Browse > Article

Health-Related Behavioral Factors Associated with Nutritional Risks in Korean Aged 50 years and Over  

Yim, Kyeong-Sook (Department of Food and Nutrition, College of Human Ecology, The University of Suwon)
Publication Information
Korean Journal of Community Nutrition / v.12, no.5, 2007 , pp. 592-605 More about this Journal
Abstract
Undernutrition could be a significant deterrent to healthy aging and could negatively affect health outcomes in elderly. This study aimed to assess health-related factors which are associated with nutritional risks in middle-aged and elderly individuals by a cross-sectional study. Interviews were conducted with 2660 subjects (847 males, 1813 females), aged 50 years and over, in 15 cities in Korea. Data on food intake were obtained through a validated semi-quantitative food frequency questionnaires. Nutritional status were analyzed according to health-related factors including cigarette smoking, alcohol drinking, exercise, stress and depression level. Less regular exercise was associated with a higher likelihood of a poor nutrition [odds ratio (OR) 1.94; 95% confidence intervals (CI) 1.43-2.65] of middle-aged and elderly male subjects. Cigarette smoking (OR 1.84; 95% CI 1.24-2.71), less exercise (OR 2.58; 95% CI 2.07-3.21), stress (OR 1.73; 95% CI 1.36-2.22), and depression (OR 1.34, 95% CI 1.08-1.67) of middle-aged and elderly female subjects was associated with a higher likelihood of a poor nutrition. The results of the multiple regression analysis showed that less exercise proved to be the strongest predictors for the poor nutrition, followed by stress, smoking, and depression (model $R^2= 9.0%$). It suggests that guidance to promote regular exercise, to quit smoking, to minimize stress and depression level might help to improve nutritional status of middle-aged and elderly in Korea. These findings also suggest that having recommendable health behaviors are beneficial to the good nutrition of subjects aged 50 years and over.
Keywords
middle-aged; elderly; nutritional risk; smoking; drinking; health behavior;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Ausman LM, Russell RM (1994): Nutrition in the elderly. In: Shils ME, Olson JA, Shike M.eds. Modern Nutrition in Health and Disease. pp 770-780, Lea & Rebiger, Philadelphia
2 Drewnowski A, Shultz JM (2001): Impact of aging on eating behaviors, food choices, nutrition and health status. J Nutr Health Aging 5(1): 75-79
3 Kartz S, Downs TD, Cash HR (1970): Progress in the development of the index of ADL Gerontology 1(1): 20-30
4 Kim SH, Kan HK, Kim JH (2000): Socio-economic factors affecting the health and nutritional status of the aged. Korean J Nutr 33(1): 86-101
5 Lawton MP, Brody EM (1969): Assessment of older people: self-monitoring and instrumental activities of daily living. Gerontologist 9(1): 179-186   DOI   ScienceOn
6 Lee JW, Kim KA Lee MS (1998): Nutritional intake status of the elderly taking free congrefate lunch meals compared to the middle-income class elderly. Korean J Comm Nutr 3(4): 594-608
7 Paddon-Jones D (2006): Interplay of Stress and Physical Inactivity on Muscle Loss: Nutritional Countermeasures. J Nutr 136(8): 2123-2126   DOI
8 SAS/STAT User's guide (2001): SAS Institute INC, ver 9.0 edition. Cary, NC
9 Woo J, Ho SC, Yu AL (2002): Lifestyle factors and health outcomes in elderly Hong Kong chinese aged 70 years and over. Gerontology 48(4): 234-240   DOI   ScienceOn
10 Woo J, Lynn H, Lau WY, Leung J, Lau E, Wong SYS, Kwok T (2006): Nutrient intake and psychological health in an elderly Chinese population. Int J Geriatr Psychiatry 21(11): 1036-1043   DOI   ScienceOn
11 Yim KS, Min YH, Lee TY (1997): Strategies to improve nutrition in the elderly:An analysis of health related factors and the nutritional risk index of the elderly. Korean J Comm Nutr 2(3): 376-387
12 Yoon HJ, Kwon JH, Lee SK (2002): Nutritional status and energy expenditure in the elderly in a rural community. Korean J Comm Nutr 7(3): 336-344
13 Walker D, Beauchene E (1991): The relationship of loneliness, social isolation, and physical hea1tb to dietary adequacy of independently living elderly. J Am Diet Assoc 91(3): 300-304
14 Triosi RJ, Heinhold JW, Vokonas PS, Weiss ST (1990): Cigarette smoking, dietary intake and physical activity: Effects of body fat distribution. - the Normative Aging Study. Am J Clin Nutr 53(5): 1104-1111
15 Carolyn LT, Schultz SK, Klein DM (2006): Alcohol use and health outcomes in the oldest old. Subst Abuse Treat Prev Policy 29(1): 1-8
16 Roe DA (1990): In-home nutritional assessment of inner-city elderly. J Nutr 120(11): 1538-1543   DOI
17 McPhillips JB, Eaton CB, Gans KM, Debby CA, Lasater TM, Mckenney JL, Carleton RA (1994): Dietary differences in smokers and nonsmokers from two southeastern New England communities. J Am Diet Assoc 94(3): 287-292   DOI   ScienceOn
18 Son SM, Park YJ, Koo JO, Mo SM, Yoon HY, Sung CJ (1996): Nutritional and health status of Korean elderly from low income urban area and improving effect of meal service on nutritional and health status : I: Anthropometric measurements and nutrient intakes. Korean J Comm Nutr 1(1) : 79-88
19 Subar AF, Harlan Le, Mattson ME (1990): Food and nutrient intake differences between smokers and nonsmokers in the US. Am J Public Health 80(11): 1323-1329   DOI   ScienceOn
20 Yaggi HK, Araujo AB, McKinlay JB (2006): Sleep duration as a risk factor for the development of Type 2 diabetes. Diabetes Care 29(3): 657-661   DOI   ScienceOn
21 Han KH, Kim KN, Park DY (1998): Drug use and nutritional status of the elderly in Chungbuk area -IV. Effects of drug use and health related habits (alcohol drinking, cigarette smoking & exercise) on nutritional status. Korean J Comm Nutr 3(3): 397¬409
22 Furman EF (2006): Undernutrition in older adults across the continuum of care, Nutritional assessment, barriers, and intervention. J Geron Nurs 32(1): 22-27   DOI
23 Yim KS, Lee TY (2004): Sociodemographic factors associated with nutrient intake in elderly in Korea. Korean J Nutr 37(3): 210-222
24 Yim KS (2002); Age related trends in nutritional risks for middle-aged and elderly in Korea. Korea J Health Prom Dis Prev 2(1): 70-81
25 Blazer DG, Hybels CF, Pieper CF (2001): The association of depression and mortality in elderly persons: a case for multiple, independent pathways. J Gerontol A Bioi Sci Med Sci 56(8): M505-9   DOI
26 Dietary Reference Intaktes for Koreans (2005): 8th revision, Korean Nutrition Society
27 Lee HJ, Park SJ, Kim JH, Kim CI, Chang KJ, Vim KS, Kim KW, Choi H (2002): Development and validation of semi-quantitative food frequency questionnaire for evaluating nutritional status of 50yr and older subjects in Korean. Korean J Comm Nutr 7(2): 277-285
28 White JV, Ham RJ, Lipschitz DA, Dwyer JT, Wellman NS (1991): Consensus of the Nutrition Screening Initiative: Risk factors and indicators of poor nutritional status in older Americans. J Am Diet Assoc 91(3): 783-787
29 Darnton-Hill I (1992): Psychosocial aspects of nutrition and aging. Nut Rev 50(12): 476-479   DOI   ScienceOn
30 Food Composition Table (1996): Korean Rural Resource Development Institute, 5th revision
31 Klesges RC, Eck LH, Isbell TR, Fulliton W, Hanson CL (1990): Smoking status: Effects on the dietary intake, physical activity and body fat of adult men. Am J Clin Nutr 51(5): 784-789   DOI
32 Schiffinan S (1997): Taste and smell losses in normal aging and disease. J Am Med Assoc 278(16): 1357-1362   DOI   ScienceOn
33 Tontisirin K, Nantel G, Bhattachajee L (2002): Food-based strategies to meet the challenges of micronutrient malnutrition in the developing world. Proc Nutr Soc 61(2): 243-250
34 Wattis JP, Seymour J (1993): Alcohol abuse in elderly people: Medical and psychiatric consequences. In: Watson RR (eds), Handbook of nutrition in the aged, 2nd eds, pp 317-330, CRC, Florida
35 Moss M, Parsons PE, Steinberg KP, Hudson LD, Guidot DM, Burnham EL, Eaton S, Cotsonis GA (2003): Chronic alcohol abuse is associated with an increased incidence of acute respiratory distress syndrome and severity of multiple organ dysfunction in patients with septic shock. Crit Care Med 31(3): 869-877   DOI   ScienceOn
36 Sharkey JR, Branch LG, Zohoori N, Giuliani C, Busby-Whitehead H, Haines PS (2002): Inadequate nutrient intakes among homebound elderly and their correlation with individual characteristics and health-related factors. Am J Clin Nutr 760: 1435-1445
37 National Statistical Office (2005): http://www.nso.go.kr. Census Population. Population Projection (2005) Prevalence data (1998)
38 Reuben DB, Greendale GA, Harrison GG (1995): Nutrition screening in older persons. J Am Geriatr Soc 43(4): 415-425   DOI
39 Bae SS (2007): Challenges to lifetime health promotion. Korean Society of Community Nutrition, Seminar 'New paradigm of health promotion throughout the life cycle' pp 15-26, 2007. 10. 6
40 Hodkinsn HM (1998): Diet and maintenance of mental health in the elderly. Nutr Rev 46: 79-85   DOI   ScienceOn
41 Evans WJ, Cyr-Campbell D (1997): Nutrition, exercise and healthy aging. J Am Diet Assoc 97(6): 632-638   DOI   ScienceOn