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Changes in Fat Intake, Body Fat Composition and Intra-Abdominal Fat after Bariatric Surgery.

Heesook LIM ; Gui Ae JEONG ; Gyu Seok CHO ; Min Hee LEE ; Soonkyung KIM

Clinical Nutrition Research.2014;3(2):157-161. doi:10.7762/cnr.2014.3.2.157

Bariatric surgery is considered to be the effective treatment alternative conducted over the lifetime for reducing weight in patients with clinically morbid obesity. For many patients, the benefits of weight loss, including decreases in blood glucose, lipids, and blood pressure as well as increase in mobility, will outweigh the risks of surgical complications. But patients undergoing bariatric surgery have the least risk for long-term diet-related complications as reported in several studies. Thus, with an increasing number of severely obese patients undergoing bariatric surgery, the multidisciplinary healthcare system will need to be managed continuously. Many nutrition support specialists will need to become familiar with the metabolic consequences for the frequent monitoring of nutrition status of the patients. South Korea has a very short history with bariatric surgery, and relatively few studies have been conducted on bariatric surgery. Therefore, the objective of this report was to compare the nutrient intake, weight loss, body fat composition, and visceral fat before and after the bariatric surgery.
Adipose Tissue* ; Bariatric Surgery* ; Blood Glucose ; Blood Pressure ; Delivery of Health Care ; Dietary Fats ; Humans ; Intra-Abdominal Fat* ; Korea ; Nutritional Status ; Obesity ; Obesity, Morbid ; Specialization ; Weight Loss

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Medical Nutrition Therapy based on Nutrition Intervention for a Patient with Chronic Obstructive Pulmonary Disease.

Seung Hee SEO

Clinical Nutrition Research.2014;3(2):150-156. doi:10.7762/cnr.2014.3.2.150

Chronic obstructive pulmonary disease (COPD) is a major cause of disability, and according to statistics from the World Health Organization, COPD is the fourth leading cause of death overall in the face of decades, and expected to be increased. In 2005, the reported prevalence of COPD in Korea was 17.2% of adults over the age of 45. Malnutrition is a common problem in papatients with COPD. And several nutritional intervention studies showed a significant improvement in physical and functional outcomes. According to the results of previous studies, the nutritional support is important. This is a case report of a patient with COPD who was introduced to a proper diet through nutrition education based on the medical nutrition therapy protocol for COPD.
Adult ; Cause of Death ; Diet ; Education ; Humans ; Clinical Trial ; Korea ; Malnutrition ; Nutrition Therapy* ; Nutritional Support ; Prevalence ; Pulmonary Disease, Chronic Obstructive* ; World Health Organization

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Compromised Diet Quality is Associated with Decreased Renal Function in Children with Chronic Kidney Disease.

Hyerang KIM ; Hyunjung LIM ; Ryowon CHOUE

Clinical Nutrition Research.2014;3(2):142-149. doi:10.7762/cnr.2014.3.2.142

Nutritional status of children with chronic kidney disease (CKD) is important since it affects growth and development. This study was to investigate overall diet quality measured by nutrient intake adequacy, nutrient density, and several dietary habits in children with CKD and its relationship with clinical parameters according to glomerular filtration rate (GFR). Assessment of nutritional status and diet quality was conducted in nineteen children with CKD. Average Z-scores of height, weight and body mass index (BMI) in the participants were less than standard growth rate. Nutritional status, such as Z-scores of height (p < 0.05) and serum total protein (p < 0.05), were significantly lower in the children with GFR < 75 mL/min/1.73 m2 compared to those with GFR > or = 75 mL/min/1.73 m2. Nutrition adequacy ratio of energy, thiamin, riboflavin, vitamin B6, folate, iron, and zinc and overall diet quality were significantly poorer in the children with GFR < 75 mL/min/1.73 m2. Poorer appetite and avoidance of food were observed in the children with higher blood urea nitrogen (BUN). Intakes of iron, zinc, thiamin, niacin, and vitamin B6 were positively correlated with GFR. Intakes of calcium, potassium and folate were positively correlated with BUN, while protein intakes were negatively correlated. Overall nutrient intakes were inadequate and diet quality was decreased as kidney function was decreased. Dietary habit and appetite were also related with kidney function in this study subjects. Systemic efforts of nutritional intervention are imperative to prevent deteriorating growth and development and improve the nutritional status in children with CKD.
Appetite ; Blood Urea Nitrogen ; Body Mass Index ; Calcium ; Child* ; Diet* ; Folic Acid ; Food Habits ; Glomerular Filtration Rate ; Growth and Development ; Humans ; Iron ; Kidney ; Niacin ; Nutritional Status ; Potassium ; Renal Insufficiency, Chronic* ; Riboflavin ; Vitamin B 6 ; Zinc

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Coffee Enema for Preparation for Small Bowel Video Capsule Endoscopy: A Pilot Study.

Eun Sun KIM ; Hoon Jai CHUN ; Bora KEUM ; Yeon Seok SEO ; Yoon Tae JEEN ; Hong Sik LEE ; Soon Ho UM ; Chang Duck KIM ; Ho Sang RYU

Clinical Nutrition Research.2014;3(2):134-141. doi:10.7762/cnr.2014.3.2.134

Coffee enemas are believed to cause dilatation of bile ducts and excretion of bile through the colon wall. Proponents of coffee enemas claim that the cafestol palmitate in coffee enhances the activity of glutathione S-transferase, an enzyme that stimulates bile excretion. During video capsule endoscopy (VCE), excreted bile is one of the causes of poor preparation of the small bowel. This study aimed to evaluate the feasibility and effect of coffee enema for preparation of the small bowel during VCE. In this pilot study, 17 of 34 patients were assigned to the coffee enema plus polyethylene glycol (PEG) 2 L ingestion group, whereas the 17 remaining control patients received 2 L of PEG only. The quality of bowel preparation was evaluated in the two patient groups. Bowel preparations in the proximal segments of small bowel were not differ between two groups. In the mid and distal segments of the small intestine, bowel preparations tend to be better in patients who received coffee enemas plus PEG than in patients who received PEG only. The coffee enema group did not experience any complications or side effects. Coffee enemas may be a feasible option, and there were no clinically significant adverse events related to coffee enemas. More prospective randomized studies are warranted to improve small bowel preparation for VCE.
Bile ; Bile Ducts ; Capsule Endoscopy* ; Coffee* ; Colon ; Dilatation ; Eating ; Enema* ; Glutathione Transferase ; Humans ; Intestine, Small ; Pilot Projects* ; Polyethylene Glycols

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Evaluation of Fruit Intake and its Relation to Body Mass Index of Adolescents.

Eunah HAM ; Hyun Jin KIM

Clinical Nutrition Research.2014;3(2):126-133. doi:10.7762/cnr.2014.3.2.126

Diets high in fruits and vegetables are recommended to maintain health. However, accurate fruit intake evaluation is hard and high sugar content in most of the fruits suggest possible negative relationships with health indices. The purpose of the present study was to evaluate the fruit intake status of adolescents and to examine the relationship between fruit intake and body mass index (BMI). For this, 400 middle and high school students were surveyed for their fruit eating attitude, preference, and intake level for fruit along with the evaluation of their relationship with anthropometric measures. As for fruit preference, the most frequent answer was 'like very much' (60.0%) and the preference of fruit was significantly higher in females than in males (p < 0.01). The highest answer to the reason to like fruits was 'delicious' (67.0%). The highest proportion of subjects replied that the amount of fruit intake was similar in both school meals and at home (39.3%) and unlikable feeling of fruits was 'sour' (47.0%). The favorite fruit was the apple followed by oriental melon, grape, Korean cherry, cherry, tangerine/orange, hallabong, plum, mango, persimmon, peach, pear/kiwi, apricot, Japanese apricot, and fig in order. As for the number of serving sizes per person were 2.9 times/day for male students and 3.0 times/day for female students showing no significant difference. The frequency of eating fruits in the evening showed a significant positive correlation with body weight (p < 0.05) and BMI (p < 0.01), respectively. In summary of these study findings, it was found that the fruit preference of adolescents was relatively high and their fruit intake level satisfied the recommended number of intake. The number of evening fruit intake had a significantly positive correlation with body weight and BMI. Further studies are required to examine the relationship between fruit intake and health indicators.
Adolescent* ; Asian Continental Ancestry Group ; Body Mass Index* ; Body Weight ; Cucurbitaceae ; Diet ; Diospyros ; Eating ; Female ; Fruit* ; Humans ; Male ; Mangifera ; Meals ; Prunus armeniaca ; Prunus persica ; Prunus domestica ; Serving Size ; Vegetables ; Vitis

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Development and Evaluation of a Web-based Computer-Assisted Personal Interview System (CAPIS) for Open-ended Dietary Assessments among Koreans.

Sangah SHIN ; Eunyoung PARK ; Dong Han SUN ; Tae Kyoung YOU ; Myung Joo LEE ; Soochan HWANG ; Hee Young PAIK ; Hyojee JOUNG

Clinical Nutrition Research.2014;3(2):115-125. doi:10.7762/cnr.2014.3.2.115

The accuracy of dietary assessments has emerged as a major concern in nutritional epidemiology and new dietary assessment tools using computer technology to increase accuracy have been developed in many countries. The purpose of this study was to develop a web-based computer-assisted personal interview system (CAPIS) for conducting dietary assessment and to evaluate its practical utilization among Koreans. The client software was developed using Microsoft's ClickOnce technology, which allows communication with a database system via an http server to add or retrieve data. The system consists of a tracking system for the subject and researcher, a data-input system during the interview, a calculation system for estimating food and nutrient intake, a data-output system for presenting the results, and an evaluation system for assessing the adequacy of nutrient and food intake. Databases of the nutrient composition of common food (n = 3,642), recipes for common dishes (n = 1,886), and photos of serving sizes for food and dishes (n = 4,152) were constructed, and logical processes for data collection, calculation, and output were developed. The functionality, on-site applicability, and efficiency of CAPIS were evaluated in a convenience sample of 181 participants (61 males, 120 females; aged 24 to 85) by comparing with manual 24 hour recall method with paper questionnaire. The CAPIS was functioned adequately in the field survey in terms of completeness of function, security, and compliance of researcher and subjects. Regarding on-site applicability, 23.2%, 32.6%, 35.4%, and 43.7% of subjects reported that CAPIS was easier to recall their diet, to estimate the amount consumed, to communicate with the interviewer, and to concentrate on the interview than the manual method with paper questionnaire, respectively. Although CAPIS required more interview time (9 min 42 sec) compared to the manual method (7 min 30 sec), it saved time and cost for data coding and entry (15 min 35 sec) and gave high satisfaction from the prompt feedback after interview to the subjects, which increase efficiency to apply on the field survey. Our results suggest that the newly developed CAPIS is suitable for conducting personal interviews for dietary assessment in Korean population.
Clinical Coding ; Compliance ; Data Collection ; Diet ; Eating ; Epidemiology ; Female ; Humans ; Logic ; Male ; Nutrition Assessment ; Serving Size ; Surveys and Questionnaires

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Effects of Diet Modification on Meal Quality and Quality of Life in Korean Diabetic Patients: Data from Korea National Health and Nutrition Examination Survey (2007-2011).

Yoonsu CHO ; Min Jeong SHIN ; Hye Kyung CHUNG

Clinical Nutrition Research.2014;3(2):106-114. doi:10.7762/cnr.2014.3.2.106

It is generally accepted that diet modification provides beneficial effects on the management of diabetes. In the present study, we evaluated the effects of diet modification on nutrient intake and quality of life in a large sample of diabetic patients. This study was conducted using data from the Korea National Health and Nutrition Examination Survey IV and V (2007-2010). A total of 2,484 of diabetic patients were included in the analysis. Then, we compared the overall quality of dietary intake between diabetic patients with diet modification and those without dietary modification. The result showed that subjects on diabetic diet (DDG) showed lower levels of total cholesterol, triglyceride, and AST before and after the adjustment for covariates (all p < 0.05). The results of nutrient assessment showed that DDG had lower intakes of total energy, fat, and carbohydrate (all p < 0.05), but higher intakes of energy from protein, vitamin B1, vitamin B2, niacin and vitamin C than NDG. (all p < 0.05). In addition, nutritional adequacy ratio of calcium and vitamin B2 were significantly higher in DDG than those in normal diet group (NDG) (p < 0.05). However, we observed no significant differences in quality of life between two groups. In conclusion, diet modification in diabetic patients seemed to be effective to improve blood lipid profile and the adequacy of nutrient intake without sacrificing the quality of life.
Ascorbic Acid ; Calcium ; Cholesterol ; Diet, Diabetic ; Diet ; Food Habits* ; Humans ; Korea ; Meals* ; Niacin ; Nutrition Surveys* ; Quality of Life* ; Riboflavin ; Thiamine ; Triglycerides

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Immunomodulatory Effects of Kimchi in Chinese Healthy College Students: A Randomized Controlled Trial.

Hansongyi LEE ; Do Yeon KIM ; Mi Ae LEE ; Ja Young JANG ; Ryowon CHOUE

Clinical Nutrition Research.2014;3(2):98-105. doi:10.7762/cnr.2014.3.2.98

This study examined the potential immunomodulatory effects of Kimchi, a traditional fermented Korean vegetable, in healthy Chinese college students. The four-week clinical-trial (randomized, open-label, prospective, controlled) was followed by a one week wash-out period. Healthy Chinese college students (over 20 years of age with a body mass index of 18.5-23.0 kg/m2) volunteered for this study. Forty-three students were randomly classified into two groups, Kimchi (n = 21, supplemented with 100 g of Kimchi per day) or non-Kimchi (n = 22, supplemented with 100 g of radish per day, control) groups. During the four-week intervention period, students were asked to maintain their usual diet and activity, and instructed not to take any medications, functional food products, or dietary supplements. Anthropometrics, nutritional intake, and blood immune parameters (lymphocyte subsets, cytokines, and immunoglobulins) were measured before and after the four weeks of intervention. Thirty-nine students (19 in the Kimchi group, 20 in the non-Kimchi group) finished the study. After the intervention, no significant changes were observed in lymphocyte subsets (T-cell, B-cell, NK cell), pro-inflammatory cytokines (IL-6, TNF-alpha), anti-inflammatory cytokines (IL-4 and IL-10), and immunoglobulins (Ig A, G, and M) between groups in either the Kimchi or non-Kimchi. These results suggest that the short-term consumption of Kimchi has no immunomodulatory effects in healthy Chinese college students.
Asian Continental Ancestry Group* ; B-Lymphocytes ; Body Mass Index ; Cytokines ; Diet ; Dietary Supplements ; Fermentation ; Functional Food ; Humans ; Immunoglobulins ; Immunomodulation ; Lymphocyte Subsets ; Prospective Studies ; Raphanus ; Vegetables

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Effects of Korean White Ginseng (Panax Ginseng C.A. Meyer) on Vascular and Glycemic Health in Type 2 Diabetes: Results of a Randomized, Double Blind, Placebo-controlled, Multiple-crossover, Acute Dose Escalation Trial.

Esra' SHISHTAR ; Elena JOVANOVSKI ; Alexandra JENKINS ; Vladimir VUKSAN

Clinical Nutrition Research.2014;3(2):89-97. doi:10.7762/cnr.2014.3.2.89

Korean red ginseng (steam treated Panax ginseng C.A. Meyer), among most prized traditional herbal remedies, has been clinically shown to improve cardiovascular disease (CVD) risk factors. Whether this holds true for the dried non-steamed variety, known as Korean white ginseng (KWG) is unclear. This study therefore, investigated the efficacy and safety of escalating doses of KWG on vascular and glycemic parameters in type 2 diabetes (T2DM). Using an acute, randomized, placebo-controlled, double-blind, crossover design, 25 participants with well-controlled T2DM (12-males: 13-females, age: 63 +/- 9 years, A1c: 6.9 +/- 0.7%, BMI: 29.3 +/- 4.3 kg/m2) underwent five visits during which they received 1 g, 3 g, or 6 g KWG or 3 g wheat-bran control (twice) together with 50 g-glucose load. For the duration of 240 minutes, augmentation index (AI), and central blood pressure were measured at baseline and at 60 min-intervals, and ambulatory blood pressure was assessed at baseline and at 10 min-intervals. Additionally, capillary blood was collected at time zero and at 15, 30, 45, 60, 90, 120, and 180 minutes post-treatment. A symptoms questionnaire was used to assess safety and adverse events. Two-way ANOVA demonstrated a significant time-treatment interaction effect on AI (p = 0.01) with one-way ANOVA showing significant reductions in AI with 3 g KWG relative to control (p = 0.04). Compared to control, acute administration of KWG appeared to be safe, but did not affect any other postprandial, vascular or glycemic parameters. KWG might have a beneficial effect on AI, a cumulative indicator of arterial health. However, these results are preliminary and highlight the need for long-term investigation with a focus on its accountable components. Clinical Trial Registration: NCT01699074
Awards and Prizes ; Blood Pressure ; Capillaries ; Cardiovascular Diseases ; Cross-Over Studies ; Panax* ; Risk Factors ; Surveys and Questionnaires

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Dietary Factors and the Risk of Thyroid Cancer: A Review.

Wook Jin CHOI ; Jeongseon KIM

Clinical Nutrition Research.2014;3(2):75-88. doi:10.7762/cnr.2014.3.2.75

In the past few decades, the incidence of thyroid cancer has rapidly increased worldwide. Thyroid cancer incidence is relatively high in regions where the population's daily iodine intake is insufficient. While low dietary iodine has been considered as a risk factor for thyroid cancer development, previous studies found controversial results across different food types. Among different ethnic groups, dietary factors are influenced by various dietary patterns, eating habits, life-styles, nutrition, and other environmental factors. This review reports the association between dietary factors and thyroid cancer risk among ethnic groups living in different geologic regions. Iodine-rich food such as fish and shellfish may provide a protective role in populations with insufficient daily iodine intake. The consumption of goitrogenic food, such as cruciferous vegetables, showed a positive association with risk. While considered to be a risk factor for other cancers, alcohol intake showed a protective role against thyroid cancer. High consumption of meat such as chicken, pork, and poultry showed a positive association with the risk, but dairy products showed no significant association. Regular use of multivitamins and dietary nitrate and nitrite also showed a positive association with thyroid cancer risk. However, the study results are inconsistent and investigations into the mechanism for how dietary factors change thyroid hormone levels and influence thyroid function are required.
Chickens ; Dairy Products ; Eating ; Ethnic Groups ; Humans ; Incidence ; Iodine ; Meat ; Poultry ; Risk Factors ; Shellfish ; Thyroid Gland ; Thyroid Neoplasms* ; Vegetables

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