• 대한지역사회영양학회지
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• 제20권5호
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• pp.362-374
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• 2015

Objectives: This study was performed to investigate the effects of overestimation of their own body shape on weight control behaviors, mental condition, physical activity, dietary behavior, health-related quality of life, and nutritional status among young Korean females. Methods: A total of 1,514 women aged 20-39 years who are not pregnant and lactating among those who participated in the Fifth Korea National Health and Nutrition Examination Survey (2010~2011), were analyzed and grouped into underestimation (n=120), normal estimation (NE, n=840), and overestimation (OE, n=554), based on their body perception compared to actual percent ideal body weights. Variables were compared between OE group and NE group. Results: The subjects in OE group were significantly younger (29.5 vs. 30.5 years, respectively p < 0.05) and had lower body mass index (20.9 vs. 22.2 respectively, p < 0.01), health-related quality of life measured by EQ-5D (EuroQol-5 Dimension)(0.97 vs. 0.98 respectively, p < 0.05), nutrition adequacy ratio (NAR) of protein (0.91 vs. 0.93 respectively, p < 0.05), phosphorous (0.93 vs. 0.96 respectively, p < 0.05), and iron (0.70 vs. 0.75 respectively, p < 0.01), and index of nutrition quality (INQ) of iron (0.84 vs. 0.89 respectively, p < 0.05) compared to those in the NE group. The results of logistic regression showed that unmarried status (OR 1.32; 1.01~1.72) and severely underweight/underweight status (OR 1.94; 1.01~3.75)/(OR 1.81; 1.34~2.45) were significantly related to the probability of overestimation by the subjects. Significantly more women in OE group practiced fasting, skipping meals, and taking prescribed pills to lose body weights and had skipped breakfast compared to those in the NE group. Conclusions: The results of this study suggested that the Korean young women's distorted perception of own body shape may be associated with undesirable weight control behavior, low quality of life, and lower nutritional status. Therefore, nutrition education for this group should include information on correct body shape perception and its importance.

• 한국식품영양과학회지
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• 제14권3호
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• pp.235-243
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• 1985

A survey of 113 children, aged 4 to 6 years, of the San Cheon a day care center, located in the upland, over populated, poor area of Seoul City, was conducted from July 28 to September 6, 1982, to investigate the dietary and nutritional status, and prevalence of parasitic inpection. House size was 10.1 Pyung; number of households per house, 3.1; number of family member per household, 4.8; and number of family members living together per room, 3.7; on the average. Only 49% of households possess own houses and the others live in the rented houses. About 40% of mothers were engaged income-producing activities within or outside of the home. Mean values of height, weight, arm circumference, girth of chest, and girth of head ranged from 98.4 to 102.2% of KIST mean. However, 13% of the subjects were assessed as undernutrition for 'weight for height'. Mean value of hemoglobin was $12.9{\pm}2.9\;g/dl$ and mean hematocrit value was $35.2{\pm}5.5%$; 17.9% of the subjects were proven to be anemic according to the criteria of the WHO. The positive prevalence of parasitic inpection was 3.3%, significantly lower than that observed in any other area, probably because of community parasitic control project. Intakes of energy and nutrients except thiamin and ascorbic acid were far below RDAs. Carbohydrates for energy provided 71. 2 to 73.8% of total energy intake; protein accounted 11.3 to 12.2%; fat provided 14.5 to 16.6%. Energy intake was divided among breakfast, lunch, evening meal and snack, on the average, in a percentage of 22.0; 23.4; 24.4; 30.2. There was significant correlation between pattern of food consumption and nutrient intakes. The nutrient intakes and quality of foods were highly correlated to the maternal factors, especially mother's educational level. The study suggested that development of nutrition guides for mother and children would be needed to improve nutritional status of those young children.

• Nutrition Research and Practice
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• 제6권6호
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• pp.542-550
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• 2012

This pilot study was performed to produce data of the Children's Dietary Life Safety (CDLS) Index which is required by the Special Act on Safety Management of Children's Dietary Life and to evaluate the CDLS Index for 7 metropolitan cities and 9 provinces in Korea. To calculate the CDLS Index score, data regarding the evaluation indicators in the children's food safety domain and children's nutrition safety domain were collected from the local governments in 2009. For data regarding the indicators in the children's perception & practice domain, a survey was conducted on 2,400 5th grade children selected by stratified sampling in 16 local areas. Relative scores of indicators in each domain were calculated using the data provided by local governments and the survey, the weights are applied on relative scores, and then the CDLS Index scores of local governments were produced by adding scores of the 3 domains. The national average scores of the food safety domain, the nutrition safety domain and the perception and practice domain were 23.74 (14.67-26.50 on a 40-point scale), 16.65 (12.25-19.60 on a 40-point scale), and 14.88 (14.16-15.30 on a 20-point scale), respectively. The national average score of the CDLS Index which was produced by adding the scores of the three domains was 55.27 ranging 46.44-58.94 among local governments. The CDLS Index scores produced in this study may provide the motivation for comparing relative accomplishment and for actively achieving the goals through establishment of the target value by local governments. Also, it can be used as useful data for the establishment and improvement of children's dietary life safety policy at the national level.

• Nutrition Research and Practice
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• 제11권2호
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• pp.139-146
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• 2017

BACKGROUND/OBJECTIVES: Chewing difficulty is a factor contributing to a poor nutritional status in the elderly. The aim of this study was to examine disparities in food and nutrition intakes among Korean elderly people with and without chewing difficulty. SUBJECTS/METHODS: This study utilized data from the sixth Korea National Health and Nutrition Examination Survey conducted in 2013. The study subjects included males and females over 65 years of age who were not required to adhere to a special diet due to disease or sickness. They were divided into groups according to their chewing ability. Those who found chewing "very difficult" or "difficult", were combined to form the chewing difficulty group. Similarly, those who found chewing "moderately difficult", "easy", and "very easy" were combined to form the normal chewing group. RESULTS: Of the 999 subjects, 47.7% had chewing difficulties and the prevalence of chewing difficulty was higher in females than in males (P = 0.03) and higher in those 75 years of age and over than in younger individuals (P < 0.001). The chewing difficulty group had a significantly lower intake of fruits and vegetables (P < 0.05) and lower vitamin C and potassium intake than those in the normal group. Comparison of the percentages of Dietary Reference Intakes for Koreans (KDRIs) in the two groups indicated that the intake of most nutrients (energy, vitamin C, thiamin, riboflavin, niacin, calcium, phosphorus, sodium, potassium, and iron) were significantly lower in the chewing difficulty group than in the normal group. In particular, calcium intake was inadequate (51% of KDRIs) in the chewing difficulty group. CONCLUSIONS: The results indicate that chewing difficulty is closely related to food and nutrient intake in the elderly and can result in vitamin and mineral intake deficiencies. It is evident that the care of elderly subjects with chewing difficulty is essential for maintaining a healthy lifestyle.

• 한국식생활문화학회지
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• 제30권5호
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• pp.682-694
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• 2015

The purpose of this research was to investigate the relationship between white rice consumption and dietary intake, the risk of metabolic syndrome in Korean based on $1^{st}$ (1998), $4^{th}$ (2007~2009), $6^{th}$ (2013) KNHANES. This study included 25,799 subjects who were age 10 or over. Three groups(low, medium, high) were divided according to white rice consumption (per day). In the low group, the meat and oil intake were significantly higher than the high group. In the $1^{st}$ survey year, the BMI, waist circumstances, hypertriglyceridemia and fasting blood glucose in the high group were higher than other groups, however the $4^{th}$ and $6^{th}$ survey year showed no significant results. In the $1^{st}$ survey year the risk of waist circumstances was higher in the high white rice consumption group and also had high risk with hypertriglyceridemia. Since the lower white rice consumption in $4^{th}$ than $1^{st}$ survey year we found no significant results. But in the 6th survey year with the lowest white rice consumption the risk of high diastolic pressure was reduced in high group. Because continuously reduced white rice consumption meantime showed more intake of meat and oil, it can be concluded that defensive effects with the Korean health.

• 한국조사연구학회지:조사연구
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• 제11권1호
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• pp.19-41
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• 2010

순환표본조사를 시행할 경우 매 순환주기별로 적절한 통계적 신뢰도를 가진 전체 모집단 특성이 추정될 수 있는 반면에, 작은 표본크기로 인하여 통계적 신뢰도가 높은 소지역 추정량의 산출은 어렵다. 따라서 소지역 추정량은 일반적으로 일정 주기 후 혹은 전체조사가 마무리된 후 독립적인 순환표본들을 결합하여 얻어진 최종표본을 통해 산출된다. 본 연구에서 는 순환표본을 결합하여 추정량을 만들 때 필요한 가중치 산출의 문제를 고려하였다. 기존의 연구들이 각 조사에 따른 경험을 바탕으로 조사별로 가능한 순환표본 결합 가중치를 정의하였으나, 본 연구에서는 모든 가능한 관심변수에 적용 가능하도록 표본설계변수에만 의존하는 모형을 설정하고 주어진 모형하에서의 최량선형불편예측치(Best Linear Unbiased Predictor: BLUP)를 고려하였다. 모의실험을 통하여 각 모형 하에서 정의되는 여러 BLUP을 비교하여 모형변화에 강건한 추정량을 제안하고 그 결과를 제4기 국민건강영양조사에 적용하였다.

• Journal of Nutrition and Health
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• 제50권2호
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• pp.142-157
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• 2017

본 연구는 생애주기별 영양지수 중 청소년을 위한 영양지수 (Nutrition Quotient for Adolescents, NQ-A) 모형을 개발하고자 수행되었다. 영양지수 평가항목 선정을 위해 식품섭취영역에서 20개 문항, 식행동 식습관 영역에서 21개 문항의 총 41개 문항으로 구성된 파일럿 조사용 체크리스트를 개발하였다. 청소년 213명을 대상으로 1일의 식사섭취실태 조사를 포함한 파일럿 조사를 수행하고, 체크리스트 항목 점수와 식사섭취실태 관련 변수들 간의 상관관계가 높은 24개의 평가항목으로 구성된 전국단위 조사용 체크리스트를 개발하였다. 전국단위 조사는 시도별 집락별로 층화추출된 중고등학생 1,547명에 대해 구조화된 설문지로 면대면 조사를 수행하였고, 탐색적 요인분석을 수행하여 청소년 영양지수의 평가 항목을 19개 항목의 5개요인으로 분류하고, 구조방정식 모형을 이용해 평가 항목의 구성타당도를 검증하고 추정된 경로계수를 가중치로 적용하였다. 청소년 영양지수를 위한 5개의 요인과 가중치는 각각 균형 0.25, 다양 0.15, 절제 0.25, 환경 0.15, 실천 0.20이었다. 균형 영역에는 과일 섭취 빈도, 흰 우유 섭취 빈도, 콩류 섭취 빈도, 생선 섭취 빈도의 4개 항목이 포함되었고, 다양 영역은 채소 반찬 섭취 빈도, 반찬 골고루 먹는 정도, 편식 정도의 3개 항목, 절제 영역은 과자 또는 달거나 기름진 빵 섭취 빈도, 가공 음료 섭취 빈도, 라면 섭취 빈도, 카페인 음료 섭취 빈도, 야식 섭취 빈도, 길거리 음식 섭취 빈도의 6개 항목, 환경 영역은 아침식사 빈도, 식탁에 앉아서 식사하는 정도, TV 핸드폰 컴퓨터 사용 시간의 3개 항목, 그리고 실천 영역은 영양 표시 확인 정도, 음식 먹기 전 손 씻는 정도, 운동 빈도의 3개 항목이 포함되었다. 전국단위 조사대상자의 영양지수 (NQ-A) 평균 점수는 56.0점이었고, 세부 영역별로는 균형 58.6점, 다양 55.6점, 절제 48.1점, 환경 70.6점, 실천 52.1점이었다. 영양지수 점수와 각 영역별 등급은 전국 조사 결과의 백분위수 분포를 기준으로 75~100 백분위의 경우 '상' 등급, 25 ~ <75 백분위의 경우 '중' 등급, 0 ~ <25 백분위는 '하' 등급으로 분류하였다. 영양지수의 경우 63.1~100점은 '상' 등급, 49.0~63점은 '중' 등급, 0~48.9점은 '하' 등급으로 판정되었다. 본 연구에서 개발된 청소년을 위한 영양지수는 19개 항목으로 구성된 식행동 체크리스트를 통해 영양지수 점수와 균형, 다양, 절제, 환경, 실천 영역의 점수를 산출할 수 있으며, 상대적인 NQ 등급 부여를 통해 식사의 질과 식행동이 양호한 지를 판정할 수 있다. 본 연구에서 개발된 청소년용 영양지수 (NQ-A)가 청소년의 식사의 질과 식행동 평가 및 영양교육의 효과 평가 등에 많이 활용될 것으로 기대된다.

• Journal of Nutrition and Health
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• 제41권8호
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• pp.860-869
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• 2008

The purposes of this study were to investigate use patterns of nutrition information service of 50-and-older adults and analyze the differences in use patterns of nutrition information service according to their socio-demographic variables. The survey was conducted with 500 adults aged 50-and-over living in Seoul between March 28 and April 10, 2007. A total of 401 questionnaires were used for analysis (use rate 80.2%) and the statistical data analyses were completed using SPSS Win (ver 12.0). The main results of this study were as follows. First, most respondents (73.3%) realized the need for nutrition counseling or education. However, 65.3% of respondents have little experience in nutrition counseling or education. Second, the most preferred methods of nutrition counseling or education were field trips (27.7%), counseling in hospitals/public health centers (23.4%), cooking classes (23.2%). And the most often cited sources of nutrition information were TV/radio (66.6%) and newspapers/magazines/books (41.6%). Third, sociodemographic variables such as sex, age, education level, occupations were significantly related to methods of nutrition counseling or education. And variables such as age, education level, occupations were significantly related to often cited sources of nutrition information. Also sex, age, education level, occupations were significantly related to needs for nutrirtion information service.

• Nutrition Research and Practice
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• 제16권2호
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• pp.217-232
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• 2022

BACKGROUND/OBJECTIVES: Filipino children aged 6-10 yrs are consuming poor quantities and quality of food based on the 2013 Philippine National Nutrition Survey. During these years healthy eating habits must be formed through family influence. Within this background, a complete package of nutrition intervention-feeding and nutrition classes, was pilot tested in selected schools to determine 1) changes in nutrition attitude and behavior and 2) food intake of schoolchildren after the intervention. SUBJECTS/METHODS: A quasi-experimental design was used in the study. School children aged 7-9 yrs enrolled in selected Philippine public elementary schools and their mothers/caregivers were the study participants. Profile and socio-demographic data were collected from each participant at baseline. The nutrition behavior and food intake of children were determined using the modified Child and Diet Evaluation Tool (CADET) and the 24-h food recall form, respectively. Data were analyzed using Stata version 15. RESULTS: No significant differences in characteristics were found among the 339 child-mother pairs in the 4 study groups. The modified CADET recorded improved mean attitude scores of children ranging from 22 to 24 points at endline in the group receiving both lunch feeding and nutrition education classes (group 3). The perceived better behavior of children was reported by their mothers in terms of increased intake of milk and vegetables and decreased consumption of sugar. These improvements were supported by the actual food intake of children obtained from the 24-h food recall. CONCLUSIONS: Family involvement, particularly of mothers/caregivers, appeared to be an important factor in shaping the children's eating behavior. An intervention package with lunch feeding and nutrition classes resulted in a substantial improvement in children's behavior and actual food intake with increased levels of vegetables and milk while lowering sugar consumption. The adoption of the intervention package in public elementary schools should therefore be pursued.

• 대한영양사협회학술지
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• 제10권3호
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• pp.261-271
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• 2004

The purpose of this study was to provide basic data for practical HACCP training. A survey was conducted and analysed on 46 contract foodservices: 13 "Appointed" foodservices (appointed by Korean Food & Drug Administration), 17 "Voluntary Applying" foodservices (voluntarily applied HACCP, but not appointed), 16 "Non-applying" foodservices (not applied HACCP). Hygiene knowledge and recognition on job performance levels for HACCP application for 46 dieticians and 361 employees were surveyed. According to the survey, 61.5% of the "Appointed" dieticians took HACCP training from outside the company, 58.8% of "Voluntary Applying" dieticians took in-house HACCP training, and 62.4% of "Non-applying" dieticians have not taken any HACCP training. As for the comparison of hygiene knowledge, total mean of employees (6.38) showed significantly lower average than that of the dieticians (7.82) (p<0.001). From the result for recognition on job performance levels, total mean of dieticians (3.91) indicated generally good performance while employees (3.41) (p<0.001) showed considerably lower recognition. Hygiene knowledge and recognition on job performance levels of both dieticians and employees showed considerably close correlation (p<0.01 or p<0.05).