• Journal of Nutrition and Health
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• 제57권3호
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• pp.336-348
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• 2024

본 연구는 제주지역 20-30대 성인 312명의 배달음식 섭취 실태를 파악하고, 이에 따른 식생활 및 비만과의 연관성을 규명하고자 하였다. 조사참여자의 배달음식 섭취 빈도는 '주 1-2회(32.37%)'가 가장 높았으며, 다음으로 월 1-3회 (32.05%)', '주 3-4회 (20.51%)순으로 높았다. 아침식사 섭취빈도가 높을수록 배달음식 섭취 빈도가 낮게 나타났으며, 평소 짜게 먹을수록 배달음식 섭취 빈도가 높게 나타났다. 조사대상자의 비만 여부에 따른 배달음식 섭취빈도 분석 결과, 비만한 그룹에서 배달음식을 주 3회 이상 섭취하는 비율 (40.00%)이 비만하지 않은 그룹 (23.38%)에 비해 높았고, 배달음식을 주 1회 미만 섭취하는 비율은 비만하지 않은 그룹(45.02%)에서 비만한 그룹 (28.00%)에 비해 높았다. 배달음식 섭취빈도와 비만과의 연관성을 알아보기 위해 다중 로지스틱 회귀분석을 실시한 결과 배달음식을 주 1회 미만 섭취하는 경우에 비해 주 3회 이상 섭취할 경우 비만의 교차비가 2.4배 더 유의하게 높았다. 이상과 같은 결과를 토대로 할 때 제주지역 젊은 성인에서 배달음식을 자주 섭취할수록 아침결식, 평소 짜게 먹는 등 식생활이 바람직하지 않았고, 비만의 위험이 높았다. 본 연구의 결과는 배달음식 소비자 측면에서 건강한 음식 선택 및 섭취를 위한 영양지식 증가의 필요성을 시사한다. 배달시장 측면에서는 배달음식의 종류가 다양화됨에 따라 건강식에 대한 수요가 높아지고 있으므로 건강 고려사항에 대한 옵션 강화가 요구되며, 배달음식 영양표시를 위한 정부 및 지자체의 지원이 필요할 것으로 사료된다.

• 한국치위생학회지
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• 제11권6호
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• pp.833-841
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• 2011

Objectives : The purpose of this study was investigation of quality and quantity of nutritional intake related oral health status among Korean elders. Methods : The nutrient intake and the dietary quality was evaluated on the basis of the Dietary Reference Intakes For Koreans(KDRIs). Chi-square test for Complex Samples was used to determine the relationship between oral health and inadequate nutrient intake in Korean elders. The complex samples general linear model was used to test difference of average value difference of nutrient intake percentage compared to dietary reference intake(DRI), energy intake rate from three major nutrients, average mean adequacy ratio(MAR) and index of nutritional quality(INQ) related oral health status. Age, sex and total energy intake was compensated for this analysis. PASW 18 was used for statistical analysis. Results : We could found the difference of the nutrient intake and the dietary quality related oral health status among Korean elders. Especially, Nutrient intake percentage and component ratio of protein among energy intake rate from three major nutrient was lower as oral health status became worse. The percentage of subjects with nutritional intakes under showed highest level in worst oral health status. As oral health status became worse, average mean adequacy ratio(MAR) was lower and the number of nutrient of which index of nutritional quality(INQ) was under 1 was more. Conclusions : From the result above, this study clearly shows the level of oral health affecting the inequalities of eating and the food for the people. And the various propose of oral health policies is needed for vulnerable groups who needs solution to solve the problem of inequality of food distribution where intensive distribution of nutrition problem occurred. Sufficient, safe, and a variety of healthy food intake is a fundamental right of our people. And also, to apply this policy in reality, institutional arrangements and organizations, and specific performing system will be needed.

• 한국융합학회논문지
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• 제9권1호
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• pp.233-240
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• 2018

이 연구는 체질량지수(Body mass index, BMI)가 정상이고 허리둘레(Waist circumference; WC)가 높은 여성과 WC가 정상이고 BMI가 비만인 성인여성들의 순환대사위험요인을 검토하는 것이었다. 대상자는 여성 1,447명(30-60세)이었으며 BMI와 WC에 따라 4 그룹, 즉 그룹 1 (BMI<$25kg/m^2$, WC<85cm) 그룹 2 (BMI<$25kg/m^2$, WC>85cm) 그룹 3(BMI>$25kg/m^2$, WC<85cm) 그룹 4 (BMI>$25kg/m^2$, WC>85cm)로 구분하였다. 그룹 2는 그룹 1에 비해 위험요인을 1개 이상 가지고 있을 확률이 1.89배 높았으며, 2개 이상인 경우도 1.75배 높았다(p<0.05). 결론적으로 정상체중이지만 허리둘레가 높은 복부비만자들을 초기에 조사하여 더 악화되기 이전에 적절한 개인별 운동 및 식사 처방을 제공함으로써 이들이 건강하지 못한 형태로 악화되는 것을 예방할 수 있을 것이다. 또한 이들을 위한 적절한 운동내용에 대한 연구도 추후 이루어져야 할 것이다.

• Child Health Nursing Research
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• 제7권3호
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• pp.308-321
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• 2001

Behavior modification is an approach to decrease degree of obesity through changing maladaptive eating habit and life style. It produces small amount of weight loss but it has few side effects and low dropout rate. It also has great effectiveness on maintenance of decreased weight. This study was performed to investigate effects of behavior modification on physical variables, fat and thin habit, and self-esteem in obese elementary school children. Sixty two students of 4th, 5th, and 6th grade were selected from two elementary schools located in the suburbs of Seoul. Thirty four children in one school were assigned to experimental group and twenty eight children in another school were assigned to control group. All subjects were healthy and were not on any type of obesity control. Behavior modification, in this study, was consisted of introduction, self-monitoring and stimuli control, education about diet and physical activities, individual counseling and reinforcement, requesting personal assistance, cognitive restructuring, and closing and long-term planning. Experimental group was received 60～70 minutes of behavior modification once a week for 8 weeks from October 16 to December 22, 2000. Control group was not received any intervention. Data were collected before and after intervention by measuring physical variables, fat and thin habit, and self-esteem. Physical variables consisted of obesity index, skinfold thickness, body fat(percentage of body fat, fat mass, fat free mass), serum lipids(total cholesterol, HDL-C, LDL-C, triglyceride) and serum leptin. The results were as follows ; 1. physical variables 1) Obesity index of the experimental group was significantly decreased after behavior modification. But there was no significant difference between two groups. 2) The increase of skinfold thickness was significantly low in the experimental group compared to the control group. 3) Percentage of body fat and fat mass were significantly decreased in the experimental group. Fat free mass was significantly increased in the experimental group. 4) Total cholesterol, HDL-C, triglyceride and serum leptin between the experimental group and control group showed no significant difference. LDL-C was significantly decreased in the control group. 2. Thin habit score was significantly increased in the experimental group. In subcategories of habit, thin scores of life style, attitude, social relationship, nutrition were signifi- cantly increased in the experimental group. 3. Self-esteem score was significantly increased in the experimental group. These results indicate that behavior modification is effective in decreasing percentage of body fat and fat mass, in less increasing skinfold thickness and in increasing fat free mass, thin habit, and self-esteem. In conclusion, behavior modification can be used as safe and effective strategy for managing obesity in elementary school children.

• Journal of Nutrition and Health
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• 제55권5호
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• pp.543-557
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• 2022

본 연구는 제8기 1차년도 (2019년) 국민건강영양조사 자료를 이용하여 65세 이상 활동제한이 있는 노인과 정상 노인의 영양섭취 실태를 비교 분석하였으며, 주요 연구결과는 다음과 같다. 첫째, 활동제한군의 평균 연령은 73.8세로 정상군 72.6세보다 높았다 (p = 0.010). 또한, 활동제한군은 도시보다 농촌에서 생활하는 비율이 높았으며 (활동제한군 37.8%, 정상군 22.9%, p < 0.001), 1인 가구로 구성된 비율이 정상군에 비해 높았다 (활동제한군 28.1%, 정상군 17.2%, p = 0.004). 둘째, 주관적인 건강상태에서 활동제한군 (62.7%)은 건강이 나쁘다고 인지하는 비율이 정상군 (19.3%)에 비해 높았고 (p < 0.001), 평소 스트레스 역시 활동제한군이 정상군에 비해 대체로 많이 인지하고 있는 것으로 나타났다 (p = 0.001). 셋째, 식습관을 분석한 결과 활동제한군은 모든 끼니에서 대상자의 절반 가량이 혼자 식사를 하고 있어 정상군에 비해 혼자식사비율이 유의적으로 높았고 (p < 0.05 for all), 한달 평균 외식빈도가 5.0회로 정상군 7.4회에 비해 유의적으로 적었다 (p < 0.001). 넷째, 활동제한군은 정상군에 비해 탄수화물의 에너지 섭취 기여율이 높았고 (p = 0.026), 지방의 에너지 섭취 기여율은 낮았다 (p = 0.011). 활동제한군은 정상군에 비해 곡류 섭취량은 많았고 (p = 0.001) 채소류 섭취량은 적었으며 (p = 0.039), 에너지 (p = 0.021), 단백질 (p = 0.031), 리보플라빈 (p = 0.037)의 영양소적정섭취비가 낮았다. 다섯째, 영양섭취부족율은 활동제한군이 23.3%로 정상군 13.0%보다 유의적으로 높았으며 (p = 0.001), 건강식생활실천율은 활동제한군이 유의적으로 낮았다 (p < 0.001). 이와 같은 연구 결과를 종합해보면, 활동제한 노인은 영양관리가 우선시되어야 함에도 불구하고 오히려 영양관리가 취약함을 알 수 있었다. 향후, 활동제한 노인들의 식사관리를 지원하는 재가노인복지시설을 대상으로 한 체계적인 영양관리 시스템 도입이 필요하며, 활동제한이 있는 재가노인을 위한 식사지침 등 영양교육 프로그램 개발이 필요할 것이다.

• Journal of Nutrition and Health
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• 제51권5호
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• pp.386-399
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• 2018

본 연구는 고혈압 및 당뇨병 치료 중인 환자 41명을 대상으로 한식 섭취가 12주간의 경과 과정에서 4차례의 방문(0주, 4주, 8주, 12주)을 통해 측정한 혈청 GGT, 혈압 및 glycemic control data, 심혈관계 위험지표 및 식이섭취의 변화를 비교 평가한 결과는 다음과 같았다. 1. 연구대상자는 평균 연령은 $61.8{\pm}1.9$세로 한식군 (21명)의 경우 건강한 한식을 1일 3끼씩 12주간 제공된 식사를 섭취하였고, 대조군 (당뇨병 식이 가이드라인에 따른 관리교육을 받은 자) 20명은 평소 섭취하던 당뇨조절 식사를 그대로 유지하게 하였다. 2. 수축기혈압과 이완기혈압은 두군 간 유의한 차이를 확인할 수 없었으나 맥박수는 한식군에서 대조군에 비해 유의적으로 감소하였다 (p = 0.007). 3. 당화혈색소 (HbA1c)는 한식군에서 연구 참여 전과 후 각각 $6.8{\pm}.2%$, $6.1{\pm}.2%$로 감소하고 대조군은 각각 $6.8{\pm}.2%$, $6.5{\pm}.2%$로 감소되어 한식군이 대조군에 비해 유의적으로 감소폭이 컸다 (p = 0.004). 4. 혈청 GGT는 한식군에서 연구 참여 전과 후 각각 $28.8{\pm}4.5IU/L$, $19.8{\pm}3.2IU/L$로 감소하고 대조군은 각각 $30.0{\pm}4.1IU/L$, $33.9{\pm}5.0IU/L$로 증가되어 한식군이 대조군에 비해 유의적으로 감소하였다 (p < 0.001). 5. 총콜레스테롤, LDL 콜레스테롤 및 중성지방은 한식군에서 대조군에 비해 감소한 경향이었으나 두군 간 유의적인 차이가 없었으며 free fatty acid는 한식군에서 대조군 보다 유의적으로 감소하였다 (p = 0.002). 6. 신체계측 지표인 체중 (p = 0.002), 체질량지수 (p = 0.002), 체지방량 (p < 0.001), 체지방율 (p < 0.001)은 연구 참여 전에 비해 연구 참여 12주 후에 한식군에서 대조군에 비해 유의적으로 감소하였다. 7. 치료약물의 변화량은 두군 간 유의한 차이는 없었으나 한식군에서 대조군보다 많은 수의 환자가 실제로 고혈압, 당뇨병 및 고지혈증 치료 약물을 감량할 수 있었다. 8. 한식군은 연구 참여 동안에 전곡류의 밥, 채소류인 나물류, 김치 및 전통 콩발효식품 등의 섭취량은 대조군에 비해 유의하게 증가하였다 (p < 0.001). 9. 한식군은 동물성식품에서 유래한 동물성 단백질 (p < 0.001), 지질 (p < 0.001) 및 콜레스테롤 (p = 0.034)의 섭취량은 대조군에 비해 유의적으로 감소한 반면, 총칼로리(p < 0.001), 엽산 (p < 0.001), 식이섬유 (p < 0.001), 나트륨(p < 0.001), 칼륨 (p < 0.001), 비타민 A, C, E (p < 0.001) 및 비타민 B류 (p < 0.001)의 섭취는 유의적으로 증가하였다. 이상의 결과를 종합해 보면, 적극적인 전곡류로 만든 밥을 중심으로 한 한식 섭취는 당뇨병 및 고혈압 환자에서 대사성질환 및 심혈관계질환 위험인자인 혈청 GGT, 맥박수, 혈당조절 지표 및 비만지표 개선에 긍정적인 영향을 주었다.

• 대한지역사회영양학회지
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• 제21권1호
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• pp.25-36
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• 2016

Objectives: The purpose of this study was to investigate effects of nutrition education providing school lunch by personalized daily needed food exchange units using Food Exchange System for adolescent athletes. Methods: The subjects were 60 sports high school students (educated group, 30 vs. noneducated group 30). Nutrition education was provided for 4 weeks (40 min/lesson/week). In addition, personalized school lunch was served for 4 weeks, nutrition education period. The personalized lunch were provided Food Exchange Units according to personalized daily needed energy. The lessons were '5 Major nutrients, functions and foods', 'My daily needed energy and food exchange units by Food Exchange System', 'My meal plan by food exchange units according to my daily needed energy' and 'Smart choice of healthy snacks and eating outs'. After nutrition education, we examined the differences in anthropometric characteristics, nutrition knowledge, dietary attitude and dietary intake between the educated and the non-educated group. Results: We observed improvements in lean body mass in the educated group. With regard to nutrition knowledge, there were improvements in 'Functions of vitamins', 'Functions of minerals', 'Foods of fat', 'Foods of vitamin', and 'Foods of mineral' in the educated group. In relation to dietary attitude, there were improvements in 'Taking a meal with family and friend', 'Taking a meal at ease', 'Taking a meal with kimchi and vegetables', 'Taking a meal with three kinds of side dishes', 'Priority of choosing snacks' and 'Type of snacks' in the educated group. With regard to dietary intakes according to Dietary Reference Intakes for Koreans, there were improvements in intakes levels of fiber, vitamin A, vitamin C, folate, calcium, iron and zinc. The index of nutrition quality, as indicated by nutrition adequacy ratio also improved in the educated group. Conclusions: These results showed that a nutrition education program providing education lessons and personalized school lunch by food exchange units according to daily needed energy showed positive changes in nutrition knowledge, dietary attitude and dietary intake of adolescent athletes. Nutrition education program providing personalized school lunch by Food Exchange Units may improve dietary behaviors and dietary intakes of adolescents.

• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9543-9547
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• 2014

Background: The aim of this study was to investigate demographic features, dietary habits, and some possible risk factors for being susceptible to breast cancer in Iranian women. Materials and Methods: A study of dietary habits and breast cancer was conducted among 53 Iranian women with histological confirmed disease and 40 matched controls. A dietary habits questionnaire was used to evaluate the pattern of selected food intakes. The risk of cancer was analyzed after adjustment for confounding factors. Age, weight, body mass index (BMI), waist circumference, educational status, parity, lactation, marital status, menopause, history of estrogen therapy, and family history of breast disease or cancer were assessed among participants. Special attention was given to the relationship between consumption of high fat meat, milk, yogurt and cheese as well use of frying oils for frying foods, use of olive/liquid oils for cooking, removing fat from meat and poultry, removing chicken skin and not use of mayonnaise as salad dressing and the risk of breast cancer. Moreover, salad, vegetable and fruit consumption, and eating outdoors owere investigated. Results: Our results revealed significant lower education and higher BMI and waist circumference levels in patients with breast cancer. There was significantly increased breast cancer risk in overweight women in comparison with normal weight (OR=2.91, 95%CI 1.24 to 6.82). High intake of fat dairy products including milk and cheese was found to be a statistically significant factor for increasing breast cancer risk in models adjusting for age, BMI and education. Use of olive/liquid oils for cooking and avoidance of mayonnaise as salad dressing are related to lower risk of breast cancer. The frequency of vegetable and fruit consumption was significantly lower in patients with breast cancer compared to healthy women. Conclusions: Dietary habits might be risk factors for breast cancer among Iranian women. Adoption of a prudent diet could be an appropriate strategy for preventing breast cancer.

• 여성건강간호학회지
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• 제3권2호
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• pp.192-207
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• 1997

This study aims at examining relationships between perceived body shape, body image and health complaints among 88 women registered at a facility for managing body shape, which leads to adequate management of obesity in women for healthy lives. The survey was conducted by using a questionnaire consisted of 12 items of general characteristics and interests for weight control, 47 items of body image, and 57 items of Cornell Medical Index(CMI). The data were analyzed by using mean standard deviation, ANOVA, and Pearson correlation coefficient. The results are following. 1. The means of age, body weight, height of the women were 27.02 years, 56.02 years, 56.03kg, 161.71cm, respectively. The level of obesity by body shape was 47.7% for standard type, 26.2% for slim type, 26.1% for fat type. Those women graduated from high school or higher education institutions were 97.7%. 2. More than 70% of the subjects perceived their weight as overweight, while 26.1% of the women were fat according to the level of obesity. Ninety percent of the subjects were not satisfied with their body shape. 3. Body weight increased most during middle and high school days. The women became interested in weight control through talks with friends(35.2%), influence of mass communication(34.1%), and social custom(22.7%). As to the method of weight control, subject's own judgement(54.5%) revealed highest percentage, whereas only 20% of the subjects adopted prescriptions of experts for weight control or of doctors. Those who had side reactions from weight control were 30.7%. High percentages of the women reported the decrease the amount of eating(54.5%), the increase the amount of exercise(27.3%) as the effective methods of weight control. 4. The score of body image differed significantly by the perceived body shape : the score was highest in the perceived standard type. 5. The level of health complaints did not differ by the perceived body shape. In relation to the level of obesity, physical health complaints were high in the groups of very slim type and of very fat type, while mental health complaints were high in the groups of very slim type and of fat type. 6. Very high correlations were observed between the perceived body shape and body image and between physical health complaints and mental health complaints.

• Journal of Ginseng Research
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• 제40권3호
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• pp.203-210
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• 2016

Background: Korean Red Ginseng (KRG) is a well-known natural product with anticarcinogenic and antioxidant effects. We evaluated the antifatigue effect of KRG in patients with nonalcoholic fatty liver disease (NAFLD). Methods: Eighty patients with NAFLD were prospectively randomized to receive 3 wk of KRG or placebo in addition to counseling on healthy eating and regular exercise. Liver function test, proinflammatory cytokines, adiponectin, antioxidant activity, and fatigue score were measured and compared according to the body mass index between the KRG and placebo groups. Results: The liver function tests were significantly improved after 3 wk of treatment in both groups. The mean levels (at baseline and after treatment) of tumor necrosis factor-${\alpha}$ were $108.0pg/mL{\pm}54.8pg/mL$ and $92.7pg/mL{\pm}39.0pg/mL$ (p = 0.018) in the KRG group and $123.1pg/mL{\pm}42.1pg/mL$ and $127.5pg/mL{\pm}62.2pg/mL$ (p = 0.694) in the placebo group, respectively. There was a significant difference in change of adiponectin levels between the KRG ($7,751.2pg/mL{\pm}3,108.1pg/mL$ and $8,197.3pg/mL{\pm}2,714.5pg/mL$) and placebo groups ($7,711.6pg/mL{\pm}3,041.3pg/mL$ and $7,286.1pg/mL{\pm}5,188.7pg/mL$, p = 0.027). In patients with overweight, the fatigue score was significantly decreased in the KRG group ($35.0{\pm}13.2$ and $24.5{\pm}8.9$, p = 0.019). Conclusion: Our results show that KRG might be effective in reducing proinflammatory cytokine and fatigue in overweight patients with NAFLD, in addition to improvements in adiponectin levels.