• 제목/요약/키워드: percent of ideal body weight

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간이식 환자의 수술 후 영양상태가 건강상태에 미치는 영향 (The Effect of the Immediate Postoperative Nutritional Status in Liver Transplant Recipients in SICU on Clinical Outcome)

  • 하지수;최스미
    • Journal of Korean Biological Nursing Science
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    • 제15권4호
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    • pp.193-201
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    • 2013
  • Purpose: The purpose of the study was to evaluate the effect of the immediate postoperative nutritional status and calorie adequacy on clinical outcomes in liver transplant recipients. Methods: A total number of 99 patients who received liver transplants were recruited from a tertiary university hospital. Demography, subjective global assessment, clinical outcomes and calorie adequacy were evaluated through personal interviews, electronic medical records and dietary records. Anthropometric measures, body mass index and percent of ideal body weight were also obtained. Results: At admission to the Surgical Intensive Care Unit (SICU), the triceps skinfold thickness and mid-arm muscle circumference were significantly lower in the malnourished group than in the well-nourished group (p<.05, respectively). In the clinical outcomes, transfusion of red blood cells, mechanically ventilated hours, length of stay in the Intensive Care Unit (ICU), length of stay in the hospital, and prothrombin time were significantly higher in the malnourished group than in the well-nourished group (p<.05, respectively). The mechanically ventilated hour was significantly higher in the group with less than 50% of their required energy intake (p<.05). Conclusion: Therefore, it is important to assess the nutritional status of immediate postoperative patients. Furthermore, studies on nutritional interventions are urgently needed to provide adequate nutritional care for patients in ICUs.

20·30대 여성의 체형 과대인식에 따른 체중조절행위, 삶의 질, 식행동 및 영양소 섭취상태: 2010-2011년 국민건강영양조사 자료 이용 (Weight Control Behaviors, Health-related Quality of Life and Nutritional Status by Overestimation of Body Image among Young Korean Females: Data from the Fifth Korea National Health and Nutrition Examination Survey, 2010-2011)

  • 박슬기;현태선;이홍미
    • 대한지역사회영양학회지
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    • 제20권5호
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    • pp.362-374
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    • 2015
  • Objectives: This study was performed to investigate the effects of overestimation of their own body shape on weight control behaviors, mental condition, physical activity, dietary behavior, health-related quality of life, and nutritional status among young Korean females. Methods: A total of 1,514 women aged 20-39 years who are not pregnant and lactating among those who participated in the Fifth Korea National Health and Nutrition Examination Survey (2010~2011), were analyzed and grouped into underestimation (n=120), normal estimation (NE, n=840), and overestimation (OE, n=554), based on their body perception compared to actual percent ideal body weights. Variables were compared between OE group and NE group. Results: The subjects in OE group were significantly younger (29.5 vs. 30.5 years, respectively p < 0.05) and had lower body mass index (20.9 vs. 22.2 respectively, p < 0.01), health-related quality of life measured by EQ-5D (EuroQol-5 Dimension)(0.97 vs. 0.98 respectively, p < 0.05), nutrition adequacy ratio (NAR) of protein (0.91 vs. 0.93 respectively, p < 0.05), phosphorous (0.93 vs. 0.96 respectively, p < 0.05), and iron (0.70 vs. 0.75 respectively, p < 0.01), and index of nutrition quality (INQ) of iron (0.84 vs. 0.89 respectively, p < 0.05) compared to those in the NE group. The results of logistic regression showed that unmarried status (OR 1.32; 1.01~1.72) and severely underweight/underweight status (OR 1.94; 1.01~3.75)/(OR 1.81; 1.34~2.45) were significantly related to the probability of overestimation by the subjects. Significantly more women in OE group practiced fasting, skipping meals, and taking prescribed pills to lose body weights and had skipped breakfast compared to those in the NE group. Conclusions: The results of this study suggested that the Korean young women's distorted perception of own body shape may be associated with undesirable weight control behavior, low quality of life, and lower nutritional status. Therefore, nutrition education for this group should include information on correct body shape perception and its importance.

지적장애와 일반인 남성의 장기간 체중부하운동 참여가 요추와 대퇴골경부 골밀도 및 신체구성에 미치는 융합적 효과 (The Converge Effects of Long-term Weight-bearing Exercise on Lumbar, Femur Neck BMD and Body Compositions in Person with Intellectual Disabilities and Normal Men)

  • 변재철
    • 한국융합학회논문지
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    • 제7권2호
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    • pp.101-107
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    • 2016
  • 본 연구의 목적은 지적장애와 일반인 남성의 장기간 체중부하운동 참여가 요추와 대퇴골경부 골밀도 및 신체구성에 미치는 융합적인 효과를 규명하는 것이다. 이 연구의 대상자들은 총 19명이 참여하였고, 이들을 두 집단(지적장애=9명, 일반=10명)으로 구분하였다. 모든 피험자들은 체중부하운동으로 음악줄넘기 운동프로그램을 총 12주간, 일주일에 3일, 1일 60분 실시하였다. 통계적 유의성 검증을 위해서 이원분산분석 반복측정법을 이용하였으며, 모든 유의성 검증은 ${\alpha}$=.05 수준으로 설정하였다. 이 연구결과, 요추와 대퇴골경부 골밀도는 운동트레이닝 후 유의하게 증가하였다(각각, p<.01, p<.001). 또한 체중, 체지방율, 신체질량지수에서 12주간의 운동트레이닝 후에 유의하게 감소하였다. 이상의 결과들을 유추해 볼 때, 지적장애인과 일반인들에게 장기간의 음악줄넘기 운동프로그램은 요추와 대퇴의 골밀도 수준을 향상시키고, 신체구성성분을 긍정적으로 개선시키는 융합적인 효과를 얻을 수 있다.

장기간 경관급식을 공급받는 노인 환자에 대한 적극적 영양관리의 효과 (Effect of Active Nutrition Care on Underweight Elderly Patients Receiving Long-term Enteral Tube Feeding)

  • 윤화영;김혜경
    • 대한지역사회영양학회지
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    • 제23권1호
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    • pp.48-59
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    • 2018
  • Objectives: This study was performed to investigate the effect of active nutrition care on feeding and nutritional status of elderly patients receiving long-term enteral tube feeding. Methods: Subjects included 77 elderly patients who had received enteral nutrition more than one week before admission. Nutrition care was provided to patients supplied less calories than required. Feeding intolerance was examined and managed every day and formula was adjusted to meet nutritional requirement during the first 3 months after admission. Patients were classified into under or over 80% of percent ideal body weight (PIBW) and medical records were used to compare changes in weight,, biochemical indices, and nutritional status during the study. Results: Weight, BMI, triglyceride and total cholesterol in blood, hemoglobin, and hematocrit levels were significantly lower in patients under 80% of the PIBW than in those over 80% of the PIBW at admission. The percentage of supply to required calories was also lower in patients under 80% of the PIBW. After 1 month of nutritional care, supplied volume of formula was significantly increased in patients under 80% of the PIBW. Weight, BMI, and PIBW were increased and there were no differences between groups after 6 months. In addition, the concentrations of triglyceride and total cholesterol in blood, hemoglobin, and hematocrit tended to increase in patients under 80% of the PIBW, leading to no difference between groups after 3 months. Conclusions: Personalized active nutrition care is effective to increase weight and improve feeding and nutritional status in underweight elderly patients receiving long-term enteral nutrition.

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

  • 임현숙;신민정;정남식;조승연;김성순
    • 대한영양사협회학술지
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    • 제7권4호
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    • pp.313-319
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    • 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.

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거주형태에 따른 대학생의 식행동에 관한 연구 - 태백시를 중심으로 - (A Study on the Eating Behavior of the University Students by Type of Residence in Taebaek City)

  • 김명선
    • 대한가정학회지
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    • 제42권10호
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    • pp.1-10
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    • 2004
  • The purpose of this study was to investigate what kinds of foods university students consume, how often they go out eating, and the regularity and amount of their meals. A questionnaire survey was conducted on 600 university student (home with Parents $40.8\%$: house of relatives $5.5\%$: boarding with cooking $43.3\%$: dormitory $10.3\%$). The main results are as follows: PIBW(percent ideal body weight) was under weight($49.2\%$), normal weight($40.7\%$), over weight($6.0\%$) and obese($4.2\%$). Many students had breakfast irregularly(boarding with cooking: $81.2\%$> home with parents: $71.8\%$> dormitory: $54.8\%$> house of relatives: $54.5\%$). Students who had a meal of average size were $32.5\%$(for breakfast), $61.3\%$(for lunch), and $39.5\%$(for dinner). Students who were home with parents and boarding with cooking had more eating for breakfast and lunch than those who were house of relatives and dormitory. Students who were home with parents and dormitory students ate more often milk, milk products, and kimchi than house of relatives and boarding with cooking students. Home with parents, boarding with cooking and dormitory students ate more often meat, milk, bread, fast food, and instant noodles than house of relatives students. Home with parents, house of relatives, and dormitory students ate more often fish, dried anchovy, and vegetables than boarding with cooking students. Dormitory students ate more often snacks, such as alcohol and fruits, than home with parents, house of relatives, and boarding with cooking students.

근로자의 작업중 신체적활동량과 건강증진행위와의 관계 (A Study on the Relationship between the Amount of Physical Activities at Work Perceived by Workers and Their Health Promotion Behaviors)

  • 정문희;유인영;이숙희;김윤신
    • 한국보건간호학회지
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    • 제13권2호
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    • pp.131-142
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    • 1999
  • The purpose of this study is to grasp the relationship between the amount of physical activities at work perceived by workers and their health promotion behaviors. To achieve such a purpose. this survey was conducted on 476 Workers who work for 3 food product work-sites located in Keong-in area by means of questionnaire from June 15 to July 14 . 1998. Collected data were statistically analyzed by SPSS/WlN. The significant results were obtained as follows. 1. The average scores of the amount of physical activities at work and health promotion behavior were 3.18 and 2.84 respectively; the former was slightly higher than moderate score 2.5 and the latter was almost the same as it. It can be interpreted that workers perceive their physical activities at work are heavier than their daily activities, which seems to make their health promotion behaviors still inactivated. 2. The amount of physical activities at work, it was were greater revealed that the more activities workers do after work. the more they walk and the more exercises they do. It implies that the voluntary practice of good health habit at leisure can be greatly contributed to the activation of more productive activity at work. 3. The amount of health promotion behaviors was larger as workers do more physical activities at work and have lower PIBW(Percent Ideal Body Weight). It means that the voluntary practice of good health habit is closely related to the degree of obesity and their positive attitude toward their work. Average PIBW was 106.71; most of the workers are distributed within the standard range in their weight. So we can presume that most of them are not seriously conscious of weight maintenance in their daily lives. Therefore it is desirable that health promotion program for workers should be developed toward connecting their physical activities at work with those in their daily lives much more. Physical activities, health promotion behaviors

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종합병원 소아청소년과 내원 초등학생의 비만도와 관련 요인 분석 (Obesity Index and Related Factors among Elementary School Students Visiting Pediatric Department of General Hospital)

  • 이환희;최수경;서정숙
    • 대한영양사협회학술지
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    • 제18권2호
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    • pp.186-199
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    • 2012
  • The present study was conducted to investigate dietary habits and biochemical indices according to the obesity index of elementary school students visiting a hospital for diagnosis. The subjects of this study were 150 elementary school students and their mothers. The overweight rates of child subjects were 37.5% for males and 40.9% for females, whereas the rates of underweight children were 35.0% for males and 14.5% for females. Children's obesity index significantly decreased with an increase in the average monthly income of children's families. Children's obesity index, mothers' weights, BMI, and percent ideal body weight were all positively correlated. Blood biochemical values in children (hemoglobin, hematocrit, albumin, globulin, glucose, total cholesterol, and triglyceride levels) and their obesity index also showed positive correlation. For the underweight group, the frequency of iron-deficiency anemia was significantly high, whereas for the overweight group, the frequency of dyslipidemia was high. There was a significant increase in children's obesity index and a decrease in frequency of regular exercise with time spent on the TV/computer. The normal weight group recorded the highest total scores for mothers' nutritional knowledge, whereas the overweight group recorded the lowest total scores. Therefore, to maintain healthy weight in children, nutritional education programs for mothers and children should be developed.

만성 폐쇄성 폐질환 환자의 영양상태 평가 (Assessment of nutritional status of patients with chronic obstructive pulmonary disease)

  • 박광주;안철민;김형중;장준;김성규;이원영
    • Tuberculosis and Respiratory Diseases
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    • 제44권1호
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    • pp.93-103
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    • 1997
  • 연구배경 : 만성 폐쇄성 폐질환 환자에서 영양결핍이 흔히 나타나며, 그 원인기전은 섭취의 부족보다는 호흡근의 열량요구량의 증가에 따른 과신진대사로 인하여 상대적인 결핍이 초래되기 때문으로 알려져 있다. 또한 만성 패쇄성 폐질환에서 영양결핍은 폐기능, 근력 및 운동수행능 등의 생리적 척도와도 유의한 상관관계를 보이며, 나아가서는 예후에도 영향을 미치는 독립적인 인자로 보고된 바 있다. 방법 : 만성 폐쇄성 폐질환 환자와 유사연령의 건강한 대조군에서 영양섭취량을 조사하였고, 신체계측과 혈액검사 등의 영양상태의 지표를 평가하였으며, 영양상태의 평가지표들과 만성 폐쇄성 폐질환의 중요한 폐기능지표인 1초간 노력성 호기량과의 상관성을 조사하였다. 결과 : 1) 대상 환자는 남자 25예였으며, 평균연령은 66.1세였고, 1초간 노력성 호기량의 예측치에 대한 비율은 $42{\pm}14%$였다. 대조군은 폐기능이 정상인 건강한 남자 26예였고, 평균연령은 65.0세였다. 2) 1일 열량섭취량/열량요구량 비율은 환자군에서 $107{\pm}28%$, 대조군에서 $94{\pm}14%$로 환자군에서 높은 경향을 보였다(p=0.06). 3) 환자군과 대조군의 비만도가 92.8% 및 101.6%로(p=0.024), 신체비만지수가 $20.0kg/m^2$$21.9kg/m^2$ 로(p=0.015), 악력이 29.0kg 및 34.3kg으로(p=0.003), 환자군에서 유의하게 낮았으나, 상완삼두근부위 피부두겹두께, 상완위 근육둘레, 알부민 및 총림프구수는 두 군간에 유의한 차이가 없었다. 환자군에서 저체중군의 비율은 40%(10/25)였고, 대조군에서는 15%(4/26)였다. 4) 비만도, 신체비만지수, 상완삼두근부위 피부두겹두께, 상완위 근육둘레 등은 1초간 노력성 호기량과 유의한 상관성이 있었다. 결론 : 이상의 결과에서 만성 패쇄성 폐질환 환자는 저체중과 말초근력의 저하 등 영양결핍의 소견을 보이나, 그 원인이 섭취량은 부족에 기인하지 않음을 알 수 있었으며, 영양상태 평가의 지표들이 1초간 노력성 호기량과 유의하게 상관됨을 알 수 있었다.

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한국(韓國) 장군광산(將軍鑛山)의 황석석(黃錫石)에 대(對)하여 -장군(將軍) 연(鉛)·아연(亞鉛)·은(銀) 광석광물(鑛石鑛物)의 지식(知識)에의 기여(寄與) (3)- (Stannite from the Janggun Mine, Republic of Korea -Contributions to the Knowledge of Ore-Forming Minerals in the Janggun Lead-Zinc-Silver (3)-)

  • 이현구;이마이 나오야
    • 자원환경지질
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    • 제19권spc호
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    • pp.121-130
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    • 1986
  • In the Janggun mine, stannite occurs as anhedral grains, up to 500 micrometer in long dimension, closely associated with sphalerite, chalcopyrite, arsenopyrite, pyrrhotite, galena and rhodochrosite in the periphery of the South ore body. In reflected light, stannite is grayish yellow green in color and exhibits moderate bireflectance and strong anisotropism without any intenal reflections. Reflection; Rmax. =29.0, Rmin. =27.8 percent at a wavelength of 560nm, and VHN; 219~244kg/mm at a 50g load. The chemical composition on the average from 35 spot analyses by electron microprobe is, Cu 28.0, Fe 12.7, Zn 2.9, Mn 0.2, Sn 25.8, S 30.3, sum 99.9 (all in weight percent); the corresponding chemical formula as calculated on the basis of total atoms=8 is, Cu 1.88 Fe 0.97 Zn 0.19 Mn 0.02 Sn 0.93 S 4.01, which fulfills approximately the ideal formula of $Cu_2FeSnS_4$. The strongest reflections on the X-ray diffraction patterns are; $3.10{\AA}$ (10) (112), $2.72{\AA}$ (5) (020, 004), $1.922{\AA}$ (5) (024), $1.642{\AA}$ (3) (132), $1.244{\AA}$ (3) (143, 136, 235), $1.111{\AA}$(3) (244), $0.958{\AA}$ (1) (048, 422), the patterns are identical with those of literature. From the textural evidence of the microscopic observation, the mineral is considered to have been formed at the middle stage of hydrothermal lead-zinc-silver mineralization.

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