대한영양사협회학술지 (Journal of the Korean Dietetic Association)

  • 제21권3호
  • /
  • Pages.215-226
  • /
  • 2015
  • /
  • 1225-9861(pISSN)
  • /
  • 2383-966X(eISSN)
대한영양사협회 (The Korean Dietetic Association)
권호 표지
DOI QR코드

DOI QR Code

경도비만 성인에서 행동변화단계에 따른 'Change 10 Habits' 개인별 영양교육의 효과

Effects of Customized Nutritional Education 'Change 10 Habits' Program According to Stage of Behavior Change in Mildly Obese Adults

  • 김보형 (경희대학교 동서의학대학원 의학영양학과) ;
  • 임현정 (경희대학교 동서의학대학원 의학영양학과)
  • Kim, Bo Hyung (Dept. of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Lim, Hyunjung (Dept. of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University)
  • 투고 : 2015.06.19
  • 심사 : 2015.07.21
  • 발행 : 2015.08.02
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The prevalence of obesity is increasing worldwide and has become a serious epidemic health problem. We developed the 'Change 10 Habits' educational program based on obesity treatment and dietary guidelines and examined its effects on customized nutrition education in mildly obese adults. The study was approved by the Institutional Review Board. Study subjects were excluded if they had several major diseases, if had consumed an anti-obesity drug, or if they practiced an obesity-related program within 30 days. The subjects (n=87, $25{\leq}BMI$ <30) were each exposed to the customized nutrition education program with four lessons according to the stage of the transtheoretical model (TTM). The stage-matched program was administered for 12 weeks and was run by a clinical dietitian. Overall, subjects who were in the precontemplation/contemplation stage at baseline made progress in the preparation and action/maintenance stage after 12 weeks (P<0.05). For 'Alcohol is consumed, up to 2 drinks per day', the proportion of subjects who belonged in the action/maintenance stage increased from 34.5% to 49.4% at 12 weeks. In addition, scores of all items significantly increased after the program (P<0.05). 'Chew more than 10 times and eat slowly' score significantly increased from $3.9{\pm}2.4$ to $5.8{\pm}2.3$ (P<0.05). In conclusion, behavioral stage-matched nutrition education using the 'Change 10 Habits' program was effective in improving eating behaviors and enhancing healthy lifestyles in mildly obese adults.

키워드

참고문헌

  1. Andrade AM, Greene GW, Melanson KJ (2008): Eating slowly led to decreases in energy intake within meals in healthy women. J Am Diet Assoc 108(7):1186-1191 https://doi.org/10.1016/j.jada.2008.04.026
  2. Arif AA, Rohrer JE (2005): Patterns of alcohol drinking and its association with obesity: data from the third national health and nutrition examination survey, 1988-1994. BMC Public Health 2005;5:126 https://doi.org/10.1186/1471-2458-5-126
  3. Boschmann M, Steiniger J, Hille U, Tank J, Adams F, Sharma AM, Klaus S, Luft FC, Jordan J (2003): Water-induced thermogenesis. J Clin Endocrinol Metab 88(12):6015-6019 https://doi.org/10.1210/jc.2003-030780
  4. Cardinal BJ, Sachs ML (1996): Effects of mail-mediated, stage-matched exercise behavior change strategies on female adults' leisure-time exercise behavior. J Sports Med Phys Fitness 36(2):100-107
  5. Choi MS (2009): Effects of nutrition education and exercise intervention on health and diet quality of middle-aged women. Korean J Nutr 42(1):48-58
  6. Choue RW, Hong YJ, Lee HW, Lee SL (1995): Effects of nutrition education in weight management program. Korean J Obesity 4(1):23-32
  7. Chow CK, Redfern J, Thiagalingam A, Jan S, Whittaker R, Hackett M, Graves N, Mooney J, Hillis GS (2012): Design and rationale of the tobacco, exercise and diet messages (TEXT ME) trial of a text message-based intervention for ongoing prevention of cardiovascular disease in people with coronary disease: a randomised controlled trial protocol. BMJ Open 2(1):e000606 https://doi.org/10.1136/bmjopen-2011-000606
  8. Clark M, Hampson S, Avery L, Simpson R (2004): Effects of a brief tailored intervention on the process and predictors of lifestyle behaviour change in patients with type 2 diabetes. Psychol Health Med 9(4):440-449 https://doi.org/10.1080/13548500412331292250
  9. Colditz GA, Giovannucci E, Rimm EB, Stampfer MJ, Rosner B, Speizer FE, Gordis E, Willett WC (1991): Alcohol intake in relation to diet and obesity in women and men. Am J Clin Nutr 54(1):49-55
  10. Cox KL, Burke V, Gorely TJ, Beilin LJ, Puddey IB (2003): Controlled comparison of retention and adherence in homevs center-initiated exercise interventions in women ages 40-65 years: The S.W.E.A.T. Study (sedentary women exercise adherence trial). Prev Med 36(1):17-29 https://doi.org/10.1006/pmed.2002.1134
  11. Dennis EA, Dengo AL, Comber DL, Flack KD, Savla J, Davy KP, Davy BM (2010): Water consumption increases weight loss during a hypocaloric diet intervention in middle-aged and older adults. Obesity (Silver Spring) 18(2):300-307 https://doi.org/10.1038/oby.2009.235
  12. Epstein LH, Wing RR (1987): Behavioral treatment of childhood obesity. Psychol Bull 101(3):331-342 https://doi.org/10.1037/0033-2909.101.3.331
  13. Fitzwater SL, Weinsier RL, Wooldridge NH, Birch R, Liu C, Bartolucci AA (1991): Evaluation of long-term weight changes after a multidisciplinary weight control program. J Am Diet Assoc 91(4):421-426, 429
  14. Franklin VL, Waller A, Pagliari C, Greene SA (2006): A randomized controlled trial of Sweet Talk, a text-messaging system to support young people with diabetes. Diabet Med 23(12):1332-1338 https://doi.org/10.1111/j.1464-5491.2006.01989.x
  15. Gangwisch JE, Malaspina D, Boden-Albala B, Heymsfield SB (2005): Inadequate sleep as a risk factor for obesity: analyses of the NHANES I. Sleep 28(10):1289-1296
  16. Gluck ME, Venti CA, Salbe AD, Krakoff J (2008): Nighttime eating: commonly observed and related to weight gain in an inpatient food intake study. Am J Clin Nutr 88(4):900-905
  17. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A; American college of sports medicine; American heart association (2007): Physical activity and public health: updated recommendation for adults from the American college of sports medicine and the American heart association. Circulation 116(9):1081-1093 https://doi.org/10.1161/CIRCULATIONAHA.107.185649
  18. Hellstrom L, Rossner S, Hagstrom-Toft E, Reynisdottir S (1997): Lipolytic catecholamine resistance linked to alpha 2-adrenoceptor sensitivity--a metabolic predictor of weight loss in obese subjects. Int J Obes Relat Metab Disord 21(4):314-320 https://doi.org/10.1038/sj.ijo.0800407
  19. Hollis JF, Gullion CM, Stevens VJ, Brantley PJ, Appel LJ, Ard JD, Champagne CM, Dalcin A, Erlinger TP, Funk K, Laferriere D, Lin PH, Loria CM, Samuel-Hodge C, Vollmer WM, Svetkey LP; Weight loss maintenance trial research group (2008): Weight loss during the intensive intervention phase of the weight-loss maintenance trial. Am J Prev Med 35(2):118-126 https://doi.org/10.1016/j.amepre.2008.04.013
  20. Johnson SS, Driskell MM, Johnson JL, Dyment SJ, Prochaska JO, Prochaska JM, Bourne L (2006): Transtheoretical model intervention for adherence to lipid-lowering drugs. Dis Manag 9(2):102-114 https://doi.org/10.1089/dis.2006.9.102
  21. Joo NS, Kim BT (2007): Mobile phone short message service messaging for behaviour modification in a community-based weight control programme in Korea. J Telemed Telecare 13(8):416-420 https://doi.org/10.1258/135763307783064331
  22. Kausman R, Murphy M, O'Connor T, Schattner P (2003): Audit of a behaviour modification program for weight management. Aust Fam Physician 32(1-2):89-91
  23. Kim MS, Choi MS, Kim KN (2007): Effect of nutritional education and exercise intervention on reducing and maintaining weight in obese women. Korean J Community Nutr 12(1): 80-89
  24. Kim SH, Yu OK, Byun MS, Cha YS, Park TS (2014): Effects of weight management program for middle aged women with metabolic syndrome risk factors. Korean J Obes 23(2): 106-115 https://doi.org/10.7570/kjo.2014.23.2.106
  25. Korean Society for the Study of Obesity (2012): Management of obesity 2012 recommendation. Korean Society for the Study of Obesity. Seoul. pp.43-86
  26. Kwon HJ, Sun SO, Hur S (2012): The effects of combined exercise program on health related fitness and risk factors related to metabolic syndrome in severely obese women. J Korean Phys Educ Assoc Girls Women 26(2):1-13
  27. Lean ME, Han TS, Deurenberg P (1996): Predicting body composition by densitometry from simple anthropometric measurements. Am J Clin Nutr 63(1):4-14 https://doi.org/10.1093/ajcn/63.1.4
  28. Lee JS, Park JS, Lee GH, Ko YS, Kim EK (2008): Effect of body composition, serum lipid level and resting metabolic rate by nutritional education and exercise program in middle aged women. J Korean Diet Assoc 14(1):64-76
  29. Lee SH, Chang N (2007): Effectiveness of nutrition education on dietary habits and diet quality in the weight loss and weight gain groups in college women. Korean J Nutr 40(5): 463-474
  30. Malik VS, Schulze MB, Hu FB (2006): Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr 84(2):274-288
  31. Ministry of Health & Welfare (2008): Dietary guidelines for Korean adults. Ministry of Health & Welfare. Seoul. pp.1
  32. Ministry of Health & Welfare (2010): Eating habits guide for weight management. Ministry of Health & Welfare. Seoul. pp.129-130
  33. Ministry of Health & Welfare (2014): Korea health statistics 2013: Korea national health and nutrition examination survey (KNHANES VI-1). Ministry of Health & Welfare. Seoul. pp.50-51
  34. National Health and Medical Research Council (2013): Australian dietary guidelines. National Health and Medical Research Council. Australia. pp.61-63
  35. National Institute on Alcohol Abuse and Alcoholism. Drinking levels defined. Available from: http://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderatebinge-drinking. Accessed June 17, 2015
  36. National Institutes of Health (1998): Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. National Heart, Lung, and Blood Institute. Bethesda. pp.11-14
  37. National Sleep Foundation. How much sleep do we really need? Available from: http://sleepfoundation.org/how-sleepworks/how-much-sleep-do-we-really-need. Accessed June 17, 2015
  38. Niskanen L, Uusitupa M, Sarlund H, Siitonen O, Paljarvi L, Laakso M (1996): The effects of weight loss on insulin sensitivity, skeletal muscle composition and capillary density in obese non-diabetic subjects. Int J Obes Relat Metab Disord 20(2):154-160
  39. Patel SR, Ayas NT, Malhotra MR, White DP, Schernhammer ES, Speizer FE, Stampfer MJ, Hu FB (2004): A prospective study of sleep duration and mortality risk in women. Sleep 27(3):440-444 https://doi.org/10.1093/sleep/27.3.440
  40. Pollard CM, Miller MR, Daly AM, Crouchley KE, O'Donoghue KJ, Lang AJ, Binns CW (2008): Increasing fruit and vegetable consumption: success of the Western Australian Go for 2&5 campaign. Public Health Nutr 11(3):314-320
  41. Rokholm B, Baker JL, Sorensen TI (2010): The levelling off of the obesity epidemic since the year 1999--a review of evidence and perspectives. Obes Rev 11(12):835-846 https://doi.org/10.1111/j.1467-789X.2010.00810.x
  42. Rolls BJ, Ello-Martin JA, Tohill BC (2004): What can intervention studies tell us about the relationship between fruit and vegetable consumption and weight management? Nutr Rev 62(1):1-17 https://doi.org/10.1111/j.1753-4887.2004.tb00001.x
  43. Snyder LB (2007): Health communication campaigns and their impact on behavior. J Nutr Educ Behav 39(2 Suppl):S32-S40 https://doi.org/10.1016/j.jneb.2006.09.004
  44. Song SJ, Ahn HS, Khil JM (2013): Comparison of practice of dietary guidelines and health beliefs according to stage of weight loss behavior change among male workers. J Nutr Health 46(3):276-284 https://doi.org/10.4163/jnh.2013.46.3.276
  45. Stunkard AJ (1987): Conservative treatments for obesity. Am J Clin Nutr 45(5):1142-1154 https://doi.org/10.1093/ajcn/45.5.1142
  46. The Korean Nutrition Society (2010): Dietary reference intakes for Koreans. The Korean Nutrition Society. Seoul. pp.1-9
  47. United States Department of Agriculture (2010): Dietary guidelines for Americans. USDA. Washington, DC. pp.1-54
  48. Weyer C, Funahashi T, Tanaka S, Hotta K, Matsuzawa Y, Pratley RE, Tataranni PA (2001): Hypoadiponectinemia in obesity and type 2 diabetes: close association with insulin resistance and hyperinsulinemia. J Clin Endocrinol Metab 86(5):1930-1935 https://doi.org/10.1210/jcem.86.5.7463
  49. World Health Organization (2011): Global status report on noncommunicable diseases 2010. World Health Organization. Geneva. pp.1-138
  50. World Health Organization (2015): Guideline: sugars intake for adults and children. World Health Organization. Geneva. pp.1-59

피인용 문헌

  1. Development of tailored nutrition information messages based on the transtheoretical model for smartphone application of an obesity prevention and management program for elementary-school students vol.11, pp.3, 2017, https://doi.org/10.4162/nrp.2017.11.3.247
  2. Effect of Nutrition Counseling Program on Weight Control in Obese University Students vol.6, pp.1, 2017, https://doi.org/10.7762/cnr.2017.6.1.7