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논문 기본 정보

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학위논문
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정수빈 (가톨릭대학교, 가톨릭대학교 대학원)

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2014
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이 논문의 연구 히스토리 (2)

2014

저나트륨 식생활 교육이 과체중 및 비만 중년여성의 식습관, 식사의 질 및 비만지표에 미치는 영향
정수빈 ,  박서연 ,  안소현 외 2명 대한지역사회영양학회지 2014.12 학술저널
저나트륨 식생활 교육이 과체중 및 비만 중년여성의 식사의 질에 미치는 영향
정수빈 식품영양학과 영양학 전공 2014.01 학위논문

초록· 키워드

오류제보하기
본 연구는 저나트륨 식생활 영양교육 프로그램이 과체중 및 비만 중년 여성의 식습관 및 식사의 질 향상에 효과가 있는지 확인하고자 하였다. 식습관 및 식행동 향상의 효과는 나트륨과 관련된 지식, 나트륨과 관련된 식행동, 일반 식사상황을 통해 평가하였고, 식사의 질 향상 효과는 INQ(Index of Nutritional Quality), NAR(Nutrient Adequacy Ratio), DDS(Dietary Diversity Score), DVS(Dietary Variety Score), DQI-I(Diet Quality Index-international)와 같은 식사의 질 평가 지수를 통해 평가하였다. 대상자는 3곳의 보건소에서 모집한 45세 이상의 중년 여성으로 체질량지수에 따라 정상군 30명, 과체중-비만군 51명으로 나누어 교육 효과를 비교하였다. 과체중-비만군은 체중, BMI, %체지방량, 허리둘레, 수축기혈압, 이완기 혈압 모두 유의하게 감소하였고 정상군은 혈청 콜레스테롤, LDL 콜레스테롤, 공복 인슐린 농도, AI에 유의한 감소를 보였다. 식사일기를 통해 분석한 영양소 섭취량에서는 두 군 모두 나트륨 섭취에 유의한 감소를 보였다. INQ 평가 결과 전체 대상자에서 리보플라빈과 칼슘, 나트륨의 점수가 교육 후 유의하게 높아졌다. DDS와 DVS, DQI-I의 경우 총점이 두 군 모두 유의하게 증가하였고 정상군에서는 유의한 변화를 보이지 않았으나 과체중-비만군에서는 절제성 항목의 빈 열량 식품(empty calorie food)과 균형성 항목의 3대 영양소의 비율에 대한 점수가 유의하게 증가하였다. 나트륨과 관련된 영양지식 및 식행동의 총점은 두 군 모두 유의하게 증가하였고, 규칙적인 식생활, 균형 잡힌 식생활, 식생활과 건강에 대한 문항으로 이루어진 일반 식습관 조사에서는 두 군 모두 총점이 유의하게 증가하여 저나트륨 식생활 교육이 모든 대상자에게 전반적인 식습관 및 식사의 질 향상에 기여하였음을 알 수 있다.
#저나트륨식생활 #과체중 #비만중년여성 #식사의질

목차

초록 ··········································································· 1
Ⅰ. 서론 ······································································ 2
Ⅱ. 연구방법 ································································ 5
1. 연구설계 및 대상 ···························································· 5
1.1 저나트륨 식생활 교육 프로그램의 진행 및 실시 ···················6
2. 저나트륨 식생활 교육 프로그램의 효과 평가 ···························
10
2.1 신체계측 및 생화학 분석 ·············································· 10
1) 신체계측 및 혈압측정 ·················································· 10
2) 혈액 분석 ································································· 10
3) 24시간 소변 분석 ······················································· 11
2.2 식이 섭취 조사 ························································· 12
1) 식사기록법 ································································ 12
2) 식행동 및 영양지식 조사 ··············································· 13
(1) 나트륨과 관련된 영양지식 조사 ····································· 13
(2) 나트륨 섭취와 관련된 식행동 조사 ································ 13
(3) 일반 식습관 조사 ······················································ 14
2.3 식사의 질 평가 ························································ 15
1) 영양섭취 수준 ··························································· 15
(1) 영양소 섭취기준 대비 섭취 상태 평가 ····························· 15
(2) 영양 질적 지수(Index of Nutritional Quality) ···················· 15
(3) 영양소 적정 섭취비(Nutrient Adequacy Ratio), 평균 영양소 적정 섭취비(Mean Adequacy Ratio) ·································· 15
2) 식품군 및 식사 다양성 평가 ··········································· 16
(1) 주요 식품군 점수(Dietary Diversity Score) ······················· 16
(2) 총 식품점수(Dietary Variety Score) ································16
3) 식사의 질 지수 ·························································· 17
3. 통계 분석 ···································································· 19
Ⅲ. 연구결과 ······························································ 20
1. 저나트륨 식생활 교육의 효과 비교 ···································· 20
1.1 일반사항 ································································· 20
1.2 신체계측 및 생화학 수치 ·············································· 22
1) 신체계측 및 혈압변화 ·················································· 22
2) 혈액 및 24시간 소변의 변화 ··········································· 25
1.3 식이 섭취 조사 ························································ 29
1) 영양소 섭취량의 변화 ·················································· 29
2) 식행동 및 영양지식의 변화 ············································ 31
(1) 나트륨과 관련된 영양지식의 변화 ·································· 31
(2) 나트륨 섭취와 관련된 식행동의 변화 ······························ 33
(3) 일반식습관의 변화 ···················································· 36
1.4 식사의 질 변화 ························································· 40
1) 영양섭취 수준 ···························································· 40
(1) 영양소 섭취기준 대비 섭취 상태 변화 ····························· 40
(2) 영양소 적정 섭취비(Nutrient Adequacy Ratio), 평균 영양소 적정 섭취비(Mean Adequacy Ratio)의 변화 ······················42
2) 식품군 및 식사 다양성의 변화 ······································ 45
(1) 주요 식품군 점수의 변화 ············

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