• Title/Summary/Keyword: Nutritional Assessment

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A Prospective Study on Nutritional Status and Nutrient Intake of Hemodialysis Patients Based on Coexistence of Diabetes (혈액투석 환자에서 당뇨병 유무에 따른 영양상태와 영양섭취량 비교)

  • Oh, Ye-Sung;Ann, Jae-Young;Kim, Mi-Hyang;Choe, Sun-Jung;Jeong, Jong Cheol
    • Journal of the Korean Dietetic Association
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    • v.23 no.1
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    • pp.1-13
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    • 2017
  • It is well known that malnutrition is a predictor of mortality in hemodialysis patients. The number of diabetic nephropathy patients is increasing rapidly. This study aimed to investigate nutritional status and nutrient intake according to the presence of diabetes among hemodialysis patients. The nutritional intake and general characteristics of outpatients at Ajou University Hospital (24 with diabetes and 30 without diabetes) were investigated between July and September 2015. Patients' general data were collected, and nutritional status by Patient-Generated Subjective Global Assessment (PG-SGA) was evaluated. Nutrient intakes were assessed according to 3-day food records. There was no significant difference regarding body weight between the two groups. However, the non-diabetic group showed a better nutritional status by Patient-Generated Subjective Global Assessment (PG-SGA) ($5.2{\pm}4.4$ vs. $8.0{\pm}4.3$ score, non-diabetics vs. diabetics, P<0.05). There was no difference in daily calorie intake ($1,473.9{\pm}370.5$ vs. $1,503.8{\pm}397.5kcal$) and protein intake ($60.3{\pm}19.7$ vs. $65.6{\pm}20.5g$) in those with diabetes. Intakes of vegetables protein, sodium, potassium, vitamin C, folic acid and fiber were significantly higher in the diabetic group compared to those of the non-diabetic group. There was no difference in daily nutrient intake between the hemodialysis weekday and weekend groups. The non-diabetic group had higher calorie and sodium intakes per meal in the hemodialysis weekday group, but the difference was not significant. Based on these results, intervention should be performed to improve nutritional status in consideration of diabetes and dietary patterns.

The impact of malnutrition on survival in patients with gynecologic cancer undergoing chemotherapy

  • Nho, Ju-Hee;Kwon, Yong Soon;Jo, Seongil
    • Journal of Nutrition and Health
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    • v.50 no.6
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    • pp.595-602
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    • 2017
  • Purpose: Malnutrition is a major concern in patients with gynecologic cancer receiving chemotherapy. The aim of this study was to evaluate the prognostic significance of malnutrition in patients with gynecologic cancer undergoing chemotherapy. Methods: A prospective, observational study was conducted on a total of 99 subjects who were treated at a tertiary hospital in Korea. Data regarding demographic, clinical, nutritional, and psychological characteristics at baseline and survival were obtained. Results: Performance status, nutritional status, depression, and annual income were significantly different between survivors and non-survivors. Multivariate Cox modeling after adjusting for other factors showed that a malnourished status in patients with gynecologic cancer undergoing chemotherapy was a significant and independent negative influencing factor for survival. Conclusion: These findings provide evidence that adequate nutritional assessment and intervention may assist in improving survival in patients with gynecologic cancer undergoing chemotherapy.

A Study on the Computerized Nutrition Counseling Program by Food Intake and Exercise Amount Checking (식사 및 운동종목에 대한 영양상담 프로그램 개발 연구)

  • 강현주
    • Journal of Nutrition and Health
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    • v.32 no.5
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    • pp.598-607
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    • 1999
  • The purpose of this study was to develop a software system for computer nutrition counseling based on food intake and level of exercise measurements. Various software programs were developed using Powerbuilder 5.0 and categorized according to their function: 1) inputting general data including age, sex, weight, height, degree of acitivity and exercise amount of individuals, 2) inputting food intake based upon a 24-hour dietary recall method, 3) calculating energy and general nutrient intake and evaluating dietary status with respect to the Korean recommended dietary allowances, 4) calculating dietary intake of fatty acids, 5) calculating PUFA : MUFA : SFA and $\omega$6 :$\omega$3 ratios, 6) reporting the results of nutrient analysis, and 7) assessing the nutritional status of individuals and practicing nutrition education. This study provides various information on the assessment of nutritional status.

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Nutritional Status and Dietary Intake of Vitamin A in Primary School Children - 5th and 6th Grade Students in Chunghuk - (충북지역 초등학생의 비타민 A식이 섭취실태와 영양상태 진단)

  • 김영남;목진화;나현주;한경희;김기남;현태선
    • Journal of Nutrition and Health
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    • v.34 no.6
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    • pp.671-677
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    • 2001
  • The purposes of this study are to evaluate nutritional status and dietary intake of vitamin A in 5th and 6th grade primary school children in Chungbuk. Also the relationships between nutritional status and factors relevant to dietary intake of vitamin A were examined. For the study, total 180 children in urban area of Chongju city(37 boys and 40 girls) and rural area of Eumsong gun(56 boys and 47 girls) were recruited. For the assessment of dietary nutrients intake including vitamin A, 1-day, 24-hr recall method was applied. And serum retinol contents were analyzed by HPLC to diagnose the nutritional status of vitamin A. The average of daily vitamin A intake was 490R.E., 81.8% of RDA. Vitamin A intake of urban was higher than that of rural children(p < 0.001). Of the total dietary vitamin A intake, only 25.8% came from animal retinol, means that children still heavily depend on plant carotenoids as vitamin A floods. The average serum retinol concentration of total 180 children was 37.2$\mu\textrm{g}$/100ml. Serum retinol concentration of urban children was 37.3$\mu\textrm{g}$/100m1, significantly higher than rural children of 35.6$\mu\textrm{g}$/100m1(p < 0.05). According to the biochemical criteria, no one was in critical vitamin A nutritional status. Because of relatively large day-to-day vitamin A intake, 1-day, 24-hr recall method may not be the proper way to assess the usual intake of vitamin A. In conclusion , to diagnose the nutritional status of vitamin A by dietary survey, it is necessary to develop new survey technique which measure the dietary habit of the people.

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Analysis of the Nutrition Education Realities and Nutritional Status in Children (어린이 영양교육 실태 및 영양상태 분석)

  • Heo, Mi-Suk;Choi, Sun-Young
    • The Korean Journal of Food And Nutrition
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    • v.29 no.6
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    • pp.1070-1078
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    • 2016
  • This study investigated the nutrition education realities and nutrition status of children in community child centers, by analyzing the status of nutrition education, nutrition quotient (NQ), and the level of maintaining dietary guidelines. The subjects were 173 children from grades 1 to 6, enrolled in community child centers, Jinju, Kyungnam. The NQ was examined by a questionnaire, which was a checklist of 19 food behavior items. The distribution of scores (out of 100) in the nutrition quotient were as follows: total score of NQ was 59.4, balance 56.6, diversity 60.6, moderation 65.6, regularity 60.9, and practice 56.7. Nutrition quotient was higher in the higher graders due to significant differences in the area of variety. The level of maintaining dietary guidelines was higher in girls, especially in the area 'eat politely with family', and higher amongst the upper graders in the area 'have safe snack wisely'. To improve the eating habits and nutritional status of the children in community child centers, their nutritional state should be checked with regular and systematic education, and their nutritional management should be pursued continuously. Since the assessment of the eating behaviors and the nutritional state of children is important at home as well as in schools and community child centers, nutritional education should be further extended to the parents and their care givers. This study can be implemented as basic material for the nutritional education of children, to minimize the dangers of malnutrition and to help build up the right eating habits amongst children in community child centers.

The Metabolic Syndrome and Associated Lifestyle Factors among Older Adults (서울시내 일개 복지관에 내원하는 노인의 대사증후군 발생양상과 관련요인에 대한 연구)

  • Choi, Seung-Hye;ChoiKwon, Smi
    • Journal of Korean Biological Nursing Science
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    • v.13 no.1
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    • pp.53-60
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    • 2011
  • Purpose: The purpose of the present study was to investigate the prevalence and lifestyle factors related to the metabolic syndrome in Korean elderly. Methods: A total number of 122 elderly over 60 yr were recruited from a community elderly center. Elderly were classified into young old (60-74 yr) and old (75-84 yr). Metabolic syndrome was defined by third report of the national cholesterol education program (NCEP) expert panel on Adult Treatment Panel III (ATP III). Abdominal obesity was determined by Korean society for the study of Obesity criteria. The nutritional status was measured by mini nutritional assessment (MNA). Results: The prevalence of the metabolic syndrome was significantly higher in the old than young old elderly (p<0.05, respectively). Abdominal obesity and hypertension were the most common risk factors. The related factors to metabolic syndrome were high Body mass Index (BMI) and currently not participating in exercise. Abdominal obesity, low HDL cholesterol and hypertension were associated with specific nutrient intakes. Conclusion: A strategy to decrease the metabolic syndrome in the elderly is urgently needed particularly so for the old elderly. A nutritional and exercise program for young old elders may be helpful reducing the prevalence of metabolic syndrome in later stage.

Nutritional Management in Patients with Chronic Obstructive Pulmonary Disease (만성폐쇄성폐질환 환자의 영양관리)

  • Lee, Kwan-Ho
    • Journal of Yeungnam Medical Science
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    • v.21 no.2
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    • pp.133-142
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    • 2004
  • Chronic obstructive pulmonary disease(COPD) is characterized by a not entirely reversible limitation in the airflow. An airflow limitation is progressive and associated with an abnormal inflammatory response of the lung to gases and harmful particles. In COPD, the weight loss is commonly observed and there is a negative impact on the respiratory as well as skeletal muscle function. The pathophysiological mechanisms that result in weight loss in COPD are not fully understood. However, the mechanisms of weight loss in COPD may be the result of an increased energy expenditure unbalanced by an adequate dietary intake. The commonly occurring weight loss and muscle wasting in COPD patients adversely affect the respiratory and peripheral muscle function, the exercise capacity, the health status, and even the survival rates. Therefore, it is very valuable to include management strategies that the increase energy balance in order to increase the weight and fat free mass. A Better understanding of the molecular and cellular pathological mechanisms of COPD can improve the many new directions for both the basic and clinical investigations. The Nutritional supply is an important components of a multidisciplinary pulmonary rehabilitation program. Future studies combining an exercise program, the role of anabolic steroids, nutritional individualization, a more targeted nutritional therapy, and the development of new drugs including anti-cytokines is needed for the effective management of COPD.

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Assessment of Nutritional Status of Children in Community Child Center by Nutrition Quotient(NQ) - Gyeongiu - (어린이 영양지수로 살펴본 지역아동센터 어린이의 식생활과 영양상태 - 경주지역 -)

  • Kim, Na-Hyung;Lee, In-Sook
    • Journal of the East Asian Society of Dietary Life
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    • v.25 no.1
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    • pp.73-86
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    • 2015
  • The present study was performed to evaluate food behavior and nutritional status of children in a community child center using nutrition quotient according to age and growth index of children. The number of subjects enrolled in this study was 152 including 73 boys and 79 girls. Participants consisted of children from 5 to 12 years old, who visited a community child center in the area. Growth index was assessed through body mass index by height and weight and examined according to age. Subjects were divided into underweight, normal weight, overweight and obese according to questionnaire, which consisted of five categories including balance, diversity, moderation, regularity and practice, were analyzed by SPSS statistical program. Current results show significant differences in the diversity and regularity (p<0.05, p<0.001, respectively). Additionally, four items in the form of 10 questions showed significant differences related to habits of sodium-related food intake. This study design will be a useful tool in the evaluation of food behavior and nutritional status of preschoolers or elementary school children in community child centers, together with food frequency questionnaires related with sodium food intake.

Analysis of the Prevalence and Risk Factors of Malnutrition among Hospitalized Patients in Busan

  • Lee, Ha-Kyung;Choi, Hee-Sun;Son, Eun-Joo;Lyu, Eun-Soon
    • Preventive Nutrition and Food Science
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    • v.18 no.2
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    • pp.117-123
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    • 2013
  • This study investigated the prevalence of and risk factors for malnutrition in hospitalized patients in Busan, Republic of Korea. 944 patients (440 men and 504 women) were hospitalized in four Busan general hospitals from March through April, 2011. Nutritional status was assessed on admission by the Nutritional Risk Screening 2002. Data were collected from the electronic medical records system for the characteristics of the subjects, clinical outcomes, biochemical laboratory data, and nutrition support states. Clinical dietitians interviewed the patients using structured questionnaires involving data on weight loss and problems related to oral intakes. Malnourished patients were significantly older (P<0.001) than well-nourished patients, but the values for BMI, serum albumin, total cholesterol, TLC, hemoglobin, and hematocrit were significantly lower (P<0.001) for malnourished than for well-nourished patients. Logistic regression indicated that the main determinant factors for nutritional status were the age, length of stay, BMI, serum albumin, and total cholesterol. In order to increase therapeutic effects of hospitalized patients, clinical dietitians need to offer proper nutritional intervention based on the results of nutrition assessment and identification of malnutrition.

Software System Development for Supportinyg Nutritional Management (영양 관리 지원을 위한 Software system개발)

  • 이혜숙
    • Journal of Nutrition and Health
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    • v.22 no.4
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    • pp.290-299
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    • 1989
  • The purpose of this study was to develop a software system for supporting nutritioal counseling. This study provides basic information on the assessment of nutritional status for individual. Software programs developed for this study were as follows: 1) Program for calculating the nutritional recommended daily allowance based on individual needs and for assessing obesity by Broca index. 2) Program for the analysis of nutritional daily intake(comparison between the amounts intake and the recommended dietary daily allowance) 3) Program for the analysis of nutrient intakes from each food group and their composition rates for the nutrients. A super-16T /XT (16bit personal computer) campatible with IBM-PC / XT was used and all the files and programs were created by using COBOL.

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