Journal of the East Asian Society of Dietary Life (동아시아식생활학회지)

The East Asian Society of Dietary Life (동아시아식생활학회)
권호 표지

The study on Nutritional Management Status of Diabetic Patients in the Health Center

일부지역 보건소 당뇨병 환자의 영양상태와 당뇨병 관리실태

  • 조경옥 (숙명여자대학교 가정대학 식품영양학과)
  • Published : 1995.04.01
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Abstract

This study was conducted to evaluate the nutritional status and diabetes management of diabetic patients in the Health Center. General characteristics, food habits, food intakes and the knowledge about diet therapy were investigated from ninety one diabetes subjects. Anthropometric assessment such as weight, hight, triceps skinfold thickness, and biochemical measurement of fasting blood glucose(FBG), post prandial 2 hours blood glucose(PP2), and hemoglobin A1c(HbA1c) were obtained form the subjects. The results were summarized as following : 1. The average of age was 60.9 years old and 83.5% of subjects was illiterate and primary school graduated. 2. Relative Body Weight(RBW) and % body muscle were 96.18${\pm}$13.6 and 33.56${\pm}$7.01%, respectively. Obese subjects whose body weight exceeded 120% of the ideal values were 3.3%. 3. The 86.8% of subjects were managed by oral hyperglycemic agents. 4. The mean of FBG, PP2, HbA1c were 140.75${\pm}$44.43mg/㎗, 7.60${\pm}$1.88%, respectively. 5. The mean daily intake of calorie was 1407㎉, and 73.6% of subjects lower caloric intake than prescribed calorie. when the degree of dietary compliance was expressed as Tunbridge score, 18.7% of total subjects was grouped as satisfactory, where as 20.9% and 60.4% could be considered as tolerable and hopeless, respectively. The nutrients intake were lower than RDA except for Vitamin A and Vitamin C and the ratio of carbohydrate : protein : fat was 72 : 14 : 14. 6. The mean score of knowledge test about diet therapy was 3.52${\pm}$2.19 out of possible 14.00 points. The above results suggested that the most of diabetic patient showed the poor nutritional status and they faced the lack of knowledge about diabetes management.

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References

  1. 당뇨병 v.6 Changing patterns of the prevalence of diabetes mellitus in Korea 민헌기.;유형준.;이홍규.;김응진.
  2. 당뇨병 v.8 한국인 18,201명에서 당뇨병과 관련질병에 관한 연구 이광후.;손호영.;강성구.;방병기.;박주호.;민병석.
  3. Basic patholog(4th ed.) Robbins,S.L.;Kumar,V.
  4. Joslin's Diabetes Mellitus Mable,A.;White,P.;Btadely,R.F.;Krall,L.P.
  5. Clinical Diabetes Mellitus George P Kozak.
  6. 당뇨병 관리의 기본 서울대학병원, 당뇨교육실.
  7. 당뇨병 김응진.
  8. J. Am. Dietetic Assoc. v.58 no.4 A self-learning unit for patients with diabetes Tani,G.S.;Hankin,j.H.
  9. An. J. Nutr. v.7 Teaching the Hospitalized Nickerson,D.
  10. Diabetes v.16 Who's Teaching the Diabetic? Etzwiller,D.D.
  11. Diabetologia v.28 Patient education as the basis for diabetes care in clinical practice and research Assal,J.P.;Muhlhauser,I.;Pernet,A.;Gfeller,R.;Jorgens,V.;Berger,M.;
  12. Diabetes education, How to improve patient education(Excerpta Medica International Congress Series no.624) Diabetes patient education : Problems we encounter Day,J.L.;Assal,J.P.(ed.);Berger,M.(ed.);Gay,N.(ed.);Canivet,J.(ed.)
  13. Br. Med. J. v.289 Diabetes care : whose responsibility Home,P.;Walford,S.
  14. Lancet ii Towards better general practice Anonymous.
  15. Diabetes Care v.8 no.3 Prospective evaulation of HDL cholesterol changes after diet and physical conditioning programs for patients with typeⅡ diabetes mellitus Kaplan,R.M.;Wilson,D.K.;Hartwell,S.L.;Merino,K.L.;Wallace,J.P.
  16. Diabetes Care v.10 Randomized, controlled trail of diabetic patient education : improved knowledge without improved metabolic status Bloom garden,Z.T.;Karmally,W.;Metzger,M.J.;Brothers,M.;Nechemias,C.;Bookman,J.;Faierman,D.;Ginsberg-Fellner,F.;Rayfield,E.;Brown,W.V.
  17. Diabetes Educ. v.1 The effectiveness of diabetes education for non-insulin-dependent diabetic persons Scott,R.S.;Beaven,D.W.;stafford,J.M.
  18. In Goal Directed Behavior : Psychosocial Theory and Research on Action From wishes to action : the dead ends and short cuts on the long way to action-1985 Heckhausen,H.;Kuhl,J.;Frese,M.(ed.);Sabini,J.(ed.)
  19. Lancet v.17 Evaluation of a structured treatment and teaching Programme on non-insulin-dependent diabetes Kronsbein,P.;Muhlhauser,I.;Venhaus,A.;Jorgens,V.;Scholz,V.;Berger,M.
  20. Diabetes care v.15 no.7 Metabolic impact of education in NIDDM D'Eramo-Melkus,G.A.;Wylie-Rosett,J.;Hagan,J.A.
  21. J. of Nutr. Educ. v.24 no.1 Group participation as a method to achieve weight loss and blood glucose control Mount,M.A.;Kendrick,O.W.;Draughon,M.;Stitt,K.R.;Hear,D.;Mount,R.
  22. Diabetes care v.13 no.8 Impact of intensive educational approach to dietary change in NIDDM Campbell,L.V.;Diplom,R.B.;Diplom,J.K.;Jupp,J.J.;Simons,L.A.;Chisholm,D.J.
  23. J. Am. Diet Assoc. v.94 no.5 Commentary and translation : 1994 nutrition recommendations for diabetes Tinker,L.F.;Heins,J.M.;Holler,H.J.
  24. Diabetes Care v.17 Nutrition recommendations and principles for people with diabetes mellitus American Diabetes Association.
  25. Diabetes Care v.10 Nutrition recommendations and principles for people with diabetes mellitus,1986. ADA position statement American Diabetes Association.
  26. Diabetes Care v.17 Nutrition Principles for the management of diabetes and related complications, Technical review Franz,M.J.;Horton,E.S.;Bantle,J.P.;Beebe,C.A.;Brunzell,J.D.;Coulston,A.M.;henry,R.R.;Hoogwerf,B.J.;Stacpoole,P.W.
  27. ChicagoⅢ Meal Planning Approaches for Diabetes Management Holler,H.J.;Pastors,J.G.(ed.)
  28. Food, Nutrition and Diet therapy(6th ed.) Krause,M.V.;L.K.Mahan.
  29. Food, Nutrition and Diet therapy(6th ed.) Krause,M.V.;L.K.Mahan.
  30. Diabetes v.26 Evalution of diabetes patient-education programs Graber,A.L.;Christman,B.G.;Alogna,M.T.;Davidson,J.K.
  31. Med. Clin. North. Am. v.62 no.4 Education of the patient with Diabetes Etzwiler,D.D.
  32. 당뇨병 v.11 한국인 당뇨병의 역학적 특징 김영설.;김광원.;양인명.;김성운.;김진우.;최영길.;이홍규.
  33. 한국 영양학회지 v.23 no.4 당뇨병 환자의 체지방량 및 체지방분포에 관한 연구 김은경.;이기열.;김유리.;허갑범.
  34. 한국영양학회지 v.26 no.8 비만도에 따른 당뇨환자의 식이섭취 양상과 혈액성상에 관한 연구 송미현.;이종미.
  35. 한국영양학회지 v.26 no.2 성인 여성 당뇨병 환자의 체지방분포와 열량섭취, 혈당 및 운동 최미자.
  36. 한국영양학회지 v.24 no.1 당뇨병 환자의 체지방분포와 당대사 및 혈청지질농도 김은경.;이기열.;김유리.;허갑범.
  37. 당뇨병 환자의 영양섭취 실태 및 관련요인에 관한 연구(석사학위논문) 은심온.
  38. 대한내과학화잡지 v.44 no.1 인슐린 비의존형 당뇨병 환자의 체지방 분포와 인슐린 저항성과의 상관성 허갑범.;김유리.;안광진.;정윤석.;이은직.;임승길.;김경래.;이철현.;백인경.;최미숙.;이종호.;이영해.
  39. 대한내과학회잡지 v.29 인슐린 비의존형 당뇨병 환자의 단기간 식이 및 운동요법의 효과에 관한 연구 박해심.;김상애.;임승길.;이현철.;홍천수.;허갑범.
  40. 한국영양학회지 v.27 no.4 인슐린 비의존형 당뇨병 환자의 식사 요법 실천과 관련 변인에 관한 연구 박선영.;김해리.
  41. 당뇨병 v.12 no.1 당뇨 환자의 식이요법에 대한 지식 및 실천 정도가 당뇨병관리에 미치는 영향 박찬옥.;백희영.;이홍규.;민헌기.
  42. Am. J. Clin. Nutr. v.35 Muscle mass : reliable indicator of proteinenergy malnutrition severity and outcome Heymsfield,S.B.;McManus,C.;Stevens,V.;Smith,J.
  43. 한국인의 영양권장량 제 5차 개정 한국 인구 보건 연구원.
  44. 당뇨병 v.9 당뇨병에 대한 지식평가 문제지의 개발 이기업.;최영애.;이영희.;박성우.;유형준.;김성연.;이홍규.;민헌기.
  45. Glycated Hemoglobin for the Management of the Disbetes patient Evaluation of a new method (Abbott IMx) for the quantification of Glycated Hemoglobin Grande,C.;Buno,A.
  46. 당뇨병 v.13 no.2 당뇨병의 임상적관찰 박인철.;한규호.;양만선.;김순관.;김덕규.;허갑도.
  47. 당뇨병 v.10 인슐린 비의존형 당뇨병 환자에 있어서의 체중변화에 관한 연구 조준구.
  48. 대한내과학회잡지 v.33 한국인에서의 비전형적 당뇨병 허갑범.
  49. 한국영양학회지 v.24 no.1 당뇨병 환자의 체지방량 및 체지방 분포와 당대사 및 혈청지질 농도와의 관계 김은경.;이기열.;김유리.;허갑범.
  50. 당뇨병 v.9 당뇨병의 병형에 따른 합병증에 대한 연구 이미형.
  51. 당뇨병 v.10 no.2 당뇨병 환자들의 영양교육 평가에 관한 연구 김유실.;승정자.;김두만.;김성봉.;유형준.
  52. BMJ Reliability and cost of diabetic diets Tunbridge,R.;Wetherill,J.H.
  53. 당뇨병의 식품교환 지침 대한 당뇨학회.
  54. 제2회 당뇨병 교육자 세미나 초록집 현행 식품교환 지침의 3년 실용결과 엄영란.