• Journal of Nutrition and Health
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• 제36권6호
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• pp.646-652
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• 2003

This study was performed to determine the iron status of the adolescent Korean girls before and after menarche. The 101 subjects aged 11-13 years who attending in an elementary school in Mokpo were recruited. They were divided into pre-menarche (A) group or post-menarche (B) group based on their menstruation status. The latter subjects were sub-divided into one of the four groups according to the times of their menstruation B-I( $\geq$ 3 times), B-II (4-6 times), B-III (7-9 times) or B-W ( $\geq$ 10 times). In the total subjects, dietary iron intake, 11.3 mg/day, was below the Korean RDA for iron, the percentage of heme iron to total iron intake, 15%, and the bioavailability of dietary iron, 12.3%, seemed to be low. And their body iron storage, 140.8 mg, seemed to be insufficient. However, they tended to meet body's iron requirement in the cell level. Red blood cell number (RBC), hematocrit (Hct), and hemoglobin (Hb) level in the total subjects were 4.5 1012/I, 39.3%, and 13.0 g/㎗, respectively. The subjects in B group had lower (p<0.05) RBC and Hct compared to those in A group and the prevalence of iron-deficiency anemia tended to be high. Serum iron, ferritin, and soluble transferrin receptor (sTfR) and sTfR:ferritin ratio were 86.7 $\mu\textrm{g}$/d, 17.6 $\mu\textrm{g}$/l, 3.58 mg/1, and 230, respectively. Those four indices were not significantly different among the groups. The results of this study imply that, although there a tendency to affect negatively iron status, menstrual blood loss in adolescent females does not deteriorate obviously their iron status during the relatively short period up to 1 you. However, it should be better to improve their iron status after starting menarche by increasing iron intake, especially heme-iron, and enhancing factors for iron absorption.

• 대한지역사회영양학회지
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• 제20권2호
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• pp.87-95
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• 2015

Objectives: Maintaining a balanced diet and thus health is crucial for adolescents, and the first step for balanced diet practice is meal planning. Adolescents, however, find it difficult to plan their meals. This study thus was set out to design an easier way of planning meals for adolescent girls. Methods: A dish-based target pattern for adolescent girls was tabulated, and validity of this was examined. Meal plan applying a dish-based target pattern was prepared by 150 female middle school students, and nutritional adequacies of those meal plans were examined. Validity and adequacy were tested by energy content, energy contribution ratio, nutrient adequacy ratio (NAR), probability of nutrient inadequacy, index of nutritional quality (INQ) calculation. Results: A dish-based target pattern with 11 dish groups was validated for nutritional adequacy. Though the NAR of calcium was 0.96, the INQ of calcium was 1.00. The average energy supply from the meal plans was 2,379 kcal, higher than the estimated energy requirement of a female middle school student, but the energy contribution ratio of carbohydrates, proteins, and fats were all adequate according to the acceptable macronutrient distribution range (AMDR). NAR of all nutrients examined were 1.0, except for calcium. The NAR and INQ of calcium were 0.87 and 0.75, respectively, and the meal plans at risk for calcium inadequacy was 19.30%. Conclusions: A dish-based target pattern proposed for adolescent girls was valid, but the meal plan prepared by female middle school students using this approach was high in energy and low in calcium supply. To cut down the energy supply from the meal plan, it is necessary to recommend dishes low in fat and use low fat cooking methods. To increase the calcium supply, it is important to recommend seaweed and legume group dishes with higher Ca INQ food items.

• 대한지역사회영양학회지
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• 제4권4호
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• pp.554-560
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• 1999

This study was conducted to find adolescent females perception of body image. The survey was carried out by self-questionnaires with 463 female school and college students in Daegu. Analysis of data was done using t-test, and ANOVA with the SAS computer program. The average height, weight and BMI of the subjects were 161.2cm, 53.4kg and 20.51kg/$m^2$. It appeared that 33.3% of the subjects were off the normal range of body weight ; in particular 25.1% of the subjects were under weight. While the subjects’perception of their own current body image was not distorted, they were dissatisfied with their body image because they wanted a very thin figure. Subjects were divided into 3 groups -underweight, normal weight, overweight-according to their current body size. Their perceptions of ideal and desired figures differed significantly between the groups, but they thought a thinner figure than normal body image as ideal and desired body image even in overweight group. As a result, dissatisfaction of body image in the overweight group was significantly larger than the normal-weight group, and that of the normal-weight group was larger than the underweight group. Percentages of weight control attempt were 51.7% and 64.7% in the normal weight and underweight subjects, respectively. Subjects were divided into 2 groups according to their weight control experience : those who have attempted, and who have not attempted. Weight control attemptees had a higher level of dissatisfaction with their body image than non-attemptees, both because weight control attemptees were fatter, and they perceived a thinner figure as an ideal and as a desired body image thin non-attemptees. From the results of this study, we confirmed that one of reasons of excessive weight control behavior among adolescent females was distorted perception about ideal body image.

• Journal of Preventive Medicine and Public Health
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• 제56권6호
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• pp.533-541
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• 2023

Objectives: This study analyzed the relationship between parental body mass index (BMI; BMI_p) and hypertension in their adolescent offspring (HTN_a), focusing on the mediating effect of adolescents' BMI (BMI_a). Methods: Utilizing data from the Korea National Health and Nutrition Examination Survey, including participants aged 12-18, we conducted a mediation analysis while controlling for confounding factors such as age, sex, physical activity, dietary habits, household income quartile, and parents' alcohol and smoking habits. Results: The study included a total of 5731 participants, of whom 3381 and 5455 participants had data on fathers' and mothers' BMI, respectively. For adolescent systolic blood pressure (SBP_a), the father's BMI (BMI_f) had a significant total effect (β, 0.23; 95% confidence interval [CI], 0.12 to 0.34) and average controlled mediated effect (ACME) (β, 0.27; 95% CI, 0.23 to 0.32), but the average direct effect (ADE) was not significant. The mother's BMI (BMI_m) had a significant total effect (β, 0.17; 95% CI, 0.09 to 0.25), ACME (β, 0.25; 95% CI, 0.22 to 0.28) and ADE (β, -0.08; 95% CI, -0.16 to 0.00). For adolescent diastolic blood pressure, both BMI_f and BMI_m had significant ACMEs (β, 0.10; 95% CI, 0.08 to 0.12 and β, 0.09; 95% CI, 0.07 to 0.12, respectively), BMI_m had a significant ADE (β, -0.09; 95% CI, -0.16 to -0.02) but BMI_f had an insignificant ADE and total effect. Conclusions: The study found that parental BMI had a significant effect on SBP_a, mediated through BMI_a. Therefore, a high BMI in parents could be a risk factor, mediated through BMI_a, for systolic hypertension in adolescents, necessitating appropriate management.

• 대한지역사회영양학회지
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• 제3권3호
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• pp.358-367
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• 1998

The study purpose was to investigate psychosocial factors related to smoking among adolescent boys. The Theory of Planned Behavior provide the basis for the study. Twenty-five attitudinal beliefs, 9 normative beliefs and 20control beliefs were identified through questionnaire development. The data were analyzed using t-test and χ2-test. Thirty-three percent of 300 students were smokers. Most of the beliefs examined were significantly different between smokers(n=92) and nonsmokers(n=92). With respect to attitudinal beliefs, smokers responded less negatively on the items of bad health effects of smoking such as sore throat, headache, chest pain, risk of cancer and bad blood circulation(p<0.001), and decreased physical strength(p<0.05). Smokers believed less negatively on the items that smoking leads to bothering others, bad breath, yellow teeth and making them spend money(p<0.001). In contrast, smokers felt more positively on smoking as a means of stress management, relaxing, helping digestion(P<0.001). Smokers felt less pressure for not smoking from significant others. Especially mother, siblings, friends, girl friends, seniors of school were important sources of influence regarding subject's smoking. Smokers felt less confident in controlling the urge to smoke in several situations including; when they were with friends or asked to smoke by friends; after the meal, or drinking; when they were bored or stressed, upset, and when they felt unstable(p<0.001). Smokers also scored lower on specific skills to quit or control the urge to smoke as well as overall perceived control, compared to nonsmokers(p<0.001). These results suggest that interventions for adolescents incorporate diverse strategies to increase the perceived control over smoking in specific situations as well as overall perceived control, to help them realize and modify attitudinal beliefs, and to elicit support from significant others for not smoking. (Korean J Community Nutrition 3(3) : 358∼367,1998)

• 한국식품영양과학회지
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• 제42권1호
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• pp.53-61
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• 2013

본 연구는 청소년과 고령층을 대상으로 기호성이 높은 잡곡밥 혼합비율을 설정하고, 영양성과 기능성을 평가하였다. 청소년과 고령층을 대상으로 잡곡 혼합비율에 따른 잡곡밥의 기호도를 측정한 결과, 청소년층을 위한 혼합잡곡(MGA)은 40% 잡곡 첨가군을, 고령층을 위한 혼합잡곡(MGAP)은 소화흡수율과 기호도를 고려하여 30% 잡곡 첨가군을 선정하였다. 또한 청소년 및 고령층의 전체 잡곡 중 특화잡곡 혼합 비율은 전체적 기호도가 가장 높은 10%와 20%로 각각 선정하였다. 특화잡곡 간의 비율은 전체적인 기호도가 가장 높은 혼합비율로 선정하였으며, 그 결과 MGA는 녹두와 백태의 혼합비율을 2:1로, MGAP는 율무와 메밀의 혼합비율은 1:1로 결정하였다. 혼합작곡의 영양성 및 기능성을 평가한 결과, MGA에서 칼로리 및 조단백질, 조지방 함량이 가장 높게 나타났으며, 필수아미노산 함량 또한 다양하게 존재하였고, 무기질의 함량도 백미(PR) 및 MGAP에 비해 다량 함유되어 있음을 확인하였다. 반면 기능성과 관련된 총 폴리페놀 및 플라보노이드 함량은 MGAP에서 가장 높았으며, hydroxyl 라디칼 소거능을 제외한 나머지 라디칼 소거능 또한 MGAP에서 가장 높게 나타났다.

• Journal of Community Nutrition
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• 제5권1호
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• pp.3-12
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• 2003

The purpose of this study was to investigate self-perception of health and body image, blood lipid profiles and nutrient intake of adolescents. The subjects were 686 adolescent boys (379 middle school students, 307 high school students) and 613 adolescent girls (272 middle school students, 341 high school students) in Incheon. This cross-sectional survey was conducted by a self-administered questionnaire. Fasting blood samples were obtained and analyzed for triglyceride, total cholesterol and LDL- and HDL-cholesterol. Nutrient intakes collected from 3 day-recalls were analyzed by the Computer Aided Nutritional Analysis Program. Statistical analysis was conducted using SPSS 10.0 program. Average age, height and weight of male middle school students were 13.8 years, 163.5cm, 56.0kg and those of male high school students were 16.5 years, 171.7cm, 64.3kg. In female, average age, height and weight of middle school students were 13.7 years, 157.1cm, 51.5kg and those of high school students were 16.6 years, 159.7cm, 56.8kg. Female middle school students perceived their health status significantly better compared to female high school students (p < 0.001). Female high school students perceived themselves significantly fatter compared to female middle school students (p < 0.05). Average TG level of female middle school students was significantly higher compared to female high school students (p < 0.01). Nutrient intakes of the male and female students except phosphorus were lower than the Korean RDA. Especially, calcium and iron intakes of male and female students were under the 65% of the Korean RDA. Therefore, proper nutrition education is required for Korean adolescents to encourage desirable food habits and maintain nutritional lipids status. (J Community Nutrition 5(1) : 3∼12, 2003)

• 대한지역사회영양학회지
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• 제28권1호
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• pp.1-10
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• 2023

Objectives: This study aimed to investigate the nutritional status and dietary behavior of adolescents from North Korean refugee (NKR) families residing in South Korea (SK), who are known to be at a higher risk of malnutrition due to their lower socioeconomic status and facing other psychological challenges. Methods: A total of 178 adolescents (91 males and 87 females) from NKR families were included in the analysis, and their demographic details such as age, birthplace, parental nationality, and duration of their settlement in SK were collected through questionnaires. Anthropometric measurements were also taken to determine their growth and nutritional status according to the 2017 Korean National Growth Charts for children and adolescents. The study used the Nutrition Quotient for Korean Adolescents (NQ-A) questionnaire to assess the dietary behavior of the participants. Results: Approximately 11.8% and 10.1% of participants were identified with malnutrition and obesity, respectively. The total mean score for the NQ-A was 50.1. The mean scores for the individual factors of balance, diversity, moderation, environment, and practice were 49.2, 44.7, 43.8, 51.2, and 61.5, respectively. Approximately 47.2% of participants had a low NQ-A grade. However, there was no significant difference in the NQ-A scores according to their nutritional status or duration of time in SK. Conclusions: Adolescents from NKR families exhibited both malnutrition and obesity. However, their dietary behavior, as assessed using the NQ-A, did not vary with their nutritional status. The unique challenges and related dietary behavior of North Korean adolescent refugees should be taken into consideration, when developing targeted strategies for nutritional education and health management programs.

• 한국간호교육학회지
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• 제4권1호
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• pp.28-37
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• 1998

In order to improve health and nutrition management of Korean women, a new strategy to develop an information system on the internet to provide the Information on health and nutrition management for women during the life cycle was suggested. To achieve the goal, an adequate database protocol for korean women as well as health and nutrition management information system based on our culture and lifestyle should be developed. We suggest to categorize the information on health and nutrition management of Korean women according to the lifecycle as follows : 1) Health and nutrition management of adolescent women 2) Health and nutrition management of women in the marritable age 3) Health and nutrition management of pregnant women 4) Health and nutrition management of delivering women 5) Health and nutrition management of lactating women 6) Health and nutrition management of menopausing women 7) Prevention of women diseases 8) Stress management of women This system including women health and nutrition management information database provides health and nutrition management Information on the network so that anyone can use the information at any time. To constuct the system, it is necessary. 1. to identify information need for health and nutrition management of Korean women. 2. to provide the guideline of information system for women health and nutrition management. 3. to construct Information system for women health and nutrition management.

• 대한지역사회영양학회지
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• 제6권3호
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• pp.495-506
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• 2001

This study was conducted to investigate the nutrient intake, dietary and weight control behaviors and iron deficiency of adolescent girls. The subjects were 216 female middle school students living in urban and rural areas of Inchon. Thin cross- sectional study was conducted by questionnaires and data were analyze by SAS program. Nutrient intakes collected from 3 day-recalls were analyzed by the Computer Aided Nutritional Analysis Program(CAN-pro). The mean height, weight. BMI and obesity index for the subjects were 158.2 cm, 51.1kg, 20.4 and -5.3 % in urban students and 155.9 cm, 49.3 kg 21.1 and -8.2% in rural students, respectively. Easting blood samples were obtained and analyzed for iron nutritional status. The mean obesity index of the urban students was higher than that of the rural students. The proportion of the overweight group was higher in urban students compared to rural students, However, over 10% of both area students belonged to the low weight group, respectively. Most students of both areas skipped breakfast and the main reason was on appetite and lack of time. Urban students were more concerned with body image. The nutrients which showed a lower mean intake as percentile of RDA were Ca, iron, vit A an Vit B$_2$ and most nutrient intakes of urban students were significantly higher compared to those of rural students. These results indicate that nutrient intakes in the female middle school students were considerably lower than the RDA. Also they had undesirable food habits and lower self-satisfaction with their body image, There were significant differences in the mean MCV, TIBC and serum ferritin between urban and rural area subjects. Mean Hb, Hct, MCH, MCHC and TS, bowaver, were not significantly different. Prevalence of iron deficiency greatly varied by indices from urban(11.5%) and rural (8.7%) when judged by Hb to urban(23.1) and rural (23.3%) by serum ferrition. Therefore, proper nutrition education is required for good nutrition desirable food habits, weight control, and guidance for iron deficiency in anemic female of adolescents.