Korean Journal of Community Nutrition

Research Articles

[Korean]
Association between Eating Alone Patterns and Mental Health Conditions by Region among Korean Adults: Kyung Won Lee, Dayeon Shin; Korean J Community Nutr 2021;26(6):441-454. Published online December 31, 2021; DOI: https://doi.org/10.5720/kjcn.2021.26.6.441

Objectives
This study investigated the association between the frequency and pattern of eating alone and the mental health status according to region in Korean adults.
Methods
The data of 10,040 Korean adults aged ≥ 19 years from the Korea National Health and Nutrition Examination Survey (KNHANES) 2017 and 2019 were used. Participants were divided into 4 groups based on their frequency of eating alone: none (all meals together), 1, 2, and 3 meals/day alone. The regions were divided into urban and rural areas. Mental health status was assessed by stress recognition, depressive symptoms, and suicidal ideation. Multivariable logistic regressions were conducted to estimate the adjusted odds ratios (AORs) with 95% confidence intervals (CIs) on the association of the frequency and pattern of eating alone with poor mental health after controlling for covariates.
Results
Among Korean adults, 74.1% ate more than one meal a day alone. Individuals having 3 meals a day alone tended to be less educated, single, single person households, or living in urban areas (all P < 0.05). In rural areas, those having 3 meals/ day alone had higher odds of stress recognition (AOR: 1.55, 95% CI: 1.02-2.35) than those having all meals together. In urban areas, individuals eating alone 3 times/day had higher odds of stress recognition (AOR: 1.60, 95% CI: 1.31-1.96), depressive symptoms (AOR: 1.61, 95% CI: 1.23-2.12), and suicidal ideation (AOR: 2.14, 95% CI: 1.42-3.22) compared to those having all meals together. Urban residents having dinner alone had higher odds of depressive symptoms (AOR: 1.29, 95% CI: 1.05-1.58) and suicidal ideation (AOR: 1.66, 95% CI: 1.19-2.33) than those having dinner with others.
Conclusions
Our findings showed that the frequency and patterns of eating alone were differentially associated with increased odds of poor mental health according to region of residence. Nutrition education is needed for those frequently eating alone, particularly those living in urban areas, to highlight the advantages of eating together and to ensure that they have balanced and healthy meals even if they eat alone.

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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 Journal of Community Nutrition.2024; 29(1): 51. CrossRef
How Does the Frequency of Eating-Alone among Older People in Korea Affect Their Health and Dietary Behavior?
Yongseok Kwon, Kyung Hee Hong, Yoo-Kyung Park, Sohye Kim
Nutrients.2023; 15(9): 2085. CrossRef
Impact assessment of a primary care physician counseling program for youth population
Yun-Su Kim, Shin-Ae Kim
Medicine.2022; 101(46): e31916. CrossRef

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[English]
Association between Stress and Nutritional status of High School Students in Chungbuk using Nutrition Quotient for Korean Adolescents: In Young Kim, Mi-Kyeong Choi; Korean J Community Nutr 2020;25(5):361-373. Published online October 31, 2020; DOI: https://doi.org/10.5720/kjcn.2020.25.5.361

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Objectives
The purpose of this study was to investigate the relationship between stress levels and eating habits in adolescents. Methods A total of 453 male and female high school students were surveyed to ascertain their stress levels, Nutrition Quotients for Korean Adolescents (NQ-A), and stress-related eating behavior. Results The average age of the subjects was 18 and they were mostly from nuclear families. Their average daily conversation time with their parents was between 10 to 30 minutes. The average sleep time for female students was observed to be less than that of male students. The satisfaction level of academic achievement of female students was significantly lower than that of the male students (P < 0.001). The average stress level score for female students was 2.7 out of 5, which was significantly higher than the male student's score of 2.4 (P < 0.001). The eating speed of male students was related to stress levels. Both male and female students ate more and craved spicy food when under stress. All male and female students had significantly ascending NQ-A scores rising in the order of stress from ‘low level’ to ‘medium level’, to ‘high level’ (P< 0.001). There was a significant negative correlation between the stress score and the NQ-A score adjusted for general characteristics (r = −0.29, P < 0.001). Conclusions Since stress and NQ-A were negatively correlated in high school students, higher stress levels can be associated with irregular eating habits and negative eating behavior. Therefore, stress management and nutrition education focusing on stress status are needed for adolescents.

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Study on the relationship between dietary habits and the quality of life of some high school students in Seoul based on the nutrition quotient for adolescents (NQ-A)
Ho-Jung Kim, Jung-Sug Lee, Yookyung Kim
Journal of Nutrition and Health.2024; 57(3): 320. CrossRef
Development of evaluation items for adolescents’ dietary habits and nutritional practices reflecting eating behaviors and food environment
Jimin Lim, Hye Ji Seo, Jieun Oh
Journal of Nutrition and Health.2024; 57(1): 136. CrossRef
충북지역 중등학생의 건강식생활 관련 식행동과 영양관리 정책에 대한 인식
은서 고, 영은 이
Korean Journal of Food and Cookery Science.2023; 39(3): 197. CrossRef
Revision of Nutrition Quotient for Korean adolescents 2021 (NQ-A 2021)
Ki Nam Kim, Hyo-Jeong Hwang, Young-Suk Lim, Ji-Yun Hwang, Sehyug Kwon, Jung-Sug Lee, Hye-Young Kim
Journal of Nutrition and Health.2023; 56(3): 247. CrossRef
The Relationship between Lifestyle and Nutrition Quotient in Middle School Students
Ha Jin Park, Ho Kyung Ryu
The Korean Journal of Community Living Science.2021; 32(2): 243. CrossRef

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[English]
Relationship between Dietary Habits, Life Stress and Nutrition Knowledge of High School Students in Gyeonggi Area: Kyung Ae Park, Hongmie Lee, Kyunghee Song; Korean J Community Nutr 2020;25(2):126-136. Published online April 30, 2020; DOI: https://doi.org/10.5720/kjcn.2020.25.2.126

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Objectives
This study was performed to examine dietary habits, life stress, and nutrition knowledge among high school students in Gyeonggi area.
Methods
A total of 431 high school students (210 males, 221 females) in Gyeonggi area participated in this study from November to December of 2011. The study was a questionnaire-based survey that included dietary habits, dietary attitudes, life stress, and nutrition knowledge.
Results
Body weight, height, and body mass index were all higher in male students than in female students (P < 0.001, respectively). For dietary habits, the average score (P < 0.01) and scores for considering combination of food groups (P < 0.05), eating green and orange vegetables (P < 0.05), eating meat, fish, eggs, or beans everyday (P < 0.05), drinking milk (P < 0.001), and eating seaweed (P < 0.01) were higher in male students than in female students. For dietary attitudes, the average score (P < 0.05) and scores for the five items were significantly different between male and female students. Male students showed a significantly lower nutrition knowledge score than female students (P < 0.05). Life stress score of students largely was attributable to academic factors, and female students showed higher stress score for academic, personal, and surrounding environmental (P < 0.05, respectively) factors than male students. Dietary habit score (P < 0.01) and nutrition knowledge score (P < 0.05) in female students as well as dietary attitude score (P < 0.05) in male students were negatively correlated with life stress score. Dietary habit scores in male and female students were positively correlated with dietary attitude score (P < 0.01, respectively). Need for nutrition education was significantly higher in female students than in male students (P < 0.05).
Conclusions
This study provides basic information on dietary habits, dietary attitudes, life stress, and nutrition knowledge according to sex and suggests gender-specific practical nutrition education programs to address undesirable dietary habits and attitudes in students with higher stress levels.

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Application and effectiveness of a nutrition education program based on the 2020 Dietary Reference Intakes for Koreans for undergraduates in Gyeongsangnam-do and Gyeonggi-do
Mijoo Choi, Hyein Jung, Nayoung Kim, Sangah Shin, Taejung Woo, Eunju Park
Journal of Nutrition and Health.2023; 56(6): 730. CrossRef
Relationship among Health Interest, Depression and Dietary Habits of College Students according to Sex in Seoul and Gyeonggi Areas
Kyung Ae Park, Jiwon Kim, Onjeong Cho, Kyunghee Song
Journal of the East Asian Society of Dietary Life.2021; 31(4): 213. CrossRef

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Original Articles

[English]
Relationship between Dietary Behaviors and Life Stress of Middle School Students in Gyeonggi Area: Kyung Ae Park, Myoung Sook Lee, Kyung Hee Song; Korean J Community Nutr 2019;24(5):384-394. Published online October 31, 2019; DOI: https://doi.org/10.5720/kjcn.2019.24.5.384

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OBJECTIVES
The study was performed to examine the dietary behaviors and life stress of middle school students in the Gyeonggi area.
METHODS
A total of 580 middle school students (295males, 285 females) in the Gyeonggi area participated in the study between July and August in 2011. The study was a questionnaire-based survey that included dietary habits, dietary behaviors, and life stress.
RESULTS
For dietary habits, the score for drinking milk was higher in male students than in female students, whereas the score for eating fruits was higher in female students compared to male students. There were significant differences in foods eaten and preferred under stress between male and female students. Male students showed significantly less changes in the number of meals, amount of meal intake, number of snacks, snack intake, frequency of overeating, and appetite during stress than female students. Life stress score of students largely came from academic factors, and female students showed higher stress levels in personal and surrounding environment factors than male students. Life stress score was significantly lower in students with high and moderate levels of dietary habits than in students with a low level of dietary habits. Total score for dietary habits and scores for eating adequate amounts of foods for each meal, considering a combination of food groups at each meal and eating green and orange vegetables, were significantly negatively correlated with life stress score. Life stress score was significantly negatively correlated with meal regularity and positively with the level of overeating.
CONCLUSIONS
This study may provide basic information on dietary habits and life stress according to gender and the relationship between dietary behaviors and life stress of middle school students, and it suggests gender-based nutrition education programs to solve undesirable dietary habits and dietary behaviors in students with higher stress.

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Life stress, dietary attitudes, and frequency of snack intake for college students in Seoul and Gyeonggi area: the difference between male and female students
Hyun Seung Oh, Yu bin Kim, Soyoung Park, Kyunghee Song
Nutrition Research and Practice.2023; 17(1): 91. CrossRef

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[English]
Consumption Behaviors of Energy Drinks and Comparison of Associated Factors Among College Students in Gwangju: DaWun Seo, Bok Hee Kim; Korean J Community Nutr 2018;23(4):289-301. Published online August 31, 2018; DOI: https://doi.org/10.5720/kjcn.2018.23.4.289

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OBJECTIVES
The aim of this study was to examine the current status of consumption of energy drinks among college students and investigate the effects of general environmental factors, health behavior factors, caffeine knowledge levels, and perceived stress levels on consumption of energy drinks.
METHODS
A survey was conducted among a total of 479 college students in Gwangju, using self-administered questionnaires. The questionnaire consisted of items about general environmental factors, health behavior, caffeine knowledge, perceived stress, and energy drink consumption behaviors.
RESULTS
69.1% of participants experienced consumption of energy drinks, and specifically 82.8% of male students and 54.1% of female students experienced consumption of energy drinks (p < 0.001). The reasons for drinking energy drinks were found to be recovery from fatigue, curiosity, taste, habit, thirst relief, and stress relief. In addition, 40.7% of participants experienced drinking energy drinks mixed with alcohol, and specifically 48.6% of male students and 27.4% of female students reported drinking energy drinks with alcohol (p < 0.001). Moreover, 51.5% of participants responded that they experienced the effects of energy drinks, 31.9% reported experiencing adverse effects, and 41.1% were found to perceive the health risks. As a result of the assessment of caffeine knowledge, the participants showed a high level of knowledge of the arousal effect (77.7%) and the concentration increasing effect (70.8%) of caffeine, whereas they exhibited a low level of understanding of the health problems due to caffeine (32.6%) and adequate caffeine intake levels (24.4%). The higher levels of consumption experience of energy drinks was associated with higher body mass indexes (BMI) (p < 0.01), higher academic years (p < 0.01), lower levels of interest in health (p < 0.05), smoking (p < 0.001), alcohol consumption (p < 0.05), and higher levels of perceived stress (p < 0.05).
CONCLUSIONS
The risk groups related to consumption of energy drinks among college students were identified as male students rather than female students, students in the third or fourth year of study associated with increased stress levels, and students with negative health behaviors. Therefore, support for diverse health and nutrition education for college students is required along with the improvement of internal and external environments of schools in order for college students to manage increased stress levels due to the schoolwork and preparation for employment and maintain positive health behaviors.

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Analysis of Caffeine Intake and Eating Disorders among College Students according to Whether an Examination was Imminent or Not
Eun-Ji Lee, Bok-Mi Jung
The Korean Journal of Community Living Science.2023; 34(1): 47. CrossRef
광주광역시 지역민의 영양교육 요구도 조사 분석
은평 양, 경윤 김, 승희 최, 금비 류, 옥경 김, 정미 윤
Korean Journal of Food and Cookery Science.2023; 39(2): 100. CrossRef
A Study on the Perception and Intake of Caffeinated Beverages in Adults Aged 20 to 30 Years
Bo-Ra Seo, Sim-Yeol Lee
Journal of the East Asian Society of Dietary Life.2023; 33(6): 545. CrossRef

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[English]
A Comparative Study of Job Stress, Satisfaction and Commitment of Cooking Employees in Hotel Kitchens with and without HACCP Systems: Kyung Cheon Min, Wan Soo Hong; Korean J Community Nutr 2018;23(1):28-37. Published online February 28, 2018; DOI: https://doi.org/10.5720/kjcn.2018.23.1.28

Abstract PDF PubReader: OBJECTIVES
This study was conducted to identify differences in job stress, satisfaction and commitment of cooking employees working in hotel kitchens with and without HACCP systems.
METHODS
Culinary employees of 12 five-star hotels were surveyed and 504 valid data were used for SPSS analysis. Sub factors of working environment factors (job stress, job satisfaction, and job commitment) were examined for analysis.
RESULTS
The results showed that hotels that implemented the HACCP system had significantly higher values for the five sub factors of employee job stress (job demand, relationship conflict, organizational system, lack of job autonomy, and job instability; p < 0.001). For the sub factors of job satisfaction (internal and external satisfaction) statistic showed a statistically significant value in hotels that did not implement the HACCP system (p < 0.001). Job attachment and job importance, which are sub factors of job commitment, showed no difference in relation to the implementation of HACCP system, and job responsibility showed a higher p-value in hotels that did not implement HACCP (p < 0.05).
CONCLUSIONS
The results of the study indicate that culinary employees working at venues with HACCP systems have more job related stress, lower job satisfaction and partially less job commitment. Based on this outcome, venues that have already implemented or are planning to implement HACCP systems should consider the implications regarding their management of employees. Managerial policies that enhance autonomy, job stability, achievement, self-development, promotion, and compensation should also be implemented. Finally, meticulous attention and high investments into the work environment and human resources are necessary.

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[English]
Effects of Daily Stress on Dietary Pattern among Elementary School Children in Seongnam City: Sunra Kim, Seunghee Kye; Korean J Community Nutr 2017;22(6):475-484. Published online December 31, 2017; DOI: https://doi.org/10.5720/kjcn.2017.22.6.475

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OBJECTIVES
The study was conducted to investigate the relationship between several stress measures in everyday life, emotional eating behavior, and dietary pattern (snacks, fatty foods, sweet beverages, fruits and vegetables) in school-aged children.
METHODS
One hundred and ninety-four students of an elementary school located in Seongnam City participated in the study. The students responded to the survey questionnaire by self-report, which consisted of items regarding general characteristics, height, weight, dietary habits, frequency of consuming healthy (fruits and vegetables) and unhealthy foods (snacks, fatty foods, and sweet beverages), emotional eating behavior, and daily stress. Correlational analysis was performed to examine the relationship between stress, emotional eating behavior, and dietary pattern, and Poisson and logistic regression analyses were conducted to investigate the effects of stress on dietary pattern.
RESULTS
Positive correlations were found between all stress factors and emotional eating behavior and between the friend and personal factor (one of the stress factors) and the consumption of sweet beverages. The frequency of consuming sweet beverages was 2.6 times higher in the high stress group than in the low stress group (95% CI).
CONCLUSIONS
Children's daily stress was associated with emotional eating behavior and undesirable dietary pattern such as consumption of sweet beverages.

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ACADEMIC STRESS IS ASSOCIATED WITH EMOTIONAL EATING BEHAVIOR AMONG ADOLESCENT
Nadia Ramadhani, Trias Mahmudiono
Media Gizi Indonesia.2021; 16(1): 38. CrossRef
Sugar-sweetened beverage consumption and influencing factors in Korean adolescents: based on the 2017 Korea Youth Risk Behavior Web-based Survey
Ayoung Kim, Jinhee Kim, Seunghee Kye
Journal of Nutrition and Health.2018; 51(5): 465. CrossRef

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[English]
Relationship among Life Stress, Dietary Behaviors and High-fat Snack Intake in High School Students in Gyeonggi Area: Seorin Doo, Youngmi Lee, Haeryun Park, Kyunghee Song; Korean J Community Nutr 2017;22(4):289-297. Published online August 31, 2017; DOI: https://doi.org/10.5720/kjcn.2017.22.4.289

Abstract PDF PubReader

OBJECTIVES
Stress during adolescence is related to undesirable nutritional intake and negatively affects the growth and development. This study was performed to investigate the relationship among life stress, dietary behaviors and the intake of high-fat containing snacks in male and female high school students in Gyeonggi-do area.
METHODS
The subjects were 700 high school students (350 males, 350 females) in Gyeonggi-do from July to September 2014 and the survey was performed by using questionnaire that included general characteristics, dietary behaviors, high-fat containing snacks intake, and daily life stress.
RESULTS
There was a gender difference in health-related life style and dietary behaviors, and the life stress was significantly higher in female students than in male students. For health-related life style, exercise frequency, hours of sleep and conversation time with parents had significantly negative correlations with life stress, while smoking and perceived stress had significantly positive correlations with life stress. For dietary behaviors, the frequency of eating-out had a significantly negative correlation with life stress, while the changes in amount of meal intake under stress had a significantly positive correlation with life stress. The fat intake of â€˜high-stress groupâ€™ was significantly higher and high-fat containing snacks consumed by this group consisted of cookies, honey bread and fried foods.
CONCLUSIONS
It is necessary to develop appropriate programs for the emotional stability and stress relief of adolescents that provide continuous nutrition education focused on proper snack intake, desirable dietary behaviors and nutritional aspects.

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Effects of watching Mukbang and Cookbang videos on adolescents’ dietary habits and mental health: cross-sectional study using the 18th Korea Youth Risk Behavior Survey
Seung-Hee Hong
Korean Journal of Community Nutrition.2024; 29(2): 156. CrossRef
Study on the relationship between dietary habits and the quality of life of some high school students in Seoul based on the nutrition quotient for adolescents (NQ-A)
Ho-Jung Kim, Jung-Sug Lee, Yookyung Kim
Journal of Nutrition and Health.2024; 57(3): 320. CrossRef
Life stress, dietary attitudes, and frequency of snack intake for college students in Seoul and Gyeonggi area: the difference between male and female students
Hyun Seung Oh, Yu bin Kim, Soyoung Park, Kyunghee Song
Nutrition Research and Practice.2023; 17(1): 91. CrossRef
Actual Status of Mukbang Viewing and Food Habits of University Students in Wonju Area
Seung-Lim Lee, Sun Hee Lee
The Korean Journal of Community Living Science.2022; 33(4): 631. CrossRef
Assessment of Sugar and Sodium Contents and Their Intakes in Snack Food Groups : A Focus on Cookies, Nuts, Fruits, Dairy Products, and Beverages
Yun-Jung Bae, Kyoung-A Choi, Yu-Mi Kim, Mi-Kyeong Choi
Journal of the East Asian Society of Dietary Life.2022; 32(4): 263. CrossRef
A Comparative Study of the Dietary Behavior of Adults Aged 20 and Over according to theMukbangViewing Time
Ha-Yan Nam, Bok-Mi Jung
Korean Journal of Community Nutrition.2021; 26(2): 93. CrossRef
Relationship between Dietary Habits, Life Stress and Nutrition Knowledge of High School Students in Gyeonggi Area
Kyung Ae Park, Hongmie Lee, Kyunghee Song
Korean Journal of Community Nutrition.2020; 25(2): 126. CrossRef
Association between Stress and Nutritional status of High School Students in Chungbuk using Nutrition Quotient for Korean Adolescents
In Young Kim, Mi-Kyeong Choi
Korean Journal of Community Nutrition.2020; 25(5): 361. CrossRef
Relationship between Dietary Behaviors and Life Stress of Middle School Students in Gyeonggi Area
Kyung Ae Park, Myoung Sook Lee, Kyung Hee Song
Korean Journal of Community Nutrition.2019; 24(5): 384. CrossRef
Body Image Perception and Eating Behaviors among Male Middle and High School Students according to Weight Status in Seoul
Bo-Mi Kim, Kyung-Hee Kim
Journal of the East Asian Society of Dietary Life.2018; 28(2): 123. CrossRef

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[English]
The Relationships among Quality of Life and Stress, Health-related Habits and Food Intake in Korean Healthy Adults Based on 2013 Korea National Health and Nutrition Examination Survey: Su Bin Lee, Hyun Jin Choi, Mi Joung Kim; Korean J Community Nutr 2015;20(6):411-422. Published online December 31, 2015; DOI: https://doi.org/10.5720/kjcn.2015.20.6.411

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OBJECTIVES
This study investigated the socioeconomic factors that affect quality of life (QL) in healthy adults and to study the relationship between QL and health-related habits and food intake.
METHODS
Subjects consisted of 1,154 healthy adults without any known disease, aged 19 to 65 years from the 2013 Korean National Health and Nutrition Examination Survey data. We used SPSS statistical program version 20.0 for data analysis.
RESULTS
The average age and QL score of the study population were 36.7 years and 0.99 points, respectively. Males had a significantly higher QL score than the females (p < 0.001), and employed subjects and those employed in permanent positions had significantly higher scores as compared respectively with unemployed subjects and those employed in temporary positions (p < 0.001, p < 0.05). The group that responded "almost every day" to the "frequency of binge drinking" and "frequency of disruption of daily life due to drinking" had significantly lower QL scores as compared to other groups (p < 0.05). Further, the scores were significantly higher for individuals who practiced "intense physical activities" and "walking" (p < 0.001). The groups that responded that they were "very stressed" showed significantly lower QL scores in comparison to the other groups (p < 0.05). There were no significant differences in QL scores according to anthropometric or biochemical indices. When subjects were divided into two groups based on average QL scores, the frequency of intake of "barbecued beef" was significantly higher while the frequency of intake of "fried eggs or rolled omelet," and "soy milk" was significantly lower in the high QL group.
CONCLUSIONS
Based on these findings, it is evident that in healthy adults without any known underlying illnesses, psychological factors such as economic activity, occupational environment, and stress are considered to have a greater impact on their QL than are nutrient intake, blood biochemical indices, and anthropometric status.

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Study on the relationship between dietary habits and the quality of life of some high school students in Seoul based on the nutrition quotient for adolescents (NQ-A)
Ho-Jung Kim, Jung-Sug Lee, Yookyung Kim
Journal of Nutrition and Health.2024; 57(3): 320. CrossRef
The Connection between Hand Washing and Brushing Teeth
Ra-Ae Bak, Sun-Jung Shin, Hee-Jung Park, Jin-Young Jung, Hwa-Young Lee, Nam-Hee Kim
Journal of Dental Hygiene Science.2023; 23(2): 132. CrossRef

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[English]
The Relationship between Stress, Social Support and Healthy Diet Score among Chinese University Students in Korea: Sunghee Lee, Zhen Feng, Youngmee Lee; Korean J Community Nutr 2015;20(4):273-280. Published online August 31, 2015; DOI: https://doi.org/10.5720/kjcn.2015.20.4.273

Abstract PDF PubReader: OBJECTIVES
The study aimed to examine whether healthy diet score was associated with stress and social support among 472 Chinese college students in Korea.
METHODS
The study participants were 472 (187 male, 285 female) Chinese college students in Gyeong-gi area. From April 2013 to Oct 2013, participants were asked to fill out questionnaires on healthy diet score (20 questions), stress (20 questions), and social support (20 questions). Each question was scored by a 5-point Likert scale (total scores of each questionnaire were ranged from 20 to 100). Questions on healthy diet were sub-categorized as 'Healthy food eating (HFE)', 'Healthy eating habits (HEH)', and 'Avoidance of unhealthy food (AUF)'. Reliability test was conducted with Cronbach's alphalpha (alpha=0.79).
RESULTS
Healthy diet score was higher in participants who stayed longer in Korea, who spoke Korean language fluently, and who assessed his or her own health status as very good. Adjusted means of healthy diet scores were estimated after adjusting for age, gender, body mass index, duration of staying, and Korean language fluency. According to tertile categories, participants with low tertile stress but high tertile social support showed the highest score of healthy diet (72.59+/-1.45), whereas participants with high tertile of stress but low tertile of social support had the lowest score of healthy diet (59.22+/-1.54). As for the three sub-categories of healthy diet score, the score of HFE increased as the score of social support increased.
CONCLUSIONS
Our findings suggested that social support system is beneficial to alleviate stress and to improve healthy diet score.

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[English]
Status and Relationships among Lifestyle, Food Habits, and Stress Scores of Adults in Chungnam: Yeon Ja Seo, Mi Hyun Kim, Myung Hee Kim, Mi Kyeong Choi; Korean J Community Nutr 2012;17(5):579-588. Published online October 31, 2012; DOI: https://doi.org/10.5720/kjcn.2012.17.5.579

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This study was conducted to investigate the association among demographic characteristics, lifestyle, food habits, and stress status of 437 males and females aged over 25 years in Chungnam. Overall, the stress status of the subjects was high showing an average of 103 points out of 156 points based on the something scale. Results of the study revealed that marital status, exercise status, and health status had significant relationships with food habits and stress scores. The subjects who were married, had a higher frequency of exercise, and were healthier, had a significantly higher food habit score but a significantly lower stress score compared with their counterparts. Also, food habit scores had a significantly negative relationship with stress scores. Thus, this research showed possible links among healthy food habits, desirable lifestyle, and low stress status. In other words, people who experience a high level of stress may be more likely to have unhealthy food habits, resulting in a poor healthy conditions. These results show that appropriate food habits and adequate dietary management are deemed necessary for people with a high degree of stress. Further in-depth studies are needed to clarify a direct relationship between stress and food habits and to determine the proper diet that may help relieve stress.

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Relationship between sweet food intake and stress among college students in Seoul and Gyeonggi areas
Jun-Gyeong Kim, Jounghee Lee, Kyunghee Song
Journal of Nutrition and Health.2021; 54(4): 373. CrossRef
Association between stress and dietary habits, emotional eating behavior and insomnia of middle-aged men and women in Seoul and Gyeonggi
Onjeong Choi, Jiwon Kim, Yujin Lee, Youngmi Lee, Kyunghee Song
Nutrition Research and Practice.2021; 15(2): 225. CrossRef
Relationship between Dietary Habits, Life Stress and Nutrition Knowledge of High School Students in Gyeonggi Area
Kyung Ae Park, Hongmie Lee, Kyunghee Song
Korean Journal of Community Nutrition.2020; 25(2): 126. CrossRef
Eating Habits of the University Students affected by Stress Levels in the Areas of Seoul and Gangwon Province
Jeongsill Lee
The Korean Journal of Food And Nutrition.2015; 28(5): 782. CrossRef
The Relationship between Stress, Social Support and Healthy Diet Score among Chinese University Students in Korea
Sunghee Lee, Zhen Feng, Youngmee Lee
Korean Journal of Community Nutrition.2015; 20(4): 273. CrossRef
Antioxidative Activity of Feral Haw (Crataegus pinnatifida BUNGE) Seed Extracts Using Various Solvents
Min-A Kim, Yishan Duan, Jong-Hwan Seong, Hun-Sik Chung, Han-Soo Kim
Korean journal of food and cookery science.2014; 30(1): 33. CrossRef
A comparative study on dietary behavior, nutritional knowledge and life stress between Korean and Chinese female high school students
Sohwan Son, Yoona Ro, Hwajin Hyun, Hongmie Lee, Kyunghee Song
Nutrition Research and Practice.2014; 8(2): 205. CrossRef
Antioxidative activities of various solvent extracts from haw (Crataegus pinnatifida Bunge)
Yishan Duan, Min-A Kim, Jong-Hwan Seong, Hun-Sik Chung, Han-Soo Kim
Korean Journal of Food Preservation.2014; 21(2): 246. CrossRef
A comparative study on dietary behavior, nutritional knowledge and life stress between Korean and Chinese female high school students
Sohwan Son, Yoona Ro, Hwajin Hyun, Hongmie Lee, Kyunghee Song
Nutrition Research and Practice.2014; 8(2): 205. CrossRef

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[English]
Analysis on Stress and Dietary Attitudes of Male Employees: Mi Ae Lee, Eun Ju Lee, Hye Kyung Soh, Bong Soon Choi; Korean J Community Nutr 2011;16(3):337-352. Published online June 30, 2011; DOI: https://doi.org/10.5720/kjcn.2011.16.3.337

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This study was conducted to vitalize life through analysis on lifestyles, stress and dietary habits of male employees. For this study, questionnaire survey and physical measurements to examine BMI and waist circumference were performed with male employees in four companies located in Gyeongnam. Total 350 copies of the questionnaire were distributed and 327 ones were finally analyzed. The results of analysis on dietary life-related problems and stress were as follows. First, according to BMI, 56.9% were overweight and waist circumference recorded less than 90 cm in 90.5%. For lifestyles, 54.1%, 79.2%, 60.9% and 52.3% smoked, drank alcohol, didn't exercise and didn't sleep sufficiently. Second, for the correlation with job stress, the subjects graduating junior college or lower academic institution, production employees and sleeping insufficiently showed higher compared to the others. Analysis on the correlation with life stress found that conjugal relation stress was higher in alcohol-drinkers, the males not taking dietary supplements, those with a normal weight or more compared to underweight ones. Stress from relation with a child was higher aged 35~49 years than in those aged 20~34 years, and stress from economic life was higher aged less than 50 years, in those graduating junior colleges compared to those graduating colleges, in those sleeping insufficiently. Health life stress was found to be higher in those without religion compared to those with it such as Protestant Christianity and Catholicism, in alcohol drinkers and in those sleeping insufficiently and having a disease. Based on this, in order to improve the lifestyles and dietary habits and release stress effectively, practical nutrition education program should be carried out.

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[English]
A Study on the Stress and the Dietary Habits of Elementary School Children by Mother's Employment Status: Seunghee Oh, Whajin Hyun, Hongmie Lee, Haeryun Park, Hyunjin Lim, Kyunghee Song; Korean J Community Nutr 2010;15(4):498-506. Published online August 31, 2010

Abstract PDF: The purpose of this study is to determine the stress and the dietary habits of elementary school children and assess the associations with mother's employment status. The subjects were 423 students of 5th and 6th grade students (210 boys and 213 girls) in Seoul and Gyeonggi-Do. Two hundred fifty-two mothers had some kinds of job and 171 mothers were housewives. The students had stress the most from their studies/schoolwork (M = 2.37), while the least from "teacher/school" (M=1.51). The average stress score of the subjects was 1.76. The average score of dietary habits was 3.43. More specifically, the statement "not skipping breakfast" had the highest score (M = 4.04) and the statement "not substituting cereals, breads or drink milk for any meal" had the lowest score. Students with employed mothers had higher stress level than students with unemployed mothers. Students with employed mothers who have blue color job showed the lower dietary habits score than those with employed mothers who had other types of job. Students of employed mothers who go to school at dawn showed the lowest dietary habits score. In both employed and unemployed mothers, the stress score of students negatively correlated with the score of dietary habits. It was important for the mother to be at home when the students go to school and return. Based on this study, mothers should be aware of the stress level of their children get depending on their employment status. They should also provide their children to have good dietary habits and nutritional education regularly.

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[English]
Effects of the 12 Weeks Weight Control Program on Improvement of BMI, Nutrition Knowledge, Physical Fitness and Stress Levels of Adult Obese Women: Kyung Hee Kim; Korean J Community Nutr 2010;15(1):73-82. Published online February 28, 2010

Abstract PDF: This study was conducted to investigate the effects of a weight control programs on BMI, nutrition knowledge, physical fitness and stress level of adult obese women. The subjects of this study were 36 adult obese women aged 30-65 years whose BMI were above 23 kg/m2. The weight control program for obese women included nutritional education, exercise and cognitive behavioral therapy for 12 weeks. The BMI of the subjects was significantly decreased (p < 0.001) from 27.1 kg/m2 to 26.4 kg/m2 after the 12 weeks of the weight control program. In addition, the weight of body fat was significantly decreased (p < 0.001) and % body fat was significantly decreased (p < 0.05) from 35.4% to 34.9% after completion of the weight control program. In addition, nutritional knowledge (p < 0.001) and eating behavior scores (p < 0.01) were significantly increased. However, the food intake scores were not changed after the program. Stress levels of the adult obese women were significantly decreased (p < 0.001) from 85.63 to 66.88 and also obesity stress levels were significantly decreased (p < 0.01) after the weight control program. In the physical fitness levels of the subjects, muscle endurance (p < 0.05) and ability of balance (p < 0.01) were significantly improved after completion of the weight control program. There were positive significant correlations between general stress and obesity stress level (p < 0.05), and negative correlations between stress level and food intake score (p < 0.05). These results showed that the weight control program for adult obese women may be effectively used to improve weight reduction, physical fitness and stress levels.

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[English]
Study on Stress, Depression, Binge Eating, and Food Behavior of High School Girls Based on Their BMI: Ji eun Park, Sung joo Kim, Ryowon Choue; Korean J Community Nutr 2009;14(2):175-181. Published online April 30, 2009

Abstract PDF: The purpose of this study was to investigate the relationships of stress, depression, binge eating and food behavior of high school girls with their degree of BMI. One hundred twenty high school girls from the Seoul metropolitan area participated in this study. Self-administrated questionnaires to search for degree of stress, depression, binge eating, and food behavior were distributed. Anthropometric assessment was carried out to calculate the body mass index (BMI). The results are as follows: The mean of age and BMI of the subjects were 17.6 +/- 0.6 years and 21.0 +/- 2.9 kg/m2 (ranged from 15.4 to 31.7 kg/m2), respectively. 16.7%, 65.8% and 17.5% of the subjects were classified as under weight, normal weight and overweight, respectively. The average scores of stress, depression and binge eating were 124.9 +/- 31.4, 15.2 +/- 9.8, 29.5 +/- 7.8 points, respectively. The food behavior score was 11.5 +/- 2.4 points. Their degree of stress, depression, binge eating was significantly higher in overweight high school girls compared to underweight or normal weight high school girls. There were significant correlations of BMI with stress (P < 0.05), depression (P < 0.001), and binge eating (P < 0.01). Also there were significant correlations of food behavior with stress (P < 0.05), depression (P < 0.05) and binge eating (P < 0.001). These results indicate that the high school girls who have higher BMI seem to have more stress, depression, and binge eating habits. Also the high school girls who have more stress, depression and binge eating habits have poor food behaviors. Therefore proper control of emotions is required to maintain desirable food behaviors in high school girls.

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[English]
The Effect of Combined Training at Different Times of Day on Body Composition, Plasma Lipids, Stress Hormones and Nutrient Intakes: Kyoung Young Lee, Si Young Kim, Tae Won Jun; Korean J Community Nutr 2006;11(1):143-151. Published online February 28, 2006

Abstract PDF: Regular exercise training improves body composition, blood lipid profiles and exercise adaptation. This study was conducted to investigate the effect of exercise training at different times of day on body composition, blood lipids, stress hormones and nutrient intakes. Twenty four male graduate students carried out this experiment. The subjects were divided into three groups; morning exercise group, evening exercise group and control group. Two exercise groups performed running and muscular resistance training at mid intensity for 12 week periods. Body composition, blood lipid profiles, blood cortisol, ACTH and nutrient intakes were analyzed prior to, midway and after training. There were significant differences about interaction between different exercise times and training periods in plasma TG and HDL-C of the evening exercise training (p < 0.05). Also the evening exercise group was showed the decreasing of TC after training (p < 0.05). No significant differences about interaction between different exercise times and training periods were shown in body composition, stress hormones and nutrient intakes in the three groups. But evening exercise training decreased body fat (%) and blood ACTH (p < 0.05). Also the increasing of carbohydrate intakes was shown by the evening exercise training (p < 0.05). In contrast, morning exercise group indicated a decrease of body fat (%) after 6 week training (p < 0.05), but this effect was not maintained after 12 weeks of training. These results suggested that regular evening exercise is more effect than morning exercise from the viewpoint of improving body composition, blood lipids, nutrient intakes and exercise adaptation.

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[English]
Stress Level and Health-Related Behavior of Nurses Working in the Kyungnam Area: Hyun Sook Yoon, Yun Young Choi; Korean J Community Nutr 2003;8(5):781-793. Published online October 31, 2003

Abstract PDF: This study was performed to investigate the stress level and health-related behaviors of nurses and to provide basic information for developing educational programs in the health care field. The subjects of this study were 197 nurses and 94 nursing assistants working at hospitals in the Kyung-nam area. A survey was conducted using a self-administered questionnaire in November, 2002. The results were as follows : The average age and work experience of the subjects were 26.9 and 5.6 years, respectively. The number of respondents in the shift and non-shift operations was equally distributed. The mean height and weight were 161.2 cm and 52.7 kg, respectively. Even though the average body mass index (BMI) and obesity index were normal in the subjects, 9.2% of the subjects were overweight/obese, while 28.9% of the subjects were under weight, according to the obesity index. The mean score of stress was 27.5 +/- 4.6 out of 50 points. Most of the subjects were highly stressed about the amount of their work, problems regarding their future, and relationships with their superiors. With regard to changes in food intake due to stress, 44.1% showed an increased intake, while 32.3% showed a reduced intake. The degree of health consciousness of the married nurses, those over 36 years of age, and those with over 10 years of nursing experience was significantly higher than that of the unmarried nurses, those under 35 years of age, and those with under 10 years of nursing experience (p < 0.01). Fifty-one point three percent of the subjects thought their health status was unhealthy. Fifty-seven percent of the subjects had tried weight control. Their main reason for trying weight control was to have a slender figure (62.3%), and their methods of weight control were moderation in intake (45.6%), exercise and dieting (36.9%). TV/radio (49.5%) and newspaper/magazines (47.1%) were the primary sources of nutritional and health information for the subjects, and professional (25.1%) and the internet (13.4%) were ranked relatively highly. The food components of most concern to the subjects during meal time were (in order of importance) fats (51.9%), calories (40.2%) and salt (35.1%). The subjects considered 'taking a rest' (73.5%) as the most important factor in maintaining an optimal health status, followed by self-relaxation (56.4%), moderation in diet (39.5), bathing or using a sauna (25.7%) and exercising (22.7%).

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[English]
Food and Nutrient Consumption Patterns of Korean Adults Based on their Levels of Self Reported Stress: Young Ok Kim; Korean J Community Nutr 2003;8(3):340-348. Published online June 30, 2003

Abstract PDF: Differences in food and nutrient intake among Korean adults based on different stress levels were investigated using information obtained from 7,370 adults who participated in the 1998 Korean National Health and Nutrition Survey. The twenty-four hour recall method was used for this dietary survey. Data pertaining to indivisual stress levels were collected by means of interviews as part of the National Health Behavior Survey. Following the analysis of variance, Duncan's Multiple Range Test was used to test the differences in food and nutrient intake among groups with different levels of stress. Eighty-three percent of the study subjects were reported to have a certain level of stress. Unlike the observations made in European and American studies, there were no significant differences observed in food and nutrient intake based on the stress levels among Korean adults of either sexes. These results may imply that even though stress was clustered with other health related behavior, the association between food intake and stress among Koreans was very weak.

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[English]
The Effects of Stress and Social Support on Obesity in Junior High School Students Living in Small Cities: Young Ok Lim, Young Nam Kim; Korean J Community Nutr 2002;7(5):705-714. Published online October 31, 2002

Abstract PDF: The purpose of this study was to examine the relative importance of everyday life stress, obesity stress, and social support on the BMIs of junior high school students. Subjects in this study consisted of 229 adolescents from two junior high schools in Iksan-city and Hamyul-eup. For data analyses, the frequencies, percentages, means, t-tests, Chi-squares, one-way ANOVAs, Pearson's correlation coefficients and regressions were conducted using SPSS WIN program. The mean BMI of the subjects was 20.18, and the ratio of students' BMIs less than 20 was 56.8%, that of students' BMIs greater than or equal to 25 was 8.3%. There were no statistical differences in BMIs by grade and sex. Statistically significant differences in the obesity of the junior high school students were detected according to demographic characteristics such as economic levels, areas of residence, TV watching time, and fathers' physiques. There were significant differences in everyday life stresses, obesity stresses, and social support by sex, but not by grade. Girls showed higher stress levels than boys, specially in family-related life stresses, social relationships, and self-related stresses. Also girls showed higher stress level related to obesity than boys. Girls got more support from their mothers, siblings and friends than boys. With respect to the type of social support, girls perceived more financial, informational, emotional, and judgemental support than boys. These results suggest that girls became more stressed, although on the other hand, they received more social support than boys. The higher the economic level, the longer the TV watching time, and the higher the stresses from everyday life and obesity, the higher the BMIs of the junior high school students were. In conclusion, everyday life stress and obesity stress were the important factors in relation to the junior high school students' obesity.

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[English]
A Study on Body Mass Index and Associated Factors of the Middle Aged Women in Small City: Yeon Hee Kim, Youngnam Kim; Korean J Community Nutr 2002;7(4):506-515. Published online August 31, 2002

Abstract PDF: This study examined the state of health and weight maintenance according to the body mass index (BMI), and explored demographic variables, diet variables, the degree of stress etc. The results presented were based on data collected from 428 women who are mothers of the middle school children in Jeongeup city. Using SPSS WIN (Ver 9.0), the frequency, percentage, mean, standard deviation, chi-square, ANOVA, and correlation analysis were provided. The mean of BMI for the subjects was 22.6, the ratio of obese women (BMI > or = 25) was 22.9%. The frequency of the reported circulation or respiratory related diseases was greater in the obese group compared to the normal weight (20 < or = BMI < 25) or the lean (BMI < 20) groups. The obese group had less awareness of obesity. Those who regard themselves obese had lower rates of satisfaction with their body shape and higher rates of interest in weight control. Approximately 65% of the subjects attempted weight reduction more than once. Subjects who were obese had the most undesirable dietary behavior. In particular, this group had the higher rates of rushed meals, overeating, meals while watching TV or newspapers, and snacking, and eating out. In analyzing the correlation of variables influencing obesity, there were positive correlations between obesity and overeating, obesity and the degree of stress. Correlations between obesity and satisfaction for life found to be negative. Moreover, stress had a positive correlation with obesity and overeating, and showed negative correlation with eating behavior. Consequently, stress seemed to induce undesirable eating behaviors and increase obesity. Of the demographic background variables, subjects who were obese tended to be older, had lower levels of education, higher rates of employment, longer period of marriage, the higher number of children, preschool children or children preparing for highschool or college, lower satisfaction with children and household life.

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[English]
A Study on the Obesity and Stress of Elementary School Children in the Kangnung Area: Eun Kyung Kim, Tae Sun Park, Ki Kyung Kim; Korean J Community Nutr 2001;6(5):715-725. Published online December 31, 2001

Abstract PDF: This study was carried to estimate the prevalence of obesity and to investigate the relationship between stress and obesity in children. The subjects were 508 children, who were randomly selected from the fifth and sixth grade at nine elementary schools in Kangnung. The height, body weight, waist and hip circumferences and body fat(%) were measured and the levels of stress were assessed by a questionnaire consisting of the following 3 domains ; 4 items for personal factors, 11 for home, and 18 for school. The prevalence of obesity in male and female children greatly varied by the indices from 2.5% and 1.7% when judged by BMI, 9.5% and 4.0% by obesity index, and 29.7% and 34.4% by body fat(%). The stress scores from personal(47.1%) and school (47.9%) factors were higher than the stress score from home(38.5%). The stress score from personal factors of female children is significantly higher than that of male children, but the stress score from home of female children is significantly lower than that of male children. The personal stress score and the total stress score of obese female children were significantly higher than those of non-obese female children. In male children, the obesity index(%) or body fat(%) have a significant positive correlation with the stress scores from over-expectation of parents, a lack of conversation with family, examinations, discontent about school, teacher's partiality to students, and sexual curiosity. The female children have a significantly positive correlation of obesity index (%) or body fat(%) with stress scores from appearance, quarrels of parents, and inferiority complex to brothers or sisters. These results suggested that counselling and education about not only balanced diet but also the strategies for actively coping with stress are needed to prevent and treat childhood obesity.

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[English]
A Study of Factors Influencing Weight Control Behavior in Adolescent Females: Ho Kyung Ryu, Jin Sook Yoon, Dong Yean Park; Korean J Community Nutr 1999;4(4):561-567. Published online December 31, 1999

Abstract PDF: This study was conducted to provide information about weight control behavior in adolescent females. To explain the behavior intention of dieting, conceptual framework based on "Social Support, Control and the Stress Process Model" and "Theory of Reasoned Action" was used. The survey was carried out by self-questionnaires with 463 female high school and college students in Daegu. Analysis of data was done using mean, correlation and multiple regression analysis with the SAS computer program. A society preoccupied with thinness gives a burden to women, and this burden may stress dissatisfaction with body image. Social perception of ideal body image except parents' perception, and salient others' perception, and salient others' expectation of subjects' body image except parents' expectation, were much thinner than normal figures in this study. The influencing factors for behavior intention of dieting of the subjects were perceived stress and attitude toward diet behavior, especially beliefs of behavioral outcome. Influencing factors related to perceived stress-that is dissatisfaction of body image-were current figure, social perception of body image, effect of mass communication and others' estimation of subjects' body image with self-comparison with others, in order.

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[English]
A Study on the Food Behaviors and Nutritional Status of Industrial Workers: Myeung Hee Park, Young Sun Choi, Mee Ae Lee, Bong Soon Choi, Hyo Jee Jung; Korean J Community Nutr 1999;4(2):194-206. Published online June 30, 1999

Abstract PDF: This study inrestigated the dietary behavior, nutritional intake, and health status of industrial workers. Two hundred seventy workers(165 men and 105 women) in Masan, who were provided food services were selected as survey subjects. They were given questionnaires on nutrition knowledge, food frequency questionnaires, and blood analysis were conducted through an annual health examination from May to August 1998. The average age of the subjects was 35.7+/-11.8 years, and 80% the of women were in their teens and 20's and 80% of men were in their 30's and 40's. The nutrition knowledge score was higher in women than in men, while food habit score was higher in men than in women. As age increase, the degree of life stress became lower and food habit score was higher in men than in women. As age increases, the degree of life stress became lower and food habit was improved. In women, all nutrient intakes were avobe the recommended dictary allowances(RDA), and in men intakes of only vitamin E and calcium were under RDA. Levels of serum total cholesterol, triglyceride, and blood glucose, blood pressure, body mass index were positively related to age. The number of subjects suspected of havins chronic disease was the highest for those in their 40's. The results indicate that nutritional status of industrial workers in the present study was fairly good probably due to food services, but their health status should be supervised as their age increases.

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[English]
Dietary Intakes and Psychological Stress Pregnant Women in Taejon in Relation to Neonatal Birth Weigh: Wha Jin Hyun, Jo yoon Lee, Chung sil Kwak; Korean J Community Nutr 1997;2(2):169-178. Published online May 31, 1997

Abstract PDF: Thin study measured dietary intakes in late pregnancy and psychological stress during the period of gestation and examined the roles of diet and psychological stress in pregnancy weight gain and infant birth weight. Study subjects were 98 pregnant women who delivered infants at 2 general hospitals in Taejon city. Mean weight gain during pregnancy was 14.6+/-4.89Kg. Mean infant birth weight was 3.39+/-0.62kg in males and 3.28+/-0.43Kg in females. Mean energy and protein intake levels were adequate, but mean iron and calcium intakes were only 61.2+/-14.9% and 79.1+/-18.2% of RDA, respectively. Fat intake which constitutes 22.0+/-4.3% of total energy intake, and animal protein intake which constitutes 22.0+/-4.3% of total energy intake, and animal protein intake which constitutes 53.7% of total protein intake were moderately high. Though mean energy, fat, animal protein, and meat protein intakes in the low psychological stress group were higher than those in the middle or high stress group, psychological stress did not significantly affect pregnancy weight gain and infant birth weight. High intakes of nutrients except for dairy protein, iron, and niacin were associated with higher pregnancy weight gain and high intakes of protein and meat protein were associated with higher infant birth weight. It is concluded that dietary intakes during pregnancy has effects on pregnancy weight gain and infant birth weight, and psychological stress has no direct effect on them.

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