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- Volume 23(5); October 2018
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Original Articles
- [English]
- Cost-benefit Analysis of Nutrition Management Program for Children Aged Under 5 Years in DR Congo
- Tae Ho Lee, Chae Eun Lee, Eun Woo Nam
- Korean J Community Nutr 2018;23(5):385-396. Published online October 31, 2018
- DOI: https://doi.org/10.5720/kjcn.2018.23.5.385
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Abstract
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PubReader - OBJECTIVES
This study aims to evaluate the economic efficiency of a nutrition management program for children under 5 years of age in Kenge, Kwango District, Democratic Republic of the Congo (DR Congo) from 2014 to 2016.
METHODS
The economic efficiency of a nutrition management program for children under 5 years of age who have recovered from malnutrition status was evaluated using a cost-benefit analysis. The costs were analyzed according to the executed budget incurred during the project period. The benefits were estimated as the monetary value of the saved lives of children under 5 years of age. The economic efficiency of the program was determined by the Benefit-Cost Ratio (BCR). The BCR was calculated by dividing the total discounted benefit by the total discounted costs. The project is economically efficient when the BCR is greater than 1.
RESULTS
The costs of the nutrition management program were calculated as 1,677,609,648 Korean Won (KRW). A total of 2,466 children survived with improved malnutrition status through this program. The benefit for the reduction of mortality for children under 5 years of age was estimated to be 6,814,354,467 KRW, the estimated value of life for 2,466 children. The BCR was 4.06.
CONCLUSIONS
The nutrition management program for children under 5 years of age in DR Congo was found to be a cost-effective project. Successful and efficient Official Development Assistance (ODA) for a health project requires integrated and comprehensive strategies and specialized international development consulting to improve efficiency. Future nutrition management programs should take into account the national health program to maintain the sustainability of the project.
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- [English]
- Dietary Factors Associated with Attention Deficit Hyperactivity Disorder (ADHD) in School-aged Children
- Minji An, Hyojin An, Hwang Hyo Jeong, Ho Jang Kwon, Mina Ha, Yun Chul Hong, Soo Jong Hong, Se Young Oh
- Korean J Community Nutr 2018;23(5):397-410. Published online October 31, 2018
- DOI: https://doi.org/10.5720/kjcn.2018.23.5.397
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Abstract
PDFPubReader
- OBJECTIVES
An association between dietary patterns and mental health in children has been suggested in a series of studies, yet detailed analyses of dietary patterns and their effects on ADHD (attention deficit hyperactivity disorder) are limited.
METHODS
We included 4569 children who had dietary intake data as part of the CHEER (Children's Health and Environmental Research) study conducted nationwide from 2005 to 2010. We assessed ADHD (Attention Deficit Hyperactivity Disorder) by the DuPaul's ADHD Rating Scales and dietary intake by a semi-quantitative food frequency questionnaire. Using intake data, we constructed five dietary patterns: “Plant foods & fish,â€â€œSweets,â€â€œMeat & fish,â€â€œFruits & dairy products,†and “Wheat based.†RESULTS: The overall proportion of ADHD was 12.3%. Boys (17.8%) showed a higher rate of ADHD than girls (6.5%). The total intake of calories (85 kcal) and plant fat (2g) in the ADHD group was significantly higher than that of the normal group. ADHD was significantly negatively associated with dietary habits such as having breakfast and meal frequency, and positively associated with eating speed, unbalanced diet, overeating, and rice consumption. Regarding dietary patterns, the “Sweets†category was relevant to high ADHD risk (OR 1.59, 95% CI: 1.18, 2.15 for Q5 vs. Q1) in a linear relationship. An inverse, non-linear association was found between “Fruits & dairy products†and ADHD (OR 0.55, 95% CI: 0.39, 0.76 for Q4 vs. Q1).
CONCLUSIONS
Our study confirms both positive and negative associations between diet and ADHD in elementary school age children. Moreover, linear or nonlinear associations between diet and ADHD draw attention to the possible threshold role of nutrients. Further studies may consider characteristics of diet in more detail to develop better intervention or management in terms of diet and health. -
Citations
Citations to this article as recorded by
- Correlation of attention deficit hyperactivity disorder with gut microbiota according to the dietary intake of Korean elementary school students
Tae-Hwan Jung, Hyo-Jeong Hwang, Kyoung-Sik Han, Regis Moreau
PLOS ONE.2022; 17(9): e0275520. CrossRef - Awareness and Practice of Sugar Reduction in School Foodservice and the Practice of Nutrition Education in Daegu
Suhyang Jang, Kilye Kim, Yeon-Kyung Lee
Korean Journal of Community Nutrition.2021; 26(3): 167. CrossRef - Effect of Nutrition Education on Reduced Sugar Intake in Elementary School Students
Young-Mi Seo, Ok-Jin Park, Min-June Lee
Journal of the East Asian Society of Dietary Life.2021; 31(1): 14. CrossRef - Analysis of the consumer perception and related education effect on the reduction of sugar for elementary school students in Seoul and Gyeonggi-do
Ki Nam Kim, Jung Sug Lee, Jee-Seon Shim, Hae Kyung Chung, Hae Rang Chung, Moon-Jeong Chang
Journal of Nutrition and Health.2020; 53(3): 303. CrossRef
- Correlation of attention deficit hyperactivity disorder with gut microbiota according to the dietary intake of Korean elementary school students
- 615 View
- 11 Download
- 4 Crossref
- [English]
- Development of a Food Exchange Table and Food Pattern for Nutritionally Balanced Menu Planning
- Yun Ahn, Ikhyun Yeo, Sangyun Lee, Kisun Nam
- Korean J Community Nutr 2018;23(5):411-423. Published online October 31, 2018
- DOI: https://doi.org/10.5720/kjcn.2018.23.5.411
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Abstract
PDFPubReader
- OBJECTIVES
The purpose of this study was to develop new meal planning tools for a nutritionally balanced diet.
METHODS
Based on the food exchange list for diabetes, we adjusted the food group classification system to reflect the suggested nutritional factors for chronic disease prevention and health promotion. We developed a nutritionally balanced dietary profile for adults and compared it with the dietary reference intakes for Koreans (KDRIs) and the food pattern recommended by the Korean Diabetes Association.
RESULTS
The newly developed menu planning tools are the LOHAS food exchange table and the LOHAS food pattern. Our recommended daily 1,800 kcal dietary composition for adults is as follows: The carbohydrate food group consists of 4 ‘whole grains’, 3 ‘refined grains’, 2 ‘sugars’, 9 ‘vegetables’, 3 ‘starchy vegetables’, 2 ‘fruits’ and 1 ‘high sugar fruits’. The protein food group includes 3 ‘plant protein foods’, 3 ‘animal protein foods (low-fat)’, and 1 ‘animal protein foods (high-fat)’. The fat food group consists of 2 ‘oils and nuts’ and 1 ‘solid fats’. The total number of calories is estimated at 1,840 kcal and the energy ratio is 62% carbohydrate, 18% protein, 20% fat, 6.8% saturated fat and 13.2% sugars. Using the LOHAS food exchange table, it is possible to estimate values of saturated fat, unsaturated fat, dietary fiber, and sugars besides carbohydrate, protein and fat. It is also possible to compose a dietary design considering carbohydrate, sugars, saturated fat and dietary fiber. The LOHAS food pattern provides benefits for the management of both institutional food services and individual meals, as it can help reduce the levels of saturated fat and sugar intake and help develop healthy meals rich in unsaturated fats and dietary fiber.
CONCLUSIONS
The LOHAS food exchange table and LOHAS food pattern are expected to be practical tools for designing and evaluating nutritionally balanced diets. -
Citations
Citations to this article as recorded by- The association between COVID-19 and changes in food consumption in Korea: analyzing the microdata of household income and expenditure from Statistics Korea 2019–2022
Haram Eom, Kyounghee Kim, Seonghwan Cho, Junghoon Moon
Journal of Nutrition and Health.2024; 57(1): 153. CrossRef - Development of a food exchange atlas for Sri Lankan adults
Ranil Jayawardena, Dhanushya T. Jeyakumar, Manoja Gamage
Journal of Food Composition and Analysis.2023; 118: 105154. CrossRef - Development and validation of a nutrition literacy assessment tool for young adults
Seokyoung Ahn, Bogyeong Kim, Mihyang Um, Yookyung Park, Seunghee Kye
Journal of Nutrition and Health.2020; 53(2): 175. CrossRef - A Study on Decision Making by Visualization with Food Nutrition Information
Sang-heon Oh, Sung-Hee Kim
Journal of Digital Contents Society.2020; 21(2): 357. CrossRef
- The association between COVID-19 and changes in food consumption in Korea: analyzing the microdata of household income and expenditure from Statistics Korea 2019–2022
- 529 View
- 3 Download
- 4 Crossref
- [English]
- Comparison of Predicted and Measured Resting Energy Expenditure in Overweight and Obese Korean Women
- Ji Sook Park, Jung Eun Yim
- Korean J Community Nutr 2018;23(5):424-430. Published online October 31, 2018
- DOI: https://doi.org/10.5720/kjcn.2018.23.5.424
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Abstract
PDFPubReader
- OBJECTIVES
The purpose of this study was to compare predictions and measurements of the resting energy expenditure (REE) of overweight and obese adult women in Korea.
METHODS
The subjects included 65 overweight or obese adult women ranging in age from 20~60 with a recorded body mass index (BMI) of 23 or higher. Their height, weight, waist-hip ratio, and blood pressure were measured. The investigator also measured their body fat, body fat percentage, and body composition of total weight without fat using Dual energy X-ray absorptiometry (DXA) and measured resting energy expenditure by indirect calorimetry. Measured resting energy expenditures were compared with predictions from six methods: Harris-Benedict, Mifflin, Owen, WHO-WH, Henry-WH, and KDRI.
RESULTS
Harris-Benedict predictions showed the smallest differences from measured resting energy expenditure at an accurate prediction rate of 70%. The study analyzed regression between measured resting energy expenditure and body measurements including height, weight and age. The formula proposed by this research is as follows: Proposed REE equation for overweight and obese Korean women = 721 − (1.5 × age) + (0.4 × height) + (9.9 × weight).
CONCLUSIONS
These findings suggest that age is a significant variable when predicting resting energy expenditure in overweight and obese women. Therefore, prediction of resting energy expenditure should consider age when determining energy requirements in overweight and obese women. -
Citations
Citations to this article as recorded by- Resting energy expenditure in Korean type 2 diabetes patients: comparison between measured and predicted values
Ji-Sook Park, Sung-Rae Cho, Jung-Eun Yim
Nutrition Research and Practice.2023; 17(3): 464. CrossRef
- Resting energy expenditure in Korean type 2 diabetes patients: comparison between measured and predicted values
- 442 View
- 3 Download
- 1 Crossref
- [English]
- Comparison of Dietary Behaviors and Blood Clinical Indices in Underweight, Normal Weight, Normal Weight Obese and Obese Female College Students
- Su Bin Lee, Jung Hee Kim
- Korean J Community Nutr 2018;23(5):431-443. Published online October 31, 2018
- DOI: https://doi.org/10.5720/kjcn.2018.23.5.431
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Abstract
PDFPubReader
- OBJECTIVES
Normal weight obesity (NWO) is defined as excessive body fat in the context of a normal body mass index (BMI). This condition carries a greater risk of developing noncommunicable chronic disease and has been associated with early inflammation. This study was conducted to compare the anthropometric measurements, eating behaviors, and blood clinical indices among four groups: underweight, normal, normal weight obesity and obesity.
METHODS
The subjects included 215 female college students. A questionnaire was administered regarding general characteristics, dietary behaviors, food consumption frequency. Anthropometric measurements and blood clinical indices were also investigated.
RESULTS
The average BMI, body fat percentage, waist circumference, fat-free mass, and muscle mass were highest in the obesity group (p < 0.05). Most subjects had tried to lose weight and perceived that their health was worse than before they became college students. The ratio of students in the NWO group who thought their health was very poor was significantly higher than in the other three groups (p < 0.05). The obesity and NWO groups seemed to eat more and their eating speed was significantly faster than the other groups (pv0.001). The consumption frequency of caffeinated beverages was significantly higher in the NWO group than in the other three groups (p < 0.01). WBC was significantly higher in the obesity group (p < 0.05). Serum levels of TG and total cholesterol were also significantly higher in the obesity group (p < 0.05). Serum GPT was significantly higher in the obesity group (p < 0.05) while BUN level was highest in the NWO group (p < 0.05).
CONCLUSIONS
The obesity group showed the most health problems while the NWO group seemed relatively healthy. However, NWO can lead to problems such as metabolic syndrome and cardiovascular disease in later life if poor dietary habits are maintained. Therefore, education in appropriate eating habits is needed for these subjects. -
Citations
Citations to this article as recorded by- A study on the perception of hand washing and health status in Korean adults
Soohee Park
Medicine.2021; 100(3): e24421. CrossRef - Gender Differences and Relationships among Lifestyle and Reproductive Health in University Students
Ju-Hee Nho, Hee Sun Kim
Korean Journal of Women Health Nursing.2019; 25(4): 446. CrossRef
- A study on the perception of hand washing and health status in Korean adults
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- 2 Crossref
- [English]
- Development of Strategies to Improve the National Nutrition Survey System
- Narae Yang, Seungmin Lee, Youngsuk Lim, Haeryun Park, Kirang Kim
- Korean J Community Nutr 2018;23(5):444-455. Published online October 31, 2018
- DOI: https://doi.org/10.5720/kjcn.2018.23.5.444
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Abstract
PDFPubReader
- OBJECTIVES
The current survey environment is changing and participation rates in national nutrition surveys are decreasing. Therefore, the purpose of this study was to develop strategies for improving the nutrition survey system in the Korea National Health and Nutrition Examination Survey (KNHANES).
METHODS
To develop an alternative system for conducting the KNHANES nutritional survey, we conducted focus group interviews with stakeholders of the survey, SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis, and expert reviews. In addition, spatial analysis of potential sites for conducting surveys instead of relying on household visits was performed, and the perception of nutritional surveys in the population eligible for KNHANES was evaluated.
RESULTS
Based on the results of the focus group interviews, SWOT analysis, and expert reviews, we propose two options for survey sites: vehicles specifically prepared for nutritional surveys and public facilities such as community service centers or public health centers. Among public facilities, community service centers were found to be more appropriate sites than public health centers because they were considered more accessible. About 90% of respondents would participate in the survey in public facilities and about 74% would in vehicles.
CONCLUSIONS
Conducting national nutrition surveys in specially designed vehicles and public facilities could be a viable alternative to home visits. Next, the validity of these newly proposed nutrition survey methods needs to be compared to the results of the current national nutrition survey.
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