[논문]커뮤니티케어 대상 노인의 NQ-E 지수 기반 개별영양상담 효과성: 복합만성질환과 삶의 질 개선에 관한 중재 연구

최윤정; 이지현; 임희숙; 박유경

doi:10.5720/kjcn.2023.28.6.480

[국내논문] 커뮤니티케어 대상 노인의 NQ-E 지수 기반 개별영양상담 효과성: 복합만성질환과 삶의 질 개선에 관한 중재 연구
Effectiveness of NQ-E index-based individual nutrition counseling for community-care elderly: an intervention study on improving nutritional status, complex chronic diseases, and quality of life 원문보기

Korean journal of community nutrition, v.28 no.6, 2023년, pp.480 - 494

최윤정 (경희대학교 동서의학대학원 의학영양학과 고령서비스-테크 융합전공) , 이지현 (용인시 수지노인복지관) , 임희숙 (경희대학교 동서의학대학원 노인학과 고령서비스-테크 융합전공) , 박유경 (경희대학교 동서의학대학원 의학영양학과)

Abstract ▼ AI-Helper

Objectives: This study sought to assess the effectiveness of community-based nutrition counseling on improving nutritional status, managing complex chronic diseases, and enhancing the quality of life for elderly individuals with chronic conditions, particularly in older adults with high levels of food insecurity and multiple chronic illnesses. Methods: Thirty elderly subjects with diabetes and hypertension who were registered at local Senior Welfare Center received individualized nutrition counseling, based on their Nutrition Quotient for the Elderly (NQ-E) index. Over a 16-week period, they received tailored counseling and underwent various health and nutritional assessments. The final analysis included 28 participants after two dropped out. Data analysis was conducted using the SPSS v28.0. Results: The subjects were over 70, with multiple chronic diseases including diabetes and hypertension and predominantly female. After 16 weeks, significant improvements were observed in the subjects' grip strength, and HbA1c levels, as well as in their NQ-E scores, indicating improved dietary balance and diversity. There were no significant improvements in the 'Moderation' subdomain of the NQ-E index, suggesting that this aspect requires further attention in nutritional counseling. The subjects' nutritional risk scores (NSI) were also significantly decreased, indicating less nutritional risk. Lastly, as measured by the SF-36K, the subjects' quality of life showed significant improvement in several domains including physical role performance and social function. Conclusions: This study demonstrates that tailored nutrition counseling, based on the NQ-E index, can improve elderly health, manage chronic diseases, and enhance quality of life. This approach potentially broadens the scope of community nutritionists' roles within an aging society. However, additional research is necessary to evaluate these interventions' long-term effects and sustainability.

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참고문헌 (38)

Statistics Korea. Population projections for Korea [Internet]. Statistics Korea; 2022 [cited 2022 Oct 13]. Available from: https://kosis.kr/eng/statisticsList/statisticsListIndex.do?menuIdM_01_01&vwcdMT_ETITLE&parmTabIdM_01_01#content-group.？
Kim BR, Hwang HH. Analysis of major factors affecting the quality of life of the elderly in Korea in preparation for a super-aged society. Int J Environ Res Public Health 2022; 19(15): 9618.？

상세보기
Hwang SY. An exploratory study on community-based end-of-life care policy for older adults. J Soc Sci 2022; 33(4): 259-282.？

상세보기
Shon C, Seo D, Hwang J. Factors influencing the community care satisfaction of the urban elderly focusing on the outreach community health service in Seoul. J Korean Public Health Nurs 2021; 35(2): 254-267.？
Park JW, Yeo CK. A study on the economic impact and countermeasures of the population cliff caused by low birth rate and aging population: Focusing on major overseas cases. J Business Innov 2021; 44(4): 261-280.？
Korea Institute for Health and Social Affairs. The hidden poor: Elderly poverty in Korea. Sejong: Korea Institute for Health and Social Affairs; 2020.？
Hampl JS, Anderson JV, Mullis R. Position of the American Dietetic Association: The role of dietetics professionals in health promotion and disease prevention. J Am Diet Assoc 2002; 102(11): 1680-1687.？

상세보기
Lee MJ, Kim JH, Park OJ, Lee YM. A study on the needs for nutrition management program for elderly who use welfare facilities. Korean J Community Nutr 2016; 21(1): 65-74.？

원문보기 상세보기
Ministry of Health and Welfare. 2020 Senior health statistics. Seoul (Korea): Ministry of Health and Welfare; 2020.？
Nguyen H, Manolova G, Daskalopoulou C, Vitoratou S, Prince M, Prina AM. Prevalence of multimorbidity in community settings: A systematic review and meta-analysis of observational studies. J Comorb 2020; 10: 2235042X20916589.？
Diederichs C, Berger K, Bartels DB. The measurement of multiple chronic diseases-a systematic review on existing multimorbidity indices. J Gerontol A Biol Sci Med Sci 2011; 66(3): 301-311.？
Salisbury C, Man MS, Bower P, Guthrie B, Chaplin K, Gaunt DM et al. Management of multimorbidity using a patient-centred care model: A pragmatic cluster-randomised trial of the 3D approach. Lancet 2020; 392(10141): 41-50.？

상세보기
Yang H, Deng Q, Geng Q, Tang Y, Ma J, Ye W et al. Association of self-rated health with chronic disease, mental health symptom and social relationship in older people. Sci Rep 2021; 11(1): 14653.？
McPhail SM. Multimorbidity in chronic disease: Impact on health care resources and costs. Risk Manag Healthcare Policy 2016; 9: 143-156.？

상세보기
Tamura Y, Omura T, Toyoshima K, Araki A. Nutrition management in older adults with diabetes: A review on the importance of shifting prevention strategies from metabolic syndrome to frailty. Nutrients 2020; 12(11): 3367.？

상세보기
Kizil M, Turhan KN, Kizil R, Ustunkarli N. Relationship between chronic diseases and diet in older persons in nursing homes. Geriatric Care 2020; 6(4): 106-110.？

상세보기
Who J, Consultation FE. Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser 2003; 916(i-viii): 1-149.？
Tori NA, Shojaeizadeh D, Sum S, Hajian K. Effect of BASNEF-based nutrition education on nutritional behaviors among elderly people and Mini Nutritional Assessment on nutritional status in elderly with diabetes with type 2 diabetes (A clinical trial intervention). J Educ Health Promot 2019; 8(1): 94.？
Putri SE, Rekawati E, Wati DNK. Effectiveness of self-management on adherence to self-care and on health status among elderly people with hypertension. J Public Health Res 2021; 10(S1): 2406.？
Nguyen HT, Pavey TG, Collins PF, Nguyen NV, Pham TD, Gallegos D. Effectiveness of tailored dietary counseling in treating malnourished outpatients with chronic obstructive pulmonary disease: A randomized controlled trial. J Acad Nutr Diet 2020; 120(5): 778-791.？

상세보기
Shuremu M, Abate KH, Belachew T. Effect of nutrition education intervention to improve dietary diversity practice and nutritional status of the older people: A cluster randomized controlled trial. Food Sci Nutr 2023; 11(11): 7383-7395.？

상세보기
Ahn JA, Park JW, Kim CJ. Effects of an individualised nutritional education and support programme on dietary habits, nutritional knowledge and nutritional status of older adults living alone. J Clin Nurs 2018; 27(9-10): 2142-2151.？

상세보기
Jyvakorpi S. Nutrition of older people and the effect of nutritional interventions on nutrient intake, diet quality and quality of life. 2016.？
Lim YS, Lee JS, Hwang JY, Kim KN, Hwang HJ, Kwon S et al. Revision of Nutrition Quotient for elderly in assessment of dietary quality and behavior. J Nutr Health 2022; 55(1): 155-173.？

원문보기 상세보기
Ham SW, Kim KH. Evaluation of the dietary quality and nutritional status of elderly people using the Nutrition Quotient for Elderly (NQE) in Seoul." J Nutr Health 2020; 53(1): 68-82.？

원문보기 상세보기
Gham M, Um M, Kye S. Evaluation of dietary quality and nutritional status based on nutrition quotient and health functional food intake in the Korea elderly. J Korean Soc Food Culture 2019; 34(4): 474-485.？
Lee SE, Lee E. Effects of nutrition related factors on mortality risk among community-residing older adults in Korea. J Digit Converg 2018; 16(10): 343-350.？
Celis-Morales CA, Welsh P, Lyall DM, Steell L, Petermann F, Anderson J et al. Associations of grip strength with cardiovascular, respiratory, and cancer outcomes and all-cause mortality: Prospective cohort study of half a million UK Biobank participants. BMJ 2018; 361: k1651.？

상세보기
Chung M, Kwak T, Kim H, Kang M, Lee J, Chung HR et al. Development of NQ-E, nutrition quotient for Korean elderly: Item selection and validation of factor structure. J Nutr Health 2018; 51(1): 87-102.？

원문보기 상세보기
Sugiura Y, Tanimoto Y, Imbe A, Inaba Y, Sakai S, Shishikura K et al. Association between functional capacity decline and nutritional status based on the nutrition screening initiative checklist: A 2-year cohort study of Japanese community-dwelling elderly. PloS one 2016; 11(11): e0166037.？

상세보기
Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30(6): 473-483.？

상세보기
Korea Health Promotion Institute. 12-week nutritional program for patients with high blood pressure and diabetes [Internet]. Korea Health Promotion Institute; 2022 [cited 2022 Aug 8]. Available from: https://www.khepi.or.kr/kps/publish/view?menuIdMENU00890&page_noB2017003&pageNum10&siteId&srch_text&srch_cate&srch_type&str_clft_cd_list&str_clft_cd_type_list&board_idx10820？
Jung HW, Kim KI. Multimorbidity in older adults. J Korean Geriatr Soc 2014; 18(2): 65-71.？

상세보기
Huh Y, Lee JH, Jeon Y. Association between living alone and multimorbidity in the elderly. Korean J Health Promot 2020; 20(3): 102-107.？

상세보기
Shlisky J, Bloom DE, Beaudreault AR, Tucker KL, Keller HH, Freund-Levi Y et al. Nutritional considerations for healthy aging and reduction in age-related chronic disease. Adv Nutr 2017; 8(1): 17-26.？

상세보기
Baek OM. Factors associated with functional health outcomes in community-dwelling older adults: Applying Andersen's revised model. Korean J Community Welf 2011; 38: 1-27.？
Lee IJ. A study on the factors affecting late-life disability. Health Soc Res 2010; 30(2): 55-84.？

상세보기
Lima MG, Barros MBDA, Cesar CLG, Goldbaum M, Carandina L, Ciconelli RM. Health related quality of life among the elderly: A population-based study using SF-36 survey. Cad Saude Publica 2009; 25(10): 2159-2167.

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