• Nutrition Research and Practice
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• 제10권3호
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• pp.342-351
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• 2016

BACKGROUND/OBJECTIVES: This study aims to develop a mobile nutritional management program for integration into the already developed web-based program, Diabetes Mellitus Dietary Management Guide (DMDMG) for diabetic patients. Further, we aim to evaluate the amended DMDMG program. SUBJECTS/METHODS: The mobile application based on an Android operating system includes three parts: 1) record of diet intake, which allows users to take pictures of the meal and save to later add diet records into DMDMG; 2) an alarm system that rings at each meal time, which reminds users to input the data; 3) displays the diet record and the results of nutrient intake, which can be also viewed through the web program. All three parts are linked to the web-based program. A survey was conducted to evaluate the program in terms of nutrition knowledge, dietary attitude, eating behavior and diet intake by non-equivalent control group design among diabetic patients with 14 DMDMG users and 12 non-user controls after a one-month trial of DMDMG. RESULTS: Non-users did not use the program, but participated in the weekly off-line nutrition classes for one month. The program users showed increased healthful dietary behavior (P < 0.01) and dietary attitude scores (P < 0.05). More DMDMG users had higher nutrition knowledge scores after one-month trial than non-users. However, dietary intake significantly increased in non-user group for calcium and sodium (P < 0.05) while the user group did not show significant changes. CONCLUSIONS: The program has created positive changes in patients' dietary life. All the users were satisfied with the program, although some expressed minor difficulties with an unfamiliar mobile app.

• 대한지역사회영양학회지
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• 제19권6호
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• pp.513-526
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• 2014

Objectives: This study was conducted to investigate the effect of low sodium diet education program on dietary habits, diet quality, and measures of obesity in overweight or obese middle-aged women. Methods: Subjects were 81 individuals aged 45 years or over, who completed an 8-week nutrition education. The subjects were divided into a normal group (N = 30) and an overweight-obese group (N = 51) according to the BMI. The effects were evaluated by anthropometric measurement, biochemical analysis, questionnaire, and diet records before and after the program. Results: Overweight-obese group showed significant decreases in weight (p < 0.0001), BMI (p < 0.0001), percent of body fat (p = 0.0087), waist circumference (p < 0.0001), systolic (p = 0.0003) and diastolic blood pressure (p = 0.0261). Nutrients intakes were not different between the two groups and only sodium intake was decreased after education. Total score of general dietary habits, dietary behavior related to sodium intake, dietary diversity score (DDS), diet variety score (DVS), and diet quality index-international (DQI-I) were improved in both groups compared to the baseline. Overweight-obese group showed significant improvement in 'having fruits everyday', 'having fish everyday', 'trying to eat many kinds of food', 'eating less broth when eating soup, stew, and noodles', 'eating less kimchi and salt-fermented vegetable', and 'propensity to think that dishes should be pretty seasoned'. In addition, moderation of empty calories food (p = 0.0064) and macronutrient ratio (p = 0.0004) were improved in the overweigh-obese group, but in the normal group, the results did not reach statistical significance. Conclusions: These results suggested that low sodium diet education program may contribute to obesity management by improving diet quality and dietary habits in middle-aged women.

• Journal of Nutrition and Health
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• 제21권5호
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• pp.317-323
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• 1988

Mean daily excretion of Ca, P, and Fe were measured in 49 healthy young Koreans(23 males and 26 females) form urine and feces samples cellected for three days. Dietary intakes of the subjects during the study periods were calculated from intake records. Main results of the study are as following: 1) Mean daily urinary, fecal, and total Ca excretions were 162$\pm$20mg, 346$\pm$39mg, and 508$\pm$50mg, respectively in males and 154$\pm$16mg, 262$\pm$26mg, and 416$\pm$24mg, respectively in females. The mean values of the two groups were not significantly different. 2) Mean daily urinary, fecal, and total P excretions were 751$\pm$45mg, 384$\pm$26mg and 1135$\pm$56mg, respectively in males and 552$\pm$29mg, 335$\pm$34mg and 894$\pm$50mg, respectively in females. Urinary and total P excretion in males were significantly higher than females(p<0.01), but such differences disappeared when the excretions were calculated per kg body weight. 3) mean daily fecal Fe excretions were 12.8$\pm$0.9mg in males and 10.1$\pm$0.8mg in females. The mean value in males was significantly higher than that in females(p<0.05) but when calculated per kg body weight, both groups excreted 0.2mg/kg body weight. 4) Mean daily intake levels of the minerals estimated from three day food intake records were Ca 543mg, P 1136mg, and Fe 14.3mg in males and Ca 533mg, P 869mg, Fe 10.8mg in females. These intake levels seem to be sufficient to supply the daily losses of the study subjects except P in females. However, the problem of estimating dietary intake levels by food intake record should be recognized. Especially females in the study are in menstration age and their Fe losses in the menstration (estimated to be 0.5mg of available Fe per day) should be also supplied in the diet.

• Journal of Nutrition and Health
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• 제22권6호
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• pp.438-446
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• 1989

1. 본 연구 조사대상자인 22명의 Type IIahypercholesterolemia 환자군에 있어서 혈중지질 농도에 영향을 미치는 여러가지 식이성분 섭취량 측정법을 비교했을 때, 24시간회상법은 식이섭취 기록법보다 대체로 높은 수치를 나타냈다. 2. 식품섭취기록기간에 따른 섭취량 측정을 비교할때에 7일간의 기록은 9일간의 기록에 근사한 수치(5% 이내)를 나타냈다. 3. 본 연구 조사대상자에 있어서 주말과 주중의 섭취량에는 큰 차이가 없었다. 단 P/S ratio 만은 주중과 주발을 비교할 때 유의적인 차이가 있었다. 4. 식품섭취기록기간에 따른 섭취량 측정에서는 남녀의 차이가 현저하였다. 여자의 경우, 4일의 기록표는 9일과 5%이내의 차이를 보였으나, 남자의 경우, 4일의 기록표는 9일과 12%의 차이가 있었다. 주중과 주말을 비교할 때에도 남녀의 차이가 있었다. 5. 본 연구에서 분석한 여러 식이성분 중 그 섭취량에 가장 변동이 심한성분은 P/S ratio와 알콜이었다.

• Nutrition Research and Practice
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• 제10권2호
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• pp.167-174
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• 2016

BACKGROUND/OBJECTIVES: Despite the importance of a low-iodine diet (LID) for thyroid cancer patients preparing for radioactive iodine (RAI) therapy, few studies have evaluated dietary intake during LID. This study evaluated the amount of dietary iodine intake and its major food sources during a typical diet and during LID periods for thyroid cancer patients preparing for RAI therapy, and examined how the type of nutrition education of LID affects iodine intake. SUBJECTS/METHODS: A total of 92 differentiated thyroid cancer patients with total thyroidectomy were enrolled from Seoul National University Hospital. All subjects completed three days of dietary records during usual and low-iodine diets before $^{131}I$ administration. RESULTS: The median iodine intake was $290{\mu}g/day$ on the usual diet and $63.2{\mu}g/day$ on the LID. The major food groups during the usual diet were seaweed, salted vegetables, fish, milk, and dairy products and the consumption of these foods decreased significantly during LID. The mean energy intake on the LID was 1,325 kcal, which was 446 kcal lower than on the usual diet (1,771 kcal). By avoiding iodine, the intake of most other nutrients, including sodium, was significantly reduced during LID (P < 0.005). Regarding nutritional education, intensive education was more effective than a simple education at reducing iodine intake. CONCLUSION: Iodine intake for thyroid cancer patients was significantly reduced during LID and was within the recommended amount. However, the intake of most other nutrients and calories was also reduced. Future studies are needed to develop a practical dietary protocol for a LID in Korean patients.

• Journal of Nutrition and Health
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• 제23권5호
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• pp.309-316
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• 1990

식품 섭취의 다양성과 영양소 섭취 수준간의 관련성을 알아본 결과 다음과 같은 결론을 얻었다. 식품 섭취의 다양성은 대체적으로 열량이나 단백질이 켰으며 비타민 A와 C는 다양성이 적은 것으로 나타났다 식품 섭취의 다양성과 영양소 섭취 수준과의 관련성을 각 영양소의 섭취 수준에 따라 Quartile로 나누어 분석해 본 결과, 영양소의 섭취 수준이 증가함에 따라 대체적으로 섭취한 식품의 수도 증가하는 경향을 보이나 칼슘, 철분, 비타민 $B_1$, 나이아신, 비타민 C는 예외를 가지는 경우도 관찰되었다. Shannon & Weaver's diversity index는 섭취 수준에 따라 다양성의 증가가 일관된 양상을 보이지 않았다. 따라서 영양소 섭취 수준을 측정하는데 지방과 같은 영양소는 섭취한 식품의 종류수가 유용하며 칼슘과 같은 영양소는 Nutrient-specific diet diversity index를 이용하여 측정해야 하는 것으로 보인다. 또한 영양소 섭취 수준에 따라 열량 섭취(예외 : 비타민 A, C)와 식이 영양 밀도도 높았다. 지방과 같은 영양소는 열량 섭취 증가가 그 영양소 섭취 수준의 증가를 더 중요하게 설명해 주며 비타민 A와 같은 영양소는 식이 영양 밀도가 이러한 영양소의 섭취 수준에 더 중요하게 작용하는 것으로 나타났다. 이상의 연구 결과에서 제언하는 바 더 폭 넓은 대상을 중심으로 여러 계절에 걸친 조사의 뒷받침하에 균형식을 이루기 위한 일반적인 식품 섭취의 다양성 정도를 제시할 수 있으리라고 사료된다. 또한 본 연구에서 는 섭취한 식품의 종류수와 Shannon & Weaver's diversity index를 사용하여 식품섭취의 다양성을 분석하였는데 모든 집단 및 모든 영양소에 대해 적용 가능한 신뢰성있는 식품섭취의 다양성을 나타내는 지표에 대한 연구가 계속 이루어져야 할 것이다.

• 한국가정과교육학회지
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• 제14권1호
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• pp.55-73
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• 2002

The purpose of this study was to investigate the body cathexis and appearance management behaviors of the high school girls according to their demographic, physical, psychological. and school related variables. Data was obtained from 378 high school girls in Jeonju City by self-administered questionnaires from March to April. 2001. The results of this study were; 1. Body cathexis of high school twirls was relatively low, face and upper body cathexis were higher than other body parts. but lower-body and total body cathexis were low. 2. Body cathexis of high school twirls was in exact proportion to their parents' educational level total household income. and monthly pocket money. And it was higher in case of tall. light. external personality. higher self-esteem, art or physical high school girls. and the vocational high school twirls. with good academic records. and popular among friends. 3. High school girls showed higher appearance management behaviors such as bath, skin care. hair care. but they did risky appearance management behaviors such as drug use. diet. plastic cosmetic a tittle. The students in case of mother's higher educational level. more monthly income of household, more pocket money. external personalities. lower self-esteem, art or physical high school girls and the vocational high school girls, with good academic records, popular among friends showed higher appearance management behaviors .

• 여성건강간호학회지
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• 제12권4호
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• pp.316-325
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• 2006

Purpose: The purpose of this study was to develop a Critical Pathway for Uterine Artery Embolization patients. Method: There were 6 steps that were taken. Step 1 was selecting a diagnosis, and Step 2 was organizing a development team consisting of 7 experts. Step 3 analyzed the medical records, and Step 4 drew up a preliminary Critical Pathway. Step 5 tested the clinical validity of the preliminary Critical Pathway, and Step 6 developed the final Critical Pathway. Result: The contents of the medical practices observed in the medical records were investigated in seven areas: monitoring/assessment, treatment, medication, diet, activity, consults, and education/discharge plan; and a total of 73 items was identified. The validity of the 73 items was examined by a group of specialists. 68 items were adopted, 4 items revised, 1 item removed, and 1 item was added. Using the results, a preliminary Critical Pathway was drawn up. According to the results from examining the clinical validity of the preliminary Critical Pathway with five patients for five weeks, 3 items which showed discrepancy were revised and another 3 items were added. Then, the final Critical Pathway was completed. Conclusion: This Critical Pathway needs to be clinically applied and continuously to measure its effects in terms of the length of stay, cost.effectiveness, and the patients' and staffs' satisfaction.

• Journal of Nutrition and Health
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• 제28권1호
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• pp.46-52
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• 1995

This study was conducted to assess thiamin nutritional status in Korean female college students on normal diet Weighed food records and 24-hour urine samples were collected from subjects for three days. Mean daily intake of thiamin was calculated from food records. Pooled urine samples were analyzed for thiamin and creatinine. Mean daily intake of thiamin was 0.72$\pm$0.22mg, 72% of Korean RDA for the group. Thiamin intake per 1000kca1 was 0.4997$\pm$0.09mg, which is close to the RDA. Mean daily urinary excretion of thiamin were 130.11$\pm$ 71.06$\mu\textrm{g}$/24hr and 180.59$\pm$129.79$\mu\textrm{g}$/g creatinine. Mean daily thiamin intake(mg/day), but not thiamin intake per 1000kca1 was showed by positive correlated with urinary excretion of thiamin(p<0.01). Thiamin nutritional status of the subjects based on 24-hour urinary excretion of thiamin was deficient in one subject(19%), low in nineteen subjects(36.5%), and acceptable in thirty two subjects(61.5%). Only six subjects were in low thiamin status based on thiamin excretion per gram creatinine. Therefore, total urinary excretion of thiamin seems to be more sensitive to marginal thiamin deficiency compared to urinary excretion per gram creatinine. From the results of the study, the prevalence of marginal thiamin deficiency seems to be high among young Korean adult women.

• 대한가정학회지
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• 제32권1호
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• pp.181-188
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• 1994

The purpose of this study is to evaluate nutritional status of ascorbic acid in 96 Korean female college students. Dietary intake level was estimated with three day diet records. Serum ascorbic acid were analyzed with fasting blood. Nutrient intakes was calculated using three different food composition databases ; analysis data of cooked food items ; analysis data of raw foods ; published food composition table. Ascorbic acid intake levels calculated with different food composition databases differed by 15% Using analysis data of cooked foods resulted in the lowest intake level 49.26 mg per day. Main sources of ascorbic acid investigated were Cheju mandarin orange juice and hard persimmon orange juice and Kimchi. Mean value of serum ascorbic acid level was 1.04 mg/dl and 4.2% of subjects were in marginal risk or deficient range. It was found to significantly correlate asscorbic acid intake with serum ascorbic acid content. Correlation coefficient with results calculated using analyzed data was higher than that using published data. Serum levels and mean daily intake levels of ascorbic acid in the subjects were significantly correlated. From these results it is concluded that ascorbic acid content of cooked foods should be included in the Food Composition Tables in Korea. Korean female college students were in lower risk of ascorbic acid deficiency.