• Journal of Nutrition and Health
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• 제52권2호
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• pp.185-193
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• 2019

본 연구는 나트륨 저감화를 위한 나트륨 함량과 염도 기준치를 제시하기 위하여 국내 장류 4종과 고나트륨 한식대표 음식 16종에 대하여 전국 4개 권역, 10개 지역의 가정식, 단체급식과 외식 음식의 1인 분량, 나트륨 함량과 염도를 분석하였고, 그 결과를 바탕으로 가정식과 단체급식을 위한 나트륨 및 염도의 저감 기준치를 제안하였다. 장류의 저감화 염도 기준으로 간장 12%, 된장 9%, 고추장 5%, 쌈장 6% 이하로 제안하였고, 장류 100 g의 나트륨 함량 기준은 간장 4,500 mg 이하, 된장 3,500 mg 이하, 고추장 2,000 mg 이하, 쌈장 2,500 mg 이하로 제안하였다. 음식군별 나트륨 저감 염도는 국 탕 찌개류에서는 맑은 국류 0.5%, 맑은 탕류가 0.6%, 토장국류, 일반 탕류 및 찌개류 0.7%, 토장찌개류 0.8%로 제안하였다. 어육류의 찜류와 볶음류는 0.9% 이하, 조림류는 1.0% 이하, 채소류를 포함한 기타 조림류는 1.5% 이하, 장아찌류, 배추김치와 총각김치는 모두 1.5% 이하, 건어물 볶음류는 4.0% 이하로 제안하였다. 음식군별 1인분 나트륨 함량 저감 기준은 맑은 국 400 mg 이하, 토장국 500 mg 이하, 맑은 탕류 400 mg 이하, 일반 탕류 550 mg 이하, 토장찌개류 600 mg 이하, 일반 찌개류 450 mg이하, 어육류 찜류 600 mg 이하, 어육류 볶음류 450 mg 이하, 건어물 볶음류 250 mg 이하, 어육류 조림류 350 mg 이하, 채소 조림류 150 mg 이하, 장아찌류, 김치류 (배추김치와 총각김치)는 200 mg 이하로 제안하였다. 본 연구에서는 제안한 장류의 염도와 100 g 당 나트륨 저감 기준 및 고나트륨 한식대표 음식의 1인 분량 및 1인분 나트륨 함량과 염도 저감 기준은 가정식과 단체급식의 저염 조리 시 가이드가 될 것이며, 범국민 나트륨 저감화 교육자료로도 활용되어 나트륨 섭취 저감화 실현에 도움이 될 것으로 사료된다.

• 대한지역사회영양학회지
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• 제20권6호
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• pp.433-446
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• 2015

Objectives: This study was performed to evaluate the consumer education program for reducing sodium intake based on social cognitive theory (SCT) and investigate consumer perceptions of environmental, cognitive and behavioral factors. Methods: Consumers (n=4,439) were recruited nationwide in Korea to participate in a nutrition education program for reducing sodium intake which was targeted on senior housewives (SH), parents (P), and office workers (OW). Questions regarding main factors of SCT were asked both before and after the education program. Results: SH and P recognized external social efforts and information to reduce sodium including nutrition labeling more than OW. The main barriers to practice reducing sodium intake were limited choice of low sodium food and menu, interference with social relationship when dining with others, and limited information, knowledge and skills. SH had lower barriers to practice reducing sodium intake and OW perceived 'preference to soup or stew' and 'preference to Kimchi, salted fish and fermented sauces' as barriers more than other groups at the baseline. Less than 50% of participants knew the relationship between sodium and salt, sodium in nutrition labeling, and recommended sodium intake. In addition, OW had little knowledge for capability to reduce sodium intake and lower self-efficacy to practice compared with SH and P. After education, positive outcome expectations such as lowering blood pressure, prevention of cardiovascular disease and osteoporosis were increased and barriers to practice reducing sodium intake were decreased in all groups (p < 0.05). The knowledge for behavioral capability and self-efficacy to reduce sodium intake were also improved but OW had still lower scores compared with other groups. Conclusions: These results suggested that nutrition education programs could be an effective tool to impact general population by facilitating awareness and increased capability to reduce sodium intake.

• Journal of Nutrition and Health
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• 제10권1호
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• pp.49-58
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• 1977

Nutrition counselors in Korea often encounter difficulty in their attempt to change village women's attitudes regarding food taboos which are counter to good eating habits. There are a great many food superstitions which are not due to religious influence, but seem to be related to shape and composition of food. Many expectant mothers superstitiously avoid eating certain foods for fear that they may cause mental or physical abnormality in their babies. As was shown in a previous survey (Mo, 1966)of villages in all provinces except Jeju Island, such superstitions were common among pregnant and lactating mothers. Many food taboos and superstitions based on non-scientific and irrational ideas do exist even in modern society, and are a major obstacle to nutritionally adequate food consumption. A study of food taboos among women of Jeju Island was undertaken from November to December of 1976, these results to be compared as well with those of the previous study. There were 73 items found to be prohibited during pregnancy. Of these, 48.7% were of the deaf group, 17.4% fish, 5.5% eggs, 4.7% cereal, and only 2.2% fruit. Of 252% women respondents, 111 (45% ) abstained from eating chicken, duck, and shark because of the belief that they would cause their babies to be born with gooseflesh or shark skin. Many of them avoided rabbit meat for fear that their babies might be born with harelip. It was also feared that a baby would become disfigured if his mother ate duck, goat, dog meat, chicken or duck eggs, or soup made of bones. A common superstition was that highly spiced or salty foods would cause the fetus to be hairless. Squid and octopus were believed to cause babies to have weak bones, or none at all. Most of these food taboos were associated with fears concerning Physical structure and appearance of unborn babies. Other taboos were associated with fear of undesirable behavioral characteristics. For example, some mothers thought that a baby would pinch or bite the mother's breast during the weaning period, if crab meat were eaten during pregnancy. Unevenly sliced rice cake, loach, snake meat and eel were also believed to cause a baby to be ill-tempered. The findings of this study are remarkably similar to those of the previous study conducted by the authour in 1966. Most of the same food taboos, based on non-scientific and irrational reasons, were found on Jeju Island as on the peninsula, and thor were similarly wide-spread. The results of correlational analysis show that the most significant factors related to prevalence of food taboos, are level of education and religious background. Number of food taboos is correlated with level of education. Also, food taboos are least freqent among the Christian woman. Proper nutrition education should he undertaken in order to encourage intake of protein-rich food, particularly during pregnancy when nutritional needs of mother and fetus are great.

• Journal of Nutrition and Health
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• 제30권10호
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• pp.1244-1257
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• 1997

The goals of the School Lunch Program(SLP) are to provide school children with approximately one -third of their daily nutrition requirements at a reasonable price, to foster good food habits, and to contribute to a better understanding of nutrition. In order to provide guidelines and appropriate nutritional information for SLP planning, and to identify inexpensive sources of each nutrient, representative SLP menus were analyzed for nutrient density using the Index of Nutritional Quality(INQ) and for nutrient cost. Recipes and prices of 776 meals were collected from 10 SLP primary schools in Seoul and Kyunggi province in Korea during 1995. From 4829 menu items in 776 meals, the 100 most frequently used menus were selected as representative SLP menus. From these 100 menus, eleven categories of menu were identified according to cooking methods and ingredients. Selected menus were placed into these 11 groups, with 3 to 5 menus in each except the milk group which contained only milk. The mean nutrient content, INQs, and nutrient-cost ratios were calculated for each menu and menu group. Among the 100 representative SLP menus, 'Jiajang-rice' contained the highest energy per serving portion. 'Grilled pollack ' was the highest in protein, 'Seasoned spinach ' in vitamin A, 'Spagehetti' in vitamin B1 , niacin and iron, 'Kongjorim'(hard-boiled bean with sauce) in vitamin B2 , strawberry in vitamin C, and 'fish stew ' and milk in calcium. Among the 11 menu groups, the 'One-dish' group was found to be the highest in energy , protein, vitamin A, B$_1$ and iron. The milk group was a good source of vitamin B$_2$ and calcium . The meat side dish group (panbroiled, fried or steamed )was the most suitable for providing niacin. The fruit group provided the highest level of vitamin c per portion. The nutrient densities(INQs) were found in the soup group (protein), Kimchi group(vitamin A), fruit group(vitamin B$_1$ and C), milk group(vitamin B$_2$ and calcium), stew group(niacin )and vegetable side dish group(energy, protein, vitamin B$_1$ and niacin) , vegetable side dish group(vitamin A), milk group(vitamin B$_2$ and calcium) , fruit and Kimchi groups(vitamin C), and stew group(iron). This information should be useful for school dietitians in planning most nutritious SLP menus with limited budgets. It could also be used for basic guidelines in nutrition education, and for future improvement of the SLP in Korea.

• Journal of Nutrition and Health
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• 제17권1호
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• pp.3-9
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• 1984

경남 마산시, 진해시, 창원시에 거주하고 있는 일부 유치원 아동중 단백질(蛋白質) 급원(給源) 식품(食品)을 기피(忌避)하는 103명(名)에 대(對)한 식이형성(食餌形成)과 그 요인을 조사(調査)한 결과(結果)는 다음과 같다. 1) 남여비(男女比)는 1.2 : 1로서 남아(男兒)에 다소 높게 나타나고 생활(生活)은 중류(中流)이며 어머니의 학력은 고졸(高卒), 그리고 첫째 아이가 많았고 대부분 $2{\sim}3$형제의 핵가족(核家族)이였다. 2) 단백질(蛋白質) 급원식품(給源食品) 38개중 50%이상이 기피(忌避)하는 식품(食品)은 메주콩, 꽁치, 고등어, 멸치, 조개, 굴, 된장, 명태, 북어, 납세미, 미꾸라지, 도미, 민어, 조기, 곰국, 쇠간, 돼지고기, 칼치 등 18개 식품(食品)이였고 33%이상이 먹어보지 못한 식품(食品)은 쇠간, 쇠곱창, 쇠갈비, 뱀장어. 미꾸라지 등을 들고 있었다. 3) 기피(忌避) 이유(理由)는 맛이 좋지 않아서가 43.7%로 가장 많았고 독특한 냄새가 싫어서가 29.1%를 나타내었고 어머니의 생각으로는 몸에 좋다고 억지로 먹이려한 것이 가장 큰 원인으로 (30.1%) 보고 있었고 다음이 가족이나 친구의 영향 (29.1%) 으로 보고 있었다. 4)이의 교정을 위하여 아동은 맛있고 예쁘고 골고루 해주기를 원했고 어머니들은 이에 관한 구체적인 영양교육 실시를 원하고 있었다.

• Journal of Nutrition and Health
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• 제33권2호
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• pp.202-215
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• 2000

Intake frequency of one food is often associated with other food items, but few studies examined the relationship of food intake frequency among food items. Finding the relationship among intake frequencies of different food might be useful to understand the food intake patterns of population and correlated foods would be used as an indicators of another food intake. Relationship of food intake can be also applied to make a more simple and useful form of food frequency questionnaire to assess the association between diet and various diseases. The objective of this study was to examine the correlation of intake frequency among food items in food frequency questionnaire (FFQ). A FFQ with 84 food items was administered to 14533 Korean males who 40-65 years of age participating Korean cancer research survey. Data fromm 7647 subjects who completed FFQ were used to examine correlation among food items with three different methods-log linear regression models, Spearman correlation coefficients and cell frequency distribution. To examine the rank correlation, coefficients were calculated by Spearman correlation after scoring the frequency categories. Three most correlated foods were selected in every food intems by three methods each. In most food items, there was positive correlatin, except cooked rice and cooked brown rice, in intake frequency between foods that belonged to similar food groups. But serveral food items-Sausage (processed fish, cheese), Milk (whilte bread, orange juice), Soymilk(other juices), Cheese (pizza, butter), and Coffee(thick beef soup)-showed correlation among totally different food groups. Two sets of food items which were selected by log linear regression model and Sperman correlation coefficients were compared. There were exactly three common foods in 18 food items, 2 common foods in 47 items, 1 common food in 16 items and no common food in 3 items among 3 ranked foods. Three sets of selected food were compared. There were exactly three common foods in 5 food items, 2 common foods in 21 items, 1 common food in 34items and no common food in 24 items among 3 ranked foods. These results indicate that certain patterns exist among intake frequencies of specific food items in the FFQ. More researches are suggested to understand the relationshiops among the intakes of foods so that this information can be used in developing better FFQ or analyzing missing items from self-administered FFQ.

• 한국식품영양과학회지
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• 제35권6호
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• pp.809-814
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• 2006

현행 초등학교급식의 운영효과를 증대시킬 수 있는 방안도출을 위한 기초자료로 학교급식을 받고 있는 초등학생과 그 학부모들의 급식에 대한 만족도, 식단에 대한 기호도, 급식운영에 대한 인지도 등의 현황조사를 실시하였으며 그 결과는 다음과 같다. 학부모와 학생들의 학교급식 만족도를 5점 척도로 평가한 결과, 평균 3.6점 이상으로 학교급식에 대해 비교적 높은 만족도를 보였으며, 학부모와 학생간의학교급식 만족도에 대한 유의적 차이는 없었다. 학생들의 학년별 학교급식 만족도를 조사한 결과 학년이 높아질수록 저학년 때보다 학교급식에 대한 만족도는 유의적으로(p<0.001) 낮아지는 것으로 조사되었다. 학교급식을 만족하는 이유는 학생, 학부모 모두 다양한 식단구성(66.9%,64.8%)이 가장 높았으며, 학생의 경우 음식 맛 좋음이 27.6%로 나타났고 학교급식의 만족도를 높이게 하는 주요요인이 음식인 것으로 조사되었다. 아동들이 좋아하는 음식, 학부모들이 생각하는 아동들이 좋아하는 음식은 모두 육류(22.2%, 27.9%), 간식(15.5%, 7.1%), 밥류(14.4%, 18.5%), 튀김류(15.1%, 13.6%)등이었으며, 학생들이 싫어하는 음식은 나물류(19.5%, 22.2%), 김치류(19.0%, 17.2%), 국류(14.8%, 16.3%), 생선류(19.1%,15.1%) 등으로 나타났다. 아동들이 식사를 남기는 이유를조사한 결과 배식량이 많아서(38.7%)가 가장 많았으며 음식 맛이 없어서(35.2%), 편식습관 때문에(19.2%)로 나타났다. 학부모가 생각하는 학교급식에서 개선해야 할 점은 위생관리 철저(22.5%), 질 좋은 식재료의 사용(11.5%),적정량 배식(8.6%), 조리법의 개선(8.6%), 식재료 크기조절(7.4%) 등으로 조사되었다. 본 연구는 성남지역 초등학교에 재학 중인초등학생과 그의 학부모를 대상으로 설문조사를 하였으므로 전체 초등학생 및 학부모의 의견이라고 하기에는 제한점이 있으나 학교급식의 효과를 증대시킬 수 있는 방안 마련의 참고자료로 활용되었으면 한다.

• 대한지역사회영양학회지
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• 제21권2호
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• pp.200-217
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• 2016

Objectives: The purpose of this study was to assess energy and nutritional intake and investigate the preference for food and cooking methods of the residents in elderly care facilities. Methods: Data were collected from 72 residents (10 males and 62 females) aged ${\geq}70$ years in elderly care facilities using questionnaires, food photographs for estimating dietary intake and records for daily physical activity. Results: Average age of the study participants was 85.0 years and 41, 36 and 8 had dementia, hypertension and diabetes mellitus, respectively. 15%, 65% and 19% of subjects were physically mobile, enervated, and immobile, respectively. Daily energy intake was 1360.2 kcal in men and 1378.0 kcal in women, which were 68.0% and 86.1% of the estimated energy requirement (EER) of dietary reference intake for Koreans (KDRI) for ${\geq}75$ year old individuals, respectively. Estimated energy expenditure (EEE) of subjects calculated using formula from KDRI was 1361.9 kcal and EER calculated using estimated daily physical activity (EDPA) was 1232.9 kcal. Energy intake and EEE from KDRI were higher than EER from EDPA. Dietary intake of dietary fiber, calcium, potassium, zinc, vitamin $B_2$, niacin, vitamin C were lower, and protein, phosphorous, iron, sodium, vitamin A, vitamin $B_1$, vitamin $B_6$, vitamin E were higher than the corresponding ones of KDRI. Subjects liked meats, fishes and shellfish, and fruits, while subjects disliked milk, seaweeds and salted fish and salted vegetables. Cooked rice, soybean paste soup, beef, cooked sliced radish strip, and yogurt were favorite foods, with steam being a favorite cooking method. Subjects considered nutrition as the most important factor for improving food service quality. Conclusions: Results of this study could be utilized for improving food-service for the residents in elderly care facilities, and provide a basis for setting reference intake of energy and nutrients of the elderly having very low activity levels.

• 대한지역사회영양학회지
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• 제14권5호
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• pp.565-575
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• 2009

The purpose of this study was to propose the appropriate sizes and dish combination for nutritional-balanced lunch boxes delivered to children under the government-funded meal service program in Korea. The study was based on the 3 : 1 : 2 Meal Box Magic, a nutrition education method developed in Japan. A total of 290 lunch menus, comprising of 10 day menus from 29 organizations having delivered lunch boxes to children during summer vacation of 2008, were analyzed and used as the base data for lunch box combination. Dishes of the menus were classified into 6 groups: Rice group, Protein side dish group (including meat, fish, egg, and bean dishes), Vegetable side dish group, Kimchi group (including kimchi and jangajji), Soup stew group, and the other group. Nutrient analysis was conducted for 100 ml of these dishes by CAN Pro 3.0 utilizing volume and weight conversion data used for analysis of the Korea Health and Nutrition Examination Survey and those from the Nutrient Composition of Food for Consumers. All the possible combinations of 5 dishes, comprising of 3 dishes from Rice group, Protein side dish group, and Kimchi group, respectively, and 2 dishes from Vegetable side dish group, were made using the frequently served dishes from the respective dish group. Nutrient analysis of each combination was conducted based on the assumption that a lunch box was 600 ml and filled up to 80% by dishes using the volume ratio of 3 : 1 : 1.5 : 0.5 for Rice group : Protein side dish group : Vegetable side dish group : Kimchi group. The mean and standard deviation of energy and nutrients of all combinations calculated by weighting the serving frequency of each dish selected for the combinations were $621\pm81$ kcal for Energy, $22.1\pm5.0$ g for Protein, $120\pm45$ mg for Calcium, $4.1\pm1.1$ mg for Iron, $201\pm130\;{\mu}g$ RE for Vitamin A, $0.34\pm0.10$ mg for Thiamin, $0.27\pm0.10$ mg for Riboflavin, and $24.3\pm9.6$ mg for Vitamin C. The energy percentages from Carbohydrate, Protein and Fat were 66%, 14% and 20%. The analysis results met the nutrition standard of lunch boxes for male elementary students in grades 4 through 6 under the government-funded meal service program regarding calories, nutrients except calcium and riboflavin, and macronutrient distribution ranges. Accordingly appropriate box sizes were suggested for different age and sex groups to meet the respective nutrition standards. In addition, milk or dairy products were suggested to accompany lunch boxes to supplement calcium and riboflavin intake. The method of selecting box sizes and making dish combination suggested in this study could be useful for the organizations preparing lunch boxes under the government-funded children's meal service program where nutrition professionals are not available.

• 대한지역사회영양학회지
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• 제19권6호
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• pp.513-526
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• 2014

Objectives: This study was conducted to investigate the effect of low sodium diet education program on dietary habits, diet quality, and measures of obesity in overweight or obese middle-aged women. Methods: Subjects were 81 individuals aged 45 years or over, who completed an 8-week nutrition education. The subjects were divided into a normal group (N = 30) and an overweight-obese group (N = 51) according to the BMI. The effects were evaluated by anthropometric measurement, biochemical analysis, questionnaire, and diet records before and after the program. Results: Overweight-obese group showed significant decreases in weight (p < 0.0001), BMI (p < 0.0001), percent of body fat (p = 0.0087), waist circumference (p < 0.0001), systolic (p = 0.0003) and diastolic blood pressure (p = 0.0261). Nutrients intakes were not different between the two groups and only sodium intake was decreased after education. Total score of general dietary habits, dietary behavior related to sodium intake, dietary diversity score (DDS), diet variety score (DVS), and diet quality index-international (DQI-I) were improved in both groups compared to the baseline. Overweight-obese group showed significant improvement in 'having fruits everyday', 'having fish everyday', 'trying to eat many kinds of food', 'eating less broth when eating soup, stew, and noodles', 'eating less kimchi and salt-fermented vegetable', and 'propensity to think that dishes should be pretty seasoned'. In addition, moderation of empty calories food (p = 0.0064) and macronutrient ratio (p = 0.0004) were improved in the overweigh-obese group, but in the normal group, the results did not reach statistical significance. Conclusions: These results suggested that low sodium diet education program may contribute to obesity management by improving diet quality and dietary habits in middle-aged women.