• 한국지역사회생활과학회지
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• 제28권1호
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• pp.5-16
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• 2017

This study was conducted to compare the nutritional status, nutrient intakes, and chronic disease risks of Chinese elderly people. MNA (Mini Nutritional Assessment) developed for elderly people was used to determine their nutritional status. In this study, participants consisted of 148 urban residents aged 65 years and over residing in three cities in Shandong Province, China. Participants were 67 (45.3%) men and 81 (54.7%) women, and average age was 72.8 years. According to MNA score, 77.7% of participants were 'well nourished', 22.3% were 'at risk of malnutrition', and 2% were 'malnourished'. Nutritional status was divided into two groups by MNA score as 'well nourished' and 'malnourished', which was formed with the combination of 'at risk of malnutrition' and 'malnourished'. Compared with the well nourished group, the malnourished group was older, and physical status indicators such as weight, BMI (Body Mass Index), and calf circumference of the malnourished group were much smaller. The malnourished group had higher prevalence rates of heart disease and stomach disorders while the well nourished group had a higher rate of hypertension. There was no significant difference between the malnourished group and well nourished group in nutritional intake below Chinese DRIs (Dietary Reference Intakes) among elder males. A higher proportion of elder females showed insufficient intakes of energy, protein, vitamin A, vitamin E, and zinc in the malnourished group compared to the well nourished group. The INQ (Index of Nutrition Quality) of calcium, magnesium, zinc, iodine, and most vitamins was less than 1 in both the malnourished and well nourished groups.

• 대한지역사회영양학회지
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• 제23권3호
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• pp.216-225
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• 2018

Objectives: This study was conducted to investigate the associations between obesity and the children's Nutrition Quotient (NQ) and to further examine the relationships between NQ and mini dietary assessment (MDA) of their parents. Methods: The subjects were 355 children aged 3 to 5 years and their parents in Dongducheon. We collected parental-reported NQ questionnaires for children and MDA of parents. Anthropometric measurements, height, weight and BMI by BIA were measured in children. Overweight and obesity were determined according to age- and sex-specific BMI percentile from the 2007 Korean national growth chart. Statistical analyses consisted of the chi-squared test, ANOVA, partial correlations and logistic regression analysis adjustments for parents BMI. Results: Approximately 20.8% of preschool children were classified as overweight or obese. Underweight children showed a significantly higher score for balance than overweight children. The NQ of the children was $61.9{\pm}11.6$, and NQ scores and their parents' MDA did not exhibit any significant differences according to degree of obesity. After adjusting for parent's BMI, children's BMI was significantly correlated with balance and moderation among NQ factors. Parent's MDA showed significant correlation with their children's NQ, balance, diversity, moderation, regularity, practice and NQ grade, except for diversity of father. Additionally, NQ grade had a significantly increased (150.1%) odds ratio (OR) of being overweight (95% CI 1.008-2.234). Conclusions: These results show that NQ for children is influenced by their parents' MDA and BMI. Furthermore, our findings support the association between overweight prevention and improvement of NQ grade among preschool children.

• 한국식생활문화학회지
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• 제24권5호
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• pp.570-580
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• 2009

The purpose of this study was to evaluate the multilateral weight control program provided by the university health care center for female college students. The program was 8weeks long and composed of nutrition consultation, exercise, and behavior modification. Nutrition education focused on a low calorie and balanced diet, increasing the intake of protein and micronutrients and reducing carbohydrate and fat consumption. Evaluations were made upon completion of an 8-week program and upon follow-up at 6 months after the end of program. A total of 92 women completed the 8-week program, while 20 completed the follow-up survey. Upon completion of the 8-week program, significant decreases in body weight, BMI, body fat (kg), and %body fat were observed, and muscle mass was also reduced. The total energy and carbohydrates intake were also significantly decreased in subjects with weight loss, while the percentage of subjects whose consumption of protein, calcium, iron, vitamin $B_1$, $B_6$, and niacin did not meet the EAR, were decreased. The blood values of glucose, total cholesterol and HDL-cholesterol were decreased. The follow-up survey revealed that the subjects continued to lose weight after completion of the program. In addition, a Mini nutrition assessment revealed that diet quality improved, especially with respect to reductions in the consumption frequency of fried, greasy and salty food. In conclusion, the multilateral weight control program with diet education for female college students was effective for long lasting weight control and improved dietary behavior. Nutrition education for weight reduction should focus on balanced nutrition as well as lowering the total caloric intake.

• Journal of Nutrition and Health
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• 제43권4호
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• pp.395-403
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• 2010

This study was conducted to examine the dietary behaviors with 510 high school students (260 males and 250 females) residing in Seoul. The average age of male and female students were 16.3 and 16.4 years old, respectively. Mean height and weight of male students were 174.1 cm and 65.9 kg and those of female students were 161.6 cm and 52.5 kg. The body mass index (BMI) of male and female students were $21.7\;kg/m^2$ and $20.1\;kg/m^2$, respectively, which were within the normal range. Students skipped breakfast more than once a week were 41.1% of males and 44.4% of females. More than 40% of the male and female students skipped breakfast frequently. The mean mini dietary assessment index score of male and female students were 30.6 and 29.6 out of total 50 index scores, respectively. Female students perceived significantly less healthy and fatter than male students. Furthermore, body image satisfaction of the female students was lower than that of male students. Female students were more significantly concerned with body image and desired a thin body shape. Only 22.7% of male students and 6.4% of female students exercised regularly, and the frequency, time, and intensity of exercise in the male students were significantly higher than those of female students.

• 한국식품영양학회지
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• 제20권4호
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• pp.467-475
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• 2007

The nutritional status and chronic disease occurrence of the elderly living in local areas is affected by certain factors, including low energy intakes, low food diversity, poor nutritional quality and living alone. Moreover, elderly people who live alone may have low incomes and be socially isolated. Thus, we have provided them adjustable and balanced menus using standard recipes. In this study, we investigated aspects of nutritional status and living conditions in the elderly status, in relation to food, activities of daily living(ADL), nutrition risk index, average intake of calories and nutrients, the mini dietary assessment index score, depression score, menu satisfaction, menu demand, satisfaction with menu offerings. The result indicated significant nutritional improvements by providing menus to the elders and suggest that by providing adjustable and balanced menus using standard recipes, the nutritional status of isolated elders can be changed and improved.

• 대한지역사회영양학회지
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• 제18권2호
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• pp.142-153
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• 2013

The purpose of the study was to examine nutritional management and nutritional care demands of home-visit care service and the nutritional status of serviced elderly. The survey was carried out from $5^{th}$ to $21^{st}$ of January, 2011 among 37 In-Home Service institutions. The number of elderly surveyed by 143 care helpers was 281. Analysis was performed for 203 subjects (male: 44, female: 159). The age distribution was from 50 to 99 years. The grading by long-term care insuranceshowed 18,2% on level 1 and 2, and 81.8% on level 3. For the disease treatment, the proportion of implementing diet treatment turned out to be very low. The proportion of subjects living with their children was 45.3%, and living alone was 29.1%. The proportion of home-visit care among types of In-Home Service was 70%. Subjects who needed additional necessary diet management service turned out to be 40.9%. Diet management was the most necessary services from all levels. MNA (specifiy MNA) scores were significantly (p < 0.001) associated with BMI, mid-arm circumference (MAC), calf circumference (CC), intake problems, and weight loss during the last 3 months. For studied elderly, 45.3% were malnourished, and 46.8% were at the risk of malnutrition by MNA score. Based on the result of this survey, the nutritional care was not systematic on the In-Home Service. Prevention and management of the disease was much better than the treatment to improve the quality of life. We conclude that nutrition management is necessary for the elderly. To improve nutritional status of elderly in home care services, systematic nutrition management should be implemented.

• 대한지역사회영양학회지
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• 제19권5호
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• pp.448-458
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• 2014

Objectives: Increasing salt preferences with age are said to increase preferences of salty foods, thereby leading to greater sodium consumption, which has further implication for hypertension. This study examined the link between preference of salty taste and dietary factors and health-related risk factors in Korean elderly people. Methods: We studied 312 elderly individuals aged > 65 years (male, 100 and female, 212). With each subject, pleasant concentration of NaCl was estimated using the sip-and-spit method. Dietary habits, food preferences, consumption frequencies, anthropometric and biochemical assessment were assessed. Results: The pleasant salt concentration was significantly increased in individuals older than 75 years (p < 0.05). Subjects who liked high concentration of salt showed significantly higher preferences for salty foods (p < 0.001). Results showed significant effects (p < 0.01) of fruit & fruit juice consumption frequencies, MNA (mini-nutritional assessment), cognition score, BMI, body fat %, waist circumference, arm circumference, calf circumference, vitamin D level that subjects who likes low salty taste were higher than subjects who likes high salty taste. Conclusions: The preference for salty taste in the elderly was not correlated with hypertension. But, increased preference for salty taste with age and increased salty food preferences may result in higher sodium consumption. Therefore, nutritional education regarding lowering salt preference and favorable behaviors of low-salt diet is needed to improve the quality of life in the rural elderly.

• 동아시아식생활학회지
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• 제20권3호
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• pp.341-351
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• 2010

본 연구는 삼육대학교에 재학 중인 여대생(식품영양학 전공 여대생 79명과 비전공 여대생 77명) 총 156명을 대상으로 식품영양학 전공자와 비전공자의 식습관, 식생활 평가, 음주와 흡연 등의 기호식품 섭취 및 건강 관심도에 관한 사항 등을 비교하기 위하여 2009년 9월부터 2009년 12월 사이에 실시하였다. 1. 전체 여대생들의 평균 신장과 체중은 각각 161.56${\pm}$4.42 cm, 51.98${\pm}$5.07 kg이었으며, 체질량지수는 19.92${\pm}$1.86 kg/$m^2$로 조사되었다. 그러나 식품영양 전공자와 비전공자의 신장, 체중 및 체질량지수 평균값에는 유의한 차이는 없었다. 2. 식품영양학 전공자는 비전공자에 비해 김치 이외의 채소를 식사 때마다 먹는 비율(39.2%)과 튀김이나 기름에 볶는 요리를 주 2회 이상 먹는 비율(38.0%)이 높았으며, 과일이나 과일 주스를 매일 먹는 비율(29.1%)과 삼겹살 갈비 등 지방이 많은 육류를 주 2회 이상 먹는 비율(15.2%)로 유의하게 낮았다(p<0.05). 3. 하루에 1회 정도 간식을 섭취하는 것으로 조사되었으며, 간식의 섭취에 있어서 식품영양전공자의 경우 우유 및 유제품(37.1%), 과일(40.0%), 패스트푸드 및 튀김류(25.7%)의 섭취가 비전공자에 비해 높게 섭취하는 것으로 조사되었다(p<0.05). 4. 식품영양 전공자의 영양소 섭취 상태는 비타민 C와 비타민 E의 섭취량이 높았으며, 비전공자의 경우 비타민 $B_1$과 콜레스테롤의 섭취량이 높게 조사되었다(p<0.05). 5. 식품영양 전공자는 7.6%만이 건강에 관심이 있다고 답하였으며, 건강을 유지하기 가장 중요한 부분으로 규칙적인 운동 35.5%, 규칙적인 식사 및 영양 보충 32.9%로 답하였다. 식품영양 전공자는 27.8%, 비전공자는 31.2%가 운동을 한다고 답하였으며, 운동은 일주일에 1~2회 하는 것(43.5%)으로 조사되었고, 1회 운동 시 소요되는 시간은 전체 조사 대상자의 45.7%가 30분~1시간 정도라고 답하였다. 6. 식품영양 전공자의 경우 24.1%, 비전공자의 경우 29.9%가 영양제를 복용하고 있었으며, 복용하고 있는 영양제의 종류로는 비타민제제가 69.1%로 가장 많이 차지하였다. 7. 본 연구에서는 여대생들이 흡연보다는 음주를 많이 하는 것으로 조사되었다. 본 연구에 응한 여대생의 87.8%는 음주를 하는 것으로 조사되었으며, 음주를 하지 않는 여대생은 12.2%에 불과하였다. 특히 비전공자의 92.2%는 음주를 한다고 답하였다. 일반적으로 식품영양 전공 여대생들이 영양적 지식을 바탕으로 식품의 선택과 영양소 섭취량이 비전공 여대생에 비해 더 양호할 것으로 생각되나, 본 연구에서의 식품영양 전공 여대생들의 식생활 평가는 비전공자 여대생에 비해 아주 우수한 편은 아니었으며, 영양소 섭취 상태에서 식품영양 전공자들은 항산화물질인 비타민 C와 비타민 E의 섭취량이 높은 반면에, 비전공자들은 콜레스테롤의 섭취량이 높게 조사되었다. 따라서 식품영양 전공 여대생의 경우, 배운 지식을 실생활에 응용하여 적용할 수 있는 실질적인 방법의 유도가 필요하며, 식생활 개선을 위한 계기가 마련되어야 할 것이다. 비전공자의 경우 주입식의 지식보다는 경험을 통한 영양교육이 절실히 요구되며, 다양한 도구들은 이용한 식품영양에 관한 교양 수업의 방법이 도입되어야 할 것이다. 또한 대중매체의 정확한 정보의 전달을 통해 누구나 쉽게 접할 수 있는 영양교육 형태도 필요할 것으로 사료된다.

• 가정간호학회지
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• 제26권2호
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• pp.210-218
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• 2019

Purpose: The purpose of this study was to identify the nutritional status of elderly individuals according to their household types and to investigate the predictors of their nutritional status. Methods: This study, which was a descriptive research study, involved physical measurements, surveys, and biochemical tests in 87 elderly individuals living in the community. Using SPSS/Win 24.0, logistic regression analysis was performed to identify the general characteristics, blood pressure, body mass index (BMI), mini nutritional assessment (MNA) score, and biochemical indicators in elderly individuals according to the household type. Results: Elderly individuals living with family members had higher MNA scores than those of elderly individuals living alone, while showing lower levels of systolic blood pressure and fasting blood sugar. The results of the logistic regression analysis showed that the risk factors were MNA scores (odds ratio (OR)=1.81, 95% confidence interval (CI)=1.36-2.42), systolic blood pressure (OR=0.96, 95% CI=0.92-1.00), and fasting blood glucose (OR=0.94, 95% CI=0.90-0.99). Conclusion: It was confirmed that elderly individuals living alone need differentiated nutrition intervention, since the results showed that they had lower nutritional levels and improper nutritional management than that in elderly individuals living with family members.

• 대한지역사회영양학회지
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• 제10권1호
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• pp.46-58
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• 2005

The purpose of this study was to compare the nutrition intakes and factors related to dietary behaviors according to age in female. The subjects included 579 females aged 15 - 59 years. This survey was conducted using a selfadministered questionnaire to obtain data about eating behaviors, living habits, eating disorders by EAT-26 (Eating Attitude Test-26), and nutrition knowledge. In younger women aged 15 - 20 years, the living habits related to health such as smoking, drinking and exercising were undesirable. In addition, the younger women group had significantly higher levels of skipping meals and frequency of eating snacks compared to the older women group and their eating times were not regular. And they showed a lower score of health eating index by mini dietary assessment (MDA). Although, all age groups consumed energy, Ca, Fe, and thiamin below the Korean RDA; especially, in adolescent, Ca intakes ($67.1\%$ RDA) were extremely low. In addition, mean score of EAT-26 was significantly higher in young women aged 15 - 29 years than older women. Also, they had rather lower levels of accuracy and perception for nutrition knowledge compared to older age group. These results suggested that Korean adolescent had undesirable nutritional intakes and attitude, and nutrition knowledge, indicating inadequate eating behaviors. These poor dietary behaviors can affect the health status. Therefore, the nutrition counseling and education to help people to have correct nutrition knowledge and to form better eating habits needs to be established.