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Effects of Guar Gum Hydrolysate Intake among Older Adults at Senior Day Care Centers

주간보호센터 이용 노인의 구아검가수분해물 섭취 효과 평가

  • 이하영 (아름드리나무 어린이병원) ;
  • 안채운 (강동성심병원) ;
  • 신동수 (한림대학교 간호대학, 한림대학교 글로벌프론티어리서치센터)
  • Received : 2024.10.07
  • Accepted : 2024.11.07
  • Published : 2024.11.30

Abstract

Purpose: This study used a single group, pre-post test, quasi-experimental design to determine the effects of guar gum hydrolysate intake with water on older adults at senior day care centers. Methods: Fifty-six older adults from two senior day care centers were enrolled in April 2024. After 12 weeks, fluid intake, functional dependence, self-rated bowel health, and frailty index were measured. Results: There were statistically significant improvements in participants' fluid intake and self-rated bowel health. Changes in frailty index were not statistically significant and require further investigation. Functional dependence did not show statistically significant changes, but more refined assessment criteria are needed. Conclusion: The results of this study showed that consumption of guar gum hydrolysate contributed to rapid relief of constipation symptoms in older adults attending senior day care centers. Therefore, the use of various interventions for constipation, including guar gum hydrolysate, should be considered in the future to improve the degree of constipation and self-rated bowel movement.

Keywords

References

  1. KOSIS, 「Life table」 2023. 12 [cited 2024 September 16] available from: https://www.kostat.go.kr/board.es?mid=a10301060900&bid=208&act=view&list_no=428312
  2. KOSIS, 「Population Projections: 2022~2072」 2023. 12 [cited 2024 September 16] available from: https://www.kostat.go.kr/board.es?mid=a10301010000&bid=207&act=view&list_no=428476
  3. National Health Insurance Service, 「2023 Long-term Care Insurance Statistical Yearbook」 2024.06 [cited 2024 September 16] available from: https://www.longtermcare.or.kr/npbs/d/m/000/moveBoardView?menuId=npe0000000770&bKey=B0009&search_boardId=61176
  4. Sim JW, Shin DS, Park SH. Develop health promotion programs to improve nutrition and prevent frailty for older adults in senior day care centers. KFN International Symposium and Annual Meeting. 2022; 539.
  5. Hwang HW, Lee DW. Prebiotics: An overview of current researches and industrial applications. Food science and industry. 2019;52(3):241-60. https://doi.org/10.23093/FSI.2019.52.3.241
  6. Jeong YS, Jung DK, Choi EJ. Constipation among Korean older adults in long-term care facilities: A scoping review. Journal of Korean Gerontological Nursing. 2024;26(1):4-18.
  7. Lee TH. Non-pharmacologic treatment for elderly constipation: lifestyle modification. Korean Journal of Clinical Geriatrics. 2018;19(1):16-22.
  8. Lim JH, Park HC, Lee HY, Lee EJ, Lee DB, Jung HW, Jang IY. Higher frailty burden in older adults with chronic constipation. BMC Gastroenterology. 2021;21:137.
  9. Song MS, Yang NY. Effects of stress due to constipation and nutritional status on degree of constipation among community-dwelling elders. Journal of Korean Gerontological Nursing. 2020;22(1):65-74.
  10. Al-Sheraji SH, Ismail A, Manap MY, Mustafa S, Yusof RM, Hassan FA. Prebiotics as functional foods: A review. Journal of Functional Foods. 2013;5(4):1542-53.
  11. Kapoor MP, Sugita M, Fukuzawa Y, Okubo T. Impact of partially hydrolyzed guar gum on constipation prevention: A systematic review and meta-analysis. Journal of Functional Foods. 2017; 33:52-66. https://doi.org/10.1016/j.jff.2017.03.028
  12. Chan TC, Yu VMW, Luk JKH, Chu LW, Yuen, JKY, Chan FHW. Effectiveness of partially hydrolyzed guar gum in reducing constipation in long term care facility residents: A randomized single-blinded placebo controlled trial. Journal of Nutrition Health Aging. 2022;26(3):247-51. https://doi.org/10.1007/s12603-022-1747-2
  13. Choi YJ, Cho JH, Lee DH, Song DJ, Kwon YJ, Baek SM, et al. Development of Koreans gut quotient measurement scales. Korean Journal of Gastroenterology. 2019;73(6):341-9. https://doi.org/10.4166/kjg.2019.73.6.341
  14. Veldhuyzen van Zanten SJO, Chiba N, Armstrong D, Barkun AN, Thomson ABR, Mann V, et al. Validation of a 7-point global overall symptom scale to measure the severity of dyspepsia symptoms in clinical trials. Aliment Pharmacology and Pherapeutic. 2006;23:521-9.
  15. Morely JE, Malmstrom Tk, Miller DK. A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. Journal of Nutritional Health Aging. 2012;16:601-8.
  16. Jung HW, Yoo HJ, Park SY, Kim SW, Choi JY, Yoon SJ, et al. The Korean version of the FRAIL scale: Clinical feasibility and validity of assessing the frailty status of Korean elderly. Korean Journal of Internal Medicine. 2016;31:594-600.
  17. Kwon OG, Hur JS. Effectiveness of integrated cognitive activity program for the elderly with mild dementia: Focusing on day care center users. Korea Academy of Care Management. 2023;48:5-40. http://doi.org/10.22589/kaocm.2023.48.5
  18. Na WR, Kim JY, Kim HJ, Lee YJ, Sohm CM, Jang DJ. The Relationship between nutrition status and risk of frailty in cognitive impaired elderly in daycare center (DC Center). Journal of Korean Society of Food Science Nutrition. 2021;50(1):88-94. https://doi.org/10.3746/jkfn.2021.50.1.88
  19. Choi SB, Kwon MJ. Factors influencing service satisfaction among elderly using day care services. Journal of the Korea Academia-Industrial Cooperation Society. 2024;25(3):366-75. https://doi.org/10.5762/KAIS.2024.25.3.366
  20. Shin D, Park HO, Suk SH, Son SK. Song MS. Gerontological Nursing: Medical Factory. Seoul; 2024. p. 116-120.
  21. Cook G, Hodgson P, Hope C, Thompson J, Shaw L. Hydration interventions for older people living in residential and nursing care homes: Overview of the literature. British Medical Bulletin. 2019;131:71-9.
  22. Armstrong D, Veldhuzen van Zanten SJO, Barkun A, Trnser L, Popat A, Chakraborty B, et al. Symptom response at 1-week predicts respondent 4-week with esomeprazole. The American Journal of Gastroenterology. 2003;98:S48-9.
  23. Veldhuzen van Zanten SJO, Chiba N, Armstrong D, Barkun A, Thomson A, Smyth S, et al. A randomized trial comparing omeprazole, ranitidine, cisapride, or placebo in helicobacter pylori negative, primary care patients with dyspepsia: the CADET-HN Study. American Journal of Gastroenterology. 2005;100(7):1477-88.
  24. Kim HY, Kang HS. Research trends in intervention studies for frail elderly adults in Korea: A scoping review. Korean Journal of Adult Nursing. 2022;34(3):233-48. https://doi.org/10.7475/kjan.2022.34.3.233
  25. Lee EW, Kim HS, Yoo BN. A systematic literature review on the frailty-related studies in Korea. Korean Public Health Research. 2022;48(2): 73-84. https://doi.org/10.22900/kphr.2022.48.2.006