1.Relationship in Quality of Diet, Food Habit and Feeding Practice in Children with Pervasive Developmental Disorder and Their Caregiver
Jinhee JOO ; Jieun KIM ; Do Yeon KIM ; Ryowon CHOUE ; Hyunjung LIM
Clinical Nutrition Research 2019;8(2):91-100
This study aimed to assess the dietary quality and food habits in children with pervasive developmental disorder (PDD) and to evaluate the relationship between diet quality of children with PDDs and their caregivers' feeding practice and nutritional perceptions. Twenty-one pairs of caregivers and their children with PDD were surveyed. The caregivers completed surveys regarding their children's weight status, food habits, and dietary quality and their food habits, nutritional perceptions, knowledge, and feeding practices. Dietary quality was assessed as mean adequacy ratio, dietary diversity score (DDS), dietary variety score (DVS), and Index of Nutritional Quality (INQ). The children were in the normal ranges of body mass index (BMI) and Röhrer index. Having three times a meal, regular meal time, salty taste of the caregiver were related to those of the children with PDD (β = 0.533, 0.447, and 0.886, respectively; p < 0.05). Child control, food as reward, involvement, pressure, and restriction for the health of the caregiver were positively related to DDS, DVS, and INQ of the children with PDD (p < 0.05). High feeding stress and nutritional knowledge of the caregiver were related to the high BMI of the children with PDD (β = 0.445 and 0.602, respectively; p < 0.05), whereas emotion regulation, encourage balance and variety, and involvement of caregiver were negatively related to BMI (β = −0.426, −0.430, and −0.388, respectively; p < 0.05). In conclusion, food habits of children with PDD were closely related to those of caregiver. To improve nutritional status, more insightful understand will be required by considering their developmental differences in this population.
Body Mass Index
;
Caregivers
;
Child
;
Developmental Disabilities
;
Diet
;
Feeding Behavior
;
Food Habits
;
Humans
;
Meals
;
Nutritional Status
;
Nutritive Value
;
Reference Values
;
Reward
2.A Vegetable and Fish Dietary Pattern Is Positively Associated with Skeletal Muscle Mass in Korean Men.
Clinical Nutrition Research 2019;8(1):1-16
Isolating the effects of a single nutrient or food in relation to health outcomes including increased skeletal muscle mass is a challenging task because dietary constituents are highly correlated and synergistic. Hence, diet pattern analysis may be used to investigate the role of certain diets in health outcomes. The present study investigated the dietary patterns and their relationship to skeletal muscle mass in Korean adults. Data were extracted from the 2008–2011 Korea National Health and Nutrition Examination Surveys. To explore the dietary patterns of the study subjects, factor analysis was performed using data obtained from a 24-hour recall. The skeletal muscle index according to dietary pattern scores was then investigated to estimate the changes in skeletal muscle mass. Three patterns were initially identified from the factor analysis. Of these vegetables and fish (VF) pattern was the primary factor with high reliability and was a common factor in sex-separated analyses. The VF pattern scores were positively associated with increased skeletal muscle mass in both men and women. Further analysis according to quartile levels of VF pattern scores showed a positive association between skeletal muscle mass and VF pattern in men but not in women. These results suggest that dietary patterns focused on vegetables and seafoods may contribute to increased skeletal muscle mass in Korean men but that sex difference should be considered in nutrition care for skeletal muscle health.
Adult
;
Diet
;
Factor Analysis, Statistical
;
Female
;
Fishes
;
Food Habits
;
Humans
;
Korea
;
Male
;
Muscle, Skeletal*
;
Seafood
;
Sex Characteristics
;
Vegetables*
3.Maternal Dietary Patterns and Their Association with Pregnancy Outcomes.
Zamzam PAKNAHAD ; Atefeh FALLAH ; Amir Reza MORAVEJOLAHKAMI
Clinical Nutrition Research 2019;8(1):64-73
Maternal nutritional status during pregnancy will affect the outcomes for the mother and the newborn. Maternal diet was assessed in 150 pregnant women during the first trimester of pregnancy by a 168-item food frequency questionnaire. Dietary patterns were explored by Factor analysis, and association of patterns with maternal and neonatal outcomes such as gestational diabetes mellitus (GDM), anemia and anthropometric indices were determined by analysis of variance and linear regression analysis. Three major dietary patterns were identified: 1) High Carbohydrate-Lower Fat (mean age, 27.67 ± 6.1; n = 34), 2) High Carbohydrate-Higher Fat (27.70 ± 4.1; n = 55), and 3) High Fiber (29.27 ± 5.8; n = 61). A significant difference was observed between maternal dietary patterns (p < 0.01) for GDM, while it was not significant for anemia. Also, the number of preterm and low birth weight (LBM) infants as well as mean weight, height and head circumference of the infants did not differ significantly between patterns, but there was a significant difference between the maternal dietary patterns about the number of macrosomic babies, which was higher in the second (n = 9) and third (n = 9) dietary patterns (p < 0.01). After adjusting for mothers' age, disease history, disease status, and energy intake, High Carbohydrate-Lower Fat dietary pattern was more associated with GDM than crude model (p = 0.01 vs. p = 0.02). The present study indicated a significant relationship between maternal dietary patterns before pregnancy and GDM and fetal macrosomia.
Anemia
;
Birth Weight
;
Diabetes, Gestational
;
Diet
;
Energy Intake
;
Female
;
Fetal Macrosomia
;
Food Habits
;
Head
;
Humans
;
Infant
;
Infant, Low Birth Weight
;
Infant, Newborn
;
Linear Models
;
Mothers
;
Nutritional Status
;
Pregnancy
;
Pregnancy Outcome*
;
Pregnancy Trimester, First
;
Pregnancy*
;
Pregnant Women
4.Dietary Life, Vitamin D Status and Blood Clinical Indices of University Laboratory Workers
Jung Hyun HWANG ; Hong Mie LEE ; Jung Hee KIM
Korean Journal of Community Nutrition 2019;24(3):245-256
OBJECTIVES: Although the number of laboratory workers is constantly increasing every year, few studies have been conducted on the health and nutritional status of these research workers. This study determined the health status of laboratory workers by analyzing their anthropometric indices, dietary life, vitamin D status and blood clinical indices. METHODS: The subjects consisted of 100 female laboratory workers. This study investigated their diet, anthropometric indices, vitamin D status and blood clinical indices. The subjects were divided into two groups according to their duration of working in a laboratory (<1 year,≥1 year). RESULTS: The average age and body mass index (BMI) of subjects were 23.18 years and 21.51 kg/m2, respectively Those subjects with over 1 year employment (≥1 year) had a significantly higher waist-hip ratio than that of the subjects with the less than 1 year employment (<1 year). The mean serum vitamin D level of all the subjects was 10.04 ng/mL, which is close to a level of vitamin D deficiency. There was a significantly higher average intake of calories in the over 1 year employment group as compared to that of the less than 1 year employment group. The frequency of eating sweet snacks was significantly higher for the over 1 year employment group. The correlation analysis showed a significant positive correlation between the serum 25-(OH)-vitamin D level and the time of exposure to sunlight, while dietary intake of vitamin D did not show correlation with the serum 25-(OH)-vitamin D level. However, the serum 25-(OH)-vitamin D level was also negatively correlated with both the percentage of body fat and visceral fat. CONCLUSIONS: Laboratory workers are a very high risk group in terms of their nutritional status of vitamin D. Therefore, they need greater time of exposure to sunlight as well as increasing their dietary consumption of vitamin D. In addition, it is important for laboratory worker to practice regular and balanced dietary habits in order to maintain a healthy life.
Adipose Tissue
;
Body Mass Index
;
Diet
;
Eating
;
Employment
;
Female
;
Food Habits
;
Humans
;
Intra-Abdominal Fat
;
Nutritional Status
;
Snacks
;
Sunlight
;
Vitamin D Deficiency
;
Vitamin D
;
Vitamins
;
Waist-Hip Ratio
5.Analysis of Dietary Behaviors, Food Consumption Frequency and Blood Clinical Indices by Residence Types of Female College Students in Seoul
Korean Journal of Community Nutrition 2019;24(3):183-196
OBJECTIVES: College is an important time for students to establish their identity as an independent subjects and develop a foundation to maintain a healthy adulthood. However, after female students become college students, their eating habits are likely to become more irregular and they may experience various health problems because of excessive weight control. Therefore, this study was conducted to investigate the dietary behaviors and blood clinical indices of female college students by residence types. METHODS: A total of 374 subjects were classified as home group, self-boarding group or boarding group according to residence type. Dietary habits, frequency of food intake, and eating attitudes were examined through questionnaires and anthropometric measurements and blood clinical indices were analyzed. RESULTS: The meal most frequently skipped by female college students was breakfast, and the frequency of skipping breakfast was significantly lower in the home group than other groups. Most college students recognized that their eating habits had worsened since becoming college students, with the self-boarding group in particular feeling that their eating habits changed negatively. The consumption frequencies of protein foods, fruits, dairy products, seaweed, and fatty meats were significantly lower in the self-boarding group than other groups. The home group ate food cut into smaller pieces, while the self-boarding group tried new and rich foods. Residence types did not affect blood clinical indices. CONCLUSIONS: The self-boarding group had inadequate dietary habits compared to the home group. Although residence type did not affect the blood clinical indices, the students still had poor dietary habits. Therefore, proper nutrition education is needed to improve the nutritional status of college students, especially those that self-board.
Breakfast
;
Dairy Products
;
Eating
;
Education
;
Female
;
Food Habits
;
Fruit
;
Humans
;
Meals
;
Meat
;
Nutritional Status
;
Seaweed
;
Seoul
6.Comparison Analysis of Dietary Behavior and Nutrient Intakes of the Elderly according to Their Family Status: The Korea National Health and Nutrition Examination Survey 2013–2016
Korean Journal of Community Nutrition 2019;24(4):309-320
OBJECTIVES: This study was undertaken to compare dietary life of the elderly living alone and in a family, and to compare differences based on gender, for the 2013-2016 Korea National Health and Nutrition Examination Survey (KNHANES). METHODS: The subjects included 2,612 elderly people aged over 65 years who participated in the health survey, health examination and nutrition survey. Subjects on a diet therapy were excluded. This study analyzed the general characteristics, dietary habits, daily energy and nutrient intakes, CPF ratio, estimated average requirement (EAR), nutrient adequacy ratio (NAR) and mean adequacy ratio (MAR), index of nutrient quality (INQ), and food consumption of the elderly living alone and in a family. We also compared the differences based on gender. RESULTS: Daily intake of food, water, dietary fiber, potassium, retinol, and riboflavin were low in the male elderly subjects living alone. The elderly living with family revealed higher NAR and MAR as compared to the elderly living alone. Although all MAR values were <1, the elderly living alone had lower values. Considering the intake of food, the consumption of seaweed, fish and shellfish, and oils (animal) was higher in elderly men living with families, whereas women living with families consumed more vegetables, fruits, seaweeds and seafood, as compared to their counterparts living alone. Furthermore, analyzing the foods consumed by the elderly people living alone, female subjects consumed more seaweed, milk and animal oil as compared to male subjects. CONCLUSIONS: The results of this study indicate that the elderly living alone have poor nutrient intake as compared to the elderly living with families. Based on this research data, we recommend that it is necessary to improve the health and nutritional status of the elderly living alone.
Aged
;
Animals
;
Diet Therapy
;
Dietary Fiber
;
Female
;
Food Habits
;
Fruit
;
Health Surveys
;
Humans
;
Korea
;
Male
;
Milk
;
Nutrition Surveys
;
Nutritional Status
;
Oils
;
Potassium
;
Riboflavin
;
Seafood
;
Seaweed
;
Shellfish
;
Vegetables
;
Vitamin A
;
Water
7.Sleep Quality and Its Association with the Dietary Behavior and Lifestyle of University Students in Cheongju
Korean Journal of Community Nutrition 2019;24(5):395-407
OBJECTIVES: This study examined the association of the sleep quality and patterns with the dietary behavior, including snack and beverage consumption, taste preferences, as well as lifestyle of university students. METHODS: The subjects were 406 university students in Cheongju, Korea, and the data were collected using a self-administered questionnaire. They were divided into two groups according to the Pittsburgh Sleep Quality Index (PSQI): good-quality sleepers (PSQI score ≤ 5) and poor-quality sleepers (PSQI score > 5). The data were analyzed using a χ2-test, independent t-test, and analysis of covariance using the SPSS 25.0 program. RESULTS: Fifty-two percent of university students were categorized as poor-quality sleepers by the PSQI. Students classified as poor-quality sleepers had delayed bedtimes, and a shorter duration in bed and total sleep hours than the good-quality sleepers did. Poor-quality sleepers were more prevalent among those who were female, having irregular mealtimes, or frequent late night meals. They also consumed fast food frequently, such as fried chicken and hamburgers, and noodles when adjusted for gender. In addition, drinks with caffeine over milk were dominant among poor-quality sleepers. Furthermore, the preferences for spicy and salty tastes and longer smartphone usage were more prevalent in those with poor-sleep quality. CONCLUSIONS: These results showed that more than 50% of university students reported disturbed sleep and poor quality sleep was associated with less desirable snack consumption and taste preference, more smartphone usage, and others. Therefore, nutrition education program along with lifestyle changes promoting sufficient sleep are encouraged to provide for university students, particularly those who have poor sleep quality.
Beverages
;
Caffeine
;
Chickens
;
Chungcheongbuk-do
;
Education
;
Fast Foods
;
Female
;
Food Habits
;
Humans
;
Korea
;
Life Style
;
Meals
;
Milk
;
Smartphone
;
Snacks
8.Relationship between Dietary Behaviors and Life Stress of Middle School Students in Gyeonggi Area
Kyung Ae PARK ; Myoung Sook LEE ; Kyung Hee SONG
Korean Journal of Community Nutrition 2019;24(5):384-394
OBJECTIVES: The study was performed to examine the dietary behaviors and life stress of middle school students in the Gyeonggi area. METHODS: A total of 580 middle school students (295males, 285 females) in the Gyeonggi area participated in the study between July and August in 2011. The study was a questionnaire-based survey that included dietary habits, dietary behaviors, and life stress. RESULTS: For dietary habits, the score for drinking milk was higher in male students than in female students, whereas the score for eating fruits was higher in female students compared to male students. There were significant differences in foods eaten and preferred under stress between male and female students. Male students showed significantly less changes in the number of meals, amount of meal intake, number of snacks, snack intake, frequency of overeating, and appetite during stress than female students. Life stress score of students largely came from academic factors, and female students showed higher stress levels in personal and surrounding environment factors than male students. Life stress score was significantly lower in students with high and moderate levels of dietary habits than in students with a low level of dietary habits. Total score for dietary habits and scores for eating adequate amounts of foods for each meal, considering a combination of food groups at each meal and eating green and orange vegetables, were significantly negatively correlated with life stress score. Life stress score was significantly negatively correlated with meal regularity and positively with the level of overeating. CONCLUSIONS: This study may provide basic information on dietary habits and life stress according to gender and the relationship between dietary behaviors and life stress of middle school students, and it suggests gender-based nutrition education programs to solve undesirable dietary habits and dietary behaviors in students with higher stress.
Appetite
;
Citrus sinensis
;
Drinking
;
Eating
;
Education
;
Female
;
Food Habits
;
Fruit
;
Gyeonggi-do
;
Humans
;
Hyperphagia
;
Male
;
Meals
;
Milk
;
Snacks
;
Stress, Psychological
;
Vegetables
9.Energy Drink Consumption and Dietary-, Lifestyle-, and Mental Health-Related Behaviors in Korean Adolescents: Based on the 10th–13th Korea Youth Risk Behavior Web-Based Survey
Korean Journal of Health Promotion 2019;19(3):145-154
BACKGROUND: Energy drinks (EDs), functional beverages with high concentrations of caffeine, can cause health risks. This study examined the frequency of ED consumption and related factors in Korean adolescents. METHODS: Data from the 10th-13th Korea Youth Risk Behavior Web-based Survey was used, and a total of 137,101 boys and 130,806 girls were included in the final analyses. Differences in ED consumption and associated factors were analyzed using the Rao-Scott chi-square test and a multivariate logistic regression analysis, reflecting of the complex sample design. RESULTS: In total, 17.3% boys and 12.9% girls consumed EDs more than once a week (P<0.001). In particular, 24.2% of all high-school students in the 12th grade consumed more than three EDs a week. After adjusting for confounding factors, a multivariate logistic regression analysis indicated that higher ED consumption was significantly associated with a higher soda, sweet-drink, and fast food intake; skipping breakfast; a lower vegetable intake; depression; suicidal thoughts; sleep deprivation; and increased smoking and alcohol drinking. CONCLUSIONS: ED consumption is associated with undesirable dietary-, lifestyle-, and mental health-related behaviors, suggesting the need for appropriate nutrition education in adolescents.
Adolescent
;
Alcohol Drinking
;
Beverages
;
Breakfast
;
Caffeine
;
Depression
;
Education
;
Energy Drinks
;
Fast Foods
;
Female
;
Food Habits
;
Humans
;
Korea
;
Life Style
;
Logistic Models
;
Mental Health
;
Risk-Taking
;
Sleep Deprivation
;
Smoke
;
Smoking
;
Vegetables
10.The effect of high fat dietary modification and nutritional status on the outcome of critically ill ventilated children: single-center study
Nehal Mohamed EL KOOFY ; Hanaa Ibrahim RADY ; Shrouk Moataz ABDALLAH ; Hafez Mahmoud BAZARAA ; Walaa Ahmed RABIE ; Ahmed Ali EL-AYADI
Korean Journal of Pediatrics 2019;62(9):344-352
BACKGROUND: Ventilator dependency constitutes a major problem in the intensive care setting. Malnutrition is considered a major determinant of extubation failure, however, attention has been attracted to modulating carbon dioxide production through decreasing carbohydrate loading and increasing the percent of fat in enteral feeds. The detected interrelation between substrate oxidation and ventilation outcome became the base of several research to determine the appropriate composition of the nonprotein calories of diet in ventilated patients. PURPOSE: We aimed to assess the effect of high-fat dietary modification and nutritional status on ventilatory and final outcomes of pediatric intensive care. METHODS: Fifty-one ventilated children (1 month to 12 years of age) with pulmonary disease who could be enterally fed, in the Cairo University Pediatric intensive care unit, were divided into 2 groups: group A included 25 patients who received isocaloric high-fat, low-carbohydrate diet; group B included 26 patients who received standard isocaloric diet. Comprehensive nutritional assessment was done for all patients. RESULTS: Group A had a significant reduction in carbon dioxide tension, but no similar reduction in the duration or level of ventilatory support. Assisted minute ventilation was predicted by weight-for-age and caloric intake rather than the type of diet. Poor nutritional status was associated with higher mortality and lower extubation rates. Mild hypertriglyceridemia and some gastrointestinal intolerance were significant in group A, with no impact on the adequacy of energy or protein delivery. CONCLUSION: The high-fat enteral feeding protocol may contribute to reducing carbon dioxide tension, with mild hypertriglyceridemia and negligible gastrointestinal intolerance as potential adverse effects. Optimization of nutritional status rather than dietary modification may improve ventilatory and survival outcomes in critically ill-ventilated children.
Carbon Dioxide
;
Child
;
Critical Care
;
Critical Illness
;
Diet
;
Diet, High-Fat
;
Energy Intake
;
Enteral Nutrition
;
Food Habits
;
Humans
;
Hypertriglyceridemia
;
Intensive Care Units
;
Lung Diseases
;
Malnutrition
;
Mortality
;
Nutrition Assessment
;
Nutritional Status
;
Ventilation
;
Ventilators, Mechanical

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