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    노년기 고혈압 관리 대상자의 체질량지수, 허리둘레에 의한 비만정도와 영양소 섭취 상태 비교 연구

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Hypertension and obesity are important modifiable risk factors for cardiovascular disease, the leading cause of death in Korea. Therefore, we assessed the association between dietary pattern and obesity in hypertensive patients to formulate health promotion strategies for the older population. Dietary information was collected from hypertensive patients visiting community health education and information center by using 24 hour recall method. The 2005 DRIs for Koreans was used to evaluate the dietary adequacy. When subjects were categorized by body mass index (BMI) as normal, overweight and obese, no significant difference in energy intake was found among groups. Dietary intakes of folate, and vitamin C in obese hypertensive patients were significantly lower than in normal weight patients (p < 0.05). When we compare the nutritional status by waist circumferences, dietary intakes of zinc, vitamin A, thiamin, vitamin C and folate were significantly lower in the obese group. Vegetable intake was significantly lower in the obese group according to BMI as well as waist circumference. Energy intake from carbohydrate was significantly higher in obese hypertensive patients (p < 0.05). Obese hypertensive patients had a higher risk of nutritional inadequacy compared to normal weight patients. Our results indicated the need for developing interventions that encourage greater consumption of vegetables while cutting down salt intake with wise selection of staple foods, for obese hypertensive patients. (Korean J Community Nutrition 14(6): 831~845, 2009)
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    Hypertension and obesity are important modifiable risk factors for cardiovascular disease, the leading cause of death in Korea. Therefore, we assessed the association between dietary pattern and obesity in hypertensive patients to formulate health pro...

    Hypertension and obesity are important modifiable risk factors for cardiovascular disease, the leading cause of death in Korea. Therefore, we assessed the association between dietary pattern and obesity in hypertensive patients to formulate health promotion strategies for the older population. Dietary information was collected from hypertensive patients visiting community health education and information center by using 24 hour recall method. The 2005 DRIs for Koreans was used to evaluate the dietary adequacy. When subjects were categorized by body mass index (BMI) as normal, overweight and obese, no significant difference in energy intake was found among groups. Dietary intakes of folate, and vitamin C in obese hypertensive patients were significantly lower than in normal weight patients (p < 0.05). When we compare the nutritional status by waist circumferences, dietary intakes of zinc, vitamin A, thiamin, vitamin C and folate were significantly lower in the obese group. Vegetable intake was significantly lower in the obese group according to BMI as well as waist circumference. Energy intake from carbohydrate was significantly higher in obese hypertensive patients (p < 0.05). Obese hypertensive patients had a higher risk of nutritional inadequacy compared to normal weight patients. Our results indicated the need for developing interventions that encourage greater consumption of vegetables while cutting down salt intake with wise selection of staple foods, for obese hypertensive patients. (Korean J Community Nutrition 14(6): 831~845, 2009)

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    참고문헌 (Reference)

    1 임윤혁, "한국인 고혈압 환자에서 체질량지수, 허리둘레가 좌심실 질량에 미치는 영향" 대한당뇨병학회 31 (31): 130-135, 2007

    2 문현경, "한국노인에서 심장혈관계 질환 위험인자에 대한 비만지표인 체질량지수,허리-엉덩이둘레비, 및 허리둘레의 타당도 비교" 한국영양학회 38 (38): 445-454, 2005

    3 이해정, "한국 중년성인의 고혈압과 영양환경요인의 관련성 - 1998년과 2001년 국민건강?영양조사결과에 근거하여-" 대한지역사회영양학회 12 (12): 272-283, 2007

    4 엄지숙, "충남 농촌 지역 주민의 고혈압 전단계와 고혈압의 위험요인" 한국영양학회 41 (41): 742-753, 2008

    5 최미경, "일부 성인남녀의 무기질 (Ca, P, Fe, Na, K, Zn) 섭취와혈압 및 혈중 지질과의 관련성" 한국영양학회 38 (38): 827-835, 2005

    6 이원영, "선진국의 뇌졸중집중치료서비스 모형과 실제" 대한신경과학회 27 (27): 195-205, 2009

    7 임정은, "고혈압환자에서 치료상태에 따른 영양소 및 나트륨 섭취 양상" 한국영양학회 38 (38): 706-716, 2005

    8 손숙미, "고혈압 환자의 식이관련 위험요인 분석에 관한 연구" 대한지역사회영양학회 11 (11): 661-672, 2006

    9 김미경, "고혈압 역학연구를 위한 음식중심 식품섭취빈도 조사표 개발: 2001년 국민건강영양조사 자료 이용" 대한지역사회영양학회 13 (13): 701-712, 2008

    10 FDA office of women's health, National Heart, Lung, and Blood Institute Health Information Center, "http://www.fda.gov/womens/ getthefacts/hbp.htm"

    1 임윤혁, "한국인 고혈압 환자에서 체질량지수, 허리둘레가 좌심실 질량에 미치는 영향" 대한당뇨병학회 31 (31): 130-135, 2007

    2 문현경, "한국노인에서 심장혈관계 질환 위험인자에 대한 비만지표인 체질량지수,허리-엉덩이둘레비, 및 허리둘레의 타당도 비교" 한국영양학회 38 (38): 445-454, 2005

    3 이해정, "한국 중년성인의 고혈압과 영양환경요인의 관련성 - 1998년과 2001년 국민건강?영양조사결과에 근거하여-" 대한지역사회영양학회 12 (12): 272-283, 2007

    4 엄지숙, "충남 농촌 지역 주민의 고혈압 전단계와 고혈압의 위험요인" 한국영양학회 41 (41): 742-753, 2008

    5 최미경, "일부 성인남녀의 무기질 (Ca, P, Fe, Na, K, Zn) 섭취와혈압 및 혈중 지질과의 관련성" 한국영양학회 38 (38): 827-835, 2005

    6 이원영, "선진국의 뇌졸중집중치료서비스 모형과 실제" 대한신경과학회 27 (27): 195-205, 2009

    7 임정은, "고혈압환자에서 치료상태에 따른 영양소 및 나트륨 섭취 양상" 한국영양학회 38 (38): 706-716, 2005

    8 손숙미, "고혈압 환자의 식이관련 위험요인 분석에 관한 연구" 대한지역사회영양학회 11 (11): 661-672, 2006

    9 김미경, "고혈압 역학연구를 위한 음식중심 식품섭취빈도 조사표 개발: 2001년 국민건강영양조사 자료 이용" 대한지역사회영양학회 13 (13): 701-712, 2008

    10 FDA office of women's health, National Heart, Lung, and Blood Institute Health Information Center, "http://www.fda.gov/womens/ getthefacts/hbp.htm"

    11 Ho SY, "Waist to stature ratio is more strongly associated with cardiovascular risk factors than other simple anthropometric indices" 13 (13): 683-691, 2003

    12 Lee KM, "Waist circumference as a screening tool for cardiovascular risk factors in Korea: Evaluation of receiver operating characteristics (ROC)" 21 : 395-405, 2000

    13 Hseih SD, "The superiority of waist-to-height ratio as an anthropometric index to evaluate clustering of coronary risk factors among non-obese men and women" 40 (40): 216-220, 2005

    14 Wang Y, "The prevalence of pre-hypertension and hypertension among US adults according to the new joint national committee guidelines: new challenges of the old problem" 164 (164): 2126-2134, 2004

    15 Hamet P, "The evaluation of the scientific evidence for a relationship between calcium and hypertension. LSRO report" 125 (125): 311S-400S, 1995

    16 Jelliffe DB, "The assessment of the nutritional status of the community"

    17 Karppanen H, "Sodium intake and hypertension" 49 (49): 59-75, 2006

    18 Biolo G, "Slower activation of insulin action in upper body obesity" 50 (50): 19-23, 2001

    19 Kantan MB, "Should a low-fat, highcarbohydrate diet be recommended for everyone? Beyond low-fat diets" 397 : 563-566, 1997

    20 Ministry of Health and Welfare, "Report on 2007 National Health and Nutrition Survey" 2008

    21 Ministry of Health and Welfare, "Report on 2005 National Health and Nutrition Survey" 2006

    22 Ministry of Health and Welfare, "Report on 1998 National Health and Nutrition Survey" 1999

    23 Ford ES, "Prevalence of the metabolic syndrome among US adults findings from the third national health and nutrition examination survey" 287 (287): 356-359, 2002

    24 Lee WY, "Prevalence of the metabolic syndrome among 40,698 Korean metropolitan subjects" 65 : 143-149, 2004

    25 Nieves JW, "Osteoporosis : The role of micronutrients" 81 : 1232S-1239S, 2005

    26 Jeong EG, "National Goals and Strategies for Major Chronic Diseases"

    27 Alexander C, "NECPdefinde metabolic syndrome, diabetes and prevalence of coronary heart disease among NHANES III participants age 50 years and older" 52 : 1210-1214, 2003

    28 Park JK, "Meta analysis of hypertension as a risk factor of cerebrovascular disorders in Koreans" 16 : 2-8, 2001

    29 Kim SR, "Management of metabolic syndrome: Recent update for treatment" Proceedings Korean Soc Comm Nutr 31-36, 2009

    30 Korean Centers for Disease Control and Prevention, "Korea National Health and Nutrition Examination Survey III (2005)"

    31 Bazzano LA, "Intake of fruit, vegetable, and fruit juices and risk of diabetes in women" 31 : 1311-1317, 2008

    32 Ministry of Health and Welfare, "In-depth Analysis on 2005 National Health and Nutrition Survey"

    33 Moon EH, "Implementation and Evaluation of Nutrition Education Program for Hypertensive Patients Among Adults Aged 50 and Over" The Graduate School of Seoul Women's University Seoul 2004

    34 Hajjar IM, "Impact of diet on blood pressure and age-related changes in blood pressure in the US population: analysis of NHANES III" 161 (161): 589-593, 2001

    35 Kimiagar M, "Fruit and vegetable intake, C-reactive protein, and the metabolic syndrome" 84 : 1489-97, 2006

    36 Whelton PK, "Effects of oral potassium on blood pressure meta-analysis of randomized controlled clinical trials" 277 : 1624-1632, 1997

    37 Dawson-Hughes B, "Effect of calcium and vitamin D supplementation on bone density in men women 65 years of age older" 337 (337): 670-676, 1997

    38 Reaven GM, "Do high carbohydrate diets prevent the development or attenuate the manifestations (or both) of syndrome X? A viewpoint strongly against" 8 : 23-27, 1997

    39 Song Y, "Dietary magnesium intake and risk of incident hypertension among middle-aged and older US women in a 10-year follow-up study" 98 (98): 1616-1621, 2006

    40 Lee JH, "Dietary habits, obesity status and cardiovascular risk factors in Koreans" 1262 : 538-541, 2004

    41 Willett WC, "Dietary fat and obesity: an unconvincing relation" 68 : 1149-1159, 1998

    42 Park SH, "Dietary carbohydrate intake is associated with cardiovascular disease risk in Korean: Analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III)" 11270 : 1-7, 2008

    43 Appel LJ, "Dietary approaches to prevent and treat hypertension: a scientific statement from the American Heart Association" 47 (47): 296-308, 2006

    44 Korea National Statistical Office, "Deaths and Causes of Death in 2007"

    45 Klein BE, "Components of the metabolic syndrome and risk of cardiovascular disease and diabetes in beaver dam" 25 : 1790-1794, 2002

    46 He FJ, "Beneficial effects of potassium on human health" 133 (133): 725-735, 2008

    47 Ninomiya JK, "Association of the metabolic syndrome with history of myocardial infarction and stroke in the third national health and nutrition examination survey" 109 : 42-46, 2004

    48 Lee GY, "Association of hypertension with body mass index in the rural elderly" 22 (22): 1086-1094, 2001

    49 Gus M, "Association between different measurements of obesity and the incidence of hypertension" 17 (17): 50-53, 2004

    50 Lakka HM, "Abdominal obesity is associated with increased risk of acute coronary events in men" 23 : 701-713, 2002

    51 Choi HJ, "A study on the relationship between health behavior factors and blood pressure of workers" 18 (18): 312-329, 2004

    52 Liu S, "A prospective study of dietary glycemic load, carbohydrate intake of coronary heart disease in US women" 71 (71): 1455-1461, 2000

    53 안소현, "50세 이상 고소득층 성인 및 노인의 고혈압 관련 건강 및 영양 요인에 관한 연구 - 2005년 국민건강영양조사 결과에 근거하여 -" 대한영양사협회 15 (15): 311-327, 2009

    54 문현경, "2001년도 국민건강영양조사 자료를 이용한 고혈압 유무에 따른식생활 비교 및 평가" 한국영양학회 40 (40): 347-361, 2007

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    2020-01-01 등재 등재학술지 유지 (재인증) KCI등재
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