• 대한영양사협회학술지
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• 제21권3호
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• pp.181-193
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• 2015

This study investigated anthropometric and biochemical characteristics, nutrient intakes, and bone density of Korean elderly men (over 65 yrs). Data on bone density and anthropometric (height, weight, waist circumference, body mass index and blood pressure) and biochemical (total cholesterol, high-density lipoprotein (HDL)-cholesterol, low-density lipoprotein (LDL)-cholesterol, triglyceride and hemoglobin) characteristics, nutrient intakes, and nutrient density were obtained from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES, 2008~2011). Subjects were categorized into smoking and non-smoking groups, and smoking groups were divided into three groups by smoking period (under 20 yrs, 21~40 yrs and over 41 yrs). Serum triglyceride concentrations of the smoking group aged 21~40 yrs were higher than those of other groups (P<0.01), whereas other biochemical factors were not different. Intake ratios of energy, protein, phosphorus and sodium in subjects were over 100% of Dietary Reference Intake for Koreans (KDRI). Nutrient densities according to intakes of thiamin, riboflavin, and niacin per 1,000 kcal were significantly different among the groups (P<0.05). Bone density of subjects decreased according to smoking period (T-score of total femur in non-smoking group -0.3108, and -0.2918, -0.4941, -0.6847 in smoking group, respectively). Ratio of osteoporosis was 38.1% in the non-smoking group and 44.4%, 51.1%, and 64.0% in the smoking group, respectively. The findings of the present study show that smoking may be associated with bone health, higher ratio of osteoporosis, and low nutrient density in elderly men. Therefore, practical and systematic non-smoking programs are required to improve the bone density of elderly men as well as maintain healthy bone levels and desirable lifestyle.

• 대한지역사회영양학회지
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• 제17권3호
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• pp.329-340
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• 2012

Hypertension is a well-known risk factor for cardiovascular disease. Previous studies have shown that changes in diet and lifestyle factors can prevent the development of hypertension, but the combined effects of these modifiable factors on hypertension are not well established. The objective of this study is to investigate associations of diet and lifestyle factors, evaluated both individually and in combination, with prevalent hypertension among Korean adults. We analyzed data obtained from the 2007-2008 Korean National Health and Nutritional Examination Survey, a nationwide cross-sectional study using a stratified, multistage probability sampling design. The associations of 12 nutrient intakes and lifestyle factors with risk of hypertension were explored using restricted cubic spline regression and logistic regression models among 6,351 adults. Total energy and several nutrients and minerals, including, calcium, vitamin A, vitamin C, and sodium, showed non-linear relationships with the risk of prevalent hypertension. In multivariate logistic regression models, dietary score, obesity and alcohol intake were independently associated with the risk of prevalent hypertension, but smoking and physical activity were not. Overall, participants whose dietary habits and lifestyle factors were all in the low-risk group had 68% lower prevalence of hypertension (OR: 0.32, 95 CI: 0.14-0.74) compared to those who were at least one in the high-risk group of any dietary or lifestyle factors. The result suggests that combined optimal lifestyle habits are strongly associated with lower prevalence of hypertension among Korean adults.

• 대한지역사회영양학회지
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• 제7권6호
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• pp.741-748
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• 2002

The purpose of this study was to investigate the nutritional intake and dietary habits of women divers in Tongyoung area and to support the guideline for the improvement of their dietary life style by a validation of a Computerized Semi-quantitative Food Frequency Questionaire. Compared to the women at Jeju Island, the Tongyoung divers showed similar heights (154.6 $\pm$ 0.8 cm), weights (53.5 $\pm$ 1.0 kg) and BMIs (23.3 $\pm$0.4) , but they showed especially high levels of body fat (33.8 $\pm$ 0.8) . Their dietary habits showed they usually skipped lunch, but ate too much food at once, which may represent the dietary habits shown by obese people. Over 40% of the divers were taking some nutritious food or complementary food for health, without realizing the efficacy of these foods. The analysis of nutritional intake showed that all of average daily nutrients intakes of those below 50 years were higher than those of the Korean RDA. In the case of those above 50 years, it was shown that the average daily nutrients intakes were also higher than those of the Korean RDA except for energy (94.5%) and calcium (82.1%) . However, some individual divers showed lower nutrients intakes than 75% of RDA for calcium, iron, Vitamin A and Vitamin B$_2$. Also, excessive intakes of phosphorous and sodium could be a dietary problem. There was no correlation between BMI or percentage of body fat and energy, CHO, protein or fat. These results can provide the nutritional information for this special community, women divers, to improve their health.

• 대한영양사협회학술지
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• 제30권1호
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• pp.41-60
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• 2024

The number of elderly in care facilities is increasing in parallel with a rapid increase in the elderly population in Korea. We analyzed the meal satisfaction ratings, food preferences, and nutritional intakes of 74 patients aged ≥65 years living in a nursing hospital in Daegu. Food preferences were high for cooked rice, rice gruel, meat soup, soybean paste stew, beef, frozen pollack, squid, egg, spinach, sea mustard, cabbage kimchi, apple, peanut, drinking yogurt, pickled perilla leaves, and salted squid. Preferences for duck (P<0.01) and vegetable (P<0.01) cooking method were significantly different for men and women, and preference for soybean paste stew increased with age (P<0.05). Regarding nutrient intakes, men had higher energy (P<0.01), carbohydrates (P<0.05), and zinc (P<0.05) intakes than women, while women had higher vitamin C (P<0.05) intake than men. Furthermore, energy (P<0.001), carbohydrates (P<0.001), protein (P<0.05), dietary fiber (P<0.01), vitamin B₆ (P<0.01), phosphorus (P<0.05), and zinc (P<0.001) intakes significantly decreased with age. Men had a significantly higher nutrient adequacy ratios (NARs) for carbohydrates (P<0.05) and cal- cium (P<0.01) than women, while women had a significantly higher NARs for protein (P<0.05), vitamin A (P<0.01), vitamin C (P<0.05), thiamine (P<0.01), riboflavin (P<0.001), iron (P<0.001), and zinc (P<0.01). Mean adequacy ratios were 0.69 for men and 0.75 for women. In particular, NARs for carbohydrates (P<0.01), vitamin B₆ (P<0.01), and calcium (P<0.05) decreased significantly with age. In summary, the study shows that supplementing vitamin C, vitamin B₆, calcium, and iron, reducing sodium, and providing meals that reflect preferences will improve the nutritional statuses of elderly residents in a nursing hospital.

• Journal of Nutrition and Health
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• 제48권5호
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• pp.441-450
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• 2015

본 연구는 2014년 9월 8일부터 10월 14일까지 국내 3개월 이상 거주한 만 19세 이상의 대학교에 재학 중인 중국 유학생 276명을 대상으로 고혈압 및 나트륨 관련 영양지식, 고염가공식품 섭취빈도, 고혈압예방 식생활 실천도, 식행동 변화단계를 조사하여 영양지식과 고혈압 예방 실천도와의 관계를 분석한 결과는 다음과 같다. 조사대상자의 고혈압 관련 영양지식 점수는 총 50점 만점 중 평균 40.62점으로 나타났다. '개인의 혈압은 언제, 어디서나 항상 일정하다.'의 정답률이 95.7%로 가장 높은 반면 '고혈압은 유전적 소인이 있는 질병이다.'가 44.6%로 가장 낮았다. 나트륨 관련 영양지식 점수는 총 30점 만점으로 평균 24.00점으로 나타났다. '음식 조리 시 소금을 전혀 넣지 않으면 나의 나트륨 섭취량은 0이다.'와 '나트륨 섭취를 많이 할수록 건강에 좋다.'는 항목의 정답률이 89.5%로 가장 높게 나타났으며. '국, 찌개 등의 국물을 적게 먹는 것은 혈압의 조절에 도움이 된다.'가 56.2%로 가장 낮은 정답률을 보였으나 나트륨 관련 영양지식의 전 항목의 정답률은 50%이상인 것으로 나타났다. 고염가공식품 섭취빈도는 김치류가 6.34점으로 가장 많이 섭취하는 것으로 나타났으며, 고혈압 예방 실천도는 5점 만점 중 총 평균은 3.10점으로 나타났다. 고혈압 예방 실천 항목에서 '담배를 피우지 않는다.'의 평균점수 (4.03점)가 가장 높게 나타났으며 '정기적으로 혈압을 측정하고 의사의 진찰을 받는다.'가 2.47점으로 가장 낮게 나타났다. 고혈압 예방 식행동 변화단계 분포는 고려단계 (47.1%), 행동단계 (32.2%), 고려전단계 (20.7%) 순으로 고려단계가 가장 많은 것으로 나타났다. 고혈압 예방 식행동 변화단계에 따른 고혈압 관련 영양지식, 나트륨 관련 영양지식과 고혈압 예방 실천도는 고려전단계에서 가장 낮고, 행동단계에서는 가장 높게 나타났다. 식행동 변화단계가 고려전단계에서 행동단계로 갈수록 영양지식과 식생활 실천도의 점수가 상승하는 경향이 있었다. 고혈압 및 나트륨 관련 영양지식과 식생활 실천도의 상관관계를 분석한 결과, 영양지식과 고혈압 예방 실천도가 유의한 정 (+)의 상관관계가 있었고, 고염가공식품 섭취빈도와 유의한 부 (-)의 상관관계가 있는 것으로 나타났다. 이상의 결과를 종합하면 고혈압 및 나트륨 관련 영양지식의 점수가 높을수록 고혈압 예방 실천도의 점수가 높았고, 고염가공 식품섭취빈도가 낮았다. 영양지식 점수가 높을수록 식행동 변화의 단계 중 고려전단계나 고려단계보다는 행동단계의 점수가 유의적으로 높았다. 그러므로 중국 유학생들의 건강 식생활 실천을 위해서는 고혈압과 나트륨 관련 영양지식을 교육하고, 한국음식에 대한 이해를 높임과 동시에 건강 식생활 실천을 효과적으로 할 수 있는 교육프로그램을 개발하여 고염가공식품의 섭취빈도를 낮추고, 주기적인 식생활 평가를 통한 유학생 지원 방안을 모색해야 할 것이다.

• 한국식품영양과학회지
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• 제45권5호
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• pp.757-764
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• 2016

본 연구는 경북지역 남녀공학 중학교에서 제공된 점심급식의 소금 및 나트륨 함량에 대해 알아보기 위해 칠곡지역 4개 중학교를 대상으로 한 끼당 총 소금 및 나트륨 함량과 한끼 소금 함량 기여도를 조사하였으며 그 결과는 다음과 같다. 조사대상 학교의 한 끼당 전체 평균 소금 함량은 4.41g이며, 전체 평균 나트륨 함량은 1,736.02 mg이다. 4개 학교에서 제공한 총 40개의 식단 중 1개 식단을 제외한 39개(97.5%) 식단이 식약처에서 권고하는 중학교 '삼삼급식소' 나트륨 함량 기준(1,000 mg)을 초과하는 것으로 나타났다. 특히 조사기간 동안 제공된 점심급식 중 나트륨 함량이 가장 높은 식단은 2,827.56 mg으로 나타났다. 점심급식에서 제공된 메뉴를 총 16개 군으로 분류하여 음식군별로 제공량, 염도, 소금 및 나트륨 함량을 조사한 결과 전체 평균 염도는 1.06%이며, 전체 평균 소금 함량은 0.74 g이다. 조사대상 학교에서 점심급식으로 제공된 음식을 밥류, 일품밥 면류, 국 탕 찌개류, 주찬, 부찬, 김치류, 후식류 등의 7개 메뉴 유형별로 구분하여 한 끼 소금 함량 기여도를 조사한 결과 일품밥 면류(40.56%), 국 찌개류(23.23%), 김치류(20.30%), 주찬류(18.13%), 부찬류(11.36%) 순으로 높게 나타났다. 조사기간 동안 제공된 학교별 국 탕 찌개류의 염도는 전체 평균 0.75%이며, 38개 국 탕 찌개 중 12개(32.0%)가 식약처 국염도 권고기준 0.8%를 초과하는 것으로 나타났다. 일품밥 면류와 주찬류 중 나트륨 함량이 높은 메뉴를 살펴본 결과 일품밥 면류는 쌀잔치국수(1,056.49 mg), 자장볶음밥(976.48 mg), 오므라이스(821.33 mg), 굴소스야채볶음밥(791.00 mg), 비빔밥(744.46 mg) 등의 순으로 높게 나타났으며, 주찬류는 오징어미더덕찜(1,120.88 mg), 돈육버섯볶음(626.84 mg), 김치돈육볶음(563.28 mg), 매운어묵조림(498.01 mg), 떡볶이(497.45 mg) 등의 순으로 조사되었다. 이상의 연구 결과를 통해 중학교 급식 이용자의 중식을 통한 나트륨 섭취량 감소를 위해서는 한 끼 총나트륨 함량을 1,000 mg 이하 수준으로 제공하는 것을 목표로 하는 '삼삼급식소' 사업에 학교급식이 적극적으로 참여하여 학교급식에 나트륨 저감화가 정착되도록 힘써야 할 것으로 생각한다.

• 대한영양사협회학술지
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• 제23권3호
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• pp.263-273
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• 2017

Numerous studies have investigated quantifying dietary intake according to the weight status of children and adolescents. However, studies on differences in quality among diets remain scarce. This study compared diet quality by weight status and examined correlations between quality of diet and obesity in children and adolescents. Two hundred fourteen children and adolescents aged between 9 and 18 years participated in this study (Normal weight n=104, Obesity n=110). The data related to food intake were investigated by dietary records, Diet Quality Index-International (DQI-I), and Nutrition Quotient (NQ) and then compared with Dietary Reference Intakes for Korean (KDRIs). In DQI-I, moderation factor (control of unhealthy foods) score was 21.7 in the normal weight group and 19.5 in the obesity group. The normal weight group showed a higher score for moderation factor than the obesity group (P<0.001). Compared with KDRIs, vitamin $B_6$, folate, vitamin C, vitamin E, calcium, potassium, and zinc intakes were insufficient in both groups. Multiple logistic regression analysis revealed that DQI-I moderation was negatively associated with obesity (OR=0.77, 95% CI 0.69-0.87) after adjustment for age, gender, income, and total energy intake. Our results suggest that children and adolescents require nutritional education to understand the importance of vitamin and mineral consumption. Especially, education for children and adolescents with obesity needs to emphasize moderation of nutrient intake that can cause diseases with hyper-ingestion such as sodium and high calorie-low nutrition foods.

• Nutrition Research and Practice
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• 제9권3호
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• pp.278-287
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• 2015

BACKGROUND/OBJECTIVES: Diet plays an important role in growth and development of children. However, dietary intakes of children living in either rural or urban areas can be influenced by household income. This cross-sectional study examined energy, nutrient and food group intakes of 749 urban children (1-10 years old) by household income status. SUBJECTS/METHODS: Children's dietary intakes were obtained using food recall and record for two days. Diet adequacy was assessed based on recommended intakes of energy and nutrients and food group servings. RESULTS: For toddlers, all nutrients except dietary fiber (5.5 g) exceeded recommended intakes. Among older children (preschoolers and school children), calcium (548 mg, 435 mg) and dietary fiber (7.4 g, 9.4 g) did not meet recommendations while percentage of energy from total fat and saturated fats exceeded 30% and 10%, respectively. The mean sodium intakes of preschoolers (1,684 mg) and school children (2,000 mg) were relatively high. Toddlers in all income groups had similar energy and nutrient intakes and percentages meeting the recommended intakes. However, low income older children had lowest intakes of energy (P < 0.05) and most nutrients (P < 0.05) and highest proportions that did not meet recommended energy and nutrient intakes. For all food groups, except milk and dairy products, all age groups had mean intakes below the recommended servings. Compared to middle and high income groups, low income preschoolers had the lowest mean intake of fruits (0.07 serving), meat/poultry (0.78 serving) and milk/dairy products (1.14 serving) while low income toddlers and school children had the least mean intake of fruits (0.09 serving) and milk/dairy products (0.54 serving), respectively. CONCLUSION: Low socioeconomic status, as indicated by low household income, could limit access to adequate diets, particularly for older children. Parents and caregivers may need dietary guidance to ensure adequate quantity and quality of home food supply and foster healthy eating habits in children.

• Journal of Nutrition and Health
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• 제42권5호
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• pp.474-485
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• 2009

The purpose of the present study was to evaluate the characteristics of nutrient intakes of adults aged 20-64 years in Daegu and Gyeongbuk areas in comparison with Seoul and the whole nation. Data from the 1st (1998) to 3rd (2005) Korean National Health and Nutrition Examination Survey (KNHANES) were used. Total numbers of subjects were 296-369 from Daegu and 307-447 from Gyeongbuk while 1076-1244 from Seoul and 5436-6852 from the whole nation. Average energy intakes (men; 2,386, 2,581, 2,305 Kcal, women; 1,937, 1,981, 1,804 Kcal in 1998, 2001, 2005, respectively) of the subjects from Daegu were higher than those from Gyeongbuk (men; 2309, 2267, 2487 Kcal, women; 1,851, 1,845, 1,901 Kcal) and those from Seoul in 1998 and 2001 but not different from those in 2005. Energy from carbohydrate was consistently higher in the subjects from Daegu and Gyeongbuk than in those from Seoul from 1998 to 2005, when the subjects whose carbohydrate energy was over 70% comprised 34 to 58% of the total in the two regions. In 2005, the average intakes of calcium of women and men from Daegu were 512 and 573 mg, iron, 12.8 and 16.6 mg, sodium, 4,650 and 5,951 mg, potassium, 2,585 and 3,152 mg, vitamin A, 823 and 1,038 ${\mu}$gRE, thiamin, 1.10 and 1.43 mg, riboflavin, 1.08 and 1.33 mg, and niacin. 15.4 and 19.3 mg, and vitamin C, 94 and 105 mg and these intakes were not very different from those from Gyeongbuk except higher sodium intake of the Gyeongbuk subjects. Nutrients of which the intakes were over 50% lower than EAR were calcium and riboflavin and those about 30% lower than EAR were iron in women, vitamins A and C in men and women from Daegu and Gyeongbuk. From the present results, it is concluded that high dependence on carbohydrate as energy source and low calcium intake in adults of Daegu and Gyeongbuk are serious and that low intakes of riboflavin, iron and vitamins A and C need to be improved. But changes in the intakes of total energy and other micronutrients from 1998 to 2005 were not reliable enough to judge the regional nutrition due to large variations during this period. The present study also provides the adults' nutrient intakes separated by sex and age groups in the three regions which could be readily used for setting up the nutrition policy for the adults in the regions.

• 한국임상수의학회지
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• 제22권2호
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• pp.108-113
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• 2005

This study was performed to investigate the growth rate, hematological and serological changes of the rats when they were fed with the high fat diets supplemented with or without the tannic acid for five weeks. Thirty-two Sprague-Dawley male rats(235.7\pm10.7g\;of\;body\;weight)$ were randomly divided into four groups, control group and three treatment groups(T1, T2 and T3). Rats in control group were fed with the high fat diet containing $15\%\;lard,\;1\%$ cholesterol and $0.5\%$ sodium cholate(wt/wt) which was modified from the formula of American Institute of Nutrition (AIN)-76 diet and rats in treatment groups were fed with above diet supplemented with $0.25\%(T1),\;0.5\%(T2)$ or $0.75\%(T3)$ of tannic acid(wt/wt), respectively. The supplementation of tannic acid(TA) did not affect the final body weight, gain of body weight and feed intake of rats in both control and treatment groups. The numbers of red blood cells, hemoglobin concentrations and hematocrit values in blood of rats showed no significant differences between control group and treatment groups. The glucose concentration and albumin/globulin(A/G) ratio of rats in treatment groups were slightly lower than that of control group without significance. The values of total protein, albumin and globulin showed no significant differences between control group and treatment groups. The values of total cholesterol, low density lipoprotein­cholesterol and atherogenic index in sera of rats in treatment groups were much lower than that of control group without significance. The values of triglycerides in sera of rats in T3 group were significantly lower than that of control group (p<0.05). The values of AST and ALT in sera of rats in T3 group were significantly lower than that of control group (p<0.05). Thus supplementation of tannic acid to high fat diet could be effective to reduce the serum lipid levels such as total cholesterol, high density lipoprotein-cholesterol and triglycerides which were regarded as to cause the cardiovascular diseases.