Browse > Article
http://dx.doi.org/10.5720/kjcn.2017.22.4.307

Effects of Nutrition Education at a Community Health Center on Overweight and Obese Middle-aged Women in Jeonbuk Area-Focused on Personalized Daily Energy Requirement and Food Exchange Units  

Kim, Se-Yeon (Department of Nutrition Services, Chonbuk National University Hospital)
Kim, Sook-Bae (Department of Food Science & Human Nutrition, Research Institute of Human Ecology, Chonbuk National University)
Publication Information
Korean Journal of Community Nutrition / v.22, no.4, 2017 , pp. 307-322 More about this Journal
Abstract
Objectives: This study examined the effects of nutrition education focused on personalized daily energy requirement and food units using Food Exchange System on anthropometric, biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes for overweight and obese in a public health center. Methods: The subjects were 60 overweight/obese women based on BMI (educated 30 vs. non-educated 30, 50~64 years). Educated group was provided individual and/or group lessons (40 min/lesson/week, 5 week), 'Introduction: obese & health', '6 nutrients and 6 food groups', 'My obesity & daily needed energy', 'Meal planning for personalized daily energy and food units using Food Exchange Systems', and 'Smart food choices'. After education, we examined the differences in anthropometric/biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes between educated group and non-educated group. Results: After nutrition education, in the educated group, there were improvements on anthropometric/biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes in the educated group compared to the non-educated group. We observed a decrease in the mean weight, total cholesterol (TC) and the incidence of overweight/obesity and hypercholesterolemia and an increase in the mean lean body mass. The scores of nutrition knowledge, 'Function of carbohydrate, protein, vitamin, mineral' and 'Food Sources of fat, vitamin, mineral' were increased. The scores of dietary attitudes, 'Taking a joyful meal, a leisurely meal, a balanced meal, a meal with sufficient vegetables, a meal with diversity, a meal with spicy foods, a meal with overeating' were increased. The intakes of energy, carbohydrate, fat, protein, vitamin A, thiamin, Zn and cholesterol were decreased. The scores of INQ, protein, vitamin A, vitamin C, thiamin, riboflavin, vitamin B6, folate, Ca, P, Fe, Zn were increased. Conclusions: The nutrition education focused on personalized daily energy requirement and food exchange unit using Food Exchange System for overweight and obese may improve food behavior, dietary intakes and symptoms of overweight and obese, even in a community health center.
Keywords
overweight and obesity; middle-aged woman; food exchange units; Food Exchange System; public community center;
Citations & Related Records
Times Cited By KSCI : 11  (Citation Analysis)
연도 인용수 순위
1 Chang YK, Chung YJ, Moon HK, Yoon JS, Park HR, Kim BH. Nutritional assessment. 2nd ed. Seoul: Shingwang publishing; 2009. p. 65-70.
2 Choi HM, Kim JH, Kim CI, Song KH, Jang KJ, Min HS et al. 21st century nutrition. 3rd ed. Paju: Kyomunsa; 2009. p. 77-96.
3 Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea health statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANES V-3) [Internet]. Ministry of Health and Welfare; 2012 [cited 2014 May 15]. Available from: http://www.knhanes.cdc.go.kr/.
4 Koo JO. Association of bone mineral density and blood pressure, calcium, intake among adult women in Seoul, Kyunggi area: based on 2011 KNHANES. Korean J Community Nutr 2013; 18(3): 269-282.   DOI
5 Carr MC. The emergence of the metabolic syndrome with menopause. J Clin Endocrinol Metab 2003; 88(6): 2404-2411.   DOI
6 Kim SK, Sunwoo JG, Lee EJ. Relation of mineral nutrition status and climacteric symptoms in pre-and postmenopausal women. Korean J Nutr 2006; 39(2): 121-132.
7 Lee EJ. Effects of weight control program on nutrient intakes and physical fitness in obese Korean adult women. Korean J Community Nutr 2009; 14(6): 756-766.
8 Lee MS. The characteristics of dietary habits of obese, overweight or normal subjects in Seoul. Korean J Community Nutr 2004; 9(2): 161-172.
9 Kwon GJ. Effect of eating behavior on obese female. New Med 2003; 46(6): 64-80.
10 Lee OH, Kim JK, Lee HSY, Choue RW. Nutritional status, quality of diet and quality of life postmenopausal women with mild climacteric symptoms based on food group intake patterns. Korean J Community Nutr 2012; 17(1): 69-80.   DOI
11 Oh JY, Kim SB. 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. Korean J Community Nutr 2010; 15(4): 485-497.
12 Kim YH, Kim YN. A study on body mass index and associated factors of the middle aged women in small city. Korean J Community Nutr 2002; 7(4): 506-515.
13 Choi JH, Yang JH, Han JP. A comparative analysis of body composition and blood lipid profile during exercise and detraining in exercise type in the middle-aged obese women. J Korea Sports Med 2006; 45(3): 526-536.
14 Park YS, Lee JW, Seo JS, Lee BK, Lee HS, Lee SK. Nutrition education and counseling. 5th ed. Paju: Kyomunsa; 2016. p. 2-13.
15 Korean Diabetes Association. Guideline of food exchange system for diabetes. 3rd ed. Seoul: Korean Diabetes Association; 2010. p. 1-124.
16 Kim SB, Choi JH. Effects of nutrition education using food exchange system: changes in elementary students' nutrition knowledge, dietary attitude and nutrients intake. Korean J Community Nutr 2008; 13(6): 922-933.
17 Guo JL, Kim SB. Effects on nutrition education of Chinese college students in Korea: Focused on personalized daily energy requirement and food exchange units. Korean J Community Nutr 2013; 18(6): 565-576.   DOI
18 Yim KS. The effects of a nutrition education program for hypertensive female elderly at the public health center. Korean J Community Nutr 2008; 13(5): 640-652.
19 Hwang ER. The comparison of health status and nutrient intakes on middle-aged women by weight control program performed in the community health center [master's thesis]. Shilla University; 2008.
20 Kang JS, Kim HS. A study on the evaluation of nutritional education program for the middle aged obese women. Korean J Food Nutr 2004; 17(4): 356-367.
21 Eom HS, Jeong MJ, Kim SB. A study on nutrition knowledge, dietary attitude, food habit of middle school students in Chonbuk area. Korean J Community Nutr 2005; 10(5): 574-581.
22 Korean Society for The Study of Obesity. General information of obese [Internet]. Korean Society for The Study of Obesity; 2014 [cited 2014 Apr 8]. Available from: http://www.kosso.or.kr.
23 Son SM, Im HS, Kim JH, Lee JH, Seo JS, Son JM. Clinical Nutrition. 4th ed. Paju: Kyomunsa; 2009. p. 147-149.
24 Rural Development Administration, Korean Community Nutrition Society. Easy knowing database by one portion size of foods. 2nd ed. Paju: Kyomunsa; 2013. p. 4-350.
25 The Korean Nutrition Society. Dietary reference intakes for Koreans. 1st revision. Seoul: The Korean Nutrition Society; 2010. p. 25-499.
26 Jang HJ. Effect of nutrition education program with oriental therapy for overweight and obese adult at the public health center [master's thesis]. Chonbuk National University; 2010.
27 Oh SW. Effects of nutrition education using pamphlet for the elderly diabetes mellitus: Focused on individual daily needed food exchange units [master's thesis]. Chonbuk National University; 2010.
28 Yoon JS, Jeong YH, Park JA, Oh HM. The effect of individualized nutritional education on adults having two or more symptoms of chronic degenerative disease. Korean J Community Nutr 2002; 7(6): 794-802.
29 Kim KJ, Lee WJ, Lee SJ, Ann NY, Oh HR, Sin YJ et al. Health status and lifestyle including diet, exercise, and daily activities in obese adults. J Korean Sports Med 2005; 23(1): 54-63.
30 Ahn NY, Kim KJ. Effects of health education for the nutrient intakes and eating habits in youth athletes. Korean J Coach Sci 2011; 13(1): 277-282.
31 Shim JE, Paik HY, Moon HK. Breakfast consumption pattern, diet quality and health outcomes in adults from 2001 National Health and Nutrition Survey. J Nutr Health 2007; 40(5): 451-462.
32 Mclnnis, KJ. Diet, exercise, and the challenge of combating obesity in primary care. J Cardiovasc Nurs 2003; 18(2): 93-100.   DOI
33 Law M. Salt, blood pressure and cardiovascular diseases. J Cardiovasc Risk 2000; 7(1): 5-8.   DOI