Comparison of Self-living Ability, Obesity Indices and Nutrient Intake according to Physical Fitness among the Elderly in Rural Areas

농촌 지역 일부 노인에서 신체 기능 정도에 따른 활동 제한도, 비만도 및 영양소 섭취 수준의 변화 양상 비교

  • Suh, Hee-Jae (Dept. of Food Science, Sunmoon University) ;
  • Kim, Bok-Hee (Dept. of Food and Nutrition, Chosun University)
  • 서희재 (선문대학교 식품과학과) ;
  • 김복희 (조선대학교 식품영양학과)
  • Published : 2009.12.31


Aging is associated with decreased energy expenditure, thermogenesis and energy requirements. Maintenance of physical fitness of the elderly has been reported to reduce the rate at which the basal metabolic rate, muscle strength, skeletal muscle mass and bone density deteriorate. Skeletal muscle disease is known to increase the risk of physical disability and psychological problems. This study was conducted to investigate changes in disability, emotional problems, body compositions, obesity indices and nutrient intake levels according to physical fitness with the elderly in rural areas. According to the results, physical fitness was negatively related with Activities of Daily Living(ADL, p<0.05), Instrumental Activities of Daily Living(IADL, p<0.001), Body Mass Index(BMI, p<0.001) and abdominal obesity(p<0.05), while it showed a positive correlation with the General Self Efficacy Scale(GSES)(p<0.001) and nutrient intake(p<0.05). When changes in these factors were compared according to the range of quartile of the Fullerton Advanced Balance Scale(FAB Scale), GSES(Q1=35.3, Q2=43.5, Q3=53.2, Q4=51.9, p<0.001), BMI(Q1=36.1%, Q2=34.7%, Q3=33.2%, Q4=28.6%, p<0.01), abdominal obesity(Q1=1.02, Q2=0.99, Q3=0.97, Q4=0.94, p<0.001) and nutrient intake(Q1=71.1%, Q2=75.4%, Q3=80.6%, Q4=80.2%, p<0.05) differed significantly. Taken together, these results suggested that better physical fitness would lead to a reduction in negative factors including physical disability and obesity indices, but to an increase in positive factors such as GSES and nutrient intake. The results of this study are expected to be used as basic data for the development of programs to promote the health of the elderly in a local society.


  1. 건강증진사업지원단, 연세대학교. 2005. 노인대상 건강증진 사업 추진 전략과 프로그램 개발 보고서
  2. 건강증진사업지원단, 한국보건사회연구원. 2008. 2008년도 보건소 노인건강 증진 프로그램 평가 보고서
  3. 건강보험심사평가원. 2008. 2005-2007 건강보험통계지표
  4. 김성윤. 2006. 노인 우울증 및 수면장애. 제4회 대한노인의학회 춘계학술대회 자료집 33-39
  5. 보건복지가족부. 2005. 새 국민건강증진종합계획 2010
  6. 보건복지부. 2006a. 국민건강영양조사 제3기(2005) 활동 제한 및 삶의 질 보고서
  7. 보건복지부. 2006b. 국민건강영양조사 제3기(2005) 영양조사 Ⅰ 보고서
  8. 보건복지부. 2007. 국민건강영양조사 제3기(2005) 심층분석 영양부문 보고서
  9. 이경옥, 진행미, 임호남, 전혜자. 2005. 넘어짐 예방 프로그램, 대한미디어
  10. 장경태, 이경옥, 임호남, 진행미, 서연태, 이정숙. 2006. 노인 체육. 대한미디어
  11. 통계청. 2008. 고령자통계,
  12. 한국영양학회. 2005. 한국인 영양섭취기준. 국진기획
  13. Akande A, Osagie JE. 2000. Importance of exercise and nutrition in the prevention of illness and the enhancement of health. Education 120:758-772
  14. Choi MJ, Lee UJ, Jung YJ. 2006. Relationship of exercise, body composition, blood pressure and bone mineral density in adult women. J Exercise Nutrition 10:243-253
  15. Choi Y, Kim C, Park YS. 2007. The effect of nutrition education program in physical health, nutritional status and healthrelated quality of life of the elderly in Seoul. Korean J Nutrition 40:270-280
  16. Chu SK, Kang NE, Yi Sh. 2007. The effect of nutrition evaluation related to suitable food supply program for elderly living alone in Sung Nam city. Korean J Food & Nutr 20:467-475
  17. Evans WJ, Cyr-Campbell D. 1997. Nutrition, exercise, and healthy aging. J Am Dietetic Assoc 97:632-638
  18. Houtkooper LB, Ritenbaugh C, Aickin M, Lohman TG, Going SB, Weber JL, Greaves KA, Boyden TW, Pamenter RW, Hall MC. 1995. Nutrients, body composition and exercise are related to change in bone mineral density in premenopausal women. J Nutr 125:1229-1237
  19. Hsu YH, Vernners SA, Terwedow HA, Feng Y, Niu T, Li Z, Lard N, Brain JD, Cummings SR, Bouxsein ML, Rosen CJ, Xu X. 2006. Relationship of body composition, fat mass, and serum lipids to osteoporotic fractures and bone mineral density in Chinese men and women. Am J Clin Nutr 83:146-154
  20. Jung YM, Kim JH. 2004. Comparison of cognitive levels, nutritional status, depression in the elderly according to living situations. J Korean Acad Nurs 34:495-503
  21. Kang JC, Lee CH. 2000. The effect of older adult's physical activity on mental health. The Korean Journal of Physical Education 39:209-216
  22. Kendrick ZV, Nelson-Steen S, Scafidi K. 1994. Exercise, aging, and nutrition. Southern Medical J 87:S50-61
  23. Kim JI. 1994. An effect of aquatic exercise program with selfhelp group activities and strategies for promoting selfefficacy on pain, physiological parameters and quality of life in patients having rheumatoid arthritis. J Rheumatology Health 1:1-30
  24. Kim KJ, Chun WK. 1999. Changes of the relationship among physical fitness, body composition, and physique after weight training and jogging exercise program in obese women. Korean J Exercise Nutrition 3:37-46
  25. Kim MJ. 1998a. A study on nutritional status of elderly at a public health center and effect of nutrition education program to be with disease. MS. Thesis, Catholic Univ. Korea
  26. Kim MY. 1998b. The effect of exercise intensity on mental health. Korean J Physical Education 37:142-150
  27. Kim YK, Lee HO, Chang R, Choue R. 2002. A study on the food habits, nutrient intake and the disease distribution in the elderly (aged over 65 years)(Ⅰ). Korean J Community Nutrition 7:516-526
  28. Lee BS. 2007. Changes in body composition, health status, and dietary behavior for middle-aged obese women in a weight control program at a community health center. Korean J Food & Nutr 20:433-439
  29. Lee KC, Jeong CJ, Son KS, Woo IS, Yi WG, Kong MH, Lee SC. 2003. Effect of Dumbbell exercise on body composition, physical fitness, and dietary pattern of old women in rural district. Korean J Exercise Nutrition 7:175-180
  30. Lee KC, Jeong CJ, Son KS, Kwon EJ, Shin JH, Jeon SK, Woo IS, Yi WG. 2004. The effect of Dumbbell exercise on body composition, physical fitness, and cognitive ability in elderly women in rural district. Korean J Exercise Nutrition 8:155-163
  31. Lee O, Kim KS. 2001. Relationship between fat-free mass and muscle strength, nutrient intakes, exercise habits in male aged. Nutritional Sciences 4:112-119
  32. Mahoney FI, Barthel DW. 1986. Functional education: The barthel index. Maryland State Medical J 14:61-65
  33. Park SO, Han SS, Ko YS, Kim YJ, Lee HS, Kang NE, Lee JH, Kim WK, Kim SH. 1992. A study on the relations between dietary intake and cognitive function in the elderly. Korean J Dietary Culture 7:149-155
  34. Sawyer-Radloff L. 1977. The CES-D scale: A self-report depression scale for research in the general population. Appl Psychol Meas 1:385-401
  35. Sheerer M, Maddux JE. 1982. The self-efficacy scale: Construction and validation. Psychological Reports 51:663-671
  36. Shin SC, Kim MK, Yun KS, Kim JH, Lee MS, Moon SJ, Lee MJ, Lee HY, Yoo KJ. 1991. The center for epidemiologic studies depression scale(CES-D): Its use in Korea-standardization and factor structure of CES-D. J Korean Neuropsychiatr Association 30:752-767
  37. White JV, Ham RJ, Lipschitz DA, Dwyer JT, Wellman NS. 1991. Consensus of the nutrition screening initiative: Risk factors and indicators of poor nutritional status in old Americans. J American Diet Association 91:783-787
  38. Yoon HJ. 2004. The assessment of dietary behavior and nutritional status of the elderly and effects of meal service and nutrition education on nutritional status of the elderly in risk of malnutrition. MS Thesis, Pusan National Uni. Korea