Pembentukan Panduan Pemakanan ‘Right Diet 4 Senior’ dan Tahap Penerimaannya dalam Kalangan Warga Emas di Mukim Beranang, Selangor (Development and Evaluation of Menu and Therapeutic Diet Guideline ‘Right Diet 4 Senior’ among Older Adults and Their Caregivers in Rural Area of Malaysia) / Jurnal Sains Kesihatan Malaysia

@#Older adults often had multiple non-communicable diseases (NCD) that will increase the risk of malnutrition. This study aimed to determine the health and nutrition status of the older adults residing in a rural area of Malaysia in Beranang, Selangor and to develop a nutrition guideline for older adults in community. This study involved two phases that includes need assessment (phase 1) and development of nutrition guideline and acceptance evaluation phase (phase 2). A total of 36 older adults were conveniently recruited for the need assessment phase in obtaining sociodemographic, health and nutrition status data. Results from phase 1 shows that 66.7% of older adults were diagnosed with a minimum one NCD, mainly hypertension (50%) and diabetes mellitus (27.8%). Food history showed that the older adults did not meet their requirement for energy, fat, folate, calcium, vitamin A, vitamin D, vitamin E, zinc and potassium. They also did not meet the requirement of serving size for fruits, vegetables, legumes, milk and milk products. Therefore, a nutrition guideline and diet therapeutic menu focuses on diabetes mellitus and hypertension has been developed for older adults and the caregivers. Evaluation of acceptance of the content of the guideline involved caregivers (n=20) and health professionals (n=7). A total of 85% caregivers agreed that the content was easy to understand, however, a few modifications must be done to attract and increase understanding towards the contents of the guideline. Professionals agreed that the addition of pictures, illustration and colours can help to transfer the information more effectively and more acceptable by caregivers and older adults. In conclusion, half of the older adults in this particular rural area have NCD and did not meet requirement for several macronutrients and micronutrients and serving size of fruits, vegetables, legumes and milk and milk products. Thus, a guideline for menu and therapeutic diet (Right Diet for Senior) was developed and was well accepted by the caregivers and health professionals.

Study on Recognition and Menu Development Direction of Medicated Diet Gruel: Focusing on Elders in Daejoen Area

The purpose of this study was to provide basic data for the development of medicinal herbs, which are useful for the treatment of chronic diseases and physical characteristics of the elderly. A total of 151 adult women aged 65 years or older currently living in Daejeon were enrolled. The contents of this study were parents' health status, recognition of the necessity for a dietary therapy, awareness of medicinal herbs, requirements for medicinal herbs, physician of medicinal herbs and obstacles to medicinal herbs. Based on these results, the differences in the perception of medicinal herbs according to the dietary needs group as well as differences in the perception of medicinal herbs according to medicinal herbicidal groups were analyzed. Of the 151 subjects, 90.7% were married, and 44.4% of them were aged between 40 and 49. Most of the patients were aged in their 70s (68.9%), and 79.5% of had chronic illnesses such as high blood pressure, hyperlipidemia, arteriosclerosis, and heart disease. It is recognized that dietary therapy is necessary for the treatment of diseases, and awareness of medicinal herbs is low but necessary. As for the requirements for medicinal herbs, the most favored was ‘porridge for the prevention and treatment of diseases’, and 72.2% of medicinal herbs were physicians. However, problems cited were availabitity of ingredients, cooking technique, price of ingredients, and others. In addition, both groups requiring dietary therapy and having high awareness of medicinal herbs felt that medicinal herbs would be helpful in treating diseases. Therefore, it is necessary to provide a simple medicinal herb recipe for each disease and to develop anti cooked medicinal herbs.

Current Use and Development Demand for Processed Blue Crabs

This study is basic research focused on product development and market activation based on analysis of current usage and demand for development of processed blue crabs. A total of 556 subjects aged 20s to 60s living in the Seoul area were surveyed. According to the survey, 65.1% of subjects consumed blue crabs at home, and 82% of them purchased blue crabs whole and undressed. Respondents gave higher marks to taste, nutrition, and texture compared to ingredient preparation, eating method, and price. Majority of blue crab consumers had no experiences of consuming processed blue crabs. Exactly 57.0% of consumers purchased them at big shopping centers, and the reason for purchasing was their good taste. When female consumers purchased processed blue crabs, they checked every part carefully compared to male consumers. Women gave high scores to blue crab powder, blue crab extract, blue crab croquette, and blue crab cake compared to men, demonstrating the necessity of developing processed blue crabs. Furthermore, the experienced processed blue crab group recognized the necessity of developing processed blue crabs compared to the inexperienced group. People showed significant differences in purchasing processed blue crabs according to gender as well as previous experience of blue crab consumption.

Study of Recognition and Necessity of Oriental Medicinal Menu, and Development of Oriental Therapeutic Menu for Stroke Patients

The purpose of this study was to develop the oriental therapeutic menu(Yak-sun) through the recognition and necessity of oriental medicine diet in stroke patients admitted to K Oriental Medical Hospital. From May to July 2007, the 73 stroke patients were surveyed for the recognition and necessity of oriental therapeutic menu. The oriental therapeutic menu was developed on the basis of literature of oriental medicine books and research papers. The developed two week cycle of menus were then reviewed by the experts and specialists. The sensory evaluation and nutritional analysis of the menu were followed. The stroke patients who participated in the survey did not know about the oriental medical diet, however, 61.6% of the patients had interest. Most of the patients expected the efficacy of oriental therapeutic diets. Total of forty three medical herbs and ten herb-combined prescriptions were used in the menu. The daily average calorie of developed menu was 2,031 +/- 57.6 kcal and the most of nutrients met Dietary Reference Intakes for Korean(KDRIs). The caloric ratios of carbohydrates, protein, and lipid were 61.3%, 18.7%, 20.0%, respectively. The average values of cholesterol(194 +/- 57.5 mg/day), sodium(3,078 +/- 678.5 mg/day), calcium(1,099 +/- 140.1 mg/day), and dietary fiber(33 +/- 7.0 g/day) were met Korean dietary guide line for stroke patients. Oriental therapeutic diet might be unfamiliar to the hospital patients even though they had interest in and favorable thought about it. Implements of oriental therapeutic diet to the hospital patients might be useful to improve the quality of service in the hospitals.

Food Preference Test of the Korean Elderly Menu Development / 대한지역사회영양학회지

This study was performed to test food preferences of the Korean elderly for Korean elderly menu development. The elderly subjects preferred steamed rice cooked with 1.2 times water than that with 1.5 times water (p < 0.001), whole rice grain gruel than the gruel with ground grain (p < 0.05). Green tea powder gruels developed as a snack, there were no significant differences in the preference of the elderly between gruel with different contents of green tea powder (2, 3, 4%). The preferences of the salt concentration of the soup were tested by using soybean sprout soup and soybean paste soup. The elderly preferred 0.7 - 0.8% salted bean sprout soup and 7% soybean paste soup. The elderly preferred Kimchi cut in widths of 1 - 2 cm than that in 0.5 cm. The elderly preferred sweeter grape jam (67% vs. 50% or 37% sugar content) and were not concerned about chewing seeds. This result could be useful to develop menus for the elderly.