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Change in Dietary Intake and Nutritional Status Using Mealworms as Hospital Meal in Postoperative Patie

갈색거저리를 이용한 식사 섭취에 따른 영양 섭취 및 영양상태 변화 : 수술 후 환자를 대상으로

  • Kim, Seong Hyeon (Dept. of Nutrition and Dietetics, Gangnam Severance Hospital) ;
  • Shon, Jin Young (Dept. of Nutrition and Dietetics, Gangnam Severance Hospital) ;
  • Park, Jun Sung (Dept. of Surgical, Yonsei University College of Medicine) ;
  • Kim, Jong Won (Dept. of Surgical, Yonsei University College of Medicine) ;
  • Kang, Jung Hyun (Dept. of Surgical, Yonsei University College of Medicine) ;
  • Yun, Eun Young (Dept. of Integrated Bioindustry, Sejong University) ;
  • Hwang, Jae Sam (Dept. of Agricultural Biology, National Institute of Agricultural Science, Rural Development Administration) ;
  • Kim, Hyung Mi (Dept. of Nutrition and Dietetics, Gangnam Severance Hospital)
  • 김성현 (강남세브란스병원 영양팀) ;
  • 손진영 (강남세브란스병원 영양팀) ;
  • 박준성 (연세대학교 의과대학 외과학교실) ;
  • 김종원 (연세대학교 의과대학 외과학교실) ;
  • 강정현 (연세대학교 의과대학 외과학교실) ;
  • 윤은영 (세종대학교 바이오산업융합학과) ;
  • 황재삼 (농촌진흥청 국립농업과학원 농업생물부) ;
  • 김형미 (강남세브란스병원 영양팀)
  • Received : 2016.09.27
  • Accepted : 2016.10.19
  • Published : 2016.11.02

Abstract

The purpose of this study was to verify the validity of Mealworms as a hospital meal with increased nutrition density. We provided a meal for postoperative patients and conducted analysis of dietary intake and nutritional status of patients and assessment of acceptability of the meal. This study was carried out as a randomized control trial. Patients were supplied either a hospital meal using Mealworms (Experimental group) or a regular hospital meal (Control group). We investigated the administration amounts of parenteral nutrition (PN) and food intake of patients after surgery and measured anthropometry, body composition, and blood tests before surgery and at hospital discharge. We included 34 postoperative patients who were admitted to Gangnam Severance Hospital from March to September. In the groups of patients not supplied with PN, the experimental group ($964.68{\pm}284.6kcal$, $38.82{\pm}12.9g$) had significantly higher dietary calorie and protein intake than the control group ($666.62{\pm}153.7kcal$, $24.47{\pm}4.9g$)(P<0.05). Additionally in the group of patients not supplied with PN, the experimental group (1.37%) showed a significantly higher increase in fat free mass index than the control group (-3.46%)(P<0.05). In all subjects, calorie density and protein density were significantly higher in the experimental group (P<0.001), and acceptability of calorie (P=0.036) and protein (P=0.001) was also significantly higher in the experimental group. Therefore, the results of this study support the validity of the introduction of hospital meals using Mealworms.

Acknowledgement

Supported by : 농촌진흥청

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