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Diet Quality Index-International Score is Correlated with Weight Loss in Female College Students on a Weight Management Program

체중관리 영양교육에 참여한 여대생의 Diet Quality Index-International (DQI-I)점수와 체중감소와의 상관성

  • Yun, Hee-Kyung (Department of Nutritional Science and Food Management, Ewha Womans University) ;
  • Kim, Hye-Sook (Department of Nutritional Science and Food Management, Ewha Womans University) ;
  • Chang, Nam-Soo (Department of Nutritional Science and Food Management, Ewha Womans University)
  • 윤희경 (이화여자대학교 식품영양학과) ;
  • 김혜숙 (이화여자대학교 식품영양학과) ;
  • 장남수 (이화여자대학교 식품영양학과)
  • Published : 2009.07.31

Abstract

This study was to evaluate the effectiveness of the weight control program for female college students. The program was composed of diet and behavioral modifications for 8 weeks. A total of 78 participants enrolled the weight control program. Upon completion of the program, 53 participants experienced weight loss and 25 did not. The intakes of carbohydrate and fat were significantly decreased in both groups. However, the total diet quality index-international (DQII) scores as well as individual scores such as variety scores for protein source and adequacy scores for vegetable, fiber, calcium and vitamin C and moderation scores for empty calorie food were increased significantly in weight loss group only. In the weight loss group, weight, BMI, body fat, percent body fat and waist-hip ratio were decreased significantly. In addition, compared to the weight gain group, the weight loss group had higher changes in weight (weight loss group: -2.6% vs weight gain group: 1.5%, p < 0.001), body fat (-6.0% vs 0.0%, p < 0.001), percent body fat (-3.1% vs -0.3%, p < 0.001), waist-hip ratio (-1.0% vs 0.5%, p < 0.001) and BMI (-2.6% vs 1.3%, p < 0.01). There was no difference in blood profiles between the two groups. The changes in DQI-I scores were significantly correlated with the changes in body weight (r = -0.239, p < 0.05) and BMI (r = -0.224, p < 0.05), indicating that effective nutrition education could help improve diet quality leading to successful weight management among female college students.

Keywords

References

  1. Burke GL, Bertoni AG, Shea S, Tracy R, Watson KE, Blumenthal RS, Chung H, Carnethon MR. The impact of obesity on cardiovascular disease risk factors and subclinical vascular disease: the Multi-Ethnic Study of Atherosclerosis. Arch Intern Med 2008; 168 (9): 928-935 https://doi.org/10.1001/archinte.168.9.928
  2. James PT, Rigby N, Leach R. The obesity epidemic, metabolic syndrome and future prevention strategies. International Obesity Task Force. Eur J Cardiovasc Prev Rehabil 2004; 11(1): 3-8 https://doi.org/10.1097/01.hjr.0000114707.27531.48
  3. Ascaso JF, Romero P, Real JT, Lorente RI, Martinez-Valls J, Carmena R. Abdominal obesity, insulin resistance, and metabolic syndrome in a southern European population. Eur J Intern Med 2003; 14: 101-106 https://doi.org/10.1016/S0953-6205(03)00022-0
  4. Hill MJ, Metcalfe D, McTernan PG. Obesity and diabetes: lipids, ‘nowhere to run to’. Clin Sci 2009; 116(2): 113-123 https://doi.org/10.1042/CS20080050
  5. Norris SL, Zhang X, Avenell A, Gregg E, Schmid CH, Kim C, Lau J. Efficacy of pharmacotherapy for weight loss in adults with type 2 diabetes mellitus: a meta-analysis. Arch Intern Med 2004; 164(13): 1395-1404 https://doi.org/10.1001/archinte.164.13.1395
  6. 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 Nutr 2007; 12(4): 477-488
  7. Matuschka P. Diebetes and 'normal' lifestyle. Am Fam Physician 1995; 52(7): 2011-2012
  8. Park JA, Yoon JS. Dietary behaviors and status of nutrient intakes by the obesity levels of housewives in Daegu. Korean J Community Nutr 2005; 10(5): 623- 632
  9. Yi KO, Kim JY, Kim WY. Effects of obesity treatment program. J Korean Aerobic Exerc 2001; 5(1): 69-84
  10. Jeon ER. Effect of nutrition education and aerobic exercise program on weight control program of middle aged abdominal obese women. Korean J Human Ecology 2006; 9(2): 65-73
  11. Lee KW. The effects of obesity management program on body composition and blood lipids profile in obese female collegiate students. J Sport Leisure Studies 2001; 15: 663-339
  12. Seo JH. Evaluation of weight control program for obese female college students. J Korean Soc Food Sci Nutr 2005; 24(9): 1381-1387 https://doi.org/10.3746/jkfn.2005.34.9.1381
  13. McArdle W, Katch F, Katch V. Exercise Physiology: Energy Nutrition and Human Performance. Fourth edition. Williams & Wilkins Pub; 1996. p.603-630
  14. Yu OK, Cha YS. A comparative study on dietary life according to the obesity assessment methods of higher grade elementary school students in Jeonju. Korean J Human Ecology 2006; 9(4): 83-93
  15. Lee YA, Kim KN, Chang NS. The effect of nutrition education on weight control and diet quality in middle-aged women. Korean J Nutr 2008; 41(1): 54-64
  16. Ledikwe JH, Rolls BJ, Diane HS, Mitchell DC, Ard JD, Champagne C, Karanja N, Lin PH, Stevens VJ, Appel LJ. Reduction in dietary energy density are associated with weight loss in overweight and obese participants in the PREMIER trial. Am J Clin Nutr 2007; 85: 1212-1221 https://doi.org/10.1093/ajcn/85.5.1212
  17. Oh KW, Nam CM, Park JH, Yoon JY. A case-control study on dietary quality and risk for coronary heart disease in Korean men. Korean J Nutr 2003; 36(6): 613-621
  18. Lee SH, Chang NS. Effectiveness of nutrition education on dietary habits and diet quality in the weight loss and weight gain groups in college women. Korean J Nutr 2007; 40(5): 463-474
  19. Brinkworth GD, Noakes M, Keogh JB, Luscombe ND, Wittert GA, Clifton PM. Long-term effects of a high-protein, low-carbohydrate diet on weight control and cardiovascular risk markers in obese hyperinsulinemic subjects. Intern J Obes 2004; 28: 661-670 https://doi.org/10.1038/sj.ijo.0802617
  20. Aleixandre A, Miguel M. Dietary fiber in the prevention and treatment of metabolic syndrome: a review. Crit Rev Food Sci Nutr 2008; 48(10): 905-912 https://doi.org/10.1080/10408390701761886
  21. Duvigneaud N, Wijndaele K, Matton L, Philippaerts R, Lefevre J, Thomis M, Delecluse C, Duquet W. Dietary factors associated with obesity indicators and level of sports participation in Flemish adults: a cross-sectional study. Nutr J 2007; 6: 26 https://doi.org/10.1186/1475-2891-6-26
  22. Kim HJ, Kim SN, Kim S. Effects of diet-records on body composition and calorie intake in obese school girls. Korean J Physical Edu 2005; 44(6): 567-577
  23. 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
  24. Lauer RM, Clarke WP, Lee J. Factors affecting the relationship between childhood and adult cholesterol levels. Pediatrics 1988; 82: 309-318
  25. The Korean Nutrition Society, Dietary Reference Intakes for Koreans, Seoul; 2005
  26. Kim S, Haines PS, Siega-Riz AM, Popkin BM. The Diet Quality Index-International (DQI-I) provides an effective tool for crossnational comparison of diet quality as illustrated by China and the United States. J Nutr 2003; 133: 3476-3483 https://doi.org/10.1093/jn/133.11.3476
  27. Korean Society for Lipid and Atherosclerosis, Korean Guidelines of Hyperlipidemia Treatment for Prevention of Atherosclerosis; 2002
  28. Drewnowski A. Concept of a nutritious food: toward a nutrient density score. Am J Clin Nutr 2005; 82(4): 721-732 https://doi.org/10.1093/ajcn/82.4.721
  29. Inoue S, Zimmet P, Caterson I, Chunming C, Ikeda Y, Kim YS, Bassett J. The Asia-pacific perspective: redefining obesity and its treatment. The International Diabetes Institute; 2000
  30. Lee HJ. Evaluation of multilateral weight control program for female college students by follow-up search [dissertation]. Seoul: Ewha Womans University Graduate School; 2005
  31. Lee JS, Park JS, Lee GH, Ko YS, Kim EK. Effect of body composition, serum lipid level, and resting metabolic rate by nutritional education and exercise program in middle aged women. J Korean Dietetic Assoc 2008; 14(1): 64-76
  32. Stern L, Iqbal N, Seshadri P, Chicano KL, Daily DA, McGrory J. The effects of low-carbohydrate versus conventional weight loss diets in severely obese adults: one-year follow-up of a randomized trial. Ann Intern Med 2004; 140: 778-785
  33. Daubenmier JJ, Weidner G, Sumner MD, Mendell N, Merritt-Worden T, Studley J, Ornish D. 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): 57-68DA https://doi.org/10.1207/s15324796abm3301_7
  34. Kang YH, Lee KO, Ha EH, Kim JY, Kim WY. Evaluation of short term weight control program for female college students. Korean J Nutr 2004; 37(6): 493-501
  35. Lee JS, Lee HO, Yim JE, Kim YS, Choue RW. Effects of medical nutrition therapy on changes of anthropometric measurements, dietary pattern and blood parameters in over weight or obese women. Korean J Nutr 2005; 38(6): 432-444
  36. Quatromoni PA, Pencina M, Cobain MR, Jacques PF, D’Agostino RB. Dietary quality predicts adult weight gain: Findings from the Framingham Offspring Study. Obesity 2006; 14(8): 1383-1391 https://doi.org/10.1038/oby.2006.157

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