• 한국보건간호학회지
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• 제36권3호
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• pp.309-322
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• 2022

Purpose: The purpose of this study was to identify factors associated with sugar-sweetened beverage consumption of Korean preschool children. Methods: Subjects for the study were recruited using the convenience sampling method. A total of 162 mothers with preschool children aged 3 to 5 years participated in the study using a self-reported questionnaire and provided data regarding the frequency and quantum of the children's sugar-sweetened beverage consumption days in a week and the factors associated with such consumption. Hierarchical multiple regression analysis was conducted to analyze the factors associated with the sugar-sweetened beverage consumption of preschool children. Results: Among the children-specific factors, age (β=.13, p=.015) was positively associated, while fruits/vegetable consumption (β=-.22, p<.001) was negatively associated with sugar-sweetened beverage consumption of the preschool children. Among the mother-specific factors, fruits/vegetable consumption of mothers was negatively associated (β=-.16, p=.006), while the sugar-sweetened beverage consumption of the mothers was positively associated with the sugar-sweetened beverage consumption of the preschool children (β=.27, p<.001). In addition, the maternal restrictive feeding style was negatively associated with sugar-sweetened beverage consumption of preschool children (β=-.23, p<.001). Conclusion: Based on these results, interventions targeted at children, parents, and the family environment should be developed to reduce the consumption of sugar-sweetened beverages in early childhood.

• Journal of Nutrition and Health
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• 제51권5호
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• pp.465-479
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• 2018

본 연구는 2017년도 제 13차 청소년건강행태온라인조사 자료를 활용하여 우리나라 청소년의 가당음료 섭취실태를 파악하고 가당음료 섭취와 인구사회학적 특성, 건강관련 행위, 심리적 특성 및 식습관과의 관련요인을 확인하기 위해 수행되었다. 가당음료 섭취빈도는 탄산음료, 고카페인 또는 에너지음료, 단맛이 나는 음료수에 대한 섭취빈도를 합산하여 산출하였으며, 주요 분석결과는 다음과 같다. 1. 인구사회학적 특성별 가당음료 섭취비율을 살펴보면 남학생과 여학생의 가당음료 섭취 비율의 차이를 나타냈으며, 중학생군과 고등학생군의 가당음료 섭취 비율에서도 유의미한 차이가 있었다. 아버지의 학력에서도, 주관적인 학업성적에서도 군간에 가당음료 섭취비율의 유의미한 차이를 보였다. 2. 건강행위별 가당음료를 섭취하는 비율은 흡연군과 비흡연군간에 차이를 나타냈으며, 음주군과 비음주군에서도 섭취 비율의 차이를 보였다. 또한 중강도 고강도운동 등의 신체활동군에서 비신체활동군과의 가당음료 섭취 비율의 유의미한 차이를 보였다. 3. 심리적 특성으로서 스트레스가 높거나 자살 생각 또는 슬픔이나 절망감을 경험한 군에서도 비경험군과 가당음료 섭취 비율이 다르게 나타났다. 4. 식습관 요인을 살펴보면 아침을 주 5일 이상 결식한 군과 비결식군간에, 패스트푸드, 라면, 과자를 일주일에 3회 이상 섭취 또는 편의점 슈퍼마켓 학교매점을 이용하여 식사를 한 경험이 일주일에 3회 이상 있는 군과 3회 미만인 군간에 가당음료 섭취비율의 차이를 확인할 수 있었다. 채소 반찬의 경우 매일 3회 이상 섭취한 군과 3회 미만으로 섭취한 군간에 가당음료 섭취비율도 유의미한 차이를 보였다. 5. 가당음료 섭취에 영향을 주는 요인을 알아보고자 로지스틱 회귀분석을 실시한 결과 여학생보다 남학생이, 중학생보다 고등학생이, 아버지의 학력이 낮을수록, 주관적인 학업성적이 낮을수록, 흡연이나 음주를 하는 학생이 가당음료를 섭취할 가능성이 높았다. 또한 스트레스가 심하거나, 자살 생각 또는 슬픔이나 절망감을 경험한 학생들의 가당음료를 섭취할 가능성이 높게 분석되었다. 또한 아침을 자주 결식하거나, 패스트푸드, 라면, 과자 등 건강하지 못한 식품을 섭취하거나, 편의점, 슈퍼마켓, 학교매점에서 저녁을 간단히 먹는 학생들에게서도 가당음료 섭취 가능성이 높은 것으로 나타났다. 이상의 결과를 종합해보면 우리나라 청소년들의 가당음료 섭취와 인구사회학적 요인, 건강관련행위, 심리적 특성 및 식습관 등 여러 요인들과 연관성이 있음이 관찰되었다. 이러한 가당음료 섭취는 영양적으로 가치가 낮은 반면 칼로리는 높아 비만을 유도하고 각종 질환의 원인이 될 수 있다. 현재 정부에서 청소년들의 당류섭취량을 줄이기 위해 학교 내 또는 학교주변 어린이식품안전보호구역에서 탄산음료 또는 고카페인 함유 음료 판매를 금지하고 있으나, 학생들의 자의적 선택에 의해서 가당음료를 마시지 않도록 하기 위해서는 학교 영양교사나 급식영양사에 의하여 당류 섭취 감소를 위한 주기적인 영양교육이 이루어져야 할 것으로 본다.

• 대한지역사회영양학회지
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• 제26권5호
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• pp.350-362
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• 2021

Objectives: This study investigated an association between sugar-sweetened beverage (SSB) intake and the dietary quality of adults in Deagu, Korea. Methods: A questionnaire survey was conducted in 1,022 adults aged 19 ~ 49 years (502 men and 520 women) in the Deagu area of Korea. Daily intake of SSB was obtained by the food frequency questionnaire, and the dietary quality was assessed using the nutrition quotient (NQ) for Korean adults. Multiple logistic regression analysis was used to estimate the association between dietary quality and daily intake of SSB in adults. Results: Daily intake of SSB was 463.6 mL/d for total subjects, and the highest intakes were sweetened coffees (192.7 mL/d), followed by carbonated drinks (77.1 mL/d). Higher intake of SSB was associated with higher intake frequency of fast food or sweet and greasy bread, processed beverage, ramyon, eating out or delivery food and night snack, and also associated with lower frequency of water, breakfast intake and nutrition label checking in men or women. Men and women who had a higher intake SSB had significantly greater odds for being in the low grade of NQ (P for trend = 0.0006 for men, P for trend = 0.0007 for women), especially in the moderation factor (P for trend < 0.0001 for men and women). Conclusions: This study showed that high SSB intake was significantly associated with low dietary quality among adults. These study results suggest that nutrition education programs and guidelines should be provided to adults for improving their consumption of SSB and related diets.

• Child Health Nursing Research
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• 제30권2호
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• pp.77-86
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• 2024

Purpose: This study examined the combined effects of sugar-sweetened beverage (SSB) consumption, screen-based sedentary behaviors, and sleep duration on adolescent obesity. Methods: It followed a cross-sectional study design and conducted secondary analysis on data from 20,497 high school students who participated in the 17th (2021) Korea Youth Risk Behavior Web-based Survey. This study underwent logistic regression analysis in complex sampling analysis. Results: The combinations of low and medium consumption of SSBs, excessive screen-based sedentary behaviors, and short sleep durations were associated with a 1.18 and 1.12 fold increased likelihood of obesity (95% confidence interval [CI]=1.03-1.35) and (95% CI=1.02-1.22), respectively. The combination of high SSB consumption, appropriate screen-based sedentary behaviors, and short sleep duration (adjusted odds ratio [aOR]=1.15, 95% CI=1.01-1.31) and high SSB consumption, excessive screen-based sedentary behaviors, and short sleep duration (aOR=1.40, 95% CI=1.16-1.69) were associated with obesity. Conclusion: Integrated and tailored programs considering combination patterns of SSB consumption, screen-based sedentary behaviors, and short sleep duration need to be developed for preventing adolescent obesity.

• Nutrition Research and Practice
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• 제13권1호
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• pp.70-75
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• 2019

BACKGROUND/OBJECTIVES: Association between the consumption of sugar-sweetened beverages (SSBs) and obesity is universally a controversial issue. This study was undertaken to examine the beverage consumption pattern of Korean adolescents. SUBJECTS/METHODS: Data was collected from the 2016 Korea Youth Risk Behavior Survey involving 65,528 adolescent respondents. A list of the most frequently consumed beverages was analyzed, and the consumption frequency of carbonated beverages, SSBs, and energy drinks during the past seven-days was assessed. The main reasons for the adolescents to consume the beverages were also determined. RESULTS: The beverage preference of adolescents were carbonated beverages (31.0%), 'fruit and vegetable beverages (17.7%)', 'milk (13.6%)', and 'coffee (12.7%)'. Carbonated beverages and SSBs were consumed more than three times a week by 27.1% and 41.1% of the respondents, respectively. About 86.2% of adolescents did not take of any energy drinks during the last seven-days. Taste was the most common reason that adolescents considered when choosing a drink. Carbonated beverages consumed more frequently by boys than girls, and high school students drank coffee more frequently than middle school students. CONCLUSIONS: Boys had a higher preference for unhealthy beverages than girls, whereas consumption of high-caffeine drinks was greater amongst high-school students than middle school students.

• 한국산학기술학회논문지
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• 제21권2호
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• pp.578-587
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• 2020

본 연구는 한국 청소년의 스마트폰 사용과 가당 음료 섭취의 관련성을 파악하여 청소년 건강행위의 위험요인을 예방하고 관리하기 위한 정보제공을 목적으로 수행되었다. 2017년 한국 청소년 건강행태 조사를 기반으로 스마트폰을 사용하고 있는 54,603명의 청소년의 자료가 사용되었다. 일반적 특성, 스마트폰 사용 및 가당 음료 섭취와 관련된 변수는 익명으로 관리되는 온라인 설문 조사를 통해 수행되었다. 다변량 로지스틱 회귀분석을 통한 복합표본분석이 사용되었다. 스마트폰 사용 시간(aOR = 2.19, 95%CI = 2.05-2.34)과 커뮤니케이션을 위한 스마트폰의 사용 목적(aOR = 1.51, 95%CI = 1.43-1.60)은 주 3회 이상 탄산음료 섭취와 관련이 있었다. 또한 스마트폰 사용으로 인한 가족과의 갈등은 탄산음료 섭취와 관련이 있었고(aOR = 1.42, 95%CI = 1.33-1.51), 친구와의 갈등은 단맛 음료 섭취와 관련이 있었으며 (aOR = 1.39, 95%CI = 1.30-1.49), 학업문제 경험은 탄산음료 섭취와 관련이 있었다(aOR = 1.79, 95%CI = 1.54-2.07). 그러므로 학교와 가정에서 스마트폰 사용을 통제하고 올바른 커뮤니케이션 기술을 학습할 수 있는 환경을 조성하는 것이 청소년의 가당 음료 섭취 감소에 도움이 될 수 있다. 또한 가족과 친구와의 긍정적 관계, 학업 스트레스의 적절한 관리는 청소년의 스마트폰 사용과 관련된 부적절한 건강행위 감소에 도움이 될 수 있을 것이다.

• Nutrition Research and Practice
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• 제10권5호
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• pp.546-554
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• 2016

BACKGROUND/OBJECTIVES: The aim of this study was to investigate the perception of sugar reduction, nutrition education, and frequency of snacking in children according to the self-perceived dietary preferences for sweet taste by mothers in Busan. SUBJECTS/METHODS: A total of 277 mothers were surveyed, and their perceptions of sugar reduction and the frequency of snacking in children were assessed using a questionnaire. The subjects were classified into either a sweet (n = 91) or an unsweet (n = 186) group according to their self-perceived preferences for a sweet taste. RESULTS: In the sweet group, the results for sweet products were sweetened ice (86.8%), confectionery (74.7%), processed milk (73.6%), carbonated beverages (71.4%), and fermented milk (53.9%). In the unsweet group, the results were sweetened ice (88.7%), carbonated beverages (78.5%), processed milk (75.8%), confectionery (69.4%), and fermented milk (50.5%). The necessity of sugar intake reduction was high in both groups (sweet = 89.0%, unsweet = 82.8%). Beverage purchases after identifying the nutrition labeling was significantly lower in the sweet group than in the unsweet group (P < 0.05). The reasons for the beverage purchases instead of water were "habitually" (50.5%) and "like sweet taste" (25.3%) in the sweet group (P < 0.01). Snacking in children was significantly higher in the sweet group based on the increased frequencies of carbonated drinks (P < 0.01), fast food (P < 0.001), candy and chocolate (P < 0.05), crackers (P < 0.01), ramen (P < 0.01), and fish paste/hotdogs (P < 0.01). The frequency of purchase education after identifying the nutrition labeling was significantly lower in the sweet group than in the unsweet group (P < 0.01). CONCLUSIONS: These findings suggest that a perception of sugar reduction and practical nutrition education aimed at reducing the sugar intake are necessary to improve dietary habits.

• 한국치위생학회지
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• 제18권5호
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• pp.785-795
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• 2018

Objectives: This study aimed to: 1) investigate the beverage consumption pattern among Korean adults, and 2) analyze the relationship between the frequency of beverage consumption and oral health status. Methods: We used data from the 6th Korean National Health and Nutrition Examination Survey. A general linear model was employed to assess the associations between demographic factors and frequency of beverage consumption; and oral health status and the frequency of beverage consumption. Results: The beverage with the highest frequency of intake was coffee (11.5 times per week). More frequent consumptions of fruit juices and carbonated drinks were associated with higher numbers of decayed teeth. Conclusions: To improve oral health, frequent intake of acidic and sweetened beverages should be reduced, and the consumption of milk should be encouraged.

• 대한지역사회영양학회지
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• 제23권3호
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• pp.193-201
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• 2018

Objectives: This study was conducted to measure the intake rate of SSBs (sugar sweetened beverages) and examine the relationship between health behavior factors and SSBs intake by adolescents. Methods: This study used data from the 2016 Korea Youth Risk Behavior Web-based Survey, which included 65,528 study participants. SSBs intake frequency was measured by asking respondents if they consumed soda, high-caffeinated beverages, and sugary drinks during the previous week. Type of intake was categorized into three groups according to the number of consumed drinks [SSBs (0): None; SSBs (1-2): 1 or 2 consumed; SSBs (3): 3 consumed]. Multinomial logistic regression analysis was used to examine health behaviors that affected SSBs consumption. Results: Increased SSBs intake was significantly correlated with current smoking (OR=2.4, 95% CI=1.82-3.17), current drinking (OR=2.13, 95% CI=1.82-2.51), sedentary time increase (OR=1.31, 95% CI=1.15-1.49), three days or more physical activity per week (OR=1.12, 95% CI=1.02-1.24), <8 hours sleep (OR=1.6, 95% CI=1.43-1.78), increased internet usage time (OR=1.44, 95% CI=1.25-1.65). Conclusions: Sugar-sweetened beverages intake by Korean adolescents was associated with health behaviors such as smoking, drinking, sedentary time increase, more physical activity, poor sleeping time, and increased internet use time. Based on these results, it is necessary to recognize the influence of SSBs intake and to intervene to reduce consumption of SSBs.

• Nutrition Research and Practice
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• 제16권2호
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• pp.194-204
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• 2022

BACKGROUND/OBJECTIVES: Sugar-sweetened beverages (SSBs) are regarded as modifiable risk factors for mental health in several populations. Although the consumption of SSBs is steadily increasing in Korea, there is scant evidence regarding the impact of SSB consumption on depression and suicidal ideation. The aim of this study was to investigate the association of SSB consumption with depression and suicidal ideation among adults in Korea. SUBJECTS/METHODS: We used the data for 5,465 participants (2,170 men and 3,295 women) aged ≥ 20 years from the 2014 and 2016 Korea National Health and Nutrition Examination Survey. The subjects were divided into four groups according to SSB consumption using a food frequency questionnaire. Logistic regression analyses were conducted to examine the association of SSB consumption with depression and suicidal ideation, adjusting for sociodemographic, health behavior, and dietary variables. RESULTS: Participants consuming ≥ 1 SSB/day had a significantly higher risk of depression (odds ratio [OR], 1.54; 95% confidence interval [CI], 1.08-2.18; P < 0.001) and suicidal ideation (OR, 2.20; 95% CI, 1.13-4.28; P < 0.001) compared with those in the non-SSB group after adjusting for potential confounding factors. CONCLUSIONS: Our results suggest that SSB consumption is positively associated with depression and suicidal ideation in Korean adults.