Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Food Intake and Bio-physiological indicators in Korean Rural Adults

농촌지역 일부 성인이 섭취한 식품과 관련된 생리적 지수

  • Published : 2009.12.31
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Abstract

Objectives: The objective of this study was to identify the association of food intake with bio-physiological indicators: blood pressure, body mass index (BMI), waist/hip ratio (WHR), cholesterol and urine sugar among rural people. Methods: The subjects were 890 inhabitants from 14 towns of G County in Honam province. Data were collected by interview and self-reported with structured questionnaires from April 6th to 30th 2005. Data were analyzed with the frequency, percentage, t-test, $x^2$-test, ANOVA, Scheffe test and ANCOVA using SPSS 12.0 program. Results: Pre-hypertensive and hypertensive group was 27.0%, overweight and obese 27.1%, more than 0.90 in WHR 42.0%, more than 201 mg/dl of cholesterol 23.9%, and positive urine sugar was 8.7% in general. Among eleven food groups, fruit intakes were more effective in normotensive group than in the others. Vegetables, liquors, and milk products were 0.90 WHR more effective than the others. Milk products and liquors in BMI, and grains, beans and seaweed in low cholesterol group were more effective than the others. Conclusions: Bio-physiological indicators are related significantly only with fruits, milk products, meats, cereal and liquors among eleven food categories. Further study on the relationship between food intake, physical activities, smoking, drinking and lifestyle with bio-physiological indicators are suggested.

본 연구는 농촌지역 성인의 주요 식품 섭취 빈도와 혈압, 비만도, 허리/둔부 둘레비, 콜레스테롤과의 관계를 분석하고자 G군 소재 890명(남성 438명, 여성 452명)명을 조사대상으로 식품섭취 빈도 및 생리적 지수에 대한 조사를 하였으며 그 결과는 다음과 같다. 본 연구대상자는 남자가 49.2%, 여자가 50.8% 이었고, 연령별로는 60세 이상이 39.7%이었다. 학력으로는 고졸 이상이 43.8%이었고, 결혼한 경우가 84.3%이었으며, 직업은 농업인 경우가 46.7% 이었다. 자신의 건강상태를 좋다고 인지한 경우는 31.9%이었고, 나쁘다고 인지한 경우는 21.9%이었다. 흡연자는 20.7%이었으며, 혈압상태는 고혈압전단계가 14.9%이었고, 고혈압인 경우가 12.1% 이었다. BMI는 25.0kg/$m^2$이상인 비만인 경우가 27.1%이었다. WHR은 남자인 경우는 0.90이상, 여자인 경우는 0.85이상으로 비만인 경우가 42.0%이었다. 콜레스테롤은 200mg/dl이하로 정상인 경우가 76.1%이었고, 201mg/dl를 넘는 경우가 23.9%이었다. 뇨당은 양성인 경우가 8.7%이었다. 연령을 보정하여 식품섭취 빈도와 생리적 지수와의 관계를 보면 혈압은 과일류(p=.003)를 자주섭취한 군이 혈압이 정상이었으며, BMI는 우유류(p=.045)를 자주 섭취한 군과 주류(p=.007)를 적게 섭취한 군이 BMI가 정상이었다. 허리/둔부 둘레비는 채소류(p=.046)와 우유류(p=.021)를 자주섭취한 군과 주류(p=.003)를 적게 섭취한 군이 정상이었고, 콜레스테롤은 곡류(p=.020), 두류(p=.039) 및 해조류(p=.007)를 자주 섭취한 군이 콜레스테롤 수치가 낮은 결과를 보였다. 이상의 연구결과를 종합하면 혈압은 과일류, BMI는 우유류와 주류, 허리/둔부 둘레비는 채소, 우유류 및 주류, 콜레스테롤은 곡류, 두류 및 해조류 섭취와 유의한 관련성을 보여 식생활 개선에 대한 인식을 높이고 개개인에게 맞춤식 건강 증진 사업을 전개해 나가는 것이 필요하다고 사료된다.

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