연구논문 : 경기 일부지역 노인복지관 제공 무료 급식의 나트륨 등 영양소 함량에 관한 조사

박서연 ( Seo Yun Park ),안소현 ( So Hyun Ahn ),김진남 ( Jin Nam Kim ),김혜경 ( Hye Kyeong Kim ) 한국식품영양학회 2013 韓國食品營養學會誌 Vol.26 No.3

This study was performed to estimate the salt content and evaluate the nutritional quality of free lunch meals served by welfare facilities for the elderly. We collected food items from 8 welfare facilities in Gyeonggi-do, and calculated the total salt content from the salinity and weight of individual food items. The average salt content from lunch meals was 5.68 g, which was over the recommended daily salt intake by the WHO. The greatest contributor to the salt content among the menu groups was soup and stew (37.5%). Soup, stew, deep-fried foods, and sauces were major sources of salt, while the most salty dishes were sauces, deep-fried food, salt-fermented food, and kimchi. The nutrient content was sufficient, except for calcium in both men and women, which was equal to approximately 1/3 of the dietary recommended intakes (DRIs) for Korean adults of their mean age. In addition, the index of nutritional quality (INQ) and nutrient adequacy ratios (NAR) of most nutrients were satisfactory, except for those of calcium and sodium. The INQs of calcium and sodium were 0.64 and 4.41, respectively, while the mean adequacy ratio of a meal was 0.95. These results suggest that multilateral efforts to lower sodium intake be considered and calcium sources be added, in order to improve the quality of meals served to the elderly at welfare facilities.

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.

IVF-ET 임신 중기에 발생한 난소난관농양

박서연 ( Seo Yeon Park ),송태종 ( Tae Jong Song ),김영주 ( Young Ju Kim ),이지은 ( Jee Eun Lee ),김미경 ( Mi Kyoung Kim ),김미라 ( Mi La Kim ),윤보성 ( Bo Sung Yoon ),성석주 ( Seok Ju Seong ),심정연 ( Jeong Yun Shim ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.11

Tuboovarian abscess occurred in pregnancy is a rare disease, especially which occurs after in vitro fertilization and embryo transfer (IVF-ET) is extremely rare. It is also difficult in diagnosis, because of its low incidence and nonspecific symptoms. Most of diagnosis is made in surgery. Although IVF currently is considered an effective treatment in women with endometriosis, there is the risk causing the infection of the endometrioma after oocyte retrieval. A case of tuboovarian abscess in IVF-ET pregnancy was presented and reviewed briefly.

30~50대 여성의 연령별 신체조성분과 식행동, 생활습관 관련 요인 연구

구재옥(Jae Ok Koo),박서연(Seo Yun Park) 대한지역사회영양학회 2012 대한지역사회영양학회지 Vol.17 No.4

This study was carried out to investigate the distribution of body composition, and to analyze its relationship to dietary behaviors and life style. The study subjects were divided into 3 age groups; 30` years (n=78) 40` years (n=71) and 50` years (n=44). The data was collected by physical measurement (Inbody 230) and questionnaires. The rate of disease and general characteristics were higher in the 50 year old group than in the other groups. Average amount of body water, protein, mineral and body fat were 29.0 kg (50.4%), 7.7 kg (13.4%), 2.8 kg (4.8%), 18.7 kg (31.5%), respectively. The rate of menopause was significantly different with increasing age. Menopause was 1.3%, 9.1%, 79.6% by age respectively. Body fat percent was significantly increased and body water decreased with age (p<0.01). The fat composition was higher and the mineral content was lower in 50` year old group. Dietary behavior scores of 30` year old group was significant lower than in the other two groups (p<0.001). The means of salty eating, skipping meals, fruit intake and food habits total point were significantly higher in the 50 year old group than in the other groups. There were significant positive correlations between age, BMI, waist hip ratio respectively (p<0.01). There were significant negative correlations between age and body water, body mineral, skeletal muscle (p<0.01, p<0.05, p<0.01). The results of this study suggested that nutritional management and education for adult women differ by age group. (Korean J Community Nutr 17(4): 440~449, 2012)

성인 여성의 비만도와 신체구성 성분, 체중조절과 식행동 요인 분석

구재옥(Jae Ok Koo),박서연(Seo Yun Park) 대한지역사회영양학회 2011 대한지역사회영양학회지 Vol.16 No.4

This study was carried out to investigate distribution of obesity, body composition, weight control and dietary behaviors, and to analyze the relationship between Body Mass Index (BMI) and physical characteristics, body composition and dietary behaviors by anthropmetric measurement and questionnaires. The 199 study subjects were divided into 3 age groups; 30``s (78), 40``s (77) and 50``s (44) and 4 groups by BMI ; under weight (4.5%), normal (51.3%), over weight (26.1%) and obese (18.1%). Amount of skeletal muscle, body water, mineral and body fat were significantly increased with BMI. There were especially significant increase skeletal muscle 5.3 kg (19.1 → 23.5 kg), body water 5.3 kg (26.3 → 31.6 kg) and fat 15.2 kg (11.2 → 26.4 kg) from under weight to obesity group, respectively (p < 0.01). There were significantly decreased in the ratio of body water (10.3%), protein (2.7%) and body mineral (1.1%) from under weight to obesity, but significant increase 14.1% in body fat (p < 0.001). About 44.4% of under weight group and 40.1% of normal group and 50% of over and obesity group had dissatisfaction on their body images. Most of the women were concerned about their body images and experienced weight control. Dietary behavior scores of obesity group were significant lower than the other four groups (p < 0.001). There were significant positive correlation between BMI and body water (r = 0.62), protein (r = 0.52), skeletal muscle (r = 0.63), body fat (r = 0.91) and WH ratio (r = 0.91), respectively (p < 0.001). The correlation between BMI and body fat and WH ratio were much higher than the correlation between weight and fat and WH ratio. (Korean J Community Nutr 16(4) : 454~465, 2011)

30~60대 여성의 골밀도와 비만도, 폐경, 혈압, 식생활 관련 요인 분석

구재옥(Jae Ok Koo),박서연(Seo Yun Park) 대한지역사회영양학회 2010 대한지역사회영양학회지 Vol.15 No.3

Reducing women`s bone mineral density (BMD) has close relationship to risk in osteoporosis. This study was carried out to identify bone density risk factors affecting women`s BMD, and to analyze the relationship of age, between BMD and menopause, BMI, blood pressure lifestyle and dietary habits for bone health by physical measurement and questionnaires. The study subjects, 128 women living in Seoul, were divided into 4 age group; 30~39 years (17), 40~49 years (54) and 50~59 years (36) and 60~69 years (21). There were significant differences in mean height, BMI, systolic blood pressure, menache and menopause age and menopause ratio and BMD T-score among the 4 age groups. BHD was significantly decreased according to increasing age and BMI and menopause. The rate of BMD risk subjects was significantly different increasing with age and BMI. The rate of risk group were 0%, 13%, 22.2% and 71.4%, by age groups and 0%, 16.2%, 33.3% and 52.9% by BMI respectively. BMD of menopause groups was significantly decreased from 1.23 (40 years) to 1.34 (60 years). p < 0.001. Also systolic blood pressure were significantly increased from 116.5 mmHg (30 years) to 130.81 mmHg (60 years). The T-score of normal group also decreased significantly from 1.27 to 0.13 (60years) with age. There were significant negative correlation between BMD and age (r=?0.409) menopause (r=?0.346), BMI (r=?0.218) systolic blood pressure (r=?0.193), salty taste eating out (r=?0.185) (p<0.05). There were significant positive correlation between BMD and meat fish and walking time. In conclusion, bone density decreased with age. Most of the 50 years` subjects were in risk group. BMI, menopause, systolic blood pressure, frequency alcohol consuming. To prevent osteoporosis, over 40 years needed to be educated to maintain normal weight and the improvement of eating and living habits. (Korean J Community Nutrition 15(3): 403~414, 2010)

저나트륨 식생활 교육이 과체중 및 비만 중년여성의 식습관, 식사의 질 및 비만지표에 미치는 영향

정수빈(Soo Bin Jeong),박서연(Seo Yun Park),안소현(So Hyun Ahn),김진남(Jin Nam Kim),김혜경(Hye Kyeong Kim) 대한지역사회영양학회 2014 대한지역사회영양학회지 Vol.19 No.6

This study was conducted to investigate the effect of low sodium diet education program on dietary habits, diet quality, and measures of obesity in overweight or obese middle-aged women. Methods: Subjects were 81 individuals aged 45 years or over, who completed an 8- week nutrition education. The subjects were divided into a normal group (N = 30) and an overweight-obese group (N = 51) according to the BMI. The effects were evaluated by anthropometric measurement, biochemical analysis, questionnaire, and diet records before and after the program. Results: Overweight-obese group showed significant decreases in weight (p < 0.0001), BMI (p < 0.0001), percent of body fat (p = 0.0087), waist circumference (p < 0.0001), systolic (p = 0.0003) and diastolic blood pressure (p = 0.0261). Nutrients intakes were not different between the two groups and only sodium intake was decreased after education. Total score of general dietary habits, dietary behavior related to sodium intake, dietary diversity score (DDS), diet variety score (DVS), and diet quality index-international (DQI-I) were improved in both groups compared to the baseline. Overweight-obese group showed significant improvement in ‘having fruits everyday’, ‘having fish everyday’, ‘trying to eat many kinds of food’, ‘eating less broth when eating soup, stew, and noodles’, ‘eating less kimchi and salt-fermented vegetable’, and ‘propensity to think that dishes should be pretty seasoned’. In addition, moderation of empty calories food (p = 0.0064) and macronutrient ratio (p = 0.0004) were improved in the overweigh-obese group, but in the normal group, the results did not reach statistical significance. Conclusions: These results suggested that low sodium diet education program may contribute to obesity management by improving diet quality and dietary habits in middle-aged women.

경기도지역 어린이집과 유치원 급식의 소금함량 및 유아 식사준비자의 나트륨 섭취관련 식태도 조사

김진남(Jin Nam Kim),박서연(Seo Yun Park),안소현(So Hyun Ahn),김혜경(Hye Kyeong Kim) 대한지역사회영양학회 2013 대한지역사회영양학회지 Vol.18 No.5

Dietary habit of excess sodium consumption is formed mainly by excessive salt intake from the younger age and this may lead to hypertension, stroke, and stomach cancer. This study was performed to estimate the salt content in kindergarten meals and provide basic data on meal providers` dietary attitude to sodium intake for nutrition education. We collected data on161 food items from 16 institutions in Gyeonggi-do and salt content was calculated from salinity and weight of individual food items. The average salt content from lunch meals was 2.2 g, which was about daily adequate intake of sodium for children aged 3 to 5 years old. Greatest contributor to the salt content in a meal was soup and stew (47.8%). The most salty dishes were sauces and kimchi followed by stir-fried food, deep-fried food, braised food, and grilled food. The salt content was higher in soup and stew despite of low salinity, due to the large quantity per serving. The salt contents of soups and kimchi were 40.6% and 14.3%, respectively of the total salt content in dish groups. Staff members and caregivers at home who prepared food for the child showed preference for one-dish rice meal, dried fish and salted mackerel, and broth when eating soup, stew, and noodles. Caregivers showed higher sodium index score and had higher preference for processed food such as Ramen, canned food, and ham compared with staff members (p < 0.05). These results suggested that monitoring salt content of kindergarten meals and nutrition education for those prepare meals for children are needed to lower sodium intake in childhood. (Korean J Community Nutr 18(5) : 478~490, 2013)