• Journal of Nutrition and Health
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• v.57 no.1
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• pp.136-152
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• 2024

Purpose: A comprehensive evaluation item was developed to assess adolescent dietary habits and nutritional practices, considering food intake, eating behaviors, and food culture, such as social support and food environment. Methods: The 59 candidate items of the evaluation checklist were obtained based on the results of the eighth Korea National Health and Nutrition Examination Survey data, Korea Dietary Reference Intakes, dietary guidelines for adolescents, Youth Risk Behavior Survey data, national nutrition policies and dietary guidelines, and literature reviews. Four hundred and three middle and high school students residing in metropolitan areas participated in a survey using the 58-item checklist, which was selected through expert evaluation and content validity ratio analysis. The construct validity of the assessment tool for the quality of adolescent diets was assessed by exploratory factor analyses to determine if the checklist items were organized properly and whether the responses to each item were distributed adequately. Results: The Bartlett sphericity test was significant for each area (p <0.001), and the eigen values were greater than one. The Kaiser-Meyer-Olkin and cumulative proportions by areas were food intake (0.765 and 56.8%, respectively), eating behaviors (0.544 and 64.8%, respectively), and food environment (0.699 and 62.4%, respectively). Twenty-two checklists were determined for the final evaluation items for the adolescents' dietary habits and nutritional practices and were categorized into three distinct factors: food intake (10 items), eating behaviors (4 items), and food environment (8 items). Conclusion: The evaluation items for adolescent dietary habits and nutritional practices is a useful checklist for easily and quickly assessing the dietary qualities and reflecting Korean adolescents and their food environmental factors related to a sustainable diet.

• Journal of the Korean Society of Food Culture
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• v.7 no.1
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• pp.73-79
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• 1992

Food consumption pattern between Korea and Japan were compared on the basis of the data from the National Nutrition survey which has been carried out annually in Korea (1969-1988) and in Japan (1950-1988) for the guide of the future food and nutrition policy. Total food intake has been decreased in Japan since 1973. In spite of fluctation of total food intake, there was an increase of food consumption in Korea. The intake of animal food has been increased, while that of vegetable food decreased, in both countries. Proportion of the total food intake from animal sources of Japanese in 1988, 25.3%, was greater than that of Koreans, 20%. The intakes of cereal and grain products have been decreased in both countries, but the amount of these food groups consumed by Koreans was 70 to 80g more than that by Japanese in 1988. When the animal food intake was compared, intakes of meats, fishes, shellfish and eggs have been increased considerably in Korea. Intakes of milk and milk products and meat have been increased, while those of fishes, shellfishes and eggs kept an even level since 1975, in Japan. According to changes of the national standards of height and weight in both countries, the average height has been increased greatly from 1970 to 1980 in Korea, and the tendency was the same for the average weight.

• Journal of Nutrition and Health
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• v.56 no.4
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• pp.404-418
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• 2023

Purpose: This study aimed to analyze the trends in kimchi, vegetable, and fruit consumption among the Korean population and identify the factors associated with this consumption. The goal was to provide fundamental data for developing appropriate guidelines to increase kimchi consumption by understanding its characteristics. Methods: The analysis utilized data from the Korea National Health and Nutrition Examination Survey (KNHANES) conducted between 1998 and 2020. A total of 81,680 adults, aged 30 years or older, were included in the trend analysis. For the analysis of factors associated with kimchi, vegetable, and fruit intake, a subgroup of 22,122 adults aged 30 years or older from the KNHANES (2016-2020) was divided into two groups: 30-64 years old and 65 years old or older. Since the KNHANES data employed a complex sampling design, the statistical analysis was conducted using the appropriate complex sampling design method. Results: The overall consumption of kimchi exhibited a declining trend among both men and women. Specifically, there was a significant decline in the intake of baechu kimchi among both genders. The decline in kimchi consumption above the standard was associated with a decrease in meal frequency and an increase in the frequency of eating alone. However, the patterns for unsalted vegetables and fruits differed compared to kimchi. Conclusion: In this study, there was a decline in kimchi consumption among both men and women, and the potential factors associated with this trend included Westernized dietary habits, the presence of a spouse who influenced dietary habits, and an increased frequency of solitary dining due to the rise in single-person households. Therefore, it is necessary to develop dietary guidelines that consider these factors.

• Proceedings of the KSCN Conference
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• 2003.11a
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• pp.1086-1087
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• 2003

오늘날 급변하는 사회경제적 환경 때문에 현대인의 영양과 건강에 대한 관심은 날이 갈수록 높아지고 있어 대중매체에서도 영양과 건강에 대한 정보를 전달하는 경우가 많아지고 있다. 특히 방송매체 중 공중파 TV 프로그램에서의 정보들은 쉽게 접할 수 있어 올바른 영양 및 건강생활을 위한 정보나 실천지침을 국민들에게 전달되는 통로서의 긍정적인 부분도 있으나 시간상 제작환경상 등의 제약으로 인해 왜곡된 정보를 전달하는 부정적인 부분도 있다. 이에 건강관련 식품영양정보 모니터링을 통해 객관적인 평가와 문제점을 파악한 후 유형별로 분류, 분석하여 개선방안을 마련하기 위해서 본 연구에서는 방송매체중 공중파 TV프로그램 중 정확한 보도와 정보전달을 목적으로 하는 프로그램과 드라마 중 가족드라마를 선정하여 건강관련 식품영양정보의 양적 질적 현황을 파악하고자 하였다. 건강관련 식품영양 정보들에 대한 건수, 시간수, 주제, 취재원, 적절성과 부적절성 평가 및 부적절성의 요인들을 양적 질적으로 평가하여 연도별 비교분석을 하였다. 2002년도 4월 30일부터 2003년 9월 30일까지 모니터링 전문 교육을 마친 식품영양학 전공 모니터원이 조사기간 중 담당 프로그램을 모니터하여 각 프로그램에 나타난 식품영양정보의 양과 질을 조사하여 SPSS 통계팩키지를 사용하여 빈도 및 평균분석을 하였다. 총 모니터건수는 15,226건이었으며, 이중 총 건강관련정보건수는 5,623건으로 36.9%를, 식품영양관련 정보는 4,848건으로 31.8%를 차지하는 것으로 분석되었다. 총 건강관련 정보 대비 식품영양정보건수의 비율은 86.2%로 높게 나타났다. 뉴스프로그램의 총 건강관련 정보수는 17.9%에서 16.1%, 식품영양정보수의 비율은 6.6%에서 3.6%로 낮아졌으며, 건강정보프로그램의 총 건강관련 정보수는 51.5% 에서 94.6%, 식품영양정보수의 비율은 32.4%에서 57.4%로 높게 나타났다. 드라마의 식생활관련 장면 방송시간비율은 20.8%에서 17.2%로 낮게 나타났다. 뉴스프로그램에서 건강관련정보가 가장 많이 보도되는 달은 2002년 10월, 2003년 9월로 나타났다. 건강관련 정보의 주제로는 뉴스프로그램은 질환, 건강정보프로그램은 음식, 어린이교육프로그램은 식품, 노인정보프로그램은 생활습관이 가장 높게 나타났다. 정보의 취재원으로는 전문가와 일반인의 인터뷰가 73.7%로 가장 많았다. 식품영양정보의 부적절한 평가율은 뉴스는 49.3%에서 72.2%로, 건강정보프로그램은 54.0%에서 67.8%로 2002년보다 2003년도에 높게 나타났으나, 드라마는 63.2%에서 16.2%로 낮게 나타났으며, 어린이교육프로그램 40.0%, 노인정보프로그램 17.9%인 것으로 나타났다. 드라마의 식생활 장면에서 음식의 양이 부적절한 경우는 28.6%에서 15.8%로 낮아졌으나, 음주장면의 경우 10.7%에서 11.5%로 증가하였음은 앞으로 개선이 필요하다고 생각된다. 흡연 장면의 경우 드라마상의 흡연장면 방송금지 선언의 여파로 1.6%에서 0.2%로 감소하였다. 뉴스 및 정보프로그램에서는 부적절한 평가를 받은 정보들은 적정섭취량이나 실생활에 활용할 실천방안 등에 대한 제시가 없는 경우가 가장 많았으며, 전문용어에 대한 설명부족, 영양가 비교기준이 다르거나, 식품 등의 효과에 대한 내용이 과장된 경우가 많았다. 드라마의 경우 음주, 커피, 야식 등 불필요한 식사장면이 많이 나오거나 음식의 양이 사람수에 비해 많다라는 평가가 가장 높게 나타났다. 연구 결과 TV 프로그램에서 다루는 건강관련 정보기사가 차지하는 비율과 이중 식품영양정보기사가 차지하는 비율이 높아지고 있으나 건강관련정보기사의 질적인 평가에서는 부적절한 평가를 받은 비율도 함께 높아지고 있어 이의 개선이 시급히 요구된다.

• Journal of Korean Home Economics Education Association
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• v.34 no.3
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• pp.85-99
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• 2022

The purpose of this study was to investigate the association between depressive symptoms and dietary inflammatory index(DII) in Korean postmenopausal women. The subjects consisted of 3,947 Korean postmenopausal women from the National Health and Nutrition Examination Survey from 2016~2020. Subjects were classified into quartiles of dietary inflammatory index score. Individuals with high DII scores had poor health habits such as drinking, smoking, lack of physical activity, and skipping meals. The higher the score of the DII, the higher the PHQ-9 score and the depression odds ratio, which are depressive screening tools(p for trend <0.01). Among the anti-inflammatory items, DII, MUFA, PUFA, n-3 fatty acids, and n-6 fatty acids increased the risk of depression as the DII item score increased(p for trend <0.05). As a result of this study, it was found that the dietary inflammatory index was significantly associated with depressive symptoms. The promotion of a healthy diet with anti-inflammatory properties may help to prevent depression in postmenopausal women.

• Journal of Nutrition and Health
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• v.55 no.2
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• pp.278-295
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• 2022

Purpose: This study was undertaken to revise and update the Nutrition Quotient (NQ) for Korean adults, a tool used to evaluate dietary quality and behavior. Methods: The first 31 items of the measurable food behavior checklist were adopted based on considerations of the previous NQ checklist, recent literature reviews, national nutrition policies, and recommendations. A pilot survey was conducted on 100 adults aged 19 to 64 residing in Seoul and Gyeonggi Province from March to April 2021 using a provisional 26- item checklist. Pilot survey data were analyzed using factor analysis and frequency analysis to determine whether checklist items were well organized and responses to questions were well distributed, respectively. As a result, the number of items on the food behavior checklist was reduced to 23 for the nationwide survey, which was administered to 1,000 adults (470 men and 530 women) aged 19 to 64 from May to August 2021. The construct validity of the developed NQ (NQ-2021) was assessed using confirmatory factor analysis, linear structural relations. Results: Eighteen items in 3 categories, that is, balance (8 items), moderation (6 items), and practice (4 items), were finally included in NQ-2021 food behavior checklist. 'Balance' items addressed the intake frequencies of essential foods, 'moderation' items the frequencies of unhealthy food intakes or behaviors, and 'practice' items addressed eating behaviors. Items and categories were weighted using standardized path coefficients to calculate NQ-2021 scores. Conclusion: The updated NQ-2021 appears to be suitable for easily and quickly assessing the diet qualities and behaviors of Korean adults.

• Journal of Nutrition and Health
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• v.53 no.6
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• pp.629-647
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• 2020

Purpose: This study was undertaken to develop a nutrition quotient for elementary school children (NQ-C) for evaluating the overall dietary quality and eating behaviors. Methods: The NQ-C was developed by implementing 3 stages: item generation, item reduction, and validation. Candidate food behavior checklist (FBC) items of the NQ-C were derived from systematic literature reviews, expert in-depth interviews, statistical analyses of the fifth Korean National Health and Nutrition Examination Survey data, and national nutrition policies and recommendations. For the pilot survey, 260 elementary school students (128 second graders and 132 fifth graders) completed self-administered questionnaires as well as 24-hour dietary intakes, with the help of their parents and survey team staff, if required. Based on the pilot survey results, expert reviews, and priorities of national nutrition policy and recommendations, checklist items were reduced from 41 to 24. A total of 20 items for NQ-C were finally selected from results generated from 1,144 nationwide samples surveyed. Construct validity of the NQ-C was assessed using the confirmatory factor analysis, LInear Structural RELations. Results: Analyses of the exploratory factors of NQ-C identified that 5 dimensions of diet (balance, diversity, moderation, practice and environment) accounted for 46.2% of the total variance. Standardized path coefficients were used as weights of the items. The NQ-C and 5-factor scores of the subjects were calculated using the obtained weights of the FBC items. Conclusion: Our data indicates that NQ-C is a useful and suitable instrument for assessing nutrition adequacy, dietary quality, and eating behaviors of Korean elementary school children.

• Journal of Nutrition and Health
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• v.55 no.5
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• pp.543-557
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• 2022

Purpose: Conditions that limit activity constitute one of the important factors that threaten the health of the elderly. This study sought to analyze the dietary habits and nutritional intake status of the Korean elderly who were faced with activity limitations. Methods: Utilizing data from the 2019 Korea National Health and Nutrition Examination Survey, we classified 1,383 elderly people aged 65 and over into 2 groups: those with activity limitations (n = 222, LG) and those without (n = 1,161, NG). We conducted a comparative analysis of the general characteristics, dietary habits, intake of major food groups, energy, and major nutrients. The nutrient adequacy ratio (NAR), index of nutritional quality (INQ), and healthy eating practices were also analyzed. Complex sampling analysis was utilized for all the analyses with energy intake and socio-demographic variables adjusted. Results: The average age (73.8 years) of members of the LG was higher than those of the NG (72.6 years; p = 0.010). A higher percentage of participants in the LG lived alone (28.1%) compared to those in NG (17.2%; p = 0.004). The LG participants tended to regard their health status as "bad" or "very bad" (62.7%) more often than those in the NG (19.3%; p < 0.001). The LG subjects ate breakfast less frequently (p = 0.054) and ate out significantly less often than the NG subjects (p < 0.001). The LG subjects ate more grain (p = 0.001), fewer seeds (p = 0.014) and vegetables (p = 0.039). Carbohydrate made up a large percentage of their energy intake (p = 0.026). The LG subjects had significantly lower NARs of energy (p = 0.021), protein (p = 0.031), and riboflavin (p = 0.037). The LG participants also had a significantly lower rate of healthy eating practices (22.7%) compared to those in the NG (37.8%; p < 0.001). Conclusion: Activity-limited elderly, despite their need for appropriate dietary management, were poorly nourished. They were likely to live alone, thereby making it hard to provide them with social support. Hence, there is a need to provide nutrition education and policy support for the elderly bearing the burden of limited activity.

• Journal of Nutrition and Health
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• v.56 no.3
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• pp.247-263
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• 2023

Purpose: This study was conducted to update the Nutrition Quotient for Adolescents (NQ-A), which is used to assess the overall dietary quality and food behavior among Korean adolescents. Methods: The first 30 candidate items of the measurable eating behavior checklist were obtained based on a previous NQ-A checklist, the results of the seventh Korea National Health and Nutrition Examination Survey data, Korea Youth Risk Behavior Survey data, national nutrition policies and dietary guidelines, and literature reviews. A total of 100 middle and high school students residing in Seoul and Gyeonggi Province participated in a pilot study using the 25-item checklist. Factor analysis and frequency analysis were conducted to determine if the checklist items were organized properly and whether the responses to each item were distributed adequately, respectively. As a result, 22 checklist items were selected for the nationwide survey, which was applied to 1,000 adolescent subjects with stratified sampling from 6 metropolitan cities. The construct validity of the updated NQ-A 2021 was assessed using confirmatory factor analysis. Results: Twenty checklist items were determined for the final NQ-A 2021. The items were composed of three factors: balance (8 items), moderation (9 items), and practice (3 items). The standardized path coefficients were used as the weights of items to determine the nutrition quotients. NQ-A 2021 and 3-factor scores were calculated according to the weights of questionnaire items. The weight for each of the 3 factors was determined as follows: balance, 0.15; moderation, 0.30; and practice, 0.55. Conclusion: The updated NQ-A 2021 is a useful instrument for easily and quickly evaluating the dietary qualities and eating behaviors of Korean adolescents.

• Journal of Korea Association of Health Promotion
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• v.3 no.2
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• pp.199-218
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• 2005

이 연구는 우리나라 20세 이상 성인에서의 대사증후군 유병률을 파악하고 보건의식행태와 대사증후군간의 상관관계를 분석함으로써 대사증후군의 예방 및 치료를 위한 보건교육·건강증진 프로그램의 기초자료로 활용코자 시행되었다. 연구재료로 1998년 국민건강영양조사에 참여한 20세 이상 성인 24,469명 중 건강검진조사를 받았고 건강면접조사, 보건의식행태조사, 식생활조사에 응답한 7,854명의 조사결과를 활용하였으며, 2001년 미국에서 발포된 제 3차 콜레스테롤 관리지침(NCEP-ATP3)에서 제시된 대사증후군 진단기준 및 WH0 아시아/태평양지역 허리둘레를 기준으로 대사증후군 유병률을 분석하였다. 결과는 다음과 같다. 우리나라 20세이상 성인의 대사증후군 유병률은, NCEP-ATP3 기준에서 13.3%(남자 10.1%, 여자 16.0%), 아시아/태평양지역기준에서 19.8%(남자 16.7%, 여자 22.4%)로 아시아/태평양지역 기준에서, 남자보다는 여자에서 더 높았다. 대사증후군 진단항목 중복부비만, 저 HDL-콜레스테롤의 유병를은 여자에서, 고중성지방혈증, 공복시고혈당 유병률은 남자에서 더 높았고, 연령이 증가할수록 대사증후군의 유병률이 증가하였다. 또 대사증후근 진단할목의 보유경향은 ATP3진단기준에서 남자는 복부비만을 제외한 4개항목을 70%이상에서, 특히 고중성지방혈증은 95.0%에서 보유하였다 여자는 저HDL-콜레스테롤과 고중성지방혈증을 70%이상에서 보유하였다. 아시아/태평양 진단기준에서는 남자의 경우 고중성지방혈증을 88.0%에서, 여자의 경우 복부비만 및 저 HDL-콜레스테롤을 80%이상에서 보유하고 있었다. 대사증후군과 보건의식행태 간의 상관관계를 분석한 결과, 교육수준이 낮을수록, 결혼하지 않은 사람에 비해 결혼한 사람에서대사증후군 위험이 증가하였으며, BMI가 증가할수록 대사증후군 위험이 급격히 증가하였고, 고혈압·뇌졸중, 당뇨병 가족력이 있는 남자에서 대사증후군 위험이 증가하였다. 또 스스로 건강하지 않다고 생각하는 사람일수록 현재 흡연자의 PACK- YEAR가높을수록, 자주 술을 마실수록, )회 음주량이 많을수록, 과음빈도가 많을수록 대사증후근 위험이 증가하였으며, 알코올 의존 경향이 있는 경우에서도 유의한 결과를 보였다. 최근 1년간 체중이 감소 혹은 증가된 경우에서 유의한 결과를 보였으며, 체증감소정도가 클수록 대사증후군 위험이 증가하였다. 이상의 결과를 종합해 볼 때, 우리나라 성인의 대사증후군 유병률은 비교적 높으며 대사증후근의 발생에는 보건의식행태, 특히 음주 흡연비만 연령 교육수준 등이 밀접하게 관여한다고 할 수 있다. 그러나 앞으로 대사증후군의 예방을 위한 건강증진 프로그램의 기획 및 치료방침 수립을 위해서는 우리 나라대사증후군의 유병에 영향을 미치는 진단기준항목 및 관련요인의 상호 연관성, 우리나라에 적합한 진단기준 설정 등에 대한 지속적이고 깊이 있는 연구가 이루어져야 할 것이다.