당뇨인들을 위한 추석 음식 즐기는 방법

박계월,Park, Gye-Wol 사단법인 한국당뇨협회 2005 당뇨 Vol.190 No.-

에너지 섭취 조사를 위한 24시간 회상법의 정확도 평가: 여자노인을 대상으로 이중표식수법을 이용하여

박계월(Kye-Wol Park),고나영(Na-Young Go),전지혜(Ji-Hye Jeon),Didace Ndahimana,Kazuko Ishikawa-Takata,박종훈(Jonghoon Park),김은경(Eun-Kyung Kim) 한국영양학회 2020 Journal of Nutrition and Health Vol.53 No.5

본 연구는 만 65세 이상의 여자 노인 23명을 대상으로 이중표식수법을 이용하여 측정한 에너지소비량을 기준으로 에너지섭취량을 조사하는 24시간 회상법의 정확도를 평가하였으며, 그 결과는 다음과 같다. 연구 대상자 평균 연령은 70.3 ±3.3세, 신장 및 체중은 각각 153.0 ± 5.9cm와 56.0 ± 8.0 kg, 체질량지수 (BMI)는 23.9 ± 2.8 kg/m²이었다. 24시간 회상법으로 산출된 총에너지섭취량 (TEI)과 이중표식수법으로 측정된 총에너지소비량 (TEEDLW) 간의 피어슨 상관계수는 r = 0.482로 두 값 간에 의미 있는 양의 상관성 (p < 0.05)을 보여주었다. 그러나 24시간 회상법으로 조사된 3일간의 평균 에너지섭취량 (1,489.6 ± 211.1 kcal/day)은 이중표식수법으로 측정된 총에너지소비량 (2,023.5 ± 234.9 kcal/day)보다 -533.9 ± 228.0 kcal/day만큼 과소보고 되었으며, 두 값 간에 유의한 차이가 있었다 (p < 0.001). 총에너지섭취량과 총에너지소비량간의 과소보고율은 -25.9% ± 10.5%로 나타났다. Bland-Altman 방법으로 총에너지섭취량과 총에너지소비량간의 일치도 평가 결과로 두 값 일치 한계의 범위가 -980.8 kcal/day에서 -86.9 kcal/day로 음의 값으로 치우쳐 나타났다. 본 연구 결과에 따르면 에너지섭취량을 조사하는 24시간 회상법을 여자노인에게 적용시, 과소보고율이 -25.9%로 높았고, 에너지섭취량을 정확하게 예측한 비율 (오차범위 ± 10% 이내)도 8.7%로 낮았다. Purpose: This study evaluated the accuracy of the 24-hour diet recall method for estimating energy intakes in elderly women using the doubly labeled water (DLW) method. Methods: The subjects were 23 elderly women with a mean age of 70.3 ± 3.3 years and body mass index (BMI) of 23.9 ± 2.8 kg/m². The total energy expenditure (TEEDLW) was determined by using the DLW and used to validate the 24-hour diet recall method. The total energy intake (TEI) was calculated from the 24-hour diet recall method for three days. Results: TEI (1,489.6 ± 211.1 kcal/day) was significantly lower than TEEDLW (2,023.5 ± 234.9kcal/day) and was largely under-reported by -533.9 ± 228.0 kcal/day (-25.9%). The accurate prediction rate of elderly women in this study was 8.7%. The Bland-Altman plot, which was used to evaluate the TEI and the TEEDLW, showed that the agreement between them was negatively skewed, ranging from -980.8 kcal/day to -86.9 kcal/day. Conclusion: This study showed that the energy intake of elderly women was underreported. Strategies to increase the accuracy of the 24-hour diet recall methods in the elderly women should be studied through analysis of factors that affect underreporting rate. Further studies will be needed to assess the validity of the 24-hour diet recall method in other population groups.

ω6계 및 ω3계 지방산 식이조성과 비타민 E의 첨가가 흰쥐의 혈장 및 간의 지방산 성분에 미치는 영향

박계월,김미경,김은경 강릉대학교동해안지역연구소 1999 東海岸硏究 Vol.9 No.2

Effects of various dietary ω6/ω3 fatty acid ratios(about 0.5, 6, 20) on lipids and fatty acid composition were studied at the constant P/M/S ratio(1.0). Corn oil, soybean oil, perilla oil, fish oil, and beef oil were used the source of ω6 and ω3 fatty acids. Male Sprague-Dawley were assigned to 6 groups according to the dietary ω6/ω3 fatty acid ratios and supplementation of vitamin E. Fatty acids composition in plasma and liver were determined by using gas chromatography. Plasma lipids concentrations were also analyzed. The results of this study were as follows. The concentration of total cholesterol tended to increase with the increase of ω6/ω3 ratio. The triglyceride and LDL- cholesterol levels also increased with the increase of ω6/ω3 ratio, these patterns were similar to those of total cholesterol. The fatty acid ratio of plasma and liver increased the increase of dietary ω6/ω3ratios. The supplementation of vitamin E was not statistically significant among the groups.

입원환자의 조기 경장영양의 효과와 영양집중지원팀의 역할

박계월 ( Kye Wol Park ),손희령 ( Hee Ryoung Son ),김지훈 ( Ji Hoon Kim ),김명희 ( Myoung Hee Kim ),최은진 ( Eun Jin Choi ) 한국정맥경장영양학회 2016 한국정맥경장영양학회지 Vol.8 No.2

Purpose: The study examined the effects of early enteral nutrition on the patients’ length of stay in an intensive care unit (ICU), length of stay and mortality rate. Methods: A retrospective design was employed with a total of 461 patients (mean age=69.9±15.6 years; 253 males; 208 females). They were divided into two groups according to when they received enteral feeding: an “early enteral nutrition” (EEN) group of 148 patients (32.1%) who received enteral feeding within 48 hours of their arrival at the hospital and a “delayed enteral nutrition” (DEN) group of 313 patients (67.9%) who received enteral feeding at some point after 48 hours of their arrival at the hospital. The EEN group and control group were similar in terms of age, sex, body mass index, and underlying diseases. Results: The EEN group’s total length of stay in hospital was shorter (23.29±27.19 days) than that of the control group (36.74±32.24 days); the difference was significant (P<0.001). The EEN group also showed a shorter length of stay in the ICU (13.67±22.77 days) than the DEN group (17.46±21.02 days) and a lower mortality rate (17.6%) than the control group (18.8%), but these differences were not significant. Conclusion: The study found that early enteral nutrition treatment reduced total length of stay in hospital significantly. The findings suggest that early enteral nutrition treatment plays an important role in the patients’ recovery and prognosis.

건강한 성인에서 가속도계로 측정한 신체활동과 맥파전달속도 및 상완-발목 간 혈압비에 기반한 동맥경화지표와의 관계

이현주,박계월,전하연,곽지연,김은경 한국영양학회 2022 Journal of Nutrition and Health Vol.55 No.4

Purpose: Physical activity (PA) has a beneficial effect on the prevention of arteriosclerosis in healthy adults. The purpose of this study was to analyze the relationship between PA measured using an accelerometer and arterial stiffness in healthy Korean adults. Methods: This study involved 87 subjects (36.8% women) aged 20–64 years. PA was evaluated using an accelerometer (wGT3X-BT, ActiGraph, Florida, USA) for 7 days. Based on the results of the accelerometer measurement, subjects were classified into active and inactive groups according to the World Health Organization (WHO) PA guidelines. The brachial–ankle pulse wave velocity (baPWV) and ankle-brachial index (ABI) to assess arterial stiffness were measured by a non-invasive vascular screening device (VP-1000 Plus, Omron). Results: The average age of the study subjects was 47.7 ± 11.3 years and the WHO PA guideline achievement rate was 29.9%. There was no significant difference in arterial stiffness (baPWV and ABI) between the active and inactive groups. In females, the time spent in light PA were positively correlated with ABI (r = 0.396; p < 0.05) and the number of sedentary bouts over 50 minutes was inversely correlated with ABI (r = −0.402; p < 0.05). However, there was no significant correlation between PA and arterial stiffness in males. Conclusions: The results of this study suggest that light PA and sedentary behavior have a positive correlation with arterial stiffness in females.

강릉지역 영유아의 이유 실태에 관한 조사연구

김은경,박계월,이선희,지경아 한국식생활문화학회 1999 韓國食生活文化學會誌 Vol.14 No.5

중등도 비만아와 고도 비만아의 합병증 발생 위험에 관한 연구

김은경,김창옥,박계월,지경아 대한지역사회영양학회 2000 대한지역사회영양학회지 Vol.5 No.4

일부 폐경 전, 후 중년 여성의 철분 영양상태에 관한 연구 : 강릉지역을 중심으로

류옥남,이선희,박계월,김은경 대한영양사협회 1999 대한영양사협회 학술지 Vol.5 No.2

The purposes of this study were to assess iron status and obesity in 82 middle aged women living in Kangnung area. Anthropometric measurements were taken for body weight, height, percentage of body fat and circumferences of waist and hip. Venous blood samples were drawn from subjects for measurement of hemoglobin(Hb), hematocrit(Hct), serum iron(Fe), total iron binding capacity(TIBC), transferrin saturation(TS) and serum ferritin. Dietary intakes of iron(heme iron and nonheme iron), the amounts of MPF(meat, poultry and fish) and ascorbic acid were assessed by modified 24-hr recall method. The results obtained are summarized as follows: Postmenopausal women had more body fat than premenopausal women. That is, postmenopausal women tend to be obeser than premenopausal women. There was no difference in Hb, Hct, Fe, TIBC and TS between pre- and postmenopausal women. But the serum ferritin concentration of postmenopausal women(83.7±42.1ng/ml) was significantly (p<0.05) higher than premenopausal women(56.4±41.0ng/ml). Prevalences of iron deficiency (20%, 20.0% and 17.1% respectively) of premenopausal women when judged by TIBC, TS and ferritin were significantly higher than those(0.8%, 2.4% and 2.4%, respectively) of postmenopausal women. The mean daily intakes of total iron in pre- and postmenopausal women were 17.5±9.3mg and 15.6±6.9mg, respectively. Bioavailabilities of dietary iron were 6.5% and 4.5% in pre- and post-groups. These results indicate that individual dietary guidelines should be used to educate middle-aged women different in status of menopause. For example, premenopausal women should increase nutritional iron status and postmenopausal women should try to prevent obesity.

강릉지역 일부 사춘기 소녀의 철분 영양상태에 관한 연구

김은경,류옥남,박계월 대한지역사회영양학회 1999 대한지역사회영양학회지 Vol.4 No.2

This study was designed to assess the iron nutritional status of girls at puberty in Kangnung area. The subjects consisted of 161 adolescents in sixth-grade in primary school and first-grade in middle school girls. Anthropometric measurements were taken for body weight, height, percentage of body fat, and circumferences of waist and hip. Nutrient intakes were assessed by modified 24-hour recall method. Food models and other measuring tools were also used. Fasting blood samples were obtained and analyzed for hemoglobin(Hb) concentration, hematocrit(Hct), serum iron(FE) and total iron binding capacity(TIBC). Mean values for Hb, Hct, Fe, TIBC, TS and serum ferritin were $13.6{\pm}0.9g/dl$, $39.6{\pm}3.9%, 91.3{\pm}36.3{\mu}g/dl$, $327.9{\pm}45.2{\mu}g/dl$, $28.3{\pm}11.8%$ and $37.4{\pm}24.2ng/ml$, respectively. Prevalence of iron deficiency greatly varied by indices from 4.8% when judged by Hb to 18.4% by serum Fe concentration. The Hb concentration was positively correlated with Hct(r=0.641), serum iron(r=0.266) and transferrin saturation(r=0.237)(p<0.05). On the other hand, serum ferritin concentration showed significantly negative correlation with TIBC(r=-0.572). Mean daily intake of iron was 14.94mg and heme iron intake was 1.13mg and which was 7.6% of total iron intake. Total absorbable iron calculated by the method of Mosen was 1.38mg and bioavailability of dietary iron was 9.3%. These results suggest that the prevalence of iron deficiency of pubertal girls is very high, therefore the guidelines for diet and social supports, such as, school food service system should be provided to improve their iron status in middle school students.

포스터발표 : P-18 / 대장선종에 있어서 혈청 항산화 비타민과 무기질에 관한 환자 - 대조군 연구

김지영,김미경,박정화,김장곤,박계월,최규용,이원철,이양자 한국영양학회 1999 추계학술대회초록 Vol.- No.-