• 융합정보논문지
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• 제9권4호
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• pp.118-129
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• 2019

본 연구는 고등학생들의 스트레스, 당류섭취행동 및 주관적 구강건강상태와의 상관성을 파악하여 당 섭취 저감화 실천 영양지도를 연계한 구강건강관리 프로그램을 위한 기초자료로 활용하고자 한다. 자료 수집은 전북지역의 고등학생 273명을 대상으로 조사하였고 SPSS 18.0 프로그램을 사용하여 일원배치분산분석, 피어슨의 상관분석을 하였다. 스트레스는 당류섭취행동과 양의 상관관계가 있는 것으로 나타났고, 주관적 구강건강상태와는 음의 상관관계가 있는 것으로 나타났다. 당류섭취행동과 주관적 구강건강상태는 음의 상관관계를 나타냈다. 고등학생들의 스트레스, 당류섭취행동과 주관적 구강건강상태는 서로 연관성이 있는 것으로 나타났다. 이에 올바른 생활습관과 건강한 식생활 형성을 위한 체계적인 당 저감화 영양교육이 갖추어진 구강건강프로그램이 마련되고, 지속적인 홍보와 지도가 필요할 것으로 사료된다.

• 한국치위생학회지
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• 제11권6호
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• pp.833-841
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• 2011

Objectives : The purpose of this study was investigation of quality and quantity of nutritional intake related oral health status among Korean elders. Methods : The nutrient intake and the dietary quality was evaluated on the basis of the Dietary Reference Intakes For Koreans(KDRIs). Chi-square test for Complex Samples was used to determine the relationship between oral health and inadequate nutrient intake in Korean elders. The complex samples general linear model was used to test difference of average value difference of nutrient intake percentage compared to dietary reference intake(DRI), energy intake rate from three major nutrients, average mean adequacy ratio(MAR) and index of nutritional quality(INQ) related oral health status. Age, sex and total energy intake was compensated for this analysis. PASW 18 was used for statistical analysis. Results : We could found the difference of the nutrient intake and the dietary quality related oral health status among Korean elders. Especially, Nutrient intake percentage and component ratio of protein among energy intake rate from three major nutrient was lower as oral health status became worse. The percentage of subjects with nutritional intakes under showed highest level in worst oral health status. As oral health status became worse, average mean adequacy ratio(MAR) was lower and the number of nutrient of which index of nutritional quality(INQ) was under 1 was more. Conclusions : From the result above, this study clearly shows the level of oral health affecting the inequalities of eating and the food for the people. And the various propose of oral health policies is needed for vulnerable groups who needs solution to solve the problem of inequality of food distribution where intensive distribution of nutrition problem occurred. Sufficient, safe, and a variety of healthy food intake is a fundamental right of our people. And also, to apply this policy in reality, institutional arrangements and organizations, and specific performing system will be needed.

• 대한영양사협회학술지
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• 제4권1호
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• pp.65-75
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• 1998

Recently, the number of patients who received Bone Marrow Transplantation(BMT) has been increased dramatically and the diseases for which BMT if efficacious are increasing. Adequate nutritional card for BMT patients is crucial for the success of BMT because nutritional deficiency could provoke deteriorative effects. However, little is known about nutritional status among BMT patients in Korea. This study was conducted to assess oral and parenteral intake of BMT patients and compare the change of nutritional status before and after BMT. Twenty-two BMT patients who were admitted to the Severance hospital from December in 1995 to September in 1997 participated in the study. Total calorie requirements were calculated for each patients individually and nutritional support for each patients consisted of oral and parenteral feeding. To assess oral intake of BMT patients, each patients recorded the amount of food they have eaten from 6 days before BMT to 28 days after BMT. The medical records of each patients were used to assess parenteral intake. To compare the nutritional status before and after BMT, the results of anthropometric and biochemical test from 14 days before BMT to 28 days after BMT were used. At the time of admission, the patients were in allowable nutritional status and their total calorie intake was 93% of total calorie requirement. When the preparative regimen for BMT was started, the patients' oral intake was dramatically decreased below 400kcal/day. Even though their oral intake was increased after BMT, their oral intake at the 4th week after BMT was only 752kcal/d, which is only 35.8% of total calorie requirement. The patients' mean oral intake during BMT period (from 6 days before BMT to 28 days after BMT) was only 439kcal/d. Although Total Parenteral Nutrition(TPN) was added when the preparative regimen was started, the patients' mean total caloric intake during BMT period was 111% of basal energy expenditure and 83% of total calorie requirement. The mean total protein intake was only 58% of total protein requirement. In the comparison of nutritional status between pretransplant phase and posttransplant phase in BMT patients, their body weight and serum albumin level were significantly decreased(p<0.001). These results show inadequacies in nutritional intake among BMT patients, and indicate the need of TPN during BMT period.

• 대한영양사협회학술지
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• 제15권2호
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• pp.168-178
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• 2009

Hematopoietic stem cell tranntation is being widely used in an attempt to treat many hematological diseases such as leukemia, anemia, and lymphoma. To evaluate the success of hematopoietic stem cell transplantation, it is very important to determine how rapidly engraftment occurs. Therefore, this retrospective study was conducted to determine which factors affected the term of engraftment during hematopoietic stem cell transplantation, while focusing on the oral intake status. To accomplish this, 416 patients who underwent transplant operations at St. Mary's hospital from May 2006 to April 2008 were evaluated. The long-term engraftment group was characterized as having longer fasting days and more frequent vomiting, diarrhea, and oral mucositis incidences than the short-term engraftment group. In addition, the inhibitors of oral intake such as vomiting, diarrhea, and oral mucositis developed frequently between the pre-transplantation and 2 weeks after transplantation. A significantly negative correlation was observed between the oral intake volume and the duration of the oral intake inhibitors. A multiple regression analysis revealed that the frequency of vomiting and oral mucositis during hematopoietic stem cell transplantation, the length of hospitalization, and the hematocrit level in the 2 weeks after hematopoietic stem cell transplantation were significant predictors of engraftment. The results of this study could be used to establish a guideline for nutritional assessment, nutritional goals, and nutritional support for patients during hematopoietic stem cell transplantation.

• 대한간호학회지
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• 제30권3호
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• pp.720-730
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• 2000

Malnutrition is a common problem in cancer patients. In addition anticancer drugs used in chemotherapy as a major therapeutic mode are famous as the side effect like nausea, vomiting, which lead the patients to malnourished state. This study was to determine the relationship of anorexia, nausea, vomiting and oral intake and identify the influence these side effects on the nutritional status in patients receiving chemotherapy. To assess the nutritional status, anthropometry such as weight, height, body mass index(BMI), body fat proportion, and triceps skinfold thickness, and biochemistry test such as hemoglobin and lymphocyte were measured at the pre- and post- chemotherapy and the readmission time, all three times. During chemotherapy, anorexia, nausea, and vomiting using a VAS or 5-point scale and 24 hour oral intake using a food record were measured daily. Forty-nine patients knowing their diagnosis and receiving chemotherapy were recruited from an oncological ward in a general hospital for 5 months and they were reduced 31 at readmission time for a next chemotherapy. The results were as follows. Most subjects (93.6%) were in the 4th stage of cancer and 57.1% of subjects were in the first or the second chemotherapy. In most subjects(82.6%), their weight was decreased 10.7% than as usual. The degree of anorexia, nausea, and vomiting was significantly higher and the amount of oral intake was significantly less during the chemotherapy than at the pre-chemotherapy. Weight, BMI, triceps skinfold were reduced more at the post- chemotherapy than the pre-chemotherapy and were recovered the nearly same but less level at the readmission time. Body fat proportion was increased at the post chemotherapy and then decreased at the readmission phase. Hemoglobin and the number of lymphocyte were below normal at the pre-chemotherapy and more reduced at the readmission time. Anorexia, nausea, and vomiting were related positively and oral intake was negatively related with nausea and vomiting. The nutritional status at the post- chemotherapy and the readmission time was explained 20% over by the side effect like anorexia, nausea, vomiting and oral intake during the chemotherapy. The significant nutrition predictors at the post- chemotherapy were vomiting and the significant predictors at the readmission time were anorexia, vomiting, and oral intake. These results indicated the patients receiving chemotherapy were continued to deteriorate the nutritional status. Therefore nurse should have knowledge how much the nutritional status can be affected and assess the nutritional status periodically and try to find out the intervention for side effects from the series of chemotherapies.

• 한국치위생학회지
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• 제18권5호
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• pp.785-795
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• 2018

Objectives: This study aimed to: 1) investigate the beverage consumption pattern among Korean adults, and 2) analyze the relationship between the frequency of beverage consumption and oral health status. Methods: We used data from the 6th Korean National Health and Nutrition Examination Survey. A general linear model was employed to assess the associations between demographic factors and frequency of beverage consumption; and oral health status and the frequency of beverage consumption. Results: The beverage with the highest frequency of intake was coffee (11.5 times per week). More frequent consumptions of fruit juices and carbonated drinks were associated with higher numbers of decayed teeth. Conclusions: To improve oral health, frequent intake of acidic and sweetened beverages should be reduced, and the consumption of milk should be encouraged.

• 대한지역사회영양학회지
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• 제22권4호
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• pp.336-346
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• 2017

Objectives: The study was performed to investigate the relationship between snack intake and oral health behavior in middle school students in Gyeonggi-do area. Methods: The survey questionnaire was recorded by middle school students from July 6 to August 24, 2011. The questionnaire included items on general characteristics, snack intake status, and oral health behavior. Among collected survey questionnaire, a total of 620 questionnaires (320 males and 300 females) were analyzed using SPSS 15.0 program. Results: Frequencies of snack and beverage intakes were significantly higher in males than in females (p < 0.001). Oral health behavior was significantly higher in students with lower snack intake compared to those with higher or average snack intake (p < 0.05). Oral health behavior for tooth brushing and toothbrush care were significantly higher in females than in males (p < 0.05). Conclusions: Oral health behavior score that reflected better oral health of the subjects were higher as the snack intake was lower. Oral health behavior score was higher in females than in males. We conclude that the contents for oral health and nutrition education focused on snack intake need to be developed to induce changes in oral health behavior in middle school students.

• Journal of Nutrition and Health
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• 제27권8호
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• pp.844-855
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• 1994

The purpose of this study is to investigate the nutritional status and dietary intake of gastrectomized cancer patients. For this study, from 1993. 1 to 1993. 8, 50 postoperative gastric cancer patients were selected to examine anthropometric and laboratory data(Body Weight, Body Fat, serum Albumin, Total Lympocyte count), and dietary intake related symptoms. The results were 1) All anthropometric and laboratory data were significantly deteriorated by gastrectomy(s-Albumin, TLC. Body Fat : p<0.001). Weight loss of gastrectomized patients was 8.23$\pm$3.72% from admission to discharge. 2) In many gastrectomized cancer patients, preoperative dietary intake was decreased by abdominal discomfort, indigestion, early satiety, and anorexia. 3) Postoperative energy intake was 602$\pm$158㎉, and it is correspond to 31.18$\pm$.90% of daily energy requirement(1918$\pm$236㎉). The cause of poor oral intake is mostly fear, abdominal distension and fullness, and early satiety. In consideration of the fact that an inadequate energy intake was the main cause of the decreasing nutritional status, a careful nutritional care and dietary education is necessry after gastrectomy.

• 한국치위생학회지
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• 제15권4호
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• pp.593-602
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• 2015

Objectives: The purpose of the study is to investigate the relations between oral health status and subjective oral health recognition in Korean adolescents. Methods: The survey data were extracted from the 2012 Korea National Oral Health Survey from June to November, 2012. The survey consisted of oral checkup data and the oral health interviewing data of 9,981 adolescents(5,335 male, 4,646 female) by proportional distribution. The questionnaire included general objective oral health status and subjective oral health recognition. The subjective oral health recognition consisted of general characteristics of the subjects, oral health status, oral health behavior, and subjective oral health recognition. Results: According to multiple regression analysis for the relations between general characteristics and subjective oral health recognition, subjective health recognition, the influencing factors were gender, age, the number of tooth brushing per day, intake of snacks and carbonated drinks, regular oral examination, decayed teeth (DT), missing teeth (MT,) and DMFT. Conclusions: The routine oral checkup is the most important method to improve the oral health management in the adolescents. The continuing oral health improvement project must be implemented based on the law and will keep the adolescents in good oral health status.

• 한국콘텐츠학회논문지
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• 제21권12호
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• pp.697-704
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• 2021

인구 고령화에 따라 고령친화식품에 대한 수요가 커지고 있다. 이 연구는 노인의 구강건강상태에 따른 고령친화식품 섭취 실태를 분석하여 구강건강수준에 맞는 식품 개발에 기초자료를 제공하고자 수행하였다. 제7기 국민건강영양조사의 건강설문, 구강검진, 영양조사 자료를 이용하여 노인의 고령친화식품 단계별 구강건강상태와 영양 섭취 실태를 복합표본분석방법으로 분석하였다. 그 결과, 75세 이상의 고령자일수록(p=0.013), 저소득과 고소득 양극단에서(p=0.008) 고령친화식품의 3단계 섭취자가 유의하게 많아 상대적으로 혀로 섭취할 수준의 무른 음식을 주로 먹는 것으로 나타났고, 의치를 보유하거나(p=0.024, 0.008) 임플란트를 보유하지 않은 경우(p=0.003)에서 고령친화식품의 3단계 섭취자가 유의하게 많았으며, 저작불편 등 주관적 지표보다 보철물 보유 등과 같은 객관적 지표에서 유의한 차이가 나타났다. 또한 영양소에 따라 고령친화식품 3단계 섭취자가 전반적으로 영양소 기준보다 적게 섭취하고 있었다. 고령친화식품의 3단계를 주로 섭취하는 노인은 구강건강수준과 영양상태가 매우 취약한 것으로 보인다. 따라서 고령친화식품 개발 시 노인의 구강건강상태 및 적절한 영양소를 고려한 다양한 식품 개발과 체계적인 교육이 필요하다.