Journal of Korean Home Economics Education Association (한국가정과교육학회지)

Korea Home Economics Education Association (한국가정과교육학회)
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The Study of Muscle Strength and Dietary Quality of the Korean Elderly: Based on the 2014-2018 Korea National Health and Nutrition Examination Survey

한국 노인의 근력과 식사의 질에 대한 연구: 2014-2018년 국민건강영양조사 자료를 이용하여

  • Kim, Jin-A (Traditional Temple Food Institute) ;
  • Lee, Sim-Yeol (Department of Home Economics Education, Dongguk University_Seoul)
  • 김진아 (전통사찰음식연구소) ;
  • 이심열 (동국대학교_서울 가정교육과)
  • Received : 2022.03.26
  • Accepted : 2022.04.04
  • Published : 2022.03.31
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Abstract

This study evaluated the dietary habits and dietary quality of the Korean elderly according to muscle strength status. This study was conducted on the elderly aged over 65 years who participated in the 2014-2018 Korea National Health and Nutrition Examination Survey. Subjects were classified into the normal muscle strength group(n=2,000) and the low muscle strength group(n=1,273) according to the handgrip strength. There was a significant difference in general characteristics, diet habits, and health behavior according to the muscle strength status. The normal muscle strength group had a higher total score of KHEI and a subtotal score of 「adequacy」 items. But there was not significant difference in the 「moderation」 items. For the 「balance of energy intake」 items, the normal muscle strength group had a higher subtotal score than the low muscle strength group only in among women. The prevalence of low muscle strength decreased in the highest quartile of the adjusted KHEI total score(p for trend=0.08). As a result of this study, it was found that KHEI was significantly associated with muscle strength. This study result can be used to provide dietary guidelines for the improvement of muscle strength in the elderly based on each item of KHEI and sex.

본 연구에서는 우리나라 65세 이상 노인을 대상으로 근력정상군과 저하군으로 분류하여 식행동 및 식사의 질과 근력 간의 관련성을 비교 분석하였다. 근력저하군은 근력정상군에 비해 학력수준과 소득수준, 취업자 비율이 낮고, 혼자서 거주하는 비율이 높았다. 근력저하군은 정상군에 비해 상대적으로 식이보충제 섭취율과 영양표시 인식율이 낮으며, 활동의 제한율이 높고, 신체활동율이 낮았다. KHEI를 이용하여 식사의 질을 비교한 결과 남녀 모두 근력정상군이 근력저하군에 비해 KHEI 총점이 높았다. 영역별로 「적정성」 영역총점은 근력정상군에서 근력저하군보다 높은 점수를 보인 반면, 「절제」 영역에서는 군별 차이가 없었고, 「에너지 섭취의 균형」 영역총점은 여성의 경우에만 근력정상군의 점수가 근력저하군보다 높아 성별 차이를 보였다. 또한 KHEI 점수가 높을수록 근감소증 발생위험률이 감소하였다. 따라서 본 연구는 노년기의 올바른 식생활 관리와 근력 감소 예방을 위한 영양교육의 기초자료를 마련하는데 유용한 정보로 활용될 수 있을 것으로 기대된다.

Keywords

Acknowledgement

이 논문은 2022년도 동국대학교 연구년 지원에 의하여 이루어졌음.

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