Korean Journal of Community Nutrition

Research Articles

[English]
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 J Community Nutr 2024;29(3):173-188. Published online June 30, 2024; DOI: https://doi.org/10.5720/kjcn.2024.29.3.173

Abstract PDF PubReader ePub: Objectives
The study aim was to analyze the regional differences in dietary protein intake and protein sources of Korean older adults and their association with metabolic syndrome.
Methods
Study participants were 1,721 older adults aged 65 and over who participated in 2016–2019 Korea National Health and Nutrition Examination Survey. Using 24-hour recall dietary intake data, protein intake and their food sources were examined. The association between protein intake and metabolic syndrome, obesity, and abdominal obesity were analyzed by multiple logistic regression.
Results
Total protein and animal protein intakes were higher in urban area (60.0 g, 24.4 g, respectively) than in rural area (54.6 g, 19.6 g, respectively). With increase of protein intake level, animal to total protein proportion was increased in both areas. Total protein and plant protein intake was negatively associated with the risk of obesity, abdominal obesity in both areas. Animal protein intake was negatively associated with the risk of obesity in both areas, and with abdominal obesity only in urban area. In urban area, plant protein intake was also negatively associated with the risks of metabolic syndrome, elevated triglyceride, and reduced high density lipoprotein-cholesterol. In urban area, the risk of metabolic syndrome was decreased when their protein intake was more than 0.91 g/kg and was lowest when their protein intake was more than 1.5 g/kg (P for trend < 0.001).
Conclusions
Korean older adults showed inadequate protein intake and those in rural area showed lower animal protein intake than in urban area. The risk of obesity and metabolic syndrome was decreased with the increase of protein intake level. These findings may help develop effective nutrition support strategy for older adults to reduce regional health disparity.

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[Korean]
Association of ultra-processed food with diabetes and impaired fasting glucose in elderly populations (urban and rural): a cross-sectional study: Seung Jae Lee, Mi Sook Cho; Korean J Community Nutr 2024;29(1):51-64. Published online February 29, 2024; DOI: https://doi.org/10.5720/kjcn.2024.29.1.51

Abstract PDF: Objectives
This study examined the association between ultra-processed food (UPF) consumption and chronic diseases in elderly Koreans.
Methods
Data from the 2019–2021 Korea National Health and Nutrition Examination Survey were analyzed. Dietary intake and UPF consumption were assessed using the NOVA food classification based on 24-hour recall data from 3,790 participants (aged 65+ years). Participants were divided into 4 groups based on the quartile of energy intake from UPFs. Regions were classified as urban or rural. Multivariable logistic regression was employed to estimate the adjusted odds ratios (AORs) with 95% confidence intervals (CIs) after controlling for potential confounders.
Results
Among the participants, 71.3% resided in urban and 28.7% in rural areas. Compared to the urban elderly, rural participants tended to be older, have lower education and income levels, be more likely to live in single-person households, and have a higher smoking rate (P < 0.05). Urban elderly consumed more UPFs daily (146.1 g) compared to rural residents (126.6 g; P < 0.05). “Sugar-sweetened beverages” were the most consumed category in both regions. “Sweetened milk and its products” and “traditional sauces” were prominent in urban areas, while rural elderly consumed more “traditional sauces” and “distilled alcoholic beverages.” Rural areas also had a higher carbohydrate-to-calorie ratio than urban areas. Compared to the lowest quartile of UPF intake, the highest quartile was significantly associated with impaired fasting glucose only in rural areas (AOR, 1.48; 95% CI, 1.00–2.19; P for trend = 0.0014). No significant associations were observed for diabetes in either urban or rural areas.
Conclusions
This study suggests that high intake of UPFs is associated with increased odds of impaired fasting glucose in rural elderly. Further research is needed to elucidate the specific negative health effects of UPFs in different populations, and targeted efforts should promote healthy diets in both urban and rural areas.

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[English]
Changes in dietary habits and chronic diseases before and after COVID-19 by regions using data from the 2018-2020 Korea Community Health Survey and Consumer Behavior Survey for Foods: a cross-sectional study: Surim Park, Eun-hee Jang, Seungmin Lee; Korean J Community Nutr 2023;28(2):124-140. Published online April 30, 2023; DOI: https://doi.org/10.5720/kjcn.2023.28.2.124

Abstract PDF: Objectives
This study examined the changes in dietary habits, the prevalence of chronic diseases, and mental health problems in the regional areas of the Republic of Korea before and after the COVID-19 pandemic to provide evidence of the status of regional health inequalities.
Methods
This study analyzed Korean adults aged 19 or older who participated in the Korea Community Health Survey (n = 686,708) and Consumer Behavior Survey for Foods (n = 19,109) from 2018 to 2020. The participants were classified according to their residence area (Seoul metropolitan area, Metropolitan cities, Provinces); 2018-2019 were defined as before COVID-19, and 2020 as after COVID-19. The dietary behaviors, chronic diseases, and mental health problems were measured using a self-report questionnaire.
Results
After COVID-19, the eating-out usage rate in the Seoul metropolitan area and Provinces decreased compared to before COVID-19 (P < 0.001), and when responding that they eat out, the frequency of eating out with household members in the Seoul metropolitan area increased (P = 0.024). The deliveries/takeout usage rate in the Provinces decreased after COVID-19 compared to before (P < 0.001). After COVID-19, the prevalence of obesity decreased in all regions (P < 0.001), and the prevalence of hypertension increased significantly in the Provinces (P = 0.015). The prevalence of diabetes mellitus increased continuously before and after COVID-19 in all regions (P < 0.002). High-risk subjective stress levels increased significantly in the Seoul metropolitan area (P < 0.001), and sleep duration significantly increased in all regions (P < 0.001). Major depressive disorder was reduced significantly in Metropolitan cities (P = 0.042) and Provinces (P < 0.001).
Conclusions
After the COVID-19 pandemic, the prevalence of chronic diseases and mental health problems showed regional differences along with changes in dietary habits. It is necessary to reflect the regional differences in dietary habits in future policies resolving regional health inequalities.

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[Korean]
Trends in Dietary Behavior Changes by Region using 2008 ~ 2019 Community Health Survey Data: Yun-Hui Jeong, Hye-Young Kim, Hae-Young Lee; Korean J Community Nutr 2022;27(2):132-145. Published online April 30, 2022; DOI: https://doi.org/10.5720/kjcn.2022.27.2.132

Abstract PDF

Objectives
This study examined trends in the health status and dietary behavior changes by region using the raw data from the 2008 ~ 2019 Community Health Survey.
Methods
This study analyzed the data of 2,738,572 people among the raw data of the Community Health Survey from 2008 to 2019. The regional differences in health status and dietary behavior were examined by classifying the regions into capital and non-capital regions, and the non-capital regions were classified into metropolitan cities and provinces. A chi-square test was conducted on the body mass index (BMI), diagnosis of diabetes and hypertension, frequency of eating breakfast, salty taste in usual diet, recognition of nutrition labeling, reading of nutrition labeling, and utilization of nutrition labeling.
Results
In determining obesity using the BMI, the normal weight by year decreased, and the obesity rate by year was 34.6% in 2019, which increased by 13% compared to 2008. In addition, the diabetes diagnosis rate and hypertension diagnosis rate continued to increase with the year. Both diabetes and hypertension diagnosis rates were higher in the non-capital regions than in the capital region. Eating breakfast five to seven times per week was most common and showed a significant decreasing trend by year (P < 0.001). The percentage of respondents who said they eat slightly bland foods increased from 19.5% in 2008 to 19.9% in 2010 and then to 22.1% in 2013. The percentage then decreased to 19.9% in 2019, but showed an overall increasing trend (P < 0.001). According to the region, the capital region had a higher percentage than the non-capital region. The nutrition labeling's recognition rate and utilization rate increased yearly, whereas the reading rate decreased.
Conclusions
The study results presented the primary data necessary to develop nutrition education programs and establish strategies for local nutrition management projects to improve disease prevention and dietary problems.

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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

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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

Abstract PDF

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.

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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
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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Original Articles

[English]
Shifts in Kimchi Consumption between 2005 and 2015 by Region and Income Level in the Korean Population: Korea National Health and Nutrition Examination Survey (2005, 2015): Junghyun Park, Hae Jeung Lee; Korean J Community Nutr 2017;22(2):145-158. Published online April 30, 2017; DOI: https://doi.org/10.5720/kjcn.2017.22.2.145

Abstract PDF PubReader

OBJECTIVES
The importance of kimchi as a traditional food in Korean cuisine has gradually decreased due to rapid industrialization, economic growth and changes in dietary patterns in Korea. This study aimed to examine the shifts in kimchi consumption by region and by income level between 2005 and 2015 in Korea.
METHODS
Data from the Korea National Health and Nutrition Examination Surveys III (2005) and VI (2015) were used in the study (n=15,558). Intake of kimchi was estimated using a single 24-hour dietary recall. The sample weights were applied in all analyses to reflect population estimates. All statistical analyses were carried out by using SPSS IBM Statistics 20.
RESULTS
Kimchi intake has significantly decreased by 27.6 g/day per capita during the last decade in Korea; 25.0 g for males and 29.9 g for females, respectively. Over the past decade, the decline of kimchi intake has been particularly significant in Seoul, Busan, Incheon, Gyeonggi, and Gwangju, while there has been no significant change in males living in rural areas. The consumption of kimchi across all income levels has decreased, however, the decrease was higher in â€˜middle and low income levelâ€™. The amount of kimchi consumption in 2015 was the highest in â€˜low income levelâ€™. The results were similar after adjusting for gender and age.
CONCLUSIONS
For the past decade, the overall intake of kimchi in Korea has decreased, however, it has been found that the decrease of kimchi intake for males living in the rural areas was not significant. Therefore, in order to keep our traditional kimchi culture and promote a balanced diet including kimchi for Korean, it is necessary to develop more efficient policies and approaches. A variety of dishes using kimchi should be developed, besides merely serving kimchi with rice as a side dish, to increase the consumption of kimchi.

Citations

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Effects of kimchi consumption on body fat and intestinal microbiota in overweight participants: A randomized, double-blind, placebo-controlled, single-center clinical trial
Wooje Lee, Min-Sung Kwon, Ye-Rang Yun, Hasun Choi, Mi-Ja Jung, Hyelyeon Hwang, Myung-Jun Shin, Jong-Hwan Park, Du-Ri Kim, Ji Yoon Chang, So Young Moon, Ho Jae Lee, Tae-Woon Kim, Tae Woong Whon, Sung Wook Hong
Journal of Functional Foods.2024; 121: 106401. CrossRef
Kimchi throughout millennia: a narrative review on the early and modern history of kimchi
Reggie Surya, David Nugroho
Journal of Ethnic Foods.2023;[Epub] CrossRef
Analysis of intake trends of kimchi, fruits and vegetables (1998–2020) and factors associated with the intake (2016–2020): based on the Korea National Health and Nutrition Examination Survey
Jiwon Jeong, Jungmin Park, Yu Kyung Lee, Sung Wook Hong, Sangah Shin
Journal of Nutrition and Health.2023; 56(4): 404. CrossRef
Exploring the philosophical values of kimchi and kimjang culture
Reggie Surya, Anne Ga-Yeon Lee
Journal of Ethnic Foods.2022;[Epub] CrossRef
Association of Korean fermented cabbage kimchi consumption with an incidence of metabolic syndrome: 10-year follow-up results of the Korean Genome and Epidemiology Study
Suk Hyeon Seo, Jiyoun Hong, Im Huei Son, Young Hee Han, Taisun Hyun
Journal of Nutrition and Health.2019; 52(6): 569. CrossRef
Comparison of the periodontal condition in Korean and Japanese adults: a cross-sectional study
Michiko Furuta, Kenji Takeuchi, Yoshihiro Shimazaki, Toru Takeshita, Yukie Shibata, Jun Hata, Daigo Yoshida, Deok-Young Park, Toshiharu Ninomiya, Yoshihisa Yamashita
BMJ Open.2018; 8(11): bmjopen-2018-024332. CrossRef
Inhibitory effects on N-nitrosodimethylamine formation by decrease of salted-fermented fish products and increase of condiments in kimchi
Sung Hyun Kim, Jeong Gyun Kim, Sanghyun Lee, Kyung Hun Kang, Sang-Hyun Kim, Soo-Jung Lee, Nak-Ju Sung, Mi Ja Chung
Food Science and Biotechnology.2017; 26(5): 1447. CrossRef

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[English]
A Comparison of Sources of Sodium and Potassium Intake by Gender, Age and Regions in Koreans: Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2012: Yang Hee Park, Sang Jin Chung; Korean J Community Nutr 2016;21(6):558-573. Published online December 31, 2016; DOI: https://doi.org/10.5720/kjcn.2016.21.6.558

Abstract PDF PubReader

OBJECTIVES
The purpose of this study was to evaluate the main sources of dietary sodium and potassium intake in Koreans by gender, age and regions.
METHODS
We used the data from 2010-2012 KNHANES. A total of 20,387 subjects aged 8 years and older were included. Intakes were compared by gender, age (8-18, 19-49 and >50 years) and geographical regions in Korea. Dishes were classified into 28 dish groups based on cooking methods. Statistical analysis was performed by using the SAS 9.3 and SUDAAN 11.0.1 software.
RESULTS
The mean sodium intake of Koreans was 4866.5 Â± 35.9 mg/day, which was 2.4 times higher than the adequate intake (AI) of sodium for Koreans. We found that daily sodium intakes were significantly different by age, gender and regions. Men and aged over 50 years had significantly higher sodium intake than women and other age groups. The mean potassium intake in Koreans was 3002.2 Â± 19.4 mg/day and daily potassium intakes were significantly different by age, gender and regions. Women and age 50 years and over had significantly higher potassium intakes than men and other age groups. The average Na/K ratio was 2.89 Â± 0.01 and was highest in men and in the age group of 19-49 years. The major sources of dietary sodium were soup and stew, followed by Kimchi, noodles and dumpling, pickled vegetables and seasonings, which represented 63.1 % of total sodium intakes. Soup and stew or Kimchi were the primary sources of dietary sodium intake. The major sources of dietary potassium were cooked rice, followed by soup and stew, Kimchi, fruits and beverages.
CONCLUSIONS
Sodium and potassium intakes and the major sources of those were significantly different by gender, age groups and regions. Therefore, different approaches based on gender, age and regions are needed to decrease sodium intake and increase potassium intake.

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Dietary Habits of Newly Diagnosed Patients with Breast Cancer in Korea
Jaehoon Shin, Jiyeon Lee, Yooeun Yoon, Hye Sun Lee, Hyungmi Kim, Yu-Jin Kwon, Ji-Won Lee
Korean Journal of Family Medicine.2024; 45(3): 149. CrossRef
Role of geographic characteristics in the spatial cluster detection of cancer: Evidence in South Korea, 1999–2013
Insang Song, Eun-Hye Yoo, Inkyung Jung, Jin-Kyoung Oh, Sun-Young Kim
Environmental Research.2023; 236: 116841. CrossRef
Development and application of the sodium index to estimate and assess sodium intake for Korean adults
Yeon-Kyung Lee, Taisun Hyun, Heekyong Ro, Young-Ran Heo, Mi-Kyeong Choi
Nutrition Research and Practice.2022; 16(3): 366. CrossRef
Trends in sodium intake and major contributing food groups and dishes in Korea: the Korea National Health and Nutrition Examination Survey 2013–2017
Yeseung Jeong, Eui Su Kim, Jounghee Lee, Yuri Kim
Nutrition Research and Practice.2021; 15(3): 382. CrossRef
Predictive Analysis of Food Behavior and Related Factors Using Spatial Analysis: Based on Community Health Survey Data 2016
Se-Mi Jeong, Bok-Mi Jung
The Korean Journal of Community Living Science.2021; 32(2): 189. CrossRef
The association of dietary patterns with insulin resistance in Korean adults: based on the 2015 Korea National Health and Nutrition Examination Survey
I Seul Kim, Yoon Jung Yang
Journal of Nutrition and Health.2021; 54(3): 247. CrossRef
Effect of nutrition education in reducing sodium intake and increasing potassium intake in hypertensive adults
You-Sin Lee, Moo-Yong Rhee, Sim-Yeol Lee
Nutrition Research and Practice.2020; 14(5): 540. CrossRef
Comparison of Salinity and Sodium Content by the Salinity Measurement Frequency of Soups of Childcare Centers Enrolled in the Center for Children's Food Service Management in Daegu
Na-Yeong Lee, Yeon-Kyung Lee
Korean Journal of Community Nutrition.2020; 25(1): 13. CrossRef
Comparison of the sodium content of Korean soup-based dishes prepared at home, restaurants, and schools in Seoul
Yanghee Park, Jihyun Yoon, Sang-Jin Chung
Journal of Nutrition and Health.2020; 53(6): 663. CrossRef
Designing optimized food intake patterns for Korean adults using linear programming (II): adjustment of the optimized food intake pattern by establishing stepwise intake goals of sodium
Kana Asano, Hongsuk Yang, Youngmi Lee, Meeyoung Kim, Jihyun Yoon
Journal of Nutrition and Health.2019; 52(4): 342. CrossRef
The association between genetic variants of angiopoietin-like 3 and risk of diabetes mellitus is modified by dietary factors in Koreans
Clara Yongjoo Park, Jiyoung Moon, Garam Jo, Juhee Lee, Oh Yoen Kim, Hannah Oh, Hyunjung Lim, Min-Jeong Shin
Scientific Reports.2019;[Epub] CrossRef
Analysis of biogenic amines and inorganic elements in Cheonggukjang
Min-Jeong Seo, Chang-Do Lee, Ji-Na Lee, Hee-Jong Yang, Do-Youn Jeong, Gae-Ho Lee
Korean Journal of Food Preservation.2019; 26(1): 101. CrossRef
Association between Sodium Excretion and Obesity of Adults in Gwangju
Mijin Jo, Young-Ran Heo
Korean Journal of Community Nutrition.2018; 23(1): 38. CrossRef
Diet-Related Risk Factors for Incident Hypertension During an 11-Year Follow-Up: The Korean Genome Epidemiology Study
Hye Ah Lee, Hyesook Park
Nutrients.2018; 10(8): 1077. CrossRef
Study on the prevalence and incidence of urolithiasis in Korea over the last 10 years: An analysis of National Health Insurance Data
Joon Se Jung, Chang Hee Han, Sangrak Bae
Investigative and Clinical Urology.2018; 59(6): 383. CrossRef
Dietary status of young children in Korea based on the data of 2013 ~ 2015 Korea National Health and Nutrition Examination Survey
Eun-kyung Kim, Byengchun Song, Se-Young Ju
Journal of Nutrition and Health.2018; 51(4): 330. CrossRef
Effects of Sodium Intake on the Association between the Salt-Sensitive Gene, Alpha-Adducin 1 (ADD1), and Inflammatory Cytokines in the Prevalence of Children Obesity
Mi-Young Park, Myoung-sook Lee
Journal of Lipid and Atherosclerosis.2018; 7(2): 98. CrossRef
Dietary intakes of adolescents from food insecure households: analysis of data from the 6th(2013-2015) Korea National Health and Nutrition Examination Survey
Mariam Nakitto, Kana Asano, Injoo Choi, Jihyun Yoon
Nutrition Research and Practice.2017; 11(6): 507. CrossRef

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[English]
Regional Differences in Taste and Food Preferences of College Students Attending Nutritional Education via Internet I. Main and Side Dishes: Sun Hee Cheong, Kyung Ja Chang; Korean J Community Nutr 2005;10(6):845-859. Published online December 31, 2005

Abstract PDF: The purpose of this study was to investigate the regional differences in food preference among college students participating in a nutrition education program via internet. The subjects were 1672 college students (male: 762, female: 910) and divided into 4 regional groups. A survey using a self-administered questionnaire was conducted using a self-administered questionnaire on taste and food preferences. Data was collected via internet or by mail. Prevalence of the food preferences among regional groups was examined using SPSS statistical package. Food preferences were significantly associated with sex and region. Female students in Chungcheong and Kyungsang areas showed significantly higher preference of the hot taste compared to Seoul and Kyunggi areas. Female students in Seoul, Kyunggi and Chungcheong areas showed significantly higher preference of the boiled bean rice compared to the Kyungsang area. The preference for Kimchi stew of female students in Seoul and Kyunggi was significantly higher than those in Chungcheong and Kyungsang areas. Male students in the Chungcheong area showed significantly higher preferences of the Young radish kimchi, while female students in this area showed significantly higher preference of the Radish kimchi compared to other areas. The preference for roasted laver of female students in Seoul, Kyunggi and Kyungsang areas was significantly higher compared to the Chungcheong area. The preference for fried chicken of male students in Seoul was significantly higher than that in other areas. The preference for bean sprouts and season bonnet bellflower of male students in Seoul, Chungcheong and Kyungsang areas were significantly higher compared to the Kyunggi area. Therefore, these results provide nation-wide information on food preferences among Korean college students.

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[English]
Comparison of The Food and Nutrition Ecology of Elementary School Children by Regions: Chung Ja Sung, Mi Kyung Sung, Mi Kyeong Choi, Mi Hyun Kim, Yu Lee Seo, Eun Sook Park, Jeong Ja Baik, Jung Sook Seo, Su Mi Mo; Korean J Community Nutr 2003;8(5):642-651. Published online October 31, 2003

Abstract PDF: This study was performed using mealtime atmosphere to characterize the food ecology of Korean children residing in different regions of Korea. A total of 705 elementary school students, 347 girls and 358 boys, were divided into three groups according to the areas where they lived, which included Seoul (n = 230), provincial cities (n = 273) and rural areas (n = 202). The subjects were asked to fill out questionnaires which were categorized to determine various factors related to food ecology, life styles, and health related symptoms. The average age of the study subjects was 11.5 years. The results showed that the average height (p < 0.01), weight (p < 0.01) and body mass index (BMIs)(p < 0.01) of the rural group were significantly lower than those of the Seoul and provincial city groups. A significantly higher proportion (10.4%) of the rural group was from disfunctional families, including single parent families, than those of the Seoul (1.7%) or provincial city (4.4%) groups. However, a larger number of children from Seoul ate alone, did not enjoy their meals, and hardly talked to each other during breakfast time, compared to those from the provincial city or rural areas. Also, the proportion (33.0%) of 'good' in balance of meal was the lowest (33.0%) in Seoul of the three areas (p < 0.01). Most of the children answered that they liked having breakfast and dinner with the whole family. In conclusion, the food ecology of elementary children differed according to the regions in which they resided. Although children from Seoul had higher BMIs, their nutritional intake was not satisfactory, and their undesirable food ecology could be a contributing factor.

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