• Nutrition Research and Practice
• /
• 제17권5호
• /
• pp.945-958
• /
• 2023

BACKGROUND/OBJECTIVES: Food literacy (FL) is a crucial skill for selecting sustainable and healthy food options, necessitating the identification of vulnerable groups in the community using valid measurement tools. Identifying weak domains in FL is essential for enhancing the overall FL. This study examined the FL levels of Seoul citizens based on their sociodemographic characteristics and assessed the relationship between FL, food intake, and weight status. SUBJECTS/METHODS: This study utilized the data from the Seoul Food Survey, a cross-sectional study employing representative samples of Seoul citizens. Data collection occurred from September to October 2021, with 4,039 citizens aged 18 yrs and above participating in face-to-face surveys. Thirty-three FL items were assessed, comprising 14 items in the nutrition and safety (NS) domain, eight items in the cultural and relational (CR) domain, and 11 items in the socio-ecological (SE) domain. In addition, data on food intake sufficiency and obesity status were collected. The descriptive statistics, t-tests, analysis of variance, and logistic regression analysis were used for analysis. RESULTS: Men, students, young adults, older citizens, and people experiencing food insecurity had the lowest scores for all the FL domains. The highest quartile group of NS scores had a higher probability of consuming adequate servings of vegetables and fruits, with significant linear trends observed (P for trend < 0.05). In all three FL domains, the odds ratio for obesity was significantly lower in the groups with high FL scores (P < 0.05). CONCLUSIONS: A close relationship was observed between low FL, obesity, and food intake, even after controlling for other covariates. Vulnerable groups with low FL were also identified. Therefore, it is essential to develop programs to improve FL and the health and well-being of these groups.

• Annals of Occupational and Environmental Medicine
• /
• 제35권
• /
• pp.10.1-10.10
• /
• 2023

The purpose of this paper was to review the problems relating to Korea's occupational health services and suggest ways to improve them. Korea can be classified as a welfare state type of conservative corporatism partially interwoven with liberalism. While experiencing compressed economic growth, the economic sectors of developed (excess areas) and developing (deficient areas) countries are interwoven. Therefore, it is necessary to perfect conservative corporatism along with a complementary reinforcement of liberal contents and to apply a multilayered approach focusing on complementing the deficient areas. It is essential to form a national representative indicator related to occupational health, and a strategy for selection and concentration is needed. The proposed central indicator is the occupational health coverage rate (OHCR), which is the number of workers who have applied for mandatory occupational health services under the Occupational Safety and Health Act in the numerator with the total working population in the denominator. This paper proposes ways to raise the OHCR, which is currently at the level of 25%-40%, to 70%-80%, which is the level of Japan, Germany, and France. To achieve this target, it is necessary to focus on small businesses and vulnerable workers. This is an area of market failure and requires the active input of community-oriented public resources. For access to larger workplaces, the marketability of services should be strengthened and personal intervention using digital health resources should be actively attempted. Taking a national perspective, work environment improvement committees with tripartite (labor, management, and government) participation for improvement of the working environment need to be established at the center and in the regions. Through this, prevention funds linked to industrial accident compensation and prevention could be used efficiently. A national chemical substance management system must be established to monitor the health of workers and the general public.

• Journal of Community Nutrition
• /
• 제2권1호
• /
• pp.62-70
• /
• 2000

Nutrition education should be an important component of ongoing health promotion for older adults and their caregivers. This is because prevention through sound nutrition and food hygiene practices and regular excercise is the most cost-effective way to reduce risks for and deal with their major health problems. nutritions education services should effectively promote optimum intake and successful self-care. Unfortunately, however relative to other vulnerable groups, nutrition education for older adults has not been systematically developed or evaluated. Usually oder adults care a lot about their health, so this should be a relatively easy group to teach - but their increasing numbers, longevity and great diversity with respect to health, physical, and economic status and educational level present challenges. Some older adults may not perceive they would benefit from nutrition education, so interesting and motivating them is a challenge. The food and nutrition knowledge of older people has been acquired through a lifetime of experience. For most older adults in the Asian region, their sources are restricted by their restricted education, so that their major sources of information have been informal sources, such as television, radio, friends, family, and perhaps newspapers and magazines if they are literature. Nonetheless, dietary advice for older people should build on their existing knowledge and ingrained values. It should provide information useful in daily food selection, and focus on food, not nutrients - the same foods and groups considered appropriate for younger people, with consistent messages as given throughout the population. Attention must also be paid to discovering learning styles in older people. When we teach in schools, the young students are a captive audience resigned to their learning role. Learning by an older adult, however, reflects an effort to meet his or her perceived needs. Therefore, nutrition education should be a positive experience in a non-threatening environment, relaxed and non-competitive, and perhaps even social environment. The messages also need to be practical and achievable. A needs assessment is essential, because our ability to provide the most effective nutrition education will depend on our success in matching the needs, both perceived and unperceived. of this vulnerable group. Therefore, go to the potential older learners to assess their interest and preferences. Nutrition education activities for older adults are widespread, but few have been evaluated. Evaluation is therefore also recommended, particularly when new methods are used. Tips from other countries for giving successful nutrition education will be given, including some examples of applications as attempted in Hong Kong. Research needs will also be described. In conclusion, successful nutrition education for older adults depends on positive needs-based messages. This is may be hard to do, as few good examples are available to illustrate these principles.

• 대한지역사회영양학회지
• /
• 제26권1호
• /
• pp.48-55
• /
• 2021

Objectives: This study was conducted to estimate the dietary iodine intake of Koreans by a Total Diet Study (TDS) which provides 'closer-to-real' estimates of exposure to hazardous materials and nutrients through an analysis of table-ready (cooked) samples of foods. Methods: Dietary intake data from 2013-2017 Korea National Health and Nutrition Examination Survey (KNHANES) was used to select representative foods (RFs) for iodine analysis. A total of 115 RFs were selected and 158 'RF × cooking method-combination' pairs were derived by pairing each RF to corresponding cooking method(s) used more frequently. RFs were collected from 9 mega-markets in 9 metropolitan cities nationwide and mixed into composites prior to cooking preparation to a 'table ready' state for iodine analysis by inductively coupled plasma mass spectrometry. Iodine intake of Koreans was estimated based on the food intake data of the 2016-2018 KNHANES. Results: High iodine content was detected in seaweeds such as sea mustard and kelp. The mean iodine intake/capita/day was 418.4 ㎍ and the median value was 129.0 ㎍. Seaweeds contributed to 77.4% of the total iodine intake and the contribution by food item was as follows: sea mustard (44.0%), kelp (20.4%), laver (13.1%), milk (3.9%), egg (3.5%). Compared to the Dietary Reference Intakes for Koreans 2020, the proportion of people with iodine intake exceeding the tolerable upper intake level or below the estimated average requirement was high in the physiologically vulnerable groups (infants, children, pregnant women, and lactating women). Conclusions: The results, drawn from a TDS, are regarded closer to real estimates for iodine intake of Koreans compared with values in existing literature, which were based on a very limited variety of foods. On the other hand, it seems necessary to seek out solutions for the problematic iodine intake among physiologically vulnerable groups through in-depth analyses on food intake data collected with significant scale & quality.

• 한국간호교육학회지
• /
• 제8권1호
• /
• pp.120-130
• /
• 2002

This study was attempted to identify and compare in developing a health promotion program for extending healthy life expectancy of the middle-aged women and protecting health of women in the vulnerable class by comparing and researching life-style and actual conditions of health for the middle-aged women in rural and urban areas. Subjects of this study were 160 middle-aged urban women in Seoul city and chongju city and 155 middle-aged rural women in rural community goisangun. For collecting data, questionnaire was performed with structured questionnaires was used to know their actual conditions of health and life-style. Findings of this study were as follows. 1. In comparing life-style of the urban middle- aged women with the rural community, the percentage of regularly checked-up were higer urban women (46.4%) than the rural women (35%); women who have not checked up were 21.3% and 11.4% in the rural community and cities respectively, but it had a statistically significant difference (p=0.009). For the types of checkup, the rate of uterine cancer checkup than that of breast cancer self-examination or cholesterol test was higher both in the rural community(75.6%) and cities(77.4%). 2. The results of comparing actual conditions of the middle-aged women in the rural urban area were as follows; the recognition of health of the urban women was 'Very healthy (7.2%),' 'Healthy (35.5%),' 'Moderate (46.5%),' and 'Not healthy (10.3%), while the recognition of the rural women was 'Very healthy (2.5%),' 'Healthy (30.0%),' 'Moderate (36.3%),' and 'Not healthy (30.6%)'. These results showed a statistically significant difference (p=.000). Women having any problems in health were 48.1% and 36.8% in the rural and the urban respectively and it had a statistically significant difference (p=.042). For the most of health problems, arthritis accounted for 29.4% in the rural community and arthritis and constipation accounted for 21.3% in the urban. According to findings of this study, it can be concluded that rural women had more health problems, felt they were not healthy themselves and were checked up regularly less than the urban women, and their health care was poor. Therefore, more effective nursing intervention plans should be designed to enhance the performance level of health promotion for rural women.

• 한국전통조경학회지
• /
• 제33권3호
• /
• pp.72-83
• /
• 2015

천연기념물 제1호인 도동 측백나무군락지에 대한 식물상 연구를 통하여 측백나무와 함께 지역 고유의 식생을 구성하는 식물종의 다양성을 발굴하고, 생태학적 특성을 분석하여, 국가식생/식물자원의 가치를 고찰하고자 하였다. 본 연구를 통하여 밝혀진 도동 측백나무림의 식물상은 67과 147속 199종 16변종, 4품종, 219분류군으로 확인되었다. 출현종 가운데 멸종위기종은 확인되지 않았으나, IUCN 기준의 취약종인 모감주나무와 약관심종인 측백나무, 가침박달의 분포가 확인되었다. 연구지역은 지질학적 연구에서 비석회암지역으로 분류되고 있으나, 측백나무를 포함한 부싯깃고사리, 금털고사리, 돌좀고사리, 산조팝나무, 분꽃나무, 청가시나무 등의 호석회식물이 다소 많은 수(15종)가 분포하고 있으며, 털개살구, 털조록싸리, 큰구와꼬리풀, 개나리(식재기원) 등 한국 특산식물도 4분류군이 분포하고 있어, 지역 종급원 형성에 중요한 서식처의 하나로 판단된다. 귀화식물은 큰닭의덩굴, 소리쟁이, 물냉이, 미국가막사리, 개망초 등의 분포가 확인되었으며, 귀화율과 도시화지수가 3.6%와 2.2%로 대구지역에 비해 매우 낮은 수치를 보였으며, 귀화식물에 의한 지역 생태계의 교란위협 정도는 높지 않은 것으로 판단된다. 본 연구지역은 측백나무가 고유의 식생경관을 구성하고 있다는 점뿐 아니라 국내에서 자생하는 측백나무림의 최남단분포지라는 것에서 큰 의미를 가지며, 서식처를 반영한 고유한 지역식물 구성종들이 독특한 종조성을 형성하고 있어 생태학적 보존가치가 높이 평가되었다. 나아가 측백나무 자생지의 서식처에 대한 질적 가치를 훼손하지 않는 보존방안의 필요성을 제기하였으며, 지속가능한 보전을 위한 방안들을 고찰하였다.

• 한국산림과학회지
• /
• 제107권2호
• /
• pp.113-125
• /
• 2018

우리나라의 아고산대는 기후변화에 지역적 취약성을 띄는 지역으로, 아고산대의 산림식생은 기후변화에 따른 영향을 관찰할 수 있는 중요한 기초지표 중 하나이다. 본 연구는 지리산 아고산대의 기후변화 취약수종 분포지의 산림식생을 대상으로 하여 식물사회학적 식생 유형 및 희귀-특산식물 분포 특성에 대해 구명하였다. 2015년 3월부터 10월까지 37개소에서 식생조사를 실시하였고, 식물사회학적 식생유형 분류를 통해 종조성을 파악하고, 종의 우점도를 파악하기 위해 중요치를 이용하여 식생유형별 층위구조를 분석하였다. 그 결과 식생유형분류체계는 8개 종군유형과 5개의 식생단위로 구분되었다. 산림청 지정 특산식물은 9분류군, 희귀식물은 17분류군이 출현하였고, 북방계식물의 비율은 41.2%이며, 식생단위별 해발고도가 증가함에 따라 희귀-특산식물도 함께 증가하는 것으로 나타났다. 중요치 분석 결과, 구상나무는 모든 식생단위에서 평균상대우점치가 높게 나타났다. 또한 층위별로 보았을 때 식생단위 1을 제외한 단위들에서는 신갈나무, 당단풍나무 등의 수종과 경쟁관계에 놓여 있는 것으로 판단되었다. 본 연구의 결과는 기후변화로 인한 아고산대 산림식생의 변화를 이해하기 위한 기초 자료 뿐만 아니라 식생학적 접근을 통한 장기 모니터링의 기초지표로 활용될 것으로 판단되었다.

• 대한지역사회영양학회지
• /
• 제11권2호
• /
• pp.229-239
• /
• 2006

This study was carried out to investigate foodservice management practices of 100 child care centers nationwide, and to provide background information for developing foodservice management policies at child care centers. Approximately 20% of the child care centers had a separate dining room; most of the centers were vulnerable to sanitation or safety problems. The percentage of the centers that planned menus was about 60% and 10% established standardized recipes. Fourteen percent of the centers kept records for distribution and menu evaluation and 33% kept sanitation management records. Since only 7% of the centers employed a dietitian, foodservice in most centers were not managed by professionals. The results of menu assessment revealed that 56.5% of the national/public child care centers received 19 points or higher out of 21 points, whereas 5.6% of the private child care centers received the same scores. Proper usage and storage of raw food, sanitary management of equipment and facilities, waste management/leftover food treatment, and basic facility of cooking zones were performed well by many centers. The overall scores of foodservice performance were only 31.2 out of 60 points, representing relatively poor safety management, food procurement management, and facilities and equipment management. These results indicate that the foodservice management of the child care centers are in a relatively poor state. Since nutrition management of the most centers was performed by non-professionals, it may not be possible to provide proper nutrition for health and normal growth of preschool children and to perform efficient nutrition education programs. The following suggestions are strongly recommended in order to improve foodservice performance at child care centers. First, foodservice administration should be performed by a dietitian, and second, efforts should be focused on strengthening nutrition and sanitation management.

• 지역사회간호학회지
• /
• 제21권2호
• /
• pp.200-209
• /
• 2010

Purpose: This study was conducted to determine the effects of a fall prevention program on knowledge, efficacy, and prevention behavior of falls among the low-income elderly. Methods: This study used a nonequivalent control group pre and post test quasi-experimental research design. The study was conducted from August to October, 2008 with 20 subjects in the experimental group and 22 in the control group who were registered at the public health center of S District in D City. Results: Hypothesis 1 "The experimental group that participated in the fall prevention program will show a higher degree of knowledge about falls than the control group" was supported. Hypothesis 2 "The experimental group will have a higher degree of self-efficacy of falls than the control group" was not supported. Hypothesis 3 "The experimental group will report fall prevention behavior more frequently than the control group" was supported. Conclusion: It was verified that the fall prevention program in this study was an effective intervention to improve knowledge about falls and fall prevention behaviors among the low-income elderly. The results can be used as part of an intervention to prevent falls for the vulnerable elderly such as the low-income elderly.

• 대한지역사회영양학회지
• /
• 제10권5호
• /
• pp.633-644
• /
• 2005

The body mass index, blood pressures and blood profiles of adults, who worked at three colleges in the Daejeon area, were evaluated for use in developing well-balanced menus at their workplace cafeterias and/or in creating nutrition education programs tailored to their health statuses. The data analyzed were from physical examinations performed in 2002 and in 2004 by the National Health Insurance Corporation. Overall, levels of systolic and diastolic blood pressure and serum cholesterol were lower in the 2004 samples than in those of 2002, but most samples in 2004 showed higher levels of SGOT. In 2002, statistical differences occured in the levels of blood pressure and serum cholesterol among age groups, but not in 2004. And in 2004, the older the age group, the higher the BMI. Among subjects in their twenties, three variables (systolic and diastolic blood pressure, and serum cholesterol) showed statistical differences; this increased to four variables (systolic and diastolic blood pressure, blood glucose and serum cholesterol) among subjects in their thirties and to six variables (Hb, SGOT, systolic and diastolic blood pressure, blood glucose and serum cholesterol) among those in their forties, followed by a decline to four variables (systolic and diastolic blood pressure, Hb and serum cholesterol) among subjects in their fifties. In general, the results of physical examinations showed improvements in blood pressure and blood profiles in 2004 in comparison with results in 2002. The level of SGOT was the exception. Despite these improvements, of those employees who had physical examinations in 2004, $5.2\%$ had high blood glucose and $18.1\%$ hypertension, $27.9\%$ hypercholesterolemia, $8.3\%$ registered abnormal liver functions, and $31.3\%$ were classified as overweight and obese. Moreover, because some vulnerable blood profiles were found in the older age groups, various programs, including nutrition education, and/or development of healthful diets as well as excercise activities, may be needed within their workplaces.