• Journal of Nutrition and Health
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• v.55 no.3
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• pp.406-417
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• 2022

Purpose: The incidence of chronic diseases is increasing and the age of onset is decreasing in South Korea. Healthy eating habits to prevent chronic diseases are established in adolescence. This study verified the identified factors and dynamics that affect diet self-assessment for sustainable adolescent health and the prevention of chronic diseases. Methods: Data were collected from 492 middle and high school students in South Korea from June to July 2018, and the participants answered a questionnaire on dietary safety management competency for sustainable health. Results: The healthy dietary self-assessment scores of overweight/obese adolescents and adolescents who perceived their health as normal were significantly lower than those of other groups. Factor analysis verified the validity of the items that comprised each study area before a multiple regression analysis was used to investigate the factors affecting healthy dietary self-assessment. Sweet and salty diets, anxiety, food and nutrition knowledge, weight management knowledge, stress management, exercise, basic eating habits, and healthy eating habits significantly affected healthy dietary assessment among adolescents. A higher perception of one's health indicated a higher healthy dietary self-assessment, dietary safety knowledge, and health management practice scores (p < 0.01). Factors like healthy dietary self-assessment, food and nutrition knowledge, and weight management knowledge appear to have a significant correlation with other identified factors, except overeating. The adolescents' awareness, knowledge, and dietary safety practices influenced healthy dietary self-assessment, which can prevent chronic diseases and achieve sustainable health. Conclusion: This study illustrated how the adolescents' awareness, knowledge, and practices of dietary safety influenced their healthy diet self-assessment. The results indicate that diet-based health management competency education relative to the adolescents' self-perception and weight levels should be implemented.

• Journal of Society of Preventive Korean Medicine
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• v.27 no.1
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• pp.89-98
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• 2023

Objectives : This study collected sleep information by wearable device in the Korean medicine Daejeon citizen cohort (KDCC). It was measured based on the sleep record information measured by wearing a Fitbit, and the possibility of clinical use was examined for compliance with objective sleep collection. Based on compliance, the possibility of clinical use was examined. Methods : After surveying personal information and PSQI(Pittsburgh Sleep Quality Index), sleep information was collected by Fitbit for 14 days. Compliance was measured based on sleep record information by Fitbit. Compliance was analyzed by sex, age, BMI(Body Mass Index), and sleep group(deep/poor). Results : The number of participants was 730, and the compliance was 94.3%, and the compliance group was 675(92.5%). The age of the participants varied from 30 to 60 years old, and the average age was 46±6.7 years. There were 218 males and 512 females. Young people have high compliance. Males are more compliance than females. As the BMI score decreased in the 30s, the compliance was higher. The underweight group in all age groups had 100 compliance. The underweight group was all female. The low compliance groups were that 30 years males (obesity level2), 50 years females (overweight group), and 50 years females (obesity level2). There was no significant difference in compliance between deep sleep group and poor sleep group. In deep sleep group, females showed higher compliance. In poor sleep group, males showed higher compliance. The average duration of Fitbit usage among participants was 20.1 days. The compliant group wore the device for an average of 21.3 days, while the non-compliant group wore it for only 5.2 days. Of the compliant group, 86.9% (73.8% of all participants) continued to wear the Fitbit after the recommended 14-day period, and 50.8% wore it for more than 20 days. Conclusions : This study showed the possibility of adaptation for wearing a Fitbit for collecting objective sleep information. It is judged that the compliance is high because it was worn for more than 13.2 days out of the 14 days required. It is considered meaningful because the compliance was measured based on the sleep information by Fitbit, not the questionnaire. As the data on objective sleep time is collected automatically, we believe that the burden on participants after the study period is not significant for a certain period. Compliance may be even higher for cohorts related to illnesses and with doctor's orders, rather than for the general population.

• Nutrition Research and Practice
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• v.4 no.2
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• pp.106-113
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• 2010

In this study, we compared corn gluten hydrolyzates, BCAAs, and leucine for their effects on body weight reduction in high fat-induced obese rats in order to determine the major active components in the corn gluten hydrolyzates. After obesity was induced for 13 weeks with high fat diet, the overweight-induced SD rats (n = 64) were stratified according to body weight, randomly blocked into eight treatments, and raised for 8 weeks. Four groups were changed to a normal diet and the other groups remained on the high fat diet. Each of the groups within both diets was fed either casein, corn gluten hydrolyzates, leucine, or branched chain amino acids, respectively. Daily food intake, body weight gain, and food efficiency ratio were significantly lower in the corn gluten hydrolyzate groups compared to the other groups, regardless of the high fat diet or normal fat diet. The rats fed the corn gluten hydrolyzates diet had the lowest perirenal fat pad weights whereas muscle weight was significantly increased in the corn gluten hydrolyzates groups. Plasma triglyceride, hepatic total lipid, and total cholesterol contents were significantly reduced in the corn gluten hydrolyzates groups. Other lipid profile measurements were not significantly changed. Plasma triglyceride and hepatic total lipid were also significantly reduced in the BCAA and leucine groups. Leptin levels were significantly lower and adiponectin was significantly higher in the corn gluten hydrolyzates groups. Fasting blood glucose, insulin, C-peptide, and HOMA-IR levels were also significantly reduced in the corn gluten hydrozylates groups, regardless of fat level.

• Korean Journal of Health Education and Promotion
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• v.18 no.3
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• pp.163-175
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• 2001

The purpose of this study is to collect fundamental data for weight control education based on obesity, weight control practices and body image in female college students. Those surveyed were 364 female college students attending universities in Seoul, Kyoung-Gi and Chung Cheung Buk Do. The data were collected from June 1, 1999 to September 10, 1999. The resulting data are as follows: 1. The mean BMI of the female college students was 19.78:t1.87kg/$\textrm{m}^2$, which comes within the range of normal weight. Underweight, normal weight and overweight students were respectively 27.2%, 66.8% and 5.5%. As many as 7.1% of the underweight students and 42.8% of the normal weight students described themselves as being "fatty". 2. Of these subjects, 83.5% reported wanting to lose weight, and the primary reason of weight control was to improve their appearance. The mean weight that they wanted to lose was 5.2$\pm$2.7kg, and 68.7% of the respondents had tried to lose weight. Among them, the most frequently reported weight control behavior was dieting followed by exercise, 30% reported fasting, 3.6% reported using drugs, 4.4% reported smoking and 3.6% reported vomiting. As to the weight loss effect, 96.7% of the subjects used behavior modification, 82.5% of the students exercised, and 76.1% of the dieters reported they had lost weight. 3. As to body image, many female college students were dissatisfied with their body figures, especially thighs(70.3%), hips(60.4%), abdomens(60.2%), and weight(55.2%). The body image of the students that perceived themselves as "fatty" was the lowest. 4. There were significant differences in the mean weight that they wanted to lose and the weight control attempts according to weight perception. Those that perceived themselves as "fatty" wanted to lose more weight, and had more weight control experiences. In conclusion, attempts at weight control are common in the female college students and many students appear to be dissatisfied with their body shapes. It is important to educate about healthy weight control methods and raise their awareness of the positive body image.ss of the positive body image.

• Nutrition Research and Practice
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• v.3 no.2
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• pp.141-148
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• 2009

The purpose of this study was to investigate the degree of family support for diabetic patients and the diet therapy practice of patients themselves, and to analyze the relationship between family support and diet therapy practice and blood glucose control, and thus to prepare basic data for the development of effective education programs to improve blood glucose control in diabetic patients. The study subjects were 82 patients with type II diabetes, aged over 20 in the Chungbuk area. The gender distribution of subjects was 52.4% males and 47.6% females, and BMI showed 29.3% overweight and 35.3% obesity. Among the 82 study subjects, the relationship between diet therapy related family support and blood glucose control was examined in 67 subjects who answered practicing diet therapy, and the results showed that the family support score of a group with excellent blood glucose control was significantly higher than those of groups with fair or poor control (p<0.001) and the correlation between the two factors was very high (r=0.341, p<0.001). For the relationship between diet therapy practice by patients themselves and blood glucose control, diet therapy practice of a group with excellent blood glucose control was significantly higher than those of other groups (fair or poor control groups) (p<0.001) and the correlation between two factors was very high (r=0.304, p<0.001). For other factors influencing blood glucose control, a group with diabetes education showed significantly better blood glucose control compared to other groups without education (p<0.05). From the above results, diet therapy practice by patients, family support, and the necessity of diabetes education were confirmed to control blood glucose of diabetic patients. In conclusion, development and operation of education program should include not only patients but also their family members.

• Fashion & Textile Research Journal
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• v.19 no.6
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• pp.795-803
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• 2017

This research aimed to figure out the effects of physical features such as BMI, garment size and socio-psychological factors such as self-esteem and depression on the body management. A survey was conducted for women in their 40's and 50's. The participants in this study consisted of 197 women recruited in Daegu and the surrounding areas. Statistical analysis including factor analysis, ANOVA, cluster analysis and regression was done using SPSS 23.0 to analyze the results. Among 3 clusters divided by BMI, normal group showed higher body cathexis compared with overweight group and obesity group. S-size group showed higher body cathexis rather than M, L-size groups. L-size group showed higher scores in nonsurgical body management factor. Self-esteem(+)/depression(-) group showed highest body cathexis among 4 groups clustered by self-esteem and depression levels. On the other hand, self-esteem(-)/depression(+) group showed the lowest body cathexis and highest surgical body management and nonsurgical body management factors. This result meant that the lower in self-esteem and the higher in depression, body cathexis decreased and desire for body management increased. As the results of analysis of the effects of BMI, garment size, self-esteem, depression level on body management, depression was a significant factor on surgical body management; depression and garment size were critical factors on nonsurgical body management.

• Journal of Nutrition and Health
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• v.36 no.1
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• pp.49-63
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• 2003

The purpose of this study was to obtain the nutritional values and objective data of uncooked powdered food (UPF) in korea. We interviewed 27 healthy female subjects aged over 25 years living in the lksan area. We just replaced common breakfast and dinner of the subjects with UPF. Their dietary intake status was evaluated by 24-hour recall method. Their body compositions were measured using body fat analyzer. Also we conducted hematological and clinical analysis of blood. The intake of energy, lipid and protein has decreased as people started to take UPF, but the intake of vitamins and minerals has increased. The quality of meals has improved after taking UPF. Due to the energy loss by taking UPF, weight and body fat gradually lessened. Among the lost weight the percentage of the body fat was high and we judged that the process of losing weight was successful. It is hard to predict whether weight loss will occur to people who are already in shape or not, but if overweight and obesity people regularly take UPF instead of other food products, we assume that UPF will help lessening body fat. The most positive change among biochemical changes by taking UPF was decreasing of serum lipid contents. The concentrations of total cholesterol and LDL-cholesterol gradually decreased and decreased intently after 12weeks. Serum HDL-cholesterol gradually increased and serum triglyceride showed gradual decrement. When healthy adult women replaced two of three meals with UPF for 3months, we were able to see some useful changes like decrement of body fat and serum lipid control and during this 3month period, no significant nutritional problems occurred. Complete judgement on UPF may be difficult with these conclusions but if people take a nomal meal once and replenish iron from taking UPF twice a day, we assume that replacing UPF with regular meal not be a problem in nutritional status. If other experiments on the effects of UPF proceed, we believe that those experiments will be very helpful in judging the nutritional value of UPF. (Korean J Nutrition 36(1) : 49-63, 2003)

• Journal of the East Asian Society of Dietary Life
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• v.9 no.3
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• pp.315-324
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• 1999

This study was carried out to evaluate high-school students' nutrient intakes according to the status of body mass index, and to analyze the Physical health status. The volunteers were 560 high school students in 8 provinces, but 511 students were analyzed. It was used questionnaire method as an instrument tool. The questions were composed with socio-demographic characteristics, physical health condition by CMI. and the evaluation of food consumption by 24 hours recall method. Anthrophometric measurement of height and weight was used the data of health chart of each school-class. The family situation of the subjects was mostly nuclear family(73%), agricultural work(53%), and normal living situation(75%). The students of the BMI range of 18-23 were 71%. but those of the overweight(over 23) were 15%. The individual characteristics were different in BMI. Female and third grade students were more of BMI scores. The overall nutrient intakes of students were low compared with Korean RDA of adolescent. especially iron. calcium. vitamin A, and riboflavin. The mean adequacy ratio(MAR) of nutrient intakes was 0.45$\pm$0.23 only. The energy nutrients, ash, and vitamin A intakes were significantly different according to the different BMI groups. But the other mineral and vitamin intakes were not different according to BMI. By the correlation of individual characters with BMI, height was negatively and weight and school grade were positively correlated, but sleeping time and study accomplishment were not correlated. By the correlation of nutrient intakes with BMI, there were negative correlation with the intakes of energy, carbohydrates, potassium, and thiamin. According to this results, We concluded that Korean high-school students living in rural were lower intake of nutrients(iron, vitamin A, and riboflavin) and unbalanced nutrient intakes(MAR of 0.45$\pm$0.23). The state of lower intakes of energy nutrients and vitamin A intakes in higher BMI group mean the students spend their effort to reduce BMI for avoiding obesity. But they need to balanced diet. and good nutrient intakes. These situations would be necessary for students to ameliorate quality of living in rural.

• Clinical and Experimental Pediatrics
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• v.64 no.10
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• pp.531-537
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• 2021

Background: Multisystem inflammatory syndrome in children (MIS-C) is a new hyperinflammatory variant that evolved during the coronavirus disease 2019 pandemic. Although the precise pathophysiology of MIS-C is uncertain, it is thought to be due to immune dysregulation occurring after recovery from acute infection. Purpose: Our study aimed to analyze the clinical spectrum, laboratory parameters, imaging characteristics, treatment strategies, and short-term outcomes of children with a diagnosis of MIS-C. Methods: This retrospective and prospective observational study included children less than 16 years of age who were admitted to the pediatric unit of a tertiary care teaching hospital in south India between August 2020 to January 2021 with a diagnosis of MIS-C according to World Health Organization criteria. Results: Twenty-one children were included in the analysis; all had fever with variable combinations of other symptoms. The mean age was 6.9 years; 71.4% were male. Gastrointestinal (80.9%) and cardiovascular (80.9%) systems were the most commonly affected. The majority of children had elevated inflammatory markers, and 16 (76.2%) had echocardiographic abnormalities mimicking Kawasaki disease. Eleven children (52.4%) required intensive care admission, 3 (14.3%) required supplemental oxygen, and 4 (19%) required inotropes. Nine (42.9%) were treated with intravenous immunoglobulin alone, 6 (28.6%) with steroids alone, and 3 (14.3%) with steroids and immunoglobulin. The median hospital stay was 6 days; there were no fatalities. Overweight/obesity, elevated ferritin, and mucocutaneous involvement were significantly associated with a prolonged hospital stay (≥7 days). Sixteen children (76.2%) were followed up till now and all of them had no clinical concerns. Conclusion: MIS-C is an emerging disease with variable presentation. A high index of suspicion is necessary for its early identification and appropriate management. Further research is essential for developing optimal treatment strategies.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.5
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• pp.2069-2079
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• 2012

Background and Objective: A comprehensive overall review of gastric cancer (GC) risk and protective factors is a high priority, so we conducted the present study. Methods: Systematic searches in common medical electronic databases along with reference tracking were conducted to include all kinds of systematic reviews (SRs) about GC risk and protective factors. Two authors independently selected studies, extracted data, and evaluated the methodological qualities and the quality of evidence using R-AMSTAR and GRADE approaches. Results: Beta-carotene below 20 mg/day, fruit, vegetables, non-fermented soy-foods, whole-grain, and dairy product were GC protective factors, while beta-carotene 20 mg/day or above, pickled vegetables, fermented soy-foods, processed meat 30g/d or above, or salty foods, exposure to alcohol or smoking, occupational exposure to Pb, overweight and obesity, helicobacter pylori infection were GC risk factors. So we suggested screening and treating H. pylori infection, limiting the amount of food containing risk factors (processed meat consumption, beta-carotene, pickled vegetables, fermented soy-foods, salty foods, alcohol), stopping smoking, avoiding excessive weight gain, avoidance of Pb, and increasing the quantity of food containing protective components (fresh fruit and vegetables, non-fermented soy-foods, whole-grain, dairy products). Conclusions: The conclusions and recommendations of our study were limited by including SRs with poor methodological bases and low quality of evidence, so that more research applying checklists about assessing the methodological qualities and reporting are needed for the future.