대학생의 거주형태에 따른 영양상태 및 식사의 질 비교 연구

양지(Yang Ji),손정민(Sohn Cheongmin) 한국생활과학회 2009 한국생활과학회지 Vol.18 No.4

폐경 여성의 근감소증 및 근감소성비만과 심혈관질환 위험도와의 관련성 연구

김미성(Misung Kim),손정민(Cheongmin Sohn) 대한지역사회영양학회 2016 대한지역사회영양학회지 Vol.21 No.4

일부 지역 경찰공무원의 직무스트레스 정도에 따른 건강관련 형태 및 영양소 섭취량에 관한 연구

주혜은(Hye-Eun Joo),손정민(Cheongmin Sohn) 한국식품영양과학회 2010 한국식품영양과학회지 Vol.39 No.4

현대사회의 다양한 직업 중에서 경찰공무원의 업무는 힘들고 위험한 직업으로 각종 정신적, 신체적, 환경적 스트레스 발생 가능성이 매우 높다. 스트레스에 대한 대처능력은 평상시 건강 행태 및 영양소 섭취 정도에 따라 사회심리적인 스트레스 상황에 유효하게 대처할 수 있다. 따라서 본 연구에서는 전북지역 경찰공무원 166명을 대상으로 경찰공무원의 직무스트레스 정도에 따른 식생활 및 영양섭취와의 관계를 조사하였다. 경찰공무원은 주된 직무스트레스 요인으로는 ‘직무요구’, ‘조직체계’ 및 ‘직무자율성 결여’이었으며, 95% 이상의 대상자들이 본인이 건강하다고 인식하고 있었다. 전체의 86.1% 정도가 음주를 하고, 42.7% 정도 흡연을 하며, 89.6%가 운동을 지속적으로 하여 한국 성인의 평균과 비교하여 비교적 건강행태가 양호한 것으로 나타났으며, 직무스트레스에 따른 음주, 흡연, 운동 빈도의 차이는 보이지 않았다. 식습관 조사 결과 43% 정도가 아침식사를 하는 것으로 나타났고, 직무스트레스가 적은 집단이 높은 집단에 비해 아침 결식 비율도 낮고(p<0.01), 식사 속도도 양호하며(p<0.05), 간식습관도 양호한 것(p<0.001)으로 조사되었다. 직무스트레스에 따른 맛의 기호도는 스트레스가 높은 집단이 단 음식을 덜 선호하는 것으로 나타났다(p<0.05). 직무스트레스 정도에 따라 영양소 섭취정도는 유의한 차이는 없었으나, 스트레스가 높은 집단에서 칼슘 및 비타민 B2 섭취량이 권장섭취량의 75% 미만으로 매우 불량한 것으로 나타났다. 이상과 같이 경찰공무원의 건강관련 행태 분석 결과 경찰공무원은 직업특성 상 일반성인과 비교하여 건강에 대한 인식 및 흡연, 음주, 운동 등의 생활습관은 비교적 양호한 편으로 나타났으나, 부족한 영양소 섭취, 잦은 아침결식과 간식섭취, 빠른 식사 속도 등 식습관 및 영양 섭취 부분에서는 문제점이 확인되었다. 따라서 건강유지와 만성질환의 발병을 예방하기 위하여 경찰공무원 스스로 올바른 식습관을 인식하고 실천을 유도하기 위한 식생활 개선 교육프로그램이 직장 내에서 주기적으로 이루어져야 하겠으며, 또한 직장차원에서의 직무스트레스 관리도 병행되어야 할 것으로 사료된다. The purpose of the study was to examine health-related behaviors and nutrient intake in relation to job stress level of police officers. Total of 166 police officers working in Jeonbuk area participated in the study. The study was conducted from February to March, 2009. Subjects were given self-administered questionnaire on their general health status, dietary and health-related habits. Nutrient intake was assessed by semi-quantitative food frequency questionnaire. Subjects were divided into four groups (very low, low, high, very high) by their job stress level scores. Main concerns of job stress were from 'job demand', 'organizational system' and 'lack of reward'. More than 95% of the subjects were confident of their health status. Health habits, such as drinking, smoking and exercising, were better than that of average Korean men. There were significant differences in dietary habits in relation to job stress level. Lower job stress group showed lower rate of skipping breakfast (p<0.01), more affordable meal time (p<0.05) and better snacking habits (p<0.001). Sweet food preference was higher in lower job stress group (p<0.05). The average calorie intake was 2063±532.7 (88.5% of EER) and there was no significant difference in nutrient intake among job stress levels. However, mean intake of calcium and vitamin B₂ was less than 75% of %DRI in higher job stress group. Therefore, further support in nutritional counseling programs to improve dietary behaviors and health habits and to reduce job concerned stress of the police officers will be necessary.

노인의 사회경제적, 심리적, 건강행태 요인이 노쇠에 미치는 영향: 주관적 건강상태와 다중이환을 매개하여

김혜지(Kim, Hyeji),나우리(Na, Woori),손정민(Sohn, Cheongmin) 한국생활과학회 2021 한국생활과학회지 Vol.30 No.3

Frailty increases the disability and hospitalization rates, reduces individuals quality of life, and increases dependence on others due to dysfunction. Therefore, preemptive management of factors affecting frailty is required. This study aims to construct a structural equation model by selecting factors that influence frailty through multimorbidity and subjective health status as the mediating factors and to analyze their impact. This study was conducted in 1,958 elderly subjects (males: 922(47.1%), females: 1,036(52.9%) aged 65 years or older who participated in the second year of the 6th Korean National Health and Nutrition Examination Survey(2014~2015). This studys main variables were the frailty diagnosis variable, subjective health status, multimorbidity, income, physical activity, anxiety/depression, and dietary quality. As a result of this study, according to the frailty criteria, 572 people(29.2%) were normal, 1,105 people(56.4%) were in the pre-frailty state, and 281 people(14.4%) were in the frailty state. The direct and total effects on subjective health status were found to be significant in all observed variables(p<0.05), and the direct and total effects on multimorbidity were significant in the anxiety/depression variables(p<0.05). The total effect on frailty by mediating the subjective health status and multimorbidity was physical activity -0.202, anxiety/depression 0.183, dietary quality -0.137, and income -0.133 in that order. Direct effect, indirect effect, and total effect were significant in all observed variables(p<0.05). The influence of income, anxiety/depression, dietary quality, and physical activity was increased more when subjective health status was mediated than when multimorbidity was mediated. Therefore, to manage frailty, it is necessary to improve the subjective health status.

대사성 질환자의 영양평가를 위한 한국형 식사염증지표 개발 및 타당성 검증

나우리(Na, Woori),김미성(Kim, Misung),박수산(Park, Susan),이민형(Lee, Minhyung),손정민(Sohn, Cheongmin) 한국생활과학회 2017 한국생활과학회지 Vol.26 No.4

This study was intended to develop a Korean-dietary inflammatory index (K-DII) for metabolic disease patients, by using health examinee cohort data. It was also intended to evaluate the validity of K-DII. Based on 18 food groups in the Korean Genome and Epidemiology Study (KoGES), food groups were reclassified into 51 groups. Food groups showing significance correlation with hs-CRP by binomial logistic regression analysis were selected. In order to evaluate the validity of the developed K-DII, the researchers analyzed the correlation with health indicators and the relationship between the odd ratio of metabolic syndrome and K-DII. ANOVA and logistic regression analysis were carried out, according to tertile of K-DII, by using SPSS 23 version. Final 17 food groups were selected as factors utilized for the formula to calculate the K-DII assessment tool. The formula was the sum of product of intakes and beta values in each food group. A significant difference was shown in age, body mass index, waist measurement, diastolic blood pressure, triglyceride and hs-CRP, according to tertile of K-DII. In the results of analyzing metabolic syndrome risk according to K-DII, it was shown that metabolic syndrome risk in the group having the highest K-DII was 1.204 times higher than the lowest K-DII group (95% Cl; 1.123-1.290)(p=0.002, p for trend=0.000). The K-DII was composed of food groups that represented the inflammatory potential in Korean diet. Its strong relationship with metabolic syndrome showed a usefulness in assessing the inflammatory status of total diets. It is hoped that the K-DII can be utilized in actual clinical settings as a nutritional assessment tool, after validation in different metabolic disease patients.

주간보호센터 시설 이용 인지장애 노인의 노쇠와 영양상태와의 관련성

나우리(Woori Na),김지유(Jiyu Kim),김혜지(Hyeji Kim),이예지(Yeji Lee),손정민(Cheongmin Sohn),장대자(Dai-Ja Jang) 한국식품영양과학회 2021 한국식품영양과학회지 Vol.50 No.1

본 연구는 주간보호센터의 인지장애 노인을 대상으로 노쇠예방 및 관리를 위해 노쇠와 관련된 요인을 도출하고 영양상태와의 관련성을 분석하였다. 노쇠에 유의하게 영향을 미치는 요인을 도출하기 위해 관련 요인을 성별, 연령, 일상생활능력, 욕창위험도(Braden scale), 낙상위험도(Huhn scale), 식욕부진(SNAQ), 영양상태(MNA)로 하여 다중회귀분석을 실시한 결과, 노쇠에 유의하게 영향을 미치는 요인은 연령(β=0.273, P=0.007), MNA(β=-0.244, P=0.047)로 나타났다. 영양상태에 따른 노쇠와의 관련성을 분석하기 위해 MNA 점수에 따라 성별, 연령, 만성질환 개수를 보정하여 전노쇠의 교차비를 분석한 결과 0.788배(95% confidence interval(CI): 0.643-0.965, P=0.021)로 나타났으며, 노쇠의 교차비는 0.654배(95% CI: 0.477-0.879, P=0.008)로 나타났다. 본 연구를 통해 노쇠에 영향을 미치는 주요한 요인이 영양상태임을 보였고, 이는 노쇠 정도에도 관련을 보였다. 따라서 상대적으로 낮은 수준의 돌봄 수준을 가진 주간보호센터의 인지장애 노인의 영양상태 개선을 위한 적극적인 영양관리 방안이 마련되어야 할 것으로 보인다. The cognitive disorder in elderly can cause various malfunctions, so it requires steady caring. Daycare centers for elderly are proper as a facility to take care of the elderly with cognitive disorders that are able to lead a normal life and that need relatively low level of caring. This study analyzed the relation with the frail of the elderly who have cognitive disorders among those who use adult daycare centers in order to provide basic resources of nutrition management to manage and improve their frail. The participants of the study were 88 persons whose Korean version of Mini-Mental State Examination (MMSE-K) is less than 19 among the elderly at three adult daycare centers in Jeollabuk-do. The questionnaire items were gender, age, number of chronic diseases, BMI, hand grip, nutritional status (mini nutritional assessment, MNA) and health status (activity of daily living (K-ADL), pressure ulcer (Braden scale), fall (Huhn scale), appetite assessment (simplified nutritional appetite questionnaire, SNAQ), and K-FRAIL is used for frail assessment. For statistical analysis, the logistic regression was used for the analysis of relation between frail and nutritional condition. The result of analyzing the odds ratio of pre-frail by revising gender, age and the number of chronic diseases according to MNA scores for analysis of frail by nutritional condition was 0.788 (95% confidence interval (CI): 0.643∼0.965, P=0.021), and the odds ratio of frail was 0.654 (95% CI: 0.477∼0.879, P=0.008). This indicates that it is necessary to establish an active nutrition management plan to improve health condition of the elderly with cognitive disorders in elderly care facilities.

만성 폐쇄성 폐질환 환자에서 병기에 따른 영양상태 평가

박영미(Park Young Mi),윤호일(Yoon Ho Il),손정민(Sohn Cheongmin),조여원(Choue Ryowon) 韓國營養學會 2008 Journal of Nutrition and Health Vol.41 No.4

The purpose of the study was to investigate nutritional status of chronic obstructive pulmonary disease (COPD) patients and to find out the differences according to the stages of disease. From March to October, 2006, 41 stable male patients of mild to severe COPD patients were recruited from Seoul National University hospital. The patients’ of body weight and fat free mass were assessed by bioelectrical impedance analysis. The nutritional status of the patients was also assessed by 3-day recall, index of nutritional quality (INQ), dietary diversity score (DDS), dietary variety score (DVS), food group index pattern and dietary quality index (DQI). The total of 41 patients were classified into three groups, stage Ⅰ, stage Ⅱ and stage Ⅲ groups according to the classification of Global Initiative for Chronic Obstructive Lung Disease (GOLD) standard. The mean age of the patients in each stage were 67.2-66.9 years showing no significant difference. The ratio of FEV₁/FVC were 57.5 ± 7.3, 46.9 ± 7.6 and 38.2 ± 6.8%, respectively showing significant differences according to the stages of disease. The fat free mass of the stage Ⅱ (48.2 ± 4.7 kg) and Ⅲ (47.3 ± 4.5 kg) was significantly lower than that of stage Ⅰ (53.1 ± 6.9 kg) patients. There were significant correlation of fat free mass with FEV₁, and BMI (body mass index) with FEV₁/FVC ratio (p < 0.05). COPD patients showed the diet-related clinical symptoms of anorexia, dyspnea, dyspepsia, and chewing difficulty. Daily intakes of calorie, K, vitamin B₂ and folate of the patients were very low (83.8 ± 20.7%, 58.9 ± 14.4%, 70.7 ± 19.6% and 74.7 ± 10.2%, respectively) however, they did not significantly different according to the stages of disease. Daily intake of calcium was significantly lower in the stage Ⅲ patients (p < 0.05). The mean scores of dietary variety score was significantly lower in the stage Ⅲ patients (p < 0.001). Dietary quality index of the patients were not different among the stages of disease and the scores indicated poor quality of diet. As a summary, we found that body fat free mass, regularity of exercise, frequency of having snacks and dietary variety score were significantly associated with the severity of chronic obstructive pulmonary disease. (Korean J Nutr 2008; 41(4): 307 ~ 316)

한국형 식사염증지표 평가도구 개발

나우리(Woori Na),김미성(Misung Kim),박수산(Susan Park),이민형(Minhyung Lee),손정민(Cheongmin Sohn) 한국생활과학회 2017 한국생활과학회 학술대회 Vol.2017 No.06

비만 성인에서 식사염증지표(Dietary Inflammatory Index)와 고감도 C 반응단백(high sensitivity-C reactive protein)과의 관련성

나우리(Woori Na),이민형(Minhyung Lee),박수산(Susan Park),김지유(Jiyoo Kim),손정민(Cheongmin Sohn) 한국생활과학회 2018 한국생활과학회 학술대회 Vol.2018 No.5

제2형 당뇨병환자에서 임상영양치료의 임상적 효과와 비용효과 연구

조영연(Cho Younyun),이문규(Lee Moonkyu),장학철(Jang Hakchul),라미용(Rha Miyong),김지영(Kim Jiyoung),박영미(Park YoungMi),손정민(Sohn Cheongmin) 韓國營養學會 2008 Journal of Nutrition and Health Vol.41 No.2

우리나라의 경제적 발달과 문화 수준의 향상으로 질병 양상과 사망 원인에 많은 변화가 있는데, 그 중에서도 최근 당뇨병의 유병률의 상승 현상이 두드러지게 나타나고 있으며, 사망 원인의 수위를 차지하고 있다. 그러므로 이를 예방하고 당뇨병 합병증을 예방하기 위한 구체적이고 근거중심인 영양치료 방법의 제시가 절실한 실정이다. 미국영양사 협회에서는 지속적으로 증가하는 당뇨병 유병율을 낮추기 위하여 생활습관의 개선을 목표로 임상영양치료의 표준화 지침을 제시하고 이에 따른 치료 효과 연구가 활발히 진행되고 있으나, 아직 국내에서는 많은 연구가 진행되고 있지 않은 현실이다. 따라서 본 연구에서는 이미 국외에서 사용되고 있는 지침에 근거하여 심층영양교육 방법을 실시하여 그 효과를 1회 교육만으로 시행되는 기본교육 방법과 비교하여 다음과 같은 결과를 얻었다. 심층 및 기본영양교육 즉, 두 가지 교육 방법을 비교하였을 때 심층영양치료 방법을 실시한 경우 기본영양교육을 실시한 경우보다 혈당, 혈압 및 체중 강하 효과 면에서 유의적으로 개선효과가 있는 것으로 나타났다. 비용효과 면에서 장기간의 혈당변화 상태를 알 수 있는 당화혈색소의 경우 1%를 낮추기 위하여 소요되는 비용은 심층영양교육군에서 더 적었으며, 교육의 잠재 효과를 고려하였을 경우, 모든 혈당 검사 지표의 영양치료 비용 대비 효과 면에서 심층영양교육 방법이 기본영양교육 방법보다 앞서는 것으로 나타났다. 저비용 고치료 효과를 보여주고 있는 임상영양치료는 당뇨병과 같은 만성질환의 중요한 기본 치료로 주목되고 있는 현 시점에서 영양치료행위의 의료 보험 급여회는 국민의 건강을 증진시키고, 국가적으로는 의료비 지출을 감소시키며 국민의 건강을 증진시키는데 큰 기여를 하는 합리적인 방안이라 생각된다. 따라서 현 비급여 수가로 되어있는 교육 수가를 급여화하여 많은 환자들에게 의료 혜택을 주는 일이 필요하리라 사료된다. Medical nutrition therapy (MNT) is considered a keystone of medical treatment of chronic diseases. However, only few studies have evaluated medical and economical outcome of MNT. The study was performed on the patient with type 2 diabetes mellitus to evaluate the effect of clinical and cost-effective outcomes of MNT. Subjects from two general hospitals were randomly assigned to two different groups; One receiving basic nutritional education (BE) (n = 35), and the other receiving intensive nutritional education (IE) (n = 32) for a 6-month clinical trial. The group which received BE had a single visit with a dietitian, while the other group which received IE had an initial visit with a dietitian addition to two visits during the first 4 weeks of the study periods. Anthropometric parameters, blood components, and dietary intake were measures at the beginning of study period and after 6 month. Cost-effective analysis included direct labor costs, educational materials and medication cost difference during 6 months. After 6 month, subjects from IE group showed significant reduction of body weight (p<0.05) and systolic blood pressure (p<0.05), whereas BE group did not show any significant changes. Result from biochemical indices showed glycated hemoglobin concentration was significantly reduced by 0.7% (p<0.05) only in the IE group. The ratio of energy intake to prescribed energy intake decreased significantly in both groups (p<0.05). Mean time taken for a dietitian to educate the subject was 67.9±9.3 min/person for BE group, while 96.4±12.2 min/person for IE group. Mean number of educational materials was 1.9±0.7/person for BE group and 2.5±0.7/person for IE group. Change in glycated hemoglobin level along the 6 month period of study can be achieved with an investment of ?88,510/% by implementing BE and ?53,691/% by implementing IE. Considering the net cost-effect of blood glucose control and HbA1c, IE which provides MNT by dietitian had a cost efficiency advantage than that of BE. According to this study, MNT provided by dietitian had a significant improvements in medical and clinical outcomes compared to that of BE intervention. Therefore, MNT protocol should be performed by systemic intensive nutrition care by dietitian in clinical setting to achieve good therapeutic results of DM with lower cost. (Korean J Nutr 2008; 41 (2): 147~155)