독거노인과 가족동거노인의 가구형태가 혈압, 체질량지수, 간이영양평가점수 및 생화학적 지표에 미치는 영향
Effects of Household Type on Blood Pressure, Body Mass Index, Mini Nutritional Assessment Score, and Biochemical Indicators in Elderly Individuals Living Alone and with Families
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Purpose: The purpose of this study was to identify the nutritional status of elderly individuals according to their household types and to investigate the predictors of their nutritional status. Methods: This study, which was a descriptive research study, involved physical measurements, surveys, and biochemical tests in 87 elderly individuals living in the community. Using SPSS/Win 24.0, logistic regression analysis was performed to identify the general characteristics, blood pressure, body mass index (BMI), mini nutritional assessment (MNA) score, and biochemical indicators in elderly individuals according to the household type. Results: Elderly individuals living with family members had higher MNA scores than those of elderly individuals living alone, while showing lower levels of systolic blood pressure and fasting blood sugar. The results of the logistic regression analysis showed that the risk factors were MNA scores (odds ratio (OR)=1.81, 95% confidence interval (CI)=1.36–2.42), systolic blood pressure (OR=0.96, 95% CI=0.92–1.00), and fasting blood glucose (OR=0.94, 95% CI=0.90–0.99). Conclusion: It was confirmed that elderly individuals living alone need differentiated nutrition intervention, since the results showed that they had lower nutritional levels and improper nutritional management than that in elderly individuals living with family members.
Abstract
Purpose: The purpose of this study was to identify the nutritional status of elderly individuals according to their household types and to investigate the predictors of their nutritional status. Methods: This study, which was a descriptive research study, involved physical measurements, surveys, and biochemical tests in 87 elderly individuals living in the community. Using SPSS/Win 24.0, logistic regression analysis was performed to identify the general characteristics, blood pressure, body mass index (BMI), mini nutritional assessment (MNA) score, and biochemical indicators in elderly individuals according to the household type. Results: Elderly individuals living with family members had higher MNA scores than those of elderly individuals living alone, while showing lower levels of systolic blood pressure and fasting blood sugar. The results of the logistic regression analysis showed that the risk factors were MNA scores (odds ratio (OR)=1.81, 95% confidence interval (CI)=1.36–2.42), systolic blood pressure (OR=0.96, 95% CI=0.92–1.00), and fasting blood glucose (OR=0.94, 95% CI=0.90–0.99). Conclusion: It was confirmed that elderly individuals living alone need differentiated nutrition intervention, since the results showed that they had lower nutritional levels and improper nutritional management than that in elderly individuals living with family members.
참고문헌 (29)
- 김은정, "노인의 가족유형별 돌봄서비스 이용의향에 관한 연구", 가족과 문화, 22(2), pp.1~30 (2010), 한국가족학회[DOI]
- "Population and housing census" (2019)[URL]
- Cartographer 2014 a national survey on the living status and welfare needs of the aged 2014, "Korea Institute for Health and Social Affairs", Korea Institute for Health and Social Affairs, ~, pp.Report No.:11-1352000-001426-12 (2014)
- 2014 survey of living conditions and welfare needs of Korean older persons, "Korea Institute for Health and Social Affairs", Korea institute for health and social affairs, ~ (2014)
- The present situation and policy implications for the elderly in Korea, "Jeong KH", Korea Institute for Health and Social Affairs, ~, pp.Report No.: 300(2015-32) (2015)
- 류한소, "노인의 ‘혼밥’과 우울의 관계: 성차를 중심으로", 조사연구, 20(1), pp.1~27 (2019), 한국조사연구학회[DOI]
- Luke Yates, "Eating together and eating alone: meal arrangements in British households", The British Journal of Sociology, 68(1), pp.97~118 (2017), Wiley[DOI]
- Matthias Pirlich, "Nutrition in the elderly", Best Practice & Research Clinical Gastroenterology, 15(6), pp.869~884 (2001), Elsevier BV[DOI]
- Ellen F Furman, "Undernutrition in Older Adults Across the Continuum of Care: Nutritional Assessment, Barriers, and Interventions", Journal of Gerontological Nursing, 32(1), pp.22~27 (2006), SLACK, Inc.[DOI]
- World Population Ageing 2013, "United Nations", Department of economic and social affairs, Population Division, United Nations, ~, pp.Report No.:ST (2013), ESA[DOI]
- 양은주, "여자노인의 영양상태 평가 및 건강관리를 위한 Nutritional Risk Index (NRI) 비교 분석", Journal of Nutrition and Health, 42(3), pp.234~245 (2009), 한국영양학회
- Gary R, "Nutritional status : key to preventing functional decline in hospitalized older adults", Topics in Geriatric Rehabilitation, 17(3), pp.40~71 (2002)
- Yang EJ, "New paradigm for dietary reference intakes : American", Canadian dieteary reference intakes(DRIs) : eldery, 2004, pp.37(7), 603~605
- 김영주, "남녀별 독거노인과 동거노인의 건강습관, 스트레스, 우울, 자살생각 비교", 기본간호학회지, 16(3), pp.333~344 (2009), 기본간호학회
- 한삼성, "독거노인과 부부노인의 우울감 및 자살생각 경험", 보건의료산업학회지, 6(3), pp.29~38 (2012), 보건의료산업학회
- Franz Faul, "Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses", Behavior Research Methods, 41(4), pp.1149~1160 (2009), Springer Science and Business Media LLC[DOI]
- "Diagnosis and Evaluation of Obesity" (2019)[URL]
- Bruno Vellas, "The mini nutritional assessment (MNA) and its use in grading the nutritional state of elderly patients", Nutrition, 15(2), pp.116~122 (1999), Elsevier BV[DOI]
- 정영미, "동거유형에 따른 노인의 인지기능, 영양상태, 우울의 비교", Journal of Korean Academy of Nursing, 34(3), pp.495~503 (2004), 한국간호과학회
- 김화영, "일부지역 저소득층 독거노인의 영양소 섭취, 영양위험도 및 생화학 지표에 관한 조사연구", 대한지역사회영양학회지, 10(2), pp.216~223 (2005), 대한지역사회영양학회
- 김철식, "신체 계측 특성 및 식사습관에 관련된 당뇨병(ADA 공복혈당기준) 및 공복혈당장애의 유병률- 1998년 국민건강영양조사에 의한 -", Diabetes and Metabolism Journal, 29(2), pp.151~166 (2005), 대한당뇨병학회
- 김다미, "한국 노인의 주관적 불안· 우울 상태에 따른 식품 및 영양소 섭취 실태 : 2013~ 2015년 국민건강영양조사 자료를 이용하여", Journal of Nutrition and Health, 52(1), pp.58~72 (2019), 한국영양학회[DOI]
- A Rom Kwon, "Eating alone and metabolic syndrome: A population-based Korean National Health and Nutrition Examination Survey 2013–2014", Obesity Research & Clinical Practice, 12(2), pp.146~157 (2018), Elsevier BV[DOI]
- Wonjeong Chae, "Association between eating behaviour and diet quality: eating alone vs. eating with others", Nutrition Journal, 17(1), pp.117~ (2018), Springer Science and Business Media LLC[DOI]
- 석소현, "독거노인과 가족동거노인의 신체적 건강상태, 가족지지 및 생활만족도에 관한 비교 연구", 지역사회간호학회지, 19(4), pp.564~574 (2008), 한국지역사회간호학회
- 유성훈, "65세 이상 성남지역 거주 노인의 식사 행동과 건강 표지자의 연관성", Annals of geriatric medicine and research, 12(3), pp.138~145 (2008), 대한노인병학회[DOI]
- Helen C. Roberts, "The Challenge of Managing Undernutrition in Older People with Frailty", Nutrients, 11(4), pp.808~ (2019), MDPI AG[DOI]
- Dorothee Volkert, "Malnutrition in Older Adults - Urgent Need for Action: A Plea for Improving the Nutritional Situation of Older Adults", Gerontology, 59(4), pp.328~333 (2013), S. Karger AG[DOI]
- 박연환, "노인의 영양위험, 우울, 지각된 건강상태", Journal of Korean Academy of Nursing, 37(6), pp.941~948 (2007), 한국간호과학회
