Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
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Changes in Nutritional Status according to Biochemical Assay, Body Weight, and Nutrient Intake Levels in Gastrectomy Patients

위절제 환자들의 혈액의 생화학적 지표, 체중 및 영양소 섭취 변화에 관한 추적 연구

  • Yu, Eun-Joo (Dept. of Functional Food & Nutrition, Graduate School of Human Environmental Sciences, Yonsei University) ;
  • Kang, Ju-Hee (Dept. of Food & Nutrition, Brain Korea 21 Project, Yonsei University College of Human Ecology) ;
  • Yoon, Sun (Dept. of Food & Nutrition, Brain Korea 21 Project, Yonsei University College of Human Ecology) ;
  • Chung, Hye-Kyung (Dept. of Nutrition Services, Gangnam Severance Hospital, Yonsei University)
  • 유은주 (연세대학교 생활환경대학원) ;
  • 강주희 (연세대학교 생활과학대학 식품영양학과) ;
  • 윤선 (연세대학교 생활과학대학 식품영양학과) ;
  • 정혜경 (연세대학교 강남세브란스병원 영양팀)
  • Received : 2011.10.10
  • Accepted : 2011.12.02
  • Published : 2012.02.02
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Abstract

The purpose of this study was to investigate the changes in nutritional status of gastrectomy patients. The anthropometric and biochemical data were measured at pre-operation, at discharge, 1 month after discharge, and 3 months after discharge. Nutrient intake levels, nutrients adequacy ratio (NAR), mean adequacy ratio (MAR), and the proportion of patients with intake levels inferior to those of dietary reference intakes (DRIs) were analyzed at discharge, 1 month after discharge, and 3 months after discharge. Finally, the data on 23 patients (15 male and 8 female) were collected and used for statistical analysis. Fifteen patients underwent subtotal gastrectomy, and 8 patients underwent total gastrectomy. Compared to pre-operation, body weight and body mass index of subjects significantly decreased at discharge, 1 month after discharge, and 3 months after discharge (P<0.001). Serum albumin (P<0.001), total lympocyte count (P<0.001), total cholesterol (P<0.001), hemoglobin (P<0.001), hematocrit (P<0.001), and mean corpuscular hemoglobin concentration (P<0.05) were significantly different between pre-operation, at discharge, 1 month after discharge, and 3 months after discharge. The proportions of patients with lower nutrient intake levels than DRIs were substantial. MAR at discharge, 1 month after discharge, and 3 months after discharge were 0.70, 0.80 and 0.91, respectively. Especially, the NARs of folate, niacin, vitamin $B_2$, vitamin C, and zinc were all low. Considering the various nutritional problems of gastrectomy patients, systematic medical nutrition therapy is needed after gastrectomy.

Keywords

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