Browse > Article
http://dx.doi.org/10.9799/ksfan.2021.34.1.096

The Effect of Dietary Quality on Quality of Life across Life Cycles in Korea - Using the Korea National Health and Nutrition Examination Survey 2013~2016 -  

Her, Eun-Sil (Dept. of Food and Nutrition, Changshin University)
Seo, Bo-Young (Dept. of Food and Nutrition, Changshin University)
Publication Information
The Korean Journal of Food And Nutrition / v.34, no.1, 2021 , pp. 96-106 More about this Journal
Abstract
The purpose of this study was to compare the differences in the quality of dietary and life across age groups of Korean adults. According to life cycle, four age groups (20~29, 30~49, 50~64, ≥65) were created. Anthropometric indices showed significant differences according to age group (p<0.001). Energy intake significantly decreased according to age group as a result of decreased protein and fat intake (p<0.001). The intake levels of minerals, vitamins, and dietary fiber per 1,000 kcal were the lowest in the 20~29 age group (p<0.001). Whereas saturated fatty acids, MUFA, and PUFA intake levels were the highest for those in the 20~29 age group (p<0.001). The quality of dietary (DQI-I) increased with age group, but the quality of life (EQ-5D index) decreased (p<0.001). The quality of dietary showed 5.8% explanation power on the quality of life (p<0.001). Additionally, diet moderation was shown as having a negative effect, but the diversity and balance of diets had a positive effect on the quality of life. By age group, the relationship between quality of dietary and quality of life was the highest in ≥65 age group. These results suggest that practical dietary education is needed from the 20's to ensure the quality of healthy life for the elderly.
Keywords
nutritional intake; quality of dietary; quality of life; life cycle; DQI-I; EQ-5D index;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Sohn SY. 2009. Factors related to the health related quality of life in elderly women. Korean J Women Health Nurs 15:99-107   DOI
2 Son JH, Choe HS, Hwang JY, Song TJ, Chang YK, Kim YJ, Kim YR. 2015. Association between intakes of minerals (potassium, magnesium, and calcium) and diet quality and risk of cerebral atherosclerosis in ischemic stroke patients. J Nutr Health 48:167-179   DOI
3 Statistics Korea. 2014. Analysis of characteristics by life cycle. Available from http://kostat.go.kr/sri/srikor/srikor_ntc/1/index.board?bmode=read&aSeq=334840 [cited 17 August 2020]
4 Statistics Korea. 2018. National Survey of Older Koreans. Available from https://meta.narastat.kr/metasvc/index.do?confmNo=117071&inputYear=2017 [cited 15 January 2021]
5 Statistics Korea. 2021. Life expectancy and elderly population rate. Available from http://www.index.go.kr/unify/idx-info.do?idxCd=8016 [cited 13 January 2021]
6 Tur JA, Romaguera D, Pons A. 2005. The diet quality index internaitonal (DQI-I): Is it a useful tool to evaluate the quality of the mediterranean diet? Br J Nutr 93:369-376   DOI
7 Albu JB, Kovera AJ, Johnson JA. 2000. Fat distribution and health in obesity. Ann N Y Acad Sci 904:491-500
8 Bowman S. 2007. Low economic status is associated with suboptimal intakes of nutritious foods by adults in the National Health and Nutrition Examination Survey 1999-2002. Nutr Res 27:515-523   DOI
9 Cha BK. 2020. Risk factors affecting dyslipidemia according to age group in women: Data from the Korea National Health and Nutrition Examination Survey, 2014-2017. J Korean Acad Fundam Nurs 27:310-322   DOI
10 Despres JP, Lemieux I, Bergeron J, Pibarot P, Mathieu P, Larose E, Rodes-Cabau J, Bertrand OF, Poirier P. 2008. Abdominal obesity and the metabolic syndrome: Contribution to global cardiometabolic risk. Arterioscler Thromb Vasc Biol 28:1039-1049   DOI
11 e-Country Index. 2021. Life expectancy excluding disease period. Available from https://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2758 [cited 27 November 2020]
12 Dewing S, Tomlinson M, le Roux IM, Chopra M, Tsai AC. 2013. Food insecurity and its association with co-occurring postnatal depression, hazardous drinking, and suicidality among women in peri-urban South Africa. J Affective Disord 150:460-465   DOI
13 Drewnowski A, Evans WJ. 2001. Nutrition, physical activity, and quality of life on older adults: Summary. J Gerontol Ser A 56:89-94   DOI
14 Dyslipidemia Treatment Guideline Committee. 2015. Dyslipidemia Treatment Guideline. p.13. The Korean Society of Lipidology and Atherosclerosis
15 Jang W, Ryu HK. 2020. Socio-economic factors are associated with risk of inadequate protein intake among Korean elderly: Based on the seventh Korean National Health and Nutrition Examination Survey (KNHANES VII), 2016-2018. Korean J Community Living Sci 31:215-228   DOI
16 Erik E. 1993. Ages, stages, and stories. J Am Soc Aging 17:17-22
17 Fung TT, McCullough ML, Newby PK, Manson JE, Meigs JB, Rifai N, Willett WC, Hu FB. 2005. Diet-quality scores and plasma concentrations of markers of inflammation and endothelial dysfunction. Am J Clin Nutr 82:163-173   DOI
18 Jakobsson U, Hallberg IR, Westergren A. 2004. Overall and health related quality of life among the oldest old in pain. Qual Life Res 13:125-136   DOI
19 Jeon SH, Kim NH. 2013. Prevalence of diabetes and impaired fasting glucose according to food frequency similarity in Korea. J Korea Acad Ind Coop Soc 14:751-758   DOI
20 Kahn R. 2003. The expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care 26:3160-3167   DOI
21 Kim KY, Park MR. 2014. Effects of the dietary consciousness on intake frequency of foods by gender and generations. J East Asian Soc Dietary Life 24:503-513
22 Kang MK, Kim MS, Gang MH, Oh KO, Kwon JS, Lee SH. 2012. Factors affecting the mental health related quality of life in adults across the lifespan. Korean J Rehabil Nurs 15:73-82   DOI
23 Kang Y, Park K. 2020. Health-related quality of life in elderly patients with diabetes mellitus according to age: Based on Korea National Health and Nutrition Examination Survey. J Nutr Health 53:129-140   DOI
24 Kim BK, Jung MS, Han CH. 2002. Health promoting behavior of university students and related factors. J Korean Soc Health Educ Promot 19:59-85
25 Lee SB, Choi HJ, Kim MJ. 2015. The relationships among quality of life and stress, health-related habits and food intake in Korean healthy adults based on 2013 Korea National Health and Nutrition Examination Survey. Korean J Community Nutr 20:411-422   DOI
26 Kim M, Kim J, Bae W, Kim S, Lee Y, Na W, Sohn C. 2011. Relationship between nutrients Intakes, dietary quality, and serum concentrations of inflammatory markers in metabolic syndrome patients. Korean J Community Nutr 16:51-61   DOI
27 Kim S, Haines PS, Siega-Riz AM, Popkin BM. 2003. The diet quality index-international (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr 133:3476-3484   DOI
28 Korea Disease Control and Prevention Agency [KDCA]. 2021. 2016 Korea Health Statisctics. Available from https://knhanes. cdc.go.kr/knhanes/sub04/sub04_03.do?classType=7 [cited 14 January 2021]
29 Lee YJ, Song S, Song Y. 2018. High-carbohydrate diets and food patterns and their associations with metabolic disease in the Korean population. Yonsei Med J 59:834-842   DOI
30 McEwen LN, Kim C, Haan MN, Ghosh D, Lantz PM, Thompson TJ, Herman WH. 2009. Are health-related quality of life and self rated health associated with mortality? Insights from Translating Research Into Action for Diabetes (TRIAD). Prim Care Diabetes 3:37-42   DOI
31 Ministry of Health and Welfare, Korean Nutrition Society. 2015. Dietary Reference Intakes for Koreans. 2 nd ed. pp.2-11. Ministry of Health and Welfare/Korean Nutrition Society
32 Park E, Jung Y. 2020. The association of medical service and medication use information literacy with multi-morbidity. Health Soc Welfare Rev 40:222-243   DOI
33 Park MS, Suh YS, Chung YJ. 2014. Comparison of chronic disease risk by dietary carbohydrate energy ratio in Korean elderly: Using the 2007-2009 Korea National Health and Nutrition Examination Survey. J Nutr Health 47:247-257   DOI
34 Willett W. 2013. Nutritional Epidemiology. 3rd ed. (The Korean Society of Nutritional Epidemiology, Trans.). p.333. Kyomunsa
35 Yang YJ. 2015. Socio-demographic characteristics, nutrient intakes and mental health status of older Korean adults depending on household food security: Based on the 2008-2010 Korea National Health and Nutrition Examination Survey. Korean J Community Nutr 20:30-40   DOI
36 Yoon S, Oh K. 2018. Development and status of Korean healthy eating index for adults based on the Korea National Health and Nutrition Examination Survey. Public Health Wkly Rep 11:1764-1772
37 Yun HK, Kim H, Chang N. 2009. Diet quality index- international score is correlated with weight loss in female college students on a weight management program. Korean J Nutr 42:453-463   DOI
38 Zebrack B. 2000. Cancer survivors and quality of life: A critical review of the literature. Oncol Nurs Forum 27:1395-1401
39 Rabin R, de Charro F. 2001. EQ-5D: A measure of health status from the EuroQol Group. Ann Med 33:337-343   DOI
40 Rankinen T, Kim SY, Perusse L, Despres JP, Bouchard C. 1999. The prediction of abdominal visceral fat level from composition and anthropometry: ROC analysis. Int J Obes 23:801-809   DOI
41 Soh SM. 2020. Dietary characteristics and metabolic syndrome risk according to the level of energy intake from carbohydrate among Korean adults: Analysis of the 2016-2017 Korea National Health and Nutrition Examination Survey data. Master's Thesis, Seoul National Univ. Seoul. Korea
42 Shim JS, Oh K, Nam CM. 2008. Association of household food security with dietary intake: Based on the third (2005) Korea National Health and Nutrition Examination Survey (KNHANESIII). Korean J Nutr 41:174-183