Regional differences in the associations of diet quality, obesity, and possible sarcopenia using the seventh Korea National Health and Nutrition Examination Survey (2016-2018)
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OBJECTIVES: Sarcopenic obesity is closely related to aging and the prevalence of various chronic diseases and frailty. The purpose of this study was to analyze whether diet quality is related to obesity, sarcopenia, and sarcopenic obesity, and if so, to explore the difference in that relationship between urban and rural settings. METHODS: Using data from the Korea National Health and Nutrition Examination Survey of 2016-2018, a total of 7,151 participants aged 40 years or older were analyzed. Sarcopenia was diagnosed using handgrip strength. Diet quality was assessed using Korea Healthy Eating Index (KHEI) scores, and obesity was determined based on participants’ abdominal circumference. Multinomial logistic analysis was used for testing statistical significance. RESULTS: Rural participants had significantly lower KHEI scores and a higher prevalence of sarcopenic obesity than urban participants. The study findings demonstrate that participants without obesity, sarcopenia, or sarcopenic obesity had significantly higher KHEI scores in both rural and urban settings. Multinomial regression analysis further revealed that a higher KHEI score was associated with a lower risk of sarcopenia and sarcopenic obesity among urban residents, while only the risk of obesity was lower with higher diet quality scores among rural residents. CONCLUSIONS: Since diet quality and health status were lower in rural areas, it is important to address this regional disparity with appropriate policy measures. To mitigate urban health disparities, urban residents in poor health with few resources should also be supported.
Abstract
OBJECTIVES: Sarcopenic obesity is closely related to aging and the prevalence of various chronic diseases and frailty. The purpose of this study was to analyze whether diet quality is related to obesity, sarcopenia, and sarcopenic obesity, and if so, to explore the difference in that relationship between urban and rural settings. METHODS: Using data from the Korea National Health and Nutrition Examination Survey of 2016-2018, a total of 7,151 participants aged 40 years or older were analyzed. Sarcopenia was diagnosed using handgrip strength. Diet quality was assessed using Korea Healthy Eating Index (KHEI) scores, and obesity was determined based on participants’ abdominal circumference. Multinomial logistic analysis was used for testing statistical significance. RESULTS: Rural participants had significantly lower KHEI scores and a higher prevalence of sarcopenic obesity than urban participants. The study findings demonstrate that participants without obesity, sarcopenia, or sarcopenic obesity had significantly higher KHEI scores in both rural and urban settings. Multinomial regression analysis further revealed that a higher KHEI score was associated with a lower risk of sarcopenia and sarcopenic obesity among urban residents, while only the risk of obesity was lower with higher diet quality scores among rural residents. CONCLUSIONS: Since diet quality and health status were lower in rural areas, it is important to address this regional disparity with appropriate policy measures. To mitigate urban health disparities, urban residents in poor health with few resources should also be supported.
참고문헌 (49)
- Baumgartner RN, "Body composition in healthy aging", Ann N Y Acad Sci, 904, pp.437~448 (2000)
- Song MY, "Sarcopenia and increased adipose tissue infiltration of muscle in elderly African American women", Am J Clin Nutr, 79, pp.874~880 (2004)
- Esmaili H, "Association of dietary patterns with sociodemographic and health-related factors among coronary artery disease(CAD)patients", Ecol Food Nutr, 54, pp.4~19 (2015)
- Janssen I, "Low relative skeletal muscle mass(sarcopenia)in older persons is associated with functional impairment and physical disability", J Am Geriatr Soc, 50, pp.889~896 (2002)
- Cao L, "Sarcopenia Is recognized as an independent condition by an International Classification of Disease, tenth revision, Clinical Modification(ICD-10-CM)code", J Am Med Dir Assoc, 17, pp.675~677 (2016)
- Tanimoto Y, "Association between sarcopenia and higher-level functional capacity in daily living in community-dwelling elderly subjects in Japan", Arch Gerontol Geriatr, 55, pp.e9~e13 (2012)
- Tanimoto Y, "Sarcopenia and falls in community-dwelling elderly subjects in Japan : defining sarcopenia according to criteria of the European Working Group on Sarcopenia in Older People", Arch Gerontol Geriatr, 59, pp.295~299 (2014)
- Kim TN, "Prevalence and determinant factors of sarcopenia in patients with type 2 diabetes : the Korean Sarcopenic Obesity Study(KSOS)", Diabetes Care, 33, pp.1497~1499 (2010)
- Landi F, "Sarcopenia and mortality risk in frail older persons aged 80 years and older : results from ilSIRENTE study", Age Ageing, 42, pp.203~209 (2013)
- Cruz-Jentoft AJ, "Sarcopenia : revised European consensus on definition and diagnosis", Age Ageing, 48, pp.16~31 (2019)
- Chen LK, "Asian Working Group for Sarcopenia : 2019 consensus update on sarcopenia diagnosis and treatment", J Am Med Dir Assoc, 21, pp.300~307 (2020)
- Cruz-Jentoft AJ, "Sarcopenia : European consensus on definition and diagnosis : report of the European Working Group on Sarcopenia in Older People", Age Ageing, 39, pp.412~423 (2010)
- Roubenoff R, "Sarcopenic obesity : the confluence of two epidemics", Obes Res, 12, pp.887~888 (2004)
- Hughes VA, "Anthropometric assessment of 10-y changes in body composition in the elderly", Am J Clin Nutr, 80, pp.475~482 (2004)
- Hernández-Ono A, "Association of visceral fat with coronary risk factors in a population-based sample of postmenopausal women", Int J Obes Relat Metab Disord, 26, pp.33~39 (2002)
- Pi-Sunyer FX, "The epidemiology of central fat distribution in relation to disease", Nutr Rev, 62, pp.S120~S126 (2004)
- Kong HH, "Effect of sarcopenic obesity on deterioration of physical function in the elderly", Arch Gerontol Geriatr, 89, pp.104065~ (2020)
- Someya Y, "Sarcopenic obesity is associated with cognitive impairment in community-dwelling older adults : the Bunkyo Health Study", Clin Nutr, 41, pp.1046~1051 (2022)
- Uchitomi R, "Vitamin D and sarcopenia : potential of vitamin D supplementation in sarcopenia prevention and treatment", Nutrients, 12, pp.3189~ (2020)
- Park Y, "Protein supplementation improves muscle mass and physical performance in undernourished prefrail and frail elderly subjects : a randomized, double-blind, placebo-controlled trial", Am J Clin Nutr, 108, pp.1026~1033 (2018)
- Bollwein J, "Dietary quality is related to frailty in community-dwelling older adults", J Gerontol A Biol Sci Med Sci, 68, pp.483~489 (2013)
- León-Muñoz LM, "Mediterranean diet and risk of frailty in community-dwelling older adults", J Am Med Dir Assoc, 15, pp.899~903 (2014)
- Paddon-Jones D, "Dietary protein recommendations and the prevention of sarcopenia", Curr Opin Clin Nutr Metab Care, 12, pp.86~90 (2009)
- Yokoyama Y, "Dietary variety and decline in lean mass and physical performance in community-dwelling older Japanese : a 4-year follow-up study", J Nutr Health Aging, 21, pp.11~16 (2017)
- Park S, "Do where the elderly live matter? Factors associated with diet quality among Korean elderly population living in urban versus rural areas", Nutrients, 12, pp.1314~ (2020)
- Cohen SA, "What aspects of rural life contribute to rural-urban health disparities in older adults? Evidence from a national survey", J Rural Health, 34, pp.293~303 (2018)
- Eberhardt MS, "The importance of place of residence : examining health in rural and nonrural areas", Am J Public Health, 94, pp.1682~1686 (2004)
- Jang IY, "Rural and urban disparities in frailty and aging-related health conditions in Korea", J Am Geriatr Soc, 64, pp.908~911 (2016)
- Kweon S, "Data resource profile : the Korea National Health and Nutrition Examination Survey(KNHANES)", Int J Epidemiol, 43, pp.69~77 (2014)
- Hyoung Moo Park, "Current Status of Sarcopenia in Korea: A Focus on Korean Geripausal Women", Annals of geriatric medicine and research, 22(2), pp.52~61 (2018), 대한노인병학회[DOI]
- Roberts HC, "A review of the measurement of grip strength in clinical and epidemiological studies : towards a standardised approach", Age Ageing, 40, pp.423~429 (2011)
- 육성민, "국민건강영양조사 자료를 이용한 한국 성인의 식생활평가지수 개발", Journal of Nutrition and Health, 48(5), pp.419~428 (2015), 한국영양학회
- Yun Sungha, "Development of the Korean Healthy Eating Index for adults, based on the Korea National Health and Nutrition Examination Survey", Nutrition Research and Practice, 16(2), pp.233~247 (2022), 한국영양학회[DOI]
- Ross R, "Waist circumference as a vital sign in clinical practice : a Consensus Statement from the IAS and ICCR Working Group on Visceral Obesity", Nat Rev Endocrinol, 16, pp.177~189 (2020)
- Panjikkaran ST, "Augmenting BMI and waist-height ratio for establishing more efficient obesity percentiles among school-going children", Indian J Community Med, 34, pp.135~139 (2009)
- Lee SY, "Appropriate waist circumference cutoff points for central obesity in Korean adults", Diabetes Res Clin Pract, 75, pp.72~80 (2007)
- "Guidelines for the use of raw data in the National Health and Nutrition Survey (KNHANES)_ 7th (2016-2018)" (2020)[URL]
- Ervin RB, "Healthy Eating Index scores among adults, 60 years of age and over, by sociodemographic and health characteristics : United States, 1999-2002", Adv Data, 395, pp.1~16 (2008)
- Shim JE, "Objective and perceived food environment and household economic resources related to food insecurity in older adults living alone in rural areas", BMC Geriatr, 19, pp.234~ (2019)
- Dean WR, "Rural and urban differences in the associations between characteristics of the community food environment and fruit and vegetable intake", J Nutr Educ Behav, 43, pp.426~433 (2011)
- Lebel A, "Identifying rural food deserts : methodological considerations for food environment interventions", Can J Public Health, 107(Suppl 1), pp.5353~ (2016)
- Sharkey JR, "Measuring potential access to food stores and food-service places in rural areas in the U.S", Am J Prev Med, 36(4 Suppl), pp.S151~S155 (2009)
- Hotamisligil GS, "Tumor necrosis factor alpha inhibits signaling from the insulin receptor", Proc Natl Acad Sci U S A, 91, pp.4854~4858 (1994)
- Reaven GM, "Banting lecture 1988. Role of insulin resistance in human disease", Diabetes, 37, pp.1595~1607 (1988)
- Roubenoff R, "Sarcopenic obesity : does muscle loss cause fat gain? Lessons from rheumatoid arthritis and osteoarthritis", Ann N Y Acad Sci, 904, pp.553~557 (2000)
- Stephen WC, "Sarcopenic-obesity and cardiovascular disease risk in the elderly", J Nutr Health Aging, 13, pp.460~466 (2009)
- Villareal DT, "Physical frailty and body composition in obese elderly men and women", Obes Res, 12, pp.913~920 (2004)
- Banerjee S, "Determinants of rural-urban differential in healthcare utilization among the elderly population in India", BMC Public Health, 21, pp.939~ (2021)
- Jeon YJ, "Health inequalities in hypertension and diabetes management among the poor in urban areas : a population survey analysis in South Korea", BMC Public Health, 16, pp.492~ (2016)