Dietary quality of lunches in senior leisure service facilities in South Korea: analysis of data from the 2013–2017 Korea National Health and Nutrition Examination Survey
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BACKGROUND/OBJECTIVES: This study analyzed the quality of lunches provided in senior leisure service (SLS) facilities and compared institutional foodservice (IF) and non-institutional foodservice (non-IF). SUBJECTS/METHODS: Data of 390 adults aged 65 years or older who ate lunches in SLS facilities were analyzed using the information from the 2013–2017 Korea National Health and Nutrition Examination Survey. The participants were classified into IF (n = 129) and non-IF (n = 261) groups according to meal type provided. The intake of major food groups, energy and nutrients, and nutrient adequacy ratio (NAR) and mean adequacy ratio (MAR) were analyzed. The diversity of meals was evaluated by food group patterns, dietary diversity score (DDS) and dietary variety score (DVS). Energy intake was adjusted in model 1, while energy and sex were adjusted in model 2. All confounding variables were adjusted in model 3. RESULTS: The intake of seafoods (P < 0.001 in models 1, 2, and 3), seaweeds (P < 0.01 in models 1 and 2), and dairy products (P < 0.05 in models 1, 2, and 3) was significantly higher in the IF group. No significant difference existed in energy intake; however, the intake of all nutrients except carbohydrate and vitamin C was significantly higher in the IF group. NAR of all nutrients, excluding vitamin C, was higher in the IF group, and MAR was also higher in the IF group (P < 0.001 in models 1, 2, and 3). The IF group had significantly higher DDS and DVS than the non-IF group (P < 0.001). CONCLUSIONS: The lunches provided in SLS facilities were better in terms of quantity and quality when provided through IF than through non-IF. More systematic foodservice programs should be implemented in SLS facilities, especially in facilities wherein users prepare their own meals.
Abstract
BACKGROUND/OBJECTIVES: This study analyzed the quality of lunches provided in senior leisure service (SLS) facilities and compared institutional foodservice (IF) and non-institutional foodservice (non-IF). SUBJECTS/METHODS: Data of 390 adults aged 65 years or older who ate lunches in SLS facilities were analyzed using the information from the 2013–2017 Korea National Health and Nutrition Examination Survey. The participants were classified into IF (n = 129) and non-IF (n = 261) groups according to meal type provided. The intake of major food groups, energy and nutrients, and nutrient adequacy ratio (NAR) and mean adequacy ratio (MAR) were analyzed. The diversity of meals was evaluated by food group patterns, dietary diversity score (DDS) and dietary variety score (DVS). Energy intake was adjusted in model 1, while energy and sex were adjusted in model 2. All confounding variables were adjusted in model 3. RESULTS: The intake of seafoods (P < 0.001 in models 1, 2, and 3), seaweeds (P < 0.01 in models 1 and 2), and dairy products (P < 0.05 in models 1, 2, and 3) was significantly higher in the IF group. No significant difference existed in energy intake; however, the intake of all nutrients except carbohydrate and vitamin C was significantly higher in the IF group. NAR of all nutrients, excluding vitamin C, was higher in the IF group, and MAR was also higher in the IF group (P < 0.001 in models 1, 2, and 3). The IF group had significantly higher DDS and DVS than the non-IF group (P < 0.001). CONCLUSIONS: The lunches provided in SLS facilities were better in terms of quantity and quality when provided through IF than through non-IF. More systematic foodservice programs should be implemented in SLS facilities, especially in facilities wherein users prepare their own meals.
참고문헌 (34)
- He W, "An Aging World: 2015", pp.32~33 (2016), U.S. Government Publishing Office
- "Elderly population ratio" (2019)[URL]
- "Current status of welfare facilities for the aged" (2019)[URL]
- "Welfare of the aged act" (2019)[URL]
- 정현영, "경로식당 급식서비스 운영관리 실태분석", 대한지역사회영양학회지, 8(6), pp.919~926 (2003), 대한지역사회영양학회
- 정현영, "영양사 유무에 따른 재가노인 급식서비스 제공기관의 실태 분석", 대한영양사협회 학술지, 10(2), pp.197~204 (2004), 대한영양사협회
- 서희재, "사회복지관의 노인 경로식당 급식 서비스 현황", 대한영양사협회 학술지, 10(3), pp.333~344 (2004), 대한영양사협회
- 서지은, "노인복지시설 급식소의 영양사 유무에 따른 급식관리 실태조사 연구", 한국식품조리과학회지, 35(2), pp.216~225 (2019), 한국식품조리과학회[DOI]
- 윤미옥, "경기도 일부 노인요양시설의 영양사 유무에 따른 영양관리 현황", 대한영양사협회 학술지, 19(4), pp.400~415 (2013), 대한영양사협회[DOI]
- 권종숙, "요양시설 거주 노인의 에너지와 영양소 섭취 실태 및 식품선호도 조사", 대한지역사회영양학회지, 21(2), pp.200~217 (2016), 대한지역사회영양학회
- 이경희, "부산지역 실버타운 급식시설 이용 노인들의 영양섭취상태", 한국식품영양과학회지, 36(10), pp.1293~1299 (2007), 한국식품영양과학회
- Chae IS, "Evaluation of home-delivered meals service program for home-bound elderly with low income class", J Korean Diet Assoc, 6, pp.57~70 (2000)
- 박정연, "노인급식 수혜자의 가정에서 배달 도시락 취급 및 섭취 실태와 가정배달 급식서비스에 대한 인식", 대한지역사회영양학회지, 15(3), pp.379~392 (2010), 대한지역사회영양학회
- 최정화, "노인급식시설 유형에 따른 급식 운영관리 실태", 한국식품영양과학회지, 48(4), pp.469~481 (2019), 한국식품영양과학회
- 김영순, "경기 북부지역 복지시설 이용노인의 급식 현황 및 만족도 조사", 한국식품영양학회지, 27(5), pp.872~880 (2014), 한국식품영양학회
- 이민준, "노인복지시설 사용자 중심의 영양·식생활관리 프로그램 요구 분석", 대한지역사회영양학회지, 21(1), pp.65~74 (2016), 대한지역사회영양학회
- 강평년, "농촌 지역 공동급식 이용 노인의 요구도 및 만족도 조사", Culinary Science & Hospitality Research, 25(10), pp.181~189 (2019), (사)한국조리학회[DOI]
- 한경희, "간이 영양상태 평가법에 의한 급식서비스 이용 노인의 영양 위험도와 관련 요인", Journal of Nutrition and Health, 37(8), pp.675~687 (2004), 한국영양학회
- 이수정, "일부 농촌 지역에서 회합 급식을 하는 여자 노인의 우울 정도, 신체계측 및 영양섭취실태 조사", 한국식품영양학회지, 28(4), pp.517~526 (2015), 한국식품영양학회
- Son SM, "Nutritional and health status of Korean elderly from low-income, urban area and improving effect of meal service on nutritional and health status- V. the effect of meal service for one year on nutritional and health status", Korean J Community Nutr, 2, pp.63~73 (1997)
- Dietary reference intakes for Koreans 2015, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2015)
- Guthrie HA, "Validity of a dietary score for assessing nutrient adequacy", J Am Diet Assoc, 78, pp.240~245 (1981)
- Kant AK, "Dietary diversity in the US population, NHANES II, 1976–1980", J Am Diet Assoc, 91, pp.1526~1531 (1991)
- Drewnowski A, "Taste preferences and food intake", Annu Rev Nutr, 17, pp.237~253 (1997)
- Kim HR, "Status of group lunch and improvement of nutrition management", Health Welfare Issue Focus, 130, pp.1~8 (2012)
- 윤진숙, "농촌고령자 생활안전서비스 개발을 위한 식생활 상태 평가", 한국지역사회생활과학회지, 25(2), pp.163~174 (2014), 한국지역사회생활과학회
- Baum JI, "Protein consumption and the elderly : what is the optimal level of intake?", Nutrients, 8, pp.359~ (2016)
- Velho S, "Dietary intake adequacy and cognitive function in free-living active elderly : a cross-sectional and short-term prospective study", Clin Nutr, 27, pp.77~86 (2008)
- 한규상, "한국 노인의 식습관 및 영양섭취 실태 평가: 국민건강영양조사 2013∼2015 데이터를 이용하여", 동아시아식생활학회지, 28(4), pp.258~271 (2018), 동아시아식생활학회[DOI]
- Roberts SB, "Effects of aging on energy requirements and the control of food intake in men", J Gerontol A Biol Sci Med Sci., 50 (1995)
- 정현주, "한국인의 대사증후군과 다량 영양소의 섭취패턴", Journal of Nutrition and Health, 44(2), pp.119~130 (2011), 한국영양학회
- 정은경, "재가 노인들을 위한 노인복지관의 급식 식단 평가", 대한영양사협회 학술지, 23(4), pp.363~373 (2017), 대한영양사협회[DOI]
- 박서연, "경기 일부지역 노인복지관 제공 무료 급식의 나트륨 등 영양소 함량에 관한 조사", 한국식품영양학회지, 26(3), pp.459~469 (2013), 한국식품영양학회[DOI]
- 이영미, "농촌 노인의 마을 밥상 개선 프로그램 개발을 위한 도시와 농촌 노인의 식생활 행태 및 영양소 섭취 상태 비교분석 : 2014년 국민건강영양조사 자료를 이용하여", Journal of Nutrition and Health, 50(2), pp.171~179 (2017), 한국영양학회
