Korean Journal of Community Nutrition

Research Note

[Korean]
Development of 3D Printed Snack-dish for the Elderly with Dementia: Ji-Yeon Lee, Cheol-Ho Kim, Kug-Weon Kim, Kyong-Ae Lee, Kwangoh Koh, Hee-Seon Kim; Korean J Community Nutr 2021;26(5):327-336. Published online October 31, 2021; DOI: https://doi.org/10.5720/kjcn.2021.26.5.327

Objectives
This study was conducted to create a 3D printable snack dish model for the elderly with low food or fluid intake along with barriers towards eating. Methods: The decision was made by the hybrid-brainstorming method for creating the 3D model. Experts were assigned based on their professional areas such as clinical nutrition, food hygiene and chemical safety for the creation process. After serial feedback processes, the grape shape was suggested as the final model. After various concept sketching and making clay models, 3D-printing technology was applied to produce a prototype. Results: 3D design modeling process was conducted by SolidWorks program. After considering Dietary reference intakes for Koreans (KDRIs) and other survey data, appropriate supplementary water serving volume was decided as 285 mL which meets 30% of Adequate intake. To consider printing output conditions, this model has six grapes in one bunch with a safety lid. The FDM printer and PLA filaments were used for food hygiene and safety. To stimulate cognitive functions and interests of eating, numbers one to six was engraved on the lid of the final 3D model. Conclusions: The newly-developed 3D model was designed to increase intakes of nutrients and water in the elderly with dementia during snack time. Since dementia patients often forget to eat, engraving numbers on the grapes was conducted to stimulate cognitive function related to the swallowing and chewing process. We suggest that investigations on the types of foods or fluids are needed in the developed 3D model snack dish for future studies.

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3D Printing Technology : Food Tech Analysis
Yuri Kim, Hyun-Jung Yun, Bum-Keun Kim, Hee-Don Choi, Yun-Sang Choi
Resources Science Research.2022; 4(1): 1. CrossRef

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Review

[English]
Defining Food Literacy and Its Application to Nutrition Interventions: A scoping Review: Hye lim Yoo, Eun bin Jo, Kirang Kim, Sohyun Park; Korean J Community Nutr 2021;26(2):77-92. Published online April 30, 2021; DOI: https://doi.org/10.5720/kjcn.2021.26.2.77

Abstract PDF

Objectives
Food literacy (FL) can be an important concept that embodies the nutritional capabilities of individuals. The purpose of this study was to introduce the definition and core elements of FL from previous literature, to summarize measurement tools and intervention programs with FL, and to suggest the direction of future research and programs to integrate the concept of FL. Methods: The literature review was conducted through PubMed and Google Scholar databases by combining the search term ‘food literacy’ with ‘definition’, ‘measurement’, ‘questionnaire’, ‘intervention’, and ‘program’. Among the 94 papers primarily reviewed 31 manuscripts that suited the purpose of the study were used for analyses. Results: There is no consensus on the definition of FL that encompasses the multidimensional aspects of the concept. The definitions of FL were slightly different depending on the authors, and the interpretation of the core elements also varied. Based on the review, we propose a framework of FL that is in line with the current discussion among international researchers. This focuses on the core elements adapted from health literacy, namely functional, interactive, and critical FL. Specifically, we suggest some detailed elements for interactive and critical FL, which were often the subject of divergent views among researchers in previous literature. We found that most of the tools in the reviewed literature provided information on validity and reliability and were developed for a specific target population. Also, most of the tools were focused on functional FL. Similarly, most of the interventions targeted functional FL. Conclusions: This study reviewed the definition and core elements of FL, available measurement tools, and intervention programs using validated tools. We propose the development of tools with sound reliability and validity that encompass the three core elements of FL for different age groups. This will help to understand whether improving food literacy can translate into better nutritional intake and health status among individuals and communities.

Citations

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Development of an evaluation tool for dietary guideline adherence in the elderly
Young-Suk Lim, Ji Soo Oh, Hye-Young Kim
Journal of Nutrition and Health.2024; 57(1): 1. CrossRef
The development, psychometric properties and refinement of a food literacy scale for specific and general application
Hennie Fisher, Marietjie Potgieter
International Journal of Gastronomy and Food Science.2024; 35: 100862. CrossRef
Status of Food Literacy and Association with the Nutrition Quotient among Korean Adults
Geum-Bi Ryu, Young-Ran Heo
Human Ecology Research.2024; 62(3): 399. CrossRef
Who has a high level of food literacy, and who does not?: a qualitative study of college students in South Korea
Hyelim Yoo, Eunbin Jo, Hyeongyeong Lee, Eunji Ko, Eunjin Jang, Jiwon Sim, Sohyun Park
Nutrition Research and Practice.2023; 17(6): 1155. CrossRef
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
Food literacy and its relationship with food intake: a comparison between adults and older adults using 2021 Seoul Food Survey data
Seulgi Lee, Sohyun Park, Kirang Kim
Epidemiology and Health.2023; : e2023062. CrossRef
Nutrition and Food Literacy in the MENA Region: A Review to Inform Nutrition Research and Policy Makers
Hala Mohsen, Yonna Sacre, Lara Hanna-Wakim, Maha Hoteit
International Journal of Environmental Research and Public Health.2022; 19(16): 10190. CrossRef
Development of a Food Literacy Assessment Tool for Healthy, Joyful, and Sustainable Diet in South Korea
Hyelim Yoo, Eunbin Jo, Hyeongyeong Lee, Sohyun Park
Nutrients.2022; 14(7): 1507. CrossRef
Effects of University Students’ Perceived Food Literacy on Ecological Eating Behavior towards Sustainability
Yoojin Lee, Taehee Kim, Hyosun Jung
Sustainability.2022; 14(9): 5242. CrossRef
The Relationships between Food Literacy, Health Promotion Literacy and Healthy Eating Habits among Young Adults in South Korea
Yoojin Lee, Taehee Kim, Hyosun Jung
Foods.2022; 11(16): 2467. CrossRef

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Original Articles

[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

Abstract PDF PubReader

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]
Nutrition Diagnostic Analysis for Nutrition Care Process Model in Adults of a Health Screening & Promotion Center: Hye Seung Lee, Ji Ho Chang, Hyeon Jeong Lee, So Jeong Park, Eun Hee Kang; Korean J Community Nutr 2015;20(1):61-72. Published online February 28, 2015; DOI: https://doi.org/10.5720/kjcn.2015.20.1.61

Abstract PDF PubReader

OBJECTIVES
This study was performed to examine nutrition problems and causes/contributing risk factors.
METHODS
This study was conducted using data 1,863 adults visited Asan health screening & promotion center located in Seoul, Korea during May to June of 2013. We used Nutrition Care Process Model developed by the International Dietetics & Nutrition Terminology (IDNT).
RESULTS
The most frequent nutrition problem in male subjects was excessive alcohol intake. Men in fifties showed the highest rate of excessive alcohol intake among the age groups examined (22.4%). By comparison, the most frequent nutrition problem in women was inadequate protein intake. Women in fifties exhibited the highest rate of inadequate protein intake (22.5%). The most common contributing factors for these observations were a low preference for dairy products followed by high preference for alcohol and a deficit in food-and nutrition-related knowledge, regardless of the sex and age. The most common nutrition problem observed among the group diagnosed with hyperglycemia or hypertriglyceridemia or hyperuricemia or fatty liver was excessive alcohol intake (p<0.001), whereas the group diagnosed with hyperglycemia or hypercholesterolemia showed significantly higher rate of inappropriate intake of carbohydrate (fructose) compared to the group not diagnosed with such disease conditions (p<0.05). The group diagnosed with hypercholesterolemia, hyperuricemia and fatty liver showed significantly higher occurrence of inappropriate intake of fat (saturated fat) than the group free of such diseases (p< 0.001). The osteopenia group showed higher rate of inadequate protein intake (p<0.001) and the fatty liver group with excessive energy intake (p<0.001). Overall, the results suggest that there is a significant relationship between nutrition problems and health conditions found in groups diagnosed with a diverse array of medical conditions.
CONCLUSIONS
Therefore, we strongly suggest that dieticians should implement nutrition interventions with people visiting health screening & promotion center based on nutrition problems and the contributing factors diagnosed by dietitions in order to prevent chronic diseases in this population.

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Importance and Performance of Nutrition Management for In-Patients with Dysphagia Perceived by Dietitians at Clinical Settings in Seoul and Gyeonggi Areas
Kyung-Eun Lee, Dasom Kim
Journal of the East Asian Society of Dietary Life.2019; 29(5): 421. CrossRef
Association of Bone Mineral Density and Blood Pressure, Calcium Intake among Adult Women in Seoul · Kyunggi Area - Based on 2011 KNHANES -
Jae Ok Koo
Korean Journal of Community Nutrition.2013; 18(3): 269. CrossRef
The Relationship among Insulin Resistance, Blood Profiles and Nutrient Intake in Overweight or Obese Children and Adolescents
Jae-Hee Kim, Eun-Kyung Kim
Korean Journal of Community Nutrition.2012; 17(5): 530. CrossRef
Dietary and Lifestyle Factors Associated with Hypertension in Korean Adolescents -Based on 2005 Korean National Health and Nutrition Examination Survey-
Killye Kim, Sook Mee Son, Hye-Kyeong Kim
Korean Journal of Community Nutrition.2011; 16(4): 439. CrossRef
Effects of a Health Education Program for Elementary School Children in Gyeonggi-do Rural Area
Jae Yeon Lim, Hye Bock Na
Korean Journal of Community Nutrition.2011; 16(1): 1. CrossRef

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[English]
The Association between Changes in Food and Nutrient Intakes and Changes in Bone Metabolic Indicators in Postmenopausal Women with Osteopenia after a 12-week Intervention of Nutrition Education and Aerobic Exercise: Seo Jin Kim, Suh Jung Kang, Yoon Jung Park, Ji Yun Hwang; Korean J Community Nutr 2013;18(3):213-222. Published online June 30, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.3.213

Abstract PDF PubReader

Few studies investigated the effects of nutrition education and exercises in women with osteopenia. This study examined the relationship between changes in dietary intakes and changes in indicators related to bone health in postmenopausal women with osteopenia (-2.5 < or = T-score < or = 1) after a 12-week intervention. Thirty-one postmenopausal women aged > 50 years residing in Seoul were recruited and participated in nutritional education regarding bone health and general nutrition practices and aerobic exercises (three times a week; 60 min per session). Twenty-five subjects completed the study and were eligible for the analysis. Bone mineral density (BMD) at femoral neck was measured by dual energy x-ray absorptiometry. Serum calcium, osteocalcin, and intact parathyroid hormone (PTH) were also measured. Dietary intake was estimated by using a one-day 24 recall by a clinical dietitian. After 12 weeks, meat consumption increased (P = 0.028) but vegetable intake decreased (P = 0.005). Intakes of animal protein (P = 0.024), vitamin B1 (P = 0.012) and vitamin B2 (P = 0.047) increased, and sodium intake decreased (P = 0.033). Intact PTH (P = 0.002) decreased and osteocalcin (P = 0.000) increased, however, BMD decreased (P = 0.000). Changes in mushroom consumption were positively correlated with femoral neck BMD (r = 0.673, P = 0.003). Changes in animal iron intake were negatively correlated with intact PTH (r = -0.488, P = 0.013) but were positively correlated with osteocalcin (r = 0.541, P = 0.005). These results suggested that the association between animal iron intake and biochemical markers of bone turnover may play an important role in bone metabolism. Further studies are needed to shed light on complicated mechanisms of diet, hormonal levels of bone metabolism, and bone density.

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A Comparison of Salty Taste Assessment, Dietary Attitude and Dietary Behavior among Adult and Senior Women by Region and by Age in Korea
Lin Jiang, Yun-Young Jung, Hyung-Sook Kim, Gi-Seon Nam, Jin-Sook Yun, Jong-Wook Kim, Yeon-Kyung Lee
Korean Journal of Community Nutrition.2015; 20(2): 109. CrossRef

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[English]
A Study on Customized Nutrition Intervention Program Design and Application for the Low-Income Elderly: Hyun Joo Do, Youngmee Lee; Korean J Community Nutr 2011;16(6):716-729. Published online December 31, 2011; DOI: https://doi.org/10.5720/kjcn.2011.16.6.716

Abstract PDF PubReader

This study aimed to plan nutrition support programs for the elderly living alone whose nutrition status were seriously concerned, conducted seven stages nutrition intervention program on a trial basis, and evaluated the effectiveness of the program of the Elderly Nutrition Support Project. Subjects were selected for personalized nutrition management based on nutritional risk score and nutrition intervention were tailored to the problems occurred. The elderly nutrition support program targets were 44 senior citizens who lived alone with low income. The 33 (as Type 1) of the subjects with whom milk, tofu, seaweed, eggs, black beans have been supported, and also provide nutrition education, and the rest 11 persons (as Type 2) to whom food was not supported but provide nutrition education programs. As a result, all subjects showed that compared with pre and post program implementation, their daily exercise time and milk and protein consumption level were increased and some improvement was observed regular meals consumption and low-salt diets. Their nutrient intake level such as calories, protein, calcium, iron improved after implementation. In addition, NSL DETERMINE scores significantly improved from 13.21 to 7.24 in Type 1 and 11.27 to 9.91 in Type 2. As positive dietary behavioral changes were observed as in that they purchased more protein and calcium rich foods.

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Jin Mo Khil
Journal of Nutrition and Health.2021; 54(1): 39. CrossRef
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Yeyeon Lee, Narae Yang, Minjeong Shin, Kyung-Eun Lee, Chang Hee Yoo, Kirang Kim
Journal of Nutrition and Health.2020; 53(4): 416. CrossRef
Effects of a Health Promotion Empowerment Program Using a Resident Volunteer as a Lay Health Leader on Frail Elders' Health and Empowerment
Jeong Sook Park, Yun Jung Oh
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 335. CrossRef
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Ji-Hyun Park, Min-Ji Kang, Jung-Sook Seo
Journal of Nutrition and Health.2018; 51(4): 307. CrossRef
A Qualitative Study on Needs of Convenience Meal from the Low-income Female Elderly
Ji-Eun Jang, Ji-Na Kim, Soojin Park, Weon-Sun Shin
Journal of the Korean Society of Food Culture.2014; 29(2): 163. CrossRef
An Evaluation of the Dietary Status for Developing Assistance Programs for Daily Lives of Elderly Individuals in Rural Korea
Jin-Sook Yoon, Min-Kyoung Song, Hye-Jin Lee, Shin-Young Lee, Hee-Keum Cho, Yoon-Ji Choi
The Korean Journal of Community Living Science.2014; 25(2): 163. CrossRef
Qualitative study on home delivery meal services for the elderly
Sunhee Seo, Eunju Yu, Og Yeon Kim
Journal of Nutrition and Health.2013; 46(6): 589. CrossRef

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[English]
Effect of School Lunch Menu Intervention through Calcium Enriched Menus on Nutrient Intakes of High School Girls: Eon Kyoung Lee, Young Sun Choi, Bok Seon Bae; Korean J Community Nutr 2011;16(2):265-277. Published online April 30, 2011; DOI: https://doi.org/10.5720/kjcn.2011.16.2.265

Abstract PDF PubReader

This study was conducted to improve the nutritional status of high school girls via lunch menu intervention. Surveys were carried out twice to evaluate basal status and status after lunch menu intervention. In the first survey nutrient intakes of 24-hour and school lunch were each estimated by 24-hour recall dietary survey and self-recording, respectively. Calcium intake was the lowest among nutrients, and stir-frying was the most preferred cooking method. Five dishes of school lunch menus which were included in the first survey were replaced with recipes containing foods with higher calcium level; anchovy stir-fried with red pepper paste, anchovy stir-fried with almond, pork stir-fried with shredded kelp, crab meat soup, and tteokbokki with cheese. In the second survey calcium intake from school lunch was significantly (p < 0.001) increased from 45.5% to 50.2% of one thirds of recommended intake (RI) after calcium enriched lunch menu intervention. Intakes of vitamin A and E were also significantly increased, whereas those of energy, thiamin, and vitamin C were decreased. Index of nutritional quality values of nutrients of 24-hour intakes (except thiamin, vitamin B6, vitamin C) is increased by intervention; however, those of calcium, folic acid, iron are still very low. Even though this study shows a possibility of improving nutrient intakes of students through school lunch menu intervention, lunch intervention by itself is not enough action to improve nutritional status of micronutrient for adolescents.

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Study on Necessity of Updating Nutritional Standards for School Lunch Programs in Korea
Meeyoung Kim, So-young Kim, Jihyun Yoon
Journal of the East Asian Society of Dietary Life.2017; 27(2): 137. CrossRef
Study on Improvement of Elementary School Food Service by Applying Preferred Recipes to Disliked Seafood Menus
Ji-Hye Seong, Mi Jeong Kim
Journal of the East Asian Society of Dietary Life.2017; 27(4): 387. CrossRef
Calcium and Milk Intake of Elementary School Students from School Foodservices - Focus on the Gyeongsangbukdo Province -
Sun-Hee Park, Kyeung-Soon Lee, Soo-Kyong Choi, Jung-Sook Seo
Journal of the Korean Dietetic Association.2014; 20(1): 12. CrossRef
Characteristics of School Menus from the Daegu and Gyeongbuk Area
Seon Woo Ahn, Mi-Kyung Choi
Journal of the Korean Society of Food Science and Nutrition.2013; 42(6): 983. CrossRef

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[English]
A Study of the Sustainability of NutriPlus Program Effect - in Pohang Area -: Ji Hye Kang, Ho Kyung Ryu; Korean J Community Nutr 2011;16(2):206-214. Published online April 30, 2011; DOI: https://doi.org/10.5720/kjcn.2011.16.2.206

Abstract PDF PubReader

This study was conducted to investigate the effect of the NutriPlus+ Program and to observe how the improved statuses were maintained after the program's termination. The subjects were infants and their parents, who have participated in the NutriPlus+ Program conducted by South Healthcare Center in Po-hang for longer than six months, during the period 2007 - 2010. The survey was conducted with questionnaires, and scores were tabulated from each question. After the intervention of the program, scores representing degrees of nutrition knowledge and nutrition attitude increased. The rate of nutritional risk by anthropometric measurement decreased, and the prevalence rate of anemia was significantly decreased as well. The number of subjects lacking any nutrients, except for iron and vitamin C, decreased, which indicates that the NutriPlus+ Program was effective. After enough time had passed after the intervention's completion; however, the scores of nutrition knowledge and nutrition attitude decreased. The number of subjects with low height and weight (proportional to their age) relatively decreased, and the prevalence rate of anemia increased slightly. The number of subjects lacking in energy and calcium consumption increased as well, which indicates that the effect of the NutriPlus+ Program was not maintained after the program's termination.

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Study on the correlation between nutrition knowledge, dietary attitudes of guardians, and nutritional status of infants and toddlers - Nutrition-Plus program in Jeonju
Eun Young Song, Jeong Ok Rho
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Hye Kyung Nam
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Changes of Knowledges and Attitudes on Nutrition after 'NutriPlus Program', part of Convergence Education
Mi-Sun Jang, Hyun-Hee Park, Eun-Hee Park, Hae-Ryoung Park
Journal of Digital Convergence.2015; 13(5): 385. CrossRef
The Cost-Benefit Analysis of the NutriPlus Program in Daejeon Dong-gu Health Center
Hyun Ju Kim, Sung Han Kim
The Korean Journal of Food And Nutrition.2015; 28(4): 717. CrossRef
The Effect of NutriPlus Program among 1-5 Year Children in Daejeon Area - The Improvement in Nutritional Status of Children and Nutrition Knowledge and Attitude of Parents -
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Korean Journal of Community Nutrition.2013; 18(1): 1. CrossRef
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 Journal of Community Nutrition.2013; 18(5): 525. CrossRef

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[English]
Effectiveness of Nutrition Intervention : Systematic Review & Meta-Analysis: Hae Young Lee, Hyun Ah Kim, Il Sun Yang, Chung Mo Nam, Eun Cheol Park; Korean J Community Nutr 2004;9(1):81-89. Published online February 29, 2004

Abstract PDF: A systematic review and meta-analysis of the literatures was conducted to evaluate the effectiveness of nutrition intervention by dietitian. The 31 studies that were all randomized controlled trials, were identified from computerized search of published researches on MEDLINE, Embase database until January, 2003 and review of reference lists. The main search terms were the combination "dietitian", "dietary intervention", "nutrition intervention" or "nutritional intervention" and "effectiveness". The subgroup analysis was performed by the publication year, quality score, type of disease, content of intervention, intervention provider, type of intervention (nutritional counseling and education/nutrition counseling and education + diet modification), method of intervention (individual/group/individual + group) and follow-up period. Two reviewers independently selected trials for inclusion, assessed the quality and extracted the data. The meta-analysis of 31 studies based on the random effect model showed that the medical nutrition therapy was significantly effective in treating the diseases (effect size 0.1715 ; 95% confidence interval 0.0938 - 0.2491). This study showed the clear evidence of the effectiveness of nutrition intervention through the meta-analysis. So the nutrition intervention by dietitian should be recommended and recognized as the effective therapy of treating the diseases. Also the nutrition intervention should be conducted regularly to maintain the effectiveness of the nutrition intervention. The nutrition intervention was significantly effective in treating the diseases on the random effect model (effect size :0.1715 ; 95% confidence interval 0.0938 - 0.2491).

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[English]
The Nutritional Status and Intervention Effects of Multivitamin-Mineral Supplementation in Nursing-Home Residents in Korea: Wha Young Kim, Sho Young Ahn, Yo Suk Song; Korean J Community Nutr 2000;5(2):201-207. Published online July 31, 2000

Abstract PDF: This study was performed to assess the nutritional status of nursing home residents and to assess the effect of nutrition intervention. The subjects were 123 people aged over 60 years from 5 different nursing homes. The nutrition intervention study was carried out by supplementing their diet with multivitamin-minerals for 2 months. The mean intakes of most nutrients did not meet the RDA, Though the nutrient content of the menus provided by the facilities were satisfactory. Nutrients of which intakes fell below 75% of the RDA were protein, Ca, Fe, vitamin A vitamin B1, and vitamin B2. The BMIs of male and female subjects were 22.0 kg/m2 and 24.6 kg/m2 and the WHRs were 0.92 and 0.90, respectively. The percentage of subjects with hypertention (BP> or =140/90 mmHg) and with anemia(Hb< or =13 mg/100ml in men, Hb< or =12 mg/100ml in women) were 34.6% and 41.9%, respectively. The serum cncentrations of albumin, total protein, triglyceride, total cholesterol, HDL-cholesterol, and total lipid fell within normal ranges. However, 27.5% of the subjects showed a high serum cholesterol level of over 250 mg/100ml. The concentration of C3 was 81.2 mg/100ml, IgG, 1343 mg/100ml, and IL-2, 0.766 mg/ml. after 2 months of vitamin-mineral supplementation, the levels of blood glucose and total cholesterol were significantly decreased and triglyceride was significantly increased. The vitamin-mineral supplementation had no effect on the mean levels of vitamin A and E, IgG, IL2, and C3. However, the intervention resulted int he improvement of serum vitamin A and E levels when the subject's serum levels were low before the supplementation.

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[English]
Strategies to Improve Nutrition for the Elderly in Suwon : Analysis of Dietary Behavior and Food Preferences: Kyeong Sook Yim, Young Hee Min, Tae Young Lee, Young Joo Kim; Korean J Community Nutr 1998;3(3):410-422. Published online August 31, 1998

Abstract PDF: To promote health status, strategies and interventions to improve nutrition should be based on the proper diagnosis of the subject's eating patterns. The elderly usually have traditional food habits and preferences, and it is very difficult to change them. This study was designed to identify dietary behavior and food preference of the elderly, in order to provide baseline data for the Elderly Nutrition Intervention Program for the Public Health Center. A survey questionnaire was made for use by trained interviewers to query 151elderly people from 5 community elderly centers located in Suwon, Korea. The majority of them ate regularly and partook of all available side dishes. Their major dietary problems were frequent consumptions of salty foods, and eating too quickly. They consumed grains and vegetables regularly, but seldomly ate dairy products, fruits, meat and food prepared with oil. They also tended to eschew ready made processed food, high cholesterol food, and fast food. Also they did not dine out as much as younger people. Desirable eating habit score were not significantly influenced by socioeconomic variables and nutrition-related characteristics. These included nutrition knowledge, Nutritional Risk Index(NRI) and a score of health concerns. However, meal balance scores were significantly higher in the younger group(p<.05), the higher household income group(p<.05). According to stepwise multiple regression analysis, NRI was the most important determinant of a desirable eating habit score for the male elderly, whereas the score of health concerns was most important for female elderly subjects. The greatest predictor of the meal f balance score was nutrition knowledge. The elderly liked sweet tasting food, grains, rice, stews and Korean style soups. They disliked sour food, dairy products, processed food, and bread. The results indicate that the Elderly Nutrition Education Program should focus on increasing consumption of dairy products, fruits and food with oil, prepared by traditional Korean cooking methods. It also suggests that the program planning should consider the socioeconomic status of the elderly, such as income and education level, as well as concern for health.

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