• 제목/요약/키워드: Cardiovascular Health Index

검색결과 258건 처리시간 0.029초

베트남 Bavi 지역 여성의 식품 및 영양섭취상태와 고중성지방혈증 위험도의 관계: 한국인유전체역학조사사업 (Relationship between food and nutrient intake and the risk of hypertriglyceridemia in Vietnamese women residing in Bavi: the Korean Genome and Epidemiology Study (KoGES))

  • 김정기;김지명;김혜숙;정혜원;장남수
    • Journal of Nutrition and Health
    • /
    • 제46권1호
    • /
    • pp.15-25
    • /
    • 2013
  • The purpose of this study is to investigate the proportion and associated risk factors of hypertriglyceridemia in rural Vietnamese women. Research data were collected as part of the Korean Genome and Epidemiology Study (KoGES). A cross-sectional study of 957 Vietnamese women in their 20 to 30s was conducted in rural areas of Bavi, Vietnam. Subjects were classified as hypertriglyceridemic (serum TG ${\geq}$ 150 mg/dL). Demographic, socio-economic details, anthro-pometric measurements, and blood profiles were recorded. The proportion of hypertriglyceridemic subjects was 22.0%, and the mean age of hypertriglyceridemics subjects was older than that of normo-triglyceridemic subjects (p < 0.05). In hypertriglyceridemic subjects, height, HDL-cholesterol, and LDL-cholesterol were significantly lower, compared to subjects with normo-triglyceridemia, while weight, body mass index, waist hip ratio, body fat %, blood pressure, fasting blood sugar, total cholesterol, and atherogenic index were higher, compared to those with normo-triglyceridemia. Intake of cereal and cereal products, total plant food, and cereal/potato fiber in subjects with hypertriglyceridemia was significantly higher, compared to normo-triglyceridemic subjects. Hypertriglyceridemic subjects had a significantly lower intake of animal calcium and retinol than normo-triglyceridemic subjects. Significant positive relationships were observed between the prevalence of hypertriglyceridemia and consumption of total plant food [OR (95% CI) for the highest tertile, compared to the lowest: 1.764 (1.131-2.750); p for trend = 0.008] and crude fiber [OR (95% CI) for the highest tertile compared to the lowest: 1.651 (1.092-2.497); p for trend = 0.027]. In addition, a significant inverse relationship was observed between the prevalence of hypertriglyceridemia and cholesterol intake [OR (95% CI) for the highest tertile, compared to the lowest: 0.601 (0.400-0.901); p for trend = 0.012]. These findings may provide basic data for use by policymakers and dieticians in future development of nutrition and health programs to encourage healthier eating habits, and to prevent hypertriglyceridemia advancing cardiovascular disease in rural Vietnamese women.

한국 20-30대 성인의 Atherogenic Index of Plasma에 따른 건강지표 및 생활습관비교 (Comparison of health indicators and lifestyle according to atherogenic index of plasma in Korean adults in their 20s and 30s)

  • 황보라;양윤정
    • Journal of Nutrition and Health
    • /
    • 제56권2호
    • /
    • pp.168-183
    • /
    • 2023
  • 본 연구는 20-30대 성인을 대상으로 심혈관계 질환 예측인자인 AIP가 어떤 요인들과 상관성이 있는지를 밝혀 중년 이후 심혈관계질환의 발병을 조기에 예방할 수 있도록 하는 근거를 제공하고자 수행이 되었다. 연구대상자는 2013-2015년 국민건강영양조사에 참여한 20-39세 성인 3,040명으로 AIP에 따라 5분위수로 나누어서 일반사항, 건강지표, 식습관, 영양섭취상태를 비교하였다. 남성과 여성 대상자 모두 나이가 많을수록, 비만할수록, 흡연할수록 AIP 평균이 높았고, 교육수준의 경우 남성은 교육수준이 높을수록 여성은 교육 수준이 낮을수록 AIP 평균이 높았다. 남성은 음주 정도에 따라 AIP 평균에 차이가 있었고, 운동을 하지 않는 남성이 운동을 하는 남성보다 AIP 평균이 높았다. 건강지표는 남녀 모두 AIP가 높은 분위로 갈수록 수축기 혈압, 이완기 혈압, 공복혈당, 인슐린, 총 콜레스테롤, 중성지방, LDL 콜레스테롤이 유의하게 증가하는 경향이 나타났다. 남성의 경우 당화혈색소 수치도 AIP가 높아질수록 유의하게 증가하는 경향이 나타났지만, 여성에서는 유의적인 차이는 없었고, HDL 콜레스테롤의 경우 남녀 모두 AIP가 높아질수록 수치가 유의하게 낮아지는 경향이 있었다. 식습관은 여성에서 AIP가 높은 분위수로 갈수록 아침식사를 먹지 않는 비율이 높았고, 음료의 섭취량이 높았으며 커피의 섭취량은 낮았다. AIP에 따른 영양소 섭취량은 남녀 모두 차이가 없었다. 본 연구 결과를 통해 20-30대 성인에서도 나이가 많을수록 비만할수록 흡연을 할수록 운동을 안 할수록 동맥경화의 위험도가 높아짐을 확인하였고, AIP는 젊은 성인에서도 수축기 혈압, 이완기 혈압, 공복혈당, 인슐린, 총 콜레스테롤, 중성지방, LDL 콜레스테롤, HDL 콜레스테롤 등의 건강지표와 상관성이 있었다. 또한 여성에서 음료의 섭취가 많고 커피의 섭취가 적을수록 AIP가 증가하여서 탄산음료와 가당 음료의 섭취를 줄이는 것이 바람직함을 확인하였다. 따라서 20-30대 젊은 성인도 체중조절과 바람직한 생활습관을 통해 심혈관질환 예방을 위한 노력이 필요함을 확인하였다.

지역사회 거주 50세 이상 성인의 동맥경직도와 염증반응인자와의 관련성 (Cross-Sectional Relations of Arterial Stiffness and Inflammatory Markers in Korean Adults Aged 50 Years and Older)

  • 류소연;신민호;이영훈;이정애;최진수;박경수;남해성;정슬기;권순석
    • 농촌의학ㆍ지역보건
    • /
    • 제36권2호
    • /
    • pp.101-112
    • /
    • 2011
  • 50세 이상 건강한 성인을 대상으로 baPWV로 측정한 동맥경직도 수준과 염증인자와 동맥경직도와의 관련성을 파악하기 위하여 본 연구를 수행하였다. 2007년과 2008년에 수행된 광주광역시 동구연구(Dong-gu Study)의 기반조사에 참여한 50세 이상 주민 4617명을 대상으로 하였으며, 다중회귀분석을 시행하여 전통적인 심뇌혈관질환 위험요인을 통제한 상태에서 baPWV와 CRP, GGT와 WBC 등의 염증반응인자와의 관련성을 알아보았다. 평균 baPWV는 남자 $17.0{\pm}4.0\;m/s$, 여자 $16.2{\pm}3.6\;m/s$로 남, 여 간에 통계적으로 유의한 차이가 있었고, 연령이 증가할수록 baPWV는 통계적으로 유의하게 증가하는 경향을 보였다. 성, 연령, 흡연상태, 체질량지수, 수축기혈압, 공복혈당, 고혈압 또는 당뇨병의 투약 여부, 혈청 지질, 요산과 ALT 등의 전통적인 심뇌혈관질환 위험요인을 통제한 상태에서 WBC (${\beta}$=0.158, p<0.0001), hs-CRP(${\beta}$=0.244, p=0.026)와 GGT (${\beta}$=0.003, p<0.0001)는 baPWV와 통계적으로 유의하게 독립적인 관련성이 있음을 알 수 있었다. 결론적으로 baPWV로 측정한 동맥경직도 지표는 염증반응인자와 관련이 있음을 알 수 있었다. baPWV 등의 동맥경직도 측정 지표는 동맥 기능의 초기변화를 반영하고 일반적으로 알려져 있는 심혈관질환 위험요인과 유의한 상관관계를 가지고 있어, 이를 이용하여 심혈관질환의 위험을 예측하는데 활용할 수 있을 것으로 생각된다.

Nonlinear Conte-Zbilut-Federici (CZF) Method of Computing LF/HF Ratio: A More Reliable Index of Changes in Heart Rate Variability

  • Vernon Bond, Jr;Curry, Bryan H;Kumar, Krishna;Pemminati, Sudhakar;Gorantla, Vasavi R;Kadur, Kishan;Millis, Richard M
    • 대한약침학회지
    • /
    • 제19권3호
    • /
    • pp.207-212
    • /
    • 2016
  • Objectives: Acupuncture treatments are safe and effective for a wide variety of diseases involving autonomic dysregulation. Heart rate variability (HRV) is a noninvasive method for assessing sympathovagal balance. The low frequency/high frequency (LF/HF) spectral power ratio is an index of sympathovagal influence on heart rate and of cardiovascular health. This study tests the hypothesis that from rest to 30% to 50% of peak oxygen consumption, the nonlinear Conte-Zbilut-Federici (CZF) method of computing the LF/HF ratio is a more reliable index of changes in the HRV than linear methods are. Methods: The subjects of this study were 10 healthy young adults. Electrocardiogram RR intervals were measured during 6-minute periods of rest and aerobic exercise on a cycle ergometer at 30% and 50% of peak oxygen consumption ($VO_{2peak}$). Results: The frequency domain CZF computations of the LF/HF ratio and the time domain computations of the standard deviation of normal-to-normal intervals (SDNN) decreased sequentially from rest to 30% $VO_{2peak}$ (P < 0.001) to 50% $VO_{2peak}$ (P < 0.05). The SDNN and the CZF computations of the LF/HF ratio were positively correlated (Pearson's r = 0.75, P < 0.001). fast Fourier transform (FFT), autoregressive (AR) and Lomb periodogram computations of the LF/HF ratio increased only from rest to 50% $VO_{2peak}$. Conclusion: Computations of the LF/HF ratio by using the nonlinear CZF method appear to be more sensitive to changes in physical activity than computations of the LF/HF ratio by using linear methods. Future studies should determine whether the CZF computation of the LF/HF ratio improves evaluations of pharmacopuncture and other treatment modalities.

폐쇄성 수면 무호흡 환자의 지속적 양압기 사용 후 재검사시 수면다원검사 결과의 변화 (Case of a Change in the Polysomnograpy Results after Using Continuous Positive Airway Pressure in a Patient with Obstructive Sleep Apnea)

  • 김대진;문수진;최정수;이민우;조재욱
    • 대한임상검사과학회지
    • /
    • 제51권1호
    • /
    • pp.119-123
    • /
    • 2019
  • 폐쇄성 수면 무호흡은 반복적인 상기도 저항으로 인해 호흡이 없는 상태를 말하며, 뇌 심혈관계 질환과의 연관성이 있어 적극적인 치료가 필요하다. 대표적인 방법인 지속적 양압기의 치료효과는 많은 연구로 입증되었다. 그러나 지속적 양압기 사용 전과 후의 마스크를 착용하지 않은 상태에서의 수면다원검사 결과를 비교한 것은 없다. 본 증례에서 폐쇄성 수면 무호흡으로 진단된 환자가 2년 이상 꾸준히 지속적 양압기를 사용한 후 재검사를 통해 무호흡-저호흡 지수의 감소(64.7/h에서 12.9/h) 및 그 외 수면관련 지표들도 호전된 결과를 보였다. CPAP의 장기적 사용은 상기도 저항이 감소할 수 있는 기전을 제공하는 것으로 사료되며, 이로 인한 무호흡-저호흡 지수가 변화 가능성이 있으므로 꾸준한 수면다원검사의 추적관찰이 필요하겠다.

고혈압 및 당뇨병 환자에서 한식 섭취가 혈청 GGT와 심혈관질환 위험인자에 미치는 영향 (Effects of adherence to Korean diets on serum GGT and cardiovascular disease risk factors in patients with hypertension and diabetes)

  • 정수진;채수완
    • Journal of Nutrition and Health
    • /
    • 제51권5호
    • /
    • pp.386-399
    • /
    • 2018
  • 본 연구는 고혈압 및 당뇨병 치료 중인 환자 41명을 대상으로 한식 섭취가 12주간의 경과 과정에서 4차례의 방문(0주, 4주, 8주, 12주)을 통해 측정한 혈청 GGT, 혈압 및 glycemic control data, 심혈관계 위험지표 및 식이섭취의 변화를 비교 평가한 결과는 다음과 같았다. 1. 연구대상자는 평균 연령은 $61.8{\pm}1.9$세로 한식군 (21명)의 경우 건강한 한식을 1일 3끼씩 12주간 제공된 식사를 섭취하였고, 대조군 (당뇨병 식이 가이드라인에 따른 관리교육을 받은 자) 20명은 평소 섭취하던 당뇨조절 식사를 그대로 유지하게 하였다. 2. 수축기혈압과 이완기혈압은 두군 간 유의한 차이를 확인할 수 없었으나 맥박수는 한식군에서 대조군에 비해 유의적으로 감소하였다 (p = 0.007). 3. 당화혈색소 (HbA1c)는 한식군에서 연구 참여 전과 후 각각 $6.8{\pm}.2%$, $6.1{\pm}.2%$로 감소하고 대조군은 각각 $6.8{\pm}.2%$, $6.5{\pm}.2%$로 감소되어 한식군이 대조군에 비해 유의적으로 감소폭이 컸다 (p = 0.004). 4. 혈청 GGT는 한식군에서 연구 참여 전과 후 각각 $28.8{\pm}4.5IU/L$, $19.8{\pm}3.2IU/L$로 감소하고 대조군은 각각 $30.0{\pm}4.1IU/L$, $33.9{\pm}5.0IU/L$로 증가되어 한식군이 대조군에 비해 유의적으로 감소하였다 (p < 0.001). 5. 총콜레스테롤, LDL 콜레스테롤 및 중성지방은 한식군에서 대조군에 비해 감소한 경향이었으나 두군 간 유의적인 차이가 없었으며 free fatty acid는 한식군에서 대조군 보다 유의적으로 감소하였다 (p = 0.002). 6. 신체계측 지표인 체중 (p = 0.002), 체질량지수 (p = 0.002), 체지방량 (p < 0.001), 체지방율 (p < 0.001)은 연구 참여 전에 비해 연구 참여 12주 후에 한식군에서 대조군에 비해 유의적으로 감소하였다. 7. 치료약물의 변화량은 두군 간 유의한 차이는 없었으나 한식군에서 대조군보다 많은 수의 환자가 실제로 고혈압, 당뇨병 및 고지혈증 치료 약물을 감량할 수 있었다. 8. 한식군은 연구 참여 동안에 전곡류의 밥, 채소류인 나물류, 김치 및 전통 콩발효식품 등의 섭취량은 대조군에 비해 유의하게 증가하였다 (p < 0.001). 9. 한식군은 동물성식품에서 유래한 동물성 단백질 (p < 0.001), 지질 (p < 0.001) 및 콜레스테롤 (p = 0.034)의 섭취량은 대조군에 비해 유의적으로 감소한 반면, 총칼로리(p < 0.001), 엽산 (p < 0.001), 식이섬유 (p < 0.001), 나트륨(p < 0.001), 칼륨 (p < 0.001), 비타민 A, C, E (p < 0.001) 및 비타민 B류 (p < 0.001)의 섭취는 유의적으로 증가하였다. 이상의 결과를 종합해 보면, 적극적인 전곡류로 만든 밥을 중심으로 한 한식 섭취는 당뇨병 및 고혈압 환자에서 대사성질환 및 심혈관계질환 위험인자인 혈청 GGT, 맥박수, 혈당조절 지표 및 비만지표 개선에 긍정적인 영향을 주었다.

건강한 중년 남성에서 커피 음용 습관이 혈중 총 콜레스테롤 값에 미치는 영향 (The Effect of Coffee Consumption on Serum Total Cholesterol Level in Healthy Middle-Aged Men)

  • 신명희;김동현;배종면;이형기;이무송;노준양;안윤옥
    • Journal of Preventive Medicine and Public Health
    • /
    • 제27권2호
    • /
    • pp.200-216
    • /
    • 1994
  • In present study, the authors investigated the possible effect of coffee consumption on serum cholesterol level in 1017 men between the ages of 40 and 59 years, who were randomly selected from the members of Seoul Cohort Study. Serum total cholesterol data was collected with other serologic indices (e.g. systolic blood pressure, diastolic blood pressure, hight, weight, etc.) through the program of biennial health check-up offered by Korean Medical Insurance Corporation (KMIC). The amount of coffee consumption was assessed by a self-administered questionnaire through mailing. Other confounding factors, such as age, body mass index, cigarette smoking, alcohol consumption, physical activity, and other dietary intake pattern were also determined by the questionnaire. The differences in means of serum total cholesterol in compared to non consumers were $-0.4{\pm}3.56mg/dl$ for those drinking less than 1 cup a day, $-0.6{\pm}3.60mg/dl$ for those drinking 1 cup a day, and $7.1{\pm}3.41mg/dl$ for those drinking more than 2 cups a day. Since smoking interacted the relationship between coffee consumption and serum total choleaterol, we re-analyzed those relationship in smokers and non-smokers separately Other atherogenic behaviors were well correlated with total cholesterol, so we adjusted the mean values of serum total cholesterol through multivariate model selection with age(r=0.12), total cigarette index (cigarette-years; r=0.10), Quetelet's index ($Kg/m^2$, r=0.16), daily calory expenditure (kcal/day, r=0.06), weekly meat and poultry consumption(g/week, r=0.05), weekly fish consumption (g/week, r=0.08), other caffeinated beverage intake (cups/week), and the amount of sugar and prim added to the coffee. Among those variables only age, Quetelet's index, fish consumption, and total cigarette index (in smokers) were remained in the models. After adjustment, the corresponing differences of total cholesterol in smokers were changed to $0.4{\pm}5.24mg/dl,\;-0.5{\pm}4.97mg/dl,\;and\;8.9{\pm}4.78mg/dl$, which were significantly different among themselves (P=0.011). In non-smokers, however, the differences were not statistically significant (P=0.76). Adjusted mean values of systolic blood pressure and diastolic blood pressure were also determined to evaluate the direct effect of coffee to cardiovascular system, but their means were not significantly different by coffee consumption(p=0.18 for SBP, p=0.48 for DBP). Asuming instant coffee in the most popular type of coffee in Korea, the association observed in our study between coffee and serum total cholesterol, especially in smokers, is very interesting finding for the connection between coffee and serum total cholesterol, because only 'boiled coffee' tend to show significant lipid raising effect rather than to other types of coffee, like filtered or espresso, in most of the western countries. We concluded that people who drink coffee more than 2 cups a day have significantly higher serum total cholesterol level than those who never drink coffee, especially in smokers.

  • PDF

일부 여자 대학생들의 건강문제 호소에 관한 조사연구 (A Study of the Health Problem Complaints of University Women Students)

  • 양순옥
    • 대한간호학회지
    • /
    • 제11권2호
    • /
    • pp.105-123
    • /
    • 1981
  • This study was carried out during the month of September 1976 to analyse and compare the health complaints of two groups of the university women, those who lived at home and those who lived in the university dormitory. The purpose of the study was to provide basic data required by the university health program for planning related to the health need of women students. The study sample consisted of 434 students living in the dormitory and 381 students living at home enrolled for the fall semester 1976 in a womens university in Seoul. The instrument used for the collection of data was an abridged version of a modified Cornell Medical Index. The questionarre included 35 items related to physical health complaint and 22 items related to mental health complaints. The data was treated by a computer (SPSS) using one way analysis, the Fishers' ratio and Chi-Square test at the 5% level were used for the test for statistical significance. The interpretation of this study is limited due to the sample which was restricted to one university and not randomly selected. To guide the direction of the study, it was hypothesized that the rate of expressed health problems of students living in the dormitory would be Venter than that of students living at home. The hypothesis was tested and rejected. The following is a summary of the findings; 1. Total health (physical and mental) complaints a. There was no statistically significant difference between the home and dormitory groups with regard to total health complaints expressed. b. The rate of total complaints expressed by the home group significantly higher than dormitory group only among third year students. c. There was no statistically significant between the home and dormitory groups in their satisfaction with their economic situation. d. The home group showed a significantly higher rate of complaints related to the Nervous System compared to that of the dormitory group. 2. Physical health complaints a. Students living at home showed a significantly higher rate of physical complaints than the dormitory group. b. When the year variable was controlled, the third year was the only group which showed a different rate between home and dormitory groups; the home group presented a higher rate. c. Since the year variable seemed to affect the physical complaints those data were further analysed to see whether the specific system areas were operating as variables in each year. The results were as follow: Among the home group, First year students showed a higher rate in Family History of Disease, while the third year students more Nervous System and Cardiovascular System complaints. Among the dormitory group, only fourth year students showed a higher rate in the Skeletal-Muscular System. This was the only area the dormitory group though only for the fourth year students supported the hypothesis. d. When the economic satisfaction variable was controlled, the satisfied group was the only group which showed a different rate between home and dormitory groups; the home group presented higher rate. e. Since the economic satisfaction variable seemed to affect the physical complaints those data were further analyzed to see whether the specific system areas were operating as variables in each economic satisfaction level, but there was no statistically significant difference between home and dormitory groups. 3. Mental health complaints a. There was no significantly difference between home and dormitory groups with regard to mental health complaints expressed. b. When the year variable was controlled the third year group was the only group which showed a different rate between home and dormitory groups; the home group presented a higher rate. c. Since the year variable seemed to affect the mental complaints, those data were further analyzed to see whether the specific system areas were operatings variables in each economic satisfaction level. The result were as follows: Among the home group, the third year students showed higher rates in Inadequacy and Anxiety. d. When the economic satisfaction variable was controlled, the very satisfied group was the only group which showed a different rate between home and dormitory groups: the home group presented a higher rate. Since the economic satisfaction variable seemed to affect the mental complaints, those data were further analysed to see whether the specific system areas were operating as variables in each economic satisfaction level, but there was no statistical significant difference between the home and dormitory groups. Although the social environment of dormitory life differs from family life, there was no difference in the rate of total health problem complaints between the home and dormitory groups but the home group showed a higher rate of physical health complaints than the dormitory group. Possible positive factors influencing dormitory life and negative factors influencing family life affecting health complaints must be explored in order to relate to the health needs of the university health program. This study could not define the causes for the fewer physical complaints of dormitory students living at home. Further study of such causal factors recommended in order to provide the data needed to contribute to a more effective health program.

  • PDF

고지혈증인 폐경 후 여성에서 이소플라본 보충이 혈청 지질 농도 및 항산화능에 미치는 영향 (The Effect of Isoflavone Supplement on Plasma Lipids & Antioxidant Status in Hypercholesterolemic Postmenopausal Women)

  • 이종호;김은미;채지숙;장양수;이진희;이근
    • Journal of Nutrition and Health
    • /
    • 제36권6호
    • /
    • pp.603-612
    • /
    • 2003
  • Postmenopausal women are at an increased risk of developing coronary artery disease. This is due to primarily dyslipidemia accompanying the loss of estrogen secretion. Soy isoflavones are known to have weak estrogenic effects. The purpose of this study is to investigate whether isoflavone supplement improves the risk of cardiovascular disease in hypercholesterolemic postmenopausal women. Subjects consisted of 39 Korean postmenopausal women with hypercholesterolemia (total cholesterol $\geq$ 200 mg/㎗ or LDL cholesterol $\geq$ 130 mg/㎗). Subjects were divided into 2 groups; placebo group (PG), isoflavone supplement group (IG). During 12 weeks, subjects were given placebo and 80mg isoflavone daily. Anthropometric measurement, blood sample analysis and dietary intake measurement were taken at baseline and after 12 weeks. After 12 weeks, systolic blood pressure was decreased significantly (p < 0.01) and plasma HDL cholesterol level was increased significantly (p < 0.05) in IG. But there were no significant changes in plasma total cholesterol, LDL cholesterol and triglyceride levels after isoflavone supplementation. There was a negative correlation between initial plasma HDL cholesterol level and the extent of plasma HDL cholesterol reduction in IG (r=-0.572, p=0.012). Atherogenic index (AI), total-/LDL- cholesterol ratio and LDL/HDL cholesterol ratio were improved significantly after isoflavone supplementation. In subjects whose initial plasma LDL cholesterol level were above 160 mg/㎗, plasma malondialdehyde (MDA) level were decreased and total antioxidant status (TAS) were increased significantly after isoflavone supplement (p < 0.05). However there were no significant changes in flow-mediated dilator (FMD), the marker of endothelium-dependent vasodilation and nitroglycerine-mediated dilator (NMD), the marker of endothelium-independent vasodilation and the extent of DNA damage after isoflavone supplement. In conclusion, these results indicate that isoflavone supplement may decrease the risk of cardiovascular disease via improving blood pressure, HDL cholesterol level and AI in hypercholesterolemic postmenopausal women. Futhermore, in case of subjects with elevated LDL cholesterol level, isoflavone supplementation may have more antiatherogenic effects via improving antioxidant status.

서울지역 거주 노인들의 만성질환에 따른 식품 및 영양소 섭취 실태 조사 (The intake of food and nutrient by the elderly with chronic disease in the Seoul area)

  • 박유경;이연주;이상선
    • Journal of Nutrition and Health
    • /
    • 제45권6호
    • /
    • pp.531-540
    • /
    • 2012
  • This study was carried out in order to investigate the status of food and nutrient intakes depending on the types of chronic disease of the elderly at welfare centers in Seoul. The total number of subjects was 299 elderly over the age of 60 (82 men and 217 women); they were grouped by the disease status: normal, cardiovascular disease (CVD), diabetes mellitus (DM) and arthritis patients groups. The dietary intakes were obtained by a 24-hour recall and analyzed by CAN-Pro 4.0; they were then compared with the dietary reference intakes for the Korean (KDRIs). In the results of anthropometric data according to chronic disease, the waist circumference of the normal group in males and females was lower than the other groups; in particular, the normal female group showed a lower level of waist-hip ratio, body mass index (BMI) and body fat % than those of the other groups. The arthritis group showed a higher intake of milk products than the other groups (p < 0.05); consequently, calcium intake was significantly higher than that of the other groups (p < 0.001). Vitamin A intake in the arthritis group was significantly higher than the intake in the normal and DM groups (p < 0.01). Normal and arthritis groups showed significantly higher intake of zinc and copper than the CVD group (p < 0.01). In general, about 80% of the subjects in this study revealed insufficient intakes of riboflavin, vitamin C, calcium, dietary fiber, vitamin D, biotin and potassium, compared with the estimated average requirement (EAR) or adequate intake (AI). However, sodium intake of all groups was higher than the AI of KDRIs. In conclusion, nutrient intake, according to the chronic disease, showed significant difference in some of the micronutrients, vitamin A, Ca, Zn and Cu. Therefore, we suggest that dietary guidelines, such as reducing the intake of salty foods and sweet drinks and increasing the intake of foods with sufficient calcium, vitamin D and vitamin C, are necessary to the improvement of eating habits for the elderly.