Journal of Community Nutrition

대한지역사회영양학회 (The Korean Society of Community Nutrition)
권호 표지

Tailored Dietary Counseling Using Self-Administered Diet History Questionnaire is Effective for Health Promotion : Japanese Experience

  • Satoshi Sasaki (National Institute of Health and Nutrition) ;
  • Yoshiko Takahashi (Division of Epidemiology and Biostatistics, National Cancer Center Research Institute East) ;
  • Kim, Mi-Kyung (National Institute of Health and Nutrition, Department of Preventive Medicine, Medical College, The Catholic University of Korea)
  • 발행 : 2003.06.01
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초록

Dietary counseling is undoubtedly important for prevention and treatment of chronic diseases. Several dietary counseling methods have been developed and used in Japan to promote healthier diets. However, in Japan, few studies have established effective counseling methods. We developed a computer-assisted tailored dietary counseling system with self-administered diet history questionnaire (DHQ) to assess nutrient intakes and the feedbacks for counseling. We examined the effectiveness of the system in three studies , two among mildly-hypercholesterolemic and one among healthy subjects. We observed significant changes in intakes of targeted nutrients in all three studies. We also observed favorable changes in the corresponding serum and urinary biomarkers in two studies, i.e., non-significant change in serum cholesterol, serum carotene and vitamin C, and a significant change in 24-hour urinary excretion of sodium. In addition, one of the studies observed a significant modified dietary habit for one-year after the intervention was completed. No unfavorable change was observed for non-targeted nutrients in all three studies. The dietary counseling system with DHQ was concluded to be effective among motivated high-risk and healthy subjects. The system's application to other diseases and populations such as children, adolescents, and elderly, should be examined further. (J Community Nutrition 5(2) : 112-119, 2003)

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