Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Custom Nutrition Education on Dietary Intakes and Clinical Parameters in Patients Diagnosed with Iron Deficiency Anemia

맞춤형 영양교육이 철결핍성 빈혈환자의 임상 지표 및 영양섭취 상태에 미치는 효과

  • Kim, Hye-Jin (Dept. of Nutrition, Yeouido St. Mary's Hospital, The Catholic University of Korea) ;
  • Mok, Hee-Jung (Dept. of Nutrition, Yeouido St. Mary's Hospital, The Catholic University of Korea) ;
  • Hong, Jeong-Im (Dept. of Nutrition, Yeouido St. Mary's Hospital, The Catholic University of Korea) ;
  • NamGung, Sin-A (Dept. of Nutrition, Yeouido St. Mary's Hospital, The Catholic University of Korea)
  • 김혜진 (가톨릭대학교 여의도성모병원 영양팀) ;
  • 목희정 (가톨릭대학교 여의도성모병원 영양팀) ;
  • 홍정임 (가톨릭대학교 여의도성모병원 영양팀) ;
  • 남궁신아 (가톨릭대학교 여의도성모병원 영양팀)
  • Received : 2011.11.30
  • Accepted : 2012.01.09
  • Published : 2012.02.02
Download PDF
⟨ Previous Next ⟩

Abstract

This study examined the effects of custom nutrition education on dietary intakes and clinical parameters in patients diagnosed with iron deficiency anemia. A total of 34 patients visited the anemia clinic of Yeouido St. Mary's Hospital. Among these, only 16 patients were available for follow-ups. A follow-up was conducted by a clinical dietitian 2 months from the first nutrition education session. Patients were all women. For custom nutrition education, we investigated anthropometric data, dietary assessment (24 hr-recall, FFQ), and self-recognized anemic symptoms. Weight did not show a significant difference but hemoglobin, hematocrit (P<0.01), serum iron, and serum ferritin (P<0.05) were significantly increased after the nutrition education. Serum total iron binding capacity was significantly decreased (P<0.01). Self-recognized symptoms such as dizziness, fatigue (P<0.001), shortness of breath, headache (P<0.01), brittle nails, and sore tongue (P<0.05) were significantly improved. Daily intakes of protein (P<0.05), total iron (P<0.01), and animal iron (P<0.001) were significantly increased. A significantly negative correlation was observed between current serum iron and the intake of carbohydrates, fat, or phosphorus (P<0.05). But current serum ferritin showed a significantly positive correlation with the frequency of intake of meat, poultry, and fish. It could be concluded that the custom nutrition education might be effective on quality of diet as well as iron status and it might also improve the clinical parameters in patients diagnosed with the iron deficiency anemia.

Keywords

References

  1. Barr SI, Broughton TM (2000): Relative weight, weight loss efforts and nutrient intakes among health-conscious vegetarian, past vegetarian and nonvegetarian women ages 18 to 50. J Am Coll Nutr 19(6):781-788 https://doi.org/10.1080/07315724.2000.10718078
  2. CDC. Centers for Disease Control and Prevention (1998). National Health and Nutrition Examination Survey. Available from: http://www.cdc.gov/nchs. Accessed November 20, 2011
  3. Chaves PH, Ashar B, Guralnik JM, Fried LP (2002): Looking at the relationship between hemoglobin concentration and prevalent mobility difficulty in older women. Should the criteria currently used to define anemia in older people be reevaluated? J Am Geriatr Soc 50(7):1257-1264 https://doi.org/10.1046/j.1532-5415.2002.50313.x
  4. Choi CW (2003): Diagnosis and treatment of anemia: an out-patient approach. J Korean Acad Fam Med 24(3):303- 311
  5. Cook JD, Monsen ER (1976): Food iron absorption in human subjects. III. Comparison of the effect of animal proteins on nonheme iron absorption. Am J Clin Nutr 29(8):859-867
  6. Cooper MJ, Cockell KA, L'Abbe MR (2006): The iron status of Canadian adolescents and adults: current knowledge and practical implications. Can J Diet Pract Res 67(3):130-138 https://doi.org/10.3148/67.3.2006.130
  7. Ferrucci L, Harris TB, Guralnik JM, Tracy RP, Corti MC, Cohen HJ, Penninx B, Pahor M, Wallace R, Havlik RJ (1999): Serum IL-6 level and the development of disability in older persons. J Am Geriatr Soc 47(6):639-646 https://doi.org/10.1111/j.1532-5415.1999.tb01583.x
  8. Hong SM, Hwang HJ (2001): Effects of iron supplementation on iron status of anomic high school girls. Korean J Community Nutr 6(5):726-733
  9. Janelle KC, Barr SI (1995): Nutrient intakes and eating behavior scores of vegetarian and nonvegetarian women. J Am Diet Assoc 95(2):180-186 https://doi.org/10.1016/S0002-8223(95)00045-3
  10. Jeong SH, Park JH, Lee HO, Choue R (2007): Effects of nutrition counseling on quality of diet, iron status and hematic parameters in college women who have self-recognized anemic symptoms. Korean J Community Nutr 12(1):68-79
  11. Kant AK, Block G, Schatzkin A, Ziegler RG, Nestle M (1991): Dietary diversity in the US population, NHANES II, 1976-1980. J Am Diet Assoc 91(12):1526-1531
  12. Kim DW, Jin BS, Bo RP, Jin HW, Kwang WO, Goo M (2008): Change of RBC Indices with Serum Iron, TIBC level in Iron Deficiency Anemia Patients Who treated Oriental Medicine. Korean J Oriental Physiology & Pathology 22(6):1579-1584
  13. Korea Centers for Disease Control and Prevention (2008): The forth Korea national health and nutrition examination survey (KNHANES IV. Seoul. pp.24, 62
  14. Krebs-Smith SM, Smiciklas-Wright H, Guthrie HA, Krebs- Smith J (1987): The effects of variety in food choices on dietary quality. J Am Diet Assoc 87(7):897-903
  15. McClung JP, Karl JP (2008): Iron deficiency and obesity: the contribution of inflammation and diminished iron absorption. Nutr Rev 67(2):100-104
  16. Monsen ER, Hallberg L, Layrisse M, Hegsted DM, Cook JD, Mertz W, Finch CA (1978): Estimation of available dietary iron. Am J Clin Nutr 31(1):134-141
  17. Nam K, Kim K, Koo J, Choi H (1998): Effects of dietary protein and calcium levels on iron and zine balance in young Korean women. Korean J Community Nutr 3(2):218-227
  18. Penninx BW, Guralnik JM, Onder G, Ferrucci L, Wallace RB, Pahor M (2003): Anemia and decline in physical performance among older persons. Am J Med 115(2):104-110 https://doi.org/10.1016/S0002-9343(03)00263-8
  19. Penninx BW, Pahor M, Cesari M, Corsi AM, Woodman RC, Bandinelli S, Guralnik JM, Ferrucci L (2004): Anemia is associated with disability and decreased physical performance and muscle strength in the elderly. J Am Geriatr Soc 52(5):719-724 https://doi.org/10.1111/j.1532-5415.2004.52208.x
  20. Pinhas-Hamiel O, Newfield RS, Koren I, Agmon A, Lilos P, Phillip M (2003): Greater prevalence of iron deficiency in overweight and obese children and adolescents. Int J Obes Relat Metab Disord 27(3):416-418 https://doi.org/10.1038/sj.ijo.0802224
  21. Stephenson LS (1995): Possible new developments in community control of iron-deficiency anemia. Nutr Rev 53(2):23-30
  22. The Korean Nutrition Society (2010): Dietary reference intakes for Koreans-first revision 2010. The Korean Nutrition Society. Seoul. pp.405
  23. Yanoff LB, Menzie CM, Denkinger B, Sebring NG, McHugh T, Remaley AT, Yanovski JA (2007): Inflammation and iron deficiency in the hypoferremia of obesity. Int J Obes (Lond) 31(9):1412-1419 https://doi.org/10.1038/sj.ijo.0803625
  24. World Health Organization (2001): Iron Deficiency: Assessment, Prevention and Control. Geneva, Switzerland : World Health Organization

Cited by

  1. Obesity Index and Related Factors among Elementary School Students Visiting Pediatric Department of General Hospital vol.18, pp.2, 2012, https://doi.org/10.14373/JKDA.2012.18.2.186