• Nutrition Research and Practice
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• 제8권3호
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• pp.336-341
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• 2014

BACKGROUND/OBJECTIVE: It is expected that dairy products such as cheeses, which are the main source of cholesterol and saturated fat, may lead to the development or increase the risk of cardiovascular and metabolic diseases; however, the results of different studies are inconsistent. This study was conducted to assess the association between cheese consumption and cardiovascular risk factors in an Iranian adult population. SUBJECTS/METHODS: Information from the Isfahan Healthy Heart Program (IHHP) was used for this cross-sectional study with a total of 1,752 participants (782 men and 970 women). Weight, height, waist and hip circumference measurement, as well as fasting blood samples were gathered and biochemical assessments were done. To evaluate the dietary intakes of participants a validated food frequency questionnaire, consists of 49 items, was completed by expert technicians. Consumption of cheese was classified as less than 7 times per week and 7-14 times per week. RESULTS: Higher consumption of cheese was associated with higher C-Reactive Protein (CRP), apolipoprotein A and high density lipoprotein cholesterol (HDL-C) level but not with fasting blood sugar (FBS), total cholesterol, low density lipoprotein cholesterol (LDL-C), triglyceride (TG) and apolipoprotein B. Higher consumption of cheese was positively associated with consumption of liquid and solid oil, grain, pulses, fruit, vegetable, meat and dairy, and negatively associated with Global Dietary Index. After control for other potential confounders the association between cheese intake and metabolic syndrome (OR: 0.81; 96%CI: 0.71-0.94), low HDL-C level (OR: 0.87; 96%CI: 0.79-0.96) and dyslipidemia (OR: 0.88; 96%CI: 0.79-0.98) became negatively significant. CONCLUSION: This study found an inverse association between the frequency of cheese intake and cardiovascular risk factors; however, further prospective studies are required to confirm the present results and to illustrate its mechanisms.

• 한국식품영양과학회지
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• 제17권4호
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• pp.290-304
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• 1988

대구시내 남 녀 중학생을 대상으로 식습관 및 식품에 대한 기호도를 질문지를 통해 조사한 결과 간식내용은 과자류가 18.9%로 가장 많았으며 다음이 과일, 과즙, 아이스크림의 순이었고 간식비는 1일 300원미만이 75.5%였다. 간식비와 간식횟수는 가정의 월수입과 어머니의 학력이 높을수록 높았다. 간식 장소는 집과 학교 매점이 약 80%로서 거의가 건전한 장소에서 행해지고 있음을 알 수 있다. 아침 식사의 결식율은 21.8%로서 비교적 높은편이어서 아침 식사가 전체 영양섭취에 미치는 영향을 고려할 때 식습관의 중요한 문제점으로 지적될 수 있었다. 아침 식사의 형태는 94.2%가 밥이었고 이것은 다른 지역에서의 결과보다 높게 나타났다. 영양제 복용에 대해서는 ‘복용한 적이 있다’와 ‘복용하고 있다’가 50.5%로서 대상자의 약 반수가 영양제 복용을 선호하고 있으며 식사시 영양에 대한 고려 정도는 ‘전혀 고려하지 않는다’가 24.0%가 비교적 높아 부모 및 지도자를 통한 영양교육이 필요하다고 본다. 인스턴트식품의 이용에 관한 조사에서 ‘전혀 먹지 않는다’는 2.8% 뿐으로 대부분의 중학생이 인스턴트식품을 이용하고 있었으며 기호경향은 좋아하는 경우가 72.9%였다 식품섭취 상태진단의 조사에서는 식품섭취 내용점수가 평균 8.3으로 양호한 편이었다. 남자보다 여자가, 가정의 월수입과 어머니의 학력이 높을수록 점수가 높았다. 70가지 식품에 대한 기호도를 5단계 척도법으로 집계한 결과 대상자의 기호경향은 ‘ 대단히 좋아한다’가 전체 식품의 37.3%로서 식품에 대한 수용성이 높았다. 식품별 기호도 순위는 남녀 모두 딸기가 가장 높았으며 마늘이 가장 낮았다. 식품군별로는 과일류가 가장 높았고 어패류가 가장 낮았다.

• 대한지역사회영양학회지
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• 제11권5호
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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.

• 대한지역사회영양학회지
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• 제13권2호
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• pp.253-262
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• 2008

Previous studies have indicated that incidence of rheumatoid arthritis (RA) is partly related to the damage of antioxidant systems, but etiology of RA is not fully identified. This study was performed to evaluate nutrient intakes including antioxidants, health related behaviors and food habits of RA patients and controls. RA patient group (n = 68) and sex-matched healthy controls (n = 68) were joined in this study. Nutrient intake was estimated using a semiquantitative food frequency questionnaire. As mean age of RA ($52.9{\pm}13.8$ years) was significantly higher than those of controls ($48.7{\mp}5.9$ years), data were analyzed by using Student's t-test, adjusted for age. There was no significant difference between two groups in body mass index. Compared with those of controls, frequencies of drinking (p < 0.001) and coffee consumption (p < 0.05) of RA groups were lower. RA groups had lower frequencies of fruit (p < 0.01), vegetable (p < 0.05) and fatty meat (p < 0.05) consumptions and balanced diet (p < 0.01), and higher frequencies of fried dishes (p < 0.01), and salty dishes (p < 0.01), compared to controls. The most nutrient intakes including energy intake of RA were tended to be lower than those of controls. Vitamin A, ${\beta}$-carotene and vitamin C intakes were significantly lower in RA than controls (p < 0.001). Daily vitamin A, ${\beta}$-carotene and vitamin C intakes of RA were lower than those of control (vitamin A: RA $360.6{\pm}252.23{\mu}g$ RE, control $844.5{\pm}426.2{\mu}g$ RE, p < 0.001; ${\beta}$-carotene: RA $1450.9{\pm}1019.0{\mu}g$, control $3968.8{\pm}2248.21{\mu}g$, p < 0.001; vitamin C; RA $40.6{\pm}21.48mg$, control $84.7{\pm}40.29$, p < 0.001) These results suggest sufficient consumption of antioxidant nutrients may prevent and improve RA status.

• 대한지역사회영양학회지
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• 제27권3호
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• pp.192-204
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• 2022

Objectives: This study examined the association between dietary behaviors and perceived health status among Korean adolescents from multicultural families. Methods: This cross-sectional study included 2,459 Korean adolescents from multicultural families (aged 13 ~ 18 years) who participated in the 2017 ~ 2019 Korea Youth Risk Behavior Surveys. Information on the sociodemographic variables, dietary behaviors, and lifestyle variables was self-reported using a web-based questionnaire. The dietary behaviors analyzed in this study were the breakfast and food intake frequencies, including fruit, vegetable, milk, fast food, carbonated drink, sweet drink, and high caffeine/energy drinks. The adolescents' health perception was self-rated as healthy, average, or unhealthy. The dietary behaviors associated with health perception were examined using a multiple logistic regression after adjusting for the confounding variables. Results: In this study population, 7.6% of adolescents perceived their health status as unhealthy, and 25.4% perceived it as average. The adolescents who were girls, middle school students, and in households with a low economic status showed significantly higher percentages of poor health perception (P-values < 0.001). Skipping breakfast was significantly associated with a negative health perception. Compared to the adolescents who consumed fruits every day, those who did not consume fruits during the previous week showed a higher odd ratio (OR) for a negative health perception [OR = 2.29, 95% confidence interval (CI) = 1.32-3.97]. The adolescents who frequently consumed carbonated drinks (≥ 5 times/week) perceived their health status as unhealthy relative to those who did not consume carbonated drinks (OR = 2.15, 95% CI = 1.25-3.71). Skipping breakfast was significantly associated with an increased OR for a negative health perception in girls but not in boys. Compared to adolescents with a normal weight, those with overweight/obesity (OR = 1.75, 95% CI = 1.21-2.52) and underweight (OR = 2.19, 95% CI = 1.25-3.82) showed higher ORs for negative health perception. Positive associations of overweight/obesity and underweight with negative health perception were observed in boys but not in girls. Conclusions: Dietary behaviors and weight status were associated with the health perception in Korean adolescents from multicultural families. These findings suggest that nutrition interventions on breakfast intake and healthy food choices for this population might effectively improve their weight and perceived health status.

• Journal of Nutrition and Health
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• 제56권3호
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• pp.288-299
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• 2023

본 연구는 COVID-19 유행 동안 대학생의 체중변화를 알아보고 체중증가와 관련된 생활습관 및 식생활 변화를 파악하기 위해 실시되었다. 대학생 270명을 대상으로 2021년 9월 22에서 10월 26일까지 온라인 설문조사를 실시하였다. 체중증가와 일반적 특성, 생활습관 및 식생활 변화와의 관련성이 로지스틱 회귀분석을 통해 평가되었다. 체중이 증가하였다고 응답한 비율은 남성이 42,9%, 여성이 44.7%이었다. 체중이 증가한 주요 이유로는 외부활동 제한으로 활동량 감소, 배달음식이나 인스턴트 위주의 식습관으로 조사되었다. COVID-19 유행 동안 체중증가와 일반적 특성 및 생활습관과의 관련성을 평가한 결과 체중증가는 주관적 건강상태가 나쁜 경우 (OR, 3.97, 95% CI, 1.98-7.96), 저체중 (OR, 0.19, 95% CI, 0.05-0.83)과 유의적 수준에서 관련성이 있었다. 체중증가와 식생활과의 관련성에 대하여 분석한 결과 체중증가가 아침 섭취빈도 증가(OR, 4.44, 95% CI, 1.76-11.21), 간식 섭취빈도 감소 (OR, 0.35, 95% CI, 0.16-0.77), 과일 섭취빈도 감소 (OR, 3.0, 95% CI, 1.32-6.80), 탄산음료 및 가당음료 섭취빈도 증가 (OR, 2.74, 95% CI, 1.26-5.99), 패스트푸드의 섭취빈도 증가 (OR, 2.32, 95% CI, 1.14-4.70)와 유의적 수준에서 관련이 있었다. COVID-19 유행은 체중증가와 생활습관 및 식생활 변화에 영향을 미쳤다. 향후 감염병을 대비하여 좀 더 많은 표본을 대상으로 한 조사결과를 바탕으로 구체적인 건강 및 영양관리 방안이 마련되어야 한다.

• 산업융합연구
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• 제21권10호
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• pp.29-35
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• 2023

본 연구는 한국의 청소년들이 학교에서 받는 영양 및 식습관 교육이 실제로 식생활 문화와 어떠한 연관성과 영향을 미치는지 알아보고자 한다. 본 연구의 대상과 방법은 2022년도(제18차) 청소년건강행태온라인조사(KYRSB) 자료를 이용한 이차분석연구이다. 아침식사 빈도, 아침식사 결식 이유, 과일, 고카페인 음료, 단맛 나는 음료, 패스트푸드, 채소, 우유, 물, 야식 섭취 빈도를 변수로 SPSS프로그램을 활용하여 통계적 유의성을 확인하였다. 학교에서 영양·식습관 교육을 받은 그룹과 받지 않은 그룹은 아침 식사, 패스트푸드, 야식에 대해 유의한 차이 있었다(p<.001). 아침식사 섭취 빈도를 비교한 결과, 교육을 받은 그룹이 7일 이상 먹는 비율이 높았고, 0일의 경우는 교육을 받지 않는 그룹이 높게 나타났다. 우유 섭취에 대해서는 교육을 받지 않은 그룹이 더 높은 비율로 먹지 않았고, 물 섭취에 대해서도 교육을 받지 않은 그룹이 더 높은 비율로 1컵 미만으로 먹었다. 본 연구는 학교에서의 영양·식습관 교육, 아침 식사 및 음료 섭취에 대한 개선을 위한 연구의 기초자료 및 학교에서의 영양·식습관 교육이 더욱 효과적일 수 있는 방안 연구의 토대로 활용하고자 하였다.

• Nutrition Research and Practice
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• 제14권6호
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• pp.679-690
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• 2020

BACKGROUND/OBJECTIVES: Concerns about regional disparities in heathy eating and nutritional status among South Korean adults are increasing. This study aims to identify the magnitude of regional disparities in diet and nutritional status among Korean adults who completed the 2017 Korea National Health and Nutrition Examination Survey (KNHANES). SUBJECTS/METHODS: The participants were a nationally representative sample of Korean adults aged 19 years and older from the 2017 KNHANES (n = 6,126). We employed the svy commands in STATA to accommodate the complex survey design. The relative concentration index (RCI), absolute concentration index (ACI) and index of disparity were used to measure regional nutritional inequalities. RESULTS: Overweight and obese adults were more prevalent among the poor than among the rich in urban areas (RCI = -0.041; P < 0.05), while overweight and obese adults were more prevalent among the rich than among the poor in rural areas of South Korea (RCI = 0.084; P < 0.05). Economic inequality in fruit and vegetable intake ≥ 500 g per day was greater in rural areas than in urban areas in both relative size (RCI = 0.228 vs. 0.091, difference in equality = 0.137; P < 0.05) and absolute size (ACI = 0.055 vs. 0.023, difference in equality = 0.032; P < 0.05). CONCLUSIONS: This study provides useful information identifying opposite directions in the relative concentration curves between urban and rural areas. Adult overweight/obesity was more prevalent among the poor in urban areas, while adult overweight/obesity was more prevalent among the rich in rural areas. Public health nutrition systems should be implemented to identify nutritional inequalities that should be targeted across regions in South Korea.

• Asian Pacific Journal of Cancer Prevention
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• 제16권5호
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• pp.1913-1917
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• 2015

Background: Oesophageal squamous cell carcinoma (ESCC) is endemic in the Eastern Anatolian region of Turkey. The present study was performed to identify risk factors for ESCC that specifically reflect the demography and nutritional habits of individuals living in this region. Materials and Methods: The following parameters were compared in 208 ESCC patients and 200 control individuals in the Eastern Anatolian region: age, sex, place of living, socioeconomic level, education level, smoking, alcohol intake, nutritional habits, and food preservation methods. Results: The mean age of ESCC patients was 56.2 years, and 87 (41.8%) were 65 years-old or older. The ratio of women to men in the patient group was 1.39/1. ESCC patients consumed significantly less fruit and yellow or green vegetables and more hot black tea, 'boiled yellow butter', and mouldy cheese than did control individuals. Residence in rural areas, smoking, and cooking food by burning animal manure were also significantly associated with ESCC. Conclusions: The consumption of boiled yellow butter and mouldy cheese, which are specific to the Eastern Anatolian region, and the use of animal manure for food preparation were identified as risk factors in this region. Further studies are required to potentially identify the carcinogenic substances that promote the development of ESCC in this region.

• 대한지역사회영양학회지
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• 제12권4호
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• pp.417-425
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• 2007

The purpose of this study was to examine the prevalence of nutrition label use and its association with demographic, weight control related factors, and diet among female adults in the Seoul area. Also, the study subjects' comprehension of nutrition labels was examined using objective measures. 279 females, between ages of 20 and 49, participated in this study. 66% of the participants reported to always or often use nutrition labels when purchasing foods. Nutrition label use was significantly higher among participants who were interested in losing weight and have more knowledge on nutrition, but significantly lower among subjects who were underweight (p < 0.05). Label users had higher fruit consumption and lower intake of fatty foods and snacks (p < 0.01). Only 20% of participants answered correctly regarding questions about the total amount of calories and fats contained in the entire food package tested, and only 15% answered correctly on questions about understanding of the % daily value. Comprehension of nutrition labels were significantly lower among participants who were less educated, underweight, and married (p < 0.05). In conclusion, our study suggests that proper use of nutrition labels may improve food choices and enable healthy dietary practices. Further efforts are needed to provide public a nutrition education program on how to read nutrition labels. Modifications of nutrition labels to make it easier to understand by the public should also be considered.