Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Nutrients Intake and Dietary Quality of Korean Parkinson's Disease Patients According to the Duration of Disease

유병기간에 따른 한국인 파킨슨병 환자의 영양소 섭취 상태 및 식사의 질에 관한 연구

  • Lee, Ju-Yeon (Dept. of Medical Nutrition, Graduate School of East-West Medical Science) ;
  • An, Tae-Beom (Dept. of Neurology, Kyung Hee University Medical Center) ;
  • Jeon, Beom-Seok (Dept. of Neurology, Seoul National University Hospital) ;
  • Kim, Yun-Young (Research Institute of Clinical Nutrition, Kyung Hee University) ;
  • Choue, Ryo-Won (Dept. of Medical Nutrition, Graduate School of East-West Medical Science)
  • 이주연 (경희대학교 동서의학대학원 의학영양학과) ;
  • 안태범 (경희의료원 신경과) ;
  • 전범석 (서울대병원 신경과) ;
  • 김윤영 (경희대학교 임상영양연구소) ;
  • 조여원 (경희대학교 동서의학대학원 의학영양학과)
  • Published : 2008.08.30
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Abstract

Both genetic and environmental factors play important roles in the pathogenesis of Parkinson Disease(PD). The contribution of many environmental factors including dietary factor remains unproven. The purpose the study was to investigate the dietary habits, nutrient intake and dietary quality of Korean PD patients according to the duration of disease. PD patients were recruited from K and S university hospitals from May 2005 to January 2006. This study was carried out after approval by the Institute Review Board(IRB). British Brain Bank criteria was used to diagnose PD. The subjects were classified into 2 groups based on the duration of PD: <25 months and $\geq$25 months groups. General characteristics, anthropometric measurements, food habits and dietary intakes were investigated. The results of this study were as follows: 1) The mean age of <25 months group($66.9{\pm}8.0$ yr) was significantly higher than that of $\geq$25 months group($62.2{\pm}8.8$ yr)(p<0.05). No significant differences were found for academic background, occupation, living status and social activity, however, numbers of diseases, exercise and family history of PD were significantly different. 2) Anthropometric measurements were not different between the two groups. 3) The frequency of taking snacks was significantly higher in <25 months group and the amounts of alcohol consumption were significantly higher in $\geq$25 months group. 4) Daily intakes of most nutrients were very low compared with DRI. 5) The MAR score was significantly lower in <25 months group(p<0.05;) however, the scores of DVS, DDS and DQI were not significantly different. As a conclusion an overall nutrient intake and dietary quality of the Parkinson's Disease patients need to be improved regardless of duration of the disease and a well-balanced diet should be emphasized.

Keywords

References

  1. Barbeau A (1986): Parkinson's disease: Clinical features and etiopathology. Handbook of clinical neurolo, pp. 87-152, Elsevier Science. London
  2. Ben SY (1996): How far are we in understanding the cause of Parkinson's disease? Neurol Neurosurg Psychi 61(1): 4-16 https://doi.org/10.1136/jnnp.61.1.4
  3. Chen HL, Zhang SM (2003): Dietary Intakes of fat and risk of Parkinson's disease. Am J Epidemiol 157(11): 1007-1014 https://doi.org/10.1093/aje/kwg073
  4. Chen HL, Zhang SM, Hernan MA (2002): Diet and Parkinson's disease: A potential role of dairy products in men. Ann Neurol 52(6): 793-801 https://doi.org/10.1002/ana.10381
  5. Choi YM (2006): Effects of medical nutrition therapy on quality of diets, lipid profiles and homocysteine in patients with hyperlipidemia. MS thesis, Kyunghee University
  6. Clifford T, Finnery J (1995): The dental awareness and needs of a Parkinson's disease population. Gerodont 12(12): 99-103 https://doi.org/10.1111/j.1741-2358.1995.tb00138.x
  7. Coates C, Bakheit AM (1997): Dysphagia in Parkinson's disease. Eur Neurol 38(1): 49-52 https://doi.org/10.1159/000112902
  8. Croxson SCM, Pye IF (1988): Dysphagia as the presenting feature of Parkinson's disease. Geriatr Med 18: 16-21
  9. Davies KN, Davies, Devra K, Helen D (1994): A study of the nutritional status of elderly patients with Parkinson's disease. Age Ageing 23: 142-145 https://doi.org/10.1093/ageing/23.2.142
  10. Department of Health and Social Security (1979): Nutrition and health in old age, pp. 124-176, HMSO, London
  11. Driver JA, Kurth T, Buring JE, Gaziano JM, Logroscino G (2008): Parkinson disease and risk of mortality: a prospective comorbiditymatched cohort study. Neurology 70(2): 1423-1430 https://doi.org/10.1212/01.wnl.0000310414.85144.ee
  12. Gibb WR (1988): The relevance of the lewy body to the pathogenesis of idiopathic Parkinson's disease. J Neurol Neurosurg Psychiatry 51(6): 745-752 https://doi.org/10.1136/jnnp.51.6.745
  13. Gibson RS (1990): Evaluation of nutrient intake data. In: Principles of nutritional assessment, pp. 137-154, Oxford University Press
  14. Golbe LI, Farrell RM, Davis PH (1990): Follow-up study of earlylife protective and risk factors in Parkinson's disease. Mov Disord 5(1): 66-70 https://doi.org/10.1002/mds.870050116
  15. Graham DF, Stewart-Wynne EG (1994): Diltiazem-induced acute parkinsonism. Aust N Z J Med 24(1): 70-78 https://doi.org/10.1111/j.1445-5994.1994.tb04434.x
  16. Guthrie HA, Scheer JC (1981): Validity of a dietary score for assessing nutrient adequacy. J Am Diet Assoc 78(3): 240-245
  17. Harvey C, Lorene MN (1999): Epidemiologic approaches to the study of Parkinson's disease etiology. Epidem 6: 609-611
  18. Hernan MA, Zhang SM, Rueda-de Castro AM, Coldits GA, Speizer FE, Axcherio A (2001): Cigarette smoking and the incidence of Parkinson's disease in two prospective studies. Ann Neurol 50(6): 780-786 https://doi.org/10.1002/ana.10028
  19. Hoehn MM, Yahr MD (1967): Parkinsonism: Onset, progress and mortality. Neurol 17: 427-442 https://doi.org/10.1212/WNL.17.5.427
  20. Huttenbrink KB (1995): Disorders of the sense of smell and taste. Ther Umsch 52(11): 732-737
  21. Kant AK, Block G, Ziegler RG, Nestle M (1991): Dietary diversity in the US population. NHANES II 1976-1980. J Am Diet Assoc 91(12): 1521-1531
  22. Kasamatsu T, Yoshimura N (1996): Relationship of the number of consumed food items with nutritional status and obesity. Japan J Nutr 54(1): 19-26 https://doi.org/10.5264/eiyogakuzashi.54.19
  23. Kim GN (2000): Dietary life-related questionnaire collections. Korean J Community Nutr pp. 83-101
  24. Kim IS, Yu HH, Kim YS (2001): A study on nutrient intake, food behavior and health conditions according to food intake diversity in the elderly in a local city. Korean J Community Nutr 35(3): 352-367
  25. Korean Nutrition Society (2005): Dietary reference intakes for Koreans, Joung-ang Publishing Co., Seoul
  26. Krebs-Smith SM, Smiciklas-Wright HS (1987): The effect of variety in food choices on dietary quality. J Am Diet Assoc 87(7): 897-903
  27. Lee HJ, Park SJ, Kim JH, Kim CI, Chang KJ, Yim KS, Kim KW, Choi HM (2003): Evaluating nutrient intakes of the Korean elderly using semi-quantitative food frequency questionnaire. Korean J Community Nutr 8(3): 311-318
  28. Lee JW, Hyun HJ, Kwak CS, Kim CI, Lee HS (2000): Relationship between the number of different food consumed and nutrient intake. Korean J Community Nutr 5(2S): 297-306
  29. Lee SY (1996): Assessment of dietary intake obtained by 24-hour recall method in Korean adults living in rural area. MS thesis, Seoul University
  30. Levi S, Cox M, Lugon M, Hodkinson M, Tomkins A (1990): Increased energy expenditure in Parkinson's Disease. Br Med 301: 1256-1257 https://doi.org/10.1136/bmj.301.6763.1256
  31. Lim KC, Park KO, Kim BJ (1997): A study on the correlations between social support, dependence of activities of daily living and depression in patients with Parkinson's disease. J Korean Acad Adult Nurs 9(3): 366-377
  32. Lindsay KW, Bone I, Callander R (1987): Neurology and neurosurgery illustrated, pp. 352-368, Churchill Livingstone Publishing Co
  33. Markus HS, Cox M, Tomkins AM (1992): Raised resting energy expenditure in Parkinson's disease and its relationship to muscle rigidity. Clin Sci J 83: 199-204 https://doi.org/10.1042/cs0830199
  34. Miller JL (2002): Parkinson's disease primer. Geriatr Nurs 23(2): 69-75 https://doi.org/10.1067/mgn.2002.123789
  35. Ministry of Health and Welfare (2006): The third Korea National Health and Nutrition Survey Report
  36. Oh KW, Nam CM (2003): A case-control study on dietary quality and risk for cornoary heart disease in Korean Men. Korean J Nutr 36(6): 613-621
  37. Park MG, Ross GW, Petrovitch H, White LR, Masaki KH (2005): Consumption of milk and calcium in midlife and the future risk of Parkinson disease. Neurol 64(6): 1047-1051 https://doi.org/10.1212/01.WNL.0000154532.98495.BF
  38. Parkinson Study Group (1998) Mortality in Data Top: a multi-center trial in early Parkinson's disease. Ann Neurol 43(3): 318-325 https://doi.org/10.1002/ana.410430309
  39. Patterson RE, Haines PS, Popkin BM (1994): Diet quality index: Capuring a multidimensional behavior. J Am Diet Assoc 94(1): 57-64 https://doi.org/10.1016/0002-8223(94)92042-7
  40. Randall E, Nichaman MZ, Contant CF (1985): Diet diversity and nutrient intake. J Am Diet Assoc 85(7): 830-836
  41. Ministry of Health and Welfare (2006): 2005 National health and nutrition survey report
  42. Rijk MC, Breteler MM, Breeijen JH, Launer LJ, Grobbee DE, Meche FG, Hofman A (1997): Dietary antioxidants and Parkinson disease: The Rotterdam Study. Arch Neurol 54(6): 762-765 https://doi.org/10.1001/archneur.1997.00550180070015
  43. Saito M, Maruyama M, Ikeuchi K, Kondo H (2000): Autosomal recessive juvenile Parkinsonism. Brain Devel 22(1): S115-S117 https://doi.org/10.1016/S0387-7604(00)00137-6
  44. Samii A, Nutt JG, Ransom BR (2004): Parkinson's disease. Lancet 363(9423): 1783-1793 https://doi.org/10.1016/S0140-6736(04)16305-8
  45. Starkstein SE, Preziosi TJ, Forrester AW, Robinson RG (1990): Specificity of affective and autonomic symptoms of depression in Parkinson's disease. J Neurol Neurosurg Psychiatry 53(10): 869-873 https://doi.org/10.1136/jnnp.53.10.869
  46. Steece-Collier K, Maries E, Kordower JH (2002): Etiology of Parkinson's disease: genetics and environment revisited. Proc Natl Acad Sci 99(22): 13972-13974 https://doi.org/10.1073/pnas.242594999
  47. WHO (1990): Diet, nutrition, and the prevention of chronic disease. Technical Report Series, No 797, WHO, Geneva