대한지역사회영양학회지 (Korean Journal of Community Nutrition)

대한지역사회영양학회 (The Korean Society of Community Nutrition)
권호 표지

NSI Checklist에 의한 우리 나라 일부 노년기 여성의 건강위험도와 영양소 섭취량 및 아연영양상태와의 관련성

Nutrients Intake, Zine Status and Health Risk Factors in Elderly Korean Women as Evaluated by the Nutrition Screening Inistiative (NSI) Checklist

  • 윤진숙 (계명대학교 식품영양학과) ;
  • 이정현 (계명대학교 식품영양학과)
  • 발행 : 2002.08.01
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초록

The purpose of this study was to investigate whether the health status as determined by a self-assessment checklist was related to the nutritional status of elderly Korean women. We interviewed 59 female subjects living in the Daegu area aged over 55 years. Information on their dietary intake on two consecutive days was collected by the 24-hour Recall Method. Their body compositions were measured using a Bio-electrical Impedence Fatness Analyzer. Their zinc status was evaluated according to their dietary zinc intake and urinary zinc excretion in urine samples collected for 24 hours. Their heath status was determined by a NSI Checklist. While 50.9% of the total subjects belonged to a moderate nutritional risk group,23.7% of the subjects were at a high nutritional risk. It appeared that only 25.4% of the subjects were evaluated as being healthy. Therefore, the overall nutritional health status of the elderly females belonged to the moderate nutritional risk group. Except for vitamin C, the average daily nutrient intake of the subjects was below the level of the recommended dietary allowances (RDA) for Koreans. The lower the nutritional health score, the better was their dietary intake of energy (p<.05), protein (p<.001), and zinc (p<.01). A positive relationship between their nutritional health score and body fat ratio was also observed (p<.05). Therefore, we suggest that the NSI Checklist could be used as a practical screening tool at the beginning of nutritional surveillance of the elderly in the community.

키워드

참고문헌

  1. 보건복지부(1999) : 1998 국민건강영양조사
  2. 한국식품공업협회 식품연구소(1988) : 식품섭취 실태조사를 위한 식품 및 음식의 눈대중량
  3. 한국영양학회 (2000) : 한국인 영양 권장량 제 7 차 개정
  4. Anderson BM, Gibson RS, Sabry JH (1981): The iron and zinc status of long-term vegetarian women. Am J Clin Nutr 34: 1042-1048
  5. Bales CW, Steinman LC, Freeland-Graves JH, Stone JM, Young RK (1986): The effect of age on plasma zinc uptake and taste acuity. Am J Clin Nutr 44: 664-669
  6. Coulston AM, Craig L, Voss AC (1996): Meals-on-wheels applicants are a population at risk for poor nutritional status. J Am Diet Assoc 96: 570-573
  7. Dwyer JT (1996): Nutrition and aging: How will Koreans meet this challenge? In: Longevity and Quality of Life in the 21st Century, pp.59-81, International symposium in Commemoration of the 50th Anniversary of Seoul National University
  8. Edington J (1999): Problems of nutritional assessment in the community. Proc Nutr Soc 58: 47-51
  9. Garofalo JA, Hynak-Hankinson MT (1995): New Jersey's Nutrition Screening Initiative: Activities and results. J Am Diet Assoc 95 (12): 1422-1425
  10. Gibson RS (1994): Zinc nutrition in developing countries. Nutr Res Rev 7: 151-173
  11. Han KH (1996): Anthropometric measurement and comparative study about fat estimation methods for the elderly. Korean J Comm Nutr 1(3): 405-422
  12. Hawk PB, Oser BL, Summerson WH (1954): Practical physiology chemistry 13th ed, p.809, Blakiston Co Inc Toronto
  13. Hutton CW, Hayes-Davis RB (1983): Assessment of the zinc nutritional status of selected elderly subjects. J Am Diet Assoc 82 (2): 148-153
  14. Kim KN, Hyun TS, Lee JW (2000): Development of a simple screening test developed for identifying Korean elderly at risk of undernutrition. Korean J Comm Nutr 5 (3): 475-483
  15. Kim KN, Lee JW, Park YS, Hyun TS (1997): Nutritional status of the elderly living in Cheongju. Korean J Comm Nutr 2 (4): 556-567
  16. Kwoun JH, Lee SK, Lee HK, Kim GJ (1998): The relationship between chewing ability and nutritional intake status in the elderly of rural community. Korean J Comm Nutr 3 (4): 583-593
  17. Lee JW (1998): Nutrition assessment tools and indices for nutrition screening. Korean J Comm Nutr 3 (6): 873-880
  18. Lee JW, Kim KE, Kim KN, Hyun TS, Hyun WJ, Park YS (2000): Evaluation of the validity of a simple screening test developed for identifying Korean elderly at risk of undernutrition. Korean J Nutr 33 (8): 864-872
  19. Nordstrom JW (1982): Trace mineral nutrition in elderly. Am J Clin Nutr 36: 788-795
  20. Oh HM, Yoon JS (1997): Zinc status of adult female in the Taegu region as assessed by dietary intake and urinary excretion. Korean J Comm Nutr 2 (1): 52-62
  21. Park YS, Kim S, Park KS, Lee JW, Kim KN (1999): Nutrient intakes and health-related behaviors of the elderly in rural area. Korean J Comm Nutr 4(1): 37-45
  22. Park MY, Lee KH, Youn HS (2001): Nutrition status of the rural elderly living in Kyungnam. Korean J Comm Nutr 6(3): 527-541
  23. Posner BM, Jette AM, Smith KW, Miller DR (1993): Nutrition and health risk in the elderly: The Nutrition Screening Initiative. Am J Public Health 83: 972-978
  24. Schlenker ED (1998): Nutrition in aging, WCB/McGraw-Hill, Singapore
  25. Sherman AR (1992): Zinc, copper, and iron nutriture and immunity. J Nutr 122: 604-609
  26. Vellas B, Garry PJ, Guigoz Y (1997): Mini Nutritional Assessment (MNA): Research and practice in the elderly Nestle Nutrition Workshop Series Clinical & Performance Program Vol. 1. KARGER
  27. White JV, Ham RJ, Lipschitz DA, Dwyer JT, Wellman NS (1991): Consensus of the Nutrition Screening Initiative: Risk factors and indicators of poor nutritional status in older Americans. J Am Diet Assoc 91: 783-787
  28. White JV, Dwyer JT, Posner BM, Ham RJ, Lipschitz DA, Wellman NS (1992): Nutritional Screening Initiative: Development and implementation of the public awareness checklist and screening tools. J Am Diet Assoc 92 (2): 163-167
  29. Whitney EN, Rolfes SR (1993): Understanding nutrition 6th ed. West publishing company
  30. Wolinsky FD, Coe RM, Alex McIntosh WM, Kubena KS, Prendergast JM, Chavez MN, Miller DK, Romeis JC, Landmann WA (1990): Progress in the development of a nutritional risk index. J Nutr 120: 1549-1553
  31. Yim KS (1998): Analysis of the characteristics of an attendee in an elderly nutrition education program. Korean J Comm Nutr 3 (4): 609-621
  32. Yim KS (1999): Strategies to improve elderly nutrition: Comparisons of dietary behavior according to the mean adequacy ratio. Korean J Comm Nutr 4(1): 46-56
  33. Yoon JS, Lee JH, Park PS (2000): Zinc status and taste acuity of old and young women. Korean J Comm Nutr 5 (3): 484-492
  34. Zylstra RCE, Beerman K, Hillers V, Mitchell M (1995): Who's at risk in Washington State? Demographic characteristics affect nutritional risk behaviors in elderly meal patients. J Am Diet Assoc 95 (3): 358-360 https://doi.org/10.1016/S0002-8223(95)00092-5