Disparities in dietary quantity and quality between the two different types of Korean family of older adults living with spouses and living alone: using data from the 6th Korea National Health and Nutrition Examination Survey
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
BACKGROUND/OBJECTIVES: This study was conducted to examine disparities in food and nutrient intakes based on family types identified among 1,856 participants who were the Korean elderly people in the 6th Korea National Health and Nutrition Examination Survey (KNHNES) excluding those who were currently practicing the diet therapy. SUBJECTS/METHODS: We separated the subjects into two groups: living alone (LA, n = 638) and living with a spouse (LS, n = 1,218). We also examined the disparities of dietary quantity and quality of those two groups using complex sampling design general linear regression analyses (CS GLM). RESULTS: In the LA group, there was a higher percentage of females and average age in LA group was higher than the participants in the LS group. Household income and education level were significantly lower in LA compared to those of LS. The frequencies of skipping meals were higher in LA. LA's food and nutrient intakes showed lower consumption of vegetables, fruits, seaweeds, and of most nutrients. Even after adjusting for the confounding factors, the consumption of vegetables, seaweeds, carbohydrates, potassium, riboflavin, and vitamin C showed lower in LA than LS. Moreover, LA's nutrient intake ratios compared to the KDRIs were lower which turned out to be similar to their nutrient intakes. CONCLUSIONS: These results show that dietary behavior and food intake of the elderly are associated with family types. Frequently skipping meals and less dietary variety are more common with elderly persons who were living alone. Therefore, it is necessary to integrate the supplementary food programs and nutrition education programs for the elderly living alone.
Abstract
BACKGROUND/OBJECTIVES: This study was conducted to examine disparities in food and nutrient intakes based on family types identified among 1,856 participants who were the Korean elderly people in the 6th Korea National Health and Nutrition Examination Survey (KNHNES) excluding those who were currently practicing the diet therapy. SUBJECTS/METHODS: We separated the subjects into two groups: living alone (LA, n = 638) and living with a spouse (LS, n = 1,218). We also examined the disparities of dietary quantity and quality of those two groups using complex sampling design general linear regression analyses (CS GLM). RESULTS: In the LA group, there was a higher percentage of females and average age in LA group was higher than the participants in the LS group. Household income and education level were significantly lower in LA compared to those of LS. The frequencies of skipping meals were higher in LA. LA's food and nutrient intakes showed lower consumption of vegetables, fruits, seaweeds, and of most nutrients. Even after adjusting for the confounding factors, the consumption of vegetables, seaweeds, carbohydrates, potassium, riboflavin, and vitamin C showed lower in LA than LS. Moreover, LA's nutrient intake ratios compared to the KDRIs were lower which turned out to be similar to their nutrient intakes. CONCLUSIONS: These results show that dietary behavior and food intake of the elderly are associated with family types. Frequently skipping meals and less dietary variety are more common with elderly persons who were living alone. Therefore, it is necessary to integrate the supplementary food programs and nutrition education programs for the elderly living alone.
참고문헌 (30)
- Bacci ML, "A Concise History of World Population" (2017), John Wiley & Sons
- "Statistics DB" (2018)[URL]
- Kim CI, "Living arrangements affect nutritional status of the elderly", J Community Nutr, 3, pp.103~109 (2001)
- "Social indicators of Korea in 2016" (2017)[URL]
- O'Shea JC, "Comparison of outcomes of patients with myocardial infarction when living alone versus those not living alone", Am J Cardiol, 90, pp.1374~1377 (2002)
- de Boer A, "Physiological and psychosocial age-related changes associated with reduced food intake in older persons", Ageing Res Rev, 12, pp.316~328 (2013)
- Kim SY, "Factors influencing the life satisfaction in the older Korean women living alone", Contemp Nurse, 44, pp.111~119 (2013)
- Jennifer Yeh S, "Living alone, social support, and feeling lonely among the elderly", Soc Behav Personal, 32, pp.129~138 (2004)
- Gliksman MD, "Social support, marital status and living arrangement correlates of cardiovascular disease risk factors in the elderly", Soc Sci Med, 40, pp.811~814 (1995)
- Eskelinen K, "Is loneliness associated with malnutrition in older people?", Int J Gerontol, 10, pp.43~45 (2016)
- Kooshiar H, "Living arrangement and life satisfaction in older Malaysians : the mediating role of social support function", PLoS One, 7, pp.e43125~ (2012)
- Tabue Teguo M, "Feelings of loneliness and living alone as predictors of mortality in the elderly : The PAQUID Study", Psychosom Med, 78, pp.904~909 (2016)
- Oh DH, "Association between living arrangements and depressive symptoms among older women and men in South Korea", Soc Psychiatry Psychiatr Epidemiol, 50, pp.133~141 (2015)
- Brownie S, "Why are elderly individuals at risk of nutritional deficiency?", Int J Nurs Pract, 12, pp.110~118 (2006)
- Shin SH, "A comparison of the factors influencing life satisfaction between Korean older people living with family and living alone", Int Nurs Rev, 59, pp.252~258 (2012)
- 권송희, "Difference in food and nutrient intakes in Korean elderly people according to chewing difficulty: using data from the Korea National Health and Nutrition Examination Survey 2013 (6th)", Nutrition Research and Practice, 11(2), pp.139~146 (2017), 한국영양학회
- Hanna KL, "Relationship between living alone and food and nutrient intake", Nutr Rev, 73, pp.594~611 (2015)
- Jeong SS, "Comparison of health behaviors and health level between elders living alone and those living with a spouse", Glob Health Nurs, 4, pp.27~36 (2014)
- Kharicha K, "Health risk appraisal in older people 1 : are older people living alone an"at-risk"group", Br J Gen Pract, 57, pp.271~276 (2007)
- Quandt SA, "Nutritional self-management of elderly widows in rural communities", Gerontologist, 40, pp.86~96 (2000)
- "The Korean National Health and Nutritional Examination Survey 2013-2015" (2018)[URL]
- Rural Development Administration (KR), "Standard Food Composition Table 8th Revision", Kyomunsa, ~ (2012)
- Korean Nutrition Society, "Dietary Reference Intakes for Koreans 2015", Korean Nutrition Society, ~ (2015)
- 오세인, "전라도 장수지역에 거주하는 여자노인의 동거유형에 따른 생화학적 지표 및 영양섭취상태에 관한 연구", 한국식품영양학회지, 27(5), pp.940~955 (2014), 한국식품영양학회
- Tani Y, "Combined effects of eating alone and living alone on unhealthy dietary behaviors, obesity and underweight in older Japanese adults : results of the JAGES", Appetite, 95, pp.1~8 (2015)
- Wham C, "Country of origin predicts nutrition risk among community living older people", J Nutr Health Aging, 15, pp.253~258 (2011)
- Feldblum I, "Characteristics of undernourished older medical patients and the identification of predictors for undernutrition status", Nutr J, 6, pp.37~ (2007)
- Holcomb CA, "Positive influence of age and education on food consumption and nutrient intakes of older women living alone", J Am Diet Assoc, 95, pp.1381~1386 (1995)
- Thomas N, "Living alone but eating together : exploring lunch clubs as a dining out experience", Appetite, 119, pp.34~40 (2017)
- 배정숙, "농촌 고령자 대상 농한기 마을 공동식사 프로그램 참여 조리자원봉사자의 프로그램 운영에 대한 인식과 과정 평가", 대한지역사회영양학회지, 24(4), pp.277~289 (2019), 대한지역사회영양학회[DOI]