• Korean Journal of Psychosomatic Medicine
• /
• v.7 no.2
• /
• pp.158-173
• /
• 1999

During the past decade, interest in and knowledge of eating disorders have increased in the medical, social science, and popular literature. Despite this advance in this field, eating disorders in males have received relatively little attention in the literature. However, in recent years, there has been increased awareness that eating disorders occurs in males, as well as females, although research and theoretical discussions concerning this subgroup still remain scare. In this review, the author highlights the clinical characteristics that distinguish male patients with eating disorders from their female counterparts. The identification of such characteristics will improve diagnosis and treatment of eating disorders in males and may increase our understanding of processes that are specific to eating disorders in both sexes.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.2
• /
• pp.1240-1252
• /
• 2015

The purpose of this study was to investigate feeding difficulty and its influencing factors of elders with dementia in long-term care facilities. Participants were 158 elders with dementia residing in three nursing facilities. Data were collected from Aug. 18 to Sep. 12 in 2014. The feeding difficulty in dementia scale, Korean version-Activities of Daily Living and Mini-Mental State Exam-Korean version were used as instruments. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation and stepwise multiple regression by SPSS 17.0. Mean feeding difficulty score was $0.62{\pm}0.43$(range of 0-2). The highest feeding difficulty item was "patient require close supervision while feeding". The variables influencing the feeding difficulty was ADL(${\beta}=.312$), cognitive function(${\beta}=-.172$) which explained about 20.0% of total variance. The results suggest the need of developing feeding difficulty coping strategy according to dietary behavior phase, In addition, the development and testing the educational program for caregivers to help feeding difficulty of the elders with dementia in long-term facility are recommended.

• Journal of the Korea Computer Industry Society
• /
• v.6 no.3
• /
• pp.477-493
• /
• 2005

The cause of the eating disordered diet, which is a main topic of this study, has not been identified clearly, however, has been affected by an emphasis of western norm of a beauty - being tall and skinny - since the eighties. Another reason would be his/her lack of self-confidence and willingness to resolve his/her unsatisfied mental problem. There are two different of eating disordered diets; anorexia nervosa, bulimia nervosa. firstly, a patient of anorexia nervosa which is characterized by the loss in weight, tends to either deny meals, due to his/her desire to be skinny and a fear of gaining the weight. Secondly, a patient of bulimia nervosa eats much more food than an ordinary person does in around two hours and then removes them by doing vomiting with drugs. obesity is defined as overweight by $20\%$ and more than normal weight. In this case, body mass index(BMI) defined by the ratio of the weight(kg) to the height(m') is used. BMI = Weight(kg) / Height(m) In this paper, a list of questioneire for an adolescent to self-diagnosis the possibility of his/her eating disorder diet is identified and then a multi-media system which incorporates the list is designed and implemented with ASP language as a server language on a local host.

• Korean Journal of Psychosomatic Medicine
• /
• v.9 no.2
• /
• pp.153-163
• /
• 2001

This study was attempted to investigate the discriminant validity of Korean version of Eating Attitude Test-26(KEAT-26) and to provide the sensitivity, specificity and efficiency according to cutting score, which may be useful to determine the optimal cutoff point on various purposes. The KEAT-26 was administered to 108 female patients with eating disorders, 179 female participants in body slimming center, 120 female athletic college students, 227 female college students, and 183 healthy normal women. Validity was tested by ANOVA and ROC curve analysis. The results revealed that the total score of the KEAT-26 showed a statistically significance between groups and that the score of the KEAT-26 of eating disorders group was significantly higher than that of the other groups in post hoc test. In comparison of the 4 subfactor score of the KEAT-26 between groups, significant differences in main effect within groups were found in all subfactors except factor IV. ROC curve analysis showed 80% of efficiency to discriminate eating disorders group from normal control group using cutoff score on maximum discriminant efficiency and 69% of efficiency to discriminate eating disorders group from high risk groups for eating disorders. Each cutoff score on maximum in efficiency was as follows ; 25 between eating disorders group and participants in body slimming center, 19 between eating disorders group and healthy normal woman, 23 between eating disorders group and athletic college students, 21 between eating disorders group and college students. Using 22(T score 65) of the KEAT-26 as the cutoff score, sensitivity was 54%, specificity was 84%, and overall efficiency was 80%. These results indicate that the KEAT-26 has a good discriminant validity in Korean population and also suggest that the KEAT-26 may be useful assessment tool to screen the disordered eating problems on clinical and epidemiological purposes.

• 건강소식
• /
• v.30 no.6 s.331
• /
• pp.26-27
• /
• 2006

• Korean Journal of Food Science and Technology
• /
• v.54 no.1
• /
• pp.35-42
• /
• 2022

A survey was conducted to investigate the conditions of meal management and the use of thickening agents for dysphagia in long-term institutions and welfare centers in Korea. The online questionnaire for the survey comprised six questions on the general characteristics of subjects, 16 on meal management, 10 on dietitians' knowledge, and 30 on dietitians' perceived performance and importance of meal management for dysphagia. The complete data from 268 questionnaires were analyzed, and Importance-Performance Analysis (IPA) was conducted. The results of the survey indicated frequent, "difficulties due to no specific guidance on managing dysphagia meal," "lack of caregiver understanding of the importance of dysphagia meal," "lack of opportunity and time for meal education/counseling," "difficulties with management due to dietitians' lack of experience and awareness of dysphagia," and "limited understanding of cooking staff in preparing dysphagia meal." Importantly, these five parts were categorized in the low-priority region in an IPA of the performance.

• Proceedings of the KSCN Conference
• /
• 2001.12a
• /
• pp.922-934
• /
• 2001

• Proceedings of the KSCN Conference
• /
• 2003.11a
• /
• pp.1091-1092
• /
• 2003

당뇨병은 발병한 후에는 혈당조절을 위한 식사요법 실천이 평생에 걸쳐 지속적으로 이루어져야하는 질환이므로 식사요법에 대한 영양교육이 매우 중요하다. 본 연구에서는 지속적인 실습을 포함하는 소그룹 단위의 영양교육프로그램을 실시함으로써 식사요법 실천에 미치는 영향에 대해 알아보고자 하였다. 2003년 4월부터 7월까지 보건소에서 여성 당뇨병 환자 13명을 대상으로 혈당에 가장 영향을 미치는 당질식품의 적정섭취와 균형있고 규칙적인 식사를 강조한 쉬운 식사요법 교실의 형태로 연속 4주간, 2시간의 교육형태로 그룹인원을 5명 이하로 하여 실시하였다. 설문조사를 통하여 식사요법 장애 인자를 파악하였으며 교육 전후에 식사 섭취량, 혈당 허리둘레를 측정하여 비교하였다. 대상자의 평균 연령은 57.85 $\pm$ 9.55세, 유병 기간 6.38 $\pm$ 2.9년이었다 식사요법 교육을 받은 경험이 있는 환자는 15.4%이며 당뇨병 가족력을 가지고 있는 환자는 53.8%이었다. 당뇨병 발견 동기는 증상 .있었던 경우가 23.1%, 종합 진단시 발견된 경우 15.4%, 타 질환 치료시 알게된 경우 61.5%이었다. 저혈당 증세 및 대처방법을 알고 있는 환자는 53.8%이었다. 식사요법시 장애인자를 항목별로 질문하였을 때 가장 큰 장애는 주위에서 더 먹으라고 권유하는 것, 식사요법은 나에게 큰짐이 된다는 생각, 식사요법보다 일상생활에서 더 중요한 것이 많음이 53.8%로 답하였다. 교육 전후의 식사 섭취 량을 비교하였을 때 교육 전 에너지 섭취량은 1579.6 $\pm$ 355.8㎉ 교육 후 1505 $\pm$ 425.3㎉로서 70㎉정도 감소하였다. 교육 시 처방한 열량의 98.3%를 섭취하고 있었다. 당질섭취는 교육 전 257$\pm$60.6g 교육 후 214.8$\pm$56.1g로 감소하였고 단백질, 지질의 섭취는 교육전후에 큰 차이가 없었다. 총열량에 대한 3대 영양소의 섭취비율은 교육 전 57:23:20에서 교육 후 51:28:21로 당질비율은 감소하고 지질이나 단백질 섭취비율이 증가하였다. 교육전 후 식품군 별 섭취 량을 식품교환단위 수로 비교하였을 때 곡류군 섭취는 교육 전 5.87 $\pm$ 2.51에서 교육 후 5.38 $\pm$ 1.71로 교육후 당질 식품 섭취량이 감소하였으나 통계적으로 유의성은 나타나지 않았다. 교육 후 식품선택에서의 큰 변화는 과일류 중 토마토 섭취 비율 증가로 교육 전에는 총 과일 섭취량의 19.87%에서 교육 후에는 56.32%로 증가했다. 혈당은 교육후 42.8mg/㎗ 감소한 것으로 나타났으며 허리둘레는 교육 전 평균 83.8 $\pm$ 5.75에서 교육 후 82.33 $\pm$ 5.89cm로 약 1.5cm가량 감소하였다. 따라서 당질 식품 적정 섭취에 대한 실습 위주의 단기간 영양교육은 당뇨병 관리에 유익한 것으로 평가되었다.

• Journal of Korean Medicine for Obesity Research
• /
• v.2 no.1
• /
• pp.1-12
• /
• 2002

Eating disorders are psychiatric disorders characterized by abnormal eating patterns and cognitive distortions related to food, weight and shape, which is in turn result in adverse effects on nutrition status, medical complications, and impaired health status and function. The American Psychiatric Association's DSMIVTR offers two diagnoses to describe disordered eating anorexia nervosa and bulimia nervosa. A third category, eating disorder not otherwise specified(EONOS) include binge eating disorder. The prevalence of eating disorder has greatly increased among adolescence and young adults since 1990's when rapid import of western culture took place. It is likely that patients who ask for weight loss are at high risk of having eating disorder. Severe dietary restriction for weight loss may cause eating disorder. Therefore it is recomendable for doctors to have appropriate understanding and guidelines of eating disorder to help their patients.

• Therapeutic Science for Rehabilitation
• /
• v.13 no.2
• /
• pp.9-25
• /
• 2024

Objective : Children with autism spectrum disorder (ASD) commonly suffer from feeding disorders. Major feeding problems include mealtime behavior problems, picky eating, and a lack of food variety can lead to nutritional problems, developmental and social limitations, and stress for the caregivers. A review of the latest literature was conducted to gain an in-depth understanding of assessment tools for feeding disorders in children with ASD. Method : This study analyzed assessments to identify feeding problems in ASD based on previous studies searched through keywords such as ASD, ASD feeding problem, and ASD feeding evaluation. Results : The ASD feeding disorder assessment was divided into direct and indirect assessments. Indirect assessment, in which caregivers measure a child's situation using questionnaires, is mainly used. The assessment of feeding disorders in children with ASD was divided into 1) mealtime behavior, 2) sensory processing, 3) food consumption, and 4) others. Conclusion : As the main feeding disorder characteristics of children with ASD are very diverse, a comprehensive evaluation is necessary but is still limited. Swallowing rehabilitation experts, such as occupational therapists, should apply comprehensive assessment tools based on a basic understanding of the feeding problems, behaviors, and sensations in ASD.