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김유리(Y . L . Kim),김현만(H . M . Kim),임승길(S . K . Lim),이현철(H . C . Lee),허갑범(K . B . Huh),최은정(E . J . Choi),문수재(S . J . Moon) 대한내과학회 1988 대한내과학회지 Vol.35 No.5
N/A Nutritional assessment was performed on admission of 106 consecutive medical patients by anthropometry, biochemical tests, and dietary survey. Factors included in anthropometric measurements were height, weight, triceps skin fold, and mid-arm muscle circumference. Biochemical tests included serum total protein, serum albumin, and a complete blood cell count. Dietary intakes of nutrients before the development of disease were investigated by the 24 hour reca11 method. Using these parameters for malnutrition, (anthropometry<90% of standard value, serum albumin<3.0 g %, total lymphocyte count<1200/mm, intake of total calorie and protein<80fo of RDA, 39.6% of the patients showed a moderate degree of malnutrition. Based upon the above result, it could be concluded that the prevalence of malnutrition in hospitalized medical patients is similar to that indicated in foreign reports. This suggests that nutritional education for the general population, assessment of the nutritional status of patients, and nutritional support are needed for the prevention and effective treatment of disease.
이은직(Eun J . Lee),김도영(Doe Y . Kim),허갑범(Kap B . Huh),김현만(Hyeon M . Kim),임승길(Sung K . Lim),김경래(Kyung R . Kim),이현철(Hyun C . Lee),김덕회(Duk H . Kim) 대한내과학회 1987 대한내과학회지 Vol.33 No.6
N/A Of 501 Korean diabetics admitted to Severance Hospital, Yonsei University College of Medicine, non-obese non-insulin-dependent diabetes mellitus (NIDDM) comprised 319 cases (63.7%), obese NIDDM 100 cases (19.9%) and insulin-dependent diabetes mellitus (IDDM) 82 cases (16.4%). And in the IDDM group thus collected, juvenile-onset diabetes (JOD) comprised 17 cases (3.4%), youth-onset underweight diabetes (YOUD) 25 cases (5.0%) and maturity-onset underweight diabetes (MOUD) 40 eases (8.0%). The caloire intakes just before the onset of diabetes in YOUD and MOUD patients were found to be 63.1% and 60.9% and the intakes of protein 55.9% and 79.8% of the recommended dietary allowance, respectively. Among JOD, YOUD and MOUD, there were no significant differences in body weight, and fasting blood glucose and HbA1c levels at the time of admission. The basal and peak serum C-peptide levels in YOUD (1.03±0.61ng/ml, 1.59±1.23ng/ml) were slightly higher than those in JOD (0.64±0.30ng/ml, 1.05±0.54ng/ml), but significantly lower than those in MOUD (1.61±0.73ng/ml, 2.65±1.30ng/ml). Between JOD and YOUD, there was no significant difference in family histories (23.5%, 24.0%) or clinical features. However, MOUD turned out to have significantly lower family history (2.5%), no history of diabetic ketoacidosis and more pulmonary tuberculosis than the former 2 groups. Of 29 young diabetics (JOD and YOUD) who were followed-up at OPD, 14 cases (5 JOD and 9 YOUD) were ketosis-resistant. These data suggest that, in Korea which is located in temperate zone, malnutrition-related diabetes mellitus (MRDM) can be mainly classified into 2 groups: The youth-onset one had the characteristics of IDDM with the history of undernutrition and ketosis-resistance, and the maturity-onset one may belong to NIDDM with the higher susceptibility to pulmonary tuberculosis.