Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Assessment of the Dietary Adequacy of Non-Insulin Dependent Diabetes Mellitus in Daegu Area

대구지역 인슐린 비 의존형 당뇨병 환자의 영양섭취 적정도 평가

  • 윤진숙 (계명대학교 식품영양학과) ;
  • 이정희 (계명대학교 식품영양학과) ;
  • 이희자 (계명대학교 식품영양학과) ;
  • 이인규 (계명대학교 의과대학 내과학교실)
  • Published : 2002.06.01
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Abstract

To assess the dietary therapy compliance of non-insulin-dependent diabetes mellitus (NIDDM) patients living in Daegu, we evaluated diet adequacy levels by index of nutritional quality (INQ), nutrient adequacy ratio (NAR), mean adequacy ratio (MAR), and dietary variety score (DVS) with food exchange system and Korean recommended dietary allowances (KRDA). One day dietary intake was measured by 24 hour recall method for 229 subjects over 20 years of age. Average daily energy intake was 1444 kcal. The relative ratio of carbohydrate, protein and fat in terms of energy intake was 69.4：14.5：16.0. The nutrient adequacy ratio (NAR) for Vitamin A, B$_2$, calcium were lower than 0.5 and MAR was 0.65. It appeared that the consumption of each food group as compared to prescribed food exchange unit was insufficient, in the order of dairy group (10.2 $\pm$ 25.2%), fruits group (58.2 $\pm$ 71.2%) and oils & fats group (42.9 $\pm$ 42.0%). The dietary variety score (DVS) was evaluated as an useful tool for diabetes' meal management when we accept minimum intake as 0.3 of food exchange unit. We found significant correlation between food groups and anthropometric indices: cereals group and % total body fat (r = 0.251, p < 0.01), meat group and waist circumference (r = 0.241, p < 0.01), vegetables group and WHR(r = 0.139, p < 0.05), and oils poop and WHR(r = 0.165, p < 0.05). from these results, we concluded that overall status of dietary intake of NIDDM patients in Daegu area was insufficient not only in quality but also in quantity. It is suggested that nutrition education for NIDDM patients should stress on balanced food consumption to meet proscribed amount by six food group to improve the inadequacy of dietary status.

Keywords

References

  1. Kor J Community Nutrition v.1 no.2 Provisional national nutrition targets and strategies for health promotion of Koreans Kim,H.R.
  2. Korean J Nutr v.29 no.4 Nutritional Problems in Korean: Pattern of disease incidence and nutrition in Korea Lee,H.K.
  3. Report on 2000 National Health and Nutritional Survey Ministry of Health and Welfare
  4. Kor J Preventive Medicine v.26 Mean fasting blood glucose level and an estimated prevalence of diabetes mellitus among a representative adult Korean population Kim,J.S.;Kim,Y.J.;Park,S.I.;Hong,Y.P.
  5. Korea Statistical Yearbook v.41 National statistical office republic of Korea
  6. J Kor Diabetic Associ v.22 no.3 Prevalence of Diabetes Mellitus and impaired glucose tolerance in Korean adults living in Jungup District, South Korea Kim,Y.I.;Choi,C.S.;Kim,S.W.;Lee,J.S.;Kim,H.H.;Lee,M.S.;Lee,S.I.;Park,J.Y.;Hong,S.K.;Lee,K.U.
  7. Diabetes Cara v.18 Prevalence of diabetes mellitus and IGT in Yonchon County, Korea Park,Y.S.;Yoo,K.Y.;Lee,H.K.;Kim,Y.I.;Koh,C.S.;Shin,Y.S.;Min,H.K.
  8. Diabetologia v.35 Type 2 (non-insulin dependent) diabetes mellitus, the thrifty phenotype hypothesis Hales,C.N.;Barker,D.J.P. https://doi.org/10.1007/BF00400248
  9. J Kor Diabetic Associ v.20 no.1 Malnutrition in the pathogenesis of NIDDM Lee,H.C.;Park,S.W.;Huh,K.B.
  10. Diabetes Care v.20 Risk factors for the development of NIDDM in Yonchon County, Korea Shin,C.S.;Lee,H.K.;Koh,C.S.;Kim,Y.I.;Shin,Y.S.;Yoo,K.Y.;Paik,H.Y.;Park,Y.S;Yang,B.G. https://doi.org/10.2337/diacare.20.12.1842
  11. Diabetes Care v.15 Kelly West Lecture 1991. Challenges in diabetes epidemiology-from West to rest Zimmet,P.Z. https://doi.org/10.2337/diacare.15.2.232
  12. Diabetes Mellitus Theory and Practice(4th Ed.) Epidemiology of diabetes mellitus Bennett,P.H.;Rifkin,H.(ed.);Porte,D.(ed.)
  13. J Kor Diabetic Associ Summer Workshop Epidemiological diabetes research in urban area Sung,Y.A.
  14. J Kor Diabetic Associ v.11 no.2 Food intake of the diabetics studied by 3 day food record method Song,O.K.;Kim,D.M.;Kwon,Y.J.;Sung,S.K.;Yoo,H.J.
  15. Korean J Nutr v.30 no.10 A clinical properties on nutrients intake and serum concentration of diabetic subjects by duration in Ansung Kyunggi-do Rho,S.N.;Ko,H.S.
  16. Kim DH. A Survey on the Clinical and Nutritional Status in Diabetes Mellitus. Wonkwang University, Thesis for Master, 1988
  17. Hansen RG, Wyse BW. Expression of nutrient allowances per 1,000 kilocalories. J Am Diet Assoc 76: 223-227, 1980
  18. Drewnowski A, Henderson SA, Shore AB, Fishler C, Preziosi P, Hercberg S. Dietary quality and dietary diversity in France: Implications for the French paradox. J Am Diet Assoc 96(7): 663-669, 1996 https://doi.org/10.1016/S0002-8223(96)00185-X
  19. Journal Korean Diabetic Association. Nutrition & Dietetics. The Korean Journal of Nutrition. Manual of nutrition therapy for diabetes. 2nd ed. pp.19-25, 1995
  20. Wonkwang University, Thesis for Master A Survey on the Clinical and Nutritional Status in Diabetes Mellitus Kim,D.H.
  21. J Am Diet Assoc v.76 Expression of nutrient allowances per 1,000 kilocalories Hansen,R.G.;Wyse,B.W.
  22. J Am Diet Assoc v.96 no.7 Dietary quality and dietary diversity in France: Implications for the French paradox Drewnowski,A.;Henderson,S.A.;Shore,A.B.;Fishler,C.;Preziosi,P.;Hercberg,S. https://doi.org/10.1016/S0002-8223(96)00185-X
  23. Manual of nutrition therapy for diabetes(2nd ed.) Journal Korean Diabetic Association, Nutrition & Dietetics, The Korean Journal of Nutrition
  24. Symposium and workshop for diabetes diet therapy Critical evaluation of current food exchange system Yoo,H.J.
  25. HandBook of Portion Size for Food Intake Research Korean Food Research Institute
  26. Recommended Dietary Allowances for Koreans(7th revision) The Korean Nutrition Society
  27. Clin Nutr v.4 Nutrient density and food labeling Hansen,R.G.;Windham,C.T.;Wyse,B.W.
  28. J Am diet Assoc v.78 Validity of a dietary score for assessing nutrient adequacy Guthrie,H.A.;Scheer,J.C.
  29. J Kor Diabetic Associ v.18 no.supple 2 Evaluation of diet therapy for diabetic education Park,H.R.
  30. R.D.A. (5th revision) National Rural Living Sciences Institute
  31. J Kor Diabetic Associ v.16 no.1 Influence of duration of diabetes on nutritional status in non-insulin dependent diabetes mellitus Choi,M.S.;Lee,J.H.;Paik,I.K.;Ahn,K.J.;Chung,Y.S.;Lee,H.C.;Huh,K.B.
  32. J Kor Diabetic Associ v.20 no.3 Incidence of diabetes mellitus in Yonchon County, Korea Shin,C.S.;Kim,H.K.;Kim,W.B.;Park,K.S.;Kim,S.Y.;Cho,B.Y.;Lee,H.K.;Koh,C.S.;Kim,Y.I.;Shin,Y,S.;Paik,H.Y.;Oh,T.K.;Park,Y.S.;Yang,B.K.
  33. Kor J Inter medicine v.33 Atypical diabetes in Koreans Huh,K.B.;Kim,H.M.;Lim,S.K.;Lee,E.J.;Kim,D.Y.;Kim,K.R.;Lee.H.C.
  34. Korean J Nutr v.32 no.4 The influence of dietary factors on the incidence of non-insulin-dependent diabetes mellitus Yang,E.J.;Kim,W.Y.
  35. Korean J Community Nutrition v.6 no.4 Food and nutrient consumption patterns of Korean adults by socioeconomic status Kim,Y.O.
  36. Report of a WHO consultation on obesity WHO
  37. J Kor Diabetic Associ v.25 no.1 Atherosclerotic severity and risk factors in type 2 diabetic patients with visceral (metabolic) obesity in Korea Nam,J.H.;Park,S.W.;Ahn,C.W.;Song,Y.D.;Lim,S.K.;Kim,K.R.;Lee,H.C.;Huh,K.B.
  38. Manual of Medical Nutrition Therapy(2nd ed.) The Korean Dietetic Association
  39. Am J Clin Nutr v.32 Compressibility of skinfold and measurement of subcutaneous fatness Himes,J.H.;Roche,A.F.;Siervogel,R.H.
  40. Hum Clin Nutr v.36 Weight-height indices as estimators of fatness in men Norgan,N.C.;Ferro-Luzzi A.
  41. J Kor Diabetic Associ v.24 no.3 The clinical significance of anthropometric measurements of obesity in type 2 diabetics Choi,Y.S.;Park,S.H.;Kim,B.W.
  42. The Asia-Pacific perspective: Redefining Obesity and its Treatment Zimmet,P.;Inoue,S.
  43. J Am Diet Assoc v.85 Validity of the 24-hour dietary recall Karbetti,R.L.;Knuts,L.R.
  44. Korean J Nutr v.25 no.2 Between- and within-person variability of nutrient intake in 7-day weighted food records Chung,H.R.;Moon,H.K.;Song,B.H.
  45. Diet and disease of Korean Paik,H.Y.;Moon,H.K.;Choi,Y.S.;Ahn,Y.O.;Lee,H.K.;Lee,S.W.
  46. Korea society of Lipidology and Atherosclerosis v.12 no.1 Average dietary energy intake does not increase as BMI increased inKorean National Nutrition Data Ahn,Y.J.;Paik.H.Y.;Lee,H.K.;Nam,J.J.
  47. Biochemistry, An Introduction Trudy McKee;James R. McKee
  48. Korean J Nutr v.31 no.3 Assessment of dietary intake obtained by 24-hour recall method in adults living in yeonchon area (1): Assessment based on nutrient intake Lee,S.Y.;Ju,D.L.;Paik,H.Y.;Shin,C.S.;Lee,H.K.
  49. Korean J Nutr v.31 no.9 A study on nutritional intake of the rural people in Korea - Comparison of the nutrient intake by areas and age- Lee,J.S.;Yu,C.H.;Park,S.H.;Han,G.J.;Lee,S.S.;Moon,H.K.;Paik,H.Y.;Shin,S.Y.
  50. Korean J Nutr v.33 no.3 An assessment of diet quality in the postmenopausal women Choi,Y.J.;Kim,S.Y.;Jung,K.A.;Chang,Y.K.
  51. Korean J Community Nutrition v.4 no.3 A longitudinal study on the change of nutrients and food consumption with advance in age among middle-aged and the elderly Kim,I.S.;Seo,E.A.;Yu,H.H.
  52. Korean J Community Nutrition v.5 no.2S Analysis of methods on dietary quality assessment Oh,S.Y.
  53. J Am Diet Assoc v.96 no.8 Indexes of overall dietary quality: a review Kant,A.K. https://doi.org/10.1016/S0002-8223(96)00217-9
  54. Nutritional Assessment Lee,J.W.;Lee,M.S.;Kim,J.H.Son,S.M.;Lee,B.S.
  55. Keimyung University, Thesis for Master A Study on Nutrient Intake Condition and Diet Quality Evaluation of Adults in Kyung Buk Kim,S.H.
  56. J Am Diet Assoc Characterizing consumption patterns by food frequency methods: Core foods in diets of older Americans Fanelli,M.T.;Stevenhagen,K.J.
  57. 食生活論 足立己辛;秋山房雄
  58. Korean J Nutr v.31 no.3 Assessment of dietary intake obtained by 24-hour recall method in adults living in Yeonchon area (2): Assessment based on food group intake Lee,S.Y.;Ju,D.L.;Paik,H.Y.;Shin,C.S.;Lee,H.K.