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http://dx.doi.org/10.4163/kjn.2011.44.3.231

Effects of Nutrition Education Using a Ubiquitous Healthcare (u-Health) Service on Metabolic Syndrome in Male Workers  

Park, Se-Yun (The Graduate School of Clinical Health Sciences, Ewha Womans University)
Yang, Yoon-Jung (Department of Food and Nutrition, Dongduk Women's University)
Kim, Yu-Ri (The Graduate School of Clinical Health Sciences, Ewha Womans University)
Publication Information
Journal of Nutrition and Health / v.44, no.3, 2011 , pp. 231-242 More about this Journal
Abstract
The objective of this study was to investigate the effects of nutrition education based on ubiquitous healthcare (u-health) service on changes in dietary habits, nutrition intake, and risk factors for metabolic syndrome in male workers. In total, 72 male office workers with at least three risk factors of the National Cholesterol Education Program-Adult Treatment Panel III were recruited as subjects. Anthropometric measurements and biochemical analyses were conducted on all subjects. Dietary habits and nutrient intake were determined by a questionnaire using the 24-hour dietary recall method before and after nutrition education. Subjects measured their body composition, blood pressure, and physical activity more than once per week during the 12 weeks using the u-health care equipment and sent these data to a central database system using a personal computer. Individual nutrition counseling was provided four times on the first, fourth, eight, and twelfth weeks. The results showed significant decreases in abdominal circumference, body fat (%), diastolic blood pressure, serum triglycerides, and serum total cholesterol during the 12 weeks. Subjects with more than 12 measurements showed significant reductions in abdominal circumference, body fat (%), serum triglyceride, and serum total cholesterol. Mean intake of dietary fiber, animal calcium, potassium, vitamin C, and folic acid after nutrition education were higher than those before nutrition education. Participants showed significant increases in the frequencies of consuming protein foods (meat, fish, eggs, beans, tofu, etc.) and vegetables. In conclusion, nutrition education through the u-health service resulted in positive effects on the risk factors for metabolic syndrome, nutrient intake, and dietary habits.
Keywords
ubiquitous healthcare; metabolic syndrome; nutrition education; male office workers;
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1 Lin YC, Lyle RM, McCabe LD, McCabe GP, Weaver CM, Teegarden D. Dairy calcium is related to changes in body composition during a two-year exercise intervention in young women. J Am Coll Nutr 2000; 19(6): 754-760   DOI
2 Trichopoulou A, Gnardellis C, Benetou V, Lagiou P, Bamia C, Trichopoulos D. Lipid, protein and carbohydrate intake in relation to body mass index. Eur J Clin Nutr 2002; 56(1): 37-43   DOI   ScienceOn
3 Woo YJ, Lee HS, Kim WY. Individual diabetes nutrition education can help management for type II diabetes. Korean J Nutr 2006; 39(7): 641-648
4 Kim EJ, Hwang HJ. Effects of a nutrition education and exercise program of overweight or obese female adults on nutritional and health status. J Korean Soc Food Sci Nutr 2010; 39(1): 78-84   DOI
5 Hung HC, Joshipura KJ, Jiang R, Hu FB, Hunter D, Smith-Warner SA, Colditz GA, Rosner B, Spiegelman D, Willett WC. Fruit and vegetable intake and risk of major chronic disease. J Natl Cancer Inst 2004; 96(21): 1577-1584   DOI   ScienceOn
6 He K, Hu FB, Colditz GA, Manson JE, Willett WC, Liu S. Changes in intake of fruits and vegetables in relation to risk of obesity and weight gain among middle-aged women. Int J Obes Relat Metab Disord 2004; 28(12): 1569-1574   DOI
7 Ford ES, Mokdad AH, Giles WH, Brown DW. The metabolic syndrome and antioxidant concentrations: findings from the Third National Health and Nutrition Examination Survey. Diabetes 2003; 52(9): 2346-2352   DOI   ScienceOn
8 McCarron DA, Morris CD, Henry HJ, Stanton JL. Blood pressure and nutrient intake in the United States. Science 1984; 224(4656): 1392-1398   DOI
9 van Mierlo LA, Arends LR, Streppel MT, Zeegers MP, Kok FJ, Grobbee DE, Geleijnse JM. Blood pressure response to calcium supplementation: a meta-analysis of randomized controlled trials. J Hum Hypertens 2006; 20:(8) 571-580   DOI   ScienceOn
10 Shim JE, Paik HY, Moon HK, Kim YO. Comparative analysis and evaluation of dietary intakes of Koreans by age groups: (1) nutrient intakes. Korean J Nutr 2001; 34(5): 554-567
11 Shim JE, Paik HY, Moon HK, Kim YO. Comparative analysis and evaluation of dietary intakes of Koreans by age groups: (2) food and food group intakes. Korean J Nutr 2001; 34(5): 568-579
12 Shim JE, Kim JH, Nam GY, Paik HY, Moon HK, Kim YO. Comparative analysis and evaluation of dietary intakes of Koreans by age groups: (3) risk factors for chronic degenerative diseases. Korean J Nutr 2002; 35(1): 78-89
13 Azadbakht L, Mirmiran P, Esmaillzadeh A, Azizi F. Dairy consumption is inversely associated with the prevalence of the metabolic syndrome in Tehranian adults. Am J Clin Nutr 2005; 82(3): 523-530   DOI
14 Yun HK, Kim H, Chang N. Diet quality index-international score is correlated with weight loss in female college students on a weight management program. Korean J Nutr 2009; 42(5): 453-463   DOI
15 Shimizu T, Horiguchi I, Kato T, Nagata S. Relationship between an interview-based health promotion program and cardiovascular risk factors at Japanese companies. J Occup Health 2004; 46(3): 205-212   DOI   ScienceOn
16 Moore TJ, Alsabeeh N, Apovian CM, Murphy MC, Coffman GA, Cullum-Dugan D, Jenkins M, Cabral H. Weight, blood pressure, and dietary benefits after 12 months of a Web-based Nutrition Education Program (DASH for health): longitudinal observational study. J Med Internet Res 2008; 10(4): e52   DOI
17 Park JE, Kwon HC. Cardiovascular risk factors of Koreans. Korean J Lipidol 1995; 5(1): 97-102
18 Muto T, Yamauchi K. Evaluation of a multicomponent workplace health promotion program conducted in Japan for improving employees' cardiovascular disease risk factors. Prev Med 2001; 33(6): 571-577   DOI   ScienceOn
19 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
20 Kang JY, Cho SW, Lee JY, Sung SH, Park YK, Paek YM, Choi TI. The effects of a worksite on-line health education program on metabolic syndrome risk factors and nutrient intakes of male workers. Korean J Nutr 2010; 43(1): 57-68   DOI
21 Plotnikoff RC, McCargar LJ, Wilson PM, Loucaides CA. Efficacy of an E-mail intervention for the promotion of physical activity and nutrition behavior in the workplace context. Am J Health Promot 2005; 19(6): 422-429   DOI   ScienceOn
22 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
23 Ministry of Health and Welfare. 2005 Korean national health and nutrition examination survey report; 20006
24 Lee JY. Domestic u-Health demonstration project progress status and implications. Inf Commun Policy 2008; 20(21): 25-44
25 Kim JH, Park JS, Jung EY, Park DK, Lee YH. A diet prescription system for U-healthcare personalized services. J Korea Contents Assoc 2009; 10(10): 111-119   DOI
26 Kim JS, Han JS. Effects of a web-based nutrition counseling on food intake and serum lipids in hyperlipidemic patients. J Korean Soc Food Sci Nutr 2004; 33(8): 1302-1310   DOI
27 Philips. [cited 2011 Apr 25]. Available from: http://www.healthcare.philips.com/kr_ko/about/company/whatwedo.wpdion/xa
28 Newsis. MKE, 'u-Health' fostering industry... Speeding up medical power. [cited 2011 Apr 25]. Available from: http://www.newsis.com/article/view.htm?cID=article&ar_id=NISX20100511_0005152731.ms
29 Kwak HS, Ryu S, Youn KI. Internet health information and health promotion behavior of employees. J Korean Soc Health Inf Health Stat 2008; 33(1): 105-118
30 No JH. Symposium for activating nutrition education program for health promotion of workers. J Korean Diet Assoc 2004; 10(1): 69-76
31 Suh I, Shaten BJ, Cutler JA, Kuller LH. Alcohol use and mortality from coronary heart disease: the role of high-density lipoprotein cholesterol. The Multiple Risk Factor Intervention Trial Research Group. Ann Intern Med 1992; 116(11): 881-887   DOI
32 Mjos OD. Lipid effects of smoking. Am Heart J 1988; 115(1 Pt 2): 272-275   DOI   ScienceOn
33 Lee KS, Park CY, Meng KH, Bush A, Lee SH, Lee WC, Koo JW, Chung CK. The association of cigarette smoking and alcohol consumption with other cardiovascular risk factors in men from Seoul, Korea. Ann Epidemiol 1998; 8(1): 31-38   DOI   ScienceOn
34 Kim JH, Lee KM, Kim HY, Song CH, Jung SP. The effects of cigarette smoking on abdominal fatness. J Korean Acad Fam Med 2000; 21(9): 1172-1179
35 Ministry of Health and Welfare. Major chronic disease management program guide 2009; 2009
36 Ministry of Health and Welfare. 2009 Korean national health and nutrition examination survey report; 2010
37 Wilson PW, Kannel WB, Silbershatz H, D'Agostino RB. Clustering of metabolic factors and coronary heart disease. Arch Intern Med 1999; 159(10): 1104-1109   DOI   ScienceOn
38 Lim S, Lee EJ, Koo BK, Cho SI, Park KS, Jang HC, Kim SY, Lee HK. Increasing trends of metabolic syndrome in Korea: based on Korean national health and nutrition examination surveys. J Korean Diabetes Assoc 2005; 29(5): 432-439
39 Statistics Korea. The cause of death statistics in 2008; 2009