대한지역사회영양학회지 (Korean Journal of Community Nutrition)

대한지역사회영양학회 (The Korean Society of Community Nutrition)
권호 표지

고학력 사무직 남성을 대상으로 한 반복적인 영양교육이 만성질환 예방에 미치는 효과와 DQI-I를 이용한 식사의 질 평가

The Effect of Repeated Nutrition Education on Health Improvement Program by Diet Quality Index-International (DQI-I) Evaluation in Office Workers

  • 장미 (경희대학교 동서의학대학원 의학영양학과) ;
  • 김혜련 (경희대학교 동서의학대학원 의학영양학과) ;
  • 황명옥 (경희대 임상영양연구소) ;
  • 백윤미 (한국수력원자력 방사선 보건 연구원) ;
  • 최태인 (한국수력원자력 방사선 보건 연구원) ;
  • 박유경 (경희대학교 동서의학대학원 의학영양학과)
  • Jang, Mi (Department of Medical Nutrition, Kyung Hee University) ;
  • Kim, Hye-Ryeon (Department of Medical Nutrition, Kyung Hee University) ;
  • Hwang, Myung-Ok (Research Institute of Medical Nutrition Kyung Hee University) ;
  • Paek, Yun-Mi (Radiation Health Research Institute, Korea & Hydro Nuclear Power Co. Ltd.) ;
  • Choi, Tae-In (Radiation Health Research Institute, Korea & Hydro Nuclear Power Co. Ltd.) ;
  • Park, Yoo-Kyoung (Department of Medical Nutrition, Kyung Hee University)
  • 투고 : 2010.09.01
  • 심사 : 2010.10.15
  • 발행 : 2010.10.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The purpose of this study was to investigate the effect of 3-month nutrition education (First Time Intervention, FI) + additional 3-month nutrition education (Repeated Intervention, RI) which was performed after the 8-month followup. FI was conducted during 0-3 months and RI for 11-14 months. Ninety-two subjects completed FI program, and 38 out of 92 subjects who received FI finished the RI. Anthropometric data, dietary assessment (24hr recall) and fasting blood analysis were measured at 0 month, 3 months, 11 months and 14 months time points. After FI (3 mo), waist circumference, triglycerides, total cholesterol were significantly decreased. At 11 month follow-up, body weight, BMI, hip circumference, SBP, DBP were significantly rebounced and HDL cholesterol was significantly decreased. Therefore, the effect of short-term nutrition education was not being sustained. After the secondary nutrition intervention (14 mo), waist circumference and hip circumference were again significantly decreased. Total diet quality index-international (DQI-I) score was significantly increased in both FI group and RI group. The changes in DQI-I scores were significantly correlated with the changes in body weight (r = -0.129, p < 0.05) and counts of nutrition education (r = 0.159, p < 0.05), indicating that effective nutrition education helps improve the diet quality leading to a possible role in CVD prevention among male workers. Although a short-term intervention seems to be a success, the effect was not retained in this study. Therefore, we suggest incorporating nutrition education as a routine program for male worker at worksite.

키워드

참고문헌

  1. Cho KO, Jeong SY (2007): The effect of regular dietary habits on obesity indices and nutrition intakes in adult males. J Korean Diet Assoc 13(2): 144-122
  2. Choi MK, Kim JM, Kim JG (2003): A study on the dietary habit and health of office workers in Seoul. Korean J Food culture 18(1): 45-55
  3. Garner DM, Wooley SC (1991): Confronting the failure of behavioral and dietary treatments for obesity. Clin Psychol Rev 11: 729-780 https://doi.org/10.1016/0272-7358(91)90128-H
  4. Hu FB (2001): Dietary pattern analysis: A new direction in nutritional epidemiology. Curr Opin Lipidol 3: 3-9
  5. Kim SW, Haines PS, Siega-Riz AM, Popkin BM (2003): The Diet Quality Index-International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr 133: 3476-3483
  6. Kim, S, Sohn C, Chung WY (2005): Effect of medical nutrition therapy on food habits and serum lipid levels of hypercholesterolemic patients. J Korean Diet Assoc 11(1): 125-132
  7. Korea Center for Disease Control and Prevention (2005): Korea National Health and Nutrition Examination Survey
  8. Korean National Statistical Office (2007): The results statistical death and cause of death. Available from http://www.nso.go.kr [cited 2010 May 3]
  9. Korean Society for Lipid and Atherosclerosis (2002): Korean guidelines of hyperlipidemia treatment for prevention of atherosclerosis
  10. Lee KH (2007): Prevalence of obesity and metabolic syndrome and its association with risk factors of brain, CVD disease in research male workers. MS thesis, Chung-nam National University
  11. Lee KS, Park CY, Meng KH, Bush A, Lee SH, Lee WC, Koo JW, Chung CK, The Association of Cigarette Smoking and Alcohol (1998): Consumption with other cardiovascular risk factors in men from Seoul, Korea. Ann Epidemiol (1):31-38
  12. Lee MS, Kang HJ, Oh HS, Paek YM, Chou RW, Park YK, Choi TI (2008a): Effect of worksite nutrition counseling for health promotion; Twelve-weeks of nutrition counseling has positive effect on metabolic syndrome risk factors in male workers. Korean J Community Nutr 13(1): 46-61
  13. Lee SY, Suh I (1995): Relationship of health status and health practices. Korean J Epidemiol 17(1): 48-63
  14. Lee YA, Kim KN, Chang N (2008b): The effect of nutrition education on weight control and diet quality in middle-aged women. Korean J Nutr 41(1): 54-64
  15. Lim HS, Chyun JH, Kim YS, Nam MS (2001): Effect of nutrition education on dabetic management in diabetic patients. Korean J Nutr 34(1): 69-78
  16. Madden J, Patrick MJ, Yoder, Marion D (1972): Program evaluation: food stamps and commodity distribution in rural areas of central Pennsylvania. Penn Agr Exp Sta Bull 78: 1-119
  17. Marmott MG, Poulter NR (1992): Primary prevention of CVD. Lancet 339: 344-347 https://doi.org/10.1016/0140-6736(92)91659-V
  18. Martin PD, Dutton GR, Rhode PC, Horswell RL, Ryan DH, Brantley PJ (2008): Weight loss maintenance following a primary care intervention for low-income minority women. Obesity 16: 2462-2467 https://doi.org/10.1038/oby.2008.399
  19. Moon HK, Lee HJ, Park Y (2007): Comparison of health status and dietary habits by percent body fat(PBF) change for adult women in the weight control program by the community health center. Korean J Community Nutr 12(4): 477-488
  20. Nam HW, Pyun JW, Woo IA, Baek MS (1999): A study on obesity and nutrition knowledge in male employees who have high educational background. Korean J Food & Nutr 12(3): 312-319
  21. Oh SY (2000): Analysis of methods on dietary quality assessment. Korean J Community Nutr 5(2S): 362-367
  22. Park MH, Choi YS, Lee MA, Choi BS, Jung HJ (1999): A study on the food behaviors and nutritional status of industrial workers. Korean J Community Nutr 4(2): 194-206
  23. Reaven GM, Lerner RL, Stern ML, Farquher JW (1967): Role of insulin in endogenous hypertriglyceridemia. J Clin Invest 46: 1756 https://doi.org/10.1172/JCI105666
  24. Shimokata H, Muller DC, Andres R (1989): Studies in the distribution of body fat. JAMA 261: 1169-1173 https://doi.org/10.1001/jama.261.8.1169
  25. Shin JO, Cha HS (1997): The influences of life styles on serum HDL cholesterol. Korean J Life Science 7(4): 262-269
  26. Son SM, Kim HJ (2005): Effect of 12-week low calorie diet and behavior modification on the anthropometric indices and biochemical nutritional status of obese woman. Korean J Community Nutr 10(4): 525-535
  27. The Korea Nutrition Society (2005): Dietary reference intakes for Koreans, Seoul
  28. Toft U, Kristoffersen L, Ladelund S, Ovesen L, Lau C, Pisinger C, Smith LH, Johnsen KB, Jorgensen T (2008): The effect of adding group-based counselling to individiual lifestyle counselling on changes in dietary intake. The Inter study- a randomized controlled trial. Int J Behav Nutr Phys Act 21: 5-59
  29. Wilson PW, D'Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB (1998): Circulation prediction of coronary heart disease using risk factor categories. Circulation 97(18): 1837-47 https://doi.org/10.1161/01.CIR.97.18.1837
  30. Wing RR, Hill JO (2001): Successful weight loss maintenance. Annu Rev Nutr 21: 323-41 https://doi.org/10.1146/annurev.nutr.21.1.323
  31. Wing RR, Phelan S (2005): Long-term weight loss maintenance. Am J Clin Nutr 82(suppl): 222S-S
  32. Yoon JS, Jeong YH, Park JA, Oh HM (2002): The effect of individualized nutritional education on adults having two or more symptoms of chronic degenerative disease. Korean J Community Nutr 7(6): 794-802
  33. Yun HK, Kim HS, Chang NS (2009): Diet quality index-international score is correlated with weight loss in female college students on a weight management program. Korean J Community Nutr 42(5): 453-46 https://doi.org/10.4163/kjn.2009.42.5.453