대한영양사협회학술지 (Journal of the Korean Dietetic Association)

  • 제27권3호
  • /
  • Pages.133-148
  • /
  • 2021
  • /
  • 1225-9861(pISSN)
  • /
  • 2383-966X(eISSN)
대한영양사협회 (The Korean Dietetic Association)
권호 표지
DOI QR코드

DOI QR Code

한국 독거노인의 식사패턴에 따른 식사의 질 평가: 2016-2018 국민건강영양조사 자료를 이용하여

Evaluation of Diet Quality Determined by Dietary Patterns of Elderly Koreans Living Alone: Data Retrieved from the 2016-2018 Korea National Health and Nutrition Examination Survey

  • Yoon, Yeojin (Dept. of Food Science & Nutrition, Myongji University) ;
  • Lee, Youngmi (Dept. of Food Science & Nutrition, Myongji University) ;
  • Song, Kyounghee (Dept. of Food Science & Nutrition, Myongji University) ;
  • Lee, Yujin (Dept. of Food Science & Nutrition, Myongji University)
  • 투고 : 2021.05.06
  • 심사 : 2021.07.14
  • 발행 : 2021.08.02
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

This study was undertaken to identify dietary patterns of Korean elderly people living alone, and to compare the quality of diet consumed. Data of 821 elderly people aged 65 years or older who were living alone, was obtained from the 2016~2018 National Health and Nutrition Survey. The percentage energy intake from 24 food groups was calculated, and a cluster analysis was applied to identify dietary patterns. General characteristics, energy and nutrient intake, nutrient adequacy ratio (NAR), mean adequacy ratio (MAR), and index of nutritional quality (INQ) were analyzed. Dietary variety score (DVS) and dietary diversity score (DDS) were subsequently calculated. The rice-centered diet group and mixed diet group were characterized as consuming higher intake of rice and a wider variety of food groups, respectively. The mean age and percentage of participants living in rural areas were higher, whereas education level and monthly income were lower, in the rice-centered diet group (P<0.001 for all). Intakes of energy and all other nutrients (except carbohydrate and thiamine) were lower in the rice-centered diet group (P<0.001 for all). The NAR for all nutrients (except thiamine), MAR, and INQs (except thiamine and iron) were significantly lower in the rice-centered diet group (P<0.001 for all). The rice-centered diet group had significantly lower DVS (P<0.001) and DDS (P<0.001), as compared with the mixed diet group (P<0.001). Due to the insufficient energy and nutrient intake in the rice-centered diet group, it is necessary to develop nutritional monitoring and customized nutrition policies for these individuals.

키워드

참고문헌

  1. Bae YJ (2016): Evaluation of dietary intake in Korean adults according to energy intake from eating-out: based on 2013-2014 Korea National Health and Nutrition Examination Survey. J Nutr Health 49(6):482-494 https://doi.org/10.4163/jnh.2016.49.6.482
  2. Chae IS, Yang IS, Lee HY, Park MK (2000): Evaluation of home-delivered meals service program for home-bound elderly with low income class. J Korean Diet Assoc 6(2):57-70
  3. Choi D, Lee Y, Park H, Song K, Hwang J (2021): Dietary quality of lunches in senior leisure service facilities in South Korea: analysis of data from the 2013-2017 Korea National Health and Nutrition Examination Survey. Nutr Res Pract 15(2):266-277 https://doi.org/10.4162/nrp.2021.15.2.266
  4. Choi MK, Kang MH, Kim MH (2016): Diet and health status of elderly women according to the family type. Korean J Community Nutr 21(3):256-264 https://doi.org/10.5720/kjcn.2016.21.3.256
  5. Choi SB, Kwak JH, Chung HK, Kang HJ, Paik JK (2020): Comparison of nutrient intake and metabolic syndrome between single person households and non-single person households in elderly subjects - from the Sixth Korea National Health and Nutrition Examination Survey (KNHANES, 2013-2015). Korean J Food Nutr 33(3):322-330 https://doi.org/10.9799/KSFAN.2020.33.3.322
  6. Han G, Yang E (2018): Evaluation of dietary habit and nutritional intake of Korean elderly: data from Korea National Health and Nutrition Examination Survey 2013-2015. J East Asian Soc Diet Life 28(4):258-271 https://doi.org/10.17495/easdl.2018.8.28.4.258
  7. Jung HY, Yang IS, Lee HY, Chae IS (2003): Analyzing the current congregate meal service program for homebound elderly. Korean J Community Nutr 8(6):919-926
  8. Kang M, Joung H, Lim JH, Lee YS, Song YJ (2011): Secular trend in dietary patterns in a Korean adult population, using the 1998, 2001, and 2005 Korean National Health and Nutrition Examination Survey. Korean J Nutr 44(2):152-161 https://doi.org/10.4163/kjn.2011.44.2.152
  9. Kang Y, Kim M, Lee E (2008): The relationship of perceived health status, activities of daily living and nutrition status in the community-dwelling Korean elderly. J Korean Acad Nurs 38(1):122-130 https://doi.org/10.4040/jkan.2008.38.1.122
  10. Kant AK, Block G, Schatzkin A, Ziegler RG, Nestle M (1991): Dietary diversity in the US population, NHANES II, 1976-1980. J Am Diet Assoc 91(12):1526-1531 https://doi.org/10.1016/S0002-8223(21)01428-0
  11. Kim EM, Choi MK (2013): An analysis of food consumption patterns of the elderly from the Korea National Health and Nutrition Examination Survey (KNHANES V-1). J Korean Soc Food Sci Nutr 42(5):818-827 https://doi.org/10.3746/JKFN.2013.42.5.818
  12. Kim HS, Jung GH, Jang DM, Kim SH, Lee BK (2005): Increased calcium intake through milk consumption and bone mineral density of elderly women living in Asan. J Korean Diet Assoc 11(2):242-250
  13. Kim IS, Yu HH, Kim YS (2001): A study on nutrient intake, food behavior and health conditions according to food intake diversity in the elderly in a local city. Korean J Community Nutr 6(2):205-217
  14. Kim J, Yu A, Choi BY, Nam JH, Kim MK, Oh DH, Yang YJ (2015): Dietary patterns derived by cluster analysis are associated with cognitive function among Korean older adults. Nutrients 7(6):4154-4169 https://doi.org/10.3390/nu7064154
  15. Kim JG (2011): The impact of family type on health behavior of elderly people. J Welf Aged 51:35-56
  16. Kim K, Hong SA, Kim MK (2008): Nutritional status and food insufficiency of Korean population through the life-course by education level based on 2005 National Health and Nutrition Survey. Korean J Nutr 41(7):667-681
  17. Kim MH, Lee JC, Bae YJ (2009): The evaluation study on eating behavior and dietary quality of elderly people residing in Samcheok according to age group. Korean J Community Nutr 14(5):495-508
  18. Kim OS, Ryu HS (2009): The study on blood lipid levels according to the food habits and food intake patterns in Korean elderly. Korean J Food Nutr 22(3):421-429
  19. Kim YK, Lee HO, Chang R, Choue R (2002): A study on the food habits, nutrient intake and the disease distribution in the elderly (aged over 65 years)(I). Korean J Community Nutr 7(4):516-526
  20. Koo S, Park K (2013): Dietary behaviors and lifestyle characteristics related to frequent eating out among Korean adults. J Korean Soc Food Sci Nutr 42(5):705-712 https://doi.org/10.3746/JKFN.2013.42.5.705
  21. Kushida O, Moon JS, Matsumoto D, Yamasaki N, Takatori K (2020): Eating alone at each meal and associated health status among community-dwelling Japanese elderly living with others: a cross-sectional analysis of the KAGUYA study. Nutrients 12(9):2805 https://doi.org/10.3390/nu12092805
  22. Lee JK, Kim JH (2013): A study on the needs of the elderly living alone in Seoul. Seoul Stud 14(3):191-211
  23. Lee YJ, Kwon MK, Baek HJ, Lee SS (2015): Comparative analysis of food intake according to the family type of elderly women in Seoul area. J Nutr Health 48(3):277-288 https://doi.org/10.4163/jnh.2015.48.3.277
  24. Lee YN, Lee HJ, Lee HS, Jang YA, Kim CI (2006): Nutrition status and improvement plan for elderly living alone. Proceedings of the KSCN Conference. The Korean Society of Community Nutrition. Seoul. pp.401-411
  25. Lim YJ, Choi YS (2008): Dietary behaviors and seasonal diversity of food intakes of elderly women living alone as compared to those living with family in Gyeongbuk rural area. Korean J Community Nutr 13(5):620-629
  26. Lim YS, Cho KJ, Nam HJ, Lee KH, Park H (2000): A comparative study of nutrient intakes and factors to influence on nutrient intake between low-income elderly living in urban and rural areas. J Korean Soc Food Sci Nutr 29(2):257-267
  27. Ministry of Health and Welfare (2019): Guide to the elderly care service in 2020. Ministry of Health and Welfare. Sejong. pp.154, 157.
  28. Oh JH, Jung BM (2019): Comparison analysis of dietary behavior and nutrient intakes of the elderly according to their family status: the Korea National Health and Nutrition Examination Survey 2013-2016. Korean J Community Nutr 24(4):309-320 https://doi.org/10.5720/kjcn.2019.24.4.309
  29. Ohara Y, Motokawa K, Watanabe Y, Shirobe M, Inagaki H, Motohashi Y, Edahiro A, Hirano H, Kitamura A, Awata S, Shinkai S (2020): Association of eating alone with oral frailty among community-dwelling older adults in Japan. Arch Gerontol Geriatr 87:104014 https://doi.org/10.1016/j.archger.2020.104014
  30. Park JK, Son SM (2003): The dietary behaviors, depression rates and nutrient intakes of the elderly females living alone. Korean J Community Nutr 8(5):716-725
  31. Park MS, Suh YS, Chung YJ (2014): Comparison of chronic disease risk by dietary carbohydrate energy ratio in Korean elderly: using the 2007-2009 Korea National Health and Nutrition Examination Survey. J Nutr Health 47(4):247-257 https://doi.org/10.4163/jnh.2014.47.4.247
  32. Sakurai R, Kawai H, Suzuki H, Kim H, Watanabe Y, Hirano H, Ihara K, Obuchi S, Fujiwara Y (2021): Association of eating alone with depression among older adults living alone: role of poor social networks. J Epidemiol 31(4): 297-300 https://doi.org/10.2188/jea.JE20190217
  33. Schunemann HJ, Sperati F, Barba M, Santesso N, Melegari C, Akl EA, Guyatt G, Muti P (2010): An instrument to assess quality of life in relation to nutrition: item generation, item reduction and initial validation. Health Qual Life Outcomes 8:26 https://doi.org/10.1186/1477-7525-8-26
  34. Son SM, Park YJ, Koo JO, Lee YN, Yoon HY (1997): Nutritional and health status of Korean elderly from low-income, urban area and improving effect of meal service on nutritional and health status - V. The effect of meal service for one year on nutritional and health status. Korean J Community Nutr 2(1):63-73
  35. Song YJ, Paik HY, Joung H (2009): A comparison of cluster and factor analysis to derive dietary patterns in Korean adults using data from the 2005 Korea National Health and Nutrition Examination Survey. Korean J Community Nutr 14(6):722-733
  36. Statistics Korea (2019a). Household projections(2000-2047). Available from: http://kostat.go.kr/. Accessed September 18, 2019
  37. Statistics Korea (2019b). Population census for Korea(1960- 2067). Available from: http://kostat.go.kr/. Accessed March 28, 2019
  38. Statistics Korea (2020). Ratio of elderly household living alone. Available from: http://kostat.go.kr/. Accessed August 31, 2020
  39. Statistics Korea (2021). Ratio of elderly living alone. Available from: http://www.index.go.kr. Accessed January 8, 2021
  40. The Korean Nutrition Society (2015): Dietary reference intakes for Koreans 2015. Ministry of Health and Welfare. Sejong. pp.10-15
  41. Yi YH, Kim YJ, Cho DY (2014): Family type and health behaviors in elderly: Korean National Health and Nutrition Examination Survey (KNHANES), 2010-2012. Korean J Health Serv Manag 8(4):199-207 https://doi.org/10.12811/kshsm.2014.8.4.199
  42. You KS, Park HS (2003): Comparison of health status between senior people living alone and those who live with their families. J Korea Gerontol Soc 23(4):163-179