DOI QR코드

DOI QR Code

독거노인과 가족동거노인의 가구형태가 혈압, 체질량지수, 간이영양평가점수 및 생화학적 지표에 미치는 영향

Effects of Household Type on Blood Pressure, Body Mass Index, Mini Nutritional Assessment Score, and Biochemical Indicators in Elderly Individuals Living Alone and with Families

  • 투고 : 2019.07.21
  • 심사 : 2019.08.22
  • 발행 : 2019.08.30

초록

Purpose: The purpose of this study was to identify the nutritional status of elderly individuals according to their household types and to investigate the predictors of their nutritional status. Methods: This study, which was a descriptive research study, involved physical measurements, surveys, and biochemical tests in 87 elderly individuals living in the community. Using SPSS/Win 24.0, logistic regression analysis was performed to identify the general characteristics, blood pressure, body mass index (BMI), mini nutritional assessment (MNA) score, and biochemical indicators in elderly individuals according to the household type. Results: Elderly individuals living with family members had higher MNA scores than those of elderly individuals living alone, while showing lower levels of systolic blood pressure and fasting blood sugar. The results of the logistic regression analysis showed that the risk factors were MNA scores (odds ratio (OR)=1.81, 95% confidence interval (CI)=1.36-2.42), systolic blood pressure (OR=0.96, 95% CI=0.92-1.00), and fasting blood glucose (OR=0.94, 95% CI=0.90-0.99). Conclusion: It was confirmed that elderly individuals living alone need differentiated nutrition intervention, since the results showed that they had lower nutritional levels and improper nutritional management than that in elderly individuals living with family members.

키워드

참고문헌

  1. Kim EJ, Lee SY. A study on the elderly's intention to use care services by family type. Family & Culture. 2010;22(2):1-30.
  2. Statistics Korea. Population and housing census [internet]. Daejeon: statistics Korea government official work conference; 2019[cited 2019 July 02]. Available from: http://www.index.go.kr/unify/idx-info.do?idxCd=4034
  3. Korea Institute for Health and Social Affairs. Cartographer 2014 a national survey on the living status and welfare needs of the aged 2014. Policy Report. Sejong City: Korea Institute for Health and Social Affairs, 2014. Report No.: 11-1352000-001426-12.
  4. Korea Institute for Health and Social Affairs. 2014 survey of living conditions and welfare needs of Korean older persons. Sejong City: Korea institute for health and social affairs, 2014.
  5. Jeong KH. The present situation and policy implications for the elderly in Korea. Sejong City: Korea Institute for Health and Social Affairs, 2015. Report No.: 300(2015-32).
  6. Ryu H, Lee MA. Eating alone and depressive symptoms of Korean older adults: examining differential effects by gender. Survey research. 2019;20(1):1-27. http://dx.doi.org/10.20997/SR.20.1.1
  7. Yates L, Warde A. Eating together and eating alone: meal arrangements in British households. The British Journal of Sociology. 2017;68(1):97-118. http://dx.doi.org/10.1111/1468-4446.12231
  8. Pirlich M, Lochs H. Nutrition in the elderly. Best Practice & Research Clinical Gastroenterology. 2001;15(6):869-84. https://doi.org/10.1053/bega.2001.0246
  9. Furman EF. Undernutrition in older adults across the continuum of care: nutritional assessment, barriers, and interventions. Journal of Gerontological Nursing. 2006; 32(1):22-7. https://doi.org/10.3928/0098-9134-20060101-11
  10. United Nations. World Population Ageing 2013. Department of economic and social affairs, Population Division. New York: United Nations, 2013. Report No.:ST/ESA/SER.A/348.
  11. Yang EJ. The analysis of geriatric nutritional risk index (GNRI) for nutritional assessment and health care in elderly women. Korean Journal of Nutrition. 2009;42(3):234-45. https://doi.org/10.4163/kjn.2009.42.3.234
  12. Gary R, Fleury J. Nutritional status: key to preventing functional decline in hospitalized older adults. Topics in Geriatric Rehabilitation. 2002;17(3):40-71. https://doi.org/10.1097/00013614-200203000-00006
  13. Yang EJ. New paradigm for dietary reference intakes: American/Canadian dieteary reference intakes (DRIs): eldery. Korean Journal of Nutrition. 2004;37(7):603-5.
  14. Kim YJ. Comparison of health habits, perceived stress, depression, and suicidal thinking by gender between elders living alone and those living with others. Journal of Korean Academy of Fundamentals of Nursing. 2009;16(3):333-344.
  15. Han SS, Kang SW, Jeong SH. Experiences of depressive symptom and suicidal thinking between the elderly living alone and the elderly couples. The Korean Journal of Health Service Management. 2012;6(3):29-38. https://doi.org/10.12811/kshsm.2012.6.3.029
  16. Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior research methods. 2009;41(4):1149-60. https://doi.org/10.3758/BRM.41.4.1149
  17. Korean Society for the Study of Obesity. Diagnosis and Evaluation of Obesity[internet]. Seoul: Korean Society for the Study of Obesity; 2019[cited 2019 August 13]. Available from: http://general.kosso.or.kr/html/?pmode=obesityDiagnosis
  18. Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, et al. The mini nutritional assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition. 1999;15(2):116-22. https://doi.org/10.1016/S0899-9007(98)00171-3
  19. Jung YM, Kim JH. Comparison of cognitive levels, nutritional status, depression in the elderly according to living situations. Journal of Korean Academy of Nursing. 2004;34(3):495-503. https://doi.org/10.4040/jkan.2004.34.3.495
  20. Kim HY, Kim MH, Hong SG, Hwang SJ, Park MH. A study on the nutrient intake, health risk factors, blood health status in elderly Korean women living alone. Korean Jornal of Community Nutrition. 2005;10(2):216-23.
  21. Kim CS, Jeong EK, Park J, Cho MH, Nam JS, Kim HJ, et al. Prevalence of diabetes mellitus (fasting plasma glucose by the ADA criteria) and impaired fasting glucose according to anthropometric characteristics and dietary habits: 1998 National Health and Nutrition Survey. Journal of Korean Diabetes Association. 2005;29(2):151-166.
  22. Kim DM, Kim KH. Food and nutrient intake status of Korean elderly by perceived anxiety and depressive condition: data from Korean national health and nutrition examination survey 2013-2015. Journal of Nutrition and Health. 2019;52(1):58-72. https://doi.org/10.4163/jnh.2019.52.1.58
  23. Kwon AR, Yoon YS, Min KP, Lee YK, Jeon JH. Eating alone and metabolic syndrome: A population-based Korean national health and nutrition examination survey 2013-2014. Obesity Research & Clinical Practice. 2018;12(2):146-57. doi: https://doi.org/10.1016/j.orcp.2017.09.002
  24. Chae W, Ju YJ, Shin J, Jang SI, Park EC. Association between eating behaviour and diet quality: eating alone vs. eating with others. Nutrition Journal. 2018;17(1):117. http://dx.doi.org/10.1186/s12937-018-0424-0
  25. Sok SH. A comparative study on physical health status, family support, and life satisfaction between the aged living alone and living with family. Journal of Korean Academy of Community Health Nursing. 2008;19(4):564-74.
  26. Yu SH, Kwon MK, Lee YH, Lim HJ, Lee JJ, Park JH, et al. Effects of eating behaviors on health-related parameters in elderly living in seongnam city (Korean longitudinal study on health and aging study). Journal of the Korean Geriatrics Society. 2008;12(3):138-45.
  27. Roberts HC, Lim SER, Cox NJ, Ibrahim K. The challenge of managing undernutrition in older people with frailty. Nutrients. 2019;11(4):808. http://dx.doi.org/10.3390/nu11040808
  28. Volkert D. Malnutrition in older adults - urgent need for action: a plea for improving the nutritional situation of older adults. Gerontology. 2013;59(4):328-33. http://dx.doi.org/10.1159/000346142
  29. Park YH, Suh EE. The risk of malinutrition, depression, and the perceived health status of older adults. Journal of Korean Academy of Nursing. 2007;37(6):941-8. https://doi.org/10.4040/jkan.2007.37.6.941