• 한국식품영양과학회지
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• 제24권6호
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• pp.887-891
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• 1995

회상법과 빈도법을 이용하여 식이섭취조사를 할 경우 영양소에 따라 다소 차이는 있으나 일반적으로 모든 영양소에서 빈도법이 회상법 보다 개인의 섭취량이 과다하게 평가되는 경향을 보이고 있으며 영양소별 측정 오차가 식이조사 방법에 따라 가장 큰 차이를 보였던 영양소는 carotene이었고 이 영양소는 두 방법에 의해 추정된 값 사이에 통계적으로 유의있는 상관을 보이지 않고 있다. 그러므로 본 연구 결과는 연구 목적이 되는 영양소의 종류에 따라 식이조사 방법으로 히상법과 빈도법을 교차 선택할 수 있는영양소와 그렇지 않은 영양소가 있음을 시사하고 있다. 그러나, 본 연구는 각 방법이 지니는 상대적 타당성(validity)를 측정하는데 필요한 표준가치(reference value)가 없으므로 타당성을 측정할 수 없었고 단지 두 방법간의 차이만을 비교하는데 그치는 제한점이 있었다. 그러므로 사용된 방법의 타당성 측정을 위해서는 표준값을 제공할 수 있는 객관적인 방법인 실측법(precise weights method) 등이 비록 적은 표본 규모라도 진행될 필요성이 있다. 한편, 더 나아가 조사방법의 신뢰도 측정을 위해서는 정확성(precision)을 보기 위해 한 방법을 여러번 반복 조사하여야 방법의 정확성 등이 검토될 수 있겠다. 이러한 기초연구를 위한 많은 투자와 노력이 있어야만 역학조사에서 이용된 식이조사 방법의 신뢰성 확보가 가능함을 본 연구결과는 시사하고 있다.

• 대한지역사회영양학회지
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• 제18권1호
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• pp.65-76
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• 2013

The purpose of this study was to investigate the effects of a nutrition education and personalized lunch service program in a senior welfare center. A total of 30 elderly (14 males, 16 females) aged 62~89 years participated in this study. Nutrition education lessons (2 hour/lesson/week) were provided for 4 weeks. Also, ten weeks from week 3rd to week 12th, personalized lunch providing 1/3 personal needed energy was served 5 times for a week. After the nutrition intervention program, we compared anthropometric characteristics, blood biochemical characteristics, nutrition knowledge, dietary attitude and dietary intake using 24 hr recall with those before the intervention. The body weight (p < 0.001) and body mass index (BMI) (p < 0.001) were decreased. There were significant increases in score of nutrition knowledge (p < 0.01) and consumption of milk & milk products for snacks. There was a positive effect on fasting blood sugar (FBS) showing significant decreases in portion of impaired fasting glucose and diabetes mellitus (p < 0.05). Also, serum triglyceride (TG) was significantly decreased (p < 0.05). In evaluation of nutrient intake by Dietary Reference Intakes for Koreans (KDRIs), riboflavin (p < 0.01), vitamin C (p < 0.001), calcium (p < 0.05) were positively improved. The index of nutritional quality (INQ) and intakes of vitamin C (p < 0.001), riboflavin (p < 0.05), Ca (p < 0.01) and Fe (p < 0.05) were increased. In conclusion, this nutrition education and lunch service program providing 1/3 personal needed energy can be used to develop and implement a tailored nutritional intervention programs in the setting of a community senior welfare center to improve health and nutritional status of Korean elderly.

• Nutrition Research and Practice
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• 제17권1호
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• pp.48-61
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• 2023

BACKGROUND/OBJECTIVES: Magnesium is an essential nutrient for human health. However, inadequate intake is commonly reported worldwide. Along with reduced consumption of vegetables and fruits and increased consumption of refined or processed foods, inadequate magnesium intake is increasingly reported as a serious problem. This study aimed to assess magnesium intake, its dietary sources, and the adequacy of magnesium intake in Korean populations. SUBJECTS/METHODS: Data was obtained from the Korea National Health and Nutrition Examination Survey 2016-2019 and included individuals aged ≥1 yr who had participated in a nutrition survey (n=28,418). Dietary intake was assessed by 24-h recall, and dietary magnesium intake was estimated using a newly established magnesium database. Diet adequacy was evaluated by comparing dietary intake with the estimated average requirement (EAR) suggested in the Korean Dietary Reference Intakes 2020. RESULTS: The mean dietary magnesium intake of Koreans aged ≥1 yr was 300.4 mg/d, which was equivalent to 119.8% of the EAR. The prevalence of individuals whose magnesium intake met the EAR was 56.8%. Inadequate intake was observed more in females, adolescents and young adults aged 12-29 yrs, elders aged ≥65 yrs, and individuals with low income. About four-fifths of the daily magnesium came from plant-based foods, and the major food groups contributing to magnesium intake were grains (28.3%), vegetables (17.6%), and meats (8.4%). The top 5 individual foods that contributed to magnesium intake were rice, Baechu (Korean cabbage) kimchi, tofu, pork, and milk. However, the contribution of plant foods and individual contributing food items differed slightly by sex and age groups. CONCLUSIONS: This study found that the mean dietary magnesium intake among Koreans was above the recommended intake, whereas nearly one in 2 Koreans had inadequate magnesium intake. To better understand the status of magnesium intake, further research is required, which includes the intake of dietary supplements.

• 한국식생활문화학회지
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• 제35권5호
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• pp.493-502
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• 2020

The objective of this study was to investigate the effects of dietary vitamin B intake on biomarkers related to lipid metabolism, inflammation and blood glucose control, that are important in the development of type 2 diabetes and its complications. Seventy-six adults (42 males, 34 females) were recruited from a group of diabetes patients who had visited the medical center for treatment. Data on anthropometric characteristics and dietary intake of thiamine, riboflavin, niacin, vitamin B₆ and folate were collected using 24-hour diet recall and the CAN Pro 4.0 program. Also, data on clinical indices such as serum lipids, blood pressure, high-sensitivity C-reactive protein (hs-CRP), hemoglobin A1c (HbA1c) and homeostasis model assessment 2-insulin resistance (HOMA2-IR) were collected and analyzed for correlation with dietary vitamin B intake. Results from the dietary intake survey showed that riboflavin and folate intake (in males) and folate intake (in females) were below the Dietary Reference Intake for Koreans. Statistical analysis revealed a negative correlation between hs-CRP and dietary intake of B vitamins. Riboflavin intake was inversely associated with systolic blood pressure after adjustments for age, BMI, smoking, alcohol consumption, exercise, ingestion of diabetes mellitus medication and energy intake (p<0.05). Our results suggest that dietary vitamin B may influence inflammation and consequently may help in better management of type 2 diabetes.

• Journal of Nutrition and Health
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• 제55권1호
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• pp.21-35
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• 2022

본 연구 결과, 식품군별 대표식품과 1인 1회 분량이 설정되었으며 생애주기별, 성별 1일 에너지필요추정량에 따른 식품군별 섭취횟수를 계산하여 제시한 권장식사패턴 및 이를 활용한 권장식사구성안 12종이 제시되었다. 지속적으로 증가하고 있는 유지·당류 섭취량의 감소를 위한 인지를 높이기 위해 1인 1회분량과 식품구성자전거에 유지·당류 식품군을 포함하였다. 자료 분석과 일반인 및 전문가 대상 설문조사를 실시하여 2020 KDRIs 기반 생애주기별 영양문제 범주화 및 대국민 메시지에 기반한 사용자 맞춤형 웹기반 영양 콘텐츠 개발 및 홍보를 위한 근거를 마련하였다. 이를 근거로 일반국민과 청소년 대상 카드뉴스 2종, 새로운 2020 식품구성자전거와 권장식사패턴을 홍보하기 위한 카드뉴스 2종과 5개 언어 (한국어, 영어, 일본어, 베트남어, 중국어) 포스터가 제작되었다. 또한 영양교육주제의 우선순위 선정 후 단계별 교육프로그램 설계 후 교육목표에 따른 교수학습안과 교수자료, 평가도구 등이 개발되었다. 이와 같은 자료는 모두 보건복지부와 한국영양학회 누리집을 통해 배포되었으니 다양한 분야에서 다각적인 측면에서 활용되기를 기대한다.

• 대한지역사회영양학회지
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• 제22권4호
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• pp.279-288
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• 2017

Objectives: Recommended Menu (RM) prepared according to the Target Pattern expected to meet the dietary reference intake (DRI) of nutrients. Nutritional adequacy of RM in 'DRI for Koreans 2015' were analyzed to verify whether such expectation was fulfilled. Methods: Dishes in RM are categorized by 5 food groups, and number and types of dishes for main meal and between-meals were analyzed. The energy and 12 nutrients (protein, dietary fiber, Ca, P, Fe, Na, K, vitamin A, thiamin, riboflavin, niacin and vitamin C) contents in 10 RMs were calculated using the food composition table (CD) in 'DRI for Koreans'. Energy, energy contribution ratio, and nutrient contents in 10 RMs for 18 age groups were evaluated based on the 'DRI for Koreans 2015'. Results: Number of dishes per meal were 4.83, and representative table setting consisted of cooked rice + soup (or stew) +3 side dishes. Energy contents of RM were 75~109% of estimated energy requirement (EER). None of the RM met the DRI of all 12 nutrients examined. Calcium was the most insufficient nutrient. Only 1-2 years' RM met the DRI, all the other RMs did not meet the calcium DRI. Dietary fiber and potassium contents were also insufficient in most RM. In adult male's RM, only 1 nutrient, i.e. calcium did not meet the DRI, but in female adult's RM, 5~6 nutrients did not meet the DRI. Energy contribution ratio of carbohydrate, protein, and fat in RM were 59.0~70.4%, 15.7~17.5%, 12.1~23.5%, respectively. And 4 RMs out of 10 exceeded the upper limit of acceptable macro-nutrient distribution range (AMDR) of carbohydrate and 3 RMs out of 10 RM were below the lower limit of fat AMDR. Contribution ratio of nutrients were ${\geq}40%$ by food groups were as follows: grain group in energy and carbohydrate; meat fish egg legume group in fat, protein, and niacin; vegetables group in dietary fiber, vitamin A, and vitamin C; milk dairy products group in calcium. Conclusions: RM prepared according to the Target Pattern did not meet nutritional adequacy as expected. Especially calcium, potassium, and dietary fiber contents are needed to be increased in many RMs. Further, energy content in RM needs to be adjusted for fat sugar food group assigned in Target Pattern and condiment.

• 대한지역사회영양학회지
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• 제14권3호
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• pp.327-339
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• 2009

It is known that Korean pregnant women take iron supplements at a higher than the recommended level. This study was designed to provide data on current iron intake levels both from food sources and supplement to better guide iron supplement use during pregnancy. We also explored associations of iron supplement intake levels with various sociocultural factors and pregnancy outcomes. Dietary intakes of 510 pregnant women were assessed by a validated 102-item food frequency questionnaire, and information on types and amounts of nutritional supplement intakes were also attained. While dietary intake levels of most nutrients exceeded the KDRIs (Korea Dietary Reference Intakes: EAR: Estimated Average Requirements), folate fell short of the KDRIs. A total of 428 women (83.9%) reported to take iron supplement. The pregnant women were divided into the three groups (group I: Fe supplement intake ${\le}$ EAR, group II: EAR < Fe supplement intake ${\le}$ 3 times of EAR, group III: 3 times of EAR < Fe supplement intake). The mean dietary intake of iron was 24% of the total iron intake for pregnant women. Iron intake from food was not significantly different among I, II, and III. In case of iron intake from supplements, the most frequent dose (34.1%) was 90-100 mg/day, and the mean iron supplement intake was 362% of the EAR. The study findings showed that those with higher levels of iron supplements had better meal quality measured by NAR (Nutrient Adequacy Ratio) and INQ (Index of Nutrient Quality). In addition iron supplement intake levels were significantly related to age (20s: 66.5 ${\pm}$ 38.6 mg/day, 30s: 77.3 ${\pm}$ 47.8 mg/day, p < 0.0116) and experience of childbirth (1st pregnancy: 70.9 ${\pm}$ 41.2 mg/day, 2nd pregnancy: 64.5 ${\pm}$ 39.5 mg/day, ${\ge}$ 3rd pregnancy: 94.4 ${\pm}$ 63.8 mg/day, p < 0.005). However, no significant difference was found between iron supplement intake levels and various pregnancy outcomes including birth weight, birth height, gestational age, weight gain during pregnancy, and jaundice. It is worrisome that iron intake by supplement use greatly exceeded the EAR, suggesting the need of appropriate guidelines for iron supplement intake during pregnancy. Thus iron overdose from supplements in pregnancy should be considered as a serious condition.

• 대한지역사회영양학회지
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• 제23권4호
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• pp.341-351
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• 2018

Objectives: Use of dietary supplements containing vitamins and minerals is growing in Korean adults, especially in pregnant and lactating women. Vitamin and mineral supplements are available in different composition and in a wide range of contents. The purposes of the study were to examine nutrient composition and content of vitamin and mineral supplements for pregnant and lactating women and assess their appropriateness as dietary supplements. Methods: Information on the name, manufacturer, nutrient composition, and usage of vitamin and mineral supplements for pregnant and lactating women were obtained from the homepage of the Food Safety Information Portal managed by the Ministry of Food and Drug Safety, and Korean Index of Medical Specialties. A total of 264 products were identified. Results: Among 264 products, 26.1% were single nutrient products, and 73.9% were multinutrient products. The most commonly included nutrient was iron (70.1%), folic acid (66.3%), vitamin $B_{12}$ (45.8%), vitamin C (38.6%), and vitamin $B_6$ (38.6%). Although more than 50% of products contained nutrients less than 150% of Recommended Nutrient Intakes or Adequate Intakes for daily use, some products contained inappropriately high amounts of nutrients. When a maximum daily dose of supplements was taken as described on the label, iron in 73 products (39.5%), folic acid in 14 products (8.0%) were likely to be consumed in amounts greater than Tolerable Upper Intake Levels. Most products were assessed as inappropriate for pregnant women due to the possibility of excessive intake of vitamins or minerals when compared with Dietary Reference Intakes. Conclusions: Pregnant and lactating women need to carefully select dietary supplements containing adequate amounts of vitamins and minerals. Nutritionists should provide guidelines regarding selection of appropriate vitamin and mineral supplements for pregnant and lactating women.

• 대한영양사협회학술지
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• 제18권4호
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• pp.283-296
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• 2012

As a disease that reduces quality of life, functional dyspepsia (FD) is associated with foods that may worsen its symptoms or cause it. The purpose of this study was to examine the nutritional status and dietary behaviors of FD patients. We investigated food intake, food intake frequency, and dietary habits of 45 FD subjects according to the Rome III Diagnosis Criteria. Average age and body mass index (BMI) were 47.7 years and $22.6kg/m^2$ (males: $23.4kg/m^2$, females: $22.1kg/m^2$), respectively. Average energy intake was 77% of Korean Dietary Reference Intake (KDRI), and it was less than that of the Korea National Health and Nutrition Examination Surveys (KNHANES). Other nutrient intake levels were similar to the KNHANES. Energy intake proportion of carbohydrates : protein : fat was 56 : 18 : 26, and the ratio of fat intake was higher than that of the KNHANES. Beans, laver, tomato, and yogurt were consumed very frequently. In the results of meal regularity, dietary behaviors and composition of diet were relatively good. It is likely that the patient controlled their diet by eating cautiously and by reducing alcohol drinking and smoking. Our results indicate that FD patients' nutritional status by consumption of nutrients was at a level of normal healthy people and that dietary habits were better than normal adults. However, their fat intake levels were somewhat higher than normal people. Therefore, further research is required to identify the relationship between dietary intakes and FD.

• Journal of Nutrition and Health
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• 제49권4호
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• pp.258-268
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• 2016

본 연구에서는 우리나라 19세 이상 성인의 비타민 A 섭취 실태와 그 역학적 특성을 파악하기 위해 제 4 5기 국민건강영양조사 (2007~2012) 자료의 24시간 회상법 자료와 상용식품 중 레티놀 및 카로티노이드 함량 데이터베이스를 연계하여 1일 레티놀, 6종의 카로티노이드 (${\alpha}$-카로틴, ${\beta}$-카로틴, 리코펜, ${\beta}$-크립토잔틴, 루테인/제아잔틴) 및 비타민 A 섭취량을 추정하였다. 그 결과 대상자 33,069명의 평균 비타민 A 섭취량은 레티놀 당량으로 $788.4{\mu}g\;RE/day$였으며, 레티놀 활성당량으로는 $488.9{\mu}g\;RE/day$였다. 대상자의 비타민 A 섭취의 적절성을 평가하기 위해 2010년 한국인 영양섭취기준과 새로 개정된 2015년 한국인 영양소 섭취 기준의 비타민 A 기준과 비교한 결과, 전체 대상자 중 2010년의 RE 기준으로는 42.9%가, 2015년의 RAE 기준으로는 70.6%가 평균필요량 미만으로 섭취하고 있었다. 75세 이상 대상자 중 80% 이상이 새로 개정된 기준에 따르면 평균필요량 미만으로 섭취하고 있었고, 소득 수준이 낮을수록 비타민 A 섭취 부족 위험이 증가하였다. 각 식품군 별 비타민 A의 섭취량을 산출하였을 때에는, 채소류, 조미료류, 해조류, 과일류 순으로 기여율이 높았다. 새로 제정된 영양섭취기준에 따라 우리나라 성인의 비타민 A 섭취량을 평가한 결과, 종전에 비해 매우 부족한 것으로 평가되었으므로, 균형 잡힌 식사를 통한 충분한 양의 비타민 A를 섭취하도록 교육하고 권고할 필요성이 대두된다. 본 연구는 우리나라 성인의 비타민 A 섭취량을 추정하고, 섭취의 적절성을 평가한 연구로서 의의가 있으며, 비타민 A의 섭취 실태를 확인한 본 연구에서 더 나아가 우리나라 국민의 비타민 A 및 레티놀, 카로티노이드의 섭취량과 대사지표 및 부족 증상의 발생 등과의 연관성에 대한 후속 연구가 필요할 것으로 사료된다.