• Nutrition Research and Practice
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• 제8권1호
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• pp.103-111
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• 2014

This study aims to determine the effect of a trained dedicated dietitian on clinical outcomes among Lebanese hemodialysis (HD) patients: and thus demonstrate a viable developing country model. This paper describes the study protocol and baseline data. The study was a multicenter randomized controlled trial with parallel-group design involving 12 HD units: assigned to cluster A (n = 6) or B (n = 6). A total of 570 patients met the inclusion criteria. Patients in cluster A were randomly assigned as per dialysis shift to the following: Dedicated Dietitian (DD) (n = 133) and Existing Practice (EP) (n = 138) protocols. Cluster B patients (n = 299) received Trained Hospital Dietitian (THD) protocol. Dietitians of the DD and THD groups were trained by the research team on Kidney Disease Outcomes Quality Initiative nutrition guidelines. DD protocol included: individualized nutrition education for 2 hours/month/HD patient for 6 months focusing on renal osteodystrophy and using the Trans-theoretical theory for behavioral change. EP protocol included nutrition education given to patients by hospital dietitians who were blinded to the study. The THD protocol included nutrition education to patients given by hospital dietitian as per the training received but within hospital responsibilities, with no set educational protocol or tools. Baseline data revealed that 40% of patients were hyperphosphatemics (> 5.5 mg/dl) with low dietary adherence and knowledge of dietary P restriction in addition to inadequate daily protein intake ($58.86%{\pm}33.87%$ of needs) yet adequate dietary P intake ($795.52{\pm}366.94$ mg/day). Quality of life (QOL) ranged from 48-75% of full health. Baseline differences between the 3 groups revealed significant differences in serum P, malnutrition status, adherence to diet and P chelators and in 2 factors of the QOL: physical and social functioning. The data show room for improvement in the nutritional status of the patients. The NEMO trial may be able to demonstrate a better nutritional management of HD patients.

• 대한유전성대사질환학회지
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• 제14권2호
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• pp.174-177
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• 2014

단독 메틸말론산혈증은 상염색체 열성으로 유전되는 선천성 유전대사질환으로 methylmalonyl-coenzyme A mutase (MCM)의 결핍에 의해 야기된다. MCM를 코딩하는 MUT 유전자의 돌연변이가 단독 메틸말론산 혈증의 주된 원인이다. 저자들은 생후 15일 여아가 신생아 선별검사를 통하여 C3-acylcarnitine (C3)이 증가되어 있었던 증례를 경험하였다. 환아의 혈장 homocysteine은 정상이었고, 소변 methylmalonic acid는 증가되어 있어서 단독 메틸말론산혈증이 의심되었다. 환아는 단백제한식이와 함께 carnitine 보충요법을 시작하였고, 생후 3개월까지 특별한 증상없이 정상적인 성장을 하고 있다. MUT 유전자 검사를 시행하였으며, 환아는 c.323G>A와 c.1672+2T>C (IVS8 (+2)T>C 변이를 각각 이형접합자로 가지고 있었다. 이중 c.1672+2T>C (IVS8(+2)T>C)은 이전에 보고되지 않은 새로운 돌연변이로 이에 증례 보고하는 바이다.

• 한방비만학회지
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• 제6권2호
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• pp.59-73
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• 2006

Objectives: This study was conducted to investigate the effects of Uncoupling protein (UCP) polymorphisms on weight loss. We analyzed associations between polymorphisms of UCP-2, 3 and changes in percentage of obesity phenotypes (Body mass index and percent body fat) after treatment. Materials and Methods: A total of 207 Korean women (BMI over 25) were recruited from the obesity clinic in Kirin Oriental Medical Hospital (Seoul, Korea). All patients were treated with a very low calorie diet and oriental medical therapy for one month. The effect of UCP polymorphisms on changes in obesity-phenotypes were analyzed. For the genotyping of a single nucleotide polymorphism (SNPs), genomic DNA from each subject was extracted from whole blood and genotyped using the TaqMan Method. Associations between changes in percentage of obesity phenotypes (BMI and percent body fat) and UCP polymorphisms were analyzed using age-adjusted general linear model. Results and Conclusions: In this study, AG, GG type of UCP-2 -866A>G, CC, CT type of UCP-2 +4787C>T, CG, GG type of UCP-3 +2564C>G, AG, GG type of UCP-3 +3106A>G, and TC, CC type of UCP-3 +4589T>C played a role as a resistance gene to weight loss.

• 한국버섯학회지
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• 제16권2호
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• pp.118-124
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• 2018

신령버섯의 자실체가 고콜레스테롤을 급여한 Sprague Dawley계 암컷 흰쥐의 지질대사와 생리활성에 미치는 영향을 조사하기 위해 생후 5주령의 흰쥐에 표준식이를 급여한 정상 식이군(NC), 정상 식이에 10%의 대두유와 1%의 콜레스테롤을 첨가하여 급여한 고콜레스테롤 식이군(HC), 고콜레스테롤 식이에 신령버섯 자실체 분말을 5% 첨가하여 급여한 군(HC+AB) 등 3개의 실험군으로 나누어 6주간 실험을 수행하였다. 실험동물의 체중증가와 식이효율은 HC에 비해 HC+AB가 유의하게 감소하여 NC와 유사한 수준을 나타냈다. 식이섭취량은 NC에 비해 HC와 HC+AB가 유의하게 낮았다. 혈청의 총콜레스테롤(TC), LDL-콜레스테롤(LDL-C), 중성지방(TG)의 농도는 HC에 비해 NC와 HC+AB가 유의하게 낮았으며 심혈관계 질환의 위험도를 나타내는 동맥경화지수(AI)와 LDL-C/HDL-C의 비율도 HC에 비해 NC와 HC+AB가 유의하게 낮았다. 혈청의 알부민, 크레아티닌, 요산 및 총단백질의 농도도 NC와 HC+AB가 HC에 비해 조금 낮았다. 간기능의 척도를 나타내는 혈청의 GOT와 GPT 효소의 활성은 NC와 HC+AB가 HC에 비해 낮았지만 유의성을 없었고, ALP의 농도는 HC에 비해 NC와 HC+AB가 유의하게 낮아서 신령버섯 자실체 분말의 급여가 흰쥐의 ALP 농도를 낮추는 효과가 있었다. 실험 5-6주 사이에 배출된 변을 채취하여 분석한 총지질과 총콜레스테롤의 양은 HC+AB가 NC와 HC에 비해 유의하게 높아 식이로 섭취한 일부의 지방과 콜레스테롤이 장에서 흡수되지 않고 변으로 배출되는 것으로 나타났다. 따라서 고콜레스테롤 식이에 신령버섯의 자실체 분말을 5% 수준으로 첨가하여 6주간 급여한 흰쥐의 체중, 혈청의 TC, LDL-C 및 TG의 농도와 동맥경화 수치(AI)가 정상 수준을 유지하고 지방간의 발생도 억제되는 효과가 현저히 나타나 고지방과 고콜레스테롤의 섭취에 의해 발생할 수 있는 심혈관계 질환의 예방과 개선에 신령버섯의 자실체가 효과를 나타내는 것으로 사료된다.

• Asian-Australasian Journal of Animal Sciences
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• 제15권3호
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• pp.396-400
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• 2002

This study was conducted to evaluate the dry matter (DM) yield, quality and utilization of nutrients in Korean lespedeza (Lespedeza stipulacea Maxim.) swards as a roughage source. DM yield in various stages, chemical composition, and DM digestibility were observed, and DM intake, digestibility and utilization of nitrogen and energy by Korean native goat were determined. Experimental diets include three treatments: mixture hay (MH) 100%, MH (80%)+wild Korean lespedeza hay (LH) 20% and MH (60%)+LH (40%). As growth stage advanced, the DM yield of Korean lespedeza tended to increase significantly (p<0.05). The mean DM yield of all growing stages was observed as 7,336 kg/ha. Crude protein (CP) content of Korean lespedeza tended to decrease, but fibrous contents tended to increase when the growth stage advanced. The tannin content of Korean lespedeza was the highest at the bud stage (64.7 mg/g). However, it showed a tendency to decrease as the growth stage advanced, and thus it was the lowest at the ripe seed stage (26.8 mg/g) (p<0.05). With increasing level of LH, voluntary DM intake by Korean native goats slightly increased, but no differences were observed between diets. The digestibility of DM, cellular constituents and NDF was slightly higher in LH containing diets than that of MH 100% diet (p<0.05). There was no significant difference in apparently digested N% among all diets, but retained N% and retained N% of the absorbed were higher in MH (60%)+LH (40%) than those of other diets (p<0.05). A difference in the utilization of energy was not detected. In conclusion, Juvenile LH improved the digestibility of nutrients, presumably due to its high CP content and low fibrous compound. Especially, tannin in LH did not affect in DM intake, but increased the nitrogen utilization of Korean native goats. Accordingly, it could be suggested that Korean lespedeza has a potential to be provided as a roughage source for Korean native goats.

• Nutrition Research and Practice
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• 제5권2호
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• pp.140-149
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• 2011

This study was conducted to evaluate the rate of obesity of 212 women (age 45-60 years) in Seoul and the Kyunggi area through analysis of BMI and the dietary life factors related to obesity using a survey on dietary habits, dietary assessment, and nutrient intake. The height of the underweight group was taller than normal. The height of the obese group was equal to that of the normal group, but the weight was 8.5 kg greater than the normal group. Women in the underweight group consumed meals irregularly, and only 33.4% ate breakfast. Additionally, the rate of overeating was low in the underweight group, and milk, dairy products (yogurt, etc.), fruit, and fruit juice were consumed more than once a day. It was found that 62.1% of the women in the obese group never ate out, and the rate of eating one serving of fruit, drinking one cup of fruit juice, and eating various kinds of foods was high. The average point of women's dietary life was $21.9{\pm}2.9$, and 12.7% of all women responded that their dietary life was good. However, in the obese group, only 6.9% of the women reported that their dietary life was good. Evaluation of snacking habits revealed that the underweight group consumed a high level of carbonated drinks and ice cream, whereas for in the obese group, 24.1% of the women consumed milk and its products and 5.6% regularly consumed fast and fried foods. Evaluation of nutrient intake revealed that the consumption of energy, protein, vitamin A, vitamin $B_1$, $B_2$, $B_6$, niacin, vitamin C, and vitamin E was high in all of the groups, but the intake of folic acid in the underweight group was lower than the required level. Overall, 24.1% of the women in the obese group were found to have metabolic diseases, mostly hypertension (43%). In conclusion, a balanced diet to avoid excessive nutrient intake is needed to prevent obesity.

• Asian-Australasian Journal of Animal Sciences
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• 제15권4호
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• pp.516-521
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• 2002

The objective of this study was to compare two varieties of Napier grass (Bana Napier grass vs French Cameroon Napier grass) and to determine whether feed intake, digestibility, average daily gain (ADG) and milk yield of lactating Friesian cows from fresh cut Bana Napier grass was greater than from French Cameroon Napier grass, using a completely randomized design. Results show that Bana Napier grass had similar percent dry matter (DM), ash and gross energy (GE) to French Cameroon. Bana grass had higher percent crude protein (CP) and lower fiber fractions, acid detergent fibre (ADF), neutral detergent fibre (NDF) and lignin compared to French Cameroon. Overall the forage quality was marginally higher in Bana Napier grass compared to French Cameroon. The DM and NDF intake expressed as a percentage of body weight (BW) were similar in both Napier grass types. Both grasses had similar digestible DM and energy. Bana had higher digestible CP but lower digestible ADF and NDF than French Cameroon. Bana Napier was not different from French Cameroon when fed as a sole diet to lactating cows in terms of low DM intake, milk yield and a loss of BW and condition. To improve the efficient utilization of both Napier grass varieties, a supplement capable of supplying 1085-1227 g CP/d and 17.0-18.0 Mcal ME/d is required for cows to support moderate gains 0.22 kg/d and 15 kg 4% fat corrected milk/d.

• Journal of Microbiology and Biotechnology
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• 제32권11호
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• pp.1454-1461
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• 2022

Palm kernel expeller (PKE), a by-product of palm oil extraction, contains higher amounts of fiber than corn and soybean meal, but offers low energy density, protein value, and amino acid (AA) composition, limiting its use for swine. Recently however, it was reported that dietary fiber has a positive effect on the gut microbiota of the host, and therefore it is necessary to study the effect of PKE feeding on the intestinal microbiota of swine. In this study, we investigated the effects of supplementation with PKE in lactation diets on the gut microbiota composition of lactating sows and their litters. A total of 12 sows were randomly assigned to two dietary treatment groups in a completely randomized design. The treatments were a diet based on corn-soybean meal (CON) and CON supplemented with 20% of PKE. Sow and piglet fecal samples were collected before farrowing, on days 7 and 28 (weaning) after farrowing, and on days 7 and 28 (weaning) after farrowing, respectively, to verify gut microbiota composition by pyrosequencing analysis. The beta-diversity result showed a significant difference only in weaning-stage piglets, but dietary PKE altered the gut microbiota in sows by increasing the abundance of Lactobacillus compared with CON. In piglets, dietary PKE decreased the abundance of opportunistic pathogen Proteus and increased the abundance of potentially beneficial bacteria, such as Prevotellaceae and Prevotella. Our results can be helpful in developing feeding strategies and support the beneficial effects of dietary PKE to improve the gut health of animals.

• 한국식품영양과학회지
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• 제46권8호
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• pp.910-918
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• 2017

당 및 지질 대사 조절의 이상으로 인한 대사성 질환 중의 하나인 고지혈증은 현대사회에서 급격하게 증가하고 있다. 이러한 문제를 해결하기 위하여 부작용이 적은 천연물을 사용하는 사례들이 급증하고 있는데, 특히 이 연구에서는 초미세 분말을 첨가한 홍삼을 이용하여 지방세포 및 쥐 혈액, 간, 그리고 지방조직에서 지질, 콜레스테롤, 당, 과산화 수치를 확인함으로써 홍삼의 효능을 관찰하였다. 세포 실험 결과, 특정한 홍삼 농도($50{\mu}g/mL$)에서 지질 형성을 미세하게 억제하고 있음을 알 수 있으며, 동물 실험에서도 마찬가지로 저농도의 홍삼을 처리하였을 때 혈중 총 콜레스테롤 수치가 가장 감소하였고 HDL-콜레스테롤 수치 또한 증가하는 것으로 밝혀졌으며, 이는 심혈관위험지수 및 동맥경화지수를 낮춰준다. 그뿐만 아니라 저농도 홍삼 식이법 시행군에서 지질대사 관련 단백질인 AMPK의 발현량이 증가하였는데, 이는 특정 농도의 홍삼이 AMPK 활성화를 높임으로써 지방 및 콜레스테롤 합성 억제를 돕는 것으로 판단된다. 따라서 본 연구는 홍삼이 대사성 질환인 고지혈증 치료 및 예방에 도움을 주는 천연물 후보임을 시사하는 바이다.