Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
권호 표지

Effects of Worksite Nutrition Counseling for Health Promotion; Twelve-Weeks of Nutrition Counseling Has Positive Effect on Metabolic Syndrome Risk Factors in Male Workers

직장인 남성을 대상으로 한 12주간의 영양교육이 대사증후군 관련 인자에 미치는 영향

  • Lee, Mi-Sun (Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Kang, Hae-Jin (Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Oh, Hye-Sun (Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Paek, Yun-Mi (Radiation Health Research Institute, Korea Hydro & Nuclear Power Co., Ltd) ;
  • Choue, Ryo-Won (Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Park, Yoo-Kyoung (Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Choi, Tae-In (Radiation Health Research Institute, Korea Hydro & Nuclear Power Co., Ltd.)
  • 이미선 (경희대학교 동서의학대학원 의학영양학과) ;
  • 강해진 (경희대학교 동서의학대학원 의학영양학과) ;
  • 오혜선 (경희대학교 동서의학대학원 의학영양학과) ;
  • 백윤미 (한국수력원자력 방사선 보건연구원) ;
  • 조여원 (경희대학교 동서의학대학원 의학영양학과) ;
  • 박유경 (경희대학교 동서의학대학원 의학영양학과) ;
  • 최태인 (한국수력원자력 방사선 보건연구원)
  • Published : 2008.02.29
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Abstract

The purpose of this study was to investigate the effect of nutrition counseling on improving metabolic syndrome (MS) risk factors. Sixty-eight subjects were grouped according to their numbers of MS risk factors. Subjects who have three or more risk factors of MS were defined as "High risk", subjects who have two risk factors of MS were defined as "low risk", and subjects who have below two risk factors of MS were defined as "no risk" group. All groups finished nutrition counseling every three weeks for 12 weeks. Anthropometric, dietary assessments (24 hr-recall) and blood samples were measured at 0 and 12 weeks nutrition counseling. After 12 weeks of intervention, anthropometric data (weight, BMl, body fat (%), and waist/hip ratio) were significantly decreased (p < 0.05) in all groups. Daily consumption of calorie was decreased significantly (p < 0.05) in the group of low risk and high risk. Blood level of fasting plasma glucose was significantly decreased (p < 0.001) in all groups after 12 weeks of intervention. Significantly, the fasting plasma glucose level was returned to normal range in the high risk group. The number of people who have three or more risk factors of MS (high risk group) was decreased from 25 to 12. Sum of MS Criteria decreased from 85 to 52 in the group of MS and decreased from 143 to 99 in all groups. These results indicate that nutrition counseling for male workers at the worksite proved to be helpful by reducing the risk factors of MS and thereby reducing the risk of cardiovascular disease. Continuing and systematic nutritional management programs should be developed and implemented for male workers at the worksites.

Keywords

References

  1. ADA, Office of Disease Prevention and Health Promotion, Public Health Service, USDHHS (1993): Worksite nutrition 2nd pp. 1-7
  2. ADA Report (1998): Position of the american dietetic association: the role of nutrition in health promotion and disease prevention programs. J Am Diet Assoc 98(2): 205-208 https://doi.org/10.1016/S0002-8223(98)00052-2
  3. Alexander C, Landsman P, Teutsch S, Haffner S (2003): NECPdefined metabolic syndrome, diabetes and prevalence of coronary heart disease among NHANES participants age 50 years and older. Diabetes 52: 1210-1214 https://doi.org/10.2337/diabetes.52.5.1210
  4. Bjorntorp P (1993): Visceral obesity: a 'civilization syndrome'. Obes Res 1: 206-222 https://doi.org/10.1002/j.1550-8528.1993.tb00614.x
  5. Castelli W, Gordon T, Hjortland M, Kagan A, Doyle J, Hames C, Hulley S, Zukel W (1997): Alcohol and blood lipid: The cooperative lipoprotein phenotyping study. Lancet 2: 153-155 https://doi.org/10.1016/S0140-6736(02)92927-2
  6. Chang YK, Chung YJ, Moon HK, Yoon JS, Park HR (2001): Nutritional Assessment, pp. 132-138 Shin Gwang publishing Co., Seoul
  7. Committee of Establishing Guidelines of Treatment for Korean Hyperlipidemic Patients (2003): Guidelines of treatment for Korean hyperlipidemic patients. 2nd
  8. Davision RC, Grant S (1993): Is walking sufficient exercise for health? Sports Med 16(6): 369-373 https://doi.org/10.2165/00007256-199316060-00002
  9. Dennis T Villareal, Bernard V Miller III, Marial Banks, Luigi Fontana, David R Sinacore and Samuel Klein (2006): Effect of lifestyle intervention on metabolic coronary heart disease risk factors in obese older adults. Am J Clin Nutr 84: 1317-1323 https://doi.org/10.1093/ajcn/84.6.1317
  10. Dietary Reference Intakes For Koreans (2005): Kor Nutr Soc, Seoul
  11. Dona F, Shirley J. P. Hunt (1986): Factors related to implementation of worksite nutrition programs. Am J of Nutr Educ 18(1): s29-31 https://doi.org/10.1016/S0022-3182(86)80264-3
  12. Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC (2006): Fruit and vegetable intakes, C-reactive protein and the metabolic syndrome. Am J Clin Nutr 84: 1489-1497 https://doi.org/10.1093/ajcn/84.6.1489
  13. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III) (2001): JAMA 285: 2486-97 https://doi.org/10.1001/jama.285.19.2486
  14. Ford ES, Giles WH, Dietz WH (2002): Prevalence of the metabolic syndrome among US adults: Finding from the third National Health and Nutrition Examination Survey. JAMA 287: 356-359 https://doi.org/10.1001/jama.287.3.356
  15. Gibson R.S (1990): Evaluation of nutrient intake data. In: Principles of nutritional assessment. pp. 137-154 Oxford University Press
  16. Goldstein BJ (2002): Insulin resistance as the core defect in type 2 diabetes mellitus. Am J Cardiol 5; 90(5A): 3G-10G https://doi.org/10.1016/0002-9149(60)90003-5
  17. Grundy SM, Abate N & Chandalia M (2002): Diet composition and the metabolic syndrome: what is the optimal fat intake? Am J Med 113 (suppl9B): 25S-29S
  18. Gudat U, Bungert s, Kemmer F, Heinemann L (1998): The blood glucose lowering effects of exercise and glibenclamide in patients with type 2 diabetes mellitus. Diabet Med 15(3): 194-198 https://doi.org/10.1002/(SICI)1096-9136(199803)15:3<194::AID-DIA546>3.0.CO;2-2
  19. Guthrie HA, Scheer JC (1981): Validity of a dietary score for assessing nutrient adequacy. J Am Diet Assoc 78(3): 240-245
  20. Hanefeld M, Koehler C, Fuecker K, Henkel E, Schaper F, Temelkova-Kurkts chiev T (2003): Insulin secretion and insulin sensitivity pattern is different in isolated impaired glucose tolerance and impaired fasting glucose: the risk factor in impaired glucose tolerance for atherosclerosis and diabetes study. Diabetes Care 26(3): 868-874 https://doi.org/10.2337/diacare.26.3.868
  21. Jenkins DJA, Kendall CWC, Augustin LSA & Vuksan V (2002): High complex carbohydrate or lente carbohydrate foods. Am J Med 113(suppl9B): 30S-37S
  22. Jeong SH (2006): Effects of medical nutrition therapy on hematological parameters in iron deficient college women. Kyung Hee university
  23. Kang EJ (2007): Report of Quality of life and health revision Life expectancy, Korea Institute for Health and Social Affairs
  24. Kant AK, Block G, Ziegler RG, Nestle M (1991): Dietary diversity in the US population, NHANES II, 1976-1980. J Am Diet Assoc 91(12): 1521-1531
  25. Kantan MB, Grundy SM, Willett WC (1997): Should a low-fat, highcarbohydrate diet be recommended for everyone? Beyond low-fat diets. N Engl J Med 337: 563-566
  26. Kasamatsu T, Yoshimura N (1996): Relationship of the number of consumed food items with nutritional status and obesity. Jpn J Nutr 54(1): 19-26 https://doi.org/10.5264/eiyogakuzashi.54.19
  27. Klein BE, Klein R, Lee KE (2002): Components of the metabolic syndrome and risk of cardiovascular disease and diabetes in Beaver Dam. Diabetes Care 25: 1790-1794 https://doi.org/10.2337/diacare.25.10.1790
  28. Koo SS (2004): Prevalence of Metabolic Syndrome and Related factors in Korea Adults. Hallym university
  29. Korea National Statistical Office (2007)
  30. Korea Occupational Safety & Health Agency (1999): Health 99-22- 308
  31. Korean Society for Lipid and Atherosclerosis (1996): Guidelines for treatment of hyperlipidemia 1st version
  32. Krebs-Smith SM, Smiciklas-Wright HS (1987): The effect of variety in food choices on dietary quality. J Am Diet Assoc 87(7): 897-903
  33. Laaksonen D, Lakka HM, Niskanen L, Kaplan G, Salonen J, Lakka T (2002): Metabolic syndrome and development of diabetes mellitus: application and validation of recently suggested definitions of the metabolic syndrome in a prospective cohort study. Am J Epidemiol 156: 1070-1077 https://doi.org/10.1093/aje/kwf145
  34. Lakka HM, Laaksonen D, Lakka T, Niskanen L, Kumpusalo E, Tuomilehto J, Salonen (2002): The metabolic syndrome and total and cardiovascular disease mortality in middle-age men. JAMA 288: 2709-2716 https://doi.org/10.1001/jama.288.21.2709
  35. Lee YH (2006) Sexual differences of high sensitivity C-reactive protein in metabolic. Kosin university
  36. Lee SM, Kim YL, Lee SJ, Cho YK, Choi YK, Chun CH, Chang YK (2004): Effects of diabetes education on diabetic management in non-insulin-dependent diabetics mellitus patients. J Kor Dietetic Associ 10(3): 300-308
  37. Lee SY (1997): Assessment of dietary intake and diet quality obtained by 24-hour recall method in korean adults living in rural area. Seoul National University
  38. Lee KH (2007): Prevalence of obesity and metabolic syndrome and its association with risk factors of brain, CVD disease in research male workers. Chungnam national university
  39. Lee KY, Jang MR, Kim EK, Huh KB (1991): A study on body fat distribution in obese human-Special related to risk factors in degenerated disease. Kor J Nutr 24(3): 157-165
  40. Lim S, Lee HK, Park KS, Cho S (2005): Changes in the characteristics of metabolic syndrome in korea over the period 1998-2001 as determinded by Korean National Health and Nutrition Examination Surveys. Diabetes Care 28: 1810-1812 https://doi.org/10.2337/diacare.28.7.1810
  41. Loosemore ED, Judge MP, Ibarrola B, Ferrarotti R, Lammi-Keefe CJ (2004): A report on the efficacy of medical nutrition therapy (MNT) in the treatment of gestational diabetes mellitus (GDM). J Am Diet Assoc 104(2): 22
  42. Loucks EB, Rehkopf DH, Thurston RC, Kawachi I (2007): Socioeconomic Disparities in Metabolic Syndrome Differby Gender: Evidence from NHANES . Ann Epidemiol 17: 19-26 https://doi.org/10.1016/j.annepidem.2006.07.002
  43. Melin I, Rossner S (2003): Practical clinical behavioral treatment of obesity. Patient Educ couns 49(1): 75-83 https://doi.org/10.1016/S0738-3991(02)00049-6
  44. Ministry of Health & Welfare, Korea Health Industry Develpment Institute (1998)
  45. Ministry of Health & Welfare, Korea Health Industry Develpment Institute (2005)
  46. National Institutes of Health, National heart, lung, and blood institute (2001): Third report of the National cholesterol education program (NCEP) expert panel on dection, evaluation, and treatment of high blood cholesterol in adults (Adults Treament Panel). NIH
  47. Ninomiya JK, L'italien G, Criqui MH, Whyte JL, Gamst A, Chen RS (2004): Association of the metabolic syndrome with history of myocardial infarction and stroke in the Third National Health and Nutrition Examination Survey. Circulation 109: 42-46 https://doi.org/10.1161/01.CIR.0000116602.10533.2E
  48. Oh KW, Nam CM (2003 ): A case-control study on dietary quality and fisk for coronary heart disease in Korean men. Kor Nutr Soc 36(6): 613-621
  49. Office of Disease Prevention and Health Promotion Public Health Service. USDHHS(1993): Worksite nutrition. 2nd
  50. Packard PT, Heaney RP (1997): Medical nutrition therapy for patients with osteoporosis. J Am Diet Assoc 97(4): 414-417 https://doi.org/10.1016/S0002-8223(97)00103-X
  51. Park HS, Sim SJ, Park JY (2004): Effect of weight reduction on metabolic syndrome in korea obese patients. J Korean Med Sci 19(2): 202-208 https://doi.org/10.3346/jkms.2004.19.2.202
  52. Patterson RE, Haines PS, Popkin BM (1994): Diet quality index: Capuring a multidimensional behavior. J Am Diet Assoc 94: 57-64 https://doi.org/10.1016/0002-8223(94)92042-7
  53. Reaven GM (1997): Do high carbohydrate diets prevent the development or attenuate the manifestations (or both) of syndrome X? A viewpoint strongly against. Curr Opin Lipidol 8: 23-27 https://doi.org/10.1097/00041433-199702000-00006
  54. Jeon SM, Kim KS, Kim SM (2005): Effect of Nutrition Counseling in Hypertension Patients. J East Asian Soc Dietary Life 15(6): 717-727
  55. Shim J, Paik H, Moon H, Kim Y (2001): Comparative analysis and evaluation of dietary intake Koreans by age groups : (1) Nutrient intakes. Kor J Nutr 34(5): 554-567
  56. Shim JE, Paik HY, Moon HK, Kim YO (2001): Comparative analysis and evaluation of dietary intake Koreans by age groups : (2) Food and food group intakes. Kor J Nutr 34(5): 568-579
  57. Shim JE, Paik HY, Moon HK, Kim YO (2002): Comparative analysis and evaluation of dietary intake Koreans by age groups : (3) Risk factors for chronic degenerative diseases. Kor J Nutr 35(1): 78-89
  58. Sumner SK, Schiller EL, Marr ER, Thompson DA (1986): A weight control and nutrition education program for insurance company employees. J Nutr Educ 18(1): s60-s62 https://doi.org/10.1016/S0022-3182(86)80227-8
  59. The Diabetes Prevention Program Program Research Group, Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin (2002): N Engl J Med 346: 393-403 https://doi.org/10.1056/NEJMoa012512
  60. The effectiveness of nutrition education and implications for nutrition education policy program and research (1995): A review of research. Am J Nutr Educ 27(6): 312-328 https://doi.org/10.1016/S0022-3182(12)80091-4
  61. The Third Korea National Health and Nutrition Examination Survey (KNHANES III) (2005)
  62. Walldius G, Michealsson G, Hardell L, Aberg H (1983): The effects of diet and zinc treatments on the fatty acid composition of serum lipids and tissue and on serum lipoproteins in two adolescent patients with acrodermatitis enteropathica. Am J Clin Nutr 38(4): 512-522 https://doi.org/10.1093/ajcn/38.4.512
  63. Willett WC (1998): Dietary fat and obesity: an unconvincing relation. Am J Clin Nutr 68: 1149-1150 https://doi.org/10.1093/ajcn/68.6.1149
  64. Williams CM (2004): Lipid metabolism in women. Proc Nutr Soc Feb 63(1): 153-160
  65. WHO (1990): No. 797 diet, nutrition, and the prevention of chronic disease, Geneva
  66. World Health Organization (1998): Obesity: Preventing and managing the global epidemic, Genova
  67. Yim KS (1997): Elderly nutrition improvement program in the community health center: nutritional evaluation of the elderly using the index of nutritional quality and food group intake pattern. Kor J Diet Assoc 3(2): 182-196
  68. Yoo S, Nicklas T, Baranowski T, Zakeri IF, Yang SJ, Srinivasan SR, Berenson GS (2004): Comparison of dietary intakes associated with metabolic syndrome risk factors in youn adults: the Bogalusa Heart Study. Am J Clin Nutr 80: 841-848 https://doi.org/10.1093/ajcn/80.4.841