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http://dx.doi.org/10.14373/JKDA.2015.21.4.308

Food Insecurity and Related Risk Factors in the Elderly: Korea National Health and Nutrition Examination Survey 2013 Data  

Lee, Hye-Sang (Dept. of Food & Nutrition, Andong National University)
Publication Information
Journal of the Korean Dietetic Association / v.21, no.4, 2015 , pp. 308-319 More about this Journal
Abstract
The purpose of this study was to assess risk factors associated with food insecurity in the Korean elderly aged over 65 years using data from the Korea National Health & Nutrition Examination Survey 2013 (KNHANES VI). A total of 1,200 subjects were analyzed among the participants of the KNHANES 2013 by using SPSS statistics complex samples (ver. 21.0). Food insecurity was measured by using the modified US Household Food Security/Hunger Survey Module. Thirteen percent of subjects lived in food insecure households. There were differences in the prevalence of food insecurity according to sex, educational level, income level, and household structure. Mean age of the food insecurity group was significantly higher than that of the food security group. The results of logistic regression analysis showed that food insecurity was significantly associated with alcohol intake (OR: 1.82), prevalence of melancholy (OR: 2.07) and suicidal thoughts (OR: 2.67), and intake deficiency of energy (OR: 1.60), calcium (OR: 1.97), iron (OR: 1.97), potassium (OR: 1.96), riboflavin (OR: 1.76), and niacin (OR: 1.64), while not with smoking, physical activity, chronic diseases including obesity, anemia, diabetes, and osteoarthritis, and deficiency of protein, vitamin A, thiamin and vitamin C. These findings suggest that food insecurity is strongly related to mental health and certain nutrient intakes. Prospective research is needed to establish the effects of food insecurity on chronic diseases.
Keywords
KNHANES; food insecurity; elderly; mental health; nutrition;
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Times Cited By KSCI : 13  (Citation Analysis)
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1 Bernal J, Frongillo EA, Herrera HA, Rivera JA (2014): Food insecurity in children but not in their mothers is associated with altered activities, school absenteeism, and stunting. J Nutr 144(10):1619-1626   DOI
2 Chun IA, Ryu SY, Park J, Ro HK, Han MA (2015): Associations between food insecurity and healthy behaviors among Korean adults. Nutr Res Pract 9(4):425-432   DOI
3 Dinour LM, Bergen D, Yeh MC (2007): The food insecurityobesity paradox: a review of the literature and the role food stamps may play. J Am Diet Assoc 107(11):1952-1961   DOI
4 Keenan DP, Olson C, Hersey JC, Parmer SM (2001): Measures of food insecurity/security. J Nutr Educ 33 Suppl 1:S49-S58   DOI
5 Kim K, Frongillo EA (2007): Participation in food assistance programs modifies the relation of food insecurity with weight and depression in elders. J Nutr 137(4):1005-1010   DOI
6 Kim K, Hong SA, Kim MK (2008a): Nutritional status and food insufficiency of Korean population through the life-course by education level based on 2005 National Health and Nutrition Survey. Korean J Nutr 41(7):667-681
7 Kim K, Hong SA, Kwon SO, Choi BY, Kim GY, Oh SY (2011a): Validation of food security measures for the Korean National Health and Nutrition Examination Survey. Korean J Community Nutr 16(6):771-781   DOI
8 Kim K, Hong SA, Kwon SO, Oh SY (2011b): Development of food security measures for Korean National Health and Nutrition Examination Survey. Korean J Nutr 44(6):551-561   DOI
9 Kim K, Kim MK (2009): Development and validation of food security measure. Korean J Nutr 42(4):374-385   DOI
10 Kim K, Kim MK, Shin YJ (2008b): The concept and measurement of food security. J Prev Med Public Health 41(6): 387-396   DOI
11 Kim K, Kim MK, Shin YJ, Lee SS (2011c): Factors related to household food insecurity in the Republic of Korea. Public Health Nutr 14(6):1080-1087   DOI
12 Kim HJ, Park K (2011): Egg consumption and prevalence of metabolic syndrome in Korean adults: based on 2007-2008 Korean National Health and Nutrition Examination Survey. Korean J Community Nutr 16(3):364-374   DOI
13 Kwon SO, Oh SY (2007): Associations of household food insecurity with socioeconomic measures, health status and nutrient intake in low income elderly. Korean J Nutr 40(8): 762-768
14 Laraia BA, Borja JB, Bentley ME (2009): Grandmothers, fathers, and depressive symptoms are associated with food insecurity among low-income first-time African-American mothers in North Carolina. J Am Diet Assoc 109(6):1042-1047   DOI
15 Loopstra R, Tarasuk V (2013): Severity of household food insecurity is sensitive to change in household income and employment status among low-income families. J Nutr 143(8): 1316-1323   DOI
16 Lee CJ, Joung HJ (2012): Milk intake is associated with metabolic syndrome -using data from the Korea National Health and Nutrition Examination Survey 2007-2010. Korean J Community Nutr 17(6):795-804   DOI   ScienceOn
17 Lee HS (2014): Prevalence of osteoarthritis and related risk factors in the elderly: data from the fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010-2012. J Korean Diet Assoc 20(2):99-109   DOI
18 Lee JS, Frongillo EA Jr (2001): Factors associated with food insecurity among U.S. elderly persons: importance of functional impairments. J Gerontol B Psychol Sci Soc Sci 56(2): S94-S99   DOI
19 Ministry of Health and Welfare. Ministry of Health and Welfare statistical year book 2014. Available from: http:// www. mw.go.kr Accessed March 18, 2015
20 Oh SW (2011): Obesity and metabolic syndrome in Korea. Diabetes Metab J 35(6):561-566   DOI
21 Rose D, Oliveira V (1997): Nutrient intakes of individuals from food-insufficient households in the United States. Am J Public Health 87(12):1956-1961   DOI
22 Seligman HK, Laraia BA, Kushel MB (2010): Food insecurity is associated with chronic disease among low-income NHANES participants. J Nutr 140(2):304-310   DOI
23 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 (KNHANES III). Korean J Nutr 41(2):174-183
24 Tarasuk V, Mitchell A, McLaren L, McIntyre L (2013): Chronic physical and mental health conditions among adults may increase vulnerability to household food insecurity. J Nutr 143(11):1785-1793   DOI
25 The Korean Nutrition Society (2010): Dietary reference intakes for Koreans. The Korean Nutrition Society. Seoul. pp.578-583
26 Vozoris NT, Tarasuk VS (2003): Household food insufficiency is associated with poorer health. J Nutr 133(1):120-126   DOI
27 Wellman NS, Weddle DO, Kranz S, Brain CT (1997): Elder insecurities: poverty, hunger, and malnutrition. J Am Diet Assoc 97(10 Suppl 2):S120-S122   DOI
28 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(1):30-40   DOI
29 Yu Y, Song Y (2015): Three clustering patterns among metabolic syndrome risk factors and their associations with dietary factors in Korean adolescents: based on the Korea National Health and Nutrition Examination Survey of 2007-2010. Nutr Res Pract 9(2):199-206   DOI