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Development of Web-based u-Health Self-nutrition Management Program for Diabetic Patients


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Development of Web-based u-Health Self-nutrition Management Program for Diabetic Patients

Article information

Korean J Community Nutr. 2014;19(4):372-385
Publication date (electronic) : 2014 August 31
doi : https://doi.org/10.5720/kjcn.2014.19.4.372
Yun Ahn1),3), Jeahurn Bae2), Hee-Seon Kim3)
1)Department of Food Science and Nutrition, Seoul Women's University, Seoul, Korea.
2)Nutrition Team, Soonchunhyang University Hospital, Bucheon, Korea.
3)Department of Food Science and Nutrition, Soonchunhyang University, Asan, Korea.
Corresponding author: Hee-Seon Kim. Department of Food Science and Nutrition, Soonchunhyang University, 646 Eupnae-ri Shinchang-myun, Asan, Chungnam 336-745, Korea. Tel: (041) 530-1263, Fax: (041) 530-1264, hskim1@sch.ac.kr
Received 2013 November 21; Revised 2014 January 27; Accepted 2014 July 23.

Abstract

Objectives

The purpose of this study was to develop web-based self-nutrition management u-Health program for diabetic patients (DMDMG: Diabetes Mellitus Dietary Management Guide) for achieving systematic self-management of diet.

Methods

The program consisted of five parts with different contents according to the results of needs assessment. Five major parts were 1) meal management part which contains calorie prescription, meals recording and dietary assessment, 2) prevention of disease part with information of diabetes and assessment of dietary behavior, 3) dietary behavior modification part with an education on dietary behavior modification plan and dietary behavior plan, 4) meal plan containing a training section for meal plan and self constructing part for meal planning by making tables, and 5) information about myself which composed with general and physical information. The system proposed in this study provides nutrients intake results right after input of diet intake, which is possible with simultaneous calculation of input data in the server with 3,495 food and 1,821 meal data base. The nutrients analysis program was evaluated with 26 diabetic patients with two-day 24 hr recall.

Results

The differences of nutrients intakes between DMDMG and CANPRO 3.0 ranged from 13.5-16.5%, which was caused by the differences of databases of the two programs. The characteristics of DMDMG were; 1) it can provide an interactive tailored nutrition management, 2) it is a practical tool of diabetes nutritional management, 3) the program gives motivation for the dietary behavior modification.

Conclusions

The effectiveness of whole program needs to be conducted, but the program was an innovative tool for self-management of nutrient intakes, diet behaviors, meal management and tailored nutrition education.

Keywords: diabetes; u-Health; assesment; program; self-nutrition management

Acknowledgments

This work was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education and Technology (MEST) (2010-0017210) and partially supported by Soonchunhyang University Research Funds.

References

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Article information Continued

Copyright © 2014 The Korean Society of Community Nutrition

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Funded by : National Research Foundation of Korea
Award ID : 2010-0017210
Funded by : Soonchunhyang University

Fig. 1

Fig. 1

Flow chart for developing stages of u-Health self nutrition management system

Fig. 2

Fig. 2

Calorie prescription, diet recommended by calorie

Fig. 3

Fig. 3

Meals recording process

Fig. 4

Fig. 4

Introduction to KDRIs, dietary assessment

Fig. 5

Fig. 5

Diabetes and nutrition, assessment of dietary behavior

Fig. 6

Fig. 6

Dietary behavior modification plan education, making and evaluation of planning table.

Fig. 7

Fig. 7

Training of meal plan, making of meal planning table

Table 1

Configuration of the web program (DMDMG)

Table 1

Table 2

The general characteristics of the participants

Table 2

1) Mean ± SD

2) N (%)

Table 3

Comparison between DMDMG and CANPRO 3.0 for analyses of nutrient intakes1)

Table 3

1) Mean ± SD, 2) %Difference = (DMDMG - CANPRO) × 100 / DMDMG

*: p < 0.05, **: p < 0.01, ***: p < 0.001 by Wilcoxon signed rank test