Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
권호 표지

Development and Effects' Analysis of Nutrition Education Program for Diabetes Mellitus at Community Health Center - Focused on Individual Daily Energy Requirements and Food Exchange Units -

당뇨병 성인 대상 보건소 영양교육 프로그램 개발 및 효과 분석 - 개인별 맞춤 하루 필요 에너지 및 식품군 단위수 교육을 중심으로 -

  • Oh, Ji-Yoon (Graduate School of Education, Chonbuk National University) ;
  • Kim, Sook-Bae (Department of Food Science & Human Nutrition, Research Institute of Human Ecology, Chonbuk National University)
  • 오지윤 (전북대학교 교육대학원) ;
  • 김숙배 (전북대학교 식품영양학과, 인간생활과학연구소)
  • Received : 2010.07.09
  • Accepted : 2010.08.16
  • Published : 2010.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate effects of the developed nutrition education program focused on individual daily energy requirements and food exchange units using Food Exchange System for diabetes mellitus at a community health center. Developed the nutrition education program, four weeks' nutrition education including provided twice individual meal as diet therapy (2 hour/lesson/week, 4 week), was provided to 20 diabetic elderly (12 male, 8 female, 50-75 yrs): 1st lesson "Introduction: management of diabetes mellitus", 2nd lesson "6 Food groups and sources of 6 food groups", 3rd lesson "Individual daily energy requirements and food exchange units", and 4th lesson "Food choice for diabetes mellitus". For effects' analysis of the developed program, we assessed the changes in anthropometric characteristics; biochemical characteristics and nutrient intakes using 24 hr recall method. Effects of the developed nutrition education program were as follows: weight was significantly decreased, blood urea nitrogen (BUN) and glycosylated hemoglobin (HbA1c) were significantly decreased, and distribution of subjects in BUN and HbA1c was significantly changed. In protein : fat : carbohydrate (PFC) ratio, it was significantly changed from 15.98 : 16.30 : 66.69 to 17.51 : 18.94 : 64.10. In evaluation of nutrient intakes by Dietary Reference Intakes for Koreans (KDRI), protein, fiber, fat, vitamin E, niacin, folic acid, calcium and zinc were shown significantly positive changes in distribution of subjects according to intake level. The index of nutrition quality (INQ), nutrition adequacy ratio (NAR) and mean nutrition adequacy ratio (MAR) were significantly increased. In conclusion, the developed 4 weeks' nutrition education program focused on individual daily energy requirements and food exchange units using Food Exchange System for diabetes mellitus at community health center may improve the symptom of diabetes mellitus.

Keywords

References

  1. Ahn HJ, Koo BK, Jung JY, Kwon HR, Kim HJ, Park KS, Han KA, Min KW (2009): Bowl-based meal plan versus food exchangebased meal plan for dietary intake control in Korean type 2 diabetic patients. Korean J Diabetes 33: 155-163 https://doi.org/10.4093/kdj.2009.33.2.155
  2. Chang YK, Chung YJ, Moon HK, Yoon JS, Park HR (2001): Nutritional assessment. Shingwang publishing Co., Seoul
  3. Choi YJ, Kim C, Park YS (2007): The effect of nutrition education program in physical health, nutritional status and health-related quality of life of the elderly in Seoul. Korean J Nutr 40(3): 270-280
  4. Eom HS, Jeong MJ, Kim SB (2005): A study on nutrition knowledge, dietary attitude, food habit of middle school students in Chonbuk area. Korean J Community Nutr 10(5): 574-581
  5. Graber AL, Chistman BG, Alogna MT, Davidson JK (1997): Evaluation of diabetes patients education program diabetes. Am Diabetes Assoc 26: 61-64
  6. Hong SM, Hwang HJ, Choi SH, Jeong EM (2000): Effect of nutrition education for diabetes patients commuting to Ulsan health center. J Human Ecology 2(1): 13-23
  7. Jun JE, Lee YM, Oh YJ (2009): A factor analysis study on blood glucose control in diabetics mellitus patients(1) - Focus on blood glucose control and lifestyle factors-. Korean J Community Nutr 14(2): 236-244
  8. Kang HJ, Sin EM, Kim KW (2009): Evaluation of nutrition education for diabetes mellitus management of older adults. Korean J Community Nutr 14(6): 734-745
  9. Kim HS, Shim KH (1999): Effect of a diabetic camp program on the fasting blood sugar level in type 2 diabetic patients. J Korean Academic Soc Adult Nursing 11(3): 477-485
  10. Kim MH, Lee JC, Bae YJ (2009): The evaluation study on eating behavior and dietary quality of elderly people residing in Samcheok according to age group. Korean J Community Nutr 14(5): 495-508
  11. Kim MH, Moon HK (2002): The nutritional status of a diabetes mellitus risk group and a control group in Kangbukgu. J Korean Community Nutr 7(2): 219-231
  12. Kim SB, Choi HJ (2008): Effects of nutrition education using food exchange system: changes in elementary students' nutrition knowledge, dietary attitude and nutrients intake. Korean J Community Nutr 13(6): 922-933
  13. Kim TY, Suh MO (2008): The effect of nutrition education on weight control in male workers by the community health center. J Korean Diet Assoc 14(4): 351-360
  14. Kim TY, Um SH, Kim WY, Chang NS (2004): Group lunch visits are public health center improve glycemic control in older adults with type 2 diabetes mellitus. Korean Nutr Soc 37(4): 302-309
  15. Korea National Statistical Office (2006): The report of estimated populations in future. Available from http://www.kostat.go.kr [cited 2010 May 28]
  16. Korean Nutrition Society (2005): Dietary reference intakes for Koreans. Kookjin publishing Co., Seoul
  17. Lee JW, Lee EY, Lee BK(1999): Effect of calcium supplementation on blood pressure response to dietary Sodium level in normotensive young Korean women with family history of hypertension. Korean J Nutr 32(6): 661-670
  18. Lee JW, Lee MS, Kim JH, Son SM, Lee BS (2004a): Nutrition assessment. Kyomoonsa, Seoul
  19. Lee JY, Kim CB (2000): Direction of community health promotion in Korea. Korean J Health Promotion 2(1): 3-12
  20. Lee SL, Kim YL, Lee SJ, Cho YK, Choi YK (2004b): Effects of diabetes education on diabetic management in non insulindependent diabetics mellitus patients. J Korean Diet Assoc 10(30): 300-308
  21. Lee SY, Kim MJ, Kwon SJ (2010): Effects of low glycemic index nutrition education on the blood glucose control in patients with type 2 diabetes mellitus. Korean J Nutr 43(1): 46-56 https://doi.org/10.4163/kjn.2010.43.1.46
  22. Lee YA, Kim KN, Chang NS (2008): The effect of nutrition education on weight control and diet quality in middle-aged women. Korean J Nutr 41(1): 54-64
  23. Lee YU, Hwang WS, Choi SJ, Lee DH, Kim DH, Lee EH, Hong YK, No HL, Jung YS, Lee GW, Kim HM (2003): The effect of intensive education on glycemic control in type 2 diabetic patients. Korean Endocrine Soc 18(1): 63-72
  24. Meloche J (2003): Cooking with class: participation soars with hands-on learning and take-away. J Nutr Educ Behav 35(2): 107 https://doi.org/10.1016/S1499-4046(06)60048-1
  25. Ministry for Health, Welfare and Family Affairs, Korea Centers for Disease Control & Prevention (2009): 2008 National Health Statistic - Korea National Health and Nutrition Examination Survey. Available from http://knhanes.cdc.go.kr/ [cited 2010 May 28]
  26. Moon SJ, Sohn CY, Kim HS, Lim HS, Lee HC, Huh KB (1994): Measurement of nutrition counseling effects for diabetes mellitus patients. Korean J Nutr 27(10): 1070-1077
  27. Oh JY, Lee HJ, Hong ES, Hong YS, Sung YA, Lee SH (2003): The prevalence and incidence of diabetes in Mokdong, Seoul. Korean Clinic Diabetes 27(1): 73-84
  28. Park YS, Lee JW, Seo JS, Lee BK, Lee SH (2010): Nutrition education and counseling. Kyomoonsa, Paju
  29. Son SM, Im HS, Kim JH, Lee JH, Seo JS, Son JM (2009): Clinical nutrition, 4th. Kyomunsa, Paju
  30. Son SM, Kim MJ (2001): The effect of nutrition education program for various chronic disease in elderly visiting public health center. J Korean Community Nutr (4): 668-677
  31. Woo YJ, Lee HS, Kim WY (2006): Individual diabetes nutrition education can help management for type II diabetes. Korean J Nutr 39(7): 641-648
  32. Yang EJ, Bang HK (2008): Nutritional status and health risks of low income elderly women in Gwangju area. Korean J Nutr 41(1): 65-76
  33. Yim KS, Min YH, Lee TY (1997): Evaluation of effect on nutrition counseling and nutrition education program at a public health center. J Korean Diet Assoc 3(2): 192-210
  34. Yoon HJ, Lee SK (2006): Effect of home-visit nutrition education for the elderly with high fasting blood glucose levels. Korean J Community Nutr 11(3): 346-360