Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
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Factors Associated with HINT-8 Index (Korean Health-Related Quality of Life Instrument with Eight Items), Focusing on Health Habits, Hand Grip Strength, Chronic Diseases, Mental Health, and Nutrient Intake Status in Korean Older Adults: Based on Korea National Health and Nutrition Examination Survey 2019 Data

우리나라 고령자의 HINT-8 (한국형 건강 관련 삶의 질 측정도구)에 따른 건강습관 및 근력, 만성질환, 정신건강, 영양소 섭취상태 분석: 2019 국민건강영양조사자료

  • Hye-Sang Lee (Dept. of Food and Nutrition, Andong National University)
  • 이혜상 (국립안동대학교 식품영양학과)
  • Received : 2024.03.06
  • Accepted : 2024.04.16
  • Published : 2024.05.02
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Abstract

This study investigated the factors associated with HINT-8 (Korean health-related quality of life instrument with eight items), including health habits, hand grip strength, chronic disease, chewing function, mental health, and nutrient intake. In this study, the health-related quality of life (HRQoL; HINT-8) was assessed using the data from the 2019 Korea National Health and Nutrition Examination Survey (KNHANES VIII) among Koreans aged over 65, with HINT-8 being evaluated based on the general characteristics. Of the participants from KNHANES VIII, 1,455 subjects were analyzed using SPSS statistics complex samples (Windows ver. 27.0). The HINT-8 score was significantly lower in females and in those aged 75 years or older, lowest educational level, lowest income level, and single households. Logistic regression analysis, adjusted for the general characteristics, revealed a significant association between a lower HINT-8 group and various factors: low aerobic physical activity (OR=1.71, 95% CI=1.25~2.35), low hand grip strength (OR=1.34, 95% CI=1.02~1.78), chewing difficulties (OR=2.17, 95% CI=1.62~2.92), poor self-rated health status (OR=6.11, 95% CI=4.42~8.45), stressful mental status (OR=3.57, 95% CI=2.27~5.63) and poor calcium status (OR=1.45, 95% CI=1.11~1.88). On the other hand, this study could not reveal a significant association between a lower HINT-8 group and factors such as smoking, drinking, chronic disease, and nutrient intake status, except for calcium intake. This study suggests that HINT-8 is associated with aerobic physical activity, hand grip strength, chewing function, mental health, and calcium intake, but not with smoking, drinking, chronic disease, and nutrient intake.

Keywords

Acknowledgement

This work was supported by a Research Grant of Andong National University.

References

  1. Baek SH, Shin JE (2019): Association between grip strength and health-related quality of life in elderly Korean. Korea J Sports Sci 28(3):703-712
  2. Chen C, Liu GG, Shi QL, Sun Y, Zhang H, Wang MJ, Jia HP, Zhao YL, Yao Y (2020): Health-related quality of life and associated factors among oldest-old in China. J Nutr Health Aging 24(3):330-338
  3. Cho MJ, Kim EK (2019): Subjective chewing ability and healthrelated quality of life among the elderly. Gerodontology 36(2):99-106
  4. Do KY, Moon S (2020): Relationship between subjective oral discomfort and health-related quality of life in the South Korean elderly population. Int J Environ Res Public Health 17(6):1906
  5. Doosti-Irani A, Nedjat S, Nedjat S, Cheraghi P, Cheraghi Z (2019): Quality of life in Iranian elderly population using the SF-36 questionnaire: systematic review and meta-analysis. East Mediterr Health J 24(11):1088-1097
  6. Faronbi JO, Ajadi AO, Gobbens RJ (2020): Associations of chronic illnesses and socio-demographic factors with health-related quality of life of older adults in Nigeria: a cross-sectional study. Ghana Med J 54(3):164-172
  7. Geigl C, Loss J, Leitzmann M, Janssen C (2023): Social factors of health-related quality of life in older adults: a multivariable analysis. Qual Life Res 32(11):3257-3268
  8. Heo AS, Lee JC, Byun YH (2016): The effect of the walking exercise on the senior fitness test and EQ-5D of the rural eldery. Korean J Growth Dev 24(3):333-338
  9. Hwang HA, Jeong H, Yim HW (2023): Health-related quality of life of Korean older adults according to age, sex, and living arrangements: a cross-sectional study. Front Public Health 11:1281457
  10. Hyun HJ, Chang A, Yu SJ, Park YH (2012): Comparison of comprehensive health status and health-related quality of life between institutionalized older adults and community dwelling older adults. J Korean Acad Community Health Nurs 23(1):40-50
  11. Jang W, Ryu HK (2020): 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 25(3):226-235
  12. Jin YY, Jee YS (2015): Association between physical fitness, health-related quality of life and subjective health status in the elderly. Korean J Growth Dev 23(3):217-222
  13. Jo MW (2014): Development of measurement tool for health related quality of life in the Korea National Health and Nutrition Examination Survey. Korea Centers for Disease Control and Prevention. Cheongju. pp.71-100
  14. Jo MW (2017): Valuation of Korean Health-related Quality of Life Instrument with 8 Items (HINT-8). Korea Centers for Disease Control and Prevention. Cheongju. pp.91-92
  15. Jung YS (2014): Association among obesity degree, health-related physical fitness, and quality of life of the elderly women. J Sport Leis Stud 58:871-880
  16. Kang EJ, Shin HS, Park HJ, Jo MW, Kim NY (2006): A valuation of health status using EQ-5D. Korean J Health Econ Policy 12(2):19-43
  17. Kim KI, Lee JH, Kim CH (2012): Impaired health-related quality of life in elderly women is associated with multimorbidity: results from the Korean National Health and Nutrition Examination Survey. Gend Med 9(5):309-318
  18. Kim SH, Son YJ (2022): The association of social participation and depressive symptoms with health-related quality of life among older adults living in urban and rural areas using the Korea community health survey 2019. J Korean Acad Soc Home Health Care Nurs 29(3):288-300
  19. Kim SK, Cho DH, Shim JR, Ha JH (2019): Factors affecting physical activity and health-related quality of life in the elderly. J Korean Assoc Phys Educ Sport Girls Women 33(3):129-141
  20. Korea Disease Control and Prevention Agency (2023). Raw data guidebook for the Eighth Korea National Health and Nutrition Examination Survey (KNHANES VIII-1), 2019. Available from: https://knhanes.kdca.go.kr/knhanes/sub03/sub03_02_05.do Accessed January 26, 2024
  21. Korean Statistical Information Service (2024). Future population estimation. Available from: https://kosis.kr/easyViewStatis/customStatisIndex.do?vwcd=MT_TM1_TITLE&menuId=M_03_01 Accessed January 24, 2024
  22. Lee EK, Jung SY (2022): Associated factors with health-related quality of life among older adults with diabetes in Korea. Korean J Rehabil Nurs 25(2):61-69
  23. Lee H, Jo M, Choi S, Kim Y, Oh K (2016): Development and psychometric evaluation of measurement instrument for Korean health-related quality of life. Public Health Wkly Rep 9(24):447-454
  24. Lee HS (2014): The factors influencing health-related quality of life in the elderly - 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
  25. Lee HS (2022): Status of Korean healthy eating index and associated factors in elderly with a focus on health habits, mental health, and nutritional status: data from the 2016~2018 Korea National Health and Nutrition Examination Survey. J Korean Diet Assoc 28(2):114-126
  26. Lee M, Noh Y, Youm C, Kim S, Park H, Noh B, Kim B, Choi H, Yoon H (2021): Estimating health-related quality of life based on demographic characteristics, questionnaires, gait ability, and physical fitness in Korean elderly adults. Int J Environ Res Public Health 18(22):11816
  27. Lee MH (2019): Meta-analysis of psychological.emotional variables and quality of life of the elderly. J Korea Contents Assoc 19(9):338-347
  28. Lee MS (2015): Quality of nutrient adequacy and health-related quality of life of the rural elderly. Korean J Community Nutr 20(6):423-432
  29. Park S, Jung S, Yoon H (2022): The role of nutritional status in the relationship between diabetes and health-related quality of life. Nutr Res Pract 16(4):505-516
  30. The Korean Nutrition Society (2015): Dietary reference intakes for Koreans. The Korean Nutrition Society. Seoul. pp.vi-xii
  31. Yim H, Kim DS, Joo N (2023): Effects of physical health and dietary behavior on nutritional intake by the elderly - using the 8th Korean national health and nutrition survey data -. Korean J Food Cook Sci 39(6):518-529