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보건소 중식실습교육이 제 2 형 당뇨병환자의 혈당개선에 미치는 영향

Group Lunch Visits at the Public Health Center Improve Glycemic Control in Older Adults with Type 2 Diabetes Mellitus


This study was carried out to investigate the effect of nutrition education program for diabetic patients on the glycemic control at the public health center. The study subjects, aged 61.7 $\pm$ 9.4 years, were 93 sex-and age-matched patients with type 2 diabetes mellitus. They were divided into three groups: nutrition education & diet practice group (EDG), nutrition education-only group (EG), and the control group (CG). Height, weight, and the postprandial 2 hour blood glucose (PP2) were measured at baseline, and 4, 6 and 8 week after the diabetic nutrition education program. At baseline there were no differences in height, weight, and blood glucose levels among the three groups. Nutrition education programs, especially that with group lunch practice sessions were found to be effective in lowering the blood glucose levels in patients with NIDDM patients. At 4 week blood glucose levels were decreased by 40.6% and 19.6% in EDG and EG, respectively, which was further dropped by 50.2% and 35.1% at 8 week, as compared to the CG group. For the EDG group, the total energy intake, which was 162.3% of the prescription before the diet counselling session, was decreased to 113.6% of the prescription after the lunch visit, with most decrease coming from the reduction in carbohydrate and fat intake. Multiple stepwise regression analysis revealed that the total energy intake explained 47.9% and 57% of blood glucose changes for men and women, respectively, and that percent energy intake from protein explained 15.8% for women. These results demonstrate that the public health center nutrition education programs for diabetic patients, especially that with group lunch practice sessions are very effective for the glycemic control in patients with diabetes mellitus.

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이 논문을 인용한 문헌 (5)

  1. Hong, Hye-Sook ; Ryu, Han-Kyoung ; Park, Jong-Suk ; Kim, Wha-Young 2007. "Impact of Diabetes Duration on the Cardiovascular Disease Risk Factors in Korea Type 2 DM Patients" 韓國營養學會誌 = The Korean journal of nutrition., 40(6): 509~516 
  2. Kang, Hyun-Joo ; Shin, Eun-Mi ; Kim, Kyung-Won 2009. "Evaluation of Nutrition Education for Diabetes Mellitus Management of Older Adults" 대한지역사회영양학회지 = Korean journal of community nutrition, 14(6): 734~745 
  3. Oh, Ji-Yoon ; Kim, Sook-Bae 2010. "Development and Effects' Analysis of Nutrition Education Program for Diabetes Mellitus at Community Health Center - Focused on Individual Daily Energy Requirements and Food Exchange Units -" 대한지역사회영양학회지 = Korean journal of community nutrition, 15(4): 485~497 
  4. Lee, Han-Sul ; Joo, Jin-Hee ; Choue, Ryo-Won 2011. "Study on Diet-related Quality of Life in Online Self-help Diabetes Mellitus Patients Who Practice Dietary Regimen" 대한지역사회영양학회지 = Korean journal of community nutrition, 16(1): 136~144 
  5. Shin, Kyung-Nam ; Lee, Hye-Sang ; Kwon, Chong-Suk 2011. "Effects of Nutrition Education in Type 2 Diabetes Mellitus on Diabetes Control and Blood Antioxidant Status" 한국식품영양과학회지 = Journal of the Korean Society of Food Science and Nutrition, 40(5): 689~695 


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