DOI QR코드

DOI QR Code

Development of healthy Han-sik nutrition education program featuring consumption of Korean foods for prevention of metabolic syndrome in Korean adults

한국 성인의 대사증후군 예방을 위한 건강한식 교육프로그램 개발

  • Kang, Minji (Department of Food and Nutrition, Seoul National University) ;
  • Paik, Hee Young (Department of Food and Nutrition, Seoul National University) ;
  • Wie, Gyung-Ah (Department of Clinical Nutrition, Research Institute & Hospital, National Cancer Center) ;
  • Joung, Hyojee (Graduate School of Public Health, Seoul National University)
  • Received : 2012.11.13
  • Accepted : 2012.12.10
  • Published : 2012.12.31

Abstract

Metabolic syndrome is a cluster of metabolic risk factors associated with increased risk of cardiovascular diseases. Recently, the prevalence of metabolic syndrome has increased in Korea. The aim of this study was to develop a Healthy Han-sik Nutrition Education Program (HHNEP) based on commonly recognized Korean foods in order to decrease metabolic syndrome risks. The target population of the HHNEP is adults with metabolic risk factors. The initial version of the HHNEP was developed based on a review of literature and various dietary guidelines by expert committees as well as the results of a survey on the perception of common Korean dishes and foods as Han-sik. The focus group discussion conducted of nine participants from the target population. After minor modification, the final version was developed. The contents included five sections: 1) aims, 2) introduction of Korean Food Guidance System, 3) cholesterol contents in food, 4) menu planning method using Han-sik, and 5) examples of daily Han-sik menu. The Han-sik list was selected based on the results from a Han-sik perception answered by 35 Korean adults aged 30-60 years using 517 frequently consumed Korean foods from the fourth Korea National Health and Nutrition Examination Survey. The nutrition education program was developed based on scientific evidence for the prevention of metabolic syndrome and focuses on tailoring education to an individual's dietary problems. Educational method was developed by a group of expert committees based in planned behavior theory and related research results. The education method consisted of assessment of current diet, four face-to-face nutrition education sessions over 8 weeks, and evaluation after 8 and 16 weeks. Initial version of nutrition education materials and methods was tested for feasibility by a select group of nine Korean healthy adults. Successful implementation of the program would include application by nutritional professionals at the health promotion center of the hospitals, public health center, and work sites. Intervention studies are needed to evaluate the feasibility and effectiveness of this program before large-scale applications.

Keywords

References

  1. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith SC Jr, Spertus JA, Costa F; American Heart Association; National Heart, Lung, and Blood Institute. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation 2005; 112(17): 2735-2752 https://doi.org/10.1161/CIRCULATIONAHA.105.169404
  2. Lim S, Shin H, Song JH, Kwak SH, Kang SM, Yoon JW, Choi SH, Cho SI, Park KS, Lee HK, Jang HC, Koh KK. Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care 2011; 34(6): 1323-1328 https://doi.org/10.2337/dc10-2109
  3. Ministry of Health and Welfare, Korea Centers for Disease Control & Prevention. Korea Health Statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Seoul; 2010
  4. Korean Society of Lipidology and Atherosclerosis. Dyslipidemia treatment guidelines. Seoul; 2009
  5. Moon HK, Chung HR, Cho EY. Analysis of menu patterns from the Korean National Nutrition Survey in 1990. Korean J Diet Cult 1994; 9(3): 241-250
  6. Cho HY. The historical background and characteristics of Korean food. Korean J Diet Cult 1998; 13(1): 1-8
  7. Kim KO, Lee SK, Kang JH, Kim YS, Kim JS, Kim HL, Kim HS, Moon HK, Park YH, Baik HW, Son JW, Song WO, Ok SW, Lee KY, Lee SY, Joung HK, Choi JH. Hansik and health. Suwon: National Academy of Agricultural Science; 2010
  8. Chae SW. Beneficial effects of Korean traditional diet in patients with hypertension and type 2 diabetes. Food Ind Nutr 2011; 16(2): 15-26
  9. Hur YI. Study of Korean food and obesity related to metabolic diseases. Food Ind Nutr 2011; 16(2): 34-44
  10. Clinical Trial Center for Functional Foods. Beneficial effects of Korean traditional diet; 2011 Fab 11. Jeonju: Clinical Trial Center for Functional Foods, Chonbuk National University Hospital; 2011
  11. Kim J, Jo I. Grains, vegetables, and fish dietary pattern is inversely associated with the risk of metabolic syndrome in South Korean adults. J Am Diet Assoc 2011; 111(8): 1141-1149 https://doi.org/10.1016/j.jada.2011.05.001
  12. Song Y, Joung H. A traditional Korean dietary pattern and metabolic syndrome abnormalities. Nutr Metab Cardiovasc Dis 2012; 22(5): 456-462 https://doi.org/10.1016/j.numecd.2010.09.002
  13. Hong S, Song Y, Lee KH, Lee HS, Lee M, Jee SH, Joung H. A fruit and dairy dietary pattern is associated with a reduced risk of metabolic syndrome. Metabolism 2012; 61(6): 883-890 https://doi.org/10.1016/j.metabol.2011.10.018
  14. Oh SY. Biological and cultural aspects of Korean dietary behavior. Korean J Diet Cult 1993; 8(4): 373-380
  15. Joo YH. Korean food of the 21st century, seen from the perspective of humanities; 2012 May 18. Seoul: Korean Society of Food Culture; 2012
  16. Zhang SX, Guo HW, Wan WT, Xue K. Nutrition education guided by Dietary Guidelines for Chinese Residents on metabolic syndrome characteristics, adipokines and inflammatory markers. Asia Pac J Clin Nutr 2011; 20(1): 77-86
  17. Katcher HI, Legro RS, Kunselman AR, Gillies PJ, Demers LM, Bagshaw DM, Kris-Etherton PM. The effects of a whole grainenriched hypocaloric diet on cardiovascular disease risk factors in men and women with metabolic syndrome. Am J Clin Nutr 2008; 87(1): 79-90 https://doi.org/10.1093/ajcn/87.1.79
  18. Lee MS, Kang HJ, Oh HS, Paek YM, Choue RW, Park YK, Choi TI. Effects of worksite nutrition counseling for health promotion; twelve-weeks of nutrition counseling has positive effect on metabolic syndrome risk factors in male workers. Korean J Community Nutr 2008; 13(1): 46-61
  19. Kim HS, Yoon SJ, Lee KS, Kim HS, Oh SW, Ryu HS, Choo JA, Lee KH, Ryu BW, Lee DO, Park DR. Effects of a self-management program for metabolic syndrome-A metabolic syndrome management program in Seoul-. J Korean Soc Health Educ Promot 2011; 28(2): 51-62
  20. Paik HY, Kim CI, Moon HK, Yoon JS, Joung H, Shim JE, Jung HJ. 2008 Dietary goals and dietary guidelines for Korean adults. Korean J Nutr 2008; 41(8): 887-899
  21. The Korean Nutrition Society. Dietary reference intakes for Koreans, 1st revision. Seoul; 2010
  22. Oldroyd JC, Unwin NC, White M, Imrie K, Mathers JC, Alberti KG. Randomised controlled trial evaluating the effectiveness of behavioural interventions to modify cardiovascular risk factors in men and women with impaired glucose tolerance: outcomes at 6 months. Diabetes Res Clin Pract 2001; 52(1): 29-43 https://doi.org/10.1016/S0168-8227(00)00244-8
  23. Swinburn BA, Metcalf PA, Ley SJ. Long-term (5-year) effects of a reduced-fat diet intervention in individuals with glucose intolerance. Diabetes Care 2001; 24(4): 619-624 https://doi.org/10.2337/diacare.24.4.619
  24. Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Rastas M, Salminen V, Uusitupa M; Finnish Diabetes Prevention Study Group. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 2001; 344(18): 1343-1350 https://doi.org/10.1056/NEJM200105033441801
  25. Mensink M, Feskens EJ, Saris WH, De Bruin TW, Blaak EE. Study on Lifestyle Intervention and Impaired Glucose Tolerance Maastricht (SLIM): preliminary results after one year. Int J Obes Relat Metab Disord 2003; 27(3): 377-384 https://doi.org/10.1038/sj.ijo.0802249
  26. Anderssen SA, Carroll S, Urdal P, Holme I. Combined diet and exercise intervention reverses the metabolic syndrome in middleaged males: results from the Oslo Diet and Exercise Study. Scand J Med Sci Sports 2007; 17(6): 687-695 https://doi.org/10.1111/j.1600-0838.2006.00631.x
  27. Bo S, Ciccone G, Baldi C, Benini L, Dusio F, Forastiere G, Lucia C, Nuti C, Durazzo M, Cassader M, Gentile L, Pagano G. Effectiveness of a lifestyle intervention on metabolic syndrome. A randomized controlled trial. J Gen Intern Med 2007; 22(12): 1695-1703 https://doi.org/10.1007/s11606-007-0399-6
  28. Schafer S, Kantartzis K, Machann J, Venter C, Niess A, Schick F, Machicao F, Haring HU, Fritsche A, Stefan N. Lifestyle intervention in individuals with normal versus impaired glucose tolerance. Eur J Clin Invest 2007; 37(7): 535-543 https://doi.org/10.1111/j.1365-2362.2007.01820.x
  29. Pimentel GD, Arimura ST, de Moura BM, Silva ME, de Sousa MV. Short-term nutritional counseling reduces body mass index, waist circumference, triceps skinfold and triglycerides in women with metabolic syndrome. Diabetol Metab Syndr 2010; 2: 13 https://doi.org/10.1186/1758-5996-2-13
  30. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process 1991; 50(2): 179-211 https://doi.org/10.1016/0749-5978(91)90020-T
  31. Bae BR. A review of behavioral intention models: theory of reasoned action and theory of planned behavior. J Korean Ind Econ Bus 1994; 25: 97-115
  32. Jung HJ, Song WO, Paik HY, Joung H. Dietary characteristics of macronutrient intake and the status of metabolic syndrome among Koreans. Korean J Nutr 2011; 44(2): 119-130 https://doi.org/10.4163/kjn.2011.44.2.119
  33. Choi H, Song S, Kim J, Chung J, Yoon J, Paik HY, Song Y. High carbohydrate intake was inversely associated with high-density lipoprotein cholesterol among Korean adults. Nutr Res 2012; 32 (2): 100-106 https://doi.org/10.1016/j.nutres.2011.12.013
  34. Contento I, Balch GI, Bronner YL, Lytle LA, Maloney SK, Olson CM, Swadener SS. The effectiveness of nutrition education and implications for nutrition education policy, programs, and research: a review of research. J Nutr Educ 1995; 27(6): 277-418
  35. Eyles HC, Mhurchu CN. Does tailoring make a difference? A systematic review of the long-term effectiveness of tailored nutrition education for adults. Nutr Rev 2009; 67(8): 464-480 https://doi.org/10.1111/j.1753-4887.2009.00219.x

Cited by

  1. Development and Effect of a Metabolic Syndrome Prevention Program for University Students using Mobile Application vol.20, pp.3, 2014, https://doi.org/10.4094/chnr.2014.20.3.205
  2. Assessment on Dietary Diversity According to Korean Dietary Pattern Score of Korean Adolescents and Children: Using 2007~2013 Korea National Health and Nutrition Examination Survey (KNHANES) Data vol.31, pp.5, 2015, https://doi.org/10.9724/kfcs.2015.31.5.660
  3. Needs Assessment for Dietary Education Program Focused on the Increase of HAN-SIK (Korean Food) Consumption in Children and Adolescents Living in Jeonbuk and Gyunggi Areas vol.27, pp.S, 2016, https://doi.org/10.7856/kjcls.2016.27.S.609
  4. Analysis on the Research of Chinese Yaksun(藥膳) Diet from 2016 to 2018 vol.30, pp.2, 2012, https://doi.org/10.17495/easdl.2020.4.30.2.101
  5. 한식의 체내 대사에 미치는 영향에 대한 연구: 소변 유기산 분석을 통한 한식의 효과 vol.53, pp.3, 2012, https://doi.org/10.4163/jnh.2020.53.3.231