Korean Journal of Community Nutrition

Research Article

[Korean]
The Consumption Pattern of Sugar-Sweetened Beverages and its Comparison with Body Composition Change from a Four-Week Time-Restricted Eating Intervention in Korean Young Adults: SuJeong Park, YoonJu Song; Korean J Community Nutr 2022;27(1):36-46. Published online February 28, 2022; DOI: https://doi.org/10.5720/kjcn.2022.27.1.36

Objectives
The purpose of this study was to evaluate the consumption pattern of sugarsweetened beverages (SSB) and compare body composition changes by SSB consumption based on 28 days of dietary records from a four-week time-restricted eating intervention among young adults in Korea.
Methods
A total of 33 participants completed the four-week dietary intervention with 8-hour time-restricted eating (TRE). The body composition was measured by bioelectrical impedance analysis at baseline, and daily dietary records were collected for 28 days during the intervention after 4 weeks.
Results
Based on 924 days of dietary records, the average eating occasion of SSB was 0.9 times per day, and the average amount of SSB was 205.8 g/times. Based on an individual’s usual intake of 28 days, the average eating frequency of SSB was 16.6 times out of 28 days, and the average amount of SSB was 184.0 g/day. The average energy intake from SSB was 131.0 kcal /day (8.7% of energy), and sugar intake from SSB was 18.2 g/day (4.9% of energy). The sugar intake was 2.6% of energy from sweetened dairy products, followed by 2.0% from coffee drinks, 0.5% from soda and juice and 0.2% from others. When subjects were divided into high (14 days or more) and low (less than 14 days) SSB groups based on eating frequency, the weight change in the low SSB group was -2.0 kg over 4 weeks, which was significantly lower than -0.7 kg in the high SSB group. However, no significant difference was found in muscle mass, fat mass and body fat percent between the two groups.
Conclusions
This study suggests that low consumption of sugar-sweetened beverages is more desirable in weight management despite having the dietary intervention of timerestricted eating without counting calories. Thus, further longitudinal studies on the association between SSB and obesity in Korean adults are necessary.

Citations

Citations to this article as recorded by

Nutrition Knowledge, Dietary Attitude, and Dietary Behavior among Children and Adolescents with Type 1 Diabetes
Na-Yeon Noh, So-Young Nam, Hee-Suk Kang, Ji-Eun Lee, Soo-Kyung Lee
Korean Journal of Community Nutrition.2013; 18(2): 101. CrossRef
Needs Assessment for Web-based Self-management Program by the Nutrition Knowledge Levels of Diabetic Patients
Yun Ahn, Jeahurn Bae, Jung Eun Youn, Hee-Seon Kim
Korean Journal of Community Nutrition.2011; 16(1): 155. CrossRef

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Original Articles

[English]
A Study on Classification of Obesity for Koreans based on the Articles in the Korean Journal of Community Nutrition: Articles Enlisted from 1996 to 2011: Youngnam Kim; Korean J Community Nutr 2013;18(5):525-538. Published online October 31, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.5.525

Abstract PDF PubReader

The purpose of this study was to provide information on obesity assessment for Koreans. Among total of 1012 research papers enlisted in the Korean J Community Nutrition form 1996 to 2011, 248 articles were examined in which subjects were divided into more than 2 groups by obesity rate. About the method of anthropometric data collection, more than half of the research papers examined 52.5% and 28.7% of studies utilized the directly measured data and self-described data, respectively. About the utilization of obesity assessment methods, indirect methods of weight-height index (BMI, BMI percentile, and Rohrer index) and PIBW (WLR, Broca index, and KDA) were 62.4% and 23.2%, respectably, and the direct method of percent body fat assessment was only 9.3%. The most frequently utilized methods were WLR in under primary and primary school children, and BMI in the middle and high school students and in adults. For primary school students, WLR was the most frequently utilized method up to 2007, but it changed to BMI percentile afterward. Broca Index was no longer utilized since 2008. There were no articles utilizing BMI percentile and Rohrer index for obesity assessment in adults. Criteria for obesity assessment were not consistent among research papers: for example, % body fat, 19~40%; BMI, 20~30; BMI percentile, 85th or 95th. In the case of PIBW, 120% of ideal weight was the most frequently utilized criterion for obesity. Based on these findings, we suggest that proper methods and criteria of obesity assessment for each age group should be determined and proclaimed.

Citations

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Factors Contributing to Diabetic Foot Ulcer among Patients with Type 2 Diabetes Mellitus
Seo Jin Park, Taeyoung Yang, Jun Young Lee, Jinhee Kim
Korean Journal of Adult Nursing.2018; 30(1): 106. CrossRef
A Comparative Study of Dietary and Weight Control Behavior of Female College Students in Korea and China
Li Song, Na Young An, Ho Kyung Ryu
The Korean Journal of Community Living Science.2015; 26(4): 761. CrossRef

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

Abstract PDF PubReader

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

Citations

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

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Randomized Controlled Trial

[English]
Weight Control Program through the Fortification of Food Consumption Monitoring on Obese Female College Students: Using Smart-Phone with Real Time Communication Application: Young Suk Kim, Jae Kyung Shin, In Sun Hong, Seon Hee Kim, Un Jae Chang; Korean J Community Nutr 2011;16(6):697-705. Published online December 31, 2011; DOI: https://doi.org/10.5720/kjcn.2011.16.6.697

Abstract PDF PubReader

This study was conducted to investigate the effects of real time communication digital photography method using Kakao Talk application in smart-phone for the fortification of food consumption monitoring and weight reduction. Thirty-four female college students were randomly assigned to the camera-phone (CP) group or smart-phone (SP) group. Each group participated in the weight control program for 8 weeks. The mean energy intake of CP group during program was 1353.5 kcal and the SP group consumed 1289.2 kcal. The total energy intake of both groups was significantly decreased during the program. The CP group lost 1.9 kg of body weight and 1.9% of body fat and the SP group lost 4.3 kg of body weight and 3.0% of body fat. The body weight was significantly decreased in the SP group compared to the CP group. The triglyceride and total cholesterol, and LDL-cholesterol level of SP group were significantly decreased during the program. However, there were no significant changes in CP group during the program. Also there were no significant changes in lipid profile between two groups. In this study, it is considered that real time communication digital photography method using Kakao Talk application in smart-phone might influence weight control through a trained consumption monitoring. Therefore, smart-phone can lead individuals to rely more heavily on easy-to-monitor visual cues.

Citations

Citations to this article as recorded by

Leveraging Multimodal Supports using Mobile Phones for Obesity Management in Elementary-School Children: Program Providers' Perspective from a Qualitative Study
Mi-Young Park, Jae Eun Shim, Kirang Kim, Ji-Yun Hwang
Korean Journal of Community Nutrition.2017; 22(3): 238. CrossRef
Development of tailored nutrition information messages based on the transtheoretical model for smartphone application of an obesity prevention and management program for elementary-school students
Ji Eun Lee, Da Eun Lee, Kirang Kim, Jae Eun Shim, Eunju Sung, Jae-Heon Kang, Ji-Yun Hwang
Nutrition Research and Practice.2017; 11(3): 247. CrossRef
Effect of Food Consumption Monitoring Using a Smartphone on Weight Changes in Obese Women
Young-Suk Kim, Jeong-Ja On, Yang-Hee Hong, In-Sun Hong, Un-Jae Chang
Journal of the Korean Dietetic Association.2014; 20(2): 123. CrossRef

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Original Articles

[English]
Comparison of Children's Body Weights and Eating Habits by Maternal Parenting Attitudes Perceived by Children: Yun Jung Choe, Hyesun Min; Korean J Community Nutr 2009;14(1):77-86. Published online February 28, 2009

Abstract PDF: Effective parenting attitudes have been known to be associated with children's health practices including dietary intake and physical activity. The objective of this study is to compare children's body weights and eating habits by maternal parenting attitudes. Data were collected at school (N = 396; 4th and 5th grade students) using self-administered questionnaires on maternal parenting attitudes, eating habits and physical activity. Parenting attitudes were categorized as 1 of 4 parenting attitudes (overprotective, authoritarian, democratic, and neglectful) using affection and control median cut points. Children's body weights, frequency of breakfast, eating out and fastfood, and physical activity were compared by maternal parenting attitudes. Children's body weights were related with mother's employment status (p < 0.05) and parenting attitudes (p < 0.01). Children of unemployed mothers were more likely to be overweight. Children of neglectful mothers (p < 0.01) were more likely to be underweight, compared with children of mothers with other parenting attitudes. Since, unfortunately, the number of children of neglectful mothers was very limited in this study, we could hardly assess eating habits of children of neglectful mothers. Children of authoritarian mothers ate breakfast more regularly (p < 0.05), but ate snacks less regularly (p < 0.01). Children of democratic mothers ate fastfood less frequently (p < 0.01) and ate snacks more regularly (p < 0.01). Meanwhile, children of overprotective mothers ate breakfast less regularly (p < 0.05) and ate out less frequently (p < 0.01). However, maternal parenting attitudes were not related to children's physical activities. In conclusion, the maternal democratic parenting attitude was associated with healthy eating habits including regular snack time and less fastfood. On the other hand, the maternal neglectful parenting attitude was associated with high risk of children's underweight. Understanding the mechanism through which parenting attitude is related with underweight risk and healthy eating habits may lead to the development of better interventions.

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[English]
Relation of Body Weight Control and Eating Disorder of University Students in the Gunsan Area: Mi Yeon Oh, Hyeon Hee Yu; Korean J Community Nutr 2007;12(6):724-741. Published online December 31, 2007

Abstract PDF: This study was carried out to investigate the body weight controls and eating disorders of university students in Gunsan. The subject of the present study included 229 male students (53.8%) and 197 female students (46.2%), totalling 426 students from Kunsan University. The subjects consisted of 56 underweight (13.1%), 265 with normal weight (62.2%), and 105 overweight (24.6%). Especially, in females, 20.8% of them were underweight, which is 6.6% higher than males, showing a significant difference (p < 0.001). Regarding body image, 21.8% of the males thought they were fat, while 40.6% of the females thought they were fat. Regarding the perceived body type, shown in the difference between their own size and the ideal size, males recorded 0.03, while females recorded 1.75, showing a major significant difference (p < 0.001). Regarding body satisfaction, 33.2% of the males were unsatisfied, while 52.8% of the females were unsatisfied (p < 0.001). The social expectations of the male subjects' sizes and weights recorded 2.04, while that of females recorded .2.51, showing that people's opinions expected the female subjects' bodies to be thinner (p < 0.001). Additionally, the social expectation of the subjects' weight control recorded an average of 15.22 (13.92 for males, 16.73 for females), showing that the female subjects' felt that people's opinions wished them to lose their weight (p < 0.001). Regarding the recognition on weight control, interested males were 49.4%, while interested females were 86.8%, showing the females superior rate (p < 0.001). The beliefs in relation to weight control recorded an average of 62.01, with the score of females of 67.89 being significantly higher than that of males which was 56.96. The subjects showed a relatively positive response towards weight control (p < 0.001). EAT-26 score was employed to determine the eating attitudes in relation to gender. Here, the final score of males was 15.46, which was significantly lower than that of females, which was 22.21 (p < 0.001). Furthermore, regarding the score of eating attitudes in relation to obesity index, the eating disorder scale scores on the questions related to bulimia and diets to lose weight as weight increases were high. However, the eating disorder scale score on oral control, which actually controls food, was low. To control the expansion of excessive weight control attempts and their side effects, the recognition of the students' body types needs to be corrected, and nutrition education programs on eating habits and eating disorders to foster proper weight loss are deemed necessary.

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[English]
A Study of the Body Weight Control and Dietary Habits According to the Obese Index in Male Middle School Students: Shin Mi Son, Eun Sook Park; Korean J Community Nutr 2006;11(6):683-694. Published online December 31, 2006

Abstract PDF: The purpose of this study was to determine the body weight control, food habits and nutrient intakes according to the obese index in male middle school students. This study was carried out through questionnaires and measurement by body fat analyzer (Inbody 4.0). The subjects were 275 male middle school students in Iksan, Chonbuk province. The average age, height, weight, and BMI of the subjects were 14.4 years old, 167.8 cm, 60.2 kg and 21.3 kg/m2, respectively. Seventeen point one percent of the subjects were the underweight group, 47.6% were the normalweight group, and 35.3% were the overweight group by the classification of the Korean Pediatrics Society standard. Body fat of underweight, normalweight, and overweight were 16.1%, 19.0%, and 26.6%, respectively. Thirty one point nine percent of underweight, 39.7% of normalweight, and 31.9% of overweight had misperceptions of their weight (p<0.001). Sixty two point two percent of the males were dissatisfied with their body weight, and 55.3% of the whole tried to reduce their body weights. Even though they were normalweight, half of them dissatisfied with their weight. The source of weight control method was friends and family, TV.radio, Internet, and school nutrition education, in order. The subjects exercised 3.4 days per week, 70.2 minutes per day, but it was not different significantly by the obese index. Forty percent of the subjects had meals fast, 58.5% of them have biased food habits even if they didn't differ by the obese index. Activity rate was different by the obese index significantly (p<0.05), the number of severe activity was most in underweight. In conclusion, nutrition education programs should contain the necessity of normalweight, and regularity of life habits and activities for energy expenditure in overweight students. It made them to recognize their weight correctly, establish healthy body images, and raise the ability to promote health and improve nutritional status.

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[English]
Minimal Weight and Body Fat Percentage in Relation to the Onset of Menarche in Korean Females: Eun Sook Jeong, Jeong A Lee, Hyeon Sook Lim; Korean J Community Nutr 2005;10(2):196-204. Published online April 30, 2005

Abstract PDF: Menarche is a main indicator of sexual maturity which relates to a reproductive function. The onset of the menstrual cycle differs individually and is influenced by many variables such as socio-economic situation, race, genetics, climate, altitude, nutritional status, and physical growth. Among them physical growth has been known to be the most influencing factor, particularly when expressed as body fat designated by weight. This study intended to investigate the body composition of girls around the menarche period and to evaluate the minimal levels of weight and fat percentage needed for the onset of menarche. A total of 101 female subjects, aged 11 to 13 years, were recruited from the 5th and 6th grades of an elementary school, in Mokpo, Korea. The subjects were placed into one of two groups Pre-menarche and Post-menarche groups according to their experience with menarche. Thereafter, the subjects in the Post-group were placed into 4 subgroups based on the number of menstruations they experienced: Post-I (1 - 3 times), Post-II (4 - 6 times), Post-III (7 - 9 times), and Post-IV (> 10 times). The average age at the onset of menarche of the subjects in Post groups was 11.2 +/- 0.6 years. There were significant differences in the data of anthropometry and body composition between the Pre and Post groups, although the mean ages of both Pre and Post groups were the same. Weight, waist, hip and thigh girths, fat percentage, and lean body mass of the Post groups were significantly higher than those of the Pre group. Height was not significantly different between the groups. Weight was highly correlated with body fat mass (r = 0.92, p < 0.001), fat percentage (r = 0.85, p < 0.001), and body mass index (r = 0.91, p < 0.001). These results indicate that weight, compared with height, reflects body composition well and influences the onset of the menstrual cycle. It could also be suggested that the minimal weight and fat percentage needed for the onset of menarche in Korean females are 41 kg and 17% to 19%, respectively.

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