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혈액투석중인 만성신부전환자의 영양소 섭취상태와 식습관의 평가 : In the Southern Part of Chungchong Province 충남지역을 중심으로
정영진,박유신,김찬,장유경 漢陽大學校 韓國生活科學硏究所 2002 韓國 生活 科學 硏究 Vol.- No.20
This study was conducted to evaluate nutrient intakes and food habits of 49 hemodialysis patients(26 men and 23 women) in the southern part of Chungchong Province, in Korea. Dietary intakes by 24hr-recall method for 3 days and food habits were assessed. All the data were analyzed by Student t-test, Pearson's correlation analysis and stepwise multiple regression analysis using SPSS 8.0 version at p<0.05 level. Energy intake including protein, fat and carbohydrate was lower than Korean RDA. Energy intake(p=0.022) and animal fat intake(p=0.048) in women were lower than in men. Crude fiber and cholesterol intakes were adequate in the subjects, and most of the minerals were undertaken below 75% of Korean RDA except phosphorus(105% of RDA). Vitamin intakes were the same as mineral intakes, except thiamin(75.6% of RDA). Food habits of the hemodialysis patients were generally undesirable especially in dietary regularity, and the subjects needed some education on low-potassium cooking methods in vegetable dealing. Animal fat and sodium intakes were well-regulated, and this trends were more notable in men(p<0.05). Energy intake is an important factor that maintains healthy nutritional status of hemodialysis patients, and food habits such as 'Eating out frequently' and 'Eating stew more than broth' were selected as factors to explain energy intake(R2=0.198, p=0.014). Unluckily these food habits are connected with high sodium intake, so we had better find other ways to increase energy intake. We concluded that the subjects, ESRD(End-Stage of Renal Disease) patients who have hemodialysis were generally undernourished, so they should increase energy, mineral (especially, calcium and iron) and vitamin intakes. To improve this problem we suggest that supplementation of multivitamins, calcium and iron complexes should be recommended strongly, and that nutrition education on food habits such as 'Having balanced meals regularly in time and in frequency' should be focused on.