• 제목/요약/키워드: dietary counseling.

검색결과 227건 처리시간 0.028초

커뮤니티케어 대상 노인의 NQ-E 지수 기반 개별영양상담 효과성: 복합만성질환과 삶의 질 개선에 관한 중재 연구 (Effectiveness of NQ-E index-based individual nutrition counseling for community-care elderly: an intervention study on improving nutritional status, complex chronic diseases, and quality of life )

  • 최윤정;이지현;임희숙;박유경
    • 대한지역사회영양학회지
    • /
    • 제28권6호
    • /
    • pp.480-494
    • /
    • 2023
  • Objectives: This study sought to assess the effectiveness of community-based nutrition counseling on improving nutritional status, managing complex chronic diseases, and enhancing the quality of life for elderly individuals with chronic conditions, particularly in older adults with high levels of food insecurity and multiple chronic illnesses. Methods: Thirty elderly subjects with diabetes and hypertension who were registered at local Senior Welfare Center received individualized nutrition counseling, based on their Nutrition Quotient for the Elderly (NQ-E) index. Over a 16-week period, they received tailored counseling and underwent various health and nutritional assessments. The final analysis included 28 participants after two dropped out. Data analysis was conducted using the SPSS v28.0. Results: The subjects were over 70, with multiple chronic diseases including diabetes and hypertension and predominantly female. After 16 weeks, significant improvements were observed in the subjects' grip strength, and HbA1c levels, as well as in their NQ-E scores, indicating improved dietary balance and diversity. There were no significant improvements in the 'Moderation' subdomain of the NQ-E index, suggesting that this aspect requires further attention in nutritional counseling. The subjects' nutritional risk scores (NSI) were also significantly decreased, indicating less nutritional risk. Lastly, as measured by the SF-36K, the subjects' quality of life showed significant improvement in several domains including physical role performance and social function. Conclusions: This study demonstrates that tailored nutrition counseling, based on the NQ-E index, can improve elderly health, manage chronic diseases, and enhance quality of life. This approach potentially broadens the scope of community nutritionists' roles within an aging society. However, additional research is necessary to evaluate these interventions' long-term effects and sustainability.

노인들의 건강식품 관련 문제 경험에 대한 대응 행동에 관한 연구 (A Study on the Reaction towards Damage Related to Health Foods among the Elderly)

  • 김효정;김미라
    • 동아시아식생활학회지
    • /
    • 제18권4호
    • /
    • pp.608-617
    • /
    • 2008
  • This study examined the level of reaction towards damage related to health foods and the factors affecting this reaction among the elderly. Data were collected from 269 elderly individuals living in Seoul, Daejeon, Daegu, Gwangju and Busan. Frequencies, chi-square tests, and a multinomial logistic regression analysis were performed using the SPSS v. 14.0 program. When asked about their reaction towards damage related to health foods, approximately 48% of the respondents answered 'no response', 34% answered 'private response', and 18% answered 'public response'. Multinomial logistic regression analysis revealed that education level and awareness of health food price were significant factors influencing 'private response', and concerns about health foods and awareness of damage redemption were significant factors for 'public response'. These results imply that consumer education for elderly to prevent damage derived from the purchase and consumption of health foods is required.

  • PDF

플라스틱 및 유리제 식품용 기구의 사용 시 주의사항에 대한 라벨 표시 실태 (A Study on Current Status of Caution Labels on Cooking Utensils Made from Plastics and Glass)

  • 김명신;김효정;김미라
    • 동아시아식생활학회지
    • /
    • 제20권4호
    • /
    • pp.628-638
    • /
    • 2010
  • This study examined the current status of caution labels on cooking utensils made from plastics or glass, toward suggesting improvements in labeling for consumer's safe use. Distributors were categorized into four types, plastic kitchen utensils were categorized into seven types according to usage, and glass kitchen utensils were categorized into two types. Generally, the percentage of cooking utensils made from plastics or glass that have caution labels were not high. For the types of labels on cooking utensils made from plastic and glass, stickers were the most frequently used, and of these, a high percentage scored "fair" in label perception. On the basis of these results, regulations are needed to strengthen caution labels for kitchen utensils.

메밀식이가 제 2형 당뇨환자의 혈당과 혈중지질 대사에 미치는 영향 (Effects of Buckwheat Diet on Serum Glucose and Lipid Metabolism in NIDDM)

  • 이정선
    • Journal of Nutrition and Health
    • /
    • 제28권9호
    • /
    • pp.809-816
    • /
    • 1995
  • We have studied the effects of buckwheat diet on serum glucose and lipid metabolism in 9 NIDDM volunteers during 2 weeks. The subjects were given dietary counseling in their own homes at 2-3 day intervals throughout experimental periods and the dietary intake were determined by interview and record methods. The intake of calorie, carbohydrate, protein and fat during the buckwheat diet period were not significantly different compared with control diet and body weight was maintained within 1-2kg. The mean total glycohemoglobin, fructosamine, total cholesterol and LDL-cholesterol levels at the end of buckwheat diet were significantly lower than the end of control diet (P<0.05). Fasting serum glucose, insulin and HDL-chloesterol levels were slightly decreased. The mean triglyceride level was increased but it was not significant. These results indicate that buckwheat diet is an effective therapeutic regimen for the control of metabolic derangements in diabetes mellitus.

  • PDF

소비자의 식품 위해요인에 대한 인식도 및 식품 안전에 대한 정보탐색 행동 (Consumers' Awareness of the Risk Elements Associated with Foods and Information Search Behavior Regarding Food Safety)

  • 김효정;김미라
    • 동아시아식생활학회지
    • /
    • 제19권1호
    • /
    • pp.116-129
    • /
    • 2009
  • The study was conducted to evaluate consumer awareness of the risk elements associated with foods and their information search behavior regarding food safety. The data were collected from 504 adult consumers living in Seoul, Busan, Incheon, Daegu, Daejeon, and Gwangju through a self-administered questionnaire on August, 2006. Frequency analyses, t tests, one-way analysis of variance, and Duncan's multiple range comparison tests were conducted to analyze the responses using SPSS v. 14.0. The levels of recognition of consumers regarding each risk element were generally low. Many respondents answered that they obtained information regarding food safety from TV/radio/newspapers and family/relatives/friends/neighbors. The respondents also indicated that they had strong confidence in the information from family/relatives/friends/neighbors. Additionally, most respondents required information regarding heavy metal contamination, endoctrine disruptors, and avian influenza.

  • PDF

다이어트 경험 대학생의 다이어트 행동 실태와 관련 요인 분석 (A Study on Diet Behaviors and Related Factors in Dieting College Students)

  • 김미라;김효정
    • 동아시아식생활학회지
    • /
    • 제18권1호
    • /
    • pp.135-148
    • /
    • 2008
  • This study examined the dieting behaviors and diet-influencing factors among college students in the Youngnam region. The data were collected by a self-administered questionnaires during May, 2007. One hundred-ninety samples were ultimately analyzed by SPSS Windows. The results were as follows. First, when comparing calculated BMI with perception of individual body image, many respondents regarded themselves as overweight although they were within normal BMI. Second, over four-fifths of the respondents indicated they were concerned with diet, and many respondents answered that they needed education and information on dieting. In terms of diet knowledge, the mean for correct answers was 77.9%. Mass media were very important sources for acquiring diet information, and the most popular dieting method was fasting therapy. The results of regression analyses to determine the factors affecting several dieting practices showed that grade, monthly allowances, diet awareness, diet knowledge, perception of individual body image, and BMI were significant.

  • PDF

유아의 기질 및 성격과 식행동 간의 관련성 (The Association between Children's Dietary Behavior and Temperament & Character)

  • 김남희;김미현
    • 한국식품영양학회지
    • /
    • 제27권6호
    • /
    • pp.979-989
    • /
    • 2014
  • The purpose of this study was to investigate the association between dietary behavior and temperament & character in preschool children, and to offer basic data that can be applied for nutrition education and counseling. A total of 211 parents of preschool children aged 3~5 years performed the Korean version of Preschool Temperament and Character Inventory (K-psTCI), a questionnaire based on Cloninger's seven-factor model of personality, along with a questionnaire about the dietary behaviors of their children. K-psTCI represented seven factors such as harm avoidance (HA), novelty seeking (NS), reward dependence (RD), persistence (P), self-directedness (SD), cooperativeness (CO), and self-transcendence (ST). The subjects were divided into either the high rank group or low rank group based on the mean score of each factor. The high rank group of HA showed significantly less physical activity and less appetite than the low rank group of HA. The children in the high rank of NS were more likely to have picky eating and a late night snack. The children in the low rank of SD or CO were more likely to have undesirable dietary behaviors, such as picky eating, too much snacking, and lower appetite than those in the high rank of SD or CO. In conclusion, individual temperament & character in preschool children may be associated with their dietary behavior, and understanding temperament & character in children may be important facts to screen and to develop an effective nutrition education program for children.

고콜레스테롤혈증 환자에서 식사요법이 혈청 지질농도에 미치는 영향 (Effect of Dietary Therapy on Blood Lipid in Outpatients with Hypercholesterolemia)

  • 임현숙;신민정;정남식;조승연;김성순
    • 대한영양사협회학술지
    • /
    • 제7권4호
    • /
    • pp.313-319
    • /
    • 2001
  • High serum cholesterol level is a major risk factor for coronary heart disease(CHD). Nutrition therapy of hypocholesterolemic diets with increased physical activity is the essential step in the treatment of the hypercholesterolemic patients. The purpose of this study was to evaluate the short-term effect of intensive dietary therapy combined with regular exercise in lowering serum cholesterol level. Seventy three hypercholesterolemic outpatients(mean: 268.0$\pm$24.7mg/dL), aged 34 to 73(mean: 56$\pm$9.8yrs), who visited cardiology OPD of Yonsei Cardiovascular Center from April through October, 1998 were studied. Anthropometric measurements, usual nutrient intake survey using semiquantitative food frequency questionnaire, and daily nutrient intake analysis were performed. The nutrition counseling for the hypocholesterolemic diet and exercise therapy was performed individually. After a 4 week intensive dietary therapy, comparisons of body weight, nutrient intakes, and blood lipid concentrations were evaluated for the hypocholesterolemic effect of intensive diet therapy. After 4 weeks of intensive diet therapy, significant reductions in percent ideal body weight(p<0.01), saturated fat intake(p<0.01), and cholesterol intake(p<0.01) were observed. There were significant reductions in serum total cholesterol and LDL-cholesterol levels after 4 weeks of therapy by 8.1%(p<0.01) and 9.7%(p<0.01), respectively. Our results showed that intensive dietary therapy was effective in reductions of serum total and LDL-cholesterol levels. The goal for this dietary modification should not be temporary but rather be permanent in eating behavior accompanied by appropriately increased physical activity.

  • PDF

부산시교육청 영양교육체험센터 식생활 진단 시스템을 활용한 초등학생의 체중급별에 따른 영양·식생활 위험요인 비교 (Examining Nutritional and Dietary Risk Factors Across Weight Classes in Elementary School Students using Busan Office of Nutrition Education Center's Dietary Diagnosis System)

  • 송진선;한영신;이경아
    • 대한영양사협회학술지
    • /
    • 제29권4호
    • /
    • pp.199-210
    • /
    • 2023
  • This study was undertaken to analyze the growth, nutritional, and dietary risk factors of elementary school students belonging to the Busan Metropolitan City Office of Education and provide the basic data needed to develop an underweight and obesity prevention program. In 2021, BMI and Dietary Screening Test (DST) data of 4,046 children surveyed by the Nutrition Education Experience Center's "Diagnosis System" of the Busan Regional Office of Education were analyzed. The DST consists of 36 questions about lifestyle habits, meal quality, meal regularity, snack quality, and eating behavior. Of the children included, 6.8% were underweight, 65.4% were normal weight, 13.4% were overweight, and 14.4% were obese. Children in the obesity group had shorter sleep and meal times (P<0.001), lower vegetable and fruit consumption frequencies (P<0.001), higher fast food consumption frequencies (P<0.001), higher rates of skipping meals (P<0.01) and breakfast (P<0.001), and more frequently used smartphones and watched TV during meals (P<0.001). The underweight group had the highest scores for all eating development factors but more frequently had chewing and swallowing difficulties (P<0.001). The study confirms underweightedness and obesity are present different problems and indicates that nutrition teachers should conduct accurate studies on the eating habits and behaviors of obese and underweight students and provide individually tailored nutritional counseling.

생활습관개선 프로그램이 성인의 식이행동과 신체활동 및 심혈관위험요인에 미치는 효과: 중재 3개월 결과를 중심으로 (Short-term Effects of a Lifestyle Intervention Program on Eating Behaviors, Physical Activity and Cardiovascular Risks in Korean Adults)

  • 박지연;김혜경
    • 보건교육건강증진학회지
    • /
    • 제31권4호
    • /
    • pp.37-49
    • /
    • 2014
  • Objectives: The aim of this study was to evaluate the effects of a lifestyle modification program for Korean adults with cardiovascular disease risk factors on their health behaviors and health status. Methods: A total of 448 adults with abdominal obesity and additional cardiovascular disease risk factors(high blood pressure, low HDL-cholesterol, high triglyceride or high blood glucose) were randomly assigned to either an intensive intervention group (IIG, n=216) or a minimal intervention group(MIG, n=232). Participants in the IIG received lifestyle modification program which consisted of health counseling with nutrition assessment, health booklet and health diary, while those in MIG received minimal information. Results: The participants in the IIG significantly improved dietary habits(p<.05), retrained eating(p<.001), external eating(p<.01) behaviors, leisure time physical activity(p<.05), dietary self-efficacy(p<.01), exercise self-efficacy(p<.01) and MetS score(p<.001) after 3 months. In addition, the participants in the IIG showed more improvement in dietary habits(p<.05) compared with those in the MIG. Conclusion: The lifestyle modification program was effective in improving some health behaviors, behavioral determinants and cardiovascular risk factors for a short term.