• Journal of Nutrition and Health
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• 제52권5호
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• pp.435-448
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• 2019

현대 사회에서 혼자 식사하는 사람들이 빠르게 증가하고 있지만, 혼자 식사하는 식행동과 영양소 섭취 및 건강 상태와의 관련성에 대한 연구는 부족한 실정이다. 이에 본 연구에서는 2013 ~ 2017년도 국민건강영양조사 원시자료를 이용하여 비만과 대사증후군의 유병률이 높은 40 ~ 64세 중년층 7,728명을 대상으로 혼자 식사하는 빈도에 따른 각 영양소의 섭취수준과 비만 및 대사증후군에 대한 위험도를 남 여 별로 비교 분석하였다. 이를 통해, 우리나라 중년 남녀에서 혼자 식사하는 식행동에 따른 영양 및 건강 상태를 파악하고 효과적인 관리 방안을 제시하기 위한 기초자료를 제공하고자 하였다. 연구 결과 하루 1회 이상 혼자 식사하는 비율이 절반 이상이었으며, 남성에 비해 여성에서 혼자 식사하는 비율이 높았다. 혼자 식사하는 군은 함께 식사하는 군에 비해 낮은 소득과 교육수준, 높은 비경제활동과 흡연 비율을 나타냈다. 영양소 섭취 수준을 비교한 결과, 남성에서는 혼자 식사하는 빈도가 높을수록 단백질로부터 섭취하는 에너지 비율과 칼륨의 1,000 kcal 당일일 섭취량이 유의적으로 낮았고, 지방의 1,000 kcal 당일일 섭취량은 높은 경향을 나타냈다. 여성에서는 혼자 식사하는 빈도가 높은 그룹에서 에너지를 필요추정량의 75% 미만으로 섭취하는 비율과 리보플라빈을 평균필요량 미만으로 섭취하는 비율이 유의적으로 높았다. 남성에서 혼자 식사하는 행동에 따른 BMI와 대사증후군 구성지표의 평균을 비교한 결과, 혼자 식사하는 빈도에 따라 평균 수축기 혈압과 이완기 혈압, 공복혈당이 유의적으로 증가하였다. 교란변수를 보정하여 대사증후군과 구성지표에 대한 오즈비를 비교한 결과, 혼자 식사하는 빈도에 따라 대사증후군과 복부비만 및 혈압 상승의 위험도가 유의적으로 증가하였으며, 혈당 상승도 증가하는 경향을 나타냈다. 이와 반대로, 여성에서는 혼자 식사하는 빈도가 증가함에 따라 그룹별 평균 BMI가 감소하였으며, 보정 후 혼자 식사하는 빈도에 따른 대사증후군 및 구성지표에 대한 위험도는 유의적인 관련성이 나타나지 않았다. 요약하면, 본 연구에서는 혼자 식사하는 행동이 영양 및 건강 문제에 미치는 영향이 성별에 따라 다름을 보였으며, 중년 남성에서 혼자 식사하는 행동이 대사증후군에 대한 위험도 증가와 관련됨을 확인하였다. 특히 이들에게서 칼륨과 단백질 섭취가 감소하였음을 고려하여, 혼자 식사하는 중년 남성들에 적합한 영양 관리와 식사 계획이 필요할 것으로 생각된다.

• Nutritional Sciences
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• 제4권2호
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• pp.98-103
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• 2001

The aim of this study was to determine the association between, smoking, exercise, sex, and dietary carotenoids ($\alpha$-carotene, $\beta$-carotene, $\beta$-cryptoxanthin, lutein + zeaxanthin, lycopne) intake in Korean middle-aged adults. Food-frequency questionnaire were analyzed from 304 healthy adults (115 men, 189 women) aged 20 - 59. The self-administered questionnaire contained subject s habitual diet and alcohol intake were the previous 3 months. Data on frequency of 102 foods, including vegetables, fruits, beverages and legumes were analyzed. Total dietary carotenoids intake were 27.13 $\pm$ 3.09 mg/d for men and 26.71$\pm$ 2.82 mg/d for women. It was found that smoking had no significant contribution to the dietary intake of carotenoids. Among other lifestyle factors that had significant correlation was the amount of exercise time. The increases in exercise time was associated with increase in carotenoids intake (r= 0.121, p : 0.04). The major contributors of $\alpha$-carotene and $\beta$-carotene were carrots consumed as single-food item or carrot juice. Lutein and Zeaxanthin intake mainly came from spinach and most lycopene intake was derived from tomato products not fresh tomatoes. Persimmon was the major contributor of $\beta$-cryptoxanthin. These findings provide valuable information on understanding the unique pattern of dietary intake of Korean, which might help identify the risks for developing various diseases.

• Journal of Community Nutrition
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• 제3권2호
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• pp.110-119
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• 2001

This study was designed to assess the needs for nutrition education and educational materials for older adults. Two cross-sectional surreys were conducted. The first survey, conducted by personal interviews, was part of the large-scale elderly nutrition study. Subjects were adults aged 50 and over, recruited from 6 large cities and 8 middle-sized cities(n = 1,850). The second survey, done by mail survey using open-ended questions, was conducted with dietitians working at public health centers or hospitals(n = 53). Adults aged 50 and over were interested in topics such as healthly eating(32.1%), hypertension/stroke and diet(22.1%), osteoporosis and diet(11.4%), and diabetes and diet(9.2%). Television and radio(58.2%), health professionals(12.2%) and friends(7.9%) were common sources of nutrition information. Preferred topics of nutrition education and sources of nutrition information were different by general characteristics of subjects, suggesting that nutrition education or educational materials be planned considering the characteristics of subjects. About 70% of subjects indicated that they sometimes use or do not use nutrition information in daily lives, suggesting the need to provide more practical information. Among 53 facilities responding to the second survey, 73.6% provided nutrition education for older adults. Common topics for nutrition education included diabetes(39.3%), hypertension and stroke(19.1%) and general nutritional management(11.2％). These were consistent to the topics preferred by older adults. As materials In elderly education, dietitians wanted primarily to use leaflets and slides. Boards, booklets and posters were other commonly cited materials. For contents of elderly educational materials, dietitians mentioned the nutritional management for age-related diseases(33.8%), general nutritional management for older adults(25.4%) and practically applicable information(19.7%). They also suggested that nutrition education materials for the elderly should use larger print and attractive pictures, and be easily understood, as well as presenting simple, specific and practical information. These results provide baseline information for developing nutrition education and educational materials for older adults.

• Nutrition Research and Practice
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• 제6권3호
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• pp.263-269
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• 2012

We investigated whether socioeconomic differences affect fruit and vegetable (FV) consumption with respect to total intake and intake of various FV subgroups. Our study included 6667 adults aged 40-64 years who completed a dietary survey in the fourth Korean NHANES (2007-2009). FV intake was estimated from 24-hour recalls and food frequency questionnaires. Differences in FV consumption related to educational attainment were analyzed according to different nutritional categories of FV. Both men and women in the low-education group had the lowest intake of total FV and total fruits, and women also had the lowest intake of total vegetables. Also lowest in this group was consumption of mushrooms and vegetables (excluding kimchi) among men, and cruciferous and allium vegetables (excluding Chinese cabbage and radish) among women, while kimchi consumption was the highest in this group. Additionally, an association between educational level and intake of citrus fruits was evident among men. Adults in the low-education group consumed less carotene-rich FV, red fruit and/or vegetables, and dark-green leafy vegetables, fewer total vegetable dishes, and fewer types of fruit than in other groups. Men in this group had the lowest intake of yellow/orange fruit and/or vegetables, and women consumed the least folate-rich FV. There is a clear association between educational attainment and FV intake with regard to total intake, and to specific nutrients, bioactive compounds, colors, and variety.

• 한국심리학회지 : 문화 및 사회문제
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• 제23권4호
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• pp.587-604
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• 2017

본 연구는 한국사회에서 성인의 성격강점이 충만한 삶에 미치는 효과에 있어서 세대 간 차이를 확인하고, 성격강점에 기인하는 봉사행동이 이 과정에서 미치는 매개효과를 살펴보고자 하였다. 이를 위해 한국의 성인남녀 1,405명을 대상으로 성격강점, 봉사행동, 충만한 삶에 대해 세대 간의 차이를 검증하였다. 그리고 성격강점이 충만한 삶에 이르는 효과의 세대별 모형을 설정하고 구조방정식을 통해 각 모형을 검증하였다. 그 결과, 첫째, 신뢰, 충만한 삶, 삶의 의미를 제외한 다른 변인에서는 세대 간 통계적 유의미한 차이가 있었다. 둘째, 성인초기에서는 성격강점이 충만한 삶에 긍정적 영향을 미치고 있었다. 셋째, 중년기 이후 세대에서는 성격강점이 충만한 삶에 봉사행동이 완전매개 하였지만 성인초기에서는 성격강점이 충만한 삶에 봉사행동이 부분매개 하였다. 이를 통해 중년기 이후에서는 성인초기와 달리 성격강점 그 자체만으로 충만한 삶에 영향을 미치기보다는 봉사행동이라는 구체적 행동이 수반되는 것이 충만한 삶을 영위하는데 중요하였음을 알 수 있었다. 이러한 결과를 토대로 우리사회에서 성인들의 성격강점이 충만한 삶에 미치는 영향과 봉사행동의 매개효과에 대한 필요성을 논의하였다.

• 생물정신의학
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• 제26권2호
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• pp.47-58
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• 2019

Objectives The purpose of this study was to investigate the differences between adolescents and adults, in the perspective-taking ability, as well as the brain activation patterns during the perspective-taking situation. Methods We recruited healthy adolescents aged 13 years to 15 years (n = 20) and adults aged 19 years to 29 years (n = 20). All the subjects were scanned while performing the perspective-taking task, in which an emotional situation was presented in the form of statements comprising first person, as well as third person perspectives. Differences in brain activation between groups were assessed by contrasting neural activity during the tasks. Results In the between-group analysis, while performing the third-person perspective-taking task, the adolescent group showed greater neural activities in the middle frontal gyrus and precentral gyrus as compared to the adult group. Positive correlation was observed between the activity in the frontal areas (Brodmann area 6/9) and the score of scales related to perspective-taking and social cognition in the adolescent group. Conclusions This study suggests that several frontal brain areas of adolescents needs to be overactivated in order to compensate for low perspective-taking ability when they ought to take another person's point of view.

• 대한지역사회영양학회지
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• 제29권2호
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• pp.81-96
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• 2024

Objectives: This study aimed to investigate arterial stiffness index, physical activity, and food and nutrient intake in middle-aged adults over 40 years when the incidence of cardiovascular disease begins to increase. Methods: This study included 106 subjects (48 males and 58 females) aged between 40 and 64 years. The arterial stiffness index (brachial-ankle pulse wave velocity [baPWV], and ankle-brachial index [ABI]) were measured using a blood pressure pulse wave testing device. Physical activity was assessed using the Korean version of the Global Physical Activity Questionnaire, and food and nutrient intake was calculated using the Food Frequency Questionnaire. Results: The mean age of the subjects was 54.4 years. Although the ABI of the subjects was within the normal range, they were divided into tertiles to compare physical activity and food and nutrient intake. In males, the time spent on moderate to vigorous physical activity (MVPA) was significantly higher in T3 (600.6 min/week) than in T1 (304.4 min/week). In females, the time spent in sedentary behavior was significantly lower in T3 (294.5 min/week) than in T1 (472.1 min/week). In addition, the frequency of fish consumption was significantly higher in T3 (1.27 frequency/day) than in T1 (0.64 frequency/day) in females. Polyunsaturated fatty acid (PUFA) and ω-3 fatty acid intake, adjusted for energy intake, were significantly positively correlated with ABI (r = 0.200 and r = 0.218, respectively). Conclusions: High MVPA (in males), low sedentary behavior (in females), and PUFA and ω-3 fatty acid intake through fish consumption may be associated with low peripheral artery stiffness. Therefore, arteriosclerosis can be prevented through physical activity and proper dietary therapy.

• Clinical Nutrition Research
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• 제12권3호
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• pp.184-198
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• 2023

Early prevention of sarcopenia can be an important strategy for muscle maintenance, but most studies target subjects at slightly pre-sarcopenic state. Our previous paper describes the effect of protein supplements rich in leucine and vitamin D on muscle condition, and in this paper, we performed a sub-analysis to evaluate who benefitted the most in terms of improvement in muscle health. A 12-week randomized clinical trial of 120 healthy adults (aged 50 to 80) assigned to an intervention group (n = 60) or control group (n = 60) were analyzed. Subjects in the intervention group received, twice per day, a protein supplement containing (per serving) 800 IU of vitamin D, 20 g of protein (3 g of total leucine), 300 mg of calcium, 1.1 g of fat, and 2.5 g of carbohydrate. The subjects were classified into 'insufficient' and 'sufficient' groups at 25-hydroxyvitamin D (25[OH]D) value of 30 ng/mL. The skeletal muscle mass index normalized to the square of the skeletal muscle mass (SMM) height (kg/m²) increased significantly in the 'insufficient group' difference value of change between weeks 0 and 12 (Δ1.07 ± 2.20; p = 0.037). The SMM normalized by body weight (kg/kg, %) was higher, but not significantly, in the insufficient group (Δ0.38 ± 0.69; p = 0.050). For people with insufficient (serum 25[OH]D), supplemental intake of protein and vitamin D, calcium, and leucine and adequate energy intake increases muscle mass in middle-aged and older adults and would be likely to exert a beneficial effect on muscle health.

• 한국도서관정보학회지
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• 제48권1호
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• pp.227-243
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• 2017

본 연구는 노인이 건강정보검색에서 어떠한 어려움과 감정변화를 경험하는지를 살펴보고자 하였다. 이를 위해, 총 10명의 노인들을 대상으로 개별면담을 실시하였고, 그 결과 참여한 노인들이 경험하는 어려움에는 크게 인지적 어려움과 신체적 어려움이 있는 것으로 나타났다. 인지적인 어려움에는 첫째, 어디에서 어떻게 건강정보를 찾는지의 어려움을 나타내었고, 둘째, 정보검색도구의 이용의 어려움을 나타내었고, 셋째, 신뢰할 수 있는 정확한 정보선택의 어려움을 나타내었다. 참여한 노인들의 신체적인 어려움에 대해서는 눈, 손, 다리, 몸 전체에 어려움이 있다고 나타내고 있었다. 감정변화에 대해서는 정보검색 초기에는 '궁금하다'와 '감정이 없었다'가 중간단계에는 여러 감정상태를 보이다가 정보를 찾은 후에는 긍정적인 감정표현과 건강에 대한 경각심이나 두려움이 한편으로 생기기도 하였다. 이러한 연구결과를 도서관의 관점에서 분석하고 논의한 후, 노인들을 위한 도서관의 역할을 제언하였다.

• 대한지역사회영양학회지
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• 제3권5호
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• pp.695-706
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• 1998

This study was designed to investigate the associations of the percent body fat dietary intake, plasma lipoprotein profile, lipoprotein(a), and plasminogen activator inhibitor-1(PAI-1) concentrations of 1982 Korean subjects(men : 1000 and women : 982) between the ages of 40 and 59 years. The dietary assessment consisted of twenty-four hour dietary records and food frequency questionnaires. The subjects were identified into one of the five rating groups of % body fat : lean, underweight, normal, overweight and obese groups. The biochemical assessment included measurements of plasma total cholesterol(TC), HDL-cholesterol(HDL-C), LDL-cholesterol(LDL-C), triglyceride(TG), lipoprotein(a)(Lp(a)), and PAI-1. With respect to the ratio of percent energy intake of carbohydrate : protein : fat of the normal group of the women was 62% : 17% : 20%, respectively. Women apparently had a higher intake of carbohydrates than men(52% : 17 : 20%) did. There was a linear relationship between energy intake and % body fat in both mean and women(with the exception of the underweight group of women). The relationship of % body fat of men to the protein and fat intake was higher than that of the carbohydrate intake. Of the men in the study, intakes of energy, protein and alcohol were positively correlated to % body fat. In women, energy, carbohydrate and protein intake were positively correlated to % body fat, however, the fat, cholesterol and alcohol intake did not show any correlation to the % body fat in women. This study showed that % body fat was positively correlated with plasma TC, LDL-C, PAI-1 levels, and TG, but the % body fat was negatively correlated with plasma HDL-C level in both men and women. These results indicated that the high energy intake of obese or overweight subjects might contribute to several of the biochemical indices fo coronary heart disease(CHD) risk. In conclusion, increased energy intake is associated with overweight or obesity in middle aged Korean people. There was no relationship between % energy intake of fat and % body fat in the study, in middle-aged Korean men and women. The plasma lipid profile and PAI-1 level thought to be the risk factors of CHD were positively associated with percent body fat in middle aged Korean people.