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http://dx.doi.org/10.4163/jnh.2017.50.2.171

Comparative analysis of dietary behavior and nutrient intake of elderly in urban and rural areas for development of "Village Lunch Table" program: Based on 2014 Korea National Health and Nutrition Examination Survey data  

Lee, Youngmi (Department of Food and Nutrition, Myongji University)
Choi, Yourim (Department of Food and Nutrition, Myongji University)
Park, Hae Ryun (Department of Food and Nutrition, Myongji University)
Song, Kyung Hee (Department of Food and Nutrition, Myongji University)
Lee, Kyung Eun (Department of Food and Nutrition, Seoul Women's University)
Yoo, Chang (Department of Food and Nutrition, Seoul Women's University)
Lim, Young Suk (Department of Food and Nutrition, Myongji University)
Publication Information
Journal of Nutrition and Health / v.50, no.2, 2017 , pp. 171-179 More about this Journal
Abstract
Purpose: We conducted comparative analysis of dietary behavior and food and nutrient intakes of Korean elderly in urban and rural areas using the 2014 Korea National Health and Nutrition Examination Survey (KNHANES). Methods: This study was conducted on 1,239 participants (urban elderly: 867, rural elderly: 372) aged 65 years and over who participated in the health examination and nutrition survey in the 6th 2014 KNHANES. Dietary behaviors, including skipping meals, eating out frequencies, and food and nutrient intakes were analyzed using 24-hour recall data. Analysis of complex sample design data through SPSS 19.0 was used for the analysis. Results: The rate of skipping dinner was higher in urban (6.5%) than in rural elderly (3.6%) (p < 0.05), and the frequency of eating out per week of urban elderly (1.73) was higher than that of rural elderly (1.35) (p < 0.001). The rural elderly consumed a greater amount of grain compared to urban elderly, whereas consumption of water, seaweed food, and dairy products was lower in rural than in urban areas (p < 0.05). The rural elderly consumed significantly less highly unsaturated fatty acids, n-6 fatty acids, phosphorus, iron, vitamin A, carotene, niacin, and vitamin C in comparison with elderly in urban areas. Comparison of the percentages of Dietary Reference Intakes for Koreans (KDRIs) between the two groups showed that intakes of vitamin A and vitamin C were significantly lower in the rural elderly than in urban elderly. Conclusion: The elderly in rural areas showed unbalanced food and nutrient intakes compared to the elderly in urban areas. Therefore, customized nutrition education according to residential areas should be developed and provided to rural elderly to improve their health and nutritional status.
Keywords
elderly; dietary behavior; nutritional status; KNHANES;
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1 Jang JY, Kim MJ, Han JS. A study on food frequency, dietary habits and nutrition knowledge of the elderly who intake high sodium. J Korean Soc Food Sci Nutr 2009; 38(10): 1362-1372.   DOI
2 Han SS, Kim SH. A study on the influence of the dietary intake upon bone mineral density in Korean aged. Korean J Nutr 1988; 21(5): 333-347.
3 Lim YS, Cho KJ, Nam HJ, Lee KH, Park H. A comparative study of nutrient intakes and factors to influence on nutrient intake between low-income elderly living in urban and rural areas. J Korean Soc Food Sci Nutr 2000; 29(2): 257-267.
4 National Health Insurance Corporation (KR); Health Insurance Review & Assessment Service (KR). National health insurance statistical yearbook: 2010. Seoul: National Health Insurance Corporation; 2011.
5 Lee JW, Kim KA, Lee MS. Nutritional intake status of the elderly taking free congregate lunch meals compared to the middleincome class elderly. Korean J Community Nutr 1998; 3(4): 594-608.
6 Kim OS, Ryu HS. The study on blood lipid levels according to the food habits and food intake patterns in Korean elderly. Korean J Food Nutr 2009; 22(3): 421-429.
7 Chen SH, Cheng HY, Chuang YH, Shao JH. Nutritional status and its health-related factors among older adults in rural and urban areas. J Adv Nurs 2015; 71(1): 42-53.   DOI
8 Cho YE, Lee SL, Cho EH, Lomeda RA, Kwak EH, Kim YH, Kwun IS. Comparison of nutrient intakes of Korean elderly people living in rural area between 24-hour recall and food frequency method. J Korean Soc Food Sci Nutr 2006; 35(6): 698-707.   DOI
9 Kang M, Joung H, Lim JH, Lee YS, Song YJ. Secular trend in dietary patterns in a Korean adult population, using the 1998, 2001, and 2005 Korean National Health and Nutrition Examination Survey. Korean J Nutr 2011; 44(2): 152-161.   DOI
10 Bianchetti A, Rozzini R, Carabellese C, Zanetti O, Trabucchi M. Nutritional intake, socioeconomic conditions, and health status in a large elderly population. J Am Geriatr Soc 1990; 38(5): 521-526.   DOI
11 Gu W, Rennie KL, Lin X, Wang Y, Yu Z. Differences in bone mineral status between urban and rural Chinese men and women. Bone 2007; 41(3): 393-399.   DOI
12 Lee MJ, Kim JH, Park OJ, Lee YM. A study on the needs for nutrition management program for elderly who use welfare facilities. Korean J Community Nutr 2016; 21(1): 65-74.   DOI
13 Kim MK, Han JI, Chung YJ. Dietary behavior related to salty food intake of adults living in a rural area according to saline sensitivity. Korean J Nutr 2011; 44(6): 537-550.   DOI
14 Kwak CS, Yon M, Lee MS, Oh SI, Park SC. Investigation on influencing environmental factors on health status of Korean septuagenarians dwelling in longevity region in Jeonla province. Korean J Community Nutr 2014; 19(2): 142-162.   DOI
15 Kwon JH, Yoon HJ, Moon HJ, Lee JM, Son YH, Park SH, Lee HK, Lee SK. Antropometric and health status of the elderly women attending a health promotion program in an urban community. Korean J Community Nutr 2002; 7(6): 762-768.
16 Yoon HJ, Lee HK, Lee SK. The health status and nutrient intakes of elderly female in Daegu area. Korean J Community Nutr 2007; 12(1): 50-57.
17 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 Nutr 2001; 6(5): 773-788.
18 Kim HR, Ju MJ, Moon HK, Kim HY. Comparative analysis of dietary intake for introduction of meal service in pavilion of the elderly living in rural area. Korean J Food Cult 2007; 22(6): 765-774.
19 Lim Y, Cho K, Nam H, Lee K, Park H. A comparative study of nutrient intakes and factors to influence on nutrient intake between low-income elderly living in urban and rural areas. J Korean Soc Food Sci Nutr 2000; 29(2): 257-267.
20 Porter EJ. Problems with preparing food reported by frail older women living alone at home. ANS Adv Nurs Sci 2007; 30(2): 159-174.   DOI
21 Yap KB, Niti M, Ng TP. Nutrition screening among communitydwelling older adults in Singapore. Singapore Med J 2007; 48(10): 911-916.
22 Lim YJ, Choi YS. Seasonal nutrient intakes of elderly women living alone as compared to those living with family in the Gyeongbuk rural area. Korean J Community Nutr 2007; 12(1): 58-67.
23 Pearson JM, Schlettwein-Gsell D, van Staveren W, de Groot L. Living alone does not adversely affect nutrient intake and nutritional status of 70- to 75-year-old men and women in small towns across Europe. Int J Food Sci Nutr 1998; 49(2): 131-139.   DOI
24 Davis MA, Murphy SP, Neuhaus JM, Lein D. Living arrangements and dietary quality of older U.S. adults. J Am Diet Assoc 1990; 90(12): 1667-1672.
25 Yim KS, Lee TY. Sociodemographic factors associated with nutrients intake of elderly in Korea. Korean J Nutr 2004; 37(3): 210-222.
26 Ahn SJ, Kang SA. A study on the food habits and dietary behaviors among the Korean elderly. Korean J Soc Food Cookery Sci 1999; 15(1): 81-94.
27 Fraser GE, Welch A, Luben R, Bingham SA, Day NE. The effect of age, sex, and education on food consumption of a middle-aged English cohort-EPIC in East Anglia. Prev Med 2000; 30(1): 26-34.   DOI
28 Payette H, Shatenstein B. Determinants of healthy eating in community- dwelling elderly people. Can J Public Health 2005; 96 Suppl 3: S27-S31.
29 Kim EM, Choi MK. An analysis of food consumption patterns of the elderly from the Korea national health and nutrition examination survey (KNHANES V-1). J Korean Soc Food Sci Nutr 2013; 42(5): 818-827.   DOI
30 Moon HK, Kim JE, Kim EH. Dietary intake assessment by the number of chronic diseases and the season for elderly living in rural area. Korean J Nutr 2009; 42(3): 221-233.   DOI
31 Choe JS, Ahn EM, Kwon SO, Park YH, Lee J. Dietary factors affecting bone mineral density in Korean rural postmenopausal women. Korean J Nutr 2012; 45(5): 470-478.   DOI
32 Chun SS, Yoon EJ. A comparative study of taste preference, food consumption frequency, and nutrition intake between the elderly in their 80's living in long life regions in Jeollanam-do and a part of Seoul. Korean J Food Nutr 2016; 29(1): 115-127.   DOI
33 Kim Y, Seo S, Kwon O, Cho MS. Comparisons of dietary behavior, food intake, and satisfaction with food-related life between the elderly living in urban and rural areas. Korean J Nutr 2012; 45(3): 252-263.   DOI
34 Dean WR, Sharkey JR. Rural and urban differences in the associations between characteristics of the community food environment and fruit and vegetable intake. J Nutr Educ Behav 2011; 43(6): 426-433.   DOI
35 Statistics Korea. Elderly person statistics: 2016 [Internet]. Daejeon: Statistics Korea; 2016 [cited 2017 Mar 4]. Avalible from: http://kostat.go.kr/portal/korea/kor_nw/2/1/ index.board?bmode=read&aSeq=356426&pageNo=13&row-Num=10&amSeq=&sTarget=title&sTxt=.
36 Schunemann HJ, Sperati F, Barba M, Santesso N, Melegari C, Akl EA, Guyatt G, Muti P. An instrument to assess quality of life in relation to nutrition: item generation, item reduction and initial validation. Health Qual Life Outcomes 2010; 8(1): 26.   DOI