• 대한영양사협회학술지
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• 제20권4호
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• pp.285-295
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• 2014

The purpose of this study was to examine changes in nutrient intake in patients at nutritional risk. We included 106 malnourished patients who were admitted to Severance Hospital from March to September 2014. The average age was $59.0{\pm}11.6$ years old and 59 patients were male (59.7%). The majority of diagnosis was cancer (94.3%). We evaluated patients' nutritional status by scored patient-generated subjective global assessment (PG-SGA), anthropometric measurement (height, weight, body composition by Bioelectrical impedance analysis), hand grip strength, biochemical and dietary assessment. The patients' daily intakes of energy and protein ($1,019.5{\pm}706.4kcal$, $40.4{\pm}27.7g$) during hospitalization were significantly lower than their usual intakes ($1,382.0{\pm}499.8kcal$, $54.4{\pm}25.1g$, P<0.001). Serum levels of albumin, cholesterol, and total lymphocytes were significantly reduced during hospital stay. The negatively influencing factors for reduced dietary intake were anorexia (42.5%), abdominal distention (14.2%), pain (13.2%), and others. The results of this study could be used to establish baseline data for developing new strategies for nutritional intervention in malnourished patients.

• Applied Biological Chemistry
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• 제16권3호
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• pp.137-145
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• 1973

수량(收量) 등급별(等級別) 영양기준설정(榮養基準設定)을 위하여 전국적(全國的)으로 실시된 수도삼요소시험중(水稻三要素試驗中) 3 개년간(個年間)$(1967{\sim}1969)$의 고(藁) 또는 수분석결과(穗分析結果)에 의(依)하여 수량등급별(收量等級別)로 생육시기별(生育時期別) N,P,K 및 Si의 함량(含量)을 조사(調査)하였다. 수량증가(收量增加)에 따라 양분농도(養分濃度)가 증가(增加)하는 경향은 N>P>K>Si의 순(順)으로 감소(減少)하였다. 그 경향(傾向)은 양분(養分)에 따라서 해에 따라 생육시기별(生育時期別) 보다는 정조수량등급(正租收量等級)에 양분(養分)의 농도변화(濃度變化)가 더 밀접(密接)한 관계(關係)를 보였다.

• 임상간호연구
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• 제27권1호
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• pp.77-84
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• 2021

Purpose: Malnutrition affects all age groups, but older adults are particularly more vulnerable to nutritional deficiencies. This study evaluated the age-specific factors affecting malnutrition in hospitalized older adults. Methods: A retrospective study was conducted on inpatient elderly people who received artificial nutrition from 2010 to 2017. Data of demographics, diagnosis, type of nutrition therapy, number of comorbidity, fall risk assessment, Acute Physiologic Assessment and Chronic Health Evaluation (APACHE) score, and intensive care unit admission were collected. Malnutrition was defined as a body mass index (BMI) of less than 18.5 kg/m². Patients were classified as the young-old (65~74 years old), the old-old (75~84 years old), or the oldest-old (85 years old or older). Results: A total of 7,130 older adults were included, and 4,028 patients were classified as the young-old, 2,506 into the old-old, and 596 into the oldest-old. Proportion of malnutrition was higher in the oldest-old compared to the other groups. In multivariate analysis, parenteral nutrition, alcohol, and high risk of falls were factors affecting malnutrition in all groups. Parenteral nutrition and alcohol in the young-old, high risk of falls in the old-old, and male sex in the oldest-old were the factors affecting malnutrition by the age group. Conclusion: Older age was the most significant factor affecting malnutrition. Specific strategies by age are needed to improve nutritional status in hospitalized older adults as influencing factors for malnutrition vary among different age groups.

• 한국토양비료학회지
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• 제50권2호
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• pp.93-99
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• 2017

Analysis of mineral nutrients in plant is required for evaluating diagnosis of plant nutritional status. Pretreatment procedure for the analysis of plant can be varied depending on elements to be analyzed. Wet-digestion is suitable for total nitrogen, phosphate and cations, however, digestion solution including nitric acid is not suitable for nitrogen analysis. Incineration procedure is required to analyze chloride, silicate and total sulfur. After digestion, total nitrogen is analyzed by Kjeldahl method, and phosphate is detected at 470nm by colorimetric analysis with ammonium meta vanadate. Cations and micro elements are determined by titration or colorimetry, also, these elements can be measured by Atomic absorption spectrometer (AAS) or Inductively coupled plasma spectrometer (ICP).

• Journal of Community Nutrition
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• 제4권1호
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• pp.3-11
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• 2002

The purpose of this study is to evaluate the iron nutritional status by investigating dietary intake and analyzing the hematological iron status indices including serum transferrin receptor (sTfR) in 8 to 28 month old infants md young children taking supplementary foods. The nutrient intake of 60 healthy infants and young children from 8 to 24 months of age was investigated by means of a 24-hour recall method, and the subjects were divided into 2 groups (8- 12 months and 13-28 months) according to age. Venous blood samples from these groups were collected and measured for the following : hemoglobin(Hb), hematocrit(Hct) , mean corpuscular volume (MCV), mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration (MCHC), serum ferritin, serum iron, total iron binding capacity (TIBC), and sTfR. Anemia is defined as hemoglobin < 11g /dl , serum ferritin level < 10ng1m1 for iron deficiency , serum transferring receptor(sTfR) > 4.5mg / 1 for iron deficient erythropoiesis. Total daily calorie intake was 934.6 ${\pm}$ 284.5kcal (98.32% of RDA) on average. Average daily iron intake in infants aged 8 to 12 months was 8.92 ${\pm}$ 3.32mg. The mean daily iron intake in infants aged 13 to 28 months was 7.15 ${\pm}$ 3.35mg (90% of Recommended Dietary Allowance, RDA). Mean values for Hb, Hct sew ferritin and sTfR were 12.10 ${\pm}$ 0.77g141,36.02 ${\pm}$ 2.31%,20.91 ${\pm}$ 11.58ng/m1 and 3.78 ${\pm}$ 1.47mg /1, respectively. In the young children from 13 to 28 months of age, the prevalence of anemia was 5.6%. The prevalence of iron deficiency was 9.5% in those from 8 to 12 months of age, and 27.8% in those from 13 to 28 months of age. The prevalence of iron deficient erythropoiesis was 16.7% in infants aged 8 to 12 months and 44.4% in those aged 13 to 28 months. The prevalence of both serum ferritin level < 10ng/m1 sTfR > 4.5mg/1 was 22% in the young children aged 13 to 28 months. The measureand ment of sTfR may be a promising new tool in diagnosis of iron deficiency in early childhood when the iron deficiency is prevalent. It seems appropriate to emphasize nutritional education and evaluation to promote the iron nutritional status of infants and young children.

• Journal of Chest Surgery
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• 제27권9호
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• pp.798-800
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• 1994

Chyloascities is an extravasation of milky chyle into the peritoneal cavity due to tumor , inflammation or rarely postoperative lymphatic trauma.It is an unusual complication that can lead to significant immunologic and nutritional consequences.We experienced one case of chyloascites after aorto-bifemoral bypass graft in a patient with aorto-iliac occlusive disease.The patient was a 62-year-old male, who suffered from severe progressive claudication for 5 months. A 16$\times$ 8mm gelsealed Dacron-Y shaped graft was used in arterial reconstruction. A bloody-milky fluid was drained through the operative wound from 3days after operation and evaluated biochemically.Diagnosis of chyloascites was made with repeated paracentesis and examination of the fluid.After Total parenteral nutrition[T.P.N] for 3 weeks from 6days after operation, chyloascites was controlled sufficiently and maintained a good graft-patency in abdominal sonogram.

• 한국토양비료학회지
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• 제6권3호
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• pp.165-172
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• 1973

전분석(全分析) 의(依)한 포장재배(圃場裁倍) 수도(水稻)의 영양진단(營養診斷) 적기(適期)와 생육시기별(生育時期別) 양분농도(養分濃度)와 생산량과의 관계는 다음과 같다. 1. 결비구(缺肥區)에서 최저농도(最低濃度) 발현빈도(發現頻度)는 질소(窒素)에서 이앙후(移秧後)20일(日)(20>최분기(最分期)(MT)>수확기고(收穫期藁)(HS)>유수형성기(幼穗形成期)(EF)>출수기고(出穗期藁)(FS)>수확기곡실(收穫期穀實)(HG)>출수기수(出穗期穗)(FE)의 순(順)이고 인산(燐酸)에서 MT>EF>HS>20=FS>FE>HG의 순(順)이며 가리(加里)에서 MT>EF>20>FS>HS>HG>FE의 순(順)이었다. 2. 결비구(缺肥區)에서 그 양분(養分)의 최저농도(最低濃度) 발현빈도(發現頻度)가 가장 높은 시기(時期)가 근권영양진단(根圈營養診斷)의 최적시기(最適時期)일것이며 그 시기(時期)는 N에서 이앙후(移秧後) 20일(日) P와 K에서 최고분(最高分)얼기(期)로 나타났다. 3. 최고농도(最高濃度)와 최저농도(最低濃度)의 상대차이(相對差異)($100{\times}(L-H)/H$)가 가장 큰것은 N와 P는 수확기(收穫期) 고(藁)에서이고 K와 Si는 수확기곡실(收穫期穀實)에서 이며 이들 양분(養分)의 수(穗)로의 전이율(轉移率)과 관련(關聯)되는것 같다. 4. N는 모든 시기(時期)에 P는 최분기(最分期)와 유수기(幼穗期) 이외(以外)의 모든 시기(時期)에 K는 이앙후(移秧後) 20일(日)과 수확기(收穫期)에 최고농도구(最高濃度區)의 수량(收量)이 최저농도구(最低濃度區)의 수량(收量)보다 크나 Si는 언제나 적어서 양분농도(養分濃度)와 수량(收量)과의 밀접도(密接度)는 N>P>K>Si의 순(順)으로 볼 수 있다. 5. 최저농도구(最低濃度區)의 수량(收量)과 최고농도구(最高濃度區)의 수량상대차이(收量相對差異)($100{\times}(L-H)/H$)가 가장 큰 시기(時期)는 N. P. K 모두 이앙후(移秧後) 20일(日)로 수량(收量)과 양분농도간(養分濃度間)에 가장 밀접(密接)한 시기(時期)로 나타났다. 6. 최고수량(最高收量)과 최저수량구(最低收量區)의 N. P. K. 농도(濃度) 차이(差異)(H-L)는 이앙후(移秧後) 20일(日)에서 가장 크다. 최고건물(最高乾物) 생산구의 N. P. K. 농도(濃度)가 최고수량구(最高收量區)의 그것보다 낮은것도 이때이다. 이러한 사실은 농도(濃度)와 수량간(收量間)에 가장 밀접(密接)한 시기(時期)임을 뒤받침한다. 7. 최고농도구(最高濃度區)의 수량중(收量中)에서 최고수량(最高收量)을 보인 것은 N. P. K 모두 이앙후(移秧後) 20일(日)이며 최저농도구(最低濃度區)의 수량중(收量中)에서 최저수량(最低收量)은 질소(窒素)에서만 이시기에 온다. 8. 이하(以上)의 사실에서 근균영양진단(根圈營養診斷)의 최적시기(最適時期)는 수량(收量)과 관련(關聯)된 영양진단(營養診斷)의 시기(時期)와 다른 것을 알 수 있다.

• Clinical and Experimental Pediatrics
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• 제64권11호
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• pp.588-595
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• 2021

Background: Acute respiratory infections (ARIs), especially pneumonia, remain a major cause of infant mortality worldwide. In Indonesia, pneumonia is the second most common cause of infant and toddler deaths. Exclusive breastfeeding and basic immunization can protect infants and children from contracting pneumonia. Purpose: Our goal was to assess the risk factors for childhood pneumonia in regions with a high prevalence of pneumonia in Indonesia. Methods: This case-control study was conducted between March and April 2019. A total of 176 infants and toddlers aged 10-59 months were enrolled and selected from among patients who visited the community health center. Cases of pneumonia were diagnosed clinically based on the World Health Organization guidelines, and the control was nonpneumonia. Results: The risk factors for the diagnosis of pneumonia included no or nonexclusive breastfeeding (odds ratio [OR], 7.95; 95% confidence interval [CI], 3.52-17.94), incomplete basic immunizations (OR, 4.47; 95% CI, 2.22-8.99), indoor air pollution (OR, 7.12; 95% CI, 3.03-16.70), low birth weight (OR, 3.27; 95% CI, 1.19-8.92), and a high degree of wasting (OR, 2.77; 95% CI, 1.06-7.17). Other variables such as nutritional status (height-for-age z score), age, sex, and educational status of the mother were not risk factors for pneumonia. Conclusion: No or nonexclusive breastfeeding, incomplete basic immunizations, indoor air pollution, a history of low birth weight, and severe malnutrition were risk factors for childhood pneumonia. Breastfeeding was the dominant factor, while sex modified the relationship between exclusive breastfeeding and the incidence of pneumonia.

• Asian Pacific Journal of Cancer Prevention
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• 제15권11호
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• pp.4429-4436
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• 2014

Background: Although the nutritional may exert effect on the breast cancer risk, it is not clear whether the role diet is the same in sedentary and physically active women. The aim of this study was to evaluate the association between fruit, vegetable and carbohydrate intake and the risk of breast cancer among Polish women considering their physical activity level. Materials and Methods: A case-control study was conducted that included 858 women with histological confirmed breast cancer and 1,085 controls, free of any cancer diagnosis, aged 28-78 years. The study was based on a self-administered questionnaire to ascertain physical activity, dietary intake, sociodemographic characteristics, reproductive factors, family history of breast cancer, current weight and high, and other lifestyle factors. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated in unconditional logistic regression analyses including a broad range of potential confounders. Results: With comparison of the highest vs lowest quartile of intake, strong significant associations were observed for total vegetables (OR=0.37, 95%CI=0.20-0.69 P for trend <0.01 and OR=0.53, 95%CI=0.29-0.96, P for trend <0.02), and total fruits (OR=0.47, 95%CI=0.25-0.87, P for trend <0.05 and OR=0.47, 95%CI=0.24-0.90, P for trend <0.02) among women characterized by the lowest and the highest quartile of physical activity. No associations were observed for total carbohydrate intake. Additional analysis showed a positive association for sweets and desert intake among women in the lowest quartile of physical activity (OR=3.49, 95%CI=1.67-7.30, P for trend <0.009) for extreme quartiles of intake comparing to the referent group. Conclusions: The results suggest that a higher consumption of vegetable and fruit may be associated with a decreased risk of breast cancer, especially among women who were low or most physically active throughout their lifetimes. These findings do not support an association between diet high in carbohydrate and breast cancer. However, a higher intake of sweets and deserts may by associated with an increased risk of breast cancer among women who were less physically active.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제20권1호
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• pp.55-60
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• 2017

Intestinal hypoganglionosis is a rare innervation disorder that provides numerous nutritional, medical and surgical challenges. In this case report, we present a case of a newborn with intestinal hypoganglionosis leading to intestinal failure and intestinal failure-associated liver disease who responded to $Omegaven^{TM}$, a fat emulsion comprised of omega-3 fatty acids. $Omegaven^{TM}$ has been shown to be beneficial in the management of cholestatic liver injury. Clinical success with $Omegaven^{TM}$ was seen in this patient with a clear decrease in aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase and complete resolution of cholestasis with a direct bilirubin of zero within two weeks of initiation of $Omegaven^{TM}$. No current guidelines for the diagnosis and management of hypoganglionosis are available. We recommend a multidisciplinary approach and the use of novel therapies such as fat emulsions composed of omega-3 fatty acids for improved patient outcomes. Appropriate compassionate use protocols should be obtained from the Food and Drug Administration prior to initiation of $Omegaven^{TM}$.