Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Nutritional Status according to the Frailty Status of the Elderly at Home in Seo-gu, Gwangju, Korea

광주광역시 서구 재가노인의 노쇠정도에 따른 영양상태

  • Kim, Ye Eun (Department of Food and Nutrition, Chonnam National University) ;
  • Heo, Young-Ran (Division of Food and Nutrition, Research Institute for Human Ecology, Chonnam National University)
  • 김예은 (전남대학교 대학원 식품영양학과) ;
  • 허영란 (전남대학교 식품영양과학부 및 생활과학연구소)
  • Received : 2021.10.01
  • Accepted : 2021.10.26
  • Published : 2021.10.31
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Abstract

Objectives: This study examined the nutritional status according to frailty status in the elderly at home. Methods: The participants were a total of 76 elderly at home living in Seo-gu, Gwangju, Korea. The nutritional status and frailty status were analyzed using the Nutrition Quotient for Elderly (NQ-E) and the Korean version of the Fatigue, Resistance, Ambulation, Illnesses and Loss of weight Scale (K-FRAIL), respectively. Results: The distribution of frailty status was robust (17.1%), pre-frailty (38.2%) and frailty (44.7%), and its distribution was significantly different in genders, age groups and the number of medications. The mean NQ-E score was 47.0 for total subjects, indicating a low grade. The scores of balance, diversity and dietary behavior factors were within the low grade, while the score of the moderation factor was within the medium-high grade. According to the frailty status, pre-frailty and frailty showed significantly higher scores for sugar-added beverages intake in the moderation constructs than robust. Robust showed significantly higher scores for the exercise hours and perception level for one's health than pre-frailty and frailty. Conclusions: These results suggest that nutrition status is associated with frailty status. Regular nutrition education and visiting nutrition service should be established to improve the balance and diversity of food intake and improve the dietary behavior of the elderly at home.

Keywords

Acknowledgement

본 연구의 수행과정에서 자료 수집에 도움을 주신 광주광역시 서구청 통합돌봄과에 진심으로 감사드립니다.

References

  1. Statistics Korea. Prospective statistics of Korean population 2017-2067 [Internet]. Statistics Korea; 2019 [cited 2021 Mar 24]. Available from: http://www.kostat.go.kr.
  2. Korea Institute for Health and Social Affairs. In June, the initiative for integrated care for local communities begins [Internet]. 2019 [updated 2019 Jun 3; cited 2021 Mar 31]. Available from: http://www.mohw.go.kr/.
  3. Ministry of Government Legislation. Welfare of senior citizens act [internet]. Ministry of Government Legislation. 2020 [updated 2020 Dec 29]. Available from: https://www.law.go.kr/lsSc.do?menuId=1&subMenuId=15&tabMenuId=81&query=%EB%85%B8%EC%9D%B8%EB%B3%B5%EC%A7%80%EB%B2%95#undefined.
  4. Kim JH, Chon YH, Chang HJ. A study on the food security for low-income older adults: A case study on meals on wheels project in Seoul. J Korean Geriatr Soc 2020; 40(4): 617-638.
  5. Na WR, Kim JY, Kim HJ, Lee YJ, Sohn CM, Jang DJ. The relationship between nutrition status and risk of frailty in cognitive impaired elderly in Daycare Center (DC Center). J Korean Soc Food Sci Nutr 2021; 50(1): 88-94. https://doi.org/10.3746/jkfn.2021.50.1.88
  6. Won CW. Evaluation and management of frailty. J Korean Med Assoc 2017; 60(4): 314-320. https://doi.org/10.5124/jkma.2017.60.4.314
  7. Korean Academy of Medical Sciences. E-NEWSLETTER No.94, New Trend & New wave, recent advances of frailty [Internet]. Korean Academy of Medical Sciences. 2018 [updated 2018 May 25; cited 2021 Apr 14]. Available from: kams.or.kr/webzine/18vol94/index.php?main_num=6.
  8. Strawbridge WJ, Shema SJ, Balfour JL, Higby HR, Kaplan GA. Antecedents of frailty over three decades in an older cohort. J Gerontol B Psychol Sci Soc Sci 1998; 53(1): S9-S16.
  9. Hwang HS, Kwon IS, Park BJ, Cho BI, Yoon JL, Won CW. The validity and reliability of Korean frailty index. J Korean Geriatr Soc 2010; 14(4): 203-211. https://doi.org/10.4235/jkgs.2010.14.4.203
  10. Lee SH, Park KS. Association between nutritional status, sarcopenia, and frailty in rural elders. J Agric Med Community Health 2021; 46(1): 23-31. https://doi.org/10.5393/JAMCH.2021.46.1.023
  11. Jung Y, Bea JE, Song ES, Kim NS. Frailty and health care utilization among community-dwelling older adults. J Korean Gerontol Soc 2018; 38(4): 837-851. https://doi.org/10.31888/JKGS.2018.38.4.837
  12. Kang YH, Kim MY, Lee EZ. The relationship of perceived health status, activities of daily living and nutrition status in the community-dwelling Korean elderly. J Korean Acad Nurs 2008; 38(1): 122-130. https://doi.org/10.4040/jkan.2008.38.1.122
  13. Lee SE, Lee EZ. Effects of nutrition related on mortality risk among community-residing older adults in Korea. J Digit Converg 2018; 16(10): 343-350. https://doi.org/10.14400/JDC.2018.16.10.343
  14. Yi NY, Choi JH. Nutritional risk of the elderly receiving a home-delivered meal service program and the factors for nutritional risk. Korean J Community Nutr 2019; 24(3): 197-207. https://doi.org/10.5720/kjcn.2019.24.3.197
  15. Jung KH, Kang EN, Kim KR, Oh YH, Oh MA, Lee YK et al. 2017 National Survey of Older Koreans. Ministry of Health and Welfare; 2017 Nov. Report No. 2017-53.
  16. Oh NG, Seo JS. Health and nutrition status of elderly people with multimorbidity: A Korea National Health and Nutrition Examination Survey (2013~2015). Korean J Community Nutr 2020; 25(6): 502-511. https://doi.org/10.5720/kjcn.2020.25.6.502
  17. Cho HL, Chang HJ, Kim JH. Evaluation of nutritional status among the vulnerable elderly: Focused on the recipients of meals-on-wheels. J Korean Soc Food Sci Nutr 2020; 49(5): 521-530. https://doi.org/10.3746/jkfn.2020.49.5.521
  18. Chung EJ, Shim EG. Comparison of health status and nutrient intakes of elders who participated in MOW and free congregate meal services. J Korean Soc Food Sci Nutr 2007; 36(11): 1399-1408. https://doi.org/10.3746/JKFN.2007.36.11.1399
  19. Chung MJ, Kwak TK, Kim HY, Kang MH, Lee JS, Chung HR et al. Development of NQ-E, Nutrition Quotient for Korean elderly: Item selection and validation of factor structure. J Nutr Health 2018; 51(1): 87-102. https://doi.org/10.4163/jnh.2018.51.1.87
  20. Gham MJ, Um MH, Kye SH. Evaluation of dietary quality and nutritional status based on Nutrition Quotient and health functional food intake in the Korea elderly. J Korean Soc Food Cult 2019; 34(4): 474-485.
  21. Kim KW, Hur JS. A study on factor influencing the Nutrition Quotient for Elderly (NQ-E) of elderly living alone. J Korean Gerontol Soc 2019; 39(4): 741-762. https://doi.org/10.31888/JKGS.2019.39.4.741
  22. Kim DH, Min SH. A study on the dietary status among elderly residents in senior citizen's center using Nutrition Quotient for elderly. Korean J Food Cook Sci 2020; 36(4): 382-391. https://doi.org/10.9724/kfcs.2020.36.4.382
  23. Ham SW, Kim KH. Evaluation of the dietary quality and nutritional status of elderly people using the Nutrition Quotient for Elderly (NQ-E) in Seoul. J Nutr Health 2020; 53(1): 68-82. https://doi.org/10.4163/jnh.2020.53.1.68
  24. Korea Institute for Health and Social Affairs. In June, the initiative for integrated care for local communities begins [Internet]. 2020 [updated 2020 Jun 11; cited 2021 Mar 31]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=349637.
  25. Jung HW, Yoo HJ, Park SY, Kim SW, Choi JY, Yoon SJ et al. The Korean version of the FRAIL scale: Clinical feasibility and validity of assessing the frailty status of Korean elderly. Korean J Intern Med 2016; 31(3): 594-600. https://doi.org/10.3904/kjim.2014.331
  26. Lee SH, Park KS. Association between nutritional status, sarcopenia, and frailty in rural elders. J Agric Med Community Health 2021; 46(1): 23-31. https://doi.org/10.5393/JAMCH.2021.46.1.023
  27. Kim KH, Yoon HJ. Factors that affect the frailty of the elderly people over 70-Year-old in a local community. J Korea Adad Ind Coop Soc 2017; 18(2): 313-323.
  28. Kang EN, Lee YK, Lim JM, Joo BH, Bae HW. 2019 Long-Term Care Status Survey. Ministry of Health and Welfare; 2019 Dec. Report NO. 2019-32.
  29. Yang NR, Kim KR. Qualitative study on the perception of community food-accessibility environment among urban older adults. Korean J Community Nutr 2020; 25(2): 137-149. https://doi.org/10.5720/kjcn.2020.25.2.137
  30. O'Connell ML, Coppinger TR, McCarthy AL. The role of nutrition and physical activity in frailty: A review. Clin Nutr ESPEN 2020; 35: 1-11. https://doi.org/10.1016/j.clnesp.2019.11.003
  31. Kim HJ, Na WR, Sohn CM. The effects of socioeconomic, psychological, and health behavior factors of the elderly on Frailty: Mediating subjective health status and multimorbidity. Korean J Human Ecol 2021; 30(3): 429-440. https://doi.org/10.5934/kjhe.2021.30.3.429
  32. Jang W, Ryu HK. Association of low hand grip strength with protein intake in Korean female elderly: Based on the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII), 2016-2018. Korean J Community Nutr 2020; 25(3): 226-235. https://doi.org/10.5720/kjcn.2020.25.3.226