• Title/Summary/Keyword: Food Insecurity

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The effects of a personalized nutrition intervention program on food security, health and nutritional status of low-income older adults in Seoul city (서울시 일부 취약계층 노인에서 맞춤형 영양중재 프로그램에 따른 식품안정성 확보 및 건강·영양상태 개선 효과)

  • Lee, Yeyeon;Yang, Narae;Shin, Minjeong;Lee, Kyung-Eun;Yoo, Chang Hee;Kim, Kirang
    • Journal of Nutrition and Health
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    • v.53 no.4
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    • pp.416-430
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    • 2020
  • Purpose: This study was conducted to assess the effects of a personalized nutritional intervention program on food security and health and nutritional status of elderly people in the city of Seoul. Methods: A total of 372 elderly adults aged 65 years or above who resided in Seoul were enrolled in this study. Personalized supplementary food supply and nutritional education based on chronic disease status, disability and cooking ability were implemented for 4 months. To evaluate the effectiveness of the program, nutrient intake, food security status, anemia status, chronic disease management, and frailty status, and prevalence of malnutrition (Mini Nutritional Assessment) were examined. Results: After the program, all subjects displayed significantly increased nutrient intake. Before the intervention, all subjects were in a state of food insecurity; however, after the intervention, 37.1% of the subjects were food secure. Moreover, the rates of being at risk of malnutrition and malnutrition in subjects were decreased and instead rate of those who improved to normal increased to 29.8% from 0% of normal rate before the prevention. The rate of subjects without anemia increased from 18.7% to 28.5% after the intervention. In addition, the rate of subjects with intensive or periodic management of chronic diseases decreased, while those with occasional management of chronic diseases increased from 0% to 4.6%. Furthermore, the rates of being at risk of frailty and frailty were decreased and the normal rate increased from 0% to 9.7% instead. Age group-based analysis showed that elderly people over 80 years showed less improvement in the management of the chronic disease status and the frailty status. Conclusion: Personalized supplementary food supplies and nutritional education improved not only the nutritional status but also disease status in vulnerable older adults, and the effects were more significant in adults aged less than 80 years.

A Multidimensional Approach on Poverty of Households with Children : A Typology Using Latent Class Analysis (아동거주가구의 빈곤에 관한 다차원적 접근 : 잠재집단분석을 이용한 유형화)

  • Joung, Eunhee;Choi, Youseok
    • The Journal of the Korea Contents Association
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    • v.14 no.6
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    • pp.129-139
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    • 2014
  • The purpose of this study is to examine the features of children poverty in Korea. Using the 7th Korean Welfare Panel Study, this study conducts latent class analysis to classify households with children. Results show that households with children are classified into three types: 1) housing expenditure overburdened households, 2) multidimensional deprivation households, 3) non-poverty households. The housing expenditure overburdened households have higher rates of housing expenditures than the other two groups. The multidimensional deprivation households experience various types of deprivation such as food insecurity, poor housing, and unstable job security for householders. The results imply that comprehensive approaches are needed to address multiple problems which poor households with children suffer.

Effects of Job Stress on Job Satisfaction in School Dieticians and Nutrition Teacher - Focus on the Moderating Effect of Interpersonal Relationship Type - (학교 영양(교)사의 직무스트레스가 직무만족도에 미치는 영향 - 인간관계 유형의 조절효과를 중심으로 -)

  • Ahn, Hyun-Ho;Kim, Hyung-Sook
    • Journal of the Korean Dietetic Association
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    • v.24 no.3
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    • pp.212-230
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    • 2018
  • The purpose of this study was to investigate the effects of job stress on job satisfaction according to interpersonal relationship type among school dieticians and nutrition teachers. The online survey was conducted from Oct. 26th to Nov. 7th, 2017 in 2,000 randomly selected dieticians and nutrition teachers in the capital area. A total of 453 collected questionnaires were used for analysis. SPSS v.21.0 Statistical Package Program was used for the statistical process. For the results regarding interpersonal relationship type of dieticians, open-type (73.3%) was the highest, followed by self-assertive-type (23.0%), isolated-type (2.6%), and careful-type (1.1%). Regarding overall job satisfaction, 'human relation' was the highest, followed by 'job itself', 'working environment', and 'personal rating & welfare system', in that order. According to interpersonal relationship type, in the case of 'open-type' or 'careful-type', job satisfaction was relatively high. Regarding overall job stress, 'job demand' was the highest, followed by 'lack of reward', 'organizational system', 'interpersonal conflict', 'occupational climate', 'job insecurity', and 'insufficient job control', in that order. In accordance with interpersonal relationship type, overall job stress index was high in terms of 'self-assertive-type' or 'careful-type'. For the results of analyzing the correlation between job satisfaction and job stress index, all areas showed statistically significant negative correlations. Multiple regression analysis was performed to study the effects of job stress on job satisfaction mediating interpersonal relationship type. Job stress had different effects on job satisfaction in terms of 'open-type' and 'self-assertive type'. In conclusion, different strategies are needed for dieticians with different interpersonal relationship types to improve job satisfaction and to reduce job stress.

The difference of the effects of private tutoring expenditure on the change of consumption structure of households depending on income bracket (소득계층별 사교육비 증가에 따른 가구의 소비지출 변화)

  • Baek, Hakyoung;Ahn, Seo Yeon
    • 한국사회정책
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    • v.19 no.3
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    • pp.9-47
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    • 2012
  • The purpose of this study is to analyse the change of consumption structure of households due to spending on private tutoring, then analyse the difference of change depending on income bracket. The results of the study show that the proportion of private tutoring spending of poor households is relatively higher than high or middle income households although the amount is smaller than them. The consumption items adjusted by the change of private tutoring spending are different depending on income level, and adjustment possibility of them of poor households is very lower than other classes. These show their risk of insufficient consumption of food, clothing, and shelter is high. The burden of private tutoring spending of the poor increase the economic insecurity, therefore various supportive approaches such as improvement of the quality of public education, economic support the poor suffering from the burden of private tutoring spending are necessary to prevent the latent problems of the poor and their children.

In vivo assessment of the nutritional value of Allomyrina dichotoma larva protein as future protein resource (미래 식량자원으로써 장수풍뎅이 유충의 영양학적 평가)

  • Choi, Young-Jin;Fan, Meiqi;Kim, Eun-Kyung;Lee, Seul-bi;Hwang, Yeon-hyeon;Jang, Yeong-Ho;Bae, Sung-Mun
    • Korean Journal of Food Science and Technology
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    • v.52 no.6
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    • pp.610-615
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    • 2020
  • Edible insects might be used as a means to solve food insecurity caused by population growth. Many studies have investigated the biological activity of insects; however, few studies have investigated the nutritional value of insects. Therefore, the aim of this study was to investigate the nutritional value of Allomyrina dichotoma larva protein (ADP) as a source of protein replacement. In vivo studies were conducted to determine the food efficiency ratio (FER), protein efficiency ratio (PER), and true digestibility (TD) of ADP. Experiments were conducted in 3 groups of 8 animals per group using twenty-four 4-week-old SD rats. The experimental groups included the general diet group (Con), in which 20% of the total Kcal in the diet was composed of casein protein, and the ADP group (ADP), in which 20% of the total Kcal was composed of ADP protein, and a non-protein diet group (NP) to measure the protein (metabolic fecal nitrogen) excreted by metabolic processes in the body. As a result of this experiment, we found that the FERs were 0.52 and 0.41 in the casein protein intake (Con) and ADP groups, respectively, thus showing a significantly lower level in the ADP group. The PERs of ADP and Con were 2.39 and 2.63, respectively. The TD of Con and ADP were 91% and 80%, respectively.

The Experience of Parents Whose Child is Dying with Cancer (암 환아 부모의 경험에 대한 질적 연구)

  • ;;Ida Martinson
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.491-505
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    • 1992
  • The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

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Effectiveness of NQ-E index-based individual nutrition counseling for community-care elderly: an intervention study on improving nutritional status, complex chronic diseases, and quality of life (커뮤니티케어 대상 노인의 NQ-E 지수 기반 개별영양상담 효과성: 복합만성질환과 삶의 질 개선에 관한 중재 연구)

  • Yoonjeong Choi;Jihyun Lee;Heesook Lim;Yoo Kyoung Park
    • Korean Journal of Community Nutrition
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    • v.28 no.6
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    • pp.480-494
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    • 2023
  • Objectives: This study sought to assess the effectiveness of community-based nutrition counseling on improving nutritional status, managing complex chronic diseases, and enhancing the quality of life for elderly individuals with chronic conditions, particularly in older adults with high levels of food insecurity and multiple chronic illnesses. Methods: Thirty elderly subjects with diabetes and hypertension who were registered at local Senior Welfare Center received individualized nutrition counseling, based on their Nutrition Quotient for the Elderly (NQ-E) index. Over a 16-week period, they received tailored counseling and underwent various health and nutritional assessments. The final analysis included 28 participants after two dropped out. Data analysis was conducted using the SPSS v28.0. Results: The subjects were over 70, with multiple chronic diseases including diabetes and hypertension and predominantly female. After 16 weeks, significant improvements were observed in the subjects' grip strength, and HbA1c levels, as well as in their NQ-E scores, indicating improved dietary balance and diversity. There were no significant improvements in the 'Moderation' subdomain of the NQ-E index, suggesting that this aspect requires further attention in nutritional counseling. The subjects' nutritional risk scores (NSI) were also significantly decreased, indicating less nutritional risk. Lastly, as measured by the SF-36K, the subjects' quality of life showed significant improvement in several domains including physical role performance and social function. Conclusions: This study demonstrates that tailored nutrition counseling, based on the NQ-E index, can improve elderly health, manage chronic diseases, and enhance quality of life. This approach potentially broadens the scope of community nutritionists' roles within an aging society. However, additional research is necessary to evaluate these interventions' long-term effects and sustainability.