• Journal of Nutrition and Health
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• 제45권3호
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• pp.240-251
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• 2012

Assessment regarding the nutritional status of Parkinson's disease (PD) patients is important because their nutritional status influences the outcome of disease. The purpose of this study investigated the dietary habits, dietary quality, and quality of life for Korean PD patients according to their nutritional status. Seventy PD patients were recruited from K University Hospital (KMC IRB#0918-07) from February 2010 to October 2011. To diagnose PD, the United Kingdom Parkinson's Society Brain Bank standards were used by a neurology physician. The participants were interviewed and assessed using various tools, including a general questionnaire, anthropometrics, questionnaires for dietary habits, dietary diversity score (DVS), dietary variety score (DVS), diet quality index-international (DQI-I), beck depression inventory (BDI), the Korean version of mini mental state examination (K-MMSE), and 36-item short-form health survey (SF-36). The results of the study were as follows: 1) Most of the PD patients (69.0%) were at risk of malnutrition, and 8.5% and 22.5% of the subjects were malnourished and well-nourished, respectively. 2) Clinical symptoms (swallowing and chewing difficulties) were obvious, and the quality of diet (DDS, DVS, DQI-I) was low in the malnourished group (p < 0.01). 3) The malnourished group had significantly lower scores regarding SF-36 (quality of life) as well as that of cognitive function (p < 0.05). 4) The nutritional status of PD patients was significantly correlated with their depression (p < 0.05) and quality of life (p < 0.01). These results indicate that appropriate nutritional management will improve the nutritional status and quality of life as well as the cognitive function in Parkinson's disease patients.

• 한국식품영양과학회지
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• 제33권3호
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• pp.533-541
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• 2004

본 연구는 당뇨병 환자들의 체중분포별 식사요법 이행 및 자료의 활용 실태를 알아보기 위 해 부산 지역에 있는 보건소 및 종합병원을 방문하여 설문 조사하였다. 조사대상자의 체중분포는 BMI법에 의해 저체중군, 정상체중군, 과체중군, 비만군으로 나누었으며 저체중군이 18.5%, 정상체중군이 51.5%, 과체중군이 16.9%, 비만군이 13.1%이었다. 유병기간은 59.2%가5년 미만이었고, 당뇨 관리 기간중 체중이 감소한 환자가 62.3%, 당뇨병으로 입원한 경험이 있는 환자는 35.4%, 합병증이 있는 환자는 38.5%를 차지했다. 체중분포별로 식사요법 지식 정도를 살펴 본 결과 각 항목의 총점에서 비만군 및 과체중군이 낮았으며 특히 하루 열량 필요량과 식품교환표에 관한 항목의 지식정도가 낮았다. 식사요법 실천 정도 역시 비만군 및 과체중군이 낮았으며 특히 외식시 실천정도가 가장 낮아서 외식시 식사요법 실천 방안에 대한 교육이 필요하였다. 당뇨병 환자들의 대부분은 식사요법 자료를 전문인을 통해 얻었고 식사요법이 중요하다고 인식은 하고 있었으나, 실행하는데 문제가 있음을 알 수 있었다. 이에 앞으로는 환자들에게 식사요법을 실천할 수 있는 방안을 제시하고 아울러 실천정도를 향상시킬 수 있도록 하는 것이 중요하다고 할 수 있다. 식사요법 자료의 활용은 저 체중군이 50.0%, 정상체중군이 41.8%, 과체중군이 22.7%, 비만군이 35.3%이었으며, 식품교환표를 이용하여 식사요법을 실천하는 환자는 더욱 적었다. 식사요법 자료에서 당뇨병 환자들이 이해하기 힘든 내용은 식품교환표, 실제 섭취할 식품의 양, 끼니별 교환단위수 배분, 1일 총 열량 계산법 등이었으며, 가장 필요로 하는 내용은 식단작성방법, 식품 선택시 유의사항, 외식시 메뉴 선택방법 등이었다. 이처럼 당뇨병 환자들은 식사요법 지식이나 실천정도, 자료의 활용실태, 필요로 하는 내용 등이 체중분포에 따라 각기 달랐기에, 앞으로 당뇨병 프로그램을 만들 때 이들이 필요로 하는 내용, 이해하기 어려워하는 내용 등을 충분히 고려한 후 당뇨병 환자들의 체중분포별로 쉽고 체계적인 교육자료를 개발하여야 할 것이다.

• Journal of Nutrition and Health
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• 제49권5호
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• pp.378-394
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• 2016

본 연구는 3~5세 취학전아동 대상 영양지수 (Nutrition Quotient for Preschoolers, NQ-P) 개발을 목표로 수행되었다. 어린이의 식행동 및 영양섭취 관련 문헌, 국민건강영양조사 자료 분석 및 전문가 대상 심층면접을 통해 38개 후보평가항목을 선정한 후, 후보 평가항목 중 식품 및 영양소 섭취량을 잘 반영해 주는 평가항목을 선정하기 위해 어린이집 3~5세반 100명의 부모/보호자를 대상으로 식사섭취조사와 체크리스트 설문조사를 수행하였으며, 평가항목과 식품 및 영양소 섭취량, 식사다양성, 체질량지수와의 상관관계 분석 결과로부터 유의한 상관관계를 나타낸 평가항목과 영유아 식생활지침과 어린이 급식관리지침서 영양관리기준에 근거하여 20개 평가항목으로 구성된 체크리스트를 도출하였다. 영양지수 모형을 설정하기 위해 전국 어린이집 목록을 활용하여 조사 대상 어린이집을 기본 층화변수로 5개 권역을 설정하여 어린이집 수를 할당하고 어린이집 당 약 10명을 표본으로 하여 총 412명을 대상으로 조사를 수행하였다. 탐색적 요인분석과 확정적 요인분석에 의해 영양지수구조 모형에 포함된 평가항목은 14개였으며, 구조방정식모형을 통해 14개의 평가항목으로 구성된 영양지수의 구성타당도를 검증하고 가중치를 계산하였다. 전문가 자문에 의한 요인 검토와 조정을 거친 결과 영양지수는 3-factor structure로서 균형, 절제, 환경의 3 영역으로 구성되었다. '균형' 영역에는 콩제품, 생선, 고기, 채소, 흰 우유 섭취의 5개 평가항목, '절제' 영역에는 가공육류, 가공음료, 과자류, 패스트푸드 섭취의 4개 평가항목, 그리고 '환경' 영역에는 아침식사 빈도, 정해진 장소에서 식사, 식사 전 손씻기, 바른 식생활을 위한 노력 정도, TV시청 스마트폰 컴퓨터 사용시간 (screen time)의 5개 평가항목이 포함되었다. 영역별 가중치는 균형 0.45, 절제 0.30, 환경 0.25로 설정하였으며, 영역 내 항목 가중치는 표준화 경로계수를 활용하여 계산하였다. 전국 3~5세 취학전아동 (n = 412명)의 NQ-P 점수는 평균 60.64점 (중앙값: 60.84점, 최소값: 34.99점, 최대값: 88.72점)이었고, 영역별 평균 점수를 보면 균형 60.49점, 절제 51.49점, 환경 71.66점을 나타내었다. 본 연구에서 개발한 NQ-P는 14개 문항의 체크리스트 설문 조사를 통하여 영양지수 점수는 물론, 균형, 절제, 환경의 3개 영역 (요인)의 점수를 산출할 수 있으며, 산출된 영양지수 점수와 영역 점수를 이용하여 어린이의 상대적인 NQ-P 등급을 부여하고, 영양상태 및 식사의 질에 대한 평가를 수행할 수 있다.

• 한국식품조리과학회지
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• 제21권1호
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• pp.64-74
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• 2005

To develop the diet for Korean type 2 diabetic patients, a consumer survey was conducted (N=35) and was analyzed statistically. The survey compared the results of a questionnaire, somatometry, and blood parameters before and 8 weeks after the experiment. It was divided into Diabetic diet enforcement group (DDE) vs. Non diabetic diet enforcement group (NDDE). There was no significant difference in body weight, body mass index (BMI), body fat, triglyceride (TG) and low density lipoprotein cholesterol (LDL-C) of the subjects before and 8 weeks after the experiment. DDE's average fasting glucose (FBG) and post prandial 2 hours blood glucose (PP2) were significantly decreased before and after the experiment (p<0.05). NDDE's average FBG and PP2 showed no significant difference. In terms of Hemoglobin $A_lC\;(HbA_1C)$ content, DDE's had significantly decreased level both before and after the experiment (p<0.05), while there was no significant difference in the NDDE group. Cholesterol and High density lipoprotein cholesterol (HDL-C) were significantly different in DDE (p<0.05) both before and after the experiment. Whereas in the case of NDDE, there was no significant difference on the cholesterol and HDL-C, while DDE's showed a significant difference before and after the experiment. In terms of patients distribution depending on their treatment (p<0.05), NDDE had no significant difference before and after the experiment. For an item asking blood glucose control, DDE had significant difference before and after the experiment (p<0.01), while NDDE had no significant difference. For program satisfaction (p<0.05) and health (p<0.001), both the groups changed significantly after the experiment. But there was no significant difference in applying it to their real life after the experiment. Based on these results, DDE had the decreased blood glucose levels, $HbA_1C$, and cholesterol and increased HDL-C, with decreased rate of the patients taking oral hypoglycemic agents. In addition, many of the patients who participated in the experiment were found to be satisfied with the program, in terms of having less trouble in glucose control and exhibited improvement in health. Hence, based on the above results it was concluded that program was a very successful one for the treatment of diabetes.

• 한국환경보건학회지
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• 제18권1호
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• pp.105-111
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• 1992

Fifty samples of pregnant women's hair during December 1990~April 1991 in the Seoul area were analyzed for mercury. Mean mercury concentrations for pregnant women were 0.65$\mu$g/g and varied from 0.21$\mu$g/g to 2.44$\mu$g/g. The differences were believed to be due to diet, living area, and personal activity. Mean mercury concentrations were significantly different for the group that at twice a week(0.67$\mu$g/g) and once or less a week(0.55$\mu$g/g). Mean mercury concentrations were compared with the THI (Todai Health Index) Scores. The THI results suggested that the higher scores in MENT(Mental irritability) item had the higher mean mercury concentrations. The factors affecting mercury concentrations of pregnant women's hair must be considered further study. However, hair analysis seemed potentially useful in environmental medicine but its use in clinical investigation for basic diagnosis of mercury poisoning.

• 재활치료과학
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• 제9권1호
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• pp.56-68
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• 2020

목적 : 본 연구는 치매로 인한 이상행동으로 인하여 음식물의 섭취에 영향을 보이는 환자들을 대상으로 행동관찰에 기반하여 식이 문제를 파악할 수 있는 국외의 체계화된 평가 도구들을 소개하고, 전문가 집단에 의한 내용타당도 검증을 통하여 한국화 하는 데 있다. 연구 방법 : 폭넓은 관련 문헌 검색에 기초한 수차례의 회의를 통하여 최종으로 한국판으로 개발할 평가도구 3종(Eating Behavior Scale; EBS, Edinburgh Feeding Evaluation in Dementia Scale; EdFED, Feeding Difficulty Index; FDI)을 선택하였다. 수정된 평가 도구 3종은 연구진들에 의하여 1차 번역되었으며, 9인으로 구성된 전문가팀을 대상으로 내용타당도지수(Content Validity Index; CVI)를 검증 하였다. 결과 : EBS 내용타당도 산출 결과 6개의 질문 항목 및 1개의 응답 항목 모두에서 CVI가 0.9 이상인 것으로 나타나 항목의 수정 없이 모든 항목을 한국판 EBS에 수록하였다. EdFED 내용타당도 산출 결과 11개의 질문 항목 모두에서 CVI값 0.9 이상인 것으로 나타나 항목의 수정 없이 모든 항목을 한국판 EdFED에 수록하였다. FDI의 내용타당도 산출 결과 19개의 질문 항목 모두에서 CVI값 0.8 이상인 것으로 나타나 항목의 수정 없이 모든 항목을 한국판 FDI에 수록하였다. 결론 : 국외에서 많이 활용되고 있는 치매 환자 대상의 행동 관찰기반 식이 평가도구 인 EBS, EdFED, FDI의 한국판을 개발하였다. 관찰기반의 한국판 평가 도구를 통하여 치매 환자들의 식이 관련 문제점들을 조기에 판단하고, 적절한 중재를 제공하는 것은 환자의 영양섭취 강화와 보호자의 부담 저하 측면에서 매우 중요하게 활용될 수 있을 것이다.

• 생약학회지
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• 제46권2호
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• pp.148-153
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• 2015

Allium hookeri is a plant species native to India, Sri Lanka, Myanmar, and China. The plant is widely cultivated in Korea lately as a medicinal food item. This study was conducted to evaluate the effects of Allium hookeri (A. hookeri) on lipid metabolism in Type II diabetic mice (n=8/group, 5 groups). High fat diets with dextrin as a positive control (Dex), leaf (AL), root (AR), and fermented root (FAR) at 3% of diet were fed to all experimental mouse, respectively for 8 weeks. Body weight gain, liver and epididymal fat weights, and excreted fecal lipid levels were measured. Serum and hepatic lipid profiles were analyzed, and fat accumulation in liver was evaluated. In this study, body weight gain and epididymal fat weight were lower in the FAR group, while serum HDL-cholesterol level and excreted fecal total lipid and triglyceride levels were higher in AL or FAR groups. These results suggest that A. hookeri, specially fermented root can be a useful food item to control lipid metabolism in diabetic mice.

• 한국식품영양학회지
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• 제19권2호
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• pp.111-125
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• 2006

This quantitative study was conducted to examine the relationship between weight control behaviors and disordered eating patterns in some university students. This study used a cross-sectional study design. A total of 347 students from three universities participated in this study (88 male and 259 female) Eating disorders were assessed using the Eating Attitudes Test (EAT-26); a score of =20 identifies individuals who likely have an eating disorder, including anorexia nervosa and bulimia nervosa. A score for healthy dietary behaviors was obtained by self-assessment on a healthy diet scale (20-item questionnaire), and the severity of any state-trait anxiety was calculated by the state-trait anxiety inventory (40-item questionnaire). In the analyzed results, the percentage of participants with experience of weight control was 58% in male and 73% in female. The subjects with a high risk of an eating disorder (score of =20 of EAT-26) were 44.3% ($mean{\pm}S.D;\;18.9{\pm}13.4$) of the males, and 57.9% ($mean{\pm}S.D;\;23.2{\pm}11.6$) of the females. Higher Body Mass Index (BMI) was significantly related with an increased risk for an eating disorder in females, but not in males. In the group who had attempted weight control of all types, there was a severe risk of an eating disorder. Increased eating disorder risk was significantly related with weight control behaviors such as a higher number of attempts at weight control, having used medication, having experienced side effects, and having experienced disease for both sexes. Therefore, the results of this paper showed that detrimental behaviors of weight control are connected to an increased risk of eating disorders. Consequently, education regarding the correct, behaviors of weight control is necessary to prevent eating disorders in adolescents.

• 성인간호학회지
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• 제22권2호
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• pp.190-199
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• 2010

Purpose: The purpose of this study was to determine the differences in the level of disease related knowledge, compliance of health behavior, and educational needs in relation to time (at discharge and 6 months after discharge) among patients underwent percutaneous coronary intervention (PCI). Methods: Data were collected from January 1, 2006 to September 30, 2006 and a total of 60 patients participated in the study. The survey was conducted in patients underwent PCI at the time of discharge right after discharge education was provided and at a follow up visit which was 6 months after discharge. Results: The level of disease related knowledge (p<.001), the compliance of health behavior (p<.001), educational need (p=.496), the sub-item of sexual life (p<.001), follow up (p<.001), diet (p=.021), stress (p<.001) in compliance of health behavior, and the sub-item of specific character of disease in educational needs (p=.015) were significantly different between discharge and 6 months after discharge. Conclusion: The results of this study suggested that further education should be provided to the patients underwent PCI regarding medication, smoking cessation, daily life and exercise at a time of 6 months after discharge in order to increase patient compliance of health behavior.

• 대한간호학회지
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• 제40권4호
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• pp.551-560
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• 2010

Purpose: The purpose of this present study was to develop and evaluate the psychometric properties of a needs scale for patients with cancer undergoing follow-up care (NS-C). Methods: A preliminary NS-C of 48 was derived from literature reviews and in-depth interviews with patients with cancer. Content validation of the items was established by oncology physicians and nurses. Each item was scored on a five-point Likert scale. The preliminary NS-C and Eastern Cooperative Oncology Group (ECOG) performance status questionnaires were administered to 873 patients with cancer recruited from three university hospitals. The data were analyzed using factor analysis, multidimensional scaling analysis, ANOVA, Pearson correlation coefficients, and Cronbach's alpha. Results: From the factor analysis, 25 significant items in six subscales were derived. The subscales were named physical symptoms, diet and exercise, support, relationship with health professionals, treatment/prognosis, and keeping mind under control. The NS-C also established item convergent and discriminant validity, and known-groups validity. Cronbach's alpha of the subscales ranged from .90 to .92. Conclusion: This study suggests that the NS-C is an easy, reliable and valid instrument to measure the needs of patients with cancer. Health professionals may use the NS-C for patients with cancer both in practice and research.