Korean Journal of Community Nutrition

Research Articles

[Korean]
A study on regional differences in dietary behaviors and satisfaction in Korea focusing on urban and rural comparisons: a cross-sectional study: Jong-Youn Rha, Sohyun Kim, Hae-Rang Lee, Juhyeon Kil; Korean J Community Nutr 2025;30(2):140-149. Published online April 29, 2025; DOI: https://doi.org/10.5720/kjcn.2024.00262

Abstract PDF PubReader ePub: Objectives
This study aims to examine regional differences in dietary behavior and satisfaction between urban and rural residents in Korea, identifying key factors associated with dietary satisfaction in each group to deepen understanding of these variations.
Methods
The data were obtained from the Consumer Behavior Survey for Food 2022 by the Korea Rural Economic Institute. The analysis involved 6,365 adult participants, using the complex survey χ2-test and complex survey t-tests to compare dietary behavior across regions and complex survey regression analysis to explore factors related to dietary satisfaction. Data were analyzed with R 4.3.1 (for macOS; Posit PBC).
Results
Urban and rural areas differed in consumer characteristics such as gender, age, income, and household type, as well as in food consumption behaviors and in dietary competencies associated with purchasing and intake. Specifically, dining out and processed food consumption were more prevalent in urban areas, whereas home-cooked meals were more frequent in rural areas. Overall, dietary competencies were higher among urban residents. However, there was no significant difference in dietary satisfaction between the two regions. This finding suggests that satisfaction is based on subjective evaluations, with consumers in each region forming satisfaction in ways that align with their environment and lifestyle. Accordingly, the factors contributing to dietary satisfaction differed by region. In urban areas, information utilization competency and maintaining a balanced diet played a significant role in dietary satisfaction, whereas in rural areas, regular mealtimes were more influential. Urban consumers reported higher dietary satisfaction when meals provided a sense of appropriate convenience, whereas rural consumers showed greater satisfaction when meals were shared with family at home.
Conclusion
The findings indicate regional differences in food consumption behaviors and dietary competencies, as well as variations in how consumers achieve dietary satisfaction. These insights provide a foundation for developing dietary policies and programs aimed at improving dietary satisfaction.

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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

Abstract PDF PubReader ePub: 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]
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

Abstract 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.

Citations

Citations to this article as recorded by

Nutrition quotient for preschoolers and key impacting factors in Korea: a cross-sectional study on food literacy, social support, and the food environment of primary caregivers
Danbi Gwon, Ji-Yun Hwang, Jieun Oh
Korean Journal of Community Nutrition.2025; 30(1): 16. CrossRef
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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Original Articles

[English]
Recognition of Environmentally-friendly Agricultural Products for School Foodservice of Nutrition Teachers and Parents in 2018 at Seongnam in Gyeonggi province: Jisoo Kwon, Wookyoun Cho; Korean J Community Nutr 2019;24(4):290-299. Published online August 31, 2019; DOI: https://doi.org/10.5720/kjcn.2019.24.4.290

Abstract PDF PubReader: OBJECTIVES
This study examined the nutrition teachers' and parents' recognition of environmentally-friendly agricultural products (EAPs) used in school foodservice.
METHODS
A questionnaire survey was given to 128 school foodservice nutrition teachers in Seongnam and 189 parents from Oct. 16 to Oct. 31, 2018 at Seongnam in Gyeonggi province. The survey included information on the recognition, satisfaction, and improvement of EAPs, and the results of the two groups were compared.
RESULTS
A comparison of the recognition of EAPs showed that nutrition teachers knew more about the EAPs and local government support in school foodservice than the parents. On the other hand, the parents were more aware than the nutrition teachers in that children have a higher affinity for EAPs than for general agricultural products in the school foodservice. A comparison of the level of satisfaction with the EAPs by nutrition teachers and parents revealed the nutrition teachers to be significantly more satisfied than parents in terms of the color, taste and nutrition of EAPs. Among the items that should be provided with EAPs, more than 50% of each group of nutrition teachers and parents answered that vegetables must be provided first. Some 70.9% of nutrition teachers and 84.5% of parents were aware of the certification standards of EAPs. The nutrition teachers had showed a slightly higher score than the parents in the certification system (3.51 vs. 3.25). In terms of improving the EAPs, 36.2% of nutrition teachers answered a reasonable price preferentially, whereas 56.4% of parents answered maintaining quality. In the expected effects of using EAPs, 57.9% of nutrition teachers answered an improvement of parents' satisfaction on the school foodservice. On the other hand, 38.0% of parents answered an improvement of children' satisfaction on school foodservice.
CONCLUSIONS
Nutrition teachers and parents need to be educated on the certification systems that would enhance the trust in EAPs.

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[English]
Relationship between the Intake of Children's Favorite Foods and Policy based on Special Act on Safety Control of Children's Dietary Life: Taejung Woo, Jihye Yoo, Kyung Hea Lee; Korean J Community Nutr 2019;24(2):106-116. Published online April 30, 2019; DOI: https://doi.org/10.5720/kjcn.2019.24.2.106

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OBJECTIVES
This study examined the status of children's favorite foods intake and the relationship with the policy environment based on the Special Act on Safety Control of Children's Dietary Life for suggesting a supportive policy strategy.
METHODS
The subjects were 4th grade students (n=1,638) in elementary school from 45 schools collected from seven areas (Seoul, Daegu, Daejeon, Gyeonggi, Chungnam, Jeonbuk, and Gyeongnam). The children participated in a self-administered questionnaire survey in class under the supervision of the teacher. The questionnaire consisted of items, such as social demographic characteristics, frequency of intake of the children's favorite foods, and policy cognition. A t-test and ANOVA were applied to explore the relationship between the frequency of children's favorite foods intake and policy cognition. The survey was implemented from August 2016 to September 2016.
RESULTS
For the boys, the frequency of â€˜high-calorie low nutrient foods intakeâ€™ (HCLN) was significantly higher than that of the girls (p<0.01). For the children who received information on their favorite foods from the internet, the frequency of HCLN was higher than the other sources (p<0.01). The time of TV viewing and computer usage, and smartphone usage was associated with a higher frequency of HCLN, and a lower healthy favorite food intake (all p<0.001). The intake frequency of healthy favorite foods indicated a positive correlation with the policy cognition, including policy perception, usefulness, necessity and buying intention, and educational experience.
CONCLUSIONS
This study showed a correlation with the frequency of children's favorite foods intake and policy. In particular, the frequency of children's healthy favorite foods intake indicated a meaningful relationship with the policy than the frequency of HCLN. This study also found that the consumption of children's healthy favorite foods was positively correlated with the educational experience. To develop a supportive policy for a good dietary environment for children, there is a need to focus on how to collaborate with multiple levels of influences, such as the national level, school level, and family.

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Correlation between adolescents’ dietary safety management competency and value recognition, efficacy, and competency of convergence using dietary area: a descriptive study
Yunhwa Kim, Yeon-Kyung Lee
Korean Journal of Community Nutrition.2023; 28(4): 317. CrossRef

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[English]
Perception of Use of Environment-friendly Agricultural Products during School Foodservice of Mothers of Elementary School Students in Gyeonggi: Young Un An, Myung Hee Kim, Mi Kyeong Choi, Mi Hyun Kim; Korean J Community Nutr 2018;23(3):234-242. Published online June 30, 2018; DOI: https://doi.org/10.5720/kjcn.2018.23.3.234

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OBJECTIVES
This study was to investigate the perception of mothers of elementary school students regarding environment-friendly agricultural products in school foodservice.
METHODS
A total of 282 mothers whose children were receiving environment-friendly agricultural products during elementary school foodservice in Gyeonggi participated in this questionnaire survey. The survey was conducted to investigate respondents perception and satisfaction with environment-friendly agricultural products in their children's school meals from May 29 to June 9, 2017.
RESULTS
About 79% of the subjects were satisfied with school foodservice. The most important aspects of school foodservice were nutrition (35.8%) and sanitation (34.8%). Over 80% of the subjects were aware of environment-friendly agricultural products and about 54% of the subjects checked for a certification mark when purchasing environment-friendly agricultural products. Additionally, 72.3% of the subjects knew that environment-friendly agricultural products were used at school. The advantages of using environment-friendly agricultural products in school foodservice were safety (75.5%) and high food quality (16.3%). About 66% of the mothers knew the school was receiving support from the city or education office for using environment-friendly agricultural products. Additionally, 74.5% of the mothers responded that they are willing to pay for use of environment-friendly agricultural products when subsidies were not supported.
CONCLUSIONS
The positive perception and high support for use of environment-friendly agricultural products in school foodservice among elementary students' mothers can be used as basic data for expansion of the use of environment-friendly agricultural products in school foodservice.

Citations

Citations to this article as recorded by

Recognition of Environmentally-friendly Agricultural Products for School Foodservice of Nutrition Teachers and Parents in 2018 at Seongnam in Gyeonggi province
Jisoo Kwon, Wookyoun Cho
Korean Journal of Community Nutrition.2019; 24(4): 290. CrossRef
When Agricultural Waste Transforms into an Environmentally Friendly Material: The Case of Green Concrete as Alternative to Natural Resources Depletion
Cătălina Mihaela Grădinaru, Adrian Alexandru Şerbănoiu, Danut Traian Babor, Gabriel Constantin Sârbu, Ioan Valentin Petrescu-Mag, Andrei Cristian Grădinaru
Journal of Agricultural and Environmental Ethics.2019; 32(1): 77. CrossRef
A Study on Satisfaction of School Food Service Using Environment-friendly Agricultural Products
Byeol Han, Ho Kim, Sung-Bum Yang
Korean Journal of Organic Agricultue.2018; 26(4): 559. CrossRef
Willingness-to-Pay on Increase of Usage for Environmental-friendly Agricultural Product in School Food Service
Sung-Bum Yang
Korean Journal of Organic Agricultue.2018; 26(4): 609. CrossRef

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[English]
The Development of â€˜Good Dietary Life Guideâ€™ Textbooks for Elementary School Students: Eun Young Sang, Jeong Weon Kim; Korean J Community Nutr 2017;22(1):74-83. Published online February 28, 2017; DOI: https://doi.org/10.5720/kjcn.2017.22.1.74

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OBJECTIVES
This study aimed to develop dietary education textbooks for elementary school students by focusing on the three core values of environment, health and gratitude from the National Food Education Plan.
METHODS
The contents of textbooks and teacher's guidebooks were developed with brainstorming of the authors as well as consultation with experts and by considering not only the three core values of environment, health, and gratitude, but also the performance indicators of the 2nd National Food Education Plan and the key competencies and creative convergence approach of the 2015 revised national curriculum.
RESULTS
A total of 12 different dietary education textbooks named â€˜Good Dietary Life Guideâ€™ and the teachers' guidebooks from the first to the sixth grade of elementary school were developed. The textbooks were fundamentally developed connecting the three core values, the outcome indices of the 2nd National Food Education Plan and the key competences of the 2015 revised national curriculum. Various educational activities such as thinking, debate, writing, cooperative learning, experience, practice were included to promote students' participation. These books could be utilized in every field of dietary education targeting elementary students such as creative experiential activity, convergent classes (integrated subjects, Practical arts, Social studies, Science, Moral education and Korean), after school classes, rural experience, general agricultural education, after-school child care services and community child care centers.
CONCLUSIONS
The continuous and repetitive use of the textbooks from the first to the sixth grade would contribute to the improvement of food habits and the personalities of elementary school students, and consequently make the students grow up as healthy citizens.

Citations

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Development of Educational Board Game for Dietary Education; ‘Food-Bicycle’
Jung Hoon Kim
Korean Journal of Human Ecology.2018; 27(5): 411. CrossRef

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[English]
Associations between Exposure to Unhealthy Food Outlets Within Residential District and Obesity: Using Data from 2013 Census on Establishments and 2013-2014 Korea National Health and Nutrition Examination Survey: Yoonjung Kim, Sung Nim Han; Korean J Community Nutr 2016;21(5):463-476. Published online October 31, 2016; DOI: https://doi.org/10.5720/kjcn.2016.21.5.463

Abstract PDF PubReader

OBJECTIVES
Environmental, social and personal factors influence eating patterns. This study aimed to investigate the relationship between unhealthy food outlets within a residential area and obesity using nationally representative Korean survey data and data from the Census on Establishments.
METHODS
Data on the food intakes and socioeconomic variables of a total of 9,978 adults aged â‰¥ 19 years were obtained from the 2013-2014 Korea National Health and Nutrition Examination Survey. Geographic locations of restaurants were obtained from the 2013 Census on Establishments in Korea. Administrative area was categorized into tertiles of count of unhealthy food outlets based on the distribution of number of unhealthy food outlets among all urban (Dong) and rural (Eup or Myun) administrative districts in Korea. Multilevel logistic regressions model were used to assess the association between the number of unhealthy food outlets and obesity.
RESULTS
People living in the district with the highest count of unhealthy food outlets had higher intakes of fat (45.8 vs. 44.4 g/day), sodium (4,142.6 vs. 3,949.8 mg/day), and vitamin A (753.7 vs. 631.6 ÂµgRE/day) compared to those living in the district with the lowest count of unhealthy food outlets. A higher count of unhealthy food outlets was positively associated with frequent consumption of instant noodles, pizza, hamburgers and sandwiches, sweets and sour pork or pork cutlets, fried chicken, snacks, and cookies. Higher exposure to unhealthy food outlets was associated with increased odds of obesity (1st vs. 3rd tertile; OR 1.689; 95% CI 1.098-2.599).
CONCLUSIONS
A high count of unhealthy food outlets within a residential area is positively associated with the prevalence of obesity in Korea. The results suggest that food environmental factors affects the health outcomes and interventions aiming to restrict the availability of unhealthy food outlets in local neighborhoods may be a useful obesity prevention strategy.

Citations

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Obesity-Related Factors in Adult Women with Early Menarche
Hunha Cho, Jeong-Won Han
Healthcare.2023; 11(4): 557. CrossRef
Associations between adolescent dietary habits, obesity and food environment around schools in Seoul
Hyun-Jae Woo, Hong Lim Lee, Hae-Young Kim
Korean Journal of Health Education and Promotion.2022; 39(5): 55. CrossRef
Relationship between the Intake of Children's Favorite Foods and Policy based on Special Act on Safety Control of Children's Dietary Life
Taejung Woo, Jihye Yoo, Kyung-Hea Lee
Korean Journal of Community Nutrition.2019; 24(2): 106. CrossRef

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[English]
Effect of a Worksite-based Dietary Intervention Program for the Management of Metabolic Syndrome: Hye Jin Kim, Injoo Choi, Won Gyoung Kim, Kana Asano, Jeongmin Hong, Young Min Cho, Jihyun Yoon; Korean J Community Nutr 2016;21(3):237-246. Published online June 30, 2016; DOI: https://doi.org/10.5720/kjcn.2016.21.3.237

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OBJECTIVES
To investigate the effect of a worksite-based dietary intervention program for the management of metabolic syndrome (MS) among male employees.
METHODS
A dietary intervention program combining individual and environmental approach was implemented targeting white-collar employees at a worksite located in Seoul for 10 weeks. Out of 104 employees having agreed to participate in the program, those having three or more out of five components of MS and having two components, including a waist circumference component were classified into "the high risk group" (n=41) and received group nutrition education and individual nutrition counseling three times each. The rest of the study subjects were considered as "the low risk group" (n=63). The food environment at the worksite, where both the high and low risk groups were exposed, was changed to promote healthy eating. Physical data including MS components were collected and a questionnaire on dietary behaviors was administered before and after the intervention. The data from the high risk group (n=17) and the low risk group (n=20), excluding the subjects ineligible for or failed to complete the study (n=67), were analyzed. The difference before and after intervention was tested for significance by Wilcoxon signed-rank tests.
RESULTS
Weight, body mass index (BMI), waist circumference, blood pressure, HDL-cholesterol, and HbA1c and the healthy dietary practice score improved significantly after intervention in the high risk group. The median number of MS components decreased significantly from 3.0 to 1.0 in the high risk group. In the low risk group, only HbA1c significantly decreased. Conclusions: The 10-week worksite-based dietary intervention program combining individual and environmental approach was found to be effective for managing MS of male employees.
CONCLUSIONS
The 10-week worksite-based dietary intervention program combining individual and environmental approach was found to be effective for managing MS of male employees.

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A cohort study of the effects of social support on cerebral cardiovascular disease in subjects with metabolic syndrome
Sung-Kyung Kim, Yong Whi Jeong, Dae Ryong Kang, Jang Young Kim, Hunju Lee, Sang-baek Koh, Yoshihiro Fukumoto
PLOS ONE.2024; 19(7): e0305637. CrossRef
Salutogenesis intervention improves cardio‐cerebrovascular health in at‐risk office workers: A quasi‐experimental study
Ji Hyun Moon, Hosihn Ryu
Public Health Nursing.2024; 41(4): 690. CrossRef
Process evaluation of a mobile healthcare program among employees with overweight and obesity: a 12-week intervention study investigating the role of engagement
Imhuei Son, Jiyoun Hong, Young Hee Han, Bo Jeong Gong, Meng Yuan Zhang, Woori Na, Cheongmin Sohn, Taisun Hyun
Korean Journal of Community Nutrition.2023; 28(6): 466. CrossRef
Facilitators and barriers to achieving dietary and physical activity goals: focus group interviews with city bus drivers and counseling dietitians
Yongmin Jo, Suhyeun Cho, Young-Hee Han, Taisun Hyun
Korean Journal of Community Nutrition.2023; 28(5): 376. CrossRef
Effectiveness of a mobile health intervention on weight loss and dietary behavior changes among employees with overweight and obesity: a 12-week intervention study investigating the role of engagement
Imhuei Son, Jiyoun Hong, Young-Hee Han, Bo Jeong Gong, Meng Yuan Zhang, Woori Na, Cheongmin Sohn, Taisun Hyun
Korean Journal of Community Nutrition.2023; 28(2): 141. CrossRef
Predictors of Health Promotion Behaviors Among Working Adults at Risk for Metabolic Syndrome
Sungwon Park, Min Kyeong Jang, Chang Gi Park, Oi Saeng Hong
Nursing Research.2022; 71(4): 275. CrossRef
Inverse association of improved adherence to dietary guidelines with metabolic syndrome: the Seoul Metabolic Syndrome Management program
Dongwoo Ham, YoungYun Cho, Mi-Suk Park, Yun-Sug Park, Sun-Young Kim, Hye-Min Seol, Yoo Mi Park, Sunok Woo, Hyojee Joung, Do-Sun Lim
Nutrition Research and Practice.2020; 14(6): 621. CrossRef
The Effect of Community-based Health Intervention Program to Improve Metabolic Disease in Jeju Island
Woo Jin Kim, Sang Hoon Kim, Shin Young Park
The Korean Journal of Clinical Laboratory Science.2018; 50(3): 297. CrossRef

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[English]
Effects of an Education Program on Sanitation Status at Centers for Children's Food Service Management: Focusing on Jung-gu and Dong-gu regions of Daejeon Metropolitan City: Yu Jin Seo, Min Sun Jeon; Korean J Community Nutr 2015;20(6):447-459. Published online December 31, 2015; DOI: https://doi.org/10.5720/kjcn.2015.20.6.447

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OBJECTIVES
This study aimed to assess the improvement of teachers' sanitation performance and food distribution environment at Centers for children's food service management after a sanitation education program.
METHODS
The subjects were 119 teachers working at child care centers registered in the Daejeon Center for Children's Foodservice Management in Dongu and Jung-gu, Daejeon. The sanitation education was provided three times from March to August in 2014, and the survey questionnaires were distributed before and after the education. The sanitation status of food service environment of the centers was examined by ATP(adenosine-5'- triphosphate) bioluminescence.
RESULTS
After the sanitation education, the teachers showed higher levels of sanitation knowledge. Also, sanitation performance and recognition level of the importance of it significantly improved after the education program. The mean variation scores of importance and performance after the education were 0.14 and 0.23. According to the Importance-Performance Analysis (IPA) results of 26 sanitation attributes about the food service environment, the selection attributes with relatively low performance and importance were mostly distributed in the children's and distributer's personal hygiene management area. However, all attributes except using a personal water bottle and cup were moved to high performance and importance level. Also, the ATP examination results showed that the sanitation status of the food service environment was improved after the education program.
CONCLUSIONS
The sanitation education program was effective in improving the recognition of the importance of sanitation and its performance with regard to food service management.

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Relationship with the Perception of Foodservice, Nutritional Knowledge, and Foodservice Guidance of Day-Care Center Teachers in Gangwon Area
Seung-Lim Lee
Journal of the East Asian Society of Dietary Life.2024; 34(3): 203. CrossRef
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Seung-Lim Lee, Ji-Hye Kim, Hye-Ji Oh, Myeong-Jong Kim
Journal of the East Asian Society of Dietary Life.2024; 34(4): 262. CrossRef
A Study of Food Safety Knowledge for Sustainable Foodservice Management of Childcare Centers in South Korea Using Importance–Performance Analysis
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International Journal of Environmental Research and Public Health.2022; 19(15): 9668. CrossRef
Evaluation of Food Safety Management Status of Children’s Foodservice Facilities Using Sanitary Check Scores and ATP Bioluminescence Assay in Gyoengbuk Area
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Journal of the Korean Society of Food Science and Nutrition.2021; 50(2): 196. CrossRef
Comparison of Salinity and Sodium Content by the Salinity Measurement Frequency of Soups of Childcare Centers Enrolled in the Center for Children's Food Service Management in Daegu
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Korean Journal of Community Nutrition.2020; 25(1): 13. CrossRef
Research trends in obesity & obesogenic environments in Korea
Myoungsook Lee
Nutrition Research and Practice.2019; 13(6): 461. CrossRef
Effects of Periodic Visiting Education Support on the Sanitation Management of Foodservice Facilities for Children in the Local Small City: A Focus on the Yecheon-gun Area
Hye-Jin Pak, Chan-Ick Cheigh
Food Engineering Progress.2019; 23(3): 200. CrossRef
Analysis of Sanitary Safety Management Improvement for Children’s Food service in Chilgok-gun Area
Suk-Hyeon Park, Hyeon-A Jung
Journal of the East Asian Society of Dietary Life.2018; 28(5): 345. CrossRef
The Effect of Personality Type and Job Performance on Emotional Exhaustion and Job Satisfaction - Staff of the Center for Children's foodservice management -
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Korean Journal of Community Nutrition.2018; 23(6): 496. CrossRef
A study on the optimal variable transformation method to identify the correlation between ATP and APC
Hye-Kyung Moon, Jae-Kyoung Shin, Yang Sook Kim
Journal of the Korean Data and Information Science Society.2016; 27(6): 1465. CrossRef
A Comparison of Hygiene and Safety Management Execution depending on the Characteristics of Children's Food Service Facilities
Jin-Young Lee
The Korean Journal of Food And Nutrition.2016; 29(4): 573. CrossRef

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[English]
Middle School Students' Perception of Environment-friendly Agricultural Products (EAPs) and the Degree of Confidence about the Certification Mark in Daegu: Ji Yeon Jang, Mi Kyung Choi; Korean J Community Nutr 2013;18(4):324-332. Published online August 31, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.4.324

Abstract PDF PubReader: The purpose of this study was to investigate middle school students' perception of environment-friendly agricultural products (EAPs) and the degree of confidence about the certification mark. Questionnaires were distributed to 444 students of 6 middle schools located in Daegu, and a total of 416 responses were used for analysis. 28.6% of the respondents were using EAPs at home, and 62.0% of respondents didn't know whether to use EAPs at home. The 6 items representing the perception of EAPs were analyzed, resulting in 2 distinct dimensions-'benefits of EAPs' and 'attitude toward EAPs'. Regarding Benefits of EAPs, the score of 'EAPs better for health' was the highest, followed by 'EAPs have higher quality', 'EAPs were better for environmental protection', respectively. The proportion of students responded that 'the amount of pesticides should be reduced gradually' was 65.5% and only 3.4% for 'current level of pesticide use is not a problem'. There were significant differences between male and female students with regard to an interest in EAPs (p < 0.05) and opinion on the use of pesticides (p < 0.05), while no significant difference was found between groups with different education level of mothers. The respondents who use EAPs at home showed significantly higher scores with attitude toward EAPs (p < 0.001), and higher response rate for 'pesticides should not be used even if the price increases' (p < 0.05). Degree of confidence about the EAPs certification mark also affected students' perception of EAPs (p < 0.001). Our results indicate the importance of education for students on EAPs to enhance students' attitude towards EAPs and improve school meal satisfaction.

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[English]
The Housewives' Purchase Behaviors on Environment-friendly Agricultural Products in Daejeon Area: In Jung Kim, Joon Ho Lee; Korean J Community Nutr 2011;16(3):386-397. Published online June 30, 2011; DOI: https://doi.org/10.5720/kjcn.2011.16.3.386

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This study was to investigate the housewives' purchase behaviors on the environment-friendly agricultural products (EFAP) by survey in Daejeon area housewives. 390 questionnaires were used and analysed. Most of the subjects were female (92.6%) distributed evenly in their 40's (55.4%), and graduated from high school (43.6%) or college (36.4%). Subjects' occupation was most housewives (64.1%) and 77.4% of the subjects had monthly family income of 2 million won or more. 76.9% of the subjects had purchased EFAP already. The reason of purchasing EFAP was mainly "good for health" (80.3%), and reason for non-purchasing was "high prices" (28%) or "not so trustworthy" (25.6%). The most purchasing frequency was "once a week" (29%). 46.7% of the subjects spent 20% of their agricultural product cost for EFAP and 38.7% of them spent less than 30,000 won per month for EFAP. On checking of EFAP labeling, the housewives scored 3.59 for the validate date, 3.25 for the place of origin, 2.8 for the quality certification mark by 4-point Likert scale. 65.1% of the subject had intention to increase purchasing of EFAP in future. To promote the consumption of EFAP, the improvement factors were price-cutting (47.9%), trust on producers (18.2%) and quality betterment (17.7%). Accordingly, the consumers prefer EFAP for wellbeing health of families; however, they hesitate to buy due to their high price and the low reliability on producers of EFAP. Thus the producers and the related organization of EFAP should contrive proper countermeasures to increase consumer's satisfaction level on their credibility and price of EFAP.

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[English]
Satisfaction and Recognition Level of Environment-Friendly Agricultural Products in Cheongju Area: Na Ra Kim, Young Sun Cho, Seong Ai Kim; Korean J Community Nutr 2011;16(1):75-85. Published online February 28, 2011; DOI: https://doi.org/10.5720/kjcn.2011.16.1.75

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The purpose of this study was to investigate basic data on the degree of parents' recognition and satisfaction with the use of environment-friendly agricultural products. The conclusions of this study are as follows. The survey on the use of environment-friendly products in households showed that 68.7% of the respondents used environment-friendly products at home. The frequency of purchasing organic products by household consumers showed that 25.1% of the respondents bought organic products one to two times per week. The most popular items of the environment-friendly agricultural products used were vegetables, comprising 63.9%. The households with more than 3,000,000 won of monthly income tended to consume more domestic livestock products (p < 0.05). In comparison to general agricultural products, environment-friendly agricultural products users showed higher satisfaction level with a better quality in term of safety, quality, nutrition, taste, appearance, diversity and price. The degree of satisfaction with safety was the highest (3.8 +/- 0.68), and price showed the lowest (2.76 +/- 0.79). The degree of parents' recognition of the governmental support for environment-friendly agricultural products showed that those who were aware of the supporting policy were 44.5%, but 55.5% of them didn't know about the fact that 46.6% of the respondents agreed that environment-friendly agricultural products should be used in more than 50% of the foods used for school food service. The respondents pointed out that vegetables (45%) sprayed with pesticide are the most urgent food item that need to be replaced by environment-friendly farm products.

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[English]
Comparing School Lunch Program Served at Dining Room with Program at Classroom for Sanitation and Contentment at One Middle School: Hyun Jung Song, Hyun Kyung Moon; Korean J Community Nutr 2010;15(3):369-378. Published online June 30, 2010

Abstract PDF: School lunch programs at middle schools have increased in quantity. However, the quality of them is in fact not enough to reach the satisfactory standard, especially in the aspect of environment of school meals. It is true that there seems to be little attention to the environment. In this study, degree of satisfaction about school lunch program was surveyed for students in one middle school. Focus of survey was sanitary condition about the dining room and classroom where they have lunch. First, in order to investigate the degree of satisfaction about their dining place, questionnaire was sent out to the students at one middle school in Seoul. Questionnaire was made with reference to previous research. Second, for the study on environmental sanitation, dropping bacteria (general bacteria) is measured in three parts of dining place (entrance, serving table, dining table). Petriplate film was exposed to the responsible places for 15 minutes and then cultivated at the temperature of 32degrees C for 48 hours before counting the number of bacteria formed. For the statistical analysis, SPSS 12.0 was used. The results of the study show that students had more satisfaction in dining room service than in classroom service. Important factors for the meal program such as "taste of food", "amount of food per student", "state of keeping warm", "appearance of food", "diversity of menu", and "kindliness of feeding staff" had more points in dining room than in classroom. For the environmental and sanitary aspect, the result of dropping bacteria (general bacteria) in dining room and classroom showed that table (5.00) and fooddistribution corner (8.67) of dining room were cleaner than those of classroom (P < 0.05). Making a good environment for school feeding will have a positive effect on the improvement of satisfaction and sanitation of school feeding. There should be expansion of dining room service for the students.

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[English]
A Survey on Use of Environment-Friendly Agricultural Products for School Food Service by Dietitians in Chungnam Province: Yang Soon Lee, Nam Oak Lee, Sung Hee Ko; Korean J Community Nutr 2009;14(5):556-564. Published online October 31, 2009

Abstract PDF: The purpose of this study is to analyze the school dietitian's cognition, practical use of environment-friendly agricultural products to provide fundamental information for the qualitative improvement in the school food service. The results of the study are as follows: 1. It was clearly recognized that the subsidy for the school food service is generally insufficient, the amount of additional appropriate subsidy for the school food service was different according to type of school and roughly 300~600 won in each of foods needs to be supported. 2. The environmentfriendly agricultural products that were often used in the school food service were vegetables and grains. 3. In the analysis of cognition and problems toward using environment-friendly agricultural products, the dietitians recognized that environment-friendly agricultural products should be appropriately used. A reason that environmentfriendly agricultural products were better than general agricultural products was composed of a use of less additive, good ingredient, and good outer condition. 4. In the analysis of countermeasure on increasing environment-friendly agricultural products in the school meal service, the response to that more additional subsidy was necessary for the school food service. The highest and the most positive effects after using environment-friendly agricultural products were students' health improvement and improvement in parents' satisfaction with the school food service.

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[English]
The Perception for Management of School Foodservice Using of Environmentally Friendly Agricultural Products of Elementary School Children's Mothers in Gunsan: Hye Soon Chang, Mi Jung Lee; Korean J Community Nutr 2008;13(6):867-878. Published online December 31, 2008

Abstract PDF: The purpose of this study was to compare the degree of understanding about school foodservice management and environmentally friendly agricultural products between urban and rural elementary school children's mothers. The subjects were 280 elementary school children's mothers who lived in Gunsan city and the nearby countryside. The results are summarized as follows. The mothers in urban schools were higher on the degree of participation (p < 0.01) and interest (p < 0.01), but were lower on the degree of satisfaction (p < 0.001) for school foodservice than rural ones. The best improvement of school foodservice management was improving food tastes and qualities of the foodstuffs in urban schools and sanitation at the service area in the rural schools (p < 0.001). The school foodservice program contributed to cure the unbalanced diets and developing of bodies and minds; there was no difference of urban and rural schools. But eating habits in rural schools were more improved than urban schools (p < 0.001). The primary reason for using environmentally friendly agricultural products was to improve their health and in securing safe foods, there was no difference of urban and rural schools, but generating the farmer's income from the products in rural schools was higher than urban schools (p < 0.001). There are conflicting views between urban and rural schools for the additional costs brought by using the environmentally friendly agricultural products (p < 0.001). The order of preference on using environmentally friendly agricultural products was rice and various grains, vegetables, fruits, livestock, seasoning, etc. In conclusion, our central and local governments should change their roles in financially positive ways and reflect the issues in making the policy effective. Responsible administrators of school food suppliers run the system more faithfully with the above government support.

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[English]
The Utilization of Environment-Friendly Agricultural Products of College Students in the Seoul and Incheon Areas: Hyo Seon Choi, Kyung Ja Chang; Korean J Community Nutr 2007;12(6):742-751. Published online December 31, 2007

Abstract PDF: The purpose of study was to investigate the utilization of environment-friendly agricultural products of the college students attending nutrition education. The subjects were 387 college students (male 53.2%, female 46.8%) at universities in the Seoul and Incheon areas. A cross-sectional study was conducted by a self-administered questionnaire. The percentage of subjects who purchased environment-friendly agricultural products was 37.2%. The most purchased environment-friendly agricultural products were vegetables. The main reason for preferring the environment-friendly agricultural products was good for health (53.7%). Also, the main motive of purchasing the environment-friendly agricultural products was for health (87.5%). For the quality of the environment-friendly agricultural products, they answered 'safety' (4.19), 'freshness' (4.03) and 'nutrition' (3.90), respectively. For college students' right choices of environment-friendly agricultural products, information and consumer education on these products are necessary.

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[English]
The Effects of the Improvement of the Food Service Environment on Patients' Satisfaction with the Hospital Food Service: Focused on Case Studies: Seung Lim Lee, Yu Kyung Chang; Korean J Community Nutr 2003;8(4):566-573. Published online August 31, 2003

Abstract PDF: The purpose of this study was to assess how the changes in the food services environment on patients satisfaction with the hospital food service. Statistical data analyses were completed using the SPSS 11.0 program. The results can be summarized as follows: The flow line and environment of the food services in the hospital were improved through remodeling, which included the replacement of all cooking utensils, ventilation facilities and material storages, the purchase of a combi steamer, and the change of meal carts and trays. After the remodeling, the hospital food service was improved so that it provided spoons at each meal, diversified the menu utilizing the combi steamer, served event meals three times a week as well as water boiled with burned rice in the morning twice a week. In addition, various types of tableware were used in the table settings to produce attractive visual effects. Among the 10 items included on the patient satisfaction questionnaire, "satisfaction with offered menus" (p<0.01) showed significantly higher scores before the remodeling. "cooking/seasoning of food", "amount of meals" and "taste of meals" were not statistically significant, but showed increased satisfaction after the remodeling. However "temperature of food", "cleanliness of clothes and features" and "satisfaction with meal times" were not statistically significant, but showed decreased satisfaction after the remodeling.

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[English]
Study on Effective Methods for Reducing Leftovers in the Food Service Business & Industry: Mooyoung Jun, Hywsun Min; Korean J Community Nutr 2000;5(1):92-99. Published online March 31, 2000

Abstract PDF: A large amount of food waste in known to bring about many problems including environmental pollution. This study was carried out to investigate effective methods for reducing leftovers in the food service business & industry. The reasons for producing leftovers in food service restaurants, customers perferences of foods, cooking methods the degree of saltiness, and serving size were surveyed using questionnaire and the menu was improved based on the customers perferences. Excessively large serving sizes and the unfavorable cooking methods is food service were the main reason for the leftovers of side dish and one=dish foods. Because the largest amount of leftover came from soups & stews, an effective way of reducing leftovers in food service would be to reduce the serving size of soups & stews. Total leftovers was reduced to about 60% after improving menu (p<0.01) and the each leftover or rice, soup&stew, and side dishes was also reduced significantly after improving the menu(p<0.001) The environmental campaign to reduced food waste by bulletin intra-net using personal computers slogans & posters, and new letters was conducted for one week each and then leftovers were measured 9 times for following three weeks regularly. The total amount of leftovers decreased slightly due to the environmental campaign, but the difference was not significant. When we adopted penalty or prize system leftovers were decreased by about 35%(p<0.001) and the penalty system was more effective than the prize system in reducing leftover (p<0.001) When we compared the leftovers under the three services, a tray service was more effective in reducing leftover than complete self-service of partial self-service(p<0.001).

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