• Title/Summary/Keyword: Nutrition Status

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Nutritional Assessment and Management in Long-term Care Insurance's Home Visit Care Service (경기도 일부 노인의 노인장기요양보험 방문요양서비스의 영양상태 평가 및 영양관리 현황)

  • Yoon, Mi-Ock;Moon, Hyun-Kyung;Kim, Seo-Yeon;Kim, Bok-Hee
    • Korean Journal of Community Nutrition
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    • v.18 no.2
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    • pp.142-153
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    • 2013
  • The purpose of the study was to examine nutritional management and nutritional care demands of home-visit care service and the nutritional status of serviced elderly. The survey was carried out from $5^{th}$ to $21^{st}$ of January, 2011 among 37 In-Home Service institutions. The number of elderly surveyed by 143 care helpers was 281. Analysis was performed for 203 subjects (male: 44, female: 159). The age distribution was from 50 to 99 years. The grading by long-term care insuranceshowed 18,2% on level 1 and 2, and 81.8% on level 3. For the disease treatment, the proportion of implementing diet treatment turned out to be very low. The proportion of subjects living with their children was 45.3%, and living alone was 29.1%. The proportion of home-visit care among types of In-Home Service was 70%. Subjects who needed additional necessary diet management service turned out to be 40.9%. Diet management was the most necessary services from all levels. MNA (specifiy MNA) scores were significantly (p < 0.001) associated with BMI, mid-arm circumference (MAC), calf circumference (CC), intake problems, and weight loss during the last 3 months. For studied elderly, 45.3% were malnourished, and 46.8% were at the risk of malnutrition by MNA score. Based on the result of this survey, the nutritional care was not systematic on the In-Home Service. Prevention and management of the disease was much better than the treatment to improve the quality of life. We conclude that nutrition management is necessary for the elderly. To improve nutritional status of elderly in home care services, systematic nutrition management should be implemented.

Evaluation of Antioxidant Status and Correlation among Antioxidant Indices in Female College Students

  • Kim, Jung-Hee;Heajoon Ahn
    • Journal of Community Nutrition
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    • v.5 no.1
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    • pp.13-20
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    • 2003
  • This study was done to evaluate the antioxidant status of female college students by determining their intakes and plasma levels of antioxidnt vitamins (vitamin C, A and E) and total antioxidant status (TAS). Subjects were 46 healthy female college students aged 20 - 29 years. Body composition was determined by a multifrequency bioelectrical impedance analysis. Dietary intakes were examined by 24hr record method and nutrients intakes were analyzed by the Computer Aided Nutritional analysis program for professional (CAN-pro). Plasma vitamin C level were measured by spectrophotometric method and retinol, ${\beta}$-carotene, ${\alpha}$-tocopherol were measured by HPLC. Plasma TAS was measured with a Randox kit using the trolox equivalent antioxidant capacity (TEAC) method. Daily energy and protein intakes of the female college students were 1670.5㎉ (83% of RDA) and 63.3g (115.1% of RDA), respectively. However their intakes of Ca and Fe were below 75% of RDA. Their intakes of vitamin A and C were 596.6 ${\mu}$ gRE (85.2% of RDA) and 71.0mg (101.4% of RDA), respectively. Plasma levels of vitamin C, retinol, ${\beta}$-carotene and ${\alpha}$-tocopherol were 14.7mg/L, 0.7mg/L, 0.2mg/L and 9.1mg/L, respectively which were within normal range. There was no subject with deficiency or marginal level in plasma vitamin A and C. However 1.6% of the subjects had below adequate level in vitamin E. Plasma TAS level was 1.2mmol/L. Correlation data showed that all plasma antioxidant vitamins were positively correlated with plasma TAS. Overall data indicate that the antioxidant status of female college students were pretty good. However it might be necessary to educate them to eat more fruits and vegetables for preventing many chronic diseases in a later life. (J Community Nutrition 5(1) : 13∼20, 2003)

Nutritional and Health Status of Korean Elderly from Low-Income, Urban Area and Improving Effect of Meal Service on Nutritional and Health Status -III. The Effect of Meal Service on Protein Nutrition Status and Serum Lipids- (도시 저소득층 노인들의 영양 및 건강상태 조사와 급식이 노인들의 영양 및 건강 상태의 개선에 미치는 영향 -III. 급식이 도시 저속득층 노인들의 단백질 영양상태와 혈청지방 수준에 미치는 영향 -)

  • 박양자;구재옥;최경숙;김숙배;윤혜영;손숙미
    • Korean Journal of Community Nutrition
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    • v.1 no.2
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    • pp.228-238
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    • 1996
  • This study was designed to assess the effect of a meal service for home-staying urban elderly people with low-income on their protein nutrition status and serum lipids. One hundred and eighty three subjects, who had already completed the first nutritional survey were assigned to two groups : meal served(served) and non-meal served (non-served). A meal approximately containing one half of the RDA for energy, protein, calcium and iron was served as lunch everyday to served group. After 6 months of meal service, the second nutritional survey was done and changes of parameters were analyzed with paired t-test. Served females showed significantly increased intake of energy while non-served females showed significantly decreased intakes of energy, protein and fat after 6 months. Served males were observed with significantly higher intake of energy, fat, vitamin A, niacin and ascorbic acid, whereas intake of vitamin A was lower in non-served males. Arm circumference of both served and non-served females were significantly lowered after 6 months. Mean DBP of served males was significantly lower, while SBP of served females was significantly higher after 6 months of meal service. Serum total protein, serum albumin, serum cholesterol and LDL-cholesterol were significantly increased within normal range regardless of gender and meal service. But HDL-cholesterol was significantly higher in only served elderly subjects after 6 months. (Korean J Community Nutrition 1(2) : 228-238, 1996)

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Health Status Assessment Tool Development based on Dietary Patterns in Middle-Aged Women (중년 여성의 식생활 중심 건강상태 판정 도구 개발)

  • Lee, Hye-Jin;Lee, Kyung-Hea
    • Korean Journal of Community Nutrition
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    • v.21 no.1
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    • pp.37-52
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    • 2016
  • Objectives: This study was performed to develop an assessment tool for middle aged women's health status based on dietary patterns, which will have practical applications in the working field of health and hygiene, aiming at improving the middle aged women's quality of life through their health improvement. Methods: As a first step, a literature review was conducted and the original data of '2008~2009 Korea Health and Nutrition Examination Survey' were reanalyzed. This analysis identified 65 preliminary questions that may be relevant to the study. After verifying the content validity by experts, the 65 questions were reduced into 51 questions. In order to secure higher validity of the candidate items, verification of their clinical validity was conducted among women aged between 45 and 60 years. Finally, an assessment tool was developed by applying weight and scoring. Results: Selected 51 questions were used to verify clinical validity and the results showed that 20 questions were relevant, nine questions ('regular meal time', 'regular amount of meal', 'intake frequency of dairy products', 'intake frequency of fruits', 'intake frequency of meat products', 'intake frequency of high cholesterol foods', 'intake frequency of salty foods', 'appetite', 'eat breakfast everyday') were related to dietary life. Eleven other questions ('self-rated health status', 'deep sleep', 'smoking', 'frequency of drinking', 'stress levels', 'health-related fitness levels', 'pounding of the heart', 'strange feelings on the skin', 'interfere with daily life', 'menopause will bring you a chance to see the life in a different perspective', and 'body mass index') were selected as valid questions. For the response scale for each question, 5 point Likert scale was used to make total 100 point score. Conclusions: This study is the first attempt to develop a health status assessment tool for middle aged women based on their dietary patterns. We conclude that this tool is expected to be a useful and practical tool in the field.

Nutrient intakes of infants with atopic dermatitis and relationship with feeding type

  • Han, Youngshin;Lee, Youngmi;Park, Haeryun;Park, Sunyoung;Song, Kyunghee
    • Nutrition Research and Practice
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    • v.9 no.1
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    • pp.57-62
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    • 2015
  • BACKGROUND/OBJECTIVES: The prevalence of atopic dermatitis in infants is increasing worldwide. However, the nutrient intake status of infants with atopic dermatitis has not been studied properly. This study was conducted to compare the nutrient intake status of infants in the weaning period with atopic dermatitis by feeding type. MATERIALS/METHODS: Feeding types, nutrient intake status and growth status of 98 infants with atopic dermatitis from age 6 to 12 months were investigated. Feeding types were surveyed using questionnaires, and daily intakes were recorded by mothers using the 24-hour recall method. Growth and iron status were also measured. RESULTS: The result showed that breastfed infants consumed less energy and 13 nutrients compared to formula-fed or mixed-fed infants (P < 0.001). The breastfed group showed a significantly lower intake rate to the Dietary Reference Intakes for Koreans than the other two groups (P < 0.001). In addition, they consumed less than 75% of the recommended intakes in all nutrients, except for protein and vitamin A, and in particular, iron intake was very low, showing just 18.7% of the recommended intake. There was no significant difference in growth by feeding type, but breastfed infants showed a significantly higher rate of iron deficiency anemia (P < 0.001). CONCLUSIONS: Continuous management programs should be prepared for breastfed infants with atopic dermatitis, who are in a period when rapid growth takes place and proper nutrient intake is essential.

Vitamin A status of 20- to 59-year-old adults living in Seoul and the metropolitan area, Korea

  • Kim, Sung-Ah;Kim, Young-Nam;Cho, Youn-Ok
    • Nutrition Research and Practice
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    • v.6 no.1
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    • pp.45-50
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    • 2012
  • Dietary intakes and plasma concentrations of retinol and carotenoids were estimated in assessing the vitamin A status of Korean adults living in Seoul and the metropolitan area. Three consecutive 24-h food recalls were collected from 106 healthy subjects (33 males and 73 females) aged 20-59 years. Fasting blood samples of the subjects were obtained and plasma retinol and carotenoids were analyzed. The daily vitamin A intakes ($mean{\pm}SD$) were $887.77{\pm}401.35{\mu}g $ retinol equivalents or $531.84{\pm}226.42{\mu}g$ retinol activity equivalents. There were no significant differences in vitamin A intakes among age groups. The retinol intake of subjects was $175.92{\pm}129.87{\mu}g/day$. The retinol intake of the subjects in their 50's was significantly lower than those in their 20's and 30's (P<0.05). Provitamin A carotenoid intakes were $3,828.37{\pm}2,196.29{\mu}g/day$ ${\beta}$-carotene, $472.57{\pm}316.68{\mu}g/day$ ${\alpha}$-carotene, and $412.83{\pm}306.46{\mu}g/day$ ${\beta}$-cryptoxanthin. Approximately 17% of the subjects consumed vitamin A less than the Korean Estimated Average Requirements for vitamin A. The plasma retinol concentration was $1.22{\pm}0.34{\mu}mol/L$. There was no significant difference in plasma retinol concentrations among age groups. However, the concentrations of ${\beta}$-carotene, lycopene, and lutein of subjects in their 50's were significantly higher than those of in their 20's. Only one subject had a plasma retinol concentration < $0.70{\mu}mol/L$ indicating marginal vitamin A status. Plasma retinol concentration in 30% of the subjects was 0.70- < $1.05{\mu}mol/L$, which is interpreted as the concentration possibly responsive to greater intake of vitamin A. In conclusion, dietary intakes and status of vitamin A were generally adequate in Korean adults examined in this study.

The Evaluation of Nutritional Knowledge and Dietary Habits according to Sex and Mother's Employment Status in Middle School Students (중학생의 성별과 어머니의 취업 여부에 따른 영양 지식 및 식습관 평가)

  • Kim, Myung-Hee;Bae, Yun-Jung;Lee, Hee-Jin;Choi, Mi-Kyeong
    • Journal of the East Asian Society of Dietary Life
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    • v.19 no.6
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    • pp.921-927
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    • 2009
  • This study was conducted to examine the nutritional knowledge and dietary habits by gender and a mother's employment status for middle school students. The subjects consisted of 423 students (212 boys and 211 girls). As for mother's employment status, 61.7% of the mothers were working, and 38.3% were housewives. The results from the analysis on differences of nutritional knowledge and dietary habits showed that girls tended to have a higher nutritional knowledge than boys (p<0.01). In terms of dietary habits, boys appeared to have more desirable eating habits than girls. As for the mother's employment status, only students whose mothers were doing housework tended to have higher nutrition knowledge and more positive dietary habits than students whose mothers were working. The influence of nutritional knowledge was found to have a significant effect on dietary habits (p<0.001). In addition, nutritional knowledge (B=0.168, p<0.01) turned out to have an influence on dietary habits, where a higher nutritional knowledge produced more positive dietary habits. Considering the results described above, nutritional knowledge appears to have a significant influence on dietary habits. Therefore, instructions on the importance of nutritionally well balanced meals must to be reinforced in nutritional education.

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A Study on Nutritional Status after Gastrectomy of Gastric Cancer Patients in Jeonbuk Province (전북지역 위암환자의 위절제술 전.후 영양상태 평가)

  • Jeong, Mi-Jin;Kim, Chan-Young;Kim, Sook-Bae
    • Korean Journal of Community Nutrition
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    • v.11 no.6
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    • pp.785-792
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    • 2006
  • The purpose of this study was to investigate the nutritional status before and after gastrectomy of gastric cancer patients in Jeonbuk Province. The subjects were 136 patients with gastrectomy of gastric cancer. We assessed the nutritional status before and after an operation by general characteristics (age, clinicopathological stage, type of operation, method of reconstruction), anthropometric characteristics (height, weight, skeletal muscle mass, body fat mass, body mass index (BMI), percent body fat, arm muscle circumference AMC, arm circumference AC) and biochemical characteristics (hemoglobin Hb, hematocrit Hct, mein corpuscular volume MCV, mean corpuscular hemoglobin MCH, total lymphocyte count TLC, serum albumin, serum transferrin). Mean ages were 60.0 yrs in males and 58.8 yrs in females. Age, clinicopathological stage, types of operation and reconstruction methods were not significantly different between males and females. Weight, skeletal muscle mass, body fat mass, BMI, percent body fat, AMC and AC significantly deteriorated by gastrectomy. There were severe weight losses in males and females after gastrectomy. Hemoglobin, Hct, MCV, MCH, TLC, albumin and transferrin significantly deteriorated by gastrectomy. After gastrectomy, subjects who were assessed as malnounrished in Hb and Hct were increased in male and those who were assessed as malnounrished in Hb were increased in females. These results suggest that a nutrition intervention, specially for energy, protein and iron, is necessary to improve the nutritional status of gastric cancer patients with gastrectomy.

Effect of Smoking and Carotenoid-rich Food Consumption on Lipid Peroxidation and Antioxidant Status (흡연과 Carotenoid 함유 식품 섭취빈도에 따른 지질과산화 및 항산화능 비교)

  • Kim, Yoo, Kyung;Chyun, Jong-Hee
    • Journal of Nutrition and Health
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    • v.38 no.10
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    • pp.836-846
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    • 2005
  • This study was performed to determine the effect of carotenoid-rich food consumption and smoking on the lipid peroxidation and antioxidant status in human. The subjects consisted of the health 210 middle-aged adults who visited health care center in the Inha University hospital. The blood and urine samples of the subjects were taken to analyze serum lipid profiles, plasma TBARS, total antioxidant status (TAS) and urinary 8-isoprostanes concentration. The anthropometric indices of the subjects were measured. The nutritional intake and the frequency of carotenoid-rich food consumption was determined by semi-quantitative food frequency questionnaire survey. HDL-cholesterol level of the smoking subjects was significantly lower than that of the non-smoking subjects in men. In the analysis of the carotenoid-rich food consumption, the frequency of pepper and tomato consumption of the non-smoking subjects was significantly higher than that of the smoking subjects in men. In women, the Sequency of pear and peach consumption of the non-smoking subjects was significantly higher than that of the smoking subjects. HDL-cholesterol level of the high carotenoid rich food consumption group was significantly higher than that of medium and low group in women. TAS of the high carotenoid rich food consumption group was significantly higher than that of medium and low group. In conclusion, carotenoid intakes seemed to be effective to reduce lipid peroxidation and increase antioxidant status in the body. The frequency of the carotenoid-rich food consumption seemed to be lower in the smokers than in the non-smokers. However, further researches consisted of large-scaled and randomized clinical trials are required to determine whether carotenoids have any other beneficial effect in human. (Korean J Nutrition 38(10): 836$\sim$846,2005)