• Clinical and Experimental Pediatrics
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• 제52권10호
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• pp.1082-1089
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• 2009

Vitamin D is an important fat-soluble vitamin that functions as a prohormone and affects bone mineralization and calcium homeostasis. Vitamin D deficiency causesboth musculoskeletal manifestations, including rickets, and extra-musculoskeletal symptoms. Because vitamin D is naturally present in only some foods, intake of daily foods cannot meet the dietary reference intake for vitamin D. Sunlight is the main source of vitamin D in humans therefore, the lack of sunlight can easily cause vitamin D deficiency in children and adolescents. Vitamin D deficiency can be diagnosed on the basis ofits typical clinical manifestation, laboratory tests, and radiologic findings. Detection of vitamin D deficiency in children or adolescents necessitates the simultaneous administration of vitamin D and calcium supplements. To prevent vitamin D deficiency, 200 IU of daily vitamin D intake is recommended in infants, and 400 IU of daily vitamin D intake is recommended in Korean children and adolescents.

• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9085-9091
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• 2014

Background: Epidemiology studies have shown an inconclusive relationship between phytoestrogen intake and ovarian cancer risk and there have been no relevant meta-analyses directly regarding this topic. The purpose of the present meta-analysis was therefore to investigate any association between phytoestrogen intake and ovarian cancer in detail. Materials and Methods: We conducted a search of PubMed, EMBASE, EBSCO, the Cochrane Library, CNKI and Chinese Biomedical Database (up to April 2014) using common keywords for studies that focused on phytoestrogen and ovarian cancer risk. Study-specific risk estimates (RRs) were pooled using fixed effect or random-effect models. Results: Ten epidemiologic studies were finally included in the meta-analysis. The total results indicated higher phytoestrogen intake was associated with a reduced ovarian cancer risk (RR, 0.70; 95%CI: 0.56-0.87). The association was similar in sensitivity analysis. Meta regression analysis demonstrated sources and possibly types and regions as heterogeneous factors. Subgroup analysis of types, sources and regions showed that isoflavones (RR: 0.63; 95%CI: 0.46, 0.86), soy foods (RR: 0.51; 95%CI: 0.39, 0.68) and an Asian diet (RR: 0.48; 95%CI: 0.37, 0.63) intake could reduce the incidence of ovarian cancer. Conclusions: Our findings show possible protection by phytoestrogens against ovarian cancer. We emphasize specific phytoestrogens from soy foods, but not all could reduce the risk. The habit of plentiful phytoestrogen intake by Asians is worthy to recommendation. However, we still need additional larger well designed observational studies to fully characterize underlying associations.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3259-3263
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• 2016

Aims: To determine suitable food textures for videofluoroscopic study of swallowing (VFSS), in order to predict and prevent subsequent aspiration pneumonia in esophageal cancer patients with dysphagia after surgery. Materials and Methods: We evaluated 45 hospitalized esophageal cancer patients who underwent surgery between January 2012 and December 2013. The control group consisted of 43 patients treatmed from January 2010 until December 2011 and were not examined by VFSS. Test foods, which were presented in order of increasing thickness, included thin barium sulfate (Ba) liquid (3 or 10 ml), slightly thickened Ba liquid (3 or 10 ml), a spoonful of Ba jelly, and a spoonful of Ba puree. Results: Patients could most safely swallow puree, followed by jelly. The 3-mL samples of both the thin and thick liquids put patients at risk for aspiration pneumonia, with incidence rates of 13% and 11%, respectively. While 64.4% of patients could swallow all test foods and liquids safely, 35.6% were at risk for aspiration pneumonia when swallowing liquids. Even though >30% of patients were at risk, only 1 (2.2%) in the VFSS group developed aspiration pneumonia, which occurred at the time of admission. Following VFSS, no incidence of aspiration pneumonia was observed. However, aspiration pneumonia occurred in 4 (9.3%) control patients during hospitalization. Conclusions: Postoperative esophageal cancer patients were more likely to aspirate any kind of liquid than solid foods, such as jellies. VFSS is very useful in determining suitable food textures for postoperative esophageal cancer patients.

• Clinical Nutrition Research
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• 제11권1호
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• pp.9-19
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• 2022

This study was conducted to analyze the status of medical food selection process in hospitals within Busan and Gyeongnam area. The survey was distributed to 396 hospitals (general, tertiary and long-term care hospitals) and finally 68 surveys were used for analysis. The questionnaire consisted of 9 general items and 10 items related to enteral nutrition (EN). From the survey we found out that general hospitals and tertiary hospitals normally hire clinical dietitian, while long-term care hospitals hire dietitians with no further qualifications (χ² = 27.918, p < 0.001). A significant relationship was found between hospital size and the priority for choosing medical foods for patients (χ² = 11.852, p < 0.05). In general and tertiary hospitals, medical foods were provided exactly according to the doctor's prescription, whereas in long-term care hospitals, only half followed the doctor's direction and half of them provided the products that has been conventionally used. There was also a significant relationship between hospital size and the method for determination of nutrition requirements (χ² = 20.496, p < 0.001). Finally, the priority of considerations when developing a 'medical food guidelines' was shown in the following order; 1) the type of medical food that can be selected according to the disease state, 2) the nutrient content and comparison table for commercial products, and 3) how to manage complications that may occur when supplying medical food for patients. Developing an EN practice guideline for making a sensible selection of medical foods will provide a valuable information for better patient care.

• 한국조리학회지
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• 제6권3호
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• pp.263-280
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• 2000

This survey was conducted to investigated the status of nutritional consumption and relationship of nutrition of patients in hospitals from 1998.9.1 to 1998.9.10. Calorie intake of male patients was lower than RDA but that of female patients were higher than RDA except female younger than 64 years old. Protein intake of male patients was 130% higher than RDA, and that of female patients was 150% more than RDA. Calcium intake was lower than RDA in male patients but higher than RDA in female patients except older than 75 years. Iron intake was higher than RDA in all patients except in male patients older than 75 years. while vitamin B$_1$and vitamin C intake was higher than RDA in all patients but vitamin A and niacin intake was lower than RDA. The rich patients intake enough iron through animal foods and stabilized patients intake vitamin B$_2$ more than RDA. All patients were recognized the importance of protein and vegetable for health and they were recognized also careful choosing of foods for health. Positive relationships were showed between intake of nutritional tablet and nutritional status, between less vegetable intake and less intake of calorie, fat, sugar and fiber and between appetite and vitamin B$_1$ and vitamin C. The result showed that the shorter period staying in hospital, the more intake of sugar, vitamin A and vitamin C.

• 한국식품영양학회지
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• 제20권2호
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• pp.209-217
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• 2007

The purpose of this study was to analyze food intake patterns of individuals by age group. based on the nutrition counseling data from medical health examinations. The subjects were 5811 adults(3258 males and 2553 females) who had undergone comprehensive medical testing in Gyeonggi area, and were evaluated from January 1, 2005 to December 31, 2005. The survey samples were divided by age group: 30>, 30${\sim}$39, 40${\sim}$49, 50${\sim}$59, 60${\sim}$69, 70${\leq}$ years. The subjects were composed 56.1% male and 43.9% female. The results showed significant differences between the group for their intakes of several foods such as Seolleongtang, Samgyetang, canned foods, butter and cream bakery items, vegetables cereals and grain products but eggs, cod roe, kim-chi, salted pickled fish and seaweed showed no significant differences. As a result, nutritional imbalances among these age groups are expected for the future. In conclusion, this study showed there are age-related variations in the dietary patterns and age-specific nutritional education programs on adequate food intake are required.

• 동아시아식생활학회지
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• 제15권2호
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• pp.152-157
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• 2005

The purpose of this study was to investigate dietary habit and to evaluate nutritional status and obesity index about adults living in Daejon area. This study was conducted with 250 subjects (male 130, female 120) who visited periodically a periodic health center in a general hospital from May to June in 2002. Questionaries were used for studying of dietary habit and food frequency method. Dietary intake was assessed by food frequency method and consumption of foods and nutrients was analyzed. The relationship between dietary habit and obesity were also analyzed. Dietary habit was better in female than mail. There was no significant difference in mean of Broca's index between female ($110.6\pm16.6\%$) and male ($110.0\pm13.7\%$). The obesity group showed low dietary habit score in irregular eating behavior, frequent eating out and over-intake of salty foods. Especially mean intakes of energy were lower than Korean RDA in all groups. All groups except obesity group were deficiency of vitamin A and vitamin $B_{1}$ and calcium.

• 대한지역사회영양학회지
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• 제10권4호
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• pp.453-461
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• 2005

This study was conducted to investigate the mothers' nutritional knowledge on weaning of 101 infants (8 for 4 mo, 44 for 5 mo, 45 for 6 mo, 4 for 7 mo) at a public health center of Incheon. Informations on the mothers' nutritional knowledge were obtained by questionnaires. In this survey $41.6\%$ of infants were breast-feeding, $43.6\%$ of them were bottle-feeding, and $14.9\%$ of them were mixed feeding right after birth. The rate of breast-feeding right after birth was significantly higher in mothers of high school graduate than mothers of college/university graduate (p < 0.05). The infants of mothers graduated high school began to be weaned significantly earlier than the infants of mothers graduated college/university (p < 0.05). $95.1\%$ of infants (n = 101) began to be weaned 4 to 6 months. $83.1\%$ of infants were fed home-made weaning foods. $66.7\%$ of infants were fed rice gruel, $18.5\%$ of them were fruit juice, $6.2\%$ of them were mixed grain, and $4.9\%$ of them were commercially prepared weaning foods as their first supplementary foods. As main supplementary foods, $32.8\%$ of infants were fed vegetable, $30.5\%$ of them were rice gruel, and $27.7\%$ of them were fruit juice. Mothers' nutritional knowledge related to weaning was significantly higher among mothers of college/ university graduate than mothers of high school graduate (p < 0.05). $86.1\%$ of mothers disagreed with the questionnaire in which breast-fed infants aged over 4 months needed to be fed iron sufficient food. For the improvement of nutritional status especially iron nutritional status of infants, nutritional education for mothers with weaning aged infants has to be increased and related programs have to be operated effectively.

• 한국가정과교육학회지
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• 제28권1호
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• pp.59-69
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• 2016

본 연구는 전남 나주지역 초등학생 5, 6학년을 대상으로 식품 알레르기 특성을 알아보고, 식품 알레르기 경험에 따라 식품 알레르기와 식생활 태도 인식을 비교하여 학교급식에서 알레르기 학생의 효율적인 관리를 위한 기초 자료로 제시하고자 하였다. 본 연구의 결과는 다음과 같다. 첫째, 초등학생의 식품 알레르기 증상으로는 '피부'가 가장 많았고, 알레르기 원인 음식으로는 '원인 식품을 모른다'가 33.5%이었으며, 의사의 진단을 받은 경우는 51.0%이었고, 치료를 받은 적이 있는 경우는 63.9%이었으며, 이로 인해 식품을 제한하고 있는 경우는 53.5%, 식품을 제한하게 된 동기는 병원진단을 통해서가 40.5%로 가장 많았다. 식품 알레르기 가족력은 '없다'가 가장 많았고, 식품알레르기 증상이 심하게 나타나는 계절은 '계절과 상관없다'가 가장 많았다. 알레르기에 영향을 주는 가장 큰 요인으로는 특정 식품이나 음식이 64.1%로 가장 많았고, 알레르기에 대처하는 방법은 '별다른 대처를 하지 않는다'가 가장 높게 나타났으며, 식품 알레르기 예방 치료 방법으로 '원인 식품을 제한한다'가 45.1%로 가장 많았다. 둘째, 식품 알레르기 경험에 따른 식품 알레르기 인식에서는 '식품 알레르기에 대하여 알고 있거나 들어본 적이 있는지 유무', '식품 알레르기 상담 및 교육 참여 여부', '알레르기 원인 식품을 제한해서 나타나는 성장기 아동의 문제점', '식품 알레르기에 관한 학교급식 알림판 정보 제공 관심 여부', '알레르기 주의 식품에 대한 교육 필요 여부', '식품 알레르기와 관련하여 학교에 바라는 점' 항목에서 식품 알레르기 경험에 따라 유의한 차이가 나타났다. 셋째, 식품 알레르기 경험에 따른 식생활 특성은 편식하는 이유에서 유의한 차이를 보였고 하루 식사, 특정 식품 편식, 주된 간식에서는 식품 알레르기 경험에 따라 유의한 차이가 나타나지 않았다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권5호
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• pp.2291-2297
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• 2012

Objective: Gastric cancer is an important public health problem in the world and Turkey. In addition to Helicobacter pylori (H. pylori), smoking, alcohol consumption and family history, certain dietary factors have been associated with its occurrence. The impact of dietary habits and life-style factors on the risk of gastric cancer in Turkey were evaluated in this study. Design: A questionnaire was applied to 106 patients with gastric adenocarcinoma and 106 controls without cancer matched for age (range 28-85 years) and gender selected from a hospital based population. Adjusted odds ratios (ORs) and 95% confidence intervals (CI) were calculated with logistic regression analysis. Results: The incidence of H. pylori was 81.3% in patients. Frequent consumption of salty dishes, very salty foods like pickles, soup mixes, sausages, foods at hot temperature (ORs = 3.686, 7.784, 5.264, 3.148 and 3.273 respectively) and adding salt without tasting (OR = 4.198) were associated with increased gastric risk. Also heavy smoking and high amount of alcohol consumption (p = 0.000) were risk factors. Frequent consumption of green vegetables, onion, garlic and dried fruits (ORs = 0.569, 0.092, 0.795 and 0.041) was nonsignificantly associated with decreased risk. Conclusion: Improved dietary habits, reducing salt consumption and eradication of H. pylori infection may provide protection against gastric cancer in Turkey.