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Breast-feeding and Obesity in Early Childhood: Based on the KNHANES 2008 through 2011.

Miyong YON ; Haeng Shin LEE ; Dohee KIM ; Jeeyeon LEE ; Jiwoon NAM ; Gui Im MOON ; Jinhwan HONG ; Cho il KIM

Korean Journal of Community Nutrition.2013;18(6):644-651. doi:10.5720/kjcn.2013.18.6.644

Although there has been a significant increase in breast-feeding (BF) rate in Korea, it is plateaued since 2008 and still low compared with that of other countries. Because BF has been related to lower obesity prevalence in many studies and the increase in childhood obesity became evident in Korea, we wondered if a relatively lower BF rate has anything to do with this increase. Therefore, we looked into the relationship between mode & duration of BF during infancy and weight status of toddlers using the data from Korea National Health and Nutrition Examination Survey 2008 through 2011. Number of 2-3 year old toddlers with complete information on BF, anthropometry and normal birth weight was 674. While 87% of them were ever-breastfed, 6.2% each of them were either obese or overweight based on the Standard Growth Chart for Korean Children. Not only the obesity prevalence was different among groups of different mode of feeding, but also the mean duration of BF was significantly longer in normal weight group (9.2 mo.) compared with obese group (5.5 mo.). Accordingly, overweight and obesity prevalence of the toddlers breast-fed for 12 months or longer was significantly lower than that of the toddlers breast-fed for less than 12 months (OR 0.53, 95% CI 0.32-0.87). This study revealed that both BF and duration of BF affect the childhood obesity and, BF for 12 months or longer should be encouraged more aggressively as one of the main strategies to prevent and/or decrease childhood obesity in Korea.
Anthropometry ; Birth Weight ; Child ; Growth Charts ; Humans ; Korea ; Nutrition Surveys ; Obesity* ; Overweight ; Pediatric Obesity ; Prevalence

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Blood Pressure, Sodium Intake and Dietary Behavior Changes by Session Attendance on Salt Reduction Education Program for Pre-hypertensive Adults in a Public Health Center.

Eun Jin JUNG ; Jong Sook KWON ; So Hyun AHN ; Sook Mee SON

Korean Journal of Community Nutrition.2013;18(6):626-643. doi:10.5720/kjcn.2013.18.6.626

This study was performed to evaluate the differences in blood pressure, sodium intake and dietary behavior changes according to the extent of session attendance on sodium reduction education program for pre-hypertensive adults in a public health center. Sodium reduction education program consisted of 8 sessions for 8 weeks. Fifty three patients who completed the pre and post nutritional assessments were classified into 2 groups according to the session attendance rate. Nineteen participants who attended the education program 3 times or less (< or = 3) were categorized into the less attendance (LA) group and 34 participants attended 4 times or more (> or = 4) into the more attendance (MA) group. Blood pressure, anthropometric measurements, serum lipid profile, nutrient intakes including sodium, nutrition knowledge and dietary behavior score were assessed before and after the nutrition education program. Mean sodium intakes (p < 0.001), systolic/diastolic blood pressure (p < 0.001), and weight (p < 0.001) were significantly decreased in the MA group after sodium reduction education program. Compared to the MA group, mean sodium intakes, systolic/diastolic blood pressure were not significantly changed after the education program even with significantly increased nutrition knowledge (p < 0.05) and dietary behavior score (p < 0.01) in the LA group. It appears that pre-hypertensive adults need to attend the sodium reduction education program for at least 4 times or more to gain beneficial effects from the intervention. Positive feedback of healthcare team or offering more cooking classes may be needed to raise the attendance rate in the sodium reduction education program.
Adult* ; Blood Pressure* ; Cooking ; Education* ; Humans ; Hypertension ; Nutrition Assessment ; Patient Care Team ; Public Health* ; Sodium*

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A Study on Dietary Behaviors, Health-Related Lifestyle of Adult Visitors at Public Health Centers in Gyeonggi Urban Area.

Jong Sook KWON ; Kyungmin KIM ; Hyun Chang SEO ; Yoonna LEE ; Seunggeon LIM ; Young Sug CHOI

Korean Journal of Community Nutrition.2013;18(6):611-625. doi:10.5720/kjcn.2013.18.6.611

The purpose of this study was to investigate dietary behaviors and health-related lifestyles of adult visitors at a public health center in Gyeonggi urban area. A survey using questionnaire was conducted with 949 visitors at Seongnam public health centers from June to August, 2012. The data from 905 respondents were analyzed by gender, consisting of 322 males and 583 females, and age group, consisting of 243 low-age group (LA), 312 middle-age group (MA), 350 high-age group (HA), aged 20 to 30 years, 31 to 50 years, and 51 to 69 years, respectively. Average Body Mass Index was 23.0, which increased with age, and education level was high in LA. 59.0 percent of the subjects had various diseases, and the incidence of hypertension was the highest, followed by allergy, hyperlipidemia, diabetes mellitus, joint rheumatism. Incidence rates of chronic disease increased with age, which were lower than those from 2011 Korea National Health and Nutrition Examination Survey (KNHANES). Weekly drinking frequency rate and smoking rate decreased with age, and exercise performing rate was high at male and HA, which showed the same tendency as KNHANES. Female and HA showed more healthy dietary behaviors such as restricting salt, sugar, oily foods, foods containing food additives, calorie, caring for balanced diet, and referring to nutrition label. Subjects chose stress as the first factor, followed by diet, exercise, etc., among 13 suggested factors which strongly influence on human's life-span. In general, public health center visitors, especially female and HA, showed better dietary behaviors and health-related lifestyles compared with KNHANES.
Adult* ; Body Mass Index ; Chronic Disease ; Surveys and Questionnaires ; Diabetes Mellitus ; Diet ; Drinking ; Education ; Female ; Food Additives ; Gyeonggi-do* ; Humans ; Hyperlipidemias ; Hypersensitivity ; Hypertension ; Incidence ; Joints ; Korea ; Life Style* ; Male ; Nutrition Surveys ; Public Health* ; Rheumatic Diseases ; Smoke ; Smoking

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Effect of a Diet Program for Adult Women on Body Weight Loss and Health Related Indices.

Heejung PARK ; Seongkyung CHO ; Jea Ok KOO

Korean Journal of Community Nutrition.2013;18(6):599-610. doi:10.5720/kjcn.2013.18.6.599

This study was carried out to analyze the effect of a diet program for adult women on weight loss, BMI, eating habits, sleeping habits, health related indices. The subjects was 415 participants of the 10 weeks (20 time participation program). The data was collected by basic somatometry and HRV (Heart Rate Variability) / APG (Accelerated Plethysmograph) Analyzer. The average age, height, weight and BMI were 28.6 years, 162.1 cm, 62.8 kg and 23.9 kg/m2, respectively. Their body types by BMI were under weight (1.2%), normal (45.8%), overweight (24.8%), mild obesity (22.7%) and obesity (5.5%). There were significant reductions of average weight (4.6 kg) and average BMI (1.75 kg/m2) on the 10th week. There were positive changes in vascular age (50.4%), stress index (44.6%), fatigue index (43.9%), health index (54.5%) of the subjects during the program. There was a meaningful difference of the average variation for the vascular age, stress index, fatigue index, and health index between two groups; one improving the eating habit and the other did not (p < 0.05), and also there was a meaningful difference of the average variation for the fatigue index in both groups improving the sleeping habit (p < 0.05), but was not a meaningful difference of the average variation for the vascular age, stress index, and health index between two groups. There was a meaningful difference of the average variation for the vascular age, stress index, fatigue index, and health index between two groups improving both eating and sleeping habit (p < 0.05). In conclusion, the weight loss program was effective on the weight loss and BMI reduction and health related indices.
Adult* ; Body Weight* ; Diet* ; Eating ; Fatigue ; Female ; Humans ; Obesity ; Overweight ; Somatotypes ; Weight Loss ; Weight Reduction Programs

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A study on Consumer's Needs for Development of Diet Guide Application for Pregnant Women.

Sook Bae KIM ; Jeong Weon KIM ; Mi Hyun KIM ; Young Sook CHO ; Se Na KIM ; Hee Sook LIM ; Soon Kyung KIM

Korean Journal of Community Nutrition.2013;18(6):588-598. doi:10.5720/kjcn.2013.18.6.588

This study was conducted to assess needs of educational mobile application (App) development for nutritional management and information on pregnant women. A total of 105 pregnant women were investigated on general characteristics, dietary habits, health behavior and needs for contents and composition of the application. The mean age of the subjects was 31.9 years and the mean gestation period was 25.4 weeks. The rate of skipping meal was 39.0% and the rate of irregular meal time was 46.6%. The consciousness of the meal as balanced nutrition and health was 19.9%. Eating out at least forth a week was 35.3%. Obtaining information about pregnancy and childbirth were internet (35.3%), hospital or health center (19.9%), books (17.1%), experience (15.2%), mobile (8.6%) and friends or acquaintances (4.8%). If the application is developed, subject replied 'frequently use' (51.4%), 'when needed' (47.6%) respectively. The favour topic in developing application were 'nutrition information of pregnant and fetal' (36.2%), 'weight management, feeding' (33.3%), 'food choice and cooking' (21.9%), 'shopping' (5.7%), 'example of menu' (1.9%), 'effect of smoking, drinking, exercising' (1.0%). The favorite content was 'include sufficient amount about information' (44.8%). Depending on the age and education level, the best age for pregnancy group have significantly higher ability for utilize and information gathering than old age pregnant group. Also the best age for pregnancy group have high demands of design, convenience and various contents in App development. Therefore, mobile application (App) for pregnant women could be widely used as an effective dietary guide.
Consciousness ; Diet* ; Drinking ; Eating ; Education ; Female ; Food Habits ; Friends ; Health Behavior ; Humans ; Internet ; Meals ; Parturition ; Pregnancy ; Pregnant Women* ; Smoke ; Smoking

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Menstruation and the Variability of Food Intake in Female College Students.

Soohwa KANG ; Youngmee LEE

Korean Journal of Community Nutrition.2013;18(6):577-587. doi:10.5720/kjcn.2013.18.6.577

This study aimed to elicit the variability of appetite and food intake patterns in female college students during different menstrual phases. The craving for certain foods and physiological and psychological symptoms of menstrual phase (pre- and post-menstrual) were investigated by self-administered questionnaire. Three hundred and sixty six students who were 20.9 years old and had 19.8 kg/m2 of BMI volunteered to participate in this study. Most of the subjects (89.5%) experienced the premenstrual syndrome (PMS) such as irritation, bodily fatigue, nervosity. Symptoms such as tiredness, stomachache, changes in taste and increased appetite were pointed out to be experienced at the onset of the menstrual cycle. The variability of food intake in premenstrual phase, 11.0% of subjects had decreased food intake where as 68.8% had experienced increased intake. The postmenstrual phase, 20.1% had decreased food intake while 45.2% had experienced increased intake due to changes in the appetite. Before starting menstruation, most of the subjects craved for sweets. The group who had experienced abnormal appetite during menstrual phase was significantly high ratio in overweight and obese students (p < 0.05). We also observed an association between the PMS score and the variability of eating patterns during the menstrual phase. The students who experienced changing appetite and food intake had significantly high PMS score in the premenstrual phase (p < 0.01) and postmenstrual phase (p < 0.05). These results suggested a need for future study related to changes in the actual nutrient intake and activity level during the menstrual phase.
Appetite ; Eating* ; Fatigue ; Female ; Female* ; Humans ; Menstrual Cycle ; Menstruation* ; Overweight ; Premenstrual Syndrome ; Surveys and Questionnaires

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The Estimation of the Daily Energy Expenditure of Korean Adolescents.

Youngnam KIM ; Hyeon Ju NA

Korean Journal of Community Nutrition.2003;8(3):270-279.

Middle and high school students in Korea spend a lot of time at school. In other words, many Korean teenagers spend most of their time studying, and have little time for other activities, such as physical workouts. Fewer physical activities, and consumption of many snacks, etc. may lead to overweight or obesity in some teenagers. This study was conducted to find out the activity levels of teenagers' in order to calculate their daily energy expenditures. A total of 1,192 students (461 middle school students and 731 high school students) who lives in either a city or a country area were recruited for this study. One-day Activity Diaries were collected using questionnaires and analyzed by means of SPSS/win. The participating students spent about 7 hours 24 minutes resting including sleeping; 6 hours 28 minutes studying, 4 hours 4 minutes in leisure activities, 1 hour 32 minutes in personal hygiene activities such as washing, dressing and undressing, etc., 50 minutes on transportation : and 23 minutes on household chores such as cleaning, doing the laundry, etc. The average activity factor was 1.49. That of middle school female students was the lowest at 1.47, followed by middle school male students at 1.48, high school female students at 1.49, and high school male students at 1.51. The daily energy expenditure of middle and high school male students was 2,289 kcal and 2,600 kcal, respectively. That of female students was 1,959 kcal and 2,067 kcal, respectively.
Adolescent* ; Bandages ; Energy Metabolism* ; Family Characteristics ; Female ; Humans ; Hygiene ; Korea ; Leisure Activities ; Male ; Motor Activity ; Obesity ; Overweight ; Snacks ; Transportation ; Surveys and Questionnaires

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Development of a Nutrition Education Website for Children.

Taisun HYUN ; Miyong YON ; Sun Hee KIM ; Nan Hee KIM ; Suk Mi AN ; Sun Mi LEE ; Hyun Jung CHI ; Myeong Hee SUN ; Chun Hwa OH ; Seon Hee WANG ; Mi Kyung HONG

Korean Journal of Community Nutrition.2003;8(3):259-269.

The purpose of this study was to develop a nutrition education website for children, especially those around the 4th-6th grade levels. Among the already existing websites providing nutritional information for children, 7 websites with comparable amounts of information were evaluated in terms of their topics, credibility, content, ease of use, and aesthetics. In addition, a survey was conducted to assess the need for nutrition information among 305 elementary students. The food pyramid was the topic offered most often on those websites. Information on nutrients, digestion, food safety, nutrition labeling, and healthy eating habits were available on the websites. Some of those websites also provided games or quizzes to attract the children's interest. However, seine of the websites did not give any information on the person responsible for providing the information, which is most important in determining the credibility of the website. Other problems were that some information was too difficult for children, and some of the websites did not provide a way to search for information. According to the survey results, the topics that children wanted to know about were 'desirable weight', 'cooking', 'correct food choice', 'weight control method', 'calories consumed during exercise' but, they did not have a high interest in 'asking questions', 'books with nutrition messages', 'under weight', 'negative effect of weight control' and 'helping hungry children'. Based on these results, we developed a new nutrition education web-site, ifood' (http://ifood.or.kr). We focused on helping children develop healthy eating habits by providing information which is easy and practical for children. However, we neither included the program to assess their dietary intake, nor provided entertaining background sounds, which children like. Also, the game section is composed mainly of quizzes. Therefore, we need to further develop exciting games to teach nutrition to children. In the near future, the newly developed website should be evaluated by children regarding understandability and coverage of the contents as well as usability and design, and then revised to improve the educational effect.
Child* ; Digestion ; Eating ; Education* ; Esthetics ; Food Labeling ; Food Safety ; Humans ; Internet

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Effects of Nutrition Education for Chinese College Students in Korea: Focused on Personalized Daily Energy Requirement and Food Exchange Units.

Jia Li GUO ; Soon Kyung KIM ; Jeong Weon KIM ; Mi Hyun KIM ; Se Na KIM ; Sook Bae KIM

Korean Journal of Community Nutrition.2013;18(6):565-576. doi:10.5720/kjcn.2013.18.6.565

The purpose of this study was to investigate the effects of nutrition education on nutrition knowledge, dietary attitude and dietary intake of Chinese college students in Korea. The subjects were 64 Chinese college students in Korea (educated group, 32 students vs. non-educated group, 32 students). Educated group was lessoned as group and/or individual. Nutrition education program consisted of four lessons (40min / lesson), '6 major nutrients & function (group lesson)', '6 food group and sources (group lesson)', 'personalized daily needed energy and food exchange units using Food Exchange System (individual lesson)', and 'smart choice of snacks and eating-out foods (group lesson)'. We examined the differences between educated group and non-educated group in nutrition knowledge, dietary attitudes and nutrients intake. After education, there were positive improvements on nutrition knowledge: 'function and foods of 6 nutrients', on dietary attitudes: 'type of breakfast' in educated group. In the evaluation of nutrient intakes according to Dietary Reference Intakes for Korean (KDRI), there were positive improvements on intake levels of riboflavin, fiber, vitamin B6, vitamin C, folate, Ca and K in the educated group. In the index of nutrition quality (INQ), nutrition adequacy ratio (NAR) and mean nutrition adequacy ratio (MAR) were significantly increased in the educated group. In conclusion, it is possible to improve nutrition knowledge, dietary attitude and dietary intake of Chinese college students in Korea through the nutrition education focused on personalized daily needed energy and food exchange units.
Ascorbic Acid ; Asian Continental Ancestry Group* ; Education* ; Folic Acid ; Humans ; Korea* ; Riboflavin ; Snacks ; Vitamin B 6

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Comparison of Salty Taste Assessment and High-Salt Dietary Behaviors among University Students and Chinese Students in Daegu, South Korea and University Students in Shenyang, China.

Lin JIANG ; Yeon Kyung LEE

Korean Journal of Community Nutrition.2013;18(6):555-564. doi:10.5720/kjcn.2013.18.6.555

The purpose of this study was to compare and analyze the assessment of salty taste and high-salt dietary behaviors of Korean university students and their Chinese counterparts. The researchers developed a taste assessment computer program focusing on preference for salty taste, and it was applied to 300 university students, including 100 Korean students, and 100 Chinese students in Daegu of South Korea, and 100 Chinese students in Shenyang of China (144 males and 156 females). The results of the taste assessment of Chinese and Korean university students are as follows. Among males, Koreans (36.0%), Chinese students in Korea (36.2%), and Chinese (40.4%) scored highest in the "a bit salty" followed by "normal." Among females, Koreans (36.0%), Chinese students in Korea (49.1%), and Chinese (28.3%) scored highest in the "normal". In terms of salt concentration in solution, among the male subjects, most Koreans favored the salt concentration of 0.31%, which is considered to be a "normal" concentration; most Chinese students in Korea favored 0.63%, which is considered to be "a bit salty", and most Chinese favored the concentration of 1.25%, which is considered to be "salty". As for the female subjects, Koreans, Chinese students studying abroad, and Chinese favored 0.31%, the "normal" level of concentration. Korean students scored higher than Chinese students in Korea and Chinese students both in males and females (p < 0.001, p < 0.01), in terms of high-salt dietary behaviors favored salty taste. This study suggests that Chinese university students need nutrition education in terms of modifying eating behaviors to reduce dietary salt intake.
Asian Continental Ancestry Group* ; China* ; Daegu* ; Education ; Feeding Behavior ; Female ; Humans ; Korea ; Male ; Republic of Korea*

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