• 제목/요약/키워드: Young Adult Program

검색결과 336건 처리시간 0.033초

Comparative Drug Evaluation of Atorvastatin versus Rosuvastatin in Pharmacotherapy of Korean Patients with Dyslipidemia

  • Park, Seon-Young;Lee, Myung-Koo;Lim, Sung-Cil
    • Biomolecules & Therapeutics
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    • 제16권1호
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    • pp.54-60
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    • 2008
  • Dyslipidemia is the multiple lipid metabolic disorders which is one of the high risk factors for the atherosclerotic diseases. It increases the morbidity and mortality and therefore, must be treated with antilipidemic agents. HMG-Co A reductase inhibitors (statins), one of many antidyslipidemic agents, have shown to be significant improvement from the various cholesterol levels. Especially, data from many comparative trials suggest that rosuvastatin is more effective than atorvastatin among many other statins. The aims of this study were to evaluate the efficacy and safety between rosuvastatin and atorvastatin in the treatment of Korean patients with dyslipidemia. Currently the Korean Society of Lipidology and Atherosclerosis based on the Korean health screening data suggests that Korean patients with dyslipidemia should be treated by the target cholesterol levels according to the Adult Treatment Panel III guidelines of the US National Cholesterol Education Program (NCEP-ATP III). We reviewed retrospectively all medical histories of the total 392 dyslipidemic patients with atorvastatin or rosuvastatin from June 1st, 2004 to August 31st, 2006 in Chungbuk National University Medical Center. Patients were classified as total 4 groups by the NCEP-ATP III Guidelines. The numbers of enrolled patients were each 5 mg atorvastatin (n=34), 10 mg atorvastatin (n=148), 5 mg rosuvastatin (n=94) and 10 mg rosuvastatin (n=82). In comparison between groups, rosuvastatin groups in the lowering LDL-C had better efficacies, and the results were each 22% (5 mg atorvastatin), 33.3% (10 mg atorvastatin), 35% (5 mg rosuvastatin) and 41.3% (10 mg rosuvastatin) with the dose relationship (P=0.000). Rosuvastatin groups also have shown to be more significantly reducing Total Cholesterol levels compared to atorvastatin groups with the no dose relationship (P=0.000). In the lowering of non-HDL cholesteroles, rosuvastatin groups showed significantly better efficacies than atorvastatin with the dose-relationship (P=0.000). Each medication groups did not demonstrate the differences in the changing of HDL cholesterol and triglyceride levels (P=0.096, 0.309, respectively). In conclusion, rosuvastatin was better efficacious than atrovastatin in reducing LDL-C Total Chol, and Tg. Therefore, rosuvastatin is a good antilipidemic agents for Korean patients with dyslipidemia and it can use to minimize the morbidity and mortality related to the cardiovascular diseases in Korean.

비만 및 비비만 인슐린 비의존형 당뇨병환자의 영양소 섭취량 비교 분석 (Comparison of Nutrient Intake in Obese and Non-obese Non-insulin-dependent Diabetes Mellitus Patients)

  • 박정순;이숙영
    • 한국식생활문화학회지
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    • 제28권5호
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    • pp.547-552
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    • 2013
  • This study compared the nutrient intake of obese versus non-obese non-insulin dependent diabetes mellitus (NIDDM) patients for Diabetes Medical Nutrition Therapy. The study was conducted at medical hospitals in Gyeonggi and Seoul from April 2009 to November 2009. Fifty-six adult male NIDDM patients were enrolled and divided into two groups: 36 into an obese group (BMI ${\geq}25$) and 20 into a non-obese group (BMI<25). To conduct this study, anthropometric measurements, and daily nutrient intake of obese and non-obese NIDDM patients were measured. Daily nutrient intake was estimated by 24hr-recall and analyzed by the CAN program. In the results, anthropometric measurements of the two groups showed significant differences in weight and BMI (p<0.001). Daily nutrient intake of the two groups showed no significant differences, except for vitamin E intake (p<0.05). The total energy intake of the non-obese and obese groups were $2,669.9{\pm}964$ kcal and $2,555.4{\pm}803$ kcal, respectively, which were both above 113% of the recommended Dietary Reference Intakes for Korean (KDRIs). Cholesterol and sodium intake were $378.1{\pm}215.6$ mg and $6,478.9{\pm}2755.1$ mg, respectively for the non-obese group. Cholesterol and sodium intake were $308.1{\pm}155.6$ mg and $6,306.8{\pm}2788.9$ mg, respectively, for the obese group. Both groups were above 150% of the recommended levels set by the Korean Diabetes Association (KDA). However, their antioxidant nutrient intake was appropriate. Meanwhile, their fiber intake was $10.7{\pm}5.1$ g and $9.8{\pm}5.2$ g, respectively, which was lower than 40% of the recommended intake set by the KDA. The results show that the nutritional education for obese and non-obese NIDDM male patients must aim to reduce total energy, cholesterol, and sodium intake, while increasing fiber intake. In addition, the factors related to a patient's glycosylated hemoglobin, serum lipids, blood pressure, and weight change must be calibrated for the appropriate energy, fat, cholesterol, sodium, and dietary fiber intake.

정신질환자의 성지식, 성태도 및 성행동 (The sexual knowledge, sexual attitude and sexual behavior of psychiatric patients)

  • 박승미;김지영;고성희
    • 디지털융복합연구
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    • 제15권9호
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    • pp.261-271
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    • 2017
  • 본 연구는 정신질환자의 성지식, 성태도 및 성행동 정도와 차이를 파악하고 변수 간 관계를 파악하기 위해 시도되었다. 연구대상자는 J도 K시에 소재한 정신전문병원에 입원한 성인 정신질환자 222명이었다. 자료는 구조화된 설문지를 사용하여 2016년 3월 11일부터 4월 15일까지 수집되었다. 수집된 자료는 SPSS/WIN 20.0 프로그램을 이용하여 independent t-test, One-way ANOVA, $Scheff{\acute{e}}$ test, Pearson's Correlation Coefficients로 분석하였다. 연구 대상자의 성지식 평균점수는 2.60점, 성태도는 2.74점, 성행동은 0.49점이었다. 대상자의 성지식은 부모의 양육태도에 따라 유의한 차이를 보였고(${\rho}$<.01), 성행동은 진단명에 따라 유의한 차이를 나타났다(${\rho}$<.05). 성지식은 성태도(r=.75, ${\rho}$<.001) 및 성행동(r=.15, ${\rho}$<.05)과 유의한 양의 상관관계가 있었다. 성태도는 성행동 하부영역 중 적극적 성행동 간에 유의한 양의 상관관계가 있었다(r=.20, ${\rho}$<.01). 본 연구결과는 정신질환자의 성 관련 문제에 관한 정신간호중재방법의 개발에 기초자료로 활용될 수 있을 것이다.

한국인 성인의 상악 전치부 치조골 형태에 관한 방사선학적 연구 (Radiographic evaluation of alveolar bone profile of maxillary anterior teeth in Korean young adult)

  • 서효석;정진형;임성빈;홍기석
    • Journal of Periodontal and Implant Science
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    • 제36권2호
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    • pp.461-471
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    • 2006
  • In order to achieve a satisfactory esthetic result of periodontal surgery or implant in maxillary anterior area, periodontists must be aware of normal alveolar bone anatomy. The purpose of this study was to evaluate the relationship of alveolar bone morphology to tooth shape and form. 78(mean age : 25 yrs) periodontally healthy volunteers participated in this study. Two maxillary central incisor and one lateral incisor were selected to study. With minimal local anesthesia, gutta-percha cone inserted to labial gingival sulcus of selected teeth just after bone sounding with periodontal probe. Metal ball (4mm diameter) attached to palatal fossa of central incisor. Then, periapical radiograph was taken according to long cone paralleling technique. After film scan, labial alveolar bone profile reproduced along interproximal bone and apical ends of gutta-percha cones on computer screen. By utilizing computer program, the distance from height of interproximal bone to the labial bone crest in central incisor-central incisor and central incisor-lateral incisor area was measured and converted to real distance by using vertical length of metal ball on film. After measuring crown length & width of central incisor, the 10 individuals ranked lowest GW/L ratio (crown width/length ratio) and the 10 ranked highest were selected as having a long-narrow(group N), or a short-wide(group W) form of the central incisors. Means of the distance from height of interproximal bone to the labial bone crest of group N, W were calculated and compared by means of independent t-test. The results were as follows: 1. Mean distance from the height of the interproximal bone to the labial bone crest was $3.5{\pm}0.7mm$ between two central incisor, and $2.8{\pm}0.6mm$ between central and lateral incisor. 2. Mean GW/L ratio of group N was 0.57, and group W was 0.8. Mean distance from the height of the interproximal bone to the labial bone crest of group N was higher than group W in both measured area(measurements of group N, W were $3.9{\pm0.2mm$ and $3.5{\pm}0.2mm$ between two central incisor, $3.0{\pm}0.2mm$ and $2.8{\pm}0.2mm$ between central and lateral incisor), but there were no statistically significant differences when the groups were compared. Within the limits of the present study, there was a tendency that subjects with long-narrow teeth have more scalloped alveolar bone profile than subjects with short-wide teeth in upper anterior area, but no statistically significant differences were found.

도시(都市)와 농촌지역(農村地域)의 건강관심도(建康關心度), 건강행위(建康行爲) 및 주관적(主觀的)인 건강인식(建康認識)과의 관련성(關聯性) 연구(硏究) (The Study on the Relationship between Health Concern, Health Behavior, and Subjective Health Cognition in Urban and Rural Area)

  • 전선영;권소희;유현주;장두섭;송용선;이기남
    • 대한예방한의학회지
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    • 제6권2호
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    • pp.19-35
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    • 2002
  • To know the differences between health concern, health behavior, and subjective health cognition in urban and rural area, author used the correlation analysis between variables and wanted to provide basic data for public health service to support appropriate health care, health maintenance, and health promotion in community. Data collection were done in JeonBuk area from September 10 to October 10, 2001, and subjects were above 20 years old adult. 350 and 250 subjects were from urban and rural area by random sampling, respectively. Questionnaire were completed by interview with direct or self-recording type. Research tool was questionnaire with health concern, health behavior, and subjective health cognition, and data collected were analyzed into descriptives, crosstabs, T-test, ANOVA, Pearson correlation coefficient by SPSS 10.0 program. The results were as follows: 1. Health concern was 9.0% for upper group, 39.1% for middle group, 51.9% for lower group in urban area, and 10.1% for upper group, 41.0% for middle group, 48.8% for lower group in rural area. Health concern for middle and lower group was totally high percentage, and rural area had higher health concern than urban area. 2. Health behavior in both urban and rural area was statistically significant(p<0.01). Women who had higher age and with spouse had high degree of health behavior, and urban area had totally high score for health behavior compared to rural area. 3. Subjective health cognition was 71.0% for health, 29.0% for non-health in urban area, and 61.3% for health, 38.7% for non-health in rural area. Percentage of health group was higher in urban area than in rural area. 4. Degree of health behavior by health concern was statistically significant only in rural area. That is to say, the higher health concern had the higher degree of health behavior in rural area. Subjective health cognition by health behavior was totally significant correlation with health behavior in urban and rural area(p〈0.05). That is to say, the higher health behavior in urban and rural area had the higher subjective health cognition. 5. For correlations between 3 variables, there was significant correlation between health behavior and subjective health cognition in urban area (p<0.01). There were correlations between health concern and health behavior, health behavior and subjective health cognition(p<0.05). Considering above results, the higher health behavior had the higher subjective health cognition in urban area. The higher health concern had the higher behavior, and the higher health behavior had the higher subjective health cognition in rural area.

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Low consumption of fruits and dairy foods is associated with metabolic syndrome in Korean adults from outpatient clinics in and near Seoul

  • Song, SuJin;Kim, Eun-Kyung;Hong, Soyoung;Shin, Sangah;Song, YoonJu;Baik, Hyun Wook;Joung, Hyojee;Paik, Hee Young
    • Nutrition Research and Practice
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    • 제9권5호
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    • pp.554-562
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    • 2015
  • BACKGROUND/OBJECTIVES: The aim of this study was to examine differences in nutrient intake and food consumption by the presence of metabolic syndrome in Korean adults. SUBJECTS/METHODS: Study subjects in this cross-sectional study were recruited from four outpatient clinics in and near the Seoul metropolitan area of South Korea between 2006 and 2012. A total of 668 subjects (413 men and 255 women) aged ${\geq}30y$ were included in the final data analyses. For each subject, daily nutrient intake and food consumption were calculated using three days of dietary intake data obtained from a combination of 24-hour recalls and dietary records. To evaluate food consumption, mean number of servings consumed per day and percentages of recommended number of servings for six food groups were calculated. Metabolic syndrome was defined using the National Cholesterol Education Program Adult Treatment Panel III criteria. The general linear model was performed to examine differences in nutrient intake and food consumption by sex and the presence of metabolic syndrome after adjustment for potential confounding variables. RESULTS: Nutrient intake did not differ by the presence of metabolic syndrome in both men and women. Men with metabolic syndrome had lower consumption and percentage of the recommendation for fruits compared with those without metabolic syndrome (1.6 vs. 1.1 servings/day, P-value = 0.001; 63.5 vs. 49.5%, P-value = 0.013). Women with metabolic syndrome showed lower consumption and percentage of the recommendation for dairy foods than those without metabolic syndrome (0.8 vs. 0.5 servings/day, P-value = 0.001; 78.6 vs. 48.9%, P-value = 0.001). CONCLUSIONS: Low intakes of fruits and dairy foods might be associated with the risk of having metabolic syndrome among Korean adults. Dietary advice on increasing consumption of these foods is needed to prevent and attenuate the risk of metabolic syndrome.

Ginsenoside fractions regulate the action of monocytes and their differentiation into dendritic cells

  • Lee, Yeo Jin;Son, Young Min;Gu, Min Jeong;Song, Ki-Duk;Park, Sung-Moo;Song, Hyo Jin;Kang, Jae Sung;Woo, Jong Soo;Jung, Jee Hyung;Yang, Deok-Chun;Han, Seung Hyun;Yun, Cheol-Heui
    • Journal of Ginseng Research
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    • 제39권1호
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    • pp.29-37
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    • 2015
  • Background: Panax ginseng (i.e., ginseng) root is extensively used in traditional oriental medicine. It is a modern pharmaceutical reagent for preventing various human diseases such as cancer. Ginsenosidesd-the major active components of ginsengd-exhibit immunomodulatory effects. However, the mechanism and function underlying such effects are not fully elucidated, especially in human monocytes and dendritic cells (DCs). Methods: We investigated the immunomodulatory effect of ginsenosides from Panax ginseng root on $CD14^+$ monocytes purified from human adult peripheral blood mononuclear cells (PBMCs) and on their differentiation into DCs that affect $CD4^+$ T cell activity. Results: After treatment with ginsenoside fractions, monocyte levels of tumor necrosis factor (TNF)-${\alpha}$, interleukin (IL)-6, and IL-10 increased through phosphorylation of extracellular signal-regulated kinase (ERK)1/2 and c-Jun N-terminal kinase (JNK), but not p38 mitogen-activated protein kinase (MAPK). After treatment with ginsenoside fractions, TNF-${\alpha}$ production and phosphorylation of ERK1/2 and JNK decreased in lipopolysaccharide (LPS)-sensitized monocytes.We confirmed that DCs derived from $CD14^+$ monocytes in the presence of ginsenoside fractions (Gin-DCs) contained decreased levels of the costimulatory molecules CD80 and CD86. The expression of these costimulatory molecules decreased in LPS-treated DCs exposed to ginsenoside fractions, compared to their expression in LPS-treated DCs in the absence of ginsenoside fractions. Furthermore, LPS-treated Gin-DCs could not induce proliferation and interferon gamma (IFN-${\gamma}$) production by $CD4^+$ T cells with the coculture of Gin-DCs with $CD4^+$ T cells. Conclusion: These results suggest that ginsenoside fractions from the ginseng root suppress cytokine production and maturation of LPS-treated DCs and downregulate $CD4^+$ T cells.

인터넷 및 스마트폰의 미디어 기능과 청소년 우울과의 관련성 (The relationship between media function of internet and smartphone, and youth depression)

  • 홍연재;류승아;서재식;김윤지;강동묵;김영기;김지훈
    • 의료커뮤니케이션
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    • 제12권1호
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    • pp.73-84
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    • 2017
  • Purpose: As the internet use of teenagers become more common, the need for research on the relationship between the internet and youth depression has emerged. The purpose of this study is to investigate the relationship between internet use and adolescent depression. Methods: The subjects of this study were youth attending elementary($6^{th}$ grade), middle($2^{nd}$ grade), and high schools($2^{nd}$ grade) belonging to the Busan Metropolitan City Office of Education. Depression was assessed using the BDI depression scale. Internet functions were classified into 10 categories, and the degree of use by Internet functions was examined. The most frequently used Internet sites were surveyed. Univariate analysis using $X^2$ test and multivariate analysis using logistic regression analysis were conducted to find out the difference of internet and smartphone media function on depression according to elementary, middle and high school students. Results: Depression was higher of 13.2 times for students who use online transactions (goods purchase), 0.07 times for students who use 'bulletin board' activities in elementary students. Depression was higher of 1.55 times for those who use online transactions (purchasing goods), and 2.3 times for those who use adult sites for middle school students. Depression was higher of 2.1 times when using e-mail and 1.9 times when using other information retrieval for high school students. Conclusion: It is necessary to consider characteristics of internet utilizing pattern by school class in policy regulation and prevention program to reduce youth depression.

톱다리개미허리노린재 암컷 성충의 휴면종료에 미치는 일장과 온도의 영향 (Effect of Day Length and Temperature on the Diapause Termination of Riptortus pedestris (Hemiptera: Alydidae) Female Adults)

  • 허완;손대영;박정규
    • 한국응용곤충학회지
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    • 제49권2호
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    • pp.115-121
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    • 2010
  • 한국, 일본을 비롯하여 아시아 대륙에 널리 분포하는 톱다리개미허리노린재 (Riptortus pedestris (Fabricius)) (Hemiptera: Alydidae)는 겨울에 성충으로 휴면한다. 2006년 10월~11월 사이에 야외에서 월동 중인 암컷 성충을 대상으로 휴면종료에 미치는 온도와 일장 및 그 처리기간의 영향을 연구하였다. 암컷을 해부하여 난소 발육 정도를 기준으로 휴면 종료 여부를 판정하였다. 처리 방법은 (1) 고온장일: $25^{\circ}C$, 14L:10D 조건에 1, 2, 3주 또는 30일간 처리, (2) 고온단일: $25^{\circ}C$, 10L:14D 조건에 1, 2, 3주 처리, (3) 저온장일: $8^{\circ}C$, 14L:10D에 1, 2, 3주 처리 후 고온장일에 3주간 처리, (4) 저온단일: $8^{\circ}C$, 10L:14D에 1, 2, 3 주간 처리 후 고온장일에 3주간 처리이었다. 고온단일처리는 난소발육에 영향을 미치지 않았고, 결과적으로 포란수나 휴면종료율이 무처리(실험 전의 성충)와 차이가 없었다. 그러나 고온장일처리는 고온단일처리보다 휴면종료 비율이 높았다. 고온 장일에 14일 이상 처리하면 휴면종료 암컷의 비율이 증가하고 난소발육이 촉진되었으며, 난소 내의 성숙난의 수도 증가하였다. 고온장일이나 고온단일 처리와 비교하였을 때, 저온장일이나 저온단일 처리 후 고온장일 처리는 난소발육을 촉진하였고 산란 성충수가 증가하였다. 저온단일에 일주일 간 전처리가 산란수 증가에 충분하였다.

개인별 목표 설정과 스마트폰 기반 영양상담을 통한 20-30대 성인의 영양지수 및 식이 자아효능감 향상 (Improving the nutrition quotient and dietary self-efficacy through personalized goal setting and smartphone-based nutrition counseling among adults in their 20s and 30s)

  • 김다현;박다원;한영희;현태선
    • Journal of Nutrition and Health
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    • 제56권4호
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    • pp.419-438
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    • 2023
  • 본 연구에서는 20-30대 성인을 대상으로 개인별 식습관 목표를 설정하고 인스턴트 메신저를 활용한 스마트폰 기반의 영양상담이 대상자의 영양지수, 식이 자아효능감, 영양소 섭취상태를 향상시킬 수 있는지를 평가하고자 하였다. 총 30명을 대상으로 모바일 메신저의 1:1 채팅방을 통해 주 1회 1시간 내외로 8주간 비대면 영양상담을 진행하였다. 상담 첫째 주에는 사전 온라인 설문조사와 식사섭취조사를 실시하였고, 두 번째 주에는 사전 조사 결과를 바탕으로 2가지의 식습관 목표를 설정하였고, 목표 달성 여부를 매일 기록할 수 있는 체크리스트를 제공하였다. 3주차부터는 상담영양사가 체크리스트를 바탕으로 피드백 메시지와 식생활 지침에 대한 정보를 카드뉴스 형식으로 제공하였다. 7주차 상담 후에는 사후 온라인 설문조사와 식사섭취조사를 실시하였고, 8주차에는 그 동안의 변화된 식습관을 살펴보고 상담 과정 평가에 대한 온라인 설문조사를 실시하였다. 영양상담 전후의 결과를 분석한 결과, 영양상담 후 대상자의 영양지수와 주위 환경 자극 조절 효능감 점수가 영양상담 전보다 유의하게 높았다. 영양지수 문항별로는 과일, 우유 및 유제품, 견과류, 채소류, 패스트푸드, 라면, 달고 기름진 빵류, 가당음료류의 섭취 빈도 점수가 영양상담 후 유의하게 높았다. 단백질, 비타민 A, 티아민, 리보플라빈, 엽산, 칼슘, 철의 섭취량과 비타민 A, 리보플라빈, 엽산, 칼슘, 철의 INQ도 영양상담 전보다 후에 높았다. 또한 참가자들은 영양상담 프로그램과 제공되는 영양정보에 대해 높은 만족도를 보였다. 이와 같이 개인별 목표 설정과 스마트폰 기반 영양상담은 20-30대 성인의 영양지수, 주위 환경 자극 조절 효능감, 그리고 영양소의 양적, 질적 향상에 효과적인 것으로 나타났으며, BMI에 따라 분류한 저체중·정상체중군과 과체중·비만군 모두 유사한 결과를 얻었다. 본 연구 결과 개인별 목표 설정, 자기 모니터링, 목표 달성에 대한 피드백과 격려가 행동 변화에 긍정적인 효과를 주는 것으로 보이며, 스마트폰을 편하게 사용하는 젊은 성인에게는 대면 상담이 아닌 스마트폰 채팅 기반 영양상담도 효과적인 방법이라고 사료된다.