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Korean J Adult Nurs : Korean Journal of Adult Nursing

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Original Article

The Effects of Korean DASH Diet Education with Calcium/Vitamin D Supplements on Nutrient Intakes, Food Consumption, Bone Turnover Markers and Bone Mineral Density among Korean Elderly Women

Haeyoung Lee, Smi Choi-Kwon, Seung Hye Choi
Korean J Adult Nurs 2015;27(1):94-105. Published online: February 28, 2015
1Department of Nursing, Hoseo University, Asan, Korea.
2Research Institute for Basic Science, Hoseo University, Asan, Korea.
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Abstract

PURPOSE
This study was aimed to investigate the effects of the nutritional intervention program including DASH diet education and calcium/vitamin D supplements in Korean elderly women.
METHODS
This was a quasi-experimental study employing non-equivalent control group pretest-posttest design. The experimental group (n=26) was given DASH diet education and supplements (calcium 1200mg and vitamin 800 IU) while the control group (n=16) was given only general health consults. After the interventions, differences were analyzed in nutrient intake, bone turnover markers and bone mineral density between the two groups.
RESULTS
After one year, bone mineral density was found reduced in both groups, but showed higher levels (p=.003) in the experimental group than the control group. After research, nutrient intakes of participants improved generally, yet there was no significant difference between the two groups. The experimental group was divided into subgroups after interventions according to the level of calcium intake, and bone density and bone markers were compared between the subgroups. In a subgroup whose calcium intake was in the normal range, bone mineral density was significantly high (p=.002) while CTx and osteocalcin were significantly low (p=.003, p=.006, respectively).
CONCLUSION
This study is significant in that it provided a nutritional intervention program for one year to elderly women who are susceptible to osteoporosis and severely low in dietary calcium intake and it proved to be effective.


Korean J Adult Nurs. 2015 Feb;27(1):94-105. Korean.
Published online Feb 28, 2015.
https://doi.org/10.7475/kjan.2015.27.1.94
© 2015 Korean Society of Adult Nursing
Original Article

The Effects of Korean DASH Diet Education with Calcium/Vitamin D Supplements on Nutrient Intakes, Food Consumption, Bone Turnover Markers and Bone Mineral Density among Korean Elderly Women

Haeyoung Lee,1 Smi Choi-Kwon,2 and Seung-Hye Choi3
    • 1Department of Nursing · Research Institute for Basic Science, Hoseo University, Asan, Korea.
    • 2College of Nursing · The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
    • 3Department of Nursing Science, Suwon University, Suwon, Korea.
  • Corresponding author: Choi-Kwon, Smi. College of Nursing, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Korea. Tel: +82-2-740-8830, Fax: +82-2-745-8017, Email: smi@snu.ac.kr
Received December 19, 2014; Revised February 02, 2015; Accepted February 11, 2015.

Abstract

Purpose

This study was aimed to investigate the effects of the nutritional intervention program including DASH diet education and calcium/vitamin D supplements in Korean elderly women.

Methods

This was a quasi-experimental study employing non-equivalent control group pretest-posttest design. The experimental group (n=26) was given DASH diet education and supplements (calcium 1200mg and vitamin 800 IU) while the control group (n=16) was given only general health consults. After the interventions, differences were analyzed in nutrient intake, bone turnover markers and bone mineral density between the two groups.

Results

After one year, bone mineral density was found reduced in both groups, but showed higher levels (p=.003) in the experimental group than the control group. After research, nutrient intakes of participants improved generally, yet there was no significant difference between the two groups. The experimental group was divided into subgroups after interventions according to the level of calcium intake, and bone density and bone markers were compared between the subgroups. In a subgroup whose calcium intake was in the normal range, bone mineral density was significantly high (p=.002) while CTx and osteocalcin were significantly low (p=.003, p=.006, respectively).

Conclusion

This study is significant in that it provided a nutritional intervention program for one year to elderly women who are susceptible to osteoporosis and severely low in dietary calcium intake and it proved to be effective.

Keywords
Elderly women; DASH diet; Nutrient intakes; Bone turnover marker; Bone mineral density

Tables

Table 1
Homogeneity of General Characteristics of the Participants (N=42)

Table 2
Comparison of Nutrient Intakes and Food Consumption between the Groups (N=42)

Table 3
Comparison of Bone Mineral Density (Stiffness Index) and Bone Turnover Markers between the Groups (N=42)

Table 4
Comparison of Other Nutrients Intake between Two Groups by Level of Calcium Intake in Experimental Group (N=26)

Table 5
Stiffness Index according to Nutrient Intakes of the Subjects in Experimental Group (N=26)

Notes

This work was supported by the National Research Foundation of Korea(NRF)(2011-0010256).

References

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The Effects of Korean DASH Diet Education with Calcium/Vitamin D Supplements on Nutrient Intakes, Food Consumption, Bone Turnover Markers and Bone Mineral Density among Korean Elderly Women
Korean J Adult Nurs. 2015;27(1):94-105.   Published online February 28, 2015
DOI: https://doi.org/10.7475/kjan.2015.27.1.94
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The Effects of Korean DASH Diet Education with Calcium/Vitamin D Supplements on Nutrient Intakes, Food Consumption, Bone Turnover Markers and Bone Mineral Density among Korean Elderly Women
Korean J Adult Nurs. 2015;27(1):94-105.   Published online February 28, 2015
DOI: https://doi.org/10.7475/kjan.2015.27.1.94
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