DOI QR코드

DOI QR Code

Health-related quality of life according to breakfast in elderly

노인의 아침식사에 따른 건강관련 삶의 질

  • Kim, Ji-Yeon (Department of Nursing, Suwon woman's University)
  • 김지연 (수원여자대학교 간호학과)
  • Received : 2015.05.18
  • Accepted : 2015.07.16
  • Published : 2015.07.31

Abstract

This study was conducted to determine the correlation between breakfast consumption and health-related quality of life in elderly adults. It analyzed the data from the National Health and Nutrition Examination Survey from 2010 to 2012, using a sample of 4,035 people aged 65 or above. Analysis followed the SAS SURVEY procedure, considering the complex sample design. A t-test, a chi-square test, and logistic regression analysis were performed using SAS version 9.3. The rate of skipping breakfast by elderly adults was 4.7%, and it was higher in women and elderly adults living alone. It also significantly differed by drinking status and BMI. Elderly adults consuming breakfast had slightly higher scores on the health-related quality of life measure than those who did not (0.85 vs 0.81). Results revealed that health-related quality of life increased with meal frequency, and that elderly adults who ate breakfast tended to score better on the pain/discomfort and anxiety/depression domains of the health-related quality of life measure. It was found that breakfast consumption associated with health-related quality of life in elderly adults. Accordingly, it is necessary to increase awareness among elderly adults regarding the importance of breakfast, and to improve their health-related quality of life by developing and implementing interventions to improve dietary habits.

본 연구는 노인의 아침식사와 건강관련 삶의 질의 관련성을 파악하기 위해 시행되었다. 2010년부터 2012년까지 국민건강영양조사 자료를 분석하였으며 65세 이상 4035명의 자료를 분석하였고 SAS 9.3 version을 이용하여 복합표본설계를 고려한 SAS SURVEY procedure로 t-test, 카이스퀘어, 로지스틱회귀분석으로 분석하였다. 노인의 아침 결식률은 4.7%였고 여성, 혼자 사는 노인에게서 아침결식률이 높았으며 음주, BMI에서 유의한 차이를 보였다. 아침식사를 하는 노인의 건강관련 삶의 질은 0.85, 아침을 결식하는 노인의 건강관련 삶의 질은 0.81이었다. 식사의 횟수가 증가할수록 건강관련 삶의 질은 높은 것으로 나타났고 아침식사를 하는 노인들이 건강관련 삶의 질 중 통증/불편감, 불안/우울 영역에서 삶의 질이 높은 것으로 나타났다. 아침식사는 노인의 건강관련 삶의 질과 관련이 있는 것으로 나타나 노인을 대상으로 아침식사의 중요성에 대한 인식과 개선이 필요하며 식습관을 개선하기 위한 프로그램 개발과 적용을 통한 건강관련 삶의 질 향상을 도모해야 한다.

Keywords

References

  1. http://www.kostat.go.kr
  2. M. S. Yoon, "The study on the relationship of psychosocial factors, problem drinking on quality of life for the elderly in urban and runal areas", Journal of Welfare for Aged, Vol. 38, pp. 281-309, 2007.
  3. M. W. Jo, S. I. LEE, "General population time Trade-off values for 42 EQ-5D health state in South Korea", Journal of Preventive Medicine and Public Health, Vol. 40, No. 2, pp. 169-176, 2007. DOI: http://dx.doi.org/10.3961/jpmph.2007.40.2.169
  4. Christopher JL Murray, Majid Ezzati, Abraham D Flaxman, Stephen Lim, Rafael Lozano, Catherine Michaud, Mohsen Naghavi, Joshua A Salomon, Kenji Shibuya, Theo Vos & Alan D Lopez, "GBD 2010: a multi-investigator collaboration for global comparative descriptive epidemiology", The LANCET, Vol. 380, pp. 2055-2058, 2012. DOI: http://dx.doi.org/10.1016/S0140-6736(12)62134-5
  5. S. J. Ahn, S. A. Kang, "A study on the food habits and dietary behaviors among the Korean elderly", Journal of Korean society Food and Cookery Science, Vol. 15, No. 1, pp. 18-24, 1999.
  6. Eleni Amarantos, Andrea Martinez & Johanna Dwyer, "Nutrition and quality of life in older adults", Journal of Gerontology, Vol. 56, No. 2, pp. 54-64, 2001. DOI: http://dx.doi.org/10.1093/gerona/56.suppl_2.54
  7. Barr JT, Schumacher GE, "The need for a nutrition related quality of life measure", Journal of American Dietetic Association, Vol. 103, No. 2, pp. 177-180, 2003. DOI: http://dx.doi.org/10.1053/jada.2003.50058
  8. Laura I Valias, Susan A Nitzke, Marion Becker & John Gast, "Risk Indicators for Malnutrition are Associated Inversely with Quality of Life for Participants in Meal Programs for Older Adults", Journal of American Dietetic Association, Vol. 98, No. 5, pp. 548-553, 1998. DOI: http://dx.doi.org/10.1016/S0002-8223(98)00123-0
  9. Kuczmarski MF, Weddle DO, "Position paper of the American Dietetic Association: nutrition across the spectrum of aging", Journal of American Dietetic Association, Vol. 105, No. 4, pp. 616-633, 2005. DOI: http://dx.doi.org/10.1016/j.jada.2005.02.026
  10. Dossey, B. M, Keegan L & Guzzetta. C, "Holistic nursing: A handbook for practice (4rd ed)", Sudbury MA: Jones & Bartlett Publishers, pp. 141-151, 2005.
  11. Y. H. Kim, "Factors influencing the health-related quality of life by age among vulnerable elderly woman", Journal of the Korea Academia-Industrial cooperation Society, Vol. 14, No. 3, pp. 1342-1349, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.3.1342
  12. M. R. Kim, "The study of comparing the factors of affecting on the quality of life for young-old women and old-old women", Korean Journal of Social Welfare, Vol. 58, No. 2, pp. 197-222, 2006.
  13. K. R. Shin, Y. S. Byeon, Y, Kang & J. Oak, "A study on physical symptom, activity of daily living and health related quality of life in the community-dwelling older adults", Journal of Korean Academy of Nursing, Vol. 38, No. 3, pp. 437-444, 2008. DOI: http://dx.doi.org/10.4040/jkan.2008.38.3.437
  14. Third Korea National Health and Nutrition Examination Survey, 2005.
  15. Fourth Korea National Health and Nutrition Examination Survey, 2007-2009.
  16. C-J Huang, H-T Hu, Y-C Fan, Y-M Liao & P-S Tsai, "Associations of breakfast skipping with obesity and health-related quality of life: evidence from a national survey in Taiwan", International Journal of Obesity, Vol. 34, pp. 720-725, 2010. DOI: http://dx.doi.org/10.1038/ijo.2009.285
  17. Yunsheng Ma, Elizabeth R. Bertone, Edward J. Stanek , George W. Reed,James R. Hebert, Nancy L, Cohen. Philip A, Merriam & Ira S. Ockene, "Association between Eating Patterns and Obesity in a Free-living US Adult Population", American Journal of Epidemiology, Vol. 158, No. 1, pp. 85-92, 2003. DOI: http://dx.doi.org/10.1093/aje/kwg117
  18. Kylie J Smith, Seana L Gall, Sarah A McNaughton, Leigh Blizzard, Terence Dwyer & Alison J Venn, "Skipping breakfast: longitudinal associations with cardiometabolic risk factors in the Childhood Determinants of Adult Health Study", Journal of American Society for Nutrition, Vol. 92, No. 6, pp. 1316-1325, 2010.
  19. W. O. Song, O. K. Chun, Obayashi S, S. Cho & Chung CE, "Is consumption of breakfast associated with body mass index in US adults?", Journal of American Dietetic Association, Vol. 105, No. 9, pp. 1373-1382, 2005. DOI: http://dx.doi.org/10.1016/j.jada.2005.06.002
  20. S. H. Lee, J. S. Shim, J. Y. Kim & H. A. Moon, "The Effect of Breakfast Regularity on Eating Habits, Nutritional and Health Status in Adults", Journal of Nutrition and Health, Vol. 29, No. 5, pp. 533-546, 1996.
  21. S. S. Cho, Marion Dietrich, Coralie J.P. Brown MPH, Celeste A. Clark MS & Gladys Block, "The Effect of Breakfast Type on Total Daily Energy Intake and Body Mass Index: Results from the Third National Health and Nutrition Examination Survey (NHANES III)", Journal of the American College of Nutrition, Vol. 22, No. 4, pp. 296-302, 2003. DOI: http://dx.doi.org/10.1080/07315724.2003.10719307
  22. Amber A. W. A. van der Heijden, Frank B. Hu, Eric B. Rimm & Rob M. van Dam, "Prospective study of breakfast consumption and weight gain among U.S. men", Journal of Obesity Society, Vol. 15, No. 10, pp. 2463-2469, 2007. DOI: http://dx.doi.org/10.1038/oby.2007.292
  23. Menecier. P, Girard. A, Bernard. B, Menicier-Ossia. L, Pellissier-Plattier. S, Afifi. A, Ploton. L, "Acute alcoholic intoxication in subjects over 75 years of age: a clinical situation far to be uncommon", Psychologie & Neuropsychiatrie du Vieillissement, Vol. 6, No. 2, pp. 129-135, 2008. https://doi.org/10.1684/pnv.2008.0128
  24. Lise Dubois, Manon Girard, Monique Potvin Kent, Anna Farmer & Fabiola Tatone-Tokuda, "Breakfast skipping is associated with differences in meal patterns, macronutrient intakes and overweight among pre-school children", Public Health Nutrition, Vol. 12, No. 1, pp. 19-28, 2008. DOI: http://dx.doi.org/10.1017/S1368980008001894
  25. Caroline R. Mahoneya, Holly A. Taylora, Robin B. Kanareka & Priscilla Samuelb, "Effect of breakfast composition on cognitive processes in elementary school children", Physiology & Behavior, Vol. 85. No. 5, pp. 635-645, 2005. DOI: http://dx.doi.org/10.1016/j.physbeh.2005.06.023
  26. Edefonti, Valeria Rosato, Valentina Parpinel, Maria Nebbia, Gabriella Fiorica, Lorenzo Fossali, Emilio Ferraroni, Monica Decarli, Adriano Agostoni & Carlo, "The effect of breakfast composition and energy contribution on cognitive and academic performance: a systematic review", American Journal Clinical Nutrition, Vol. 100, No. 2, pp. 626-656, 2014. https://doi.org/10.3945/ajcn.114.083683
  27. Cara S. DeJong, Frank J. van Lenthe, Klazine van der Horst & Anke Oenema, "Environmental and cognitive correlates of adolescent breakfast consumption", Preventive Medicine, Vol. 48, No. 4, pp. 372-377, 2009. DOI: http://dx.doi.org/10.1016/j.ypmed.2009.02.009
  28. Maureen T. Timlin, Mark A. Pereir, "Breakfast frequency and quality in the etiology of adult obesity and chronic disease", Nutrition Reviews, Vol. 65, No. 6, pp. 268-281, 2007. DOI: http://dx.doi.org/10.1111/j.1753-4887.2007.tb00304.x
  29. Andrew smith, "Breakfast consumption and intelligence in elderly persons", Psychological Reports, Vol. 82, No. 2, pp. 424-426, 1998. DOI: http://dx.doi.org/10.2466/pr0.1998.82.2.424
  30. Rania A Mekary, Edward Giovannucci, Leah Cahill, Walter C Willett, Rob M van Dam & Frank B Hu, "Eating patterns and type 2 diabetes risk in older women: breakfast consumption and eating frequency", The American Journal of Clinical Nutrition, Vol. 98, No. 2, pp. 436-443, 2013. DOI: http://dx.doi.org/10.3945/ajcn.112.057521
  31. Health Promotion Master Plan-Health Plan 2010, Department of Health and Human Services, 2005.
  32. S. S. Seong, C. B. Choi, Y. K. Sung, Y. W. Park, H. S. Lee, W. S. Uhm, T. W. Kim, J. B. Jun, D. H. Yoo & O. Y. Lee, "Health related quality of life using EQ-5D in Koreans". Journal of Rheumatis Association, Vol. 11, No. 3, pp. 254-262, 2004.
  33. Kerstin Gustafsson, Birgitta Sidenvall, "Food-related health perceptions and food habits among older women", Journal of Advanced Nursing, Vol. 39, No. 2, pp. 164-173, 2002. DOI: http://dx.doi.org/10.1046/j.1365-2648.2002.02256.x
  34. Kee-Lee Chou, Iris Chi, "Comparison Between Elderly Chinese Living Alone and Those Living with Others", Journal of Gerontological Social Work, Vol. 33, No. 4, pp. 51-66, 2000. DOI: http://dx.doi.org/10.1300/J083v33n04_05
  35. A Keski-Rahkonen, J Kaprio, A Rissanen, M Virkkunen & RJ Rose, "Breakfast skipping and health-compromising behaviors in adolescents and adults", European Journal of Clinical Nutrition, Vol. 57, pp. 842-853, 2003. DOI: http://dx.doi.org/10.1038/sj.ejcn.1601618
  36. Deshmukh-Taskar P.R, T.A. Nicklas, C.E. O Neil, D.R. Keast J.D. Radiffe & S. Cho, "The relationship of breakfast skipping and type of breakfast consumption with nutrient intake and weight status in children and adolescents. The National Health and Nutrition Examination Survey 1999-2006", Journal of The American Dietetic Association, Vol. 110, No. 6, pp. 869-878, 2010. DOI: http://dx.doi.org/10.1016/j.jada.2010.03.023
  37. Housova. J, M. Matoulek, S. Slaba, S. Vavrejnova & B. Ricova. "Comparisin of low energy breakfast based on special egg white spread product with a standard breakfast", Prague Medical Report, Vol. 109, No. 2, pp. 127-133, 2008.
  38. McArdle WD, Katch FI, Katch, VL, "Sports & Exercise Nutrition", Lippincott Williams & Wilkins, 2009.
  39. Fifth Korea National Health and Nutrition Examination Survey, 2010-2012.
  40. Elizabeth A. Gollub, Dian O. Weddle, "Improvements in nutritional intake and quality of life among frail homebound older adults receiving home-delivered breakfast and lunch", American Dietetic Association, Vol. 104, No. 8, pp. 1227-1235, 2004. DOI: http://dx.doi.org/10.1016/j.jada.2004.05.204
  41. Y. J. Na, Y. H. Choi, "Health related quality of life and its related factors in urban elderly women", Journal of the Korea Academia-Industrial cooperation Society, Vol. 15, No. 12, pp. 7224-7230, 2014. DOI: http://dx.doi.org/10.5762/KAIS.2014.15.12.7224
  42. Weddle D, Gollub EA, Stacey S, Wellman N, "Morning Meals on Wheels pilot program: The benefits to elderly Nutrition Program participants and nutrition project final report". 2003. ww.f/iu.edu/-nutreldr/Center_Initiatives/Morning_meals_on_wheels/report/finalreport/pdf.

Cited by

  1. Comparison of Health Behaviors, Disease Prevalence between One-person women and Multiple households women in Korea vol.30, pp.3, 2016, https://doi.org/10.5932/JKPHN.2016.30.3.483