[논문]당뇨병 성인 대상 보건소 영양교육 프로그램 개발 및 효과 분석 - 개인별 맞춤 하루 필요 에너지 및 식품군 단위수 교육을 중심으로 -

오지윤; 김숙배

당뇨병 성인 대상 보건소 영양교육 프로그램 개발 및 효과 분석 - 개인별 맞춤 하루 필요 에너지 및 식품군 단위수 교육을 중심으로 -
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 - 원문보기

대한지역사회영양학회지 = Korean journal of community nutrition, v.15 no.4, 2010년, pp.485 - 497

오지윤 (전북대학교 교육대학원) , 김숙배 (전북대학교 식품영양학과, 인간생활과학연구소)

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The purpose of this study was to investigate effects of the developed nutrition education program focused on individual daily energy requirements and food exchange units using Food Exchange System for diabetes mellitus at a community health center. Developed the nutrition education program, four weeks' nutrition education including provided twice individual meal as diet therapy (2 hour/lesson/week, 4 week), was provided to 20 diabetic elderly (12 male, 8 female, 50-75 yrs): 1st lesson "Introduction: management of diabetes mellitus", 2nd lesson "6 Food groups and sources of 6 food groups", 3rd lesson "Individual daily energy requirements and food exchange units", and 4th lesson "Food choice for diabetes mellitus". For effects' analysis of the developed program, we assessed the changes in anthropometric characteristics; biochemical characteristics and nutrient intakes using 24 hr recall method. Effects of the developed nutrition education program were as follows: weight was significantly decreased, blood urea nitrogen (BUN) and glycosylated hemoglobin (HbA1c) were significantly decreased, and distribution of subjects in BUN and HbA1c was significantly changed. In protein : fat : carbohydrate (PFC) ratio, it was significantly changed from 15.98 : 16.30 : 66.69 to 17.51 : 18.94 : 64.10. In evaluation of nutrient intakes by Dietary Reference Intakes for Koreans (KDRI), protein, fiber, fat, vitamin E, niacin, folic acid, calcium and zinc were shown significantly positive changes in distribution of subjects according to intake level. The index of nutrition quality (INQ), nutrition adequacy ratio (NAR) and mean nutrition adequacy ratio (MAR) were significantly increased. In conclusion, the developed 4 weeks' nutrition education program focused on individual daily energy requirements and food exchange units using Food Exchange System for diabetes mellitus at community health center may improve the symptom of diabetes mellitus.

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핵심어	질문	논문에서 추출한 답변
	우리나라에서 식생활 변화의 원인은 무엇인가?	우리나라에서 산업 발달과 경제 수준 향상은 영양 불균형 등의 식생활 변화를 초래하였으며, 이로 인해 심장병, 고혈압, 암, 당뇨병 등 만성 퇴행성 질환의 이환율이 점점 증가되고 있다(Park 등 2010). 한편, 우리나라는 2000년에 총 인구에 대한 65세 이상의 인구 율이 7.
	영양 불균형 등의 식생활 변화로 인한 문제점은 무엇인가?	우리나라에서 산업 발달과 경제 수준 향상은 영양 불균형 등의 식생활 변화를 초래하였으며, 이로 인해 심장병, 고혈압, 암, 당뇨병 등 만성 퇴행성 질환의 이환율이 점점 증가되고 있다(Park 등 2010). 한편, 우리나라는 2000년에 총 인구에 대한 65세 이상의 인구 율이 7.
	장래 노인 인구율의 증가는 2026년 기준 어떻게 될 전망인가?	한편, 우리나라는 2000년에 총 인구에 대한 65세 이상의 인구 율이 7.0%를 넘어 고령화 사회로 진입하였고, 2026년에는 총 인구에 대한 65세 이상의 인구 율이 20.0%로 추계되어 초 고령화 사회로의 진입이 전망 된다(Korea National Statistical Office 2006). 장래 노인 인구율의 증가는 만성 퇴행성 질환 이환율의 급격한 증가로 이어질 것으로 보아진다.

참고문헌 (34)

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