• Journal of Nutrition and Health
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• 제41권6호
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• pp.510-517
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• 2008

본 연구는 대사증후군 유병률을 조사하고, 대사증후군 대상자들의 영양소 섭취의 특성과 성별과 연령별에 따른 영양소 섭취의 차이를 분석하기 위하여 수행되었다. 1) 대사증후군 유병률은 남자 17%, 여자 4.5%로 전체 평균 10.3%를 나타냈다. 2) 조사대상자의 평균 연령은 정상군 39.0세, 대사증후군 42.8세였으며, BMI는 정상군 22.5 $kg/m^2$보다 대사증후군 대상자등이 27.5 $kg/m^2$로 대사증후군이 유의적으로 높았다(p<0.01). 혈당, 중성지방, 이완기 혈압에서 정상군보다 대사증후군 대상자들이 유의적으로 높았다(p<0.001). 3) 영양소 섭취에서 열량은 정상군 1,699.5 kcal보다 대사증후군 대상자들이 2,047.1 kcal로 유의적으로 높았으며(p<0.001), 동물성지방(p<0.01), 콜레스테롤(p<0.001), 나트륨(p<0.05)의 섭취도 유의적으로 높은 섭취량을 나타냈다. 4) 성별에 따라서 대사증후군 대상자들의 영양소 섭취의 특성은 남녀 모두 정상군보다 대사증후군대상자들의 열량섭취가 높았다. 남자는 지방(p<0.05), 콜레스테롤(p<0.01)에서, 여자는 탄수화물(p<0.05), 단백질(p<0.05)에서 정상군보다 대사증후군 대상자들이 높은 섭취량을 나타냈다. 5) 연령별에 따라서 대사증후군 대상자들의 영양소 섭취의 특성을 살펴보면 30대는 열량, 동물성지방, 콜레스테롤에서, 40대는 지방과 콜레스테롤에서, 50대는 열량, 탄수화물, 식물성지방에서 정상군보다 대사증후군 대상자들이 유의적으로 높은 섭취량을 나타냈다. 본 연구 결과 전체대상자의 영양소 섭취 특성은 총열량, 동물성지방, 콜레스테롤, 나트륨에서 정상군보다 대사증후군 대상자들이 유의적으로 높은 섭취량을 나타냈다.

• 한국식생활문화학회지
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• 제29권1호
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• pp.9-17
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• 2014

This study was conducted to develop a Han-sik database as well as to assess the effects of Han-sik on dietary quality among Koreans. The Han-sik database was developed by a focus group composed of food and nutrition specialists considering the results of Han-sik perception surveys conducted in previous studies for frequently consumed dishes. Among the 1,322 dish items identified in the $4^{th}$ (2007-2009) Korea National Health and Nutrition Examination Survey (KNHANES), 973 items (73.6%) were classified as Han-sik. Han-sik usage was defined as the percentage of Han-sik items of all individually consumed dish items in the dietary data of 22,113 subjects who participated in a 24-hour diet recall in the $4^{th}$ (2007-2009) KNHANES. Dietary quality was evaluated based on adherence to the Korean Food Guidance System (KFGS), which was calculated as the percentage of the number of servings consumed in each food group out of recommended servings according to age and sex. Mean usage of Han-sik was 80.1% and was higher in older age groups, rural areas, as well as in households at the lowest income level. Han-sik usage was also higher on weekdays as well as for breakfast. Adherence to the KFGS was significantly higher for grains, meat fish egg beans, vegetables, and fruits (p<0.001) but lower for milk dairy products and oils fats sugars (p<0.001) across the quartiles of Han-sik usage. The results of this study indicate that Han-sik usage is high among Koreans. Further studies are needed to update the Han-sik database as well as investigate the association between health-related factors and Han-sik use.

• 대한지역사회영양학회지
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• 제13권1호
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• pp.34-45
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• 2008

For the correct dietary habit and balanced dietary intake of aged people, the nutrition management that fits to the dietary behavior change stage has to be accomplished. In order to do so, in this paper, we chose 175 women that are aged more than 65 years old who are rural long life community residents and surveyed the dietary intake for 2 days including a twice depth interview and the 24 hour recall method. Also, for the sake of our aim, using the transtheoretical model, the dietary behavior change stage group was divided into the contemplation stage group, the preparation stage group, the action stage group and the maintenance stage group. The results are as follows: In the intake amount of protein (p < 0.01), vitamin $B_1$ (p < 0.05) and vitamin $B_6$ (p < 0.05), the intake amount of these nutrients in the action stage group and the maintenance stage group were significantly larger than the intake amount in the contemplation stage group and the preparation stage group. The nutrition evaluation according to the dietary behavior change stage, the ratio of subjects who took insufficient amount of energy, protein, vitamin A, and vitamin C were low as the dietary behavior change stage was upgraded. The subjects of maintenance stage group were most likely to consume vegetables more than once a day, and consume fruits and milk and milk products more than 5 times/week. MAR [13], MAR [10] and MAR [4] of subjects in the action stage group and the maintenance stage group were significantly higher than MAR [13], MAR [10] and MAR [4] of subjects in the contemplation stage group and the preparation stage group (p < 0.001). From the above results, there were differences of nutrient intakes according to the dietary behavior change stage. Therefore, it is considered that the intervention for the dietary behavior motivation induction has to be advanced before accomplishing the individually fitting intervention at the time of nutrient management intervention.

• 한국식생활문화학회지
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• 제16권4호
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• pp.341-353
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• 2001

This study was conducted to investigate dietary patterns and assimilation of dietary culture of Korean descendants in Yanbian, China compared to Korean. A dietary survey was conducted using one 24-hour recall method from 730 adults over 30 years of age in Yanbian, China and 695 adults over 25 years of age in Kuri, Korea. The average number of food items consumed per day was 14 in Yanbian and 20 in Kuri and there was a significant difference between the two regions(p<0.001). The foods consumed most frequently were rice, salt, the M.S.G. in Yanbian and rice, green onion and garlic in Kuri. The foods consumed most by amount were rice, cucumber, Soju in Yanbian and rice, Kimchi and grape in Kuri. The average number of dishes consumed per day was 6.4 in Yanbian, 9.4 in Kuri and the difference between the two regions was significant(p<0.001). Total number of dishes appeared in the survey was 253 in Yanbian and 494 in Kuri. The dishes consumed most frequently were cooked-rice, beverages, Kimchi, stir-fried eggplant in Yanbian and cooked-rice, Kimchi, coffee, soybean paste stew, in Kuri. The dish groups appeared most frequently were rice, stir-fried foods, vegetables and Kimchi in Yanbian and rice, Kimchi, beverages and fruits in Kuri. Male subjects in Yanbian Consumed alcohol frequently while adults in Kuri consumed coffee more frequently than Yanbian. The major meal patterns were rice+side dish, rice+soup, rice+side dish+Kimchi in Yanbian and rice+soup+side dish+Kimchi, rice+side dish+Kimchi, rice+soup+Kimchi in Kuri. Stir-fried foods, which were consumed 46.6% of all the meals, were dominant side dish in Yanbian, but stir-fried food, seasoned vegetables and grilled food appeared aver 10% in Kuri. There results show that variety of diet of Korean-Chinese in Yanbian was lower than Kuri. Korean-Chinese tend to keep traditional Korean dietary patterns of consuming rice as staple but were adapted to Chinese dietary patterns of consuming stir-fried side dishes. Efforts should be directed toward preserving Korean traditional patterns of dietary culture among Korean-Chinese population.

• Journal of Nutrition and Health
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• 제41권8호
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• pp.718-732
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• 2008

본 연구는 2007년 2월부터 5월까지 서울에 위치한 A 대학병원 치매클리닉에 내원한 65세 이상 노인 38명을 대상으로 영양섭취 상태와 인지기능에 관련이 있는 영양소 및 식품의 요인을 알아보고자 실시되었으며 연구결과는 다음과 같다. 알쯔하이머병 노인의 평균연령은 75.8 ${\pm}$ 5.8세로 남녀 성비에서 여자 노인의 비율이 더 높았으며, 체질량지수 과체중과 비만 범위의 분포가 가장 높게 나타났다. 섭취한 총 열량은 1,656.4 ${\pm}$ 528.1 kcal로 2005 국민 건강.영양조사와 비교하여 단백질, 지방, 철분, 칼륨, 비타민 Bl, 비타민 B2, 나이아신, 비타민 C는 더 많이 섭취하였고, 당질, 섬유소, 칼슘, 인, 나트륨, 비타민 A는 더 적게 섭취하는 것으로 나타났다. 식품군별 섭취량에서는 채소류를 309.0 ${\pm}$ 152.4 g로 가장 많이 섭취하였고, 설탕은 7.2 ${\pm}$ 9.3 g로 가장 적게 섭취한 것으로 나타났다. 알쯔하이머병 노인의 인지기능과 관련이 있는 식이요인은 주의집중력에서 식물성 칼슘이 부정적으로 관련이 있는 것으로 나타났고, 언어능력에서는 아연이, 기억력에서는 생선 및 어패류, 두류 및 종실류, 당류군의 섭취가 긍정적인 관련성을 가지는 것으로 나타났다. 간이정신상태검사의 시간지남력에서 계란은 인지기능과 부정적으로 관련성을 가지는 것으로 나타났으며 기억회상에는 지방, 시공간구성력에는 당류의 섭취가 인지기능에 긍정적으로 관련이 있는 요인으로 나타났다. 본 연구의 결과에서 알쯔하이머병 노인들의 인지기능과 식품 및 영양소의 섭취가 관련이 있다는 것을 알 수 있었다. 그러나 대조군이 없는 연구이므로 향후 알쯔하이머병이 없는 노인들을 포함한 비교연구와 시간경과에 따른 식이섭취 양상과 인지기능 상태에 대한 전향적인 연구가 필요할 것으로 사료된다. 더 나아가 알쯔하이머병 노인들에게 나타날 수 있는 식사와 관련한 이상행동을 고려하여 인지기능의 세분화 된 특정 영역과 밀접하게 관련된 식이요인에 대한 심층적인 연구를 통하여 알쯔하이머병 노인들의 식사의 질 향상과 더불어 이상행동의 예후 또한 좋게 하고 삶의 질을 높이는데 기여할 수 있을 것이다.

• Journal of Nutrition and Health
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• 제41권2호
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• pp.165-173
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• 2008

본 연구는 컴퓨터 사용 시간에 따른 고학년 초등학생의 컴퓨터 사용실태, 신체발달, 식생활 습관, 컴퓨터 사용으로 인한 식생활 습관의 변화 및 영양소 섭취 실태에 미치는 영향을 알아보고자 실시하였다. 조사대상자는 초등학생 4, 5, 6학년 학생 265명을 대상으로 설문지를 배포하여 실시하였다. 컴퓨더 사용시간은 하루 2시간을 기준으로 2시간 이상 사용하는 그룹과 2시간 미만 사용하는 그룹의 두 집단으로 분류하였다. 컴퓨터 사용 시간이 긴 그룹이 짧은 그룹에 비해 주별 기준 매일 이용하는 빈도가 더 높았으며, 양쪽 그룹 모두 '컴퓨터 게임을 위하여' 컴퓨터를 사용하고 있었다 (p < 0.05). 컴퓨터를 사용하는 장소와 시간은 대부분 집에서 방과 후 저녁시간에 이용하고 있었다. 신체발달 지표에서도 컴퓨터 사용시간이 길수록 체중과 %RBW가 짧은 그룹에 비해 높았다 (P<0.05). 전반적인 식생활 습관의 경우, 컴퓨터 사용 시간이 긴 그룹의 식생활 습관이 불량하였으며, 섭취하고 식품의 종류도 기름진 음식, 인스턴트 식품 및 단 음식을 더 많이 먹고 있었다. 컴퓨터 사용으로 인한 식생활 습관 변화여부에서도 컴퓨터 사용 시간이 긴 그룹이 끼니를 거르는 정도, 입맛의 변화, 식사속도, 식사량, 체중감소, 운동빈도 및 수면 등이 더 불량한 것으로 나타났다 (p<0.05). 이상의 결과에서 컴퓨터 사용 시간이 길어질수록 아동의 신체발달, 식생활 습관 및 영양소 섭취 상태에 부정적인 영향을 끼친 것으로 나타났다. 따라서, 장시간의 컴퓨터 사용으로 인한 바람직하지 못한 식생활과 잘못된 식습관의 고착을 예방하기 위해서는 학생들 스스로가 컴퓨터 사용시간에 대한 자율적 조절을 할 수 있는 교육 및 지도는 물론 이와 연계한 효과적인 영양교육의 정착 및 실천이 우선되어야 할 것으로 사료된다.

• Journal of Nutrition and Health
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• 제49권6호
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• pp.482-494
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• 2016

본 연구에서는 국가 단위 대규모의 데이터 (2013~2014년 국민건강영양조사 자료)를 활용하여 성인 남녀별 외식으로부터 섭취하는 열량의 사분위에 따른 군간 일반사항, 영양소 및 식품군별 섭취 상태를 분석하고, 영양소별 섭취 밀도 및 영양의 질적 지수를 평가하였으며, 그 결과는 다음과 같다. 남녀 모두에서 외식을 통한 열량의 섭취 정도가 높은 성인일수록 연령이 유의적으로 낮았고, 음주 빈도, 가구소득 및 교육수준이 유의적으로 높은 결과를 보였다. 또한 외식을 통한 열량 섭취가 높은 남녀 성인에서 전체 열량 섭취량 및 지방의 섭취 밀도는 높게 나타난 반면, 식이섬유소, 비타민 $B_1$, 칼슘, 인, 칼륨 및 철과 같은 미량 영양소의 섭취 밀도는 유의적으로 낮은 결과를 보였으며, 비타민 $B_1$, 칼슘, 인 및 철의 INQ와 같은 식사의 질 지수 역시 유의적으로 낮게 나타났다. 식품군별 섭취 비율을 분석시 남녀 모두에서 외식을 통한 열량 섭취가 높은 군에서 육류, 음료 및 주류의 섭취 비율이 유의적으로 높았던 반면, 곡류, 채소류, 어패류 및 해조류의 섭취 비율은 유의적으로 낮게 나타났다. 이와 같은 결과는 식생활에서 외식이 차지하는 비율이 계속적으로 증가하고 있는 현 시점에서, 외식을 많이 하는 대상자와 관련된 전반적인 영양소 및 식품군별 섭취 상태를 파악할 수 있는 기초자료로써 활용될 것으로 예상된다.

• 대한지역사회영양학회지
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• 제23권2호
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• pp.116-127
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• 2018

Objectives: The purpose of this study was to examine the coverage of the current mandatory nutrition labeling system on the nutrient intake of Koreans. Methods: KNHANES dietary intake data (2013) of 7,242 subjects were used in the analysis. KNHANES dietary intake data were collected by a 24-hour recall method by trained dietitians. For analysis, all food items consumed by the subjects were classified into two groups (foods with mandatory labeling and other foods). In the next step, all food items were reclassified into four groups according to the food type and nutrition labeling regulations: raw material food, processed food of raw material characteristics, processed foods without mandatory labeling, and processed foods with mandatory labeling. The intake of energy and five nutrients (carbohydrate, protein, fat, saturated fat, and sodium) of subjects from each food group were analyzed to determine the coverage of the mandatory nutrition labeling system among the total nutrient intake of Koreans. Results: The average intake of foods with mandatory labeling were 384g/day, which was approximately one quarter of the total daily food intake (1,544 g/day). The proportion of energy and five nutrients intake from foods with mandatory labeling was 18.1%~47.4%. The average food intake from the 4 food groups were 745 g/day (48.3%) for the raw food materials, 54 g/day (3.5%) for the processed food of raw material characteristics, 391 g/day (25.3%) for the processed foods without mandatory labeling, and 354 g/day (22.9%) for the processed foods with mandatory labeling. Conclusions: Although nutrition labeling is a useful tool for providing nutritional information to consumers, the coverage of current mandatory nutrition labeling system on daily nutrient intake of the Korean population is not high. To encourage informed choices and improve healthy eating habits of the Korean population, the nutrition labeling system should be expanded to include more food items and foodservice menus.

• 대한지역사회영양학회지
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• 제23권2호
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• pp.102-115
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• 2018

Objectives: Although breakfast is important to nutrition balance, prevention of overeating, and weight control, people in their 20s (males: 55.1%, females: 49.9%) were reported to have the highest rate of skipping breakfast in 2016 Korea Health Statistics. This study aims to examine dietary habits and nutrient intake depending on breakfast frequency among young women in Seoul. Methods: The subjects were 655 young women in Seoul from August to October 2016, and the survey was performed by using a questionnaire that included general characteristics, dietary habits, and eating behavior. Body composition was determined by bioelectric impedance analysis. Nutritional status was examined by the 24-hour recall method. Results: The participants were classified by breakfast intake frequency; '${\geq}5times/week$ (n=160)', '1-4 times/week (n=327)', and 'breakfast skipping (n=168)'. The 'breakfast skipping' group had lower frequency and regularity of meals. In addition, the 'breakfast skipping' group had a higher frequency of eating-out and late-night meals. There was no difference in total calories between the 'breakfast skipping' group and other groups, but the 'breakfast skipping' group had significantly low carbohydrate and fiber intakes. The participants showed lower intakes of calories, fiber, vitamin A, vitamin C, niacin, folic acid, calcium, potassium, and zinc in comparison with recommended intakes. Especially, the 'breakfast skipping' group had significantly lower fiber, vitamin A, vitamin C, calcium, potassium levels compared to the '${\geq}5times/week$' group. For Mean Adequacy Ratio (MAR), the 'breakfast skipping' group recorded a ratio of 0.60, which was lower than those of other groups. Index of Nutritional Quality (INQ) including fiber, vitamin C, calcium and phosphorus were significantly lower in the breakfast skipper group, compared to the breakfast eater group. Conclusions: The 'breakfast skipping' group showed low regularity of meals and a high frequency of eating-out and late-night meals. The breakfast regular eater group showed high intake of micronutrients and quality of meals was high in general. Skipping breakfast could lower nutrient intake and quality of meals, which requires attention.

• 한국식품영양학회지
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• 제31권3호
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• pp.425-434
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• 2018

Metabolic syndrome is a risk factor for cardiovascular and type 2 diabetes. This study was conducted to examine the relevance between nutrition intake, meal quality, and high-sensitivity C-reactive protein in Koreans with metabolic syndrome. The 2,536 subjects, aged 19~64, who participated in 2015 National Nutrition Survey were included in this study. The 24-hour recall method was employed to analyze nutrition intake and dietary quality. Subjects were grouped into either the non-metabolic syndrome group (n=1,938) or the metabolic syndrome group (n=598). Total males and females were divided into 3 groups according to the high-sensitivity C-reactive protein (hs-CRP) level to study its relationship to metabolic syndrome and its components, including odds ratio (OR) and confidence interval (CI). Results showed the homeostasis model assessment of insulin resistance (HOMA-IR) value was higher in the metabolic syndrome group (3.37) than non-metabolic syndrome group (1.57) (p<0.001). In the Index of Nutrition Quality, males in the non-metabolic syndrome group showed higher niacin (p<0.05) than males in metabolic syndrome group. Females in the non-metabolic syndrome group had higher vitamin $B_1$ (p<0.01), vitamin $B_2$ (p<0.001), niacin (p<0.05), calcium (p<0.001), and phosphate (p<0.01). Female in the high hs-CRP group showed high OR in blood glucose component (OR 2.488, 95% CI: 1.269~4.879) and metabolic syndrome risk (OR 2.856, 95% CI: 1.292~6.314). Females in the middle hs-CRP group had high triglycerides component (OR 2.956, 95% CI: 1.920~4.551), compared to the low hs-CRP group. The study showed females with higher hs-CRP had a higher risk of metabolic syndrome.