• Food Industry
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• s.61
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• pp.8-18
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• 1981

• Food Industry
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• s.24
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• pp.36-42
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• 1975

• Korean Journal of Community Nutrition
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• v.2 no.4
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• pp.470-476
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• 1997

본 연구는 북한 식량사정의 실상과 탈북자들의 북한에서의 영양상태 및 남한에서의 정착 후 영양섭취 변화와 이에 따른 건강상태의 변화를 파악하기 위해 탈북한 일가족 10명을 대상으로 하여, 식이섭취 조사를 실시하였다. 또한 탈북직후와 4개월 후 의료기관에서 검진한 결과를 이용하여 분석한 결과는 다음과 같다. 일반적으로 이들의 체위는 남한의 평균 체위보다 매우 왜소하였으며. 4개월동안 평균 4.5kg 정도의 체중이 증가하였다. 이들의 식생활은 북한에서 주로 감자, 강냉이밥, 강냉이로 만든 국수, 산나물등 식물성 식품위주의 식사였으나 남한에서는 동물성 식품의 섭취가 급격히 증가하였다. 이북에서 이들의 평균 열량섭취량은 한국인 영양권장량에 비교할 때 50% 정도로 매우 낮은 수준을 보였으며, 남한에서도 열량섭취는 증가하지 않았다. 그러나 대부분의 영양소의 섭취는 북한과 비교할 때 남한에서 증가를 보였고, 특히 콜레스테롤 섭취는 급격한 증가를 보였다. 탈북직후의 이들 혈중 알부민, 포토당, 헤모글로빈, 헤마토크리트 농도는 대부분 정상이었으며, 혈액의 지질농도도 정상범위에 속하는 것으로 나타났다. 현재 북한 식량난은 더욱 심각할 것으로 추측할 수 있으나 이들의 거주할 당시의 북한에서는 하루 2끼 식사에 강냉이를 주로 하는밥이나 죽, 그리고 나물 등을 주로 먹은 것으로 나타났다. 명절은 김일성 생일, 김정일 생일, 8.15해방절, 조국 해방전쟁 승리일등이 있고, 이런 명절에서는 설탕, 밀가루등 특별배급이 추가되나 특별한 명절음식은 없는 것으로 조사되었다. 북한에는 양념이 매우 귀하며, 특히 고춧가루가 귀해서 주로 백김치를 담가서 먹고 있었다. 현재 북한에서 가장 필요로 하는 것으로 쌀, 잡곡류, 고기 그리고 참깨 등의 양념류와 의약품 및 비누 등을 제시하였다. 현재 자료수집이 극도로 제한된 상황에서 북한 주민들의 정확한 식이섭취 상태와 영양상태 판정은 불가능한 것으로 사료된다. 본 연구의 대상자가 극히 소수이고, 실제로 이들이 북한에서 소외된 계층이었으므로 본 연구결과가 북한의 사정을 정확히 대표한다고 할 수는 없으나 이들의 조사가 앞으로 북한주민의 영양상태를 판정하는데 중요한 자료가 되었으면 한다. 앞으로 통일에 대비하여 북한 주민들의 식생활의 양상과 정확한 영양상태에 대해 많은 연구가 시도되어야 할 것이다.

• Korean Journal of Adult Nursing
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• v.21 no.6
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• pp.559-569
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• 2009

Purpose: This study was to examine the reliability and validity of Patient-Generated Subjective Global Assessment (PG-SGA) as a nutritional measurement for stroke patients. Methods: This was a methodological study performed from May 6 to June 10, 2009 at a tertiary university hospital in Seoul. For reliability of PG-SGA, inter-rater reliability was used for statistics. For concurrent validity, BMI and biomarkers were compared between PG-SGA 0 ~ 8 and ${\geq}$ 9. In addition, sensitivity, specificity, and predictive value of PG-SGA compared with SGA were calculated using a contingency table. For predictive validity, hospital day, complications, and readmission within 1-month after discharge were compared between PG-SGA 0 ~ 8 and ${\geq}$ 9. Results: Correlation of PG-SGA score between two observers was 0.83, and kappa value for the agreement of severe malnutrition was 0.78(all $p_s$ < .001). The scored PG-SGA showed high sensitivity and specificity (100% and 96.7%, respectively). Severe undernourished patients (PG-SGA ${\geq}$ 9) had significantly low TLC, protein, albumin, and prealbumin (all $p_s$ < .01) compared with non-undernourished patients (PG-SGA 0 ~ 8). Also, in severe undernourished patients, complications and readmission (all $p_s$ = 0.01) were more often represented, and hospital days (p = .013) were significantly delayed. Conclusion: PG-SGA is a reliable and valid measurement to assess nutritional status for stroke patients.

• Korean Journal of Adult Nursing
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• v.20 no.1
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• pp.44-54
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• 2008

Purpose: The purpose of the study were to examine the nutritional status of severe brain injury adult patients in critical period, and to compare the nutritional states before and after tube feeding. Methods: Data from 19 patients admitted to the SICU in a university hospital due to severe brain injury were analyzed. Nutritional states were measured by anthropometric and blood biochemical indicators. Results: MAC and MAMC were significantly decreased only at 7 days after admission compared with those on the day of admission. TSF was significantly decreased from 7 days to 14 days after admission. Fat rate was significantly decreased from 3 days to 14 days after admission. Hb was significantly decreased only at 3 days after admission. Albumin was significantly decreased from 3 days to 14 days after admission. However, lymphocyte was significantly increased at 14 days after admission. TSF and Albumin became significantly worse even after initiating tube feeding. Conclusions: Nutritional status of severe brain injury patients in SICU became worse after admission whichever indicators were adopted to evaluate nutritional status, anthropometric or blood biochemical indicators, and became worse even after initiating tube feeding.

• Journal of agricultural medicine and community health
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• v.34 no.2
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• pp.244-255
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• 2009

Objectives: This study was to identify and test the health and nutritional status of grandparents in grandparents-grandchildren family in rural area. Methods: The subjects of this study were 70 grandparents of grandparents - grandchildren family in Muan-Gun. The collected data were analyzed by descriptive statistics, regression analysis. Results: The average age of grandparents was 70.1${\pm}$6.6 years old, unhealthy of the subjective health status was 55.7%, MNA score was 21.0${\pm}$3.5 points and 62.2% of the grandparents were shown to have malnutritonal status. The ADL, IADL, depression and fall index of health status were significantly related to the relationship with gender(p<.01), age(p<.05), economic(p<.01) and educational level(p<.01), and partnership(p<.01). MNA score was significantly related to the relationship with acute disease(p<.05), ADL(p<.001), IADL(p<.01), cognitive function(p<.01) and gender(p<.01). And the health status variables and general characteristics were positively correlated while the relationships were positive between health status variables and MNA score. Conclusions: With the above findings, grandparents of grandparents-grandchildren family have the problems of health and nutritional status. Then health and nutritional intervention program for grandparents-grandchildren family is needed to serve.

• Asian Oncology Nursing
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• v.11 no.3
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• pp.247-253
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• 2011

Purpose: The purpose of the study was to evaluate the accuracy of two different fluid intake measurement methods (fluid only vs. all dietary intake) in measuring fluid balance compared to body weight change among patients with cancers. Methods: A total of 60 cancer patients in an urban cancer center in South Korea participated in the study. Adult patients who were over 18 years old; having 24-hour I&O order; and taking either normal regular diet or soft blend diet were included. Demographic information and disease related information were also gathered. The data were analyzed using SPSS 18.0 program. Results: Measuring 'fluid only' for oral intake was a more accurate measure than measuring 'all dietary intake' (p=.026 vs. p=.094). Both methods had positive correlations with the amount of weight change (r=.329, p=.010; r=.303, p=.019). Measuring body weight was a more accurate and efficient way of evaluating the fluid balance than 24 hour cumulative I&O. Conclusion: Developing clinical manual for selecting proper patients who needs fluid balance monitoring is imperative. Administering weight check and/or 24 hour cumulative I&O should be considered thoroughly based on solid nursing evidence in future.

• Journal of Korean Academy of Nursing
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• v.27 no.1
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• pp.49-60
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• 1997

The purpose of this study was to determine the incidence of malnutrition among patients on admission to hospital, to monitor changes in their nutritional status during hospitalization, and to determine the factors which might affect changes in nutritional status. The subjects for the study were patients who were admitted to general medicine for more than one week. Patients suffering from cardiovascular. renal disease, or dehydration were excluded. Nutritional assessment of the patients was performed on admission and nutritional status was reassessed one week and two weeks after admission. The nutritional assessment tool consisted of subjective history taking and anthropometric measurements. Biochemical measurements were performed only on admission. For anthropometric assessment : patients' body weight, subcutaneous skinfolds thickness, % of body fat, body mass index, and lean body mass were measured using caliper or Bio impedance Analyzer. Factors which might influence current nutritional status, like dietary intake, anorexia, nausea, vomiting, diarrhea, sleep disturbance, and number of days of NPO for diagnostic examinations were analyzed. The results are as follows : 1. Of the 59 patients who were studied, 61% were male and 39% female. The nutritional status of all of the 59 subjects was reassessed one week after admission, but it was only done for 22 subjects at two weeks. 2. The anthropometric measurements. including weight body mass index, lean body mass, body fat. and skin fold thickness. were all significantly decreased at one week after admission compared to the values at admission. On the other hand, two weeks after admission, only body weight and abdominal skinfolds thickness were decreased. 3. The subjects reported anorexia for an average of two days, sleep disturbance for two days, and no food intake due to diagnostic test for one day. In the second week of hospitalization, almost none of the patients complained of gastrointestinal symptoms or sleep disturbance except anorexia. Food consumption which was measured based on rice intake was 60% of the food served during the first week of hospitalization, and 66% during the second week of hospitalization. 4. There was no correlation between the subjective nutritional assessment and anthropometric assessment. 5. There was no statistical significance in anthropometric measurements among the patients with various diseases whereas sleep disturbance and no food intake due to various diagnostic test was prominent in patients with gastrointestinal diseases.

• Journal of the Korea Convergence Society
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• v.13 no.1
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• pp.477-488
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• 2022

The purpose of this study is to identify the factors influencing the depression in workers with diabetes mellitus. Using data from the Korean National Health and Nutrition Examination Survey (KNHANES). 685 workers with diabetes mellitus who were ≥30 years of age were enrolled. Depression was evaluated on the basis of PHQ-9 levels. Data were analyzed by complex sample linear regression using SPSS/WIN 23.0. The factors influencing depression included gender, age, household type, household income level, education level, type of employment (p>.05). The additional factors included stress perception level, weekly walking days (p>.05). Therefore, it is necessary to prepare systematic programs for depression and a support system for health promotion plan for diabetes mellitus in work places and throughout society. In addition, research on depression management program development is needed.

• Journal of Nutrition and Health
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• v.52 no.4
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• pp.332-341
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• 2019

Purpose: Poor nutrition in hospitalized patients is closely linked to an increased risk of infection, which can result in complications affecting mortality, as well as increased length of hospital stay and hospital costs. Therefore, adequate nutritional support is essential to manage the nutritional risk status of patients. Nutritional support needs to be preceded by nutrition screening, in which accuracy is crucial, particularly for the initial screening. To perform initial nutrition screening of hospitalized patients, we used the Catholic Kwandong University (CKU) Nutritional Risk Screening (CKUNRS) tool, originally developed at CKU Hospital. To validate CKUNRS against the Patient-Generated Subjective Global Assessment (PG-SGA) tool, which is considered the gold standard for nutritional risk screening, results from both tools were compared. Methods: Nutritional status was evaluated in 686 adult patients admitted to CKU Hospital from May 1 to July 31, 2018 using both CKUNRS and PG-SGA. Collected data were analyzed, and the results compared, to validate CKUNRS as a nutrition screening tool. Results: The comparison of CKUNRS and PG-SGA revealed that the prevalence of nutritional risk on admission was 15.6% (n = 107) with CKUNRS and 44.6% (n = 306) with PG-SGA. The sensitivity and specificity of CKUNRS to evaluate nutritional risk status were 98.7% (96.8 ~ 99.5) and 33.3% (28.1 ~ 39.0), respectively. Thus, the sensitivity was higher, but the specificity lower compared with PG-SGA. Cohen's kappa coefficient was 0.34, indicating valid agreement between the two tools. Conclusion: This study found concordance between CKUNRS and PG-SGA. However, the prevalence of nutritional risk in hospitalized patients was higher when determined by CKUNRS, compared with that by PG-SGA. Accordingly, CKUNRS needs further modification and improvement in terms of screening criteria to promote more effective nutritional support for patients who have been admitted for inpatient care.