초록 ▼

○ 연구결과
문헌조사, 예비설문조사, 국민영양조사 자료 분석 등을 통해 10항목으로 구성된 건강식이지표를 개발하였다. 24시간 회상법과 식품섭취빈도지를 이용하여 식이섭취조사를 하여 건강식이지표의 타당성을 검증하였다. 그 결과 각 항목별로 평균점수를 통해 그 항목에서 강조하는 영양소 또는 식품의 섭취수준을 간단히 알아볼수 있음이 확인되었다.건강식이지표를 이용하여 식이섭취조사 없이도 간단히 식생활을 파악할 수 있는 편이식 식생활진단표를 개발하고 그 타당성을 검증하였다. 식생활진단표 점수와 건강식이지표 점수 사이의 상관관계 분석 결

○ 연구결과
문헌조사, 예비설문조사, 국민영양조사 자료 분석 등을 통해 10항목으로 구성된 건강식이지표를 개발하였다. 24시간 회상법과 식품섭취빈도지를 이용하여 식이섭취조사를 하여 건강식이지표의 타당성을 검증하였다. 그 결과 각 항목별로 평균점수를 통해 그 항목에서 강조하는 영양소 또는 식품의 섭취수준을 간단히 알아볼수 있음이 확인되었다.건강식이지표를 이용하여 식이섭취조사 없이도 간단히 식생활을 파악할 수 있는 편이식 식생활진단표를 개발하고 그 타당성을 검증하였다. 식생활진단표 점수와 건강식이지표 점수 사이의 상관관계 분석 결과 각 항목에서 차이가 없는 것으로 나타나서 두 지표가 일치함을 보여주었다. 즉 본 연구에서 개발한 식생활진단표는 실제 영양소 섭취량을 잘 반영해 주는 것으로 입증되었으나 일부 항목에서 추가 연구의 필요성이 지적되어 후속 연구를 통해 완성시킨 후 실생활에 이용할수 있도록 할 계획이다.이상의 결과로 볼 때 본 연구에서 개발한 건강식이지표는 국민의 영양상태를 파악할 수 있는 지표로 사용이 가능한 것으로 보이며, 이보다 더 간단히 비전문가도 영양위험군을 판별해 낼 수 있도록 개발한 식생활진단표는 일부 항목에서 문제점이 지적되었으나 수정보완 작업을 거치면 실생활에서 이용이 가능할 것으로 판단된다.

Abstract ▼

It is well documented now that diet plays an important role in health and disease. Improving dietary patterns, and, in trun, improving nutritional status, is viewed as a key to improve public health and to prevent chronic diseases.There has been a great deal of work done to link between diet and chr

It is well documented now that diet plays an important role in health and disease. Improving dietary patterns, and, in trun, improving nutritional status, is viewed as a key to improve public health and to prevent chronic diseases.There has been a great deal of work done to link between diet and chronic disease, however, most researches focused on measurement of single dietary component or of related nutrients as indicators of diet quality. Little research has been done on methods to assess overall diet quality related to chronic disease or public health promotion.
The purpose of this study was to construct an index to measure the overall complexity and quality of diet that can be used to monitor nutritional status and to serve as a useful tool for nutrition screening and health promotion. Health Eating Index (HEI) was developed based on a 10-component system of 5nutrient-related components based on Dietary Guidelines for Korean (1989, Korean Nutirtion Society) and 5 food group-related components based on Food Guide Tower (1995, Korean Nutrition Society). Each of the component has a score of 1, 3, 5, and the total possible index score is 50. A survey was conducted to analyze and to validate the HEI. The subjects were 432 healthy males and females in their 30's and 40's, and 24hr-recall and food frequency questionnaire were conducted. The mean HEI score was 32.34 when assessed with 24-hr recall method and 33.43 with FFQ.
Based on the HEI, Mini Dietary Assessment Index (MDA) was developed to evaluate usual dietary behaviors. It is composed of 10 dietary elements. Asubject is to check one of 'alway' 'generally' 'seldom', which has score of 5, 3, and 1, respectively. MDA contained 4 food elements of which use is encouraged, such as milk, meat, vegetables, fruits, and 3 food elements of which use is limited, such as fat, salt, or sugar. Also the included were elements on dietary regulation and variety. This index is to use without dietary survey and is to use even by non-nutritionist. The mean MDA score in this study was 31.34 of possible 50 points. To validate, MDA score was compared with 24-hr recall data. The main nutrients for each elements was correlated very well with the results of dietary survey. Also, very good correlation was found between HEI score and MDA score.
We concluded that the HEI is a useful index of overall diet quality of middle-aged Korean. Also, the MDA could be used with minor modification to assess dietary behavior and to screen nutritional status.