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http://dx.doi.org/10.4163/jnh.2020.53.1.68

Evaluation of the dietary quality and nutritional status of elderly people using the Nutrition Quotient for Elderly (NQ-E) in Seoul  

Ham, Sun-Wook (Department of Food & Nutrition, Duksung Women's University)
Kim, Kyung-Hee (Department of Food & Nutrition, Duksung Women's University)
Publication Information
Journal of Nutrition and Health / v.53, no.1, 2020 , pp. 68-82 More about this Journal
Abstract
Purpose: This study evaluated the dietary quality and nutritional status of elderly people using the Nutrition Quotient for Elderly (NQ-E). Methods: The participants were 204 elderly people over 65 years of age (38 men and, 166 women) in Seoul. The dietary information was analyzed using a questionnaire of NQ-E, which consisted of 19 checklist items, and 24-recall test data. The NQ-E scores and its four factors, including 'balance', 'moderation', 'diversity', and 'dietary behavior' factors, were calculated according to general characteristics of the subjects. The subjects were divided into the 'monitoring needed group' (62 > NQ-E score) and the 'good group' (62 ≤ NQ-E score) according to their NQ-E score. Results: The mean NQ-E score of the total subjects was 61.9, which was within the mediumhigh grade. The scores of balance, moderation, and dietary behavior factors were within the medium-high grade, while the score of the diversity factor was within the medium-low grade. The NQ-E score was 54.8 in the monitoring needed group and 69.3 in the good group. For the score of the diversity factor, the elderly living alone had a significantly lower score than the score for the elderly living with a spouse. The female subjects showed significantly higher scores of moderation and dietary behavior factors than did the male subjects. The daily intakes of vitamin A, thiamin, riboflavin, vitamin C and calcium in the monitoring needed group were significantly lower than those in the good group. The nutrient adequacy ratios (NAR) of vitamin A, thiamin, riboflavin, vitamin C and calcium in the monitoring needed group were significantly lower compared to the scores of the good group. The indexes of nutritional quality (INQ) of vitamin A, thiamin, riboflavin, vitamin C, calcium and potassium were less than 1 for all the subjects. The monitoring needed group had a significantly lower consumption of total foods, vegetables and mushrooms than the good group. As a result, the nutritional status of the monitoring needed group was significantly lower than that of the good group. Conclusion: The results of this study show that NQ-E would be a useful tool for assessing the dietary quality of the elderly. In conclusion, a focused-nutrition education program and a useful guideline are needed for promoting the health and nutritional status in elderly people.
Keywords
elderly people; nutritional status; Nutrition Quotient for Elderly (NQ-E);
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Times Cited By KSCI : 21  (Citation Analysis)
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1 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
2 Park JE, An HJ, Jung SU, Lee Y, Kim CI, Jang YA. Characteristics of the dietary intake of Korean elderly by chewing ability using data from the Korea national health and nutrition examination survey 2007-2010. J Nutr Health 2013; 46(3): 285-295.   DOI
3 Chung JY, Lee MY, Kim MJ. A study on the prevalence of chronic diseases, health-related habits and nutrients intakes according to the quality of life in Korean adults. Korean J Community Nutr 2010; 15(4): 445-459.
4 Lee MS. Health-related factors influencing the quality of life of rural elderly subjects-activities of daily living, cognitive functions, prevalence of chronic diseases and nutritional assessment. Korean J Community Nutr 2012; 17(6): 772-781.   DOI
5 Bernstein M, Munoz N; Academy of Nutrition and Dietetics. Position of the Academy of Nutrition and Dietetics: food and nutrition for older adults: promoting health and wellness. J Acad Nutr Diet 2012; 112(8): 1255-1277.   DOI
6 Lee HS. 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 2014; 19(5): 479-489.   DOI
7 Rakicioglu N, Aksoy B, Tamer F, Yildiz EA, Samur G, Pekcan G, et al. Nutritional status and eating habits of the institutionalised elderly in Turkey: a follow-up study. J Hum Nutr Diet 2016; 29(2): 185-195.   DOI
8 Kim SH, Kang HK, Kim JH. Socio-economic factors affecting the health and nutritional status of the aged. Korean J Nutr 2000; 33(1): 86-101.
9 Kim HR. A study on the association of diet quality and risk of mortality and major chronic diseases from nationally representative longitudinal data. Health Soc Welf Rev 2013; 33(3): 5-30.
10 Kim MH, Chung HK. Relationship between sense of belonging, powerlessness and nutritional status of elderly people. J Korean Soc Food Cult 2015; 30(1): 118-128.   DOI
11 Chung MJ, Kwak TK, Kim HY, Kang MH, Lee JS, Chung HR, et al. Development of NQ-E, nutrition quotient for Korean elderly: item selection and validation of factor structure. J Nutr Health 2018; 51(1): 87-102.   DOI
12 Lee HL. Nutrient intakes, dietary behavior and health status of the elderly living alone [master's thesis]. Seoul: Yonsei University; 2017. p.1-124.
13 Gham M, Um M, Kye S. Evaluation of dietary quality and nutritional status based on nutrition quotient and health functional food intake in the Korea elderly. J Korean Soc Food Cult 2019; 34(4): 474-485.
14 Kim YS. The study of the impact of the family type on the health promoting behavior and physical and mental health of elderly people. Health Soc Welf Rev 2014; 34(3): 400-429.   DOI
15 Shin SK, Kim HJ, Choi BY, Lee SS. A comparison of food frequency for the elderly regarding different family types - based on community health survey for 2008. Korean J Nutr 2012; 45(3): 264-273.   DOI
16 Statistics Korea. 2019 Statistics of elderly in Korea; Population projections and summary indicators 1960-2067 [Internet]. Seoul: Statistics Korea; 2019 [cited 2019 Nov 13]. Available from: http://kosis.kr/eng.
17 Kim YJ. Comparison of health habits, perceived stress, depression, and suicidal thinking by gender between elders living alone and those living with others. J Korean Acad Fundam Nurs 2009; 16(3): 333-344.
18 Oh JH, Jung BM. Comparison analysis of dietary behavior and nutrient intakes of the elderly according to their family status: The Korea National Health and Nutrition Examination Survey 2013-2016. Korean J Community Nutr 2019; 24(4): 309-320.   DOI
19 Shin JW, Park YK, Suh SR, Kim JE. Factors influencing quality of life in elderly diabetic patients of Korea: analysis from the Korea National Health and Nutrition Examination Survey in 2008. J Korean Gerontol Soc 2011; 31(3): 479-487.
20 Park HJ, Hwang YJ, Kim WY. Inflammatory cytokines and dietary factors in Korean elderly with chronic disease. Korean J Nutr 2006; 39(4): 372-380.
21 Kim MH, Chung HK. Relationship between sense of belonging, powerlessness and nutritional status of elderly people. J Korean Soc Food Cult 2015; 30(1): 118-128.   DOI
22 Han G, Yang E. Evaluation of dietary habit and nutritional intake of Korean elderly: data from Korea National Health and Nutrition Examination Survey 2013-2015. J East Asian Soc Diet Life 2018; 28(4): 258-271.   DOI
23 Kwon JS, Lee SH, Lee KM, Lee Y. Study on energy and nutrient intake and food preference of the elderly in care facilities. Korean J Community Nutr 2016; 21(2): 200-217.   DOI
24 Kim DM, Kim KH. Food and nutrient intake status of Korean elderly by perceived anxiety and depressive condition: data from Korean National Health and Nutrition Examination Survey 2013-2015. J Nutr Health 2019; 52(1): 58-72.   DOI
25 Kim HY, Lee JS, Youn JC, Chang MJ. Food and nutrient intake status of Korean elderly by degree of cognitive function. J Nutr Health 2016; 49(5): 313-322.   DOI
26 Bae MA, Lee YW, Kim HS, You JS, Chang KJ. Comparison of the cognitive function and nutrient intakes of elderly women with dementia in a long-term care facility and a day-time care facility in Incheon. J Korean Soc Food Cult 2019; 34(4): 389-400.   DOI
27 Yoon MO, Moon HK, Jeon JY, Sohn CM. Nutritional management by dietitian at elderly nursing homes in Gyeonggi-do. J Korean Diet Assoc 2013; 19(4): 400-415.   DOI
28 Omran ML, Morley JE. Assessment of protein energy malnutrition in older persons, part I: history, examination, body composition, and screening tools. Nutrition 2000; 16(1): 50-63.   DOI
29 So EJ, Joung H. Socio-economic status is associated with the risk of inadequate energy intake among Korean elderly. J Nutr Health 2015; 48(4): 371-379.   DOI
30 Chobanian AV, Hill M. National heart, lung, and blood institute workshop on sodium and blood pressure: a critical review of current scientific evidence. Hypertension 2000; 35(4): 858-863.   DOI
31 Park YS, Son SM, Lim WJ, Kim SB, Chung YS. Comparison of dietary behaviors related to sodium intake by gender and age. Korean J Community Nutr 2008; 13(1): 1-12.
32 Lee YJ, Kwon MK, Baek HJ, Lee SS. Comparative analysis of food intake according to the family type of elderly women in Seoul area. J Nutr Health 2015; 48(3): 277-288.   DOI