Nutrition Diagnostic Analysis for Nutrition Care Process Model in Adults of a Health Screening & Promotion Center

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Korean J Community Nutr. 2015;20(1):61-72

Publication date (electronic) : 2015 February 28

doi : https://doi.org/10.5720/kjcn.2015.20.1.61

Hye Seung Lee , Ji Ho Chang , Hyeon Jeong Lee , So Jeong Park , Eun Hee Kang

Department of Nutrition, Health screening & Promotion center, Asan Medical Center, Seoul, Korea.

Corresponding author: Eun Hee Kang. Department of Nutrition, Health screening & Promotion center, Asan Medical Center, Olympicro 43 ga-gil, Seoul 138-736, Korea. Tel: (02) 3010-1291, Fax: (02) 3010-1264, ehkang@amc.seoul.kr

Received 2014 November 11; Revised 2015 January 26; Accepted 2015 February 02.

Abstract

Objectives

This study was performed to examine nutrition problems and causes/contributing risk factors.

Methods

This study was conducted using data 1,863 adults visited Asan health screening & promotion center located in Seoul, Korea during May to June of 2013. We used Nutrition Care Process Model developed by the International Dietetics & Nutrition Terminology (IDNT).

Results

The most frequent nutrition problem in male subjects was excessive alcohol intake. Men in fifties showed the highest rate of excessive alcohol intake among the age groups examined (22.4%). By comparison, the most frequent nutrition problem in women was inadequate protein intake. Women in fifties exhibited the highest rate of inadequate protein intake (22.5%). The most common contributing factors for these observations were a low preference for dairy products followed by high preference for alcohol and a deficit in food-and nutrition-related knowledge, regardless of the sex and age. The most common nutrition problem observed among the group diagnosed with hyperglycemia or hypertriglyceridemia or hyperuricemia or fatty liver was excessive alcohol intake (p<0.001), whereas the group diagnosed with hyperglycemia or hypercholesterolemia showed significantly higher rate of inappropriate intake of carbohydrate (fructose) compared to the group not diagnosed with such disease conditions (p<0.05). The group diagnosed with hypercholesterolemia, hyperuricemia and fatty liver showed significantly higher occurrence of inappropriate intake of fat (saturated fat) than the group free of such diseases (p< 0.001). The osteopenia group showed higher rate of inadequate protein intake (p<0.001) and the fatty liver group with excessive energy intake (p<0.001). Overall, the results suggest that there is a significant relationship between nutrition problems and health conditions found in groups diagnosed with a diverse array of medical conditions.

Conclusions

Therefore, we strongly suggest that dieticians should implement nutrition interventions with people visiting health screening & promotion center based on nutrition problems and the contributing factors diagnosed by dietitions in order to prevent chronic diseases in this population.

Keywords: nutrition care process; IDNT; nutrition problem; etiology; nutrition intervention

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