Protein Energy Malnutrition

백희준 한국정맥경장영양학회 2016 한국정맥경장영양학회 학술대회집 Vol.2016 No.-

2004년도 제8회 연수강좌 : 자주 접하게 되는 질문들에 대한 근거의학적 접근 ; 현재 일반인들 사이에 유행 중인 다양한 다이어트 요법들

백희준 대한비만학회 2004 대한비만학회 학술대회 Vol.- No.-

비만 환자에 있어서 Glycemic Index 사용의 제한점

백희준 대한비만학회 2002 The Korean journal of obesity Vol.11 No.1

배전 및 원두 커피의 향기성분

백희준(Hee-Jun Baik),고영수(Young-Su Ko) 한국식품과학회 1996 한국식품과학회지 Vol.28 No.1

병원 급식시설의 효율적인 운영을 위한 설계방안 및 개조사례

임순자,백희준,엄기숙,김민선,강경화,양정윤 대한영양사협회 2002 대한영양사협회 학술지 Vol.8 No.1

우유 및 유제품 품목별 영양성분 내용분석을 통한 학교우유급식 제공 가능성 타진

박문경,백희준,김혜영,정윤희 한국식생활문화학회 2017 한국식생활문화학회학술대회논문집 Vol.2017 No.05

2013-2017년 국민건강영양조사 자료에 근거한 50세 이상 성인의대사증후군과 다량영양소 섭취의 관련성

김은영,백희준 한국식생활문화학회 2020 韓國食生活文化學會誌 Vol.35 No.3

The purpose of this study was to investigate the association between dietary macronutrient intakes and prevalence ofmetabolic syndrome (MetS) in Korean adults. Data were obtained from the Korean National Health and NutritionExamination Survey (2013-2017), and a total of 11,600 Korean adults (4,918 men, 6,682 women) aged 50 years and olderwere analyzed. The daily intakes and percentages of energy from carbohydrates or fat in men or women with MetS weresignificantly lower than in normal subjects, respectively. High carbohydrate or fat percentages were negatively associatedwith MetS based on adjusted odds ratios (OR) of 0.804 in men (p=0.034) and 0.820 in women (p=0.045), respectively. A high percentage of energy from carbohydrates was positively associated with reduced waist circumference, diastolic bloodpressure, triglyceride and high-density lipoprotein (HDL) cholesterol in men. On the other hand, a high percentage of energyfrom fat was positively related with elevated HDL cholesterol and reduced triglycerides in women. In conclusion, our studyindicates that high carbohydrate or fat intake is associated with risk of MetS in Korean men or women aged 50 years andolder, respectively. Further prospective studies are necessary to elucidate the association between macronutrient intakes andMetS among Korean adults according to age.

컨조인트 분석을 활용한 학교 우유급식의 서비스 품질 속성 및상대적 중요도 도출

박문경,김혜영,백희준,정윤희 한국식생활문화학회 2022 韓國食生活文化學會誌 Vol.37 No.5

This study evaluated the quality of school milk programs and analyzed the relative importance of school milk programselection attributes using conjoint analysis. The survey was conducted on students from middle and high schools inmetropolitan cities that provide school milk programs. Responses were received from 414 students and the data wassubjected to frequency analysis, t-test, and conjoint analysis using the SPSS Statistics Package. While evaluating white milkin the school milk program, middle school students rated ‘packaging condition’ (4.23) the highest, high school students rated‘nutrition’ (4.64) the highest, and their evaluation of all the quality attributes was significantly different from that of middleschool students (p<0.001). Overall satisfaction scores too, showed a significant difference between high school (4.46) andmiddle school students (4.01) (p<0.001). Processed milk & dairy products had the highest satisfaction score in the attributeof ‘serving time’ (4.57). The relative importance of the choice attributes of the school milk program was in the order of‘number per item’ (62.260%), ‘temperature’ (25.708%), and ‘serving method’ (12.032%) for all students. The school milkprogram most preferred by all students and middle school students was to provide milk at a refrigerated temperature, selectwhite milk three times a week, processed milk, fermented milk, and cheese twice a week, and provide it at the desired time.

서울 일부지역 여자 노인들의 가구유형에 따른 영양소 섭취실태 및식사의 질 평가

이연주,권민경,백희준,이상선 한국영양학회 2015 Journal of Nutrition and Health Vol.48 No.3

본 연구는 서울 시내 복지관 두 곳을 방문하여 노인들을대상으로 신체계측과 설문조사, 24시간회상법을 통한 영양섭취 상태를 조사하고 식사의 질을 평가하였다. 여자노인을 독거노인군 (LA군), 부부노인군 (LS군), 자녀동거노인군 (LC군)으로 세 가지 가구 유형으로 나누어 조사하였다. 연구결과를 요약하면 다음과 같다. 1) 일반적인 특성에서 여자노인의 나이는 LA군이 75세로 가장 높았고 LS군이 70세로 가장 낮았다 (p < 0.001). WHR에서 LC군이 0.91로 0.89인 LA군과 LS군보다 유의하게 높았다 (p = 0.049). 월수입은 LS군이 185만원으로가장 높았고 LA군이 67만원으로 가장 낮았다 (p < 0.001). 질병유병률에서는 여자노인 80% 정도가 1가지 이상의질병을 가지고 있었으며, 심혈관계 질환 유병율이 가장높았다. 2) 식생활과 생활습관면에서 가구유형별로 흡연, 음주, 운동유무, 영양제 섭취에 대한 유의한 차이는 없었다. 3) 1일 영양소 섭취량에서 열량, 식물성 단백질, 지질, 칼슘, 인, 칼륨, 셀레늄의 섭취량에서 가구 유형별 유의한 차이가 있었으며, 또한 비타민의 섭취량에서는 비타민 D, 비타민 E, 비타민 B군에서 유의한 차이가 있었으며 (p < 0.05), LA군의 섭취량이 LS군 또는 LC군에 비해 영양소의섭취량이 가장 낮은 것으로 나타났다. 그러나 연령과 월 수입을 보정한 후에는 대부분의 영양소 섭취에 유의한 차이가 나타나지 않았으나, 칼슘, 비타민 D, B12, 콜레스테롤의섭취량은 세 군간에 유의한 차이가 나타났다 (p < 0.05). 영양질적지수(INQ)를 보면 칼슘, 비타민 D, 비타민 B2에서1 미만의 낮은 값을 나타내었다. 또한 비타민 B12의 INQ 값은 연령과 월 수입을 보정한 후에도 세 군간 유의한 차이가 나타났다 (p < 0.05). 4) 에너지 섭취율을 비교한 결과 에너지필요추정량보다적게 섭취한 대상자가 LA군이 가장 많았다 (p < 0.05). 탄수화물에서는 가구유형별에 따른 유의한 차이는 없었으나 에너지적정비율보다 높게 섭취하는 대상자 분율이 LA 군에서 가장 높아서 탄수화물 의존도가 가장 높았다. 지질의 경우 LA군의 50%가 에너지적정비율에 못 미치는 양을섭취하였고 단백질은 세군 모두 에너지적정비율만큼 섭취하였다. 5) 미량영양소 섭취 상태를 평균필요량과 충분섭취량을기준으로 비교한 결과, LA군에서 비타민 B2, 나이아신, 비타민 B6, B12의 평균필요량과 충분섭취량 미만 섭취 분율이 가장 높았고 LS군에서 가장 낮게 나타났다 (p < 0.05). 6) 여자노인의 1일 식품군별 섭취량을 비교한 결과, 과일류, 생선류, 해조류의 섭취량은 연령과 월 수입을 보정한후에도 가구 유형별 유의한 차이가 나타났으며 (p < 0.05), 과일류는 LS군에서 해조류는 LA군에서 가장 많이 섭취하는 것으로 조사되었다. 7) 노인들의 식품군 점수를 평가한 KDDS를 살펴보면여자 노인의 경우 다섯가지 주요 식품군이 모두 포함된 식사 (KDDS = 5)를 하는 대상자는 LS군이 가장 많았고, 3가지 이하의 식품군을 섭취하는 식사 (KDDS = 0~3)를 하는여자 노인은 LC군과 LA군에서 많았다. (p = 0.048). 노인들의 식품군별 섭취패턴을 보면 우유 및 유제품 군을 부족하게 섭취하는 것으로 나타났다. 본 연구 결과 식품섭취는 가족 구성에 따라 영향을 받는것으로 조사되었으며, 그러나 월 평균 수입도 여성 노인들의 식품 및 영양섭취에 많은 영향을 미치는 것으로 분석되었다. 독거노인이 부부노인과 자녀동거 노인에 비해 영양소 섭취율이 낮았고 식품군별 다양성 점수가 낮았다. 영양섭취 ... Purpose: As the rate of senior citizens living alone increases in the current aging society, there is much concern regarding the health and nutritional intake of solitary senior citizens. Therefore, this study compared the nutritional intake of senior citizens according to their family type. Methods: In July and August of 2011, two senior citizen welfare centers in Seoul were visited to survey 267 elderly women. Excluding 54 subjects for which the data were incomplete, information from 213 subjects was analyzed. The subjects were divided into three family types, living alone (LA, n = 74), living with spouse (LS, n = 78), and living with children (LC, n = 61). Results: The mean age of the LA group was the highest, while the mean age of the LS group was the lowest (p < 0.001) , and WHR of the LC group was the highest (p = 0.049). Income was the highest in the LS group (p < 0.001). Frequency of eating out was the lowest in the LA group (p = 0.031). By Duncan's multiple analysis, the amounts of energy intake, vegetable protein, fat, calcium, phosphorus, potassium, selenium, Vit D, Vit E, Vit B2, niacin, Vit B6, Vit B12, and cholesterol were significantly higher in the LS group compared with the LA or LC group (p < 0.05). The intakes of calcium, Vit D, Vit B12, and cholesterol were still significantly different among the three groups, even after adjustment for age and monthly income. The LA group ate less fruit and fish than the LS or LC group (p < 0.05). The LA group showed the lowest dietary diversity and the LS group showed the highest diversity (p = 0.014), however, the significance of dietary diversity score among the three groups disappeared after adjustment for age and monthly income. Conclusion: Elderly women living with spouse were receiving better nutrition than elderly women living alone or living with children. Therefore, solitary elderly women who do not live with their spouse or children should be offered greater opportunities to receive a balanced meal at a congregational kitchen or welfare center. To ensure their healthy diet, it is essential to provide continuous nutrition education with these groups in mind.

국내 6개 상급 종합전문병원 중환자실 입원환자의 영양집중지원 실태 조사

이송미,김선형,김윤,김은미,백희준,이승민,이호선,장철호,신증수 대한중환자의학회 2012 Acute and Critical Care Vol.27 No.3

Background: Malnutrition is a frequent nutritional problem among ICU patients, and their nutritional status is known to affect clinical prognosis. We conducted this study to examine nutritional status and actual nutrition delivery in the ICU patients and its relations to clinical outcomes. Methods: This study was a multicenter retrospective observational study based on the medical records of 163 patients admitted to ICU of tertiary teaching hospitals in Korea. We included the patients who were treated with mechanical ventilation for 3 or more days and received enteral or parenteral nutrition. Results: According to albumin and total lymphocyte count levels, 54.6% of the subjects were moderately or severely malnourished. Mean percentage of calorie and protein delivery to estimated needs for 10 days were 55.8 ± 29.3% and 46.1 ± 30.1%, respectively. While parenteral nutrition (PN) started at 1.6 ± 1.4 days after admission, enteral nutrition (EN) did at 3.6 ± 2.1 days. Days to PN and EN start, the calorie and protein amount via EN or PN were significantly different among 6 hospitals. No clinical outcomes differed by the levels of calorie or protein delivery. In-hospital mortality was significantly higher in the severely malnourished group at admission as compared to the other 2 groups (54.3% vs. 31.2% vs. 27.7%, p < 0.05)Conclusions: Malnutrition prevalence is high among Korean intensive care unit patients, but current nutritional therapy practice is inconsistent across institutions and far below the international guidelines. Systematic efforts should be made to develop nutritional support guidelines for Korean ICU patients.