• Journal of Community Nutrition
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• v.3 no.1
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• pp.21-29
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• 2001

This study was conducted to examine factors with attendance in hyperlipidemia nutrition eduction program among 101 hyperlipidemic outpatients (38 males 63 females) at Samsung Medical Center We employed the Health Belief Model (HBM) as the theoretical framework The individual nutrition education and counseling program was scheduled with 4- half hour session sin 2 to 4 weeks intervals. Upon initiation of the program a trained dietitian surveyed HBM constructs and psychosocial factors. The following were included perceived susceptibility to cardiovascular disease(CVD) perceived severity to CVD percieved benefits to diet modification perceived barriers to persistence in maintaining therapy and self efficicacy and social support from family Sociodemographic data health factors stress level nutrition knowledge, and 24-hour dietary recall behavior were also surveyed All these data was analyzed according to the number of nutrition sessions attended The subjects were 55.9$\pm$9.4 year old and 24.6$\pm$kg/㎡ Sociodemographic factors were not associated with the number of nutrition sessions attended HBM constructs and psychosocial factors were significantly associated with the number of nutrition sessions attended. According to Spearman correlation coefficients. From stepwis regression analyses using HBM constructs as independent variables perceive barriers to persistence in maintaining diet therapy (negative) proved to be the strongest predictors for the number of nutrition sessions attended (partial R$^2$= 72.3%) followed by perceived severity to CVD and self efficacy (model R$^2$=76.6% The findings indicate that HBM constructs and psychosocial factors were closely associated with patient attendance It suggests that information and guidance to minimize patients perceived barriers to diet therapy might help to improve patients to scheduled appointments in nutrition education programs.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.10 no.2
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• pp.181-186
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• 2003

Purpose: The purpose of this study was to investigate the adherence to diabetes control recommendations (blood glucose testing, medication, diet, exercise) in patients with type 2 diabetes at home and to analyse the correlation between adherence and blood glucose level. Method: Participants, numbering 214, were recruited from the endocrinology outpatient department of a tertiary care hospital in an urban city. The data were collected by a self report adherence questionnaire. Glycosylated haemoglobin (HbA1c) was determined by the high-performance liquid chromatography technique and fasting blood glucose was analyzed by the glucose oxidase method. Result: Medication adherence was higher than diet or exercise adherence. The frequency of blood glucose testing was lower for middle school graduates than college graduates. Diet adherence was significantly lower for participants who were obese, who did not have a spouse, and who had hyperglycemia. Medication and diet adherence were negatively correlated with HbA1c. Conclusion: A diet education program should be developed for patients with type 2 diabetes who are obese, who do not have a spouse, and who have hyperglycemia.

• Journal of the East Asian Society of Dietary Life
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• v.21 no.1
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• pp.14-23
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• 2011

The purpose of this study was to develope nutritional teaching materials and programs for childcare major students by determining interrelations between nutritional knowledge, dietary habits and dietary self-efficacy. Out of 400 questionnaires distributed to the students majoring in childcare in Daegu, 354 were analyzed by SPSS WIN 12.0 program. The results were summarized as follows. Childcare major students' distributions of nutritional knowledge, dietary habits and dietary self-efficacy were approximately all middle levels. Nutritional knowledge scores were influenced by age and self-assessment of health. Childcare major students' dietary habits were influenced by age, the degree of satisfaction of diet, and the degree of interest in diet. Dietary self-efficacy of childcare major students was influenced by gender, satisfaction of diet, whether or not they were on a diet, recognition of the need for nutritional knowledge, and the degree of interest in diet. Nutritional knowledge and dietary habits were positively correlated with dietary self-efficacy of childcare major students. In short, childcare major students with higher nutritional knowledge scores had higher dietary self-efficacy. Further, childcare major students who had a regular diet and balanced dietary habits had stronger dietary self-efficacy.

• Journal of Korean Biological Nursing Science
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• v.10 no.1
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• pp.19-24
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• 2008

Purpose: The purpose of this study was to identify the factors that influence on the weight control diet experience of the female nursing students in an university. Method: The data were collected by measuring weight, height, body mass index (BMI), waist and hip circumferences, and body satisfaction. The subjects of this research were 119 nursing students of K University in Kangwondo. And the mean age of the subjects was 20.38. Result: 67.7% of subjects had an weight control diet experience. The mean BMI of the subjects was $21.39\;kg/m^2$. There were lower BMI and higher waist/hip ratio in the weight control diet experience group. There were significant correlations between body satisfaction and BMI, waist/ hip ratio. The factor that influenced significantly on weight control diet experience was BMI. Conclusion: It is necessary to develop an educational program for reducing the risk factors due to an inadequate weight control diet for female nursing students in university.

• Journal of the Korean Dietetic Association
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• v.11 no.4
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• pp.418-429
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• 2005

The purpose of this study was to investigate the effect of the web-based nutrition counseling on the dietary behavior and food intake of hyperlipidemic patients and to evaluate the web-based nutrition counseling program. Forty hyperlipidemic patients, twenty of them were hypercholesterolemia and the other twenty were hypertriglyceridemia, participated in the web-based nutrition counseling program. At the first nutrition counseling, the patients were interviewed and then follow-up nutrition counselings were accomplished four times during eight weeks through a web-based internet program. The web-based nutrition counseling program was consisted of diet management, nutrition education and nutritional assessment and the follow-up counseling program. The dietary behavior score increased significantly in both groups after the nutrition counseling program(p<0.01). The diet therapy knowledge score also increased significantly (p<0.01). For food frequency, vegetable (p<0.01), fruit (p<0.05) and seaweed (p<0.01) consumption increased significantly, while meat (p<0.01), egg (p<0.01), snack (p<0.01) and instant food (p<0.01) intake decreased significantly in both groups after the nutrition counseling program. The evaluation of the web-based nutrition counseling program by the patients showed above average in all domains, specially the evaluation scores of younger aged patients habituated to practice computer were better than those of older aged patients. Therefore, this study shows that the web-based nutrition counseling program is effective for improving dietary behavior and food consumption the patients. In addition, these results indicate that internet presents us with potential as a new medium for nutrition counseling in informationized society.

• Journal of Korean Biological Nursing Science
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• v.19 no.3
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• pp.141-150
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• 2017

Purpose: The purpose of this study was to investigate the effects of the Korean Dietary Approaches to Stop Hypertension (DASH) education program on oxidative stress, antioxidant capacity, and serum homocysteine (Hcy) level in elderly Korean women. Methods: This was a quasi-experimental study employing non-equivalent control group pretest-posttest design. The DASH group (n= 27) underwent the DASH education program for 12 weeks, whereas the control group (n= 21) was provided one education session. The survey was conducted before and after the intervention period. Results: In DASH group, monounsaturated fatty acid (MUFA), eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA) intakes significantly increased after the intervention as compared to prior to the intervention. No significant differences were found in the control group. After the intervention, thiobarbituric acid reactive substance (TBARS) and Hcy levels significantly decreased in the DASH group but not in the control group. Conclusion: The DASH education program was effective in reducing oxidative stress and Hcy levels in elderly Korean women.

• Journal of Korean Biological Nursing Science
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• v.11 no.2
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• pp.157-166
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• 2009

Purpose: The purpose of this study was to determine the effects of self-care program using Short message service (SMS), e-mail, or telephone call on self-care compliance and nutritional status in maintenance of hemodialysis patient. Methods: Nonequivalent pretest-posttest control experimental design was used. Ninety-six patients were allocated to control (n=24), SMS (n=24), e-mail (n=24), or telephone (n=24) group from four hospitals. Experimental groups received self-care program about hemodialysis diet, drug administration, exercise, and fistula care by SMS, e-mail, or telephone call respectively at 3 times a week for 4 weeks. Results: Subjective self-care compliance, and objective self-care compliance including interdialytic weight of SMS and telephone groups were significantly increased than those of control groups. However, nutritional status of SMS and e-mail groups were significantly improved than those of control groups in albumin and protein level. Conclusion: Self-care program using SMS and telephone call were effective on promoting self-care compliance, while SMS and e-mail were effective on improving nutritional status. The pop-up remaining effect and easy accessible effect of SMS message in busy daily life was considered as an alarm to control fluid and diet.

• The Korean Journal of Food And Nutrition
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• v.12 no.2
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• pp.177-183
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• 1999

This study attempted to evaluate the effectiveness of nutrition education on a weight control prog-ram. The major components of nutrition education in this program held for 8 weekly sessions were the general nutrition information about the diets especially low fat high carbohydrate hypocaloric diets methods of increasing physical activity strategies for the maintenace of proper body weight and other information related to the prevention of obesity. Twenty five female college students participated in this program. All subjects were randomly assigned to the Nutrition Education (NE) group or the Diet Only (DO) group. Mean energy intake of the NE group was 1,230kcal(CHO:61% PRO:15% FAT:24%) DO group consumed 1,472kcal(CHO:58%, PRO:16% FAT:26%). The NE group lost 3.3$\pm$0.7kg of body weight. In contrast the DO group lost 1.8$\pm$0.6kg The NE group experienced a significant decrease in cholesterol LDL-cholesterol level however the DO group significantly increased in triglyceride. The results of this study suggest that progressive nutrition education in a weight control program might re-duce body weight and serum lipids concentration.

• Korean Journal of Community Nutrition
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• v.20 no.3
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• pp.165-177
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• 2015

Objectives: Based on individual and environmental characteristics of low-income children, we developed a nutrition education program for school-aged children from low-income families according to effective use in social welfare centers. Methods: We conducted in-depth group interviews to assess program needs in 28 participants, 10 low-income school-aged children and 9 of their care givers, 9 social workers and 9 care-givers. Theoretical backgrounds of our program were heath belief model and social cognitive theory considering motivation, action and environment characteristics. Results: Based on the findings of this qualitative study, we developed major program themes and contents. Five selected key themes were 'balanced diet', 'processed food', 'food hygiene and safety', 'Korean healthy traditional diet', and 'family cooking' to induce changes in dietary behaviors. Main findings of in-depth group interviews included 'child's active participation', 'simple and easy to understand messages', and 'environmental constraints' such as a lack of child care at home, limited budget of social welfare centers, and less qualified educators for nutrition and health. Each lesson was constructed as a 1-hour program particularly emphasizing activity-based programs, including cooking and teamwork exercises. Program contents in each session consisted of activities that could induce outcome and value expectations, self-efficacy, perceived benefits, and barriers and cues to actions regarding diet behavior. Conclusions: We developed a nutrition education programthat is rarely available for low-income children in Korea, considering theoretical bases. Further studies are needed to validate our program.

• Journal of Korean Biological Nursing Science
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• v.13 no.2
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• pp.117-124
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• 2011

Purpose: Dyslipidemia is one of the most important cardiovascular risk factors. The purpose of this study was to compare serum lipid levels in college students and pre-graduates. Methods: Data were obtained from student health examination in one university located in Kyunggi-province. Participants were 440 college students and 1973 pre-graduates. The data were collected in May of 2010. T-test, Chi-square test, Fisher's exact test, and multiple regression with dummy variables using SAS version 9.1 were performed. Results: Pre-graduates showed significantly higher level of total cholesterol, triglyceride, and LDL than college students. There was no significant difference in alcohol drinking between college students and pre-graduates. However, smoking and diet behavior were significantly different; pre-graduates were more likely being current smoker and recommended to change diet behavior. When adjusting covariates including general and behavioral characteristic, pre-graduates had significantly higher total cholesterol (p<.001), triglyceride (p=.003), and LDL (p=.003). Among covariates, smoking was significantly related to triglyceride, particularly past smokers. Conclusion: There is a need to develop a lipid-reducing program targeting pre-graduates. This program should be considered behavioral factors, particularly smoking. In addition, given the fact that pre-graduates had unhealthy habits compared with college students, interventions for correcting health behaviors in this population are required.