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Nutritional Status and Related Factors of the Elderly in Longevity Areas - III. Relation among Self-rated Health, Health-related Behaviors, and Nutrient Intake in Rural Elderly -  

Choe Jeong-Sook (National Rural Resources Development Institute, RDA)
Kwon Sung-Ok (National Rural Resources Development Institute, RDA)
Paik Hee-Young (Department of Food and Nutrition, Seoul National University)
Publication Information
Journal of Nutrition and Health / v.39, no.3, 2006 , pp. 286-298 More about this Journal
Abstract
The study aimed to identify major factors related to global self-rated health of the community-dwelling elderly people in rural areas. Interviews were conducted with 433 persons over 65 years of age. The socio-economic characteristics, chronic disease status, measures of functional and mental health, life satisfaction, health-related behaviors including smoking, drinking, exercise, social activity, dietary habit, and food intakes were analyzed to determine their influence on self-rated health index. Data on food intake were obtained through the 24-hour recall method. The self-rated health of rural elderly was poor or very poor as reported by 42.6% and 52.4% of the men and women, respectively. Poor self-rated health was found to be related to elderly aged $65{\sim}74$, female, absence of work, more chronic diseases, dependence on Instrumental Activity Daily Living (IADL), higher mental unhealthy days, lower current life satisfaction, less social activity, lower dietary habit scores, lower intake of total food, fruit, eggs, fishes & shell fishes, vitamin C (%RDA), and Nutrient Adequacy Ratio (NAR). The results of the multiple regression analysis showed that poor self-rated health index is significantly associated with more chronic diseases, mental unhealthy days, gastrointestinal disease, musculoskeletal disease, less social activity, and lower intake of fruits. The results also suggested that improving the nutritional status and functional ability, and reducing the burden of chronic diseases are beneficial to the self-rated health index of the elderly.
Keywords
elderly people; self-rated health; disease; health-related behaviors; food intakes;
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1 Mulsant BH, Ganguli M, Seaberg EC. The relationship between self-rated health and depressive symptoms in an epidemiological sample of community-dwelling older adults. J Am Geriatr Soc 45: 954-958, 1997   DOI
2 Kennedy BP, Kawachi I, Glass R, Prothrow-Stith D. Income distribution, socioeconomic status, and self rated health in the United States: Multilevel analysis. Br Med J 317: 917-921, 1998   DOI
3 Kwon JH, Lee SK, Lee HK, Kim GJ. The relationship between chewing ability and nutritional intake status in the elderly of rural community. Korean J Community Nutrition 3(4): 583-593, 1998   과학기술학회마을
4 통계청. 2003년 사회통계조사결과-보건, 사회참여, 소득과 소비, 2004
5 Hong SM, Choi SY. A Study on meal management and nutrient intake of the elderly. J Korean Soc Food Sci Nutr 25(6): 1055- 1061, 1996   과학기술학회마을
6 Cockerham WX, Sharp K, Wilcox JA. Aging and perceived health status. J Gerontol 38: 349-355, 1983   DOI
7 Okosun IS, Choi S, Matamoros T, Dever GE. Obesity is associated with reduced self-rated general health status: evidence from a representative sample of white, black, and Hispanic Americans. Prev Med 32(5: 429-436, 2001   DOI   ScienceOn
8 Bryant LL, Beck A, Fairclough DL. Factors that contribute to positive perceived health in an older population. J Aging Health 12(2): 169-192, 2000   DOI
9 Idler EL, Kasl SV. Self-ratings of health: Do they also predict change in functional ability. J Gerontol B Psychol Sci Soc Sci 50(6): 344-353, 1995
10 Ounpuu S, Chambers LW, Patterson C, Chan D, Yusuf S. Validity of the US Behavioral Risk Factor Surveillance System's Health Related Quality of Life Survey Tool in a Group of Older Canadians. Chronic Dis Can 22(3-4): 93-101, 2001
11 Gronbaek M, Mortensen EL, Mygind K, Andersen AT, Becker U, Gluud C, Sorensen TI. Beer, wine, spirits and subjective health. J Epidemiol Community Health 53(11): 721-724, 1999   DOI
12 Johansson SE, Sundquist J. Change in lifestyle factors and their influence on health status and all-cause mortality. Int J Epidemiol 28: 1073-1080, 1999   DOI   ScienceOn
13 Centers for Disease Control and Prevention. Measuring healthy days: population assessment of health-related quality of life. CDC, Atlanta Georgia, 2000
14 Heikkinen E, Leinonen R, Berg S, Schroll M, Steen B. Levels and associates of self-rated health among 75-year-old people living in three Nordic licalities. In E. Heikkinen S, Berg M, Schroll B, Steen A. Viidik (Eds.) Functional status, health and aging: The NORA study. Facts, Research and Intercention in Geriatrics, pp.121-148, Serdi Publisher. Paris, 1997
15 Lindgren AM, Svatdsudd K, Tibblin G. Factors related to perceived health among elderly people: the Albertina project. Age Ageing 23: 328-333, 1994   DOI   ScienceOn
16 Kim HJ, Hong YS. An effect of muscle strength training program on instrumental activities of daily living and quality of life in the elderly. J Korean Community Nursing 6(1): 55-73, 1995
17 Al-Windi A. The relations between symptoms, somatic and psychiatric conditions, life satisfaction and perceived health. A primary care based study. Health Qual Life Outcomes 3: 28, 2005   DOI   ScienceOn
18 Osler M, Heitmann BL, Hoidrup S, Jorgensen LM, Schroll M. Food intake patterns, self rated health and mortality in Danish men and women. A prospective observational study. J Epidemiol. Community Health 55: 399-403, 2001   DOI
19 Chappell NL, Badger M. Social isolation and well-being. J Gerontol 445: 169-176, 1989
20 Kempen GIJM, Miedema I, Van den Bos GAM, Ormel J. Relationship of domain-specific measures of health to perceived overall health among older subjects. J Clin Epidemiol 51: 11-18, 1998   DOI   ScienceOn
21 Korea National Statistical Office. Statistic of the older population 2004, 2004
22 Vuorisalmi M, Lintonen T, Jylha M. Global self-rated health data from a longitudinal study predicted mortality better than comparative self-rated health in old age. J Clin Epidemiol 58(7): 680- 687, 2005   DOI   ScienceOn
23 Molarius A, Janson S. Self-rated health, chronic diseases, and symptoms among middle-aged and elderly men and women. J Clin Epidemiol 55(4): 364-370, 2002   DOI   ScienceOn
24 Schroll M, Ferry M, Lund-Larsen K, Enzi G. Assessment of health: self-perceived health, chronic diseases, use of medicine. Euronut SENECA investigators. Eur J Clin Nutr 45(Supple. 3): 169-182, 1991
25 Speake D, Cowart M, Pellet K. Health perceptions and lifestyles of the elderly. Res Nurs Health 12: 93-100, 1989   DOI   ScienceOn
26 Min KJ, Kim KJ, Cha CG. A Study on the Factor s Affecting Subjective Health Index of the Aged in Daejon Area. J Korean Society for Health Education and Promotion 18(2): 1-26, 2001
27 Dhillon V, Hurst N, Hannan J, Nuki G. Association of low general health status, measured prospectively by Euroqol EQ5D, with osteoporosis, independent of a history of prior fracture. Osteoporos Int 16(5): 483-489, 2005   DOI
28 Idler EL, Kasl SV. Health perceptions and survival: do global evaluations of health status really predict mortality. J Gerontol Soc Sci 46(2): S55-65, 1991
29 Hirdes JP, Forbes WF. Factors associated with the maintenance of good self-rated health. J Aging Health 5: 101-122, 1993   DOI
30 Choi YJ, Park YS, Kim C, Chan YK. Evaluation of functional ability and nutritional risk according to self-rated health (SRH) of the elderly in Seoul and Kyunggi-do. Korean J Nutrition 373: 223-235, 2004
31 Cockerham WC, Sharp K, Wilcox JA. Aging and perceived health status. J Gerontol 38(3): 349-355, 1983   DOI
32 Demian J, Ruigomez A, Pastor V, Martin-Moreno JM. Determinants of self assessed health among Spanish older people living at home. J Epidemiological Community Health 53: 421-416, 1999
33 Lee HS, Lee JA, Ahn SY, Kang KJ. A study on health related and eating behaviors by self-recognized health status. Korean J Nutrition 6(3): 340-353, 2001   과학기술학회마을
34 Linn BS, Linn MW. Objective and self-assessed health in the old and very old. Social Science & Medicine 14: 311-315, 1980
35 Report on 2001 national health and nutrition survey - health behavior. Ministry of health & welfare, 2002
36 Miller MD, Schulz R, Paradis C, Houck PR, Mazumdar S, Frank E, Dew MA, Reynolds CF 3rd. Changes in perceived health status of depressed elderly patients treated until remission. Am J Psychiatry 153(10): 1350-1352, 1996   DOI
37 Goldman N, Glei DA, Chang M. The Role of Clinical Risk Factors in Understanding Self-rated Health. Ann Epideminol 14: 49-57, 2004   DOI   ScienceOn
38 Hoeymans N, Fesdens EJM, van den Bos GAM, Kronhout D. Age, time, and cohort effects on functional status and self-rated health in elderly men. Am J Public Health 87(10): 1620-1625, 1997   DOI
39 Krause NM, Jay GM. What do global self-rated items measure? Med Care 32(9): 930-942, 1994   DOI   ScienceOn
40 Eggenbeen D, Lichter D. Health and well-being among rural Americans: Variations across the life source. J Rural Health 9(2): 86-98, 1993   DOI   ScienceOn
41 Benyamini Y, Leventhal EA, Leventhal H. Elderly people's ratings of the importance of health-related factors to their selfassessments of health. Social Science & Medicine 56: 1661-1667, 2003   DOI   ScienceOn
42 Walker S, Volkan K, Sechrist K, Pender N. Health-promoting lifestyles of older adults: Comparisons with young and middleaged adults, correlates and patterns. ANS Adv Nurs Sci 11(1): 76-90, 1988   DOI
43 Margetts BM, Thompson RL, Elia M, Jackson AA. Prevalence of risk of undernutrition is associated with poor health status in older people in the UK. Eur J Clin Nutr 57(1): 69-74, 2003   DOI   ScienceOn
44 Ferrao KF, Yu Y. Body weight and self-rating of health. J Health Soc Behav 36: 274-284, 1995   DOI   ScienceOn
45 Pudaric S, Sundquist J, Johansson SE. Country of birth, instrumental activities of daily living, self-rated health and mortality: a Swedish population-based survey of people aged 55-74. Social Science & Medicine 56: 2493-2503, 2003   DOI   ScienceOn
46 Farmer MM, Ferraro KF. Distress and perceived health: mechanism of health decline. J Health Soc Behav 39(September): 298-311, 1997
47 Kim CI, Park YS. Comparing health-related behaviors, food behaviors, and the nutrient adequacy ratio of rural elderly by singleelderly families vs. extended families. Korean J Community Nutrition 5(2): 307-315, 2000
48 Markides Ks, Lee DJ. Predictors of well-being and functioning in older Mexican Americans and Anglos: an eight-year followup. J Gerontol B Psychol Sci Soc Sci 45: 69-73, 1990
49 Manderbacka K, Lundberg L, Martikainen P. Do risk factors and health behaviors contribute to self-ratings of health?. Social Science & Medicine 48(12): 1713-1720, 1999   DOI   ScienceOn
50 Lee YH, Choi KS, Kang IO. Determinants of self-rated health among the Korean elderly living in the community. Journal of the Korea Gerontological Society 18(2): 110-124, 1998
51 Lee KH, Park MY. Nutrient intake of the rural elderly living in Kyungnam -focusing on health and aging status, and life-satisfaction. Korean J Community Nutrition 6(5): 773-788, 2001   과학기술학회마을
52 Guallar-Castillon P, Rodriguez-Artalejo F, Diez Ganan LD, Banegas Banegas JR, Lafuente Urdinguio PL, Herruzo Cabrera RH.. Consumption of alcoholic beverages and subjective health in Spain. J Epidemiol Community Health 55(9): 648-652, 2001   DOI
53 Korea Food Industry Association. Household measures of commonly used food items, Seoul, 1998
54 Stump TE, Clark Do, Johnson RJ, Wolinsky FD. The structure of health status among Hispanic, African American, and white older adults. J Gerontol B Psychol Sci Soc Sci 52: 49-60, 1997