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Effects of Nutrition Education and Personalized Lunch Service Program for Elderly at Senior Welfare Center in Jeonju
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Original Article
Effects of Nutrition Education and Personalized Lunch Service Program for Elderly at Senior Welfare Center in Jeonju
Jeong-Sook Bae, Mi-Hyun Kim, Sook-Bae Kim
Korean Journal of Community Nutrition 2013;18(1):65-76.
DOI: https://doi.org/10.5720/kjcn.2013.18.1.65
Published online: February 28, 2013

Graduate School of Education, Chonbuk National University, Jeonju, Korea.

1Department of Food Science & Human Nutrition, Kangwon National University, Kangwon, Korea.

2Department of Food Science & Human Nutrition, Research Institute of Human Ecology, Chonbuk National University, Jeonju, Korea.

Corresponding author: Sook-Bae Kim, Chonbuk National University, 664-14, Duk-Jin Dong 1-Ga, Duk-Jin Gu, Jeonju 561-756, Korea. Tel: (063) 270-3823, Fax: (063) 270-3854, sbkim@jbnu.ac.kr
• Received: October 29, 2012   • Revised: February 22, 2013   • Accepted: February 22, 2013

Copyright © 2013 The Korean Society of Community Nutrition

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  • The purpose of this study was to investigate the effects of a nutrition education and personalized lunch service program in a senior welfare center. A total of 30 elderly (14 males, 16 females) aged 62~89 years participated in this study. Nutrition education lessons (2 hour/lesson/week) were provided for 4 weeks. Also, ten weeks from week 3rd to week 12th, personalized lunch providing 1/3 personal needed energy was served 5 times for a week. After the nutrition intervention program, we compared anthropometric characteristics, blood biochemical characteristics, nutrition knowledge, dietary attitude and dietary intake using 24 hr recall with those before the intervention. The body weight (p < 0.001) and body mass index (BMI) (p < 0.001) were decreased. There were significant increases in score of nutrition knowledge (p < 0.01) and consumption of milk & milk products for snacks. There was a positive effect on fasting blood sugar (FBS) showing significant decreases in portion of impaired fasting glucose and diabetes mellitus (p < 0.05). Also, serum triglyceride (TG) was significantly decreased (p < 0.05). In evaluation of nutrient intake by Dietary Reference Intakes for Koreans (KDRIs), riboflavin (p < 0.01), vitamin C (p < 0.001), calcium (p < 0.05) were positively improved. The index of nutritional quality (INQ) and intakes of vitamin C (p < 0.001), riboflavin (p < 0.05), Ca (p < 0.01) and Fe (p < 0.05) were increased. In conclusion, this nutrition education and lunch service program providing 1/3 personal needed energy can be used to develop and implement a tailored nutritional intervention programs in the setting of a community senior welfare center to improve health and nutritional status of Korean elderly.
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Table 1
Contents and tools of nutrition education
kjcn-18-65-i001.jpg
Table 2
General characteristics of the subjects
kjcn-18-65-i002.jpg

1) N (%)

Table 3
Characteristics of anthropometry between pre-test and post-test
kjcn-18-65-i003.jpg

1) Mean ± SD

2) BMI: Body Mass Index (kg/m2)

3) N (%)

***: p < 0.001 by paired t-test or Wilcoxon test

Table 4
Eating habits between pre-test and post-test
kjcn-18-65-i004.jpg

1) N (%)

Table 5
Dietary attitude between pre-test and post-test
kjcn-18-65-i005.jpg

1) Mean ± SD, 2) R: Reverse

1: Undesirable dietary attitude

2: Sometimes desirable dietary attitude

3: Frequently desirable dietary attitude

4: Always desirable dietary attitude

*: p < 0.05 by paired t-test

Table 6
Nutrition knowledge between pre-test and post-test
kjcn-18-65-i006.jpg

1) Mean ± SD

1: Right, 0: Wrong

*: p < 0.05, **: p < 0.01, ***: p < 0.001 by paired t-test

Table 7
Blood biochemical parameters between pre-test and post-test
kjcn-18-65-i007.jpg

1) Fast Blood Sugar

2) N (%)

3) Mean ± SD

4) Blood Urea Nitrogen

*: p < 0.05 by paired t-test or Wilcoxon test

Table 8
Energy and nutrient intakes between pre-test and post-test
kjcn-18-65-i008.jpg

1) EER: Estimated Energy Requirements, 2) N (%), 3) EAR: Estimated Average Requirements, 4) RNI: Recommended Nutrient Intake, 5) AI: Adequate Intake, 6) UL: Tolerable Upper Intake Level, 7) Goal: population nutrient intake goal

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

Table 9
INQ between pre-test and post-test
kjcn-18-65-i009.jpg

1) INQ: Index of Nutritional Quality

2) Mean ± SD

*: p < 0.05, **: p < 0.01, ***: p < 0.001 by paired t-test

Figure & Data

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    Effects of Nutrition Education and Personalized Lunch Service Program for Elderly at Senior Welfare Center in Jeonju
    Effects of Nutrition Education and Personalized Lunch Service Program for Elderly at Senior Welfare Center in Jeonju

    Contents and tools of nutrition education

    General characteristics of the subjects

    1) N (%)

    Characteristics of anthropometry between pre-test and post-test

    1) Mean ± SD

    2) BMI: Body Mass Index (kg/m2)

    3) N (%)

    ***: p < 0.001 by paired t-test or Wilcoxon test

    Eating habits between pre-test and post-test

    1) N (%)

    Dietary attitude between pre-test and post-test

    1) Mean ± SD, 2) R: Reverse

    1: Undesirable dietary attitude

    2: Sometimes desirable dietary attitude

    3: Frequently desirable dietary attitude

    4: Always desirable dietary attitude

    *: p < 0.05 by paired t-test

    Nutrition knowledge between pre-test and post-test

    1) Mean ± SD

    1: Right, 0: Wrong

    *: p < 0.05, **: p < 0.01, ***: p < 0.001 by paired t-test

    Blood biochemical parameters between pre-test and post-test

    1) Fast Blood Sugar

    2) N (%)

    3) Mean ± SD

    4) Blood Urea Nitrogen

    *: p < 0.05 by paired t-test or Wilcoxon test

    Energy and nutrient intakes between pre-test and post-test

    1) EER: Estimated Energy Requirements, 2) N (%), 3) EAR: Estimated Average Requirements, 4) RNI: Recommended Nutrient Intake, 5) AI: Adequate Intake, 6) UL: Tolerable Upper Intake Level, 7) Goal: population nutrient intake goal

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

    INQ between pre-test and post-test

    1) INQ: Index of Nutritional Quality

    2) Mean ± SD

    *: p < 0.05, **: p < 0.01, ***: p < 0.001 by paired t-test

    Table 1 Contents and tools of nutrition education

    Table 2 General characteristics of the subjects

    1) N (%)

    Table 3 Characteristics of anthropometry between pre-test and post-test

    1) Mean ± SD

    2) BMI: Body Mass Index (kg/m2)

    3) N (%)

    ***: p < 0.001 by paired t-test or Wilcoxon test

    Table 4 Eating habits between pre-test and post-test

    1) N (%)

    Table 5 Dietary attitude between pre-test and post-test

    1) Mean ± SD, 2) R: Reverse

    1: Undesirable dietary attitude

    2: Sometimes desirable dietary attitude

    3: Frequently desirable dietary attitude

    4: Always desirable dietary attitude

    *: p < 0.05 by paired t-test

    Table 6 Nutrition knowledge between pre-test and post-test

    1) Mean ± SD

    1: Right, 0: Wrong

    *: p < 0.05, **: p < 0.01, ***: p < 0.001 by paired t-test

    Table 7 Blood biochemical parameters between pre-test and post-test

    1) Fast Blood Sugar

    2) N (%)

    3) Mean ± SD

    4) Blood Urea Nitrogen

    *: p < 0.05 by paired t-test or Wilcoxon test

    Table 8 Energy and nutrient intakes between pre-test and post-test

    1) EER: Estimated Energy Requirements, 2) N (%), 3) EAR: Estimated Average Requirements, 4) RNI: Recommended Nutrient Intake, 5) AI: Adequate Intake, 6) UL: Tolerable Upper Intake Level, 7) Goal: population nutrient intake goal

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

    Table 9 INQ between pre-test and post-test

    1) INQ: Index of Nutritional Quality

    2) Mean ± SD

    *: p < 0.05, **: p < 0.01, ***: p < 0.001 by paired t-test


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