Journal of the Korean Society of Food Culture (한국식생활문화학회지)

Korean Society of Food Culture (한국식생활문화학회)
권호 표지
DOI QR코드

DOI QR Code

Qualitative Study on the Related Factors of the Food Security and Food Variety in Yangpyeong-gun Elderly

양평지역 노인의 식품보장 및 식품다양성에 미치는 요인에 관한 질적연구

  • Woo Kyoun Cho (Department of Food & Nutrition, Gachon University) ;
  • Jae Young Lee (Department of Clinical Nutrition, Graduate School of Professional Therapy, Gachon University) ;
  • Hee Jung Park (Department of Foodservice management and Nutrition, Sangmyung University)
  • 조우균 (가천대학교 식품영양학과) ;
  • 이재영 (가천대학교 특수치료대학원 임상영양학과) ;
  • 박희정 (상명대학교 식품영양학전공)
  • Received : 2023.09.15
  • Accepted : 2023.10.26
  • Published : 2023.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study was a qualitative investigation into the food security and food variety among the rural elderly. For the qualitative data collection, nineteen elderly people who lived in Yangpyeong-gun were interviewed individually. Food security and variety was evaluated based on accessibility and affordability. The participants seemed to have difficulty preparing their own meals and eating with their families or others. The frequency of vegetable intake was found to be high, as vegetables were available through cultivation. However, in terms of diversity, the intake of meat and milk, which are sources of protein and calcium, was found to be significantly low. This has to do with very poor physical accessibility. A lack of nutrition education was identified as the biggest reason for not following dietary therapy despite having a pre-existing disease condition. Therefore, for the elderly in Yangpyeong-gun, it is suggested that a basic nutrition policy for food supply that can increase their actual intake is more essential than education on cooking and nutrients. Moreover, periodic nutrition education or a regular counseling system for dietary therapy through local public health centers may help improve the health of the elderly.

Keywords

Acknowledgement

본 연구 설문조사에 도움을 주신 경기도 양평군 지역 어르신들께 깊은 감사의 말씀을 드립니다.

References

  1. Alhasan DM, Riley NM, Jackson Ii WB, Jackson CL. 2023. Food insecurity and sleep health by race/ethnicity in the United States. J. Nutr. Sci., 18(12):e59
  2. Anderson SA. 1990. Core indicators of nutritional state for difficult-to-sample populations. J. Nutr., 120 Suppl 11:1555-1600 https://doi.org/10.1093/jn/120.suppl_11.1555
  3. Besora-Moreno M, Llaurado E, Tarro L, Sola R. 2020. Social and economic factors and malnutrition or the risk of malnutrition in the elderly: a systematic review and meta-analysis of observational studies. Nutr., 12(3):737
  4. Carney PA, Hamada JL, Rdesinski R, Sprager L, Nichols KR, Liu BY, Pelayo J, Sanchez MA, Shannon J. 2012. Impact of a community gardening project on vegetable intake, food security and family relationships: a community-based -articipatory research study. J. Community Health, 37(4):874-881 https://doi.org/10.1007/s10900-011-9522-z
  5. Choe JS, Paik HY. 2004. Seasonal variation of nutrition intake and quality in adults in longevity areas. J. Korean Soc. Food Sci. Nutr., 33(4):668-678 https://doi.org/10.3746/jkfn.2004.33.4.668
  6. Choi YK, Kim CS, Park YS. 2007. The effect of nutrition education program in physical health, nutritional status and health-related quality of life of the elderly in Seoul. Korean J. Nutr., 40:270-280
  7. Coates J, Frongillo EA, Rogers BL, Webb P, Wilde PE, Houser R. 2006. Commonalities in the experience of household food insecurity across cultures: what are measures missing? J. Nutr., 136(5): 1438S-1448S https://doi.org/10.1093/jn/136.5.1438S
  8. Coleman-Jensen A, Rabbitt MP. Gregory CA. Singh A. 2022. Household Food Security in the United States in 2021, ERR-309, Department of Agriculture, Economic Research Service, USA, pp 2-4
  9. Costa DVP, Lopes MS, Mendonca RD, Malta DC, Freitas PP, Lopes ACS. 2021. Food consumption differences in Brazilian urban and rural areas: the National Health Survey. Cien. Saude. Colet., 26(suppl 2):3805-3813 https://doi.org/10.1590/1413-81232021269.2.26752019
  10. Evans AE, Jennings R, Smiley AW, Medina JL, Sharma SV, Rutledge R, Stigler MH, Hoelscher DM. 2012. Introduction of farm stands in low-income communities increases fruit and vegetable consumption among community residents. Health Place, 18(5):1137-1143 https://doi.org/10.1016/j.healthplace.2012.04.007
  11. Food and Agriculture Organization of the United Nations. 2012. The state of food insecurity in the world 2012. Rome: Food and Agriculture Organization, Italy, pp 1-4
  12. Furman EF. 2006. Undernutrition in older adults across the continuum of care: nutritional assessment, barriers, and interventions. J. Gerontol. Nurs., 32(1):22-27 https://doi.org/10.3928/0098-9134-20060101-11
  13. Gronning K, Espnes GA, Nguyen C, Rodrigues AMF, Gregorio MJ, Sousa R, Canhao H, Andre B. 2018. Psychological distress in elderly people is associated with diet, wellbeing, health status, social support and physical functioning- a HUNT3 study. BMC Geriatr., 18(1):205
  14. Han HK, Choi SS, Kim M, Lee SD. 2005. Food habits and nutritional status of the long-lived elderly people in Ganghwa-gun Area. Korean J. Community Nutr., 10:101-110
  15. Han S, Jeon MS. 2019. Development and application of nutrition education program for the elderly in low income. Korean J. Hum. Ecol., 28(2):171-183 https://doi.org/10.5934/kjhe.2019.28.2.171
  16. Joseph C, Feiner C, Leung CW. 2022. Food insecurity is associated with serious psychological distress among low-income California adults. J. Health Psychol., 27(10):2249-2260 https://doi.org/10.1177/13591053211028913
  17. Kim EJ, Chung SW, Hwang JT, Park YJ. 2022. 2020 Korean dietary reference intakes for protein: estimation of protein requirements and the status of dietary protein intake in the Korean population. J. Nutr. Health, 55(1):10-20 https://doi.org/10.4163/jnh.2022.55.1.10
  18. Kim JM. 2020. Evaluation of nutritional status of vitamins and minerals according to consumption of dietary supplements in Korean adults and the elderly: report based on 2017 Korea National Health and Nutrition Examination Survey data. Korean J. Community Nutr., 25(4):329-339 https://doi.org/10.5720/kjcn.2020.25.4.329
  19. KREI. 2023. World grain market 12-2023-02. Korea rural economic institute, Korea, pp 79-80
  20. Kumar S, Bansal A, Shri N, Nath NJ, Dosaya D. 2021. Effect of food insecurity on the cognitive problems among elderly in India. BMC Geriatr., 21(1):725
  21. Lebel A, Noreau D, Tremblay L, Oberle C, Girard-Gadreau M, Duguay M, Block JP. 2016. Identifying rural food deserts: methodological considerations for food environment interventions. Can. J. Public Health, 107(Suppl 1):5353
  22. Lee HS. 2014. The factors influencing health-related quality of life in the wlderly-focused on the general characteristics, health habits, mental health, chronic diseases, and nutrient intake status: Data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012. Korean J. Community Nutr., 19(5):479-489 https://doi.org/10.5720/kjcn.2014.19.5.479
  23. Lee KE. 2017. Development of tailored nutritional management model for vulnerable older adults. Seoul Metropolitan Government, Korea, pp 117-121
  24. Lee Y, Yang N, Shin M, Lee KE, Yoo CH, Kim K. 2020. The effects of a personalized nutrition intervention program on food security, health and nutritional status of low-income older adults in Seoul city. J. Nutr. Health, 53(4):416-430 https://doi.org/10.4163/jnh.2020.53.4.416
  25. McCormack LA, Laska MN, Larson NI, Story M. 2010. Review of the nutritional implications of farmers' markets and community gardens: a call for evaluation and research efforts. J. Am. Diet. Assoc., 110(3):399-408 https://doi.org/10.1016/j.jada.2009.11.023
  26. Maeng A, Lee JH, Yoon EJ. 2021. Health and nutrition intake status of the Korean elderly according to their food security level: data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII), 2016-2018. J. Nutr. Health, 54(2):179-198 https://doi.org/10.4163/jnh.2021.54.2.179
  27. McReynolds JL, Rossen EK. 2004. Importance of physical activity, nutrition, and social support for optimal aging. Clin. Nurse Spec., 18(4):200-206 https://doi.org/10.1097/00002800-200407000-00011
  28. Miguel EDS, Lopes SO, Araujo SP, Priore SE, Alfenas RCG, Hermsdorff HHM. 2020. Association between food insecurity and cardiometabolic risk in adults and the elderly: a systematic review. J. Glob. Health, 10(2):020402
  29. Park SH, Hwang JY, Shim JE, Kim KR. 2021. Basic concepts and detailed dimensions of food security and related indicators for policy development and evaluation. Korean J. Community Nutr., 26(6): 429-440 https://doi.org/10.5720/kjcn.2021.26.6.429
  30. Rose D. 1999. Economic determinants and dietary consequences of food insecurity in the United States. J. Nutr., 129(2S Suppl):517S-520S https://doi.org/10.1093/jn/129.2.517S
  31. Salam RA, Das JK, Ahmed W, Irfan O, Sheikh SS, Bhutta ZA. 2019. Effects of preventive nutrition interventions among adolescents on health and nutritional status in low- and middle-income countries: a systematic review and meta-analysis. Nutrients, 12(1):49
  32. Srivastava S, Muhammad T. 2022. Rural-urban differences in food insecurity and associated cognitive impairment among older adults: findings from a nationally representative survey. BMC Geriatr., 22(1):287
  33. Tapper EB, Mehta M, Leung CW. 2023. Food insecurity is associated with chronic liver disease among US adults. J. Clin. Gastroenterol., 57(7):737-742 https://doi.org/10.1097/MCG.0000000000001741
  34. Walker JL, Holben DH, Kropf ML, Holcomb JP, Anderson H. 2007. Household food insecurity is inversely associated with social capital and health in females from special supplemental nutrition program for women, infants, and children households in Appalachian Ohio. J. Am. Diet. Assoc., 107(11):1989-1993 https://doi.org/10.1016/j.jada.2007.08.004
  35. Wolfe RR, Miller SL, Miller KB. 2008. Optimal protein intake in the elderly. Clin. Nutr., 27(5), 675-684 https://doi.org/10.1016/j.clnu.2008.06.008
  36. Yoon MO, Moon HK, Kim SY, Kim BH. 2013. Nutritional assessment and management in long-term care insurance's home visit care service. Korean J. Community Nutr., 18(2):142-153 https://doi.org/10.5720/kjcn.2013.18.2.142
  37. Zamboni M, Mazzali G, Fantin F, Rossi A, Di Francesco V. 2008. Sarcopenic obesity: a new category of obesity in the elderly. Nutr. Metab. Cardiovasc. Dis., 18(5):388-395 https://doi.org/10.1016/j.numecd.2007.10.002
  38. Korea Disease Control and Prevention Agency. Korea Health Statistics 2019: Korea National Health and Nutrition Examination Survey (KNHANES VIII-1) [Internet]. Korea ministry of health and welfare; 2020 [updated 2020 Dec 31; cited 2021 Dec 24]. Available from: https://knhanes.kdca.go.kr/knhanes/main.do.]
  39. Statistics Korea. 2022 population and housing census (Register-based census). Available from: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA202&conn_path=I2, [accessed 2023.05.11]