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Effects of Medical Nutrition Therapy on Changes of Anthropometric Measurements, Dietary Pattern and Blood Parameters in Over Weight or Obese Women.

Jeongsook LEE ; Hyeok LEE ; Jungeun YIM ; Youngseol KIM ; Ryowon CHOUE

The Korean Journal of Nutrition.2005;38(6):432-444.

The purpose of this study was to investigate the effect of medical nutrition therapy (MNT) on anthropometric measurements, quality of diets, and blood parameters through the weight loss program in over weight and obese women. The subjects (n = 76, age 31.1 +/- 8.4 y, weight 70.3 +/- 7.9 kg, BMI 27.2 +/- 2.4 kg/m2) without medical disease were treated with MNT 5 times for 12 weeks by dietitian. Anthropometric measurements included height, weight, fat mass, lean body mass, triceps and thigh skin-fold thickness, mid-arm, waist, hip and thigh circumference. Dietary assessments were accomplished using 3-days food records, diet quality index (DQI), and dietary pattern. The dietary pattern was assessed by daily energy intakes from breakfast, lunch, dinner, and snacks of calorie density, and numbers of eating. Blood levels of leptin, lipid profiles (total lipids, total cholesterol, LDL-cholesterol, HDL-cholesterol), and insulin were analyzed. Anthropometric measurements decreased significantly after MNT (p < 0.001). Waist circumference was reduced most rapidly and tricep skin-fold thickness was reduced most effectively after 12 weeks of MNT. Daily energy intake, calorie density and numbers of eating incidence decreased significantly (1796.4 +/- 395.5 vs 1402.9 +/- 217.8 kcal/day, 162.3 +/- 56.5 vs 113.4 +/- 30.1, 5.0 +/- 1.4 vs 3.8 +/- 0.4, respectively, p < 0.05). The daily energy intake from breakfast and snacks significantly decreased (p < 0.001). Calories from snack, calorie density of snack and numbers of snacking also decreased (p < 0.05). The mean scores of DQI significantly increased (7.6 +/- 2.1 vs 6.5 +/- 1.6, p < 0.05). The plasma levels of total lipid, triglyceride (TG), total cholesterol, LDL-cholesterol and leptin decreased significantly after MNT (489.8 +/- 100.4 vs 447.0 +/- 87.3 mg/dL, 187.7 +/- 34.0 vs 175.9 +/- 31.5 mg/dL, 115.2 +/- 29.2 vs 109.2 +/- 26.7 mg/dL, 15.7 +/- 7.6 vs 12.4+/- 5.9 ng/mL, respectively, p < 0.05). These results indicate that MNT efficiently reduced the body weight through the changes in dietary intake, dietary patterns and dietary quality. MNT also changed body composition and reduced the levels of plasma lipid, cholesterol and leptin.
Body Composition ; Body Weight ; Breakfast ; Cholesterol ; Diet ; Diet Records ; Eating ; Energy Intake ; Female ; Hip ; Humans ; Incidence ; Insulin ; Leptin ; Lunch ; Meals ; Nutrition Therapy* ; Nutritionists ; Obesity ; Plasma ; Snacks ; Thigh ; Triglycerides ; Waist Circumference ; Weight Loss ; Weight Reduction Programs

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Study of Nutritional Status, Dietary Patterns, and Dietary Quality of Atopic Dermatitis Patients.

Yun Mi CHUNG ; Bang Shil KIM ; Nack In KIM ; Eun Young LEE ; Ryowon CHOUE

The Korean Journal of Nutrition.2005;38(6):419-431.

The prevalence of atopic dermatitis (AD) continues to increase in the industrialized countries related to Western lifestyle and dietary patterns. The purpose of this study was to evaluate the nutritional status, dietary patterns and dietary quality of AD patients. AD patients (n = 50) and gender.age matched healthy control (HC) were studied in case-control clinical trail. Preference and frequencies of consumption for 98 foods were estimated by questionnaires. Dietary pattern, current nutrients intake, and dietary quality were evaluated by the 3-day food records. As a result, anthropometric measurements from HC and AD patients were not significantly different. AD patients had significantly lower preference for buckwheat, some fishes (shellfish, flatfish, salmon), egg yolk, some vegetables (onion, garlic, Chinese-cabbage, radish, pepper, mushroom), coffee, and snack than those of HC had (p < 0.05). AD patients had significantly lower frequency for pea, some fishes (shellfish, herring, flatfish, salmon, codfish), egg, some vegetables (spinach, pumpkin, mushroom), margarine/butter, nuts, coffee and apple juice, fried chicken, coke than those of HC had (p < 0.05). The intake of vitamin B1, vitamin B2 (p < 0.05) and vitamin E (p < 0.001) of AD patients were significantly lower than those of HC. The intake for Ca and Zn of AD patients were remarkably lower than RDA for each nutrient. Moreover, AD patients' index of nutritional quality (INQ) and nutrient adequacy ratio (NAR) of vitamin E, vitamin B1, vitamin B2 were lower than those of HC. AD patients' dietary quality including dietary diversity score (DDS), dietary variety score (DVS), DMGFV (dairy, meat, grain, fruit, vegetable), dietary quality index (DQI) was poor. This results indicate that atopic dermatitis patients had significantly different food preference and food frequency when these were compared with those of healthy people. The dietary diversity, dietary variety and dietary quality of atopic dermatitis patients were very limited.
Case-Control Studies ; Chickens ; Coffee ; Coke ; Cucurbita ; Dermatitis, Atopic* ; Developed Countries ; Edible Grain ; Egg Yolk ; Fagopyrum ; Fishes ; Food Preferences ; Fruit ; Garlic ; Humans ; Life Style ; Meat ; Nutritional Status* ; Nutritive Value ; Nuts ; Ovum ; Peas ; Prevalence ; Raphanus ; Riboflavin ; Salmon ; Snacks ; Surveys and Questionnaires ; Thiamine ; Vegetables ; Vitamin E ; Vitamins

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Effect of Soy Isoflavone Supplementation and Exercise on Serum Lipids in Postmenopausal Women.

In Sun CHOI ; Yun Jung BAE ; Sul JANG ; Da Hong LEE ; Mi Eun YUN ; Haeng Shin LEE ; Mi Hyun KIM ; Sang Ho LEE ; Chung Ja SUNG

The Korean Journal of Nutrition.2005;38(6):411-418.

To elucidate the effect of soy isoflavone supplementation and exercise on serum lipids in normolipidemic and mildly hyperlipidemic postmenopausal period, 54 women residing in Seoul area were recruited. The subjects were divided into 4 groups: control group (n = 13), isoflavone group (n = 14), exercise group (n = 14), isoflavone + exercise group (n = 13). The control group was given placebo capsules, isoflavone group was given soy isoflavone supplements (90 mg/day), exercise group was given placebo capsules and exercised 3 times/week, over 30 min/time, and isoflavone + exercise group took soy isoflavone supplement and exercised. The duration of study were 8 weeks. The average age of the subjects was 57.0 years, 56.0 years, 54.4 years, and 55.2 years, respectively. There were no significant differences among the four groups in terms of height, weight, and body mass index. There were no significant differences among the four groups in terms of serum, total cholesterol, HDL-cholesterol. But the subjects indicated a significant difference in serum LDL-cholesterol (110.5 mg/day in before versus 74.6 mg/day in after) in the isoflavone + exercise group at the levels of p < 0.05. In conclusion, the isoflavone supplementation and exercise may be helpful to decrease serum lipids of normolipidemic and mildly hyperlipidemic postmenopausal women.
Body Mass Index ; Capsules ; Cholesterol ; Female ; Humans ; Postmenopause ; Seoul

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2008 Dietary Goals and Dietary Guidelines for Korean Adults.

Hee Young PAIK ; Cho Il KIM ; Hyun Kyung MOON ; Jin Sook YOON ; Hyojee JOUNG ; Jae Eun SHIM ; Hyun Ju JUNG

The Korean Journal of Nutrition.2008;41(8):887-899.

Recently the Ministry of Health and Welfare, Republic of Korea, announced the "Dietary Guidelines for Korean Adults (DGKA)", which includes ten Dietary Goals, six Dietary Guidelines, and twenty-three Action Guidelines. DGKA are developed as the revision of the 2003 Dietary Guidelines for Koreans, targeting adult population. Dietary Guidelines are developed for general purpose as well as for different age groups. They are revised periodically to accommodate changes in diet and health problems of the population. The process of developing new DGKA can be summarized as 1) selection of focus areas, 2) analysis and review of available data for each area selected, and 3) derivation of guidelines based on the analyzed data, and 4) finalizing the guidelines after open discussions among the experts and general public. Five focus areas were selected by examining the Nutrition Goals of the Health Plan 2010 of Korea, soliciting proposals from the experts in the related fields, and reviewing existing and international guidelines. Five areas selected were 1) adequate intake of nutrients and foods, 2) balance of energy intake and physical activities, 3) alcohol intake, 4) food security and nutrition service, and 5) food safety. Adequacy of nutrient and food intakes of the Korean adult population was assessed using 2005 Korea National Health and Nutrition Examination Survey (KNHANES) data. Newly developed Dietary Reference Intakes for Koreans were used as reference values to assess the prevalence of inadequacies and excesses in nutrient intakes. Energy balance was examined with energy intake of 2005 KNHANES survey and results of physical activity questionnaire in the survey. Alcohol intake was also examined using 2005 KNHANES results of dietary intakes as well as the results of questionnaire survey on alcohol intakes. Food security, nutrition services, and food safety were analyzed using various government data and published results on the issues. Ten Dietary Goals and six Dietary Guidelines were developed after data analysis and were subjected to reviews of experts and general public. The final DGKA are: 1) Eat a variety of foods from each food group, 2) Increase physical activity and maintain healthy weight, 3) Eat proper amount of clean foods, 4) Avoid salty foods and try to eat foods with bland taste, 5) Avoid foods with high fat contents and deep-fried foods, and 6) When you drink alcohol, limit the amount. Twenty-three action guidelines are developed in order to achieve these guidelines in actual diet and life among the population. The government is disseminating the guidelines with "337" slogan and emblem. "337" indicates everyone should practice "3" guidelines of promoting good eating practice, "3" guidelines to limit or decrease in your diet, and you should practice them for "7" days a week. The guidelines will be useful in promoting healthy food habits and good nutritional status which will result in decrease nutrition related health problems in Korea.
Adult ; Diet ; Eating ; Emblems and Insignia ; Energy Intake ; Food Habits ; Food Safety ; Food Supply ; Humans ; Korea ; Motor Activity ; Nutrition Surveys ; Nutritional Status ; Prevalence ; Surveys and Questionnaires ; Reference Values ; Republic of Korea ; Statistics as Topic

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Use Patterns of Nutrition Information Service and Differences by Socio-demographic Characteristics for 50-and-older Adults.

Yoon Jung JANG ; Il Sun YANG ; In Sook CHAE

The Korean Journal of Nutrition.2008;41(8):860-869.

The purposes of this study were to investigate use patterns of nutrition information service of 50-and-older adults and analyze the differences in use patterns of nutrition information service according to their socio-demographic variables. The survey was conducted with 500 adults aged 50-and-over living in Seoul between March 28 and April 10, 2007. A total of 401 questionnaires were used for analysis (use rate 80.2%) and the statistical data analyses were completed using SPSS Win (ver 12.0). The main results of this study were as follows. First, most respondents (73.3%) realized the need for nutrition counseling or education. However, 65.3% of respondents have little experience in nutrition counseling or education. Second, the most preferred methods of nutrition counseling or education were field trips (27.7%), counseling in hospitals/public health centers (23.4%), cooking classes (23.2%). And the most often cited sources of nutrition information were TV/radio (66.6%) and newspapers/magazines/books (41.6%). Third, sociodemographic variables such as sex, age, education level, occupations were significantly related to methods of nutrition counseling or education. And variables such as age, education level, occupations were significantly related to often cited sources of nutrition information. Also sex, age, education level, occupations were significantly related to needs for nutrirtion information service.
Adult ; Aged ; Cooking ; Counseling ; Data Interpretation, Statistical ; Humans ; Information Services ; Occupations ; Surveys and Questionnaires

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Dietary Behavioral Correlates of Nutrition Label Use in Korean Women.

Hye Young LEE ; Mi Kyung KIM

The Korean Journal of Nutrition.2008;41(8):839-850.

This study describes the demographic and diet-related psychosocial correlates of nutrition label use, and examines the relationship between label use and diet. Self-reported dada from a population-based cross-sectional survey of 2073 Korean women aged 20 to 60 years were collected to identify demographic and health-related characteristics, belief on diet-disease relationship, awareness on importance of healthy eating practice and diet quality associated with label use. Label users, who are in the stage of action and maintenance (31.6%), were more likely to have belief on nutrient-disease relationship (in sodium, cholesterol, sugar and trans fat) and were more likely to have higher awareness of the importance of healthy eating practice compared with label nonusers, who are in the stage of precontemplation, contemplation and preparation. Label users were more likely to have higher dietary quality compared with label nonusers [odds ratio (OR) = 2.01; 95% confidence interval (CI): 1.66, 2.44](P < 0.001). Also, label use appeared to be associated with the consumption of diets that were higher vegetables and fruits, and lower in cholesterol. The findings of this study suggests that reading nutrition labels on food packages may improve food choices and enable healthful dietary practices.
Aged ; Cholesterol ; Cross-Sectional Studies ; Diet ; Eating ; Female ; Fruit ; Humans ; Morinda ; Sodium ; Vegetables

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Assessment of Functional Food Consumption Among the Working Women in Korea.

Min Ki CHANG ; Yangha KIM

The Korean Journal of Nutrition.2008;41(8):832-838.

The aim of this study was to identify the status of health functional food consumption of working women. The 558 subjects of the study were aged between 10-60 years, and had previous experiences of consuming health functional foods. The majority of the subjects lived in Seoul, and some lived in the Gyeonggi Province . The most prevalent goals that the subjects hoped to achieve by consuming health functional foods were improvement of physical health status and reduction of exhaustion. Other goals included supplement of nutrition, and prevention or treatment of diseases. Those who were older or who possessed a high BMI spent more expenses on health functional foods, and showed a higher intake frequency as well as longer periods of consumption. Subjects placed in the older group showed a lower level of knowledge related to functional foods, which turned out to be statistically significant. Most of the respondents answered that their knowledge related to functional foods was picked up from listening to others. In conclusion, we were able to observe that groups with elder working women and high BMI show higher consumption and expense rates of health functional foods, as well as longer periods of consumption. However, they show a minimum level of knowledge related to functional foods. According to our results, these subjects should seek practical help in order to select functional foods that will aid their health, and learn the proper method of consumption. In order to reduce inaccurate consumption of health functional foods, it is imperative that more in-depth study is carried out in this field.
Aged ; Female ; Functional Food ; Humans ; Korea ; Surveys and Questionnaires ; Women, Working

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Analysis of Dietary Fiber Intake in the Korean Adult Population Using 2001 Korean National Health and Nutrition Survey Data and Newly Established Dietary Fiber Database.

Kyung Hye YU ; Chin Eun CHUNG ; Sung Su CHO ; Sun Yung LY

The Korean Journal of Nutrition.2008;41(1):100-110.

The present study estimates intake levels of dietary fiber (DF) in Korean adults aged 20 and over, using a newly established dietary fiber database for 3,149 food items, as well as 24-hour recall method data from the 2001 Korean National Health and Nutrition Survey. Dietary fiber intake and food groups are analyzed by gender, age, and region. The average dietary fiber intake, per capita of Korea was estimated to be 12.24 g/1,000 kcal or 23.58 g/day. Caloriebased dietary fiber intake for 20-49 year-old-Korean males, 20-29 year-old females, and the adults who resided in metropolitan areas was under the Adequate Intake for DF, 12 g/1,000 kcal. Further, the dietary fiber intake after adjusting energy intake in people over 75 year-old was estimated to be 75% of AI. Vegetables, cereals and fruits were three major sources of DF for Korean, making up approximately 75% of DF. Regarding the subjects of this study, major sources of dietary fiber were Kimchi and well-polished rice, which supplied 13.98% and 9.16% of total dietary fiber intake, respectively. The result of this study could contribute to the establishment of DRIs for dietary fiber, after adjusting energy intake for Korean aged 75 years and over. The beneficial health effects of DF and the necessity of nutritional education in this area should be continuously emphasized concerning 20-29 year-old people and metropolitan adults.
Adult ; Aged ; Dietary Fiber ; Edible Grain ; Energy Intake ; Female ; Fruit ; Humans ; Korea ; Male ; Nutrition Surveys ; Vegetables

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A Study on the Children's Eating Habits and Food Preference according to Their Parents' Economic Status (II): Seoul & Gyeonggi (Incheon) Area.

Heajung CHUNG ; Yun Ho EUM

The Korean Journal of Nutrition.2008;41(1):89-99.

This study was conducted to investigate the main and side dish preference of food with 681 children (145 of kindergarten, 300 of children, 236 of adolescences) in Seoul and Gyeonggi area using questionnaires. Regarding preference of the staple foods, it was shown that all group had the highest preferences for boiled rice, The kindergarten period prefer Jajangmyen the most, children and adolescences like spaghetti (p < 0.05). For breads, the kindergarten preferred cakes the most, the middle years and the adolescences preferred pizza. Regarding preference of soups, it represents the kindergarten liked seaweed soup, the children and adolescences liked sollongt'ang (p < 0.05). For pot stew, the kindergarten preferred bean-paste pot stew the most, the children with parents' income level less than 4 million won preferred Kim-chi stew, the middle years with parents' income level equal or greater than 4 million won preferred beanpaste pot stew and all adolescences preferred Kim-chi pot stew (p < 0.05). Stewed beef with soy sauce was preferred the most by all ages. For pan-fried foods, the kindergarten with parents' income level less than 4 million won preferred pan-fried spicy port the most, the kindergarten with parents' income level equal or greater than 4 million won preferred pan-fried anchovy the middle years preferred pan-fried spicy pork, the adolescences with parents' income level less than 4 million won preferred pan fried Kim-chi the most (p < 0.05). And for vegetable dish, all age groups preferred seasoned bean sprouts and Chinese cabbage Kim-chi the most which they can easily see on their tables.
Asian Continental Ancestry Group ; Brassica ; Bread ; Child ; Eating ; Food Preferences ; Humans ; Surveys and Questionnaires ; Seasons ; Seaweed ; Soy Foods ; Vegetables

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A Study on the Children's Eating Habits and Food Preference according to Their Parents' Economic Status (I): Seoul & Gyeonggi (Incheon) Area.

Heajung CHUNG ; Yun Ho EUM ; Jung Yoon KIM

The Korean Journal of Nutrition.2008;41(1):77-88.

This research was carried out a to investigate the food habit and preference of parents'social and economic level with 681 children (145 of Kindergarten, 300 of Children, 236 of Adolescences) in Seoul and Gyeonggi area using questionnaires. The parents' income level divided into 2 groups, less than 4 million won and equal or greater than 4 million won. Most of the middle years were over-weighing but kindergarten and adolescences had standard weights. The majority of parents had Bachelor degrees, most of father were office workers, majority of mothers of kindergarten with parents' income level less than 4 million won were professional women and mothers of the rest of the groups were mostly house wives. The middle years with parents income level less than 4 million son were skipping meals most frequently, but other groups didn't show much differences in their eating habits. All age groups showed that they like meats the most and dislike vegetables the worst. All age groups also showed that they mostly eat out 1-2 times a week and the next was 3-4 times a week. All age groups preferred ice creams, fruits, juices and snacks for their desserts. The middle years with parents' income equal or greater than 4 million won also showed high preference on strawberry and chocolate flavored milk, burgers and pizzas. The food s that preferred to eat when dining out were Chinese foods (Ja-jang-myeon and sweet and sour pork) for kindergarten group, Korean foods (kalbi and bulgogi) for the middle years with parents' income level less than 4 million won, family restaurant food (steak and rib) for the middle years with parents' income level equal or greater than 4 million won and Korean foods (kalbi and bulgogi) for the adolescences. The preferred cooking methods were roast (fish and sea weeds) for the kindergarten, roasted meat for the middle years, Kimchi and bean paste pot stew for the adolescences with parents' income level less than 4 million won and roasted meats for the adolescences with parents' income level equal or greater than 4 million won. The results showed that the adolescences with higher parental income lever preferred meats.
Adolescent ; Asian Continental Ancestry Group ; Cacao ; Child ; Cooking ; Eating ; Fathers ; Female ; Food ; Food Habits ; Food Preferences ; Fragaria ; Fruit ; Humans ; Ice Cream ; Meals ; Meat ; Milk ; Mothers ; Parents ; Surveys and Questionnaires ; Restaurants ; Snacks ; Spouses ; Vegetables ; Weights and Measures

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