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Korean J Community Nutr : Korean Journal of Community Nutrition

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Research Article
[Korean]
Assessment of Nutrient Intake and Dietary Quality of Korean Adults in Metabolic Syndrome Patients According to Taking Medical Care: Based on the 2017 Korea National Health and Nutrition Examination Survey
Juhee Lee, Kyungsuk Choi
Korean J Community Nutr 2022;27(4):321-340.   Published online August 31, 2022
DOI: https://doi.org/10.5720/kjcn.2022.27.4.321
AbstractAbstract PDF
Objectives
This study established a practical direction for the prevention and management of metabolic syndrome by evaluating the health status, nutrition intake level, and diet quality according to metabolic syndrome and related drug treatment in Korean adults.
Methods
The data from the 2017 KNHANES (Korea National Health and Nutrition Examination Survey) was analyzed. The analysis included 2,978 adults, classified into the normal, metabolic syndrome (MetS), metabolic syndrome with medicines (MetS-M), and without medicines (MetS-noM) groups. The nutrient intake, NAR (nutrient adequacy ratio), INQ (index of nutritional quality), and DDS (dietary diversity score) were analyzed.
Results
The mean BMI was significantly higher in the MetS group than in the normal group for all subjects. Subjects of the MetS group tended to consume less energy and major nutrients, while males aged 50 ~ 64 and all females showed less intake of nutrients in the MetS-M group. The energy intake ratio was within 55 ~ 65 : 7~ 20 : 15 ~ 30 of KDRI (Korean Dietary Recommended Intake), but the carbohydrate energy ratio of all subjects aged 50 to 64 was over 65%. The NAR of the major nutrients was lower in the MetS-M group, the average INQ was around 0.8, especially the INQ of calcium and vitamin A was less than 1, and the total DDS score was less than 4 points.
Conclusions
This study confirmed that the nutrient intake and diet quality differed among subjects diagnosed with metabolic syndrome and managed with medical care. The intakes of energy and many nutrients, the quality of diets, and the diversity of food groups in the MetS-M group were lower than in the normal group. Therefore, these will be an important basis for establishing a specific direction of diet education for preventing and managing metabolic syndrome according to gender, age, metabolic syndrome, and drug treatment.

Citations

Citations to this article as recorded by  
  • Identification of shared genetic risks underlying metabolic syndrome and its related traits in the Korean population
    Jun Young Kim, Yoon Shin Cho
    Frontiers in Genetics.2024;[Epub]     CrossRef
  • Comparative Analysis of Nutritional Intake in Normal, Caution, and Metabolic Syndrome Groups: Data from the 2019 Eighth KNHANES
    Min-Young Chong, Inhwa Han
    Journal of the Korean Society of Food Science and Nutrition.2023; 52(12): 1304.     CrossRef
  • Effects of Cinnamon (Cinnamomum zeylanicum) Extract on Adipocyte Differentiation in 3T3-L1 Cells and Lipid Accumulation in Mice Fed a High-Fat Diet
    Joohee Oh, SongHee Ahn, Xiangqin Zhou, Yu Jin Lim, Sookyeong Hong, Hyun-Sook Kim
    Nutrients.2023; 15(24): 5110.     CrossRef
  • Distribution of the Metabolic Syndrome by Obesity and Health Behavior Based on the Eighth KNHANES at 2019
    Min-Young Chong, Inhwa Han
    Journal of the Korean Society of Food Science and Nutrition.2022; 51(11): 1136.     CrossRef
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Original Articles
[English]
A Study of Hospital Foodservice Satisfaction after Covering Hospital Foodservice in the National Health Insurance
Rah Il Hwang, Jin Hee Kwon
Korean J Community Nutr 2008;13(3):396-404.   Published online June 30, 2008
AbstractAbstract PDF
This study aimed to evaluate the amount of patients' satisfaction with hospital foodservices among those who were benefited from national health insurance during theirhospitalization. A total of 3,094 inpatients from 191 medical institutions were enrolled in this survey. The survey was carried out from July 23 to September 14, 2007 through the face-to-face interview method. All analyses were made using the SPSS software (version 13.0). The mean age of the participants was 53.3 years, 57.0% were women; 34.7% were high-school graduates. Among the respondents, 30.9% stayed in the hospital for 7~14 days long, and 52.0% were hospitalized in multi-patient rooms for six persons. The 87.7% of total population had a general diet, and 9.6% selected the food menu that was notcovered by health insurance. In addition, 38.3% of patients regarded the fee of foodservice as inexpensive. Overall, the satisfaction score with hospital foodservice was 3.63 on a Likert-type scale ranging from 1 (extremely dissatisfied) to 5 (extremely satisfied). However, the limitations were indicated including the lack of providing nutritional information and quality of taste. In conclusion, the quality of hospital foodservice might not deteriorate even after enforcement of national payment of medical insurance. Further efforts are required for the diversification of menus and legislative work for improving quality of food service for a successful hospital foodservice policy.
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[English]
A Study of Hospital Foodservice Management after Covering Hospital Foodservice in The National Health Insurance
Rah Il Hwang, Jin Hee Kwon, Hyun Jin Jeong, Jung Hee Kim, Ho Young Lee
Korean J Community Nutr 2008;13(2):244-252.   Published online April 30, 2008
AbstractAbstract PDF
The purpose of this study is to investigate the overall operations of National Hospital Food service after it was benefited by National Health Insurance (NHI). The survey was conducted between July and August, 2007. Among questionnaires mailed to 2,558 medical care institutions, 2,090 returned (81%) questionnaires were analyzed by descriptive statistics, chi-square -test and ANOVA using the SPSS 13.0. The general foodservice characteristic of medical care institutions were as follows. The type of foodservice operations were 'self-operated' (86.9%), 'contracted' (10.5%) and 'Both' (2.6%). Only 6.4% of medical care institutions provided 'hospital food menu not benefited by NHI'. The number of dietitians and cook for medical care institutions were 1.1 and 1.0, respectively. The cost of a general diet meal was 4,205 won and therapeutic diet meal was 4,434 won. The overall operations of hospital foodservice were different depending on the types of medical care institution. After hospital foodservice was benefited by NHI, the overall quality of hospital foodservice including manpower, facilities, and environment was improved. The future direction of hospital foodservice should 1) differentiate the cost of hospital foodservice by the types of medical care institution, 2) increase in co-payment, and 3) provide same service with equal expenses in each party as medical aid or NHS beneficiary.
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