Korean Journal of Community Nutrition

Research Articles

[English]
Arterial stiffness index, physical activity and food and nutrient intake: cross-sectional study in adults aged 40 years and older: Eun-A Kim, Yun-Mi Kim, Eun-Kyung Kim; Korean J Community Nutr 2024;29(2):81-96. Published online April 30, 2024; DOI: https://doi.org/10.5720/kjcn.2024.29.2.81

Abstract PDF: Objectives
This study aimed to investigate arterial stiffness index, physical activity, and food and nutrient intake in middle-aged adults over 40 years when the incidence of cardiovascular disease begins to increase.
Methods
This study included 106 subjects (48 males and 58 females) aged between 40 and 64 years. The arterial stiffness index (brachial-ankle pulse wave velocity [baPWV], and anklebrachial index [ABI]) were measured using a blood pressure pulse wave testing device. Physical activity was assessed using the Korean version of the Global Physical Activity Questionnaire, and food and nutrient intake was calculated using the Food Frequency Questionnaire.
Results
The mean age of the subjects was 54.4 years. Although the ABI of the subjects was within the normal range, they were divided into tertiles to compare physical activity and food and nutrient intake. In males, the time spent on moderate to vigorous physical activity (MVPA) was significantly higher in T3 (600.6 min/week) than in T1 (304.4 min/week). In females, the time spent in sedentary behavior was significantly lower in T3 (294.5 min/week) than in T1 (472.1 min/week). In addition, the frequency of fish consumption was significantly higher in T3 (1.27 frequency/day) than in T1 (0.64 frequency/day) in females. Polyunsaturated fatty acid (PUFA) and ω-3 fatty acid intake, adjusted for energy intake, were significantly positively correlated with ABI (r = 0.200 and r = 0.218, respectively).
Conclusions
High MVPA (in males), low sedentary behavior (in females), and PUFA and ω-3 fatty acid intake through fish consumption may be associated with low peripheral artery stiffness. Therefore, arteriosclerosis can be prevented through physical activity and proper dietary therapy.

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[Korean]
Regional Differences in Dietary Total Fat and Saturated Fatty Acid Intake and Their Associations with Metabolic Diseases among Korean Adults: Using the 2016~2019 Korea National Health and Nutrition Examination Surveys: SuJin Song, Jae Eun Shim; Korean J Community Nutr 2021;26(6):495-507. Published online December 31, 2021; DOI: https://doi.org/10.5720/kjcn.2021.26.6.495

Objectives
This study examined regional differences in the intake of dietary total fat and saturated fatty acid (SFA) and their food sources among Korean adults. We also investigated the associations of SFA intake with metabolic diseases by region.
Methods
This study included 13,926 adults ( 19y) who participated in the 2016 ~ 2019 Korea National Health and Nutrition Examination Surveys. The regions were divided into urban and rural areas according to the administrative districts where the participants lived. Using dietary data obtained from a 24-h recall, intake of total fat and SFA and their food sources were assessed by region. Metabolic diseases included obesity, abdominal obesity, and elevated total cholesterol and their association with SFA intake by region were examined using multiple logistic regression.
Results
Of the participants, 19.6% lived in rural areas. In urban areas, the total fat and SFA intakes were higher than in rural areas: 21.2% of energy (%E) came from total fat and 6.9%E from SFA in urban areas, whereas 18.0%E came from total fat and 5.8%E from SFA in rural areas. The percentage of participants who exceeded the dietary reference intakes for total fat and SFA in urban areas was 16.5% and 41.9%, respectively, but 43.4% of participants in rural areas showed lower intake levels for total fat compared to the reference level. Young adults did not show regional differences in fat intake, and the percentage of subjects who exceeded the reference for SFA was high both in urban (58.5%) and rural (55.7%) areas. Among middle-aged and older adults, intake of fatty acids except for n-3 fatty acid was significantly higher in urban areas than in rural areas. About 69% of older adults in rural areas showed a lower intake of total fat compared to the reference level. The food sources for total fat and SFA were meat, soybean oil, eggs, and milk in both areas. The intake of fat from eggs, milk, mayonnaise, and bread was higher in urban areas, but the intake of fat from white rice and coffee mix was higher in rural areas. The SFA intake was positively associated with elevated serum total cholesterol in urban areas (4th quartile vs. 1st quartile, OR: 1.22, 95% CI: 1.06-1.40, P for trend: 0.043), but not in rural areas.

Citations

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Regional differences in protein intake and protein sources of Korean older adults and their association with metabolic syndrome using the 2016–2019 Korea National Health and Nutrition Examination Surveys: a cross-sectional study
You-Sin Lee, Yoonna Lee
Korean Journal of Community Nutrition.2024; 29(3): 173. CrossRef
Association between the Korean Healthy Diet Score and Metabolic Syndrome: Effectiveness and Optimal Cutoff of the Korean Healthy Diet Score
Soo-Hyun Kim, Hyojee Joung
Nutrients.2024; 16(19): 3395. CrossRef
Estimating and evaluating usual total fat and fatty acid intake in the Korean population using data from the 2019–2021 Korea National Health and Nutrition Examination Surveys: a cross-sectional study
Gyeong-yoon Lee, Dong Woo Kim
Korean Journal of Community Nutrition.2023; 28(5): 414. CrossRef
Associations of Dietary Intakes of Total and Specific Types of Fat with Blood Lipid Levels in the Filipino Women’s Diet and Health Study (FiLWHEL)
Heejin Lee, Hyojin Kim, Sherlyn Mae P. Provido, Minji Kang, Grace H. Chung, Jae W. Lee, Sangmo Hong, Sung Hoon Yu, Chang Beom Lee, Jung Eun Lee
Global Heart.2023; 18(1): 29. CrossRef
Regional Differences in Metabolic Risk in the Elderly in Korea
Ji-Myung Kim, Yun-Jung Bae
International Journal of Environmental Research and Public Health.2022; 19(18): 11675. CrossRef

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[Korean]
Do American Consumers Perceive Corporate Social Responsibility Actions and Exhibit Loyalty Intentions Differently according to the Reputation of Fast Food Restaurants?: Kiwon Lee, Youngmi Lee; Korean J Community Nutr 2021;26(3):177-187. Published online June 30, 2021; DOI: https://doi.org/10.5720/kjcn.2021.26.3.177

Abstract PDF: Objectives
This study investigated the different perceptions of customers toward traditional and non-traditional fast-food restaurants regarding restaurant healthfulness, corporate reputation, and the impact of corporate reputation on loyalty intentions through corporate social responsibility (CSR) motive.
Methods
An online survey was conducted on U.S. residents who were aware of fast food restaurants’ CSR activities. Participants selected one fast food restaurant participating in CSR activities, coded as either traditional (n = 117) or non-traditional (n = 48), and answered questions about the selected restaurant’s healthfulness, reputation, CSR motives, and loyalty intentions. The participants’ perceptions of healthfulness and corporate reputation of the two types of fast-food restaurants were compared. A mediation path of corporate reputation – CSR motive – loyalty intention was analyzed.
Results
Non-traditional fast-food restaurants (5.02 ± 1.26) were perceived to be more healthful than traditional ones (3.93 ± 1.72). The participants perceived that compared to traditional fastfood restaurants, non-traditional ones had a better overall corporate reputation (P = 0.037), were more concerned about their customers (P = 0.029), better workplaces (P = 0.007), more environmentally and socially responsible (P < 0.001), and offered higher quality products and services (P = 0.042). Significant positive correlations were shown between restaurant healthfulness and corporate reputation (P < 0.001 for all reputation items). The suggested mediation path was supported with 95% CIs excluding zero, implying that when fast-food restaurants had a better reputation overall, were customer oriented, good employers, strong companies with a good product and service quality, social and environmental responsibility, the participants were more likely to perceive their CSR activities to be sincere and were hence loyal to that restaurant.
Conclusions
Overall, participants were more favorable towards non-traditional fast-food restaurants which had a healthier image and better reputation than traditional ones. Therefore, fast food restaurants need to consider offering healthy food and enhance their image, which would maximize the return on their investment in CSR.

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Original Articles

[English]
Analysis of Dietary Calcium and Phosphorus Intakes and Contribution Rates of Major Dish Groups according to Gender, Age, and Region in Korea: Yeon Kyung Lee, Mi Kyeong Choi, Taisun Hyun, Eun Soon Lyu, Haeryun Park, Hee Kyong Ro, Young Ran Heo; Korean J Community Nutr 2020;25(1):32-47. Published online February 29, 2020; DOI: https://doi.org/10.5720/kjcn.2020.25.1.32

Abstract PDF PubReader ePub

OBJECTIVES
Calcium (Ca) is an insufficiently consumed nutrient, whereas phosphorus (P) intake has exceeded the recommended intake level in Korea over the past decade. The purpose of this study was to analyze dietary Ca and P intakes and their contribution rate according to dish groups.
METHODS
A 24-hour dietary recall survey of 640 healthy adults (aged 19â€“69 years) was undertaken twice in four Korean provinces. Dietary Ca and P intakes and their rates of contribution from 31 major dish groups were analyzed and compared by gender, age group, and region.
RESULTS
The average Ca and P intakes of the subjects were 542.1 Â± 222.2 mg/d and 1,068.3 Â± 329.0 mg/d, respectively. The intakes of Ca and P as percentages of recommended nutrients intake (RNI%) were 71.7 Â± 29.8% and 152.6 Â± 47%, respectively, and the percentages under the estimated average requirement were 60.3% for Ca and 3.8% for P. The RNI% of Ca was not significantly different between males and females, but was significantly higher in subjects in the sixties age group than in other age groups and was significantly lower in the Korean capital than in other regions. The RNI% of P did not significantly differ by gender or age groups, but it was significantly higher in the capital than in Gyeong-sang. The five major dish groups contributing to Ca intake (contribution rate) were milks/dairy products 69.2 Â± 109.2 mg/d (12.6%), soups 55.6 Â± 69.6 mg/d (10.1%), stir-fried foods 53.1 Â± 70.7 mg/d (9.7%), stews 43.4 Â± 85.4 mg/d (7.9%), and kimchi 38.4 Â± 31.8 mg/d (7.0%). The five major dish group contributing to P intake (contribution rate) were cooked rice 160.7 Â± 107.1 mg/d (14.9%), stir-fried foods 88.5 Â± 89.4 mg/d (8.2%), soups 76.7 Â± 85.8 mg/d (7.1%), one-dish meals 63.3 Â± 94.4 mg/d (5.9%), and stews 62.6 Â± 89.3 mg/d (5.8%). The dish groups contributing to Ca and P intakes differed somewhat by gender, age group, and region.
CONCLUSIONS
Programs to improve the nutritional status of Ca and P intakes should consider the differences in Ca and P contribution rates by dish groups as well as by gender, age group, and region.

Citations

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Effects of Lactarius hatsudake fortification on physicochemical, microbiological and antioxidant properties of stirred-type yogurt during cold storage
Hanyu Zhu, Geqing Li, Huijing Liu, Weifeng Sun, Xiaoqian Yao, Rui Wu, Jiajia Hu, Qihui Yang
Food Science of Animal Resources.2024;[Epub] CrossRef
Physicochemical Properties of Restructured Black Goat Jerky with Various Types of Ultra-Ground Seaweed Powders
Ui-Bin Baek, Hack-Youn Kim
Food Science of Animal Resources.2024; 44(2): 483. CrossRef
Improving the nutrition quotient and dietary self-efficacy through personalized goal setting and smartphone-based nutrition counseling among adults in their 20s and 30s
Dahyeon Kim, Dawon Park, Young-Hee Han, Taisun Hyun
Journal of Nutrition and Health.2023; 56(4): 419. CrossRef
Longitudinal Effects of Serum Calcium and Phosphate Levels and Their Ratio on Incident Ischemic Heart Disease among Korean Adults
Dong Hyuk Jung, Byoungjin Park, Yong Jae Lee
Biomolecules.2022; 12(1): 103. CrossRef
Effect of Vitamin D Supplementation on Bone Mineral Density in Rheumatoid Arthritis Patients With Osteoporosis
Oh Chan Kwon, Ji Seon Oh, Min-Chan Park, Yong-Gil Kim
Frontiers in Medicine.2020;[Epub] CrossRef

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[English]
Effects of Low-carbohydrate and High-fat Diet Supplemented with Ketogenic Drink on Cognitive Function and Physical Performance in the Elderly at High Risk for Dementia: Eun Ji Kim, Jung Sik Park, Won Sun Choi, Yoo Kyoung Park; Korean J Community Nutr 2019;24(6):525-534. Published online December 31, 2019; DOI: https://doi.org/10.5720/kjcn.2019.24.6.525

Abstract PDF PubReader

OBJECTIVES
Reduced glucose utilization in the main parts of the brain involved in memory is a major cause of Alzheimer's disease, in which ketone bodies are used as the only and effective alternative energy source of glucose. This study examined the effects of a low-carbohydrate and high-fat (LCHF) diet supplemented with a ketogenic nutrition drink on cognitive function and physical activity in the elderly at high risk for dementia.
METHODS
The participants of this study were 28 healthy elderly aged 60-91 years showing a high risk factor of dementia or whose Korean Mini-Mental State Examination (K-MMSE) score was less than 24 points. Over 3 weeks, the case group was given an LCHF diet with nutrition drinks consisting of a ketone/non-ketone ratio of 1.73:1, whereas the control group consumed well-balanced nutrition drinks while maintaining a normal diet. After 3 weeks, K-MMSE, body composition, urine ketone bodies, and physical ability were all evaluated.
RESULTS
Urine ketone bodies of all case group subjects were positive, and K-MMSE score was significantly elevated in the case group only (p=0.021). Weight and BMI were elevated in the control group only (p<0.05). Grip strength was elevated in all subjects (p<0.01), and measurements of gait speed and one leg balance were improved only in the case group (p<0.05).
CONCLUSIONS
We suggest that adherence to the LCHF diet supplemented with a ketogenic drink could possibly influence cognitive and physical function in the elderly with a high risk factor for dementia. Further, we confirmed the applicability of this dietary intervention in the elderly based on its lack of any side effects or changes in nutritional status.

Citations

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To Keto or Not to Keto? A Systematic Review of Randomized Controlled Trials Assessing the Effects of Ketogenic Therapy on Alzheimer Disease
Maria G Grammatikopoulou, Dimitrios G Goulis, Konstantinos Gkiouras, Xenophon Theodoridis, Kalliopi K Gkouskou, Athanasios Evangeliou, Efthimis Dardiotis, Dimitrios P Bogdanos
Advances in Nutrition.2020; 11(6): 1583. CrossRef

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[English]
Effects of Low-Calorie Diet Including High Protein-Low Carbohydrate Protein Bar on Weight Loss and Serum Lipid Indicators in Overweight Women according to Dietary Compliance: Dasom Park, Hyun Joo Lee, Sook Mee Son; Korean J Community Nutr 2019;24(6):485-496. Published online December 31, 2019; DOI: https://doi.org/10.5720/kjcn.2019.24.6.485

Abstract PDF PubReader: OBJECTIVES
This study was conducted to investigate the effect of a 6-week low-calorie diet (LCD) program including high protein-low carbohydrate protein bar on weight loss, blood pressure, and blood lipid profile in 40 overweight women according to dietary compliance.
METHODS
Subjects were 62 healthy overweight women (BMI â‰¥ 23.0 or body fat percentage â‰¥ 28%), aged 20~59 yrs who were provided a high protein-low carbohydrate protein bar (each 35 g, 154 kcal, protein energy %: 28.6%, carbohydrate energy %: 38.7%) as part of dinner for 6 weeks. Forty subjects who completed the whole diet program were categorized into high compliance (HC) group (days of eating protein bar â‰¥ 5 weeks) or low compliance (LC) group (days < 5 weeks).
RESULTS
Energy intake significantly decreased from 1,867.5 kcal at baseline to 1,137.4 kcal at 6 weeks for the HC group and from 1,971.7 kcal to 1,362.2 kcal for the LC group, respectively. On the other hand, a significant increase in protein energy percentage was observed in each group (HC group: 3.5%, LC group: 2.2%). Both groups showed significant decreases in weight (HC group: 1.8 kg, LC group: 1.1 kg), BMI, fat mass, systolic blood pressure, total cholesterol, and LDL-cholesterol. Reduction of body fat percentage and diastolic blood pressure were only observed in the HC group.
CONCLUSIONS
The inclusion of a high protein-low carbohydrate protein bar as part of a low-calorie diet for a short period can be effective to achieve weight loss and concomitantly improve blood cholesterol level without serious physiological side effects. More evident results can be achieved by eating a diet with low calorie diet including high protein-low carbohydrate protein bar for more than 5 weeks.

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[English]
Evaluation of Total Fat and Fatty Acids Intakes in the Korean Adult Population using Data from the 2016–2017 Korea National Health and Nutrition Examination Surveys: SuJin Song, Jae Eun Shim; Korean J Community Nutr 2019;24(3):223-231. Published online June 30, 2019; DOI: https://doi.org/10.5720/kjcn.2019.24.3.223

Abstract PDF PubReader

OBJECTIVES
This study evaluated dietary intakes of total fat and fatty acids among the Korean adult population.
METHODS
This cross-sectional study used the 2016â€“2017 Korea National Health and Nutrition Examination Survey data. A total of 10,772 subjects aged â‰¥19 y for which dietary data were available were selected. Data pertaining to energy and nutrient intakes were obtained by a 24-h recall method. Total fat and fatty acids intakes were evaluated based on the Acceptable Macronutrient Distribution Ranges (AMDR) of 2015 Dietary Reference Intakes for Koreans by sex and age groups. All statistical analyses accounted for the complex sampling design effect and sampling weights.
RESULTS
The mean intakes of energy and total fat were 1,952 kcal (95% CI: 1928â€“1977) and 46.1 g (45.2â€“47.1), respectively, and about 21% of the energy was obtained from fat in this study population (21.7% in men and 20.2% in women). The mean percentages of energy from saturated, monounsaturated, and polyunsaturated fatty acids were 6.4%, 6.7%, and 5.2%, respectively. About 18% of adults exceeded the AMDR for fat (30% of energy), whereas 37.6% exceeded the AMDR for saturated fatty acids (7% of energy). The proportions of subjects who consumed more than the AMDR for fat and saturated fatty acids decreased across age groups in both sexes. Among young adults (19â€“29 y), about 63% of the subjects obtained â‰¥7% of their energy from saturated fatty acids. About 61% of older adults obtained less than 15% of their energy from total fat.
CONCLUSIONS
Increased intake of fat energy was prominent in saturated fatty acids. Our findings suggest current information on total fat and fatty acids intakes in Korean adults and can be used to provide dietary guidelines for the improvement of public health.

Citations

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Dietary patterns derived by reduced rank regression are associated with lipid disorders among Korean adults: a cross-sectional analysis
Hyun Ah Kim, Hye Ran Shin, SuJin Song
Lipids in Health and Disease.2024;[Epub] CrossRef
Dietary intake and food sources of essential fatty acids among Korean adolescents: a cross-sectional study based on the 2016–2021 KNHANES data
Enkhgerel Erdenetsetseg, Hye Ran Shin, SuJin Song
Korean Journal of Community Nutrition.2024; 29(2): 144. CrossRef
Evaluation of Nutritional Content of Snacks for Smart Snack Choices
Chae Young Yoon, Eunju Kim
Journal of the East Asian Society of Dietary Life.2023; 33(4): 264. CrossRef
Trends in dietary intake and food sources of long-chain polyunsaturated fatty acids among Korean adults between 2007 and 2018
Jae Eun Shim, Youngmi Lee, SuJin Song
Epidemiology and Health.2023; 45: e2023069. CrossRef
Diabetes and Dietary Fats
Jae Won Cho
The Journal of Korean Diabetes.2023; 24(3): 154. CrossRef
Association of Saturated Fatty Acid Intake and Its Food Sources With Hypercholesterolemia in Middle-Aged Korean Men and Women
In Young Jeong, Jae Eun Shim, SuJin Song
CardioMetabolic Syndrome Journal.2022; 2(2): 142. CrossRef
Increasing trends in dietary total fat and fatty acid intake among Korean children: using the 2007–2017 national data
SuJin Song, Jae Eun Shim
Nutrition Research and Practice.2022; 16(2): 260. CrossRef
Substitution of Carbohydrates for Fats and Risk of Type 2 Diabetes among Korean Middle-Aged Adults: Findings from the Korean Genome and Epidemiology Study
Hye-Ah Lee, Hyesook Park
Nutrients.2022; 14(3): 654. CrossRef
Food behaviors accounting for the recent trends in dietary fatty acid profiles among Korean adults
SuJin Song, Jae Eun Shim
Nutrition Research and Practice.2022; 16(3): 405. CrossRef
Current status of nutrient intake in Korea: focused on macronutrients
Seung-Won Oh
Journal of the Korean Medical Association.2022; 65(12): 801. CrossRef
Regional Differences in Dietary Total Fat and Saturated Fatty Acid Intake and Their Associations with Metabolic Diseases among Korean Adults: Using the 2016~2019 Korea National Health and Nutrition Examination Surveys
SuJin Song, Jae Eun Shim
Korean Journal of Community Nutrition.2021; 26(6): 495. CrossRef
The number of teeth is associated with diet quality in Korean adult population
Hye-Sun Shin
Archives of Oral Biology.2020; 118: 104882. CrossRef
Trends in Dietary Intake of Total Fat and Fatty Acids Among Korean Adolescents from 2007 to 2017
SuJin Song, Jae Eun Shim
Nutrients.2019; 11(12): 3073. CrossRef

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[English]
Development of Strategies to Improve the National Nutrition Survey System: Narae Yang, Seungmin Lee, Youngsuk Lim, Haeryun Park, Kirang Kim; Korean J Community Nutr 2018;23(5):444-455. Published online October 31, 2018; DOI: https://doi.org/10.5720/kjcn.2018.23.5.444

Abstract PDF PubReader: OBJECTIVES
The current survey environment is changing and participation rates in national nutrition surveys are decreasing. Therefore, the purpose of this study was to develop strategies for improving the nutrition survey system in the Korea National Health and Nutrition Examination Survey (KNHANES).
METHODS
To develop an alternative system for conducting the KNHANES nutritional survey, we conducted focus group interviews with stakeholders of the survey, SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis, and expert reviews. In addition, spatial analysis of potential sites for conducting surveys instead of relying on household visits was performed, and the perception of nutritional surveys in the population eligible for KNHANES was evaluated.
RESULTS
Based on the results of the focus group interviews, SWOT analysis, and expert reviews, we propose two options for survey sites: vehicles specifically prepared for nutritional surveys and public facilities such as community service centers or public health centers. Among public facilities, community service centers were found to be more appropriate sites than public health centers because they were considered more accessible. About 90% of respondents would participate in the survey in public facilities and about 74% would in vehicles.
CONCLUSIONS
Conducting national nutrition surveys in specially designed vehicles and public facilities could be a viable alternative to home visits. Next, the validity of these newly proposed nutrition survey methods needs to be compared to the results of the current national nutrition survey.

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[English]
Effects of Nutrition Education and Exercise Program on Obesity Index and Behavioral Modification in Moderate Obese Women: Myung Hee Chang, Su Jin Jung; Korean J Community Nutr 2018;23(4):318-332. Published online August 31, 2018; DOI: https://doi.org/10.5720/kjcn.2018.23.4.318

Abstract PDF PubReader

OBJECTIVES
The purpose of this study was to investigate the behavioral modification of obese adults who underwent nutritional and physical activity education. Twenty obese females, aged 20â€“60 years old, with BMIs (Body Mass Index) >30 or body fat (%) >40 were subjected to this study.
METHODS
The physical activity education program consisted of doing exercise in a gymnasium together or home exercise. Dietary attitudes and dietary intakes were assessed using weight control, physical activity, and eating habits. The nutrition-exercise educational period was 12 weeks.
RESULTS
After the study period, there was significant improvement in physical activity and eating habits score. Furthermore, there was a significant increase in the dietary intakes of fiber, iron, potassium, vitamin A, vitamin B6, and niacin. Blood pressure, blood glucose, and total cholesterol levels showed a tendency to decrease, but there was no significant difference. BMI, fat mass, abdominal circumference, and visceral fat levels were significantly reduced while muscle mass significantly increased.
CONCLUSIONS
This study suggests that behavioral modification by nutrition and physical activity education with feedback has positive effects on dietary intake and anthropometric biomarkers in obese adults. Therefore, lifestyle interventions of this kind could be recommended as a method for obesity management.

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Influence of Comprehensive Lifestyle Intervention (LSI) Program on Health, Fatigue, and Quality of Life in Middle-Aged Women
Su-Jin Jung, Seung-Ok Lee, Min-Jun Choi, Jun Heo, Soo-Wan Chae, Baik-Hwan Cho
Journal of Lifestyle Medicine.2022; 12(3): 127. CrossRef
Effect of Nutrition Counseling by Nutrition Care Process on Diet Therapy Practice and Glycemic Control in Type 2 Diabetic Patients
Tae-Jeong Bae, Na-Eun Jeon, Soo-Kyong Choi, Jung-Sook Seo
Korean Journal of Community Nutrition.2020; 25(3): 214. CrossRef

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[English]
Distribution and Exposure Prevalence of Carbohydrate-based Food Intake among Obese Korean Adults Based on the Health Examinees (HEXA) Study: Yuri Han, Sung Ok Kwon, Sang Ah Lee; Korean J Community Nutr 2017;22(2):159-170. Published online April 30, 2017; DOI: https://doi.org/10.5720/kjcn.2017.22.2.159

Abstract PDF PubReader

OBJECTIVES
The purpose of this study was to estimate the distribution and exposure prevalence of total carbohydrate intake and the carbohydrate-based foods such as rice, noodles, sweet potatoes, sweet drinks, milk and fruits and to characterize intake patterns among obese Korean adults.
METHODS
Subjects included 137,363 adults aged 40 years or older who participated in a Health Examinees (HEXA) Study. Multiple regression analysis of data from Semi-Quantitative Food Frequency Questionnaire (SQFFQ) identified food sources of carbohydrates. Weight, height and waist circumstance (WC) were measured, and the body mass index (BMI) was calculated. Obesity was defined as BMI â‰¥ 25 kg/m2 and abdominal obesity as WC â‰¥ 90 cm and â‰¥ 85 cm for males and females, respectively.
RESULTS
Obese adults appeared to have a higher total carbohydrate intake in the univariate analysis but had eaten less after adjustment for general and lifestyle factors, compared to normal weight adults (OR 0.78, 95% CI 0.73-0.82 for general obesity; OR 0.79, 95% CI 0.74-0.85, for abdominal obesity; P trend < 0.0001, respectively). Based on advance analysis for the food sources of carbohydrates, obese subjects had lower intake of rice (OR 0.86, 95% CI 0.68 -1.09 for general obesity; OR 0.87, 95% CI 0.67-1.13, for abdominal obesity; P trend < 0.0001, respectively) and higher intake of noodles (OR 1.21, 95% CI 1.16-1.27 for general obesity; OR 1.25, 95% CI 1.19-1.32, for abdominal obesity; P trend < 0.0001 respectively). With regard to other food sources of carbohydrates such as milk and fruits, intake was lower among obese compared to normal weight subjects.
CONCLUSIONS
In the Korean middle-aged and older obesity groups, the intake of carbohydrates and the related foods was lower than in normal weight subjects, except for noodles. We conclude that a higher intake of noodles may enhance weight-gain. Therefore, this study suggested that the guidelines should consider the types of carbohydrate sources and the amount consumed from foods in order to provide proper guidance with regard to control and prevent obesity among Korean adults.

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Calcium- and Sodium-Rich Food Intake among Koreans with and without Metabolic Syndrome: Cross-Sectional Analysis of the Korean Genome and Epidemiology Study
Byeonggeun Choi, Jiyoon Kim, Yeonjin Kim, Jiae Shin, Sang-Ah Lee
Nutrients.2024; 16(15): 2439. CrossRef
In vitro safety and efficacy of probiotics mixture on carbohydrate digestion inhibition
Eunsol Seo, Jang-Bin Woo, MinYeong Seo, Jeongmin Woo
Korean Journal of Food Preservation.2023; 30(3): 538. CrossRef
Assessment of dietary quality and nutrient intake of obese children in Changwon area
Ji-Sook Park, Ha-Neul Choi, Jae-Young Kim, Sang-Hyuk Ma, Jung-Eun Yim
Journal of Nutrition and Health.2022; 55(6): 630. CrossRef
Comparison of the levels of energy intake from dish and food groups by gender and age among Korean obese adults: data obtained from the 2013-2018 Korea National Health and Nutrition Examination Survey
Cheongmin Sohn, Woori Na, Chaeryeon Kim, Seunghee Choi, Oh Yoen Kim, Jounghee Lee, Mi Ock Yoon, Myoungsook Lee
Journal of Nutrition and Health.2022; 55(6): 670. CrossRef
Relationship between Obesity and Dental Caries in Some University Students: A Pilot Study
SooJeong Hwang, Hoon Kim, MinSeock Seo
Journal of Dental Hygiene Science.2021; 21(2): 127. CrossRef

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[English]
Adulterated Food Management Characteristics according to Dietary Lifestyles among Adolescents: Yunhwa Kim; Korean J Community Nutr 2016;21(6):509-519. Published online December 31, 2016; DOI: https://doi.org/10.5720/kjcn.2016.21.6.509

Abstract PDF PubReader

OBJECTIVES
Adulterated food education in adolescence period is very important because dietary management related to food safety is not made in a short period. This study aimed to identify dietary lifestyle factors which drive adulterated food management among middle and high school students.
METHODS
Data was collected from 270 middle and high school students in Daegu using a self-administered questionnaire in March and April of 2015. Data was analyzed using frequency analysis, one-way analysis of variance, Ï‡Â²-test, factor analysis, reliability analysis, regression analysis, and cluster analysis.
RESULTS
The results of factor analysis indicated that adulterated food management awareness was classified into necessity, difficulty, and food purchasing anxiety. The adulterated food management capability was sub-grouped into environmental grasp, food identification, cooking hygiene, and situation management. The adulterated food management efficacy composed of management confidence, action intention, and knowledge. Dietary lifestyle comprised of gustation, family, and health factors after factor analysis, and it consisted of all seeking group, gustation seeking group, family seeking group, health seeking group, and family and health seeking group after cluster analysis. The gustation, family and health factors were significantly affected the factors of awareness, capability and efficacy of adulterated food management (p < 0.05). The frequency of health conditions, helping with meal preparation, and the times of eating out were significantly different according to seeking groups of dietary lifestyle (p < 0.01). The scores of awareness, capability and efficacy of adulterated food management of family and health seeking group were significantly higher than the other seeking groups (p < 0.05).
CONCLUSIONS
This study suggests that adulterated food management education programs should account for gustation, family and health factors of dietary lifestyle to be effective for adolescents.

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Dietary safety management competency for the sustainable health management of adolescents
Yunhwa Kim
Journal of Nutrition and Health.2022; 55(3): 406. CrossRef
Restaurant Meal Delivery and Take-Out Consumption Behavior according to Adolescents’ Food-Related Lifestyles
Yulee Shin, Minsook Kyung, Seonyeong Baek, Sunny Ham
Journal of the East Asian Society of Dietary Life.2021; 31(3): 172. CrossRef
Predicting adolescents’ behavioural intentions in adulterated food management
Yunhwa Kim
British Food Journal.2019; 122(1): 258. CrossRef
Survey on Foodservice Satisfaction and Dietary Education needs for Improvement of School Foodservice in Middle School Students in Seoul
Kyung-Hee Shin, Youngmee Lee, Wookyoun Cho
Korean Journal of Community Nutrition.2017; 22(2): 127. CrossRef

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[English]
Thermic Effect of Food, Macronutrient Oxidation Rate and Satiety of Medium-chain Triglyceride: Hee Ryoung Son, Myung Ju Lee, Eun Kyung Kim; Korean J Community Nutr 2015;20(6):468-478. Published online December 31, 2015; DOI: https://doi.org/10.5720/kjcn.2015.20.6.468

Abstract PDF PubReader: OBJECTIVES
The objective of this study was to evaluate the thermic effects, the macronutrient oxidation rates and the satiety of medium-chain triglycerides (MCT).
METHODS
The thermic effects of two meals containing MCT or long-chain triglycerides (LCT) were compared in ten healthy men (mean age 24.4 +/- 2.9 years). Energy content of the meal was 30% of resting metabolic rate of each subject. Metabolic rate and macronutrient oxidation rate were measured before the meals and for 6 hours after the meals by indirect calorimetry. Satiety was estimated by using visual analogue scales (VAS) at 8 times (before the meal and for 6 hours after meal).
RESULTS
Total thermic effect of MCT meal (42.8 kcal, 8.0% of energy intake) was significantly higher than that (26.8 kcal, 5.1% of energy intake) of the LCT meal. Mean postprandial oxygen consumption was also significantly different between the two types of meals (MCT meal: 0.29 +/- 0.35 L/min, LCT meal: 0.28 +/- 0.27 L/min). There were no significant differences in total postprandial carbohydrate and fat oxidation rates between the two meals. However, from 30 to 120 minutes after consumption of meals, the fat oxidation rate of MCT meal was significantly higher than that of the LCT meal. Comparison of satiety values (hunger, fullness and appetite) between the two meals showed that MCT meal maintained satiety for a longer time than the LCT meal.
CONCLUSIONS
This study showed the possibility that long-term substitution of MCT for LCT would produce weight loss if energy intake remained constant.

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[English]
Influence of the Size of the Spoon on the Eating rate, Energy Intake and the Satiety Levels of Female College Students: Yang Hee Hong, Young Suk Kim, Hyun Jung Kwon, Do Seok Chang, Dong Geon Kim, Un Jae Chang; Korean J Community Nutr 2015;20(5):375-382. Published online October 31, 2015; DOI: https://doi.org/10.5720/kjcn.2015.20.5.375

Abstract PDF PubReader: OBJECTIVES
This study examined the influence of different sizes of spoons (normal spoon, 8.3 cc vs small spoon, 4 cc) on eating rate, energy intake and the satiety levels of female college students.
METHODS
Twenty four healthy female college students participated in this study once a week for 2 weeks. Two hundred ten grams of cooked rice and 250 g of beef shank soup with a normal spoon and same amount of rice and soup with a small size spoon were served to the same participants over two consecutive weeks. After each lunch, the eating rate, energy intake, and the satiety levels were measured.
RESULTS
Results showed that the subjects who were using a small spoon ate less beef shank soup (149.0 kcal) (p < 0.01) and had lower total energy intake (423.3 kcal) (p < 0.05) than using a normal spoon (178.7 and 461.1 kcal, respectively). Also, the meal time (15.7 min) (p < 0.01), a serving per one spoon (8.6 g) (p < 0.001), and eating rate (27.9 g/min) (p < 0.001) of those who used a small spoon were significantly different than that of those who used a normal spoon (13.6 min, 12.5 g and 35.7 g/min, respectively). However, despite consuming less energy at lunch, the level of satiety after eating from the small spoon was not significantly different from the normal spoon immediately after, 1 hour after and 2 hour after lunch.
CONCLUSIONS
Our results revealed that students were able to control their eating rate by using a small spoon and they could feel full enough even though they eat less. In conclusion, eating rate decrease by using a small spoon may play an important role in food intake.

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[English]
An Evaluation of Chronic Disease Risk Based on the Percentage of Energy from Carbohydrates and the Frequency of Vegetable Intake in the Korean Elderly: Using the 2007-2009 Korea National Health and Nutrition Examination Survey: Yoon Suk Suh, Min Seon Park, Young Jin Chung; Korean J Community Nutr 2015;20(1):41-52. Published online February 28, 2015; DOI: https://doi.org/10.5720/kjcn.2015.20.1.41

Abstract PDF PubReader

OBJECTIVES
Korean elderly people are known to consume diets high in carbohydrates low in vegetables compared to other age groups. This study evaluated the chronic disease risks and nutritional status in this group based on the percentage of energy from carbohydrates and the frequency of vegetable intake.
METHODS
Using the 2007~2009 Korean National Health Nutrition Examination Survey data, except those who were undergoing treatment for chronic disease, final 1,487 subjects aged 65 and older were divided into 4 groups: moderate carbohydrate energy ratio of 55~70% and low frequency of vegetable intake defined as less than 5 times per day (MCLV), moderate carbohydrate ratio and high frequency of vegetable intake more than 5 times (MCHV), high carbohydrate energy ratio above 70% and low frequency of vegetable intake less than 5 times (HCLV), and high carbohydrate ratio and high frequency of vegetable intake more than 5 times (HCHV). All data were analyzed after the application of weighted value, using a general linear model or logistic regression.
RESULTS
More than half of Korean elderly consumed diets with HCLV, and this group showed poor nutritional status and lower frequency of intake of most food items, but with no risk of chronic disease such as diabetes, obesity, hypertension, cardiovascular disease or anemia probably due to low intake of energy. On the contrary, MCHV group with a high percentage of energy from fat and protein showed the highest intake of energy and most nutrients, the highest frequency of intake of most of food items and a tendency of high risk of abdominal obesity, being followed by the MCLV group. Meanwhile, HCHV group showed a tendency of high risk of hypertension, followed by HCLV group with low frequency of intake of vegetables compared with the two moderate carbohydrate groups.
CONCLUSIONS
The results suggested that the percentage of energy from carbohydrate and the frequency of vegetable intake affected the nutritional status, but not significantly affected the risk of chronic disease in Korean elderly. Further studies using more detailed category of % energy from carbohydrates and of type and amount of vegetables with consideration of individual energy intake level, excessive or deficient, are needed to confirm the results.

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[English]
The Measurements of the Resting Metabolic Rate (RMR) and the Accuracy of RMR Predictive Equations for Korean Farmers: Hee Ryoung Son, Seo Eun Yeon, Jung Sook Choi, Eun Kyung Kim; Korean J Community Nutr 2014;19(6):568-580. Published online December 31, 2014; DOI: https://doi.org/10.5720/kjcn.2014.19.6.568

Abstract PDF PubReader

OBJECTIVES
The purpose of this study was to measure the resting metabolic rate (RMR) and to assess the accuracy of RMR predictive equations for Korean farmers.
METHODS
Subjects were 161 healthy Korean farmers (50 males, 111 females) in Gangwon-area. The RMR was measured by indirect calorimetry for 20 minutes following a 12-hour overnight fasting. Selected predictive equations were Harris-Benedict, Mifflin, Liu, KDRI, Cunningham (1980, 1991), Owen-W, F, FAO/WHO/UNU-W, WH, Schofield-W, WH, Henry-W, WH. The accuracy of the equations was evaluated on the basis of bias, RMSPE, accurate prediction and Bland-Altman plot. Further, new RMR predictive equations for the subjects were developed by multiple regression analysis using the variables highly related to RMR.
RESULTS
The mean of the measured RMR was 1703 kcal/day in males and 1343 kcal/day in females. The Cunningham (1980) equation was the closest to measured RMR than others in males and in females (males Bias -0.47%, RMSPE 110 kcal/day, accurate prediction 80%, females Bias 1.4%, RMSPE 63 kcal/day, accurate prediction 81%). Body weight, BMI, circumferences of waist and hip, fat mass and FFM were significantly correlated with measured RMR. Thus, derived prediction equation as follow: males RMR = 447.5 + 17.4.Wt, females RMR = 684.5 - 3.5.Ht + 11.8.Wt + 12.4.FFM.
CONCLUSIONS
This study showed that Cunningham (1980) equation was the most accurate to predict RMR of the subjects. Thus, Cunningham (1980) equation could be used to predict RMR of Korean farmers studied in this study. Future studies including larger subjects should be carried out to develop RMR predictive equations for Korean farmers.

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Resting energy expenditure in Korean type 2 diabetes patients: comparison between measured and predicted values
Ji-Sook Park, Sung-Rae Cho, Jung-Eun Yim
Nutrition Research and Practice.2023; 17(3): 464. CrossRef
Comparison of Various Predictive Energy Equations for Female University Students With Measured Basal Metabolic Rate
Reci Meseri, Özge Küçükerdönmez, Rana Nagihan Akder
Topics in Clinical Nutrition.2022; 37(4): 314. CrossRef
Comparison of Predicted and Measured Resting Energy Expenditure in Overweight and Obese Korean Women
Ji-Sook Park, Jung-Eun Yim
Korean Journal of Community Nutrition.2018; 23(5): 424. CrossRef
Validity of predictive equations for resting energy expenditure in Korean non-obese adults
Didace Ndahimana, Yeon-Jung Choi, Jung-Hye Park, Mun-Jeong Ju, Eun-Kyung Kim
Nutrition Research and Practice.2018; 12(4): 283. CrossRef

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[English]
Influence of Visual Differences in Bowl Size and Types on Dietary Intake of Female College Students with Normal Weight: Young Suk Kim, Un Jae Chang; Korean J Community Nutr 2014;19(3):250-257. Published online June 30, 2014; DOI: https://doi.org/10.5720/kjcn.2014.19.3.250

Abstract PDF PubReader

OBJECTIVES
This study examined the impact of perceived volume on satiety using normal rice bowl, diet rice bowl and small rice bowl.
METHODS
Thirty-six normal weight college female students participated in this study once a week for 3 weeks. Three hundred grams of fried rice in a normal rice bowl (1st week), 300 g of fried rice in a diet rice bowl (2nd week), and 300 g of fried rice in small rice bowl (3rd week) were served to the same participants over three consecutive weeks. After each lunch, the consumption volume of fried rice and the satiety rate were measured.
RESULTS
The consumption volume of fried rice was 248 g (414.5 kcal) with a normal rice bowl, 254 g (429.8 kcal) with a diet bowl, and 270 g (456.8 kcal) with a small rice bowl. Results showed that the subjects who were eating from the small rice bowl ate more fried rice (p < 0.05) than eating from the normal rice bowl and diet rice bowl. However, the satiety rate of fried rice in a diet rice bowl was significantly higher than that of normal rice bowl and small rice bowl (p < 0.05). The five point scale of perceived volume on fried rice served normal rice bowl, diet rice bowl and small rice bowl were 2.4, 4.0 and 2.1.
CONCLUSIONS
The visual cue plays a critical role in determining satiety and that perceived volume is perhaps more important than actual volume of consumed food in determining the level of fullness.

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Effects of Food Consumption Monitoring Using Modified Rice Bowls on Food Intake, Satiety Rate, and Eating Rate
Young-Suk Kim, Un-Jae Chang
Journal of the Korean Dietetic Association.2015; 21(3): 194. CrossRef
Dietary Intervention Strategies to Reduce Energy Intake in Diabetes
Mi Ra Rho
The Journal of Korean Diabetes.2015; 16(1): 43. CrossRef

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[English]
Current Status and Strategic Plan of Nutrition Education Comparing Nutrition Teachers with Dietitians in Schools, Gyeonggi Area: Young Sun Hong, Joung Hee Lee; Korean J Community Nutr 2013;18(3):233-242. Published online June 30, 2013; DOI: https://doi.org/10.5720/kjcn.2013.18.3.233

Abstract PDF PubReader

The aim of this study was to investigate how implementation of direct nutrition education differs between nutrition teachers and dietitians in Gyeonggi Area. In this study, we collected data from 107 nutrition teachers and 129 dietitians in 2012. Among those who have answered they implemented direct nutrition education for the last one year, 36% were nutrition teachers and 10% were dietitians (p < 0.05). Among subjects who implemented direct education, a significantly greater percentage of nutrition teachers used a class as an education time to conduct creative hands-on-activity compare to dietitians (p < 0.05). However, for most dietitians, school meal time was more commonly used for direct nutrition education. When asked to make a suggestion regarding improvement for school nutrition education, the highest rate of people chose simplification of school administrative work (4.68 points) was needed. Developing nutrition education (4.55 points) showed the next highest rate. The rest of the answers were the following order; regular training of teaching methods (4.50 points), increasing awareness of school teachers (4.50 points), improving school facilities and financial support (4.47 points), preparing teaching plan (4.46 points), providing incentive for direct education (4.26 points), organizing regular class for nutrition education (4.17 points), and placing nutrition teachers (4.16 points). This study provides useful information including manageable workload of nutrition teachers and dietitians, capacity building and supportive school environment to be delivered with respect to nutrition education system in South Korea.

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Youngmi Lee, Sooyoun Kwon, Meeyoung Kim
Nutrition Research and Practice.2023; 17(4): 812. CrossRef
Evaluation of educational school meal programs in Gyeonggi province, South Korea
Youngmi Lee, Oksun Kim, Uiok Lee, Sooyoun Kwon
Journal of Nutrition and Health.2017; 50(1): 111. CrossRef
The work performance and the factor contributing to the work performance of nutrition teacher & school dieticians
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School Dieticians’ Awareness of Necessity for Nutrition Education and Need for Better Working Environment: In-Depth Interview
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[English]
The Related Factors Influencing on Self-rated Health Level of Middle-aged Women: Hyejin Lee, Kyung Hea Lee, Eunkyung Kim, Mi Jung Kim, Suk Man Hwang; Korean J Community Nutr 2012;17(3):290-301. Published online June 30, 2012; DOI: https://doi.org/10.5720/kjcn.2012.17.3.290

Abstract PDF PubReader

This survey of 836 midlife women (51.0 +/- 4.0 yrs) was undertaken by exclusively a face to face interview by well-trained interviewers guarantying data collection of higher quality. This survey data was analyzed using the SPSS program. The main purpose of this study was to describe the factors affecting self-rated health status, including dietary habits and physical . mental . social factors. In the self-rated health status of a 'good' group, age was lower (p < 0.05), monthly income was higher (p < 0.01), dietary habits score (p < 0.001) and appetite (p < 0.001) and the degree of movement (p < 0.001) and life satisfaction (p < 0.001), marital intimacy (p < 0.001) and relationship satisfaction with their children (p < 0.001) were significantly higher than the 'bad' group. The level of depression (p < 0.001) and severe feeling of menopausal symptoms (p < 0.001) were significantly higher in the 'poor' group. The results of correlation analysis demonstrated that educational level (r = 0.069, p < 0.05),income (r = 0.157, p < 0.001), eating habits (r = 0.235, p < 0.001), appetite (r = 0.263, p < 0.001), life satisfaction (r = 0.197, p < 0.001), marital intimacy (r = 0.167, p < 0.001), child relationship satisfaction (r = 0.149, p < 0.001), positive attitude toward menopause (r = 0.070, p < 0.05) showed a positive correlation, but depression (r = -0.122, p < 0.001) and menopausal symptoms (r = -0.292, p < 0.001) showed a negative association with self-rated health status. The predictable factors affecting the self-rated health status of middle-aged women were examined by multiple regression analysis. The 'menopausal symptoms - physical discomfort' was the most important variables followed by the 'appetite', 'eating habits', 'menopause symptoms - sensory problems', 'BMI', 'positive attitude toward menopause' and 'high marital intimacy'. These results showed that the 'appetite' and 'eating habits' are important factors affecting the self-rated health status. Therefore, a program of dietary education must be considered for the effective health education and counseling of middle-aged women.

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[English]
The Relationship between beta-cell Function and Nutrient Intakes in Korean Adult: Using 4th Korea National Health and Nutrition Examination Survey 2009: You Mi Lee, Hye Kyung Chung, Heejin Kimm, Sun Ha Jee; Korean J Community Nutr 2012;17(2):243-257. Published online April 30, 2012; DOI: https://doi.org/10.5720/kjcn.2012.17.2.243

Abstract PDF PubReader

The purpose of this study was to evaluate pancreatic beta-cell function of Korean adult and to examine the associations between beta-cell function and nutrient intakes. Data were analyzed for 1,917 male and 2,885 female subjects older than 30 years using 'The Forth Korean National Health and Nutrition Survey in 2009'. We calculated HOMA beta-cell (The homeostasis model assessment of beta-cell function) using fasting glucose and fasting insulin for assessing beta-cell function. Subjects were divided into HHG (High HOMA beta-cell Group) or LHG (Low HOMA beta-cell Group) according to median of HOMA beta-cell, and then nutrient intakes were compared between two groups. In the entire study population, HHG showed lower percent of carbohydrate intakes (p < 0.05), and higher fat (p < 0.01), percent of fat (p < 0.05), vitamin A (p < 0.05), carotene (p < 0.05) and riboflavin (p < 0.05) intakes than LHG. In addition, levels of HOMA beta-cell were negatively correlated with percent of carbohydrate (beta = -0.040, p < 0.05), and positively correlated with percent of fat (beta = 0.046, p < 0.01). The subjects were then divided into two subgroups according to body mass index values, either < 23 kg/m2 (under- and normal-weight) or > or = 23 kg/m2 (over-weight and obese). Significant differences of some nutrients intakes and correlations with HOMA beta-cell were observed only in under- and normal weight subjects, but not in over-weight and obese subjects. In conclusion, high carbohydrate, lower fat and lower vitamin intakes may be related with pancreatic beta-cell dysfunction in under- and normal-weight Korean.

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Beta-Cell Function and Nutrient Intake
You Mi Lee
The Journal of Korean Diabetes.2016; 17(3): 190. CrossRef
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Hye-Kyung Chung, Yoonsu Cho, Min-Jeong Shin
Annals of Nutrition and Metabolism.2013; 62(2): 129. CrossRef

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[English]
Comparisons of Body Image Perception, Health Related Lifestyle and Dietary Behavior Based on the Self-Rated Health of University Students in Seoul: Ho Kyung Kwak, Mi Young Lee, Mi Joung Kim; Korean J Community Nutr 2011;16(6):672-682. Published online December 31, 2011; DOI: https://doi.org/10.5720/kjcn.2011.16.6.672

Abstract PDF PubReader

This study was conducted to examine the differences in perceived body weight and image and various lifestyles based on the self-rated health of university students when gender was adjusted. Five hundred fifty-five participants were asked their perceived health condition, and 58, 289, 160 and 48 students answered themselves as "very healthy", "healthy", "normal", and "unhealthy", respectively. As compared to the other 3 groups, "unhealthy" group showed higher proportions in dissatisfaction of body weight and negative perception of body image (P < 0.01). As health related lifestyles, "very healthy" group reported longer sleeping time than "unhealthy" group (P < 0.05), and had a higher proportion of people with regular exercise. Among the dietary behaviors, the frequencies of followings significantly different among the groups: "Regularity of meal time" (P < 0.01), "Eat protein foods more than twice a day" (P < 0.001), "Eat vegetables" (P < 0.01), "Eat fruit and fruit juice" (P < 0.01), "Eat vegetable oil added foods" (P < 0.01), "Eat seaweed" (P < 0.01), "Eat breakfast" (P < 0.01), "Modulation in animal fat and high in cholesterol intake" (P < 0.01). Particularly, higher proportion of subjects answered "very healthy" had higher frequencies (6-7 times/week) of these dietary behaviors. Overall results suggest that healthy lifestyle including adequate sleeping time, regular exercise, and good dietary behaviors might be potential factors affecting positive perception of health. In addition, positive perception of body weight and image were related with positive perception of health.

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Eunim Jung, Whajin Hyun, Yoona Ro, Hongmie Lee, Kyunghee Song
Nutrition Research and Practice.2016; 10(4): 442. CrossRef
Combined effect of body mass index and body size perception on metabolic syndrome in South Korea: results of the fifth Korea National Health and Nutrition Examination Surveys (2010-2012)
Sook Hee Yoon, Kyu-Tae Han, Sun Jung Kim, Tae Yong Sohn, Byungyool Jeon, Woorim Kim, Eun-Cheol Park
BMC Public Health.2015;[Epub] CrossRef
Night Eating and Nutrient Intake Status according to Residence Type in University Students
Ye-Sook Jun, Mi-Kyeong Choi, Yun-Jung Bae
Journal of the Korean Society of Food Science and Nutrition.2015; 44(2): 216. CrossRef
Survey on Health-related Factors, Nutrition Knowledge and Food Habits of College Students in Wonju Area
Seung Lim Lee, Sun Hee Lee
Korean Journal of Community Nutrition.2015; 20(2): 96. CrossRef
A Study on Food Habits and Nutrient Intakes according to BMI in Food and Nutrition Major and Non-major Female Students in Kyungnam University
Eun-Hee Seo
Korean Journal of Community Nutrition.2014; 19(4): 297. CrossRef
The Associations between Discordance of Body Image and Physical Activities among Adults Aged 19 to 64 Years: Based on the Data from 2010 Community Health Survey
In Ae Chun, So Yeon Ryu, Jong Park, Mi Ah Han, Seong Woo Choi, Dae Sik Ko
The Korean Journal of Obesity.2014; 23(4): 274. CrossRef
Relations of Body Perception, Anxiety, Psychological Flexibility and Abnormal Eating Attitudes of College Students
Hae Ok Jeon
Journal of the Korea Academia-Industrial cooperation Society.2014; 15(6): 3675. CrossRef
Evaluation of Diet Quality according to Self-Rated Health Status of Korean Middle-Aged Women -Based on 2008~2009 Korean National Health and Nutrition Examination Survey-
Hye-Jin Lee, Kyung-Hea Lee
Journal of the Korean Society of Food Science and Nutrition.2013; 42(9): 1395. CrossRef
A Study on the Eating Habits and Healthy Eating Behaviors of the University Students in Jeonbuk Area
Kye-Hong Min
Korean journal of food and cookery science.2013; 29(4): 399. CrossRef
An Analysis of Factors Affecting Energy Drink Consumption in College Students
Haesun Yun, Su Hee Kim, Chung Yul Lee
Korean Journal of Health Education and Promotion.2013; 30(3): 1. CrossRef
Comparisons of dietary behavior, food intake, and satisfaction with food-related life between the elderly living in urban and rural areas
Yuri Kim, Sunhee Seo, Oran Kwon, Mi Sook Cho
Korean Journal of Nutrition.2012; 45(3): 252. CrossRef

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[English]
Effect of Eating with Family or Alone on the Self-rated Mental or Physical Health: The Elementary School Children in Daejeon Area: Soon Jung Sung, Sunja Kwon; Korean J Community Nutr 2010;15(2):206-226. Published online April 30, 2010

Abstract PDF: The purpose of this study was to examine the effect of eating with family or alone on the self-rated mental or physical health and then work out strategies of making people recognize the importance of eating with family and its practice. Study subjects were 610 primary school 5th- and 6th-grade students in Daejeon Area. A questionnaire survey was carried out. 57.9% of students had working mothers. The frequency of meal in a day was 2.90 +/- 0.42 and this frequency was lower in students who had working mothers (p < 0.05). The frequency of skipping breakfast (times/week) was 1.02 +/- 1.77. The frequencies of eating alone (times/week) were 1.04 +/- 1.65 for breakfast and 0.97 +/- 1.52 for dinner. Also, the frequency of eating alone for dinner was higher in students who had working mothers (p < 0.001). When the frequency of eating alone for breakfast or dinner was higher, the frequencies of skipping breakfast and dinner were also higher (for all, p < 0.01). When the frequency of eating alone for breakfast or dinner was higher, the self-rated positive mental health were lower (p < 0.05 and p < 0.01 respectively) and the self-rated negative mental health (for dinner, p < 0.05) and the self-rated negative physical health was higher (p < 0.05 and p < 0.01 respectively), thus presenting negative health. The frequencies of eating with family (times/week) were 3.37 +/- 2.50 for breakfast and 4.14 +/- 2.19 for dinner. Also, the frequency of eating with family for dinner was lower in students who had working mothers (p < 0.01). When the frequency of eating with family for breakfast was higher, the frequency of skipping breakfast was lower (p < 0.01). When the frequency of eating with family for dinner was higher, the frequency of skipping dinner was lower (p < 0.01). In addition, when the frequency of eating with family for breakfast or dinner was higher, the self-rated positive mental health were higher (for both, p < 0.01) and the self-rated negative mental health was lower (for breakfast, p < 0.01) and self-rated negative physical health were lower (for both, p < 0.01), thus presenting positive health. Therefore, in order to maintain positive health, it is necessary to recognize the importance of eating with family at home and educate people to carry out a systematic and continuous dietary life, thus increasing eating with family and reducing eating alone and skipping a meal.

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[English]
Development of Risk Communication Strategy and Educational Homepage on Food Additives: Sang Mi Kim, Jeong Weon Kim; Korean J Community Nutr 2010;15(2):240-252. Published online April 30, 2010

Abstract PDF: The purpose of this research was to develop risk communication (RC) strategy and educational web-site on food additives for elementary students and their parents to improve their perception on food additives and dietary life. First of all, a survey was conducted from 1,200 elementary children and their parents to diagnose the perception and information needs on food additives. The survey revealed that most children and their parents did not have enough knowledge on food additives and demanded the safety information on food additives. Second, previous researches on food communication were analyzed to develop a risk communication model, and it was directly applied in this study. Third, a web site (www.foodnara.go.kr/foodaddy) was developed to upload the education materials along with up-to-date information and classroom activities for teachers on food additives. Fourth, the developed homepage was evaluated by applying to about 100 children and parents each, and majority of them showed high levels of understanding (children 85.7%, parents 79%) and satisfaction (children 77.2%, parents 64%), and the effect of getting over the prejudice against food additives was observed. The RC model developed in this study could be applied to any food risk communication, and the content and materials in this web site including booklets, animations, and quiz could be used effectively to promote the communication on food additives. In the future, it will be necessary to advertise the web site to be utilized by various consumer levels and to update the contents continuously by developing consumer-friendly communication materials.

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[English]
The Interrelations among Nutrition Education, Satisfaction with School Lunch, School Lunch Leftovers and Self-rated Mental or Physical Health: The Elementary School Children in Daejeon Area: Sunja Kwon, Soon Jung Sung, Sun Yung Ly; Korean J Community Nutr 2010;15(1):94-107. Published online February 28, 2010

Abstract PDF: The purpose of this study was to examine the interrelations among current status of nutrition education, satisfaction with school lunch, school lunch leftovers and self-rated mental or physical health in order to find out the effective method of nutrition education. For this, a questionnaire survey of 623 primary school 5th and 6th-graders in Daejeon area was carried out. The eating places were classrooms (41.1%) and restaurants (58.9%). A 59.2% of students have received nutrition education and the opportunity of receiving nutrition education was more in 5th-graders than in 6th-graders (p < 0.001). The score of nutrition knowledge was 9.4 +/- 2.8 out of 15. When the score of nutrition knowledge was higher, the practical use of nutrition knowledge was higher (r = 0.134, p < 0.01); the score of school lunch leftovers were less (r = -0.116, p < 0.01); and the score of self-rated mental health was more positive (r = 0.198, p < 0.01). The practical use of nutrition knowledge was 2.9 +/- 1.1 out of 5. When the practical use of nutrition knowledge was higher, satisfaction with school lunch was higher (r = 0.105, p < 0.01); school lunch leftovers were less (r = -0.103, p < 0.01); the score of self-rated positive mental health was higher (r = 0.293, p < 0.01); and the scores of self-rated negative mental health (r = -0.119, p < 0.05) and physical health (r = -0.126, p < 0.01) were lower, thus rating their health more positively. The score of satisfaction with school lunch was 3.4 +/- 1.0 out of 5. When the satisfaction with school lunch was higher, the score of school lunch leftovers was less (r = -0.216, p < 0.01); the score of self-rated positive mental health was higher (r = 0.147, p < 0.01); and the score of self-rated negative health was lower (r = -0.121, p < 0.01). The score of school lunch leftovers was 2.9 +/- 1.4 out of 5. When the school lunch leftovers were less, self-rated positive mental health was significantly higher (r = -0.146, p < 0.01); and the scores of self-rated negative mental health (r = 0.135, p < 0.01) and physical health (r = 0.223, p < 0.01) were significantly lower, thus presenting positive health. Therefore, in order to maintain positive health condition, it is necessary to carry out nutrition education, which is able to raise the nutrition knowledge and practical use of nutrition knowledge, school lunch satisfaction and to reduce the school lunch leftovers.

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[English]
Accuracy of Predictive Equations for Resting Metabolic Rate in Korean College Students: Ga Hee Lee, Myung Hee Kim, Eun Kyung Kim; Korean J Community Nutr 2009;14(4):462-473. Published online August 31, 2009

Abstract PDF: The purpose of this study is to analyze the accuracy of predictive equations for resting metabolic rate (RMR) in Korean college students. Subjects were 60 healthy Korean college students (30 males, 30 females) aged 18-25 years. RMR was measured by indirect calorimetry. Predicted RMRs were calculated using the Harris-Benedict, Schofield (W)/(WH), FAO/ WHO/UNU(W)/(WH), Owen, Mifflin, Cunningham, Liu, IMNA and Henry (W)/(WH) equations. The accuracy of the equations was evaluated on basis of accurate prediction (the percentage of subjects whose RMR was predicted within90% to 110% of the RMR measured), mean difference, RMSPE, mean % difference, limits of agreement of Bland- Altman method between predicted and measured RMR. Measured RMR of male and female students were 1833.4 +/- 307.4 kcal/day and 1454.3 +/- 208.0 kcal/day, respectively. All predictive equations underestimated measured RMR. Of the predictive equations tested, the Harris-Benedict equation (mean difference: -80.4 kcal/day, RMSPE: 236 kcal/day, mean % difference: -3.1%) was the most accurate and precise, but accurate prediction of the equation was only 42%. Thus, this study suggests that the ethnicity-specific predictive equation from Korean people should be developed to improve the accuracy of predicted RMR for Koreans.

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[English]
Fitness of Diet-Related Factors Explaining the Self-Rated Health (SRH) in Rural Older Adults with Discriminant Analysis: Myeong Hwa Cha, Seong Ja Heo, Hyun Sook Youn; Korean J Community Nutr 2008;13(5):723-732. Published online October 31, 2008

Abstract PDF: The purpose of this study was to identify the influence of diet related factors, such as diet behaviors, food intake, and nutrient intakes, on self-rated health (SRH). Also, in order to determine fitness of classification for SRH reflecting diet related factors, this study surveyed older adults in Gyeongnam province. A total of 101 responses were collected using the interview survey method. The self- rated health of rural older adults was poor as reported by 49.5%. The level of self-rated health was found to be related to the frequencies of coffee and snack, use of sugar and vegetable in diet, the amount of total food intake, and cholesterol intake. The result of discriminant analysis, which was conducted to assess the adequacy of SRH classification and to determine the class of observation, showed frequency of coffee and use of vegetable in diet among 47 variables as predictive variables for explaining SRH. The fitness of self-rated health function was high to 47.7%. Therefore, diet-related factors were ascertained to be important variables to predict SRH.

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[English]
Amounts and Food Sources of Nutrients of Elementary School Lunch Menus by the Type of Foodservice and the Percent Energy from Fat: Hye Jeong Youn, Young Hee Han, Taisun Hyun; Korean J Community Nutr 2007;12(1):90-105. Published online February 28, 2007

Abstract PDF: This study was conducted to assess macro- and micronutrient compositions in school lunch menus based on the 'Dietary Guideline' for School Lunches. Ninety-five dieticians in elementary school in Chungbuk were asked to complete a questionnaire on characteristics of the school lunch program (such as type of foodservice, food production system), the information about dietitians (such as age, education, and job history), and the extent of the use of processed foods and frozen foods. They were asked to return the questionnaire with the menus including the name and the quantity of every food ingredient offered during a week. A total of 554 lunch menus provided for a week of June 2004 were analyzed. Average nutrient content per meal was as follows; 660 kcal, energy; 92.9 g, carbohydrate; 26.7 g, protein; 21.1 g, fat; 287 microgramRE, vitamin A; 0.5 mg, thiamin; 0.5 mg, riboflavin; 29.3 mg, vitamin C; 338.2 mg, calcium; 3.9 mg, iron; and 97 mg, cholesterol. Average percentages of energy from carbohydrate, protein and fat was 56.2%, 16.2%, and 29.0%, respectively. The mean nutrient content per meal was higher in rural-type than in urban-type schools. The weekly menu of 40% of the schools provided < 55% of energy from carbohydrate, and 39% of the schools offered lunch that provided > or =30% of energy from fat. The micronutrient content was generally high when the percent energy from fat was less than 25%. Our results showed that only 52.6% of the schools provided lunches with the energy composition as in the 'Dietary Guideline' of School Lunches. Whole Milk was the major contributor to fat, saturated fatty acid and cholesterol. We suggest that school foodservices start to provide low fat milk instead of whole milk to reduce fat, saturated fatty acid and cholesterol. If low fat milk is served instead of whole milk, percentage of energy from fat and saturated fat can be reduced from 29% to 25%, and from 10.2% to 9.1%, respectively, and cholesterol could be reduced from 97 mg to 79 mg. Efforts to meet 'Dietary Guideline' for School Lunches should be made, especially to reduce fat intake, while maintaining essential nutrient intake at sufficient levels for children.

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[English]
Moderate Alcohol Consumption Does Not Prevent the Hypertension among Korean: the 2001 Korean National Health and Nutrition Examination Survey: Young Ok Kim; Korean J Community Nutr 2006;11(6):707-713. Published online December 31, 2006

Abstract PDF: The purpose of this study was to test whether moderate alcohol consumption has any positive effect on lowering blood pressure among Koreans. Study subjects were Korean adults 20 years or older (n=5,234) who participated in the 2001 Korean National Health and Nutrition Examination Survey (KNHANES). Analysis of variance and analysis of covariance were used to construct univariate and multivariate models relating alcohol consumption to blood pressure for the analysis. After adjustment for possible covariates, drinkers (regardless of drinking level) had significantly higher systolic and diastolic blood pressure, compared with never-drinker for male subjects. Diastolic and systolic blood pressures were also significantly elevated with the drinking frequency and amount of alcohol intake among male subjects. For the female subjects, only diastolic blood pressure was significantly associated with the alcohol consumption at multivariate model, however, low level alcohol consumption did not show any sign of lowing effects on blood pressure. The result implies that moderate alcohol consumption did not have any positive effect on lowering blood pressure among Koreans for either sex.

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[English]
Comparison of Students' Satisfaction with Sanitary, Environment, and Service of College Food Service by Operating System: Su Hyun Kim, Sunja Kwon, Sun Yung Ly; Korean J Community Nutr 2005;10(3):331-340. Published online June 30, 2005

Abstract PDF: The purpose of this study was to provide basic data to improve college food service satisfaction with sanitary, environment and service by comparing 2 contract-managed and 2 self-operated college food services in Daejeon and Chungnam area. According to the results, sanitation and environment satisfaction degrees of contract-managed college food services were higher than those of self-operated food services. The satisfaction degrees with service were also higher in contract-managed food services than self-operated food services except the category of quick food delivery. In all categories comprising the food service satisfaction, the satisfaction degrees were lower in female students than in male students. There were more negative self-perceived clinical symptoms in female students than male students. The higher the negative self-perceived clinical symptoms scores were, the lower the satisfaction degrees with food service were, which suggests that the health state of students was one of the factors that influenced college food service satisfaction. There was no difference between contract-managed and self-operated food services in terms of satisfaction with overall food taste and overall satisfaction degree. The average satisfaction degree for the contract-managed food services in terms of price relative to food quality was lower than that for self-operated food services. According to stepwise multiple regression analysis, 'overall food taste', 'price relative to quality', 'kindness of employees', 'coping with proposed opinions' and 'quickness of food delivery' in decreasing order, were the most relatively important attributes for overall satisfaction. There should be further studies on important management factors to improve satisfaction with sanitary, environment and service by self-operated college food service.

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[English]
A Study on Dining-Out Behaviors of Community for Marketing Strategy of Local Foodservice Industry: In Sook Lee, Bong Soon Choi; Korean J Community Nutr 2004;9(2):214-224. Published online April 30, 2004

Abstract PDF: The purpose of this study was to propose the marketing strategy for the local foodservice industry which can lead to successful business in keen competitive foodservice industry by adapting community residents' dining-out behaviors. A total of 350 adults (291 collected; 102 men and 188 women) was surveyed with a questionnaire about the frequency of dining-out, company when out to eat, proper price for one meal, reasons why one chooses a specific restaurant, and general information. Data was analyzed by SPSS/win 7.5. Over the 1/3 of residents (36.3%) ate out 1 - 2 times a week and slightly over the 1/4 of residents (26.4%) did so 1 - 2 times a month. Usually men did more dining out than women. Teachers/ professors' (52.6%) dined out 1 - 2 times a week. Respondents with 1 - 2 million won of monthly income (46.4%) ate out 1 - 2 times a week. Almost 3/4 of respondents chose Korean restaurant. The main factors affected selecting the specific restaurant were 'cleanliness of food and atmosphere of restaurant', and 'reasonable price'. More than 1/3 of respondents (38.9%) answered 5,000 - 8,000 won was reasonable price for eating-out. Respondents in 20's dined out with friends (70.4%) and friends (43.0%) chose the specific restaurant; on the other hand, the other age groups usually dined out accompanied by family (60.7 - 73.7%) and respected spouse or children's opinion when selecting a restaurant. Thus, the menu must be reevaluated from the customers' view point and nutritional status for the well-being of community residents.

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[English]
The Effects of Gender, Obesity Rate, Nutrition Knowledge and Dietary Attitude on the Dietary Self-Efficacy of Adolescents: Jeong Sook Lee; Korean J Community Nutr 2003;8(5):652-657. Published online October 31, 2003

Abstract PDF: This study was carried out to investigate the effects of the gender, obesity rate, nutrition knowledge and dietary attitude on the dietary self-efficacy of adolescents. The subjects were 1,022 (518 male, 504 female), aged 13 - 17 years living in Busan, Masan, Jinju and Jinhae city. This survey was conducted from April 8 to April 22, 2002 by questionnaires and data were analyzed by SPSS program. The results are summarized as follows. Nutrition knowledge scores and dietary selfefficacy scores of the females were higher than those of the males. The higher the nutrition knowledge and dietary attitude scores, the higher dietary self-efficacy. Dietary attitude has direct effects on dietary self-efficacy and obesity rate has indirect effects which was mediated by nutrition knowledge. Gender and nutrition knowledge have direct effects and indirect effects which were mediated by dietary attitude. Dietary attitude showed the greatest total causal effect in relation to dietary self-efficacy.

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