Journal of Nutrition and Health

  • 제56권2호
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  • Pages.155-167
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  • 2023
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  • 2288-3886(pISSN)
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  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
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한국 노인의 성별에 따른 수산물 섭취 수준과 노쇠 위험성의 상관성 연구: 제 7기 (2016-2018) 국민건강영양조사 자료를 이용하여

Association between seafood intake and frailty according to gender in Korean elderly: data procured from the Seventh (2016-2018) Korea National Health and Nutrition Examination Survey

  • 장원 (이화여자대학교 식품영양학과) ;
  • 최예지 (이화여자대학교 임상바이오헬스대학원 임상영양학전공) ;
  • 조정희 (한국해양수산개발원 수산연구본부) ;
  • 이동림 (한국해양수산개발원 수산연구본부) ;
  • 김양하 (이화여자대학교 식품영양학과)
  • Won Jang (Department of Nutritional Science and Food Management, Ewha Womans University) ;
  • Yeji Choi (Department of Clinical Nutrition, Ewha Graduate School of Converging Clinical & Public Health) ;
  • Jung Hee Cho (Fisheries Policy Research Division, Korea Maritime Institute) ;
  • Donglim Lee (Fisheries Policy Research Division, Korea Maritime Institute) ;
  • Yangha Kim (Department of Nutritional Science and Food Management, Ewha Womans University)
  • 투고 : 2023.01.05
  • 심사 : 2023.03.02
  • 발행 : 2023.04.30
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초록

본 연구는 제7기 (2016-2018년) 국민건강영양조사 자료를 활용하여 만65세 이상 노인 3,675명(남성 1,643명, 여성 2,302명)의 수산물 섭취 수준에 따른 에너지 및 미량 영양소와 식품 섭취의 차이를 분석하고 수산물 섭취와 노쇠의 연관성을 분석하고자 하였다. 노쇠 여부는 Fried 진단 기준을 활용하여 평가되었으며 노쇠 유병률은 남성은 13.4%, 여성은 29.7%로 분류되었다. 남녀 노인 모두 수산물 하위 1삼분위에서 상위 3삼분위로 갈수록 총 식품 섭취량, 곡류 및 채소과일류의 섭취가 유의적으로 많았던 반면 육류의 섭취는 유의적으로 낮아지는 음의 경향성을 보였다. 남녀 모두에서 수산물 섭취량이 많은 군일수록 에너지섭취량이 많았으며 여성 노인의 경우 수산물 섭취량이 많을수록 지방으로부터 섭취하는 에너지 비율이 높았다. 수산식품군의 섭취 수준에 따른 낮은 노쇠 위험도의 유의적인 경향성은 여성 노인에서만 나타났다. 여성 노인 수산물 섭취 하위 1삼분위군에 비해 상위 3삼분위군이 전노쇠 위험 (OR, 0.64; 95% CI, 0.42-0.96; p-trend = 0.045)과 노쇠 위험 (OR, 0.52; 95% CI, 0.32-0.83; p-trend = 0.008)이 유의하게 낮았다. 결론적으로 본 연구에서는 여성의 경우 수산물의 충분한 섭취가 낮은 노쇠 위험과 관련성이 있음을 제시하였다.

Purpose: This study investigates the association between seafood consumption and frailty according to gender in the Korean elderly. Methods: Cross-sectional data from the Seventh (2016-2018) Korea National Health and Nutrition Examination Survey was procured for this study. Data from 3,675 subjects (1,643 men and 2,032 women) aged ≥ 65 years were analyzed. Levels of seafood intake were assessed by a one-day 24-hour dietary recall, and subjects were classified into three tertiles by gender according to frailty phenotype: robust, pre-frail, and frail. Multinomial logistic regression analysis was performed to clarify the association between seafood consumption and frailty for each gender. Results: The prevalence of frailty was determined as 13.4% for men and 29.7% for women. Participants with a higher seafood intake had higher intakes of grains, fruits, and vegetables, while the intake of meat was significantly lower. In both men and women, the group with higher seafood intake showed higher energy and micronutrient intakes. The frail prevalence and frailty score were significantly low in the highest tertiles of seafood consumption compared to the lowest tertile in men and women (p < 0.001). After adjusting for confounder, the highest tertile of seafood consumption showed a decreased risk of frailty compared to the lowest tertile only in women (hazard ratio [HR], 0.50; 95% confidence interval [CI], 0.32-0.78; p-trend = 0.008 vs. HR, 0.52; 95% CI, 0.32-0.83; p-trend = 0.008; respectively). Conclusion: Results of this study suggest that seafood consumption potentially decreases the risk of frailty in the elderly.

키워드

과제정보

This research was supported by Academic-research Cooperation Program of the Korea Maritime Institute (KMI) (No. 2022-0053-1002).

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