• 대한지역사회영양학회지
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• 제17권5호
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• pp.603-622
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• 2012

The population aged 95 years and older in Seoul approximately increased to five-fold over the past 10 years, while nationwide rates increased to three-fold. In order to examine the dietary habit and nutritional status of oldest-old population living in Seoul, we recruited 87 subjects (25 males and 62 females) aged 95 years and older. The prevalence of underweight (BMI < 18.5 $kg/m^2$) and obesity (BMI ${\geq}25kg/m^2$) were 18.2% and 18.2% in males, and 20.8% and 9.4% in females, respectively. In self-assessment of health, only 25.3% answered to be unhealthy. More males exercised regularly and reported a wide range of activities than females. The average of %Kcal from carbohydrate, protein and fat (C : P : F) was 64.9 : 13.8 : 21.2 in males and 68.1 : 14.2 : 17.7 in females. The average daily energy intake was 1,307 kcal in males and 1,304 kcal in females. More than 75% of subjects were taking under estimated average requirements (EAR) for vitamin $B_1$, $B_2$ & C and Ca. The average of mean adequacy ratio (MAR) was 0.66 in males and 0.70 in females, and 28.8% of males and 12.9% of females were in MAR < 0.50. Based on MAR, 32.0% of males and 14.5% females were classified as normal and 16.0% of males and 25.8% of females were classified as malnourished. Our subjects were taking more animal food, especially milk and its products, compared to those living, in rural areas. However, a significant proportion did not meet the EAR for vitamin $B_1$, $B_2$ & C and Ca.

• 대한지역사회영양학회지
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• 제15권1호
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• pp.137-148
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• 2010

This study was conducted on 175 child-care teachers, who participated in in-service education, to research the methods to improve child-care teacher's nutrition management capability for infants and children. Investigated results of child-care teachers' nutrition knowledge, dietary attitude status, and needs on nutrition education in child-care centers are as follows: The score of child-care teachers' nutrition knowledge was 10.83 points out of 15, which is about 72%. Total score increased as teachers' age but not significantly different from their career duration, since teachers who have a child-care career less than 5 years acquired 10.91 points, which is higher than 10.64 points of teachers having more than 5 years of child-care career. Teachers' average recognition to the nutrition knowledge was 90.6%, increased significantly by the older they are, and decreased according to the accumulation of their career. The average accuracy of the nutrition knowledge was 79.7%, increased in proportion to the teachers' age. The marks of child-care teachers' dietary attitude were 41.3 points (possible score range 5-50) and 83%, older teachers tended to have more desirable dietary attitude. As indicated by the increment of child-care career, the score of emotional attitude tended to be increased but which of cognitive and behavioral attitude showed a declining tendency. Nutrition information which child-care teachers were mainly interested in were correct selection of food (58.1%), obesity and weight management (52.7%), and nutrient content of food (44.9%). Nutrition education contents which child-care teachers needed were 'nutritious food and menu for child' (72.2%), 'health management of child' (69.2%) and meal management of child (40.2%). Nutrition education methods, which child-care teachers considered as of desirable ones, were cooking class of small scale (31.8%), visiting class at child-care center (26.5%). In consequence, the nutrition knowledge and dietary attitude of child-care teachers were not good and showed different issues by age and career duration. Therefore, it is requisite to intensify nutrition management courses in child-care teachers' qualification and in-service education courses which has actual necessity and suitability based on teachers' age, career, and the type of child-care center, and to disseminate these through public health centers and child-care & education information centers to pursue the efficient balance of nutrition education programs.

• Journal of Nutrition and Health
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• 제13권1호
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• pp.1-7
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• 1980

For the purpose of ascertaining the status of physical growth and food habit of obese children, a study was made of 1086 primary school children ranging between 2nd and 3ra grades living in Kwang-ju City in Korea. 66 subjects were selected from an anthropometrical point of view and they were classified into two groups, an obese group and a control group, according to their relative body weight. Food habits of each group were observed by means of questionnaires. In the statistical analysis of the data, percentage calculation and T-score test were used. The results of the study can be summarized as follows; 1) Viewed from relative body weight, 3.0% of the 1,086 subjects turned out to be obese, and the measure of skinfold showed 2.4%. 2) Physical growth of the obese growth is superior to that of the control group in all aspects. 3) The average score of food preference by means of Hedonic scaling method by the obese group is 3.90, while that of food preference by the control group is 3.76. The most favored food by the obese group is ice cream (4.91), while that of most favored food by the control group is banana (4.75). The statistically meaningful foods of the two groups are cucumber (0.02>p>0.01), orange (p<0.02), peach(0.05>p>0.02), watermelon (p <0.01) and ice cream (p<0.01). The score of food preference for protein foods by the obese group is 3.78 and that of food preference by the control group is 3.57(0.05>p>0.02). The excessive food intake per meal of the obese group is 45.4%, while that of the control group is 19.7% (0.05>p>0.02). Ratio of taking severely unbalanced food by the obese group is 15.1%, while that of the control group is 50.0% (p<0.01). 4) 30.3% of mothers of the obese group is fat, while 15.1% of mothers of the control group is fat (p<0.01). Concerning body weight at birth, 90.9% of the obese group and 63.6% of the control group are above-average weight. (p <0.01). From the results shown above, the obesity in children is almost due to food. It is hoped, therefore, that overeating be discouraged through the nutrition education.

• Journal of Preventive Medicine and Public Health
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• 제28권3호
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• pp.609-622
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• 1995

Until now there are few available epidemiologic data of osteoporosis in Korea, and the severity of osteoporosis-related health problem has not been widely recognized yet. But the numbers of the old people are increasing in Korea, and in 2000, the proportion of people over 65 will be up to about 6.8% of total population. Therefore, osteoporosis, one of the most common metabolic bone disease among the old people, will be one of the most important public health problem. On this background this study was performed to find out risk factors of the development of osteoporosis in Korean women through case-control approach. The subject of this study were selected among the women who visited menopause clinic in one general hospital in Seoul and were checked bone density from Sep. 1988 to Sep. 1993. Those who were diagnosed to have hypertension, diabetes mellitus, thyroid disease, breast disease, or liver disease, which are thought to influnce bone density, were excluded. Also excluded those who are age-unknown. Finally the subjects were 2,139 women aged between 18 and 79. We operatively defined patient group as those whose bone density is below $1.039/cm^2$, 90% of average bone density of women of 4th decade who visited the same hospital. And we defined control group as whose bone dendity is above $1.15g/cm^2$. We randomly selected 201 women from the patient group and 202 from the control. As independent variables we chose age, menarche age, menopause age, menopause type, the number of siblings, the number of pregnancies, body mass index, taking oral pill or not, feeding type, and educational state. Multiple logistic regression analysis was done to see the influence of these variables on the risk of osteoporosis. Results are as follows; 1. menopausal status was statistically significant risk factor to all women irrespective of her age, while obesity and later menopause age were found to be statistically significant protective factors. 2. The more siblings and pregnancies, the greater tile risk of osteoporosis, but these factors were not statistically significant. This result is not consistent with other studies. Further studies are strongly needed.

• 한국의류학회지
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• 제40권5호
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• pp.830-843
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• 2016

The world wide increase of obesity and demands for various plus-size fashion are expanding the global plus-size fashion market. This study is to understand the market status of the US (the biggest plus-size fashion market) as well as analyze women's fashion shown in power blogs on the plus-size fashion trend. For research methods, photos from the top 10 globally ranked plus-size power blogs on Alexa.com were collected and divided into 5 plus-size body types based on: design factors, style, color, item, and texture. Pants with tops or completed outfits including pants, tops, and outer were the most common for casual styles; in addition, a tendency to pursue comfortable and naturally fitted clothes was also indicated. As for colors, the most common were blue colors and white or pastel toned colors; in addition, soft, hard, and transparent were all evenly used for materials. One-piece items were the most popular formal style that were mostly a one-tone color made with hard materials indicated by the pursuit of the fanciness and formality of a dress for a formal occasion. Black was the most common color, and the color variation was less diverse compared to that of casual styles. The most common for semi-formal styles were outfits with movability and more fanciness such as wearing a casual outer on top of a formal one-piece. When examining the fashion in plus-size blogs, there are differences in the frequency of design factors due to the diversity of body-types; in addition, different items were shown to be preferred in accordance with styles. The results of this study will help fashion companies who want to enter the global plus-size women's fashion market (including the US market); in addition, research on plus-size fashion that is changing the fashion and aesthetic paradigm is expected to contribute to academia.

• Journal of Nutrition and Health
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• 제35권9호
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• pp.982-995
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• 2002

This study was conducted to provide basic information on the nutritional status and dietary behaviors of the deaf teenagers. The subjects of this study were 87 deaf-mute high school students in Pusan and Kyung-nam area and, in comparison,90 general high school students in Ham-an area. The survey was investigated by using a self-administered questionnaire. The results were as follows: Deaf-mute group was consisted of 63.2% male and 36.8% female, and mean of height and weight of male were 171.2 cm and 61.9kg, female were 158.0cm and 51.7kg. Obesity index and body mass index (BMI) were normal range in both deaf-mute and normal groups. The average nutrition knowledge score of the deaf-mute group was 6.8 $\pm$ 1.5 out of possible 10 points, that was significantly lower than 7.3 $\pm$ 0.8 of the normal group (p<0.01). The mean of self-control and conscious control scores in the eating behaviors of the deaf-mute group were 2.6 $\pm$ 1.2 and 2.4 $\pm$ 1.3 out of possible 5 points from each item, which was significantly higher than 2.1 $\pm$ 1.3 and 1.8 $\pm$ 1.4 of the normal group (p< 0,01). Nutrients consumed below 90% of Korean RDA were energy (79.9%), Ca (71.5%) for deaf-mute male students and Ca (88.5%) for deaf-mute female students. Energy (71.4%), protein (87.8%), Ca (74.8%), vitamin B$_1$ (83.4%) intake of normal male students and energy (72.8%), Ca (71.2%), Fe (78.7%) intake of normal female students were below 90% of Korean RDA. Energy, protein, fat, vitamin B$_1$, niacin intake of deaf-mute male students were significantly higher than normal male students and all nutrients intake of deaf-mute female students were significantly higher than normal female students. By the correlation of nutrients intakes with nutrition knowledge, there was positive correlation with the intakes of Ca, Fe, vitamin A, vitamin B$_2$, and vitamin C in the deaf-mute group, while there was negative correlation with the nutrients intakes (except for protein and fat) in the normal group. The amount of meal, breakfast, regularity of meal time, frequency of snacks showed a positive relation to nutrient intakes in deaf-mute group and amount of meal, breakfast, regularity of meal time, frequency of overeating showed a positive relation to nutrient intakes in normal group. The nutrition knowledge had no correlation with food habits or eating behaviors in both groups.(Korean J Nutrition 35(9) : 982~995, 2002)

• Nutrition Research and Practice
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• 제11권5호
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• pp.402-411
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• 2017

BACKGROUND/OBJECTIVES: The role of a school's nutrition environment in explaining students' eating behaviors and weight status has not been examined in an Asian setting. The purpose of this study was to create a school nutrition environment index and to pilot test the index in elementary and middle schools in urban South Korea. SUBJECTS/METHODS: This study used a mixed-methods approach. Environment assessment tools were developed based on formative research, which comprised literature reviews, in-depth interviews, and focus group discussions. Key elements from the formative research were included in the assessment tool, which consisted of a structured survey questionnaire for school dietitians. Fifteen school dietitians from 7 elementary and 8 middle schools in Seoul completed the questionnaire. RESULTS: The formative research revealed four main sections that guided a summary index to assess a school's nutrition environment: resource availability, education and programs, dietitians' perceptions and characteristics, and school lunch menu. Based on the literature reviews and interviews, an index scoring system was developed. The total possible score from the combined four index sections was 40 points. From the 15 schools participating in the pilot survey, the mean school nutrition-environment index was 22.5 (standard deviation ${\pm}3.2$; range 17-28). The majority of the schools did not offer classroom-based nutrition education or nutrition counseling for students and parents. The popular modes of nutrition education were school websites, posters, and newsletters. CONCLUSIONS: This paper illustrates the process used to develop an instrument to assess a school's nutrition environment. Moreover, it presents the steps used to develop a scoring system for creation of a school nutrition environment index. As pilot testing indicated the total index score has some variation across schools, we suggest applying this instrument in future studies involving a larger number of schools. Future studies with larger samples will allow investigation of the validity and reliability of this newly developed tool.

• 대한영양사협회학술지
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• 제20권4호
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• pp.235-246
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• 2014

The purpose of this study was to evaluate nurses' perception of clinical nutrition services. A cross-sectional survey design was performed. The research was accomplished by using questionnaires developed for this study and administered from September 12 to December 31, 2013 to 343 nurses at 43 tertiary hospitals and 20 general hospitals. The percentage of nurses who recognized clinical nutrition certificate as issued from nation was 27.8%. The mean scores of perceived usefulness on clinical nutrition services was 4.23/5.00, whereas that of perceived implementation was 3.76/5.00. The mean scores of necessity of disease-specialized clinical dietitian at capital hospitals were significantly higher for obesity (P<0.01), cancer (P<0.05), and infant & childhood disease (P<0.01) than at local hospitals. The rates of nurses' experience in group education on cancer at capital hospitals (21.7%) was significantly higher than that at local hospitals (10.3%) (P<0.05). The mean scores of perceived importance of clinical nutrition services were 4.46/5.00 for 'group nutrition education', 4.46/5.00 for 'individual consultation', and 4.40/5.00 for 'nutrition management for enteral nutrition (EN) patients'. The most common reason why clinical nutrition services are important was 'improving malnutritional status'. To activate clinical nutrition services especially at local hospitals, clinical dietitians should give systematic assistance to patients and also institutional supports are needed.

• 한국식품영양과학회지
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• 제37권5호
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• pp.571-577
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• 2008

본 연구는 현재 체중에 대한 인식과 체중 감량 실태를 남녀 각각의 연령에 따른 차이와 성별에 따른 차이를 조사하고자 하였다. 체중 감량 경험이 있는 $10{\sim}60$대의 남녀 각각 60명씩 전체 720명의 대상자들에게 일반사항, 체격, 현재 체중에 대한 인식과 만족 정도와 체중 감량 경험 및 결과를 전화 설문을 통해 조사 분석하였다. 본 연구에서 현재 체중인식과 만족도는 큰 차이를 보여 본인의 체중이 정상이거나 마른 체중이라고 인식함에도 불구하고 전 연령대에서 체중 감량을 원하고 있음을 알 수 있었다. 체중 감량 실태 조사결과, 연령이 높을수록 체중 감량 시도 횟수가 낮으나 체중감량 후 유지기간이 길었고 남성이 여성에 비하여 이러한 경향이 강하였다. 또한 연령이 높을수록 여러 가지 체중 감량 방법에 대한 만족도가 높고 요요현상을 적게 경험하였고 이러한 경향은 남성에게 강하게 나타났다. 결론적으로, 잘못된 체중 감량 방법에 의해서 희망 체중에 도달하나, 유지기간이 짧고 여러 가지 요요현상을 경험하면서 체중 감량 방법에 대한 만족도도 낮아져 결국 빈번한 체중 감량을 시도하는 악순환을 경험하게 되는 것으로 사료되어진다. 따라서 성별과 연령에 따른 인식과 체중 감량 실태의 차이를 고려하여 개인별 맞춤형 체중 감량을 위한 영양 교육이 필요할 것이라고 사료된다.

• 한국지역사회생활과학회지
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• 제19권4호
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• pp.707-719
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• 2008

This study was carried out to find the relationship among dietary behavior, dietary self efficacy and nutrition knowledge according to the perceived body shape of the 5th and 6th grade elementary students in Gangwon Province and found out their relationships. The results are as follows; The factors that showed significant difference according to perceived body shape were gender, father's education level, the number of siblings, birth order, obesity of parents and siblings and ideal body shape. For the perceived body shape, the students answered generally normal(48.9%), slightly fat(27.9%), thin(16.5%) and very fat(6.7%). Out of total students 76.5% of them were not satisfied with their body shape such that satisfactory(23.5%), want to lose weight(61.4%) and want to increase weight(15.1%). The score of eating behavior showed significant difference between perceived body shape on such questions as eating speed(p<0.001), frequency of fatty food intake(p<0.001), adequate intake quantity(p<0.001), balanced diet(p<0.05), frequency of going out to eat(p<0.001). The score of diet self efficacy showed significant difference in the area of general habit on such questions as whether to eat slowly together with friends (p<0.001), whether to eat adequate quantity(p<0.001), whether not to have snacks after dinner(p<0.001). And in the area of food selection it showed significant difference on such questions as to select ice cream in stead of yoplait(p<0.001). In the area of social circumstance it showed significant difference on such questions as to reject the food(p<0.01) and to restrain food in birthday party or holiday(p<0.05). In the area of emotional status it showed significant difference on the question about food restrain when boring and depressed(p<0.05 respectively). The score of nutrition knowledge showed significant difference according to the perceived body shape on such questions as total score(p<0.01), five basic food group(p<0.05), snack and body weight(p<0.001), calcium function(p<0.01). It showed perceived body shape co-related with the nutrition knowledge(p<0.01). In summary, the perceived body shape for the highly eating behavior was generally normal, for the highly dietary self efficacy was slightly fat, and for the highly nutrition knowledge was also slightly fat.