• Title/Summary/Keyword: nutrition screening

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Relationship between Sense of Belonging, Powerlessness and Nutritional status of Elderly People (노인의 소속감, 무력감과 영양 상태와의 관계)

  • Kim, Mi-Hye;Chung, Hae-Kyung
    • Journal of the Korean Society of Food Culture
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    • v.30 no.1
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    • pp.118-128
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    • 2015
  • This study was performed to analyze health problems in older adults in a comprehensive manner, including usual living habits, nutritional status, and society psychological factors. Research was conducted by a structured questionnaire by interviews with a test group of 316 people over the age of 65 from April 2012 to August 2012. Elderly people's dietary intake was assessed using NSI (Nutrition Screening Initiative) by the 24-hour retrospective method, and elderly people's feeling of helplessness and sense of belonging were assessed using the measuring device. Material analysis, descriptive statistics, and regression analysis were performed using SPSS. Elderly people with increased age showed higher chances of being in the high-risk and undernourished group. Elderly with high NSI showed low intake of fat, protein, fibrin, vitamin C, E, $B_1$, $B_2$, Niacin, K, Fe, Zn, and Cu than those with low NSI. Findings from this comparative analysis indicate that elderly with better nutritional status showed a lower feeling of helplessness than those with poor nutritional status. Overall, elderly people consumed a b road variety of foods, and social emotional stability of elderly people increased at optimal dietary levels.

[Republished study] Assessing Nutritional Status in Outpatients after Gastric Cancer Surgery: A Comparative Study of Five Nutritional Screening Tools ([재출판] 위암 수술 후 외래환자의 영양상태 평가: 5가지 영양검색도구의 비교연구)

  • Cho, Jae Won;Youn, Jiyoung;Choi, Min-Gew;Rha, Mi Young;Lee, Jung Eun
    • Korean Journal of Community Nutrition
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    • v.27 no.3
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    • pp.205-222
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    • 2022
  • Objectives: This study examined the characteristics of patients according to nutritional status assessed by five nutritional screening tools: Patient-Generated Subjective Global Assessment (PG-SGA), NUTRISCORE, Nutritional Risk Index (NRI), Prognostic Nutritional Index (PNI), and Controlling Nutritional Status (CONUT) and to compare the agreement, sensitivity, and specificity of these tools. Methods: A total of 952 gastric cancer patients who underwent gastrectomy and chemotherapy from January 2009 to December 2012 were included. The patients were categorized into malnutrition and normal status according to five nutritional screening tools one month after surgery. The Spearman partial correlation, Cohen's Kappa coefficient, the area under the curve (AUC), sensitivity, and specificity of each two screening tools were calculated. Results: Malnutrition was observed in 86.24% of patients based on the PG-SGA and 85.82% based on the NUTRISCORE. When NRI or CONUT were applied, the proportions of malnutrition were < 30%. Patients with malnutrition had lower intakes of energy and protein than normal patients when assessed using the PG-SGA, NUTRISCORE, or NRI. Lower levels of albumin, hemoglobin, total lymphocyte count, and total cholesterol and longer postoperative hospital stays were observed among patients with malnutrition compared to normal patients when NRI, PNI, or CONUT were applied. Relatively high agreement for NUTRISCORE relative to PG-SGA was found; the sensitivity was 90.86%, and the AUC was 0.78. When NRI, PNI, and CONUT were compared, the sensitivities were 23.72% for PNI relative to NRI, 44.53% for CONUT relative to NRI, and 90.91% for CONUT relative to PNI. The AUCs were 0.95 for NRI relative to PNI and 0.91 for CONUT relative to PNI. Conclusions: NUTRISCORE had a high sensitivity compared to PG-SGA, and CONUT had a high sensitivity compared to PNI. NRI had a high specificity compared to PNI. This relatively high sensitivity and specificity resulted in 77.00% agreement between PNI and CONUT and 77.94% agreement between NRI and PNI. Further cohort studies will be needed to determine if the nutritional status assessed by PG-SGA, NUTRISCORE, NRI, PNI, and CONUT predicts the gastric cancer prognosis.

Factors Influencing the national health screening program in Seniors over 65 years old: Using the eight Korea national health and nutrition examination survey(KNHANES VIII 2019~2021) (65세 이상 노인의 국가건강검진 수검 여부에 미치는 요인: 제8기 국민건강영양조사(2019~2021년) 자료를 이용하여)

  • Kim Seok Hwan
    • The Journal of Korean Society for School & Community Health Education
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    • v.24 no.4
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    • pp.51-60
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    • 2023
  • Objectives: This study attempted to examine the factors that affect the national health checkup rate of the elderly, analyze the impact of these factors, and discuss countermeasures to problems that may arise based on this. Methods: This study used the '8th National Health and Nutrition Examination Survey (2019-2021)', a nationwide survey, as the main data. The subjects of the study are seniors aged 65 years or older, the dependent variable is whether or not they underwent a national health checkup, and the independent variables are gender, marital status, residence, education level, income level, economic activity, type of medical coverage, private insurance subscription, subjective health, High blood pressure, diabetes, depression, stress, and weight change were selected. The statistical analysis package for data analysis is SPSS ver. 27.0 was used, and a p value of less than 0.05 was considered significant. Results: Of the 2,806 seniors aged 65 years or older, 2,074 (73.9%) took the national health screening over the past two years. In terms of marital status, married was 1.451 times higher than single (p<0.001), and in terms of residence, myeon was 1.240 times higher than dong (p<0.01). In terms of education level, college graduates were 2.053 times higher than elementary school graduates (p<0.001), and in terms of economic activity, the employed were 1.325 times higher than the unemployed (p<0.01). Private insurance was 1.883 times higher than non-subscription (p<0.001), weight change was 1.234 times higher for change than no change (p<0.05), and current smoking rate was 2.003 times higher for non-smokers than for former smokers. It was high (p<0.001). Conclusion: In conclusion, if differentiated promotion and health education are strengthened for the elderly who cannot participate in the national health screening, the participation rate of the elderly in the national health screening is expected to increase.

Related factors of medication adherence in patients with dyslipidemia: The 2010-2012 Korean National Health and Nutrition Examination Survey (이상지질혈증 환자의 약물복용 이행과 관련된 요인: 2010년-2012년 국민건강영양조사를 이용하여)

  • Cho, Eun Jung;Moon, Kyoung Ja
    • Korean Journal of Health Education and Promotion
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    • v.32 no.2
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    • pp.65-74
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    • 2015
  • Objectives: The purpose of this study was to examine factors that influencing medication adherence in patients with dyslipidemia. Methods: Data were collected from fifth Korean National Health and Nutrition Examination Survey (2010-2012), we selected 1,992 adults aged over 30yr who participants in both health examination and health interview survey. Using the SAS 9.2 Program, data were analyzed using ${\chi}^2$-test, t-test and multiple logistic regression. Results: Medication adherence was associated with age, obesity, educational level and Health screening within 2 years. The cases with older age, obesity, higher level of education and experience of Health screening within 2 years showed significantly high medication adherence, whereas high risk group of dyslipidemia such as cardiovascular disease patients showed low medication adherence. Conclusions: Further study and strategies are needed to improve high levels of medication adherence based on factors influencing such as age, obesity, level of education and health screening experience within 2 years.

A Screening Tool for Identifying High-Risk Pregnant Women of Fe Deficiency Anemia : Process I (임신부의 철분 영양 잠재위험집단의 조기선별을 위한 스크리닝 도구의 개발 I)

  • 박정아;윤진숙
    • Korean Journal of Community Nutrition
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    • v.6 no.5
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    • pp.734-743
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    • 2001
  • Iron deficiency anemia is a worldwide public health problem relevant to unsound nutritional practice. While the prevalence of iron deficiency anemia is very common among pregnant women, appropriate nutritional service programs to improve the iron status are lacking in Korea. In an attempt to develop a nutritional screening tool to separate the high-risk subjects of iron deficiency, we carried out a nutritional survey for 115 Korean pregnant women whose gestational age ranged from 13 to 24 weeks. Each subject was interviewed with questionnaires for general characteristics and dietary habits. Food intake was measured by 24-hour recap method and 2 day record. Fasting blood was drawn for measuring hemoglobin and serum ferritin. It appeared that half of the pregnant women belonged to the anemia group and had insufficient dietary habits to provide adequate amounts of dietary iron. The first gravida and the working women had better hematological iron indicators than the second or more gravida and the housewives. It also appeared that women who had bigger family size and lower BMI in pre-pregnancy had poorer iron status. Among the food consumption habits, fruit dependent dietary habit was related to poor iron status. Sufficiently consumed green leafy vegetable and appropriate amount of food before morning sickness were positive factors of iron stares. Our results indicated that parity, BMI, current job, family size, food habits including consumption of fruits, green & yellow vegetables, and food habits before the onset of morning sickness are significant factors to contribute the Fe deficiency anemia during pregnancy.

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Screening for Saponins of the Vegetable Foods in Korea (I) (한국산(韓國産) 식물성식품(植物性食品) 중의 Saponin계(系) 성분(成分)에 관한 예비조사(豫備調査)(I))

  • Namkung, Sok;Yoon, Kwang-Ro
    • Journal of Nutrition and Health
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    • v.10 no.1
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    • pp.22-25
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    • 1977
  • Sixteen vegetable food extracts were screened for the presence of saponin with the methods of foaming test, hemolytic test and Liebermann-Burchard reaction. Six samples were found to contain saponin. The ethanal extract of six positive samples and its hydrolysates, sapogenin parts and sugar parts were applied t.l.c to detect saponin moiety.

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Drinking Patterns and Needs for Nutrition Education of Male Workers Diagnosed by NAST, Alcoholism Screening Test of Seoul National Mental Hospital

  • Hong, Soon-Myung;Jung, Soon-Im;Kim, Mi-Ree;Jo, Jee-Ye
    • Journal of Community Nutrition
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    • v.8 no.3
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    • pp.142-146
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    • 2006
  • The aim of this study was to identify the drinking patterns and needs for nutritional education of male workers. The subjects in this study were 285 male workers in Ulsan City. The average age of the subjects was 41.2 years old, height was 171.8cm, weight was 69.6kg and Body Mass Index(BMI) was $23.6kg/m^2$. The subjects were classified into 3 drinking patterns such as 'normal drinker(ND)', 'excessive drinker(ED)', and 'alcoholic drinker(AD)' diagnosed by NAST (Alcoholism Screening Test of Seoul National Mental Hospital). Each group was 31.6%(ND), 43.2%(ED) and 25.3% (AD). The amount of one time drinking, frequency, kind of alcohol and spending money were significantly different among the groups. 87.8% of ND thought that the self identity of drinking habits was good. But twenty seven percent of AD thought that it was just not bad, one-half of them(51.4%) thought they seemed to have problems and 20.8% of them thought they were serious. 38.9%(AD), 22.8%(ED) and 6.7%(ND) of each group tried to abstain by turn. Reasons of trying to abstain were health problems, disharmony of family and bad influence on the business and job place. The methods of abstaining were to avoid a drinking gathering or to refuse drinking in the party. 70.8% of AD, 59.3% of ED and 40% of ND thought they needed to take an educational program about abstaining. 58.3% of AD, 43.1 % of ED and 31.1 % of ND answered they would join an alcohol program.

Dietary Behavior of Students in the Busan Area as Determined Using the Nutritional and Dietary Diagnostic System (어린이 식생활스크리닝(DST)을 이용한 부산지역 초등학생의 식행동 및 영양상태 평가)

  • Jin-seon Song;Youngshin Han;Kyung A Lee
    • Journal of the Korean Dietetic Association
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    • v.29 no.2
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    • pp.86-99
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    • 2023
  • In this study, the authors surveyed the dietary habits of all elementary school students registered with the Busan Metropolitan City Office of Education using an online questionnaire called the Dietary Screening Test (DST). The DST consists of 36 items, and these were divided into 5 factors: life rhythm, meal quality, eating development, eating temperament characteristics, and eating habit characteristics. Data were collected from 153,017 students attending 304 schools in Busan, and the responses of 4,020 were included in the analysis. The study was undertaken to document growth and development and diagnose nutrition and dietary problems to provide basic data for the development of customized nutrition education and counseling programs. Results showed that 13.5% and 14.3% of participants were classified as overweight or required weight management for obesity, respectively; 6.7% were underweight. Additionally, 37.0% and 9.5% of children required parental attention at bedtime and sleeping hours, and 14.2% ate too quickly or too slowly. Furthermore, food group consumptions were unbalanced, 25.0% and 64.4% of participants ate grains and protein less than twice a day, respectively, and 72.3% and 74.5% ate kimchi and vegetables less than twice a day, respectively. In contrast, 28.8% of respondents consumed sweet snacks daily or 5~6 times weekly. These findings highlight the need for a standardized school nutrition counseling manual and individually customized nutrition counseling programs to address the nutrition and dietary problems of elementary school students in Busan.

Abnormality on Liver Function Test

  • Kang, Ki-Soo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.16 no.4
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    • pp.225-232
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    • 2013
  • Children with abnormal liver function can often be seen in outpatient clinics or inpatients wards. Most of them have respiratory disease, or gastroenteritis by virus infection, accompanying fever. Occasionally, hepatitis by the viruses causing systemic infection may occur, and screening tests are required. In patients with jaundice, the tests for differential diagnosis and appropriate treatment are important. In the case of a child with hepatitis B virus infection vertically from a hepatitis B surface antigen positive mother, the importance of the recognition of immune clearance can't be overstressed, for the decision of time to begin treatment. Early diagnosis changes the fate of a child with Wilson disease. So, screening test for the disease should not be omitted. Non-alcoholic fatty liver disease, which is mainly discovered in obese children, is a new strong candidate triggering abnormal liver function. Muscular dystrophy is a representative disease mimicking liver dysfunction. Although muscular dystrophy is a progressive disorder, and early diagnosis can't change the fate of patients, it will be better to avoid parent's blame for delayed diagnosis.

Isolation and Identification of Trichoderma sp. HK 47 Producing Avicelase (Avicelase 생산성 Trichoderma sp. HK 47의 분리 및 동정)

  • 박헌국;이계호
    • The Korean Journal of Food And Nutrition
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    • v.6 no.3
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    • pp.199-207
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    • 1993
  • In order to obtain a good microorganism capable of degrading microcrystaline cellulose (avicel), the screening test was carried out from soil and brown-rot wood. 8 strains which had good avicel-hydrolyzing activity were isolated. Among them, HK 47 which exhibited the highest avicel hydrolyzing activity was identified as Trichoderma sp. HK 47. Maximum avicel-hydrolyzing enzyme production from Trichoderma sp. HK 47 was obtained with the optimum medium contained carboxymethylcellulose 1.5% as carbon source, NaN030.75% as nitrogen source, KH2P040.5%, MgSO4.7H2O 0.1%, Tween 800.005% (V/V) during stationary cultivation at pH 6.0, 3$0^{\circ}C$ In this case, the production of avicel-hydrolyzing enzyme was 0.028 U/ml.

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