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http://dx.doi.org/10.4163/jnh.2014.47.4.277

Effects of nutrition education on nutrition-related knowledge, dietary habits, and nutrient intakes of alcoholic patients  

Kim, An Na (Department of Food and Nutrition, Chonnam National University)
Lim, Hyeon-Sook (Department of Food and Nutrition, Chonnam National University)
Publication Information
Journal of Nutrition and Health / v.47, no.4, 2014 , pp. 277-286 More about this Journal
Abstract
Purpose: The aim of this study was to examine the characteristics of nutrition-related knowledge, dietary habits, and nutrient intakes of alcoholic patients and how nutrition education affects these nutritional behaviors. Methods: Subjects included 37 adult male alcoholic patients who were hospitalized. The nutrition education program consisted of five lessons over a five-week period. An each 80-minute nutrition education program per week was implemented for the alcoholic patients over a five-week period. Both before and after the implementation of nutrition education, their nutrition-related knowledge and dietary habits were assessed and nutrient intakes were investigated. Results: The subjects showed drinking habits of considerably high frequency, a large quantity of alcohol consumption, and preference for soju (a liquor) over beer. They had proper weight, height, and BMI, and came from relatively poor socioeconomic backgrounds with a low-level of self-rated health status and a comparatively high rate of suffering from disease. Mean score of their nutrition-related knowledge and dietary habits was quite low. They consumed less energy, dietary fiber, vitamin C, thiamin, riboflavin, folic acid, Ca, and K, but more Na compared to each Dietary Reference Intake (DRI). After implementing the nutrition education, mean score of nutrition-related knowledge and dietary habits showed significant improvement. In addition, the meeting rate of each DRI of several nutrients was increased significantly, including energy, carbohydrate, dietary fiber, vitamins A, C, and $B_6$, thiamin, riboflavin, niacin, pyridoxine, folic acid, Ca, P, K, Fe, and Zn, while that of Na decreased. Conclusion: The findings of this study indicate that alcoholic patients had various nutritional problems, such as lack of nutrition-related knowledge, bad dietary habits, and insufficient nutrient intakes, however, these problems can be positively modified by implementation of a relatively short-term nutrition education program.
Keywords
alcoholic patient; nutrition education; nutrition-related knowledge; dietary habits; nutrient intakes;
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1 Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2011: Korea National Health and Nutrition Examination Survey (KNHANES V-2). Cheongwon: Korea Centers for Disease Control and Prevention;2012.
2 Organization for Economic Co-operation and Development (FR). OECD health status. Non-medical determinants of health [Internet]. Paris: OECD iLibrary; 2014 [cited 2014 Jun 14]. Available from: http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_ LVNG.
3 College of Medicine in Seoul National University. The epidemiological survey of mental disorders in Korea 2011. Seoul: Ministry of Health and Welfare; 2012.
4 Freinkel N, Singer DL, Arky RA, Bleicher SJ, Anderson JB, Silbert CK. Alcohol hypoglycemia. I. Carbohydrate metabolism of patients with clinical alcohol hypoglycemia and the experimental reproduction of the syndrome with pure ethanol. J Clin Invest 1963; 42(7): 1112-1133.   DOI
5 Rodrigo C, Antezana C, Baraona E. Fat and nitrogen balances in rats with alcohol-induced fatty liver. J Nutr 1971; 101(10): 1307-1310.   DOI
6 Suter PM, Schutz Y, Jequier E. The effect of ethanol on fat storage in healthy subjects. N Engl J Med 1992; 326(15): 983-987.   DOI   ScienceOn
7 Akanji AO, Hockaday TD. Acetate tolerance and the kinetics of acetate utilization in diabetic and nondiabetic subjects. Am J Clin Nutr 1990; 51(1): 112-118.   DOI
8 Lieber CS. Metabolic consequences of ethanol. Endocrinologist 1994; 4(2): 127-139.   DOI
9 Bunout D. Nutritional and metabolic effects of alcoholism: their relationship with alcoholic liver disease. Nutrition 1999; 15(7-8): 583-589.   DOI   ScienceOn
10 Watzl B, Watson RR. Role of alcohol abuse in nutritional immunosuppression. J Nutr 1992; 122(3 Suppl): 733-737.   DOI
11 Cho H, Yoo JY, Lee JH. A study on the present situation of the treatment services provided by alcohol addiction specialized hospitals. J Korean Acad Ind Coop Soc 2011; 12(8): 3547-3554.
12 Kim JW, Lee BC, Kang TC, Choi IG. The current situation of treatment systems for alcoholism in Korea. J Korean Med Sci 2013; 28(2): 181-189.   DOI
13 Santolaria F, Perez-Manzano JL, Milena A, Gonzalez-Reimers E, Gomez-Rodriguez MA, Martinez-Riera A, Aleman-Valls MR, de la Vega-Prieto MJ. Nutritional assessment in alcoholic patients. Its relationship with alcoholic intake, feeding habits, organic complications and social problems. Drug Alcohol Depend 2000; 59(3): 295-304.   DOI
14 Breslow RA, Guenther PM, Juan W, Graubard BI. Alcoholic beverage consumption, nutrient intakes, and diet quality in the US adult population, 1999-2006. J Am Diet Assoc 2010; 110(4): 551-562.   DOI   ScienceOn
15 McCann SE, Sempos C, Freudenheim JL, Muti P, Russell M, Nochajski TH, Ram M, Hovey K, Trevisan M. Alcoholic beverage preference and characteristics of drinkers and nondrinkers in western New York (United States). Nutr Metab Cardiovasc Dis 2003; 13(1): 2-11.   DOI
16 Koo BK, Chung JM, Lee HS. A study on the alcohol consumption and nutrient intake in patient with alcoholic liver disease. Korean J Nutr 1997; 30(1): 48-60.
17 Kim MY, Kim KJ, Lee KE. In-patients' food consumption and perception on foodservice quality at hospitals. J Korean Diet Assoc 2008; 14(1): 87-96.
18 Rural Development Administration. Standard food composition table, 8th revision. Suwon: Rural Development Administration;2011.
19 Youn HS, Choi YY, Lee KH. Evaluation of nutrition knowledge, dietary attitudes and nutrient intakes of nurses working in Kyungnam area. Korean J Nutr 2003; 36(3): 306-318.
20 Park KM. A survey of teachers' recognition on nutrition knowledge and nutrition education at day-care centers. Korean J Community Nutr 2005; 10(6): 920-929.
21 The Korean Nutrition Society. Dietary reference intakes for Koreans, 1st revision. Seoul: The Korean Nutrition Society; 2010.
22 Green LW, Kreuter MW. Health program planning: an educational and ecological approach. New York (NY): McGraw Hill;2005.
23 Gwangju Yohan Alcohol Counselling Center. [Internet]. Gwangju: Gwangju Yohan Alcohol Counselling Center; 2014 [cited 2014 Jun 14]. Available from: http://www.yohanacc.or.kr/.
24 The Korean Dietetic Association. [Internet]. Seoul: The Korean Dietetic Association; 2014 [cited 2014 Jun 14]. Available from: http://www.dietitian.or.kr/.
25 The Korean Society for Prevention Medicine. [Internet]. Seoul: The Korean Society for Prevention Medicine; 2014 [cited 2014 Jun 14]. Available from: http://prevent.richis.org/.
26 Korea Ministry of Food and Drug Safety. [Internet]. Seoul: Korea Ministry of Food and Drug Safety; 2014 [cited 2014 Jun 14]. Available from: http://www.mfds.go.kr/index.do.
27 Kim MH, You OS. A comparative study on serum lipid levels in drinker and non-drinker. Korean J Nutr 1999; 32(5): 570-576.
28 Chang N, Kim E. Thiamin and riboflavin nutritional status of subjects with alcohol dependency in rural area. Korean J Nutr 1999; 32(2): 175-181.
29 Kim SG, Min YK, Lee DK, Kim MY, Song YS, Gwon DH, Ko YH, Park JM, Chung BS. Temperament of male patients with alcohol dependence. J Korean Soc Biol Ther Psychiatry 2003; 9(1): 80-87.
30 Han SH, Jeong SI, Kim TS, Kim JS, Youn BB. A clinical study on the characteristics of alcoholic inpatients. J Korean Acad Fam Med 1995; 16(8): 566-574.
31 Potter JF, Bannan LT, Beevers DG. Alcohol and hypertension. Br J Addict 1984; 79(4): 365-372.   DOI
32 Pavia CS, La Mothe M, Kavanagh M. Influence of alcohol on antimicrobial immunity. Biomed Pharmacother 2004; 58(2): 84-89.   DOI
33 Lee SH, Kim WY. Relationship of habitual alcohol consumption to the nutritional status in middle aged men. Korean J Nutr 1991; 24(1): 58-65.
34 Sohn JG, Song HR, Lee KY, Kim JH, Kim HC. A study on the relationship between Alcohol Use Disorders Identification Test and liver function test in blue-collar workers. Korean J Occup Environ Med 2003; 15(3): 281-289.
35 Lee YP. A comparative study on the characteristics of mental health, subjective quality of life and need of the public aid recipient alcoholics and non-alcoholics. J Korean Alcohol Sci 2001; 2(2): 5-12.
36 Smith KW, Larson MJ. Quality of life assessments by adult substance abusers receiving publicly funded treatment in Massachusetts. Am J Drug Alcohol Abuse 2003; 29(2): 323-335.   DOI
37 Murphy A, Guilar A, Donat D. Nutrition education for women with newly diagnosed gestational diabetes mellitus. Can J Diabetes 2004; 28(2): 147-151.
38 Moon EH, Kim KW. Evaluation of nutrition education for hypertension patients aged 50 years and over. Korean J Community Nutr 2011; 16(1): 62-74.   DOI
39 Son SM, Kim MJ. The effect of nutrition education program for various chronic disease in elderly visiting public health center. Korean J Community Nutr 2001; 6(4): 668-677.
40 Lee SL. Effect of nutrition education on improving dietary attitudes, food habits and food frequency - female in twenties shift work in Gyeonggi area. Korean J Community Nutr 2013; 18(1): 55-64.   DOI   ScienceOn
41 Ahn Y, Ko SY, Kim KW. Evaluation of a nutrition education program for elementary school children. Korean J Community Nutr 2009; 14(3): 266-276.
42 Yoon HS, Choi YS. Analysis of correlation among health consciousness and nutrition knowledge, dietary habits and nutrition attitudes of elementary and middle school teachers in Masan city. Korean J Nutr 2002; 35(3): 368-379.
43 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.
44 Kim MJ, Shim MS, Kim MK, Lee Y, Koh JH, Shin YG, Chung CH, Kwon SO. Effect of chronic alcohol ingestion on bone mineral density in males without liver cirrhosis. Korean J Med 2002; 63(4): 369-378.
45 Im ES, Seo J, Min H. Effects of chronic ethanol administration on folate metabolism and plasma homocysteine concentration in the rats. Korean J Nutr 1998; 31(6): 1006-1013.
46 Henning SM, Zhang JZ, McKee RW, Swendseid ME, Jacob RA. Glutathione blood levels and other oxidant defense indices in men fed diets low in vitamin C. J Nutr 1991; 121(12): 1969-1975.   DOI
47 Diez A, Puig J, Serrano S, Marinoso ML, Bosch J, Marrugat J, Mellibovsky L, Nogues X, Knobel H, Aubia J. Alcohol-induced bone disease in the absence of severe chronic liver damage. J Bone Miner Res 1994; 9(6): 825-831.