• 제목/요약/키워드: Dietary compliance

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PPG 2차 미분을 이용한 정상인과 당뇨병 환자의 말초혈관 탄성도 비교 (Comparison of peripheral vascular compliance between normal and diabetic group using second derivative of photoplethysmogram)

  • 김성우;이주형;강은석;김수찬;김덕원
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2007년도 심포지엄 논문집 정보 및 제어부문
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    • pp.67-69
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    • 2007
  • Recently, the prevalence rate of diabetes in Korea has been increasing rapidly due to high growth of economy and changes in dietary lifestyle. Vascular complication is one of diabetic complications which have frequently occurred by obesity, hyperglycemia and impaired glucose metabolism. Photoplethysmogram(PPG) measured from finger and toe is very useful for evaluation of vascular aging and sclerosis level since the PPG signal represents characteristics of peripheral vascular. Several researchers have reported that second derivative of the finger PPG waveform was useful to evaluate vascular compliance and developed various analysis methods for vascular compliance. However, peripheral vascular compliance study for diabetic patient was never evaluated by using second derivative of PPG. Therefore, we aimed to objectively compare and to assess normal and diabetic group vascular compliance using the second derivative of PPG waveform in this study. The evaluated factors of second derivative of PPG are 'a', 'b', 'c', 'd', 'e' and b/a represents vascular compliance. Study found out that when vascular compliance is decreased, b/a is increased, the absolute value of b/a is decreased. The average vascular compliance of 50 diabetic patients with neuropathy is statistically lower than the normal group(p<0.05). We suggest an objective evaluation of peripheral vascular compliance for diabetic patients and prevention of vascular complication.

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식이조사방법중 자기 기록식 24시간 회상 반복 조사의 변이원에 관한 연구 (Sources of Variability of Multiple Self-reported 24-hour Recalls in Dietary Survey)

  • 김연희
    • Journal of Nutrition and Health
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    • 제30권3호
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    • pp.349-359
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    • 1997
  • This study was designed to study sources of variability(subjects, day by day, season, day of week, sequence, number of repeated days, compliance etc.) in multiple 24-hour dietary recall method. Dietary intakes of college women in Seoul were obtained using 24-hour dietary recalls, consecutive 7 days, 4 times for 1 year. The result of this study shows that 1) the reproducibility of multiple 24-hour recalls is low(intraclass correlation coefficient<0.3), 2) the intraindividual variations of all nutrients are more than 80%, 3) the major components of variation are interindividual vriability and intraindividual variability(within person variability and methodologic error). There were small but statistically significant season and compliance effects. 4) the ratio within-person varation to between-person variation for absolute and transformed nutrient intakes except some nutrients such as vitamin A, vitamin C, energy from protein and fat etc, was less than 1.7 the minimum numbers of days needed in 24-hour dietary recalls to estimate usual intake for this group were 1 to 21 days. And the numbers of days needed to get the usual intake of an individual varied among individuals and within individuals for different nutrients, ranged from 1 days for log carbohydrate(% energy) to 470 days for Na. 6) There were greater than 0.7 correlation coefficients between the average nutrient intakes of 12 days and intakes of 28 days. Therefore, it was desirable to take the 24-hour recall more than 12 times, repeating 3 days every season.

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당뇨환자와 보호자의 당뇨식사요법 실천과 요구도 조사 (Compliance and Need Assessment for Diet Therapy among Diabetics and Their Caregivers)

  • 박광순;이선영
    • 대한지역사회영양학회지
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    • 제8권1호
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    • pp.91-101
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    • 2003
  • The purpose of this study was to investigate the compliance and need for diet therapy among diabetics and their caregivers. A total of 625 respondents participated in this survey. Appropriate management for long-term blood glucose control and difficult-to-manage cases appeared to be diet therapy, physical activity, medical treatment and folk remedies, in that order. The most important educational avenues for diet therapy were books, magazines and TV, Most respondents were educated in diet therapy within a year after diagnosis and had practiced diet therapy for over four years. The most common diet therapy Practices were food selection and Quantity control. Of the specific problems in practicing diet therapy, time and labor, taste, and meal planning appeared to be equally difficult factors. The prevailing diet therapy skills were controlling food amounts at breakfast and supper, and selecting food for lunch and refreshments. Respondents practicing both skills were about 20% of the participants; this shows the need to improve the current situation. The nutrients most frequently considered in diet therapy practice were simple sugars (sugar and sweet goods) , total fats and cholesterol. Since the perception of the role of dietary fiber among respondents was very low, nutrition education about the importance of dietary fiber and food sources of dietary fiber was needed. Diabetics seemed to be concerned about diabetic menus. Three difficult problems in planning diabetic menus were daily menu planning, patient's preferences, and the calculation of calories. As a means of nutrition counseling, they preferred interviews. The higher the educational status and the lower the age, the higher the preference was for internet or PC counseling. Therefore, it is necessary to develop nutrition educational programs so that diabetics can obtain practical knowledge of diet therapy. Furthermore, it is also necessary to develop additional means of informing diabetics about menu planning, while still considering Korean dietary behavior.

광주지역 일부 초등학생에서 어린이 식생활실천지침 이행정도에 따른 영양소 섭취수준 비교 (Comparison of the Nutrient Intakes by the Score of Dietary Action Guides for Korean Children among the Elementary School Students in Gwangju City)

  • 김복희;성미영;이윤나
    • 대한지역사회영양학회지
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    • 제16권4호
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    • pp.411-425
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    • 2011
  • This study was conducted to examine differences in nutrient intakes by the compliance with the Dietary Action Guide for Korean Children. The subjects included 343 elementary school students in Gwangju city. Compliance with the Dietary Action Guide for Children showed that 62.4% of subjects had breakfast everyday; 44.3% of subjects ate vegetables/fruits/milk and dairy products daily; 26.8% of subjects ate a variety of lean meats/fish/eggs/bean products daily; 32.9% of subjects enjoyed outdoor activity everyday and ate according to their energy needs; 40.2% of subjects chose healthy and nutritious foods for snack; and 15.5% of subjects avoided food waste. Intakes of most of nutrients including energy were significantly higher (p < 0.05) in those who complied with the Dietary Action Guide well. Also nutrient intakes had the positive correlation with the scores of Dietary Action Guide (p < 0.05). From these results, nutrient intakes of children were significantly influenced by dietary factors suggested in the Dietary Action Guide for Children. In addition, the results also confirmed that good food behaviors were indispensible to maintaining a proper nutritional status. Based on these results, good food behaviors and practice were critical to secure good health and proper nutritional status for children, and that nutrition education should be strengthened in school as well as at home.

An Exploratory study of compliance with dietary recommendations among college students majoring in health-related disciplines: application of the transtheoretical model

  • McArthur, Laura H.;Pawlak, Roman
    • Nutrition Research and Practice
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    • 제5권6호
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    • pp.578-584
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    • 2011
  • Compliance with food group and nutrient recommendations, and self-efficacy, stage of change, perceived barriers and benefits for healthy eating were assessed among a convenience sample of college students majoring in health-related disciplines. Dietary and psychosocial data were collected using three-day food records and scales, respectively. Means (SD), frequencies, and percents were calculated on all data, and logistic regressions were used to determine whether any of the psychosocial correlates predicted the stage of change for healthy eating. Noncompliance with food group recommendations ranged from 53% for the meat/meat alternates group to 93% for the vegetables/juice group, whereas noncompliance with nutrient recommendations ranged from 26% for cholesterol to 99% for potassium. A majority of students (57%) self-classified in the preaction and 40% in the action stages of change for eating healthy. The students' self-efficacy to eat healthy was highest in positive/social situations and lowest when experiencing emotional upset. The most important perceived barrier to healthy eating was that friends/roommates do not like to eat healthy foods, and the most important perceived benefit was that eating healthy foods provides the body with adequate nutrients. The difficult/inconvenient self-efficacy subscale predicted the stage of change for healthy eating. These students would benefit from interactive learning opportunities that teach how to purchase and prepare more whole grain foods, fruits, and vegetables, enhance their self-efficacy for making healthy food choices when experiencing negative emotions, and overcome perceived barriers to healthy eating.

노인 고혈압 환자의 저염식이 이행, 나트륨 섭취 및 짠 맛에 대한 기호도 (Compliance with a Low-Salt Diet, Sodium Intake, and Preferred Salty Taste in the Hypertensive Elderly)

  • 이영희;김현경;권경희
    • 한국보건간호학회지
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    • 제24권2호
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    • pp.311-322
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    • 2010
  • Purpose: This study aimed to examine the compliance to a low-salt diet, sodium intake, and preferred salty taste in elderly patients with hypertension. Methods: A cross-sectional descriptive design was used. Participants were 105 elderly patients with hypertension living in a rural area. The compliance with a low-salt diet, sodium intake, and preferred salty taste, blood pressure, body mass index, and waist circumference were measured, and compared according to the general characteristics and the levels of blood pressure. Descriptive statistics, $X^2$-test, t-test, and ANOVA were used for data analysis. Results: compliance with a low-salt diet was marginally elevated. Sodium intake was relatively high and the main sources were seasonings and vegetables. The participants tended to prefer high levels of salt. Sodium intake was significantly higher the hypertensive individuals (stage I and II) compared to prehypertensive subjects on a normal maintenance diet. Sodium intake from vegetables was also significantly different between the two groups. Conclusion: Nursing intervention for hypertensive elderly patients should include strategies to decrease sodium intake.

Comparing Compliance and Efficacy of Isocaloric Oral Nutritional Supplementation Using 1.5 kcal/mL or 1 kcal/mL Sip Feeds in Mildly to Moderately Malnourished Indonesian Children: A Randomized Controlled Trial

  • Devaera, Yoga;Syaharutsa, Danny Maesadatu;Jatmiko, Herwasto Kuncoroyakti;Sjarif, Damayanti Rusli
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제21권4호
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    • pp.315-320
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    • 2018
  • Purpose: This study set out to evaluate the compliance to, and efficacy of oral supplementation, using a 1.5 kcal/mL or 1 kcal/mL sip feed, in children with mild to moderate malnutrition. Methods: This was a parallel, randomized, controlled open-label trial in children aged 3 to 6 years with a weight for height Z (WHZ) score <-1 and ${\geq}-3$, who were randomized to receive a total of 600 kcal/day from either a 1.5 kcal/mL or a 1.0 kcal/mL pediatric sip feed for 28 days. Assessments included daily study product intake, body weight, tolerance and dietary intake from solid food. Results: Of 110 children recruited, 98 ($mean{\pm}standard$ deviation of age $49{\pm}7months$) completed the study. Both sip feeds were well tolerated, with high compliance ($80{\pm}24%$ and $81{\pm}22%$ of prescribed volume in 1.5 kcal/mL and 1.0 kcal/mL groups respectively, p=0.79). Both study groups gained similar weight during the 28 days intervention period ($0.42{\pm}0.40kg$ in 1.5 kcal/mL group vs. $0.49{\pm}0.49kg$ in 1.0 kcal/mL group, p=0.43). There were no significant differences between the groups in weight gain and in the change in WHZ score over the intervention period. Dietary analysis at the end of the study did not show replacement of solid food by the oral nutritional supplements. Conclusion: In children with mild to moderate malnutrition, both 1.5 kcal/mL and 1 kcal/mL pediatric sip feeds had high compliance and were well tolerated, and were equally effective in promoting weight gain in the 28 days study period.

성인 대상 한국인을 위한 식생활지침 실천 및 순응도 평가 항목 개발 (Development of evaluation items for accessing practice and compliance with dietary guidelines among Korean adults)

  • 김민아;육성민;오지은;임지민;서혜지;임영숙;오지수;김혜영(A);황지윤
    • Journal of Nutrition and Health
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    • 제57권2호
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    • pp.244-260
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    • 2024
  • 본 연구에서 개정된 한국인을 위한 식생활 지침을 기반으로 식품 및 영양소 섭취, 식생활 습관, 환경을 고려한 식생활 문화를 평가할 수 있는 항목을 개발하였다. 예비 문항을 확보하기 위하여 국내·외 평가도구 및 최신 문헌을 조사하여 항목을 조사하였고, 전문가 11명 대상 타당도 평가를 통해 70개의 항목을 선정하였다. 선정된 후보 항목 평가를 위해 서울·수도권 지역 중심으로 성인 332명을 대상으로 온·오프라인 조사를 시행하였고, 하루 총 에너지 섭취가 500 kcal 미만 또는 5,000 kcal 이상으로 섭취한 대상자 2명을 제외한 330명의 조사 자료를 활용하여 수렴타당도 분석 및 탐색적 요인분석을 진행하였다. 분석 결과 최종 선정된 문항은 총 34개로 식품 및 영양소 섭취 영역 11개, 식생활 습관 영역 9개, 식생활 문화 영역 14개로 구성되었다. 본 연구에서 개발한 평가 항목은 2021년 개정된 식생활지침을 기반으로 영역별로 성인의 전반적인 식사의 질과 지속가능한 식생활을 동시에 평가하는 데 용이하다는 점에서 건강한 식생활 개선을 위한 평가 도구로써 활용이 기대된다.

Correlation between Intake of Dietary Fiber and Adherence to the Korean National Dietary Guidelines in Adolescents from Jeonju

  • Park, Sunmi;Na, Woori;Kim, Misung;Kim, Eunsoo;Sohn, Cheongmin
    • Preventive Nutrition and Food Science
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    • 제17권4호
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    • pp.254-260
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    • 2012
  • This study surveyed dietary intake and adherence to the Korean national dietary guidelines in Korean adolescents. To elucidate basic data for use in nutrition education, which aims to improve adolescent compliance with the national dietary guidelines and to increase the intake of dietary fiber, we evaluated the sources of fiber in adolescent diets. This study included 182 male and 212 female students from 2 middle schools in the Jeonju province. From November 15~20, 2011, we surveyed the students for general characteristics, adherence to the Korean national dietary guidelines, and dietary intake. Dietary fiber intake was $16.57{\pm}6.95$ g/day for male students and $16.14{\pm}7.11$ g/day for female students. The food groups that contributed most to dietary fiber intake were (in descending order) cereals, vegetables, seasoning, and fruits. The fiber-containing food items consumed most were cabbagekimchi, cooked rice, instant noodles, and cabbage. Based on adherence to the Korean national dietary guidelines, the vegetable-based intake of dietary fiber in groups 1 (score 15~45), 2 (score 46~52), and 3 (score 53~75) were $4.41{\pm}2.595$ g/day, $4.12{\pm}2.692$ g/day, and $5.49{\pm}3.157$ g/day, respectively (p 0.001). In addition, the total intake of dietary fiber varied significantly among the three groups (p 0.001) as follows: Group 1, $14.99{\pm}6.374$ g/day; Group 2, $15.32{\pm}6.772$ g/day; and Group 3, $18.79{\pm}7.361$ g/day. In this study, we discovered that adherence to the Korean national dietary guidelines correlates with improved intake of dietary fiber. Therefore, marketing and educational development is needed to promote adherence to the Korean national dietary guidelines. In addition, nutritional education is needed to improve dietary fiber consumption through the intake of vegetables and fruits other than kimchi.

대전지역 남녀 대학생의 영양지식, 식습관, 생활습관 비교 연구 (A Study on Nutrition Knowledge, Dietary Habits and Lifestyle of Male and Female University Students in Deajeon)

  • 김미자;김기혁;김혜영
    • 한국생활과학회지
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    • 제22권6호
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    • pp.701-709
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    • 2013
  • The purpose of this study was to investigate the university student's dietary behaviors, lifestyle and nutrition knowledge. The survey were composed of 81 male and 64 female students at W University in Daejeon. Results of survey shown that BMIs of male students was 23.9 which is higher significant at p<0.001 than female students was 20.8. In lifestyle, dietary habit patterns of female students showed higher significant in meal if under stress and snack intake at p<0.05. In terms of dining-out, both female and male students like Korean food. However, female students like Western food and flour-based food than their male counterpart. While male liked Chinese and Japanese foods at p<0.05. A siginificant higher proportion of male students smoked (p<0.001); drink (p<0.01) and exercised (p<0.05) than their female counterpart. In terms of nutrition knowledge, males have higher scores (out of a possible 15 points) than female scores (p<0.01). The results of this study suggests that nutrition education can motivate and improve dietary management for dietary compliance. Therefore, a proper planned nutrition education programs for university students is an efficient and effective education method.