• Korean Journal of Community Nutrition
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• v.29 no.1
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• pp.51-64
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• 2024

Objectives: This study examined the association between ultra-processed food (UPF) consumption and chronic diseases in elderly Koreans. Methods: Data from the 2019-2021 Korea National Health and Nutrition Examination Survey were analyzed. Dietary intake and UPF consumption were assessed using the NOVA food classification based on 24-hour recall data from 3,790 participants (aged 65+ years). Participants were divided into 4 groups based on the quartile of energy intake from UPFs. Regions were classified as urban or rural. Multivariable logistic regression was employed to estimate the adjusted odds ratios (AORs) with 95% confidence intervals (CIs) after controlling for potential confounders. Results: Among the participants, 71.3% resided in urban and 28.7% in rural areas. Compared to the urban elderly, rural participants tended to be older, have lower education and income levels, be more likely to live in single-person households, and have a higher smoking rate (P < 0.05). Urban elderly consumed more UPFs daily (146.1 g) compared to rural residents (126.6 g; P < 0.05). "Sugar-sweetened beverages" were the most consumed category in both regions. "Sweetened milk and its products" and "traditional sauces" were prominent in urban areas, while rural elderly consumed more "traditional sauces" and "distilled alcoholic beverages." Rural areas also had a higher carbohydrate-to-calorie ratio than urban areas. Compared to the lowest quartile of UPF intake, the highest quartile was significantly associated with impaired fasting glucose only in rural areas (AOR, 1.48; 95% CI, 1.00-2.19; P for trend = 0.0014). No significant associations were observed for diabetes in either urban or rural areas. Conclusions: This study suggests that high intake of UPFs is associated with increased odds of impaired fasting glucose in rural elderly. Further research is needed to elucidate the specific negative health effects of UPFs in different populations, and targeted efforts should promote healthy diets in both urban and rural areas.

• Korean Journal of Community Nutrition
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• v.29 no.2
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• pp.81-96
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• 2024

Objectives: This study aimed to investigate arterial stiffness index, physical activity, and food and nutrient intake in middle-aged adults over 40 years when the incidence of cardiovascular disease begins to increase. Methods: This study included 106 subjects (48 males and 58 females) aged between 40 and 64 years. The arterial stiffness index (brachial-ankle pulse wave velocity [baPWV], and ankle-brachial index [ABI]) were measured using a blood pressure pulse wave testing device. Physical activity was assessed using the Korean version of the Global Physical Activity Questionnaire, and food and nutrient intake was calculated using the Food Frequency Questionnaire. Results: The mean age of the subjects was 54.4 years. Although the ABI of the subjects was within the normal range, they were divided into tertiles to compare physical activity and food and nutrient intake. In males, the time spent on moderate to vigorous physical activity (MVPA) was significantly higher in T3 (600.6 min/week) than in T1 (304.4 min/week). In females, the time spent in sedentary behavior was significantly lower in T3 (294.5 min/week) than in T1 (472.1 min/week). In addition, the frequency of fish consumption was significantly higher in T3 (1.27 frequency/day) than in T1 (0.64 frequency/day) in females. Polyunsaturated fatty acid (PUFA) and ω-3 fatty acid intake, adjusted for energy intake, were significantly positively correlated with ABI (r = 0.200 and r = 0.218, respectively). Conclusions: High MVPA (in males), low sedentary behavior (in females), and PUFA and ω-3 fatty acid intake through fish consumption may be associated with low peripheral artery stiffness. Therefore, arteriosclerosis can be prevented through physical activity and proper dietary therapy.

• Korean Journal of Community Nutrition
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• v.29 no.3
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• pp.222-233
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• 2024

Objectives: This study was conducted to investigate the status of total sugar intake and contributing foods in Korea according to age groups. Methods: This study used 24-hour dietary recall data from the 8th Korea National Health and Nutrition Examination Survey (2019-2021) to investigate the nutritional and total sugar intake status among Koreans. A total of 18,338 research participants (≥3 years old) were included in this study. To analyze the types of foods contributing to total sugar intake, these foods were categorized into 15 types. Moreover, we examined the total sugar intake and ranked the most consumed foods by age groups (3-11 years, 12-18 years, 19-34 years, 35-49 years, 50-64 years, over 65 years). A survey procedure was employed for statistical analysis. Results: The energy intake ratio from total sugars was approximately 12%-15%, which was within the recommended range. However, the proportion of individuals consuming total sugar exceeding 20% of their total caloric intake is nearly 20%, raising concerns about excessive sugar consumption. Furthermore, the percentage of participants whose intake of sugar from processed foods exceeded 10% of their total calories was highest in the 12-18 age group at 37.1%, followed by the 3-11 age group at 35.2%, and the 19-34 age group at 34.0%. Carbonated drinks, cola, and cider were the primary foods consumed by children and adolescents (3-18 years old) and young adults (19-34 years old). For middle-aged and older adults, mixed coffee with sugar and cream was a prominent contributor to sugar intake. Conclusions: This study investigated sugar consumption patterns among Koreans, finding the principal foods contributing to this intake. Identifying these contributors is pivotal, given their potential impact on public health.

• Journal of the Korean Society for Marine Environment & Energy
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• v.10 no.1
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• pp.44-52
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• 2007

Integrated Coastal Management(ICM) has been recommended by international organizations and experts as a desirable way of dealing with the current problems of ocean pollution and ocean conservation and dealing with the conflicts among the various users of coastal and ocean resources. As a response, the Korean government legislated Coastal Management Act in 1999. following the Act, local governments were required to make a local integrated coastal management plan(LICMP). Though the LICMPs are made, it is not easy to put LICMP in effect, because the mandates of the Coastal Management Act are not clear and there are conflicts regarding the jurisdiction of the coastal areas among relevant departments of the government and because it is not easy to monitor and supervise the activities along the vast areas of coasts and oceans. The traditional method of Implementing the LICMP was not simply feasible. Community-based approach to the ICM was proposed as an alternative to the traditional method. This study aims to examine and introduce the community-based network of organizations as an alternative form of organization best suited to the integrated coastal management. This study is composed of four major parts. First, it examines the advantages of the network as a form of organization vis-vis the market and the hierarchy. Second, it reviews three well-known cases of integrated coastal management programs - Xiamen ICM program in China, Coastcare in Australia and Atlantic Coastal Action Program in Canada. Third, on the basis of the case study, it proposes principles and guidelines which we need to consider when we introduce the community-based approach to the ICM in Korea. Fourth, this study also reports on the actual networking processes in Yeosu City(the Yeosu Network for the effective implementation of integrated coastal management plan). The networking in Yeosu will serve as a demonstration of networking various stake-holders concerned with the balance between the development and conservation of finite ocean resources.

• Journal of the Korean Society for Marine Environment & Energy
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• v.16 no.3
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• pp.151-162
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• 2013

Studies of the distribution of micro-phytoplankton community and chlorophyll a concentration have focused on the vertical profiles of marine environmental factors such as water temperature, salinity, sigma-t, light intensity, and dissolved oxygen in the continental slope on the east parts of East China Sea in the early summer of 2009. Water temperature showed a gradual reduction according to the depth. While the salinity was low in the surface layer showing a mixed down to the relatively subsurface layer, it was increased with an increase in the depth at the middle and bottom layers showing a maximum value at 150~200 m followed by a decreasing aspect afterwards, although the change was not large. The change of sigma-t was governed by the water temperature, and gradually increased in the surface layer with an increase in the depth, showing a value higher than in the surface layer by about 3 $kg/m^3$ at the bottom layer. Although the intensity of light was exponential reduced in the surface layer, the compensation depth was located at the depth of about 80m. The vertical profiles of chlorophyll a concentration was governed by the intensity rather than the changes in water temperature or salinity, exhibiting a maximum value at the compensation depth corresponding to 1% in the surface light intensity. The micro-phytoplankton communities consisted of 56 genera 103 species showing a relatively variety, while the standing crop was also changed to 112.0~470.0 cells/L in the pelagic environment, showing a maximum chlorophyll a concentration. Although a variety of dominant species appear at low dominance without dominant species appearing with a right-wing point in the phytoplankton communities, the silicoflagellate, Otactis otonaris at the station A and the dominance of 26% due to Leptocylindrus mediterraneus at the station C have been judged to be unusual. For community analysis of infinitesimal creatures such as phytoplankton of oligotrophic waters through the present study, ecology studies through vertical sample collection agreeing with the results of continuous observation such as identification of vertical distribution in a marine environment or of maximum chlorophyll layers have been considered rather than a survey method with intervals of a given depth such as surface, subsurface, middle and bottom layers.

• Journal of the Korean Society for Marine Environment & Energy
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• v.13 no.3
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• pp.151-164
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• 2010

Field observations on the seasonal variations of environmental factors and phytoplankton community were carried out four times at 30 stations in the narrow strait between Yeosu and Dolsan Island of the Korean South Sea from September 2005 to May 2006. The ranges of water temperature, salinity and extinction coefficient in the surface waters were 5.6~26.3, 25.36~33.92 psu and 0.13~2.13, respectively. The water temperature measured higher at Gamak Bay in summer and spring. It measured higher at Yeosuhae Bay in autumn and winter. Salinity showed uniformity of distributions in almost all areas, except for an area near a sewage disposal outlet. Extinction coefficient indicated that the turbidity of Gamak Bay and the area near the sewage disposal outlet were higher than that of the Yeosuhae Bay. In the phytoplankton community were identified a total of 99 species belonging to 51 genera. The species composition showed itself to be various in summer and autumn, but poor in winter and spring with a high ratio of centric diatoms all the year round. Seasonal succession of dominant species were Skeletonema costatum and Chaetoceros curvisetus in summer, Eucampia zodiacus in autumn and winter, and Chaetoceros affinis and Thalassionema nitzschioides inspring. Standing crops of phytoplankton and Chlorophyll $\alpha$ concentration were greatly higher at Gamak Bay in summer with ranges of $0.2{\times}10^4\;cells\;L^{-1}$ to $296{\times}10^4\;L^{-1}$, and $1.94\;L^{-1}$ to $22.12\;L^{-1}$, respectively. From the results of principal component analysis (PCA), the northern part of Dolsan Island was divided into two or three regions from the characteristics of marine environment and phytoplankton community.

• Journal of the Korean Society for Marine Environment & Energy
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• v.10 no.3
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• pp.155-166
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• 2007

We carried out a study on the marine environment, such as water temperature, salinity, density and chlorophyll ${\alpha}$, and the distribution of phytoplankton community, such as species composition, dominant species and standing crops in the Southwestern Sea of Korea during early summer 2005. According to the analysis of a T-S diagram, three characteristics of water masses were identified. We classified them into Korean and Chinese coastal water, the cold water and the oceanic water. The first was characterized by high temperature and low salinity in the surface layer influenced by river run offs from China and Korea, the second by low temperature and salinity in bottom layer originated from the bottom cold water of the Yellow Sea, and the third by high temperature and high salinity influenced by Tsushima warm currents. The internal discontinuous layer among them was formed at the intermediate depth (about $10{\sim}20\;m$ layer). And the thermal front appeared in the central parts between Tsushima warm currents and Korean and Chinese coastal waters in the Southwestern Sea of Korea. Chlorophyll ${\alpha}$ concentration was high values in the Korean coastal waters and sub-surface layers. But It was low concentration in the Tsushima warm currents regions. The $Chl-{\alpha}$ maximum layers appeared in the sub-surface layer below thermocline. The phytoplankton community in the surface and stratified layers was composed of a total of 40 species belonging to 26 genera. Dominant species were 2 diatoms, Paralia sulcata, Skeletonema costatum and a dinoflagellate, Scripsiella trochoidea. Standing crops of phytoplankton in the surface layer were very low with cell density ranging from 5 to $3.8\;{\times}\;10^3\;cells/L$. Diatoms were controlled by the expanded low salinity coastal waters of the low salinity with high concentrations of nutrients. Otherwise phytoflagellates were dominant in the high temperature regions where the Tsushima warm currents approches the Southwestern Sea of Korea in early summer.

• Journal of the Korean Society for Marine Environment & Energy
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• v.8 no.2
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• pp.100-110
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• 2005

We carried oui a study on the marine environment and distribution of phytoplankton community, such as chlorophyll a, species composition, dominant species and standing crops in the Northern East China Sea during early summer of 2004. According to the analysis of a T-S diagram, three characteristics of water masses were identified. We classified them into the coastal water mass, the cold water mass and the oceanic water mass. The first was characterized by the low temperature and the low salinity originated from China territory, the secondary was characterized by the low temperature, the low salinity and the high density originated from bottom cold water of Yellow Sea, and the third was done by the high temperature and salinity originated from Tsushima warm current. The internal discontinuous layer among them was farmed at the intermediate depth (about $5{\sim}30m$ layer). And the thermal front by upwelling region between the cold water mass and Tsushima warm current appeared in the central parts of the South Sea of Korea. The Phytoplankton community in the surface and stratified layers was a total of 44 species belonging to 26 genera. Dominant species were Prorocentrum triestinum, Scrippsiella trochoidea, Skeletonema costatum & Leptocylindrus mediterraneus. Standing crops of phytoplankton in the surface layer fluctuated between $0.3{\times}10^3$ cells/L and $10.8{\times}10^3$ cells/L. Diatoms appeared mainly in the Tsushima warm current regions, and flagellates occurred in the frontal zone and the low salinity regions where was the transfer areas of Chinese continental coastal waters. Chlorophyll a concentration by controlled phytoflagellate ratio in the South Sea of Korea was high values in the frontal zone and sub-surface layer. It was high concentration in the upwelling and coastal waters regions, but low concentration in the Tsushima warm current regions. The Chl-a maximum layers appeared in the thermochline depth or sub-surface layer lower than thermocline. The phytoplankton production in the South Sea of Korea was controlled by the expanded coastal waters of Chinese Continent which include a high concentrations of nutrients.

• Journal of the East Asian Society of Dietary Life
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• v.25 no.2
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• pp.352-362
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• 2015

The purpose of this study was to examine portion sizes and nutritional quality of foods served to children at Community Child Centers (CCCs), July 2014, in Korea. A survey was administered to foodservice employees working at CCCs. Thirty-nine participants completed the self-administered questionnaire regarding CCCs foodservice practices. In the weight test, fifteen volunteers of demonstrated typical portion sizes for $5^{th}$ grade elementary school students. Nutrition knowledge scores were significantly different between foodservice employees with experience taking a foodservice class for one year (6.04 out of 10.0 points) and those without experience (4.58 points). Foodservice employees with experience taking a foodservice class scored significantly higher in performing meal serving practices, e.g., wearing a sanitary cap and apron when serving food, than those without experience. The amount of foods served for children did not meet standard serving sizes; portion sizes of rice, soup, main dish, side dish and kimchi served by foodservice employees were 87.3%, 63.2%, 56.5%, 37.1% and 81.3% of standard serving sizes, respectively. When energy and nutrient intakes from portion sizes were calculated, energy, vitamin A, thiamin, riboflavin and calcium intakes did not meet standards for nutrition control of school meals. However, protein, vitamin C and iron intakes met more than 100.0% of standards. These findings suggest that foodservice employees with experience taking a foodservice class apply their knowledge to foodservice practices. Although portion sizes can influence energy and nutrient intakes in children, the actual portion sizes served by CCCs foodservice employees were inadequate and did not meet standards for serving size and nutrition. Thus, all CCCs foodservice employees need to receive foodservice education and be provided guidelines regarding portion sizes for children.

• Journal of Korean Academy of Nursing
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• v.25 no.4
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• pp.751-773
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• 1995

We, clinical nurse specialists practising and guiding student practice in a Community health nursing clinic, wanted to develop a family pattern appraisal consistent with Rogers' conceptual system, the nursing model guiding our practice. We use Rogers' model because it is harmonious with the traditional Korean view of the one human, natural and cosmic world. The purpose of our research was to contribute to science - based nursing practice, not only, one helpful model, but also a model of how to use, in guiding practice, a conceptual system which reflects nurse practitioners' philosophy of nursing, is intellectually satisfying, and enriches meaning in daily nursing life. The research objectives were to review the literature on Rogers' model and analyse it according to Kim's five - level analytical framework, to explore Rogers' definition of family, to review appraisals based on Rogers' model, and to develop a family appraisal which is culturally appropriate for use in our community. This work including the use of the appraisal and its refinement with families in our practice which was done during 1994 and 1995, in Seoul, in the Capital of the Republic of Korea. At the highest level of analysis, Rogers conceptual system emphasizes acausality and multidimentional meaning ; the world view is characterized by process, movement and wholeness. The epistemology Is one of holism and the knowledge base includes all forms of experience, from sensory to mystical, objective, and subjective. At the metaparadigm level, nursing focuses on the unitary human being and the environment. At the level of nursing philosophy, the model identifies human being, nursing, nurse, and illness and health. At the paradigm level the model assumes the irriducibility of the human to parts, noncausality and continual change. Rogers' practice methodology consists of pattern manifestation appraisal and deliberative mutual patterning. Under-standing patterns and patterning of people is the key to helping them achieve their potential. At the theory level, the basic assumptions, key concepts, and homeodynamic principles were identified. Rogers states the family energy field is an undividable, four-dimensional negentropic energy field which is in a larger envircinmental field show-ing such characteristics as cannot be predicted by knowledge of individual family members. Based on the word of Rogers scholars, we chose Rogers' correlates of patterning to understand the family unit as a whole-frequency, rhythms, motion, time perception, sleeping-waking beyond waking, pragmatic -imaginative-visionary to develop the appraisal. We, also used some of Barrel's (1988) criteria including interpersonal network and professional health care access and use, and Cordon's (1982) criteria including self perception - self concept modified to fit the family. Our family Pattern appraisal included 1. Influencirg data, 2. Professional health care access and use, 3. Family self perception-self concept, 4. Family interpersonal network, 5. Sleep-wake-be-yond waking, 6. Pragmatic-imaginary-visionary, 7. Family frequency and rhythm, 8. Family motion, 9. Family time perception. The appraisal was used with four families and modified to eliminate overlap and to make it possible for the family member to express themselves more easily. We plan to gain more experience with the appraisal toward further development of the tool.