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      • Dairy Product Consumption and Type 2 Diabetes among Korean Adults: A Prospective Cohort Study Based on the Health Examinees (HEXA) Study

        Jiaqi Zhang,Kyungjoon Lim,Li-Juan Tan,Jialei Fu,Hyein Jung,Khongorzul Ganbat,Sangah Shin 한국식품영양과학회 2021 한국식품영양과학회 학술대회발표집 Vol.2021 No.10

        This study aimed to assess the association between the consumption of dairy products and T2D events in Korean middle-aged adults. Data was from the Health Examinees Study among 53 288 subjects. Dairy consumption was assessed using the self-administered Food Frequency Questionnaire. Hazard ratios (HRs) and 95% confidence interval (CIs) between dairy consumption and T2D were calculated using Cox proportional risk regression models after adjusting for potential confounders. Among men, those with higher consumption of dairy products had significantly lower risk of T2D than those who consumed essentially no dairy products (HR=0.73; 95% CI=0.58, 0.91). Particularly, the consumptions of yogurt (HR=0.75; 95% CI=0.60, 0.93; p-trend=0.0351) and cheese (HR=0.66; 95% CI=0.49, 0.89; p-trend=0.0055) were negatively associated with the incidence of T2D in men. The weekly consumption of dairy products, particularly yogurt, reduces the prevalence of T2D in Korean adults. This work was supported by the National Research Foundation of Korean (NRF) grant funded by the Ministry of Education and Science Technology (MEST) [grant number 2020R1C1C1014286].

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        The association of potassium intake with bone mineral density and the prevalence of osteoporosis among older Korean adults

        Jinwoo Ha,Seong-Ah Kim,Kyungjoon Lim,Sangah Shin 한국영양학회 2020 Nutrition Research and Practice Vol.14 No.1

        BACKGROUND/OBJECTIVES: Osteoporosis is characterized by low bone mass and results in vulnerability to fracture. Calcium and vitamin D are known to play an important role in bone health. Recently, potassium has been identified as another important factor in skeletal health. We examined the link between potassium intake and bone health among the Korean older adult population. SUBJECTS/METHODS: This retrospective, cross-sectional study included 8,732 men and postmenopausal women over 50 years old who completed the Korean National Health and Nutrition Survey (KNHANES) between 2008 and 2011. Potassium consumption was evaluated using a 24-hour recall method. Bone mineral density (BMD) was measured at three sites (total hip, femur neck, and lumbar spine) by dual-energy X-ray absorptiometry (DEXA). Multinomial logistic regression was used to examine the link between potassium intake and prevalence of osteoporosis and osteopenia, after controlling for potential confounding variables. RESULTS: The BMD of the total femur and Ward’s triangle were significantly different according to the potassium intake among men (P = 0.031 and P = 0.010, respectively). Women in the top tertile for potassium intake showed higher BMD than those in the bottom tertile at all measurement sites (all P < 0.05). Daily potassium intake was significantly related to a decreased risk of osteoporosis at the lumbar spine in postmenopausal women (odds ratios: 0.68, 95% confidence interval: 0.48-0.96, P trend = 0.031). However, the dietary potassium level was not related to the risk of osteoporosis in men. CONCLUSION: Current findings indicate that higher dietary potassium levels have a favorable effect on bone health and preventing osteoporosis in older Korean women.

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        The association between fruit and vegetable consumption and metabolic syndrome in Korean adults: does multivitamin use matter?

        Kim Jihae,Tan Li-Juan,정혜인,Roh Yumi,Lim Kyungjoon,신상아 한국역학회 2022 Epidemiology and Health Vol.44 No.-

        OBJECTIVES: Metabolic syndrome (MetS) is closely associated with dietary intake; however, few studies have investigated whether the consumption of fruits and vegetables and multivitamin use affect MetS in the Korean population. This study aimed to examine these effects in Korean adults.METHODS: This was a cross-sectional study of 89,548 participants aged between 40 years and 69 years selected from the baseline data of the Health Examinees study conducted in Korea. Fresh vegetable and fruit consumption was assessed using a validated 106-item food frequency questionnaire. MetS and its components were defined using the National Cholesterol Education Program, Adult Treatment Panel III criteria. Multivariate logistic regression analyses were conducted to identify associations of fresh vegetable, fruit, and fresh vegetable+fruit consumption and multivitamin use with the prevalence of MetS.RESULTS: Female in the highest quartile of fresh vegetable, fruit, and fresh vegetable + fruit consumption exhibited a lower prevalence of MetS than those in the lowest quartile. An inverse association with the prevalence of MetS was observed among male with only fresh vegetable consumption. The interaction between the 3 categories and multivitamin intake on the prevalence of MetS was not significant (all p<sub>interaction</sub>>0.05), regardless of sex.CONCLUSIONS: Multivitamin use and consumption of fresh vegetables and fruits had no significant synergistic effects. Although fresh vegetable and fruit consumption showed an inverse association with the prevalence of MetS, this relationship was not altered by multivitamin use.

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        Association of hypertension with noodle consumption among Korean adults based on the Health Examinees (HEXA) study

        Choi Suji,Park Jungmin,Jung Hyein,Jeong Jiwon,Lim Kyungjoon,Shin Sangah 한국영양학회 2024 Nutrition Research and Practice Vol.18 No.2

        BACKGROUND/OBJECTIVES The prevalence of hypertension is increasing, and noodles have a high sodium content, so noodle consumption might be associated with a higher prevalence of hypertension. This study aimed to analyze the association between total and types of noodle intake and the risk of hypertension among Korean adults. Subjects aged 40–69 years were selected for this study. SUBJECTS/METHODS This study included 56,580 participants (18,246 men and 38,334 women) aged 40–69 years old from the Health Examinees study. Noodle and nutrient intakes were assessed using the food frequency questionnaire. Hypertension was diagnosed as systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg or antihypertensive medication use. Cox proportional hazard models were used to calculate the hazard ratio (HR) and 95% confidence interval (CI) for hypertension. RESULTS Higher noodle consumption was associated with increased hypertension among men (HR, 1.273; 95% CI, 1.166–1.390) and women (HR, 1.116; 95% CI, 1.038–1.199). CONCLUSION We recommended reducing noodle intake and consuming vegetables and fruits to increase potassium intake, which can prevent vascular diseases.

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