• 문화기술의 융합
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• 제6권4호
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• pp.621-626
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• 2020

한국의 대장암 발병율은 점차 증가하고 있으며 대장암 발생은 식생활과 밀접하게 연관이 있는 것으로 보고되고 있다. 대장암 발생에 영향을 미칠 수 있는 식생활 태도 및 영양적 위험요인을 연구하기 위해 대구·경북지역에 거주하는 최근 1년 이내에 대장직장암으로 진단받은 환자 34명과 소화기계 질환이 없는 대조군 51명을 대상으로 식생활태도 및 반정량적 식품섭취빈도조사를 통한 영양섭취상태를 비교 분석하였다. 그 결과, 식사의 규칙성 및 식품섭취의 다양성은 대조군이 대장직장암 환자에 비해 높았으며 대장암 환자는 동식물성 단백질 섭취와 튀긴 음식, 그리고 녹황색 채소 및 과일류의 섭취가 대조군에 비해 높게 나타났다. 영양섭취분석에서는 대장직장암 환자가 대조군에 비해 비타민 A, E, K, C, 나트륨, 마그네슘, 요오드, 콜레스테롤의 섭취량이 유의적으로 높았으며 그 중 비타민 K와 나트륨 섭취는 대장직장암 발생의 위험요인으로 분석되었다. 향후 보다 많은 수의 연구대상자들을 통한 임상연구를 통하여 이들 영양소와 대장직장암 발생과의 상관관계를 확인하고 적절한 영양 교육을 시행한다면 대장직장암 발생의 위험을 예방하는데 도움이 될 것으로 사료된다.

• 대한지역사회영양학회지
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• 제16권1호
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• pp.51-61
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• 2011

Elevated serum concentration of inflammation markers is known as an independent risk factor of metabolic syndrome (MS) and dietary intake is an important factor to control MS. The purpose of this study was to investigated the hypothesis that inflammatory indices are associated with dietary intake and diet quality index-international (DQI-I) in subjects with MS. A cross-sectional study was conducted on 156 men and 73 postmenopausal women with MS, defined by three or more risk factors of the modified Adult Treatment Panel III criteria. Serum levels of high sensitive C-reactive protein (hs-CRP), adiponectin were examined and nutrients intake and DQI-I were assessed using a semiquantitative food frequency questionnaire. The total DQI-I score was significantly higher in female subjects ($65.87{\pm}9.86$) than in male subjects ($62.60{\pm}8.95$). There was a positive association between hs-CRP and polyunsaturated fatty acid intake (p < 0.05) and a negative association between adiponectin and lipid (p < 0.05), total sugar (p < 0.01), and total fatty acids (p < 0.05). When the subjects were divided into 5 groups by quintile according to serum adiponectin and hs-CRP level, there was no association between DQI-I score and hs-CRP levels. Moderation score of DQI-I was significantly higher in highest quintile group than the lower quintile groups. Therefore, our results provide some evidence that dietary intake and diet quality are associated with inflammation markers and dietary modification might be a predictor to decrease risk for metabolic syndrome complications. However further research is needed to develop the dietary quality index reflecting the inflammatory change by considering the dietary habit and pattern of Koreans.

• 한국가정과교육학회지
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• 제21권4호
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• pp.19-33
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• 2009

본 연구는 강원도 원주 지역에 소재한 3개 중학교에 재학하는 1, 2학년 454명을 대상으로 패스트푸드 섭취 빈도에 따른 패스트푸드의 이용 태도, 패스트푸드에 대한 인식, 식습관, 건강관련 사항 등을 파악하기 위해 설문지를 이용하여 조사하였다. 대상자 중 패스트푸드 자주 섭취군(주 1회 이상)은 29.5%, 보통 섭취군(한 달에 2~3회 정도)은 50.7%, 비섭취군(한달에 1회 이하)은 19.8%로 분류되었다. 패스트푸드를 먹는 목적으로 '간식용'의 비율은 자주 섭취군과 보통섭취군이 비섭취근에 비해 유의하게 높았고, 패스트푸드에 관한 개선점으로 세 군 모두 저렴한 가격과 덜 기름진 음식을 희망하였다. 패스트푸드에 대한 인식에서 자주 섭취군, 보통 섭취군은 비섭취군에 비해 패스트푸드가 배고픔 해소에 도움을 준다고 인식하였으며, 패스트푸드의 섭취 빈도가 많을수록 패스트푸드를 쉽게 사 먹을 수 있고, 메뉴가 다양해 질리지 않는 것으로 인식하였다. 또한 패스트푸드 비섭취군은 자주 섭취군, 보통 섭취군에 비해 식사량이 적당하고, 여러 가지 다양한 식품을 섭취하고 있었으며, 밥, 채소류, 과일류, 단백질, 우유 및 유제품, 해조류의 섭취가 더 많았다. 건강이상 증상 조사에서 자주 섭취군과 보통 섭취군은 비섭취군에 비해 졸음이 오고, 손발이 차고, 피부가 거칠은 증상을 더 자주 느꼈다.

• 대한지역사회영양학회지
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• 제19권2호
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• pp.187-197
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• 2014

Objectives: This study was carried out to determine nutritional status of elderly patients in a long-term care hospital according to meal type and eating ability. Methods: Subjects were 47 female patients aged over 65 ($79.3{\pm}7.1$ years) who resided in a long-term care hospital in Seoul. Thirty seven patients who ate diet orally were grouped according to meal type (27 general diet and 10 soft diet) and eating ability (26 eating by oneself and 11 eaten with help) and 10 were on tube feeding. Nutritional status was determined by food consumption and mid-arm circumference. Results: The mean adequacy ratios (MARs) of 12 nutrients (protein, calcium, phosphorus, zinc, vitamin A, vitamin $B_1$, vitamin $B_2$, vitamin $B_6$, niacin, folic acid, vitamin C) were 0.687 for general diet, 0.565 for soft diet, 0.680 for eating by oneself and 0.677 for eaten with help, which were significantly lower than 0.982 for tube feeding (p < 0.05 or p < 0.01). The patients on tube feeding had significantly lower % arm circumference compared to those who ate general diet (84.0% vs. 95.4%, respectively, p < 0.05). Nutrients intakes, nutrient adequacy ratio (NAR) and index of nutritional quality (INQ) were not different between meal types as well as eating ability. The most insufficiently consumed nutrients by the patients on diet were folic acid, vitamin $B_2$, and calcium (NAR 0.334~0.453, 0.515~ 0.539, and 0.516~0.533, respectively). Conclusions: The results suggested that regardless of meal type or eating ability, the subjects who were on diets in this study might have inadequate intake of folic acid as well as vitamin $B_2$, and calcium, which need to be reflected on menu planning. The measurement of mid-arm circumference presented more risk of malnutrition of patients on tube feeding than those on diets, despite apparently better nutrient consumption.

• 대한지역사회영양학회지
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• 제18권1호
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• pp.77-87
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• 2013

This study was conducted to investigate the nutrient intakes of subjects by quartile of percent energy intake from cooked rice, consumption of cooked rice mixed with multi-grains and to evaluate rice consumption in relation to the risk of metabolic syndrome. The subjects were 5,830 males and females aged between 20~64 years based on 2007-2008 KNHNES data. Levels of percent energy intake from cooked rice were classified into 4 groups (Q1, Q2, Q3, Q4 groups: 25% of each) using data of 24-hour recall method from KNHNES. Using medical examination and questionnaire, subjects were classified according to diagnostic criteria of metabolic syndrome. The subjects with higher age, being married, lower education, lower economic level were more likely to take higher percent energy intake from cooked rice. Quartile Q3 of percent energy intake from cooked rice tended to show higher Index of Nutritional Quality (INQ) for fiber, calcium, iron, potassium and vitamin A. INQ of protein, dietary fiber, calcium, thiamin, phosphorus, potassium, riboflavin, niacin and vitamin C by consumption of cooked rice mixed with multi-grains was higher than that by consumption of cooked white rice when adjusted for age. No association with a risk for metabolic syndrome was found for quartile of percent energy intake from cooked rice or cooked rice mixed with multi-grains compared to cooked white rice after adjusting for energy, gender, age, BMI, alcohol, smoking, income and physical activity. In conclusion, consumption of over 54% energy intake from cooked rice or only cooked white rice showed relatively low INQs, but was not associated with a higher risk for metabolic syndrome.

• 한국가금학회지
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• 제42권3호
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• pp.205-214
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• 2015

본 연구는 100주령 이상의 산란성계에서 사료 급이량 조절에 따른 생산성, 도체 수율 및 육질을 주령에 따라 평가하고자 실시하였다. 공시 동물은 100주령 Hy-Line Brown 200수를 선별하여 A형 2단 케이지에 대조구 포함 총 5처리구로 구성하여 처리당 4반복, 반복당 10수씩(2수 수용 케이지 10개) 난괴법으로 임의 배치하였다. 시험 기간 동안 물은 자유 섭취하게 하였으며, 일반적인 점등관리(자연일조 + 조명; 16hr)를 실시하였다. 시험구는 대조구(일일 사료 섭취량 100%), 90%, 60%, 50%, 20% 총 5처리였다. 산란율은 사양 시험 기간 동안 일일 사료 섭취량이 감소함에 따라 산란율 및 사료 요구량은 유의적으로(P<0.05) 감소하였다. 도체 수율 역시 사양시험 기간 동안 일일 사료 섭취량이 감소함에 따라 도체 수율 및 부분육(가슴, 다리, 날개) 비율이 유의적으로(P<0.05) 감소하였다. Leukocyte 함량은 일일 사료 섭취량이 50%, 20%일 때 WBC, HE, LY, MO 및 EO 함량의 비율이 유의적으로(P<0.05) 높았다. 가슴육 내 일반 성분항목, 보수력, 가열감량 및 지방산 함량에 있어서는 사양시험 기간과 일일 사료 섭취량에 따른 유의적인 차이는 나타나지 않았다. 본 실험 결과 일일 사료 섭취량이 감소할수록 생산성과 도체율이 감소하였으나, 일일사료 섭취량을 60% 수준까지 낮춰도 무방하다고 생각되며, 계육 품질에 미치는 영향은 나타나지 않았다.

• 한국식생활문화학회지
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• 제20권3호
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• pp.323-330
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• 2005

평균 연령 10.8세인 비만 아동 17명을 대상으로 12주간 영양교육을 중심으로 한 체중조절 프로그램을 실시한 결과 비만도와 BMI에서는 유의적인 변화를 보이지 않았으나 허리둘레 및 엉덩이 둘레가 유의적으로 감소하였고, HDL-콜레스테롤이 유의적으로 증가하였다. 지방 조직 분비 호르몬-resistin, adiponectin, leptin의 수준은 체중조절 프로그램 실시전과 후에 유의적인 차이를 보이지 않았다. Resistin과 leptin의 변화량은 BMI 변화량과 양의 관계를, adiponect의 변화량은 음의 관계를 나타내 체위와의 상관성을 보여주었으나 본 연구만으로 이들 호르몬들과 체위변화와의 상관성을 규명하기에는 부족했다. 또한 체중조절 프로그램 후 열량 외에 무기질과 비타민 등 대부분의 영양소 섭취가 감소하여 체중조절 프로그램을 진행할 때 열량섭취는 줄이면서 미량 영양소의 섭취는 유지할 수 있게 올바른 식품을 선택할 수 있도록 하는 교육이 강화되어야 할 것이다. 본 연구는 비교적 단기간의 체중조절프로그램의 효과를 살펴본 것으로서, 본 연구결과를 토대로 앞으로 영양교육의 내용을 수정하고, 체조성 변화에 대한 연구를 강화하며 좀 더 장기적인 체중조절 프로그램을 수행한다면 아동 비만 치료에 더 좋은 효과를 낼 수 있을 것이라 사료된다. 또한 비만과 체지방분비호르몬의 상관성에 대한 후속연구도 필요한 것으로 본다.

• Asian-Australasian Journal of Animal Sciences
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• 제32권11호
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• pp.1705-1714
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• 2019

Objective: Reducing roughage feeding without negatively affecting rumen health is of interest in ruminant nutrition. We investigated the effects of roughage sources and concentrate types on growth performance, ruminal fermentation, and blood metabolite levels in growing cattle. Methods: In this 24-week trial, 24 Hanwoo cattle ($224{\pm}24.7kg$) were fed similar nitrous and energy levels of total mixed ration formulated using two kinds of roughage (timothy hay and ryegrass straw) and two types of concentrate mixes (high starch [HS] and high fiber [HF]). The treatments were arranged in a $2{\times}2$ factorial, consisting of 32% timothy-68% HS, 24% timothy-76% HF, 24% ryegrass-76% HS, and 17% ryegrass-83% HF. Daily feed intakes were measured. Every four weeks, blood were sampled, and body weight was measured before morning feeding. Every eight weeks, rumen fluid was collected using a stomach tube over five consecutive days. Results: The mean dry matter intake (7.33 kg) and average daily gain (1,033 g) did not differ among treatments. However, significant interactions between roughage source and concentrate type were observed for the rumen and blood parameters (p<0.05). Total volatile fatty acid concentration was highest (p<0.05) in timothy-HF-fed calves. With ryegrass as the roughage source, decreasing the roughage inclusion rate increased the molar proportion of propionate and decreased the acetate-to-propionate ratio; the opposite was observed with timothy as the roughage source. Similarly, the effects of concentrate types on plasma total protein, alanine transaminase, Ca, inorganic P, total cholesterol, triglycerides, and creatinine concentrations differed with roughage source (p<0.05). Conclusion: Decreasing the dietary roughage inclusion rate by replacing forage neutral detergent fiber with that from non-roughage fiber source might be a feasible feeding practice in growing cattle. A combination of low-quality roughage with a high fiber concentrate might be economically beneficial.

• 대한지역사회영양학회지
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• 제26권4호
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• pp.280-295
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• 2021

Objectives: This study aimed to examine the characteristics of patients according to their nutritional status as assessed by five nutritional screening tools: Patient-Generated Subjective Global Assessment (PG-SGA), NUTRISCORE, Nutritional Risk Index (NRI), Prognostic Nutritional Index (PNI), and Controlling Nutritional Status (CONUT) and to compare the agreement, sensitivity, and specificity of these tools. Methods: A total of 952 gastric cancer patients who underwent gastrectomy and chemotherapy from January 2009 to December 2012 at the Samsung Medical Center were included. We categorized patients into malnourished and normal according to the five nutritional screening tools 1 month after surgery and compared their characteristics. We also calculated the Spearman partial correlation, Cohen's Kappa coefficient, the area under the curve (AUC), sensitivity, and specificity of each pair of screening tools. Results: We observed 86.24% malnutrition based on the PG-SGA and 85.82% based on the NUTRISCORE among gastric cancer patients in our study. When we applied NRI or CONUT, however, the malnutrition levels were less than 30%. Patients with malnutrition as assessed by the PG-SGA, NUTRISCORE, or NRI had lower intakes of energy and protein compared to normal patients. When NRI, PNI, or CONUT were used to identify malnutrition, lower levels of albumin, hemoglobin, total lymphocyte count, total cholesterol, and longer postoperative hospital stays were observed among patients with malnutrition compared to those without malnutrition. We found relatively high agreement between PG-SGA and NUTRISCORE; sensitivity was 90.86% and AUC was 0.78. When we compared NRI and PNI, sensitivity was 99.64% and AUC was 0.97. AUC ranged from 0.50 to 0.67 for comparisons between CONUT and each of the other nutritional screening tools. Conclusions: Our study suggests that PG-SGA and NRI have a relatively high agreement with the NUTRISCORE and PNI, respectively. Further cohort studies are needed to examine whether the nutritional status assessed by PG-SGA, NUTRISCORE, NRI, PNI, and CONUT predicts the gastric cancer prognosis.

• 대한지역사회영양학회지
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• 제27권3호
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• pp.205-222
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• 2022

Objectives: This study examined the characteristics of patients according to nutritional status assessed by five nutritional screening tools: Patient-Generated Subjective Global Assessment (PG-SGA), NUTRISCORE, Nutritional Risk Index (NRI), Prognostic Nutritional Index (PNI), and Controlling Nutritional Status (CONUT) and to compare the agreement, sensitivity, and specificity of these tools. Methods: A total of 952 gastric cancer patients who underwent gastrectomy and chemotherapy from January 2009 to December 2012 were included. The patients were categorized into malnutrition and normal status according to five nutritional screening tools one month after surgery. The Spearman partial correlation, Cohen's Kappa coefficient, the area under the curve (AUC), sensitivity, and specificity of each two screening tools were calculated. Results: Malnutrition was observed in 86.24% of patients based on the PG-SGA and 85.82% based on the NUTRISCORE. When NRI or CONUT were applied, the proportions of malnutrition were < 30%. Patients with malnutrition had lower intakes of energy and protein than normal patients when assessed using the PG-SGA, NUTRISCORE, or NRI. Lower levels of albumin, hemoglobin, total lymphocyte count, and total cholesterol and longer postoperative hospital stays were observed among patients with malnutrition compared to normal patients when NRI, PNI, or CONUT were applied. Relatively high agreement for NUTRISCORE relative to PG-SGA was found; the sensitivity was 90.86%, and the AUC was 0.78. When NRI, PNI, and CONUT were compared, the sensitivities were 23.72% for PNI relative to NRI, 44.53% for CONUT relative to NRI, and 90.91% for CONUT relative to PNI. The AUCs were 0.95 for NRI relative to PNI and 0.91 for CONUT relative to PNI. Conclusions: NUTRISCORE had a high sensitivity compared to PG-SGA, and CONUT had a high sensitivity compared to PNI. NRI had a high specificity compared to PNI. This relatively high sensitivity and specificity resulted in 77.00% agreement between PNI and CONUT and 77.94% agreement between NRI and PNI. Further cohort studies will be needed to determine if the nutritional status assessed by PG-SGA, NUTRISCORE, NRI, PNI, and CONUT predicts the gastric cancer prognosis.