경기 도시 지역 보건소 성인 방문자의 식생활과 건강 관련 라이프스타일 조사

권종숙(Jong Sook Kwon),김경민(Kyung Min Kim),서현창(Hyun Chang Seo),이윤나(Yoon Na Lee),임승건(Seung Geon Lim),최영숙(Young Sug Choi) 대한지역사회영양학회 2013 대한지역사회영양학회지 Vol.18 No.6

The purpose of this study was to investigate dietary behaviors and health-related lifestyles of adult visitors at a public health center in Gyeonggi urban area. A survey using questionnaire was conducted with 949 visitors at Seongnam public health centers from June to August, 2012. The data from 905 respondents were analyzed by gender, consisting of 322 males and 583 females, and age group, consisting of 243 low-age group (LA), 312 middle-age group (MA), 350 high-age group (HA), aged 20 to 30 years, 31 to 50 years, and 51 to 69 years, respectively. Average Body Mass Index was 23.0, which increased with age, and education level was high in LA. 59.0 percent of the subjects had various diseases, and the incidence of hypertension was the highest, followed by allergy, hyperlipidemia, diabetes mellitus, joint rheumatism. Incidence rates of chronic disease increased with age, which were lower than those from 2011 Korea National Health and Nutrition Examination Survey (KNHANES). Weekly drinking frequency rate and smoking rate decreased with age, and exercise performing rate was high at male and HA, which showed the same tendency as KNHANES. Female and HA showed more healthy dietary behaviors such as restricting salt, sugar, oily foods, foods containing food additives, calorie, caring for balanced diet, and referring to nutrition label. Subjects chose stress as the first factor, followed by diet, exercise, etc., among 13 suggested factors which strongly influence on human``s life-span. In general, public health center visitors, especially female and HA, showed better dietary behaviors and health-related lifestyles compared with KNHANES.

성남지역 노인의 영양 및 건강상태 조사 -1. 신체 계측 및 생화학적 영양상태-

권종숙 ( Jong Sook Kwon ),이홍재 ( Hong Jae Lee ) 한국식품영양학회 2003 韓國食品營養學會誌 Vol.16 No.4

외국인 근로자 환자의 영양 교육 프로그램 모델 개발을 위한 연구

권종숙 ( Jong Sook Kwon ) 한국식품영양학회 2010 韓國食品營養學會誌 Vol.23 No.4

This study was performed to develop a nutrition education program model for foreign worker patients. Questionnaire and interview were carried out for collecting quantitative and qualitative information from subjects, respectively. All subjects were foreign worker patients who could speak Korean, composed of 75 Chinese, 4 Mongolians and 1 American, aged from 22 to 73 years old. Among the subjects, 36 subjects had gastrointestinal disease(GD), 16 had coronary heart disease(CHD), 6 had diabetes, 6 had liver disease(LD) and the others had various different diseases. List of recommended and restricted foods for foreign workers to prevent GD and CHD were obtained from interviews with the subjects. A nutrition education program model for foreign worker patients having GD and CHD were developed, and small group education method was recommended. The contents of the program include cause and common symptom and basic nutrition care for the patients, choice of foods and cooking methods, behavioral modification, importance of medication and list of foods recommended and restricted for the patients.

요양시설 거주 노인의 에너지와 영양소 섭취 실태 및 식품선호도 조사

권종숙(Jong-Sook Kwon),이승희(Seung Hee Lee),이강민(Kang Min Lee),이윤나(Yoonna Lee) 대한지역사회영양학회 2016 대한지역사회영양학회지 Vol.21 No.2

음식사진을 이용한 식사섭취량 조사법에 관한 연구

권종숙(Jong Sook Kwon),김경민(Kyung Min Kim),김혜경(Hye Kyeong Kim) 대한지역사회영양학회 2010 대한지역사회영양학회지 Vol.15 No.6

This study was performed to investigate the validity of food photographs for estimating individuals` dietary intakes and compare it with other dietary assessment methods. Subjects were 7 professors, 2 researchers, 12 dietitian and 16 graduate students majoring in food and nutrition. Among the subjects, 20 subjects had research experiences in the dietary intake survey more than one year while 17 had not. Each subject estimated 50 food portions displayed in computer monitor by comparing with standard food photographs, which were weighed portions of 28 foods from typical Korean diet. No significant differences between the estimated value and the weighed value of 17 (34%) food portions were shown in research-experienced group and those of 14 (28%) food portions were shown in no-research-experienced group. 24-hour recall was the most frequently-used method for dietary assessment followed by in the order of food frequency questionnaire, dietary record, diet history and weighing method. After estimating food portions by photographs, 30 subjects (81%) were willing to use the method for dietary assessment because of its convenience and easy communication between researcher and subject. This study suggests that digital photography method would be a useful and convenient new instrument for estimating individuals` dietary intake. However, it is necessary to create standard database for food portions and carry out systematic education for food estimation in order to apply this method in the fields. (Korean J Community Nutr 15(6): 760~775, 2010)

저선량 전자선 조사된 국내산 참다래의 이화학적 품질변화

김경희,권종숙,이정옥,이병철,박성희,육홍선,Kim, Kyoung-Hee,Kwon, Jong-Sook,Lee, Jeong-Ok,Lee, Byung-Cheol,Park, Seong-Hee,Yook, Hong-Sun 한국식품영양과학회 2007 한국식품영양과학회지 Vol.36 No.5

참다래에 0.3 및 0.6 kGy의 저선량 전자선 조사를 실시한 후 $20^{\circ}C$, 4주간 저장하면서 0, 1, 2, 3 및 4주차에 항산화 활성과 이화학적 품질변화에 미치는 영향을 조사하였다. 수소공여능, pH는 조사에 의한 변화는 없었으며, 비타민 C 함량은 조사구에서 높게 나타났다. 당 함량은 저장기간 동안 후숙이 진행되면서 증가하였으나 조사에 의한 유의차는 나타내지 않았다. 가용성 고형물 함량은 조사구에서 저장초기에 높았으나 저장기간에 따른 증가폭은 적었다. 유기산의 경우 저장 초기에 조사에 의한 변화가 적으면서 조사한 참다래의 경우 저장기간 동안 유기산 함량의 감소폭이 적게 나타났다. 따라서 참다래에 대한 0.6 kGy까지의 전자선 조사는 약간의 후숙 지연 효과를 가지면서 항산화 활성 및 이화학적 품질에는 영향을 미치지 않는 것으로 사료되었다. Changes in physicochemical quality and antioxidant activity of kiwifruits by the low dose electron beam irradiated(0, 0.3, 0.6 kGy) were investigated. Fruits were stored at $20^{\circ}C$ for 28 days and evaluated after 0, 1, 2, 3, and 4 week storage. Irradiation did not affect 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical scavenging activities, and pH. Vitamin C contents of irradiated fruits were higher than non-irradiated fruits. Irradiation caused no significant change in total sugar contents and reducing sugar contents. Soluble solid contents in irradiated fruits were higher than non-irradiated fruits for the initial storage period but showed lower increment rate during the storage period. Organic acid contents of irradiated fruit did not show significant effect for the initial and during the storage periods, rate of decline in organic acid content of irradiated fruit were not significantly changed. Results indicated that electron beam irradiation of kiwifruit up to 0.6 kGy is effective in was delayed ripening with no significant changes on antioxidant activity and physicochemical qualify of kiwifruit.

주부의 나트륨 저감화 행동변화 단계에 따른 식행동 특성 분석 및 저나트륨 식사 방법의 실천용이도에 관한 연구

안소현(So Hyun Ahn),권종숙(Jong Sook Kwon),김경민(Kyung Min Kim),윤진숙(Jin Sook Yoon),강백원(Baeg Won Kang),김종욱(Jong Wook Kim),허석(Seok Heo),조해영(Hea Young Cho),김혜경(Hye Kyeong Kim) 대한지역사회영양학회 2012 대한지역사회영양학회지 Vol.17 No.6

This study was intended to investigate the sodium-related perception, dietary behavior, and practicability of methods for reducing sodium intake(RSI) according to the stage of change in consumers. The survey was conducted to 770 housewives, among them 553 subjects who answered the key questions for the stage of change were categorized into ‘Maintenance (M)’ stage (maintaining reduced salt intake for more than 6 months; n = 287, 51.90%), ‘Action (A)’ stage (maintaining reduced salt intake for less than 6 months; n=139, 25.14%), and ‘Pre-Action (P)’ stage (not starting reduced salt intake; n = 127, 22.97%). The subjects in M and A were significantly older than those in P (p < 0.01). The scores of desirable dietary habit and dietary balance were the highest in M followed by A and P. When eating out, the subjects in P considered ‘price’ more and ‘healthiness of food’ less than those in M and A did. Among the guidelines for RSI, ‘Avoid Processed Foods’, ‘Eat enough vegetables and fruits’ and ‘Add little amount of dipping sauce for fried food’ were selected as the three easiest items to perform. With regard to the sodium-related perception, the subjects in M considered eating-out food to be more salty than homemade dishes, read nutrition labels more, avoided table salt or dipping sauce for fried food more, and had ‘own low-sodium recipe’ than those in P (p < 0.001). It is suggested that practicability of actions for RSI and the stage of change should be considered to develop effective personalized education program and nutrition guidance. (Korean J Community Nutr 17(6) : 724~736, 2012)

일부 프로 축구선수들과 성인 남성의 식품섭취패턴, 식습관 및 영양지식에 관한 비교 연구

김혜경(Hye Kyeong Kim),권종숙(Jong Sook Kwon),김찬(Chan Kim),김준호(Jun Ho Kim),김철현(Chul Hyun Kim),김경민(Kyung Min Kim) 대한지역사회영양학회 2008 대한지역사회영양학회지 Vol.13 No.2

This study was performed to compare food consumption patterns, dietary behavior, and nutrition knowledge between Korean professional soccer players and the non-athletic males. Data were collected from 53 soccer players working for Korean professional soccer clubs and 44 non-athletic males, using self-administered questionnaires. There were significant differences in food consumption frequency between two groups. Meats and eggs, fishes and shellfishes, sea weeds were consumed more frequently by the soccer players. The frequency scores of foods rich in iron, calcium, and protein were also higher in the soccer players compared with the non-athletes. Meanwhile, the consumption of alcohol was more frequent in the non-athletes. As for the cooking method, the soccer players showed higher preference for steaming/parboiling and consumed raw vegetables and fruits more frequently than the non-athletic males (p<0.05). The average scores of soccer players on nutrition knowledge for basic nutrition and athletic nutrition were lower than the respective values of the non-athletic males. However, the soccer players showed better eating behaviors and dietary habits compared with non-athletic males (p<0.001). They had well-balanced, regular diet and good habits for chronic disease prevention. No significant relationship could be observed with respect to nutrition knowledge and nutritional behavior. Moreover, the experience of getting nutrition information did not affect either nutrition knowledge score or nutritional habits score, except that for habits of chronic disease prevention in non-athletes. Therefore, it is suggested that more effective and practical nutrition education program be needed for promoting healthy eating habits and improving nutritional status in young males. (Korean J Community Nutrition 13(2) : 164~175, 2008)

건강신념 모델을 적용한 고혈압 영양교육 프로그램 개발

박서연(Seo Yun Park),권종숙(Jong Sook Kwon),김초일(Cho Il Kim),이윤나(Yoon Na Lee),김혜경(Hye Kyeong Kim) 대한지역사회영양학회 2012 대한지역사회영양학회지 Vol.17 No.5

Health Belief Model is a socio-psychological theory of decision making to individual health-related behaviors. This study was aimed to develop an effective education program for hypertension based on health belief model. The main factors of health belief model were investigated by focus group interview (FGI) with 23 hypertensive or prehypertensive subjects aged over fifty years. ``Perceived susceptibility`` to hypertension was family history, neglect of health care, preference for salty food, broth of soup and stew. Lifelong medication, complications, and medical costs were reported as ``perceived severity`` of hypertension. ``Perceived benefits`` of hypertension management were decrease of medicinal dose, reduction of medical costs, and healthy eating habits of the family, while ``perceived barriers`` were lack of palatability of low salt diet, convenience-oriented dietary habits, and limited choice of foods when eating out. Subjects mentioned TV health programs, public health center programs, and advice from doctors and family as ``cues to action`` of hypertension management. These qualitative information provided basis for developing a nutrition education program for hypertension which could be implemented in the public health center. Eight week program was composed of understanding hypertension, risk factor management (eating habits, weight), low salt diet (principles, cooking), advanced management for healthy diet in 2 sessions, and summary. Each session was designed to alert the susceptibility and severity, to emphasize the benefits, and to reduce the barriers by providing dietary monitoring, practical advice, and action tips.

50세 이상 여성을 대상으로 한 보건소 기반 고혈압 영양교육의 효과 평가

박서연(Park, Seoyun),권종숙(Kwon, Jong-Sook),김혜경(Kim, Hye-Kyeong) 한국영양학회 2018 Journal of Nutrition and Health Vol.51 No.3

본 연구는 선행연구로 개발된 고혈압 관리를 위한 식생활 영양교육 프로그램의 효과를 평가하고자 서울의 3개 지역 보건소에서 50세 이상의 여성을 대상으로 영양교육 8주와 추후관리 8주로 구성된 16주간의 교육을 실시하고 정상혈압군 (71명)과 정상혈압을 초과한 고혈압군 (44명)으로 나누어 분석하였다. 교육시작 전, 8주 교육 후, 프로그램이 종료된 16주 후에 실시한 혈압 측정 및 신체계측, 혈액분석, 설문조사를 분석한 결과는 다음과 같다. 고혈압군의 혈압강하제 복용 비율은 86.4%였고 체중, BMI, 체지방비율, 허리둘레가 정상혈압군에 비해 높았다. 영양교육 8주 후 고혈압군과 정상혈압군의 수축기혈압이 감소되었고 (p < 0.05), 체중 (p < 0.001), BMI (p < 0.001), 허리둘레 (p < 0.001), 체지방비율 (p < 0.01)이 감소하였다. 혈액검사결과 고혈압군은 프로그램이 종료된 16주 후 HDL-콜레스테롤 증가 (p < 0.001)와 중성지방 감소 (p <0.01), LDL-콜레스테롤 감소 (p < 0.05)가 나타났고, 정상혈압군도 HDL-콜레스테롤 (p < 0.001)과 중성지방 (p <0.01)의 유의미한 변화가 나타났다. 일반식습관 총점수와 규칙적인 식습관, 균형 잡힌 식습관, 건강을 의식한 식습관의 항목 소계, 나트륨 관련 영양지식 총점이 두 군 모두 교육 후 유의적인 상승을 나타냈다 (p < 0.001). 또한 정상혈압군의 나트륨 관련 식행동 총점이 상승되었고 (p < 0.001) 고혈압군에서도 향상되는 경향을 나타냈다. 이와부합하여 고나트륨 함유음식의 섭취빈도 총점이 교육 후 유의적으로 감소하였고 두 집단 모두 국수류, 찌개와 탕류, 김치류와 음료류의 섭취빈도가 낮아졌다. 혈압관리를 위한 자기효능감점수의 총점이 고혈압군과 정상혈압군 모두 유의적으로 상승하였는데 (p < 0.001) 특히 고혈압군은 자아효능감의 모든 문항점수가 향상되었다. 종합하면 50대 이상 여성을 대상으로 실시한 본 식생활 영양교육은 혈압이 높은 군과 정상혈압군 모두에서 혈압관리 뿐만 아니라 신체계측지표 및 혈액지표에 긍정적인 변화를 유도하고 저나트륨 관련 식행동을 비롯한 일반식습관의 전반적 개선효과를 보였다. 이는 건강위험에 대한 각성, 식생활 변화를 유도할 수 있는 계기와 모니터링을 통한 실천 관리를 제공한 프로그램이 대상자의 요구에 부합한 결과로 생각된다. 본 연구는 건강위험이 높아지는 50대 이상 여성의 혈압관리 및 만성질환 예방과 식생활 관리를 위해 보건소에 기반한 지역사회 교육 프로그램의 유효한 모델을 제시한 점에 의의가 있다. Purpose: The health risk of women increases after menopause. This study evaluated the effectiveness of a public health center-based nutrition education program for hypertension in women older than 50 years of age. Methods: The program included 8-week nutrition education and 8-week follow-up with keeping a health diary and nutrition counseling. The program was evaluated three times: before and after the nutrition education, and after the follow-up. The subjects were classified into hypertensives (n = 44) or normotensives (n = 71). Results: The rate of taking antihypertensive drugs in the hypertensive group was 86.4%. The systolic blood pressure decreased in the hypertensive and normotensive groups after nutrition education (p < 0.05). The body weight (p < 0.001), BMI (p < 0.001), waist circumference (p < 0.001), and percent body fat (p < 0.01) were also decreased after nutrition education in both groups. The hypertensive group showed an increase in HDL-cholesterol level (p < 0.001) and decreases in triglycerides (p < 0.01) and LDL-cholesterol (p < 0.05) levels after completion of the program. The normotensive group also displayed significant changes in HDL-cholesterol (p < 0.001) and triglycerides (p < 0.01). The dietary habits and nutrition knowledge on sodium and hypertension were improved in both groups (p < 0.001). The total score of dietary behavior related to the sodium intake was improved in the normotensive group (p < 0.001). The total score of the high sodium dish frequency questionnaire decreased in both groups after nutrition education and completion of the program compared to that before the program. Decreases in the consumption frequencies of noodles, pot stews and stews, Kimchi, and beverages were significant. The total self-efficacy score was increased in both groups by the program (p < 0.001). In particular, the hypertensive group showed improvement in all items. Conclusion: This public health center-based nutrition education program may contribute to the prevention and management of hypertension and chronic diseases in women over 50 years of age.