1.Comparison of Korean Healthy Eating Index according to Income Level in Elderly:Using 2020∼2021 Korea National Health and Nutrition Examination Survey
Hye-Sook HONG ; Ah Jin JUNG ; Hae-Jeung LEE
Journal of the Korean Dietetic Association 2025;31(1):24-37
This study examined the KHEI (Korean Healthy Eating Index) in elderly men and women according to their income level using the National Health and Nutrition Survey (2020∼2021) data. The income level was classified into lower, lower middle, upper middle, and upper groups according to the household income quartiles. The significant differences between the KHEI score and three subcategories (adequacy, moderation, energy balance) scores according to the income level showed the same pattern in the elderly total, men and women. Regarding the individual item, the score for the intake of meat, fish, eggs, legumes, total fruit, fresh fruit, total vegetables, and vegetables excluding kimchi and pickled vegetables were significantly lower in the lower income group in total elderly, men and women than in the other groups (P<0.001). Among the items that showed differences between elderly men and women, the ‘regular breakfast’ score was lowest in the upper-income group of elderly men and the ‘mixed grains intake’ score was lowest in the lower-income group of elderly men. These results can be used to help develop nutrition policies and national nutritional interventions for the elderly population according to the income level.
2.Comparison of Korean Healthy Eating Index according to Income Level in Elderly:Using 2020∼2021 Korea National Health and Nutrition Examination Survey
Hye-Sook HONG ; Ah Jin JUNG ; Hae-Jeung LEE
Journal of the Korean Dietetic Association 2025;31(1):24-37
This study examined the KHEI (Korean Healthy Eating Index) in elderly men and women according to their income level using the National Health and Nutrition Survey (2020∼2021) data. The income level was classified into lower, lower middle, upper middle, and upper groups according to the household income quartiles. The significant differences between the KHEI score and three subcategories (adequacy, moderation, energy balance) scores according to the income level showed the same pattern in the elderly total, men and women. Regarding the individual item, the score for the intake of meat, fish, eggs, legumes, total fruit, fresh fruit, total vegetables, and vegetables excluding kimchi and pickled vegetables were significantly lower in the lower income group in total elderly, men and women than in the other groups (P<0.001). Among the items that showed differences between elderly men and women, the ‘regular breakfast’ score was lowest in the upper-income group of elderly men and the ‘mixed grains intake’ score was lowest in the lower-income group of elderly men. These results can be used to help develop nutrition policies and national nutritional interventions for the elderly population according to the income level.
3.Comparison of Korean Healthy Eating Index according to Income Level in Elderly:Using 2020∼2021 Korea National Health and Nutrition Examination Survey
Hye-Sook HONG ; Ah Jin JUNG ; Hae-Jeung LEE
Journal of the Korean Dietetic Association 2025;31(1):24-37
This study examined the KHEI (Korean Healthy Eating Index) in elderly men and women according to their income level using the National Health and Nutrition Survey (2020∼2021) data. The income level was classified into lower, lower middle, upper middle, and upper groups according to the household income quartiles. The significant differences between the KHEI score and three subcategories (adequacy, moderation, energy balance) scores according to the income level showed the same pattern in the elderly total, men and women. Regarding the individual item, the score for the intake of meat, fish, eggs, legumes, total fruit, fresh fruit, total vegetables, and vegetables excluding kimchi and pickled vegetables were significantly lower in the lower income group in total elderly, men and women than in the other groups (P<0.001). Among the items that showed differences between elderly men and women, the ‘regular breakfast’ score was lowest in the upper-income group of elderly men and the ‘mixed grains intake’ score was lowest in the lower-income group of elderly men. These results can be used to help develop nutrition policies and national nutritional interventions for the elderly population according to the income level.
4.Characteristics of Pediatric Ulcerative Colitis at Diagnosis in Korea: Results From a Multicenter, Registry-Based, Inception Cohort Study
Jin Gyu LIM ; Ben KANG ; Seak Hee OH ; Eell RYOO ; Yu Bin KIM ; Yon Ho CHOE ; Yeoun Joo LEE ; Minsoo SHIN ; Hye Ran YANG ; Soon Chul KIM ; Yoo Min LEE ; Hong KOH ; Ji Sook PARK ; So Yoon CHOI ; Su Jin JEONG ; Yoon LEE ; Ju Young CHANG ; Tae Hyeong KIM ; Jung Ok SHIM ; Jin Soo MOON
Journal of Korean Medical Science 2024;39(49):e303-
Background:
We aimed to investigate the characteristics of pediatric ulcerative colitis (UC) at diagnosis in Korea.
Methods:
This was a multicenter, registry-based, inception cohort study conducted in Korea between 2021 and 2023. Children and adolescents newly diagnosed with UC < 18 years were included. Baseline clinicodemographics, results from laboratory, endoscopic exams, and Paris classification factors were collected, and associations between factors at diagnosis were investigated.
Results:
A total 205 patients with UC were included. Male-to-female ratio was 1.59:1, and the median age at diagnosis was 14.7 years (interquartile range 11.9–16.2). Disease extent of E1 comprised 12.2% (25/205), E2 24.9% (51/205), E3 11.2% (23/205), and E4 51.7% (106/205) of the patients. S1 comprised 13.7% (28/205) of the patients. The proportion of patients with a disease severity of S1 was significantly higher in patients with E4 compared to the other groups (E1: 0% vs. E2: 2% vs. E3: 0% vs. E4: 24.5%, P < 0.001). Significant differences between disease extent groups were also observed in Pediatric Ulcerative Colitis Activity Index (median 25 vs. 35 vs. 40 vs. 45, respectively, P < 0.001), hemoglobin (median 13.5 vs.13.2 vs. 11.6 vs. 11.4 g/dL, respectively, P < 0.001), platelet count (median 301 vs. 324 vs. 372 vs. 377 × 103 /μL, respectively, P = 0.001), C-reactive protein (median 0.05 vs. 0.10 vs. 0.17 vs. 0.38 mg/dL, respectively, P < 0.001), and Ulcerative Colitis Endoscopic Index of Severity (median 4 vs. 4 vs. 4 vs. 5, respectively, P = 0.006). No significant differences were observed in factors between groups divided according to sex and diagnosis age.
Conclusion
This study represents the largest multicenter pediatric inflammatory bowel disease cohort in Korea. Disease severity was associated with disease extent in pediatric patients with UC at diagnosis.
5.Comparison of nutrient intake and Korean Healthy Eating Index among the elderly in rural areas pre- and postCOVID-19 pandemic: the 2018–2021Korea National Health and Nutrition Examination Survey data
Sangyeon KIM ; Hye-Sook HONG ; Hae-Jeung LEE
Journal of Nutrition and Health 2024;57(5):496-507
Purpose:
This study examined the nutritional status and Korean Healthy Eating Index (KHEI) scores pre- and post-coronavirus disease 2019 (COVID-19) outbreak in elderly men and women living in rural areas.
Methods:
The participants were 1,747 rural elderly people aged 65 or older who participated in the nutritional survey of the 2018–2021 Korea National Health and Nutrition Survey. The nutrient intake was estimated from a 24-hour recall.
Results:
Following the COVID pandemic, the intake of fat, saturated fatty acids, and sodium increased in elderly men and women, whereas the intake of thiamine decreased. In elderly men, the intake of protein, niacin, and vitamin D decreased, but the sugar intake increased.In elderly women, the cholesterol intake increased. The KHEI score was significantly lower in rural elderly men and women after the pandemic than before (male: 62.60 ± 0.56 for the post-COVID-19 and 64.76 ± 0.75 for the pre-COVID-19, p < 0.05; female: 64.07 ± 0.80 for the post-COVID-19 and 64.47 ± 0.62 for the post-COVID-19, p < 0.001). Regarding the KHEI component, in men, the intake of meat, fish, and legumes, all sources of protein, decreased significantly after the COVID-19 pandemic. In women, the total food intake and the intake of breakfast decreased significantly after the pandemic. In the moderation components, men were unable to limit their total sugar and sodium intake, while women were unable to control their saturated fatty acids and sodium intake. Furthermore, considering the total KHEI score, both elderly men and women had decreased values in the moderation and adequacy components following COVID-19.
Conclusion
These results provide foundational data for elderly nutrition policies or educational programs targeting the elderly population in rural areas in similar pandemic situations in the future.
6.Characteristics of Pediatric Ulcerative Colitis at Diagnosis in Korea: Results From a Multicenter, Registry-Based, Inception Cohort Study
Jin Gyu LIM ; Ben KANG ; Seak Hee OH ; Eell RYOO ; Yu Bin KIM ; Yon Ho CHOE ; Yeoun Joo LEE ; Minsoo SHIN ; Hye Ran YANG ; Soon Chul KIM ; Yoo Min LEE ; Hong KOH ; Ji Sook PARK ; So Yoon CHOI ; Su Jin JEONG ; Yoon LEE ; Ju Young CHANG ; Tae Hyeong KIM ; Jung Ok SHIM ; Jin Soo MOON
Journal of Korean Medical Science 2024;39(49):e303-
Background:
We aimed to investigate the characteristics of pediatric ulcerative colitis (UC) at diagnosis in Korea.
Methods:
This was a multicenter, registry-based, inception cohort study conducted in Korea between 2021 and 2023. Children and adolescents newly diagnosed with UC < 18 years were included. Baseline clinicodemographics, results from laboratory, endoscopic exams, and Paris classification factors were collected, and associations between factors at diagnosis were investigated.
Results:
A total 205 patients with UC were included. Male-to-female ratio was 1.59:1, and the median age at diagnosis was 14.7 years (interquartile range 11.9–16.2). Disease extent of E1 comprised 12.2% (25/205), E2 24.9% (51/205), E3 11.2% (23/205), and E4 51.7% (106/205) of the patients. S1 comprised 13.7% (28/205) of the patients. The proportion of patients with a disease severity of S1 was significantly higher in patients with E4 compared to the other groups (E1: 0% vs. E2: 2% vs. E3: 0% vs. E4: 24.5%, P < 0.001). Significant differences between disease extent groups were also observed in Pediatric Ulcerative Colitis Activity Index (median 25 vs. 35 vs. 40 vs. 45, respectively, P < 0.001), hemoglobin (median 13.5 vs.13.2 vs. 11.6 vs. 11.4 g/dL, respectively, P < 0.001), platelet count (median 301 vs. 324 vs. 372 vs. 377 × 103 /μL, respectively, P = 0.001), C-reactive protein (median 0.05 vs. 0.10 vs. 0.17 vs. 0.38 mg/dL, respectively, P < 0.001), and Ulcerative Colitis Endoscopic Index of Severity (median 4 vs. 4 vs. 4 vs. 5, respectively, P = 0.006). No significant differences were observed in factors between groups divided according to sex and diagnosis age.
Conclusion
This study represents the largest multicenter pediatric inflammatory bowel disease cohort in Korea. Disease severity was associated with disease extent in pediatric patients with UC at diagnosis.
7.Comparison of nutrient intake and Korean Healthy Eating Index among the elderly in rural areas pre- and postCOVID-19 pandemic: the 2018–2021Korea National Health and Nutrition Examination Survey data
Sangyeon KIM ; Hye-Sook HONG ; Hae-Jeung LEE
Journal of Nutrition and Health 2024;57(5):496-507
Purpose:
This study examined the nutritional status and Korean Healthy Eating Index (KHEI) scores pre- and post-coronavirus disease 2019 (COVID-19) outbreak in elderly men and women living in rural areas.
Methods:
The participants were 1,747 rural elderly people aged 65 or older who participated in the nutritional survey of the 2018–2021 Korea National Health and Nutrition Survey. The nutrient intake was estimated from a 24-hour recall.
Results:
Following the COVID pandemic, the intake of fat, saturated fatty acids, and sodium increased in elderly men and women, whereas the intake of thiamine decreased. In elderly men, the intake of protein, niacin, and vitamin D decreased, but the sugar intake increased.In elderly women, the cholesterol intake increased. The KHEI score was significantly lower in rural elderly men and women after the pandemic than before (male: 62.60 ± 0.56 for the post-COVID-19 and 64.76 ± 0.75 for the pre-COVID-19, p < 0.05; female: 64.07 ± 0.80 for the post-COVID-19 and 64.47 ± 0.62 for the post-COVID-19, p < 0.001). Regarding the KHEI component, in men, the intake of meat, fish, and legumes, all sources of protein, decreased significantly after the COVID-19 pandemic. In women, the total food intake and the intake of breakfast decreased significantly after the pandemic. In the moderation components, men were unable to limit their total sugar and sodium intake, while women were unable to control their saturated fatty acids and sodium intake. Furthermore, considering the total KHEI score, both elderly men and women had decreased values in the moderation and adequacy components following COVID-19.
Conclusion
These results provide foundational data for elderly nutrition policies or educational programs targeting the elderly population in rural areas in similar pandemic situations in the future.
8.Comparison of nutrient intake and Korean Healthy Eating Index among the elderly in rural areas pre- and postCOVID-19 pandemic: the 2018–2021Korea National Health and Nutrition Examination Survey data
Sangyeon KIM ; Hye-Sook HONG ; Hae-Jeung LEE
Journal of Nutrition and Health 2024;57(5):496-507
Purpose:
This study examined the nutritional status and Korean Healthy Eating Index (KHEI) scores pre- and post-coronavirus disease 2019 (COVID-19) outbreak in elderly men and women living in rural areas.
Methods:
The participants were 1,747 rural elderly people aged 65 or older who participated in the nutritional survey of the 2018–2021 Korea National Health and Nutrition Survey. The nutrient intake was estimated from a 24-hour recall.
Results:
Following the COVID pandemic, the intake of fat, saturated fatty acids, and sodium increased in elderly men and women, whereas the intake of thiamine decreased. In elderly men, the intake of protein, niacin, and vitamin D decreased, but the sugar intake increased.In elderly women, the cholesterol intake increased. The KHEI score was significantly lower in rural elderly men and women after the pandemic than before (male: 62.60 ± 0.56 for the post-COVID-19 and 64.76 ± 0.75 for the pre-COVID-19, p < 0.05; female: 64.07 ± 0.80 for the post-COVID-19 and 64.47 ± 0.62 for the post-COVID-19, p < 0.001). Regarding the KHEI component, in men, the intake of meat, fish, and legumes, all sources of protein, decreased significantly after the COVID-19 pandemic. In women, the total food intake and the intake of breakfast decreased significantly after the pandemic. In the moderation components, men were unable to limit their total sugar and sodium intake, while women were unable to control their saturated fatty acids and sodium intake. Furthermore, considering the total KHEI score, both elderly men and women had decreased values in the moderation and adequacy components following COVID-19.
Conclusion
These results provide foundational data for elderly nutrition policies or educational programs targeting the elderly population in rural areas in similar pandemic situations in the future.
9.A Calcified Amorphous Tumor in the Left Atrium:A Case Report
Min Seong KIM ; Jin Young KIM ; Mu Sook LEE ; Jung Hee HONG ; Hye Won LEE ; Nam Hee PARK ; Yoon Seok KIM
Journal of the Korean Society of Radiology 2024;85(5):965-969
Calcified amorphous tumors (CATs) of the heart are rare non-neoplastic cardiac masses primarily found in the mitral valve or annulus. However, their exact pathogenesis remains unknown. In this case report, we describe the CT and MRI findings and differentiating features of cardiac a CAT in the left atrium of a 79-year-old female.
10.Characteristics of Pediatric Ulcerative Colitis at Diagnosis in Korea: Results From a Multicenter, Registry-Based, Inception Cohort Study
Jin Gyu LIM ; Ben KANG ; Seak Hee OH ; Eell RYOO ; Yu Bin KIM ; Yon Ho CHOE ; Yeoun Joo LEE ; Minsoo SHIN ; Hye Ran YANG ; Soon Chul KIM ; Yoo Min LEE ; Hong KOH ; Ji Sook PARK ; So Yoon CHOI ; Su Jin JEONG ; Yoon LEE ; Ju Young CHANG ; Tae Hyeong KIM ; Jung Ok SHIM ; Jin Soo MOON
Journal of Korean Medical Science 2024;39(49):e303-
Background:
We aimed to investigate the characteristics of pediatric ulcerative colitis (UC) at diagnosis in Korea.
Methods:
This was a multicenter, registry-based, inception cohort study conducted in Korea between 2021 and 2023. Children and adolescents newly diagnosed with UC < 18 years were included. Baseline clinicodemographics, results from laboratory, endoscopic exams, and Paris classification factors were collected, and associations between factors at diagnosis were investigated.
Results:
A total 205 patients with UC were included. Male-to-female ratio was 1.59:1, and the median age at diagnosis was 14.7 years (interquartile range 11.9–16.2). Disease extent of E1 comprised 12.2% (25/205), E2 24.9% (51/205), E3 11.2% (23/205), and E4 51.7% (106/205) of the patients. S1 comprised 13.7% (28/205) of the patients. The proportion of patients with a disease severity of S1 was significantly higher in patients with E4 compared to the other groups (E1: 0% vs. E2: 2% vs. E3: 0% vs. E4: 24.5%, P < 0.001). Significant differences between disease extent groups were also observed in Pediatric Ulcerative Colitis Activity Index (median 25 vs. 35 vs. 40 vs. 45, respectively, P < 0.001), hemoglobin (median 13.5 vs.13.2 vs. 11.6 vs. 11.4 g/dL, respectively, P < 0.001), platelet count (median 301 vs. 324 vs. 372 vs. 377 × 103 /μL, respectively, P = 0.001), C-reactive protein (median 0.05 vs. 0.10 vs. 0.17 vs. 0.38 mg/dL, respectively, P < 0.001), and Ulcerative Colitis Endoscopic Index of Severity (median 4 vs. 4 vs. 4 vs. 5, respectively, P = 0.006). No significant differences were observed in factors between groups divided according to sex and diagnosis age.
Conclusion
This study represents the largest multicenter pediatric inflammatory bowel disease cohort in Korea. Disease severity was associated with disease extent in pediatric patients with UC at diagnosis.

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