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- Effectiveness of NQ-E index-based individual nutrition counseling for community-care elderly: an intervention study on improving nutritional status, complex chronic diseases, and quality of life
- Yoonjeong Choi, Jihyun Lee, Heesook Lim, Yoo Kyoung Park
- Korean J Community Nutr 2023;28(6):480-494. Published online December 31, 2023
- DOI: https://doi.org/10.5720/kjcn.2023.28.6.480
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Abstract
PDF - Objectives
This study sought to assess the effectiveness of community-based nutrition counseling on improving nutritional status, managing complex chronic diseases, and enhancing the quality of life for elderly individuals with chronic conditions, particularly in older adults with high levels of food insecurity and multiple chronic illnesses.
Methods
Thirty elderly subjects with diabetes and hypertension who were registered at local Senior Welfare Center received individualized nutrition counseling, based on their Nutrition Quotient for the Elderly (NQ-E) index. Over a 16-week period, they received tailored counseling and underwent various health and nutritional assessments. The final analysis included 28 participants after two dropped out. Data analysis was conducted using the SPSS v28.0.
Results
The subjects were over 70, with multiple chronic diseases including diabetes and hypertension and predominantly female. After 16 weeks, significant improvements were observed in the subjects’ grip strength, and HbA1c levels, as well as in their NQ-E scores, indicating improved dietary balance and diversity. There were no significant improvements in the ‘Moderation’ subdomain of the NQ-E index, suggesting that this aspect requires further attention in nutritional counseling. The subjects' nutritional risk scores (NSI) were also significantly decreased, indicating less nutritional risk. Lastly, as measured by the SF-36K, the subjects’ quality of life showed significant improvement in several domains including physical role performance and social function.
Conclusions
This study demonstrates that tailored nutrition counseling, based on the NQ-E index, can improve elderly health, manage chronic diseases, and enhance quality of life. This approach potentially broadens the scope of community nutritionists' roles within an aging society. However, additional research is necessary to evaluate these interventions' long-term effects and sustainability. -
Citations
Citations to this article as recorded by
- A Basic Study to Establish a Nutrition Education System for Welfare Facilities for the Elderly at Home Using Body Composition Analysis and Nutritional Management Cards
Sun Hee Lee, Seung-Lim Lee
The Korean Journal of Community Living Science.2024; 35(3): 471. CrossRef
- A Basic Study to Establish a Nutrition Education System for Welfare Facilities for the Elderly at Home Using Body Composition Analysis and Nutritional Management Cards
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- 1 Crossref
- [English]
- Effect of Nutrition Counseling by Nutrition Care Process on Diet Therapy Practice and Glycemic Control in Type 2 Diabetic Patients
- Tae-Jeong Bae, Na-Eun Jeon, Soo-Kyong Choi, Jung-Sook Seo
- Korean J Community Nutr 2020;25(3):214-225. Published online June 30, 2020
- DOI: https://doi.org/10.5720/kjcn.2020.25.3.214
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Abstract
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- Objectives
This study examined the effects of nutrition counseling by the nutrition care process (NCP) on diet therapy practice and glycemic control in patients with type 2 diabetes mellitus.
Methods
The survey was conducted on 49 patients whose hemoglobin A1c (HbA1c) level ranged from 6.5% to below 10% among patients aged 30∼60s with type 2 diabetes mellitus. Nutrition counseling by the NCP process was carried out twice: first nutrition counseling and follow up counseling. The questionnaires were composed of 54 questions in five fields (general characteristics, health-related behaviors, diet therapyrelated items, dietary life, diet therapy-related knowledge, diet therapy-related barriers). Nutrition intervention in nutrition counseling was performed based on the individualized diagnosis of NCP.
Results
All the subjects practiced self-monitoring of their blood glucose levels, regular exercise, and diet therapy after NCP-based nutrition counseling. Diet therapy-related knowledge and practice by the subjects were improved after nutrition counseling. While the intake of boiled white rice decreased, the intake of boiled brown rice and barley rice in the subjects increased significantly. After nutrition counseling, the weight and HbA1c of the subjects decreased.
Conclusions
These results suggest that personalized nutrition counseling by NCP process is effective for diet therapy compliance and glycemic control of type 2 diabetic patients. -
Citations
Citations to this article as recorded by- Nutrition education programs necessary for social welfare facilities for persons with disabilities: a cross-sectional study
Jinkyung Kim, Min-Sun Jeon
Korean Journal of Community Nutrition.2024; 29(1): 1. CrossRef - Effect of Health educational intervention in the form of counseling on changes in anthropometric and biochemical parameters of type 2 diabetes mellitus
Dijana Stantić-Romić, Hajnalka Požar, Sanja Šumonja
Sestrinska rec.2023; 26(86): 17. CrossRef - The association between nutrition label utilization and disease management education among hypertension or diabetes diagnosed in Korea using 2018 Community Health Survey: a cross-sectional study
Miran Jin, Jayeun Kim, Kyuhyun Yoon
Korean Journal of Community Nutrition.2023; 28(1): 38. CrossRef
- Nutrition education programs necessary for social welfare facilities for persons with disabilities: a cross-sectional study
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- 17 Download
- 3 Crossref
Original Articles
- [English]
- Food Allergy-related Awareness and Performance of Dietitians at Children's Hospitals in Korea: Comparison of Certificate Possession among Clinical Dietitians
- Hye Ran Shin, Sook Bae Kim
- Korean J Community Nutr 2019;24(6):512-524. Published online December 31, 2019
- DOI: https://doi.org/10.5720/kjcn.2019.24.6.512
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Abstract
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PubReader - OBJECTIVES
The purpose of this study was to examine the food allergy-related knowledge, awareness, and performance of dietitians at children's hospitals, depending on whether or not they have a clinical dietitian certificate.
METHODS
A questionnaire survey was administered to 41 dieticians at children's hospitals registered as a part of the Korean Hospital Association. The survey consisted of questionnaires examining general characteristics, nutritional counseling-related characteristics, and food allergy-related characteristics (food allergy-related knowledge, awareness, and performance). We examined differences according to the status of clinical dietitian certification.
RESULTS
The proportion of subjects who were holders of clinical dietitian certificates was 48.8%. There were differences between holders of clinical dietitian certificates and non-holders as follows. Regarding nutritional awareness and performance, ‘needs to provide nutrition counseling in children's hospitals’, ‘providing nutrition counseling services in working hospitals’, and ‘whether there is a nutrition counseling room’ scored higher among holders of clinical dietitian certificates than non-holders. Holders of clinical dietitian certificates showed higher scores for knowledge of food allergy symptoms and food allergy management than non-holders. For food allergy awareness and performance, ‘self-assessment of food allergy knowledge understanding level’, ‘awareness of open oral food challenge (OFC)’, ‘recognition of the need for education and counseling on food allergy for patients/guardians’, and ‘food allergy related educational experience’ scored higher among holders of clinical dietitians certificates than in non-holders.
CONCLUSIONS
Children's hospital dietitians with a clinical dietitian certificate showed high knowledge, awareness, and performance related to food allergies. It is thus necessary to employ a clinical dietitian for food allergy management in children's hospitals. In addition, training and conservative education are necessary for the management of food allergies for children's hospital dietitians.
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- [English]
- Study on the Improvement of Dietary Life of Cancer Patients during Treatment by Nutrition Counseling
- Keeyoun Hong, Yunjin Choi, Wanqin Yan, Hyunsook Lim, Jonghee Chyun
- Korean J Community Nutr 2016;21(1):93-101. Published online February 29, 2016
- DOI: https://doi.org/10.5720/kjcn.2016.21.1.93
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Abstract
PDFPubReader
- OBJECTIVES
This study investigated the improvement of food habits and eating behavior of cancer patients during treatment through the continuous nutrition counseling and monitoring.
METHODS
Thirty cancer patients during treatment were participated in this study, and the first nutrition counseling and the first and second monitoring were conducted after 2-3 week intervals.
RESULTS
As a result of the nutrition counseling and monitoring, all patients improved to a great extent to consume 3 meals a day. The frequency of having breakfast was significantly increased with the nutrition counseling and continuous monitoring as well. The meal fixed quantity was stabilized and the eating speed slowed down as more nutrition counseling were done. The snack intakes of patients did not show any significant difference after the nutrition counseling but showed a slight decline after the monitoring. The frequencies of eating out and a late-night meal significantly decreased after the monitoring. The intakes of fish, meat, vegetables, milk and fruits needed for a well-balanced diet significantly increased as more nutrition counseling were done. The intakes of processed food were significantly decreased after the nutrition counseling and the intakes of fast food were significantly decreased as more nutrition counseling were done. The water intake of patients also significantly increased. In the eating behavior related to health, the frequency of drinking alcohol significantly decreased after nutrition counseling consultation and no patients had dietary supplements after the first monitoring.
CONCLUSIONS
These results suggested that continuous nutrition counseling is effective in improving eating habits of cancer patients. -
Citations
Citations to this article as recorded by- Efficacy and Safety of Yukgunja-Tang for Patients with Cancer-related Anorexia: A Randomized, Controlled Trial, Pilot Study
Myung-Hyun Ko, Si-Yeon Song, Su-Jeong Ha, Jee Young Lee, Seong Woo Yoon, Ji-Hye Park, So-Jung Park, Hwa-Seung Yoo
Integrative Cancer Therapies.2021;[Epub] CrossRef - Cancer survivor's dietary safety management awareness and competency type
Yun Hwa Kim
Journal of Nutrition and Health.2020; 53(5): 532. CrossRef - Qualitative Study of Compliance with Nutritional Management in Colorectal Cancer Patient Undergoing Chemotherapy
Heejung Park, Hyonson Kil, Wookyoun Cho
Korean Journal of Community Nutrition.2020; 25(4): 303. CrossRef - Experiences of Inpatients Living with Lung Cancer in South Korea
Hae Ok Kim, Hyeon Jeong Kim
Asian Oncology Nursing.2020; 20(1): 28. CrossRef - The Effect of Symptom Experience, Nutritional Status, and Self Care on Quality of Life in Elderly Patients with Colorectal Cancer
Jeong Won Yeom, Yeon Ok Suh
The Korean Journal of Rehabilitation Nursing.2019; 22(1): 48. CrossRef - Effect of Nutrition Education on the Eating Habits and Quality of Life of Gastric Cancer Outpatients Undergoing Gastrectomy
YoonHee Jung, Joomin Lee
Korean Journal of Community Nutrition.2018; 23(2): 162. CrossRef
- Efficacy and Safety of Yukgunja-Tang for Patients with Cancer-related Anorexia: A Randomized, Controlled Trial, Pilot Study
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- 6 Crossref
- [English]
- An Evaluation of the Effectiveness of Nutrition Counseling for Adults with Risk Factors for Dyslipidemia
- Tae Young Nam, Jung Hee Kim
- Korean J Community Nutr 2014;19(1):27-40. Published online February 28, 2014
- DOI: https://doi.org/10.5720/kjcn.2014.19.1.27
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Abstract
PDFPubReader
- Dyslipidemia is a component of the metabolic syndrome and a risk factor for cardiovascular diseases. Nutrition counseling is important to improve dyslipidemia. The purpose of this study was to evaluate the effectiveness of nutrition counseling in adults with risk factors for dyslipidemia diagnosed by the national health screening program. The nutrition counseling for adults with risk factors for dyslipidemia was carried out at a public health center in Gyeonggi-do. Thirty four patients out of forty five participants in the program completed the nutrition counseling program. The nutrition counseling was provided 3 times during a 12-week period. Individualized nutrition counseling to improve dietary habits was conducted after examining participants' dietary intake through questionnaires about dietary habits and whether they practice dietary guidelines. Data about serum lipid profiles, body composition, nutrition knowledge, the practice of dietary guidelines, and dietary behavior were collected before and after nutrition counseling to evaluate the effectiveness of nutrition counseling. All data were statistically analyzed by SPSS program (Korea ver.18.0) and significant difference was evaluated by paired t-test and chi(2)-test. Body weight, body fat and WHR were significantly decreased after nutrition counseling. Total-cholesterol, TG, and LDL-cholesterol were significantly decreased but HDL-cholesterol did not show significant changes. Both scores of nutrition knowledge and the practice of dietary guidelines improved significantly (p < 0.001). This study shows that nutrition counseling helps to encourage healthy eating practices and to improve serum lipid profiles of adults with risk factors for dyslipidemia. Overall, results indicated that nutrition counseling resulted in positive changes to lower the reliance on medications. Therefore, nutrition counseling should be considered for the initial treatment of dyslipidemia.
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Citations
Citations to this article as recorded by- Facilitators and barriers to achieving dietary and physical activity goals: focus group interviews with city bus drivers and counseling dietitians
Yongmin Jo, Suhyeun Cho, Young-Hee Han, Taisun Hyun
Korean Journal of Community Nutrition.2023; 28(5): 376. CrossRef - Comparison of Health Behaviors and Nutritional Status related to Dyslipidemia in Korean Middle-Aged Adults - From the Korean National Health and Nutrition Examination Surveys, 2007~2010 -
Myung-Gon Shin, Ki-Hong Yoon, Mi-Young Song
The Korean Journal of Food And Nutrition.2016; 29(5): 724. CrossRef - Development of Job Standards for Clinical Nutrition Therapy for Dyslipidemia Patients
Min-Jae Kang, Jung-Sook Seo, Eun-Mi Kim, Mi-Sun Park, Mi-Hye Woo, Dal-Lae Ju, Gyung-Ah Wie, Song-Mi Lee, Jin-A Cha, Cheong-Min Sohn
Clinical Nutrition Research.2015; 4(2): 76. CrossRef - Short-term Effects of a Lifestyle Intervention Program on Eating Behaviors, Physical Activity and Cardiovascular Risks in Korean Adults
Jiyeon Park, Hyekyeong Kim
Korean Journal of Health Education and Promotion.2014; 31(4): 37. CrossRef
- Facilitators and barriers to achieving dietary and physical activity goals: focus group interviews with city bus drivers and counseling dietitians
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- 4 Crossref
- [English]
- The Effect of Sodium Reduction Education Program of a Public Health Center on the Blood Pressure, Blood Biochemical Profile and Sodium Intake of Hypertensive Adults
- Eun Jin Jung, Sook Mee Son, Jong Sook Kwon
- Korean J Community Nutr 2012;17(6):752-771. Published online December 31, 2012
- DOI: https://doi.org/10.5720/kjcn.2012.17.6.752
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Abstract
PDFPubReader
- This study was conducted to investigate the effect of sodium reduction education program of a public health center on the blood pressure, blood biochemical profile and sodium intake of hypertensive adults. The program continued for 16 weeks with an 8-week nutrition education and an 8-week follow-up to forty two subjects, 6 males and 36 females aged 46 to 80 years. Subjects received nutrition education including lectures, activities, cooking classes and nutrition counseling. Physical fitness, management of stress, and nutrition counseling were provided during the follow-up. The program was evaluated three times, before and after the nutrition education, and after the follow-up. Systolic blood pressure (p < 0.0001) and diastolic blood pressure (p < 0.001) were decreased after completion of the program. Body weight (p < 0.005), percent body fat (p < 0.005) and body mass index (p < 0.001) were decreased, too. There were no significant differences in blood glucose, HDL-cholesterol and triglycerides, while elevated levels of total cholesterol (p < 0.001) and LDL-cholesterol (p < 0.001) appeared after the program completion. Decreased intakes of vitamin A (p < 0.05), beta-carotene (p < 0.001) and sodium (p < 0.001) were observed. Consumption frequency of noodles, soups, stews, kimchi, fishes/shellfish, seasoned vegetables, and salted seafoods/pickles (p < 0.05~p < 0.001) were decreased, while that of all food groups were not changed during the follow-up. Total score of nutrition knowledge related to sodium intake and hypertension (p < 0.001), and that of dietary behavior associated with high sodium intakes were changed positively (p < 0.001) only during the nutrition education. This sodium reduction education program, including the follow-up study showed positive effects on the blood pressure, sodium intake, nutrition knowledge and dietary behavior of hypertensive adults.
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Citations
Citations to this article as recorded by- Changes in the importance and performance of low-sodium management among childcare center cooks in Yongin, South Korea, after salinometer support programs: a descriptive study
Jiwoo Min, Youngmi Lee, Yunhee Chang, Yujin Lee
Korean Journal of Community Nutrition.2024; 29(4): 304. CrossRef - Effects of nutrition education on cardio-metabolic outcomes: A randomised clinical trial
Hildemar Dos Santos, W Lawrence Beeson, Gina Segovia-Siapco, Brenda Koranda, Tony Jehi
Health Education Journal.2020; 79(4): 458. CrossRef - Effects of a Self-Care Reinforcement Program for Socially Vulnerable Elderly Women with Metabolic Syndrome in Korea
Mikyung Park, Kiwol Sung
Journal of Korean Academy of Community Health Nursing.2019; 30(3): 271. CrossRef - Current status, perception and practicability of restaurant staffs related to reducing sodium use in Seongnam, Korea
So-Hyun Ahn, Jong Sook Kwon, Kyungmin Kim, Yoonna Lee, Hye-Kyeong Kim
Journal of Nutrition and Health.2019; 52(5): 475. CrossRef - Effect of a public health center-based nutrition education program for hypertension in women older than 50 years of age
Seoyun Park, Jong-Sook Kwon, Hye-Kyeong Kim
Journal of Nutrition and Health.2018; 51(3): 228. CrossRef - Effects of Korean diet control nutrition education on cardiovascular disease risk factors in patients who underwent cardiovascular disease surgery
Su-Jin Jung, Soo-Wan Chae
Journal of Nutrition and Health.2018; 51(3): 215. CrossRef - Stages of Behavioral Change for Reducing Sodium Intake in Korean Consumers: Comparison of Characteristics Based on Social Cognitive Theory
So-hyun Ahn, Jong Kwon, Kyungmin Kim, Hye-Kyeong Kim
Nutrients.2017; 9(8): 808. CrossRef - Study of the characteristics of dietary behavior and the effects of nutrition education for sodium reduction according to the stages of behavioral change in sodium reduction of male adult subjects in Gwangju·Jeonnam regions
Young Ran Heo, Hyun Young Oh, Hee Kyong Ro
Journal of Nutrition and Health.2017; 50(5): 472. CrossRef - Nutrition knowledge, eating attitudes, nutrition behavior, self-efficacy of childcare center foodservice employees by stages of behavioral change in reducing sodium intake
Yun Ahn, Kyung Won Kim, Kyungmin Kim, Jinwon Pyun, Ikhyun Yeo, Kisun Nam
Journal of Nutrition and Health.2015; 48(5): 429. CrossRef - Dietary Life related to Sodium of Participants in Hypertension and Diabetes Preventive Education at the Public Health Center
Hee-Ok Pak, Chun-Young Sohn, Jung-Hwa Park
The Korean Journal of Food And Nutrition.2015; 28(2): 219. CrossRef - Evaluation of Consumer Nutrition Education Program to Reduce Sodium Intake Based on Social Cognitive Theory
So-Hyun Ahn, Jong Sook Kwon, Kyung Min Kim, Jin-Sook Yoon, Hye-Kyeong Kim
Korean Journal of Community Nutrition.2015; 20(6): 433. CrossRef - Effects of Dietary Education on Low-sodium Diet Adaptation
Hae Young Kim, Juhyeon Kim
Journal of the Korean Society of Food Culture.2014; 29(2): 212. CrossRef - Implementation and Evaluation of Nutrition Capacity Training Program for Dietitians and Related Professionals Working at Customized Home Visiting Health Services
Sook Bae Kim, Jin Sook Yoon, Kyung Won Kim
Korean Journal of Community Nutrition.2014; 19(1): 71. CrossRef - The Study on Dietary Behavior and Health Related Behaviors of Self Perceived Sodium Intake Groups
Juhyeon Kim, Hei-Ryeo Yoon, Nam-E Kang
Journal of The Korean Society of Food Culture.2014; 29(6): 511. CrossRef - Sodium Related Recognition, Dietary Attitude and Education Needs of Dietitians Working at Customized Home Visiting Health Service
Yun-Jeong Mo, Sook-Bae Kim
Korean Journal of Community Nutrition.2014; 19(6): 558. CrossRef - Development of Nutrition Education Program for Consumers to Reduce Sodium Intake Applying the Social Cognitive Theory: Based on Focus Group Interviews
So-Hyun Ahn, Hye-Kyeong Kim, Kyung Min Kim, Jin-sook Yoon, Jong Sook Kwon
Korean Journal of Community Nutrition.2014; 19(4): 342. CrossRef - The Effectiveness of Na Reduction Program for Cook in Child-care Center: Focus on Self-reevaluation and Strengthen Consciousness
Hyewon Shin, Youngmee Lee
Korean Journal of Community Nutrition.2014; 19(5): 425. CrossRef - The Effects of Low-sodium Diet Education Program on Dietary Habits, Diet Quality and Obesity Index in Overweight and Obese Middle-aged Women
Soo Bin Jeong, Seoyun Park, Sohyun Ahn, Jin Nam Kim, Hye-Kyeong Kim
Korean Journal of Community Nutrition.2014; 19(6): 513. CrossRef - Blood Pressure, Sodium Intake and Dietary Behavior Changes by Session Attendance on Salt Reduction Education Program for Pre-hypertensive Adults in a Public Health Center
Eun-Jin Jung, Jong-Sook Kwon, So-Hyun Ahn, Sook Mee Son
Korean Journal of Community Nutrition.2013; 18(6): 626. CrossRef - A Survey on the Salt Content of Kindergarten Lunch Meals and Meal Providers' Dietary Attitude to Sodium Intake in Gyeonggi-do Area
Jin Nam Kim, Seoyun Park, Sohyun Ahn, Hye-Kyeong Kim
Korean Journal of Community Nutrition.2013; 18(5): 478. CrossRef
- Changes in the importance and performance of low-sodium management among childcare center cooks in Yongin, South Korea, after salinometer support programs: a descriptive study
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- 20 Crossref
- [English]
- Effects of Worksite Nutrition Counseling for Health Promotion; Twelve-Weeks of Nutrition Counseling Has Positive Effect on Metabolic Syndrome Risk Factors in Male Workers
- Mi Sun Lee, Hae Jin Kang, Hye Sun Oh, Yun Mi Paek, Ryo Won Choue, Yoo Kyoung Park, Tae In Choi
- Korean J Community Nutr 2008;13(1):46-61. Published online February 29, 2008
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Abstract
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- The purpose of this study was to investigate the effect of nutrition counseling on improving metabolic syndrome (MS) risk factors. Sixty-eight subjects were grouped according to their numbers of MS risk factors. Subjects who have three or more risk factors of MS were defined as "High risk", subjects who have two risk factors of MS were defined as "low risk", and subjects who have below two risk factors of MS were defined as "no risk" group. All groups finished nutrition counseling every three weeks for 12 weeks. Anthropometric, dietary assessments (24 hr-recall) and blood samples were measured at 0 and 12 weeks nutrition counseling. After 12 weeks of intervention, anthropometric data (weight, BMI, body fat (%), and waist/hip ratio) were significantly decreased (p < 0.05) in all groups. Daily consumption of calorie was decreased significantly (p < 0.05) in the group of low risk and high risk. Blood level of fasting plasma glucose was significantly decreased (p < 0.001) in all groups after 12 weeks of intervention. Significantly, the fasting plasma glucose level was returned to normal range in the high risk group. The number of people who have three or more risk factors of MS (high risk group) was decreased from 25 to 12. Sum of MS Criteria decreased from 85 to 52 in the group of MS and decreased from 143 to 99 in all groups. These results indicate that nutrition counseling for male workers at the worksite proved to be helpful by reducing the risk factors of MS and thereby reducing the risk of cardiovascular disease. Continuing and systematic nutritional management programs should be developed and implemented for male workers at the worksites.
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- [English]
- Effects of Medical Nutrition Therapy on Dietary Quality, Plasma Fatty Acid Composition and Immune Parameters in Atopic Dermatitis Patients
- Bang Shil Kim, Yun Young Kim, Jin Hee Park, Nack In Kim, Ryo Won Choue
- Korean J Community Nutr 2008;13(1):80-90. Published online February 29, 2008
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Abstract
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- Atopic dermatitis (AD) is one of the major public health problem. It has been reported that the prevalence of AD in children and adults are 10-20% and 1-3%, respectively. Westernization of food habits, urbanization, and environmental pollution are contributing factors toward the recent rise in prevalence. Excessive dietary restriction leads to chronic malnutrition in atopic dermatitis patients. The purpose of this study was to investigate the effects of medical nutrition therapy (MNT) on quality of diet and blood immune parameters in atopic dermatitis patients. The 19 atopic dermatitis patients (7 men and 12 women) admitted to K University Medical Center were studied. During the 12 weeks of intervention, the subjects were given MNT by a dietitian for 30-45 minutes every other week. MNT was comprised with general dietary therapy, intake of balanced meals, emphasis on n-3 fatty acid contents in foods, and food allergies. Anthropometric and dietary assessment and blood analysis were taken at baseline and after 12 weeks of MNT. After 12 weeks of MNT, the subjects' dietary qualities, including dietary diversity score (DDS), meal balance score (MBS) and dietary variety score (DVS) were significantly increased (p < 0.05). According to significantly increased intake of EPA and DHA, dietary n-6/n-3 fatty acid ratio decreased to the recommended level for the atopic dermatitis patients (p < 0.05). These changes of dietary fatty acid consumption were reflected rythrocyte fatty acid composition. After 12 weeks of MNT, serum levels of IgE and IL-4 levels were significantly decreased, however, the levers of INF-gamma, WBC, lymphocyte and TLC were not changed. As a conclusion, the individualized MNT improved the quality of diet in atopic dermatitis patients thereby influenced RBC fatty acid composition and IgE and IL-4 levels.
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- [English]
- Effects of Nutrition Counseling on Quality of Diet, Iron Status and Hematic Parameters in College Women Who Have Self-Recognized Anemic Symptoms
- Sook Hyun Jeong, Jin Hee Park, Hye Ok Lee, Ryowon Choue
- Korean J Community Nutr 2007;12(1):68-79. Published online February 28, 2007
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- Iron deficiency is the most common nutritional problem that affects people of all ages in both industrialized and developing countries. Especially, college women are the target population for dietary iron deficiency. Recent study showed that the nutritional status of college women was poor because of insufficient food consumption and repeatabled weight reduction. The purpose of this study was to investigate the effects of nutrition counseling on the diet quality, nutritional status of iron and hematic parameters in college women who have self-recognized anemic symptoms. Anthropometric and dietary assessments as well as blood analysis, were carried out before and after the 8 weeks of nutrition counseling. During the experimental period, the 31 subjects were given nutrition education by a clinical dietitian. Nutrition counseling consisted of pathology of anemia, nutrition information for iron deficient anemia, diet information of balanced meals and menu choices for eating out. As a result, the frequencies of consumption of legumen and vegetables significantly increased after nutrition counseling (p < 0.05). Daily intakes of protein, especially animal protein, vitamin E, niacin, heme iron, and zinc significantly increased (p < 0.05). After nutrition counseling, some self-reported clinical symptoms such as 'dizziness', 'fatigue', 'short of breath', 'headache', 'sleeplessness', and 'beating heart' were significantly improved. Serum levels of transferrin (p < 0.01) and total iron binding capacity levels (p < 0.05) significantly increased. It could be concluded that the 8 weeks of nutrition counseling might be effective on quality of diet as well as iron status and it might also improve the some hematic parameters in college women who have self-recognized anemic symptoms.
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- [English]
- A Needs Assessment to Develop Website Contents on Nutritional Information and Counseling for Teenagers
- Joung Won Lee, Jung Sook Seo, Kyeung Eun Kim, Sun Yung Ly
- Korean J Community Nutr 2002;7(5):664-674. Published online October 31, 2002
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Abstract
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- A survey was conducted to investigate the current status of utilization of cyber nutritional information for teenagers and the reason for their need of such website content. In the four cities of Seoul, Daejeon, Gwangju and Daegu, in September and October, 2000, 1262 secondary school students were randomly selected. Survey results are summarized as follows: The participants searched for nutritional information by means of internet/PC communication for 137.0 +/- 100.6 (Mean +/- S.D.) minutes per day, mainly for the purpose of playing games, entertainment, chatting, or doing homework. Of the participants, 4.5% searched for nutritional information by means of internet/PC communication primarily for doing homework, and secondarily for reasons related to their own health or diet. Their satisfaction levels with the web sites used to obtain nutritional information was average. Needs assessments regarding the content of the web sites and the screen design showed that the teenagers wanted simple, clearly explained content, current information, easy access, less complicated screens and more use of characters. Only 8.1% of the participants had received nutritional counseling by means of internet/PC communication and 91% of them used it less than once a month, showing the very low utilization of nutritional counseling. The teenagers' main reasons for using nutritional counseling were related to their homework or diets, and their satisfaction levels regarding the counseling were below average. Poorly understood answers, and slow responses were mentioned. They had high interests in 'Diet for better growth,' 'Acne and diet,' 'Dental health and diet,' and 'Adolescent development'. These topics are mostly related to appearance. In conclusion, it is necessary to provide for teenagers, on nutritional information web sites, simple and well organized information, including simple graphics and characters, appropriate for their gender and age, as well as counseling sites offering kind and satisfying responses.
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- [English]
- Characteristic Analysis of Internet nutrition Counseling Served by the Korean Society of Community Nutrition
- Joung Won Lee, Sun Yung Ly, Kyeung Eun Kim
- Korean J Community Nutr 2002;7(1):86-91. Published online February 28, 2002
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Abstract
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- An analysis for a period of 15 months (from September 2000 to November 2001), of the nutrition counseling internet site, "Dietnet" served by the Korean Society of Community Nutrition, showed the following results. Nutrition counseling was conducted without charge by 50 professionals, including professors in the food and nutritional areas, medical doctors, and dietitians. Counselees consisted of mostly females under 30 years of age. Although two thirds of the users of this site asked questions anonymously, they were very sincere. They asked questions mostly related to their own concerns, but there were quite a few inquiries about their parents or grandparents. There were significant differences in the counseling contents depending on the ages of the counselees. Teenagers showed the highest interest in height growth and weight control, whereas people in their twenties were mostly interested in diseases, foods, and weight control. Those over the thirty made inquiries mostly about diseases. The most frequent questions were relevant to gastrointestinal, circulatory and hepatic diseases. As indicated above, counseling questions included of a variety of both comprehensive and specific questions. There were also quite a few questions related to decisions on the correct usage of specific foods. Therefore, we recommend that more professionals, such as food science majors, medical doctors who practice western and oriental medicine, and other professionals who specialize in psychological behaviors related to weight control and infant food habits be recruited to serve the site more effectively and intensively. In light of the further need for internet sites with nutrition counseling and delivery of nutritional information to the public, nutritionists capable of managing websites are also required.
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Randomized Controlled Trial
- [English]
- The Effects of Nutrition Counseling on Food Intakes and Bloodlipids in Cardiac Patients
- Soo Gyoung Wang, Seon Mi Park
- Korean J Community Nutr 2002;7(1):92-101. Published online February 28, 2002
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Abstract
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- The purpose of this study was to investigate whether nutrition counseling and exercise could be beneficial to patients with acquired cardiac disease (ACD). Twenty-five ACD patients participated in this program, which was based on guidelines for serum lipid management. To measure the effects of the nutrition counseling and exercise education, outpatients with ACD were selected and randomly assigned to three groups which were a control group, a diet only group and a diet and exercise group. Nine diet only group patients and nine diet and exercise group patients received nutrition counseling or nutrition counseling and exercise education every other week. Patients who served as a non counseled control group did not receive any counseling during the same study period. Various markers of disease risk, including lifestyle, anthropometric indices, eating behaviors, and serum lipid levels were measured before and after the program. The program lasted up to 12 weeks, depending on the individuals involved. Database management and statistical analyses were performed using SPSS 7.5 software. As a result, BMI and %IBW showed decreased trends in the diet only and the diet and exercise group. Food habit scores were significantly increased in the diet only group and the frequency of saturated fatty acid, dietary cholesterol, salty food and instant food intake were decreased in the diet only group. Comparisons of the daily nutrient intakes of the groups showed their total calorie, carbohydrate and protein intake had decreased significantly, and also the total fat and dietary cholesterol intake had decreased in the nutrition counseling group. The serum total cholesterol and LDL-cholesterol decreased after 12 weeks in the nutrition counseling group. The diet and exercise group showed less interest in diet control than the diet only group. These results show that a well-planned nutrition counseling program would reduce the risks of ACD and cardiovascular disease and help to care such diseases.
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Original Article
- [English]
- Strategies of Improve Elderly Nutrition through Nutrition Education : Evaluation of the Effectivenss of the Program
- Kyeong Sook Yim, Young Hee Min, Tae Young Lee, Young Joo Kim
- Korean J Community Nutr 1999;4(2):207-218. Published online June 30, 1999
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Abstract
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- The increased number of elderly in Korea presents great challenges for community nutrition programs. Strategies to enchance elderly nutrition are needed, as well as dietary advice that are reality-based and tailored to the need of the elderly. The purpose of this study was to evaluate the overall effectiveness of an elderly nutrition improvement program(ENIP), by assessing changes in nutrition knowledge, attitudes, and behavior after program completion. ENIP was conducted in Suwon for 4 months in 1998 at 5 centers for the elderly. The program provided individual nutrition counseling and brief biweekly group education sessions. To stimulate participation and motivation, the elderly in two centers were served free milk packs(200ml) three time a week during the program(milk+education group), and the elderly in 3 other centers were served yoghurt on the program day(education group). Altogether, 102 subjects finished the program(milk+education group 67 ; education group 35). Data about nutrition knowledge, dietary attitudes, diet records(24 hour recall) and dietary habit was collected before(baseline) and after the program(follow-up). The Drop-out rate for the milk+education group(2.9%) was significantly lower than that for the education group(30.0%)(p<.001). The Nutrition Knowledge fo females milk+education group increased significantly after the program, but no significant differences were observed in other groups. Over 60% of all the elderly showed positive responses to the healthy eating attitudes. Energy, protein, vitamin A, riboflavin, Calcium and Potassium intakes improved in the male milk+education group. The Vitamin C intake improved in the male education group. Energy and vitamin A intakes improved in the female milk+education group and energy, vitamin A, thiamin, riboflavin, niacin, Ca nad P in the female education group. A stepwise multiple regression analysis was performed to examine the effects of food intake changes on overall nutrient quality. For all elderly, the fish intake explained 12.6% of the variance, followed by candy intake and vegetable intake(model R2=19.6%). Dietary habits such as meal time regularity and salty food reduction were markedly improved in both groups. Sixty-one percent of the milk+education subjects stated their participation was voluntary and active, while 51% of education subjects did. Sixty four percent of the subjects stated their interest on diet increased remarkably through program participation. Considering the results, it is conjectured that ENIP had a great impact on nutrient intake, dietary attitudes and habits. Milk supplement showed no direct effects on elderly nutrition improvement, but it encouraged the program by reducting drop-out rates and inducing voluntary participation. Therefore milk supplement could enhance the community nutrition education program. Moreover it is strongly suggested that the ENIP be expanded to other communities.
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