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The Relationship between Dietary Behaviors/health Risk Factors and Preference for Salty Taste among Korean Elderly People Living in Rural Areas

농촌지역 노인의 짠맛 기호도와 식습관 및 건강 위험인자와의 관계

  • Lee, Mee Sook (Department of Food and Nutrition, Hannam University)
  • 이미숙 (한남대학교 식품영양학과)
  • Received : 2014.09.26
  • Accepted : 2014.10.25
  • Published : 2014.10.30

Abstract

Objectives: Increasing salt preferences with age are said to increase preferences of salty foods, thereby leading to greater sodium consumption, which has further implication for hypertension. This study examined the link between preference of salty taste and dietary factors and health-related risk factors in Korean elderly people. Methods: We studied 312 elderly individuals aged > 65 years (male, 100 and female, 212). With each subject, pleasant concentration of NaCl was estimated using the sip-and-spit method. Dietary habits, food preferences, consumption frequencies, anthropometric and biochemical assessment were assessed. Results: The pleasant salt concentration was significantly increased in individuals older than 75 years (p < 0.05). Subjects who liked high concentration of salt showed significantly higher preferences for salty foods (p < 0.001). Results showed significant effects (p < 0.01) of fruit & fruit juice consumption frequencies, MNA (mini-nutritional assessment), cognition score, BMI, body fat %, waist circumference, arm circumference, calf circumference, vitamin D level that subjects who likes low salty taste were higher than subjects who likes high salty taste. Conclusions: The preference for salty taste in the elderly was not correlated with hypertension. But, increased preference for salty taste with age and increased salty food preferences may result in higher sodium consumption. Therefore, nutritional education regarding lowering salt preference and favorable behaviors of low-salt diet is needed to improve the quality of life in the rural elderly.

Keywords

References

  1. Bartoshuk LM (1988): Clinical psychophysics of taste. Gerodontics 4(5): 249-255
  2. Blais CA, Pangborn RM, Borhani NO, Ferrell MF, Prineas RJ, Laing B (1986): Effect of dietary sodium restriction on taste responses to sodium chloride: a longitudinal study. Am J Clin Nutr 44(2): 232-243 https://doi.org/10.1093/ajcn/44.2.232
  3. Brown JE (2010): Mini nutritional assessment. In: Brown JE et al., eds. Nutrition through the life cycle. 4th ed. Wadsworth, pp.466
  4. Chang SO (2010): Effect of 6-month low sodium diet on the salt taste perception and pleasantness, blood pressure and urinary sodium excretion in female college students. Korean J Nutr 43(5): 433-442 https://doi.org/10.4163/kjn.2010.43.5.433
  5. Choi MJ, Jo HJ (1996): Effect of sodium chloride supplementation on bone metabolism in rats consuming a low calcium diet. Korean J Nutr 29(10): 1096-1104
  6. Choi-Kwon S, Kim JS (1998): Lifestyle factors and risk of stroke in Seoul, South Korea. J Stroke Cerebrovasc Dis 7(6): 414-420 https://doi.org/10.1016/S1052-3057(98)80125-0
  7. Chung EJ, Shim EG (2008): Salt-related dietary behaviors and sodium intakes of university students in Gyeonggi-do. J Korean Soc Food Sci Nutr 37(5): 578-588 https://doi.org/10.3746/jkfn.2008.37.5.578
  8. Dahl LK (2005): Possible role of salt intake in the development of essential hypertention. Int J Epidemiol 34(5): 967-972 https://doi.org/10.1093/ije/dyh317
  9. De Souza JT, Matsubara LS, Menani JV, Matsubara BB, Johnson AK, De Gobbi JIF (2012): Higher salt preference in heart failure patients. Appetite 58(1): 418-423 https://doi.org/10.1016/j.appet.2011.09.021
  10. Durack E, Alonso-Gomez M, Wilkinson MG (2008): Salt: a review of its role in food science and public health. Curr Nutr Food Sci 4(4): 290-297 https://doi.org/10.2174/157340108786263702
  11. Haddy FJ (2006): Role of dietary salt in hypertension. Life Sci 79(17): 1585-1592 https://doi.org/10.1016/j.lfs.2006.05.017
  12. He FJ, Markandu ND, Sagnella GA, de Wardener HE, MacGregor GA (2005): Plasma sodium: ignored and underestimated. Hypertention 45(1): 98-102 https://doi.org/10.1161/01.HYP.0000149431.79450.a2
  13. Intersalt Cooperative Research Group (1988): Intersalt: an international study of electrolyte excretion and blood pressure, Results for 24 hour urinary sodium and potassium excretion. BMJ 297(6644): 319-328 https://doi.org/10.1136/bmj.297.6644.319
  14. Jang YR, Chiriboga DA, Kim GY (2006): Acculturation and manifestation of depressive symptoms among Korean American older adults. Korean J Res Geront 15(1): 51-73
  15. Jhoo JH, Kim KW, Lee DY, Youn JC, Lee TJ, Choo IH, Ko HJ, Seo EH, Woo JI (2005): Comparison of the performance in two different Korean versions of Mini-Mental State Examination: MMSE-KC and K-MMSE. J Korean Neuropsychiatr Assoc 44(1): 98-104
  16. Jung EJ, Kwon JS, Ahn SH, Son SM (2013): Blood pressure, sodium intake and dietary behavior changes by session attendance on salt reduction education program for pre-hypertensive adults in a public health center. Korean J Community Nutr 18(6): 626-643 https://doi.org/10.5720/kjcn.2013.18.6.626
  17. Kawano Y (2012): Salt, hypertention, and cardiovascular diseases. J Korean Soc Hypertens 18(2): 53-62 https://doi.org/10.5646/jksh.2012.18.2.53
  18. Kim DW, Lee MS, Na BJ, Hong JY (2013): Health-related dietary behaviors and lifestyle factors associated with sodium hyperinjestion in Korean adults. J Korea Acad Industr Coop Soc 14(7): 3326-3337 https://doi.org/10.5762/KAIS.2013.14.7.3326
  19. Kim GH, Lee HM (2009): Frequent consumption of certain fast foods may be associated with an enhanced preference for salt taste. J Hum Nutr Diet 22(5): 475-480 https://doi.org/10.1111/j.1365-277X.2009.00984.x
  20. Kim HH, Jung YY, Lee YK (2012): A comparison salty taste assessments and dietary attitudes and dietary behaviors associated with high-salt diets in four regions in Korea. Korean J Community Nutr 17(1): 38-48 https://doi.org/10.5720/kjcn.2012.17.1.38
  21. Kim HH, Shin EK, Lee HJ, Lee NH, Chun BY, Ann MY, Lee YK (2009): Evaluation of the effectiveness of a salt reduction program for employees. Korean J Nutr 42(4): 350-357 https://doi.org/10.4163/kjn.2009.42.4.350
  22. Kim JH, Choi MK (2007): Salt intake behavior and blood pressure: the effect of taste sensitivity and preference. Korean J Human Ecology 16(4): 837-848 https://doi.org/10.5934/KJHE.2007.16.4.837
  23. Kim KS, Paik HY (1992): A comparative study on optimum gustation of salt and sodium intake in young and middle-aged Korean women. Korean J Nutr 25(1): 32-41
  24. Kim MK, Han JI, Chung YJ (2011): Dietary behavior related to salty food intake of adults living in a rural area according to saline sensitivity. Korean J Nutr 44(6): 537-550 https://doi.org/10.4163/kjn.2011.44.6.537
  25. Kim MK, Kim K, Shin MH, Shin DH, Lee YH, Chun BY, Choi BY (2014): The relationship of dietary sodium, potassium, fruits, and vegetables intake with blood pressure among Korean adults aged 40 and older. Nutr Res Pract 8(4): 453-462 https://doi.org/10.4162/nrp.2014.8.4.453
  26. Korea Health Statistics (2013): Ministry of Health Welfare & Korea Centers for Disease Control and Prevention: Korea National Health and Nutrition Examination Survey (KNHANES V-3) 2012
  27. Kwon YC, Park JH (1989): Korean version of Mini-Mental State Examination (MMSE-K) Part I: Development of the test for the elderly. J Korean Neuropsychiatr Assoc 28(1): 125-135
  28. Lee HS (1997): Studies on salt intake through eat-out foods in Andong area. Korean J Soc Food Sci 13(3): 314-318
  29. Lee MS (2010): Taste perceptions of middle-aged and elderly people living in rural areas: relationships among threshold, taste preference and physical activity. Korean J Community Nutr 15(5): 670-678
  30. Lee MS (2013): Association between preferences of salty food and acuity and preferences of taste of the elderly people living in rural area. Korean J Community Nutr 18(3): 223-232 https://doi.org/10.5720/kjcn.2013.18.3.223
  31. Lee MS, Kim SA (2003): The influence of health-related habits on nutrient intake and food frequency of middle-aged subjects in Seoul. Korean J Community Nutr 8(5): 699-707
  32. Lee MS, Woo MK (2001): A study on the factors influencing food consumption by food frequency questionnaire for the middle aged and elderly in the Chonju area. Korean J Community Nutr 6(5): 789-797
  33. Lee YH, Kim HK, Kwon GH (2010): Compliance with a low-salt diet, sodium intake, and preferred salty taste in the hypertensive elderly. J Korean Public Health Nurs 24(2): 311-322
  34. Leshem M (2009): Biobehavior of the human love of salt. Neurosci Biobehav Rev 33(1): 1-17 https://doi.org/10.1016/j.neubiorev.2008.07.007
  35. Lucas L, Riddell L, Liem G, Whitelock S, Keast R (2011): The influence of sodium on liking and consumption of salty food. J Food Sci 76(1): S72-S76 https://doi.org/10.1111/j.1750-3841.2010.01939.x
  36. Ministry of Food and Drug Safety (2012): Sodium Reduction Campaign Headquarters. Available from http://www.foodnara.go.kr/Na_down/index.jsp [cited September 12, 2014]
  37. Mizushima S, Tsuchida K, Yamori Y (1999): Preventive nutritional factors in epidemiology: interaction between sodium and calcium. Clin Exp Pharmacol Physiol 26(7): 573-575 https://doi.org/10.1046/j.1440-1681.1999.03083.x
  38. Moon HK, Choi SO, Kim JE (2009): Dishes contributing to sodium intake of elderly living in rural areas. Korean J Community Nutr 14(1): 123-136
  39. Murphy C, Withee J (1986): Age-related differences in the pleasantness of chemosensory stimuli. Psychol Aging 1(4): 312-318 https://doi.org/10.1037/0882-7974.1.4.312
  40. Nam HS, Kim KY, Kwon IS, Koh KW, Poul Kind (2007): EQ-5D Korean valuation study using time trade-off method. Korea Centers for Disease Control and Prevention (KCDC), Seoul. Available from http://www.cdc.go.kr/ [cited November 21, 2012]
  41. Nordin S, Razani LJ, Markison S, Murphy C (2003): Age-associated increases in intensity discrimination for taste. Exp Aging Res 29(3): 371-381 https://doi.org/10.1080/03610730303719
  42. Pangborn RM, Pecore SD (1982): Taste perception of sodium chloride in relation to dietary intake of salt. Am J Clin Nutr 35(3): 510-520 https://doi.org/10.1093/ajcn/35.3.510
  43. Rolfes SR, Pinna K, Whitney E (2009): Understanding normal and clinical Nutrition. 8th ed. Wadsworth, Belmont, CA, pp.856-859
  44. Ronksley PE, Brien SE, Turner BJ, Mukamal KJ, Ghali WA (2011): Association of alcohol consumption with selected cardiovascular disease outcomes: a systematic review and meta-analysis. BMJ 342: d671 https://doi.org/10.1136/bmj.d671
  45. Schiffman SS, Gatlin CA (1993): Clinical physiology of taste and smell. Annu Rev Nutr 13: 405-436 https://doi.org/10.1146/annurev.nu.13.070193.002201
  46. Shin EK, Lee HJ, Ahn MY, Lee YK (2008a): Study on the development and evaluation of validity of salty taste assessment tool. Korean J Nutr 41(2): 184-191
  47. Shin EK, Lee HJ, Jun SY, Park EJ, Jung YY, Ahn MY, Lee YK (2008b): Development and evaluation of nutrition education program for sodium reduction in foodservice operations. Korean J Community Nutr 13(2): 216-227
  48. Son MK (2011): Association between alcohol consumption and hypertension. J Korean Soc Hypertens 17(2): 65-73 https://doi.org/10.5646/jksh.2011.17.2.65
  49. Stevens JC, Cruz LA, Hoffman JM, Patterson MQ (1995): Taste sensitivity and aging: high incidence of decline revealed by repeated threshold measures. Chem Senses 20(4): 451-459 https://doi.org/10.1093/chemse/20.4.451
  50. Sung SJ, Jung DG, Lee WK, Kim YJ, Lee HS (2009): Life style and eating behavior of stroke patients in Daegu and Gyeongbuk province, Korea. J Korean Soc Food Sci Nutr 38(3): 319-332 https://doi.org/10.3746/jkfn.2009.38.3.319
  51. Teucher B, Dainty JR, Spinks CA, Majsak-Newman G, Berry DJ, Hoogewerff JA, Foxall RJ, Jakobsen J, Cashman KD, Flynn A, Fairweather-Tait SJ (2008): Sodium and bone health: impact of moderately high and low salt intakes on calcium metabolism in postmenopausal women. J Bone Miner Res 23(9): 1477-1485 https://doi.org/10.1359/jbmr.080408
  52. The EuroQoL group (1990): EuroQoL - a new facility for the measurement of health-related quality of life. Health Pol 16(3): 199-208 https://doi.org/10.1016/0168-8510(90)90421-9
  53. Ueshima H, Sekikawa A, Miura K, Turin TC, Takashima N, Kita Y, Watanabe M, Kadota A, Okuda N, Kadowaki T, Nakamura Y, Okamura T (2008): Cardiovascular disease and risk factors in Asia: a selected review. Circulation 118(25): 2702-2709 https://doi.org/10.1161/CIRCULATIONAHA.108.790048
  54. Yang WG, Chen CB, Wang ZX, Liu YP, Wen XY, Zhang SF, Sun TW (2011): A case-control study on the relationship between salt intake and salty taste and risk of gastric cancer. World J Gastroenterol 17(15): 2049-2053 https://doi.org/10.3748/wjg.v17.i15.2049
  55. Yon M, Lee MS, Oh SI, Park SC, Kwak CS (2010): Assessment of food consumption, dietary diversity and dietary pattern during the summer in middle aged adults and older adults living in Gugoksoondam longevity area, Korea. Korean J Community Nutr 15(4): 536-549

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