• 대한지역사회영양학회지
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• 제13권1호
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• pp.80-90
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• 2008

Atopic dennatitis (AD) is one of the major public health problem. It has been reported that the prevalence of AD in children and adults are 10-20% and 1-3%, respectively. Westernization of food habits, urbanization, and environmental pollution are contributing factors toward the recent rise in prevalence. Excessive dietary restriction leads to chronic malnutrition in atopic dermatitis patients. The purpose of this study was to investigate the effects of medical nutrition therapy (MNT) on quality of diet and blood immune parameters in atopic dermatitis patients. The 19 atopic dermatitis patients (7 men and 12 women) admitted to K University Medical Center were studied. During the 12 weeks of intervention, the subjects were given MNT by a dietitian for 30-45 minutes every other week. MNT was comprised with general dietary therapy, intake of balanced meals, emphasis on n-3 fatty acid contents in foods, and food allergies. Anthropometric and dietary assessment and blood analysis were taken at baseline and after 12 weeks of MNT. After 12 weeks of MNT, the subjects' dietary qualities, including dietary diversity score (DDS), meal balance score (MBS) and dietary variety score (DVS) were significantly increased (p < 0.05). According to significantly increased intake of EPA and DHA, dietary n-6/n-3 fatty acid ratio decreased to the recommended level for the atopic dermatitis patients (p < 0.05). These changes of dietary fatty acid consumption were reflected erythrocyte fatty acid composition. After 12 weeks of MNT, serum levels of IgE and IL-4 levels were significantly decreased, however, the levers of INF-$\{gamma}$, WBC, lymphocyte and TLC were not changed. As a conclusion, the individualized MNT improved the quality of diet in atopic dermatitis patients thereby influenced RBC fatty acid composition and IgE and IL-4 levels.

• Childhood Kidney Diseases
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• 제2권2호
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• pp.125-132
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• 1998

목 적 : 초기만성신부전증에서 저단백식이를 항고혈압제와 병행 투여하였을 때 저단백식이 단독 투여 때보다 만성신부전의 진행속도 및 혈압조절에 어떠한 영향을 주는지 알기 위하여 저자들은 실험동물 백서를 이용하여 excision remnant kidney model로 만성 신부전을 유발시켰다. 방 법 : 5/6신 절제술로 만성 신부전을 유발시킨 백서를 순술 제 7일부터 무작위로 저단백식이 ($6\%$단백식이) 단독투여군, 저단백식이 enalapril 투여군 (식수 1 L당 50 mg),저단백식이 nicardipine 투여군 (사료 g당 0.2mg)로 나누어 신절제술후 4주, 12주, 16주에 단백뇨의 변화, 신 조직의 mesangial matrix expansion score 및 morphometric analysis로 분석한 사구체용적의 변화를 비교 분석하였다. 결 과 : 1)저단백식이 단독투여군은 신절제술후 계속 혈압이 증가됨을 볼 수 있었으며, 저단백식이 항고혈압제투여군은 신절제술후 8주부터 항고혈압제 투여 7주 후부터 저단백식이 단독투여군에 비해 혈압이 조절되기 시작하였다. 2)신절제술후 16주 째의 24시간 뇨단백은 세군 모두 크게 증가되지 않았으나 저단백식이 enalapril 투여군, 저단백식이 nicardipine투여군은 저단백식이 단독투여군에 비해 24시간 뇨단백의 양이 통계적으로 의미있게 낮았다. 3) 신절제술후 16주째 크레아티닌 청소 율은 저단백식이 단독투여군은 $1.57{\pm}0.11\;mL/min$, 저단백식이 enalapril 투여군 $1.37{\pm}0.14\;mL/min$, 저단백식이 nicardipine 투여군 $1.11{\pm}0.16\;ml/min$ 이었다. 4) 저단백식이 단독투여군의 잔여 신장무게는 신절제술후 4주 $1.33{\pm}0.04g$, 12주 $1.45{\pm}0.05g$, 16주 $1.44{\pm}0.16g$으로 12주 이후 잔여 신장무게의 증가를 관찰할 수 없었다. .신절제술후 16주에 관찰한 저단백식이 단독투여군과 저단백식이 항고혈압제투여군간의 잔여 신장무게는 통계적인 차이는 없었다. 5) 저단백식이 단독투여군의 mesangial matrix expansion score는 12주째 증가소견을 보였고 저단백식이 항고혈압제투여군은 항고혈압제 투여에도 불구하고 12주 이후 mesangial matrix expansion score의 의미있는 증가소견이 없었고 세군 간의 차이도 없었다. 6) 저단백식이 단독투여군의 사구체용적은 12주째 증가소견을 보였고 저단백식이 항고혈압제 투여군은 항고혈압제 투여에도 불구하고 12주 이후 사구체용적의 의미있는 증가소견이 없었고 세군 간의 차이도 없었다. 결 론 : 초기만성신부전증에서 저단백식이는 혈압을 조절시키지 못하였고 저단백식이 항고혈압제투여군은 저단백식이 단독투여군보다 혈압조절 및 단백뇨의 감소 소견은 유의한 차이를 보였으나, mesangial matrix expansion score,대상성 사구체비대는 통계적으로 유의한 차이를 보이지 않았다. 그러므로 만성신부전의 진행을 지연시키는데 있어서 저단백식이와 함께 항고혈압제를 추가하였을 때 항고혈압제에 의한 추가적인 지연 효과는 관찰되지 않았다.

• 동의신경정신과학회지
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• 제14권1호
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• pp.183-192
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• 2003

Objective : Obesity is related to psychological problems as well as physical problems. This study was designed to investigate the depression of over weight and normal group who visited to obesity clinic for diet therapy. Methods : 67 patients were selected(obesity group 42, normal group 25), they were treated medically in obesity clinic of Dong-Seo Oriental Hospital. We checked age, sex, education level, relative weight, BMI and Beck Depression Inventory(BDI) in two group. Results : The results were summarized as followed. 1. The ratio of Relative Weights are $137.45{\pm}12.77$ in over weight group, $108.48{\pm}9.11$ in normal group. 2. The ratio of BMI are $28.61{\pm}2.94$ in over weight group, $23.04{\pm}1.83$ in normal group. 3. The results of BDI score are $10.60{\pm}7.15$ in over weight group, $12.56{\pm}8.33$ in normal group. Conclusions : These results suggested that the patients who participated in diet therapy had mild depression and we should pay attention to psycological problem as well as the physical problem when we treat obesity.

• 대한지역사회영양학회지
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• 제13권5호
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• pp.674-681
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• 2008

Hospital malnutrition could be caused by not completing the food served in the hospital. This has been a big problem since it delays the recovery of the patient and extends the length of hospital stay. The purpose of the study was to reduce the plate waste for the DM diet by performing several nutrition service improvement activities. The study was performed in a general hospital with 900 beds. A questionnaire survey was taken by 39 DM patients to obtain their aspect of the hospital foodservice systems and the quality of the meals at the beginning of the study. The amounts of foods served in the hospital kitchen and returned were measured by weights. After the improvement activities, the measurement of the plate waste was performed again for comparison. The average percentage of plate waste for the DM diet was 23.2%. The survey showed no difference by sex, age or duration of admission in plate waste. However, this food wastage percentage showed differences between the patients having a chance to get information about the diet therapy (12.21%) and not having one (26.06%) (p < 0.05). Using a five-point Likert-type scale, the quality of food by its taste was 2.49 (1: very poor, 5: excellent), the temperature score was 3.56 (1: very poor, 5: excellent), and the amount of food served score was 2.95 (1: very poor, 5: excellent), and the preference score was 3.13 (1: very dislike, 5: very like). Nutritional care improving activities were performed by adjusting seasonings, developing new menus, and standardizing cooking methods in order to increase the satisfaction of meal quality. The dietitian's inpatients care protocol was adjusted to expand the nutritional counseling chance for the DM patients. After the improvement activities, the average plate waste was reduced to 14.6%, and the satisfaction of food taste and preference increased to 3.21 (p < 0.001), and 3.36 (p < 0.05) correspondingly. The result shows that, for therapeutic diet patients, food intake could be increased by improving the food service satisfaction by controlling the meal quality and clinical nutritional service activities.

• 동아시아식생활학회지
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• 제5권1호
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• pp.7-19
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• 1995

This study was conducted to evaluate the nutritional status and diabetes management of diabetic patients in the Health Center. General characteristics, food habits, food intakes and the knowledge about diet therapy were investigated from ninety one diabetes subjects. Anthropometric assessment such as weight, hight, triceps skinfold thickness, and biochemical measurement of fasting blood glucose(FBG), post prandial 2 hours blood glucose(PP2), and hemoglobin A1c(HbA1c) were obtained form the subjects. The results were summarized as following : 1. The average of age was 60.9 years old and 83.5% of subjects was illiterate and primary school graduated. 2. Relative Body Weight(RBW) and % body muscle were 96.18${\pm}$13.6 and 33.56${\pm}$7.01%, respectively. Obese subjects whose body weight exceeded 120% of the ideal values were 3.3%. 3. The 86.8% of subjects were managed by oral hyperglycemic agents. 4. The mean of FBG, PP2, HbA1c were 140.75${\pm}$44.43mg/㎗, 7.60${\pm}$1.88%, respectively. 5. The mean daily intake of calorie was 1407㎉, and 73.6% of subjects lower caloric intake than prescribed calorie. when the degree of dietary compliance was expressed as Tunbridge score, 18.7% of total subjects was grouped as satisfactory, where as 20.9% and 60.4% could be considered as tolerable and hopeless, respectively. The nutrients intake were lower than RDA except for Vitamin A and Vitamin C and the ratio of carbohydrate : protein : fat was 72 : 14 : 14. 6. The mean score of knowledge test about diet therapy was 3.52${\pm}$2.19 out of possible 14.00 points. The above results suggested that the most of diabetic patient showed the poor nutritional status and they faced the lack of knowledge about diabetes management.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제9권2호
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• pp.210-217
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• 2006

목 적: 소아 크론병의 치료방법으로 스테로이드가 주로 사용되어 왔으나 스테로이드는 부작용이 많으며 특히 소아에서는 성장지연을 초래할 수 있다. 최근 성분식이 요법이 크론병의 치료에 도입되어 몇몇 장점들이 보고되고 있다. 이에 본 연구에서는 소아 크론병의 치료로서 사용된 성분식이 요법의 임상적 효과에 대해서 평가하고자 하였다. 방 법: 2001년부터 2005년까지 서울아산병원 소아과에서 크론병으로 진단된 환아 중 성분식이 요법을 받은 환아 11명과 스테로이드 치료를 받은 환아 19명의 의무기록지를 통하여 병의 관해, 재발, 성장에 미치는 영향을 후향적으로 비교 분석하였다. 결 과: 성분식이 요법을 시작한 11명 중 10명과 스테로이드 치료를 시작한 19명 중 18명에서 1년간 치료를 지속할 수 있었다. 치료 6주 안의 관해율에 있어서는 성분식이 군과 스테로이드 군 사이의 통계학적인 유의성은 없었다. 1년간의 경과 관찰기간 중 성분식이 군의 재발률은 스테로이드 군에 비해 유의하게 낮았다. 1년 뒤의 키성장을 z-score를 사용하여 비교하였으며 성분식이 군의 delta z-score는 $0.37{\pm}0.36$, 스테로이드 군은 $0.29{\pm}0.44$였으나 유의성은 없었다. 1년 뒤의 체중의 경우, 성분식이 군의 delta z-score가 $0.64{\pm}0.60$였고 스테로이드 군은 $0.63{\pm}0.84$였으나 역시 유의성은 없었다. 결 론: 성분식이 요법은 크론병의 관해, 성장 면에서 스테로이드와 차이가 없었으나 유의하게 낮은 재발률을 보였다. 이에 소아 크론병의 1차 치료로서 성분식이 요법을 사용할 수 있을 것으로 생각되나 이에 대한 보다 많은 환자를 대상으로 한 연구가 필요하다고 생각된다.

• Journal of Nutrition and Health
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• 제33권2호
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• pp.193-201
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• 2000

This study was conducted to investigate the effectiveness of nutrition counseling on the dietary intake and nutritional status cancer patients undergoing radiotherapy treatment. The study was conducted over 6 week period and included 104 patients : 66 received nutrition counseling as the variable group of 42 male and 24 female and 38 patients received no counseling as the control group of 19 male and 19 female. Nutrition counseling was accompanied with the radiation therapy and adminstered via counseling session and distribution of printed material during radiation therapy for 6 weeks. Nutrition counseling aimed at maintaining a balanced diet and preventing weight loss of subjects, guideline used for energy and protein intake were 35kcal/kg IBW and 1.5-2.0g/kg IBW, respectively. Over the course of the study, the counseling group increased significantly in comparison to the control group's energy intake, evidenced by the counseling group's initial mean daily energy intake of 1932.0kcal, and 4 and 6 week mean energy intake values of 2046.6kcal, 2066kcal, respectively. But mean energy values of control group was 1614.3kcal at 4 week. Th energy intake per weight values and protein intake per weight values for initial, 4 and 6 week intervals for counseling group were 33.2kcal/kg, 33.7kcal/kg, 34.0kcal/kg, and 1.48g/kg, 1.58g/kg, 1.59g/kg, respectively. Based on results, nutrition counseling had positive effects on both the variety of diet and energy intake of the variable group, mostly due to an increase in dairy product and egg consumption. In addition, the percentage of counseling group patients who consumed all 5 food group increased from 48.5% to 54.5%. Sufficient energy intake and protein consumption seem to be important factors in weight loss prevention, evidenced by weight gain by subjects in the counseling group who had 36.1kcal/kg/day mean energy intake and 1.77g/kg/day mean protein intake after 4 weeks. Counseling group subjects experiencing weight loss had lower intake and 1.77g/kg/day mean protein intake after 3 weeks. Counseling group subjects experiencing weight loss had lower intakes of 29.3kcal/kg/day for energy and 1.33g/kg/day for protein during the same period. Another significant factor in weight loss prevention of the counseling group could be the variety of diet. The dietary variety scores(DVS) of both counseling and control groups differed significantly : the counseling group had a mean score of 34 while the control group of patients. At the end of the study, the mean percentage of subjects within each group having a DDS 5 was higher in the counseling group (54.5% v.s. 24.0%). In this study, nutrition counseling for cancer patients undergoing radiation therapy proved to be effective in preventing weight loss, a major complication during radiotherapy. Nutrition counseling not only increased protein and energy intake, but also had desirable effects on variety or diversity of diet.

• Nutrition Research and Practice
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• 제3권4호
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• pp.307-314
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• 2009

This study was conducted to evaluate the effects of a body weight control program with supplementation of sea tangle (20 g/day) on 22 female college students. The contents of the program for 8 weeks contained diet therapy, exercise and behavioral modification through nutrition education. Body composition, dietary habit scores, serum lipid profiles, daily nutrient intakes and the quality of life were assessed at the beginning and at the end of the program. Average age of subjects and height were 20.8 years and 161.9 cm, respectively. After 8 weeks, there were significant reductions in body weight, body fat mass, percent body fat, waist-hip ratio and BMI. The dietary habit score such as a balanced diet, regularity of mealtime, overeating, eating while watching TV or using the computer and eating salty food were increased significantly. Serum lipid levels such as total cholesterol level, LDL-cholesterol level and triglyceride level were decreased but not significantly. There were decreases in intake of energy, protein and fat and increases in intakes of dietary fiber, folic acid, calcium and potassium from the beginning to the end of the program. There were significant improvements on subcomponents of quality of life; physical functioning, general-health and vitality. The limitation of this study was the fact that there was no control group, but an overall evaluation suggests the 8-week body weight control program consisting of diet therapy, exercise and behavioral modification with supplementation of sea tangle would be helpful to improve the body composition, dietary habits, daily nutrient intakes and quality of life in Korean female college students.

• Journal of Nutrition and Health
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• 제27권2호
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• pp.172-180
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• 1994

This study showed the psychological symptoms, nutritional status and eating behaviors of diabetic patients. General informations on subjects nutritional status were collected by questionnaire, whereas Symptom Check List-90-Revision(SCL-90R) was used for gathering the data related to psychological problem. 34 diabetics in the hospital, aged 49$\pm$10.5 years old, were chosen as the subjects of this study. Their average height was 162.3$\pm$9.4cm and weight was 57.0$\pm$9.5kg. The average period of their suffering from DM was 54.1 weeks. Among, the subjects, 71.0% adapted diet therapy for their disease, whereas 36.7% and 40.7% did diabetic drugs and daily exercise like walking and jogging, respectively, Among 9 psychological symptoms observed, the scores of somatization, depression, anxiety, phobic anxiety and psychoticism were higher than the standard score, however they were not statistically significant. The score of paranoid ideation was lower than standard score. It was statistically significant. As the measure of their clinical status, BMI(body mass index), PIBW(percent ideal body weight) and fasting blood sugar(FBS) were selected 21.6$\pm$2.8, 102.4$\pm$14.8% and 207.8$\pm$19.9mg/이 respectively. The somatization was significantly correlated with subjects duration of DM. Subjects with psychological problems showed wrong eating behaviors. The fasting blood sugar was significantly correlated with the level of depression.

• Journal of Dental Anesthesia and Pain Medicine
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• 제19권5호
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• pp.289-294
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• 2019

Background: Pain, limitations in opening, asymmetrical jaw movements, and temporomandibular joint (TMJ) sounds are the most common findings in temporomandibular joint disorders (TMDs), which causes excruciating pain, inflammation of the surrounding muscles, posterior fibers, and synovial fluid. This study aimed to evaluate and compare the effects of ultrasound heat therapy and low-level laser therapy (LLLT) in reducing TMD-related pain. Methods: This prospective study included 42 patients (age range, 25-45 years), who were divided into two groups of 21 patients each. All patients were prescribed a non-steroidal anti-inflammatory drug (NSAID) twice a day for 5 days for temporary relief of pain prior to the commencement of treatment. Patients were kept on a soft diet and asked to restrict mouth opening during the same period. Fifteen sessions of LLLT (Group A) or ultrasound therapy (Group B) were administered to the affected side. Results: Post-therapy, the mean visual analog scale score for group A and group B was 4.81 (2.01) and 6.19 (1.20), respectively; the difference was statistically significant and favoring the LLLT group. Similarly, the mean mouth opening for group A and group B was 3.99 (0.40) and 3.65 (0.41), respectively; the difference was statistically significant and favoring the LLLT group. Conclusion: Our study recommends LLLT for treating TMD-related pain with no underlying bony pathology.