1.The Relationship between the Dietary Inflammatory Index (DII) and Cataract Prevalence in the Korean Elderly: Using Data from the 2019∼2021 Korea National Health and Nutrition Examination Survey
Woori NA ; Eunji LEE ; Cheongmin SOHN
Journal of the Korean Dietetic Association 2025;31(1):1-12
Cataract is a common eye disease in the elderly. It is affected by various factors including oxidative stress which cause inflammation and damage to the lens. In this study, we aimed to analyze the relationship between the dietary inflammatory index (DII), which indicates the contribution of various dietary components to inflammation, and cataract. The study was a cross-sectional study using data from the 2019∼2021 Korea National Health and Nutrition Examination Survey (KNHANES) and included 3,427 people aged 65 years and older. The DII was derived using a 24-hour recall method. To analyze the association between dietary inflammation and cataracts, we divided the DII into tertiles and performed logistic regression analysis. All analyses were performed using SPSS version 29.0. The results showed that 1,457 (42.5%) patients had cataracts.The DII was 1.56±0.1 in the cataract group and 1.18±0.1 in the non-cataract group (P<0.001). Logistic regression analysis with adjusted variables to analyze the association of DII with cataracts showed that the odds ratio (OR) of cataract incidence was lower from T1 to T3 (OR, 0.82; 95% CI, 0.68∼0.99, P for trend=0.040). This study shows that a lower DII score is associated with a lower OR of cataract development in the Korean elderly. This suggest that dietary strategies focusing on anti-inflammatory foods are needed to delay and effectively manage cataract development.
2.Development of Hemp Seed Soup for the Elderly
Hyeonhee YU ; Kyeongmi KIM ; Jeonghyun SONG ; Sookyeong CHOI ; Sunyoung HWANG ; Seoha OH ; Jounghee LEE
Journal of the Korean Dietetic Association 2025;31(1):52-65
As South Korea transitions into a super-aged society, addressing the challenges of aging through tailored nutritional strategies is becoming increasingly critical. This study developed a hemp seed soup designed for the elderly, using the functional benefits of hemp, a nutrient-dense ingredient rich in dietary proteins, essential fatty acids, polyphenols, and antioxidants. Soups were formulated with varying levels of hemp seed powder (0% (CS), 25% (HS25S), 50% (HS50S), and 75% (HS75S)), to address the dietary needs and physiological characteristics of the elderly, including mastication and swallowing difficulties. Increasing the hemp seed powder levels significantly enhanced the crude protein, total polyphenol, and flavonoid contents while improving the antioxidant activities, as assessed by 2,2-diphenyl-1-picrylhydrazyl (DPPH) and 2,2’-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) radical scavenging assays. HS75S exhibited the highest nutritional values and antioxidant activity. By contrast, food texture analysis showed that the viscosity decreased at higher hemp seed concentrations, with HS25S and HS50S demonstrating favorable textures for elderly consumption.Consumer acceptance testing identified HS50S as the most preferred sample, scoring highest in flavor, texture, and overall acceptability. This study highlights the potential of hemp seeds as a functional ingredient in developing nutritious and elderly-friendly food products. The hemp seed soup, with its enhanced protein, antioxidant properties, and tailored texture, offers a promising solution to improve the nutritional status and health of the elderly. Future studies should explore the long-term health benefits of hemp seed soup and its integration with other functional ingredients to optimize the sensory and nutritional properties.
3.Assessment of Nutritional Status and Dietary Quality Using Nutrition Quotient of Young Adults in One-Person Households
Journal of the Korean Dietetic Association 2025;31(1):38-51
This study aimed to assess the nutritional status and dietary quality of 863 young adults living in one-person households (OH, n=338) and multi-person households (MH, n=525), using the Korean Nutrition Quotient (NQ) for adults. The total NQ score for women in OH was significantly lower than for those in MH. For both men and women, the NQ score for the balance domain was significantly lower in OH than in MH, and the practice domain was significantly lower for women in OH. Regarding the dietary quality in the balance domain, both men and women participants in OH had a significantly lower intake frequency of vegetables, fruits, fish, beans, nuts, and whole or mixed grains than their counterparts in MH, with respect to the moderation domain, the men in OH consumed spicy and salty broth-based foods more frequently than those in MH, while women in OH consumed red meat less frequently than those in MH. With regard to the practice domain, the frequency of heavy drinking was significantly higher among women in OH, while men in OH were more likely to wash their hands before eating than those in MH. These results suggest that young adults living alone are likely to have lower overall NQ scores and exhibit less desirable dietary behaviors. This underscores the need for nutrition support to improve the dietary quality of young adults living alone.
4.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.
5.Development of a Nutrition Management App to Mitigate Frailty in Aging Populations
Soyoung JUNG ; Hae Jin KANG ; Yoo Kyoung PARK
Journal of the Korean Dietetic Association 2025;31(1):13-23
Frailty is a condition marked by a progressive decline in physiological functioning due to aging, leading to increased disease morbidity and rising healthcare costs. Therefore, it is important to prevent frailty through proper management. Not only does a lack of physical activity contribute to frailty, but inadequate dietary intake, resulting from decreased appetite and malabsorption, is also a significant risk factor. This study aimed to develop a 16-week algorithm to assess the nutritional risks associated with frailty, provide personalized nutritional solutions, and manage frailty risk factors through continuous monitoring and periodic reassessment. A total of 20 indicators were selected to create a nutritional health score. The selected indicators encompassed nutritional risk factors for frailty, disease history, and hematological factors. Reassessments were designed to occur at four-week intervals to revise personalized management goals and adjust solutions. Metrics were prioritized to provide a personalized solution. A user-friendly monitoring system was developed that leveraged voice recognition technology to determine compliance. It is anticipated that the algorithm will serve several purposes. First, this outcome will allow us to help prevent and delay the onset of frailty by utilizing a mobile app. Second, it will reduce the time and economic costs associated with nutritional management. Finally, it will facilitate future professional counseling and monitoring.
6.Perception of Vegetarian Day and Its Association with the Nutrition Quotient of Adolescents in Daejeon
Bo-Young LYUM ; Su-Ryeon HAN ; Yun-Jung BAE ; Mi-Kyeong CHOI
Journal of the Korean Dietetic Association 2025;31(2):91-100
The need to implement vegetarian meal plans in school meals to promote sustainable eating among adolescents is increasing. This study examined students’ perceptions of a vegetarian day, and its association with dietary quality. This study surveyed 372 adolescents (230 males, 142 females) in Daejeon, Korea, assessing their perceptions of a vegetarian day and their nutrition quotient for adolescents (NQ-A). The perception of a vegetarian day was 3.21 out of 5, showing no significant gender difference. Among all participants, the item “I think a vegetarian day will help students’ health” received the highest score (3.67). The item “I think a vegetarian day is about respecting the diversity of students” scored significantly higher among females than males, whereas the item “It is better to include meat substitutes as well as mixed grains, beans, vegetables and fruits on a vegetarian day” scored lower among females than males. Correlation analysis showed that the perceptions of a vegetarian day were significantly positively associated with the total NQ-A score and the moderation domain score in all participants. Based on these findings, efforts should be made to enhance the positive perceptions of a vegetarian day among adolescents while exploring various approaches to its effective implementation.
7.A Study on Eating Habits and Dietary Quality according to Smartphone Overdependence of University Students
Journal of the Korean Dietetic Association 2025;31(2):114-127
This study investigated the association between overdependence on smartphones and the dietary quality of university students. A total of 586 university students (212 men and 374 women) residing in Chungbuk participated in this questionnaire survey in December 2019. The men and women were divided into two groups, ‘normal’ (170 men and 258 women) and ‘danger’ (42 men and 116 women) according to the level of smartphone dependence. Eating habits and dietary quality were assessed using a nutrition quotient for adults (NQ-A). For men, a lower intake of vegetable dishes was significantly associated with a higher dependence on smartphones. For men, a higher frequency of consumption of sweet and greasy baked products, night snacks, and checking of nutrition labels was significantly associated with higher smartphone dependence. In both men and women with higher smartphone dependence, the NQ-A score was significantly lower, suggestive of low dietary quality. In summary, overdependence on smartphones among university students may be associated with lower dietary quality. These study results suggest that nutrition education programs and guidelines should be provided to university students who exhibit an overdependence on smartphones.
8.A Qualitative Study on Deriving Health Promotion Strategies for Adolescents during the Infectious Disease Period: Application of Focus Group Interviews
Seoung Hi KIM ; Seonyeong BAEK ; Hye-Seung KANG ; Chun-Young SOHN ; Sunny HAM
Journal of the Korean Dietetic Association 2025;31(2):167-180
The coronavirus disease-2019 (COVID-19) pandemic has significantly impacted adolescent health, highlighting the need for effective health promotion strategies. This qualitative study analyzed adolescent health concerns during the pandemic and explored management strategies through focus group interviews (FGIs).FGIs were conducted on November 23 and 25, 2023, with six secondary school nutrition teachers, six educational supervisors, and six adolescent students. Semi-structured questions were used to explore five key domains: health behaviors, factors contributing to health problems, social support, perceived health beliefs, and health education. The FGI recordings were transcribed, and Braun and Clarke’s (2006) thematic analysis method was applied to classify and categorize the data. To ensure the reliability and validity of the study, all processes were meticulously documented, and member checking and triangulation were conducted. The analysis revealed that adolescents faced reduced physical activity, irregular eating habits, school lunch disruptions, social isolation, worsening obesity, mental health challenges, and decreased engagement in health-promoting behaviors. Nutrition teachers and educational supervisors emphasized the importance of the food environment in schools and policy support, whereas adolescent students. highlighted motivation and accessibility as the key factors for adopting healthy behaviors. Based on these findings, strengthening social support, expanding health education, and establishing a national support system are essential for improving adolescent health. This study has implications for policy and education to address adolescent health challenges during a pandemic and serves as a foundation for future health promotion strategies.
9.Influence of Dietary and Mental Health Factors on Adolescents’ Frequency of Watching Mukbang and Cookbang: Utilizing Data from the Korea Youth Risk Behavior Survey
Journal of the Korean Dietetic Association 2025;31(2):150-166
This study used data from the Korea Youth Risk Behavior Survey to examine the relationship between adolescents’ dietary habits, mental health, and Mukbang and Cookbang frequency of watching. Decision tree analysis identified weight control as the most significant factor influencing the frequency of watching Mukbang and Cookbang. Despite efforts to lose weight and avoid fast food, feelings of sadness or despair led to an increase in the number of frequent viewers (FV). In addition, frequent consumption of sweet beverages, even without engaging in weight control, also contributed to increased FV. High stress levels significantly affected the FV, even in cases where individuals neither controlled their weight nor consumed sweet beverages. Adolescents’ dietary habits and mental health can influence the frequency of watching Mukbang and Cookbang. This study provides valuable insights for improving nutritional education and highlights the importance of promoting healthy dietary and mental health management for adolescents, as well as educating them on proper media usage.
10.Priority Analysis of Evaluation Factors in Contract Foodservice Operations Using Delphi and AHP
Journal of the Korean Dietetic Association 2025;31(2):128-149
A standardized evaluation framework was developed for contract food service operations to analyze the priority of evaluation factors from the perspectives of contracting organizations (CO) and food service providers (FP). The Delphi technique and the Analytic Hierarchy Process (AHP) were used to identify and prioritize evaluation factors reflecting both perspectives. A three-round Delphi survey with 22 experts from academia and industry yielded seven evaluation areas and 46 indicators. Subsequently, an AHP survey was conducted with 40 experts (20 from CO and 20 from FP). The composite weights showed that “quality of menu and food” was rated highest by both parties (CO: 0.0699, FP: 0.0572), followed by “safe hygiene management” (CO: 0.0622, FP: 0.0366). Although CO prioritized “comfort and cleanliness of dining environment” (0.0344) and “meal distribution efficiency” (0.0341), FP emphasized “customer communication and satisfaction” (0.0316) and “food service operation management” (0.0302). By contrast, the lowest-ranked indicators included “carbon emissions management” (CO: 0.0120, FP: 0.0087), “ethical supply chain management” (CO: 0.0110, FP:0.0092), and “use of eco-friendly food materials” (CO: 0.0114, FP: 0.0101). Therefore, although traditional indicators remain dominant, sustainability and digitalization are still emerging in the evaluation framework. This study offers practical insights for enhancing objectivity and transparency in contract food service evaluation.The proposed framework integrates both perspectives, promoting mutual understanding and supporting the development of sustainable and efficient contract food service systems. Policy-level implications include aligning with public-sector evaluation models and environmental, social, and governance (ESG) mandates.

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