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Relationship between psychological distress and the adherence to the Korean healthy eating index (KHEI): the Korea National Health and Nutrition Examination Survey (KNHANES) 2013 and 2015

  • Yoon, Yeong Sook;Oh, Sang Woo
    • Nutrition Research and Practice
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    • 제15권4호
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    • pp.516-527
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    • 2021
  • BACKGROUND/OBJECTIVES: This study examined the association of depressive symptoms, stress perception, and suicidal ideation with overall dietary quality using the newly developed Korean healthy eating index (KHEI). SUBJECTS/METHODS: This study included 9,607 adults (3,939 men and 5,668 women, ≥ 19 years) who participated in the 6th Korea National Health and Nutrition Examination Survey 2013 and 2015. The KHEI scores were calculated using the food frequency questionnaire data. Survey logistic regression analyses were performed to analyze the association between psychiatric distress and dietary quality. RESULTS: The percentage of subjects with experience of depressive mood, higher stress perception, and suicidal ideation was 8.2%, 25.0%, and 3.7% in men and 15.4%, 27.3%, and 6.0% in women, respectively. The mean KHEI score was 61.5 ± 0.29 in men and 64.8 ± 0.24 in women (P < 0.001). The present study found a difference in the adherence to specific dietary components of the KHEI between sexes. Men experiencing depressive symptoms were less likely to eat meat, fish, eggs, and beans, while depressed women showed lower vegetable intake. Both men and women with suicidal ideation showed a lower intake of vegetables. The men with stress had a lower breakfast eating score than those without stress (7.21 vs. 6.77, P = 0.016). The multivariate-adjusted odds ratios for depressive symptoms, stress perception, and the suicidal idea in women with the highest quartile of KHEI scores compared to the lowest quartile was 0.69 (95% confidence interval, 0.51-0.92), 0.73 (0.58-0.82), and 0.52 (0.33-0.82), respectively and significant dose-response associations were observed (P for trends < 0.05 for all). On the other hand, these associations were not observed in men after adjusting for the confounding variables (P for trends > 0.05 for all). CONCLUSIONS: Poor adherence to dietary recommendations is associated with psychological distress, especially in women.

Effect of 1-palmitoyl-2-linoleoyl-3-acetyl-rac-glycerol on Immune Functions in Healthy Adults in a Randomized Controlled Trial

  • Hwang, Hee-Jin;Sohn, Ki-Young;Han, Yong-Hae;Chong, Saeho;Yoon, Sun Young;Kim, Young-Jun;Jeong, Jinseoun;Kim, Sang-Hwan;Kim, Jae Wha
    • IMMUNE NETWORK
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    • 제15권3호
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    • pp.150-160
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    • 2015
  • We previously reported that 1-palmitoyl-2-linoleoyl-3-acetyl-rac-glycerol (PLAG) accelerates hematopoiesis and has an improving effect on animal disease models such as sepsis and asthma. The effects of PLAG supplementation on immune modulation were assessed in healthy men and women. The objective was to evaluate the effects of PLAG supplementation on immune regulatory functions such as activities of immune cells and cytokine production. A randomized double blind placebo-controlled trial was conducted. Seventy-five participants were assigned to one of two groups; all participants had an appropriate number of white blood cells on the testing day. The PLAG group (n=27) received oral PLAG supplements and the control group (n=22) received oral soybean oil supplements. IL-4 and IL-6 production by peripheral blood mononuclear cells (PBMC) were lower (p<0.001 and p<0.001, respectively) with PLAG than with soybean oil. However, the production of IL-2 and IFN-$\gamma$ by PBMC was unaltered with PLAG supplementation. The B cell proliferation decreased significantly in the PLAG group compared to the soybean oil control (p<0.05). The intake of PLAG in healthy adults for 4 weeks was deemed safe. These data suggest that PLAG has an immunomodulatory function that inhibits the excessive immune activity of immunological disorders such as atopic and autoimmune diseases. PLAG could improve the condition of these diseases safely as a health food supplement.

기혼여성의 부적응적 성격과 부부간의 갈등행동이 부부적응에 미치는 영향 (Effects of Married Women's Maladaptive-Personality Conflict-Behavior on Marital Adjustment)

  • 송두리;문정숙;김영희
    • 가정과삶의질연구
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    • 제30권1호
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    • pp.65-76
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    • 2012
  • The purpose of this study was to investigate effects of maladaptive personality (borderline personality, narcissistic personality, and dependent personality) and conflict behavior on marital adjustment(dyadic satisfaction, dyadic consensus, dyadic cohesion, and affectional expression) among married women. Subjects in this study were 725 married women who lived in Cheong-buk, in Gyeonggi province, Korea. Data were analyzed by the methods of frequency, percentage, Cronbach's ${\alpha}$, and factor analysis, Pearson's correlation, and hierarchical regression using SPSS-WIN version 12.0. The results of this study were as follows: 1) the less borderline personality was perceived, the more narcissistic personality was perceived, In addition, a greater perceived amount of destructive conflict behavior of wives was linked to highdyadic satisfaction in the wives'. Wives' destructive conflict- behavior was the most important parameter to predict dyadic satisfaction. 2) The less borderline personality was perceived, the less dependent personality was perceived, while the more narcissistic personality was perceived, the more destructive conflict behavior of husbands was perceived, with the, wives' incidence of dyadic consensus appearing high. Husbands' destructive conflict behavior was the most important parameter to predict a dyadic consensus. 3) The less borderline personality was perceived, the more narcissistic personality was perceived, In addition, more destructive conflict behavior of the husbands was linked to highdyadic cohesion in the wives'. Husbands' destructive conflict behavior was the most important to predict dyadic cohesion relatively. 4) The more destructive conflict behavior of wives was perceived, the higher the wives' affectional expression appeared. The wives' destructive conflict behavior was the most important parameter to predict affectional expression.

부모가 지각한 가족건강성, 사회적 지지, 부모효능감이 자녀의 학교적응에 미치는 영향 (The Effect of the Children's School Adjustment on Family Strength, Social Support and Parental Efficacy according to Their Parents Perception)

  • 이지훈;박옥임;김진희;박준섭
    • 한국지역사회생활과학회지
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    • 제24권1호
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    • pp.13-25
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    • 2013
  • The purpose of this study was to examine the effect of the children's school adjustment on family strength, social support and parental efficacy according to their parents perception and to submit basic material to recognize the necessity of strengthening parental capability for enhancing children's adaptation to school. The summary of the results of the study was as below. All of the subjects who recognized family strength, social support and parental efficacy according to their parents perception showed middle score over 3. The parents who recognized family strength and parental efficacy were examined as the factors which influence children's adjustment to school. These showed that children's adjustment to school is better when parents recognized that family strength is higher, and when parents recognized that parental efficacy is higher. But when parents recognized social support, no meaningful influence appeared, so if the parents who are first social supporters of school-aged children understand the importance of children's adjustment to school, which has a high adaptability with high social support, and recognize the difference of the influence of social support on the children's adjustment to school and home, it could be the factor to reduce children's adjustment problems at school.

'나트륨 줄이기 참여 건강음식점'의 나트륨 저감화 실태 (Study on Sodium Reduction: 'Healthy Restaurant for Sodium Reduction')

  • 홍순명;이지혜;김혜경;유리나;서정희;허은정;조성숙;양정아
    • 대한영양사협회학술지
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    • 제20권3호
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    • pp.174-182
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    • 2014
  • This study compared total sodium amounts in 'Healthy Restaurant for Sodium Reduction' menu items located in Seoul, Chungcheong, and Gyeongsang in 2011 and 2012. In addition, this study explored reduced sodium cooking methods in 'Healthy Restaurant for Sodium Reduction'. This study monitored and collected menu samples from a total of 103 restaurants participating in 'Healthy Restaurant for Sodium Reduction' in 2011 and 2012. We also surveyed restaurant employees to identify reduced sodium cooking methods in 2012. The results showed significant reductions in total amounts of sodium in menu items of restaurants located in Seoul, Chungcheong, and Gyeongsang between 2011 ($310.8{\pm}156.8mg/100g$) and 2012 ($211.6{\pm}110.3mg/100g$). Amounts of sodium in all seven foodgroups showed significant reductions between 2011 and 2012: 'Gook/Tang' (from $226.6{\pm}127.7mg/100g$ to $168.5{\pm}74.3mg/100g$), 'Jjigae/Jeongol' (from $385.8{\pm}111.7mg/100g$ to $257.1{\pm}82.53mg/100g$), 'Noodle/Dumpling' (from $263.8{\pm}116.9mg/100g$ to $194.1{\pm}55.6mg/100g$), 'Gui' (from $390.3{\pm}120.6mg/100g$ to $258.8{\pm}92.7mg/100g$), 'Steamed dish' (from $305.3{\pm}124.3mg/100g$ to $175.6{\pm}76.6mg/100g$), 'Bob' (from $273.7{\pm}162.5mg/100g$ to $167.1{\pm}93.1mg/100g$), and 'Stir-fried dish' (from $368.6{\pm}116.6mg/100g$ to $219.0{\pm}72.4mg/100g$). The survey results showed that responses for 'Reducing salt amount' were 75.7%, responses for 'Using enchovy stock, shrimp, radish, or fruit soup' were 64.1%, and responses for 'Liking the taste because it is bland' were 50%. This study indicates that 'Healthy Restaurant for Sodium Reduction' nutrition policy was successful for reducing sodium contents of restaurant menu items, and also consumers were satisfied with the tastes.

Level of Knowledge and Behavior of Family Health Personnel Workers in Izmir about Early Diagnosis for Breast and Cervix Cancer

  • Yasli, Gokben;Turhan, Ebru;Eser, Sultan;Tozun, Mustafa;Oguz, Murat;Alpay, Fatma
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권6호
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    • pp.2501-2505
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    • 2015
  • Purpose: The present study was carried out to measure knowledge level and behavior of family health personnel (FHP) in Izmir on early diagnosis of breast and cervical cancers. Materials and Methods: The study population of this cross-sectional study was not selected. A questionnaire was applied to all FHP to measure knowledge level and behavior about cancer. The participation rate was 88%. Breast examination, mammography analysis, Papanicolaou smear applications were determined as dependent variables, and knowledge level about breast and cervical cancer, age, professional time as FHP as independent variables. Data were evaluated using definitive statistics, chi-square and logistic regression tests in SPSS software package for Windows 15.0. Results: A total of 970 family health personnel participated in the research. The age range was 20-45 years (82.4%). Mean age was $37.9{\pm}7.4$. Response rate was 87.3%. Of the participants, 88.4% performed breast self-examination. Rate of performing mammography at least once was 24.1%. Rate of performing Pap-smear examination at least once was 61.0%. In logistic regression analyses, it was determined that people with knowledge on breast and cervical cancer were those performing breast self-examination, mammography and Pap-smear examinations (p<0.05. Conclusions: It is essential that the knowledge, behavior and manners of health providers on early diagnosis for cancer increases awareness in the general population and provides information on execution ofthe most effective methods for generating a healthy society.

노인의 스트레스 생활사건, 자아존중감, 지각된 건강상태에 관한 연구 (A Study on Stressful Life Events, Self-esteem and Perceived Health Status of the Elderly in a Rural Community)

  • 강영실;박옥희
    • 한국보건간호학회지
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    • 제13권1호
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    • pp.1-11
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    • 1999
  • This study was performed to estimate stressful life events, self-esteem and perceived health status in the elderly persons and to compare degree of self-esteem and perceived health status according to experience of stressful life events and general characteristics. The data was collected from 179 elders in a rural community. Data collection was done from October 20 to December 6, 1997. A comparison of self-esteem and perceived health status by experience of stressful life events and general characteristics was summarized as follows : 1) Eighty three persons, $46.4\%$ of the surveyed, have experienced stressful life events, including disease(54 persons) and death of family member(l2 persons). 2) Thirty eight percents of the surveyed persons evaluated they are not healthy. The average score of perceived health status of the elderly was 2.88± .92 for the scale of 5, which represents the healthiest status. 3) There were significant differences on the self-esteem score in the elderly according to having a spouse or not(t=3.51. p=.00l), having family members living together or not(t=2.98. p=.003) and socioeconomic status(F=7.08. p=.00l). 4) There were significant differences on the perceived health status in the elderly according to experience of stressful life events(t=3.51. p=.00l), having family members living together or not(t=2.09, p= .038) and socioeconomic status(F=6.56, p=.002). 5) Positive correlation was observed between self-esteem and perceived health(r= .5037, p=.000). The above results imply that support of family and society should be reinforced to improve self-respect and health of aged persons, and that it is desirable to build up social and economic environment promoting health status through daily life.

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Effect of high-dose ginsenoside complex (UG0712) supplementation on physical performance of healthy adults during a 12-week supervised exercise program: A randomized placebo-controlled clinical trial

  • Lee, Eon Sook;Yang, Yun Jun;Lee, Jun Hyung;Yoon, Yeong Sook
    • Journal of Ginseng Research
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    • 제42권2호
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    • pp.192-198
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    • 2018
  • Background: Ginseng has been used as an ergogenic agent, although evidence for its effectiveness is weak. A randomized, double-blind, placebo-controlled clinical trial was conducted to evaluate the effect of a ginsenoside complex (UG0712) on changes in exercise performance. Methods: Sedentary individuals (n = 117) were randomly assigned into one of three groups: low-dose ginsenoside supplementation (100 mg/d, n = 39), high-dose ginsenoside supplementation (500 mg/d, n = 39), or a placebo group (500 mg/d, n = 39). All participants underwent a supervised 12-wk aerobic and resistance exercise training course. To assess the effects of supplementation on physical performance, maximal oxygen consumption ($VO_2max$), anaerobic threshold (AT), lactic acid, and muscle strength of the dominant knee were measured at baseline, every visit, and after the training program. Results: Both ginsenoside groups showed significant increases in $VO_2max$ and muscular strength during exercise training. There were no definite changes in AT and lactic acid levels over time. After exercise training, there were definite differences in the $VO_2max$ (28.64.9 to $33.7{\pm}4.9ml/kg/min$ in high-dose group vs. $30.4{\pm}6.7$ to $32.8{\pm}6.6ml/kg/min$ in placebo, p = 0.029) and AT ($19.3{\pm}4.2$ to $20.9{\pm}3.5ml/kg/min$ in high-dose group vs. $20.0{\pm}5.1$ to $20.0{\pm}4.9ml/kg/min$ in placebo, p = 0.038) between the high-dose ginsenoside and placebo groups. However, there was no difference in $VO_2max$ between the low-dose ginsenoside and placebo groups (p = 0.254). There were no differences in muscular strength during exercise training among the three groups. Conclusion: High-dose ginsenoside supplementation (UG0712) augmented the improvement of aerobic capacity by exercise training.

Workplace foodservice meals are associated with higher nutritional quality among adult Korean workers: a nationwide cross-sectional study

  • Shin, Woo-young;Cho, Soo Hyun;Kim, Jung-ha
    • Nutrition Research and Practice
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    • 제16권2호
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    • pp.248-259
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    • 2022
  • BACKGROUND/OBJECTIVES: Adequate nutritional intake is essential for good health and well-being. We aimed to compare the nutrient intake from homemade meals, meals sourced externally ("eating out"), and meals from workplace foodservices, as well as the potential association between foodservices used and nutritional quality among adult Korean workers. SUBJECTS/METHODS: We used data from the Korea National Health and Nutrition Examination Survey, a nationwide cross-sectional survey on the health and nutritional status of the Korean population. Data from 6,845 workers aged 20-64 years were included. A survey on dietary behavior and nutrition was conducted using the 24-h dietary recall method. Nutritional quality was examined using the index of nutritional quality (INQ) score. Higher INQ scores reflected poorer nutritional quality, with insufficient intake of a higher number of nutrients. Multivariate linear regression was used to identify the association between the foodservices used and INQ scores after adjusting for other covariates. RESULTS: We found that foodservice users exhibited a higher 1-day intake of total energy and macronutrients (all P < 0.05) and lower INQ scores (P < 0.01) than non-users. The INQ scores for total daily meals decreased with the frequency of foodservice use (P < 0.01). A significant association was observed between the non-use of foodservices and INQ scores (β = 0.29, P < 0.01) after adjusting for other covariates. CONCLUSIONS: The use of workplace foodservices contributed to higher dietary nutritional quality among workers. This study highlights the importance of expanding the scope of workplace foodservices to promote higher nutritional quality and healthy dietary habits among workers.

가족관련 변인과 건강가족지원사업 프로그램의 관계 (The Relationship Between Family Related Variables and Program in Healthy Family Support Business)

  • 이형하
    • 한국컴퓨터정보학회논문지
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    • 제18권1호
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    • pp.167-175
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    • 2013
  • 본 연구는 G광역시 지역주민들을 대상(n=299)으로 운영되는 건강가정지원센터의 가족지원관련 5개 프로그램(가족상담프로그램, 가족교육지원사업, 가족친화문화지원사업, 돌봄지원사업, 다양한가족지원사업)이 가족가치관, 가족간 의사소통, 가족관계성 수준을 반영한 차별화된 프로그램 개발과 활성화가 필요하다는 인식에서 출발하였다. 이러한 연구목적을 달성하기 위해 첫째, 지역주민의 가족가치관, 가족간 의사소통, 가족관계성 수준은 어떠한가? 둘째, 지역주민의 가족가치관, 가족간 의사소통, 가족관계성에 따라 가족지원사업 프로그램 요구도에 차이가 있는가?라는 연구문제를 설정하였다. 연구결과 첫째, 지역주민의 가족가치관(M=3.55, S.D.=.664), 가족간 의사소통(M=3.65, S.D.=.669), 가족관계성(M=3.69 S.D=.584) 정도는 모두 평균이상(5점만점)으로 분석되었다. 둘째, 가족의 가치관, 의사소통, 가족관계성 수준이 평균미만집단이 평균이상집단과 비교하여 가족상담프로그램을 제외하고 가족교육지원사업, 가족친화문화지원사업, 돌봄지원사업, 다양한가족지원사업 등에서 필요도가 유의미하게 높게 나타났다. 따라서 건강가정지원센터의 프로그램 참여도를 높이고 활성화시킬 수 있는 방안은 각 프로그램별도 가족의 가치관, 의사소통, 가족관계성 수준을 사전에 파악하여 집단별 프로그램 목표도를 차별화하거나, 프로그램 참여 우선순위를 결정할 때 프로그램 필요도 욕구가 높은 평균미만집단에게 우선권을 주는 방안도 고려해야 할 것이다.