8주간의 운동 및 식이 요법이 남자 중학생의 비만도와 체력에 미치는 영향

유부호(Bu Ho Ryu),구광수(Kwang Su Koo),백운효(Un Hyo Baek),방현석(Hyun Seok Bang),홍예주(Ye Ju Hong),박성우(Sung Woo Park),이학민(Hahk Min Lee) 한국발육발달학회 2007 한국발육발달학회지 Vol.15 No.2

The purpose of this study was to see how much rope jump and jogging training with diet therapy affect the overweight boys` degree of the obesity and the physical strength in middle school. For this study, the obese 30 boys of ``S`` middle school in Chang-won, judged by over 25% of the BMI(Body Mass Index) at the physical examination, were selected as a Group of Exercise Therapy(10 students), a Group of Exercise with Diet Therapy(10 students), and a Controll Group(10 students didn`t do anything). In order to verify this research, it had been employed for 8 weeks including 45 minutes a day and three times a week; the results of the study were as follows: 1. The exercise therapy and exercise with diet therapy were no useful effects on the overweight middle school students` degree of the obesity(p>.05). 2. In the exercise therapy and exercise with diet therapy, there were no useful effects on agility and muscle endurance(p>.05). 3. There were effects of the instantaneous force of muscle using the exercise therapy and exercise with diet therapy(p<.05). 4. The positive effect of the flexibility showed in part of the exercise therapy and exercise with diet therapy. Especially, exercise with diet therapy was more effective in the flexibility than that of the exercise therapy(p<.05). 5. Cardiovascular endurance was effective positively through the therapy and the exercise with diet therapy(p<.001).

The Effects of Weight Control Behaviors among Korean Obese Adults

강리리,김하늬,정영아,황환식,박훈기,박기영 대한가정의학회 2018 Korean Journal of Family Medicine Vol.39 No.4

Background: This study aimed to identify and examine the effects of weight control behaviors correlated withweight loss in obese individuals who attempted to lose weight within the past year. Methods: In this cross-sectional study, data from 9,461 obese individuals were collected from the fifth and sixth KoreanNational Health and Nutrition Examination Survey (2010–2014). Three of nine verified methods of weightcontrol suggested in the survey were selected: diet therapy (reduced food intake), exercise therapy (exercise), andmedication therapy (prescribed weight loss medications). Participants were divided into one of seven groups (diettherapy alone; exercise therapy alone; drug therapy alone; combined diet and exercise therapy; combined exerciseand drug therapy; combined diet and drug therapy; or combined diet, exercise, and drug therapy). Logistic regressionanalysis was used to determine whether the group that tried to lose weight in the past year had indeed lostweight compared to the group that did not. Results: The odds ratios for weight loss (≥3 but <6 kg vs. ≥6 but <10 kg) for the combined therapies were 2.05 (95%confidence interval, 1.23–3.41) for combined diet and exercise therapy and 5.43 (1.74–16.92) for combined diet, exercise,and drug therapy. Conclusion: All levels of weight loss were significantly associated with combined diet and exercise therapy. Weightloss ≥6 kg but <10 kg was significantly associated with combined diet and exercise therapy as well as with combineddiet, exercise, and medication therapy among individuals who tried to lose weight in the past year.

당뇨환자와 보호자의 당뇨식사요법 실천과 요구도 조사

박광순,이선영 대한지역사회영양학회 2003 대한지역사회영양학회지 Vol.8 No.1

The purpose of this study was to investigate the compliance and need for diet therapy among diabetics and their caregivers. A total of 625 respondents participated in this survey. Appropriate management for long-term blood glucose control and difficult-to-manage cases appeared to be diet therapy, physical activity, medical treatment and folk remedies, in that order. The most important educational avenues for diet therapy were books, magazines and TV. Most respondents were educated in diet therapy within a year after diagnosis and had practiced diet therapy for over four years. The most common diet therapy practices were food selection and quantity control. Of the specific problems in practicing diet therapy, time and labor, taste, and meal planning appeared to be equally difficult factors. The prevailing diet therapy skills were controlling food amounts at breakfast and supper, and selecting food for lunch and refreshments. Respondents practicing both skills were about 20% of the participants; this shows the need to improve the current situation. The nutrients most frequently considered in diet therapy practice were simple sugars (sugar and sweet foods), total fats and cholesterol. Since the perception of the role of dietary fiber among respondents was very low, nutrition education about the importance of dietary fiber and food sources of dietary fiber was needed. Diabetics seemed to be concerned about diabetic menus. Three difficult problems in planning diabetic menus were daily menu planning, patient’s preferences, and the calculation of calories. As a means of nutrition counseling, they preferred interviews. The higher the educational status and the lower the age, the higher the preference was for internet or PC counseling. Therefore, it is necessary to develop nutrition educational programs so that diabetics can obtain practical knowledge of diet therapy. Furthermore, it is also necessary to develop additional means of informing diabetics about menu planning, while still considering Korean dietary behavior

Use of Dietary Management in Irritable Bowel Syndrome: Results of a Survey of Over 1500 United States Gastroenterologists

( Adrienne Lenhart ),( Courtney Ferch ),( Michael Shaw ),( William D Chey ) 대한소화기기능성질환·운동학회(구 대한소화관운동학회) 2018 Journal of Neurogastroenterology and Motility (JNM Vol.24 No.3

Background/Aims Dietary therapy is increasingly used to manage gastrointestinal (GI) symptoms in patients with irritable bowel syndrome (IBS). We aim to gauge United States gastroenterologists’ perceptions of dietary therapies for IBS. Methods We distributed a 22-question survey to members of the American College of Gastroenterology. The survey was developed by gastroenterologists and survey methodologists. We collected information pertaining to demographics, providers’ interpretation of their patients’ views on dietary therapy, and gastroenterologists’ perceptions on dietary therapy, and nutritional counseling in IBS. Results One thousand five hundred and sixty-two (14%) surveys were collected. Nearly 60% of participants reported that patients commonly associate food with GI symptoms. IBS patients most commonly use a trial and error approach followed by a lactose-free and glutenfree diet, and rarely use a low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) diet on their own. Over half of providers recommend diet therapy to > 75% of IBS patients and most commonly recommend a low FODMAP diet. Only 21% of gastroenterologists commonly refer IBS patients to registered dietitians, and only 30% use GI dietitians. Female providers were more likely than males to recommend dietary changes as the primary mode of therapy (OR, 1.43 [1.09-1.88]; P = 0.009). Conclusions Our national survey identified enthusiasm for diet treatment of IBS. While patients infrequently tried a low FODMAP diet on their own, GI providers commonly recommended this diet. Only a minority of GI providers refer their IBS patients to a registered dietitian for nutrition counseling and few refer patients to dietitians with specialized GI training. Female providers were more enthusiastic about diet therapies than males. (J Neurogastroenterol Motil 2018;24:437-451)

영양관리과정에 의한 영양상담이 제 2형 당뇨병 환자의 식사요법 실천과 혈당 조절에 미치는 영향

배태정,전나은,최수경,서정숙 대한지역사회영양학회 2020 대한지역사회영양학회지 Vol.25 No.3

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.

성인 남녀의 성별 및 연령에 따른 자연치유요법의 인지정도와 선호 요법에 관한 연구

김태준 한국웰니스학회 2014 한국웰니스학회지 Vol.9 No.3

본 연구는 서울 및 수도권에 거주하는 성인 남녀들의 성별 및 연령에 따른 자연치유요법의 인지 정도와 종류별 선호도에 대한차이를 비교 분석하였다. 연구 결과 자연치유법에 대한 인지도는 남녀 모두 40대 이상이 높았으며, 특히 50대의 인지도가 가장 높았다(남자 p<0.05, 여자 p<0.01). 선호하는 자연치유 요법으로는 운동요법이 가장 높게 나타났고 ,식이요법, 산림요법, 전통약초요법, 각종 건강식품, 의료기기요법 등의 순으로 나타났다. 특히 운동요법의 경우 남자가 대부분의 연령대에서 높은 선호도를 보였고, 식이요법의 경우 여자가 대부분의 연령대에서 비교적 높은 선호도를 보여 성별에 따른 차이를 확인하였다. 기타 요가요법, 의료기기요법, 온열요법 등은 여자의 선호도가 남자보다 비교적 높게 나타났으며, 그 외 요법의 경우 성별 연령별 유의적인 차이는크지 않았다. 최근 자연치유요법에 대한 관심이 증대되고 있는바, 그에 따른 자연치유요법 및 웰니스관련 프로그램 개발과 체계적인 교육 및 사용법들이 지속적으로 연구되고 검증되어야 할 것이다. The goal of this study is to compare and analyze the difference in the awareness and preference by classification of thenaturopathy??according to the gender and age of the adult men and women who are residing in Seoul and metropolitan area. Asof its result, the??awareness on naturopathy was higher for the men and women in over 40 and specially, the awareness of 50swas the highest(male??p<0.05, female p<0.01). The exercise therapy was shown to be the highest as the preference ofnaturopathy, and the next was??shown in the order of diet therapy, forest therapy, traditional medical herb therapy, several kindsof healthy foods and medical device??therapy, etc.. Specially, in case of exercise therapy, the men showed higher preference ingeneral age group, and in case of diet??therapy, as the women showed comparatively higher preference in general age group, itverified the difference according to the sex.??In case of other Yoga therapy, medical device therapy and thermotherapy, thepreference of women was shown to be comparatively??higher than the one of men, and in case of the other therapy, thesignificant difference according to the sex and age wasn't big.??Recently, as the interest in naturopathy has been increasing, it isnecessary for the program development and systematic training??and instruction of naturopathy and wellness to be studied andverified steadily.

先天性 代謝障碍疾患의 治療를 위한 食餌療法에 關한 考察

方炯愛 서울大學校保健大學院 1992 國民保健硏究所硏究論叢 Vol.2 No.2

Recent advances in treatment of inherited metabolic disorders include diet therapy, organ transplantation, enzyme supplement and gene therapy. Diet therapy is a helpful treatment and alternative or complementary to drugs, especially in amino acid abnormality and galactosaemia. With early diagnosis and early treatment with therapeutic diets, the symtoms and signs of the these disease may be prevented or reversed. Phenylketonuria(PKU) is one of the better known examples of an inborn error of amino acid metabolism. Diet therapy for PKU consists of a combination of low protein foods and a phenylalanine free mixture of other essential amino acid. And the amounts of these two are adjusted to maintain plasma phenylaianine neither too high (toxicity) nor too low (inadequate growth). Galactosaemia may be arrested by eliminating milk and its product from diet. Recent evidence, however, has indicated that despite early diagnosis and the institution of a galactose free diet there appears to be an inability to prevent some degree of mental retardation and complicate long term outcome.

Efficacy of a Restrictive Diet in Irritable Bowel Syndrome: A Systematic Review and Network Meta-analysis

유승정,이홍섭,궁현정,김주석,김기배,권용환,김재학,구훈섭,신현덕,지삼룡,이한별,김지형,박혜원 대한소화기학회 2022 대한소화기학회지 Vol.80 No.1

Background/Aims: Dietary factors can aggravate the symptoms of irritable bowel syndrome (IBS). Many IBS patients try restrictive diets to relieve their symptoms, but the types of diets with an exacerbating factor are unknown. Therefore, this paper reports the results of a systematic review and network meta-analysis of randomized-controlled trials (RCTs) reviewing the efficacy of food restriction diets in IBS. Methods: The MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, and Clinicaltrials.gov databases were searched until July 21, 2021, to retrieve RCTs assessing the efficacy of restriction diets in adults with IBS. Two independent reviewers performed the eligibility assessment and data abstraction. RCTs that evaluated a restriction diet versus a control diet and assessed the improvement in global IBS symptoms were included. These trials reported a dichotomous assessment of the overall response to therapy. Results: A total of 1,949 citations were identified. After full-text screening, 14 RCTs were considered eligible for the systematic review and network meta-analysis. A starch- and sucrose-reduced diet and a diet with low-fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) showed significantly better results than a usual diet. Symptom flare-ups in patients on a gluten- free diet were also significantly lower than in those on high-gluten diets. Conclusions: These findings showed that the starch- and sucrose-reduced, low FODMAP, and gluten-free diets had superior effects in reducing IBS symptoms. Further studies, including head-to-head trials will be needed to establish the effectiveness of dietary restrictions on IBS symptoms.

Effect of a Low Iodine Diet vs. Restricted Iodine Diet on Postsurgical Preparation for Radioiodine Ablation Therapy in Thyroid Carcinoma Patients

임치영,정웅윤,김정연,윤미진,장항석,박정수 연세대학교의과대학 2015 Yonsei medical journal Vol.56 No.4

Purpose: The radioiodine ablation therapy is required for patients who underwent a total thyroidectomy. Through a comparative review of a low iodine diet (LID) and a restricted iodine diet (RID), the study aims to suggest guidelines that are suitable for the conditions of Korea. Materials and Methods: The study was conducted with 101 patients. With 24-hour urine samples from the patients after a 2-week restricted diet and after a 4-week restricted diet, the amount of iodine in the urine was estimated. The consumed radioiodine amounts for 2 hours and 24 hours were calculated. Results: This study was conducted with 47 LID patients and 54 RID patients. The amounts of iodine in urine, the 2-week case and 4-week case for each group showed no significant differences. The amounts of iodine in urine between the two groups were both included in the range of the criteria for radioiodine ablation therapy. Also, 2 hours and 24 hours radioiodine consumption measured after 4-week restrictivediet did not show statistical differences between two groups. Conclusion: A 2-week RID can be considered as a type of radioiodine ablation therapy after patientsundergo a total thyroidectomy.

Knowledge, Self-Efficacy, and Perceived Barriers on the Low-Iodine Diet among Thyroid Cancer Patients Preparing for Radioactive Iodine Therapy

( Jeong Ah Moon ),( Chang Hee Yoo ),( Mi Hwa Kim ),( Song Mi Lee ),( Young Ja Oh ),( Young Hoon Ryu ),( Yong Sang Lee ),( Hang Seok Chang ),( Cheong Soo Park ),( Kyung Eun Lee ) 한국임상영양학회 2012 Clinical Nutrition Research Vol.1 No.1

The purposes of the study were to assess knowledge, self-efficacy, and perceived barriers on a low-iodine diet among thyroid cancer patients and to identify strategies for nutrition education. A self-administered questionnaire was developed based on a review of literature and pilot-tested. A total of 121 female thyroid cancer patients participated in a survey and 117 responses were used for data analysis. An average knowledge score of the thyroid cancer patients was 4.5 point (available score: 0-10 point). Majority of the respondents knew that seaweeds such as lavers, brown seaweeds, and sea tangles contain large amount of iodine. However they mistook the low iodine diet as a low salt diet and were not aware of foods and seasonings that are allowed on the low iodine diet. While self-efficacy related to consuming various fruits and vegetables, to choosing potatoes and sweet potatoes for snacks, and restricting consumption of eggs, milk and milk products, and processed foods was rated highly, self-efficacy for preparing foods without using sea salts was rated low. The self-efficacy score increased as their interest on the dietary life and perceived cooking skills were greater. Most perceived barriers toward practicing the low iodine diet were related to preparation of the low iodine menus. As their interest in the dietary life and cooking and perceived cooking skills were greater, the patients perceived barriers on practicing the low iodine diet less. While the patients showed higher self-efficacy and lower barrier perception on selecting foods low in iodine and restricting food high in iodine, they showed lower self-efficacy and higher barrier perceptions on preparing low iodine meals. Clinical dietitians should recognize the gap between what the patients should know and what they really know and identify strategies on how to improve self-efficacy and reduce perceived barriers on the low iodine diet. Recent literature and the findings of the study reveal that incorporating cooking classes into nutrition education for thyroid patients is effective to enhance self-efficacy and to reduce perceived barriers on the low iodine diet.