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A Study on the Nutrient Intake in Relation to Food Habit and Attitude of Cerebrovascular Accident Patients

뇌졸중환자의 식습관 및 식생활태도가 영양소 섭취량에 미치는 영향

  • 김성미 (계명대학교 식품영양학과) ;
  • 정영미 (계명대학교 식품영양학과)
  • Published : 2002.04.01

Abstract

This paper, in which whose subjects were 43 cerebrovascular accident patients analysed the effects of flood habits and attitudes on the nutrient intake. In respect to energy intake, the subjects took 106% of RDA. The protein intake was on the average of 119.1 g, which was 187% of RDA. The fat intake by the subjects on the whole was 60.5 g. The fiber intake of the subjects was 9.6 g. Those who like sweets took in significantly less energy and carbohydrate and more fat than those who didn't like sweets. Those who liked salty flood took in 7890 mg of sodium while those who didn't like salty food took in 5579 mg of sodium. The former took in significantly more sodium than the latter (p < 0.05). The examination of the amount of nutrient intake in terms of meal pattern, showed that those who had two meals a day were significantly higher in the level of weight and BMI was significantly higher (p<0.05) and the level of energy, protein, calcium, iron, vitamin A, vitamin C and cholesterol was significantly higher. Those who thought they had heavy meals took significantly more energy, protein, calcium iron, vitamin A vitamin B$_1$and vitamin C than those who thought they had light meals. Rapid eaters took more nutrients than slow eaters. The multiple regression analysis has shown that the effect of the independent variables on the energy intake are in the order of eating speed, eating volume and eating frequency. They can explain 24.6% of the energy intake. As a result, the faster is eating speed, the heavier is eating volume, and the lower is eating frequency, the higher is the energy intake (p <0.01).

뇌졸중환자 43명을 대상으로 식습관, 식생활태도가 영양소 섭취량에 미치는 영향을 분석한 결과는 다음과 같다. 식사 시 간에 대한 규칙성은 제시간에 식사하는 사람이 58.1%, 불규칙한 식사를 하는 사람이 41.9%이었다. 음식을 고를 때 중요하게 생각하는 요인은 간편하게 음식을 만들 수 있는 것이 34.9%로 가장 높게 나타났다. 한 번 식사량은 '가볍게 먹는다'는 사람이 13.9%, '많이 먹는다'는 사람이 51.2%이었고, '식사를 느리게 먹는다'는 사람이 20.9%, '빠르게 먹는다'는 사람이 34.9%이었고, 특히 여자들은 62.5%가 빨리 먹는다고 답하고 있었다. 흡연상태는 담배를 피우는 사람이 55.8%로 높은 비율을 보였고, 남녀 각각 74.1%, 25.0%로 나타났다. 식습관 점수는 대상자 전체 4.5, 남녀 각각4.3, 4.8을 나타내어 여자의 식습관 점수가 높았으며, 해조류의 섭취가 여자가 남자보다 유의적으로 많이 섭취한 것을 제외하고 남녀간에 유의적인 차이는 나타나지 않았다. 열량 섭취량은 대상자 전체 2228 kcal, 남자 2441 kcal, 여자 1870 local로 남녀 각각 한국인 영양권장량의 107%, 104%를 섭취하였다. 단백질의 섭취량은 대상자 전체 119.1g, 남녀 각각 130.9 g, 99.5 g으로 영양권장량의 전체 187%, 남자 192%, 여자 180%의 많은 양을 섭취 하였다. 지방 섭취량은 대상자 전체 60.5g, 남녀 각각 66.6 g, 50.3 g을 섭취하였다. 한국영양학회에서 하루에 20~25 g의 섭취를 권장하는 섬유질은 대상자 전체 9.6 g, 남자 10.4 g, 여자 8.2 g으로 낮은 섭취량을 보였다. 이는 앞의 식습관 점수에서 황록색채소와 채소의 섭취빈도가 각각 1주에 4.7, 5.0이었고, 과일의 섭취는 더욱 낮은 3.9를 나타내어, 한국영양학회가 1일 채소 및 과일의 섭취를6~7회 권장하는 것에 비해 낮은 섭취빈도에서도 섬유질의 섭취량이 적음이 설명 될 수 있겠다. 칼슘, 철분, 비타민 A, 비타민 B$_1$등의 섭취는 권장량이상을 나타내었고, 비타민 C를 제외하고 남자의 섭취가 여자의 섭취보다 높게 나타났다 단백질, 인, 나이아신 등은 영양소 적 정 섭취비가 1.00을 나타내었고 그외 나머지 영양소도 0.93이 상의 높은 값을 보였다. 또한 평균 적정 섭취비(MAR)의 경우, 남녀 각각 0.99와 0.96의 높은 값을 나타내었다. 대상자의 영양의 질적지수(INQ)는 여자의 칼슘 섭취량을 제외하고 나머지 8가지 영양소에서 1을 넘어섰다. 맛 선호도에 따른 영양소 섭취량을 분석한 바, 단맛을 좋아하는 사람이 싫어하는 사람보다 열량과 당질섭취량은 유의 적으로 적게, 지방 섭취량은 유의적으로 높았다. 짠맛을 좋아하는 사람은 나트륨 섭취량이 7890 mg으로 짠맛을 싫어하는 사람 5579 mg보다 유의적 (p < 0.05)으로 많은 양을 섭취하였다.

Keywords

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