• 대한지역사회영양학회지
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• 제2권3호
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• pp.376-387
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• 1997

The elderly are the most rapidly growing segment of the population in Korea and the largest consumers of expensive medical care. It is reasonable to believe that improving the nutritional status would be beneficial to reducing morbidity and to impro- ving the quality of their lives. This study was conducted to assess the health status and the Nutritional Risk Index of the elderly, and to provide the basic data for the Elderly Nutrition Improvement Program at the Public Health Center. One hundred and forty seven(76 males. 71 females) aged 60 years and over living in Suwon, were assessed with anthropometric measurements, body fat analysis, blood pressure measurements, and a set of questionnaires about health and other related variables. Over half of them had less than a junior middle school education and were considered low income. The percentage of overweight and obese subjects was 33% by the BMI(Body Mass Index), and the prevalence of hypertension was 28$\%$(males) and 31$\%$(females). They had a lot of self-recognized health problems, the male elderly complained about more than the female elderly. In the case of psychological health status, however, the female elderly showed a higher proportions of depression than the male elderly(p$\ll$0.05). In social health status, the elderly had good relationships with friends and collegues, whereas they had poor relationships with their families. They had many nutritional risk factors, and smoking was the most prevalent risk factor for the male elderly and anemia was for the female elderly. The results of this study suggest that Elderly Nutrition Improvement Programs should be planned that can be easily followed. It would be helpful to design a program focusing on individual phychological and social health status, this would increase the efficiency of the program.

• Nutrition Research and Practice
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• 제9권3호
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• pp.288-295
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• 2015

BACKGROUND/OBJECTIVES: Emerging evidence shows that eating breakfast and breakfast types may be associated with health outcomes and dietary intakes in various populations. The aim of this study was to investigate the association between breakfast types in Korean adults with their daily nutrient intakes and health outcomes. SUBJECTS/METHODS: A total of 11,801 20- to 64-year-old adults (age $42.9{\pm}11.8$ yrs [$mean{\pm}standard$ error of the mean]; male 41.1%, female 58.9%) in 2007-2009 Korean National Health and Nutrition Survey data were divided into 5 groups based on breakfast types in a 24-hr dietary recall: rice with 3 or more side dishes (Rice3+, 35.3%), rice with 0-2 side dishes (Rice0-2, 34.73%), noodles (1.56%), bread and cereal (6.56%), and breakfast skipping (21.63%). Daily nutrient intakes and the risk of metabolic syndrome were compared among five groups. RESULTS: Compared with Korean Recommended Nutrient Intake levels, the breakfast-skipping group showed the lowest intake level in most nutrients, whereas the Rice3+ group showed the highest. Fat intake was higher in the bread and noodle groups than in the other groups. When compared with the Rice3+ group, the odds ratios for the risk of obesity and metabolic syndrome were increased in the breakfast skipping, Rice0-2, and noodle groups after controlling for confounding variables. CONCLUSIONS: The rice-based breakfast group showed better nutritional status and health outcomes when eating with 3 or more side dishes. Nutrition education is needed to emphasize both the potential advantage of the rice-based, traditional Korean diet in terms of nutritional content and the importance of food diversity.

• 대한영양사협회학술지
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• 제23권4호
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• pp.384-396
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• 2017

School gardens are known to be effective for increasing vegetable consumption in children. This study was carried out to examine the perception of garden program leaders for actual conditions and barriers to promote school gardens according to their sense of dedication. The 49 garden program leaders at schools and child care centers in Pocheon city were surveyed and grouped into two groups: dedicated (57.1%) and less dedicated (42.9%) as program leaders. Compared to dedicated leaders, leaders in the less dedicated group less advocated promotion of school gardens (P<0.001) and were less willing to attend training for school garden (P<0.01), despite less experience as program leaders (P<0.01) and past training (P<0.05). Moreover, leaders in the less dedicated group less acknowledged the educational results of school garden in every aspect (P<0.001, respectively), less perceived support from parents and colleagues (P<0.05, respectively), and less used garden produce in more active activities such as donation and literature (P<0.05, respectively), compared to the dedicated group. The most answered barrier against the promotion of school gardens was work burden, followed by manpower shortage, shortage of technique, knowledge, and information, and time shortage. The results of this study provide evidence that developing strategies is needed to make more teachers and child care providers more dedicated as garden program leaders.

• 대한영양사협회학술지
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• 제15권2호
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• pp.97-112
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• 2009

본 연구는 경남 일부 초등학교 비만아동을 대상으로 식습관, 영양교육에 대한 인식, 영양지식을 조사하여 분석한 자료를 바탕으로 비만아동의 영양교육을 위한 수업지도안을 개발하였다. 그 결과를 요약하면 다음과 같다. 1. 아동의 신체적 특징으로 신장은 남학생과 여학생 간에 유의적인 차이는 없으며 체중은 남학생(55.0${\pm}$9.0 kg)이 여학생(52.0${\pm}$9.4 kg)보다 유의적으로 높았다(p<0.05). 2. 전체 아동의 83.5%가 영양교육을 받아본 경험이 없다고 답하였으며 80.3%가 영양교육의 필요하다고 답하여 영양교육에 대한 관심도가 크다는 것을 알 수 있었다. 3. 희망하는 영양교육 내용에는 '체중 감소를 위한 식사조절법(64.7%)', '올바른 간식(12.2%)'으로 조사되었다. 희망하는 영양교육 방법으로 남학생은 '게임(35.4%)', '강의(18.8%)', '조리실습(16.7)', '개인상담(16.7%)' 순으로, 여학생은 '조리실습(25.6%)', '개인상담(25.6%)', '강의(11.6%)', '그림그리기(11.6%)'로 나타나 유의적인 차이를 보였다(p<0.01). 4. 아동의 식사속도는 남학생이 여학생보다 식사속도가 유의적으로 빠른 결과를 나타내었다(p<0.05). 5. 운동종목에서 남학생이 '가벼운 레포츠활동(27.0%)'과 '구기종목(25.4%)'을 여학생은 '가벼운 레포츠 활동(47.9%)'과 '걷기(25.4%)'를 선호하여 유의적인 차이를 보였다(p<0.001). 운동장소로 남학생이 여학생에 비해 운동장 등 활발한 장소를 선택하여 유의적인 차이를 보였다(p<0.001). 6. 영양교육 수업지도안 개발은 비만 개선을 위한 올바른 식습관과 영양지식을 교육하기 위해 13차시 분량의 수업지도안을 개발하였다. 개발된 초등학교 고학년용 영양교육 교수 학습지도안은 비만 정의 알기, 자신의 모습 사랑하기, 식사와 관련된 감각 익히기, 식품군 알기, 아침결식개선, 편식개선, 올바른 간식선택, 외식의 8개 대주제와 13개의 소주제로 구성된 13차시였다. 본 연구의 수업지도안을 활용하여 실제로 수업하여 그 효과판정을 하지 못했으므로 그에 대한 후속 연구가 이루어져야 하며 비만인구는 점점 증가하고 세계적으로 문제시되고 있지만 이에 대한 교육방법 개발과 실제 교육은 학교에서 거의 이루어지고 있지 않은 실정이다. 앞으로 비만문제를 단순히 가정에 맡기거나 의학적인 문제로 방치하기 보다는 그 예방차원이 우선시되어 아이들의 교육을 담당하고 있는 학교에서 식습관 관련 수업이 영양교사에 의해서 이루어지는 것이 필요하리라 생각된다.

• 지역사회간호학회지
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• 제10권1호
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• pp.44-52
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• 1999

This investigation & study has been made in oder to revitalilize the health care for the elderly in public health centers. The date subject, including 88 persons in charge health services in public heal centers, were from Chejudo. These were largely female, the average age was 38.4 at the health center. Their responsibilities included home visitation, nutrition management for the early, health education, and physical therapy. The most important problem were personal management and a lack of facilities, especially in home visitation, health education, physical therapy. Systematic networks of various activities are needed to encourage not only the patient but also volunteer who will also take part in these services. The numbers of members in charge of the elderly are not only to be increased and educate with facilities and equipment but also better provided with proper facilities and equipment. This is the best way to conduct health services the elderly.

• Journal of Community Nutrition
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• 제1권2호
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• pp.125-132
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• 1999

This study investigated the differences in dietary intake, age, body mass index(BMI), marital status and education of 1,585 Korean healthy males among current smokers, ex-smokers and non-smokers. Dietary intake was determined by a food frequency questionnaire at the Samsung Medical Center in Seoul, Korea. A bioelectric impedance analyzer measured height, body weight and BMI. This study identified 50% of the study group as current smokers and 30% as ex-smokers and 20% as non-smokers. The mean body mass index was 23.7kg/㎡ and did not differ significantly among the three groups. THe current smokers were younger(44.9 years old) and contained a lower percentage(58.5%) of college graduate than that of ex-smokers or non-smokers. The percentage of non-consumers of meat, eggs, beans and bean products was higher in non-smokers than that of ex-smokers or current smokers. Smoking was to a significant degree positively related to the amount of coffee and alcoholic beverages consumed and negatively related to the amount of milk and milk products and fruits consumed. The intake of eggs, milk and milk products, fruit, coffee, sweets, fats and oils were significantly different among the three groups. after adjusting for age, education level, marital status, and alcohol consumption. There was a strong positive relationship between smoking intensity and the intake of coffee and alcoholic beverages(p<0.0005), and an inverse relationship between smoking intensity and fruit, milk and milk product intake(p<0.005). The current smokers were characterized by a higher intake of total energy and cholesterol, and a lower intake of dietary fibers, ${\beta}$-carotine and folate than those of non-smokers or ex-smokers. The nutrient intake of ex-smokers was moderate and highest in ${\beta}$-carotine and folate, which suggested that ex-smokers were trying to change their life style.

• 한국산업융합학회 논문집
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• 제25권5호
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• pp.725-739
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• 2022

This study conducted with 268 female elderly who visited welfare center and senior citizen center in Changwon city to identify the dietary status according to social frailty stage using nutrition quotient for elderly (NQ-E). As a result of the survey, 75.0% of the elderly had no nutrition education. The elderly in social frailty stage was 43.7%, pre-frail was 35.1%, and robust was 21.2%. The scores of NQ-E (61.65), balance (47.78), moderation (86.18), and dietary behavior (55.23) were within the medium-high grade, while diversity (48.37) was within the medium-low grade. Among the balance factor item, there was a significant difference only in the frequency of fruit intake according to social frailty stage (p<0.05). Among the diversity factor item, there were significant differences in vegetable intake (p<0.05) and the rate of eating alone (p<0.001) according to social frailty stage. Among the dietary behavior factor item, there were significant differences in whether to strive for a healthy diet (p<0.05), exercise time and depression (p<0.001), and subjective recognition rate of health (p<0.01) according to social frailty stage. Based on these results, education focusing on various food intake is needed, and continuous support from the government and local governments is needed to connect the social support network of the elderly and support programs to prevent them from going to social frailty stage.

• Nutrition Research and Practice
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• 제1권2호
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• pp.89-93
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• 2007

Many countries such as The Republic of Korea have established their own nutritional standards, collectively termed Nutrient Reference Values (NRVs), and they vary due to the science which was reviewed, the purposes for which they are developed, and issues related to nutrition and food policy in the country. The current effort by the Codex Alimentarius Committee on Nutrition and Foods for Special Dietary Uses (CNFSDU) to update the NRVs that were established following the Helsinki Consultation in 1988 represents an opportunity to develop a set of reference values reflecting current scientific information to be used or adapted by many countries. This paper will focus on possible approaches to selecting or developing reference values which would serve the intended purpose for nutrition labeling to the greatest extent possible. Within the United States, the Food and Drug Administration (U.S. FDA) is currently reviewing regulations on nutrition labeling to better address current health issues, and is expected to enter into a process in the next few months to begin to explore how best to update nutrient Daily Values (DVs), most of which are still based on the Recommended Dietary Allowances (RDAs) of the Food and Nutrition Board, U.S. National Academy of Sciences, last reviewed and revised in 1968. In this presentation, I review the current purposes in the U.S. for nutrition labeling as identified in the 1938 Food, Drug, and Cosmetic Act as amended, the scientific basis for current nutrition labeling regulations in the United States, and the recommendations made by the recent Committee on Use of Dietary Reference Intakes in Nutrition Labeling of the Institute of Medicine (2003) regarding how to use the DRIs in developing new DVs to be used on the label in the United States and Canada. Based on these reviews, I then provide examples of the issues that arise in comparing one approach to another. Much of the discussion focuses on the appropriate role of nutrient labeling within the Nutrition Facts panel, one of the three major public nutrition education tools in the United States (along with MyPyramid and Dietary Guidelines for Americans).

• Nutrition Research and Practice
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• 제6권6호
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• pp.513-519
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• 2012

Aged garlic extract (AGE) is known to have a protective effect against immune system, endothelial function, oxidative stress and inflammation. We examined the effects of exercise with and without aged garlic extract administration on body weight, lipid profiles, inflammatory cytokines, and oxidative stress marker in high-fat diet (HFD)-induced obese rats. Forty-five Sprague-Dawley rats were fed either a HFD (HFD, n = 40) or a normal diet (ND, n = 5) for 6 weeks and thereafter randomized into ND (n = 5), HFD (n = 10), HFD with AGE (n = 10), HFD with Exercise (n = 10), or HFD with Exercise+AGE (n = 10) for 4 weeks. AGE groups were administered at a dose of 2.86 g/kg body weight, orally. Exercise consisted of running 15-60 min 5 days/week with gradually increasing intensity. AGE (P<0.01), Exercise, and Exercise+AGE (P<0.001) attenuated body weight gain and food efficiency ratio compared to HFD. Visceral fat and liver weight gain were attenuated (P<0.05) with all three interventions with a greater effect on visceral fat in the Exercise+AGE than AGE (P<0.001). In reducing visceral fat (P<0.001), epididymal fat (P<0.01) and liver weight (P<0.001), Exercise+AGE was effective, but exercise showed a stronger suppressive effect than AGE. Exercise+AGE showed further additive effects on reducing visceral fat and liver weight (P<0.001). AGE significantly attenuated the increase in total cholesterol and low-density lipoprotein-cholesterol compared with HFD (P<0.05). Exercise+AGE attenuated the increase in triglycerides compared with HFD (P<0.05). Exercise group significantly decrease in C-reactive protein (P<0.001). These results suggest that AGE supplementation and exercise alone have anti-obesity, cholesterol lowering, and anti-inflammatory effects, but the combined intervention is more effective in reducing weight gain and triglycerides levels than either intervention alone.

• Journal of Nutrition and Health
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• 제43권4호
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• pp.382-394
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• 2010

본 연구는 지역사회 초등학교 4학년 학생 168명을 대상으로 실시한 건강한 학교 만들기 사업의 일환으로서 교육프로그램이 학생들의 영양지식, 신체상 정립, 식습관, 영양섭취 등에 기여하는지를 조사한 결과이다. 어린이 식생활 실천지침, 건강하고 안전한 식생활, 식품 구성탑, 영양소의 기능과 급원식품, 바람직한 신체상, 어린이 비만과 편식예방 등을 주제로 하여 교실수업, 개인 과제, 교육 인쇄물, 가정통신문, 인터넷, 동영상, 전시회 등을 이용한 교육을 6개월간 시도하였다. 1) 교육 프로그램의 실시 후 대상 초등학생들의 영양지식과 식습관이 향상되어 본 교육 프로그램이 영양지식 뿐 아니라 식습관의 개선에도 도움을 준 것으로 판단되었다. 2) 현재 자신의 모습으로 인지하거나 희망하는 아동 신체상, 건강하다고 생각하거나 미래에 희망하는 청소년의 신체상 등 4가지 신체상의 인지도가 교육 프로그램에 의해 모두 바람직한 방향으로 개선되었다. 3) 남학생에서 영양지식의 총점과 식습관 점수가 유의한 양의 상관관계가 있었고, 전체 학생에서 현재 자신의 신체에 대한 불만족도가 식습관 점수와 유의한 음의 상관관계가 있는 것으로 나타났다. 4) 교육 프로그램의 실시에 의해 대상 학생들의 희망 신체상이 바람직한 방향으로 개선되었음에도 불구하고, 여전히 여학생의 현재 또는 미래 희망 신체상은 현재 자신의 모습으로 인지하는 신체상 또는 미래 건강하다고 생각하는 신체상보다 유의하게 마른 모습인 것으로 나타나 날씬함에 대한 사회적 압력이 여학생에게 더 영향을 미치는 것으로 생각된다. 이의 개선을 위해서는 체계적이고 지속적인 신체상 교육이 이루어져야 할 것으로 사료된다. 5) 영양 섭취 조사 결과, 영양교육에 의해 일부 영양소들의 섭취가 부분적으로 개선된 효과가 있었지만 칼슘, 엽산, 아연, 나트륨, 니아신 등의 영양소는 여전히 섭취가 부족하거나 과다한 것으로 나타나 영양 개선을 위한 지속적이고도 반복적인 교육이 실시되어야 할 것으로 판단된다. 학생, 교직원, 학부모, 지역사회 보건공무원이 공동으로 참여한 본 교육 프로그램의 실시를 통해 대상 학생들의 영양지식, 신체상 인식, 식습관, 영양 섭취 등이 전반적으로 유의하게 개선되었음을 확인할 수 있었다. 올바른 식생활에 대한 교육과 함께 실시되는 신체상의 정립에 대한 교육은 바람직한 식습관의 형성과 영양상태 개선뿐 아니라 건강증진 효과까지 기대할 수 있을 것이다. 이를 위해 영양 및 올바른 신체상 인식에 관한 교육은 아동기부터 체계적으로 실시되어야 할 것이다.