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한의학적 임상영양치료법 개발을 위한 연구

Research for Developing Medical Nutrition Therapy on Korean Medicine : Literature Study and a Survey

서수연|배고은|김병주|채한|이상재|권영규|황상문|정윤임|한은경
한의병리학회 (The Society of Pathology in Korean Medicine)|2013.08|동의생리병리학회지 (Journal of Physiology & Pathology in Korean Medicine)|제27권 제4호|pp. 350-361

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키워드

diet therapyYaksunMNTMedical Nutrition Therapytraditional oriental medicine nutrition therapy
주제분류한의학

초록

aksun(藥饍), or ‘Traditional oriental medicine nutrition therapy’, is expected to be an effective nutritional intervention for the patients suffering from chronic diseases. However, there are no systemized protocol that utilize Yaksun as an effective nutrition therapy for Asian patients even though they are accustomed to traditional oriental diet. We investigated the possibility of using Yaksun for developing an effective Medical Nutrition Therapy for Asian patients and proposed factors that have to be considered. Articles published between 1995-2012 about MNT (Medical Nutrition Therapy) and Yaksun were reviewed. Male and female patients of two Korean Medicine Hospitals (n=93) and one Korean Medicine Clinic (n=20) answered a questionnaire asking about their thoughts on the effectiveness of nutritional intervention for their disease management and about their expectations toward Medical Nutrition Therapy on Korean Medicine. 92.9% of the patients have perceived that nutritional intervention is important in disease management. 79.6% of the patients have positively responded that they are willing to use the Medical Nutrition Therapy on Korean Medicine as a clinical nutrition therapy if developed. Female patients, aged in their forties and fifties, educated equivalent to high school graduates and more, and who visited Korean medicine clinic were most interested in the Medical Nutritional Therapy on Korean Medicine. The factors considered in developing the protocol are 1. effectiveness 2. safety 3. expense, in order of importance. Nutritional intervention protocol using Yacksun is necessary for the patients. Medical Nutrition Therapy on Korean Medicine is in need of development. Accumulated case-control studies, cost effectiveness studies, and studies about programming and systemizing the protocol are needed.

Abstract

aksun(藥饍), or ‘Traditional oriental medicine nutrition therapy’, is expected to be an effective nutritional intervention for the patients suffering from chronic diseases. However, there are no systemized protocol that utilize Yaksun as an effective nutrition therapy for Asian patients even though they are accustomed to traditional oriental diet. We investigated the possibility of using Yaksun for developing an effective Medical Nutrition Therapy for Asian patients and proposed factors that have to be considered. Articles published between 1995-2012 about MNT (Medical Nutrition Therapy) and Yaksun were reviewed. Male and female patients of two Korean Medicine Hospitals (n=93) and one Korean Medicine Clinic (n=20) answered a questionnaire asking about their thoughts on the effectiveness of nutritional intervention for their disease management and about their expectations toward Medical Nutrition Therapy on Korean Medicine. 92.9% of the patients have perceived that nutritional intervention is important in disease management. 79.6% of the patients have positively responded that they are willing to use the Medical Nutrition Therapy on Korean Medicine as a clinical nutrition therapy if developed. Female patients, aged in their forties and fifties, educated equivalent to high school graduates and more, and who visited Korean medicine clinic were most interested in the Medical Nutritional Therapy on Korean Medicine. The factors considered in developing the protocol are 1. effectiveness 2. safety 3. expense, in order of importance. Nutritional intervention protocol using Yacksun is necessary for the patients. Medical Nutrition Therapy on Korean Medicine is in need of development. Accumulated case-control studies, cost effectiveness studies, and studies about programming and systemizing the protocol are needed.

참고문헌 (45)

  1. 건강보험정책연구원 홍보실, "통계로 본 건강보험시행 35년 보도자료", 국민건강보험공단, 4~ (2012)
  2. 김명화, "HIRA(건강보험심사평가원) 정책동향보고서 중 만성질환자의 의료이용 현황", 건강보험심사평가원 심사평가연구소, 43~ (2012)
  3. Walker, C., "Chronic Illness : New Perspectives and New Directions" (2003), Pearson Education
  4. FAO Expert Consultation on Diet, Nutrition and the Prevention of Chronic Diseases, "Joint WHO", pp.2003, WHO
  5. "Definition of Medical Nutrition Therapy"[URL]
  6. 김호철, "한방식이요법학", pp.23~ (2003), 경희대학교 출판국
  7. 안문생, "안문생 약선기", pp.12~ (2003), 한국약선교육개발원
  8. 박성혜, "한약자원을 이용한 약선차 조성물이 전북 일부지역에 거주하는 여대생의혈액 성상에 미친 영향", 동아시아식생활학회지, 16(2), pp.136~144 (2006), 동아시아식생활학회
  9. 박성혜, "리어적소두탕(鯉魚赤小豆湯)의 식료학적 연구 (1) 약선식료학적 특징 및 식품영양학적 구성", 한국식품영양학회지, 23(2), pp.285~290 (2010), 한국식품영양학회
  10. 박성혜, "한약자원을 이용한 약선차의 영양성분 분석 및 약선차의 섭취가 여대생의 혈청지질수준과 호모시스테인 농도에 미치는 효과", 한국식품영양과학회지, 35(6), pp.557~564 (2006), 한국식품영양과학회
  11. 박성혜, "천마를 이용한 뇌혈관성 질환의 예방을 위한 양생약선(養生藥膳)의 개발을 위한 연구 (1) 천마 열수추출물이 국소뇌혈류량과 혈압에 미치는 영향", 동아시아식생활학회지, 15(3), pp.283~291 (2005), 동아시아식생활학회
  12. 김운주, "고지혈증 성인 여성의 혈청 지질, 호모시스테인 농도 및 산화 스트레스에 미치는 약선차의 효과", 동아시아식생활학회지, 18(1), pp.104~110 (2008), 동아시아식생활학회
  13. 박성혜, "약선 장수차가 고지혈증 성인 여성의 혈청지질 수준과 산화적 스트레스에 미치는 영향", 동의생리병리학회지, 20(5), pp.1180~1186 (2006), 대한동의병리학회
  14. 김운주, "관상동맥 질환의 예방을 위한 약선차의 식품영양학적 구성 및 안전성 평가", 동의생리병리학회지, 21(1), pp.219~225 (2007), 대한동의병리학회
  15. 임현정, "뇌졸중 환자에서 한방치료식의 인지도 및 요구도 조사와 문헌고찰을 통한 한방 치료식단(藥膳) 개발", 대한영양사협회 학술지, 14(1), pp.36~50 (2008), 대한영양사협회
  16. 전인창, "천마를 이용한 뇌혈관성 질환의 예방을 위한 양생약선(養生藥膳)의 개발을 위한 연구 (2). 천마를 주재료로 한 다식의 제조 및 관능적 특성", 동아시아식생활학회지, 17(2), pp.250~257 (2007), 동아시아식생활학회
  17. 박성혜, "실증성(實證性) 비만을 위한 약선식 개발에 관한 연구 (1) 이습(利濕) 작용이 있는 한약재 혼합 추출물이 체중과 혈청 포도당, 인슐린 농도 및 지질 조성에 미치는 효과", 동아시아식생활학회지, 15(6), pp.700~706 (2005), 동아시아식생활학회
  18. Pastors, J. G., "The evidence for the effectiveness of Medical Nutrition Therapy in Diabetes Management", Diabetes care, 25(3), pp.608~613 (2002)
  19. McCabe-Sellers, B. J., "Position of the American Dietetic Association : Integration of Medical Nutrition Therapy and Pharmacotherapy", Journal of the American Dietetic Association, 110(6), pp.950~956 (2010)
  20. Report of the National Nutrition Survey 2004, "Yap, M.", Health Promotion Board, ~ (2005)
  21. Troyer, J. L., "Cost-effectiveness of medical nutrition therapy and therapeutically designed meals for older adults with cardiovascular disease", ADA Journal, 110(12), pp.1840~1851 (2010)
  22. Bradley, D. W., "The incremental value of medical nutrition therapy in weight management", Managed Care, 22(1), pp.40~45 (2013)
  23. Lim, H., "Effects of medical nutrition therapy on body fat and metabolic syndrome components in premenopausal overweight women", Annals of nutrition & metabolism, 61(1), pp.47~56 (2012)
  24. Sheean, P. M., "Intensive medical nutrition therapy : methods to improve nutrition provision in the critical care setting", Journal of the Academy of Nutrition and Dietetics, 112(7), pp.1073~1079 (2012)
  25. Carpenter, D. M., "Shortcomings in public and private insurance coverage of diabetes self-management education and support", Population health management, 15(3), pp.144~148 (2012)
  26. Racine, E., "The effect of medical nutrition therapy on changes in dietary knowledge and DASH diet adherence in older adults with cardiovascular disease", The journal of nutrition, health & aging, 15(10), pp.868~876 (2012)
  27. Gosmanov, A. R., "Medical nutrition therapy in hospitalized patients with diabetes", Current diabetes reports, 12(1), pp.93~100 (2012)
  28. Henes, S. T., "Medical nutrition therapy for overweight youth in their medical home : the KIDPOWER experience", Patient education and counseling, 81(1), pp.43~46 (2010)
  29. Perichart-Perera, O., "A medical nutrition therapy program improves perinatal outcomes in Mexican pregnant women with gestational diabetes and type 2 diabetes mellitus", The Diabetes educator, 35(6), pp.1004~1013 (2009)
  30. Daly, A., "Diabetes white paper : Defining the delivery of nutrition services in Medicare medical nutrition therapy vs Medicare diabetes self-management training programs", Journal of the American Dietetic Association, 109(3), pp.528~539 (2009)
  31. Isenring, E. A., "Nutrition support using the American Dietetic Association medical nutrition therapy protocol for radiation oncology patients improves dietary intake compared with standard practice", Journal of the American Dietetic Association, 107(3), pp.404~412 (2007)
  32. Swift, C. S., "Nutrition therapy for the hospitalized patient with diabetes", Endocrine practice, 12(3), pp.61~67 (2006)
  33. Franz, M. J, "Evidence-based medical nutrition therapy for diabetes", Nutrition in clinical practice, 19(2), pp.137~144 (2004)
  34. McCaffree, J, "Position of the American Dietetic Association : integration of medical nutrition therapy and pharmacotherapy", Journal of the American Dietetic Association, 103(10), pp.1363~1370 (2003)
  35. Pastors, J. G, "Medications or lifestyle change with medical nutrition therapy", Current diabetes reports, 3(5), pp.386~391 (2003)
  36. Daly, A., "Diabetes medical nutrition therapy : practical tips to improve outcomes", Journal of the American Academy of Nurse Practitioners, 15(5), pp.206~211 (2003)
  37. Splett, P. L., "Medical nutrition therapy for the prevention and treatment of unintentional weight loss in residential healthcare facilities", Journal of the American Dietetic Association, 103(3), pp.352~362 (2003)
  38. Delahanty, L. M., "Medical nutrition therapy for hypercholesterolemia positively affects patient satisfaction and quality of life outcomes", Annals of behavioral medicine, 24(4), pp.269~278 (2002)
  39. Lacey, K., "A problem-based nutrition care model that is diagnostic driven and allows for monitoring and managing outcomes", Journal of the American Dietetic Association, 102(4), pp.578~589 (2002)
  40. 양경미, "건강과 질병치료 효능 증진을 위한 한방영양과 현대영양관리의 비교", 한국식품영양과학회지, 35(8), pp.1106~1114 (2006), 한국식품영양과학회
  41. Fallowfield, L., "What is Quality of Life?", pp.3~ (2009), Hayward Medical Communications
  42. Witt, CM., "Building a strategic framework for comparative effectiveness research in complementary and integrative medicine", Evidence-Based Complementary and Alternative Medicine, 2012, pp.1~5 (2012)
  43. 박은철, "미국 임상영양치료(MNT)의 법제화 과정 및 수가체계", 대한지역사회영양학회지, 7(6), pp.13~862 (2002), 대한지역사회영양학회
  44. 안문생, "약선설계학", pp.13~ (2012), 의성당
  45. 식품의약품안전처 홍보실, "2012년 건강기능식품 생산실적 분석결과 발표 보도자료", 식품의약품안전처, 1~ (2012)

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