• Journal of Nutrition and Health
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• 제46권5호
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• pp.470-481
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• 2013

This study provides standardized scientific criteria for education materials on nutrition and diet that could be used in schools, workplaces, and health and medical facilities. The study was conducted from April 2011 to October 2011. Literature reviews, institutional visits, and telephone interviews were conducted for the first draft of the accreditation criteria. Expert meeting and advisory councils were conducted in order to obtain feedback after development of the first draft of accreditation criteria. In order to verify the validity and reliability of the first draft on certification criteria, a survey was sent out to 143 professionals, including professors, researchers, health and medical experts, teachers, nutrition teachers, dietitians, and clinical nutritionists. After several modifications, the final accreditation criteria were established for 1) printed materials (authority, credibility, objectivity, organization, editing, real-life usability, activities and participation, and public interest), 2) web-sites (authority, credibility, objectivity, design, real-life usability, accessibility, currency, and public interest) and 3) materials with activities (credibility, organization, design, convenience of utilizing, safety, and public interest). Out of several criteria, contents (authority, credibility. and objectivity) and publicity (public interest) areas are mandatory requirements. For the accreditation, books for learning and materials with activities are required to meet more than six evaluation components, and the other materials are required to meet more than five evaluation components, including the required area. Accreditation criteria developed in this study could be used as a standard for development or selection of good education materials for nutrition and dietary life.

• 한국식품영양과학회지
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• 제38권5호
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• pp.626-635
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• 2009

그동안 학교에서 영양교육이 활성화되지 못했던 이유로 가장 많이 언급되었던 '영양사가 교사신분이 아니어서'가 해결된 상황에서 영양교사 자신과 영양교사를 양성하는 교육자 및 영양교사 연수프로그램 개발자들이 관심을 가져야 하는 이슈는 교육시간의 확보, 영양교사의 역할 수행을 위한 자질 강화라고 할 수 있다. 영양교사의 자질은 학교급식과 영양교육 상담의 질을 결정하는 중요한 요소로, 타당성 있고 신뢰도 높은 역량의 규명은 영양교사의 전문적 발전을 위해 반드시 필요한 과정이다. 본 연구에서는 영양교사 양성과정을 수료하거나 과정 중에 있는 영양사와 학교 영양사들을 대상으로 효과적인 영양교사로서 직무 수행에 필요한 역량의 요구도와 영양사가 인식하는 스스로의 역량 수준을 비교 하여 향후 영양교사의 자질향상과 교육 프로그램의 기초자료를 제공하고자 하였다. 학교급식 영양사들은 재무관리를 제외한 모든 영역에서 영양교사가 갖추어야 할 역량에 대한 요구도를 높이 평가하였고 특히 위생 및 안전관리, 영양상담, 영양교육, 교수실무 관련 역량의 요구도를 높이 인식하였다. 그러나 자신의 역량 수준을 평가한 결과에서는 모든 역량이 보통 또는 그 이하의 평가를 받았고 특히 영양교사에게서 요구도가 높았던 영양교육, 영양상담, 교수실무에 대한 스스로의 평가가 낮게 나타났다. 업무영역별로 효과적인 영양교사에게 요구되는 역량의 수준과 영양사 스스로가 평가한 자신의 역량 수준을 비교한 결과에서도 모든 영역에서 역량 요구도가 영양사 자신의 평가보다 유의적으로 높게 나타나 영양교사의 역할을 확대하고 학교에서의 영양교육을 활성화하기 위해 영양교사의 역량 강화를 위한 교육이 필요함을 알 수 있었다. 영양사들이 인식하는 영양교사의 역량 요구도는 영양사의 경력이나 영양교사 관련 교육 종류에 따라 차이가 없었다. 그러나 기존 학교급식 영양사로서 수행해 온 업무와 관련해서는 근무 경력이 증가할수록 역량에 대한 자신의 평가는 높아졌으나 영양교사 도입 후 추가된 업무 영역인 교수실무 관련 역량에 대한 자기 평가는 경력과 반드시 일치하지는 않았다. 향후 영양교사의 양성 및 연수 프로그램 개발에 있어서 강조되어야 할 역량의 우선순위를 결정하기 위해 격자분석을 실시한 결과 영양 및 메뉴 관리 영역, 위생 및 안전관리 영역, 인적자원관리 영역의 역량 등 총 14개 역량이 자신의 평가가 높고 영양교사에게도 계속해서 중요한 역량으로 규명되었고, 영양교육, 영양상담, 교수실무에 속하는 모든 역량은 영양교사에게 요구도는 높으나, 응답자들의 스스로의 평가가 낮은 영역에 포함되어 향후 영양교사 관련 교육에서 가장 우선시 되어야 할 것으로 나타났다. 조사 당시 학교 영양사의 다양한 특성을 반영하고자 두 가지 샘플링 방법을 적용하고, 회수율을 높이기 위해 직접 배포후 회수하거나 응답을 독려하는 우편엽서를 발송했음에도 불구하고 회수율이 32%이었고 서울과 경기지역 학교 영양사만을 대상으로 조사를 실시하여 연구 결과를 전국의 학교 영양사에 일반화하는 데는 한계가 있을 것이다. 그러나 효과적인 영양교사가 갖추어야 할 역량의 종류와 영양사가 인식하는 요구도, 그 역량에 대한 영양사의 자기 평가에 대해서는 처음 보고된 연구라 할 수 있다. 본 연구 결과는 향후 영양교사를 양성하는 대학교와 교육대학원 교육자들이 교육과정 개발에 활용할 수 있을 것이고, 교육청 단위로 이루어지는 영양교사의 연수프로그램 개발에도 활용될 수 있을 것이다. 조사가 영양교사 배치 직전에 실시되어 조사과정중에 고려되지 못했지만 향후에는 영양교사의 경력에 따라 역량의 차이를 파악하여 역량 수준에 따른 차별화된 영양교사 연수프로그램이 개발되어야 할 것이다. 학교급식이 끊임없이 변화하는 환경과 상호작용하는 열린 시스템임을 고려 할 때 효과적인 영양교사로 역할을 수행하기 위해 요구되는 역량의 내용과 중요도 역시 고정된 것이 아니므로 환경 변화에 따라 주기적으로 검토, 보완되어야만 가치가 있을 것이다.

• Nutrition Research and Practice
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• 제7권6호
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• pp.503-509
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• 2013

There is little information on dietary vitamin K intake and nutritional status of daily requirements of vitamin K in Korea. The objective of this study was to investigate the vitamin K intake and major food sources of Vitamin K in Koreans. The survey data from the 2010-2011 Korean National Health and Nutrition Examination Survey of 7,792 subjects (aged 19-64 years) were examined. Total vitamin K intake was calculated from 24-hour dietary recall using a vitamin K food database, Computer Aided Nutritional analysis Program and the United States Department of Agriculture database. The geometric mean of vitamin K was estimated as $322.40{\pm}6.33ug/day$ for men and $271.20{\pm}4.92ug/day$ for women. Daily vitamin K intake increased significantly with age (p for trend < 0.001). The main food source of vitamin K was vegetables (72.84%), including cabbage kimchi (19.26%), spinach (17.38%), sesame leaves (7.11%), radish leaves (6.65%), spring onions (6.28%), and laver (4.82%), followed by seaweed, seasonings, and fat and oils. We observed that the vitamin K intake of Koreans was relatively higher than that reported by other studies in Western countries and differed depending on age.

• 한국의료질향상학회지
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• 제17권1호
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• pp.79-88
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• 2011

Background : Evidence-based guidelines are now used for enteral nutrition(EN) in neurosurgical intensive care unit patients who mostly depend on EN. This study compared and analyzed the nutritive conditions of patients before and after they underwent guideline based nutritional interventions in order to determine whether using these guidelines improved their calorie supply. Methods : Data on the patients' nutritional requirements, maximum calorie supply through EN, serum albumin level, and total lymphocyte count were collected and analyzed using SAS version 9.1.3. All the statistical analyses were performed at a significance level of P<0.05. Result : The maximum calorie supply through EN was $923.1{\pm}359.7$ kcal before the intervention and $1254.4{\pm}196.3$ kcal after the intervention; this difference was statistically significant(P<0.05). The ratio of nutritional requirements to maximum calorie supply through EN was $55.5{\pm}22.4%$ and $74.2{\pm}13.9%$ before and after the intervention, respectively; this difference was statistically significant(P<0.05). This indicates a 19% increase in the ratio after the nutritional intervention. The serum albumin level also significantly increased from $2.7{\pm}0.6g/dL$ before the intervention to $3.2{\pm}0.4g/dL$ after the intervention(P<0.05). The total lymphocyte count slightly increased from $1267.7{\pm}728.2cells/mm^3$ before the intervention to $1801.9{\pm}1211.5cells/mm^3$ after the intervention; this difference was not statistically significant. Conclusion : The results showed that using the evidence-based feeding guidelines for interventions increased the calorie supply and improved the patients' nutritive conditions from moderate malnutrition to mild malnutrition.

• Nutrition Research and Practice
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• 제1권4호
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• pp.356-362
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• 2007

For the assessment of representative and longitudinal Zn nutriture in South Koreans, Zn, phytate and Ca intakes were determined using four consecutive years of food consumption data taken from Korean National Nutrition Survey Report (KNNSR) every 10 years during 1969-1998. The nutrient intake data are presented for large city and rural areas. Zn intake of South Koreans in both large city and rural areas was low during 1969-1988 having values between 4.5-5.6 mg/d, after then increased to 7.4 (91% Estimated Average Requirements for Koreans, EAR = 8.1 mg/d) and 6.7 mg/d (74% EAR) in 1998 in large city and rural areas, respectively. In 1968, Zn intake was unexpectedly higher in rural areas due to higher grain consumption, but since then until 1988 Zn intake was decreased and increased back in 1998. Food sources for Zn have shifted from plants to a variety of animal products. Phytate intake of South Koreans during 1969-1978 was high mainly due to the consumption of grains and soy products which are major phytate sources, but decreased in 1998. The molar ratios of phytate:Zn and millimmolar ratio of phytate${\times}$Ca:Zn were decreased due to the decreased phytate intake in South Koreans, which implies higher zinc bioavailability. The study results suggest that Zn nutriture has improved by increased dietary Zn intakes and the decreased molar ratio of phytate:Zn in South Koreans in both large city and rural areas.

• Journal of Nutrition and Health
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• 제44권5호
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• pp.384-393
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• 2011

The objective of this study was to determine the nutritional support in patients treated in medical intensive care units (MICUs) by evaluating the extent of current nutritional support using the patient care plan and considering the association between nutritional status and the amount of nutrition supplied. From April to December 2010, 114 patients (age ${\qeq}$ 18 years) admitted to the MICU and who underwent nutritional support for > 5 days were included. Descriptive statistics showed that the 114 patients received nutritional support within 1.2 ${\pm}$ 0.7 days and for 16.2 ${\pm}$ 11.7 days in the MICUs. The total delivered/required caloric ratio was 81.08 ${\pm}$ 27.31%, and the protein ratio was 80.32 ${\pm}$ 28.93%. Patients who received > 80% of required calories and protein showed improved nutritional status (p < 0.05). The results showed that adequate nutritional support is crucial to critically ill patients. We suggest early nutritional screening using simple tools such as periodic monitoring and management to recalculate nutritional status and nutritional requirements and nutritional support using a multidisciplinary method. Systematic nutritional support teams are needed to provide adequate nutritional support for patients in the MICU.

• Nutrition Research and Practice
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• 제16권4호
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• pp.527-536
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• 2022

BACKGROUND/OBJECTIVES: South Korea is representative of countries experiencing rapid societal aging. This study aimed to understand the current status of foodservice nutrition management provided to welfare facilities for the elderly and to understand improvements after support from "the Center for Social Welfare Foodservice Management (CSWFM)" in Cheongju City. SUBJECTS/METHODS: The status of foodservice nutrition management was assessed by dietitians and hired by the CSWFM, who visited 40 welfare facilities (registered members of the CSWFM) for the elderly in Cheongju City. After visiting each facility three times from July to December 2019, the results of inspections on four areas, that is, 'menu', 'meal provision', 'cooking', and 'distribution' management for 2nd and 3rd visits (support visits) were compared with results obtained at initial visits. RESULTS: Before support as determined during 1st visits, compliance rates with 'menu', 'meal provision', 'cooking', and 'distribution' requirements were 72.1%, 75.5%, 58.3%, and 77.5%, respectively. The mean compliance rate for all 15 items on the questionnaire used was 70.8%. Items with low compliance rates were 'Is the soup provided by foodservice at the recommended salinity?' (compliance rate 37.5%) and 'Is the foodservice cooking conducted by referring to a recipe?' (42.5%). At the two support visits, mean compliance rates increased significantly (P < 0.01, P < 0.001), mean total score had significantly increased from 71.80 to 90.26 (P < 0.001), and mean soup salinity decreased significantly from 0.82% at 1st visits to 0.68% (P < 0.001) and 0.56% (P < 0.001) at the 1st and second follow-up visits. CONCLUSIONS: These results show that the status of nutrition management at welfare facilities for the elderly was much improved by CSWFM involvement, and indicate the CSWFM should continuously provide nutrition management support to facilities and that finances and opportunities for more welfare facilities for the elderly be expanded.

• 대한영양사협회학술지
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• 제28권2호
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• pp.143-159
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• 2022

This study was undertaken to assess levels of job stress, self-efficacy, job satisfaction, and job involvement as perceived by school dietitians/nutrition teachers during the early stage of the COVID-19 pandemic and to determine the effects of these three factors. An online survey was sent from May 18 to May 26, 2021, to school dietitians/nutrition teachers in Seoul with experience of foodservice operations during 2020; 250 responses were used for this analysis. Job demands contributed most to job stress, whereas human relations contributed most to job satisfaction. Job stress caused by COVID-19 had a negative impact on self-efficacy (P<0.01) and job satisfaction (P<0.01), but a positive impact on job involvement (P<0.05). Self-efficacy positively impacted job involvement (P<0.01) but did not significantly influence job satisfaction. However, job satisfaction during early COVID-19 positively impacted job involvement (P<0.05). In conclusion, job stress associated with job requirements was greater during the early stage of the COVID-19 pandemic than before the pandemic guidelines are needed that enable school dietitians/nutrition teachers to better cope with the job pressures generated by infectious diseases.

• 대한지역사회영양학회지
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• 제15권3호
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• pp.351-360
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• 2010

This study was carried out to investigate the Korean traditional foods cognition and preference classified by age in Busan. The survey was conducted from January 2 to March 31, 2008, by questionnaires and data analyzed by SPSS program. The results are summarized as follows: Thirty-four point nine percent of the subjects were interested the Korean traditional foods. Over 40's were more interested in the foods than under 30's. Most of the subjects (65.5%) were proud of the Korean traditional foods and the most proud food was kimchi in all of the subjects. The improvement for Korean traditional foods was indicated as cooking method. There was a significant positive correlation between preference of bab, juk, guksu, gug, jeon-juk-sun, gui-jjim, jigae, jorim, bokeum, kimchi, namul, eumcheong and cognition degree of the Korean traditional foods. Therefore, the understanding of the requirements and preference of the subjects according to age and sex is needed to develop our traditional food.

• Journal of Nutrition and Health
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• 제19권1호
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• pp.52-65
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• 1986

This study deals with the conditions of nutritional intake of the urban elderly (age sixty years and older). This study analysis is based on factors that are influenced on the prevalent conditions of dietary-intake of the urban elderly either it be for better ment of health or desire. The method of this research was based on the interview-survey with questinaire in the Seoul area. In comparison to the surveys taken of the rural society and the urban slum elderly the urban elderly standard nutritional requirements was higher. Of the standard nutritional requrieemtns the twomen's nutrition intake was higher than of the men. But still the problem of malnutrition existed in the urban elderly both men and women at the probability nutritional deficienty rate higher than 30%. The food intake frequency factors which might influence the condition of nutritional intake was significant more than condition of eating. Another important factors of the conditions of nutritioal intake of the urban elderly are one's self-consciousness of health and degree of one's will change . In healthy case of the aged, their will was almost maintained and hand -grip strength was high when they had regular meal with their family . For elderl with the lower academic career and the one with more satisfactory to his meal, their wills didn't change before or after retirement. The objectiveness of this survey is to convince the elderly that the problems of nutritional deficiency can only be solved by reeducation and to improve their nutritional diet to have the enjoyments of a healtheir elderly life.