significant inverse association between time spent in MVPA and baPWV (r = -0.245, P < 0.01).
Conclusions
This study suggests that physical activity programs for older adults are needed to prevent arteriosclerosis.

Citations

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  • Arterial stiffness index, physical activity and food and nutrient intake: cross-sectional study in adults aged 40 years and older
    Eun-A Kim, Yun-Mi Kim, Eun-Kyung Kim
    Korean Journal of Community Nutrition.2024; 29(2): 81.     CrossRef
  • Influence of Physical Activity Level on Cardiovascular and Autonomic Nerve Function
    Shin-Young Park, Jin-Su Kim, Seungho Lee, Ruda Lee, Eui-Young Lee, Moon-Hyon Hwang
    Exercise Science.2023; 32(1): 111.     CrossRef
  • Association between physical activity measured using an accelerometer and arterial stiffness based on pulse wave velocity and ankle-brachial index in healthy adults
    Hyunju Lee, Kye Wol Park, Ha Yeon Jun, Ji Yeon Gwak, Eun Kyung Kim
    Journal of Nutrition and Health.2022; 55(4): 506.     CrossRef
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  • 3 Crossref
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[English]
Qualitative Study on the Perception of Community Food-accessibility Environment among Urban Older Adults
Narae Yang, Kirang Kim
Korean J Community Nutr 2020;25(2):137-149.   Published online April 30, 2020
DOI: https://doi.org/10.5720/kjcn.2020.25.2.137
AbstractAbstract PDF
Objectives
This study explored the community food environmental factors affecting food purchasing using a qualitative research methodology for the elderly as well as the various food environments under their socioeconomic diversity.
Methods
For the qualitative data collection, this study interviewed 20 elderly people aged 65 years or more, who participated in a public health program or lunch services operated by the senior welfare center in Seoul. Five dimensions, such as availability, physical accessibility, affordability, acceptability, and accommodation suggested in previous studies, were used to identify the community food environmental factors.
Results
The elderly participants showed overall similarities to the concepts derived from existing studies on the five dimensions of food accessibility environment. In addition, other important food accessibility environmental factors that were not present in previous studies, such as acceptability for a product of domestic origin, delivery service to home, and small-packaged food sales, were derived. On the other hand, the concept of some subjects differed depending on the household income and specifically for the physical accessibility concept. This showed that the close distance factor from a grocery store at home might not apply to older adults in low-income households in Korea.
Conclusions
This study found that five dimensions of the food environment suggested by previous studies could also be applied to vulnerable older adults in Korea. On the other hand, the socioeconomic characteristics of individuals and households would affect the perspectives of their local food environments differently. The findings of this study could help in the development of tools for evaluating the community food environment.

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  • Spatial Disparity of Neighborhood Food Environment by Socioeconomic Status: Application of Urban Network Analysis
    Taekyung Seong, Sugie Lee
    Land.2024; 13(6): 865.     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
  • A relationship between food environment and food insecurity in households with immigrant women residing in the Seoul metropolitan area
    Sung-Min Yook, Ji-Yun Hwang
    Journal of Nutrition and Health.2023; 56(3): 264.     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
  • Analysis of Accessibility Changes to Neighborhood Food Environment and Food Desert Phenomenon in Seoul, Korea : Focused on the High-density Areas of Low-income Older Adults
    Taekyung Seong, Sugie Lee
    Journal of Korea Planning Association.2021; 56(1): 137.     CrossRef
  • Effects of Perceived Food Store Environment on Malnutrition and Frailty among the Food-Insecure Elderly in a Metropolitan City
    Yu-Mi Kim, Narae Yang, Kirang Kim
    Nutrients.2021; 13(7): 2392.     CrossRef
  • Analyzing Socio-Economic and Geographical Factors that Affect the Health of the Elderly
    Zacharias Dermatis, Athina Lazakidou, Athanasios Anastasiou, Panagiotis Liargovas
    Journal of the Knowledge Economy.2021; 12(4): 1925.     CrossRef
  • Analysis of Awareness, Knowledge, and Behavior about Food Hygiene·Safety Among the elderly
    Mi Sook Lee, Sim-Yeol Lee
    Korean Journal of Community Nutrition.2021; 26(3): 200.     CrossRef
  • Nutritional Status according to the Frailty Status of the Elderly at Home in Seo-gu, Gwangju, Korea
    Ye Eun Kim, Young-Ran Heo
    Korean Journal of Community Nutrition.2021; 26(5): 382.     CrossRef
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[English]
Dietary Safety Management Awareness and Competency for Healthcare among Adults in Daegu and Gyeongbuk Areas
Yunhwa Kim
Korean J Community Nutr 2020;25(2):112-125.   Published online April 30, 2020
DOI: https://doi.org/10.5720/kjcn.2020.25.2.112
AbstractAbstract PDF
Objectives
Diet and incidence of chronic diseases are highly related. This study examined the characteristics of dietary safety awareness and competency for chronic disease prevention among adults.
Methods
Data were collected from 247 adults in Daegu and Gyeongbuk areas using a self-administered questionnaire in May and June of 2018. Data were analyzed by frequency analysis, χ 2-test, factor analysis, reliability analysis, t-test, one-way analysis of variances, and correlation.
Results
The results of the factor analysis indicate that dietary safety awareness of health management was classified into chronic disease anxiety and obsession. Awareness of dietary safety management was sub-grouped into difficulty in acquiring knowledge, lack of awareness of over and malnutrition, food safety anxiety, importance of weight management, education requirement for cancer prevention, and knowledge. Dietary safety behavior composed of a balanced diet, unhealthy diet, and healthfunctional pursuit. Dietary safety management competency was comprised of health management, food management, and cooking. The competency scores of dietary safety management factors were significantly different according to sex, age, and education level (P < 0.05). Balanced diet factor was significantly correlated with knowledge, health-functional pursuit, health management, food management, and cooking capacity factors (P < 0.01).
Conclusions
Active education for dietary safety management competency according to age, gender, and education level should provide dietary safety education to reduce anxiety and obsession regarding chronic diseases and sustainable health management.

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    Min-Ah Kim, Sung-Min Yook, Jieun Oh, Jimin Lim, Hye Ji Seo, Young-Suk Lim, Ji Soo Oh, Hye-Young Kim, Ji-Yun Hwang
    Journal of Nutrition and Health.2024; 57(2): 244.     CrossRef
  • Quality Characteristics of Nutritional Bar with Varying Concentrations of Enteromorpha intenstinalis Powder
    KyungHee Kim, JaeSuk Kim
    Human Ecology Research.2024; 62(2): 295.     CrossRef
  • 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
  • Dietary safety management competency for the sustainable health management of adolescents
    Yunhwa Kim
    Journal of Nutrition and Health.2022; 55(3): 406.     CrossRef
  • Cancer survivor's dietary safety management awareness and competency type
    Yun Hwa Kim
    Journal of Nutrition and Health.2020; 53(5): 532.     CrossRef
  • Factors associated with the dietary quality and nutrition status using the Nutrition Quotient for adults focusing on workers in the manufacturing industry
    Ji Suk Yim, Young Ran Heo
    Journal of Nutrition and Health.2020; 53(5): 488.     CrossRef
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