• 대한지역사회영양학회지
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• 제20권3호
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• pp.178-187
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• 2015

Objectives: This study was conducted to compare dietary habits, weight control behaviors, eating disorder risk and depression among middle school girls who were at various stages of dieting. Methods: Subjects were 391 girls attending a middle school in Kyeonggido, Korea. All the information was gathered by self-administered questionnaires. Eating disorder risk and depression were assessed using EAT-26 and PHQ-9, respectively. Data were compared among 4 groups; no interest in a diet (N=112), had experienced dieting (N=86), on diet currently (N=71), and plan to diet (N=122). Results: A higher number of students currently on diet tended to be unsatisfied with their own weight (p < 0.01), overestimated their weight (p < 0.05), and weighed own body frequently (p < 0.001), compared to those with only experienced dieting in the past or those who plan to diet, despite similar weights and body mass index. The students who experienced dieting in the past or those who plan to diet appeared to have several undesirable as well as desirable dietary habits and their risk of eating disorder was significantly more prevalent compared to those without an interest in dieting (p < 0.01), although significantly less prevalent compared to those currently on a diet. Conclusions: We conclude that unnecessary dieting is common among middle school girls and providing proper education with regard to healthy weights is needed to enhance their physical as well as psychological wellbeing.

• 대한영양사협회학술지
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• 제5권2호
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• pp.145-152
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• 1999

This study was to investigate the risk factors for the development of diabetes mellitus on healthy offsprings of Korea non-insulin dependent diabetes mellitus(NIDDM) patients. Forty four offsprings who have at least 1 parent with NIDDM and age, sex and body mass index(BMI) matched forty four healthy control subjects were collected for this study. BMI, skinfold thickness, waist/hip circumference ratio(WHR), fasting blood glucose, serum insulin, serum lipid profile, nutrient intakes and food behaviors were measured. There were no significant difference in BMI, WHR, fasting blood glucose, insulin, total cholesterol, triglyceride and daily nutrients intake between offsprings and controls. But skinfold thickness, LDL-cholesterol level and sweety food eating frequency were significantly higher in male offsprings than in male controls. And HDL-cholesterol was significantly lower in male offsprings than in male controls. Although there were no significant difference, offsprings had a overeating habit and ate more confectionery and greasy food than controls.

• Journal of Nutrition and Health
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• 제48권5호
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• pp.419-428
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• 2015

본 연구는 한국 성인을 대상으로 인구집단의 식생활지침 실천과 식생활의 질과 수준을 모니터링 하기 위해 식생활평가지수를 개발하였다. 문헌고찰 및 국가의 영양정책과 식생활지침, 전문가 의견을 바탕으로 후보항목을 도출하여 건강결과 변수에 따른 식품 및 영양소 평균섭취량을 비교하고 식품 및 영양소의 섭취량을 5분위수로 나누어 분위수별 교차비와 교차비의 경향성을 검정하였다. 후보항목의 통계분석 결과와 전문가 의견을 근거로 식사의 충분도 영역 9개 항목, 식사의 절제 영역 5개 항목등 총 14개의 지수 구성항목을 선정하였으며, 식생활지침과 2010년 한국인 영양섭취기준을 근거로 점수화 기준을 마련하고 각 항목별로 5~10점을 배정하여 총 점수가 100점이 되도록 구성하였다. 개발된 한국인 식생활평가지수는 식사의 충분도 영역 9항목 (총 과일류, 생과일류, 총 채소류, 김치와 장아찌 제외 채소류, 우유 유제품, 총 단백질 식품, 흰 고기 : 붉은 고기 섭취비율, 전곡류, 아침식사 빈도)과 식사의 절제 영역 5가지 항목 (나트륨, 고열량 저영양 식품 에너지비, 지방 에너지비, 도정곡류, 탄수화물 에너지비)으로 구성되었다. 한국인 식생활평가지수는 식생활지침과 2010년 한국인 영양섭취기준을 기반으로 제5기 국민건강영양조사 데이터를 활용하여 성인 대상 인구집단의 식사의 질을 모니터링 할 목적으로 개발되었으며 향후 타당도 확인과 국가의 식생활지침 개정과 2015년 한국인 영양소 섭취기준 등에 따라 필요시 개정과 보완을 통해 국가의 영양정책 도출 및 사업 결과의 평가 및 활용에 사용될 수 있다.

• 대한지역사회영양학회지
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• 제18권4호
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• pp.354-364
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• 2013

This study was conducted to determine whether dietary factors could be related with serum adiponectin concentrations in 243, year-three female university students living in Seoul. The mean of body mass index (BMI) and adiponectin levels of all subjects were $20.17kg/m^2$ and $11.07{\mu}g/ml$, respectively. When the subjects were divided into 3 groups based on BMI (underweight: < 18.5, normal: $18.5{\leq}&lt;23$, overweight and obesity: ${\geq}23$), serum adiponectin levels in underweight group was significantly higher than that in 'normal' or 'overweight and 'obesity' groups. Also when the subjects were divided into two groups by mean adequacy ratio (MAR), serum adiponectin concentration of the high MAR group (MAR > 75) was slightly higher than that the low MAR group ($MAR{\leq}75$). Serum adiponectin levels showed a negative correlation with body weight (p < 0.01) or BMI (p < 0.001) and a positive correlation with intakes of of animal or total protein (please clarify) or vegetable protein.Among the dietary behaviors, serum adiponectin levels of females who answered 'yes' to the question about 'eating breakfast' was significantly higher than that of those who answered 'sometimes' or 'No' (p < 0.05) and serum adiponectin levels were higher among those who reported higher fruit intakes. Overall, our results suggested that healthy lifestyle including acceptable BMI, eating breakfast and higher fruit consumption might play an important role in the prevention of obesity and enhancement of blood adiponectin levels.

• 한국식품영양과학회지
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• 제43권6호
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• pp.926-933
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• 2014

본 연구는 청소년을 대상으로 BMI에 따라 채소류의 섭취상태를 조사함으로써 체형에 따른 적절한 채소 섭취지도와 바람직한 식생활 및 식습관 형성에 필요한 기초자료를 제시하고자 하였다. 따라서 충남 부여군에 거주하는 중 고등학교 청소년 400명을 대상으로 BMI에 따라 저체중군, 건강체중군, 과체중 이상 군으로 분류하여 식습관, 채소류의 1일 섭취수준, 채소류에 대한 인식, 채소류 관련 식습관을 비교 분석하였다. 조사대상자의 가족 수는 4명(49.0%)이 가장 많았고, 아버지 학력과 어머니 학력은 '고등학교 졸업'이 각각 39.0%, 59.0%로 가장 많았으며, 월평균소득은 '300~400만원(32.3)%'이 가장 많았다. 아침식사를 거르는 이유는 '시간이 부족해서(44.3%)'가 가장 많았으며, 편식하는 음식의 종류는 저체중과 과체중의 경우 '곡류'라는 응답이 가장 높게 나타난 반면, 건강체중의 경우에는 '채소류'라는 응답이 가장 높아 유의한 차이를 보였다(P<0.001). 채소류의 1회 섭취량을 고려한 1일 섭취횟수는 저체중군 3.3회, 건강체중군 3.8회, 과체중군 3.8회로 체형군별 유의한 차이가 없었다. 그러나 점심식사를 통한 채소류의 섭취횟수는 저체중군이 1회로 건강체중군 1.3회와 과체중군 1.4회보다 유의하게 낮았다(P<0.05). 채소류에 대한 인식도 평가에서 채소류는 '먹으면 피부가 예뻐진다'(P<0.01)와 '조리방법에 따라 먹을 때도 있고 먹지 않을 때도 있다'(P<0.05)라는 인식이 저체중군에서 유의하게 높았다. 채소류 관련 식습관 평가에서 저체중군의 채소류 기호도는 건강체중과 과체중군에 비해 낮았으며, 채소가 좋은 이유는 '맛이 있어서', 채소가 싫은 이유는 '그냥'이, 채소의 섭취량은 '급식과 집에서 먹는 양이 비슷하다'가, 싫어하는 채소 색은 '흰색', 싫어하는 채소 조리법은 '삶아서 무침', 채소의 싫어하는 느낌은 '쌉쌀하다', 선호하는 김치는 '나박김치'라는 응답이 가장 많았다. 이상의 결과를 종합하면, 본 조사 청소년의 채소류 섭취는 전반적으로 낮았으며, 특히 건강체중군은 채소류에 대한 편식이 높았고 저체중군은 점심식사를 통한 채소류의 섭취횟수와 채소류에 대한 기호가 유의하게 낮았다. 앞으로 청소년의 체형과 채소류 섭취와의 관계를 보다 정확하게 규명하기 위한 연구와 함께 본 연구 결과를 고려한 적절한 채소류 섭취지도가 지속적으로 이루어져야 할 것이다.

• 대한지역사회영양학회지
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• 제19권2호
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• pp.111-121
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• 2014

Objectives: In this study, perception of body image, eating attitudes and weight control were examined by the degree of obesity using Body Mass Index (BMI). Methods: Out of 420 questionnaires distributed to the female middle school students (aged 12-16 years), 407 were returned (97% response rate) and 395 were analyzed (94% analysis rate). Female students were divided into two groups based on the BMI percentile using the 2007 Korean National Growth Charts. (1) normal weight ($5^{th}$ percentile ${\leq}$ BMI < $85^{th}$ percentile) (2) obese ($85^{th}$ percentile ${\leq}$ BMI) by 2007 Korean National Growth Charts. Satisfaction of self-body shape, risk of disturbed eating attitudes (Eating Attitude Test : EAT-26), and weight control behaviors were examined. Results: Distribution of the subjects by BMI was 74.5% of normal and 25.5% of obese. There were significant differences between self-perceived current body image and self-perceived ideal body image. The dissatisfaction of body image was higher in obese than in normal groups (p<0.001). 51.4% of female students were unsatisfied with their body image, while 2.6% were very satisfied. Among the students unsatisfied with their body image, 150 (52.1%) were of normal weight and 48 (49.4%) were obese. EAT-26 total scores were significantly higher in the obese group ($16.42{\pm}8.23$) compared with normal group ($13.72{\pm}8.10$) (p<0.01). Attempted to weight control were significantly different by the BMI (p<0.001). Conclusions: This study concludes that there was desire to become thinner than current status in female students, even those with normal BMI. Many female students were dissatisfied with their body image and attempted to lose weight. It is harmful to their health and nutritional status if they choose undesirable methods. These findings suggested that there are needs to encourage female students for maintaining healthy weight. A higher score of EAT-26 was associated with dissatisfaction of selfbody image and this may lead to unhealthy behaviors in obese female students.

• 한국식생활문화학회지
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• 제26권4호
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• pp.354-363
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• 2011

This study aimed to find the differences in weight control status and eating behavior of satisfied and dissatisfied female high school students regarding their own body shape. The participants consisted of 238 students at two female high schools in Nonsan-si, Chungnam-do in May of 2008. Self-assessment evaluated present body shape and ideal body shape they would like to have by providing silhouette drawings. The subjects were divided into two groups, 'satisfied' and 'dissatisfied', according to the differences between present body shape and ideal body shape. In the distribution of subjects according to body mass index, 100% of overweight, 97.0% of normal weight and 48.7% of underweight belonged to the dissatisfied group. There were significant differences in weight control and eating behavior between dissatisfied and satisfied groups in terms of frequency and reasons of conducting weight control behavior, body weight return after weight reduction, skipping breakfast and consuming fast food. The satisfied group was two times more likely to not conduct weight control behaviors compared to the dissatisfied group. The main reason for trying to control weight differed according to the group; the reason was feeling fat in the dissatisfied group and desiring to be healthy in the satisfied group. The percentage of subjects that returned to their original weights after weight reduction was 5 times higher in the dissatisfied group. The percentages of subjects that regularly skip breakfast and consume fast food were both higher in the dissatisfied group than in the satisfied group. The dissatisfied group responded 'eating alone' more frequently among nine binge eating behaviors compared to the satisfied group. Both groups, however, did not show any difference in overeating of meals, eating speed, intake frequency of regular meals, food preference, preferred cooking method, carbonated beverage intake and snack eating behavior. In summary, the dissatisfied group tried more unnecessary body weight reduction and had poor eating behavior. Accordingly, to correct the biased perception of body shape by the majority of female high school students, the values of our society should change toward the pursuit of beauty of health.

• Nutrition Research and Practice
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• 제16권3호
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• pp.366-378
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• 2022

BACKGROUND/OBJECTIVES: The purpose of this study was to develop a sodium index, which is a tool for estimating and assessing sodium intake easily and quickly, to assist in the prevention of various diseases induced by excess sodium intake in Korean adults. SUBJECTS/METHODS: The 24-h urine collection and dietary behavior surveys were performed on 640 healthy people in 4 regions of South Korea, and an equation for the estimation of 24-h sodium intake was developed. The validity and reliability of the equation were verified with 200 adults. The sodium index was developed by converting the estimated sodium intake using the equation. Finally, the sodium intake status of 1,600 adults was assessed using the sodium index. RESULTS: The equation included sex, age, body mass index, eating habit and dietary behaviors related to sodium intake. In validity test of the equation, the mean bias between sodium intake using 24-h urine analysis and using the equation from the Bland-Altman plots was -1.5 mg/day. The sensitivity and specificity of the equation for estimation of sodium intake were 80.5% and 64.4%, respectively. In the reliability test of the equation, there was no significant difference between the first and second sodium intakes calculated using the equations, and Spearman's correlation coefficient between the 2 sodium intakes was 0.98. Sodium intake can be assessed as 'very moderate' for 75-100 on the sodium index, 'moderate' for 100-150, 'careful' for less than 75 or 150-200, and 'severe' for 250 or more. When sodium intake was assessed using the sodium index in 1,600 subjects, 54.3% and 24.3% of the subjects were assessed to be in the 'careful' and 'severe' categories, respectively. CONCLUSIONS: Using a simple questionnaire, the sodium index can be used to monitor and assess sodium intake status, assisting in nutrition education and counseling in a large population.

• 한국식품영양학회지
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• 제25권1호
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• pp.105-115
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• 2012

The purpose of this study was to investigate the dietary habits and snack consumption behaviors of middle school students with different obesity indexes in the Chungnam area. The survey was carried out using self-questionnaires and included 385 students(119 underweight, 193 normal weight, 66 overweight). The rate of skipping meals was higher for underweight students than overweight students; however, this difference was not statistically significant. The mean time of meal was 10 to 20 minutes and the criteria for choosing to eat a meal were 'hunger' and 'taste' in all groups. More than half of the subjects ate snacks 1 time a day, which were purchased outside. The typical snack time was 'between lunch and dinner'. The criteria of for consuming a meal were 'taste' and 'price' in all groups. In the underweight group, the snack food scores were ice cream(4.4), fruit(4.3), fried chicken(4.1), sports beverage(4.0), fruit juice(4.0), pizza(4.0) and, tteokbokki(3.9). In the normal weight group, the snack food scores were ice cream(4.3), fried chicken(4.2), pizza(4.0), sports beverage(3.9), fruit juice(3.9) and, tteokbokki(3.9) in the overweight group, the snack food scores were ice cream(4.3), fruit(4.3), fried chicken(4.2), yogurt(4.0), sports beverage(4.0), fruit juice(4.0) and, ramen(4.0). In conclusion, the snaking behaviors of the subjects were not significantly different based on their obesity index. However, this study may provide basic information on the snacking behaviors of middle school students, and the findings suggest that nutrition education or counseling can improve snack intake habits and positive behaviors toward healthy adolescents diets.

• 대한지역사회영양학회지
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• 제22권5호
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• pp.441-455
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• 2017

Objectives: The purpose of this study is to describe beverage patterns among healthy Korean adults and investigate their association with prevalence and components of metabolic syndrome. Methods: Subjects consisted of 6,927 Korean adults, aged 19-64 years in the $6^{th}$ Korea National Health and Nutrition Examination Survey (KNHANES, 2013-2015). Beverages were regrouped into twelve groups based on food codes and beverage intake (g/day) was assessed by 24-hour recall. Factor analysis was used to obtain beverage patterns. Waist circumference and body mass index (BMI) were used as anthropometric data; fasting blood glucose, triglyceride, high density lipoprotein (HDL), and blood pressure were used as biochemical indicators. The odds ratio (OR) for prevalence of metabolic syndrome and components of metabolic syndrome was assessed using logistic regression analysis. Results: Three beverage patterns were identified using factor analysis: 1) carbonated soft drinks 2) coffee (without added sugar or powdered creamer), and 3) alcoholic beverages. Subjects with high scores for the carbonated soft drink and coffee without added sugar or powdered creamer patterns were younger and subjects with high scores for the alcoholic beverage pattern were older. There were significant differences in gender distribution in all three beverage patterns, with men more likely to have high scores for carbonated soft drink and alcoholic beverage patterns. On the other hand, women were more likely to have higher scores for coffee without added sugar or powdered creamer pattern. Within each pattern, there were significant differences in sociodemographic and lifestyle characteristics such as education, household income, frequency of eating out, and smoking status according to the quartile of pattern scores. Alcoholic beverages and carbonated soft drinks patterns were associated with an increased levels of metabolic syndrome components, but coffee without added sugar or powdered creamer was not associated with any of metabolic syndrome components in healthy Korean adults after adjusting for age, sex, education, BMI, weight management, household income, smoking status, frequency of eating out, and energy intake. Conclusions: Alcoholic beverages and carbonated soft drinks patterns are associated with increased levels of metabolic syndrome components while coffee without added sugar or powdered creamer pattern is not associated with any of metabolic syndrome components in healthy Korean adults.