국내 40세 이상 위암 환자의 성별에 따른 혈액생화학적 특성, 영양섭취비교: 자료를 이용한 횡단연구

Sep 30, 2026

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대한민국 40세 이상 위암 환자에서 성별에 따른 식이 섭취 차이를 혈액 생화학적 특성과 함께 비교하는 것을 목적으로 한 횡단연구이다. 제7기(2016-2018) 국민건강영양조사 자료를 분석하였으며 대상은 122명(남 75, 여 47)이다. 연령·사회경제·동반질환·음주·흡연, 신체계측·혈압, 공복혈당 및 지질 지표와 같은 혈액지표, 그리고 식이 섭취의 양과 질을 남녀 간 비교하였다. 남성은 정상 범위 지표 비율이 낮고, 여성은 총콜레스테롤 비정상 비율과 일부 영양소의 섭취부족 비율이 더 높았다.

LanguageKorean

CategoryHealthcare

FormatPDF

Pages13

Reading Time33 min

AccessFree to download

Introduction

Study Rationale: 고령화와 위암 부담

Nutrition Risk in Gastric Cancer Patients

Role of Dietary Factors and Need for Sex-Based Comparison

Prior Studies on Dietary Intake in Gastric Cancer

Korean J Community Nutr 28(1): 48~60, 2023 [https://doi.org/10.5720/kjcn.2023.28.1.48](https://doi.org/10.5720/kjcn.2023.28.1.48)[ ](https://doi.org/10.5720/kjcn.2023.28.1.48)[ISSN 2951-3146](ISSN 2951-3146) (on-line) 국내 40세 이상 위암 환자의 성별에제7기(2016-2018) 국민건강영양조사 RESEARCH ARTICLE 따른 혈액생화학적 특성 , 영양섭취비교 :자료를 이용한 횡단연구 이현주 1) · 오성원 1) · 김숙배2)† 1)전북대학교 대학원 식품영양학과, 대학원생, 2)전북대학교 식품영양학과 · 인간생활과학연구소, 교수 Comparison of blood biochemical characteristics and dietary intake by sex in gastric cancer patients over 40 years in Korea based on 7th (2016-2018) Korea National Health and Nutrition Examination Survey: a cross-sectional study Hyeon-Ju Lee1), Sung-Won Oh1), Sook-Bae Kim2)† 1)Graduate Student, Department of Food Science & Human Nutrition, Graduate School, Jeonbuk National University, Jeonju, Korea 2)Professor, Department of Food Science & Human Nutrition, Research Institute of Human Ecology, Jeonbuk National University, Jeonju, Korea †Corresponding author Sook-Bae Kim Department of Food Science & Human Nutrition, Research Institute of Human Ecology, Jeonbuk National University, Baekje-daero 567, Deokjin-gu, Jeonju 54896, Korea Tel : +82-63-270-3823 Fax: +82-63-270-3854 E-mail: [sbkim@jbnu.ac.kr](sbkim@jbnu.ac.kr) [Received: December 29](Received: December 29), 2022 Revised: February 20, 2023 Accepted: February 21, 2023 | | | --- | | ABSTRACT
Objectives: The purpose of this study was to compare the sex-associated differences in the dietary intake of gastric cancer patients in Korea.
Methods: Data from the Korea National Health and Nutrition Examination Survey (KNHANES) the 7th (2016-2018) were analyzed in the present study. The subjects included 122 gastric cancer patients aged over 40 years (75 male, 47 female). General characteristics (age, marital status, household income, education, food security, comorbidities, alcohol drinking, and smoking), anthropometric characteristics (height, weight, body mass index, and blood pressure), blood biochemical characteristics [fasting plasma glucose (FPG), blood urea nitrogen (BUN), creatinine, triglyceride, total cholesterol, and HDL-cholesterol)], and quantity and quality of dietary intake were compared between male and female participants.
Results: Males had higher rates of having a spouse, prevalence of hypertension, alcohol drinking, and smoking than females. The proportion of males with a normal range of FPG, BUN, and HDL-cholesterol was lower than that in females. The total cholesterol levels above the normal range were higher in females than in males. We also found that females had a higher percentage of intakes below the estimated energy requirement (EER) and intakes below the estimated average requirement (EAR) for carbohydrates, niacin, phosphorus, and iron than males. The index of nutritional quality (INQ) for phosphorus and folate, nutrient adequacy ratio (NAR) for vitamin C, thiamine, niacin, folate, calcium, and phosphorus, and the mean adequacy ratio (MAR) were lower in females than males.
Conclusions: In Korean gastric cancer patients, management of comorbidities such as diabetes and hypertriglyceridemia, lowering FPG, and raising HDL-cholesterol level management is required for males, whereas management of lowering total cholesterol and raising hematocrit is required for females. The quantitative and qualitative nutritional intakes were poor in gastric cancer patients, especially in females, who had a lower nutritional intake than males. We suggest that nutritional interventions are needed to improve the overall nutritional intake in both male and female gastric cancer patients. In particular, we propose that support is urgently needed for females whose nutritional intake is lower than that of males. In addition, family, social, and national support for nutritional management of female gastric cancer patients is highly necessary.
KEY WORDS gastric cancer patient, dietary intake, KDRI, KNHANES | ⓒ 2023 Korean Society of Comm

FAQs

이 연구의 목적은 무엇인가요?

한국의 40세 이상 위암 환자에서 성별에 따른 식이 섭취 차이를 혈액 생화학적 특성과 함께 비교하는 데 목적이 있습니다.

연구에 사용된 데이터와 대상자는 어떻게 구성되나요?

제7기(2016-2018) 국민건강영양조사(KNHANES) 자료를 분석했으며, 40세 이상 위암 환자 122명(남 75, 여 47)이 대상입니다.

남성과 여성에서 어떤 영양·혈액 지표 차이가 관찰되었나요?

남성은 일부 혈액지표가 정상 범위인 비율이 낮았고, 여성은 총콜레스테롤의 비정상 비율이 더 높았습니다. 또한 여성에서 탄수화물·니아신·인·철의 EER/EAR 미만 섭취 비율이 더 높게 나타났습니다.

연구 결과에 근거한 영양중재의 방향은 무엇인가요?

위암 환자, 특히 여성에서 양적·질적 영양 섭취가 더 불량하므로 남녀 모두의 전반적 영양섭취 개선을 위한 영양중재가 필요하며, 여성에서 우선적 지원이 요구된다고 제안합니다.

Sep 30, 2026

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