• Journal of Nutrition and Health
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• v.57 no.3
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• pp.282-291
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• 2024

Purpose: Korean patients with type 2 diabetes mellitus (T2DM) and obesity are at a high risk of developing severe non-alcoholic fatty liver disease (NAFLD). This study examined the dietary intakes and compared the risks of NAFLD-related complications in Korean patients with T2DM and obesity. Methods: Data from the Korean National Diabetes Program cohort were used to study patients with T2DM. Two hundred and sixty-five obese patients with T2DM (body mass index ≥ 25 kg/m²) were classified into NAFLD and non-NAFLD groups. The nutrient intake was analyzed using a 24-hour dietary recall questionnaire. Anthropometric and biochemical data were also obtained. Statistical analyses were performed to determine the significant differences between the 2 groups. Results: The serum gamma-glutamyl transpeptidase levels in obese patients with T2DM and NAFLD were significantly higher than in obese T2DM patients without NAFLD (p < 0.05). The serum glucose and lipid profiles showed no significant differences between the NAFLD and non-NAFLD groups. The carbohydrate, protein, and fat levels also did not differ significantly. The results showed that the fiber intake of the NAFLD and non-NAFLD groups was 14.11 ± 3.86 g/100 kcal and 15.70 ± 4.56 g/1,000 kcal, respectively, showing that the dietary fiber intake of the non-NAFLD group was significantly higher (p < 0.05). A correlation was observed between total fiber intake and γ-glutamyl transpeptidase in either patient group. In addition, the odds ratio of developing NAFLD was 0.29× lower when the fiber was consumed at 125% of adequate intake. Conclusions: A higher dietary fiber intake may reduce the risk of NAFLD in obese patients with T2DM. The dietary intake of Korean obese patients with T2DM should include and be enriched in dietary fiber to aid in preventing and treating NAFLD.

• Journal of Nutrition and Health
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• v.40 no.sup
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• pp.9-21
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• 2007

This study aimed to assess the total sugar intake for Korean and to identify major food sources contributing to those food components. Korean adults aged over 20 years old from the Korean National Health and Nutrition Examination Survey (KNHANES) 2001 and 2002 were selected. The data were analyzed to obtain nationally and seasonally representative information on the health and nutritional status of the Korean. Forty food groups were used in identifying food sources of total sugar and energy intake. Total sugar contents of foods in the KNHANES data sets were estimated by food code matching technique with Release 18 of the USDA National Nutrient Database for Standard Reference. Sample weighted means, standard errors, and population percentages were calculated using SAS and SUDAAN. The mean total sugar intake of the Korean was 60.3g in 2001, 40.9g in spring 2002, 45.7g in summer 2002, and 52.1g in fall 2002, which were 30-44% of intake of US people. Fresh fruit was identified as the most significant food source for total sugar intake in Korean population in all age groups and all seasons. The next major food sources following fresh fruits were candy/jelly/syrup/honey, coffee/coffee caream, vegetables, Kimchi, soft drinks, milk, fruit juice, cookie/cracker/cake, and vegetable juice/grain juice, which showed similar results through the seasons. While carbonated soft drink was the most significant food sources for total sugar or added sugar intakes for US people. The total sugar intakes were significantly higher in women, higher educational level, and residing in metropolitan area. As intake of total sugar increased, intakes of protein, fiber, calcium, phosphorus, iron, Vit A, B1, B2, C, niacin showed significantly increased, while high intakes of added sugars showed low intakes of some micronutrients in the US people. Percentages of people who consumed nutrients below EAR were less in higher total sugar intake group than in lower intake group. From these results, we can conclude that the food consumption habits including the total sugar intake of Korean people seems relatively good so far. More reliable database of total sugar and added sugar composition tables in public domain should be established in the future, and also more researches about total sugar and added sugar for Koreans should be continued.

• Korean Journal of Community Nutrition
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• v.11 no.5
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• pp.575-586
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• 2006

This study was performed to compare nutrient intakes, diet quality and serum indices (TG, Total cholesterol, LDL-cholesterol, HDL-cholesterol, RBC, Hb, Hct, Serum iron, ferritin, MCV) of obese and normal weight children. The subjects were 149 children living in the Seoul and Gyeonggi areas. Each subject was assigned to one of such as normal weight group ($15th{\le}BMI$ percentile < 85th, n = 82) or obese children ($85th{\le}BMI$ percentile, n = 67) according to their percentile of BMI by The Korean Pediatric Society. Data on dietary intakes, body composition and serum indices were obtained. Differences of all the above variables were assessed. Energy, carbohydrate, fat, cholesterol, total fatty acid, SFA, MUFA, PUFA, phosphate, potassium, zinc, vitamin $B_1$ and vitamin $B_6$ intakes of girls in the obese group were higher than those of the normal weight group (p<0.05). The intake of fiber was as insufficient as below 50% of KDRIs in both groups. Nutrient adequacy ratio of calcium, iron, phosphate, zinc and folate in obese boys were lower than those of normal weight boys (p<0.05). Energy intakes of grain and milk and dairy food in the obese girl group ($905.9{\pm}344.5kcal,\;210.9{\pm}166.4kcal$) were higher than those of normal weight girls ($671.2{\pm}360.7kcal,\;184.0{\pm}103.5kcal$) (p<0.05). HDL-cholesterol level of obese boys ($52.7{\pm}6.3mg/dL$) was significantly lower than that of normal weight boys ($65.3{\pm}15.6mg/dL$). Serum iron level of obese boys and girls (boys: $79.4{\pm}32.6mg/dL$, girls: $98.3{\pm}16.2mg/dL$) was significantly lower than those of normal weight children (boys: $104.8{\pm}38.6mg/dL$, girls: $106.7{\pm}28.9mg/dL$) (p<0.05). These results suggest that there should be sensible food selection and more intakes of fruit and vegetable are needed to improve the nutritional status in obese children.

• Journal of agricultural medicine and community health
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• v.41 no.2
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• pp.75-84
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• 2016

Background: Many studies focus on the causes of depression, but few assess the dietary intake. This study investigated the relationship between diet and prevalence of depression. Methods: This study used the data from the Korea National Health and Nutrition Examination Survey 2010. A total of 734 persons aged 20-65 years old in whom the presence or absence of depression was confirmed by doctor were analyzed. We analyzed associations between prevalence of depression and diet based on carbohydrate, fiber, calcium, iron, sodium, potassium, vitamin A, thiamine, riboflavin, niacin and vitamin C intakes for male and female groups. Results: There was no association between diet and prevalence of depression in the male group. For the female group, as fiber intake was increased, the prevalence of depression significantly decreased (odds ratio=0.923, 95% confidence interval=0.850-0.986), but there was no association between the other dietary intakes and prevalence of depression. Conclusion: The fiber intake and prevalence of depression are negatively correlated in women aged 20-65 years. A diet therapy including fiber may decrease the prevalence of depression.

• Journal of the Korean Dietetic Association
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• v.26 no.4
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• pp.289-305
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• 2020

Picky eating behavior is a significant factor in causing unhealthy eating and disturbing the growth of children. This study examined picky eating behaviors and food intake of 112 preschoolers aged 3~5 year, picky eaters (n=41) and non-picky eaters (n=71), living in Dobong-gu, Seoul metropolitan area, South Korea. Picky eating questionnaires and three consecutive 24-hour dietary recalls were collected from their caregivers. The difference between the two groups was verified using a Chi-square test or t-test and Pearson's correlation. Compared to the non-picky eaters, fussiness, satiety responsiveness, and refusal of food variety were significantly higher in picky eaters (P<0.001). Compared to the non-picky eaters, an assessnent of the preschooler's behavior and the caregivers' perception were positively correlated in picky eaters (r=0.749, P<0.001). The intakes of shellfish (P<0.05), vegetables (P<0.001), fiber, vitamin E (P<0.01), vitamin A, and folate (P<0.05) were significantly lower in picky eaters than the non-picky eaters. The major food sources of vitamin A and folate were vegetables, of which grains were the source of fiber, fats and oils were the source of Vitamin E, and root vegetables were source of vegetables in both picky and non-picky eaters. In conclusion, picky eating behaviors are related to different fussiness and slowness in eating. Therefore, it is suggested to increase the amount of meal and vegetable intake in picky eaters.

• Korean Journal of Organic Agriculture
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• v.5 no.2
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• pp.117-128
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• 1997

This study was carried out to investigate the amounts of voluntary intake, digestibility and nitrogen retention in Korean native goats (KNG) fed agricultural by-products containing rice straw (RS) and apple pomace (AP) and to obtain a basic information for establishing the feeding system of KNG. The result are as follows. 1. Among the chemical composition of experimental diets, the highest values in crude protein (CP ; 18.6%) and crude ash contents (10.7%) were observed in alfalfa hay. Those of RS+AP treatment were significantly low 6.0 and 4.8%, respecitively. Acid detergent fiber (ADF), ether extract and non-structural carbohydrate (NSC) contents were shown an adverse tendency. 2. Dry matter (DM) intakes per day in KNG fed RS+commercial diet (CD), RS+AP and RS+AP+CD were significantly lower (P<0.05) 210.3, 228.3, respectively than 358.1g in alfalfa hay. 3. DM intakes per basal weight expressed as DM g/kg of BW0.75 and DM g/kg of BW(%) were highest (P<0.05) 60.5g and 3.3%, respectively in KNG fed alfalfa hay, any other treatments showed 35.6 to 42.5g and 2.0 to 2.3%, respectively and this result was similar to those of DM intake per day. 4. Digestibilities of DM, organic matter, CP, ADF, neutral detergent fiber (NDF). crude ash and ether extract in alfalfa hay and RS+AP+CD treatment were significantly higher (P<0.05) than RS+CD treatment. Those of CP, ADF and NDF of RS+AP treatment in not significantly different with these treatments. 5. NSC digestibility was higher in alfalfa hay (66.7%) than those of other treatments (44.2~52.0% ; P<0.05). 6. Nitrogen retentions expressed as N retention(g) and N retention (%) in KNG were highest (P<0.05) 0.6g and 15.6%, respectively in RS+AP+CD treatment and RS+CD treatment was lowest (P<0.05) -06g and -21.4%, respectively.

• Asian-Australasian Journal of Animal Sciences
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• v.24 no.2
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• pp.206-213
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• 2011

An experiment was conducted to evaluate the effect of replacing barley and soybean meal in finishing diets with sesame hull (SH) on growth performance, digestibility, and carcass characteristics of Black goat kids. Twenty-one Black goat kids were assigned randomly to 0%, 10%, or 20% SH diets (7/diet). The study lasted for 63 d. Intakes of dry matter (DM), organic matter (OM), and crude protein (CP) of kids fed the 10% diet were greater (p<0.05) than for the 0% and 20% SH diets (p<0.10). Neutral detergent fiber (NDF) and acid detergent fiber (ADF) intakes were highest (p<0.05) for kids fed the 10% SH diet when compared to 0% and 20% SH diets. Ether extract (EE) intake was greater (p<0.05) for kids fed 10% and 20% SH diets when compared to 0% SH. Digestibilities of DM, OM, CP, NDF, and ADF were similar among all diets. However, sesame hull inclusion increased (p<0.05) EE digestibility. Final body weight, total gain, average daily gain (ADG), and feed conversion ratio were comparable among all diets. Cost of gain was lower (p<0.05) in kids fed 20% SH than the 0% SH diet, while there was no difference between the 10% SH diet and the other two diets. Dressing percentage, hot and cold carcass weights, non-carcass components, carcass cut weights, and meat quality parameters were not influenced by SH. Total fat percentage in the leg was greater (p<0.05) on 0% SH than on the 10% SH diet. Results of this study demonstrated that inclusion of sesame hull at levels of 10 or 20% did not influence the performance of Black goat kids, but the cost of gain was lower.

• Korean Journal of Community Nutrition
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• v.7 no.6
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• pp.824-832
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• 2002

The present study was conducted to evaluate nutritional intake by lunch-box of middle school girls who live in Chonbuk area. Anthropometric measurements and food intake from lunch-box over a three day period were investigated in a total of 110 middle school girls from rural (n＝37) and urban (n＝73) areas. The results are summarized as follows : 1. Not all the steamed rice in the lunch-box had enough mixed-cereal. 2. In the survey of food intake by food groups, 70.5% of the food came from the cereal group. 3. The intake of protein, phosphate, Vitamins $B_1 and B_2$, niacine and Vitamin E were adequate, however, the intake of other nutrients was significantly lower than those of one-third of the Korean RDA.4. Protein, lipid, and zinc intakes of the students from the rural area were significantly lower than those of students from the urban area. however, the carbohydrate and dietary fiber intakes of those in the rural area were significantly higher than those of the students in the urban area. 5. The percentage of calories from carbohydrate : protein lipid ratio was 67.6 : 12.2 : 16.9 for students in the rural area and 59.2 : 14.9 : 22.5 respectively for those in the urban area. In Summary, the intake of calcium, iron, Vitamins A, $B_6$, and D, folate and zinc from lunch-box in middle school girls was much lower than that of one-third of the Korean RDA. The intake of carbohydrate and dietary fiber of the students in the rural area was significantly higher, but that of protein, lipids, and zinc was lower than that of the students in the urban area. Therefore, nutritional education programs for both students and their parents should be provided to improve the daily food intake from lunch-box.

• Clinical Nutrition Research
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• v.13 no.1
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• pp.8-21
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• 2024

In this study, the effects of a 12-month multidisciplinary education program on the health status, dietary quality, and eating habits of children and adolescents attending community childcare centers were investigated. A total of 88 participants aged 7 to 17 years from 7 community childcare centers in Gyeonggi-do were enrolled. The intervention consisted of 12 multidisciplinary education sessions covering topics such as nutrition, exercise, and psychological education. All participants received the same education, and the effectiveness of the program was evaluated by categorizing them into a high participation group (HPG) and a low participation group (LPG) based on their participation rates. After intervention, in physical activities, moderate-intensity exercise was significantly reduced in the LPG, and there was no significant difference in psychological parameters. However, notable differences were observed in nutritional data. After intervention, intakes of calorie, carbohydrate, protein, and fat were significantly increased in both groups, and in particular, the change was found to be greater in HPG. Additionally, dietary fiber intake compared to the 2015 Korean Dietary Reference Intakes was increased in both groups. Daily food intake also increased dietary fiber intake in HPG, and meat and fruit intake was increased in LPG. In the nutrition quotient, there was a significant difference in HPG's pre- and post-scores in the diversity category, and in nutrient adequacy ratio (NAR), the NAR of phosphorus was increased in both groups. The findings of this study suggest that multidisciplinary education implemented at community childcare centers primarily enhanced nutrition-related factors rather than physical activity or psychological aspects.

• Journal of the Korean Society of Food Science and Nutrition
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• v.31 no.5
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• pp.802-807
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• 2002

This study was conducted to see effects of dietary bacterial fiber produced by Gluconoucetobacter hansenii on gross structure, and disaccharidase activities of small intestine and body lipid status in rats. Bacterial fiber was prepared by drying and alkali treatment of floating membrane produced IS days after the bacterial culture using coconut juice media. Male Sprague-Dawely rats of 320+10 g were grouped into three and fed 0.5% (w/w) cholesterol diets with three different dietary fibers, i .e. cellulose, and pectin and bacterial fiber, at the level of 2% (w/w). During four-week experimental period, food intakes and body weight gains were not different among three groups. Total lengths and jejunal fragment weights of small intestine did not differ among the three groups but cecal weight was higher in bacterial fiber groups than those of the other two groups. Colon content and fecal dry weight were lower in bacterial fiber group. Sucrase activity of the jejunal mucosa was lower in bacterial fiber group but maltase activity was not different from those of the other two groups. Plasma total cholesterol level was lower and that of HDL-cholesterol higher in pectin group than those of cellulose and bacterial fiber groups, the latter of which did not differ. Both in plasma and liver triglyceride levels were lower in bacterial fiber group than cellulose and pectin groups, and liver cholesterol level was lower in pectin group. Relative liver weights and Plasma activities of GOT md GPT were not different among three groups. It is concluded that bacterial fiber used in the present study had hypotriglyceridemic effect that help improve lipid status in the body.