비급식 농촌 국민학교 아동의 현미 플레이크와 두유 또는 우유 간식 급여의 영양효과에 관한 연구

김원경(Kim Won Gyoung),이윤나(Lee Yoon Na),김주혜(Kim Ju Hye),정상진(Chung Sang Jin),이수경(Lee Soo Kyung),최경숙(Choi Kyung Suk),김창임(Kim Chang Im),모수미(Mo Sumi),박재창(Park Jae Chang) 韓國營養學會 1992 Journal of Nutrition and Health Vol.25 No.1

우리나라 다문화청소년의 학업성취도에 영향을 미치는 요인 탐색

김원경(Won Gyoung Kim),최필선(Pilsun Choi) 한국다문화교육학회 2023 다문화교육연구 Vol.16 No.4

한국 사회에 다문화가정이 안정적으로 정착하는 것은 사회의 다양성과 포용성을 증대시키고 사회적 통합을 강화하는 데 중요한 의미를 지닌다. 다문화가정이 겪는 어려움 중 자녀교육이 가장 큰 부분을 차지하고 있고, 정부 역시 그동안 이주 초기 적응지원에 집중하던 것에서 이제는 그 자녀들의 학업적, 사회적 성취를 돕는 데 중점을 두는 방식으로 정책변화를 꾀하고 있다. 본 연구는 다문화청소년패널조사 1차년도에서 9차년도까지의 데이터를 활용하여 다층성장모형을 통해 어떤 요인들이 다문화청소년들의 학업성취도에 영향을 미치는지 분석한다. 학령기 다문화자녀가 계속 늘어나고 이들의 교육문제가 다문화가정 지원정책의 핵심으로 대두되고 있는 상황에서 다문화청소년들의 학업성취도에 어떤 요인들이 중요한 의미를 갖는지를 살펴보는 것은 다문화가정과 청소년들의 현 상황을 이해하고, 그들에게 필요한 올바른 지원 대책을 도출하는 데 중요한 의미를 지닐 것이다. 추정 결과, 성취동기, 삶의 만족도, 부모 학력, 가족의 지지, 부모의 관리감독, 학교 밖 도움을 주는 어른의 존재 등이 학업성적을 높이는 요인으로 작용하는 반면, 예상과 달리 경제적 요인이나 집단괴롭힘 경험 등은 유의한 영향을 미치지 않는 것으로 나타났다. The successful acculturation of families from diverse cultural backgrounds holds significant importance in enhancing diversity, inclusivity, and social integration in Korea. Multicultural families encounter numerous challenges with a substantial focus placed on assisting their children in achieving success in school. In response to this challenge, the Korean government has shifted its policy emphasis from initial immigrant adaptation support to prioritizing the academic and social achievements of these children. This study draws upon ten years of collected data from the Multicultural Adolescents Panel Survey to examine the evolving academic achievement of multicultural youth over time. We employ a multilevel growth model to analyze the factors that influence the academic achievement of multicultural youth. Given the continuous increase in the number of school-aged multicultural children and the growing significance of policies supporting the education of multicultural children, it is crucial to comprehend the factors affecting the academic achievement of multicultural youth, assess their current situation, and derive appropriate support measures. Our estimated results indicate that several factors, including motivation, life satisfaction, parental education, family support, parental supervision, and the presence of adult support outside of school, positively influence academic performance. On the other hand, economic factors and experiences of bullying do not have a significant impact.

위암환자의 위절제술 후 영양상태 평가 및 식사섭취도에 관한 연구

김태현(Kim Tae Hyun),김원경(Kim Won Gyoung),조영연(Cho Young Yun),이영희(Lee Young Hee),김진복(Kim Jin Pok) 韓國營養學會 1994 Journal of Nutrition and Health Vol.27 No.8

영양검색도구에 의한 영양불량 위험도가 위암 수술 후 합병증 발생에 미치는 영향

김윤(Yoon Kim),김원경(Won-Gyoung Kim),이혁준(Hyuk-Joon Lee),박미선(Mi-Sun Park),이영희(Young-Hee Lee),조재진(Jae-Jin Cho),공성호(Seong-Ho Kong),양한광(Han-Kwang Yang) 대한외과학회 2011 Annals of Surgical Treatment and Research(ASRT) Vol.80 No.1

Purpose: Nutrition status is regarded as an important factor for postoperative morbidity in cancer surgery. The aim of this study was to evaluate the impact of the malnutrition risk, determined by Seoul National University Hospital-Nutrition Screening Index (SNUH-NSI), on operative morbidity after gastrectomy for gastric cancer. Methods: This study enrolled 246 patients who had undergone gastrectomy for gastric cancer at Seoul National University Hospital from March 2009 to February 2010. We collected general patient information, SNUH-NSI at administration and related parameters (serum albumin, cholesterol, total lymphocyte counts, hemoglobin and body mass index), operative method, hospital stay and operative morbidity. Results: The patients’ mean age was 59.6±11.3 years, and 9.4% (n=23) of patients were rated as severe malnutrition risk. There was no difference in operative morbidity by age or sex. The patients with high risk of malnutrition by SNUH-NSI or with advanced gastric cancer showed higher operative morbidity (P<0.01). There were no relationships between biochemical parameters and operative morbidity. On multivariate analysis, the significant independent risk factors were severe malnutrition by SNUH-NSI (OR 2.627, 95% CI 1.033∼6.679; P<0.05) and advanced gastric cancer (OR 2.023, 95% CI 1.074∼3.811; P<0.05). Conclusion: Overall nutritional status, rather than single data, is more related to operative morbidity in gastrectomized patients. Especially severe malnutrition as determined by SNUH-NSI, is an independent risk factor for operative morbidity. Nutritional support to severely malnourished patient by SNUH-NSI is expected to be an effective approach in preventing complications after gastrectomy.

위절제 수술 후 합병증 발생에 있어 영양평가 및 검색 도구의 적합성 비교 연구

김윤 ( Yoon Kim ),김원경 ( Won Gyoung Kim ),이혁준 ( Hyuk Joon Lee ),박미선 ( Mi Sun Park ),이영희 ( Young Hee Lee ),공성호 ( Seong Ho Kong ),양한광 ( Han Kwang Yang ) 한국정맥경장영양학회 2011 한국정맥경장영양학회지 Vol.4 No.1

Purpose: This study aimed to evaluate the agreement of Seoul National University Hospital-Nutrition Screening Index (SNUH-NSI) and Nutrition Risk Screening-2002 (NRS- 2002) with patient generated-Subjective Global Assessment (PG-SGA) and the association between nutrition risk determined by these screening tools and operative morbidity after a gastrectomy for gastric cancer. Methods: This study enrolled 174 patients who had undergone a gastrectomy for gastric cancer at Seoul National University Hospital from March to July 2009. We assessed a nutrition risk by two nutrition screening tools (SNUH-NSI, NRS-2002) and a nutrition assessment tool (PG-SGA) at hospital admission. We collected general patient information, serum albumin level, cholesterol amount, total lymphocyte count, hemoglobin, and body mass index, operative method, hospital stay, and operative morbidity. Results: The mean age was 59.1±11.6 years, and 8.6% (n=15) of patients were assessed as having severe malnutrition by the PG-SGA. Agreement between the PG-SGA, SNUH-NSI (κ=0.498, P<0.001), and NRS-2002 (κ= 0.439, P<0.001) was moderate. Patients with a high risk of malnutrition by PG-SGA, SNUH-NSI, or those with advanced gastric cancer showed more operative morbidity (P<0.05). There were no relationships between a high risk of malnutrition by NRS-2002 and operative morbidity. On multivariate analysis, malnutrition by PG-SGA (OR 2.159, 95% CI 0.693∼6.721) or SNUH-NSI (OR 2.630, 95% CI 0.906∼7.638) had a tendency to show higher operative morbidity, but it was not a significant independent risk factor. Conclusion: Both SNUH-NSI and NRS-2002 had moderate agreement with PG-SGA. Severe malnutrition risk as assessed by SNUH-NSI had an association with operative morbidity as PG-SGA did. SNUH-NSI was expected to be a valuable and efficient screening tool to detect malnutrition risk as much as PG-SGA. (JKSPEN 2011;4(1): 7-15)

대사증후군 관리를 위한 직장기반 식생활 중재 프로그램의 효과

김혜진(Hye Jin Kim),최인주(Injoo Choi),김원경(Won Gyoung Kim),아사노가나(Kana Asano),홍정민(Jeongmin Hong),조영민(Young Min Cho),윤지현(Jihyun Yoon) 대한지역사회영양학회 2016 대한지역사회영양학회지 Vol.21 No.3

Mini Nutritional Assessment-Short Form을 이용한 노인 입원환자의 영양불량 유병률 조사: A Cross-sectional, Multi-center Study

이호선 ( Ho Sun Lee ),강주희 ( Ju Hee Kang ),김은미 ( Eun Mee Kim ),김원경 ( Won Gyoung Kim ) 한국정맥경장영양학회 2014 한국정맥경장영양학회지 Vol.6 No.1

Purpose: To determine the prevalence of malnutrition in hospitalized elderly Korean patients using Mini Nutritional Assessment-Short Form (MNA-SF) in Korea. Methods: A cross-sectional, multi-center study was performed. We enrolled 300 patients aged ≥65 years from 10 hospitals. We collected subjects` general characteristics, including age, sex, height, weight, and diagnosis. Patients` nutritional status was assessed using MNA-SF within 48 hours since hospital admission. Results: The subjects were 74.2±6.3 years old, and 155 patients were male (51.7%). Cancer was the most common diagnosis (26.3%), followed by musculoskeletal (11.3%), neuromuscular (10.3%), pulmonary (9.0%), and cardiovascular disease (8.7%). The length of hospital stay was 8.7±5.9 days. According to MNA-SF, 99 patients (33.0%) were at risk of malnutrition, and 51 patients (17.0%) were malnourished. MNA-SF score showed negative correlations with age (r=-0.259, P<0.001) and hospital stay (r=-0.168, P=0.006). Patients in the malnourished or at risk of malnutrition groups were more likely to be admitted to and stayed longer in the intensive care unit (ICU) than those of normal nutritional status (8.7% vs. 17.3%, P=0.026; 1.6 1.0 days vs. 3.7±3.2 days, P=0.033). The patients who were malnourished or at risk of malnutrition were hospitalized significantly longer than those of normal nutritional status (9.8±6.2 vs. 7.7.±5.4 days, P=0.004). After adjusting for age and ICU admission, nutritional status by MNA-SF was the only risk factor for prolonged hospitalization (β=1.384, P=0.005). Conclusion: About half of hospitalized elderly patients were at risk of malnutrition or malnutrition status at admission, and nutritional status was the only risk factor for longer hospital stay. Thus, more attention should be paid to the nutritional care of elderly patients to improve clinical outcomes.

외래에서 항암화학요법을 받는 암환자들의 영양불량 위험도 연구

김원경,박미선,이영희,허대석 대한지역사회영양학회 2008 대한지역사회영양학회지 Vol.13 No.4

Although it is well known that cancer patients suffer from malnutrition, there are few published studies on malnutrition in outpatients receiving chemotherapy in Korea. This study aimed to evaluate nutritional risk in oncology outpatients receiving chemotherapy and to show the baseline data to set up nutritional management programs for cancer patients. This is a retrospective observational analysis on 1,962 patients referred for nutritional education before or during chemotherapy at Seoul National University Hospital Cancer Center from January 2006 to May 2007. According to a malnutrition screening tool, the proportion of patients having malnutrition risk was 23.0%. In the case of upper gastrointestinal cancer, more than 50% of patients were assessed as being at the risk of malnutrition. They showed more than 7% weight loss compared to their usual body weight and poor oral intake; energy intake was less than 100% of Basal Energy Expenditure (BEE) and protein intake was less than or equal to 0.77 g/㎏/d. However, only 6.3% of breast cancer patients had risk of malnutrition and their oral intake was better; energy intake was 121% of BEE, and protein intake was 0.90 g/㎏/d. Outpatients receiving chemotherapy had different nutritional risk depending on their cancer site. Nutritional management program should be conducted differently, depending on the cancer site and upper gastrointestinal cancer patients at high risk of malnutrition should basically have nutritional assessment and intervention.

서울시내 아파트단지내 국민학교 아동의 혈청지질과 식습관에 관한 연구

모수미,최혜미,윤은영,김초일,이윤나,김원경,김주혜 한국지질학회 1992 韓國脂質學會誌 Vol.2 No.1

One hundred elementary school children from higher socioeconomic families in Seoul were studied for the relationship among obesity, blood lipid levels and eating behavior. Fasting blood samples were taken and analyzed for serum triglyceride (TG), total cholesterol (TC), HDL-cholesterol (HDL-C) and hematocrit. Information on eating behavior was obtained by 24 hr-recall method for 2 consecutive days and analyzed for the causal effect on obesity and blood lipid levels. Children were assessed for height and weight and appeared generally healthy with non-anemic hematocrit values and no clinical signs of illness. Compared to the previous year's classification by weight for length index (WLI), 75% of overweigth children had progressed into obesity and 40% of normal children into overweight or obesity. The degree of obesity showed a significant negative correlation with HDL-C level and significant positive correlations with the calculated LDL-cholesterol (LDL-C), LDL-C/HDL-C ratio and atherogenic index (AI). Although TG and TC levels were much higher in overweight or obese children than normal children, the differences didn't reach statistical significance due to the individual variation. Eating behavior also showed significant correlations with blood lipid levels in such that animal food intake was positively correlated with TC and LDL-C and, vegetable intake was negatively correlated with them. These findigs indicate the urgent need of nutrition education in the community to prevent further increase in childhood obesity and progress into adulthood obesity. The school lunch program along with periodic health screening and active nutrition intervention would be very effective in correcting eating behavior and ensuring proper mental and physical growth of these children.