Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Nutrition Education and Personalized Lunch Service Program for Elderly at Senior Welfare Center in Jeonju

전주지역 복지관 노인대상 영양교육 및 맞춤형 점심 급식 프로그램 효과

  • Bae, Jeong-Sook (Graduate School of Education, Chonbuk National University) ;
  • Kim, Mi-Hyun (Department of Food Science & Human Nutrition, Kangwon National University) ;
  • Kim, Sook-Bae (Department of Food Science & Human Nutrition, Research Institute of Human Ecology, Chonbuk National University)
  • 배정숙 (전북대학교 교육대학원) ;
  • 김미현 (강원대학교 식품영양학과) ;
  • 김숙배 (전북대학교 식품영양학과.인간생활과학연구소)
  • Received : 2012.10.29
  • Accepted : 2013.02.22
  • Published : 2013.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate the effects of a nutrition education and personalized lunch service program in a senior welfare center. A total of 30 elderly (14 males, 16 females) aged 62~89 years participated in this study. Nutrition education lessons (2 hour/lesson/week) were provided for 4 weeks. Also, ten weeks from week 3rd to week 12th, personalized lunch providing 1/3 personal needed energy was served 5 times for a week. After the nutrition intervention program, we compared anthropometric characteristics, blood biochemical characteristics, nutrition knowledge, dietary attitude and dietary intake using 24 hr recall with those before the intervention. The body weight (p < 0.001) and body mass index (BMI) (p < 0.001) were decreased. There were significant increases in score of nutrition knowledge (p < 0.01) and consumption of milk & milk products for snacks. There was a positive effect on fasting blood sugar (FBS) showing significant decreases in portion of impaired fasting glucose and diabetes mellitus (p < 0.05). Also, serum triglyceride (TG) was significantly decreased (p < 0.05). In evaluation of nutrient intake by Dietary Reference Intakes for Koreans (KDRIs), riboflavin (p < 0.01), vitamin C (p < 0.001), calcium (p < 0.05) were positively improved. The index of nutritional quality (INQ) and intakes of vitamin C (p < 0.001), riboflavin (p < 0.05), Ca (p < 0.01) and Fe (p < 0.05) were increased. In conclusion, this nutrition education and lunch service program providing 1/3 personal needed energy can be used to develop and implement a tailored nutritional intervention programs in the setting of a community senior welfare center to improve health and nutritional status of Korean elderly.

Keywords

References

  1. Ahn HJ, Koo BK, Jung JY, Kwon HR, Kim HJ, Park KS, Han KA, Min KW (2009): Bowl-based meal plan versus food exchangebased meal plan for dietary intake control in Korean type 2 diabetic patients. Korean Diabetes J 33: 155-163 https://doi.org/10.4093/kdj.2009.33.2.155
  2. Choe JS, Baeg HY (2004): Seasonal variation of nutritional intake and quality in adults in longevity areas. Korean J Soc Food Sci Nutr 33(4): 668-678 https://doi.org/10.3746/jkfn.2004.33.4.668
  3. Choi YJ, Kim C, Park YS (2007): The effect of nutritional education program in physical health, nutritional status and health-related quality of life of the elderly in Seoul. Korean J Nutr 40(3): 270-280
  4. Do HJ, Lee YM (2011): A study on customized nutrition intervention program design and application for the low-income elderly. Korean J Community Nutr 15(6): 716-729
  5. Eom HS, Jeong MJ, Kim SB (2005): A study on nutrition knowledge, dietary attitude, food habit of middle school students in Chonbuk area. Korean J Community Nutr 10(5): 574-581
  6. Ha AH, Ryu HS (2010): Patterns of food habits and food intake by age: base on the nutrition counseling data of medical health examination. Korean J Food & Nutr 23(4): 531-541
  7. Han KH, Choi MS, Park JS (2004): Nutritional risk and its related factors evaluated by the mini nutritional assessment for the elderly who are meal service participants. Korean J Nutr 37(8): 675-687
  8. Kang HJ, Shin EM, Kim KW (2009): Evaluation of nutrition education for diabetes mellitus management of older adults. Korean J Community Nutr 14(6): 734-745
  9. Kang YH, Kim MY, Eliza L (2008): The relationship of perceived health status, activities of daily living and nutrition status in the community-dwelling Korea elderly. Korean J Acad Nurs 38(1): 122-130 https://doi.org/10.4040/jkan.2008.38.1.122
  10. Kim OS, Ryu HS (2009): The study on blood lipid levels according to the food habits and food intake patterns in Korean elderly. Korean J Food & Nutr 3: 421-429
  11. Kim SB, Choi HJ (2008): Effects of nutrition education using food exchange system: changes in elementary students' nutrition knowledge, dietary attitude and nutrients intake. Korean J Community Nutr 13(6): 922-933
  12. Kim TY, Suh MO (2008): The effect of nutrition education on weight control in male workers by the community health center. J Korean Diet Assoc 14(4): 351-360
  13. Korea Health Industry Development Institute, KHIDI (2009): Korea health industry statistics system. Available from http://www.khidi.or.kr [cited 2012 January 10]
  14. Korean Diabetes Association (2011): Diabetes and Diet. Available form http://www.diabetes.or.kr [cited 2011 August 18]
  15. Korean National Statistical Office (2010): The statistics of mortality and the causes. Available from http://www.kostat.go.kr [cited 2011 December 26]
  16. Korean Nutrition Society (2010): Dietary Reference Intakes, Han-A Reum publishing, Seoul, pp.579-583
  17. Lee DH (2010): The effects of quality of life in the elderly's health condition. J Korean Gerontological Society 30(1): 93-108
  18. Lee SL, Kim YL, Lee SJ, Cho YK, Choi YK (2004): Effects of diabetes education on diabetic management in non insulindependent diabetics mellitus patients. J Korean Diet Assoc 10(30): 300-308
  19. Lee SY, Kim MJ, Kwon SJ (2010): Effects of low glycemic index nutrition education on the blood glucose control in patients with type 2 diabetes mellitus. Korean J Nutr 43(1): 46-56 https://doi.org/10.4163/kjn.2010.43.1.46
  20. Lee YA, Kim KN, Chang NS (2008): The effect of nutrition education on weight control and diet quality in middle-aged women. Korean J Nutr 41(1): 54-64
  21. Nam HM, Woo SH, Cho YJ, Choi YJ, Back SY, Yoon SY, Lee JY, Lee JJ, Lee HJ (2011): Effects of nutritional education practice program for cardiocerebrovascular high-risk group at the education information center. Korean J Community Nutr 16(5): 580-591 https://doi.org/10.5720/kjcn.2011.16.5.580
  22. Oh JY, Kim SB (2010): Development and effects analysis of nutrition education program for diabetes mellitus at community health center-focus on individual daily energy requirements and food exchange units. Korean J Community Nutr 15(4): 485-497
  23. Shim JE, Paik HY, Moon HK (2007): Breakfast consumption pattern, diet quality and health outcomes in adults from 2001 national health and nutrition survey. Korean J Nutr 40(5): 451-462
  24. Shin JW, Park YK, Seo SR, Kim JE (2011): Factors influencing quality of life in elderly diabetic patients of Korea: Analysis from the Korea national health and nutrition examination survey in 2008. J Korean Gerontological Society 31(3): 479-487
  25. Son SM, Im HS, Kim JH, Lee JH, Seo JS, Son JM (2008): Clinical Nutrition, 4th. Kyomunsa, Paju, pp. 147-149, pp. 186-189, pp. 230-231, pp. 261-262
  26. Yang EJ, Bang HM (2008): Nutritional status and health risks of low income elderly women in Gwangju area. Korean J Nutr 41(1): 65-76
  27. Yang IS, Jung HY, Lee HY, Chae IS (2003a): Analyzing the current practice of the home-delivered meal(HDM) service program for homebound elderly. J Korean Community Nutr 8(5): 736-743
  28. Yang JL, Seo HJ, Kim YH (2003b): Effects of nutrition education on nutritional status of hemodialysis patients. Korean J Nutr 36(7): 749-758
  29. Yim KS (2008): The effects of a nutrition education program for hypertensive female elderly at the public health center. Korean J Community Nutr 13(5): 640-652
  30. Yim KS, Lee TY (2004): Sociodemographic factors associated with nutrients intakes of elderly in Korea. Korean J Community Nutr 37(3): 210-222

Cited by

  1. 충북 일부지역 보건소 건강증진프로그램에 참여한 여자 노인의 영양상태 변화 vol.26, pp.2, 2015, https://doi.org/10.7856/kjcls.2015.26.2.225
  2. 중산층 노인대상 식품안전·영양관리 교육 사업 평가를 위한 도구 개발: 균형성과표와 구조·과정·성과 개념 적용 vol.48, pp.6, 2013, https://doi.org/10.4163/jnh.2015.48.6.542
  3. 전북지역 청소년 운동선수 대상 하루 필요 식품군 수 맞춤 점심급식을 병행한 영양교육 효과 vol.21, pp.1, 2013, https://doi.org/10.5720/kjcn.2016.21.1.25
  4. 노인복지시설 사용자 중심의 영양·식생활관리 프로그램 요구 분석 vol.21, pp.1, 2016, https://doi.org/10.5720/kjcn.2016.21.1.65
  5. 노인들의 식품안전 위험요인 규명을 위한 식품위생 지식, 태도, 행동 조사 vol.45, pp.5, 2013, https://doi.org/10.3746/jkfn.2016.45.5.746
  6. 보건소 방문 어르신 대상 사회적 인지론 적용한 영양교육의 효과 vol.29, pp.3, 2013, https://doi.org/10.9799/ksfan.2016.29.3.313
  7. 지역사회 노인을 위한 식생활 개선 프로그램 개발 항목에 대한 타당성 연구 vol.22, pp.3, 2013, https://doi.org/10.5720/kjcn.2017.22.3.218
  8. 재가 노인들을 위한 노인복지관의 급식 식단 평가 vol.23, pp.4, 2013, https://doi.org/10.14373/jkda.2017.23.4.363
  9. 서울 지역 건강·복지담당자가 인식하는 취약계층 고령자를 위한 지역사회 식사·식품지원서비스 실태 vol.25, pp.4, 2013, https://doi.org/10.14373/jkda.2019.25.4.295
  10. Comparison of nutrient intakes by nutritional anemia and the association between nutritional anemia and chronic diseases in Korean elderly: Based on the 2013-2015 Korea National Health and Nutrition E vol.13, pp.6, 2013, https://doi.org/10.4162/nrp.2019.13.6.543
  11. 서울시 일부 취약계층 노인에서 맞춤형 영양중재 프로그램에 따른 식품안정성 확보 및 건강·영양상태 개선 효과 vol.53, pp.4, 2013, https://doi.org/10.4163/jnh.2020.53.4.416
  12. 재가노인복지시설 급식소의 위생·영양관리 실태조사 연구 vol.25, pp.5, 2013, https://doi.org/10.5720/kjcn.2020.25.5.374
  13. 대도시·중소도시·읍면지역 및 동일한 지역내에서의 소득수준에 따른 노인의 영양소 섭취 현황: 국민건강영양조사 2016-2018년 자료 활용 vol.36, pp.1, 2013, https://doi.org/10.7318/kjfc/2021.36.1.92