DOI QR코드

DOI QR Code

Factors Affecting Nutrition Quotient for Elderly (NQ-E) for the Elderly in Changwon City

창원시 노인의 영양지수에 영향을 미치는 요인

  • Seo, Eun Hee (Dept. of Food and Nutrition, Kyungnam University)
  • 서은희 (경남대학교 건강보건대학 식품영양학과)
  • Received : 2022.01.13
  • Accepted : 2022.03.07
  • Published : 2022.04.30

Abstract

The purpose of this study was to identify nutrition quotient for elderly (NQ-E) and to investigate factors affecting NQ-E of the elderly using welfare center and senior citizen's center in Changwon city. A self-administered questionnaire was conducted between June 2021 and early August 2021 for 320 elderly (≥65 years, male, n=52, female, n=268). As a result of the survey, the mean NQ-E score was 61.12, which was within the medium-high grade. The scores of balance, moderation, and dietary behavior factors were within the medium-high grade, while diversity factor was within the medium-low grade. According to the results of the Pearson's correlation coefficient analysis, NQ-E showed positive correlations with the 'with family' (p<0.01), 'education level' (p<0.01), 'health functional foods consumption' (p<0.01), 'monthly household income' (p<0.05), 'nutrition education experience' (p<0.05), 'reading nutrition labeling of health functional foods' (p<0.01), 'perception of the efficacy of health functional foods' (p<0.01), and 'the number of times of leisure activities per week' (p<0.01) and negative correlations with the 'gender' (p<0.05), 'age' (p<0.01), 'smoking' (p<0.05), and 'social frailty' (p<0.01). As a result of multiple regression analysis, 'gender' (p<0.05), 'perception of the efficacy of health functional foods' (p<0.05), 'the number of times of leisure activities per week' (p<0.05), and 'social frailty' (p<0.05) were found to be factors affecting NQ-E. Based on the results of this study, customized services by characteristic, nutrition education, and counseling for the elderly should be implemented and the development of various programs and continuous support of the community are necessary so that the elderly can carry out social exchange.

Keywords

Acknowledgement

이 연구결과물은 2020학년도 경남대학교 학술진흥연구비 지원에 의한 것임.

References

  1. Bansal HS, Voyer PA. 2000. Word-of-mouth processes within a services purchase decision context. J Serv Res 3:166-177 https://doi.org/10.1177/109467050032005
  2. Choi YJ. 2018. A study of perceived health status, nutrition knowledge, dietary habits as related to quality of life in elderly people of Donghae-si to suggest the direction of nutrition education for elderly. J Learn Cent Curric Instr 18:1-26
  3. Chung MJ, Kwak TK, Kim HY, Kang MH, Lee JS, Chung HR, Kwon SH, Hwang JY, Choi YS. 2018. Development of NQ-E, nutrition quotient for Korean elderly: Item selection and validation of factor structure. J Nutr Health 51:87-102 https://doi.org/10.4163/jnh.2018.51.1.87
  4. Chun H. 2018. Nutritional assessment and proper management of malnutrition in elderly patients. Korean J Clin Geri 19:72-80 https://doi.org/10.15656/kjcg.2018.19.2.72
  5. Erdem T, Swait J. 2004. Brand credibility, brand consideration, and choice. J Consum Res 31:191-198 https://doi.org/10.1086/383434
  6. Food Safety Korea. 2020. Health functional food information. Available from https://www.foodsafetykorea.go.kr/main.do [cited 12 June 2021]
  7. Gham M, Um M, Kye S. 2019. 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 34:474-485
  8. Ham SW, Kim KH. 2020. Evaluation of the dietary quality and nutritional status of elderly people using the nutrition quotient for elderly (NQ-E) in Seoul. J Nutr Health 53:68-82 https://doi.org/10.4163/jnh.2020.53.1.68
  9. Han G. 2020. Evaluation of chronic disease and nutritional intake by obesity of Korean elderly: Data from Korea National Health and Nutrition Examination Survey 2016~2018. Korean J Food Nutr 33:428-439 https://doi.org/10.9799/KSFAN.2020.33.4.428
  10. Jung YH. 2012. The life expectancy and health-adjusted life expectancy of Koreans. Health Welfare Policy Forum 193:5-18
  11. Kang JS, Kim OH. 2010. A study on the senior employment promotion project that has an influence in the mental health of participants. J Welfare Aged 48:279-298
  12. Kim CO. 2018. Co-occurrence of chronic diseases and geriatric syndrome. Korean J Clin Geri 19:23-26 https://doi.org/10.15656/kjcg.2018.19.1.23
  13. Kim D, Arai H. 2015. Social frailty. Korean J Clin Geri 16:44-49 https://doi.org/10.15656/kjcg.2015.16.2.44
  14. Kim D, Kwon S, Han K, Ji I. 2021. Analysis of consumers' characteristic factors affecting the intake of health functional food. Korean J Food Mark Econ 38:23-42 https://doi.org/10.47085/KJFME.38.1.2
  15. Kim DH, Min SH. 2020. A study on the dietary status among elderly residents in senior citizen's center using nutrition quotient for elderly. Korean J Food Cookery Sci 36:382-391 https://doi.org/10.9724/kfcs.2020.36.4.382
  16. Kim HK, Kim HJ. 2018. The effect of elderly preference and merit perception of functional foods on purchase intention: focused on consumption behavior and package attributions of fruit and vegetable beverage. J Outdoor Advert Res 15:31-58
  17. Kim HR. 2013. Nutrition transition and shiting diet linked noncommunicable diseases and policy issues. Health Welfare Policy Forum 198:27-37
  18. Kim KW, Hur JS. 2019. A study on factor influencing the nutrition quotient for elderly (NQ-E) of elderly living alone. J Korean Gerontol Soc 39:741-762 https://doi.org/10.31888/JKGS.2019.39.4.741
  19. Kim MS, Kim SK, Kim SH, Lee YH, Oh KJ. 2018. The nutrition quotient for elderly (NQ-E) and nutritional status of community-dwelling older adults in Gochang area. 2018 Winter Conference of Korean Association of Human Ecology Daejeon
  20. Kim YE, Heo YR. 2021. Nutritional status according to the frailty status of the elderly at home in Seo-gu, Gwangju, Korea. Korean J Community Nutr 26:382-395 https://doi.org/10.5720/kjcn.2021.26.5.382
  21. Kim YS. 2014. The study of the impact of the family type on the health promoting behavior and physical and mental health of elderly people. Health Soc Welfare Rev 34:400-429 https://doi.org/10.15709/hswr.2014.34.3.400
  22. Korea Health Promotion Institute. 2021. Comprehensive National Health Promotion Plan 2010: 2nd Comprehensive Plan for the Promotion of National Health (2006-2010). Available from https://www.khealth.or.kr/board?menuId=MENU00727&siteId=null [cited 22 December 2021]
  23. Korean Society for the Study of Obesity. 2020. Diagnosis and evaluation of obesity. Available from http://general.kosso.or.kr/html/?pmode=obesityDiagnosis [cited 20 August 2021]
  24. Korean Statistical Information Service [KOSIS]. 2020. Life expectancy by health level. Available from https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B46&vw_cd=MT_ZTITLE&list_id=F_29&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=MT_ZTITLE&path=%252FstatisticsList%252FstatisticsListIndex.do [cited 13 June2021]
  25. Korean Statistical Information Service [KOSIS]. 2022. The ratio of the elderly population. Available from https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1YL20631 [cited 8 February 2022]
  26. Lee MH, Na WR, Ju WH, Sohn CM. 2018. Evaluation of nutrition education efficacy using the nutrition quotient for elderly (NQ-E): By the elderly welfare facility users in Iksan area. 2018 Winter Conference of Korean Association of Human Ecology Daejeon
  27. Ministry of Health and Welfare. 2020a. Survey on the elderly. http://www.mohw.go.kr/react/search/search.jsp [cited 10 May 2021]
  28. Ministry of Health and Welfare. 2020b. 2020 Health and welfare statistical year book. http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=361682 [cited 16 August 2021]
  29. Nam E, Lee JE. 2019. 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. J Korean Acad Soc Home Care Nurs 26:210-218
  30. National Health Insurance Service [NHIS]. 2021. 2020 Statistical Yearbook of Health Insurance. Available from https://www.nhis.or.kr/nhis/together/wbhaea01600m01.do?mode=view&articleNo=10812342&article.offset=0&articleLimit=10 [cited 15 December 2021]
  31. Na W, Kim J, Kim H, Lee Y, Sohn C, Jang DJ. 2021. The relationship between nutrition status and risk of frailty in cognitive impaired elderly in daycare center (DC center). J Korean Soc Food Sci Nutr 50:88-94 https://doi.org/10.3746/jkfn.2021.50.1.88
  32. 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 24:309-320 https://doi.org/10.5720/kjcn.2019.24.4.309
  33. Oh SI, Kwak CS, Yon M, Lee MS. 2014. A study on the blood health status and nutrient intake in elderly women dwelling in longevity region in Jeonla province according to family arrangement. Korean J Food Nutr 27:940-955 https://doi.org/10.9799/KSFAN.2014.27.5.940
  34. Oh SI, Lee MS. 2019. A study on the health status and nutrient intake in elderly dwelling in rural area of Jeollabuk-do. Korean J Food Nutr 32:189-201 https://doi.org/10.9799/KSFAN.2019.32.3.189
  35. Park H, Jang IY, Lee HY, Jung HW, Lee E, Kim DH. 2019. Screening value of social frailty and its association with physical frailty and disability in community-dwelling older Koreans: Aging study of Pyeong Chang rural area. Int J Environ Res Public Health 16:2809 https://doi.org/10.3390/ijerph16162809
  36. Shin S, Hwang E. 2017. Gender differences in the cognitive function and nutritional status in older age: A representative nationwide data of Korean elders. J Korean Public Health Nurs 31:209-219 https://doi.org/10.5932/JKPHN.2017.31.2.209
  37. Statistics Korea. 2020a. Elderly statistics. Available from https://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=385322 [cited 30 November 2021]
  38. Statistics Korea. 2020b. Life expectancy (0-year-old life expectancy) and life expectancy excluding prevalence period (health life expectancy). Available from http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2758 [cited 12 May 2021]
  39. Tsutsumimoto K, Doi T, Makizako H, Hotta R, Nakakubo S, Makino K, Suzuki T, Shimada H. 2017. Association of social frailty with both cognitive and physical deficits among older people. J Am Med Dir Assoc 18:603-607 https://doi.org/10.1016/j.jamda.2017.02.004
  40. WHO Commission on Social Determinants of Health [WHO CSDH]. 2008. Closing the gap in a generation: Health equity through action on the social determinants of health. World Health Organization. Final Report of the Commission on Social Determinants of Health
  41. Yang S, Choi JS. 2021. Impact of social activities on healthy life expectancy in Korean older adults: 13-year survival analysis focusing on gender comparison. Korea Gerontol Soc 41:547-566 https://doi.org/10.31888/JKGS.2021.41.4.547
  42. Yi NY, Choi JH. 2019. Nutritional risk of the elderly receiving a home-delivered meal service program and the factors for nutritional risk. Korean J Community Nutr 24:197-207 https://doi.org/10.5720/kjcn.2019.24.3.197