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폐경 여성의 내장지방 및 식사의 질에 미치는 영양 교육의 효과 (The Effect of Nutrition Education on Visceral Fat Reduction and Diet Quality in Postmenopausal Women)

  • 백영아;김기남;이요아;장남수
    • Journal of Nutrition and Health
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    • 제41권7호
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    • pp.634-664
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    • 2008
  • 본 연구에서는 6개월간 폐경 여성을 대상으로 영양교육과 파워 워킹 프로그램을 실시한 영양교육군, 영양 교육 없이 파워 워킹 프로그램만 실시한 대조군으로 나눠 체중조절 프로그램을 실시 하였다. 그 결과, 두 군 모두 체중과 체질량 지수, 체지방량과 내장지방이 유의적으로 감소하였으나, 영양교육을 실시한 영양교육군에서 체중 감소율이 더 크게 나타났으며, 특히 폐경 여성들에게 문제 시 되고 있는 내장지방의 변화율이 더 유의적으로 감소하는 긍정적인 결과를 보였다. 또한 본 연구에서는 영양교육군 내에서 내장지방변화율에 따라 내장지방 감소율이 큰 군 (HVL group)과 내장지방 감소율이 적은 그룹 (LVL group)으로 나누어 체중조절 프로그램의 효과와 관련된 요인을 분석하였다. 그 결과 내장지방 감소율이 컸던 군에서 체중, BMI, 체지방, 복부지방, 내장지방 등의 체성분들의 변화율이 더 크게 나타났다. 혈압 및 혈액 성분에서는 수축기, 이완기 혈압과 총콜레스테롤, LDL 콜레스테롤, 중성지방, 동맥 경화 지수의 개선 정도가 더 큰 결과를 보였다. 또한 내장지방 감소율이 컸던 군이 내장지방 감소율이 적은 군에 비해 단백질, 칼슘, 비타민C의 INQ와 칼슘, 비타민 $B_1$, 비타민 $B_2$, 비타민 C의 MAR도 유의적으로 증가하여 식사의 질이 더 개선되었음을 알 수 있었다. 또한 단백질의 영양밀도 변화율은 체지방 분포의 변화율과 음의 상관관계를 나타낸 반면, 탄수화물 영양밀도의 변화율은 양의 상관관계를 나타내었고, 비타민 A 영양밀도 변화율은 총 콜레스테롤, LDL-콜레스테롤, 동맥경화 지수 변화율과 음의 상관관계를 보여, 영양교육에 따른 신체계측치 및 체성분의 변화가 영양소 섭취 변화와 관련이 있음을 보여주었다. 이는 영양 교육 및 중재에 있어 실천의 중요성을 강조하는 것으로 이를 위해서는 폐경 여성들의 대사적 특성과 더불어 생활 습관을 이해하고 만성 질병을 예방하고 올바른 식습관을 통해 건강한 삶을 유지할 수 있도록 식사의 균형성, 다양성을 포함한 권장 식사 지침을 제시하고, 적당한 식품 섭취량을 포함한 종합적인 프로그램을 개발하여야 할 것이다. 또한 이러한 페경 여성을 위한 전문적이며 체계적인 프로그램을 통해 폐경 이후 체중 및 체지방 증가를 예방하고, 나아가 만성질병을 예방, 관리할 수 있을 것으로 사료된다.

전주지역 30세 이상 남성의 식품과 영양소 섭취 형태 변화 (1991-1997) (Change on the Food and Nutrient Intake Patterns of Men over Thirty Years Old in Jeon-ju Area(1991-1997))

  • 김인숙;유현희;서은아
    • 대한지역사회영양학회지
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    • 제4권3호
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    • pp.382-393
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    • 1999
  • The objective of this study was to estimate changes on the flood and nutrient intake patterns of men over thirty years old in Jeon-Ju area. The first survey was conducted from December in 1991 to January in 1992, tile second one from January to February in 1994 and the third one from July to August in 1997. The nutrition survey using 24-hour recall method was executed to 303 subjects : 89, 82, 132 in 1991, 1994 and 1997, respectively. Results of the study are as follows : Kimchi, rice, garlic and onions were the most frequently eaten food items. Total daily intakes of foods were 85 : 15, 81 : 19 and 81 : 19 in 1991, 1994 and 1997, respectively. The average numbers of foods per person were 15.7, 20.1 and 21.9 daily in 1991, 1994 and 1997, respectively and tends to increase significantly(p<0.05). The minimum numbers of foods per person were 4, 7 and 9 and the maximum numbers of foods per person were 27, 35 and 39 in 1991, 1994 and 1997, respectively. KDDS(Korean\`s Dietary Diversity Score) is determined by how many among the five food groups (cereals, vegetables, meats, milks, oils groups)were consumed per day. Most subjects earned the KDDS "3" ; 61, 46 and 42% in 1991, 1994 and 1997, respectively. Average daily energy intakes wee 1,62㎉(72% of RDA), 2,063㎉(89% of RDA) and 1,818㎉ (79% of RDA) in 1991, 1994 and 1997, respectively. Energy intake rates of cereals : total energy intake were 65, 59, and 60% in 1991, 1994 and 1997, respectively, which were decreasing. Protein intakes were 58g(72% of RDA), 79g(107% of RDA) and 71g(97% of RDA), respectively and animal protein comprised 46, 53, and 59%, respectively ; which were increased. Fat intakes were 12g, 20g and 20g, respectively and animal protein comprised 38, 46, and 48% ; which were increased. Fat intakes were 12g, 20g and 20g, respectively, of which animal fat comprised 46, 53, and 59%, respectively ; which were increased, too. Malnourished (under 75% of RDA) rates were respectively 64, 34, and 47% in terms of energy ; 64, 31 and 33% in protein ; 67, 51, and 61% in calcium ; 53, 26, and 18% in iron ; 85, 74 and 84% in Vitamin A. Super-nourished(above 125% of RDA) rates were respectively 1, 13, and 3% in energy ; 1, 29, and 21% in protein ; 5, 18, and 7% in calcium ; 16, 31, and 7% in iron ; 16, 31, and 7% in Vitamin A, 42, 76, and 62% in Vitamin C. The percentages of calories from protein : fat : carbohydrate were 14 : 12 : 74, 15 : 16 : 69 and 16 : 17 : 67 in 1991, 1994 and 1997, respectively. KDDS(number of five food groups per day), Meal Balance(number of five food groups per meal), DVS(average numbers of foods per person), amount of foods correlated positively with all the nutrient intakes(p<0.05). KDDS was positively correlated with energy, protein, fat, calcium, thiamin, riboflavin and niacin(p<0.05)in(p<0.05)

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중국(中國) 성인(成人) 남성(男性)의 체형연구(體型硏究) II - 북경(北京) 상해(上海)를 중심(中心)으로 - (A Study on the Body Types of the Chinese men II - Focusing on Beijing and Shanghai -)

  • 임순;손희순;김지연
    • 패션비즈니스
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    • 제5권1호
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    • pp.17-33
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    • 2001
  • The purpose of this study is to offer the basic data for chinese men' clothing construction. This study analyzes characterization and classification of body types of the Chinese men with body measurement values. This researcher executed the body measurement of total 39 items on 414 chinese men in Beijing and Shanghai aged 20-49 years old and analyzed the data with methods of analysis of variance, factor analysis and cluster analysis using it as the study item. The results of this study can be summarized as follows; 1. As the result of comparative analysis of the body measurements by age group and birth region group in Beijing and Shanghai, the horizontal items such as the widths, depths, and girths increased with advancing ages, while heights decreased. 2. As the result of factor analysis on the items in Beijing and Shanghai, 5 factors on such as the first factor on the obesity of body, the second factor on the size of vertical of body, the third factor on the length of upper body, the forth factor on the width of the shoulder, the fifth factor on the degree of dropping shoulder were extracted. 3. As the result of classification based on the cluster analysis in Beijing, the body type were classified into 3 types. So, to see the feature of body form by types, type 1 was tallest, fattest type. type 2 was small stature, fat. type 3 was tall, thin. In Shanghai, he body type were classified into 3 types. So, to see the feature of body form by types, type 1 was tallest, fattest type. type 2 was small stature. type 3 was tall, thin.

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반 정량 식품빈도 조사법 (SQFFQ)과 24시간 회상법을 이용한 영양평가 Software 개발 (Software for Nutritional Assessment Using a Semi-Quantitative Food Frequency Questionnaire and the 24-hour Recall Method)

  • 이상아;이경신;김형숙;이해정;최혜미
    • 대한지역사회영양학회지
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    • 제7권4호
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    • pp.548-558
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    • 2002
  • The purpose of this study was to develop a computer software program for nutritional assessment using a Semi-Quantitative Food Frequency Questionnaire (SQFFQs) and the 24-hour Recall Method. The software for the SQFFQ was divided into input, output, and database. For dietary analyses, recipe and food databases were used. The recipe database included 25 items and the food database was divided into 18 food groups. The food database was composed of 19 general nutrient items, 33 fatty acids, and 18 amino acids. The software developed in this study can be summarized as follows: 1) input items related to the individual s ages information, lifestyle, biological values, and dietary habits; 2) individualized data in percent of the Korean RDA, the energy ratios of carbohydrates, proteins and fats, the ratio of animal to plant source intakes, and the distribution of food group intakes; 3) Statistical data on the individual's information, lifestyle, biological values, and dietary intakes including the frequency of intake of cooked foods, the amounts of food, and the number of food groups, and nutrients. In the 24-hour Recall Method, the input and output consisted of the individual s information and cooked dish intakes. The individual s report included the amounts of nutrient intake according to number of meal and days, in comparison to the Korean RDA, the energy ratio for carbohydrates, proteins and fats, the ratio of animal to plant source intakes, and the distribution of food group intakes. The statistical report presented the number of food groups and foods, and the nutrient intakes. To evaluate the validity of the SQFFQ, the Spearman Rank Order Correlation and kappa values were used. As a result, correlation coefficients comparing the 24-hour Recall Method appeared to be more than 0.5, except for vitamin $B_1, B_2$, niacin, and vitamin E. The kappa values for energy and carbohydrate intakes were both 0.7, and protein, fat, vitamin C, folate, Ca, and iron intakes ranged from 0.3 to 0.7.

Analysis on Lower Body Type of Korean Women in Their Early 20's

  • Kang, Yeon-Kyung;Chang, Hee-Kyung;Byambasuren, Enkhzul;Kim, Youn-Joo;Sohn, Hee-Soon
    • 패션비즈니스
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    • 제15권6호
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    • pp.148-162
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    • 2011
  • The purpose of this study is to analyze lower body types of women and provide information of body improvement of Korean adult female clothing product to ready-made clothes companies. As for the method of this study, it was conducted to measure the parts of the lower body of adult women at the age from 19 to 24 years, to analyze their characteristics and to categorize body types. For study, it was measured 150 female women in Seoul. Data was analyzed by used SPSS/WIN 19.0 Program. The results of this study are as follows. The means of the subjects in their early 20s are 159.8cm in height, 67.0cm in waist circumference, 91.6cm in hip and 52.0kg in weight. As a result of comparison with the $5^{th}$ Korean's human body size on measurement data, 20 items out of 33 items showed significant difference. Factor analysis was executed for 66 body measure and calculation items to draw the body construction factors of the women's lower body in their early 20s and principal component analysis was performed by orthogonal varimax rotation to clarify the measurement of factors and to derive explanatory factors. As result of Cluster analysis, body types' characteristics divide into 3 types. Type1 has tall and fat body form, type2 has shortest and curvy body form and type3 has average height and the most skinny body form.

한국 초등학교 급식 식단의 영양가 및 식품 구성의 다양성 평가 (Evaluation of Elementary School Foodservice Menus on Its Contents and Diversity of the Food Served.)

  • 정현주
    • Journal of Nutrition and Health
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    • 제30권7호
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    • pp.854-869
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    • 1997
  • This study was conducted to evaluation the quality of meals served in elementary school based on nutrient contents and food diversity . A questionnaire was mailed to school foodservice dietitians requesting one week menus for April and October . Menus served in 388 schools from each province and from major cities in Korea were analyzed. Mean nutrient contents per meal of persons served, and food expenses per meal. Mean percentages of energy from fat was 20.2% , and was significantly l different by foodservice system. When nutrient contents were converted to amount per 1, 000kcal, all were higher than that calculated from RDA except calcium, iron, and Vitamin A. Most of these were not significantly different according to area, foodservice system, the number of persons served, and food expense per meal. Compared to 1/3 of RDA for children , many meals provided lower amounts of energy, Vit A, VitB2, and Ca. More than half of the meals provided less iron than 1/3 RDA for 10-12 years girls. Using the highest values of RDA for the elementary school age group as evaluation, criteria nutrient adequacy ratios(NAR) were lowest for Ca(0.61), Vit A(0.57), and iron(0.77). The mean adequacy ratio(MAR) was 0.86. Mean numbers of food items and dishes per meal were 15.3 and 5.1 , respectively. 66.3% of the meals provided three food groups of grain, meat, and vegetable. Except for the number of different food items served per meal, the aspect of food diversity was similar to that of nutrient contents. There was significant positive correlation between mean number of different food items served per meal and nutrient content . In summary , schools in small cities and rural areas than those in large cities, schools adapting commissary or joint management than those or density. Also the more food groups served per meal, the higher the nutrient content per meal . In summary , schools in small cities and rural areas than those in large cities, schools adapting commissary or joint management than those adapting conventional foodservice system, schools serving smaller number of persons, and schools with higher food expenses provided higher energy contents and food diversity.

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경기지역 일부 대학생의 지방제한 섭취 행동단계에 따른 영양소 섭취상태 비교 (Comparison of Nutrient Intakes Regarding Stages of Change in Dietary Fat Reduction for College Students in Gyeonggi-Do)

  • 정은정
    • 한국식품영양과학회지
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    • 제33권8호
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    • pp.1327-1336
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    • 2004
  • 경기지역 일부 대학생의 지방제한식에 대한 행동단계 분포는 연구대상자의 19.3%가 자각이전, 13.8%는 자각, 31.1%는 준비, 28.7%는 실시, 7.1%는 유지단계로, 성인보다 실시 및 유지 단계 비율이 낮아 대학생의 지방질을 선호하는 식생활을 엿볼 수 있었다. 행동변화 단계별로 BMI, 자신의 건강평가, 음주, 흡연 등은 차이가 없었으나 성별에 의한 차이는 뚜렷하여 남학생은 자각이전 및 자각단계가, 여학생은 준비, 실행 및 유지단계의 비율이 많았다. 식행동 단계의 주요 예측인자인 자아효능감은 자각이전에서 유지단계로 갈수록 증가하였다. 열량, 지방질, 포화지방산, linoleic acid($\omega$6), 콜레스테롤 섭취량은 남여 모두 자각이전과 준비단계에서 많고, 실행과 유지단계에서 적었다. 섭취열량중 지방질의 비율은 자각이전과 준비단계에는 권장수준인 20%를 크게 상회하였으나, 실행과 유지단계에서는 권장수준을 섭취하는 양호한 식습관을 갖고 있었다. 섭취 지방산의 P/S 비율은 모두 권장비율에 속하였으며, $\omega$6/$\omega$3 비율은 여학생은 권장범위에 속하였으나(자각이전단계 예외), 남학생은 모든 단계에서 권장범위 이상으로, 지방질의 질적 영양문제가 지적되었다. 행동단계별 영양소 섭취량의 차이는 여학생에게서 더 뚜렷하였으며 , 남학생은 실행단계보다 유지단계에서 열량, 포화지방산, 콜레스테롤 섭취량, $\omega$6/$\omega$3 비율 등이 오히려 증가하는 경향을 보여, 행동변화 모형 에 의한 대상자의 구분은 여학생에서 더 유용한 도구였다. 남학생의 열량, 지방질, 단백질 섭취량은 저녁식사에서만 행동단계별로 차이를 보였으나, 여학생은 저녁을 포함한 다른 끼니에서도 차이를 보여, 남학생보다 단계별 식행동의 차이가 뚜렷하였다. 이상의 결과에서와 같이 아주 간단한 과정을 통해 식행동 단계를 구분지어 주는 행동변화단계 모형은 대상자의 특성과 지방질 영양의 문제점을 파악할 수 있게 되어 각 개인별 맞춤 영양교육의 한 도구가 되어질 수 있음을 알 수 있었다. 따라서 본 행동변화단계 모형에서 자각이전, 자각, 준비 단계로 분류된 대상자들에게는 양적, 질적으로 모두 양호한 지방질의 섭취 패턴을 보이는 실행과 유지 단계가 되도록, 자아효능감 등을 증가시키는 영양교육이 이루어져야 할 것이다. 또한 남학생의 경우 여학생보다 지방제한식을 실시하는 비율이 적었으며, 행동변화 단계에 따라 영양소 섭취량의 차이도 뚜렷하지 않아, 이들을 위한 영양교육의 필요성이 지적되었다. 따라서 이들에게 구체적인 내용의 영양교육을 실시하기 위해, 열량과 지방질, 포화지방, 콜레스테롤 섭취량의 주요 급원식품에 대한 후속 연구가 이루어져야 할 것으로 생각된다.

Epidemiology of Prostate Cancer

  • Bashir, Muhammad Naeem
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권13호
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    • pp.5137-5141
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    • 2015
  • Prostate cancer is the most common malignancy among males worldwide, and is the second leading cause of cancer death among men in United States. According to GLOBOCAN (2012), an estimated 1.1 million new cases and 307,000 deaths were reported in 2012. The reasons for the increase of this disease are not known, but increasing life expectancy and modified diagnostic techniques have been suggested as causes. The established risk factors for this disease are advancing age, race, positive family history of prostate cancer and western diet (use of fat items). Several other risk factors, such as obesity, physical activity, sexual activity, smoking and occupation have been also associated with prostate cancer risk, but their roles in prostate cancer etiology remain uncertain. This mini-review aims to provide risk factors, disease knowledge, prevalence and awareness about prostate cancer.

경기일부지역 농촌노인과 양로원 노인의 영양섭취상태와 식생활환경요인의 비교 (The Comparison of Nutrients intake and Dietary Environment between Rural and Asylum Elderly in partial area of Kyunggi)

  • 박양자;이승교
    • 한국농촌생활과학회지
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    • 제7권1호
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    • pp.39-50
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    • 1996
  • This study was carried out to investigate nutrients intake and dietary environments of rural and asylum elderly in partial Kyunggi area. Results were as followes: (1) Educational level of 2 groups of rural and asylum elderly was only literacy, And rural elderly worked more than the aged of asylum. (2) The nutrients intake of rural elderly was very small quantity: Energy intake was 62% of RDA, that of protein 59%, calcium 56%, and iron 72% only. This nutrients intake state was lower than that of asylum elderly. (3) Health score CMI was selected 31 cases of items for aged. Ryal elderly received 11.7/31, but the scores of asylum elderly were 7.1 only. It means that asylum elderly felt more healthy than rural. (4) The correlation Serum TG was significant with protein fat and calcium, but serum calcium was not significant with intake of calcium. The nutrients intake was correlated with CMI score and dietary habit score.

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경기 일부지역 대학생의 섬유소 섭취 행동단계에 따른 영양소 섭취상태 비교 (Comparison of Nutrient Intakes Regarding Stages of Change in Dietary Fiber Increasing for College Students in Kyunggi-Do)

  • 정은정
    • 대한지역사회영양학회지
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    • 제10권5호
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    • pp.592-602
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    • 2005
  • This study was conducted to compare nutrient intakes regarding stages of change in dietary fiber increasing behavior. Subjects were consisted of healthy 383 college students (2S0 females and 133 males) in Kyunggi-Do. Stages of change classified by an algorithm based on 6 items were designed each subjects into one of the 5 stages: precontemplation (PC), contemplation (CO), preparation (PR), action (AC), maintenance (MA). Nutrient intakes were assessed by 24-hr recall method. Regarding the S stages of changes, PR stage comprised the largest group $(39.4\%)$, followed by AC $(33.7\%)$, MA$(14.6\%)$, PC$(7.6\%)$, CO$(34.7\%)$. Female were more belong to either AC or MA. The higher stage of change in dietary fiber increasing behavior, the higher self-efficacy. In all male and female, there were no differences in energy, protein, monounsaturated fatty acids, polyunsaturated fatty acids and cholesterol intakes across the 5 stages. But, fiber, postassuim (K), vitamin A and vitamin C intakes of AC or MA were higer than those of PC, CO and PR $Energy\%$ from fat of $PR(25.4\~26.5\%)$ was higher than $20\%$, and those of AC and MA was lower than the other groups. Dietary P/S and ${\varepsilon}6/{\varepsilon}$ 3 ratios of AC and MA were similar to the recommended ratio. Female of PR had the most total saturated fat and palmitic acid and those of MA had the least. Male of PR had the least $\alpha-LNA\;({\varepsilon}3)$ and total ${\varepsilon}3$ fatty acids and those of MA had the most. In male and female in AC or MA, fiber and K intakes from breakfast, dinner and snack and vitamin C intakes from all meals were higher than those of the other stages. These results of our study confirm differences in stages of change in fiber intake in terms of nutritional status. To have lower $energy\%$ from fat, higher intakes of K, fiber and vitamins, desirable ratio of dietary fatty acids, it needs consistent nutritional education leading to the AC or MA of fiber increasing behavior.