Clin Nutr Res.  2016 Jan;5(1):43-54. 10.7762/cnr.2016.5.1.43.

Nutritional Status and Body Composition in Korean Myopathy Patients

Affiliations
  • 1Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yongin, Kyunggi-do 17104, Korea. ypark@khu.ac.kr
  • 2Department of Rehabilitation Medicine, Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul 06273, Korea.
  • 3Department of Nutrition services, Severance Hospital, Seoul 03722, Korea.

Abstract

In myopathy patients, fat mass increases as the disease progresses, while lean body mass decreases. The present study aimed to investigate the overall nutritional status of Korean myopathy patients through surveys of diet and dietary habits, bioelectrical impedance analysis (BIA), and biochemistry tests, as well as the examination of related factors, for the purpose of using such findings as a basis for improving the nutritional status in myopathy patients. The energy intake of all participants was found to be insufficient at only 44.5% of Dietary Reference Intakes for Koreans 2010 (KDRIs 2010), whereas protein intake was sufficient at 89.8% of KDRIs 2010. Dietary fiber intake was found to be 58.4% of sufficient dietary fiber intake for adults according to KDRIs 2010. Calcium intake was found to be 55.0% and magnesium was 14.9% of the recommended calcium and magnesium intake for adults according to KDRIs 2010. With respect to quality of life (QOL), overall increase in QOL domain score showed significant positive correlations with vegetable fat intake (p < 0.05), vegetable protein intake (p< 0.05), and dietary fiber intake (p < 0.05). With respect to BIA, the mean phage angle of all participants was found to be 2.49 +/- 0.93degrees, which was below the cutoff value. As a study that examined nutrient analysis and dietary habits of myopathy patients in Korea, the present study is meaningful in providing the basic data for future studies that aim to present dietary guidelines for patients suffering from myopathy.

Keyword

Myopathy patients; Nutritional status; Nutritional intake; Bioelectrical impedance analysis; Phage angle

MeSH Terms

Adult
Bacteriophages
Biochemistry
Body Composition*
Calcium
Diet
Dietary Fiber
Electric Impedance
Energy Intake
Food Habits
Humans
Korea
Magnesium
Muscular Diseases*
Nutrition Policy
Nutritional Status*
Quality of Life
Recommended Dietary Allowances
Vegetable Proteins
Vegetables
Calcium
Magnesium
Vegetable Proteins

Reference

1. Lee JH, Kim CK. The effect of the online writing therapy program on self-concept and depression of the adolescents with muscular dystrophy. J Spec Educ Rehabil Sci. 2011; 50:221–242.
2. Johnson EW, Kennedy JH. Comprehensive management of Duchenne muscular dystrophy. Arch Phys Med Rehabil. 1971; 52:110–114.
3. Brooke MH. A clinician's view of neuromuscular diseases. 2nd ed. Baltimore (MD): Williams & Wilkins;1986.
4. Health Insurance Review & Assessment Service (KR). Subcategory disease statistics [Internet]. 2014. cited 2015 December 1. Available from http://www.hira.or.kr.
5. Lee EJ, Kim YJ, Song NK, Kim EH, Lee SC, Moon JH, Min KS. The correlation of lean body mass with muscle function in duchenne muscular dystrophy. J Korean Acad Rehabil Med. 2003; 27:688–692.
6. Kanda F, Fujii Y, Takahashi K, Fujita T. Dual-energy X-ray absorptiometry in neuromuscular diseases. Muscle Nerve. 1994; 17:431–435.
Article
7. Jung CO, Jung KJ, Choi JH, Park YG, Yoon YH. Nutritional status of Duchenne muscular dystrophy in South Korea. J Korean Assoc EMG Electrodiagn Med. 2011; 13:103–110.
Article
8. Ling CH, de Craen AJ, Slagboom PE, Gunn DA, Stokkel MP, Westendorp RG, Maier AB. Accuracy of direct segmental multi-frequency bioimpedance analysis in the assessment of total body and segmental body composition in middle-aged adult population. Clin Nutr. 2011; 30:610–615.
Article
9. Kim SY. Intracellular to extracellular fluid shifts and changes in blood pressure during hemodialysis: multi-frequency bioelectrical impedance analysis. [MS thesis]. Seoul: Konkuk University;2015.
10. Han SJ. A study on the stress and the social support of the mothers who have muscular dystrophy patients [MS thesis]. Seoul: Ewha Womans University;2003.
11. Kim YS. Dietary intake and nutritional status according to severity of amyotrophic lateral sclerosis in Korean patients [MS thesis]. Seoul: Hanyang University;2014.
12. Motlagh B, MacDonald JR, Tarnopolsky MA. Nutritional inadequacy in adults with muscular dystrophy. Muscle Nerve. 2005; 31:713–718.
Article
13. The Korean Dietetic Association. To assess dietary habits [Internet]. 2015. cited 2015 December 1. Available from https://www.dietitian.or.kr.
14. The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998; 28:551–558.
15. Lee JR, Park CM. Quality of life using WHOQOL-Bref in Taegu. Korean J Health Policy Adm. 2000; 10:129–154.
16. Kim SH, Cho SW, Hwang SS, Ahn M, Lee D, Kang SW, Park YK. Increased whole grain, fruits and vegetable intake reduced oxidative stress in high school students. Korean J Nutr. 2012; 45:452–461.
Article
17. Thompson WG, Longstreth GF, Drossman DA, Heaton KW, Irvine EJ, Müller-Lissner SA. Functional bowel disorders and functional abdominal pain. Gut. 1999; 45:Suppl 2. II43–II47.
Article
18. Kim DS, Nho HN, Kim C, Lee HW, Yoon JH, Uhm JH. Diagnosis of functional gastrointestinal disorders with Rome III criteria in Korean pediatric and adolescent patients: clinical usefulness of QPGS. Korean J Pediatr Gastroenterol Nutr. 2009; 12:120–132.
Article
19. The Korean Nutrition Society. Dietary reference intakes for Koreans 2010 [Internet]. 2010. cited 2015 December 1. Available from http://www.kns.or.kr.
20. Kasarskis EJ, Berryman S, Vanderleest JG, Schneider AR, McClain CJ. Nutritional status of patients with amyotrophic lateral sclerosis: relation to the proximity of death. Am J Clin Nutr. 1996; 63:130–137.
Article
21. Murakami K, Sasaki S, Okubo H, Takahashi Y, Hosoi Y, Itabashi M. Freshmen in Dietetic Courses Study II Group. Association between dietary fiber, water and magnesium intake and functional constipation among young Japanese women. Eur J Clin Nutr. 2007; 61:616–622.
Article
22. Lee KJ, Jang HI, Lee BS, Lee JE, Han SH, Kim EJ. The determinant factors of quality of life in age-specific differences of spinal cord injury: comparison of Korean youth and middle-aged adults. J Rehabil Psychol. 2015; 22:25–39.
23. Máttar JA. Application of total body bioimpedance to the critically ill patient. Brazilian Group for Bioimpedance Study. New Horiz. 1996; 4:493–503.
24. Kyle UG, Soundar EP, Genton L, Pichard C. Can phase angle determined by bioelectrical impedance analysis assess nutritional risk? A comparison between healthy and hospitalized subjects. Clin Nutr. 2012; 31:875–881.
Article
Full Text Links
  • CNR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr