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When I put these images together, I was thinking about the terrible lunches I had growing up. They were gross: high fat, high calories, no fresh vegetables or fruit. Basically, they were designed to be as cheap as possible and as filling as possible. Teachers always complained that students were so sluggish after lunch. I think this sluggishness was a result of the food they were eating.

Also, the image with the fighting broccoli and chocolate bar made me think about the problem. The problem isn't just availability it's also education. For example, in the garden project that Michelle Obama spearheaded, students actually planted their own vegetables, harvested them, and prepared them to eat. Everyone was excited to eat the vegetable that they help grow and prepare.

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We can learn from the book that Nigeria is the country that spent with the highest percentages of income on food. I think the problem is caused by the very low per capita income in the area. People don't have enough money to buy some nutritionally balanced or delicious food because their per capita income is not high. And as we can see from the picture, the quality of the food is not very high either.

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The poor nutrition of the elderly living alone

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The poor nutrition of the elderly living alone

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Elderly living alone are hard to work and cannot earn economic income unless their children support them. There are many elderly living alone in the world and there are lonely deaths. Welfare for them exists in most countries, but it is actually too much for them to live comfortably. This picture shows an elderly person crouching in a park and eating food distributed by a volunteer group. Even some elderly people who live alone often eat instant ramen. This picture reminded me of the problem of malnutrition among the elderly living alone.

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시설노인 영양섭취 성인 70% 수준...독거노인만큼 열악

노인 특징별 맞춤형 식사서비스 개발해 지원해야

【세종=뉴시스】이인준 기자 = 노인부부가 가장 영양상태가 좋고, 자녀·손자와 함께 사는 노인이나 독거노인은 상대적으로 잘 먹지 못하는 것으로 조사됐다.

14일 한국보건사회연구원에서 발간하는 '보건복지이슈&포커스' 최신호 '노인의 특징별 맞춤형 식사서비스 제공을 위한 지원방안'에 따르면 김정선 보건의료연구실 연구원은 올초 발간된 한국보건산업진흥원의 '노인 식생활안전관리 종합계획 수립을 위한 연구 보고서'를 인용해 이 같은 분석을 소개했다.

보고서에 따르면 국민건강영양조사 6기(2013~2015년)에서 영양소 섭취량이 가장 높은 집단은 만 65세 이상 노인끼리 사는 노인부부 가정이었다.

이들 가정 노인들의 에너지 섭취량은 1800.4㎉로, 자식들과 함께 사는 가정 노인(1653.5㎉), 조손가정(1568.0㎉)보다 많았다.

특히 독거노인(1480.5㎉)과는 1.2배 차이었다.

김 연구원은 "독거노인은 대부분 혼자 식사를 하며, 밥과 김치 또는 밥과 국 등으로 단조로운 편"이라며 "외식과 배달 반찬은 자극적이거나 입에 맞지 않아 선호하지 않는 반면 식욕이 떨어져 결식이나 편식이 잦고 사정이 어려운 경우 도움을 요청하기 부담스러워 식사를 미루는 편"이라고 설명했다.

노인장기요양시설 거주 노인의 경우 시설마다 차이가 크다는 한계가 있지만, 독거노인만큼 열악한 상황일 것으로 김 연구원은 추정했다.

그는 "요양시설 입손인의 섭취량은 성인의 70% 정도라는 점을 참고하면 1일 섭취량은 1400㎉ 정로로 예측할 수 있다"면서도 "실제 2주간 식사 상황을 관찰했을 때 요양시설 노인의 대부분이 1일 1000~1200㎉ 이상의 열량을 섭취하기 어려운 것으로 보인다"고 밝혔다.

특히 노인가구는 씹거나 삼키는 데 불편을 겪는 것이 일반적이라는 점에 대한 고려가 필요하다는 게 김 연구위원의 생각이다.

보고서에 따르면 65세 이상 노인층 응답자의 47%가 저작(咀嚼·음식을 입에 넣어 씹음) 불편을 호소했으며, 이들의 섭취량은 저작 불편이 없는 노인에 비해 10% 이상 적었다.

국민건강영양조사(2013~2014년) 자료에 따르면 65세 이상 노인층의 영양섭취 부족자 비율은 8.1%로 50~64 성인 2.9%에 비해 3배 수준이다.

노인요양시설의 경우 이 같은 부분에 대해 믹서나 가위 등을 이용해 대상자에게 알맞은 형태의 음식을 준비하는 등의 대비책을 가지고 있다.

하지만 소형시설의 경우 영양사가 없는 경우가 있어 노인 맞춤형 식단을 기대하기 쉽지 않고, 요양보험에서 식재료 관련 비용은 비급여 항목으로 분류돼 급식의 질을 담보하기에는 시설별로 제각각일 수밖에 없는 상황이다.

또 기초생활수급자 등은 복지관이나 종교단체, 적십자사 등에서 밑반찬을 제공받거나 노인 복지관 무료급식을 이용하는 데, 서비스의 중단을 우려해 급식서비스와 관련한 어떤 불만도 표출 못하는 사례가 많은 것으로 보인다.

김 연구원은 "고령후기 노인들은 치아 소실, 구강·인두·식도 근육 약화에 따라 씹거나 삼키는 데 불편을 겪고 있어 상시적으로 영양불량의 위험에 노출돼 있다"며 "노인의 식생활 특징별로 맞춤형 식사서비스를 제공하기 위한 법·제도적 지원이 필요하다"고 밝혔다.

ijoinon@newsis.com

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'독거노인' 영양섭취 최악...노인영양상태 노인부부>자녀·손자가구>독거노인順

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시설노인 영양섭취 성인 70% 수준...독거노인만큼 열악 노인 특징별 맞춤형 식사서비스 개발해 지원해야 【세종=뉴시스】이인준 기자 = 노인부부가 가장 영양상태가 좋고, 자녀·손자와 함께 사는 노인이나 독거노인은 상대적으로 잘 먹지 못하는 것으로 조사됐다. 14일 한국보건사회연구원에서 발간하는 '보건복지이슈&포커스' 최신호 '노인의 특징별 맞춤형 식사서비스 제공을 위한 지원방안'에 따르면 김정선 보건의료연구실 연구원은 올초 발간된 한국보건산업진흥원의 '노인 식생활안전관리 종합계획 수립을 위한 연구 보고서'를 인용해 이 같은 분석을 소개했다.

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We can see in the picture that in innergeria, most of their income is spent on food, which means that their work can only support their own survival, which is very fatal and they cannot buy For some things they like, their lives are very ordinary, but on the contrary, because of the good economy in developed countries, food is not a serious problem.

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When people reached about 18-years-olds, their parents would limit the daily fees for them. Especially, some students would have a student loan. So they would have limited budgets on food and other daily requirements. So each times of shopping would take them some considerations. For example, the bus or taxi fee would be considered in a total cost for that travel. So normally, the roommates would wrote a list of things, that they would like to buy.

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Homeless people usually don't have a stable place to live, which means they don't have stable income or don't have any income at all. Lack of money means no food to eat, which cause poor nutrition. Althought lots of country have food bank set up for those homless people, there are still lots of homeless people don't have any food to eat. This picture shows a skinny homeless child sleeping on the street.

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People who have no means of transportation.

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People who have no means of transportation.

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This problem is actually occurring in Japan, which is a developed country. However, it is an unrelated problem for people living in large cities. So who has this problem? This issue is for people living in the countryside. In a story that actually happened, a high school girl who lived in the countryside spent three hours one way to attend high school. In short, she spent six hours traveling to school almost every day. Her house was poor and had no cars, so she used to cycle, train and walk. Because of that, she couldn't make friends and couldn't allocate time to study, so her dream of going to university in Tokyo didn't come true. This story is a bit extreme, but we modern people benefit greatly from transportation. People without transportation are walking while we are resting. And they are walking again while we are studying. As a result, they will suffer many disadvantages.

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When people go to college, their parents won't give them too much money. At this time we need to manage our money and health properly. I think college students can't rely on take-out and overspending. We should prepare a chart to track our healthy eating and spending for the week. This can greatly reduce our own expenses. At the same time, it can help us plan our money in advance.

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In this table we can see Nigeria spend more income on food. I think it is because they do not have enough income to buy more things and other better food. They know that food is very important to people. From the picture we can see that the food is not very good.

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Poor nutritional diet of schools in United States.

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Poor nutritional diet of schools in United States.

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It is pretty obvious that elementary, middle,  and high schools in United states have not providing great quality of food for their students. The obesity rate over 90 state is 42% which is very high and I'll believe it's because of commercialized fast food and diet. When we compare the US schools' diet with Asian country's school, we can easily notice that it is It is greasy and able to make it easily and fast. When I looked at this picture, it looks actually tasty at the first time as a Korean. However, when I am imagine to eat this food every single day, I definitely think it will be hard to keep in shape.

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Many people can't get well-paid jobs because of their education and age. But in order to make a better life for their family members, they are not willing to spend money, so some people, such as restaurant cleaners, eat other people's leftovers. They may even take them home to eat. These foods are not safe. Food stored for a long time will produce nitrite, which is a kind of harmful substance.

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Some college students are not rich, and they may have loans or ordinary family backgrounds. After paying high tuition fees, there is not much money left. So after weighing the daily expenses, some people will choose cheap fast food because they are more willing to spend money on new mobile phones, luxury goods, and reduce food expenses, resulting in unhealthy eating.