Objectives This review examines the nutritional challenges among Korean adolescents and young adults from life-course and behavioral science perspectives and proposes an integrated, community-based nutrition strategy for this critical transitional period.
Methods A narrative review was conducted following the Scale for the Quality Assessment of Narrative Review Articles guidelines. Literature published between January 2015 and June 2025 was retrieved from PubMed, Google Scholar, and Research Information Sharing Service using keywords related to adolescent and young adult nutrition, life course approaches, behavioral nutrition, and personalized nutrition. Policy documents from the World Health Organization, Food and Agriculture Organization of the United Nations, United Nations Nutrition, and Korean government agencies were also included. A total of 40 references (32 peer-reviewed articles and 8 policy reports) were analyzed.
Results Korean adolescents and young adults exhibited high rates of skipping breakfast (> 38.3%), obesity, and excessive sodium and sugar intakes, with disparities driven by socioecological determinants. The Developmental Origins of Health and Disease framework highlights adolescence as the “second window of plasticity” for reshaping long-term health trajectories. Two behavioral frameworks were synthesized: the Formation–Maintenance Model, distinguishing adolescent (Learn–Practice) and young adult (Sustain) stages, and the socioecological nutrition model, addressing multi-level influences on dietary behavior. A structural discontinuity in public nutrition support, termed the “School-to-Society Nutrition Gap,” was identified. Community-based, participatory, and digitally integrated interventions showed strong potential for sustaining behavioral change.
Conclusion A personalized life-course nutrition strategy based on a Learn-Practice-Sustain framework was proposed. A Community-Linked Circular Nutrition Model was presented to bridge the gap between school-based and community-level nutrition systems, emphasizing nutrition equity and digital engagement as key drivers of sustainable health outcomes.
Objectives This study examined the secular trends in anthropometric changes and the nutritional transition among Korean infants and school-aged children, while evaluating the efficacy and constraints of existing state-led nutritional policies. Ultimately, it proposes a “systems-centered” nutrition strategy, aligned with the United Nations Children’s Fund (UNICEF) Nutrition Strategy 2020–2030, to ensure health equity for future generations.
Methods We reexamined comprehensive national health statistics, including school health examination data (1965–2024) and the Korea National Health and Nutrition Examination Survey (1998–2023). Additionally, Dietary Screening Test results from 126,768 young children (2021–2024) were reviewed. These quantitative findings were synthesized through a narrative review of South Korean pediatric nutrition policies and UNICEF’s global strategic frameworks.
Results While Korean children have historically experienced rapid secular growth, this has decelerated in the 2000s. Conversely, the prevalence of obesity has surged along with stagnant underweight rates. Dietary problems such as insufficient vegetable intake and frequent consumption of sweet snacks were also found, accelerating the “triple burden” of malnutrition. Policies such as school lunches, NutriPlus program, and Center for Children’s Foodservice Management have demonstrated great success in reducing nutritional risks and improving dietary habits. However, existing fragmented programs face limitations in comprehensively addressing regional disparities or blind spots and in providing tailored nutritional management.
Conclusion A paradigm shift is imperative to fundamentally resolve these multidimensional nutritional crises. Moving beyond fragmented programs, we need to adopt a “systems- centered” approach integrating health, education, and welfare ecosystems. Key policy recommendations include establishing a continuous life-cycle health database, introducing artificial intelligence and FoodTech-driven precision nutrition coaching, and fostering a healthy food environment through public-private partnerships within a community integrated care network.
Objectives This study aimed to examine the current status of foodservice management and nutrition education practices, and the needs for individuals with developmental disabilities in welfare centers in Seoul and Gyeonggi, South Korea, and to compare the differences according to dietitians’ level of understanding of developmental disabilities.
Methods A cross-sectional survey was conducted among dietitians working at 65 welfare centers, and data from 45 centers were analyzed. The questionnaire assessed general characteristics, foodservice operations, nutrition education practices, perceived needs, and the understanding of developmental disabilities. Participants were classified into high- (n = 17) and low-understanding (n = 28) groups based on their self-rated understanding of developmental disabilities. Data were analyzed using IBM SPSS Statistics 29.0 (IBM Corp.).
Results All centers provided one daily meal (lunch), with one cook serving an average of 116 individuals. Only 11.1% of centers implemented nutrition education, primarily limited due to insufficient time and low expectations regarding the effectiveness of nutrition education. Overall, no significant differences were observed between the two groups in most aspects of foodservice management and nutrition education practices, although some specific items showed significant differences. The high-understanding group reported a significantly greater perceived need for nutrition education and placed higher importance on rapport-building and situational response skills. These findings suggest that structural constraints, including staffing, budget, and limited resources, may play a greater role than individual- level understanding in shaping foodservice and nutrition education practices.
Conclusion Welfare centers showed limited capacity to provide tailored foodservice and systematic nutrition education for adults with developmental disabilities. Strengthening staffing standards, improving foodservice environments, and developing standardized educational materials that consider communication levels are necessary. Moreover, expanding professional training opportunities for dietitians and establishing institutional support systems are essential to enhance sustainable nutrition education practices.
Objectives This study aimed to develop a NOVA-based scoring approach for evaluating ultra- processed food (UPF) intake among Korean adults and to examine its performance. Previous studies have reported that young adults have the highest levels of UPF consumption. Accordingly, this study focused on adults aged 19–40 years and developed scoring components reflecting dietary patterns specific to Korean eating habits.
Methods Using 24-hour dietary recall data from adults aged 19–40 years in the Korea National Health and Nutrition Examination Survey (2021–2023), foods were classified according to the Korean-adapted NOVA system. The top 10 food groups accounting for ≥ 80% of cumulative UPF-derived energy were selected to construct the scoring components. The tool was operationalized using food frequency questionnaire (FFQ) data from the Gangwon cohort study (2022–2024). Intake frequencies were converted into scores ranging from 0 (“rarely or never”) to 5 (“≥ 1 time/day”), and summed to generate the NOVA–UPF score (range: 0–50).
Results Among 237 young adults (aged 20–49 years), the mean NOVA–UPF score was 22.9 ± 8.3. A positive association was observed between the NOVA–UPF score and FFQbased UPF energy intake (Spearman’s ρ = 0.629, P < 0.001). Cross-classification showed that 51.9% were classified into the same tertile and 94.9% into the same or adjacent tertiles, with a weighted kappa coefficient of 0.279.
Conclusion This NOVA-based scoring approach may serve as a preliminary tool for assessing UPF intake in Korean young adults. Further refinement and rigorous validation using quantitative dietary assessment methods and more diverse populations are required before broader application.
Objectives This study aimed to examine whether the dietary quality of congregate lunches differs according to meal location among older adults and to identify meal settings that may represent gaps in nutritional oversight. Specifically, this study compared lunchtime nutrient intake and adequacy among older adults eating at workplaces, welfare centers, and religious institutions.
Methods Data were obtained from the 2018–2021 Korea National Health and Nutrition Examination Survey. The participants included 487 adults aged ≥ 65 years who reported consuming lunch at institutional meal sites, including workplaces (n = 187), welfare centers (n = 145), and religious institutions (n = 155). Nutrient intakes, nutrient adequacy ratio (NARs), and the mean adequacy ratio were compared using complex-sample general linear models with Bonferroni post-hoc tests, adjusting for sex, age, and total energy intake.
Results Socioeconomic characteristics were broadly comparable across groups, but nutrient intake and dietary quality differed according to meal location. In food-group analyses, meat intake was lowest among participants eating at religious institutions, and dairy intake also differed significantly across settings. In nutrient adequacy analyses, NAR for carbohydrate, thiamin, and niacin differed significantly by meal location. However, except for carbohydrate, most nutrient-specific NAR remained below 1.0 across all groups, indicating insufficient adequacy relative to one-third of the recommended intake from lunch alone.
Conclusion The dietary quality of congregate lunches among older adults differed according to meal location. Although nutrient inadequacy was common across settings, older adults eating at religious institutions showed relatively lower adequacy for some nutrients, particularly thiamin and niacin. These findings suggest that nutritional support should be strengthened across congregate meal services, with particular attention to less structured community-based settings such as religious institutions.
Objectives To assess whether the use of free meal services is associated with diet quality among older adults living alone in Incheon, Korea, by comparing the Nutrition Quotient for the Elderly (NQ-E), index of nutritional quality (INQ), and mean adequacy ratio (MAR).
Methods A cross-sectional survey was conducted from March 5 to April 24, 2025 using one-to-one interviews and partially self-administered questionnaires. After excluding cases with missing responses or energy intake of < 500 kcal/day, 119 participants were analyzed (56 men and 63 women). A single 24-hour recall was used to calculate INQ and MAR. NQ-E was evaluated using total and subdomain scores. Group comparisons and sex-stratified multiple linear regression analyses were performed.
Results Diet-quality indicators were higher among service users than among non-users. INQ for thiamin and riboflavin was significantly higher in men than in women. Meanwhile, INQ for zinc, vitamin A, riboflavin, and folate was higher in women than in men. In both sexes, MAR was higher among users than among non-users (men: 0.8 ± 0.2 vs. 0.6 ± 0.2; women: 0.7 ± 0.2 vs. 0.5 ± 0.2; P < 0.001 for all). Differences in NQ-E total scores were small. Among women, the practice subdomain score was higher in users than in non-users (66.0 ± 16.4 vs. 55.2 ± 15.5; P = 0.016), and the proportion in upper grades was greater (P = 0.030). Regression analysis showed that service use was negatively associated with NQ-E in men (P = 0.007) and positively associated with MAR in women (P = 0.010).
Conclusion Use of free meal services was associated with improved diet quality, as reflected by MAR and INQ for specific nutrients, and with higher NQ-E practice scores observed in women than in men. Policies should prioritize food-insecure groups and support sustained participation.
Objectives We mapped trends in studies on dietary behaviors, nutritional status, and nutrition-related education among individuals with developmental disabilities in Korea over the past decade to identify research gaps and inform future research and policy development.
Methods A scoping review was conducted using three major Korean academic databases (RISS, KISS, and DBpia). Studies published between 2015 and September 2025 were identified using combinations of keywords related to developmental disabilities, dietary behavior, nutrition, and health-related interventions. Eligible studies included empirical studies and secondary research (e.g., systematic or scoping reviews) conducted in Korea that focused on dietary behaviors, nutrition, health promotion, or nutrition-related education for individuals with developmental disabilities. Thirty-six studies met our inclusion criteria and were analyzed based on study design, study population, disability type, research topic, and publication period.
Results Observational quantitative, qualitative, intervention-based experimental, and evidence synthesis accounted for 27.8%, 13.9%, 22.2%, and 36.1% of all included studies, respectively. Children and adolescents (27.8%) and adults (25.0%) were the most frequently studied populations, with limited studies focusing on professionals or teachers. Most studies targeted individuals with developmental disabilities as a combined group (61.1%), followed by those specifically targeting autism spectrum disorder. Research topics included dietary behaviors and nutritional status, nutrition-related education and interventions, health promotion, and medical or clinical issues, with many small-scale and shortterm intervention studies.
Conclusion Although research on dietary and nutrition-related issues among individuals with developmental disabilities in Korea has expanded in scope and methodology, significant limitations remain. Future research should adopt longitudinal and community-based approaches, incorporate diverse populations, and strengthen policy-oriented nutrition support systems to promote sustainable health and quality of life for individuals with developmental disabilities.
Objectives We evaluated the impacts on health, nutritional status, and dietary intake of providing senior-friendly foods to community-dwelling elderly women in a rural area in Korea.
Methods A pretest–posttest nonequivalent control group design with repeated measures was conducted among 71 rural-dwelling elderly women. Changes in health indicators, nutritional status, and dietary intake were assessed at three time points: baseline, post-intervention, and two months after intervention.
Results Immediately after a three month intervention, significant differences were observed between the intervention and control groups in frailty score, Dysphagia Handicap Index, Mini Nutritional Assessment, social isolation, resilience, quality of life, and depression (P < 0.05). Significant group-by-time interaction effects were found for muscle mass, hemoglobin A1c, and energy, protein, and micronutrient intake, all of which showed significant improvements in the intervention group (P < 0.05).
Conclusion Providing senior-friendly foods effectively improved physical and physiological health and emotional well-being among rural older adults. This intervention also contributed broadly to improved dietary intake. These findings provide empirical evidence to support the development of community-based integrated care models and tailored nutrition intervention programs for rural elderly populations in Korea.
Trial Registration: Clinical Research Information Service Identifier: KCT0011666.
Objectives This study aimed to evaluate the relationship between oxidative balance score (OBS), a metric indicating an individual’s oxidative balance status, and the number of teeth in a sample of Korean adults.
Methods This cross-sectional study included 13,199 adults aged 19 and older who participated in a health survey and oral examination. Subsequent to the adjustment for confounding factors, a logistic regression analysis was employed to evaluate the probability of a subject belonging to a number of teeth category based on OBS level.
Results In the group with OBS level T2, the likelihood of having NT1 (0–10 teeth) was found to be significant adjusted for all variables (odds ratios: 1.51, 95% confidence intervals: 1.195–1.908). In the multinomial model, a significant association was observed for the NT1 category, whereas no significant association was found for the NT2 (11–20 teeth) category after adjustment.
Conclusion In the group with OBS level T2, the likelihood of having NT1 (0–10 teeth) was found to be significant. As this study examines cross-sectional associations, the necessity of conducting longitudinal research as subsequent studies is evident to ascertain the existence of causality.
Objectives This study investigated differences in dietary habits, lifestyle patterns, and feeding- related developmental issues among Korean preschool children based on their parents’ levels of growth concern, and examined the associations between parental growth concern and children’s eating behaviors.
Methods A cross-sectional study was conducted with parents of children aged 1–5 years residing in Gyeonggi Province, Korea. Participants were classified into high, moderate, and low growth concern groups using the children’s dietary screening test. Data were collected on the children’s anthropometric status, lifestyle routines, dietary intake patterns, eating behaviors, and mealtime media exposure.
Results Children in the high growth concern group showed a higher prevalence of underweight; irregular sleep and mealtime routines; and more frequent eating difficulties, including picky eating, slow eating, and oral processing problems. Mealtime media exposure was associated with lower fruit and vegetable intake and higher consumption of processed and sugar-rich foods. Higher parental growth concern did not correlate with healthier dietary or lifestyle outcomes.
Conclusion Preschool children’s dietary behaviors and routines differed according to the parents’ levels of growth concern. Higher levels of parental concern were associated with increased feeding difficulties and greater mealtime media exposure. These findings suggest that excessive concern may contribute to maladaptive eating patterns in children. Evidence- based parental guidance and structured nutrition education are essential to promote healthy growth and eating behaviors during early childhood.
Objectives To examine the prevalence of coronary artery disease (CAD) according to lifestyle characteristics, nutrient intake level, and comorbidities among Koreans aged 40 years.
Methods Data were derived from 11,025 participants aged ≥ 40 years in the 7th Korea National Health and Nutrition Examination Survey. Participants were assigned to a CAD group (n = 470) or a non-CAD group (n = 10,555). Socio-demographic characteristics (age, sex, residence, income, marital status, education level, and employment status), lifestyle characteristics (smoking, drinking, walking, strength training, sleep duration, stress level, and subjective health perception), energy and nutrient intakes, and comorbidities, including obesity, hypertension, dyslipidemia, diabetes mellitus, stroke, cancer, depression, renal failure, cataract, asthma, chronic obstructive pulmonary disease, osteoarthritis, and osteoporosis were analyzed.
Results The prevalence of CAD was higher in older participants and in male. Participants with CAD had higher rates of smoking, engaged in less strength training, experienced higher stress, and had poorer perceived health. They had lower intakes of energy, fiber, folate and iron. The prevalence of obesity, hypertension, dyslipidemia, diabetes mellitus, stroke, depression, renal failure, cataract, asthma, allergic rhinitis, osteoarthritis, or osteoporosis was significantly higher in the CAD group. The likelihood of having CAD was significantly higher among participants with renal failure (odds ratio [OR], 4.25; 95% confidence interval [CI], 2.24–8.08), depression (OR, 2.14; 95% CI, 1.55–2.95), asthma (OR, 2.07; 95% CI 1.48–2.91), and dyslipidemia (OR, 2.03; 95% CI, 1.69–2.44).
Conclusion In Koreans aged 40 years, CAD was associated with unhealthy lifestyle habits, low nutrient intake, and increased comorbidities such as renal failure, depression, asthma, and dyslipidemia. These findings suggest the need for lifestyle management and intensive chronic disease management to reduce the risk of CAD.
Objectives This study aimed to clarify parental perceptions of dietary and nutritional education provided to young children, identify parental support needs, and suggest directions for improvement.
Methods A mixed-method sequential explanatory design was followed. Quantitative data were collected through an online survey conducted nationwide that included 200 parents of children aged three to six years in South Korea. Qualitative data were subsequently obtained through focus group interviews with fifteen parents to explore their contextual insights and experiences.
Results Needs ratings prioritized expanding activity-based/experiential education (3.65 ± 0.88), followed by strengthening home-school communication and connectivity (3.59 ± 0.84), diversifying topics and content (3.55 ± 0.88), and increasing instructional time (3.39 ± 0.94). Integrated with the focus group interview findings, multilevel barriers were revealed—individual level: strong preferences of children for sweet/processed foods; interpersonal level: strong parental modeling and peer effects counterbalancing limited teacher expertise/time; organizational level: insufficient effective event-based experiential activities, and resource gaps across institutions; community/policy level: infrequent external support, uneven access to local resources, lack of standardized guidance, and limited opportunities for parental participation. Parents favored short, interactive digital content and expressed concerns about overexposure. These convergent findings indicate needs to 1) formalize and extend experiential programs within the regular curriculum, 2) provide standardized guidelines and home resource kits, and 3) institutionalize parental involvement.
Conclusion These findings reveal that dietary and nutritional education for young children should move beyond fragmented, event-based programs toward an integrated three-tiered model incorporating (1) a structured, experiential curriculum, (2) home-linked educational packages, and (3) safe and interactive digital content. Establishing standardized guidelines, enhancing educational infrastructure, and institutionalizing parental participation are essential for sustainable improvement of early childhood dietary education.
Objectives This study aimed to investigate the intake of ultra-processed foods (UPF) and dietary behaviors in Korean adolescents.
Methods This study used 24-hour dietary recall data from the Korea National Health and Nutrition Examination Survey (2019–2023). In total, 1,720 adolescents aged 12–18 years were included in this study and categorized into quartiles based on the percentage of energy intake from the UPF. Nutritional status, contributing subgroups of UPF intake, and healthy dietary practices were examined using Health Plan 2030 indicators across quartiles of UPF intake.
Results The nutrient intake of protein, vitamins (A, B1, B2, niacin), and minerals (iron, potassium) was the lowest in the fourth quartile of UPF intake compared with the first quartile (P for trend < 0.001), whereas calcium intake increased across quartiles, from 47.68% in the first quartile to 58.51% in the fourth quartile (P for trend < 0.001). The main contributing subgroups to UPF intake differed across quartiles of UPF intake, and the highest contributing subgroups were ‘instant noodles and dumplings,’ ‘desserts, cakes, and ice cream,’ and ‘sauces and seasonings.’ Healthy dietary practices were the lowest in the fourth quartile (22.18%, P < 0.001), and the proportions of appropriate fat and fruit/vegetable intake were significantly lower in the higher quartiles of UPF intake (P < 0.001).
Conclusion This study suggests that a lower UPF intake was associated with better nutritional status and healthy dietary practices in Korean adolescents. These findings provide fundamental evidence for promoting healthier food choices and balanced dietary practices.
Objectives Korea is experiencing rapid population aging, with older adults forming a large proportion of rural communities. Aging leads to physiological and functional declines, resulting in lower physical activity, poor diet quality, and higher risk of chronic diseases. Although the Nutrition Quotient for the Elderly (NQ-E) is a validated tool to assess dietary quality, few studies have applied it to rural populations. This study aimed to compare nutrient intake and NQ-E scores by age and sex and examine their associations with lifestyle factors.
Methods This study investigated the relationship between nutrient intake and NQ-E scores among older adults in rural Korean community, considering age, sex, and lifestyle factors. A cross-sectional study was conducted with 79 community-dwelling older adults (24 male and 55 female; mean age: 76.3 years) residing in Geochang-gun, Gyeongsangnam-do, Korea. Participants were recruited from community centers and health posts between June 2024 and December 2024. Data collection included general characteristics, 24-hour dietary recalls, and NQ-E questionnaires.
Results Female aged > 75 years had significantly lower intakes of energy, protein, fat, vitamin E, riboflavin, folate, and zinc than their male counterparts (P < 0.05). The mean NQ-E score was 55.01, which was lower than the national average reported for urban older adults (57.6). Participants with higher NQ-E grades had significantly higher intakes of dietary fiber, vitamin A, thiamine, riboflavin, niacin, potassium, and magnesium, and regular physical activity and dietary supplement use were positively associated with higher NQ-E grades (P < 0.01).
Conclusion These findings suggest that older female in rural communities are particularly vulnerable to inadequate nutrient intake and lower dietary quality, and that the NQ-E is a useful screening tool for identifying nutritional risk in this population. Community-based nutrition interventions promoting physical activity, supplement use, and dietary diversity are warranted to improve dietary quality and support healthy aging.
Objectives Persons with disabilities face heightened nutritional risks due to barriers in dietary management, yet research remains limited. This study examined the nutritional health status and associated risk factors among disabled adults in Korea.
Methods Data were drawn from the 2020 Disability and Life Dynamics Panel, a nationally representative survey of registered disabled Koreans aged ≥ 20 years. Nutritional health was assessed using the Nutrition Screening Initiative checklist and categorized as low, moderate, or high risk. Multivariate multinomial logistic regression was applied to identify predictors of nutritional risk.
Results Among adults with disabilities aged 20–64 years, the prevalence of low, moderate, and high nutritional risk was 62.6%, 19.8%, and 17.5%, respectively. In the ≥ 65 years group, the distribution was 56.8% (low), 22.0% (moderate), and 21.2% (high). Moderate to high nutritional risk was most prevalent among individuals with facial deformity or internal organ disability (51.2%) in the 20–64 years group, and those with mental disabilities (61.7%) in the ≥ 65 years group. Significant predictors of high nutritional risk included living alone, lowest income quartile, chronic disease, depressive symptoms, and perceived underweight for both age groups. Compared with visual or speech impairments, facial deformity or internal organ disability (in the 20–64 years group) and physical disability (in the ≥ 65 years group) were significantly associated with moderate or high nutritional risk.
Conclusion Nearly 40% of disabled Koreans are at nutritional risk. Tailored dietary interventions that address disability type, socioeconomic status, and health conditions are required to reduce disparities in nutritional health.
Objectives The dietary habits of school-aged children play a critical role in their growth and development, and are strongly influenced by the home environment. Household income is closely associated with caregivers’ food literacy, social support, and food environment. This directly affects the nutritional status of children. This study aimed to provide evidence to inform policies and educational programs for improving dietary habits in children, and to establish a foundation for tailored support strategies for low-income families.
Methods This cross-sectional study included 846 primary caregivers of school-aged children from 17 regions across Korea, recruited through an online survey. Household income, caregivers’ food literacy, social support, and food environment were assessed. Nutritional status in children was measured using the Nutrition Quotient for Children (NQ-C). Statistical analyses included descriptive statistics, chi-square tests, one-way analysis of variance (ANOVA), analysis of covariance (ANCOVA), correlation analyses, and multiple linear regression.
Results Caregivers from higher income households demonstrated significantly greater food literacy and social support (P < 0.001). Children from these households showed high balance scores and a large proportion of these children were in the “high” NQ-C grade. The NQ-C score in children was positively correlated with food literacy (r = 0.425), social support (r = 0.471), and the food environment (r = 0.235) (P < 0.001). Multiple regression analysis showed that food literacy (β = 0.256) and social support (β = 0.348) were significant predictors of nutritional status in children.
Conclusion This study confirmed that the nutritional status in children is not only determined solely by household income but is also mediated by caregivers’ food literacy, social support, and food environment. These findings highlighted the limitations of providing only economic support. The findings underscore the need for multifaceted interventions such as strengthening parental nutrition education, expanding social support networks, and improving access to healthy foods.
Objectives Using data from the 2019‒2021 Korea National Health and Nutrition Examination Survey, we examined the association between dietary quality and metabolic syndrome by self-reported weight change among adult Korean cancer survivors.
Methods We analyzed 340 cancer survivors (≥ 5 years post-diagnosis) by one-year weight change (stable, loss, and gain). Dietary quality was assessed using the Korean Healthy Eating Index (KHEI), and metabolic syndrome was defined according to standard criteria. Relative risks (RR) were estimated using a modified Poisson regression.
Results The weight loss group was older than the weight gain group (P < 0.001). Females were more prevalent in the loss and gain than in the maintenance group (P = 0.008). Hypertension prevalence was highest in the loss and lowest in the gain group (P = 0.028); other risk factors were similar. The gain group had the highest body mass index (P = 0.011). KHEI scores were highest in the maintenance (66.59 ± 0.76) and lowest in the gain group (60.42 ± 1.77; P = 0.006), with significantly lower whole grain (P = 0.036) and fruit intake (P = 0.014). Compared with the maintenance group, the gain group demonstrated higher risks of metabolic syndrome (RR: 2.07, 95% confidence interval [CI]: 1.40–3.06; P < 0.001), abdominal obesity (RR: 1.93, 95% CI: 1.36–2.74; P < 0.001), and impaired fasting glucose (RR: 1.70, 95% CI: 1.23–2.34; P < 0.01). Within the gain group, participants in the lowest KHEI quartile had increased risks of metabolic syndrome (RR: 2.81, 95% CI: 1.06–7.43; P < 0.05) and hypertriglyceridemia (RR: 7.29, 95% CI: 1.54–34.61; P < 0.05).
Conclusion Accordingly, weight change and dietary quality may critically affect the metabolic health of cancer survivors. Lifestyle management, including weight control and tailored diets, may help prevent metabolic disorders and support long-term health.
Objectives Individuals with disabilities require targeted interventions to ameliorate disability-related conditions and improve overall health status. Nutritional challenges and counseling needs vary according to the type of disability, necessitating comprehensive assessments of dietary habits, physical activity, and food intake. Compared to traditional education, nutrition counseling offers a more sustainable and environmentally adaptable approach that effectively addresses individualized nutritional issues. Therefore, this study aimed to develop and evaluate a practical nutrition counseling manual and meal guidelines for people with disabilities in Korea, addressing their diverse dietary needs and improving nutritional care in social welfare facilities.
Methods A four-stage integrated research design was employed. Stage 1 involved qualitative research through in-depth interviews with 11 facility staff. In Stage 2, a nationwide survey (n = 249) was conducted based on the results of the interviews. Stage 3 integrated both qualitative and quantitative findings. Stage 4 focused on developing and evaluating a nutrition counseling manual and five types of meal guidelines through feedback from 26 nutritionists at 24 Korean Centers for Social Welfare Foodservice Management.
Results Six major nutrition counseling topics were identified: healthy eating, managing salt and sugar intake, dysphagia diet, appropriate intake, and hygiene. The manual and guidelines demonstrated high field usability, with average satisfaction scores of 3.98 and 3.99, respectively.
Conclusion The integrated study resulted in the development of a specialized nutrition counseling manual and handbook for individuals with disabilities in Korean social welfare facilities. The materials were revised and improved based on practical evaluations by dietitians, enhancing their field applicability. These tools are expected to contribute to better dietary management and health promotion among facility residents. The developed materials reflect the real-world needs of people with disabilities and offer practical tools for effective nutrition counseling and dietary management in institutional settings.
Objectives In this study, we identified the current status of meal and nutritional management in elderly care facilities and analyzed the educational needs of employees, with the goal of proposing effective support strategies for nutritional management and to suggest directions for developing customized educational content.
Methods Between May and June 2024, we conducted nine focus group interviews with 22 participants recruited from 10 cities across four major regions of Korea, including 13 employees of children and social welfare meal management support centers and nine employees of elderly care facilities.
Results Our findings revealed that supporting algorithm-based dietary planning, improving communication with caregivers, and providing flexible, practical education tailored to facility conditions, are key elements for enhancing nutritional management in elderly care facilities. To facilitate the translation of these insights into practice, it will be necessary to strengthen collaboration between centers and facilities, combined with efforts to improve the operational environment for applying the algorithm and providing continuous educational support.
Conclusion The findings of this study emphasize the importance of on-site education and sustainable support strategies based on the diet and nutritional management status and education needs of elderly care facilities. Strengthening practical education, communication systems, and center–facility collaboration is required, and future research needs to verify the efficacy of these measures and define a sustainable support system based on quantitative analysis.
Objectives This study aimed to evaluate the impact of a 4-week multicomponent intervention combining flash continuous glucose monitoring (flash-CGM), group nutrition education, and personalized nutrition coaching on dietary self-efficacy (DSE) and weight management in healthy university students.
Methods A total of 27 university students participated in a pre-post intervention study. The intervention included a single 4-hour group-based nutrition education session, flash-CGM usage (FreeStyle Libre; Abbott Diabetes Care), and weekly one-on-one nutrition coaching. Participants wore the CGM device for 28 days (replaced after 14 days), and were guided in using the FoodLens app (DoingLab) for dietary tracking and a mobile app-linked digital scale for weight monitoring. Outcomes measured before and after the intervention included DSE, body mass index (BMI), nutrition quotient (NQ) and glycemic indicators. Statistical analyses included Wilcoxon signed-rank and Mann-Whitney U-tests with significance set at P < 0.05.
Results There was a significant increase in DSE (P < 0.05), particularly in managing eating behavior under stress and fatigue. A modest but significant decrease in BMI was observed in the overall group (P < 0.05), though changes were not significant in the BMI ≥ 23 kg/m2 subgroup. Glycemic indicators showed minimal changes. The overall NQ score improved slightly, with significant increases in fruit intake (P < 0.01) and nutrition label checks (P < 0.05). High satisfaction levels (4.52 ± 0.65 on a 5‑point scale) were reported for device usability and coaching services.
Conclusion The multicomponent intervention improved DSE, NQ scores, and supported modest weight reduction among university students. The combined effect of CGM, nutrition education, and coaching appears promising; however, further studies are needed to isolate the effects of each component and evaluate long-term outcomes.
Trial Registration: Clinical Research Information Service Identifier: KCT0010255.
Objectives This study aimed to develop a nutrition education program based on social cognitive theory to promote the health of individuals using facilities for people with disabilities. It also sought to evaluate the applicability of the educational materials through assessments by counselors at the Social Welfare Food Service Management Support Center.
Methods A group of six experts developed the program based on a needs assessment of nutrition education in facilities for individuals with disabilities. Applicability was evaluated through an online survey of 26 counselors from Social Welfare Food Service Management Support Centers nationwide in July 2023, and the results were analyzed.
Results The nutrition education program includes a basic course on personal hygiene, dining etiquette, picky eating prevention, and obesity management. The advanced course covers dietary management for chronic diseases, such as meal planning for hypertension, diabetes management, and dietary principles for dysphagia. Additionally, lecture PPTs, individual activity sheets, and experiential teaching aids were developed. Applicability evaluations showed high scores, with the teaching-learning plan and PPT averaging 4.15 and the experiential teaching aids scoring 4.17, all above 4.0.
Conclusion This study developed a nutrition education program for individuals with disabilities and assessed its applicability and usability. Implementing this program in disability welfare institutions could enhance health promotion and improve the quality of life for individuals with disabilities.
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Research trends in dietary behaviors and nutrition education among individuals with developmental disabilities in Korea: a scoping review (2015–2025) Nakyung Kwak, Wonyeong Park, Yu-Ri Kim, Jieun Oh Korean Journal of Community Nutrition.2026; 31(1): 1. CrossRef
Development of a standard nutrition management model algorithm for personalized care in social welfare facilities for the disabled Su-Jin Lee, Ji-Won Kang, Sil Ah Kim, Kirang Kim, Sohyun Park, Jieun Oh, Hyunjoo Ryou, Ji-Yun Hwang Journal of Nutrition and Health.2025; 58(5): 498. CrossRef
Objectives This study evaluated the nutrition quotient for preschoolers (NQ-P) and analyzed the impact of key factors, such as caregivers’ food literacy, social support, and food environment, on the eating habits of preschool children in Korea. This study also sought to provide foundational data for developing tailored nutrition education programs by identifying the nutrition education needs of caregivers.
Methods This study was conducted among caregivers of preschool children (aged 0–6 years) using an online self-administered survey conducted from August 22 to August 28, 2023. A total of 1,116 survey responses were analyzed. This study assessed children’s NQ-P score, caregivers’ food literacy, social support, food environment, and nutritional education needs. Data were analyzed using SPSS 29.0 (IBM Co.).
Results The average NQ-P score for preschool children was 52, showing a tendency for the balance score to decrease and the moderation score to increase with age. Children from rural and low-income areas exhibited significantly lower NQ-P scores. Caregivers’ food literacy was higher in urban and higher-income groups. Multiple regression analysis revealed that social support, food literacy, income, and food environment significantly affected children's NQ-P scores. The effectiveness of nutrition education varied based on the income level, with nutrition education on healthy eating being the most preferred topic for preschool children.
Conclusion This study confirmed that caregivers’ food literacy and social support significantly affected preschool children’s nutritional status. This suggests a need for tailored nutritional education and dietary support policies, particularly for low-income and rural populations.
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Objectives The aim of this study was to assess the impact of a multi-component program, including partially hydrolyzed guar gum (PHGG, Sunfiber®) supplementation, on glycemic control, gut health, and nutritional status to support diabetes prevention and management among Korean adults.
Methods A single-arm trial was conducted with 29 adults (aged 20-55 years) with fasting plasma glucose (FPG) ≥ 100 mg/dL. Over a six-week period, participants engaged in a multi-component program that incorporated the supplementation of PHGG (Sunfiber®, 12.5 g/day), weekly nutritional coaching, and the use of continuous glucose monitoring devices. The program’s effectiveness was evaluated by measuring FPG and glycated hemoglobin (HbA1c) levels through blood tests conducted before and after the intervention. Improvements in gut health were gauged using the Korean Gut Quotient Measurement Scales, while enhancements in nutritional status were assessed using the Nutrition Quotient (NQ) and surveys that evaluated improvements in gut health and nutritional status.
Results Participants’ average age was 43.89 years, with approximately 80% being male. Most participants (about 75%) were classified as overweight or obese. After six-weeks, 17 participants who adhered closely to the program (meeting certification criteria) exhibited significant reductions in key blood glucose markers. FPG levels decreased from 113.06 ± 23.16 mg/dL to 106.24 ± 16.33 mg/dL (P < 0.05), and HbA1c levels decreased from 6.08% ± 0.81% to 5.87% ± 0.53% (P < 0.05). The NQ evaluation revealed significant increases in comprehensive nutrition scores, and in the balance and practice domain scores for all participants (P < 0.05). Furthermore, in the gut health survey, approximately 82.1% of all participants reported experiencing positive changes.
Conclusion Among adults with elevated FPG levels, a multi-component intervention program that included PHGG (Sunfiber®) supplementation, structured dietary management, and the use of health-monitoring devices showed significant benefits in improving glycemic control, overall nutritional status, and gut health.
Trial Registration: Clinical Research Information Service Identifier: KCT0010049.
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Objectives This study aimed to develop and apply a dietary program to reduce sugar intake among community residents using a Living Lab approach.
Methods We developed and applied a community-based dietary program to reduce sugar intake. Participants were recruited from community organizations, including a children’s food service management center, elementary to high schools, a university, a family center, a community health center, and an elderly welfare center. The dietary program was conducted in two phases; start and next levels. The start level included a pre-assessment of dietary behaviors and participation in educational platforms, whereas the next level included activities using educational platforms, tailored mission and feedback, and pre- and post-surveys. Extension educators at each community organization implemented the dietary program following organization-specific guidelines. Changes in participants’ nutrition knowledge, dietary behaviors and perceptions, self-efficacy, intention to reduce sugar intake, and participants’ program satisfaction were analyzed using paired t-tests.
Results In total, 1,238 and 339 individuals participated in the start and next level, respectively. Participants reported significantly lower scores on dietary behavior items regarding drinking more juice or soft drinks after program participation (P = 0.009) and craving sweet foods (P = 0.046). They reported a higher intention to take interest in sugar content in food (P = 0.009) and lower-sugar recipes (P = 0.019), eat less food with high sugar content (P = 0.020), and drink water or sparkling water instead of soft drinks (P = 0.042). Nutrition knowledge did not significantly change after program participation. Program satisfaction significantly increased from the start level to the next level (P<0.050).
Conclusion This study showed the potential of using a Living Lab approach to implement community-wide dietary interventions. Further research is required to evaluate the effectiveness of the Living Lab approach in various community settings.
Objectives This study aimed to examine health-related characteristics and chronic disease risk in middle-aged Koreans based on their fat energy intake ratio.
Methods We analyzed data from 7,274 Koreans aged 40–64 years using the 7th (2016–2018) Koreans National Health and Nutrition Examination Survey. Participants were classified into three groups based on their fat energy intake ratio: insufficient (< 15%), adequate (15%–30%), and excessive (> 30%). We assessed their socio-demographic characteristics; lifestyle characteristics; biochemical characteristics; quantitative and qualitative nutrient intakes, measured using dietary reference intakes for Koreans and index of nutrition quality (INQ); and chronic disease risk.
Results Significant differences were observed between the groups in age, gender, income, education, and residence region. The insufficient group had the highest proportion of older adults, male, lower income, rural residents, and lower education levels. The groups differed significantly in lifestyle characteristics, with the insufficient group having the highest rates of no walking, heavy drinking, smoking, and poor subjective health perception. Biochemical characteristics in the insufficient group exhibited the lowest levels for fasting blood glucose, hemoglobin A1c, and triglycerides. Significant differences were found in both the quantitative and qualitative intake of nutrients. The insufficient group had the lowest intake of most nutrients except fiber, whereas the excessive group had the lowest fiber intake. Based on the INQ, vitamin A and Ca were the lowest in the insufficient group, and vitamin C and folic acid were the lowest in the excessive group. The risk of diabetes mellitus and metabolic syndrome was highest in the deficient group, and the risk of liver cirrhosis was highest in the excessive group.
Conclusion Insufficient or excessive fat energy intake ratio negatively affects nutrient intake and chronic disease risk. Fat energy intake of 15%–30% is important for improving nutrient intake and managing chronic diseases, such as diabetes mellitus, metabolic syndrome, and liver cirrhosis. We suggest that education and an appropriate social environment are necessary to ensure this fat energy intake.
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Objectives This study investigated the nutritional differences between sweet and salty snacks and beverages in South Korea (Korea) and the United States (US). Nutritional content and healthiness were determined using back- and front-of-package nutrition labeling (FoPNL) systems.
Methods Three snack and three beverage categories popular in Korea and the US were selected. Statistical data were used to determine the top 10–15 best-selling products in each category in each country. The selected products included chips (n = 15), cookies (n = 10), chocolate (n = 13), carbonated drinks (n = 10), fruit juices/drinks (n = 10, 5/5), and energy drinks (n = 10). The study excluded products that were artificially sweetened. Nutritional information and percentages of fruit and vegetable content in each product were collected from brand websites and grocery stores in each country. The FoPNL system was used to assess the healthiness of the products, which included multiple traffic light labels, a Health Star Rating, and a Nutri-Score.
Results Overall, Korean snacks contained significantly more protein, total fat, saturated fat, and cholesterol than US snacks. However, the US chips and carbonated drinks contained more sodium, while the US energy drinks contained more caffeine than Korean products. The serving size of US carbonated drinks was significantly larger than that of Korean drinks, whereas the serving size of US chips was smaller than that of Korean products. The FoPNL system classified the majority of products as ‘less healthy.’
Conclusion Our results suggest that Korean and US food manufacturers should improve the nutritional quality and/or serving size of commonly consumed food products. Policymakers in both countries should work to improve the presentation of ingredient and nutrient information on nutritional labels to assist consumers in making healthier food choices.
Objectives A campus-based intervention to enhance food literacy (FL) and establish exercise habits among college students was developed and the program’s effectiveness was evaluated.
Methods The 13-session program was developed based on the transtheoretical model and social cognitive theory. Junior and senior students majoring in food and nutrition and physical education were asked to participate as mentors, with freshmen and sophomores from varied majors as mentees. The program encompassed food, nutrition, and exercise lessons including cooking sessions. Data were collected via pre- and post-program surveys using a questionnaire consisting of items on FL and nutrition behaviors and physical fitness measurements.
Results Among 39 participants (35.9% male, 64.1% female), the overall FL score increased significantly from 64.1 to 70.6 post-program (P = 0.001). Significant increases were observed in the nutrition and safety (P < 0.001), cultural and relational (P = 0.023), and socio-ecological (P = 0.001) domains, as well as knowledge (P = 0.001), self-efficacy (P = 0.013), attitude (P < 0.001), and behavior (P = 0.005) items in three domains of FL. Additionally, meal duration increased significantly (P = 0.007) and sit-up performance among female showed a meaningful change (P = 0.046). Changes in dietary behaviors significantly progressed (P = 0.015) while that in exercise habits approached a marginal significance (P = 0.053) after the intervention.
Conclusion The results reveal positive changes in FL and some modifications in eating habits, although the program had limited effects on physical activity and fitness measurements. These findings suggest that strategic approaches to foster exercise behavior changes in college students are required. This pilot program can serve as foundational data for improving and expanding multicomponent health promotion programs for this population.
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Objectives We aimed to analyze trends in growth and nutrient intake patterns in Korean toddlers and preschoolers and generate data for international comparisons of early childhood growth status.
Methods Overall, 3,661 children aged 1–4 years were included. This study used the data from the 5th–8th Korea National Health and Nutrition Examination Survey. The weight-for-height, height-for-age, weight-for-age, and body mass index-for-age z-scores of the participants were calculated using the World Health Organization 2006 child growth z-score reference cutoff points. The 24-hour recall method was used to determine dietary intake, which was assessed according to the Dietary Reference Intake for Koreans. All statistical analyses were conducted and weighted according to a complex sample design.
Results Most Korean toddlers and preschoolers demonstrated normal growth, with an increasing trend noted over the survey period. Concurrently, the prevalence of overweight decreased. The mean intake of energy from fat exhibited an upward trend, paralleling that of protein and fat. Conversely, the intake of several essential micronutrients declined. The prevalence of nutritional inadequacy showed significant variation throughout the survey period; the proportion of inadequacy in carbohydrate intake decreased, whereas those of iron, vitamin A, thiamin, niacin, and vitamin C increased.
Conclusion South Korea is making significant progress in supporting toddlers and preschoolers, as evidenced by consistent increases in the proportion of children with normal growth and decreases in the prevalence of malnutrition. Future research should focus on exploring dietary patterns and analyzing specific food groups that are essential for promoting optimal growth and nutritional status in children.
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Objectives This study aimed to investigate and compare factors associated with malnutrition according to the presence or absence of dementia in community-dwelling elderly people.
Methods Needs assessment data from 311 long-term care insurance (LTCI) recipients (dementia group 203; non-dementia group 108) that participated in the second pilot program of the integrated care model in community care settings under the Korean LTCI system were used. Descriptive statistical analysis, independent t-test, and analysis of variance were conducted on the sociodemographic characteristics, health and functional status, and nutritional status of the dementia and non-dementia groups. Logistic regression analysis was conducted to identify factors associated with malnutrition in the dementia and non-dementia groups.
Results Malnutrition occurred in 33.5% and 26.9% of participants in the dementia and non-dementia groups, respectively. In the dementia group, living with family rather than living alone (odds ratio [OR]: 3.81; 95% confidence interval [CI]: 1.50–9.66; P = 0.031), increase in Korean Activities of Daily Living (K-ADL) score (OR: 1.35; 95% CI: 1.17–1.55; P < 0.001), and increase in the Neuropsychiatric Inventory-Questionnaire score (OR: 1.02; 95% CI: 1.01–1.03; P = 0.005) were associated with a higher risk of malnutrition. In the non-dementia group, the risk of malnutrition increased as the K-ADL score increased (OR: 1.20; 95% CI: 1.04–1.39; P = 0.011) and in the depressed group (OR: 2.84; 95% CI: 1.04–7.74; P = 0.042).
Conclusions The study results confirmed the necessity of nutritional management for community-dwelling LTCI recipients. When developing a nutritional management program, considering the differences in factors related to malnutrition between the dementia and non-dementia groups is important. This study proposes policies for improving the LTCI system in terms of nutritional management and the utilization of community resources.
Objectives Recently, food insecurity has been a major public health issue along with the food crisis caused by COVID-19, climate change, and the polarization of food supply due to socioeconomic disparities. Food insecurity is known to be related to the food choices and environment of the consumer. Therefore, this study aimed to evaluate the food security statuses of adults in Jeju and investigate their food purchase patterns, food policy recognition, and food environment satisfaction.
Methods Based on data from the 2022 Jeju Food Survey, 346 adults aged ≥19 years in Jeju were classified into food security and insecurity groups (quantitatively and qualitatively) using the questionnaire. Food purchase patterns, including purchasing frequency, items, and reasons, were surveyed for local and eco-friendly foods. The recognition and necessity of several food policies and satisfaction with diet and food environment (availability, accessibility, affordability, accommodation, and acceptability) were measured using the Likert scale.
Results Among the total participants, 47.4% were in the food insecurity group. The frequency of purchasing local and eco-friendly foods did not significantly differ by food security status. The insecurity group exhibited a higher recognition rate of basic rights to food (36.0%) than the security group (24.7%, P = 0.023). The recognition and necessity of specific food policies did not significantly differ by food security status, except for the policy of promoting food communities, for which the food security group exhibited higher recognition than the food insecurity group did (P = 0.004). The food insecurity group exhibited significantly lower scores regarding satisfaction toward diet and food environment factors (P < 0.05 for all).
Conclusions Overall, the food security group reported higher satisfaction with their diet and food environment than the food insecurity group. Further in-depth studies to investigate the determinants of food insecurity and effective promotional strategies for food policies are needed.
Objectives Based on a survey of officers, social workers, and dietitians involved in managing nutrition and welfare policies or projects for vulnerable groups in local governments or private welfare institutions, this study aimed to assess the need for nutritional and dietary support policies and programs for persons with disabilities (PWD), as well as to identify appropriate support measures. Methods: An online survey was conducted from March 2 to 15, 2021. The survey included 20 questions exploring perspectives on the nutritional status of PWD, their need for nutritional and dietary support policies and programs, and the prioritization of appropriate support measures. A total of 132 responses were analyzed. Results: Approximately 68.9% of the respondents rated the nutritional status of PWD as “bad” or “very bad.” A substantial number identified “difficulty in purchasing ingredients, cooking, and preparing meals independently due to disability,” and “limited knowledge about nutrition and recipes necessary for maintaining a healthy and balanced diet” as the primary challenges in the dietary and nutritional management of this population. Additionally, 97.0% of the respondents deemed that the introduction of nutritional and dietary support policies and programs for PWD was “needed” or “very much needed.” Priority strategies to implement and strengthen these policies and systems included the “development of customized programs and services tailored to the needs and demands of the target population” and the “establishment of a dedicated department with specialized personnel.” Conclusion: Comprehensive nutritional and dietary support policies and programs should be actively implemented to ensure a healthy and stable diet for PWD, tailored to meet their actual needs and demands.
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Objectives This study aimed to investigate the importance and performance levels of sustainable dietary education across the health, environment, and society domains as perceived by nutrition teachers and evaluate the needs and priorities for sustainable dietary education.
Methods An online survey was conducted for 151 nutrition teachers in Jeollanam-do. The survey included 20 questions across the health, environment, and society domains. The data were analyzed using a paired-sample t-test, the importance-performance analysis (IPA), the Borich needs assessment model, and the locus for focus model.
Results Overall, the average importance levels of the 20 items of sustainable dietary education were significantly higher than their average performance levels (4.44 vs. 3.68). The examination of each educational domain revealed that although the importance of education in the health domain was recognized and actively practiced by the nutrition teachers, the performance was comparatively lower in the environment and society domains. The Borich needs assessment and the locus for focus model identified education on biodiversity conservation, plant-based protein, and the use of local food as the top-priority group in the environment domain along with fair and ethical food, food security, regional food culture, food policy and trade, and family dining culture as the second-priority group in the society domain.
Conclusions The results of this study underscore the need to support the nutrition teachers’ perception and practice of sustainable dietary education in the environment and society domains. We believe that the educational needs and priorities proposed in this study will be considered in the future development and modification of sustainable dietary education programs.
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Objectives North Koreans have been facing chronic food shortages and malnutrition. This study examined the nutritional status of North Koreans and the perceptions of South Korean adults regarding their nutritional status.
Methods The nutritional status was examined using nutritional indicators for the general population, children, and reproductive-aged women in North Korea. An online survey was conducted among 1,000 South Korean adults aged 19–69 years to investigate their perceptions regarding the nutritional status of North Koreans.
Results Although the nutritional status of children in North Korea has consistently improved, significant progress in the general population and reproductive-aged women in the country remains elusive. The prevalence of malnutrition among North Korean children has decreased to a level that is not considered severe based on international standards, although it shows a substantial difference from that among South Korean children. The prevalence of undernourishment and food insecurity in North Korea remains over 40%. South Korean adults perceive the nutritional status of North Koreans as being more severe than it is in reality. Notably, a significant inconsistency exists between the perceived and actual nutritional status of North Korean children, with over 95% of South Korean adults perceiving North Korean children’s malnutrition as being more severe than it actually is. Moreover, South Korean adults in their 20s to 40s tended to perceive the nutritional status of North Koreans as being more severe than those in their 50s to 60s did.
Conclusions The nutritional status of North Koreans is a matter of concern. The disparity between South Koreans’ perceptions of the nutritional status of North Koreans and the actual status highlights the need for accurate information dissemination to effectively address malnutrition in North Korea. These efforts could be instrumental in enhancing public awareness and fostering social consensus on food aid and nutritional support programs for North Korea.
Objectives This study was conducted to evaluate the effects of a nutrition education program on metabolic syndrome in middle-aged Korean adults.
Methods A total of 411 Korean adults 30–59 years of age were allocated randomly into three groups: the nutrition education group for promoting Han-sik consumption (HG), the nutrition education group for eating balanced diet (EG), and the control group (CG). The HG and EG received four face-to-face nutrition education sessions over 16 weeks to improve nutritional problems based on the individual’ usual diet. Effectiveness of the program was evaluated with the differences of self-reported dietary behaviors, dietary intakes, anthropometric measurements and biochemical indices between the baseline and the end of the nutrition education program. The changes within groups were analyzed using paired t-test and McNemar test and effectiveness among three groups was analyzed by repeated analysis of variance.
Results After the nutrition education, the percentages of participants who achieved the recommended food group consumption in the Korean Food Guidance Systems significantly increased in HG (P = 0.022). Body weight (P = 0.007), body mass index (P = 0.002), and triglycerides (P = 0.002) significantly decreased in HG. Waist circumference and diastolic blood pressure decreased in all three groups (P < 0.05).
Conclusions This study found that tailored nutrition education program for middle aged Korean adults showed beneficial effects on improving dietary behaviors and metabolic syndrome risk factors. Further studies are needed to assess the long-term effects of the nutrition education programs on metabolic syndrome risks.
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Objectives Since the enactment of the School Nutrition Act in 1981, school lunch programs in South Korea have grown quantitatively and qualitatively with a current student participation rate of 99.8%. Nonetheless, educational materials are needed to reduce misunderstanding and ignorance about school lunch programs. This study aimed to develop 3 educational videos that help students of various ages (kindergarteners/lower-grade elementary, upper-grade elementary, and secondary school, respectively), understand the school lunch program.
Methods A scenario was created, was made, and the opinions on the scenario from experts in foodservice sectors were collected. A survey was conducted to students and parents to determine topics they wanted to know about school foodservice. The final videos were produced using this information and the expert opinions. The data were analyzed using SPSS 27.0 for Mac (IBM Corp., Armonk, NY, USA); a P-value of < 0.05 was considered significant.
Results Three videos on school foodservice were developed for various age levels of students: kindergarten/lower-grade elementary, upper-grade elementary, and secondary school. Additionally, English subtitles were included for the multicultural student population. These videos, each lasting about 7 minutes, cover topics such as nutrition, hygiene, and the cultural significance of the school lunch program. The survey results showed that parents and students wanted to know the following topics about the school lunch program: “nutritionally balanced diet” (11.9%), “purchasing safe food ingredients” (10.9%), and “healthy eating habits” (9.9%).
Conclusions The developed videos will serve as valuable educational resources on school foodservice, foster a deeper understanding of the school lunch program in parents and students, and potentially address their inquiries regarding production processes, nutrition, hygiene, cultural heritage, and health.
Objectives The objective of this study is to compare a nutritionally balanced soft blend diet (SBD) with a soft fluid diet (SFD) on the health of inpatients who have undergone oral and maxillofacial (OMF) surgery, ultimately aiming to enhance care outcomes, improve health-related quality of life (QOL), and increase satisfaction with the hospital.
Methods Thirty-two patients were randomized into two groups: sixteen received SFD and sixteen received SBD. Anthropometric, laboratory evaluations were conducted upon admission and discharge. Patients filled out questionnaires on demographics, diet satisfaction, food intake amount, and health-related QOL on the day of discharge, assessed using the EuroQoL 5 Dimensions 3 Level and EuroQoL Visual Analogue Scale (EQ-VAS) instruments. Data were analyzed with descriptive statistics, χ2 tests for group differences, and paired nonparametric t-tests for within-group comparisons. The Mann-Whitney U test evaluated inter-group differences in preoperative weight and body mass index (BMI), postoperative changes, meal satisfaction, intake, health-related QOL, and self-assessed health status. P-values were set at a significance level of 0.05.
Results The SBD group had higher dietary intake (63.2% vs. 51.0%) and greater diet satisfaction (80.6 vs. 48.1, P < 0.0001) compared to SFD group. Health-related QOL, measured by EQ-VAS, was better in SBD group (70.3 vs. 58.8, P < 0.05). Postoperative weight and BMI decreased in SFD group but increased in SBD group (P < 0.01). Changes in laboratory results showed more stability in the SBD group. No postoperative infections were reported in SBD group, whereas SFD group had a 31.25% complication rate.
Conclusions While SFD is often recommended after OMF surgery to protect oral wound healing process, our study reveals that SBD not only enhances physical and psychological outcomes but also, somewhat unexpectedly, supports wound healing and reduces complications. Essentially, SBD promotes physical recovery and enhances health-related QOL than SFD by supporting both somatic and mental healing aspects.
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Objectives The purpose of this study was to investigate the perception of nutrition teachers and the factors influencing their intention toward sustainable dietary education utilizing the theory of planned behavior (TPB).
Methods The self-administered online survey was completed by nutrition teachers in Jeollanam-do, South Korea. A total of 151 valid questionnaires were analyzed. Factor analysis and multiple regressions were employed to test the research model.
Results The study findings demonstrated that all TPB variables significantly influenced the sustainable dietary educational intention, with the degree of influence ranking as follows: external perceived behavioral control (β = 0.417), attitude (β = 0.240), internal perceived behavioral control (β = 0.207), and subjective norms (β = 0.181). For external perceived behavioral control, nutrition teachers and elementary schools exhibited higher levels compared to dietitians and middle/high schools, respectively. The participants in sustainable dietary education training programs exhibited a higher level of internal perceived behavioral control compared to those who did not participate. The highest perception levels were reported for attitude (4.26), followed by subjective norms (4.02), internal perceived behavioral control (3.67), and external perceived behavioral control (3.20).
Conclusions This study affirmed that the TPB variables elucidated the sustainable dietary educational intentions of nutrition teachers. The significant impacts of external and internal perceived behavioral control, attitude, and subjective norms on educational intentions were confirmed. Consequently, proactive support from schools and governments is essential to enhance the facilitating factors and mitigate the barriers toward sustainable dietary education in schools.
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Objectives The purpose of this study was to examine mothers’ knowledge levels on complementary foods and their perception of convenience complementary foods.
Methods An online survey was conducted with mothers aged 20–49 years who had purchased convenience complementary foods and had a preschool child aged 4 months or older. The respondents were categorized into 3 groups based on their knowledge scores: low- (0–50 points), mid- (55–65 points), and high- (70–100 points) knowledge groups.
Results The average score of mothers’ knowledge on complementary foods was 58.8 out of 100 points. Working mothers were found to have lower levels of knowledge compared to mothers who were housewives. Only 1/4 of responding mothers had educational experience on complementary foods. Mothers expressed a desire for information on the types of complementary foods (72.2%) and the intake amounts (60.3%) corresponding to each phase of their child’s development. Multivariate analysis of variance revealed significant differences in health (P = 0.002), variety (P = 0.039), and hygiene (P = 0.041) among the factors taken into consideration when purchasing convenience complementary foods according to the mothers’ knowledge levels. Mothers in the high-knowledge group placed a greater importance on ‘balanced nutrition’ (P = 0.022) and ‘hygienic cooking’ (P = 0.010) compared to mothers in the low-knowledge group. The results of the modified importance-performance analysis, which compared the importance and performance of the factors taken into consideration when purchasing convenience complementary foods, highlighted the need for efforts in ‘health,’ ‘hygiene,’ and ‘price,’ while also indicating an excessive effort in ‘convenience.’
Conclusions This study suggests expanding relevant education programs to enhance mothers’ knowledge on complementary foods, especially for working mothers. In the industry, marketing strategies for complementary food products could be developed that align with the needs of mothers, focusing on health, hygiene, and price.
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Objectives This study investigated the need for nutrition education aimed at improving the health of residents and users of social welfare facilities for persons with disability and aimed to provide basic information for developing a nutrition education program that meets the needs of the field.
Methods Altogether, 249 employees working in social welfare facilities for people with disabilities were included in the study. Data on the health status of residents/users, meal management, nutritional education, nutritional education needs, and awareness of nutritional education were obtained through online surveys. A descriptive analysis was conducted to analyze the demographic characteristics, needs, and perceptions of the respondents, and independent t-tests and χ2 tests were performed to analyze and compare the differences between residential and daycare facilities.
Results The majority of residents/users of social welfare facilities for persons with disabilities have developmental disabilities. When educating residents with residents/users of social welfare facilities, ‘personal hygiene’ was the most necessary topic, followed by ‘obesity management’ education. Regarding the methods of providing education, face-to-face lectures demonstrated a high demand. They responded that when nutrition education experts provide nutrition education to people with disabilities, they must understand ‘the physical characteristics of persons with disabilities’ and have the ability to determine appropriate nutrition for such people. The most appropriate nutrition program training would be twice a year, lasting 30 min to 1 h per training session.
Conclusions It will present a direction for operating a nutrition education program for persons with disabilities that meets their needs of social welfare facilities and ultimately contribute to the establishment and activation of nutrition education tailored to welfare facilities for such individuals in Korea.
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Objectives This study is intended to develop a curriculum for kindergarten food and nutrition education aimed at preschool children, reflecting government policy and meeting the demands of preschool settings.
Methods Existing educational materials were analyzed, and key elements of the 2019 Revised Nuri Curriculum (“Nuri Curriculum”) and Guidelines for Nutrition and Food Education in Kindergartens, Elementary, Middle, and High Schools (“Guidelines”) were examined as foundational information for developing the curriculum for food and nutrition education.
Results Basing ourselves on the five domains of the Nuri Curriculum, “Physical Activity and Health,” “Communication,” “Social Relationships,” “Art Experience,” and “Natural Science Inquiry,” we integrated three areas from the Guidelines, namely “Dietary Habits and Health,” “Dietary Habits and Safety,” and “Dietary Habits and Culture,” to structure the curriculum for kindergarten food and nutrition education. Three specific domains, “Nutrition and Health,” “Food and Culture,” and “Safe Dietary Practices,” were tailored for preschool children, each comprising core concepts, content elements, and educational materials. In the “Nutrition and Health” domain, core concepts such as “nutrition” were addressed through content elements such as “balanced eating” and “vegetables and fruit,” while “health” included elements such as “eating regularly” and “nutrients for disease prevention,” each with two educational content components. The “Food and Culture” domain focused on “food” with content on “local foods (vegetable-garden experience)” and “food culture” with content on “our dining table (rice and side dishes),” “our agricultural products,” “global cuisine (multiculture),” and “considerate dietary practices,” each with four educational content components. The “Safe Dietary Practices” domain included core concepts such as “hygiene” with content on “hand-washing habits” and “food poisoning management,” and “safety” with content on “food labeling.”
Conclusions The systematized curriculum for kindergarten food and nutrition education aligns with the Nuri Curriculum and is interconnected with the Guidelines. This curriculum can be used as foundational material for developing educational resources tailored to the characteristics of preschoolers, contributing to effective implementation in early childhood education.
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Objectives This study aimed to develop a campus-based intervention program to enhance food literacy (FL) among university students.
Methods In the initial phase, we conducted a literature review of FL intervention studies and held in-depth interviews with university students to identify facilitators and barriers to improving and practicing FL. Expert counseling sessions were conducted with nutrition education, marketing, and service design professionals. The results of this phase led to the creation of an initial curriculum draft. In the second phase, a follow-up survey was conducted with young adults to assess the acceptability of the developed curriculum. After the follow-up survey, additional meetings were conducted with the aforementioned experts, and the curriculum was further refined based on their input.
Results An 11-week FL intervention program was devised using constructs from the Social Cognitive Theory. The weekly curriculum consisted of 90-min theory-based and 90-min hands-on experience sessions. Three primary aspects of FL were covered: nutrition and food safety, cultural and relational dimensions, and socio-ecological aspects. Program highlights included cooking sessions for crafting traditional Korean desserts, lectures on animal welfare, insights into zero-waste practices, and communal eating experiences. Based on the study team’s previous research, the program also addressed mindful eating, helping participants understand the relationship with their eating habits, and providing strategies to manage negative emotions without resorting to food. Yoga sessions and local farm visits were incorporated into the curriculum to promote holistic well-being.
Conclusions This study elucidated the comprehensive process of creating a campus-based curriculum to enhance FL among university students, a group particularly susceptible to problematic eating behaviors and low FL levels. The developed program can serve as a blueprint for adaptation to other campuses seeking to bolster students’ FL.
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Objectives This study sought to assess the effectiveness of community-based nutrition counseling on improving nutritional status, managing complex chronic diseases, and enhancing the quality of life for elderly individuals with chronic conditions, particularly in older adults with high levels of food insecurity and multiple chronic illnesses.
Methods Thirty elderly subjects with diabetes and hypertension who were registered at local Senior Welfare Center received individualized nutrition counseling, based on their Nutrition Quotient for the Elderly (NQ-E) index. Over a 16-week period, they received tailored counseling and underwent various health and nutritional assessments. The final analysis included 28 participants after two dropped out. Data analysis was conducted using the SPSS v28.0.
Results The subjects were over 70, with multiple chronic diseases including diabetes and hypertension and predominantly female. After 16 weeks, significant improvements were observed in the subjects’ grip strength, and HbA1c levels, as well as in their NQ-E scores, indicating improved dietary balance and diversity. There were no significant improvements in the ‘Moderation’ subdomain of the NQ-E index, suggesting that this aspect requires further attention in nutritional counseling. The subjects' nutritional risk scores (NSI) were also significantly decreased, indicating less nutritional risk. Lastly, as measured by the SF-36K, the subjects’ quality of life showed significant improvement in several domains including physical role performance and social function.
Conclusions This study demonstrates that tailored nutrition counseling, based on the NQ-E index, can improve elderly health, manage chronic diseases, and enhance quality of life. This approach potentially broadens the scope of community nutritionists' roles within an aging society. However, additional research is necessary to evaluate these interventions' long-term effects and sustainability.
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Objectives Screen time refers to the time spent using screen media, such as televisions, smartphones, computers, or tablets. Excessive exposure to screen media has been reported to negatively impact young children’s health and development, including overweight, short sleep duration, and language delays. This study examined the association of screen time and mealtime media use with dietary behaviors among preschool children.
Methods A cross-sectional survey was conducted on parents of children aged three to five years using the online questionnaires of the Nutrition Quotient for Preschoolers (NQ-P) and the Dietary Screening Test (DST). Data from 261 children’s parents were analyzed.
Results Of the 261 children, 96.9% used screen media, 55.6% used screen media for two hours or more daily, and 30.7% were exposed to screen media during meals. The NQ-P scores were significantly lower in the children with longer screen time and mealtime media use. Children who used screen media for two hours or more and those exposed to screen media during meals consumed kimchi less frequently and confectionery and sugar-sweetened beverages more frequently than children who used less than two hours and were not exposed to screen media during meals. In addition, they were more likely to be picky about food, refuse to eat, and less likely to feed themselves than children with shorter screen time and no mealtime media use.
Conclusions This study reported an association between unhealthy dietary behaviors, feeding difficulties, and screen time and mealtime media use among preschool children. Further research should explore effective strategies for reducing children’s screen time.
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Objectives This study examined the association between the experience of disease management education and the use of nutrition labels according to the sociodemographic characteristics and health behaviors of people diagnosed with hypertension and diabetes living in the community.
Methods Among the participants from the Community Health Survey (2018), 74,283 individuals diagnosed with hypertension or diabetes were included in the study population. According to gender, this study evaluated nutrition label use by the experience of disease management education, individual sociodemographic characteristics, and health behavior. Finally, using multiple logistic regression analysis, the association between disease management education and nutrition labels was calculated using the odds ratio (OR) and 95% confidence interval (CI).
Results Males (24.5%) experienced more disease management education than females (22.6%). In addition, younger age, higher education level, and higher equalized personal income experienced more disease management education (P < 0.001). The educational experience rate was higher in the male subjects who did not smoke or were involved in high-risk alcohol consumption (P < 0.001). In addition, the rate of disease management education experience was significantly higher for both men and women who exercised by walking (P < 0.001). The use of nutrition labels was higher in females (9.9%) than males (5.8%), and both males and females were significantly higher in young age, high education, high income, and professional and office positions (P < 0.001). The utilization rate of nutrition labels was high in non-smoking male subjects and high-risk-drinking female subjects. In addition, the utilization rate of nutrition labels was significantly higher in males and females who exercised by walking and those who experienced disease management education (P < 0.001). After adjusting for individual sociodemographic characteristics, health behavior, and disease management education, the use of nutrition labels was high among females (OR 3.19, 95% CI 2.85-3.58), high income (Q4; OR 1.62, 95% CI 1.41-1.87, Q5; OR 1.58, 95% CI 1.37-1.84) and highly educated (high school; OR 2.87, 95% CI 2.62-3.14, above college; OR 5.60, 95% CI 5.02-6.23) while it was low in the elderly (OR 0.43, 95% CI 0.40-0.47), and economically inactive (OR 0.86, 95% CI 0.76-0.96). The use of nutrition labels was high in non-smokers (OR 1.29, 95% CI 1.13-1.48), non-high-risk drinkers (OR 1.22, 95% CI 1.08-1.38), and subjects who exercised walking (OR 1.44, 95% CI 1.34-1.54). There was no difference in the utilization rate of nutrition labels according to obesity, and the utilization rate of nutrition labels was significantly higher in subjects who had experienced disease education (OR 1.34, 95% CI 1.24-1.44).
Conclusions Education on the use of nutrition labels, which contributes to food selection for healthy eating, might be a tool for dietary management. Moreover, the utilization rate can be a good indicator for predicting the proportion of the population practicing the guide for disease management. Improving the utilization rate of nutrition labels through disease management education can be a useful intervention for people with chronic diseases who need healthy eating habits for disease management and preventing complications, particularly those diagnosed with hypertension and diabetes.
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Objectives This study aimed to investigate the current status of nutrition education via a free learning semester program (NE). The understanding of the program, the potential difficulties, and future initiatives for NE improvement were also investigated.
Methods A total number of 161 nutrition teachers from Gwangju and Jeonnam filled in a questionnaire and participated in this survey, which was performed from July to August 2019.
Results Our results showed that 8.1% of the nutrition teachers had taught nutrition education in free learning semester programs. The most frequently implemented model was subject selection, followed by club activities. Most of the nutrition teachers comprehended the purpose of NE. The attitude of nutrition teachers to NE differed by the understanding of its purpose. Positive attitude was evident due to a better understanding of the purpose by nutrition teachers. Nutrition teachers reported the most common difficulties of NE were the lack of preparation due to the heavy workload and the lack of a standard running program. The most effective method of NE was the activity classes. The experience of practicing NE influenced the choice of contents for each operating model. Nutrition teachers that were experienced in NE conducted via free learning semester programs preferred the selected topics model, but those without experience chose the career search model.
Conclusions Although some obstacles exist, nutrition teachers had a positive attitude and perceived well the importance of NE. Therefore, the awareness for the significance of NE of nutrition teachers needs to be improved. For better NE practice, it is necessary to reduce/ manage the workload of general food service. Furthermore, the development of standard running and promotion programs, and teacher training programs should be ensured.
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Objectives This study aimed to determine the nutritional status of residents, to examine the perception and needs of community nutrition care service, and to compare and analyze the results of females and males living in Daejeon, Korea.
Methods The subjects were 592 adults and elderly (278 men and 314 women) residents of Daejeon. The dietary quality was assessed using the nutrition quotient (NQ), and data of the perception and needs for community nutrition care service were obtained by a questionnaire survey. Descriptive analysis was applied to analyze the demographic characteristics, perception and needs of the respondents, and independent t-test and chi-square test were performed to analyze and compare the differences between female and male participants.
Results A nutritional status that required monitoring was established in 78.9% of the respondents in this study. The balance factor (29.1 points) was much lower than the national average. In the diversity factor, the NQ score of the female group was 47.6 points, which was 8 points lower than that of males; the NQ grade was 43.9%, showing a significant difference between females and males (P < 0.001). The respondents answered that those who needed community nutrition care services were residents experiencing health care difficulties. Additionally, dietitians (35.6%) were pointed out as the most suitable service providers. The most important factor of community nutrition care service operation was securing the budget (47.0%).
Conclusions The results of the present study show that Daejeon residents need overall nutrition support, and a demand for community nutrition care services exists. Our findings provide basic data and can serve as a foundation for the development and establishment of a community nutrition care service model.
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Objectives This study aimed to investigate the nutritional status and dietary behavior of adolescents from North Korean refugee (NKR) families residing in South Korea (SK), who are known to be at a higher risk of malnutrition due to their lower socioeconomic status and facing other psychological challenges.
Methods A total of 178 adolescents (91 males and 87 females) from NKR families were included in the analysis, and their demographic details such as age, birthplace, parental nationality, and duration of their settlement in SK were collected through questionnaires. Anthropometric measurements were also taken to determine their growth and nutritional status according to the 2017 Korean National Growth Charts for children and adolescents. The study used the Nutrition Quotient for Korean Adolescents (NQ-A) questionnaire to assess the dietary behavior of the participants.
Results Approximately 11.8% and 10.1% of participants were identified with malnutrition and obesity, respectively. The total mean score for the NQ-A was 50.1. The mean scores for the individual factors of balance, diversity, moderation, environment, and practice were 49.2, 44.7, 43.8, 51.2, and 61.5, respectively. Approximately 47.2% of participants had a low NQ-A grade. However, there was no significant difference in the NQ-A scores according to their nutritional status or duration of time in SK.
Conclusions Adolescents from NKR families exhibited both malnutrition and obesity. However, their dietary behavior, as assessed using the NQ-A, did not vary with their nutritional status. The unique challenges and related dietary behavior of North Korean adolescent refugees should be taken into consideration, when developing targeted strategies for nutritional education and health management programs.
Objectives This study examined the problems encountered when analyzing the market size, purchase, and consumption of HMR (home meal replacements) in the Republic of Korea. Methods The macro data relevant to the market size and purchase status of HMR were critically summarized. The micro data retrieved from the 2019 & 2020 Korea National Health and Nutrition Examination Survey (KNHANES) were analyzed to understand the consumption of HMR. Results The Korea Agro-Fisheries & Food Trade Corporation and the Ministry of Food and Drug Administration reported the market size of HMR, whereas the Korean Rural Economic Institute and the Rural Development Administration reported the purchase expense and frequencies of HMR. Since the values on the market size and purchase status were calculated or surveyed using different scopes of HMR, there have been reliability issues for the data presented. Additionally, lack of consensus on the use of Korean terms corresponding to HMR was found to be a problem. To examine the consumption of HMR, analysis of the food intake data from KNHANES presented results with very low validity due to the inappropriate survey and coding scheme not reflecting the inclusion of new food types. Conclusions Several problematic discrepancies were encountered in the statistics on HMR. The fundamental cause of these problems was the absence of agreement on the scope of HMR and the Korean terms corresponding to it. Considering the increasing importance of HMR in Korean diets, urgent cooperative efforts are required between the government and academia to derive an agreed Korean term and establish the scope of HMR.
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Objectives This study examines the effect on the frequency of Ramyeon consumption based on who checks nutrition labels and on the levels of sodium-related nutrition knowledge among middle school students in the Incheon area. Methods Self-administered questionnaires were completed by 359 students (143 males and 216 females) from May to October 2021. General information as well as Ramyeon-eating behaviors were surveyed. The frequency of Ramyeon consumption was compared depending on who checks nutrition labels and on the amount of sodium-related nutrition knowledge students have. Both X 2 tests and t-tests were conducted for categorical and mean comparisons. Results Regarding the consumption of Ramyeon, 46% of the students replied that they eat it alone at home. The criteria for choosing the kind of Ramyeon to eat were taste (79.4%), price (9.2%), brand and new products (4.5%), nutrition (2.2%), weight control (2.2%), and other factors (2.5%). When purchasing Ramyeon, more students replied that they did not read nutrition labels (66.0%) compared to those who did read labels (34.0%). Answers to questions on sodium-related nutrition earned an average of 6.84 out of nine points (males, 6.72 points, females, 6.91 points, ns). The average frequency of Ramyeon consumption was 1.67 times per week (males, 1.66, females, 1.68, ns). The frequency of Ramyeon consumption by students who checked nutrition labels was lower than for students who did not check labels (1.44 times per week vs. 1.79 times per week, P < 0.05). Conclusions Students who checked nutrition labels reported a lower frequency of Ramyeon consumption than students who did not check them. Education on checking nutrition labels may reduce the consumption of processed foods such as Ramyeon and may lead to making healthy choices when purchasing food.
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Objectives The purpose of this study was to examine the effects of the types of nutrition labeling on the processing fluency, health evaluation and purchase intentions of home meal replacements. Methods This online experimental study was conducted from December 29 to 31, 2019 and included 134 participants. The research design was 2 (Objective nutrition labeling: present vs. absent) X 2 (Evaluative nutrition labeling: present vs. absent) and each participant was randomly assigned to one of four groups. As stimuli, five types of ready-to-heat foods sold in the market were used. Results Processing fluency (4.91 points) and purchase intention (4.13 points) were significantly high when both evaluative nutrition labeling and objective nutrition labeling were presented, and healthfulness evaluation (4.47 points) was significantly high when only evaluative nutrition labeling was presented. All three variables were measured to be high when evaluative nutrition labeling was presented. The evaluative nutrition labeling that visually represented nutritional values was found to be more effective for processing fluency, healthfulness evaluation, and purchase intention than the objective nutrition labeling representing the nutritional value of the product in numbers and proportions. Conclusions These results show that it is necessary to develop various types of evaluative nutrition labeling to enable consumers to choose and purchase healthful home meal replacements. Also, consumer education and public campaigns are needed to encourage consumers to select healthier home-cooked meals using nutrition labeling.
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