The purpose of the study was to investigate the status of the nutritional education program on educational perception, facilities, contents and systems, which were focused on the school obesity education in the elementary school. A five point Likert scale was used to evaluate the importance and performance of each item in four sections of the survey and Importance-Performance Analysis (IPA; gap between importance and performance) matrix analysis was applied to determine improvement priority. The findings from IPA matrix analysis are in the following. The items of the sections to be improved intensively are recognition of parents and in-charge teacher, availability of the education place, preparation of consulting room, preparation of various teaching media, interest of an education program, meal adjustment of overweight children, combination with education and exercise, education for psychological factors, development of scientific and systematic education program and reduction of meal service duty for education. Accordingly, the IPA matrix analysis suggested that an intensive improvement area should be excessively concentrated on for better performance. The regional gap between importance and performance showed significant difference for textbook and diet of overweight children in Kyunggi-Do. There were significant differences for the government perception, dietary habits and food-life education, fast-food education, education for breakfast importance, and education of school meal indication system and method to read food nutrition indication in Chollabuk-Do. As for the age gap between importance and performance, the twenties showed significantly bigger gaps in perception of school dietitians and linking between school meals and diet education. Therefore, more proactive efforts for the education for obesity prevention are necessary to prevent childhood obesity in elementary school and to help children to possess better health throughout their entire lives.
Breakfast ; Child ; Diet ; Food Habits ; Humans ; Hypogonadism ; Meals ; Mitochondrial Diseases ; Obesity ; Ophthalmoplegia ; Overweight ; Parents

Background: Oral cancer drugs, particularly tyrosine kinase inhibitors (TKIs), are increasingly popular due to their convenience.However, they pose challenges like drug interactions, especially with medications like azole antifungals. While the FDA providessome guidance, more detailed information is needed to manage these interactions effectively. A meta-analysis was conducted tounderstand the impact of interactions between TKIs and azole antifungals on adverse events during clinical studies. Methods: A meta-analysis followed PRISMA guidelines. Data from PubMed, EMBASE, and references were searched until November 30, 2021. Inclusion criteria encompassed studies on TKI-antifungal interactions in English. Study selection and quality assessment were conducted by two independent investigators. Results: Out of 158 articles, 11 were selected for analysis. Combination therapy showed a slight increase in adverse events but was not statistically significant (OR 1.02, 95% CI 0.49-2.13, p=0.95). AUC and Cmax fold changes did not significantly impact adverse event development. Both itraconazole and ketoconazole showed no significant difference in adverse event development compared to TKI alone. Conclusions Study finds TKI-DDI not significantlylinked to AE increase; azole antifungal types not related to AE. Future DDI research crucial for drug development.

Background: Oral cancer drugs, particularly tyrosine kinase inhibitors (TKIs), are increasingly popular due to their convenience.However, they pose challenges like drug interactions, especially with medications like azole antifungals. While the FDA providessome guidance, more detailed information is needed to manage these interactions effectively. A meta-analysis was conducted tounderstand the impact of interactions between TKIs and azole antifungals on adverse events during clinical studies. Methods: A meta-analysis followed PRISMA guidelines. Data from PubMed, EMBASE, and references were searched until November 30, 2021. Inclusion criteria encompassed studies on TKI-antifungal interactions in English. Study selection and quality assessment were conducted by two independent investigators. Results: Out of 158 articles, 11 were selected for analysis. Combination therapy showed a slight increase in adverse events but was not statistically significant (OR 1.02, 95% CI 0.49-2.13, p=0.95). AUC and Cmax fold changes did not significantly impact adverse event development. Both itraconazole and ketoconazole showed no significant difference in adverse event development compared to TKI alone. Conclusions Study finds TKI-DDI not significantlylinked to AE increase; azole antifungal types not related to AE. Future DDI research crucial for drug development.

Background: Oral cancer drugs, particularly tyrosine kinase inhibitors (TKIs), are increasingly popular due to their convenience.However, they pose challenges like drug interactions, especially with medications like azole antifungals. While the FDA providessome guidance, more detailed information is needed to manage these interactions effectively. A meta-analysis was conducted tounderstand the impact of interactions between TKIs and azole antifungals on adverse events during clinical studies. Methods: A meta-analysis followed PRISMA guidelines. Data from PubMed, EMBASE, and references were searched until November 30, 2021. Inclusion criteria encompassed studies on TKI-antifungal interactions in English. Study selection and quality assessment were conducted by two independent investigators. Results: Out of 158 articles, 11 were selected for analysis. Combination therapy showed a slight increase in adverse events but was not statistically significant (OR 1.02, 95% CI 0.49-2.13, p=0.95). AUC and Cmax fold changes did not significantly impact adverse event development. Both itraconazole and ketoconazole showed no significant difference in adverse event development compared to TKI alone. Conclusions Study finds TKI-DDI not significantlylinked to AE increase; azole antifungal types not related to AE. Future DDI research crucial for drug development.

Background: Oral cancer drugs, particularly tyrosine kinase inhibitors (TKIs), are increasingly popular due to their convenience.However, they pose challenges like drug interactions, especially with medications like azole antifungals. While the FDA providessome guidance, more detailed information is needed to manage these interactions effectively. A meta-analysis was conducted tounderstand the impact of interactions between TKIs and azole antifungals on adverse events during clinical studies. Methods: A meta-analysis followed PRISMA guidelines. Data from PubMed, EMBASE, and references were searched until November 30, 2021. Inclusion criteria encompassed studies on TKI-antifungal interactions in English. Study selection and quality assessment were conducted by two independent investigators. Results: Out of 158 articles, 11 were selected for analysis. Combination therapy showed a slight increase in adverse events but was not statistically significant (OR 1.02, 95% CI 0.49-2.13, p=0.95). AUC and Cmax fold changes did not significantly impact adverse event development. Both itraconazole and ketoconazole showed no significant difference in adverse event development compared to TKI alone. Conclusions Study finds TKI-DDI not significantlylinked to AE increase; azole antifungal types not related to AE. Future DDI research crucial for drug development.

BACKGROUND/OBJECTIVES: This study analyzed the quality of lunches provided in senior leisure service (SLS) facilities and compared institutional foodservice (IF) and noninstitutional foodservice (non-IF). SUBJECTS/METHODS: Data of 390 adults aged 65 years or older who ate lunches in SLS facilities were analyzed using the information from the 2013–2017 Korea National Health and Nutrition Examination Survey. The participants were classified into IF (n = 129) and non-IF (n = 261) groups according to meal type provided. The intake of major food groups, energy and nutrients, and nutrient adequacy ratio (NAR) and mean adequacy ratio (MAR) were analyzed. The diversity of meals was evaluated by food group patterns, dietary diversity score (DDS) and dietary variety score (DVS). Energy intake was adjusted in model 1, while energy and sex were adjusted in model 2. All confounding variables were adjusted in model 3. RESULTS: The intake of seafoods (P < 0.001 in models 1, 2, and 3), seaweeds (P < 0.01 in models 1 and 2), and dairy products (P < 0.05 in models 1, 2, and 3) was significantly higher in the IF group. No significant difference existed in energy intake; however, the intake of all nutrients except carbohydrate and vitamin C was significantly higher in the IF group. NAR of all nutrients, excluding vitamin C, was higher in the IF group, and MAR was also higher in the IF group (P < 0.001 in models 1, 2, and 3). The IF group had significantly higher DDS and DVS than the non-IF group (P < 0.001). CONCLUSIONS The lunches provided in SLS facilities were better in terms of quantity and quality when provided through IF than through non-IF. More systematic foodservice programs should be implemented in SLS facilities, especially in facilities wherein users prepare their own meals.

BACKGROUND/OBJECTIVES: This study analyzed the quality of lunches provided in senior leisure service (SLS) facilities and compared institutional foodservice (IF) and noninstitutional foodservice (non-IF). SUBJECTS/METHODS: Data of 390 adults aged 65 years or older who ate lunches in SLS facilities were analyzed using the information from the 2013–2017 Korea National Health and Nutrition Examination Survey. The participants were classified into IF (n = 129) and non-IF (n = 261) groups according to meal type provided. The intake of major food groups, energy and nutrients, and nutrient adequacy ratio (NAR) and mean adequacy ratio (MAR) were analyzed. The diversity of meals was evaluated by food group patterns, dietary diversity score (DDS) and dietary variety score (DVS). Energy intake was adjusted in model 1, while energy and sex were adjusted in model 2. All confounding variables were adjusted in model 3. RESULTS: The intake of seafoods (P < 0.001 in models 1, 2, and 3), seaweeds (P < 0.01 in models 1 and 2), and dairy products (P < 0.05 in models 1, 2, and 3) was significantly higher in the IF group. No significant difference existed in energy intake; however, the intake of all nutrients except carbohydrate and vitamin C was significantly higher in the IF group. NAR of all nutrients, excluding vitamin C, was higher in the IF group, and MAR was also higher in the IF group (P < 0.001 in models 1, 2, and 3). The IF group had significantly higher DDS and DVS than the non-IF group (P < 0.001). CONCLUSIONS The lunches provided in SLS facilities were better in terms of quantity and quality when provided through IF than through non-IF. More systematic foodservice programs should be implemented in SLS facilities, especially in facilities wherein users prepare their own meals.

Purpose: The aerial parts of Dracocephalum moldavica L. (DM) have been widely used as traditional herbal medicine for cardiovascular diseases and skin problems in Central Asia and Europe. This study evaluated the photoprotective effects of three different DM seed (DMS) extracts against ultraviolet B (UVB)-induced photoaging in human dermal fibroblasts (HDFs) and human keratinocytes (HaCaT cells). Methods: DMS extracts were prepared using supercritical fluid (SC-oil), ethanol (EE), and aqueous (AE) methods. Their ability to regulate the extracellular matrix (ECM) components, including procollagen type I (PC1), matrix metalloproteinase-1 (MMP-1), and elastase-1, which are key biomarkers of photoaging, was evaluated. Results: All extracts restored procollagen synthesis, reduced MMP-1 and elastase-1 production and activity, and upregulated PC1 mRNA expression while downregulating the MMP-1 and elastase-1 mRNA levels in UVB-irradiated cells. SC-oil (0.0001%) and AE (0.125 mg/mL) reversed the PC1 mRNA levels most effectively in HDFs and HaCaT cells, respectively.In addition, SC-oil had the strongest suppressive effect on MMP-1 secretion in HDFs, while EE and AE were more effective in HaCaT cells. The elastase-1 activity and mRNA levels in both cell types were comparable to those treated with L-ascorbic acid, a positive control. Conclusion These findings suggest that DMS extracts, rich in bioactive compounds such as polyphenols, phytosterols, and omega-3 polyunsaturated fatty acids, have significant potential as natural anti-aging agents. By protecting collagen and elastin integrity and modulating ECM biomarkers, DMS extracts may effectively prevent UVB-induced photoaging and improve skin resiliency.

Purpose: The aerial parts of Dracocephalum moldavica L. (DM) have been widely used as traditional herbal medicine for cardiovascular diseases and skin problems in Central Asia and Europe. This study evaluated the photoprotective effects of three different DM seed (DMS) extracts against ultraviolet B (UVB)-induced photoaging in human dermal fibroblasts (HDFs) and human keratinocytes (HaCaT cells). Methods: DMS extracts were prepared using supercritical fluid (SC-oil), ethanol (EE), and aqueous (AE) methods. Their ability to regulate the extracellular matrix (ECM) components, including procollagen type I (PC1), matrix metalloproteinase-1 (MMP-1), and elastase-1, which are key biomarkers of photoaging, was evaluated. Results: All extracts restored procollagen synthesis, reduced MMP-1 and elastase-1 production and activity, and upregulated PC1 mRNA expression while downregulating the MMP-1 and elastase-1 mRNA levels in UVB-irradiated cells. SC-oil (0.0001%) and AE (0.125 mg/mL) reversed the PC1 mRNA levels most effectively in HDFs and HaCaT cells, respectively.In addition, SC-oil had the strongest suppressive effect on MMP-1 secretion in HDFs, while EE and AE were more effective in HaCaT cells. The elastase-1 activity and mRNA levels in both cell types were comparable to those treated with L-ascorbic acid, a positive control. Conclusion These findings suggest that DMS extracts, rich in bioactive compounds such as polyphenols, phytosterols, and omega-3 polyunsaturated fatty acids, have significant potential as natural anti-aging agents. By protecting collagen and elastin integrity and modulating ECM biomarkers, DMS extracts may effectively prevent UVB-induced photoaging and improve skin resiliency.

Purpose: The aerial parts of Dracocephalum moldavica L. (DM) have been widely used as traditional herbal medicine for cardiovascular diseases and skin problems in Central Asia and Europe. This study evaluated the photoprotective effects of three different DM seed (DMS) extracts against ultraviolet B (UVB)-induced photoaging in human dermal fibroblasts (HDFs) and human keratinocytes (HaCaT cells). Methods: DMS extracts were prepared using supercritical fluid (SC-oil), ethanol (EE), and aqueous (AE) methods. Their ability to regulate the extracellular matrix (ECM) components, including procollagen type I (PC1), matrix metalloproteinase-1 (MMP-1), and elastase-1, which are key biomarkers of photoaging, was evaluated. Results: All extracts restored procollagen synthesis, reduced MMP-1 and elastase-1 production and activity, and upregulated PC1 mRNA expression while downregulating the MMP-1 and elastase-1 mRNA levels in UVB-irradiated cells. SC-oil (0.0001%) and AE (0.125 mg/mL) reversed the PC1 mRNA levels most effectively in HDFs and HaCaT cells, respectively.In addition, SC-oil had the strongest suppressive effect on MMP-1 secretion in HDFs, while EE and AE were more effective in HaCaT cells. The elastase-1 activity and mRNA levels in both cell types were comparable to those treated with L-ascorbic acid, a positive control. Conclusion These findings suggest that DMS extracts, rich in bioactive compounds such as polyphenols, phytosterols, and omega-3 polyunsaturated fatty acids, have significant potential as natural anti-aging agents. By protecting collagen and elastin integrity and modulating ECM biomarkers, DMS extracts may effectively prevent UVB-induced photoaging and improve skin resiliency.