• Nutrition Research and Practice
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• 제14권5호
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• pp.519-531
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• 2020

BACKGROUND/OBJECTIVES: Regional disparities in dietary factors might be related to regional disparities in cardiometabolic health. Therefore, this study investigated the associations of cardiometabolic risk factors and dietary factors with regional types in Korean adults. SUBJECTS/METHODS: Based on data from the 2007-2017 Korea National Health and Nutrition Examination Survey, the study included 39,781 adults aged ≥ 19 years who completed the dietary survey and a health examination. Healthy and unhealthy dietary factors (fat, sodium, fruit, and vegetable intakes) were evaluated using 1-day 24-h dietary recall method, as well as the use of nutrition labels with a questionnaire. RESULTS: Of the participants, 48.7%, 36.0%, and 15.2% lived in metropolitan, urban, and rural areas, respectively. Adults living in urban and rural had higher odds ratios (ORs) for obesity (OR for urban, 1.07; 95% confidence interval (CI), 1.01-1.14; OR for rural, 1.14; 95% CI, 1.05-1.24) than adults living in metropolitan areas; these associations were significantly observed in middle-aged adults. Compared to metropolitan residents, rural residents had lower ORs for hypertension in middle-aged (OR, 0.86; 95% CI, 0.76-0.96) and metabolic syndrome in older adults (OR, 0.78; 95% CI, 0.67-0.91). Regarding urban residents, a lower OR for diabetes in middle-aged adults (OR, 0.85; 95% CI, 0.74-0.97) and a higher OR for hypertension in older adults (OR, 1.19; 95% CI, 1.02-1.39) were observed. Overall rural residents had higher ORs of excessive carbohydrate, low fruit, and high salted-vegetable intakes than metropolitan residents. Low fruit intake was positively associated with obesity, metabolic syndrome, and hypertension, after adjustment for regional type and other confounders in total participants. CONCLUSIONS: These findings indicate that cardiometabolic risk and unhealthy dietary factors differ among regional types and age groups within Korea. Nutritional policy and interventions should consider regional types for prevention and management of cardiometabolic risk factors.

• 한국식품조리과학회지
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• 제32권3호
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• pp.342-352
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• 2016

Purpose: This study conducted an Importance-Performance Analysis (IPA) of selective attributes of Home Meal Replacement (HMR) as well as it examined the consumers' needs and willingness to buy HMR products to explore the need for developing more HMR products. Methods: This study was conducted among domestic consumers living in Seoul and its metropolitan areas, in the age range from the 20s to the 50s, and who had experience in purchasing HMR products. From the 490 surveys retrieved, 472 (96.3%) valid surveys were analyzed. Results: The analysis of the frequency of consuming HMR products showed the following results: 247 respondents answered '1-3 times a month' (52.3%); 167 respondents stated '1-2 times a week' (35.3%). With respect to the reason of purchase, 'simplicity of the recipe' was the most common, accounting for 188 respondents (39.8%), followed by 'time efficiency' accounting for 172 respondents (36.4%). Analysis of the demand for bibimbap (mixed rice) HMR products showed that 'chicken bibimbap' had the highest preference with 5.32 points, followed by 'bulgogi bibimbap' (5.08 points), and 'kimchi bibimbap' (4.96 points). In the case of HMR products that need to undergo further development, 'low-sodium products' received the highest points of 5.41 points, followed by 'small packaged products' (5.05 points), and 'functional products' (4.98 points). The factor analysis of the 13 selective attributes showed that they can be divided into 3 factors. The IPA analysis of the selective attributes of HMRs showed 'hygiene', 'taste', 'easy to go packaging', 'convenience in intake', and 'accessibility' in the 1st quadrant. In the 2nd quadrant, 'price' and 'freshness' were shown as the factors. In the 3rd quadrant, 'easy to serve', 'familiar food menu', and 'consistent menu' were shown as the leading factors, and in the 4th quadrant, 'saving labor' was the only factor. Conclusion: Based on these results, the research concludes that with respect to developing HMR products, there is a high demand for low sodium, low calorie, small packaged products; thus, showing the need to develop various HMR products for customer satisfaction. Furthermore, it shows that there is a need to consider developing HMR products that can maintain freshness at an affordable price.

• 농촌의학ㆍ지역보건
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• 제16권1호
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• pp.27-32
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• 1991

한국인은 많은 양의 염류를 섭취하며 저단백식을 주로 한다는 사실이 1960년대로부터 알려져왔다. 일련의 연구로부터, 한국인이 많은 양의 염류를 섭취하는 것은 저단백식과 관계가 있는 것으로 여겨져왔다. 지난 30년간 한국인의 식사중 단백성분은 크게 증가해 왔다. 본 연구는 1990년 현재 한국 농촌지역 거주자의 소변 중에 배설되는 나트륨과 칼륨의 양 및 총 소변 배설량을 측정하여 유의할 만한 변화가 있었는지를 알아보기 위하여 실시되었다. 또, 도시지역 거주자와의 비교를 위해 34명의 농촌지역 거주자와 9명의 도시지역 거주자를 대상으로 하였다. 조사기간중 조사대상자를 일상생활을 그대로 영위하도록 하였다. 34시간 동안 배설된 소변을 수집하여 그중의 나트륨, 칼륨, 크레아티닌 농도를 측정하였다. 마지막 뇨 수집 시에는 정맥혈을 채취하여 혈장 중의 나트륨, 칼륨, 총단백 농도를 측정하였다. 그 결과는 다음과 같다. 1) 혈장 중의 나트륨, 칼륨, 총단백 농도는 정상범위 내에 있었다. 2) 농촌인구에서는 24시간 소변중의 나트륨, 칼륨 배설량은 각각 $255{\pm}95.6$mEq/day, $45{\pm}15.1$mEq 이었으며 24시간동안 수집된 소변의 총량은 $1800{\pm}514.3$ml/day이었다. 이 수치를 1960년의 자료와 비교할 때 수집된 나트륨 배설량은 감소추세를 보였으나 칼륨과 총 소변배설량에 있어서는 별 변화를 발견할 수 없었다. 3) 농촌거주자의 소변중 Na/K 비는 도시거주자에 비해 유의하게 높았으며 도시지역거주자에 있어서 소변중 나트륨 배설량의 감소추세가 더욱 두드러졌다. 4) 이 수치를 서양인의 수치와 비교하면 아직도 한국 농촌지역 거주자의 염분 섭취가 높음을 보이고 있는 반면 칼륨에 있어서는 서양인에 비해 훨씬 낮음을 알 수 있다. 5) 염분과 단백의 섭취 사이에 있을 수 있는 관계를 고찰했다.

• 한국수산과학회지
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• 제13권3호
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• pp.103-108
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• 1980

1) 1979년 1월에서 1980년 4월사이 매월 대조때 3일간, 소조때 2일간(1979년 1, 2, 3월 및 1980년 1, 2, 3월은 격일) 낙동강 물금 부산시 상수도 취수장원수의 전기전도도, 염화이온, 황산이온, 칼슘, 마그네슘, 나트륨, 칼륨의 량을 매시간 측정하였다. 2) 각성분량의 1979년 1월에서 1980년 4월까지의 변동범위 및 평균치는 다음과 같다. 전기전도도 $99\~912\mu\mho/cm,\;200\mu\mho/cm$ 염화이온 $6.0\~256ppm$, 17.2ppm, 황산이온 $4.1\~37.9ppm$, 23.5ppm, 칼슘 $4.2\~28ppm$, 18ppm, 마그네슘 $2.2\~23ppm$, 5.6ppm, 나트륨 $5.0\~126ppm$, 14ppm, 칼륨 $1.2\~10.8ppm$, 2.6ppm. 3) 조사기간중 염화이온농도이 상수도 수질기준치인 150ppm을 넘는 경우는 1980년 2월 13일 12, 13, 14시와 2월 28일 13시의 4번이 있었다. 4) 매월 대조일과 대조때가 소조때 보다 높으나 그 차는 별로 크지 않다. 5) 계절별 각성분량의 변동을 대체로 동계가 하계보다 높으나 그 차는 별로 크지 않고 거의 일정하다. 6) 염화이온량의 매월 시간적변동은 뚜렷하지 않다. 대체로 최고만조시각과 최고염화이온농도 시간과의 차는 약 4시간의 시차가 있다. 본 연구는 문교부 학술연구조성비의 보조로 했습니다. 감사드리는 동시에 실험을 도와준 연구실의 여러분에게도 감사드립니다.

• 한국임상수의학회지
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• 제23권3호
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• pp.251-257
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• 2006

This study was performed to investigate the growth rate, hematological and serological changes of the rats when they were fed with the high(at diets supplemented with or without chitosan for five weeks. Twenty-four Sprague-Dawley male rats($235.7{\pm}10.7g$ of body weight) were randomly divided into three groups control group(C) and two treatment groups. Rats in the control group were fed with the high-fat diet containing 10% lard, 1% cholesterol and 0.5% sodium cholate(w/w) which was modified from the formula of the American Institute of Nutrition-76(AIN-76) diet. Rats in treatment groups were red with above diet supplemented with 2.5% of chitosan(CS-2.5) or 5.0% chitosan(CS-5) on the weight to weight basis, respectively. The supplementation of chitosan did not induce any significant difference on the final body weight, gain of body weight and amount of feed intake of rats in between control and treatment groups but the feed efficiency of rats in CS-5 was lower than that of rats in C(p<0.05). The hemoglobin concentrations and hematocrit values showed no significant differences among groups. In addition the values of glucose concentration, total protein, albumin, globulin and albumin/globulin(A/G) ratio showed no significant differences among groups. The values of total cholesterol and low density lipoprotein-cholesterol(LDL-C) in sera of rats in CS-5 were lower than those in both C and CS-2.5(p<0.01). The values of high density lipoprotein-cholesterol (HDL-C) in sera of rats in CS-5 were higher than in both in C and CS-2.5(p<0.05). The values of atherogenic index(AI) of rats in CS-5 were the lowest among groups(p<0.01). AI of CS-2.5 were lower than that or C(p<0.05). The values of triglyceride in sera of rats showed no significant differences among groups. The values of AST in sera of rats in CS-2.5 were lower than those in both C and CS-5(p<0.05). However ALT values showed no significant differences among groups. Therefore the supplementation of chitosan to high fat diet reduced effectively the serum lipid levels such as total cholesterol, LDL-C and triglycerides which were regarded as to cause the cardiovascular diseases moreover it elevated effectively HDL-C value which was regarded protect cardiovascular diseases.

• 한국임상수의학회지
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• 제25권5호
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• pp.324-329
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• 2008

This study was performed to investigate the changes of the serological lipid-related parameters of the rats when they were fed with the high fat diets supplemented with or without rutin for five weeks. Twenty-four Sprague-Dawley male rats ($272.2{\pm}7.2 g$ of body weight) were randomly divided into three groups: control (C) group and two treatment groups. Rats in the C group were fed with the high-fat diet containing 20% lard, 1% cholesterol and 0.5% sodium cholate (w/w) which was modified from the formula of the American Institute of Nutrition-76 (AIN-76) diet. Rats in treatment groups were fed with above diet supplemented with 0.75% rutin (R-0.75) or 1.5% rutin (R-1.5) on the weight to weight basis, respectively. The supplementation of rutin did not induce any significant difference on the final body weight, gain of body weight, the amount of feed intake and the feed efficiency of rats in both control and treatment groups. In addition the values of glucose concentration, total protein, albumin, globulin and albumin/globulin (A/G) ratio showed no significant differences among groups. The values of total cholesterol (TC) and low density lipoprotein-cholesterol (LDL-C) in sera of rats in both R-0.75 and R-1.5 groups were lower than those in C group but the significances were showed in only between R-0.75 and C group (p < 0.05 and p < 0.01, respectively). The values of high density lipoprotein-cholesterol (HDL-C) in sera of rats in both R-0.75 and R-1.5 groups were higher than those in C group but the significances were showed in only between R-1.5 and C group (p < 0.01). The values of atherogenic index(AI) of rats in both R-0.75 and R-1.5 groups were the lower than those in C group (p < 0.01 and p < 0.05, respectively). The values of triglyceride in sera of rats showed no significant differences among groups. The values of AST and ALT in sera of rats showed no significant differences among groups. Therefore the supplementation of rutin to high fat diet in rats reduced effectively the serum lipid levels such as TC and LDL-C which were regarded as to cause the cardiovascular diseases, and moreover it elevated effectively HDL-C value which was regarded to protect cardiovascular diseases.

• 한국임상수의학회지
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• 제26권3호
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• pp.231-237
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• 2009

This study was performed to investigate the changes of the serological lipid-related parameters of the rats when they were fed with the high fat diets supplemented with or without naringin for five weeks. Twenty-four Sprague-Dawley male rats($272.2{\pm}7.2$ g of body weight) were randomly divided into three groups(eight rats per each group) : control(C) group and two treatment groups. Rats in the C group were fed with the high-fat diet containing 15% lard, 1% cholesterol and 0.5% sodium cholate(w/w) which was modified from the formula of the American Institute of Nutrition-76(AIN-76) diet. Rats in treatment groups were fed with above diet supplemented with 0.1% naringin(N-0.1) or 0.2% naringin(N-0.2) on the weight to weight basis, respectively. The supplementation of naringin did not induce any significant difference on the final body weight, gain of body weight, the amount of feed intake and the feed efficiency of rats in between control and treatment groups. In addition the levels of glucose, total protein, albumin, globulin and albumin/globulin(A/G) ratio in sera of rats showed no significant differences between control and treatment groups. The levels of total cholesterol(TC) and low density lipoprotein-cholesterol(LDL-C)in sera of rats in both N-0.1 and N-0.2 groups were significantly lower than in C group(p<0.05). The levels of high density lipoprotein-cholesterol(HDL-C) were significantly higher in both N-0.1 and N-0.2 groups than in C group(p<0.05). The values of atherogenic index(AI) were significantly lower in both N-0.1 and N-0.2 groups than in C group(p<0.05). The levels of triglyceride in sera of rats showed no significant differences between control and treatment groups. The values of AST and ALT were significantly lower in both N-0.1 and N-0.2 groups than in C group(p<0.05). Therefore the supplementation of naringin to high fat diet in rats reduced effectively the serum lipid levels such as TC and LDL-C and AI which were regarded as to cause the cardiovascular diseases, and moreover it elevated the HDL-C value effectively which was regarded to protect cardiovascular diseases.

• Preventive Nutrition and Food Science
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• 제7권1호
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• pp.78-87
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• 2002

This study investigated the production of insoluble dietary fiber using forest waste and the dietary effect of manufactured insoluble fiber on physiological function in rat fed high cholesterol duets. Insoluble dietary fiber was prepared from the wood chips of oak (Quercus mongolica). The best condition for steam-explosion treatment for the preparation of insonuble dietary fiber was 25 kg/cm$^3$pressure for 6 minutes. In the chemical analysis of insoluble dietary fiber pretreated by 1% sodium hydroxide solution with steam-exploded wood, $\alpha$-cellulose content was 61.7% in the insoluble dietary fiber which contained 7.6% residual lignin. In order to compare insoluble dietary fiber with commercial $\alpha$-cellulose of physiological function, Sprague-Dawley male rats weighing 100$\pm$10 g were randomly assigned to one normal diet and five high cholesterol diet containing 1% cholesterol. The high cholesterol diet groups were classified as fiber free diet (FF group), 5% commercial $\alpha$-cellulose diet (5C group), 10% commercial $\alpha$-cellulose (l0C group), 5% insoluble dietary fiber dict (5M group), and 10% insoluble dietary fiber (10M group). The rats were fed ad libidum for 4 weeks. Food intake, weights gain, and food efficiency ratio in high cholesterol groups were higher than those of normal group, but there were no significant differences between the experimental groups. There were not any significant differences in the weights of livers, kidneys and small intestine of insoluble dietary fiber supplemented groups, but weight of cecum in all insolube dietary fiber group were significantly higher than those of FF group. A gstrointestinal transit time was decreased by supplementation of insoluble dietary fiber. Weight and water contents of feces in the insoluble dietary fiber supplemented groups were significantly higher than those of the FF group. There were not any significant differences in the activities of the glutamic pyruvic transaminase (GPT) and glutamic oxaloacetic transaminase (GOT) between the experimental groups. In conclusion, the manufactured insoluble dietary fiber and commercial insoluble fiber have the same physiological effects. The preparation method of the insoluble dietary fiber from the oak chips suited its purpose.

• 한국식품영양과학회지
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• 제31권6호
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• pp.1035-1042
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• 2002

본 연구는 나트륨 섭취수준이 혈중 지질과 혈당에 미치는 영향을 규명해보기 위하여 정상 성인 여성 20명을 대상으로 고나트륨식과 저나트륨식을 각각 6일씩 공급한 후 혈중 지질, 혈당 및 기타 혈액성상의 변화를 비교분석하였다. 그 결과를 요약하면 다음과 같다. 연구대상자들의 평균연령은 22.9$\pm$2.5세였으며 평균 체중과 신장은 54.7$\pm$6.6kg과 160.0$\pm$4.8cm였고 수축기/이완기 혈압은 110.3$\pm$7.7/67.5$\pm$9.7 mm Hg로 정상범위에 속하였다. 나트륨 섭치수준에 따른 평균 체중의 변화는 고나트륨식이 54.7$\pm$6.4 kg으로 저나트륨식의 53.8$\pm$6.2 kg보다 유의하게 높았다(p<0.001). 평균 신장은 고나트륨식과 저나트륨식간에 유의한 차이가 없었으나, 이완기혈압은 고나트륨식(65.5$\pm$8.3 mmHg)보다 저나트륨식(60.8$\pm$8.6 mmHg) 이후 유의하게 감소하였다(p<0.05). 혈청 콜레스테롤,LDL-콜레스테롤,HDL-콜레스테롤 함량은 나트륨 섭취 수준에 따라 유의적인 차이를 보이지 않았으나 중성지질은 고나트륨식의 89.4$\pm$27.3 mg/dL보다 저나트륨식이시 73.8$\pm$12.5mg/dL로 유의하게 감소하였다(p<0.05). 혈청 아포 A-I은 고나트륨식의 183.7$\pm$32.7 mg/dL보다 저나트륨식에서 167.5$\pm$22.8 mg/dL로 유의적으로 감소하였으나(p<0.001), 아포 B는 고나트륨식의 83.3$\pm$13.9 mg/dL보다 저나트륨식에서 90.8$\pm$12.9 mg/dL로 유의하게 증가하였다(p<0.001). 아포 A-I/B는 저나트륨식이 1.9$\pm$0.2로 2.2$\pm$0.3을 보인 고나트륨식보다 유의하게 낮았으나(p<0.001),AI(atherogenic index)는 나트륨 섭취수준에 의한 영향을 받지 않았다 혈액 응고시간으로 thrombin time과 Prothrombin time은 저나트륨식이 각각 9.6$\pm$1.1초, 11.6$\pm$0.7초로 나타나 고나트륨식의 11.3$\pm$1.3초, 12.0$\pm$0.4초보다 유의하게 빠른 것으로 나타났다(p<0.001, p<0.05). 나트륨 섭취수준에 따른 혈당 농도는 고나트륨식과 저나트륨식 간에 유의한 차이가 없었으나, 인슐린 함량은 저나트륨식이 10.3$\pm$5.0 $\mu$IU/mL로 고나트륨식의 6.0$\pm$2.6$\mu$IU/mL보다 유의하게 높았다.(P<0.01). 이상의 결과를 종합할 때 저나트륨식에서 이완기 혈압, 혈청 중성지질, 아포A-1, 혈액 응고시간은 감소되었으나, 혈청 아포 B와 인슐린함량은 유의하게 증가되어 지속적인 저나트륨식 처방시 지질과 당질대사의 변화를 초래할 가능성이 있는 것으로 보여진다. 따라서 혈압 저하를 목적으로 하는 나트륨 제한식의 실시는 다양한 체내의 생화학적 변화를 고려해서 이루어져야 할 것이며, 앞으로 이에 대한 보다 다각적인 연구가 요구된다.

• Journal of Nutrition and Health
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• 제51권3호
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• pp.228-241
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• 2018

본 연구는 선행연구로 개발된 고혈압 관리를 위한 식생활 영양교육 프로그램의 효과를 평가하고자 서울의 3개 지역 보건소에서 50세 이상의 여성을 대상으로 영양교육 8주와 추후관리 8주로 구성된 16주간의 교육을 실시하고 정상혈압군 (71명)과 정상혈압을 초과한 고혈압군 (44명)으로 나누어 분석하였다. 교육시작 전, 8주 교육 후, 프로그램이 종료된 16주 후에 실시한 혈압 측정 및 신체계측, 혈액분석, 설문조사를 분석한 결과는 다음과 같다. 고혈압군의 혈압강하제 복용 비율은 86.4%였고 체중, BMI, 체지방비율, 허리둘레가 정상혈압군에 비해 높았다. 영양교육 8주 후 고혈압군과 정상혈압군의 수축기혈압이 감소되었고 (p < 0.05), 체중 (p < 0.001), BMI (p < 0.001), 허리둘레 (p < 0.001), 체지방비율 (p < 0.01)이 감소하였다. 혈액검사결과 고혈압군은 프로그램이 종료된 16주 후 HDL-콜레스테롤 증가 (p < 0.001)와 중성지방 감소 (p < 0.01), LDL-콜레스테롤 감소 (p < 0.05)가 나타났고, 정상혈압군도 HDL-콜레스테롤 (p < 0.001)과 중성지방 (p < 0.01)의 유의미한 변화가 나타났다. 일반식습관 총점수와 규칙적인 식습관, 균형 잡힌 식습관, 건강을 의식한 식습관의 항목 소계, 나트륨 관련 영양지식 총점이 두 군 모두 교육 후 유의적인 상승을 나타냈다 (p < 0.001). 또한 정상혈압군의 나트륨 관련 식행동 총점이 상승되었고 (p < 0.001) 고혈압군에서도 향상되는 경향을 나타냈다. 이와 부합하여 고나트륨 함유음식의 섭취빈도 총점이 교육 후 유의적으로 감소하였고 두 집단 모두 국수류, 찌개와 탕류, 김치류와 음료류의 섭취빈도가 낮아졌다. 혈압관리를 위한 자기효능감점수의 총점이 고혈압군과 정상혈압군 모두 유의적으로 상승하였는데 (p < 0.001) 특히 고혈압군은 자아효능감의 모든 문항점수가 향상되었다. 종합하면 50대 이상 여성을 대상으로 실시한 본 식생활영양교육은 혈압이 높은 군과 정상혈압군 모두에서 혈압관리 뿐만 아니라 신체계측지표 및 혈액지표에 긍정적인 변화를 유도하고 저나트륨 관련 식행동을 비롯한 일반식습관의 전반적 개선효과를 보였다. 이는 건강위험에 대한 각성, 식생활 변화를 유도할 수 있는 계기와 모니터링을 통한 실천 관리를 제공한 프로그램이 대상자의 요구에 부합한 결과로 생각된다. 본 연구는 건강위험이 높아지는 50대 이상 여성의 혈압관리 및 만성질환 예방과 식생활 관리를 위해 보건소에 기반한 지역사회 교육 프로그램의 유효한 모델을 제시한 점에 의의가 있다.