Korean Journal of Community Nutrition

Research Article

[English]
Qualitative Study on the Perception of Community Food-accessibility Environment among Urban Older Adults: Narae Yang, Kirang Kim; Korean J Community Nutr 2020;25(2):137-149. Published online April 30, 2020; DOI: https://doi.org/10.5720/kjcn.2020.25.2.137

Objectives
This study explored the community food environmental factors affecting food purchasing using a qualitative research methodology for the elderly as well as the various food environments under their socioeconomic diversity.
Methods
For the qualitative data collection, this study interviewed 20 elderly people aged 65 years or more, who participated in a public health program or lunch services operated by the senior welfare center in Seoul. Five dimensions, such as availability, physical accessibility, affordability, acceptability, and accommodation suggested in previous studies, were used to identify the community food environmental factors.
Results
The elderly participants showed overall similarities to the concepts derived from existing studies on the five dimensions of food accessibility environment. In addition, other important food accessibility environmental factors that were not present in previous studies, such as acceptability for a product of domestic origin, delivery service to home, and small-packaged food sales, were derived. On the other hand, the concept of some subjects differed depending on the household income and specifically for the physical accessibility concept. This showed that the close distance factor from a grocery store at home might not apply to older adults in low-income households in Korea.
Conclusions
This study found that five dimensions of the food environment suggested by previous studies could also be applied to vulnerable older adults in Korea. On the other hand, the socioeconomic characteristics of individuals and households would affect the perspectives of their local food environments differently. The findings of this study could help in the development of tools for evaluating the community food environment.

Citations

Citations to this article as recorded by

Spatial Disparity of Neighborhood Food Environment by Socioeconomic Status: Application of Urban Network Analysis
Taekyung Seong, Sugie Lee
Land.2024; 13(6): 865. CrossRef
Development and Validation of a Perceived Community Food Accessibility Measurement Questionnaire for Korean Older Adults
Jisoo Hong, Narae Yang, Kirang Kim
Nutrients.2023; 15(19): 4301. CrossRef
A relationship between food environment and food insecurity in households with immigrant women residing in the Seoul metropolitan area
Sung-Min Yook, Ji-Yun Hwang
Journal of Nutrition and Health.2023; 56(3): 264. CrossRef
Regional Difference in the Effect of Food Accessibility and Affordability on Vegetable and Fruit Acquisition and Healthy Eating Behaviors for Older Adults
Dong Eun Lee, Kirang Kim
International Journal of Environmental Research and Public Health.2022; 19(22): 14973. CrossRef
Analysis of Accessibility Changes to Neighborhood Food Environment and Food Desert Phenomenon in Seoul, Korea : Focused on the High-density Areas of Low-income Older Adults
Taekyung Seong, Sugie Lee
Journal of Korea Planning Association.2021; 56(1): 137. CrossRef
Effects of Perceived Food Store Environment on Malnutrition and Frailty among the Food-Insecure Elderly in a Metropolitan City
Yu-Mi Kim, Narae Yang, Kirang Kim
Nutrients.2021; 13(7): 2392. CrossRef
Analyzing Socio-Economic and Geographical Factors that Affect the Health of the Elderly
Zacharias Dermatis, Athina Lazakidou, Athanasios Anastasiou, Panagiotis Liargovas
Journal of the Knowledge Economy.2021; 12(4): 1925. CrossRef
Analysis of Awareness, Knowledge, and Behavior about Food Hygiene·Safety Among the elderly
Mi Sook Lee, Sim-Yeol Lee
Korean Journal of Community Nutrition.2021; 26(3): 200. CrossRef
Nutritional Status according to the Frailty Status of the Elderly at Home in Seo-gu, Gwangju, Korea
Ye Eun Kim, Young-Ran Heo
Korean Journal of Community Nutrition.2021; 26(5): 382. CrossRef

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Original Articles

[English]
Anthropometric Index, Dietary Habits and Nutrient Intake of the Oldest-old Population Aged 95 and Over Living in Seoul: Chung Shil Kwak, Ji Hyun Cho, Miyong Yon, Sang Chul Park; Korean J Community Nutr 2012;17(5):603-622. Published online October 31, 2012; DOI: https://doi.org/10.5720/kjcn.2012.17.5.603

Abstract PDF PubReader

The population aged 95 years and older in Seoul approximately increased to five-fold over the past 10 years, while nationwide rates increased to three-fold. In order to examine the dietary habit and nutritional status of oldest-old population living in Seoul, we recruited 87 subjects (25 males and 62 females) aged 95 years and older. The prevalence of underweight (BMI < 18.5 kg/m2) and obesity (BMI > or = 25 kg/m2) were 18.2% and 18.2% in males, and 20.8% and 9.4% in females, respectively. In self-assessment of health, only 25.3% answered to be unhealthy. More males exercised regularly and reported a wide range of activities than females. The average of %Kcal from carbohydrate, protein and fat (C : P : F) was 64.9 : 13.8 : 21.2 in males and 68.1 : 14.2 : 17.7 in females. The average daily energy intake was 1,307 kcal in males and 1,304 kcal in females. More than 75% of subjects were taking under estimated average requirements (EAR) for vitamin B1, B2 & C and Ca. The average of mean adequacy ratio (MAR) was 0.66 in males and 0.70 in females, and 28.8% of males and 12.9% of females were in MAR < 0.50. Based on MAR, 32.0% of males and 14.5% females were classified as normal and 16.0% of males and 25.8% of females were classified as malnourished. Our subjects were taking more animal food, especially milk and its products, compared to those living, in rural areas. However, a significant proportion did not meet the EAR for vitamin B1, B2 & C and Ca.

Citations

Citations to this article as recorded by

Association of Dietary Quality with Subjective Health-Related Perception and Chronic Diseases According to Age Segmentation of Korean Elderly
Sojeong Lee, Seungmin Lee
Korean Journal of Community Nutrition.2021; 26(5): 363. CrossRef
Commentary for the Elderly in the Pandemic Era
Asif Khattak, Badar Kanwar, Consolato Sergi, Chul Joong Lee, Jenny Balentine, Jong-Hoon Lee, Jungwuk Park, So Jeong Lee, Su-Hee Choi
Dementia and Geriatric Cognitive Disorders Extra.2021; 11(2): 168. CrossRef
Status of health and nutritional intake of the elderly in long-term care facilities: focus on Gwangju Metropolitan City
Gyusang Han, Eunju Yang
Journal of Nutrition and Health.2020; 53(1): 27. CrossRef
Study on Energy and Nutrient Intake and Food Preference of the Elderly in Care Facilities
Jong-Sook Kwon, Seung Hee Lee, Kang Min Lee, Yoonna Lee
Korean Journal of Community Nutrition.2016; 21(2): 200. CrossRef
A study on the Needs for Nutrition Management Program for Elderly Who use Welfare Facilities
Min-June Lee, Jung-Hyun Kim, Ok-Jin Park, Young-Mi Lee
Korean Journal of Community Nutrition.2016; 21(1): 65. CrossRef
The Prevalence of Obesity by Percentage of Body Fat, Waist Circumference, and Body Mass Index and Their Association with Prevalence of Chronic Diseases of Elderly in Seoul Area
Min Jeong Kang, Jung Young Park, Jung Yun Kim, Yeon Joo Lee, Min Hee Do, Sang Sun Lee
The Korean Journal of Food And Nutrition.2014; 27(3): 358. CrossRef

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[English]
Comparison of Dietary Patterns by Sex and Urbanization in Different Economic Status: Jihyun Choi, Hyun Kyung Moon; Korean J Community Nutr 2008;13(3):346-358. Published online June 30, 2008

Abstract PDF: The purpose of this study is to find differences in dietary patterns through menu analysis by economic status. The data was obtained from the 1998 and 2001 National Health and Nutrition Survey of Korea. The main variables were economic status, sex, and area by urbanization. The economic status was classified into low, middle, high, and top classes using a poverty line based on the 1998 and 2001 minimum standard cost of living. The areas were divided into metropolis, small city, and rural areas. The dishes of 3 meals were classified into 29 categories by cooking method. The most frequent pattern was "rice + soup + kimchi". The frequency of this Korean basic dietary pattern was the lowest in the top income class and metropolis areas, while the highest in the low income class and rural areas. The frequency of Korean recommended dietary pattern, that is, "rice + soup or stew + kimchi + side dish" was the highest in the top income class. The metropolis group preferred side dishes using meat and a cooking method that saved time, but the rural group preferred side dishes using vegetables and cooking methods that take a longer time. In comparison of dietary pattern between male and female by economic status, the higher economic status, the male's dietary patterns showed more side dishes than those of female. But the main side dish was kimchi in male low class. onsequently, the major dietary pattern in Korea is rice-style, though the western pattern is increasing in the top income class, especially in metropolis areas. Therefore, to make a better dietary pattern, we should develop and spread low-priced recipes of various side dishes and teach financial skills such as ability to make a food budget for lower income classes. Also, we should emphasize the importance of the balance between meat and vegetables and traditional diet and western diet for the top income class, especially in the metropolis areas.

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[English]
Relation among Hair Mineral Contents, Nutrient Intakes and Clinical Symptoms of Male Middle School Students in Urban and Local Area: Mi Hyun Kim, Mi Kyeong Choi, Ye Sook Jun, Hye Kyung Cho, Chung Ja Sung; Korean J Community Nutr 2007;12(2):133-141. Published online April 30, 2007

Abstract PDF: Minerals play important roles in biological processes. Hair mineral analysis has the advantages of conveniences in sampling and observing the profiles of multiple minerals simultaneously. The purpose of this study was to compare hair mineral contents between urban and local middle school students, and to find out the relation with nutrient intakes and clinical symptoms. Ten nutritional minerals and 7 environmental mineral contents were analyzed in the hair samples of 44 and 37 male students who resided in urban and local area, respectively. And their nutrient intake and clinical symptom score were estimated from questionnaire. The average age, height, and weight were 15.1 years, 168.4 cm, 56.8 kg in urban subjects and 15.4 years, 169.1 cm, 61.9 kg in local subjects, respectively. The residence types were apartment (63.6%) and small-sized apartment (22.7%) in urban subjects and apartment (51.4%) and house (37.8%) in local subjects. The primary water sources were purified water (38.3%), running water (18.2%) in urban subjects and purified water (32.4%), underground water (27.0%) in local subjects, respectively. Daily energy and nutrient intakes were not significantly different between two groups. Among the surveyed 17 clinical symptoms, the scores of constipation, cold, anxieties and total score of clinical symptoms in urban subjects were significantly lower than those in local subjects. Hair contents of Na, Mg, Ca, Cu, V, Al, As were significantly higher, while U was lower in urban subjects compared to those in rural subjects. Hair contents of Ni and U were significantly correlated with food intake, and Cr, V, Al, Sb, As, U showed a correlation with energy intake. Hair Mg level showed significantly negative correlation with total clinical symptom score. In conclusion, hair mineral profile between urban and local students was significantly different. And some of these minerals were significantly correlated with food and nutrient intakes. Especially hair magnesium was significantly correlated with total clinical symptom score. Therefore, hair mineral levels would be needed for more systematic study elucidating potentiality as a useful clinical tool.

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[English]
A Study on the Status of Recognition and Intake of Saeng Shik among Urban Housewives: Mi Hyun Park, Ji Yeon Lee, Hwa Young Kim; Korean J Community Nutr 2003;8(5):708-715. Published online October 31, 2003

Abstract PDF: The purpose of this study was to investigate the status of recognition and intake of Saeng shik among housewives in Seoul, Busan, Daegu, Kwangju and Daejeon during February, 2002. Saeng shik is an uncooked freeze dried powdered food made from grains and vegetables. We interviewed 800 housewives, aged 30 to 49 years, living in urban areas. The survey was conducted using individual interviews on demographic characteristcs, status of recognition of Saeng shik, and the intake of Saeng shik. The data was analyzed using a SPSS program. The results were summarized as follows: Forty percentage of the subjects were well acquainted with Saeng shik. More than 60% of the subjects understood that Saeng shik is 'the thing of grains and vegetables in the form of freeze-dried powder without heating process'. Saeng shik was taken by 16.9% of subjects. There was a significant regional and economic level difference in Saeng shik intake (p < 0.05). Among the reasons given for Saeng shik intake, meal substitution ranked the highest. Other reasons were prevention of adult diseases, or it being a low calorie food. The survey questioned which the subjects considered before buying Saeng shik, taste, effect, constitution, sanitation and safety, satiety. 'Taste' ranked the highest. Among the subject who had experienced taking Saeng shik, 35.6% answered that they would continue taking Saeng shik. The reasons given for stopping taking Saeng shik included its high cost and taste. The subjects recognized it not only as a meal substitute, but also as a nutrient supplement. Based on these results on urban housewives' status of recognition of Saeng shik and their intake of it, more research is needed to improve Saeng shik.

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[English]
The Effect of Parental Socioeconomic Status on the Nutrient Intake of Urban and Rural Adolescents: Mikyung Kim, Moran Ki, Kumnyu Bang, Kirang Kim, Boyoul Choi, Youngjun Kwon, Sangsun Lee, Chan Kim, Yunju Kang; Korean J Community Nutr 1998;3(4):542-555. Published online October 31, 1998

Abstract PDF: This study was conducted to assess the nutrient intake patterns among urban and rural adolescents and to investigate the effects due to parent's socioeconomic status and other factors, such as mother's job, family type and regular exercise on that pattern. 2,455 middle and high school students living in Seoul and Yangpong, Kyounffi-Do participated in a self-administered questionnaire that was used to collect data. The one-day dietary intake was surveyed through a 24-hour recall method. The factors significantly different between urban and rural adolescents according to monthly income, parent's education level, mother's job, family type and exercise. Income, the parents' education level and regular exercise were associated with the patterns of nutrient intakes as a percent of the RDA. So, when adjusted for parental income, the father's and mother's education level and regular exercise, there were no signifcant differences within the patterns of nutritional intake between urban and rural adolescents. The results provided the information regarding the determinants of nutrient status among adolescents and were expected to be helpful for planning school health promotion programs.

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[English]
Relations of Perception of Obesity and Experiences of Weigh Control and Body Image in High School Students: Ho Kyung Ryu, Jin Sook Toon; Korean J Community Nutr 1998;3(2):202-209. Published online May 31, 1998

Abstract PDF: This study was conducted to investigate the relationship among pereption of obesity, experience of weight control control and satisfaction with body image in adolescence. The subjects were 221 high school students(91 boys, 130 grils), aged 16.7 years living in a rural area. To determine the perception of obesity, knowledge about obesity, belidfs about obese people, and attitudes towards obese people were measured. The results were as follows: There was high correlation between beliefs about obese people and attitudes toward obese people. When the perception of obesity was compared by sex, girls had significantly more accurate knowledge, stronger beliefs that obesity couldn't be controlled by oneself, the higher the eating disturbance score was. It also appeared that BMI was positively correlated with the positive attitude towards obese people.

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[English]
Drug Consumption and Nutritional Status of the Elderly in Chung-buk Area: II. Nutritional Status of Urban and Rural Elderly: Kyung Hee Han, dong Yean Park, Ki Nam Kim; Korean J Community Nutr 1998;3(2):228-244. Published online May 31, 1998

Abstract PDF: The nutritional status of 362 elderly men and women in Chung-bud area was evaluated in terms of their nutrient intakes, biochemical and anthrophometric measurements by interviews with questionnaires from August to October 1996. Mean intake of all nutrients except ascorbic acid did not meet the RDA for this sample. Protein, vit A, reboflavin, calcium were the most likely to be deficient on the basis of propotions of elderly consuming less than 75% of the RDA. The subjects nutrient intake was significantly affected by gender, marital status, number of family, family composition, educational level, pocket money, and region. Men in rural areas and women over 75 in urban areas were the most vulnerable groups with nutritional deficiency. According to serum biochemical indices, mean level of cholesterol, triglycerides, LDL, total protein, albumin and iron belonged to normal range but mean level of HDL showed below the normal range. More elderly men and women in urban areas showed a higher percentage of abormal level of cholesterol, triglycerides, LDL and HDL than those in rural areas. More elderly men and women in rural areas had abnormal levels of RBC, Hematocrit and hemoglobin compared to those in urban areas. Mean height and weight of elderly men was 161.4cm and 56.2Kg, respectively and 149.1cm and 50.5kg for women. The elderly in rural areas were taller than those in urban areas but had less weight, MAC, TSF, MAMC. Mean BMI of this sample belonged to normal range. However, the elderly in rural areas had a higher rate of underweight and lower for overweight than those in urban areas. The elderly in urban areas had higher blood pressure than those in rural areas.

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[English]
A Study on the Perception and Consumption of Imported and Organic Produce of Urban Housewives: Tai Sun Hyun, Wan Soo Kim; Korean J Community Nutr 1997;2(1):74-85. Published online February 28, 1997

Abstract PDF: To investigate the perception and consumption of imported and organic produce, a survey was conducted using a questionnaire in Seoul, Taejon and Cheongju from February to March in 1995. The responses of 350 housewives were analyzed. Most of the subjects (96.8%) know an increase of imported produce, and 86.3% thought that imported produce was not safe. Ninety-two percent of the subjects preferred domestic produce to imported produce. The reasons were for the support of domestic farming (36.7%), hazardous chemicals in imported produce (25.0%), good taste (24.1%) and high quality of domestic produce (13.1%). Seventy-eight percent of the subjects had purchased imported produce. The reasons for purchase were cheap price (67.7%), high quality (16.2%), and good taste (5.4%). Imported produce were purchased in the following order ; fruits such as banana, kiwi, orange and grapefruit, seasonings such as garlic and sesame, vegetables such as onion, braken and green onion, and beans and grains such as soybean, red bean, and barley. Most of the subjects (94.3%) had been informed on organic produce. Among these, 45.2% obtained the information by TV or radio. However, son for purchase was low residual chemicals (64.6%). The reasons against purchase were inconvenience of purchase (42.3%), high price (25.4%), and disbelief of low residual chemicals (19.7%). Therefore, domestic produce should be good in quality and taste, and be safe without residual chemicals in order to compete with imported produce with cheap price. Informations on organic and imported produce should be provided to consumers, and the distribution system of organic produce should be improved for consumers convenience.

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