Anthropometic Characteristics, Serum Profiles and Nutrient Intakes by Drinking and Non-Drinking Status of Korean Women Aged 30–49 Years: Based on Korean National Health and Nutrition Examination Survey (2008–2015)

This study was conducted to investigate the anthropometric data, serum profiles, food intakes frequency, and nutrient intakes of women aged 30–49 years. The subjects were divided into two groups: drinking group and non-drinking group. For the study, we obtained data for analysis from the combined 2008–2015 Korean National Health and Nutrition Examination Survey (KNHANES). Height and weight were 159.2 cm and 58.1 kg in the drinking group as well as 158.1 cm and 57.7 kg in the non-drinking group, respectively. Obesity percentage in the two groups were 22.5% and 24.8%, respectively. HDL-cholesterol (P < 0.001) and Vitamin D (P=0.0248) levels in the drinking group were significantly higher than those of the non-drinking group. In the drinking group, rates of hypertension, myocardial infarction, and diabetes were significantly lower than those of the non-drinking group. Food and nutrient intakes, including energy, water, protein, fat, retinol, thiamin, riboflavin, and niacin, in the drinking group were significantly higher than those of the non-drinking group. In the two groups, energy, water, fiber, calcium, and potassium intakes were low while Na intakes were extremely high considering KDRIs (Dietary Reference Intakes for Koreans). The mean adequacy ratio (MAR) in the two groups was not significant.

May Obesity and Nutritional Knowledge Influence the Assessing Energy Intake Underreporting in Adults?.

Aims: Investigate the influence of the nutrition knowledge and nutritional status in the assessing energy intake underreporting. Methodology: It’s a cross-sectional study in 52 adults treated in an ambulatory. The nutritional knowledge was measured through the Nutritional Knowledge Scale. The anthropometric data analyzed were: waist circumference, height and weight. The food consumption was checked by three recalls of 24 hours. The resting metabolic rate was calculated by the Mifflin’s formula, and the assessing energy intake underreporting was calculated after Goldberg’s formula. Statistical analysis was performed by the “Bioestat 5.0” program and the Chi Square test for trend was used to evaluate the association between variables (p≤0,05). Results: The studied group showed an average age of 38,90±9,52. The assessing energy intake underreporting was noted in 92,3% of the sample. It was observed that the average energy intake related (1583,27±575,29 Kcal) was less than the average of the resting metabolic rate (1802,71±227,02 Kcal). Higher values of IMC (A = 0,153; p = 0,85) and in waist circumference (A = 2,769; p = 0,05) were associated with the increase of the assessing energy intake underreporting. In the other hand, there was a decreasing tendency (A = - 0,384; p = 0,750) in the association between energetic underreporting and nutritional knowledge. Conclusion: It was observed a higher tendency of assessing energy intake underreporting between individuals with higher IMC and waist circumference and lower nutritional knowledge.

Analysis of anthropometric data for premature infants of 26 to 35 weeks of gestation; comparison with the data of 1960's / 소아과

PURPOSE: The anthropometric data of newborns published by Lubchenco et al in the 1960's have been most commonly used in Korea as a standard of newborn growth. We hypothesized that Lubchenco's data have limitations for Korean premature infants born in the 2000's. We analyzed and compared the data of birth weight, length, and head circumference. METHODS: The medical records of 1,159 premature infants of 26 to 35 weeks of gestational age born at Il-Sin Christian Hospital of Busan from January 2,000 to August 2,006 were reviewed. The anthropometric data from total 1,010 premature infants were analyzed after excluding the data from infants whose gestational age were estimated by other than ultrasonogram, and infants with major congenital anomalies or chromosomal anomaly, born from foreign parent, and extreme outliers. RESULTS: In the birth weights by gestational age, our 90 percentile values were lower than Lubchenco's 90 percentile values for all gestational age studied, particularly for less than 30 weeks the 90 percentile curve was drawn at the area as that of Lubchenco' 75 percentile. And our 10 percentile values were higher than Lubchenco's 10 percentile values for all gestational age studied. In the birth length and head circumference by gestational age, our 90 percentile values were lower than Lubchenco's 90 percentile values for all gestational age studied, and the 90 percentile curve was drawn at the area as that of Lubchenco's 75 percentile. And our 10 percentile values were higher than Lubchenco's 10 percentile values for all gestational age studied. CONCLUSION: It is unreasonable to apply Lubchenco's data published before 4th decades to present Korean premature infants and have a risk to underestimate intrauterine growth retardation or small for gestational age and large for gestational age. Considering for the possibility of increasing the mortality and morbidity of premature infants due to delayed diagnosis and treatment by these underestimating, our anthropometric data of premature infant is expected to contribute to lower the mortality and morbidity of premature infants.

Anthropometric Analyses of Korean Female Knees

PURPOSE: This study is to establish a detailed anthropometric data of Korean female knee and to compare the data with current total knee prostheses. MATERIALS AND METHODS: 476 consecutive osteoarthritic knees were measured intraoperatively about anteroposterior (AP) dimension of medial and lateral condyle, and mediolateral (ML) dimension of distal femur as well as proximal tibia. Dimensions of 5 total knee arthroplasty (TKA) systems were compared with these measurements. RESULTS: The AP dimension of medial and lateral condyle, and ML dimension of distal femur were 60.3+/-3.5 mm, 60.9+/-3.2 mm and 68.4+/-3.9 mm, respectively. Those of proximal tibia were 47.4+/-2.8 mm, 39.5+/-3.1 mm and 67.4+/-2.9 mm, respectively. Korean femurs below -1 standard deviation (SD) in lateral AP dimension had narrower ML dimension than femoral prostheses. And most femurs above -1 SD in lateral AP dimension had wider ML dimension than femoral prostheses. Korean tibias had wider ML dimension than tibial prostheses. CONCLUSION: Current total knee prostheses had tendency to ML overhang in small femurs and ML undercoverage in other femurs, and tendency to ML undercoverage or posterolateral overhang in tibias. Thus, Korean anthropometric data should be considered in Korean-friendly prostheses.

Nutritional Status of Continuous Ambulatory Peritoneal Dialysis Patients

Dialysis patients are at risk of malnutrition not only because of losses of nutrients during peritoneal dialysis but also because of anorexia that results in inadequate nutrient intakes. The aim of this study was to estimate the nutritional status of 154 patients receiving continuous ambulatory peritoneal dialysis (CAPD), especially focused on protein-energy malnutrition and vitamin and mineral status. The mean age of the subjects was 51.2 +/- 12.4 y with educational years of 12.3 +/- 0.4 y for male and 9.6 +/- 0.4 y for female. The mean duration of dialysis was 22.7 +/- 21.7 mo. The causes of renal failure included diabetes (32.7), chronic glomerulonephritis (15.0%), and hypertension (8.5%). The main complications associated with chronic renal failure were hypertension (86.1%), diabetes (35.4%) and liver disease (9.0%). The mean daily energy intake was 1216.8 +/- 457.3 kcal and increased to 1509.2 +/- 457.2 kcal when added with the energy from dextrose in dialysate. The latter was still much lower than estimated energy requirement but energy intake per kg of body weight (28.1 kcal/1 g) was within the range of that recommended for CAPD patients' diet therapy (25 - 30 kcal/kg). The average daily intake of protein was 49.2 +/- 25.1 g with 37.6% of the patients showing their intakes less than Estimated Average Requirement. The average protein intake per kg of weight was 0.9 g/kg, which is less than that recommended for CAPD patients (1.2 - 1.5 g/kg) with mean serum albumin level 3.2 +/- 0.5 g/dl. The proportion of the patients with dietary calcium intake less than EAR was 90.9%, but when added with supplementary calcium (phosphorus binder), most patients showed their total calcium intake between EAR and UL. Fifty percent of the patients were observed with dietary iron intake less than EAR, however most patients revealed their total iron intake with supplementation above UL. The addition of folic acid with supplementation increased mean total folic intake to 1126.0 +/- 152.4 microgram and ninety eight percent of the subjects showed their total folic acid intake above UL. The prevalence of anemia was 83.1% assessed with hemoglobin level, even with high intakes of iron with supplementation. Thirty four percent of the patients showed their fasting blood glucose was not under control (> or = 126 mg/dl) even with medication or insulin probably due to dextrose from dialysate. The mean blood lipid levels were within the reference levels of hyperlipidemia, but with 72.1% of the patients showing lower HDL-C. In conclusion, Fairly large proportion of the patients were observed with protein malnutrition with low intake of protein and serum albumin level. Few patients showed their vitamins and minerals intake less than EAR with supplementation. For iron and folic acid, their intakes were increased to above UL for large proportion of the patients. However, more than eighty percent of the patients were still anemic associated with decreased renal function. The serum blood glucose and lipid level were not under control for some patients with medication. It seems that supplementation and medications that patients are taking should be considered for dietary consulting of CAPD patients.

A Study on Nutrient Intake, Anthropometric Data and Serum Profiles among High School Students Residing in Seoul / 대한지역사회영양학회지

This study was performed to investigate the anthropometric data, serum profiles, and nutrient intakes of high school students who are living in Seoul. Anthropometric data showed that mean height and weight were 174.1 cm and 66.6 kg in 99 male and 161.4 cm and 54.0 kg in 116 female students. Mean BMI for male and female students were 21.9 and 22.3 kg/m2, and subjects with BMI > 25 kg/m2 were 14 and 7%, respectively. Total cholesterol, HDL- and LDL-cholesterol of subjects were 149.6 +/- 3.1, 46.4 +/- 1.3, 86.4 +/- 2.3 mg/dl for males and 169.2 +/- 3.1, 50.7 +/- 1.0, 100.9 +/- 2.7 mg/dl for females, respectively. Hemoglobin (Hb) and total iron binding capacity (TIBC) were 12.8 +/- 0.1 g/dl, 437.3 +/- 7.2 microgram/dl in male and 11.9 +/- 0.1 g/dl, 439.4 +/- 5.7 microgram/dl in female, respectively. Based on Hb classification, 45.6% of male and 45.0% of female students fell into anemic condition. Intakes of energy, Ca, Fe, Zn, riboflavin, and folate were below the Korean RDA. In particular Ca (male and female, respectively, 64.6 and 643% RDA) and Fe (male and female, respectively, 78.6 and 64.3%RDA) intakes were extremely low. Serum triglyceride was positively significantly correlated with weight (r = 0.22), BMI (r = 0.279), waist circumference (WC, r = 0.235), triceps skin-fold thickness (TSF, r = 0.197) and obesity index (OI, r = 0.279). Hb concentration was positively correlated with height (r + 0.387), weight (r = 0.349), BMI (r = 0.191) and waist/hip ratio (WHR, r = 0.380). As for the correlation between serum profiles and nutrient intakes, the Hb concentration was positively correlated with energy (r = 0.163), protein (r = 0.149), Na (r = 0.153), vitamin A (r = 0.165), thiamin (r = 0.201) and niacin (r = 0.192, p < 0.01). These result suggest that the prevalence of Ca and Fe deficiency of student is high and dietary guideline for prevent anemia in this age needs to contain the adequate intake of energy and its related vitamins.

Gender and Age Differences in the Nutritional Status of the Low Income Elderly Living in Gwangju / 대한지역사회영양학회지

This study was undertaken to assess nutritional status of the low income elderly residing in Gwangju. Anthropometric data showed that mean height of the subjects was lower than that of Korean Standard Growth data but weight was similar to that standard value. As the subjects became older, their heights and weights were decreased. Body mass index (BMI) in males and females were 22.9 and 24.4 respectively. However, BMI distribution showed that 56% of the elderly females under 75 were underweight. Advancing age conoibutes significant difference in triceps skinfold thickness in females (p<0.001). Total cholesterol level was higher in the elderly females than the males. It was found that a considerable number of subjects had anemia determined by hemoglobin and hematocrit level, which indicated un iron deficiency. Twenty-four hour dietary recall revealed that, except for phosphorus and vitamin C, all the nutrient intakes of the subjects were below 75% of Korean RDA. Surprisingly, vitamin A and riboflavin intakes of the elderly were below 50% of Korean RDA. Energy intakes of the elderly males and females were 58.7% and 59.6% of Korean RDA respectively. Unbalanced energy ratios of carbohydrate, protein and fat were noted in both genders. Nutrient intakes of females' were lower than those of males'. Thus, there was a significant gender difference in nutrient intakes. It might be further suggested that an appropriate nutritional program should be developed and implemented to improve the Poor nutritional status of the low income elderly living in cities.

Influence of Routine Calorie and Protein Intake on Nutritional Status in Stable Chronic Hemodialysis Patients : A 18 Months Follow-up Study / 대한신장학회잡지

BACKGROUND: Dialysis patients as a group appear to have a caloric and a protein intake less than the recommended values; because their energy expenditure is not different from that of healthy adults and because amino acid loss and increased catabolism during dialysis they should be in negative caloric & nitrogen balance and lose body mass and protein such as albumin progressively. Recently, papers dissenting about recommended protein intake in DOQI guideline were published. Because Korean people had different body size and dietary pattern from white races, recommanded protein and calorie intake may be different from that of white races. METHODS: We retrospectively analyzed our data in a group of hemodialysis patients who had dietary evaluations and kinetic measurements performed two consecutive times over a period of 18 months. RESULTS: Body weight(55.22+/-.48 kg to 57.39+/-0.29 kg, p=0.008), LBM(lean body mass, 42.79+/-.49 kg to 46.09+/-.13 kg, p=0.000), BMI(Body Mass Index, 21.89+/-.21 kg/m2 to 22.75+/-.53 kg/m2, p=0.007) and serum albumin level(3.65+/-.47 g/dL vs 3.87+/-.42 g/dL, p=0.000) were increased compared to initial values. Fat mass, TSF(Triceps Skin Fold thickness), MAC(Mid-Arm Circumference), MAMC(Mid- Arm Muscle Circumference) were remained stable over this period of time. These results suggested that these patients are not in negative energy and nitrogen balance. CONCLUSION: Albumin and body weight remained stable over a period of 18 months in spite of 27.25+/-.39 kcal/kg calorie intakes and 1.03+/-.43 g/kg protein intakes. Recommanded protein and calorie intake of Korean people may be different from that of white races.

Association of Bone Densities with Anthropometric Indices and Lifestyles in Elderly People / 대한지역사회영양학회지

This study was performed to investigate the relationships among bone mineral densities (BMD), anthropometric data and lifestyle factors in the elderly. Subjects included 138 elderly (male: 38, female: 100) aged over 65 years, who were home-dwelling in a low-income area of Puchon City. The BMDs of the lumbar spines (LS), femoral necks (FN), Ward's triangles (WT) and trochanters (TC) were measured by dual energy X-ray absorptiometry. The females showed significantly lower BMDs in four sites (p < 0.0001). The elderly aged over 75 revealed significantly more decreased femoral BMDs than the elderly aged 65 to 74. Female with BMIs of 20 to 25, showed significantly higher BMDs in LS, FN and trochanter than those with BMIs of less than 20. However, males displayed significantly higher BMDs in only LS, with increasing BMIs. THe BMDs of LS correlated with weights (r = 0.543, p < 0.001), heights (r = 0.477, p < 0.001), upper arm circumferences (r = 0.368, p < 0.01), waist circumferences (r = 0.367, p < 0.001), subscapular skinfold thicknesses (r = 0.363, p < 0.001) and hip circumferences (r = 0.231, p < 0.01). Non-smokers and non-drinkers showed significantly higher BMDs in trochanters only in the case of the males. Female milk-drinkers showed significantly elevated LS BMDs. Eighteen percent of the males were assessed as having osteoporosis, as compared to fifty percent of the females. Ninety-three percent of the females and 81.6% of the males responded that they often or always had "difficulty in standing for a long time".

A Comparative Study on Dietary Habits and Dietary Attitudes among Middle School Students with Different Obesity Indexes / 대한지역사회영양학회지

The object of this study was done to assert the dietary habits, food intake, and dietary attitudes of 332 middle school students in a small city. The subject were divided into doe groups based on weight length index (WLI). Anthropometric data showed that the mean height and weight were 169.5 +/-8.2 cm and 55.1 +/-11.5 kg in the male students and 158.9 +/-5.9 cm and 48.1 +/-7.6 kg in the female students. The mean WLIs for male and female students were 103.0 +/-19.7 and 96.3 +/-12.8, respectively. Of the male students 27.9% and of the female students 32.1% were underweight, and of the male students 28.9% and of the female students 13.0% were overweight based on WLI index. Lack of good dietary habits in the overweight group tended to be the highest, the normal group was the second highest, and the underweight group was the lowest. The regularity of eating breakfast and flood prejudice scores in the overweight group were significantly higher than those in the normal and underweight group. With respect to flood intake, the normal group tended to consume grains, yellow or green vegetables, vegetables with light color, fruits, milk, yogurt, cheese\`, seaweeds, fat-floods, instant floods, sweet floods, carbonated drinks, and spicy and salty floods more frequently. The underweight group tended to consume meat-ham, eggs, fish and fried, stir-fried flood more frequently In dietary attitudes, the overweight group tended to have more favorable dietary attitudes, and the normal group tended to have negative dietary attitudes. The underweight group showed more negative responses to trying to eat/drink milk, yogurt, or cheese everyday than the overweight groups. It might be suggested that more effective nutritional programs should be developed and implemented to ensure good dietary habits in middle school students, including the overweight, as well as the underweight group. Further research on the comparison of dietary characteristics is needed, with consideration of the subjects' WLI.

Comparisons of Nutrient Intakes, Dietary Behavior and Perception about Body Image between Adolescent Boys and Girls in Rural Area / 대한지역사회영양학회지

This study was undertaken to compare the obesity related dietary factors among rural middle school students living in Korea. Anthropometric data showed that mean height and weigh were 161.7+/-13.0 and 49.8+/-10.3kg in 226 male students and 158.3+/-6.1 and 48.2+/-7.5kg in 212 female students. Mean BMIs for boys and girls were 19.10+/-2.47 and 19.26+/-2.35, respectively. 71.68% of male students and 72% of female students were underweight by the BMI index. The BMI of older students was higher than young ones in both sexes. Most nutrient intakes of the subjects were below the RDA. In particular Ca and Fe intakes were extremely low in both sexes. 66.88% of the students skipped breakfast and it was found that the reasons for missing a meal for both sexes were significantly different. Compared to males, more female respondents felt guilty and depressed related to eating. Furthermore, females were more significantly concerned with body image, diet, and body weight(p<0.001), and they were not satisfied with their weight. The sources of information on obesity and diet were from radio and TV in males while females got information from magazines and friends. In male students their ideal body weight was higher was higher than actual body weight. In contrasting, female students desired a thin body shape. A different approach for nutrition education for adolescents should be developed and implemented based on sex.

Bone Density of the Middle Aged Women Residing in Urban Area and the Related Factors: I. distribution of Bone density According to Age and the Prevalence of Osteoporosis in the Middle Aged Women Residing in Urban Area / 대한지역사회영양학회지

This study was conducted to investigate the distribution of bone density according to age and the prevalence rate of osteoporosis I 613, middle-aged women who visited Saint Bundo Hospital in Pusan from June to December, 1997. Mean bone density of lumbar spine(L2L4), and femoral neck of 50-59 years of age was significantly lower than those of 40-49 years of age(p<0.05). At the 60years of age, mean bone density of two sites were less than those of 50-59 years of age. Mean bone density of lumbar spine tin the group of sixties were 20.7% lower than that of group aged under 40 ; For femoral neck, women in their sixties showed 22.6% lower density compared to the women aged under forty. Bone density of ward's triangle of sixties were the least, which was 34.2% lower than that of group aged under 40. Bone density in lumbar spine, femoral neck, trochanter and ward's triangle correlates strongly with each other(p<0.001). The proportion of osteoporosis was 3.6% in the group of forties, 10.9% in the group of fifties and 33.8% for the group aged over 60, which was assessed by bone density of lumbar spine. Bone density of lumbar spine, femoral neck and ward's triangle were positively correlated with height, weight and BMI(p<0.001~p<0.01), and weight showed highest correlation with the bone density. Forty-four percent of variation in lumbar spine bone density was explained by age and weight.