에너지 섭취 조사를 위한 24시간 회상법의 정확도 평가: 여자노인을 대상으로 이중표식수법을 이용하여

국문 초록 (Abstract)

본 연구는 만 65세 이상의 여자 노인 23명을 대상으로 이중표식수법을 이용하여 측정한 에너지소비량을 기준으로 에너지섭취량을 조사하는 24시간 회상법의 정확도를 평가하였으며, 그 결과는 다음과 같다. 연구 대상자 평균 연령은 70.3 ±3.3세, 신장 및 체중은 각각 153.0 ± 5.9cm와 56.0 ± 8.0 kg, 체질량지수 (BMI)는 23.9 ± 2.8 kg/m²이었다. 24시간 회상법으로 산출된 총에너지섭취량 (TEI)과 이중표식수법으로 측정된 총에너지소비량 (TEEDLW) 간의 피어슨 상관계수는 r = 0.482로 두 값 간에 의미 있는 양의 상관성 (p < 0.05)을 보여주었다. 그러나 24시간 회상법으로 조사된 3일간의 평균 에너지섭취량 (1,489.6 ± 211.1 kcal/day)은 이중표식수법으로 측정된 총에너지소비량 (2,023.5 ± 234.9 kcal/day)보다 -533.9 ± 228.0 kcal/day만큼 과소보고 되었으며, 두 값 간에 유의한 차이가 있었다 (p < 0.001). 총에너지섭취량과 총에너지소비량간의 과소보고율은 -25.9% ± 10.5%로 나타났다. Bland-Altman 방법으로 총에너지섭취량과 총에너지소비량간의 일치도 평가 결과로 두 값 일치 한계의 범위가 -980.8 kcal/day에서 -86.9 kcal/day로 음의 값으로 치우쳐 나타났다. 본 연구 결과에 따르면 에너지섭취량을 조사하는 24시간 회상법을 여자노인에게 적용시, 과소보고율이 -25.9%로 높았고, 에너지섭취량을 정확하게 예측한 비율 (오차범위 ± 10% 이내)도 8.7%로 낮았다.

다국어 초록 (Multilingual Abstract)

Purpose: This study evaluated the accuracy of the 24-hour diet recall method for estimating energy intakes in elderly women using the doubly labeled water (DLW) method.
Methods: The subjects were 23 elderly women with a mean age of 70.3 ± 3.3 years and body mass index (BMI) of 23.9 ± 2.8 kg/m². The total energy expenditure (TEEDLW) was determined by using the DLW and used to validate the 24-hour diet recall method. The total energy intake (TEI) was calculated from the 24-hour diet recall method for three days.
Results: TEI (1,489.6 ± 211.1 kcal/day) was significantly lower than TEEDLW (2,023.5 ± 234.9kcal/day) and was largely under-reported by -533.9 ± 228.0 kcal/day (-25.9%). The accurate prediction rate of elderly women in this study was 8.7%. The Bland-Altman plot, which was used to evaluate the TEI and the TEEDLW, showed that the agreement between them was negatively skewed, ranging from -980.8 kcal/day to -86.9 kcal/day.
Conclusion: This study showed that the energy intake of elderly women was underreported. Strategies to increase the accuracy of the 24-hour diet recall methods in the elderly women should be studied through analysis of factors that affect underreporting rate. Further studies will be needed to assess the validity of the 24-hour diet recall method in other population groups.

목차 (Table of Contents)

• ABSTRACT
• 서론
• 연구방법
• 결과
• 고찰
• 요약
• REFERENCES

참고문헌 (Reference)

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