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The Effect of 6 Month Alphacalcidol Treatment or Nutrition Education on the Nutrient Intakes, Bone Mineral Density and Bone Markers in Continuous Ambulatory Peritoneal Dialysis Patients
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Sook Mee Son, Jin Kyung Park
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Korean J Community Nutr 2006;11(6):793-807. Published online December 31, 2006
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- This study was performed to estimate the effect of alphacalcidol supplementation or nutrition education on the nutrient intakes, bone mineral density and bone markers in continuous ambulatory peritoneal dialysis (CAPD) patients. The 90 CAPD subjects were randomly assigned to 3 groups (alphacalcidol group: AG, nutrition education group: NG, and control group: CG). Alphacalcidol supplementation(0.5 microgram/day) was carried out for 8 months. Nutrition counseling was performed according to the patient's individual question for the first 6 months and scheduled nutrition education with individual counseling was carried out for the last 2 months. In baseline data, there were no significant differences in age, sex, family number, education years and monthly income except the NG showed significantly less duration of CAPD (p <0.05) compared to other two groups. After intervention all three groups showed tendency of lower intakes. NG revealed less decrease in protein, especially in animal protein, calcium from Ca-P binder, dietary calcium, dietary iron and niacin. NG showed significantly more increase in dry weight (p <0.05) and AG in waist circumference (p <0.001) after intervention. The groups did not show significant differences in the changes of biochemical indices related to bone metabolism. NG revealed more increase in trochanter BMD (p <0.05) compared to other two groups. It seems that nutrition education is more effective in preventing deterioration or improving the bone and general nutrition status.
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Depression and Dietary Factors Related to Hyperlipidemia in Urban Living Elderly Female from Low Income Group
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Sook Mee Son, Jin Kyung Park, Hong Sup Lee
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Korean J Community Nutr 2003;8(6):938-950. Published online December 31, 2003
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- We conducted a case-control study to examine the relationship of depression and dietary related factors with the hyperlipidemia for urban living elderly women from low income group. The case group consisted of 45 elderly females with hyperlipidemia (serum cholesterol > or = 240 mg/dl or serum TG > or = 250 mg/dl) and the control group of 95 age matched elderly women with serum cholesterol levels less than 240 mg/dl and serum TG less than 250 mg/dl. In a univariate analysis, vitamin C intake, the number of family members living with the subject, and their depression scores were significantly higher in the hyperlipidemic group than in the control group. In the logistic regression analysis, the vitamin C intake (> or = 75% Korean RDA), the number of family members living with the subject (> or = 1), depression scores (> or = 7), BMI (> or = 27), and subscapular skinfold thickness (> or = 18 mm) were associated with significantly higher (p < 0.05) risks of hyperlipidemia in the elderly women. However after adjustment for other covariables, the depression scores (Odds Ratio 2.48 for depression score > or = 7 ; 95%CI : 1.10 - 5.60) and subscapular skinfold thicknesses (Odds Ratio 5.69 for SBT > or = 18 mm ; 95%CI : 1.87 - 17.32) were the significant risk factors associated with hyperlipidemia in the elderly women.
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Anthropometric and Biochemical Indicators and Related Factors for the Community Dwelling Elderly Living Alone
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Jin Kyung Park, Sook Mee Son
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Korean J Community Nutr 2003;8(5):726-735. Published online October 31, 2003
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- In this study, anthropometric and biochemical indicators and related factors for community dwelling elderly living alone (ELA). as well as for elderly not living alone (ENLA) were explored. The subjects were 140 elderly females (70 living alone, 70 not living alone) residing in Bucheon. Anthropometric measurements revealed significant differences between the two groups (ELA/ENLA) for height, weight, BMI, triceps skinfold thickness, suprailiac skinfold thickness, subscapular skinfold thickness, and body fat percentage. The ELA showed significantly lower data for most of the anthropometric indices, except PIBW. Biochemical indicators of iron status (hemoglobin, serum iron, transferrin saturation) were significantly lower for the ELA, whereas the total serum cholesterol, LDL-C, LDL-C/HDL-C, for the ELA were significantly higher. The prevalence of hypercholesterolemia (240 mg%) was 30%. The latter three are not in accordance with general malnutrition among the ELA. The hemoglobin of the ELA was positively correlated with energy, fat, iron and cholesterol intake, but negatively correlated with height. The serum cholesterol of the ELA was positively associated with most of their nutrient intake.
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The Dietary Behaviors, Depression Rates and Nutrient Intakes of the Elderly Females Living Alone
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Jin Kyung Park, Sook Mee Son
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Korean J Community Nutr 2003;8(5):716-725. Published online October 31, 2003
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- In this study, the dietary behaviors, depression rates and nutrient intakes were assessed for elderly females living alone (ELA) and elderly females not living alone (ENLA). The subjects were 140 elderly females (living alone 70; not living alone 70) residing in Bucheon city. Dietary data were obtained using the 24-hr recall method. There were more subjects with low monthly incomes (less than 500,000 won) in the ELA group. The proportion of the ELA group which skipped at least one meal per day was 38.5% and the main reasons given were low appetite and depression. Fewer of the ELA group were observed to have smoking and drinking habits. However, the majority of the ELA smokers smoked more than 6 cigarettes per smoking. The drinking score of the ELA group was also higher than that of the ENLA group. The total score of depression for the ELA group was higher than that of the ENLA group. The total score of nutrition risk index (NRI) of the ELA group (8.09) was also higher than that of the ENLA group (2.31). The dietary assessment using the 24 hr-recall method showed that the ELA group had lower nutrients intakes, and significant differences were shown in the intakes of energy (1137 kcal vs 1275 kcal), animal protein, animal fat, carbohydrates, animal Ca, and animal Fe. There was a positive correlation between the NRI and the depression scores. However a higher NRI was associated with lower intakes for most of the nutrients in the ELA group.
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