• 보건행정학회지
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• 제17권4호
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• pp.31-53
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• 2007

The purpose of a national health care system is to improve health care outcome among population. The objective of the study was to explore the determinants of health outcome in the 24 OECD countries between two health care financing systems. The study employed the pooled time series and cross-sectional analysis with tax-funded and social insurance-funded countries over the period of 1980 to 1999 using OECD Health Data 2002. The study revealed that health expenditure per capita, physicians per 1,000 of the population and calorie intake were positively significantly associated, smoking rate was negatively associated with health outcome while controlling all variables in the tax-funded countries. But in the insurance-funded countries, health expenditure per capita and the number of physicians were not statistically significant factors explaining health outcome. Only the calorie intake was positively associated with, and smoking rate, alcohol consumption per capita, and total nitrogen oxide emission per capita were negatively significantly associated with health outcome. In conclusion, healthy life style factors were much more important to improve health outcome in the both systems.

• Journal of Nutrition and Health
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• 제26권6호
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• pp.715-727
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• 1993

This study was performed to see the effect of nutritional status on fatty liver. Subjects were 219(male : 174, female : 45) fatty liver patients living in cities, and 10-60yrs old. Nutrient and alcohol intakes, health state and medical history were investigated by individual interview, and blood sample was taken. Results were as follow; Most subjects were obese an overweighing and suffering from hepatitis. Calorie and carbohydrate intakes of male and females patients were lower than mean intakes of normal citizens. Protein and fat intakes of male patients were higher than mean intakes of normal citizens. Proportions of protein and fat to total calorie intake in patients were higher than those of normal citizens. Alcohol intake was markedly higher in patients than normal group, and increased with increasing body weight. Serum total cholesterol, HDL-cholesterol, total lipid, total protein and albumin conc.s and Hb and Hct levels were in normal ranges, But serum TG level of patients was higher than normal level. Serum total fatty acid level, $\omega$-3/$\omega$-6 and P/S FA ratios were higher in patients than normals. Serum total EAAs, NEAAs and all AAs levels of patients were higher than normals. It is plausible that high animal food and alcohol intakes, excess body fat and hepatitis were associated with fatty liver.

• 한국식품영양학회지
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• 제14권2호
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• pp.106-112
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• 2001

The purpose of this study was to investigate to the effect of regular exercise on nutrients intakes and energy balance related to food habit and nutrient knowledge of college women. This study was conducted from May to June in 2000. One hundred and forty female students made their three day dietary records by 24-hr recall method and one day activity record. The questionaires were designed to fine out food habit and nutrition knowledge status. The height. weight and blood pressure were measured and also body fat mass and lean body mass measurements were performed. The results obtained are summerized as follows. Average height and weight of E(exercise) group were found to be increased than those of NE(non-exercise) group. The percent of body fat and body fat mass(kg) in E group were slightly lower than those of NE group. Calorie intake of NE group was 1,664kca1 per day. This was composed of carbohydrate 60%kcal. protein 14%local and fat 24%local. Calorie, calcium, iron, vitamin A, vitamin B$_2$ and niacin intakes of NE group were lower than those of RDA and calorie intake of E group was 2.313kca1 per day. This was composed of carbohydrate 54%, protein 13% and fat 31%. Other nutrients such as iron, vitamin A, niacin and vitamin C were lower than those of RDA. Daily energy expenditure and physical activity of E group were 2,397.6$\pm$49.2kca1; 1,035.7 $\pm$36.5kcal, respectively and it was higher than those of NE group.

• 대한지역사회영양학회지
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• 제9권1호
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• pp.38-46
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• 2004

Few studies have conducted the bone health benefits of usual dietary isoflavone intake in Korean college-student women. To elucidate this benefitial effects and correlations between dietary isoflavone and nutrients intake and bone formation marker (ALPase, osteocalcin), questionnaires, anthropometric measurements, serum mineral (Ca, P, Mg) concentrations were analyzed. Fifty three subjects were used in this study. The average age, height, body weight, BMI, body fat content and triceps skinfold thickness were 21.43 year, 161.07 cm, 52.81 kg, 20.48 kg/$m^2$, 20.72% and 17.59 mm respectively. Soy food intake frequencies were soybean > soybean curd > soypaste stew > soybean milk. The average calorie, protein and Ca intake were 1766.21 $\pm62.54 kcal\;66.45\pm2.00 g\;and\; 549.62 \pm 27.55 mg$ respectively. Serum ALPase activity and osteocalcin concentration were 115.74$\pm3.6u/L$ and 7.15 ng/$m\\ell$ respectively. Usual dietary isoflavone intake was positively related to calory, protein, Ca, P intake and serum Ca, Mg concentration. Serum osteocalcin concentration was negatively correlated with isoflavone intake ($r^2$=0.28, p < 0.05). In these results, usual dietary isoflavone can support an additive effect to bone health and Ca nutrition.

• 대한화학회지
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• 제8권3호
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• pp.93-97
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• 1964

금반 한국여자대학생 28명에 대하여 소비열량과 영양상황을 조사한 결과를 요약하면 다음과 같다. 1) 본조사에 있어서 여자대학생(20-21세)의 평균신장은 157.1cm, 체중 51.75kg, 체표면적 1.5m$^2$, 기초 대사량 1303Cal, 안정시 대사량 1563Cal, 활동대사량 469Cal, 1인 1일 총평균 소비열량(요구열량) 2032Cal였다. 한편 그들의 섭취열량은 1880Cal 로서 152Cal가 소비열량보다 부족하게 섭취되어져 있었다. 2) 단백질, 철분, 비타민B1, C는 요규량에 족하였고, Calorie, 지방, 탄수화물, 칼슘, 비타민 A, B2 는 섭취량이 부족하였다. 3) 총 54종의 식품에 의하여 먹혀졌으며 주로 식물성식품(83.7%)에 의하여 영양이 공급되었고 동물성식품은 16.2%밖에 공급되지 않았었다. 또한 수산동식물성 식품은 불과 7.4% 밖에 영양을 주지 못한 식성구성을 이루고 있었다.

• 농촌의학ㆍ지역보건
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• 제35권2호
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• pp.165-176
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• 2010

본 연구는 비만 중년 여성에서 절식과 여러 수준의 유산소 트레이닝을 실시한 후 운동 중단이 지단백 및 신체 조성에 미치는 영향을 규명하기 위하여 실시하였다. 연구대상자는 목포시에 거주하고 있는 체지방율이 30% 이상인 중년 여성 30명이었다. 이들을 무작위로 10명씩을 절식만 하는 대조군, 절식과 40% 강도 운동을 하는 군, 절식과 60% 강도 운동을 하는 군으로 배정하였다. 8주간의 운동프로그램은 운동부하 테스트를 실시하여 최대산소섭취량에 상응하는 최대심박수에 따라 실시하였다. 이 후 운동 중단 4주와 8주차의 신체적 변화 및 혈중지질의 변화를 측정하였다. 연구 결과 비만 지표의 변화는 다음과 같다. 첫째, 체중은 40% 운동군과 60% 운동군에서 운동8주후에 유의한 감소를 하였으며, 운동중단 후 다시 증가하였다. 둘째, BMI는 40% 운동군과 60% 운동군에서 운동 8주후에 유의한 감소를 하였으며, 운동중단 후 다시 증가하였다. 셋째, 체지방율는 40% 운동군과 60% 운동군에서 운동 8주후에 유의한 감소를 하였으며, 운동중단 후 다시 증가하였다. 혈중 지질의 변화는 다음과 같다. 첫째, 총콜레스테롤(TC)은 40% 운동군과 60% 운동군에서 운동시기별로 유의한 차이를 나타냈으며, 운동직후 집단간에도 차이가 나타났다. 둘째, 중성지방(TG)의 경우 40% 운동군, 60% 운동군에서 운동시기별 유의한 차이를 나타냈으며, 운동직후 집단간에도 차이가 나타났다. 셋째, 고밀도지단백 콜레스테롤(HDL-C)의 경우 60% 운동군에서 운동직후 유의한 상승을 나타냈으며, 시기별 집단간에는 차이가 없는 것으로 나타났다. 넷째, 저밀도지단백 콜레스테롤(LDL-C)의 경우 40%, 60%에서 운동시기별 유의한 차이를 나타냈으며, 운동 직후 집단간에도 차이가 있었다. 결론적으로 일일 500kcal의 절식과 최대산소섭취량의 40% 운동과 60% 운동 강도를 8주간 실시하는 것은 체중조절을 위한 충분한 운동 강도와 기간이었다. 운동 중단을 하면 운동전 상태로 회귀하는 요요 현상이 나타났다. 그러나 운동 중단 후 4주 정도는 운동 효과가 아직 남아있으므로 운동을 그만 두더라도 적어도 1달 이내에 운동을 다시 시작하면 운동의 효과가 지속 될 수 있을 것으로 생각된다.

• Journal of Nutrition and Health
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• 제32권7호
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• pp.787-792
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• 1999

The purpose of this study was to estimate the iron availability and to analyze dietary factors which influence hematological indices of 130 female adolescents with iron deficiency anemia. Intakes of iron and other nutrients were estimated using a self-administrated questionnaire combined with the 24-hour recall mehtod and iron availability was calculated by Monsen's method. Mean daily intakes of calorie, protein and vitamin C were 1631.0kcal(77.7% of RDA), 54.7g(84.2% of RDA) and 45.7mg(83.0% of RDA), respectively. In terms of iron, mean daily intake was 8.7mg(48.3% of RDA) and heme iron intake was 3.0mg which correspond to 34% of total iron intake. The amount of total absorbable iron was 1.5mg and the estimated bioavailability of dietary iron was 17.2%. In summary, intake of several nutrients for most of the subjects were under RDA. Dietary factors affecting hematological indices were analyzed by stepwise multiple regression. Intake of vitamin C was a major determinant of Hb level, while both intake of enhancing factor and iron availability were major determinants of serum ferritin level. In conclusion proper nutritional education and guidance for iron deficiency anemic female adoalescent needs to be developed and to improve their iron storage should be increased intakes of enhancing factors, female adoalescents.

• 대한영양사협회학술지
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• 제22권4호
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• pp.292-309
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• 2016

The purpose of this study was to verify the validity of Mealworms as a hospital meal with increased nutrition density. We provided a meal for postoperative patients and conducted analysis of dietary intake and nutritional status of patients and assessment of acceptability of the meal. This study was carried out as a randomized control trial. Patients were supplied either a hospital meal using Mealworms (Experimental group) or a regular hospital meal (Control group). We investigated the administration amounts of parenteral nutrition (PN) and food intake of patients after surgery and measured anthropometry, body composition, and blood tests before surgery and at hospital discharge. We included 34 postoperative patients who were admitted to Gangnam Severance Hospital from March to September. In the groups of patients not supplied with PN, the experimental group ($964.68{\pm}284.6kcal$, $38.82{\pm}12.9g$) had significantly higher dietary calorie and protein intake than the control group ($666.62{\pm}153.7kcal$, $24.47{\pm}4.9g$)(P<0.05). Additionally in the group of patients not supplied with PN, the experimental group (1.37%) showed a significantly higher increase in fat free mass index than the control group (-3.46%)(P<0.05). In all subjects, calorie density and protein density were significantly higher in the experimental group (P<0.001), and acceptability of calorie (P=0.036) and protein (P=0.001) was also significantly higher in the experimental group. Therefore, the results of this study support the validity of the introduction of hospital meals using Mealworms.

• Journal of Korean Biological Nursing Science
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• 제15권4호
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• pp.193-201
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• 2013

Purpose: The purpose of the study was to evaluate the effect of the immediate postoperative nutritional status and calorie adequacy on clinical outcomes in liver transplant recipients. Methods: A total number of 99 patients who received liver transplants were recruited from a tertiary university hospital. Demography, subjective global assessment, clinical outcomes and calorie adequacy were evaluated through personal interviews, electronic medical records and dietary records. Anthropometric measures, body mass index and percent of ideal body weight were also obtained. Results: At admission to the Surgical Intensive Care Unit (SICU), the triceps skinfold thickness and mid-arm muscle circumference were significantly lower in the malnourished group than in the well-nourished group (p<.05, respectively). In the clinical outcomes, transfusion of red blood cells, mechanically ventilated hours, length of stay in the Intensive Care Unit (ICU), length of stay in the hospital, and prothrombin time were significantly higher in the malnourished group than in the well-nourished group (p<.05, respectively). The mechanically ventilated hour was significantly higher in the group with less than 50% of their required energy intake (p<.05). Conclusion: Therefore, it is important to assess the nutritional status of immediate postoperative patients. Furthermore, studies on nutritional interventions are urgently needed to provide adequate nutritional care for patients in ICUs.

• Journal of Nutrition and Health
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• 제45권4호
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• pp.315-323
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• 2012

Korean undergraduate students attempt to lose weight but often fail due to utilizing ineffective weight loss strategies. Some diet programs have succeeded, yet, they have not provided adequate skills for long-term weight maintenance. The aim of the study was to determine the effect of a low calorie diet and exercise with nutritional education on weight loss, serum lipid profiles, nutrient intakes, and dietary behavior modification in overweight and obese undergraduate students. The subjects in the low calorie diet group (LCD; n = 12) and the low calorie diet plus exercise group (LCDE; n = 13) had the same goal of losing 4 kg during a 12 week program. Nutrient intakes were assessed by the 24 hour recall method. Also, food habits and dietary behaviors were investigated by self-administered questionnaires before and after the weight control program and one month after completing the program. LCD and LCDE groups lowered body weight by 2 kg and 1 kg, respectively, although they decreased calorie intake by 355 and 287 kcal per day compared to intakes prior to the study. Body fat mass decreased in both the LCD and LCDE groups; however, the decrease was greater in the LCDE group. In addition, only the LCDE group increased muscle mass. The LCD group had a slightly better effect in reducing body weight, body fat, and waist circumference than the LCDE group. However, their decrease was reversed after the mid-study check in the LCD group; the reduction was better maintained and decreased more in the LCDE group. However, serum lipid profiles were already in borderline prior to the study; moreover, they were not modified after losing weight. The dietary behavior program helped students to develop better dietary habits. In conclusion, the combination of a low calorie diet and exercise is necessary in order to maintain longer weight loss by increasing muscle mass and decreasing body fat.