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"Nutrition"

Review articles

[English]
Lifestyle prescriptions for diabetes management in primary care: a narrative review
Hye Jun Lee, Jung-Ha Kim
Ewha Med J 2025;48(4):e55.   Published online October 14, 2025
DOI: https://doi.org/10.12771/emj.2025.00808
Diabetes mellitus is a complex chronic disease with a rapidly increasing global prevalence. For this condition, non-pharmacological lifestyle modification is as important as pharmacological treatment. This review aims to comprehensively examine lifestyle prescriptions for diabetes across multiple domains to integrate current insights and understanding. In medical nutrition therapy, which is central to diabetes treatment and management, excessive carbohydrate intake should be restricted, while individualized consumption of high-quality carbohydrates, protein, and unsaturated fatty acids is recommended. Intake of added sugars and sodium should also be limited. Physical activity should similarly be tailored to the individual, with a combination of aerobic exercise and resistance training recommended. Careful consideration of hypoglycemia risk and diabetes complications is essential. Additional strategies include limitations on uninterrupted sedentary time to less than 30 minutes, maintenance of a healthy body weight, smoking cessation, alcohol abstinence, sleep health improvements, and attention to psychosocial care. In primary care settings, patient-specific assessment, multidisciplinary lifestyle prescriptions, and education to support behavior modification are expected to play a pivotal role in the treatment and management of diabetes.
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[English]
Nutritional management for breast cancer patients
Minjeong Kim, Minkyoung Lee, Jisun Sa
Ewha Med J 2025;48(1):e11.   Published online January 31, 2025
DOI: https://doi.org/10.12771/emj.2025.e11

Breast cancer is a complex disease influenced by environmental, genetic, dietary, and hormonal factors. This underscores the importance of postoperative nutritional management in supporting recovery, minimizing complications, and enhancing long-term outcomes. This review synthesizes clinical guidelines, expert recommendations, and observational studies to provide a comprehensive overview of dietary interventions for breast cancer patients following surgery. Post-surgical nutritional care is centered around three primary objectives: supporting wound healing through high-quality protein intake, maintaining optimal nutritional status to prevent malnutrition, and promoting healthy lifestyle habits to reduce the risk of recurrence. To achieve these objectives, postoperative dietary strategies focus on several key components: ensuring adequate hydration for metabolic processes and tissue repair, consuming a balanced diet rich in fresh vegetables and fruits to mitigate oxidative stress, incorporating whole grains to support overall healing, and maintaining sufficient intake of high-quality protein from sources such as fish, meat, and dairy products to aid tissue repair and immune system recovery. Patients are also advised to avoid alcohol, limit saturated fats, and reduce intake of salty, sugary, and smoked foods to minimize inflammation. As research progresses, the implementation of personalized dietary plans remains essential for optimizing recovery outcomes in breast cancer patients.

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Original Article
[English]
Clinical Efficancy of 'Nucare' in Neurological Patients
Yong-Jae Kim, Kee-Duck Park, Kyoung-Gyu Choi
Ihwa Ŭidae chi 1997;20(2):221-225.   Published online July 24, 2015
DOI: https://doi.org/10.12771/emj.1997.20.2.221

Patients suffering from neurological disorder, such as cerebral infarctoin, often face serious swallowing difficulty and malnutrion. Although the importance of nutritional support has been well demonstrated, malnutrition remains a frequently neglected condition in the clinical setting.

In this study, we investigate the effectiveness of enteral nutritional support to neurological patients using nutritional beverage Nucare. 50 patients with acute and chronic neurological disease with eating problem were participated. 27 patients(experimental group : 17, control group :7), fed more than 7 days, were selected and statically analyzed by the changes of hematologic, biochemical parameters and nutritional index compared with control roup(p<0.05), which are good predictors of nutritional and hospital outcome.

This suggests that enteral nutritional support with Nucare can improve the nutritional status and clinical outcome of patient with acute and chronic neurological disease.

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