• 한국식생활문화학회지
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• 제11권5호
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• pp.643-649
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• 1996

This study was performed to investigate the adequacy of dietary fat and protein intakes among female college students. Daily intakes of energy, fat, protein, major amino acids and other nutrients were measured in 52 female college students. Daily energy intake was 75.8% of the recommended intake. Fat and protein consist 19.2% and 16.7% of the total calorie, respectively. The average protein consumption per day was 105% of the recommended intake. Essential amino acids intakes were more than the recommended amounts which appears in the 6th edition of Recommended Dietary Allowances for Koreans. However, when the intake of each essential amino acid was compared to the recommended amino acid requirement pattern, these subjects did not meet the estimated requirements. There was a highly significant correlation between daily protein intake and lipid intake implying the major sources of protein in the diet were also major sources of fat. Daily intakes of dietary fiber, vitamin C, iron, and phosphorous were above the recommended levels of intake. However, blood hemoglobin concentration was marginal indicating dietary iron consumption is not a good marker for iron status. Also, calcium intake was only 63.5% of the recommended intake. Therefore, these results imply that main problems for these subjects are low energy consumption, low calcium intake, and the quality of protein. However, as opposed to the hypothesis, the main energy sources were not the food items high in saturated fats such as instant foods, which should be emphasized further.

• 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.

• 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)

• 한국식품영양학회지
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• 제8권3호
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• pp.212-221
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• 1995

This survey of 180 6th-grade students was focused owl the differences of nutritional and anthropometric status according to calorie Intakes. The results were summarized as followed : 1) All nutrient intakes of boys were higher than those of girls, and both groups had lower calcium and iron intakes compared with RDA. But all the nutrient Intakes were showed significantly different among three groups divided by percentile of calorie intake(lower 25%, 25∼75% and upper 25%), therefore it suggested that subjects had a large individual variance. 2) Mean height, weight, TSK, and blood pressure of boys were 145.5cm, 40.6kg, 19.3mm, and 114.5/68.4mmHg respectively, and girls were 148.4cm, 38.9kg, 16.7mm, 112.3/67.0mmHg. The differences in anthropometric status according calorie and calcium intake were not found. This study showed protein intake had influence on height and weight of boys.

• Journal of Community Nutrition
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• 제6권2호
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• pp.61-66
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• 2004

This study was performed to investigate the nutritional status associated with alcohol consumption in Korean adults men and women. The data was derived from the 2001 Korean National Health and Nutrition Survey. The number of subjects included were 6090 (Men: 2789, Women: 3031) aged 20 (equation omitted) < 65y. Men consuming moderate alcohol ((equation omitted) 24 g/day but < 48g/day) had higher intakes of energy and vitamin B groups than the ones consuming less than 24g/day. Heavy drinking men reporting more than 48g alcohol/day were observed as having 3207.2kcal of energy intake (130% of Korean RDA) and significantly elevated levels in most of the nutrients. For women drinkers, when the alcohol consumption was moderate ((equation omitted) 12g/day but 24g/day) or heavy((equation omitted) 36g/day) the energy intake was 2188.9kcal(100% of RDA) or 2627.5kcal (130% of RDA). The other nutrients protein, fat, calcium, iron and vitamin B group were also higher in women with heavy alcohol consumption. Heavy drinking women showed significantly higher weight, BMI and HDL-C. In contrast, heavy drinking men did not show any significant difference in BMI but showed significantly elevated blood pressure, HDL-C and lower serum cholesterol.

• Journal of Nutrition and Health
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• 제31권7호
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• pp.1174-1182
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• 1998

The purpose of this study was to compare the nutritional status and the immunocompetence of elderly women residing in urban and rural areas. Dietary food records and anthropometric measurements were used to evaluate the nutritional status of subjects. The immune function of subjects was assessed by total and differential white blood cell(WBC) counts. Total B and T Lymphocytes, and T cell subsets were quantified by flow-cytometer. Immunoglobulin G, A, and M concentrations were also measured as an index of humoral immunity. Elderly women in rural area showed a relatively lower dietary intake of total energy, protein, and iron than did urban elderly women. Total WBC, neutrophil counts, eosinophil counts, and the percentage of neutrophils among total leukocytes were significantly higher in urban elderly women than in rural women. Although the numbers of lymphocytes were not significantly different, the percentage of Lymphocytes among total leukocytes as greater in rural elderly women than in urban. Both groups did not show any significant differences in numbers of T cell subsets and NK cells. Immunoglobulin G, A, and M levels were not significantly different between the two groups, but the numbers of subjects placed under the deficient range of immunoglobulins were greater in rural than in urban elderly women. from the present study, it could be suggested that poor nutritional intake may selectively affect the number of immune cells, thereby influencing the immunocompetence of elderly women. (Korean J Nutrition 31(7) 1174-1182, 1998)

• 한국식품영양과학회지
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• 제34권5호
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• pp.638-643
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• 2005

본 연구는 식이 철과 운동이 흰쥐의 헴 생합성과 지질대사에 미치는 영향을 살펴보고자 수행되었다. 쥐는 식이 철의 수준에 따라 철결필군(Fe-, 5 ppm)과 철 충분군(Fe+, 50 ppm)으로 나누고 규칙적인 운동 여부에 따라 운동군과 대조군으로 나누었다. 실험 식이의 공급과 운동을 시킨 기간은 8주였으며, 운동군은 경사 6도에서 28 m/min의 속도로 1회 30분씩 일주일에 5회씩 트레이드밀 운동을 시켰다. 그 결과 횐쥐의 헴 생합성 정도는 운동을 한 군에서 유의적으로 증가하는 것으로 나타났다. 운동은 또한 체중 증가량을 낮추고, 부고환지방량을 감소시켰으며, 혈중 중성지방과 콜레스테롤 수치를 낮추고 HDL-콜레스테롤의 수치를 증가시켰다. 한편, 식이 철의 부족은 헤마토크리트와 헤모글로빈 농도를 감소시켰으며, 간 콜레스테롤의 축적을 증가시켰다. 앞으로 인체를 대상으로 철분 수준이 다른 상태에서의 운동이 헴의 생합성, 지질대사 및 젖산 농도 등에 어떠한 영향을 미치는지에 대한 연구가 더 많이 이루어져야 할 것으로 사료된다.

• Clinical and Experimental Pediatrics
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• 제51권8호
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• pp.827-833
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• 2008

목 적 : 영유아기에 발생하는 철 결핍성 빈혈은 성장, 발달에 심각한 영향을 미칠 수 있으므로 철 결핍을 조기 진단하는 것은 매우 중요하다. 고식적으로 사용되고 있는 혈청 ferritin이나 iron 대신 염증이나 만성질환 등에 영향을 받지 않고 철 결핍 상태를 진단하는데 비용이나 혈액채취량의 부담을 줄일 수 있는 장점이 있는 망상적혈구혈색소량을 다른 철 결핍 지표들과 함께 비교하였다. 방 법 : 2006년 6월부터 2007년 1월까지 을지대학병원 소아과에 급성 감염성 질환으로 입원한 생후 6개월에서 24개월 영유아를 대상으로 하였다. 정맥혈을 채혈하여 ADVIA 120 (Bayer Diagnostics, NY, USA)을 이용하여 Hb, MCV, MCH, CH, CHr, RDW를 검사하였고, 철 상태를 평가하기 위하여 iron, iron binding capacity, ferritin을 측정하였다. 혈색소 11 g/dL, Tfsat 20%를 기준으로 철 결핍성 빈혈군, 철 결핍군, 철 결핍이 없는 군을 나누었다. 결 과 : 총 69명의 영유아 중 철 결핍이 있는 환아가 47명, 이중 17명이 철 결핍성 빈혈군에 해당되었으며 철 결핍이 없는 군이 22명이었다. 빈혈을 포함한 철 결핍이 있는 집단과 철 결핍이 없는 군과는 MCH (P<0.01), CH (P<0.01), RDW (P<0.05) 및 CHr (P<0.01)이 유의하게 차이가 있었지만, ferritin은 두 집단 간에 차이가 없었다(P=0.109). CHr은 철결핍에 유의한 예측변수로 나타났다(LRT=71.25; odds ratio=0.67 [95% 신뢰구간, 0.47-0.97]; P<0.05). 철 결핍군을 빈혈이 있는 집단과 빈혈이 없는 집단과 비교하였을 때 MCV, MCH, CH, RDW가 유의한 차이를 보였다(모두 P<0.05). 또한 CHr, iron, TIBC, ferritin은 두 군간에 차이가 없었다(P>0.05). CHr의 cutoff 27.4 pg을 기준으로 전체 집단을 구분하여 비교하였을 경우에는 Hb, MCH, CH, Tfsat, iron (모두 P<0.05) 모두 통계적으로 유의한 차이를 보였으나 MCV (P=0.188), RDW (P=0.138), ferritin (P=0.730), TIBC (P=0.700)는 차이를 보이지 않았다. 결 론 : CHr은 일부 기종에 국한되어 제공되는 사항이고 적절한 참고치의 설정이 필요하지만, 6개월에서 24개월령의 유소아에서 철 결핍 상태를 진단하는데 급성염증반응에 영향을 받지 않고, 비용이나 혈액채취량의 부담을 줄일 수 있는 장점이 있어 새로운 지표로 이용이 가능하리라 생각된다.

• 대한지역사회영양학회지
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• 제10권4호
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• pp.525-535
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• 2005

This study was conducted to investigate the effect of a 3 week low calorie diet (LCD) and a 9 week of behavior modification (BM) program on the weight loss, mineral and vitamin status in 22 obese women. The subject were healthy, obese (PIBW> $120\%$) women aged 20 - 50 Yr and not taking any medications known to influence body composition, mineral or vitamin metabolism During the LCD program, subjects were provided commercial liquid formulas with 125 kcal per pack and were instructed to have a formula for replacement of one meal and at least one regular meal per day within the range of daily 800 - 1200 kcal intake. During the BM program the subjects weekly attended the group nutrition counseling session to encourage themselves to modify their eating behavior and spontaneously restrict their energy intakes. The BM program focused on stimulus control, control of portion sizes and modification of binge eating and other adverse habits. The initial mean energy intake of subjects was 2016.9 $\pm$ 129.8 kcal ($100.8\%$ of RDA) and dropped to 1276.5 $\pm$ 435.7 kcal at the end of a 3 week of LCD program and elevated to 1762 $\pm$ 329.3 kcal at the end of a 9 week of BM program. Carbohydrate, protein and fat intakes were significantly decreased at the end of the LCD but carbohydrate was the only macro nutrient that showed significant decrease (p < 0.05) at the end of the BM program compared to baseline. Calcium and iron intakes decreased significantly (p < 0.01, respectively) with no significant changes in other micronutrients at the end of the LCD. The mean weight of the subjects decreased from 73.8 $\pm$ 8.0 kg to 69.2 $\pm$ 7.7 kg with LCD and ended up with 67.7 $\pm$ 7.1 kg after 9 weeks of BM. The 3 weeks of LCD reduced most of the anthropometric indices such as BMI, PIBW, fat weight, wast-to-hip ratio and subscapular and suprailiac skinfold thickness. The 9 weeks of behavior modification showed slight change or maintenance of each anthropometric measurements. Weight loss and decreased WHR with the diet program induced significantly decreased systolic blood pressure. SGOT, SGPT and serum insulin levels with improved serum lipid profiles. Biochemical parameters related to iron status such as hemoglobin, hematocrit were significantly decreased (p < 0.01) at the end of the LCD. But their mean values were within normal range. The mean serum 25 (OH) vitamin $D_3$ level significantly increased after whole diet program. Serum folate level significantly decreased after 12 weeks of diet program. In conclusion 3 weeks of LCD brought 4.6 kg reduction in body weight without risk of iron, zinc or vitamin D deficiency and 9 weeks of the BM was effective to maintain nutritional status with slightly more weight reduction (1.5 kg). However calcium intake and serum folate should be monitored during the LCD and BM because of increased risk of deficiencies.

• Journal of Nutrition and Health
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• 제38권7호
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• pp.578-585
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• 2005

Maternal zinc deficiency is relatively common worldwide, but its consequences for pregnancy outcome are not established. The purpose of this study was to examine the effect of zinc status in the second trimester on pregnancy outcome. Subjects were 248 pregnant Korean women (25-28 wk gestation). Cord blood was collected from subgroup of 69 women and pregnancy outcome data were obtained from 185 babies. Anthropometry measurement, dietary intake, and biochemical characteristics of pregnancy and cord serum substances were measured. The subjects were divided into quartiles on the basis of maternal serum Zn concentration; $ZnQ_1$ (< 25 percentile), $ZnQ_2$ ($26\~50$ percentile), $ZnQ_3$ ($51\~75$ percentile), and $ZnQ_4$ ($76\~100$ percentile). Zn groups were compared in terms of various maternal factors, concentrations of cord serum substances, and pregnancy outcome. Maternal serum Zn concentration was $118.4\;{\pm}\;35.5\;{\mu}g/dl$ as mean. Intake of Zn was lower than Korean RDA. The rate of Zn deficiency among all subjects was $8.5\%$. Maternal serum Zn levels belonged to normal range. Cord serum Zn level was about $154.7\%$ of maternal serum level. Intakes of energy, calcium, iron, folic acid, and riboflavin did not meet the Korean RDA for pregnant women by gestational age. The mean birth weight of neonates is 3083 $\pm$ 697 g, of whom $9.1\%$ were of low birth weight (< 2,500 g). Maternal serum Zn level was positively correlated with pre-pregnancy weight, pre-pregnancy body mass index, and vitamin C intake (p < 0.05). $ZnQ_1$ group had significantly lower maternal serum iron concentration and higher cord serum cholesterol than those in other groups. Maternal serum Zn level, cord serum Zn level, and dietary Zn intake were no related to the pregnancy outcome. The birth weight had a correlation with the maternal hemoglobin and albumin concentration. In conclusion, at this study, we could not find the association with maternal Zn status in 2nd trimester and pregnancy outcome.