Comparison of Antioxidant Level of the Elderly Living in Institutions: Vegetarian and Non-vegetarian Diet

채식·비채식 식단에 따른 시설거주노인의 항산화 상태비교

  • Shin, Sung-Rae (Department of Nursing, Sahmyook University) ;
  • Won, Kyung-Ho (The Graduate School of Health Science & Social Welfare, Sahmyook University) ;
  • Yun, Mi-Eun (Department of Food and Nutrition, Sahmyook University)
  • 신성례 (삼육대학교 간호학과) ;
  • 원경호 (삼육대학교 보건복지 대학원) ;
  • 윤미은 (삼육대학교 식품영양학과)
  • Received : 2009.05.12
  • Accepted : 2009.06.25
  • Published : 2009.06.30

Abstract

Purpose: The purpose of this study was to compare the antioxidant level, serum cholesterol and skin ${\beta}$-carotene, of female elderly who had been living more then 10 months in institutions which offered either vegetarian or non vegetarian diet. Methods: Total of 110 female elderly, 56 from institution serving vegetarian diet and 54 from nonvegetarian diet, were recruited from institutions located in S and N city in Korea. ${\beta}$-carotene level was measured on their palm using Pharmanex Biophotonic Scanner and annual health evaluation data was utilized for the analysis of serum cholesterol. Results: The subjects on a vegetarian diet had a significantly higher level of phosphorus, carotene, and folic acid. The elderly who were living in an institution offering a vegetarian diet had a lower level of serum cholesterol and higher level of skin ${\beta}$-carotene, compared to those living in an institution offering a non-vegetarian diet. Conclusion: This study reveals that a vegetarian diet is beneficial in increasing skin ${\beta}$-carotene level, decreasing serum total cholesterol level. The skin ${\beta}$-carotene measurement appear valuable as a bio-marker of antioxidant intake. Further study on antioxidant food and effective serving strategy for elderly are recommended.

Keywords

Acknowledgement

Supported by : 삼육대학교

References

  1. Ahn, S. Y. (1999). The nutritional status and effects of vitamin and mineral supplementation in institutionalized elderly subjects. Unpublished master's thesis, Ewha Womens University, Seoul.
  2. Black, J. M., & Hawks, J. H. (2005). Medical-surgical nursing. St Louis: Saunders. 1497.
  3. Cha, B. K. (2001a). The study of intakes of nutrient related lipid and relationships among fiber intakes, serum lipid levels, blood sugar and blood pressure of adult female in vegetarians. Korean Journal of Nutrition, 34(3), 313-321.
  4. Cha, B. K. (2001b). A study of nutrient intake states and the prevalence of obesity in buddhist nuns. Korean Journal of Community Nutrition, 6(2), 227-233.
  5. Choe, J. S., Kwon S. O., & Paik H. Y. (2006). Nutritional status and related factors of the elderly in longevity areas III. relation among self-related health, health related behaviors, and nutrient intake in rural elderly. Korean Journal of Nutrition, 39(3), 286-298.
  6. Choi, S. Y., Ju, Y. H., Oh, J. K., Ryu, E. J., Kim, J. S., & Kang, Y. S. (2005). A study on the correlation among total serum cholesterol level, blood pressure, body mass index, and life style. Journal of Korean Academy of Adult Nursing, 17(1), 149-159.
  7. Di Mascio, P., Murphy, M. E., & Sies, H. (1991). Antioxidant defense system: the role of carotenoids, tocopherols, and thiols. American Journal of Clinical Nutrition, 53(1), 194s-200s.
  8. Heinrich, U., Gartner, C., Wiebusch, M., Eichler, O., Sies, H., Tronnier, H., & Stahl. W. (2003). Supplementation with beta-carotene or a similar amount of mixed carotenoids protects humans from UV-induced erythema. The Journal of Nutrition, 133(1), 98-101.
  9. Jeon, E. Y., & Kim, K. B. (2006). A study of factors that influence the promotion of healthy behavior in the elderly according to types of residency. Journal of Korean Academy of Nursing, 36(3), 475-483.
  10. Kim, M. H., Bae, Y. J., Lee, D. H., Cho, H. K., Choi, S. H., & Sung, C. J. (2005). A evaluation study on nutrient intake status and diet quality of middle and old aged vegetarian women in Korea. Korean Journal of Community Nutrition, 10(6), 869-879.
  11. Kim, S. Y., & Yoon, M. E. (2002). Nutrition in aging. Gyeonggi: Kyoyook Kwahaksa. 42.
  12. Kim, Y. K., Ahn, D. W., Cho, M. O., Kim, D. R., Kim, M. A., Kim, O. S., Suh, S. R., Shin, S. R., Lee, Y. H., & Lee, J. W. (2007). Physiological Basis of Aging and Geriatrics. Seoul: HyunMoonSa Publishing.
  13. Korea National Statistical Office (2007). Statistics for Death Rate 2007. Retrieved November 9, 2008, from http//www.nso.go.kr
  14. Lee, H. M. (1999). How does the state of dentition has effect on chewing ability and nutritional intake status in the rural elderly? The Journal of Korean Dental Association, 37(8), 601-607.
  15. Leitzmann, C. (2005). Vegetarian diets: what are the advantages? Forum of Nutrition, 57, 147-156.
  16. Ministry of Health, Welfare and Family Affairs (2008). OECD Health Data 2008. Retrieved November 9, 2008, from http://www.mw.go.kr
  17. Oh, B. J., Kim, I. O., Kim, Y. H., Shin, S. R., Lee, K. S., & Han, S. J. (2006). Task analysis of Korean geriatric care managers. Journal of Korean Academy of Nursing, 36(5), 770-781.
  18. Oh, H. Y., Hur, M. H., & Kim, J. S. (2006). A study on fluid intake among nursing home residents. Journal of Korean Academy of Nursing, 36(6), 959-967. https://doi.org/10.4040/jkan.2006.36.6.959
  19. Sabate, J. (2001). Vegetarian Nutrition. CRC Press, 22-23.
  20. Sesso, H. D., Buring, J. E., Norkus, E. P., & Gaziano, J. M. (2004). Plasma lycopene, other carotenoids, and retinol and the risk of cardiovascular disease in women. The American Journal of Clinical Nutrition. 79(1), 47-53. https://doi.org/10.1093/ajcn/79.1.47
  21. Smidt, C. R. (2005). Non-Invasive raman spectroscopic detection of carotenoids in human skin as a biomaker of antioxidant status. Journal of Korean Academy Family Medicine, 26(4), 398-408.
  22. Smidt, C. R., & Burke, D. S. (2004). Nutritional significance and measurement of carotenoids. Current Topics in Nutraceutical Research, 2(2), 79-91.
  23. Song, Y. J. (2007). Evaluation of dietary Intakes and Development of Immune Enhancing menus for Seniors. Unpublished master's thesis, Sookmyung Women's University, Seoul.
  24. Stadtman, E. R. (2002). Importance of individuality in oxidative stress and aging. Free Radical Biology and Medicine. 33(5), 597-604. https://doi.org/10.1016/S0891-5849(02)00904-8
  25. Trosko, J. E. (2003). The role of stem cells and gap junctional intercellular communication in carcinogenesis. Journal of Biochemistry and Molecular Biology. 36(1), 43-48.
  26. Woodside, J. V., McKinley, M. C., & Young, I. S. (2008). Saturated and trans fatty acids and coronary heart disease. Current Atherosclerosis Reports. 10(6), 460-466.
  27. Yang, E. J., & Bang, H. M. (2008). Nutritional status and health risks of low income elderly women in Gwangju Area. Korean Journal of Nutrition, 41(1), 65-76.
  28. Yeoum, S. G. (2008). A study of the optimum level of LDL: HDL-cholesterol ratio. Journal of Korean Academy of Adult Nursing, 20(6), 917-931.
  29. Yoon, H. J., & Lee, S. K. (2006). Effect of home-visit nutrition education for the elderly with high fasting blood glucose levels. Korean Journal of Community Nutrition, 11(3), 346-360.