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[English]
Association between number of teeth and oxidative balance score in Korean adults: a population-based study
Jung-Eun Park
Korean J Community Nutr 2026;31(1):64-74.   Published online February 28, 2026
DOI: https://doi.org/10.5720/kjcn.2025.00325
AbstractAbstract PDF
Objectives
This study aimed to evaluate the relationship between oxidative balance score (OBS), a metric indicating an individual’s oxidative balance status, and the number of teeth in a sample of Korean adults.
Methods
This cross-sectional study included 13,199 adults aged 19 and older who participated in a health survey and oral examination. Subsequent to the adjustment for confounding factors, a logistic regression analysis was employed to evaluate the probability of a subject belonging to a number of teeth category based on OBS level.
Results
In the group with OBS level T2, the likelihood of having NT1 (0–10 teeth) was found to be significant adjusted for all variables (odds ratios: 1.51, 95% confidence intervals: 1.195–1.908). In the multinomial model, a significant association was observed for the NT1 category, whereas no significant association was found for the NT2 (11–20 teeth) category after adjustment.
Conclusion
In the group with OBS level T2, the likelihood of having NT1 (0–10 teeth) was found to be significant. As this study examines cross-sectional associations, the necessity of conducting longitudinal research as subsequent studies is evident to ascertain the existence of causality.
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[Korean]
Evaluation of young children’s dietary behaviors by parental growth concern levels in Gyeonggi area: a descriptive study
Youn-Rok Kang, Hyung-Sook Kim
Korean J Community Nutr 2026;31(1):75-86.   Published online February 28, 2026
DOI: https://doi.org/10.5720/kjcn.2025.00269
AbstractAbstract PDF
Objectives
This study investigated differences in dietary habits, lifestyle patterns, and feeding- related developmental issues among Korean preschool children based on their parents’ levels of growth concern, and examined the associations between parental growth concern and children’s eating behaviors.
Methods
A cross-sectional study was conducted with parents of children aged 1–5 years residing in Gyeonggi Province, Korea. Participants were classified into high, moderate, and low growth concern groups using the children’s dietary screening test. Data were collected on the children’s anthropometric status, lifestyle routines, dietary intake patterns, eating behaviors, and mealtime media exposure.
Results
Children in the high growth concern group showed a higher prevalence of underweight; irregular sleep and mealtime routines; and more frequent eating difficulties, including picky eating, slow eating, and oral processing problems. Mealtime media exposure was associated with lower fruit and vegetable intake and higher consumption of processed and sugar-rich foods. Higher parental growth concern did not correlate with healthier dietary or lifestyle outcomes.
Conclusion
Preschool children’s dietary behaviors and routines differed according to the parents’ levels of growth concern. Higher levels of parental concern were associated with increased feeding difficulties and greater mealtime media exposure. These findings suggest that excessive concern may contribute to maladaptive eating patterns in children. Evidence- based parental guidance and structured nutrition education are essential to promote healthy growth and eating behaviors during early childhood.
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[Korean]
Prevalence of coronary artery disease according to lifestyle characteristics, nutrient intake level, and comorbidities among Koreans aged 40 years and older: a cross-sectional study using data from the 7th (2016–2018) Korea National Health and Nutrition Examination Survey
Areum Song, Sook-Bae Kim
Korean J Community Nutr 2025;30(6):457-470.   Published online December 31, 2025
DOI: https://doi.org/10.5720/kjcn.2025.00346
AbstractAbstract PDF
Objectives
To examine the prevalence of coronary artery disease (CAD) according to lifestyle characteristics, nutrient intake level, and comorbidities among Koreans aged  40 years.
Methods
Data were derived from 11,025 participants aged ≥ 40 years in the 7th Korea National Health and Nutrition Examination Survey. Participants were assigned to a CAD group (n = 470) or a non-CAD group (n = 10,555). Socio-demographic characteristics (age, sex, residence, income, marital status, education level, and employment status), lifestyle characteristics (smoking, drinking, walking, strength training, sleep duration, stress level, and subjective health perception), energy and nutrient intakes, and comorbidities, including obesity, hypertension, dyslipidemia, diabetes mellitus, stroke, cancer, depression, renal failure, cataract, asthma, chronic obstructive pulmonary disease, osteoarthritis, and osteoporosis were analyzed.
Results
The prevalence of CAD was higher in older participants and in male. Participants with CAD had higher rates of smoking, engaged in less strength training, experienced higher stress, and had poorer perceived health. They had lower intakes of energy, fiber, folate and iron. The prevalence of obesity, hypertension, dyslipidemia, diabetes mellitus, stroke, depression, renal failure, cataract, asthma, allergic rhinitis, osteoarthritis, or osteoporosis was significantly higher in the CAD group. The likelihood of having CAD was significantly higher among participants with renal failure (odds ratio [OR], 4.25; 95% confidence interval [CI], 2.24–8.08), depression (OR, 2.14; 95% CI, 1.55–2.95), asthma (OR, 2.07; 95% CI 1.48–2.91), and dyslipidemia (OR, 2.03; 95% CI, 1.69–2.44).
Conclusion
In Koreans aged  40 years, CAD was associated with unhealthy lifestyle habits, low nutrient intake, and increased comorbidities such as renal failure, depression, asthma, and dyslipidemia. These findings suggest the need for lifestyle management and intensive chronic disease management to reduce the risk of CAD.
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[Korean]
Parents' needs and perceptions of dietary and nutrition education in early childhood education institutions in South Korea: a mixed methods study
Jounghee Lee, Sookyung Choi, Minseo Kim, Seonghyun Lim, Jeong-Weon Kim
Korean J Community Nutr 2025;30(6):441-456.   Published online December 31, 2025
DOI: https://doi.org/10.5720/kjcn.2025.00304
AbstractAbstract PDF
Objectives
This study aimed to clarify parental perceptions of dietary and nutritional education provided to young children, identify parental support needs, and suggest directions for improvement.
Methods
A mixed-method sequential explanatory design was followed. Quantitative data were collected through an online survey conducted nationwide that included 200 parents of children aged three to six years in South Korea. Qualitative data were subsequently obtained through focus group interviews with fifteen parents to explore their contextual insights and experiences.
Results
Needs ratings prioritized expanding activity-based/experiential education (3.65 ± 0.88), followed by strengthening home-school communication and connectivity (3.59 ± 0.84), diversifying topics and content (3.55 ± 0.88), and increasing instructional time (3.39 ± 0.94). Integrated with the focus group interview findings, multilevel barriers were revealed—individual level: strong preferences of children for sweet/processed foods; interpersonal level: strong parental modeling and peer effects counterbalancing limited teacher expertise/time; organizational level: insufficient effective event-based experiential activities, and resource gaps across institutions; community/policy level: infrequent external support, uneven access to local resources, lack of standardized guidance, and limited opportunities for parental participation. Parents favored short, interactive digital content and expressed concerns about overexposure. These convergent findings indicate needs to 1) formalize and extend experiential programs within the regular curriculum, 2) provide standardized guidelines and home resource kits, and 3) institutionalize parental involvement.
Conclusion
These findings reveal that dietary and nutritional education for young children should move beyond fragmented, event-based programs toward an integrated three-tiered model incorporating (1) a structured, experiential curriculum, (2) home-linked educational packages, and (3) safe and interactive digital content. Establishing standardized guidelines, enhancing educational infrastructure, and institutionalizing parental participation are essential for sustainable improvement of early childhood dietary education.
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[English]
Nutrition Quotient and nutrient intake among older adults in a rural Korean community: a cross-sectional study
Ji-Sook Park, Hyeon-Mi Bae, Jung-Eun Yim
Korean J Community Nutr 2025;30(6):397-409.   Published online December 31, 2025
DOI: https://doi.org/10.5720/kjcn.2025.00283
AbstractAbstract PDF
Objectives
Korea is experiencing rapid population aging, with older adults forming a large proportion of rural communities. Aging leads to physiological and functional declines, resulting in lower physical activity, poor diet quality, and higher risk of chronic diseases. Although the Nutrition Quotient for the Elderly (NQ-E) is a validated tool to assess dietary quality, few studies have applied it to rural populations. This study aimed to compare nutrient intake and NQ-E scores by age and sex and examine their associations with lifestyle factors.
Methods
This study investigated the relationship between nutrient intake and NQ-E scores among older adults in rural Korean community, considering age, sex, and lifestyle factors. A cross-sectional study was conducted with 79 community-dwelling older adults (24 male and 55 female; mean age: 76.3 years) residing in Geochang-gun, Gyeongsangnam-do, Korea. Participants were recruited from community centers and health posts between June 2024 and December 2024. Data collection included general characteristics, 24-hour dietary recalls, and NQ-E questionnaires.
Results
Female aged > 75 years had significantly lower intakes of energy, protein, fat, vitamin E, riboflavin, folate, and zinc than their male counterparts (P < 0.05). The mean NQ-E score was 55.01, which was lower than the national average reported for urban older adults (57.6). Participants with higher NQ-E grades had significantly higher intakes of dietary fiber, vitamin A, thiamine, riboflavin, niacin, potassium, and magnesium, and regular physical activity and dietary supplement use were positively associated with higher NQ-E grades (P < 0.01).
Conclusion
These findings suggest that older female in rural communities are particularly vulnerable to inadequate nutrient intake and lower dietary quality, and that the NQ-E is a useful screening tool for identifying nutritional risk in this population. Community-based nutrition interventions promoting physical activity, supplement use, and dietary diversity are warranted to improve dietary quality and support healthy aging.
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[Korean]
A study on the development of nutrition counseling manual and curriculum for the disabled in Korea: a mixed-methods study
Kyoung-Min Lee, Woo-jeong Kim, So-young Kim, Young-mi Park, Hwa-young Yoon, Min-Sun Jeon
Korean J Community Nutr 2025;30(5):376-388.   Published online October 31, 2025
DOI: https://doi.org/10.5720/kjcn.2025.00192
AbstractAbstract PDF
Objectives
Individuals with disabilities require targeted interventions to ameliorate disability-related conditions and improve overall health status. Nutritional challenges and counseling needs vary according to the type of disability, necessitating comprehensive assessments of dietary habits, physical activity, and food intake. Compared to traditional education, nutrition counseling offers a more sustainable and environmentally adaptable approach that effectively addresses individualized nutritional issues. Therefore, this study aimed to develop and evaluate a practical nutrition counseling manual and meal guidelines for people with disabilities in Korea, addressing their diverse dietary needs and improving nutritional care in social welfare facilities.
Methods
A four-stage integrated research design was employed. Stage 1 involved qualitative research through in-depth interviews with 11 facility staff. In Stage 2, a nationwide survey (n = 249) was conducted based on the results of the interviews. Stage 3 integrated both qualitative and quantitative findings. Stage 4 focused on developing and evaluating a nutrition counseling manual and five types of meal guidelines through feedback from 26 nutritionists at 24 Korean Centers for Social Welfare Foodservice Management.
Results
Six major nutrition counseling topics were identified: healthy eating, managing salt and sugar intake, dysphagia diet, appropriate intake, and hygiene. The manual and guidelines demonstrated high field usability, with average satisfaction scores of 3.98 and 3.99, respectively.
Conclusion
The integrated study resulted in the development of a specialized nutrition counseling manual and handbook for individuals with disabilities in Korean social welfare facilities. The materials were revised and improved based on practical evaluations by dietitians, enhancing their field applicability. These tools are expected to contribute to better dietary management and health promotion among facility residents. The developed materials reflect the real-world needs of people with disabilities and offer practical tools for effective nutrition counseling and dietary management in institutional settings.
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[Korean]
Survey on consumer perceptions, health benefits and preferences of kindergarten and school foodservices in Korea, including related keywords reported in newspaper: a mixed-methods study
Gyoungok Gang, Chaewon Park, Hyeja Chang
Korean J Community Nutr 2025;30(4):309-320.   Published online August 29, 2025
DOI: https://doi.org/10.5720/kjcn.2025.00199
AbstractAbstract PDF
Objectives
With the rapid development of social culture, the perception of kindergarten and school foodservice, as well as opinions on its health benefits, has changed significantly. However, research on this topic remains scarce. We conducted a survey in South Korea on consumers’ perceptions, healthiness, and preferences regarding kindergarten and school foodservice.
Methods
With the nationwide cooperation of 17 city and provincial education offices, online and offline surveys were conducted targeting the parents of kindergarten and lower-grade elementary school children, as well as upper-grade elementary, middle, and high school students. In addition, keywords in newspaper reports were analyzed using the Big Kinds platform. A total of 532 valid questionnaires were collected, and statistical analysis was performed using IBM SPSS Statistics version 27.0 (IBM Co.).
Results
The average age of the parents and students was 40 and 12.5 years, respectively, with 36.4% of the students attending schools in the Seoul and Gyeonggi areas. The main keywords reported in newspaper articles, as analyzed using the Big Kinds platform, were “eco-friendly agricultural products,” “food ingredients,” “safety,” and “marine products.” The perception of kindergarten and school foodservice was very positive, especially regarding the attributes of safe ingredient use (4.44), menu variety (4.29), cafeteria cleanliness (4.31), cleanliness of plates, spoons, and utensils (4.24), thorough hygiene management (4.2), nutritional excellence (4.24), and support for proper eating habits (4.18). The healthiness of school foodservice was highly rated, although there is still room for improvement in terms of “not serving fried foods more than twice a week”. In terms of preference for school meals, the most preferred items were meat side dishes, followed by chicken, noodles, fried food, beverages, and bread. In contrast, soybean paste soup, vegetables, and mixed-grain rice received relatively low preference.
Conclusion
The results described above may be used to develop educational programs or policies that inform students and parents about the goals of school foodservice and help address common misunderstandings.
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[Korean]
A study on the diet and nutrition management status and educational needs in elderly care facilities in Korea: focus group interviews with staff from children’s and social welfare meal management support centers and elderly care facilities
Seo Young Choi, Hyun joo Ryou, Jieun Oh
Korean J Community Nutr 2025;30(4):286-295.   Published online August 29, 2025
DOI: https://doi.org/10.5720/kjcn.2025.00143
AbstractAbstract PDF
Objectives
In this study, we identified the current status of meal and nutritional management in elderly care facilities and analyzed the educational needs of employees, with the goal of proposing effective support strategies for nutritional management and to suggest directions for developing customized educational content.
Methods
Between May and June 2024, we conducted nine focus group interviews with 22 participants recruited from 10 cities across four major regions of Korea, including 13 employees of children and social welfare meal management support centers and nine employees of elderly care facilities.
Results
Our findings revealed that supporting algorithm-based dietary planning, improving communication with caregivers, and providing flexible, practical education tailored to facility conditions, are key elements for enhancing nutritional management in elderly care facilities. To facilitate the translation of these insights into practice, it will be necessary to strengthen collaboration between centers and facilities, combined with efforts to improve the operational environment for applying the algorithm and providing continuous educational support.
Conclusion
The findings of this study emphasize the importance of on-site education and sustainable support strategies based on the diet and nutritional management status and education needs of elderly care facilities. Strengthening practical education, communication systems, and center–facility collaboration is required, and future research needs to verify the efficacy of these measures and define a sustainable support system based on quantitative analysis.
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[Korean]
Analysis of the relationship between foodservice staffing and foodservice quality in elderly care facilities in Korea: a cross-sectional study
Hyeonjeong Kim, Jinhee Kwon, Jungsuk Lee
Korean J Community Nutr 2025;30(4):296-308.   Published online August 29, 2025
DOI: https://doi.org/10.5720/kjcn.2025.00122
AbstractAbstract PDF
Objectives
This study was performed to investigate the relationship between foodservice staffing and foodservice quality in elderly care facilities.
Methods
Data was obtained from the Korean Long-term Care Institute Database and used to analyze 2,084 elderly care facilities operating on-site foodservice. The presence of dietitians and staffing levels for cooking personnel were analyzed by categorizing size according to staffing criteria. Foodservice quality was assessed using food sanitation management and meal service provision as indicators. Descriptive statistical analysis, chi-square test, Fisher’s exact test, and Cochran-Mantel-Haenszel test were conducted to analyze relationships between staffing level and foodservice quality.
Results
Presence of a dietitian correlated with food sanitation management and meal service provision in groups with 30 or more recipients (P = 0.027, P = 0.049). Elderly care facilities with dietitians had better foodservice quality. After adjusting for size, the presence of dietitians was also found to correlate with food sanitation management (P = 0.024). Staffing levels for cooking personnel were found to correlate with meal service provision only in groups with 38 to 62 recipients. Institutions with larger staffs provided better meal service quality compared to those with basic staffing.
Conclusion
Inclusion of a dietitian and cooking staff size each contribute to enhanced foodservice quality in elderly care facilities, with dietitian inclusion showing a particularly significant association with food sanitation management. These findings suggest the need to revise current staffing and related regulatory standards to optimize deployment of foodservice personnel in elderly care settings. Future studies should focus on developing effective policies for securing qualified foodservice staff and establishing robust quality management systems to enhance overall foodservice quality in long-term care facilities.
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[Korean]
Behavioral intention toward planetary health diet among adult users of government worksite cafeterias in Seoul, South Korea: a mixed-methods study based on the theory of planned behavior and focus groups interviews
Ji-Won Kang, Su-Jin Lee, Sil-Ah Kim, Ji-Yun Hwang
Korean J Community Nutr 2025;30(3):224-236.   Published online June 30, 2025
DOI: https://doi.org/10.5720/kjcn.2025.00108
AbstractAbstract PDF
Objectives
To reduce urban carbon emissions, in this study, we aimed to suggest strategies for disseminating the planetary health diet (PHD) guidelines to adult cafeterias in a government worksite in Seoul based on the theory of planned behavior (TPB) and focus group interviews (FGI).
Methods
A total of 132 adults who worked at a government worksite in Seoul and used its cafeteria were included for a TPB-based survey. Factor analyses and multiple regression were used to investigate the relationships between attitude (cognitive•affective), subjective norms, and perceived behavioral control (PBC, internal•external) and the behavioral intention to adopt the PHD. To identify the contextual factors related to PHD dissemination, 14 participants underwent in-depth interviews.
Results
Affective attitudes and PBC (internal•external) constructs of the TPB were significantly related with the intention to adopt PHD: external PBC (β = 0.324, P < 0.001), internal PBC (β = 0.269, P < 0.01), and affective attitudes (β = 0.226, P < 0.05). The FGI results highlighted the insufficiency of simply providing healthy meals to encourage the adoption of PHDs, but that menu development and natural acceptance strategies are needed to increase palatability. In addition, the need for strategies to promote PHDs at an organizational level was identified, as it is directly influenced by the company of partners with whom one dines. Furthermore, users' perceptions of how “Meals for the Planet” are delivered and suggestions for its improvement were also interpreted.
Conclusion
Our results suggest that users' beliefs, convictions, and emotions are important while promoting or educating individuals about sustainable PHDs. Our findings are expected to help local governments or private group cafeterias that wish to introduce PHDs in the future, given the growing importance of environmentally conscious eating.

Citations

Citations to this article as recorded by  
  • Planetary Health Diet Adherence in Korean Adults: Association with the Korean Healthy Eating Index
    Su-Jin Lee, Ji-Yun Hwang
    Nutrients.2025; 17(19): 3060.     CrossRef
  • Toward the development of a digital self-nutrition management education program for elderly: findings from focus groups study
    Hae-song Yoo, Jin-myong Lee, Min-sun Jeon
    Korean Journal of Community Nutrition.2025; 30(6): 431.     CrossRef
  • 1,776 View
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  • 2 Crossref
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Review
[Korean]
Current status of nutrition education media and its utilization in providing customized nutrition information for older adults in Korea: a scoping review based on the transtheoretical model and food literacy
Seojin Yun, Jiwon An, Kirang Kim
Korean J Community Nutr 2025;30(3):175-182.   Published online June 30, 2025
DOI: https://doi.org/10.5720/kjcn.2025.00094
AbstractAbstract PDFSupplementary Material
Objectives
This study analyzes the status of nutrition education media among Korean older adults based on the transtheoretical model (TTM) and their food literacy to propose effective strategies for the development and utilization of educational media.
Methods
A literature review was conducted using The Joanna Briggs Institute (JBI) protocol. The literature search was performed using government and local government agency websites, as well as those of affiliated institutions, health and nutrition-related academic societies, and academic search engines. A total of 144 studies were identified, and after a cross-evaluation by two reviewers based on the literature selection criteria, 73 studies were included in the final analysis.
Results
Among the types of nutrition education media, card news had the highest proportion, followed by video media. The development and distribution of nutrition education media for older adults were primarily carried out by government and local government agencies, as well as related affiliated institutions, accounting for 80.8% (n = 59) of the total. When nutrition education topics in the media were categorized according to the stages of behavior change in the TTM, the largest proportion, 64.6% (n = 61), was applicable to the precontemplation and contemplation stages. When categorized by food literacy domains, all topics fell under the categories of nutrition and safety.
Conclusion
Nutrition education media for older adults were found to be primarily focused on knowledge acquisition and information delivery, making them mostly applicable to the precontemplation and contemplation stages of behavior change. The concept of food literacy addressed in the different types of media was limited to the domains of nutrition and safety, with no content covering the cultural and relational domains or the social and ecological domains. For tailored nutrition education, it is necessary to develop diverse educational materials that comprehensively reflect each stage of the TTM and all aspects of food literacy.

Citations

Citations to this article as recorded by  
  • Toward the development of a digital self-nutrition management education program for elderly: findings from focus groups study
    Hae-song Yoo, Jin-myong Lee, Min-sun Jeon
    Korean Journal of Community Nutrition.2025; 30(6): 431.     CrossRef
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  • 1 Crossref
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Research Articles
[English]
Healthy eating intentions among adults in China: a cross-sectional study of northern and southern regions and city tiers based on the theory of planned behavior
Yi Jiang, Ji-Yun Hwang
Korean J Community Nutr 2025;30(2):114-126.   Published online April 29, 2025
DOI: https://doi.org/10.5720/kjcn.2025.00087
AbstractAbstract PDF
Objectives
The theory of planned behavior (TPB) has been widely employed to predict healthy eating intentions. Regional differences may affect dietary habits, health status, and personality traits, whereas variations in urbanization influence accessibility to fresh and healthy food, thereby impacting TPB components. This study aimed to explore whether regional differences between northern and southern China including city-tier development are associated with healthy eating intentions among Chinese adults.
Methods
The study included data from 2,114 Chinese adults aged 19–64 years collected between 2019 and 2023. Participants were categorized by geographic region (north or south) and city-tier status (first-tier or other).
Results
Compared to individuals from northern first-tier cities, those from southern regions exhibited stronger attitudes, perceived behavioral control (PBC), and intention to eat healthily. Participants from other cities in the north had more positive attitudes, subjective norms, PBC, and intentions to participate in healthy eating. Furthermore, residents of southern cities revealed weaker subjective norms than those of cities in the north. The adjusted odds ratio (OR) for compliance with intention to engage in healthy eating was higher among participants from other cities in both the north and south compared to those from northern first-tier cities (northern other cities: OR = 2.43, 95% confidence interval [CI]: 1.49–3.97, P < 0.001; southern other cities: OR = 1.95, 95% CI: 1.08–3.51, P = 0.027). No significant differences existed among the subjects from first-tier cities according to their geographic regions. These trends remained consistent even after including the interaction term between geographic regions and city-tier classification.
Conclusion
These findings underscore the complexity of regional variations influencing dietary intentions and indicate that tailored health promotion strategies should incorporate regional characteristics. Future research should explore underlying factors, including regional cultural influences, to better inform policies and interventions.

Citations

Citations to this article as recorded by  
  • Beyond taste: Unpacking the drivers of plant-based diet adoption
    Md. Asaduzzaman Babu
    Food and Humanity.2025; 5: 100779.     CrossRef
  • 2,191 View
  • 36 Download
  • 1 Crossref
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[Korean]
Maternal home meal replacement use and attitudes, and young children’s preferences by usage frequency in meals for young children: a cross-sectional study
Bo-Yeon Kim, Mi-Hyun Kim, Jee-Young Yeon
Korean J Community Nutr 2025;30(2):163-172.   Published online April 29, 2025
DOI: https://doi.org/10.5720/kjcn.2025.00066
AbstractAbstract PDF
Objectives
With the increase in women’s workforce participation and changing family eating habits, home meal replacements (HMRs) have become more prevalent. However, research on how mothers incorporate HMR into meals of young children remains limited. This study examined mothers’ attitudes toward and use of HMR, as well as their association with young children’s HMR preferences.
Methods
A survey was conducted between June 1 and July 3, 2020, involving 337 mothers of 5-year-old children in Sejong, South Korea. The questionnaire assessed mothers’ perceptions of HMR, consumption patterns, and their children’s preferences for HMR.
Results
The average age of participating mothers was 38.3 years, with 93.2% living in nuclear families. Full-time homemakers constituted 40.1% of the respondents and showed lower HMR usage among them. HMR was primarily consumed as late-night snacks, side dishes, and dinners, with large discount stores (81.6%) being the primary purchase location. The high HMR consumption group exhibited more positive attitudes toward HMR (P < 0.001). HMR types varied in consumption frequency. Among ready-to-eat foods, kimbap (38.3%) was the most common, followed by meat side dishes (11.3%) and salads (11.0%). Among the heat-and-eat items, dumplings were the most frequently consumed. Simple cooking kits for Korean street food were used by 56.5% of mothers in the high-frequency HMR group, compared to 38.6% and 29.2% in the lower consumption groups (P < 0.01). Children’s preference for HMR was significantly associated with maternal HMR consumption frequency (P < 0.001). The most preferred items among children were rice porridge (P < 0.05) and meat side dishes (P < 0.001).
Conclusion
Higher maternal HMR consumption was associated with increased acceptance by children. Mothers who frequently used HMR exhibited more positive attitudes toward its palatability, convenience, nutritional value, and variety. While HMR offers diverse and tasty meal options, overreliance on processed foods warrants caution. Importantly, high HMR consumption during early childhood may influence long-term dietary behaviors, including a continued preference for HMRs.
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[Korean]
Effects of night eating on oral health characteristics and symptoms of poor oral health in adolescents: a cross-sectional study using the 18th Korea Youth Risk Behavior Survey
Seung–Hee Hong
Korean J Community Nutr 2025;30(2):150-162.   Published online April 29, 2025
DOI: https://doi.org/10.5720/kjcn.2025.00038
AbstractAbstract PDF
Objectives
To determine the association between night eating habits and oral health in adolescents.
Methods
Data from the 18th Korea Youth Risk Behavior Survey conducted in 2022 were analyzed. The study included 51,850 middle and high school students and assessed the frequency of night eating per week, dietary habits, oral health characteristics, and factors affecting the presence of symptoms of poor oral health.
Results
Almost thirty-seven percent (36.6%) of Korean adolescents have eaten at night one to two times per week and 23.0% more than three times per week. An increased frequency of night eating was associated with poor dietary habits. Adolescents who consumed more at night were less likely to have breakfast, drink water, and eat fruit, while their consumption of fast food, sweet drinks, and high-caffeine drinks increased (P < 0.001). An increased frequency of night eating was also associated with poor oral health. In a logistic regression analysis, more frequent night eaters were significantly less likely to brush their teeth at least three times per day (odds ratio [OR], 0.78; 95% confidence interval [CI], 0.75–0.82; P for trend < 0.001), and brush their teeth before going to sleep (OR, 0.70; 95% CI, 0.65–0.75; P for trend < 0.001), while they were more likely to experience sealant (OR, 1.19; 95% CI, 1.13–1.26). More frequent night eaters were significantly more likely to have tooth fracture (OR, 1.41; 95% CI, 1.30–1.53; P for trend < 0.001), tooth pain when eating (OR, 1.59; 95% CI, 1.50–1.67; P for trend < 0.001), toothache (OR, 1.60; 95% CI, 1.52–1.70), and bad breath (OR, 1.51; 95% CI, 1.43–1.60).
Conclusion
Our findings suggest that frequent night eating is linked to symptomatically poor oral health in adolescents. Therefore, oral health education programs related to dietary habits are necessary to reduce the potential of night eating to negatively influence dietary habits and oral health.

Citations

Citations to this article as recorded by  
  • Association between Sleep Quality and Perceived Oral Health among Adolescents: Analysis of the 2024 Korea Youth Risk Behavior Survey
    Bo Young Park, Eun Bi Sim
    Journal of Dental Hygiene Science.2025; 25(4): 370.     CrossRef
  • 2,984 View
  • 70 Download
  • 1 Crossref
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[English]
Relationship between self-care and health-related behaviors among Korean adults: a cross-sectional study
EunJung Lee, Jin A Jang, Ji-Myung Kim
Korean J Community Nutr 2025;30(2):103-113.   Published online April 29, 2025
DOI: https://doi.org/10.5720/kjcn.2024.00255
AbstractAbstract PDF
Objectives
This study investigated the relationship between self-care and health-related behaviors such as medication use, dietary supplementation, dietary habits, and physical activity among Koreans aged 20–60 years.
Methods
Data from a total of 300 participants (150 men and 150 women) living in Seoul and Gyeonggi provinces in Korea were analyzed to assess the relationship between health behaviors and dietary supplements (DSs) related to self-care. Based on self-care levels, the participants were classified into three groups: low (LS, n = 124), medium (MS, n = 78), and high (HS, n = 98).
Results
DSs (P < 0.001), physical activity (P < 0.001), recognizing the perceived health benefits of self-care (P < 0.001), self-care when sick (P = 0.039), and the reasons for self-care (P = 0.028) differed among the self-care groups. Daily diet frequency (P = 0.001), breakfast frequency (P = 0.026), regular exercise (P < 0.001), DSs use rate (P < 0.001), DSs use frequency (P = 0.013), and total dietary behavior score (P < 0.001) also differed significantly depending on the degree of self-care. The degree of self-care was significantly and positively correlated with DSs intake (r = 0.377, P < 0.001), physical activity (r = 0.433, P < 0.001), and total dietary behavior score (r = 0.185, P < 0.01).
Conclusion
The results demonstrated that the degree of self-care was related to DSs, physical activity, and total dietary behavior scores in Korean adults. Additionally, self-care capacity should be increased through health-related behaviors based on health education programs.
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[Korean]
Development and applicability evaluation of a nutrition education program for residents and users of disability social welfare facilities in Korea: a mixed-methods study
Jin-kyung Kim, Kyoung-min Lee, Min-sun Jeon
Korean J Community Nutr 2025;30(1):64-74.   Published online February 28, 2025
DOI: https://doi.org/10.5720/kjcn.2025.00017
AbstractAbstract PDF
Objectives
This study aimed to develop a nutrition education program based on social cognitive theory to promote the health of individuals using facilities for people with disabilities. It also sought to evaluate the applicability of the educational materials through assessments by counselors at the Social Welfare Food Service Management Support Center.
Methods
A group of six experts developed the program based on a needs assessment of nutrition education in facilities for individuals with disabilities. Applicability was evaluated through an online survey of 26 counselors from Social Welfare Food Service Management Support Centers nationwide in July 2023, and the results were analyzed.
Results
The nutrition education program includes a basic course on personal hygiene, dining etiquette, picky eating prevention, and obesity management. The advanced course covers dietary management for chronic diseases, such as meal planning for hypertension, diabetes management, and dietary principles for dysphagia. Additionally, lecture PPTs, individual activity sheets, and experiential teaching aids were developed. Applicability evaluations showed high scores, with the teaching-learning plan and PPT averaging 4.15 and the experiential teaching aids scoring 4.17, all above 4.0.
Conclusion
This study developed a nutrition education program for individuals with disabilities and assessed its applicability and usability. Implementing this program in disability welfare institutions could enhance health promotion and improve the quality of life for individuals with disabilities.

Citations

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  • Research trends in dietary behaviors and nutrition education among individuals with developmental disabilities in Korea: a scoping review (2015–2025)
    Nakyung Kwak, Wonyeong Park, Yu-Ri Kim, Jieun Oh
    Korean Journal of Community Nutrition.2026; 31(1): 1.     CrossRef
  • Development of a standard nutrition management model algorithm for personalized care in social welfare facilities for the disabled
    Su-Jin Lee, Ji-Won Kang, Sil Ah Kim, Kirang Kim, Sohyun Park, Jieun Oh, Hyunjoo Ryou, Ji-Yun Hwang
    Journal of Nutrition and Health.2025; 58(5): 498.     CrossRef
  • 3,191 View
  • 88 Download
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[Korean]
Application of a living lab model to an evidence-based reduced-sodium healthy eating practice program in Korea: a pre-post study
Jung-Hyun Kim, Eugene Shim, Min Sook Kyung, Sooyoun Kwon, Hyoung Su Park, Jae-Heon Kang
Korean J Community Nutr 2025;30(1):53-63.   Published online February 28, 2025
DOI: https://doi.org/10.5720/kjcn.2024.00346
AbstractAbstract PDF
Objectives
To apply a healthy dietary program with reduced sodium intake, developed using data from the Korea National Health and Nutrition Examination Survey (KNHANES), focusing on the sodium intake level and eating patterns.
Methods
The program was implemented using a living lab model, an open innovation ecosystem for user-centered problem-solving. Analysis of the KNHANES data revealed that older age groups had a low energy intake but a high sodium intake, particularly among those who frequently dined out. The program was designed to improve sodium-reduction literacy and enhance practical competency. Over four weeks, 40 participants tracked their dietary intake and worked with a clinical nutritionist through a process of diagnosis, experience, improvement, and expansion. A self-administered survey was conducted before and after the program to assess effectiveness.
Results
Participants were four teenagers (10%), 26 in their twenties (65%), and 10 aged ≥ 30 years (25%), with eight males (20%) and 32 females (80%). Post-program analysis showed significant improvements in sodium-related nutrition knowledge (P < 0.01), with increased agreement on adopting low-sodium intake practices (e.g., interest in sodium content, choosing lower-sodium foods). Nutrient intake analysis showed a decrease in energy, carbohydrates, lipids, and proteins (P < 0.001), with sodium intake decreasing from 3,382.37 mg/d to 2,119.05 mg/d (P < 0.001).
Conclusion
The community-based, living lab model for the sodium-reduction program effectively improved participant sodium-reduction literacy and practical competency, suggesting that step-by-step, autonomous learning, can reduce sodium intake and promote healthier eating habits.

Citations

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  • Influence of food literacy on short- and long-term healthy eating intentions among adolescent and adult convenience store users: An application of the extended theory of planned behavior
    Wonyeong Park, Hae Jin Park, Suah Moon, Jieun Oh
    Nutrition Research and Practice.2025; 19(6): 917.     CrossRef
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[Korean]
Analysis of the relationship between sugar intake and cancer prevalence: a cross-sectional study using the 8th Korea National Health and Nutrition Examination Survey
Hye-Ryun Kim, Soo-Kyung Lee
Korean J Community Nutr 2025;30(1):89-102.   Published online February 28, 2025
DOI: https://doi.org/10.5720/kjcn.2024.00339
AbstractAbstract PDFSupplementary Material
Objectives
This study aimed to analyze the association between sugar intake and cancer risk among Korean adults aged 19 years and older.
Methods
A total of 13,016 adults aged 19 years and older who participated in the 8th Korea National Health and Nutrition Examination Survey from 2019 to 2021 were included. Sugar intake was assessed in terms of both absolute intake and sugar energy rate. Sugar intake was divided into quartiles, while sugar energy rate was categorized into three groups (< 10%, 10%–20%, > 20%) based on the 2020 Dietary Reference Intakes for Koreans and into two groups (< 10%, ≥ 10%) based on WHO recommendations. Cancer prevalence was determined using cancer-related survey questions. The association between sugar intake and cancer prevalence was analyzed by sex and cancer type using logistic regression. All statistical analyses were performed using IBM SPSS statistics 29.0 (IBM Co.).
Results
From 2019 to 2021, sugar intake significantly declined with age in both men and women (P for trend < 0.001), with the highest intake observed in the 19–29 age group (61.38 g). Men consumed significantly more sugar than women across all age groups except for the 50–64 and 65–74 groups (P < 0.05). However, the sugar energy rate was significantly higher in women than in men (P < 0.05). While the association between sugar intake and cancer prevalence varied across regression models and cancer types, cervical cancer consistently showed a significant association with sugar intake (P < 0.05).
Conclusion
The association between sugar energy rate and the prevalence of premenopausal cervical cancer was consistent and significant. Given that women had a higher sugar energy rate than men, the relationship between sugar intake and cancer prevalence in women warrants further investigation. Longitudinal studies with more detailed sugar intake assessments are needed.

Citations

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  • A study on hypertension relevant nutritional knowledge and dietary practices in Chinese college students studying in South Korea
    Zhe Sun, Wookyoun Cho
    Journal of Nutrition and Health.2015; 48(5): 441.     CrossRef
  • Influence of the Size of the Spoon on the Eating rate, Energy Intake and the Satiety Levels of Female College Students
    Yang Hee Hong, Young Suk Kim, Hyun Jung Kwon, Do Seok Chang, Dong Geon Kim, Un Jae Chang
    Korean Journal of Community Nutrition.2015; 20(5): 375.     CrossRef
  • Dietary behavior and nutritional status among Chinese female college students residing in Korea
    Gaowei, Soyeon Kim, Namsoo Chang, Ki Nam Kim
    Korean Journal of Nutrition.2013; 46(2): 177.     CrossRef
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[Korean]
Analysis of pork consumption attribute factors by consumer lifestyle in Korea: a cross-sectional study
Jounghee Lee, Juhyun Lee, Wookyoung Kim
Korean J Community Nutr 2025;30(1):75-88.   Published online February 28, 2025
DOI: https://doi.org/10.5720/kjcn.2024.00332
AbstractAbstract PDF
Objectives
This study aims to identify and analyze how different South Korean lifestyles impact attitudes towards pork consumption.
Methods
We implemented a cross-sectional survey targeting 705 adult consumers in South Korea using hierarchical and K-means cluster analyses. Respondents were classified into three relevant lifestyles: (1) domestic preference, (2) price-sensitive, and (3) quality-experience-oriented. The importance-performance analysis was employed to evaluate discrepancies between how they rated pork consumption using factors of “importance” and “satisfaction”. We employed Borich’s needs assessment and the Locus for Focus model to prioritize management areas.
Results
The research findings highlight that unpleasant odor/smell (Q7) and hygiene (Q1) were common key areas for management across all consumer groups, emphasizing their importance in enhancing pork consumption satisfaction. Among the groups, the domestic preference group showed high importance-performance discrepancies in attributes like expiry date (D2), suggesting a need for strengthened trust in domestic pork distribution and information transparency. The price-sensitive group prioritized economic factors, with fat thickness (Q8) identified as an essential management area. The quality-experience-oriented group emphasized sensory qualities such as juiciness (Q6) and meat color (Q5), with off-flavors (Q7) displaying the largest discrepancy. These results show the significant role of sensory attributes in consumer satisfaction.
Conclusion
This study demonstrated the multidimensional nature of pork consumption behavior, emphasizing the need for tailored strategies across consumer groups. Managing hygiene (Q1) and reducing off-flavors (Q7) are critical for all segments, while group-specific strategies include managing sensory quality for the quality-experience-oriented group, providing product information (D2) to increase trust for the domestic preference group, and emphasizing value for money for the price-sensitive group.
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[English]
Food and nutrient intake in pregnant women with singletons or multiples and post-delivery changes in intake in Korea: an observational study
Cheawon Lee, Dahyeon Kim, Yoon Ha Kim, Myeong Gyun Choi, Jong Woon Kim, Clara Yongjoo Park
Korean J Community Nutr 2025;30(1):1-15.   Published online February 28, 2025
DOI: https://doi.org/10.5720/kjcn.2024.00325
AbstractAbstract PDFSupplementary Material
Objectives
Nutrient intake during pregnancy and lactation is crucial for the health of both mother and offspring. Diet and nutrient metabolism potentially vary according to ethnicity and fetal number; nevertheless, recent studies validating this are inadequate. Furthermore, few studies have tracked changes in intake after delivery. We compared the food and nutrient intakes between pregnant women in Korea carrying singletons and multiples during late pregnancy and assessed their changes through postpartum.
Methods
Ninety-eight pregnant women were recruited from Chonnam National University Hospital between January 2019 and December 2023, and 48 responded to follow-up. Third trimester and postpartum intake were assessed via food frequency questionnaires and supplement questionnaires. Student’s t-test, Mann–Whitney U test, chi-square test, paired t-test or Wilcoxon signed-rank test was performed and adjustments were made for covariates.
Results
Nutrient intake was generally adequate relative to the Dietary Reference Intakes for Koreans, with no differences between singleton- and multiple-pregnancy women. Sixty-six of 98 (67%) pregnant women consumed meat, fish, vegetables, and fruit daily. Dairy intake was low, while the mean iron intake during pregnancy reached 54.2 ± 34.0 mg/d, exceeding the tolerable upper intake level, mainly owing to supplements. Postpartum fruit and vitamin C intake decreased, with no significant differences between breastfeeding and non-breastfeeding women.
Conclusion
Dietary intake did not significantly differ between Korean singleton- and multiple-pregnancy women. Dairy intake was low and iron intake was excessive. Fruit intake decreased after delivery; however, difference in dietary intake according to breastfeeding status was minimal. Nutritional education may be necessary to promote a balanced diet in pregnant and postpartum women. Trial Registration: Clinical Research Information Service Identifier KCT0005118.

Citations

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  • Postpartum bone mineral density in Korean women: associations with lactation status and calcium intake
    Cheawon Lee, Hangyeol Jeon, Yoon Ha Kim, Myeong Gyun Choi, Jong Woon Kim, Clara Yongjoo Park
    Nutrition Research and Practice.2026; 20(1): 145.     CrossRef
  • Placental cadmium and its association with maternal diet and offspring growth in Koreans
    Dahyeon Kim, Cheawon Lee, Yoon Ha Kim, Myeong Gyun Choi, Jong Woon Kim, Clara Yongjoo Park
    Nutrition Research and Practice.2025; 19(3): 473.     CrossRef
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[English]
Nutrition quotient for preschoolers and key impacting factors in Korea: a cross-sectional study on food literacy, social support, and the food environment of primary caregivers
Danbi Gwon, Ji-Yun Hwang, Jieun Oh
Korean J Community Nutr 2025;30(1):16-26.   Published online February 28, 2025
DOI: https://doi.org/10.5720/kjcn.2024.00311
AbstractAbstract PDF
Objectives
This study evaluated the nutrition quotient for preschoolers (NQ-P) and analyzed the impact of key factors, such as caregivers’ food literacy, social support, and food environment, on the eating habits of preschool children in Korea. This study also sought to provide foundational data for developing tailored nutrition education programs by identifying the nutrition education needs of caregivers.
Methods
This study was conducted among caregivers of preschool children (aged 0–6 years) using an online self-administered survey conducted from August 22 to August 28, 2023. A total of 1,116 survey responses were analyzed. This study assessed children’s NQ-P score, caregivers’ food literacy, social support, food environment, and nutritional education needs. Data were analyzed using SPSS 29.0 (IBM Co.).
Results
The average NQ-P score for preschool children was 52, showing a tendency for the balance score to decrease and the moderation score to increase with age. Children from rural and low-income areas exhibited significantly lower NQ-P scores. Caregivers’ food literacy was higher in urban and higher-income groups. Multiple regression analysis revealed that social support, food literacy, income, and food environment significantly affected children's NQ-P scores. The effectiveness of nutrition education varied based on the income level, with nutrition education on healthy eating being the most preferred topic for preschool children.
Conclusion
This study confirmed that caregivers’ food literacy and social support significantly affected preschool children’s nutritional status. This suggests a need for tailored nutritional education and dietary support policies, particularly for low-income and rural populations.

Citations

Citations to this article as recorded by  
  • Cluster-Based Evaluation of Dietary Guideline Adherence and Food Literacy Among Adolescents: Implications for Tailored Diets
    Jimin Lim, Jieun Oh
    Nutrients.2026; 18(2): 241.     CrossRef
  • Development and usability evaluation of a web-based healthy eating practice questionnaire for Korean preschool children: a child–parent dyad approach
    Young-Hee Han, Dawon Park, Dahyeon Kim, Saerom Shin, Eun Yeol Woo, Hye-Kyung Park, Taisun Hyun
    Nutrition Research and Practice.2026; 20(1): 132.     CrossRef
  • Nutrition literacy and socio-demographic determinants among Chinese women of childbearing age
    Jing-Jing Meng, Jun Chen, Li Pu, Yan Zhu, Yan Zuo, Fang Wang, Li Chang, Yi-Ying He, Jian-Jun Zhang, Zhi-Lan Bai, Si-Qin Sun, Jie Liu, Jia Shi
    Frontiers in Public Health.2026;[Epub]     CrossRef
  • Dietary intake and eating behaviors by weight status among rural preschool children: NQ-P analysis
    Ji-Sook Park, Hyojung Lee, Jaehee An, Jung-Eun Yim
    Journal of Nutrition and Health.2026; 59(1): 63.     CrossRef
  • Effects of primary caregivers’ food literacy, social support, food environment, and household income on the nutritional status of school-aged children: a cross-sectional study
    Seyeon Park, Ji-Yun Hwang, Sohyun Park, Hyun Joo Ryou, Jieun Oh
    Korean Journal of Community Nutrition.2025; 30(5): 352.     CrossRef
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[Korean]
Biochemical characteristics, nutrient intakes, and chronic disease risk according to the dietary fat energy ratio in middle-aged Korean: a cross-sectional study using data from the 7th (2016–2018) Korean National Health and Nutrition Examination Survey
Ga-Hyeon Jeong, Sook-Bae Kim
Korean J Community Nutr 2024;29(6):528-540.   Published online December 31, 2024
DOI: https://doi.org/10.5720/kjcn.2024.00304
AbstractAbstract PDF
Objectives
This study aimed to examine health-related characteristics and chronic disease risk in middle-aged Koreans based on their fat energy intake ratio.
Methods
We analyzed data from 7,274 Koreans aged 40–64 years using the 7th (2016–2018) Koreans National Health and Nutrition Examination Survey. Participants were classified into three groups based on their fat energy intake ratio: insufficient (< 15%), adequate (15%–30%), and excessive (> 30%). We assessed their socio-demographic characteristics; lifestyle characteristics; biochemical characteristics; quantitative and qualitative nutrient intakes, measured using dietary reference intakes for Koreans and index of nutrition quality (INQ); and chronic disease risk.
Results
Significant differences were observed between the groups in age, gender, income, education, and residence region. The insufficient group had the highest proportion of older adults, male, lower income, rural residents, and lower education levels. The groups differed significantly in lifestyle characteristics, with the insufficient group having the highest rates of no walking, heavy drinking, smoking, and poor subjective health perception. Biochemical characteristics in the insufficient group exhibited the lowest levels for fasting blood glucose, hemoglobin A1c, and triglycerides. Significant differences were found in both the quantitative and qualitative intake of nutrients. The insufficient group had the lowest intake of most nutrients except fiber, whereas the excessive group had the lowest fiber intake. Based on the INQ, vitamin A and Ca were the lowest in the insufficient group, and vitamin C and folic acid were the lowest in the excessive group. The risk of diabetes mellitus and metabolic syndrome was highest in the deficient group, and the risk of liver cirrhosis was highest in the excessive group.
Conclusion
Insufficient or excessive fat energy intake ratio negatively affects nutrient intake and chronic disease risk. Fat energy intake of 15%–30% is important for improving nutrient intake and managing chronic diseases, such as diabetes mellitus, metabolic syndrome, and liver cirrhosis. We suggest that education and an appropriate social environment are necessary to ensure this fat energy intake.

Citations

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  • Study on the Optimization of Manufacturing Conditions for Traditional Potato Bugak Using Response Surface Methodology
    Yu Hyeon Jo, Jeong Ok Rho
    Journal of the East Asian Society of Dietary Life.2025; 35(1): 60.     CrossRef
  • Nutritional risk assessment using estimated usual nutrient intake in Korean adults: analysis of the 8th (2019–2021) Korea National Health and Nutrition Examination Survey data
    Woojin Byeon, Cho-il Kim, Sung Ok Kwon, Jihyun Yoon, Linxi Huang
    Nutrition Research and Practice.2025; 19(5): 799.     CrossRef
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[Korean]
Co-occurrence network and pattern of school lunch using big data and text-mining using data from the 2021–2023 school meal menu information on the NEIS open educational information portal: an exploratory study
Hyeyun Kang, Jimi Kim
Korean J Community Nutr 2024;29(6):514-527.   Published online December 31, 2024
DOI: https://doi.org/10.5720/kjcn.2024.00297
AbstractAbstract PDFSupplementary Material
Objectives
This study aimed to use big data from elementary, middle, and high school lunches to determine the primary food groups and menu items that contribute to lunch meals through text-mining and investigate the variations in food groups and menu composition patterns across different grade levels.
Methods
Between 2021 and 2023, a total of 7,892,456 lunch menus from 17 cities and provinces in South Korea were analyzed using big data from the National Education Information System (NEIS) system. After undergoing text preprocessing for text-mining, the collected menus were classified into 34 food groups based on primary ingredients and cooking methods, excluding the types of rice and kimchi. Subsequently, analyses of term frequency, term frequency-inverse document frequency (TF-IDF), centrality, and co-occurrence networks were performed on the food group and menu data.
Results
According to the TF-IDF, the most frequent food group across all grade levels was soup and seasoned vegetables, whereas milk was the most frequently provided menu. As the grade level increased, the frequency of grilled and fried food increased. In elementary schools, fruits exhibited the highest centrality, whereas soup had the highest centrality in middle and high schools. Co-occurrence frequency revealed that the soup-fruit combination was the most common in elementary schools, whereas soup and seasoned vegetables were most frequently paired in middle and high schools. The co-occurrence network of food groups and menus further indicated that menus regularly provided as standard meals and those frequently offered as special meals formed distinct communities.
Conclusion
This study investigated the food groups and menu provision patterns in school meals through text-mining techniques applied to large-scale school lunch. The findings may contribute in enhancing the quality of nutritional management, school foodservice, and menu composition of school meal programs.

Citations

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  • Dietary patterns and diet quality among adults in their 20s according to rice consumption: a co-occurrence network analysis using the Korea National Health and Nutrition Examination Survey (KNHANES) 2019–2021
    Eun-kyung Kim, Jin-Young Lee, Yong-Seok Kwon, Minji Kang
    Journal of Nutrition and Health.2025; 58(6): 571.     CrossRef
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[Korean]
Impact of a public health center nutrition education program on patients with type 2 diabetes in a primary care-based chronic disease management project: a pilot intervention study
Haerim Yang, Yoo Kyoung Park, Ji-hyun Lee, Hee-Sook Lim, Heejoon Baek, Hyejin Lee, Haeran Park, Pyunghwa Lee, Jooyoun Chung, Won Gyoung Kim
Korean J Community Nutr 2024;29(6):492-503.   Published online December 31, 2024
DOI: https://doi.org/10.5720/kjcn.2024.00018
AbstractAbstract PDF
Objectives
We investigated the impact of an advanced “Nutrition Education Program” on patients with Diabetes mellitus, type 2 from public health centers enrolled in a primary health care-based chronic disease management project. This 12-week dietary management program was developed by the Korea Health Promotion and Development Institute. We assessed if this program improved glycemic control and other health indicators through dietary and nutritional improvements.
Methods
Seventeen patients with Diabetes mellitus type 2 were enrolled in the “Nutrition Education Program.” These patients were referred to public health centers for lifestyle management based on physician assessments at local clinics that were participating in a pilot project on primary health care-based chronic disease management. The participants attended the program comprising face-to-face basic, in-depth, and practical training sessions at the health center during the third, fifth, and seventh weeks, respectively. Anthropometric measurements, body composition analysis, blood biochemical characteristics, nutritional knowledge, and self-efficacy evaluation were performed before and after the program. Data were analyzed using SPSS ver. 28.0.
Results
The mean age of the participants was 62 years, and most participants were female (14, 82.4%). No significant changes in patients’ anthropometric measurements or body composition were observed after the training. However, significant reductions were observed in the blood biochemical characteristics, including glycated hemoglobin, total cholesterol, and low-density lipoprotein levels. Additionally, patients’ nutritional knowledge and self-efficacy scores increased significantly.
Conclusions
The “Nutrition Education Program” helped in improving glycemic control and other health indicators in patients with Diabetes mellitus type 2. Further research is required to objectively confirm the long-term and sustained effects of the program in a controlled study. Trial Registration Clinical Research Information Service Identifier: KCT0010010
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[English]
Health-related quality of life and nutrient intake of the elderly with type 2 diabetes according to comorbidity burden: a cross-sectional study
Yejung Choi, Kyong Park
Korean J Community Nutr 2024;29(5):418-430.   Published online October 31, 2024
DOI: https://doi.org/10.5720/kjcn.2024.00014
AbstractAbstract PDF
Objectives
This study aimed to explore the cross-sectional association between health-related quality of life (HRQoL) according to the number of comorbidities in older adults with type 2 diabetes mellitus (T2DM) using the Euro Quality of Life-5 Dimensions (EQ-5D) index. Methods: This study included 3,553 participants aged ≥ 65 years from the 2008–2020 Korea National Health and Nutrition Examination Survey. Dietary data were collected through 24-hour recall interviews by trained researchers, and demographic and lifestyle information via self-administered questionnaires. HRQoL was measured using a modified EQ-5D scale. Multivariable linear regression analyzed the associations between EQ-5D scores, nutrients and comorbidity, controlling for sociodemographic and health variables. Results: Most participants reported ‘no problems’ in the EQ-5D scores, although approximately 17% to 47% of participants reported ‘some problems’ or ‘extreme problems,’ depending on the dimension. As comorbidities increased, significant declines were observed across all dimensions, particularly in mobility, usual activities, pain/discomfort, and anxiety/ depression. Nutrient intake analysis revealed that participants with three or more comorbidities consumed less carbohydrates, but more fat. Conclusion: Our findings demonstrate that among older adults with T2DM, a higher number of comorbidities is associated with decreased HRQoL. Additionally, there are differences in nutrient intake patterns among those with more comorbidities, specifically decreased carbohydrate intake and increased fat intake. These results emphasize the need for comprehensive and tailored management strategies that consider both diabetes and the co-occurring health conditions. By addressing the complex healthcare needs of individuals with multiple comorbidities, it is possible to enhance their HRQoL and overall well-being.

Citations

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  • Real-World Comparison of the Effectiveness of Defocus Incorporated Multiple Segments and Myopi-X Spectacle Lenses for Myopia Control in Turkish Children: A Retrospective Study
    Nilay Akagün, Uğur Emrah Altıparmak
    Turkish Journal of Ophthalmology.2026; 56(1): 8.     CrossRef
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[English]
Factors associated with malnutrition in demented and non-demented elderly residing in the community of Korea: a cross-sectional descriptive and analytical study
Jinhee Kwon, Jung Hee Kim, Hyeonjin Jeong, Jung Suk Lee
Korean J Community Nutr 2024;29(5):359-371.   Published online October 31, 2024
DOI: https://doi.org/10.5720/kjcn.2024.00013
AbstractAbstract PDF
Objectives
This study aimed to investigate and compare factors associated with malnutrition according to the presence or absence of dementia in community-dwelling elderly people.
Methods
Needs assessment data from 311 long-term care insurance (LTCI) recipients (dementia group 203; non-dementia group 108) that participated in the second pilot program of the integrated care model in community care settings under the Korean LTCI system were used. Descriptive statistical analysis, independent t-test, and analysis of variance were conducted on the sociodemographic characteristics, health and functional status, and nutritional status of the dementia and non-dementia groups. Logistic regression analysis was conducted to identify factors associated with malnutrition in the dementia and non-dementia groups.
Results
Malnutrition occurred in 33.5% and 26.9% of participants in the dementia and non-dementia groups, respectively. In the dementia group, living with family rather than living alone (odds ratio [OR]: 3.81; 95% confidence interval [CI]: 1.50–9.66; P = 0.031), increase in Korean Activities of Daily Living (K-ADL) score (OR: 1.35; 95% CI: 1.17–1.55; P < 0.001), and increase in the Neuropsychiatric Inventory-Questionnaire score (OR: 1.02; 95% CI: 1.01–1.03; P = 0.005) were associated with a higher risk of malnutrition. In the non-dementia group, the risk of malnutrition increased as the K-ADL score increased (OR: 1.20; 95% CI: 1.04–1.39; P = 0.011) and in the depressed group (OR: 2.84; 95% CI: 1.04–7.74; P = 0.042).
Conclusions
The study results confirmed the necessity of nutritional management for community-dwelling LTCI recipients. When developing a nutritional management program, considering the differences in factors related to malnutrition between the dementia and non-dementia groups is important. This study proposes policies for improving the LTCI system in terms of nutritional management and the utilization of community resources.
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[English]
Associations between the symptoms of gastroesophageal reflux disease and dietary and lifestyle behavior among young Korean adults: a preliminary cross-sectional study
Soheun Shim, Jeong-Hwa Choi, Young-Ran Heo
Korean J Community Nutr 2024;29(5):396-405.   Published online October 31, 2024
DOI: https://doi.org/10.5720/kjcn.2024.00011
AbstractAbstract PDF
Objectives
Gastroesophageal reflux disease (GERD) is a clinical condition caused by esophageal tissue damage resulting from the reflux of stomach or duodenal contents. An increasing number of GERD cases have been reported recently; however, research on this population, especially young adults, is lacking. This study aimed to investigate the dietary and lifestyle factors associated with GERD symptoms in young Korean adults. Methods: A total of 202 individuals (19–34 years old) living in Gwangju were surveyed using a questionnaire to examine their general characteristics, lifestyle, and dietary behaviors. GERD symptoms were investigated using the gastroesophageal reflux disease questionnaire (GerdQ). The participants were grouped into normal (GerdQ score ≤ 4) and caution (GerdQ score ≥ 5), and their characteristics were analyzed according to the group. Results: The findings suggested 15 participants (7.4%) belonged to the GERD caution group. More non-office workers were in the caution group than in the normal group (P < 0.05). The participants’ smoking, physical activity, sleep duration, and pillow height were not significantly different between the GERD phenotypes; however, the caution group consumed alcohol more frequently than the normal group (P < 0.001). The analyses of the participants’ eating behaviors revealed that the frequency of overeating, late-night snacking and chocolate consumption was significantly higher in the caution group (P < 0.001). Conclusion: Lifestyle and dietary behaviors were associated with GERD symptoms in young Korean adults. Further studies with larger cohorts are required to confirm these findings.
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[English]
Exploring the customer perceived value of online grocery shopping: a cross-sectional study of Korean and Chinese consumers using Means-End Chain theory
Xinyu Jiang, Hyo Bin Im, Min A Lee
Korean J Community Nutr 2024;29(4):318-335.   Published online August 31, 2024
DOI: https://doi.org/10.5720/kjcn.2024.00007
AbstractAbstract PDF
Objectives
Despite the growing market share of online grocery shopping, there is a need to understand customer perceived value due to the ongoing advancements in information technology. This study explores the connections between attributes, consequences, and values. Additionally, it conducts a cross-country comparison of consumers’ online grocery shopping behaviors to gain a deeper understanding of consumer market segments and any potential variations among them.
Methods
Data was collected through an online questionnaire survey conducted from May 1 to 15, 2024, targeting 400 consumers in Seoul, Korea, and Shanghai, China, who have experience with online grocery shopping. The survey utilized the Means-End Chain theory and association pattern technique hard laddering. Data collation and analysis were conducted using the IBM SPSS Statistics 28.0 program. The LadderUX software was employed to analyze the links between attributes, consequences, and values and create the consumer purchasing process’s implication matrix and hierarchical value map (HVM).
Results
The study identified key attributes that influence online grocery shopping decisions, including delivery service, price, freshness, and quality. Korean consumers demonstrated a higher sensitivity to price (19.0%) and delivery service (17.0%). In contrast, Chinese consumers prioritized delivery service (15.0%) and after-sales service (14.8%). Commonly cited consequences included time saving (12.6% for Koreans, 11.3% for Chinese), whereas prevalent values encompassed convenience (36.8% for Koreans, 19.6% for Chinese) and economic value (26.6% for Koreans, 14.7% for Chinese). The HVM underscored these insights, highlighting diverse consumer preferences and country-specific nuances.
Conclusions
The findings highlight the current state of online food consumption and consumers’ value systems, revealing variations among countries. These findings offer empirical insights that can be used to create customized global marketing strategies that resonate with various consumer preferences and market dynamics.

Citations

Citations to this article as recorded by  
  • Beyond the stage: how performing arts tourism shapes tourist perceptions and destination image
    Islam Elbayoumi Salem, Mohammed Ali Bait Ali Sulaiman, Enrico di Bella, Sara Preti, Mohamed Kamal Abdien, Ahmed Magdy
    Journal of Hospitality and Tourism Insights.2026; 9(1): 375.     CrossRef
  • Decoding digital market power: a network-based framework for consumer behaviour and strategic advantage
    Larissa M. Batrancea, Ömer Akgüller, Mehmet Ali Balcı, Anca Nichita, Mircea-Iosif Rus
    Journal of Marketing Analytics.2026;[Epub]     CrossRef
  • 6,574 View
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[Korean]
Nutritional status of North Koreans and related perceptions among South Korean adults
Youngmin Nam, Jihyun Yoon
Korean J Community Nutr 2024;29(4):288-303.   Published online August 31, 2024
DOI: https://doi.org/10.5720/kjcn.2024.00006
AbstractAbstract PDF
Objectives
North Koreans have been facing chronic food shortages and malnutrition. This study examined the nutritional status of North Koreans and the perceptions of South Korean adults regarding their nutritional status.
Methods
The nutritional status was examined using nutritional indicators for the general population, children, and reproductive-aged women in North Korea. An online survey was conducted among 1,000 South Korean adults aged 19–69 years to investigate their perceptions regarding the nutritional status of North Koreans.
Results
Although the nutritional status of children in North Korea has consistently improved, significant progress in the general population and reproductive-aged women in the country remains elusive. The prevalence of malnutrition among North Korean children has decreased to a level that is not considered severe based on international standards, although it shows a substantial difference from that among South Korean children. The prevalence of undernourishment and food insecurity in North Korea remains over 40%. South Korean adults perceive the nutritional status of North Koreans as being more severe than it is in reality. Notably, a significant inconsistency exists between the perceived and actual nutritional status of North Korean children, with over 95% of South Korean adults perceiving North Korean children’s malnutrition as being more severe than it actually is. Moreover, South Korean adults in their 20s to 40s tended to perceive the nutritional status of North Koreans as being more severe than those in their 50s to 60s did.
Conclusions
The nutritional status of North Koreans is a matter of concern. The disparity between South Koreans’ perceptions of the nutritional status of North Koreans and the actual status highlights the need for accurate information dissemination to effectively address malnutrition in North Korea. These efforts could be instrumental in enhancing public awareness and fostering social consensus on food aid and nutritional support programs for North Korea.
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[English]
Effects of a nutrition education program on metabolic syndrome risk factors in middle-aged Korean adults: an intervention study
Minji Kang, Young-Hee Park, Subeen Kim, Eunyoung Tak, Hyun Wook Baik, Hee Young Paik, Hyojee Joung
Korean J Community Nutr 2024;29(4):265-277.   Published online August 31, 2024
DOI: https://doi.org/10.5720/kjcn.2024.00005
AbstractAbstract PDF
Objectives
This study was conducted to evaluate the effects of a nutrition education program on metabolic syndrome in middle-aged Korean adults.
Methods
A total of 411 Korean adults 30–59 years of age were allocated randomly into three groups: the nutrition education group for promoting Han-sik consumption (HG), the nutrition education group for eating balanced diet (EG), and the control group (CG). The HG and EG received four face-to-face nutrition education sessions over 16 weeks to improve nutritional problems based on the individual’ usual diet. Effectiveness of the program was evaluated with the differences of self-reported dietary behaviors, dietary intakes, anthropometric measurements and biochemical indices between the baseline and the end of the nutrition education program. The changes within groups were analyzed using paired t-test and McNemar test and effectiveness among three groups was analyzed by repeated analysis of variance.
Results
After the nutrition education, the percentages of participants who achieved the recommended food group consumption in the Korean Food Guidance Systems significantly increased in HG (P = 0.022). Body weight (P = 0.007), body mass index (P = 0.002), and triglycerides (P = 0.002) significantly decreased in HG. Waist circumference and diastolic blood pressure decreased in all three groups (P < 0.05).
Conclusions
This study found that tailored nutrition education program for middle aged Korean adults showed beneficial effects on improving dietary behaviors and metabolic syndrome risk factors. Further studies are needed to assess the long-term effects of the nutrition education programs on metabolic syndrome risks.

Citations

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  • Multicomponent intervention increases nutrition knowledge scores in rural China
    Zhifan He, Ming Feng, Lu Li, Jing Li, Xiaohui Li
    Scientific Reports.2025;[Epub]     CrossRef
  • 4,813 View
  • 91 Download
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[English]
Sex differences in health-related quality of life among older Korean adults with type 2 diabetes mellitus: a cross-sectional study
Hyeonji Jeong, Kyong Park
Korean J Community Nutr 2024;29(4):336-347.   Published online August 31, 2024
DOI: https://doi.org/10.5720/kjcn.2024.00003
AbstractAbstract PDF
Objectives
This cross-sectional study examined sex differences in Health-Related Quality of Life (HRQoL) among seniors with Type 2 Diabetes Mellitus (T2DM).
Methods
Data from the Korea National Health and Nutrition Examination Survey (2008–2020) were analyzed. The EuroQol-5 Dimensions (EQ-5D), a measure of HRQoL, was used. It comprises five dimensions: mobility, self-care, usual activity, pain/discomfort, and anxiety/depression, each with three levels.
Results
Analysis of 3,826 older adults with T2DM showed a significant increasing trend in the EQ-5D Index from the 4th survey phase onwards (P for trend < 0.001 for both men and women). Men consistently reported higher EQ-5D levels than women across all survey years. Women’s EQ-5D levels remained lower than men’s, maintaining a decade-old disparity (P < 0.05). Men scored significantly higher (P < 0.05) in most EQ-5D domains, except for self-care and anxiety/depression, resulting in a higher total EQ-5D Index (P = 0.001). Increased comorbidities were strongly associated with lower EQ-5D levels in both sexes. Additionally, there was a negative correlation between the EQ-5D Index and refined grain intake for both sexes (P for trend < 0.001), with high-EQ-5D groups consuming fewer refined grains. Women in the high-EQ-5D group consumed more nuts, vegetables, and meat compared to men (P for trend < 0.05).
Conclusions
Our study highlights the sex disparities in HRQoL among older adults with T2DM. The findings suggest the need for tailored treatment guidelines aimed at improving the HRQoL of elderly T2DM patients, with a focus on their sex-specific characteristics. Implementing these tailored guidelines could enhance the HRQoL of older women with T2DM and promote more equitable healthcare outcomes. This underscores the importance of considering sex differences to comprehensively improve the well-being of this population.

Citations

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  • Understanding Gender Disparities in Quality of Life Among Patients With Type 2 Diabetes in Ethiopia: An Institutional‐Based Study
    Enguday Demeke Gebeyaw, Girma Deshimo Lema
    Lifestyle Medicine.2025;[Epub]     CrossRef
  • 3,133 View
  • 42 Download
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[English]
Total sugar intake and its contributed foods by age groups in Koreans using the 8th (2019–2021) Korea National Health and Nutrition Examination Survey: a cross-sectional study
Hyejin Yu, Sang-Jin Chung
Korean J Community Nutr 2024;29(3):222-233.   Published online June 30, 2024
DOI: https://doi.org/10.5720/kjcn.2024.29.3.222
AbstractAbstract PDF
Objectives
This study was conducted to investigate the status of total sugar intake and contributing foods in Korea according to age groups.
Methods
This study used 24-hour dietary recall data from the 8th Korea National Health and Nutrition Examination Survey (2019–2021) to investigate the nutritional and total sugar intake status among Koreans. A total of 18,338 research participants (≥3 years old) were included in this study. To analyze the types of foods contributing to total sugar intake, these foods were categorized into 15 types. Moreover, we examined the total sugar intake and ranked the most consumed foods by age groups (3–11 years, 12–18 years, 19–34 years, 35–49 years, 50–64 years, over 65 years). A survey procedure was employed for statistical analysis.
Results
The energy intake ratio from total sugars was approximately 12%–15%, which was within the recommended range. However, the proportion of individuals consuming total sugar exceeding 20% of their total caloric intake is nearly 20%, raising concerns about excessive sugar consumption. Furthermore, the percentage of participants whose intake of sugar from processed foods exceeded 10% of their total calories was highest in the 12–18 age group at 37.1%, followed by the 3–11 age group at 35.2%, and the 19–34 age group at 34.0%. Carbonated drinks, cola, and cider were the primary foods consumed by children and adolescents (3–18 years old) and young adults (19–34 years old). For middle-aged and older adults, mixed coffee with sugar and cream was a prominent contributor to sugar intake.
Conclusions
This study investigated sugar consumption patterns among Koreans, finding the principal foods contributing to this intake. Identifying these contributors is pivotal, given their potential impact on public health.

Citations

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  • Psychosocial factors related to the stages of change in reducing sugar intake among adults in Seoul, Korea: a cross-sectional study
    Ju Young Lee, Kyung Won Kim
    Korean Journal of Community Nutrition.2026; 31(1): 21.     CrossRef
  • 14,454 View
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[English]
Regional differences in protein intake and protein sources of Korean older adults and their association with metabolic syndrome using the 2016–2019 Korea National Health and Nutrition Examination Surveys: a cross-sectional study
You-Sin Lee, Yoonna Lee
Korean J Community Nutr 2024;29(3):173-188.   Published online June 30, 2024
DOI: https://doi.org/10.5720/kjcn.2024.29.3.173
AbstractAbstract PDF
Objectives
The study aim was to analyze the regional differences in dietary protein intake and protein sources of Korean older adults and their association with metabolic syndrome.
Methods
Study participants were 1,721 older adults aged 65 and over who participated in 2016–2019 Korea National Health and Nutrition Examination Survey. Using 24-hour recall dietary intake data, protein intake and their food sources were examined. The association between protein intake and metabolic syndrome, obesity, and abdominal obesity were analyzed by multiple logistic regression.
Results
Total protein and animal protein intakes were higher in urban area (60.0 g, 24.4 g, respectively) than in rural area (54.6 g, 19.6 g, respectively). With increase of protein intake level, animal to total protein proportion was increased in both areas. Total protein and plant protein intake was negatively associated with the risk of obesity, abdominal obesity in both areas. Animal protein intake was negatively associated with the risk of obesity in both areas, and with abdominal obesity only in urban area. In urban area, plant protein intake was also negatively associated with the risks of metabolic syndrome, elevated triglyceride, and reduced high density lipoprotein-cholesterol. In urban area, the risk of metabolic syndrome was decreased when their protein intake was more than 0.91 g/kg and was lowest when their protein intake was more than 1.5 g/kg (P for trend < 0.001).
Conclusions
Korean older adults showed inadequate protein intake and those in rural area showed lower animal protein intake than in urban area. The risk of obesity and metabolic syndrome was decreased with the increase of protein intake level. These findings may help develop effective nutrition support strategy for older adults to reduce regional health disparity.

Citations

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  • Assessing Nutritional Factors for Metabolic Dysfunction-Associated Steatotic Liver Disease via Diverse Statistical Tools
    Yea-Chan Lee, Hye Sun Lee, Soyoung Jeon, Yae-Ji Lee, Yu-Jin Kwon, Ji-Won Lee
    Diabetes & Metabolism Journal.2026; 50(1): 178.     CrossRef
  • Longitudinal Deterioration in Nutritional Status Associated With Increased Risk of Sarcopenia in Community‐Dwelling Aged Adults: A Prospective Cohort Study
    Ho Jun Lim, Seung Shin Park, Mi Ji Kim, Hak Chul Jang, Sung Hye Kong, Chang Won Won
    Journal of Cachexia, Sarcopenia and Muscle.2026;[Epub]     CrossRef
  • Nutritional and environmental implications of incorporating cultivated meat into the Korean diets: a preliminary analysis
    Daniel Ryu, Hae Jin Park, Yujin Ahn, Jieun Oh, Yooheon Park
    Food Science and Biotechnology.2026;[Epub]     CrossRef
  • The association between dietary protein intake and metabolic syndrome: a GRADE-assessed systematic review and meta-analysis of observational studies
    Dorsa Ghazvineh, Ali Hosseinpour, Vahid Basirat, Elnaz Daneshzad
    Diabetology & Metabolic Syndrome.2025;[Epub]     CrossRef
  • The association between total, animal-based, and plant-based protein intake and cognitive decline in older adults
    Maud Peperkamp, Margreet R. Olthof, Marjolein Visser, Hanneke A. H. Wijnhoven
    European Journal of Nutrition.2025;[Epub]     CrossRef
  • 11,248 View
  • 119 Download
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[English]
Arterial stiffness index, physical activity and food and nutrient intake: cross-sectional study in adults aged 40 years and older
Eun-A Kim, Yun-Mi Kim, Eun-Kyung Kim
Korean J Community Nutr 2024;29(2):81-96.   Published online April 24, 2024
DOI: https://doi.org/10.5720/kjcn.2024.29.2.81
AbstractAbstract PDF
Objectives
This study aimed to investigate arterial stiffness index, physical activity, and food and nutrient intake in middle-aged adults over 40 years when the incidence of cardiovascular disease begins to increase.
Methods
This study included 106 subjects (48 males and 58 females) aged between 40 and 64 years. The arterial stiffness index (brachial-ankle pulse wave velocity [baPWV], and ankle-brachial index [ABI]) were measured using a blood pressure pulse wave testing device. Physical activity was assessed using the Korean version of the Global Physical Activity Questionnaire, and food and nutrient intake was calculated using the Food Frequency Questionnaire.
Results
The mean age of the subjects was 54.4 years. Although the ABI of the subjects was within the normal range, they were divided into tertiles to compare physical activity and food and nutrient intake. In males, the time spent on moderate to vigorous physical activity (MVPA) was significantly higher in T3 (600.6 min/week) than in T1 (304.4 min/week). In females, the time spent in sedentary behavior was significantly lower in T3 (294.5 min/week) than in T1 (472.1 min/week). In addition, the frequency of fish consumption was significantly higher in T3 (1.27 frequency/day) than in T1 (0.64 frequency/day) in females. Polyunsaturated fatty acid (PUFA) and ω-3 fatty acid intake, adjusted for energy intake, were significantly positively correlated with ABI (r = 0.200 and r = 0.218, respectively).
Conclusions
High MVPA (in males), low sedentary behavior (in females), and PUFA and ω-3 fatty acid intake through fish consumption may be associated with low peripheral artery stiffness. Therefore, arteriosclerosis can be prevented through physical activity and proper dietary therapy.
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[Korean]
Effects of watching Mukbang and Cookbang videos on adolescents’ dietary habits and mental health: cross-sectional study using the 18th Korea Youth Risk Behavior Survey
Seung-Hee Hong
Korean J Community Nutr 2024;29(2):156-170.   Published online April 24, 2024
DOI: https://doi.org/10.5720/kjcn.2024.29.2.156
AbstractAbstract PDF
Objectives
This study aimed to investigate the association between how often Korean adolescents watch Mukbang and Cookbang videos and their dietary habits.
Methods
Data from the 18th Korea Youth Risk Behavior Survey conducted in 2022 was analyzed for this study. The study included 51,850 middle and high school students and assessed various aspects, including demographics, frequency of watching Mukbang and Cookbang videos per week, dietary habits, health behaviors, and mental health factors.
Results
Nearly a third (29.3%) of Korean adolescents watched Mukbang and Cookbang videos one to four times a week, while 13.5% watched them more than five times weekly. Females, those with lower academic achievement, and those from lower socioeconomic backgrounds were significantly more likely to be frequent viewers (P < 0.001). Increased viewing frequency was associated with poorer dietary habits. Adolescents who watched more frequently were less likely to eat breakfast and consume fruits and milk, while their consumption of fast food, high-caffeine drinks, sugary drinks, and late-night snacks increased (P < 0.001). Higher viewing frequency correlated with increased feelings of stress, depression, and loneliness (P < 0.001). Logistic regression analysis confirmed these associations. More frequent viewers were significantly less likely to eat breakfast (odds ratio (OR), 0.63; 95% confidence interval (CI), 0.58–0.68), and more likely to consume fast food (OR, 1.85; 95% CI, 1.69–2.02), high-caffeine drinks (OR, 1.43; 95% CI, 1.30–1.56), sugary drinks (OR, 1.54; 95% CI, 1.41–1.67), and late-night snacks (OR, 1.37; 95% CI, 1.25–1.51).
Conclusions
Our findings suggest that frequent exposure to Mukbang and Cookbang content is linked to unhealthy dietary habits in adolescents. Educational programs may be necessary to mitigate the potential for these videos to negatively influence dietary choices.

Citations

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  • Association Between the Consumption of Sugar-Sweetened Beverages and High-Caffeine Drinks and Self-Reported Mental Health Conditions Among Korean Adolescents
    Seung Jae Lee, Yeseul Na, Kyung Won Lee
    Nutrients.2025; 17(16): 2652.     CrossRef
  • Mediating Effects of Mukbang and Cookbang Viewing on the Association Between SNS Use and Adolescents’ Food-Related Lifestyle
    Soo Jin Lee
    Journal of the Korean Society of Food Science and Nutrition.2025; 54(11): 986.     CrossRef
  • 성인 남녀의 먹방 시청시간에 따른 식행동에 대한 연구
    하얀 남, 복미 정, 은례 전
    Korean Journal of Food and Cookery Science.2024; 40(4): 275.     CrossRef
  • 4,358 View
  • 118 Download
  • 3 Crossref
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[English]
Dietary intake and food sources of essential fatty acids among Korean adolescents: a cross-sectional study based on the 2016–2021 KNHANES data
Enkhgerel Erdenetsetseg, Hye Ran Shin, SuJin Song
Korean J Community Nutr 2024;29(2):144-155.   Published online April 24, 2024
DOI: https://doi.org/10.5720/kjcn.2024.29.2.144
AbstractAbstract PDF
Objectives
This study evaluated dietary intake and food sources of essential fatty acids in Korean adolescents.
Methods
This study was comprised of 3,932 adolescents (9–18 years) who participated in the 2016–2021 Korea National Health and Nutrition Examination Surveys. Dietary intake and food sources of essential fatty acids, including alpha-linolenic acid (ALA), eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), and linoleic acid (LA) were evaluated using data obtained from one-day 24-hour dietary recall. The proportions of adolescents consuming ALA, EPA + DHA, and LA above or below the adequate intake (AI) of the 2020 Dietary Reference Intakes for Koreans were calculated. All statistical analyses accounted for the complex sampling design effect and appropriate sample weights.
Results
The mean intakes of ALA, EPA, DHA, and LA among Korean adolescents were 1.29 g/day, 69.6 mg/day, 166.0 mg/day, and 11.1 g/day, respectively. Boys had higher intakes of all essential fatty acids compared to girls. By age group, adolescents aged 15–18 years showed lower intakes of EPA and DHA compared to adolescents in younger age groups. The 9–11-year-old adolescents had lower intakes of ALA and LA than older adolescents. The proportions of adolescents who consumed more than AI were 35.7% for ALA, 30.4% for EPA + DHA, and 41.5% for LA. Adherence to the AI for ALA did not differ by sex or age group, although boys showed a lower adherence to the AI for EPA + DHA than girls. Major food sources for ALA and LA were plant-based oils, mayonnaise, pork, and eggs. Mackerel was the most significant contributor to EPA and DHA intake (EPA, 22.6%; DHA, 22.2%), followed by laver, squid, and anchovy.
Conclusions
The proportion of Korean adolescents who consumed EPA + DHA more than AI was low. Our findings highlight that nutrition education emphasizing an intake of essential fatty acids from healthy food sources is needed among Korean adolescents.

Citations

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  • Harnessing dietary polyunsaturated fatty acids through gut microbiota to enhance ferroptosis in breast cancer therapy
    Yara Adel Haroun, Abdulrahman Abdulla Alzyoud, Mohammad Taha Alizadeh, Nashwa Ahmed Mohamed, Riyad Bendardaf, Sameh S.M. Soliman
    Nutrition Research.2025; 141: 10.     CrossRef
  • 4,423 View
  • 67 Download
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[Korean]
Comparative study on the health and dietary habits of Korean male and female adults before and after the coronavirus disease 2019 pandemic: utilizing data from the 8th Korea National Health and Nutrition Examination Survey (2019–2021)
Chaemin Kim, Eunjung Kim
Korean J Community Nutr 2024;29(1):65-80.   Published online February 29, 2024
DOI: https://doi.org/10.5720/kjcn.2024.29.1.65
AbstractAbstract PDF
Objectives
This study aims to compare changes in physical factors, health behaviors, eating habits, and nutritional intake among Korean male and female adults over a period of three years (2019–2021) before and after the outbreak of coronavirus disease 2019 (COVID-19).
Methods
This study utilized raw data from the 8th Korea National Health and Nutrition Examination Survey (2019–2021). The participants in this study included 6,235 individuals in 2019, 5,865 individuals in 2020, and 5,635 individuals in 2021. Individuals whose daily energy intake was less than 500 kcal or exceeded 5,000 kcal were excluded from the study.
Results
In comparison to 2019, overweight/obesity rates, weight, waist circumference, weekend sleep hours, and resistance exercise days/week increased in both male and female during the COVID-19 pandemic. Regarding eating habits, the proportions of people skipping breakfast, not eating out, consuming health supplements, and recognizing nutritional labels increased in 2020 and 2021, whereas the rate of skipping dinner decreased. Total energy intake has continued to decrease for the two years since 2019. A comparison of nutrient intake per 1,000 kcal before and after the outbreak of COVID-19 revealed that intake of nutrients, including protein, phosphorus, iron, vitamin A, riboflavin, and niacin increased, while folic acid intake decreased. In male, calcium, phosphorus, riboflavin, and niacin intakes increased, whereas iron, vitamin C, and folic acid intakes decreased. In female, phosphorus, iron, vitamin A, and riboflavin intake increased significantly, while protein and niacin intake decreased significantly.
Conclusions
After COVID-19, the obesity rate, breakfast skipping rate, health supplement intake, and nutritional label use increased, while the frequency of eating out, dinner skipping rate, and total energy intake decreased. These environmental changes and social factors highlight the need for nutritional education and management to ensure proper nutritional intake and reduce obesity rates in the post-COVID-19 era.

Citations

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  • Status of Use of Protein Supplement Products according to the Health Concerns of Adults in Their 20s and 30s
    Cho-In Oh, Bok-Mi Jung
    Journal of the East Asian Society of Dietary Life.2025; 35(1): 9.     CrossRef
  • A study on regional differences in dietary behaviors and satisfaction in Korea focusing on urban and rural comparisons: a cross-sectional study
    Jong-Youn Rha, Sohyun Kim, Hae-Rang Lee, Juhyeon Kil
    Korean Journal of Community Nutrition.2025; 30(2): 140.     CrossRef
  • How Did the Dietary Behavior of Older Korean Adults Change During the COVID-19 Pandemic?
    Yong-Seok Kwon, Dasol Kim, Hee-Sook Lim
    Nutrients.2025; 17(12): 1973.     CrossRef
  • Intake of energy and macronutrients according to household income among elementary, middle, and high school students before and during the COVID-19 pandemic: a cross-sectional study
    Chae-Eun Jeong, Heejin Lee, Jung Eun Lee
    Korean Journal of Community Nutrition.2024; 29(3): 234.     CrossRef
  • 성인 남녀의 먹방 시청시간에 따른 식행동에 대한 연구
    하얀 남, 복미 정, 은례 전
    Korean Journal of Food and Cookery Science.2024; 40(4): 275.     CrossRef
  • 6,395 View
  • 94 Download
  • 5 Crossref
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[Korean]
Association of ultra-processed food with diabetes and impaired fasting glucose in elderly populations (urban and rural): a cross-sectional study
Seung Jae Lee, Mi Sook Cho
Korean J Community Nutr 2024;29(1):51-64.   Published online February 29, 2024
DOI: https://doi.org/10.5720/kjcn.2024.29.1.51
AbstractAbstract PDF
Objectives
This study examined the association between ultra-processed food (UPF) consumption and chronic diseases in elderly Koreans.
Methods
Data from the 2019–2021 Korea National Health and Nutrition Examination Survey were analyzed. Dietary intake and UPF consumption were assessed using the NOVA food classification based on 24-hour recall data from 3,790 participants (aged 65+ years). Participants were divided into 4 groups based on the quartile of energy intake from UPFs. Regions were classified as urban or rural. Multivariable logistic regression was employed to estimate the adjusted odds ratios (AORs) with 95% confidence intervals (CIs) after controlling for potential confounders.
Results
Among the participants, 71.3% resided in urban and 28.7% in rural areas. Compared to the urban elderly, rural participants tended to be older, have lower education and income levels, be more likely to live in single-person households, and have a higher smoking rate (P < 0.05). Urban elderly consumed more UPFs daily (146.1 g) compared to rural residents (126.6 g; P < 0.05). “Sugar-sweetened beverages” were the most consumed category in both regions. “Sweetened milk and its products” and “traditional sauces” were prominent in urban areas, while rural elderly consumed more “traditional sauces” and “distilled alcoholic beverages.” Rural areas also had a higher carbohydrate-to-calorie ratio than urban areas. Compared to the lowest quartile of UPF intake, the highest quartile was significantly associated with impaired fasting glucose only in rural areas (AOR, 1.48; 95% CI, 1.00–2.19; P for trend = 0.0014). No significant associations were observed for diabetes in either urban or rural areas.
Conclusions
This study suggests that high intake of UPFs is associated with increased odds of impaired fasting glucose in rural elderly. Further research is needed to elucidate the specific negative health effects of UPFs in different populations, and targeted efforts should promote healthy diets in both urban and rural areas.

Citations

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  • Ultra-Processed Foods and Cardiometabolic Health: A Review of Current Evidence
    Nazlıcan Erdoğan Gövez, Eda Köksal
    Current Nutrition Reports.2025;[Epub]     CrossRef
  • 노인의 사회활동 참여 정도와 영양상태와의 관계
    지수 백, 영란 허
    Korean Journal of Food and Cookery Science.2025; 41(6): 418.     CrossRef
  • A Study of the Chemosensory Properties of Commercial Processed Foods Using Electronic Sensors
    Hyeonjin Park, Younglan Ban, Sojeong Yoon, Hyangyeon Jeong, Seong Jun Hong, Hee Sung Moon, Se Young Yu, Hyun-Wook Kim, Kyeong Soo Kim, Eun Ju Jeong, Eui-Cheol Shin
    Journal of the Korean Society of Food Science and Nutrition.2024; 53(8): 805.     CrossRef
  • Analysis of Flavor and Taste Patterns of Various Processed Animal Foods: Using the Electronic Tongue and Nose
    Hee Sung Moon, Se Young Yu, Younglan Ban, Hyeonjin Park, Sojeong Yoon, Na Eun Yang, Seong Jun Hong, Hyun-Wook Kim, Kyeong Soo Kim, Eun Ju Jeong, Eui-Cheol Shin
    Journal of the Korean Society of Food Science and Nutrition.2024; 53(12): 1267.     CrossRef
  • 2,642 View
  • 86 Download
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[Korean]
Sustainable diets: a scoping review and descriptive study of concept, measurement, and suggested methods for the development of Korean version
Sukyoung Jung
Korean J Community Nutr 2024;29(1):34-50.   Published online February 29, 2024
DOI: https://doi.org/10.5720/kjcn.2024.29.1.34
AbstractAbstract PDFSupplementary Material
Objectives
Transformation through a sustainable food system to provide healthy diets is essential for enhancing both human and planetary health. This study aimed to explain about sustainable diets and illustrate appropriate measurement of adherence to sustainable diets using a pre-existing index.
Methods
For literature review, we used PubMed and Google Scholar databases by combining the search terms “development,” “validation,” “sustainable diet,” “sustainable diet index,” “planetary healthy diet,” “EAT-Lancet diet,” and “EAT-Lancet reference diet.” For data presentation, we used data from National Health and Nutrition Examination Survey, 2017–2018, among adults aged 20 years and older (n = 3,920). Sustainable Diet Index-US (SDI-US), comprising four sub-indices corresponding to four dimensions of sustainable diets (nutritional quality, environmental impacts, affordability, and sociocultural practices), was calculated using data from 24-hour dietary recall interview, food expenditures, and food choices. A higher SDI-US score indicated greater adherence to sustainable diets (range: 4–20). This study also presented SDI-US scores according to the sociodemographic status. All analyses accounted for a complex survey design.
Results
Of 148 papers, 16 were reviewed. Adherence to sustainable diets fell into 3 categories: EAT-Lancet reference diet-based (n = 8), Food and Agriculture Organization (FAO) definition-based (n = 4), and no specific guidelines but including the sustainability concept (n = 4). Importantly, FAO definition emphasizes on equal importance of four dimensions of diet (nutrition and health, economic, social and cultural, and environmental). The mean SDI-US score was 13 out of 20 points, and was higher in older, female, and highly educated adults than in their counterparts.
Conclusions
This study highlighted that sustainable diets should be assessed using a multidimensional approach because of their complex nature. Currently, SDI can be a good option for operationalizing multidimensional sustainable diets. It is necessary to develop a Korean version of SDI through additional data collection, including environmental impact of food, food price, food budget, and use of ready-made products.

Citations

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  • How Do the Indices based on the EAT-Lancet Recommendations Measure Adherence to Healthy and Sustainable Diets? A Comparison of Measurement Performance in Adults from a French National Survey
    Agustín R Miranda, Florent Vieux, Matthieu Maillot, Eric O Verger
    Current Developments in Nutrition.2025; : 104565.     CrossRef
  • Behavioral intention toward planetary health diet among adult users of government worksite cafeterias in Seoul, South Korea: a mixed-methods study based on the theory of planned behavior and focus groups interviews
    Ji-Won Kang, Su-Jin Lee, Sil-Ah Kim, Ji-Yun Hwang
    Korean Journal of Community Nutrition.2025; 30(3): 224.     CrossRef
  • Trends in sustainable dietary patterns in United States adults, 2007-2018
    Sukyoung Jung, Heather A. Young, Barbara H. Braffett, Samuel J. Simmens, Eunice Hong Lim Lee, Cynthia L. Ogden
    Epidemiology and Health.2025; 47: e2025045.     CrossRef
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[English]
Nutrition education programs necessary for social welfare facilities for persons with disabilities: a cross-sectional study
Jinkyung Kim, Min-Sun Jeon
Korean J Community Nutr 2024;29(1):1-15.   Published online February 29, 2024
DOI: https://doi.org/10.5720/kjcn.2024.29.1.1
AbstractAbstract PDF
Objectives
This study investigated the need for nutrition education aimed at improving the health of residents and users of social welfare facilities for persons with disability and aimed to provide basic information for developing a nutrition education program that meets the needs of the field.
Methods
Altogether, 249 employees working in social welfare facilities for people with disabilities were included in the study. Data on the health status of residents/users, meal management, nutritional education, nutritional education needs, and awareness of nutritional education were obtained through online surveys. A descriptive analysis was conducted to analyze the demographic characteristics, needs, and perceptions of the respondents, and independent t-tests and χ2 tests were performed to analyze and compare the differences between residential and daycare facilities.
Results
The majority of residents/users of social welfare facilities for persons with disabilities have developmental disabilities. When educating residents with residents/users of social welfare facilities, ‘personal hygiene’ was the most necessary topic, followed by ‘obesity management’ education. Regarding the methods of providing education, face-to-face lectures demonstrated a high demand. They responded that when nutrition education experts provide nutrition education to people with disabilities, they must understand ‘the physical characteristics of persons with disabilities’ and have the ability to determine appropriate nutrition for such people. The most appropriate nutrition program training would be twice a year, lasting 30 min to 1 h per training session.
Conclusions
It will present a direction for operating a nutrition education program for persons with disabilities that meets their needs of social welfare facilities and ultimately contribute to the establishment and activation of nutrition education tailored to welfare facilities for such individuals in Korea.

Citations

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  • Development and applicability evaluation of a nutrition education program for residents and users of disability social welfare facilities in Korea: a mixed-methods study
    Jin-kyung Kim, Kyoung-min Lee, Min-sun Jeon
    Korean Journal of Community Nutrition.2025; 30(1): 64.     CrossRef
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Educational Materials
[Korean]
Systematization of food and nutrition education content based on national kindergarten curriculum: a qualitative formative study
Jung-Hyun Kim, Eugene Shim, Eunyoung Baik
Korean J Community Nutr 2023;28(6):509-522.   Published online December 31, 2023
DOI: https://doi.org/10.5720/kjcn.2023.28.6.509
AbstractAbstract PDF
Objectives
This study is intended to develop a curriculum for kindergarten food and nutrition education aimed at preschool children, reflecting government policy and meeting the demands of preschool settings.
Methods
Existing educational materials were analyzed, and key elements of the 2019 Revised Nuri Curriculum (“Nuri Curriculum”) and Guidelines for Nutrition and Food Education in Kindergartens, Elementary, Middle, and High Schools (“Guidelines”) were examined as foundational information for developing the curriculum for food and nutrition education.
Results
Basing ourselves on the five domains of the Nuri Curriculum, “Physical Activity and Health,” “Communication,” “Social Relationships,” “Art Experience,” and “Natural Science Inquiry,” we integrated three areas from the Guidelines, namely “Dietary Habits and Health,” “Dietary Habits and Safety,” and “Dietary Habits and Culture,” to structure the curriculum for kindergarten food and nutrition education. Three specific domains, “Nutrition and Health,” “Food and Culture,” and “Safe Dietary Practices,” were tailored for preschool children, each comprising core concepts, content elements, and educational materials. In the “Nutrition and Health” domain, core concepts such as “nutrition” were addressed through content elements such as “balanced eating” and “vegetables and fruit,” while “health” included elements such as “eating regularly” and “nutrients for disease prevention,” each with two educational content components. The “Food and Culture” domain focused on “food” with content on “local foods (vegetable-garden experience)” and “food culture” with content on “our dining table (rice and side dishes),” “our agricultural products,” “global cuisine (multiculture),” and “considerate dietary practices,” each with four educational content components. The “Safe Dietary Practices” domain included core concepts such as “hygiene” with content on “hand-washing habits” and “food poisoning management,” and “safety” with content on “food labeling.”
Conclusions
The systematized curriculum for kindergarten food and nutrition education aligns with the Nuri Curriculum and is interconnected with the Guidelines. This curriculum can be used as foundational material for developing educational resources tailored to the characteristics of preschoolers, contributing to effective implementation in early childhood education.

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  • Parents' needs and perceptions of dietary and nutrition education in early childhood education institutions in South Korea: a mixed methods study
    Jounghee Lee, Sookyung Choi, Minseo Kim, Seonghyun Lim, Jeong-Weon Kim
    Korean Journal of Community Nutrition.2025; 30(6): 441.     CrossRef
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Research Articles
[Korean]
Food and dish group diversity on menus of daycare centers provided by Center for Children’s Foodservice Management in Korea: a descriptive study
Youn-Rok Kang, Kyeong-Sook Lim, Hyung-Sook Kim
Korean J Community Nutr 2023;28(6):449-465.   Published online December 31, 2023
DOI: https://doi.org/10.5720/kjcn.2023.28.6.449
AbstractAbstract PDF
Objectives
This study aimed to analyze menu patterns and food group diversity in daycare centers managed by the Center for Children's Foodservice Management in South Korea.
Methods
Data from 18 Center for Children's Foodservice Management centers across various provinces (excluding Jeju Island) were analyzed. We examined 8,796 meals served in February, May, August, and December 2021, focusing on seasonal lunch and snack menus for children aged 3-5. Foods were categorized into 19 groups for lunch and 21 for snacks. The frequency of food groups and dietary patterns were assessed using the Dietary Diversity Score. Analyses were conducted using Excel 2016 and IBM SPSS Statistics version 28.
Results
Most lunch menus (89%) included five menu items, with a ratio of grain, meat, and vegetables at 88%. Snack menus typically had one item (57%), with significantly more items in the afternoon compared to the morning (P < 0.001). Regarding snack patterns, 75.2% of morning snacks and 61.1% of afternoon snacks contained only one solid food and drink (P < 0.001). Fruit and milk (22.4%) was the most prevalent pattern in morning snacks, while grain and milk (31%) dominated afternoon snacks (P < 0.001). Only 48% of daycare center menus (all snacks and lunch) included all five food groups (grain, meat, vegetables, fruit, and milk). Notably, only 83% included milk and 57% included fruit.
Conclusions
These findings highlight the need to improve food variety and diversity in the Center for Children’s Foodservice Management-managed daycare center menus. Developing more detailed guidelines for menu structure and food composition is crucial to ensure children receive balanced and diverse nutrition.

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  • Nutrient intake and food consumption of Korean preschool children: a comparison between a daycare meal group and non-daycare meal group using the data from the 2016–2019 Korea National Health and Nutrition Examination Survey
    Young-Hee Han, Taisun Hyun
    Nutrition Research and Practice.2025; 19(2): 225.     CrossRef
  • 1,676 View
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[Korean]
Facilitators and barriers to achieving dietary and physical activity goals : focus group interviews with city bus drivers and counseling dietitians
Yongmin Jo, Suhyeun Cho, Young-Hee Han, Taisun Hyun
Korean J Community Nutr 2023;28(5):376-391.   Published online October 31, 2023
DOI: https://doi.org/10.5720/kjcn.2023.28.5.376
AbstractAbstract PDFSupplementary Material
Objectives
Our previously published study showed that a workplace nutrition intervention program with personalized goal setting and smartphone-based nutrition counseling improved dietary habits and physical activity in city bus drivers who were overweight/obese. This study explored the facilitators and barriers that participants faced in achieving their dietary and physical activity goals six months after the intervention.
Methods
The study included bus drivers and dietitians who participated in the intervention program. Three focus group interviews were conducted with 10 bus drivers (divided by two groups based on their achievement of set goals) and five dietitians who had provided nutrition counseling.
Results
Willpower was the most important intrapersonal facilitator for drivers to achieve their goals. Other factors that promoted behavioral changes were nutrition counseling by dietitians, trackable physical activity using smartwatches, and setting of practical and achievable goals. Meanwhile, the most important barriers identified were occupational factors such as long driving hours, short breaks, and shift work. Other barriers were environmental factors such as availability of snackable food, accessibility to convenience stores, and cold weather. Family and colleagues were perceived as both facilitators and barriers. In addition, dietitians identified a lack of knowledge about healthy diet as one of the barriers.
Conclusions
Our results suggested that the workplace environment should be improved and that nutrition intervention programs at the workplace could encourage bus drivers to practice healthy eating habits. The facilitators and barriers identified in this study should be considered when planning a nutrition intervention program for bus drivers.

Citations

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  • Process evaluation of a mobile healthcare program among employees with overweight and obesity: a 12-week intervention study investigating the role of engagement
    Imhuei Son, Jiyoun Hong, Young Hee Han, Bo Jeong Gong, Meng Yuan Zhang, Woori Na, Cheongmin Sohn, Taisun Hyun
    Korean Journal of Community Nutrition.2023; 28(6): 466.     CrossRef
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[Korean]
Factors related to adolescent obesity and changes: a cross-sectional study based on the Korea Youth Risk Behavior Survey
Bora Lee, Ho Kyung Ryu
Korean J Community Nutr 2023;28(5):363-375.   Published online October 31, 2023
DOI: https://doi.org/10.5720/kjcn.2023.28.5.363
AbstractAbstract PDF
Objectives
The objective of this study was to identify factors associated with adolescent obesity, as well as any new factors that correlated with a change in the rate of obesity over time.
Methods
The study used 5-yearly data collected by the Korea Youth Risk Behavior Survey starting from the year 2006 up until 2021 (data from 2nd, 7th, 11th, and 17th surveys were analyzed). Factors such as demographics, dietary factors, health behavioral factors, and mental health factors were studied. All data were analyzed using IBM SPSS 27.0, employing chi-square tests and multiple logistic regression analysis.
Results
This study included data from a total of 255,200 participants. Factors contributing to obesity varied with time. Over the survey duration of 15 years, low academic achievement, parents with low levels of education, low frequency of fruit consumption, low frequency of fast food intake, long periods of being seated, and high levels of stress were significantly associated with a high rate of obesity. Factors that showed a new correlation with an increase in obesity rates included living with single parents, low frequency of muscle strengthening exercises, and experiencing intense sadness and despair in the past year. Factors that were correlated with a change in obesity rates over time included household economic status, frequency of carbonated beverage consumption, frequency of intense physical activity, and frequency of alcohol consumption. Breakfast intake and smoking were not significantly associated with obesity rates in the 15-year period.
Conclusions
While several factors associated with obesity remained consistent over time, several new factors have emerged in response to social, economic, and environmental changes contributed to a change in obesity rate over time. Therefore, to prevent and manage adolescent obesity, continuous research into the new emergent factors contributing to obesity is needed.

Citations

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  • Effects of watching Mukbang and Cookbang videos on adolescents’ dietary habits and mental health: cross-sectional study using the 18th Korea Youth Risk Behavior Survey
    Seung-Hee Hong
    Korean Journal of Community Nutrition.2024; 29(2): 156.     CrossRef
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[Korean]
Understanding consumer awareness and utilization of local food in Jecheon during the COVID-19 pandemic: a descriptive study
Hye-ryeong Shin, Soojin Park
Korean J Community Nutr 2023;28(4):329-339.   Published online August 31, 2023
DOI: https://doi.org/10.5720/kjcn.2023.28.4.329
AbstractAbstract PDF
Objectives
This study aims to explore consumer awareness and usage patterns of local food in Jecheon city during the COVID-19 pandemic, contributing to the establishment of the Jecheon City Food Plan.
Methods
Surveys were conducted from July 24 to August 24, 2021, using a combination of web-link and self-administered methods for adults living in Jecheon city (n = 250). Descriptive analysis, t-test, importance and satisfaction analysis (ISA) of local food choice attributes were performed using SPSS Statistics.
Results
Participants prioritized freshness when purchasing agricultural products. The freshness of Jecheon local food was the selection attribute with the highest consumer satisfaction and could provide purchase motivation. Approximately 73.6% of respondents understood the concept of local food, and 70% were familiar with Jecheon's local food. Notably, 94.8% expressed an intention to purchase but held negative views on selling local food in other areas. The need to increase the supply of local food to vulnerable populations and public school catering was highly recognized. The ISA identified ‘affordable price’, ‘delivery service’, and ‘product information’ as areas requiring improvement. On the other hand, ‘freshness of products’, ‘quality for the price’, and ‘support for local farmers and economy’ were identified as attributes to be maintained and strengthened.
Conclusions
Consumers in Jecheon city recognized local foods as more than just 'consumer goods’. Our findings suggest the need for further research on local food revitalization and more comprehensive local food planning to enhance consumer satisfaction.
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[Korean]
Correlation between adolescents’ dietary safety management competency and value recognition, efficacy, and competency of convergence using dietary area: a descriptive study
Yunhwa Kim, Yeon-Kyung Lee
Korean J Community Nutr 2023;28(4):317-328.   Published online August 31, 2023
DOI: https://doi.org/10.5720/kjcn.2023.28.4.317
AbstractAbstract PDF
Objectives
This study aimed to investigate the correlation between adolescents’ dietary safety management competency, value recognition, efficacy, and competency of convergence using the dietary area (CUDA).
Methods
Data were collected from 480 middle and high school students in Daegu, Gyeongbuk and Seoul, Gyeonggi using a self-administered five-point Likert scale questionnaire from May to July 2021. A questionnaire was used to investigate dietary safety management competency, awareness of convergence, recognition of the benefits, efficacy, and competency of CUDA.
Results
We conducted factor, reliability, correlation, and regression analyses using SPSS 25. The average scores for each factor were: dietary significance (3.68); dietary safety management knowledge (3.34); food selection and cooking (3.72); nutrition management (3.38); weight management (3.28); risk dietary management (3.13); CUDA interest (2.98); convergence necessity (3.50); benefits in specialized areas (3.31); benefits in everyday life (3.48); efficacy of science and technology convergence (3.35); convergence efficacy with humanities, social science, and arts (3.31); and CUDA competency (3.41). The score for interest in CUDA was lower than that for the recognition of CUDA benefits. Significant positive correlations were observed between all factors except between risk dietary management and both nutrition and weight management (P < 0.01). Interest in CUDA and recognition of the need for convergence exhibited a positive and significant effect on all factors of the perception of CUDA benefits and efficacy. The subgroup factors of dietary safety management competency and the recognition of CUDA had a positive effect on the CUDA competency (P < 0.001, R2= 0.58).
Conclusions
Strengthening dietary safety management competency and increasing the awareness of CUDA can enhance adolescents’ convergence competency. Therefore, CUDA and targeted education must be actively promoted among adolescents.

Citations

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  • The impact of elementary school pre-service teachers' perception of diet-related factors on their efficacy in creative dietary teaching
    Yunhwa Kim, Ji Eun Kim, Kyoungae Lee
    Journal of Nutrition and Health.2025; 58(1): 153.     CrossRef
  • 1,334 View
  • 16 Download
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[English]
The frequency of convenience food consumption and attitude of sodium and sugar reduction among middle and high school students in Seoul: a descriptive study
Seoyeon Park, Yeonhee Shin, Seoyeon Lee, Heejung Park
Korean J Community Nutr 2023;28(4):269-281.   Published online August 31, 2023
DOI: https://doi.org/10.5720/kjcn.2023.28.4.269
AbstractAbstract PDF
Objectives
This study aimed to examine the frequency of convenience food consumption at convenience stores (CVS) and the CVS usage patterns of middle and high school students as well as to understand students’ attitude toward sodium and sugar reduction.
Methods
We used an online questionnaire for data collection. The questionnaire comprised five distinct categories: general characteristics, CVS usage, frequency of consumption according to convenience food menus at CVS, attitude toward sodium and sugar reduction, and adherence to dietary guidelines.
Results
A total of 75 students from Seoul (14 middle school students and 61 high school students) participated in the study. Most respondents visit CVS 3-5 times a week. CVS are predominantly used during weekdays, mostly during lunch, and dinner. The students mostly checked the caloric content and expiration date as food labeling information. The participants were aware of the need to reduce their sugar and sodium intake. Among frequent CVS convenience food consumers, there was an increased consideration of the need to reduce their sugar and sodium consumption, despite their actual selection of foods with high sugar and sodium content. Additionally, they did not check the sugar and sodium levels indicated in food labeling. Further, the dietary action guide from the Ministry of Health and Welfare were poorly followed by most students.
Conclusions
There is a need for nutrition education specifically addressing the sugar and sodium content of the convenience foods predominantly consumed by students. Additionally, educating students with frequent convenience food consumption to actively check the sugar and sodium information on food labels could help promote healthier food choices.

Citations

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  • Co-occurrence network and pattern of school lunch using big data and text-mining using data from the 2021–2023 school meal menu information on the NEIS open educational information portal: an exploratory study
    Hyeyun Kang, Jimi Kim
    Korean Journal of Community Nutrition.2024; 29(6): 514.     CrossRef
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[Korean]
Dietary sodium and potassium intake of Koreans estimated using 2 different sources of their contents in foods, Food & Nutrient Database and the Korean Total Diet Study : a comparative study
Jee Yeon Lee, Sung Ok Kwon, Soo Hyun Lee, Min Jeong Seo, Gae Ho Lee, Cho-il Kim
Korean J Community Nutr 2023;28(3):235-244.   Published online June 30, 2023
DOI: https://doi.org/10.5720/kjcn.2023.28.3.235
AbstractAbstract PDF
Objectives
Based on the results from the Korean Total Diet Study (KTDS), the sodium (Na) and potassium (K) intake of Koreans were estimated and compared with intake estimates from the Food & Nutrient Database (FNDB), as in the Korea National Health and Nutrition Examination Survey (KNHANES) to verify the validity of these estimates.
Methods
One hundred and thirty-four representative foods (RFs) covering 92.5% of the total food intake of Koreans were selected, and 228 pairs of corresponding ‘RF x representative cooking method’ were derived by reflecting the methods used mainly in terms of frequency and quantity in their cooking. RF samples were collected from three cities with a larger population size in three regions (nine cities) nationwide, and six composite samples were made for each RF, considering its regional and/or seasonal characteristics. One thousand three hundred and sixty-eight ‘RF x representative cooking method’ pair samples were prepared, and the Na and K contents were assessed using inductively coupled plasma atomic emission spectrometry (ICP-MS). The Na and K intake of the Korean population was estimated by linking the content with the food intake data from the 7th KNHANES.
Results
The mean Na and K intake of Koreans were 2,807.4 mg and 2,335.0 mg per person per day, respectively. A comparison with the Na and K intake from KNHANES, including only RFs of KTDS, showed comparable results with less than 5% variation. While the contribution and ranking of food items to Na intake were similar between KNHANES and KTDS, there were differences in K intake. This was attributed to the large discrepancies in the K content of rice and coffee between KTDS results and the values in the 9th Revision of the National Food Composition Table used in KNHANES.
Conclusions
The Na and K intake of Koreans estimated based on the KTDS, which performed nutrient analysis on samples prepared to a ‘table-ready’ state using foods of the representative collection, was similar and comparable with that of KNHANES. This supports the validity and usefulness of FNDB-based nutrient intake estimation at the population level. The list of nutrients studied in KTDS is expected to be expanded, allowing for intake estimation of nutrients with currently insufficient or absent information in the FNDBs in use.
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[English]
Screen time, mealtime media use, and dietary behaviors in Korean preschoolers : a cross-sectional study
Young-Hee Han, Saerom Shin, Eun Yeol Woo, Hye-Kyung Park, Taisun Hyun
Korean J Community Nutr 2023;28(3):206-219.   Published online June 30, 2023
DOI: https://doi.org/10.5720/kjcn.2023.28.3.206
AbstractAbstract PDF
Objectives
Screen time refers to the time spent using screen media, such as televisions, smartphones, computers, or tablets. Excessive exposure to screen media has been reported to negatively impact young children’s health and development, including overweight, short sleep duration, and language delays. This study examined the association of screen time and mealtime media use with dietary behaviors among preschool children.
Methods
A cross-sectional survey was conducted on parents of children aged three to five years using the online questionnaires of the Nutrition Quotient for Preschoolers (NQ-P) and the Dietary Screening Test (DST). Data from 261 children’s parents were analyzed.
Results
Of the 261 children, 96.9% used screen media, 55.6% used screen media for two hours or more daily, and 30.7% were exposed to screen media during meals. The NQ-P scores were significantly lower in the children with longer screen time and mealtime media use. Children who used screen media for two hours or more and those exposed to screen media during meals consumed kimchi less frequently and confectionery and sugar-sweetened beverages more frequently than children who used less than two hours and were not exposed to screen media during meals. In addition, they were more likely to be picky about food, refuse to eat, and less likely to feed themselves than children with shorter screen time and no mealtime media use.
Conclusions
This study reported an association between unhealthy dietary behaviors, feeding difficulties, and screen time and mealtime media use among preschool children. Further research should explore effective strategies for reducing children’s screen time.

Citations

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  • Evaluation of young children’s dietary behaviors by parental growth concern levels in Gyeonggi area: a descriptive study
    Youn-Rok Kang, Hyung-Sook Kim
    Korean Journal of Community Nutrition.2026; 31(1): 75.     CrossRef
  • Screen Use While Eating and Toddler Dietary Intake in Mexican American Families
    Darcy A. Thompson, Laura K. Kaizer, Sarah J. Schmiege, Natasha J. Cabrera, Lauren Clark, Haley Ringwood, Estefania Miramontes Valdes, Andrea Jimenez-Zambrano, Monica McNulty, Jeanne M. Tschann
    Journal of Nutrition Education and Behavior.2026;[Epub]     CrossRef
  • Exploring the impact of screen time, food advertising, and nutritional knowledge of parents on eating habits in preschoolers: a comprehensive review
    P. Nagadharshini, Veena B. M., Shweatha H. E.
    International Journal Of Community Medicine And Public Health.2025; 12(8): 3836.     CrossRef
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[English]
Changes in dietary habits and chronic diseases before and after COVID-19 by regions using data from the 2018-2020 Korea Community Health Survey and Consumer Behavior Survey for Foods: a cross-sectional study
Surim Park, Eun-hee Jang, Seungmin Lee
Korean J Community Nutr 2023;28(2):124-140.   Published online April 30, 2023
DOI: https://doi.org/10.5720/kjcn.2023.28.2.124
AbstractAbstract PDF
Objectives
This study examined the changes in dietary habits, the prevalence of chronic diseases, and mental health problems in the regional areas of the Republic of Korea before and after the COVID-19 pandemic to provide evidence of the status of regional health inequalities.
Methods
This study analyzed Korean adults aged 19 or older who participated in the Korea Community Health Survey (n = 686,708) and Consumer Behavior Survey for Foods (n = 19,109) from 2018 to 2020. The participants were classified according to their residence area (Seoul metropolitan area, Metropolitan cities, Provinces); 2018-2019 were defined as before COVID-19, and 2020 as after COVID-19. The dietary behaviors, chronic diseases, and mental health problems were measured using a self-report questionnaire.
Results
After COVID-19, the eating-out usage rate in the Seoul metropolitan area and Provinces decreased compared to before COVID-19 (P < 0.001), and when responding that they eat out, the frequency of eating out with household members in the Seoul metropolitan area increased (P = 0.024). The deliveries/takeout usage rate in the Provinces decreased after COVID-19 compared to before (P < 0.001). After COVID-19, the prevalence of obesity decreased in all regions (P < 0.001), and the prevalence of hypertension increased significantly in the Provinces (P = 0.015). The prevalence of diabetes mellitus increased continuously before and after COVID-19 in all regions (P < 0.002). High-risk subjective stress levels increased significantly in the Seoul metropolitan area (P < 0.001), and sleep duration significantly increased in all regions (P < 0.001). Major depressive disorder was reduced significantly in Metropolitan cities (P = 0.042) and Provinces (P < 0.001).
Conclusions
After the COVID-19 pandemic, the prevalence of chronic diseases and mental health problems showed regional differences along with changes in dietary habits. It is necessary to reflect the regional differences in dietary habits in future policies resolving regional health inequalities.
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