• 제목/요약/키워드: Behavioral modification

검색결과 97건 처리시간 0.022초

비만 아동에 대한 설문지의 분석과 재구성 (Revision of a Questionnaire to Assess Health Behaviors in Obese Children)

  • 박소은;염혜원;서정완;이혜진;박혜숙
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제7권2호
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    • pp.215-227
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    • 2004
  • 목적: 소아 비만은 급속하게 증가하고 있다. 소아 비만의 치료는 행동 수정을 하는 것이 중심이 되므로 생활 습관과 식습관을 파악하는 것이 중요하다. 본 저자들은 비만을 효율적으로 관리하기 위해 기존에 사용해오던 설문지를 보완하고자 하였다. 방법: 이대 목동병원 비만클리닉에 방문한 94명의 소아를 대상으로 기존에 개발되어 사용되고 있는 소아용과 부모용 설문지를 작성하게 하였다. 문항별 무응답률, 부모용과 소아용 설문지의 공통 항목에 대한 일치율(%)을 살펴보았다. 문항 분석을 통하여 추가 및 삭제할 부분을 검토하였다. 결과: 문항별 응답율은 매우 높았다. 부모용과 소아용 설문지의 공통 항목에 대하여 62.8~91.5%까지의 비교적 중등도 이상의 일치율을 보였다. 학교급식의 음식 선호도는 평상시 음식습관으로 파악할 수 있으며, 취사선택 할 수 없는 항목으로 판단하여 삭제하였다. 좌식생활 시간을 파악하기 위하여 TV 시청 시간외 컴퓨터나 비디오 게임 시간 항목, 간식의 종류로 인스턴트나 패스트푸드 외에 섬취한 음료의 종류와 양을 기록하는 항목, 어머니의 직장 항목을 추가하였다. 또한 부모와 아동의 답변이 일치하므로 일반적인 생활 습관은 부모가, 집 밖에서의 음식과 운동에 관한 항목은 비만 아동이 기록하도록 설문지를 재구성하였다. 결론: 비만 아동과 부모의 설문지를 분석한 결과 일치도가 높으므로 비슷한 항목을 중복되지 않게 재구성하였다. 비만아동의 습관파악을 위하여 생활습관은 부모가, 집밖에서의 음식섭취와 운동 습관은 아동이 직접 기록하도록 비만 설문지를 재구성하였다.

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FDS 분석을 통한 승객 및 선원 생존율 향상에 대한 연구 (A Study on the Improvement of Survival Rate of the Passengers and Crews according to FDS Analysis)

  • 김원욱;김종수;박외철
    • Journal of Advanced Marine Engineering and Technology
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    • 제39권3호
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    • pp.312-317
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    • 2015
  • 선박은 충돌, 좌초 및 화재 등의 여러 가지 원인으로 승객 및 선원들이 긴급 피난을 해야 하는 경우가 많이 발생한다. 일반적으로 모든 피난에서 생존율을 높이기 위해서는 피난 시간의 단축이 아주 중요한 요소이나 선박의 복잡하고 좁은 구조적 특성은 신속한 피난에 장애 요소가 되고 있다. 특히, 선박은 그 구조상 동일한 규모의 화재 발생 시 타 화재에 비해 확산속도가 빨라 신속한 피난이 필요하다. 또한, 선박은 해상에서 운항하는 특성으로 좋지 않은 해상 상태에서는 승객 및 선원이 행동적 제약이 발생한다. 이 연구에서는 인명 안전 차원에서 선박 구조 변경이 승객 및 선원의 생존율 향상에 미치는 영향에 대해 이론적 접근 및 수치 시뮬레이션을 통해 분석하고자 한다. 분석 도구로는 3차원 화재분석 전용 프로그램인 FDS(Fire Dynamic Simulator)를 이용하였으며 화재 시 인명 안전에 영향을 가장 큰 영향을 미치는 온도 상승 및 가시거리 감소를 분석하였다. 그 결과 선박의 복도 폭 및 천장의 높이만 개선하여도 인명 안전에 상당한 도움이 되는 것으로 분석되었다.

비만관련 습관 및 비만도 변화에 영향을 미치는 관련요인 분석 (The Associated Factors with Obesity-related Habits and Obesity index Change)

  • 길미경
    • 한국학교보건학회지
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    • 제12권1호
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    • pp.27-44
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    • 1999
  • Obesity in children is a major concern of public health. This study was performed to illuminate its effect on weight control program and the associated factors of obesity-related habits and obesity index in primary school obese children. Weight control program consisted of behavioral modification, nutrition education and exercise during 17 weeks. The sample consisted of treatment group(n=42) and control group(n=41). There was no statistical difference between the two groups in obesity index, socioeconomic status and grade. To assess the effects of weight control program, the subjects were given pre-test and post-test such as the measurement of anthropometric values and self-reporting questionnaire. This result of this study were as follows; 1. After weight control program was applied, there was a significant decrease in obesity index among the treatment group. Obesity-related habits score of the treatment group increased significantly, While there was not much difference between the pre-test and the post-test among the control group. But exercise habit didn't increase significantly in the both groups. 2. Correlation between obesity-related habits and obesity index were not evident. 3. After application of weight control program, the factors associated with change of eating habit were children's past experience of weight control, motivational change toward weight control program and friends' support for treatment group. The factors associated with change of exercise habit were post-test motivation score and friends' support. Motivational change toward weight control and pre-test self-efficacy of exercise behavior were counter-related to exercise habit. For change of other obesity-related habits, initial obesity index, motivational change, post-test self-efficacy score of exercise behavior and paternal educational status were closely associated. But post-test self-efficacy score of eating behavior was unrelated. 4. Only the factor of experience of weight control was associated with change of obesity index. 5. For the both groups, the factors associated with change of eating habits were post-test self-efficacy of eating behavior and family's support. The factors associated with change of exercise behavior were self-efficacy changes of exercise behavior and friends' support. The factors associated with change of other obesity-related habits were self-efficacy change of eating behavior. Initial obesity index was associated with change of obesity index. 6. The rate of dropouts from weight control program was 28.6% (12/42) in treatment group. Initial obesity index, other obesity-related habits except eating exercise habits, friend's support were associated with dropout. In conclusion, these results indicated that weight control program in primary school settings was effective. Direct exercise regimen and practice was demanded. In addition to the program itself, much of the success is dependent on the degree of motivation of the children involved and support provided by their parents and friends. Further study need to be performed under the condition that the weight control progrom is applied for a longer period.

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두통의 치료 (Treatment of the Headache)

  • 정경천
    • 정신신체의학
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    • 제7권2호
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    • pp.263-273
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    • 1999
  • 두통은 인류의 가장 흔한 호소 중의 하나로 임상에서 흔히 보는 장애이다. 두통은 뇌막염, 뇌출혈, 또는 뇌종양과 같은 다른 질환의 증상일수 있으나, 또한 편두통이나 군발두통 등과 같은 질병 자체로 표현된다. 일차적으로 두통 장애의 역학이나 국제 두통학회의 진단기준을 이해하고 흔치 않으나 심각한 이차적인 두통장애와 감별에 관심을 둬야 한다. 환자가 일차 두통장애의 기준에 맞으면 신경학적 진단검사의 보충이 없어도 치료를 시작한다. 두통 유형, 표현 양상, 동통기간과 강도 등에 따라 진통소염제나 혼합진통제, 혈관작용의 항편두통 약물 또는 신경이완제나 corticosteroid등을 선택한다. 편두통의 빈도와 강도에 따라 예방치료가 보통 4~6개월간 조절한다. 긴장형 두통은 발작성과 만성두통으로 구분되나 치료적으로는 급성완화와 예방치료로 시도된다. 많은 만성매일두통 환자들이 진통제나 ergotamine을 과용하고 있으며 그들의 의존성과 내재된 갈등조절, 수면장애, 우울등으로 과용된 약물의 제한이 쉽지 않다. 치료의 첫단계는 약물을 끊고 조심스럽게 대치요법을 시행한다.

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신생(新生)쥐의 생후(生後) 2주간(週間)에 있어서 Phenylketonuria 적(的) 조건(條件)의 실험적(實驗的) 유도(誘導) (Induction of an Experimental PKU-Like Condition in Infant Rats During the First Two Weeks After Birth)

  • 김행자;론제네커죤비
    • Journal of Nutrition and Health
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    • 제14권2호
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    • pp.59-70
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    • 1981
  • Phenylketonuria (PKU)의 여러가지 특성(特性)을 연구(硏究)하기 위(爲)하며 신생(新生)쥐에 실험적(實驗的)으로 PKU를 유도(誘導)시키는 방법(方法)을 실험(實驗)하였다. 신생(新生)쥐에 생후(生後) 2일부터 5일까지는 체중(體重) kg당 400mg의 Phenylalanine을, 6일부터 14일까지는 500mg의 Phenylalanine을 오전(午前) 6시(時)부터 매(每) 6시간(時間)마다 위(胃)에서 주입(注入)시켰으며 생후(生後) 3일부터 14일까지는 체중(體重) kg당 0.00625~0.0125mg의 amethopterin을, 5일부터 14일까지는 체중(體重) kg 당 50mg의 P-chlorophenylalanine을 오전(午前) 및 오후(午後) 9시(時) 매일(每日) 2회 투여(投與)한후 Phenylalanine/tyrosine (P/T), 와 여러가지 외관적(外觀的)인 증상(症狀)을 조사(調査)한 결과(結果) Phenylalanine, amethopterin및 P-chlorophenylalanine을 동시(同時)에 투여(投與)한 경우는 P/T-비(比)가 정상치이상(正常値以上)으로 증가(增加)됨과 동시(同時)에 비정상적(非正常的)인 자세(姿勢), 비틀거리는 걸음걸이와 같은 PKU 증상(症狀)이 나타났으나 Phenylanine이나 저해제(沮害制) 단독투여시(單獨投與時)는 PKU 증상(症狀)이 나타나지 않았다.

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Impact of Healthy Eating Practices and Physical Activity on Quality of Life among Breast Cancer survivors

  • Mohammadi, Shooka;Sulaiman, Suhaina;Koon, Poh Bee;Amani, Reza;Hosseini, Seyed Mohammad
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권1호
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    • pp.481-487
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    • 2013
  • Following breast cancer diagnosis, women often attempt to modify their lifestyles to improve their health and prevent recurrence. These behavioral changes typically involve diet and physical activity modification. The aim of this study was to determine association between healthy eating habits and physical activity with quality of life among Iranian breast cancer survivors. A total of 100 Iranian women, aged between 32 to 61 years were recruited to participate in this cross-sectional study. Eating practices were evaluated by a validated questionnaire modified from the Women's Healthy Eating and Living (WHEL) study. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ). A standardized questionnaire by the European Organization of Research and Treatment of Cancer Quality of Life and its breast cancer module (EORTC QLQ-C30/+BR-23) were applied to determine quality of life. Approximately 29% of the cancer survivors were categorized as having healthy eating practices, 34% had moderate eating practices and 37% had poor eating practices based on nutrition guidelines. The study found positive changes in the decreased intake of fast foods (90%), red meat (70%) and increased intake of fruits (85%) and vegetables (78%). Generally, breast cancer survivors with healthy eating practices had better global quality of life, social, emotional, cognitive and role functions. Results showed that only 12 women (12%) met the criteria for regular vigorous exercise, 22% had regular moderate-intensity exercise while the majority (65%) had low-intensity physical activity. Breast cancer survivors with higher level of physical activity had better emotional and cognitive functions. Healthy eating practices and physical activity can improve quality of life of cancer survivors. Health care professionals should promote good dietary habits and physical activity to improve survivor's health and quality of life.

지역사회 건강 증진 사업 평가 연구 -1개 도시지역 보건소의 경험적 사례를 중심으로- (An Evaluative Study of Community based Health Promotion Project)

  • 박성애;박정호;윤순녕;이인숙
    • 지역사회간호학회지
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    • 제12권2호
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    • pp.532-546
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    • 2001
  • This report is the result of interim evaluation of a health promotion project which was operated by a public health center of K Gu in the year of 2000. It evaluated the aspects of the aim of a project, a target group. and adequacy and appropriateness of a approaching strategy by considering data of public health center's self-evaluation, and guidelines of a group assigned to evaluate the project. The way of evaluation was dividing the project into a colligated evaluation and a evaluation by projects in the aspects of the structure, the procedure. and the result of a result. Through this. a device to improve the health improvement project was derived. The target data for evaluation was the second data and data of self-evaluation, reported data, membership register data of a health management. and interview materials with the people in charge by projects that are all collected as a project management documents. The result of evaluation is stated below. 1. Main purpose of a health promotion project is building a environment of healthy life practicing and providing information through various ways to increase the rate of practicing healthy life. Through overall project. the ultimate purpose and definite purpose were same, however, it was not quite satisfied to offer planning of a time, and a target amount in detailed strategy. As the purpose was to build environment of healthy life practicing. most of the projects had the whole community citizen as a target group. That made difficult to operate detailed projects. so the result was hard to estimate as much as the effort put into it. Also, there were too many kinds of projects and target groups to be equal to by the human source of a health promotion project team. so we were just bent on operating a project. and could not prepare for the evaluation. As the most of former evaluation of public health service was just counting number of the objects, the new way of evaluating a project wasn't familiar to us. so the evaluation of a detailed project cannot be done well. Techniques and advices needed for all of these things weren't offered appropriately. For the forward direction of unfolding project. it is desirable to operate project by selecting focused target and considering a strategy of evaluation as a strategy of reasonable spread. The evaluation of the project became difficult as participation of citizen for it was poor. So, approach strategy that can lead the motivation of community citizen should be derived. 2. For the continuation of a health promotion project, technical assistance system. description of a field in charge, and arrangement of the amount of task should be developed as a central level. Furthermore, as the health promotion project focus on behavioral modification program whose purpose is to lessen dangerous factors. the public health service model which is incorporated with former project should be developed and spread out in the field for the object-centered project plan.

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경기도 일개 지역사회 대표집단에서 고호모시스테인혈증의 유병률 및 관련요인에 대한 단면조사연구 (Prevalence of Hyperhomocysteinemia and Related Factors in a Community-based Health Examination Survey: A Cross-sectional Study)

  • 김수정;임경숙;송미숙;강연지;이순영
    • Journal of Preventive Medicine and Public Health
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    • 제42권5호
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    • pp.337-342
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    • 2009
  • Background : Many previous studies have shown that elevated homocysteine in the serum is a well known risk factor for cardiovascular disease and this is associated with other risk factors for cardiovascular disease, but any Korean data on this is limited. Objectives : This study aimed to calculate the prevalence of hyperhomocysteinemia and to analyze the relation between elevated homocysteine and the lifestyle factors of Korean adults. Methods : We conducted a cross-sectional survey that included 650 men and 743 women (age range, 20 to 79 years) who were residents of Gwangju City in Gyeonggi-do. These subjects participated in the health interview and examination survey from November to December 2005. The total homocysteine, total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglyceride in the serum were measured. All the participants had their body composition measured such as height and weight, and we obtained health-related behavioral information through the self-entry questionnaire. Results : Very right-handed skewed distributions of homocysteine were shown in men and women. The prevalence of hyperhomocysteinemia was 22.6% in men and 13.7% in women in Gwangju city. On the multiple logistic regression analysis, hyperhomocysteinemia was associated with age (OR=1.02, 95% CI=1.01-1.04), male gender (OR=1.60, 95% CI=1.02-2.52), severe general physical activity (OR=0.32, 95% CI=0.15-0.69) and nutrient consumption (OR=0.49, 95% CI=0.31-0.76). Conclusions : There is a great prevalence of hyperhomocysteinemia in adults of Gwangju City, Korea and it was associated with both genetic factors and lifestyle risk factors. This study can suggest that comprehensive lifestyle modification is needed in order to diminish the prevalence of hyperhomocysteinemia and to prevent CVD.

일 지역 대학생의 피로와 건강증진 생활양식과의 관계분석 (The correlation analysis between fatigue and health promoting life style among a rural college students)

  • 장희정
    • 기본간호학회지
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    • 제6권3호
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    • pp.477-492
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    • 1999
  • The disease patterns among the Korean was shifted from acute and infectious diseases to chronic diseases. According to the these disease patterns trends, people have concerned about the health promotion and health behaviors. Pender's(1996) revised health promotion model(HPM) is consist of three categories; Individual characteristics and experiences, Behavior-specific cognitions and affect, behavioral outcome. Of these categories, individual characteristics and experiences, this category of variables is considered to be of biological, psychological and socio-cultural personal factors, especially, individual fatigue. Futhermore. these variables constitute a critical core for nursing intervention, as they are subject to modification through nursing actions. But there is no few the research of the relationship between the fatigue and health promotion. Therefore, the purpose of this study is to investigate the correlation between the fatigue and health promoting life style among a rural college students. Additionally, this descriptive correlational study identified the relation of demographic factors and fatigue, health promoting life style. From June 20 to 26, 1998, a convenience sample of 270 college students completed the questionnaire of the fatigue and health promoting life style profile which were developed by the Yoshitake(1978) and Walker, et al.(1987), respectively. The descriptive correlational statistics, mean, t-test, ANONA, Pearson correlation coefficient were used to analyze the data gathered with SAS pc+ program. The results were as it follows: 1. The average fatigue score of the subjects was $64.93{\pm}12.89$. Fatigue scores by subcategory were physical symptoms($23.5{\pm}4.87$). psychological symptoms($22.11{\pm}4.66$) and neuro-sensory symptoms($19.32{\pm}5.14$). With the respect to the demographic characteristics of the subjects, there were statistically significant differences between the demographic factors and fatigue, especially, sex(t==3.69 p<0.01), major(t=-2.89 p<0.01). the experience of family illness(t=2.76 p<0.01). 2. The average health promoting life style item score of the subjects was $2.33{\pm}0.33$. In the subcategories, the highest degree of performance was self-actualization(2.94), following interpersonal support(2.81). stress management(2.33), exercise(2.20), nutrition(2.10), and the lowest degree was health responsibility(1.73). There were the significant differences on the learning of health education(t=2.00 p<0.01). religion(F=3.01, p<0.05), circle activity(t=2.07, p<0.05), nutrition control(t=5.25, p<0.01) of demographical factors with the health promoting life style. 3. The correlation between the fatigue and health promoting life style made statistically no significance(r=-0.09731, p>0.05). But there was negative significant relationship between health promoting life style and psychological symptom as a fatigue subcategory(r=-0.15721, p<0.05). The self-actualization showed negative significant correlation with all fatigue subcategory. The health responsibility showed significant relationship with total fatigue(r=0.13050. p<0.05). For further research, it suggests to replicate the correlational and causal study between the fatigue and the health promoting life style using the another fatigue scale which is able to measure the subjective and objective fatigue degree. And it needs to develop the nursing intervention program for maintaining and promoting the health behavior as well as for decreasing the college students's fatigue.

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고지혈증 환자의 웹기반 식사관리 및 영양평가 프로그램 (A Web-based Internet Program for Nutritional Assessment and Diet Management of Patient Having Hyperlipidemia)

  • 한지숙;허지연
    • 한국식품영양과학회지
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    • 제32권2호
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    • pp.287-294
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    • 2003
  • 본 연구는 임상영양 분야의 전문 웹사이트로서 고지혈증 환자를 위한 식사관리 및 영양평가 프로그램을 개발하기 위하여 수행되었다 프로그램은 고지혈증을 고콜레스테롤혈증과 고중성지방혈증으로 분류하고 이들에 대한 식사관리, 영양상담 및 영양평가 프로그램으로 구성하였다. 프로그램은 표준체중 및 열량 필요량 파일, 열량별 식단 및 일일 식단표 파일, 식사요법 및 영양관리 파일, 식사력 조사 및 평가파일, 식품 및 영양소 데이터베이스 파일, 식품의 지방산 파일, 음식 영양소 함량 및 영양소별 20순위 식품 파일 등을 데이터베이스로 하여 웹 페이지 형식으로 만들어졌다. 사용자는 인터넷 사이트로 들어가 자신의 정보를 입력하면 그 결과로 1일 열량 필요량 및 기타 영양소 필요량이 제시되고 그에 알맞은 식단을 보고 이용할 수 있도록 하였다. 식사관리 프로그램에서는 열량별 식단 자료실을 두어 1200 kcal에서 2500kcal까지 100 kcal 단위로 일주일간의 식단을 볼 수 있게 하였고, 식단계획시 고려사항, 식품의 선택방법, 식품교환표, 고지혈증 식사지침, 식사요법 및 영양관리, 영양소별 20순위식품, 용어설명 및 관련 사이트를 소개하였다 영양상담 프로그램으로는 고지혈증 예방을 위한 식습관 평가와 질환에 바른 식사력조사 및 상담 평가, on-line 영양상담, FAQ 등이 있다. 영양평가프로그램으로는 섭취음식을 입력함으로서 영양소 섭취 상태, 열량 영양소, 지방산, 식사별, 식품군별 영양소 섭취상태, 동ㆍ식물성 식품 영양소 섭취 상태, 기간별 영양소 섭취 변화 등을 평가받을 수 있도록 하였다. 영양소 섭취상태는 환자의 필요량과 비교하여 그래프로 제시되고, 열량영양소, 식사별 영양소, 지방산 섭취 상태는 아침, 점심, 저녁 ,간식으로 구분하여 결과를 볼 수 있고, 동ㆍ식물성 식품 섭취 및 기간별 영양소 변화 등은 각각의 영양소별로 그 섭취 상태를 비교할 수 있도록 하였다.