With the economic growth and improvement of living standard, the life expectancy becomes higher. Changes into an aging society has become a worldwide trend; accordingly, its accompanying welfare, health, and medical fields for the elderly have also become a big social issue. According to such changes, the aspects of diseases are transferring to chronic diseases from bacteria and virus-borne infectious diseases. The chronic diseases, which usually occur by diverse causes, makes it difficult for the modern orthodox medicine to give proper treatment. Hereupon, the complementary alternative medicine therapy, which gives holistic healing based on the idea that a human is an organic body, are getting a wide response. Especially, the functional food for health that is the approach in way of food medicine that uses the food or herb for curing the chronic diseases in aspect of preventive medicine has been widely used for the purpose of keeping health of the aged or preventing and curing their diseases sing long before. As needs of consumers for functional food for health has increased like that, the investigation on the effectiveness and effect of functional food for health against chronic diseases becomes very important. This study looked into the utilization behavior of the elderly with chronic diseases in the aging period who received a clinical diagnosis. As a result of the analysis of the research population of 233, it was found that 70.4% of the elderly, who contracted chronic diseases, had experience in using the complementary alternative medicine therapy more than once a year, and preferred the complementary alternative medicine therapy using dietary treatment. Looking into the odd ratio of using the complementary alternative medicine therapy consequent on demographical nature factors, it was found that women showed 1,6-2.2 times as high utilization rates as men by each therapy and gender while those who had a job showed 0.9-2.2 times as high utilization rate as those who didn''t, revealing that income level had a significant influence on the utilization rate. In addition, it was found that those, who used the therapy, paid expenses amounting to 270-290 thousand won a month for the therapy. Most of them were found to get a professional medical person''s advice and more then 11% of the users experienced a negative effect, but their utilization satisfaction was rated to be more than an average. What matters is that whether the research subjects had the prior perception of complementary alternative medicine therapy and the number of chronic diseases they suffered had a significant effect on the use of the complementary alternative medicine therapy. The defensive system against oxidation of the internal and external body is exposing its limit to the chronic diseases caused by oxidative stress. On top of that, the reality is that synthetic antioxidant is subject to restriction on its use because of its low activity, toxicity and limitations of its use. Hereupon, this study analyzed the anti-oxidation bioactivity of the aloe group, which is a food therapeutics material much used as natural anti-oxidants, a natural herb group including grape seeds, green tea, ginger and acai berry, and made a comparative analsis of their enzymic anti-oxidation activity in order to get rid of active oxygen-one of the major causes of chronic diseases. In ORAC assay, aloe arborescence whole leaf powder and grape seeds extract showed the highest anti-oxidative activity with 20.84±0.70c μM TE and 30.61±3.51a μM TE, respectively. In DPPH assay, aloe arborescence whole leaf pow -der extract and grape seeds extract were found to show the most excellent DPPH radical scavenging activities. with 243.44 ug/ml, in the value of IC50, and with 1.03 ug/ml in the value of IC50, respectively. In ABTS+ assay, aloe arborescence whole leaf powder extract and grape seeds extract were found to have the excellent ABTS+ radical scaveng -ing activities with 197.31 ug/ml in the value of IC50, and with 1.60 ug/ml in the value of IC50, respectively. In total content of polyphenol and total flavonoid, grape seeds extracts were found to be the highest with more than 400 mg/g, and aloe arborescence whole leaf powder extract with 22.43mg/g, showing the similar quantity of content in general. The cell protection activities by oxidative stress, in the one- to-one mixture between aloe arborescence whole leaf powder extract and grape seed extracts under the concentration of H2O2 1.25, 2.5 mM of HepG2(human hepatocelluar carcinoma) and under the concentration of 18 ug showed 14.5%, and 8.7% cell life rate in comparison with control group, respectively while showing a significant(p<0.05) 10.6%, and 6% cell life rate in the one-to-one mixture between aloe arborescence whole leaf powder extract and grape seed extracts in comparison with control group under the concentration of H2O2 ,150, 300 uM of HDF(Human derma fibroblast), and 7.5 ug, respectively. Individually one-to-one complex extracts showed higher cell-protection activities than a single sample of aloe or natural herb. From these results, this study was able to suggest the mechanism in which phytochemical complex extracts, as an oxygen radical scavenger, are attributable to the synergy effect by interaction.
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Ⅰ. 서론 11. 연구의 필요성 12. 연구의 목적 33. 이론적 배경 43.1. 보완대체요법(CAMT; Complementary and Alternative Medicine Therapy) 43.1.1. 보완대체요법의 정의 43.1.2. 보완대체요법의 역할 83.1.3. 보완대체요법에서의 식품치료 123.2. 고령화사회와 노인 건강 153.3. 만성질환과 활성산소 203.4. 건강기능성식품 243.4.1. 건강기능성식품의 정의 243.4.2. 건강기능성식품의 시장 현황 253.4.3. 건강기능성식품 산업의 소비자 트랜드와 시장 전망 273.5. 알로에(Aloe) 293.5.1. 알로에의 역사와 종류 293.5.2. 알로에의 성분 및 생리활성 특성 313.5.3. 알로에 연구동향 및 기술현황 353.6. 천연물 항산화 소재 383.6.1. 천연물 항산화제 연구동향 383.6.2. 천연물 소재인 포도씨, 생강, 녹차 및 아사이베리 43Ⅱ. 만성질환 노인의 보완대체요법의 의료이용행태 451. 연구방법 452. 연구대상 및 분석방법 462.1. 연구대상 462.2. 조사변수 462.2.1. 사회인구학적 요인 및 주관적 건강상태 462.2.2. 보완대체요법의 유형 472.2.3. 보완대체요법의 이용행태 482.3. 분석방법 483. 연구결과 493.1. 보완대체요법의 이용현황 493.2. 응답자 특성에 따른 이용현황 503.3. 보완대체요법 이용행태 533.4. 보완대체요법 이용에 영향을 미치는 요인 544. 고찰 56Ⅲ. 알로에(Aloe)와 천연물 복합추출물의 항산화 효과 601. 연구방법 602. 재료 및 분석방법 612.1. 실험재료 612.1.1. 알로에 재료 612.1.2. Fresh 알로에 gel의 제조 612.1.3. 한외연과 보유액과 투과액 제조 612.1.4. 알로에 베라 전잎 분말의 제조 622.1.5. 알로에 아보레센스 전잎 분말의 제조 622.1.6. 알로에 베라 껍질 분말의 제조 622.1.7. 천연물 포도씨, 녹차, 생강, 아사이베리 추출물의 제조 622.2. 시료준비 642.3. 항산화 생리활성 분석 642.3.1. Oxygen radical absorbance capacity assay 642.3.2. DPPH radical scavenging activity 652.3.3. ABTS+ radical scavenging activity 652.3.4. 총 폴리페놀, 플라보노이드 화합물 분석 662.4. 비변성 전기영동, 활성염색 및 항산화 활성측정 672.4.1. 비변성 전기영동 672.4.2. Catalase(CAT) 활성능 측정 672.4.3. Ascorbate peroxidase(APx) 활성능 측정 682.5. 산화적스트레스에 대한 세포보호 효과 측정 683. 연구결과 703.1. Oxygen radical absorbance capacity assay에 의한 소거 활성 703.2. DPPH에 의한 소거 활성 703.3. ABTS+에 의한 소거 활성 713.4. 총 폴리페놀, 플라보노이드 함량 753.5. Catalase(CAT) 활성 측정 783.6. Ascorbate peroxidase(APx) 활성 측정 793.7. Ascorbate peroxidase(APx) 효소활성염색 813.8. HepG2 간세포의 산화적 손상에 대한 알로에 및 천연물 추출물의 보호 효과 833.9. HDF(피부섬유아 세포)의 산화적 손상에 대한 알로에 및 천연물 추출물의 보호 효과 874. 고찰 91Ⅳ. 결론 및 제언 97Ⅴ. 참고문헌 100부 록 116Abstract 126