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韓國營養學會誌 = The Korean journal of nutrition. v.41 no.1, 2008년, pp.54 - 64   피인용횟수: 12

영양교육에 의한 식행동 향상이 중년여성의 체중조절 및 식사의 질에 미치는 영향
The Effect of Nutrition Education on Weight Control and Diet Quality in Middle-Aged Women

이요아   (이화여자대학교 생활환경대학 식품영양학과UU0001056  ); 김기남   (이화여자대학교 생활환경대학 식품영양학과UU0001056  ); 장남수   (이화여자대학교 생활환경대학 식품영양학과UU0001056  );
  • 초록

    본 연구에서는 중년여성을 대상으로 식행동 개선을 초점을 두어 6개월 간 교육을 실시하여 식사의 질, 체성분 및 혈액 성분 변화를 알아보았다. 프로그램 종료 후 대상자를 식행동 점수 변화 정도에 따라 식행동향상군과 식행동비향상군으로 나누어 비교해 본 결과, 식행동향상군의 체중, BMI, 복부지방률 그리고 내장지방의 감소율이 식행동비향상군보다 더 컸고, 식이섬유, 칼슘, 철분, 비타민 C의 섭취 변화율도 식행동향상군이 식행동비향상군보다 더 컸으며, 식행동향상군에서만 각 영양소의 INQ와 MAR이 유의적으로 증가하였다. 또한 식행동향상군의 중성지방의 감소율이 식행동비향상군의 감소율보다 더 컸다. 동일한 영양교육에 참여하였지만 대상자가 스스로 잘못된 식행동을 개선할 경우, 식이섭취 수준이 더 많이 개선되었을 뿐만 아니라 식사의 질도 향상되었고, 체중과 체지방의 감량하였으며, 혈중 지질 수준도 향상시키는 효과를 보였다 이상의 연구에서처럼 식행동이 향상됨에 따라 체중감량과 식사의 질 개선 그리고 혈중 지질 변화에 효과적임을 알 수 있었고, 장기적으로 만성질환을 예방 관리할 수 있을 것으로 생각된다. 따라서 추후에 이루어지는 비만관리 프로그램은 영양지식의 전달에 초점을 맞추기보다는 균형잡힌 영양소 섭취와 식행동 개선 및 향상을 유도하는 교육내용이 포함되어 있는 체계적인 프로그램을 장기간 시행하여 식행동 향상에 따른 효과를 살펴보는 것이 필요하다.


    We examined the effect of dietary behavior improvement on diet quality, body composition and blood lipid profiles in 68 middle-aged women. Dietary behavior intervention was consisted of counselling in the problem areas of portion control, food selection for low carbohydrate and high fiber food items, and education on the improvement of micronutrient intakes and diet quality. The subjects were divided into two groups; Improved or Not-Improved Group according to the level of changes in dietary behavior scores. After 6 months, body weight, BMI, waist-hip ratio, and visceral fat area were significantly decreased in the Improved Group compared to the Not-Improved Group. Calorie-adjusted protein, fiber, calcium, iron and vitamin C intakes were significantly increased in the Improved Group. The index of nutritional quality (INQ) and mean adequacy ratio (MAR) were increased only in the Improved Group. We observed a significantly increase in HDL-cholesterol and a decrease in total cholesterol, triglyceride and LDL-cholesterol, and an improvement of atherogenic index in the Improved Group. These results showed that dietary behavior intervention improved dietary behavior scores, and those whose dietary behavior score improved showed more improvement in diet quality, body composition, and serum profiles than those whose dietary behavior score did not improve.


  • 주제어

    obesity .   dietary behavior .   diet quality .   middle-aged women.  

  • 참고문헌 (35)

    1. Jeun YS, Lee JR, Park CM. A study on the development of weight controlling health behavioral model in women. Journal of Korean Society for Health Education and Promotion 2006; 23(4): 125-153     
    2. Matuschka P. Diabetes and 'normal' lifestyle. Am Fam Physician 1995; 52(7): 2011-2012 
    3. Joung EJ. Risk estimates of obesity according to life style in women [dissertation]. Ewha womans university; 2001 
    4. Kim KW, LEE MJ, Kim JH, Shim YH. A study on weight control attempt and related factors among college female students. Korean J Community Nutrition 1998; 3(1): 21-33 
    5. Kang JS, Kim HS. A study on the evaluation of a nutritional education program for the middle aged obese women. Korean J Nutr 2004; 17(4): 356-367 
    6. Miller ER 3rd, Erlinger TP, Young DR, Jehn M, Charleston J, Rhodes D, Wasan SK, Appel LJ. Results of the Diet, Exercise, and Weight Loss Intervention Trial (DEW-IT). Hypertension 2002; 40(5): 612-618 
    7. Choi MS, Kim MS. The effect of nutritional education and exercise intervention in reducing weight of obese women. Korean J Community Living Science 2006; 17(4): 57-66 
    8. Friewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma without use of the preparative ultracentrifuge. Clin Chem 1972; 18: 499-502 
    9. Lauer RM, Clarke WP, Lee J. Factors affecting the relationship between childhood and adult cholesterol levels. The Muscatine study. Pediatrics 1988; 82: 309-318 
    10. Moon SJ, Kim HS, Kim JH. The effect of weight control on obese women. Korean J Nutr 1995; 28(8): 759-770 
    11. Layman DK, Evans E, Baum JI, Seyler J, Erichson DJ, Boileau RA. Dietary protein and exercise have additive effects in body composition during weight loss in adult women. J Nutr 2005; 135: 1903-1910 
    12. Choi YJ, kim SY, Jung YK, Chang YK. The analysis of the factors related to diet quality in the postmenopausal women. Korean J Nutr 2002; 35 (1): 102-114     
    13. Kim IS, Yu HH. Diet qualities by sex and age of adults over thirty years old in Jeon-Ju area. Korean J Nutr 2001; 34(5): 580-596 
    14. Bae YJ, Sung CJ. Comparison between postmenopausal osteoporotic women and normal women of their nutrient intakes and the evaluation of diet quality. Korean J Community Nutrition 2005; 10(2): 205-215     
    15. Ma Y, Olendzki B, Chiriboga D, Hebert JR, Li Y, Li W, Campbell M, Gendreau K, Ockene IS. Association between dietary carbohydrates and body weight. Am J Epidemiol 2005161(4): 359-367 
    16. Kang YH, Yi KO, Ha EH, Kim JY, Kim WY. Evaluation of short term weight control program for female college students. Korean J Community Nutrition 2004; 36(6): 493-501 
    17. Moon HK, Lee HJ, Park Y. Comparison of health status and dietary habits by percent body fat (PBF) change for adult women in the weight control program by the community health center. Korean J Community Nutrition 2007; 12(4): 477-488     
    18. Foster GD, Wadden TA, Swain RM, Stunkard AJ, Platte P, Vogt RA. The eating inventory in obese women: clinical correlates and relationship to weight loss. Int J Obes Relat Metab Discord 1998; 22: 778-785 
    19. Lee MS. The characteristics of dietary habits of obese, overweight or normal subjects in seoul. Korean J Community Nutrition 2004; 9(2): 161-172 
    20. Kim MS, Choi MS, Kim KN. Effect of nutritional education and exercise intervention in reducing and maintaining weight in obese women. Korean J Community Nutrition 2007; 12(1): 80-89     
    21. The Korean Nutrition Society: Dietary Reference Intakes for Koreans, Seoul; 2005 
    22. Drewonwski A, Henderson SA, Shore AB. Diet quality and dietary diversity in France: implications for the French paradox. J Am Diet Assoc 1996; 96: 663-669 
    23. Kim OH, Jung HN, Kim JH. Comparion of food intakes and serum lipid levels in overweight and obese women by body mass index. Korean J Community Nutrition 2007; 12(1): 40-49     
    24. Kim NH, Kim JM, Kim HS, Chang NS. Effects of nurition and exercise education in fat mass and blood lipid profile in postmenopausal obese women. Korean J Nutr 2007; 40(2): 162-171     
    25. Varady KA, Lamarche B, Santosa S, Demonty I, Charest A, Jone JH. Effect of weight loss resulting from a combined low-fat diet/ exercise regimen in low-density lipoprotein particle size and distribution in obese women. Metabolism 2006; 55: 1302-1307 
    26. Ministry of Health and Welfare: The Third Korea National Health & Nutrition Examination Survey (KNHANES III) 2005 -Nutrition Survey; 2006 
    27. Park JA, Yoon JS. Dietary behaviors and status of nutrient intakes by the obesity levels of housewives in Daegu. Korean J Community Nutrition 2005; 10(5): 623-632     
    28. Lee NH, Jeoung HJ, Cho SH, Choi YS. A study on the development of programs for the nutrition education of preschool nursery facilities. Korean J Community Nutrition 2001; 6: 234-242 
    29. Nam JH. Effect of weight control program on obesity degree and blood lipid levels among middle-aged obese women. Korean J Food & Nutr 2006; 19(1): 70-78     
    30. Hays NP, Bathalon GP, Roubenoff R, McCrory MA, Roberts SB. Eating behavior and weight change in healthy postmenopausal women: results of a 4-year longitudinal study. J Gerontol A Biol Sci Med Sci 2006; 61(6): 608-615 
    31. Daubenmier JJ, Weidner G, Summer MD. The contribution of changes in diet, exercise and stress management to changes in coronary risk in women and men in the multisite cardiac lifestyle intervention program. Ann Behav Med 2007; 33(1): 57-68 
    32. Kim YH, Kim YN. A study on body mass index and associated factors of the middle aged women in small city. Korean J Community Nutrition 2002; 7(4): 506-515 
    33. Related Articles, LinksVarady KA, Lamarche B, Santosa S, Demonty I, Charest A, Jones PJ. Effect of weight loss resulting from a combined low-fat diet/exercise regimen on low-density lipoprotein particle size and distribution in obese women. Metabolism 2006; 55(10): 1302-1307 
    34. NIH Technology Assessment Conference Panel. Method of voluntary weight loss and control. Ann Intern Med 1993; 11: 764-770 
    35. Jensen GJ, Roy MA, Buchanan AE, Berg MB. Weight loss intervention for obese older women: Improvements in performance and function. Obes Res 2004; 12(11): 1814-1820 
  • 이 논문을 인용한 문헌 (12)

    1. Baek, Young-Ah ; Kim, Ki-Nam ; Lee, Yo-A ; Chang, Nam-Soo 2008. "The Effect of Nutrition Education on Visceral Fat Reduction and Diet Quality in Postmenopausal Women" 韓國營養學會誌 = The Korean journal of nutrition., 41(7): 634~664     
    2. Choi, Mee-Sook 2009. "Effects of Nutrition Education and Exercise Intervention on Health and Diet Quality of Middle-Aged Women" 韓國營養學會誌 = The Korean journal of nutrition., 42(1): 48~58     
    3. 2009. "" Nutrition research and practice, 3(4): 307~314     
    4. 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     
    5. Yun, Hee-Kyung ; Kim, Hye-Sook ; Chang, Nam-Soo 2009. "Diet Quality Index-International Score is Correlated with Weight Loss in Female College Students on a Weight Management Program" 韓國營養學會誌 = The Korean journal of nutrition., 42(5): 453~463     
    6. Jang, Mi ; Kim, Hye-Ryeon ; Hwang, Myung-Ok ; Paek, Yun-Mi ; Choi, Tae-In ; Park, Yoo-Kyoung 2010. "The Effect of Repeated Nutrition Education on Health Improvement Program by Diet Quality Index-International (DQI-I) Evaluation in Office Workers" 대한지역사회영양학회지 = Korean journal of community nutrition, 15(5): 614~624     
    7. Kang, Hyun-Joo ; Byun, Ki-Won 2010. "Effect of Two-year Course of Food and Nutrition on Improving Nutrition Knowledge, Dietary Attitudes and Food Habits of Junior College Female Students" 대한지역사회영양학회지 = Korean journal of community nutrition, 15(6): 750~759     
    8. Chang, Hye-Soon 2010. "A Study on Weight Control Behaviour, Eating Habits and Health-related Life Habits according to Obesity Degree by Body Fat Percentage among Middle-aged Women in Gunsan City" 대한지역사회영양학회지 = Korean journal of community nutrition, 15(2): 227~239     
    9. Lee, Hee-Seung ; Lee, Ji-Won ; Kim, Ji-Myung ; Chang, Nam-Soo 2010. "The Effect of Nutrition Education and Excercise Program on Body Composition and Dietary Intakes, Blood Lipid and Physical Fitness in Obese Women (2) - Relationship between Participation Rates and Effectiveness of Obesity Management Program -" 韓國營養學會誌 = The Korean journal of nutrition., 43(3): 260~272     
    10. Kim, Hye-Kyung ; Kim, Mi-Jeong 2010. "Effects of Weight Control Program on Dietary Habits and Blood Composition in Obese Middle-Aged Women" 韓國營養學會誌 = The Korean journal of nutrition., 43(3): 273~284     
    11. Kim, Hye-Kyung ; Kim, Mi-Jeong 2010. "Effects of Weight Control Program on Dietary Habits and Blood Composition in Obese Middle-Aged Women" 韓國營養學會誌 = The Korean journal of nutrition., 43(3): 273~284     
    12. 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     

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