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중년 여성의 식생활 중심 건강상태 판정 도구 개발

Health Status Assessment Tool Development based on Dietary Patterns in Middle-Aged Women

  • 이혜진 (창원대학교 식품영양학과) ;
  • 이경혜 (창원대학교 식품영양학과)
  • Lee, Hye-Jin (Department of Food and Nutrition, Changwon National University) ;
  • Lee, Kyung-Hea (Department of Food and Nutrition, Changwon National University)
  • 투고 : 2016.01.03
  • 심사 : 2016.02.13
  • 발행 : 2016.02.28

초록

Objectives: This study was performed to develop an assessment tool for middle aged women's health status based on dietary patterns, which will have practical applications in the working field of health and hygiene, aiming at improving the middle aged women's quality of life through their health improvement. Methods: As a first step, a literature review was conducted and the original data of '2008~2009 Korea Health and Nutrition Examination Survey' were reanalyzed. This analysis identified 65 preliminary questions that may be relevant to the study. After verifying the content validity by experts, the 65 questions were reduced into 51 questions. In order to secure higher validity of the candidate items, verification of their clinical validity was conducted among women aged between 45 and 60 years. Finally, an assessment tool was developed by applying weight and scoring. Results: Selected 51 questions were used to verify clinical validity and the results showed that 20 questions were relevant, nine questions ('regular meal time', 'regular amount of meal', 'intake frequency of dairy products', 'intake frequency of fruits', 'intake frequency of meat products', 'intake frequency of high cholesterol foods', 'intake frequency of salty foods', 'appetite', 'eat breakfast everyday') were related to dietary life. Eleven other questions ('self-rated health status', 'deep sleep', 'smoking', 'frequency of drinking', 'stress levels', 'health-related fitness levels', 'pounding of the heart', 'strange feelings on the skin', 'interfere with daily life', 'menopause will bring you a chance to see the life in a different perspective', and 'body mass index') were selected as valid questions. For the response scale for each question, 5 point Likert scale was used to make total 100 point score. Conclusions: This study is the first attempt to develop a health status assessment tool for middle aged women based on their dietary patterns. We conclude that this tool is expected to be a useful and practical tool in the field.

키워드

참고문헌

  1. Song AR. Health factors related to management of menopause among climacteric women. Korean J Women Health Nurs 2005; 11(1): 12-19.
  2. Statistics Korea. Average life expectancy & health life expectancy [Internet]. Statistics Korea; 2014 [updated 2014 Dec 3; cited 2015 Sep 4]. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2758.
  3. Lee YH, Choi SJ. A study of factors influencing health perception in the elderly. J Korean Acad Nurs 2000; 30(4): 880-892. https://doi.org/10.4040/jkan.2000.30.4.880
  4. Yeun EJ. A study on the health promoting lifestyle practices of middle-aged women in Korea. J Korean Soc Health Educ Promot 2000; 17(1): 41-59.
  5. Jung JJ, Kim NC. Risk factors, subjective symptoms, knowledge of coronary artery disease and preventive health practices in postmenopausal women. Korean J Women Health Nurs 2006; 12(1): 29-36.
  6. Kim NS, Song HJ. Women's chronic diseases and policy implications in Korea. Health Welf Policy Forum 2004; 93: 39-46.
  7. Lee HS, Kim CM. Menopausal symptoms and depression among midlife women. J Korean Acad Community Health Nurs 2010; 21(4): 429-438. https://doi.org/10.12799/jkachn.2010.21.4.429
  8. Shin HS, Song YA. Effects of koryo hand therapy on menopausal symptoms and blood lipid levels in middle-aged women. Korean J Women Health Nurs 2006; 12(4): 291-300.
  9. Park GJ. Factors influencing the meaning of life for middle-aged women. Korean J Women Health Nurs 2002; 8(2): 232-243.
  10. Lee JE, Park PW, Hyun KS. The relationship between fatigue, stress resistance and emotion in Korean middle aged women. J Korea Acad Ind Coop Soc 2011; 12(3): 1145-1150. https://doi.org/10.5762/KAIS.2011.12.3.1145
  11. Gu HJ, Eun Y. Concept analysis of middle-aged women's seogeulpeum. Korean J Women Health Nurs 2010; 16(4): 381-389. https://doi.org/10.4069/kjwhn.2010.16.4.381
  12. Jun SJ, Kim HK, Lee SM, Kim SA. Factors influencing middleaged women's depression. J Korean Acad Community Health Nurs 2004; 15(2): 266-276.
  13. Yoo JS, Park JW, Lee SJ. A meta analysis on the effects of exercise on bone mineral density among middle-aged and older women. J Korean Acad Community Health Nurs 2009; 20(3): 285-295.
  14. Jeong GH, Yang SO, Lee KO, Pye OJ, Lee MR, Baik SH et al. Bone mineral density, health-promoting behaviors, and selfefficacy in middle-aged women. Korean J Women Health Nurs 2003; 9(2): 170-178.
  15. Kim IH. The effects of exercise therapy and exercise-behavior modification therapy on obesity, blood lipids, and self-esteem of the obese middle-aged women. J Korean Acad Nurs 2002; 32(6): 844-854. https://doi.org/10.4040/jkan.2002.32.6.844
  16. Park HS, Cho GY, Park KY. The effect of an integrated healthpromotion program in middle-aged women. Korean J Women Health Nurs 2004; 10(2): 136-143.
  17. Lee EH, Choi SS, So AY. Health educational program for women's health in women's health care center. Korean J Women Health Nurs 2000; 6(1): 61-81.
  18. Kant AK, Schatzkin A, Ziegler RG. Dietary diversity and subsequent cause-specific mortality in the NHANES I epidemiologic follow-up study. J Am Coll Nutr 1995; 14(3): 233-238. https://doi.org/10.1080/07315724.1995.10718501
  19. Drewnowski A, Henderson SA, Shore AB, Fischler C, Preziosi P, Hercberg S. Diet quality and dietary diversity in France: implications for the French paradox. J Am Diet Assoc 1996; 96(7): 663-669. https://doi.org/10.1016/S0002-8223(96)00185-X
  20. Lee O, Kim J, Lee H, Choue R. Nutritional status, quality of diet and quality of life in postmenopausal women with mild climacteric symptoms based on food group intake patterns. Korean J Community Nutr 2012; 17(1): 69-80. https://doi.org/10.5720/kjcn.2012.17.1.69
  21. Kim SK, Sunwoo JG. The analysis of the dietary factors related to climacteric symptoms in middle-aged women. Korean J Community Nutr 2007; 12(1): 25-39.
  22. Cho BL, Son KY, Oh BJ, Kim SJ, Kwon IS, Park BJ et al. Development and validity and reliability of Korean comprehensive assessment tools for geriatric ambulatory care. J Korean Geriatr Soc 2013; 17(1): 18-27. https://doi.org/10.4235/jkgs.2013.17.1.18
  23. Ware JE, Sherbourne CD. The MOS 36-Item short-form health survey (SF-36). Med Care 1992; 30(6): 473-483. https://doi.org/10.1097/00005650-199206000-00002
  24. Bergner M, Bobbitt R, Kressel S, Pollard WE, Gilson B, Morris J. The sickness impact profile: Conceptual formulation and methodology for the development of a health status measure. Int J health serv 1976; 6(3): 393-415. https://doi.org/10.2190/RHE0-GGH4-410W-LA17
  25. Hunt SM, McKenna SP, McEwen J, Williams J, Papp E. The Nottingham health profile: Subjective health status and medical consultations. Soc Sci Med A 1981; 15(3): 221-229.
  26. EuroQol Group. EuroQol-a new facility for the measurement of health-related quality of life. Health Policy 1990; 16(3): 199-208. https://doi.org/10.1016/0168-8510(90)90421-9
  27. Nelson E, Wasson J, Kirk J, Keller A, Clark D, Dietrich A et al. Assessment of function in routine clinical practice: description of the coop chart method and preliminary findings. J Chron Dis 1987; 40(1): 55S-63S. https://doi.org/10.1016/S0021-9681(87)80033-4
  28. Lee HJ, Lee KH, Kim EK, Kim MJ, Hwang SM. The related factors influencing on self-rated health level of middle-aged women. Korean J Community Nutr 2012; 17(3): 290-301. https://doi.org/10.5720/kjcn.2012.17.3.290
  29. Levesque J, Lamarche B. The metabolic syndrome: definitions, prevalence and management. J Nutrigenet Nutrigenomics 2008; 1(3): 100-118. https://doi.org/10.1159/000112457
  30. Mottillo S, Filion KB, Genest J, Joseph L, Pilote L, Poirier P et al. The metabolic syndrome and cardiovascular risk a systematic review and meta-analysis. J Am Coll Cardiol 2010; 56(14): 1113-1132. https://doi.org/10.1016/j.jacc.2010.05.034
  31. Isomaa B, Almgren P, Tuomi T, Forsen B, Lahti K, Nissen M et al. Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care 2001; 24(4): 683-689. https://doi.org/10.2337/diacare.24.4.683
  32. Hu G, Qiao Q, Tuomilehto J, Balkau B, Borch-Johnsen K, Pyorala K. Prevalence of the metabolic syndrome and its relation to all-cause and cardiovascular mortality in nondiabetic European men and women. Arch Intern Med 2004; 164(10): 1066-1076. https://doi.org/10.1001/archinte.164.10.1066
  33. Lee HY, Choi SM. Metabolic syndrome and bone mineral density among elderly Korean women. J Korean Biol Nurs Sci 2011; 13(2): 134-141.
  34. Jeon SK, Hong HR, Yi KW, Park HT, Shin JH, Lee NW et al. Relationship between metabolic syndrome and bone mineral density in middle-aged women. J Korean Soc Menopause 2010; 16(3): 142-147.
  35. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). Circulation 2002; 106(25): 3143-3421.
  36. Mueller C. The A.S.P.E.N. adult nutrition support core curriculum. 2nd ed. American Society for Parenteral Enteral Nutrition; 2012. p. 584.
  37. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2012 Korea National Health and Nutrition Examination Survey (KNHANES) [Internet]. Korea Centers for Disease Control and Prevention; 2012 [cited 2014 Mar 12]. Available from: http://knhanes.cdc.go.kr/.
  38. Park MH. Factors influencing related health promoting life-style in middle-aged women. Korean J Women Health Nurs 1997; 3(2): 139-157.
  39. Colditz GA, Atwood KA, Emmons K, Monson RR, Willett WC, Trichopoulos D et al. Harvard report on cancer prevention volume 4: Harvard cancer risk index. Cancer Causes Control 2000; 11(6): 477-488. https://doi.org/10.1023/A:1008984432272
  40. Yoo JS, Chang SJ, Choi EK, Park JW. Development of a stress scale for Korean nursing students. J Korean Acad Nurs 2008; 38(3): 410-419. https://doi.org/10.4040/jkan.2008.38.3.410
  41. Lee EH, Tahk SJ, Shin JH, Lee YW, Song RY. Development and psychometric evaluation of cardiovascular disease-specific quality of life scale for Koreans. J Korean Acad Nurs 2007; 37(3): 313-323. https://doi.org/10.4040/jkan.2007.37.3.313
  42. Hwang HS, Kwon IS, Park BJ, Cho BL, Yoon JL, Won CW. The validity and reliability of Korean frailty index. J Korean Geriatr 2010; 14(4): 191-202. https://doi.org/10.4235/jkgs.2010.14.4.191
  43. Chung SE. A study of tool development for powerlessness of elderly and the degree of elderly's powerlessness. J Korean Acad Nurs 1999; 29(6): 1294-1303. https://doi.org/10.4040/jkan.1999.29.6.1294
  44. Tafreshi MZ, Yaghmaei F. Factor analysis of construct validity: A review of nursing articles. J Med Educ 2006; 10(1): 19-26.
  45. Shin HS, Hyun MS, Ku MOP, Cho MO, Kim SY, Jeong JS et al. Analysis of research papers published in the journal of the Korean academy of nursing-focused on research trends, intervention studies, and level of evidence in the research. J Korean Acad Nurs 2010; 40(1): 139-149. https://doi.org/10.4040/jkan.2010.40.1.139
  46. Oh SH, Kim BJ. New concept of validity for psychological assessment instruments and its usage. Korean J Sport Psychol 2002; 13(3): 111-126.
  47. Kang HC. A guide on the use of factor analysis in the assessment of construct validity. J Korean Acad Nurs 2013; 43(5): 587-594. https://doi.org/10.4040/jkan.2013.43.5.587
  48. Kim HH, Kim JW, Heo JH, Kim DY, Sung SJ. Content validity of aphasia screening test protocol. Korean J Commun Disord 2008; 13(3): 353-380.
  49. Fehring RJ. Methods to validate nursing diagnoses. Nurs Fac Res Publ 1987; 16(6): 625-629.
  50. Han JS, Lee SM, Chung HK, Ahn HS, Lee SM. Development and evaluation of a nutritional risk screening tool (NRST) for hospitalized patients. Korean J Nutr 2009; 42(2): 119-127. https://doi.org/10.4163/kjn.2009.42.2.119
  51. Kang MH, Lee JS, Kim HY, Kwon SH, Choi YS, Chung HR et al. Selecting items of a food behavior checklist for the development of nutrition quotient (NQ) for children. Korean J Nutr 2012; 45(4): 372-389. https://doi.org/10.4163/kjn.2012.45.4.372
  52. Park JA, Yoon JS. A screening tool for identifying high-risk pregnant women of Fe deficiency anemia: process I. Korean J Community Nutr 2001; 6(5): 734-743.
  53. Yon MY, Hyun TS. Development of an eating habit checklist for screening elementary school children at high risk of energy overintake. Korean J Nutr 2008; 41(5): 414-427.
  54. Kane MT. Current concerns in validity theory. J Educ Mes 2001; 38(4): 319-342. https://doi.org/10.1111/j.1745-3984.2001.tb01130.x
  55. Kim HY, Kwon SH, Lee JS, Choi YS, Chung HR, Kwak TK et al. Development of a nutrition quotient (NQ) equation modeling for children and the evaluation of its construct validity. Korean J Nutr 2012; 45(4): 390-399. https://doi.org/10.4163/kjn.2012.45.4.390
  56. Chung HR, Kwak TK, Choi YS, Kim HY, Lee JS, Choi JH et al. Development of evaluation indicators for a children's dietary life safety index in Korea. Korean J Nutr 2011; 44(1): 49-60. https://doi.org/10.4163/kjn.2011.44.1.49

피인용 문헌

  1. 중년 여성의 식생활 중심 건강상태 판정 도구의 현장 적용 및 평가 vol.23, pp.4, 2016, https://doi.org/10.5720/kjcn.2018.23.4.277