Nutritional Status among Elderly Korean Women and Related Factors

간이영양상태조사지(Mini Nutritional Assessment)로 조사한 일개 복지관 여성노인의 영양상태 평가와 관련요인 분석

  • Received : 2012.01.11
  • Accepted : 2012.04.13
  • Published : 2012.04.30


Purpose: The purpose of this study was to evaluate the nutritional status of elderly Korean women and to investigate related factors. Methods: A total of 100 elderly women attending a local elderly welfare center were recruited for study. Evaluation criteria included demographics, clinical status, nutritional status (using a mini-nutritional assessment), food intake, and nutritional bioparameters, including homocysteine, transferrin, prealbumin and lymphocyte levels, and their antioxidant power status. Results: Among the test group, 83% of the subjects were classified as undernourished, and they often had hyperlipidemia and a lower intake of fiber ($p$ <.05, respectively) and vegetables than normal subjects. In a correlation analysis, their nutritional status was associated with abdominal circumference, the Korean Geriatric Depression Scale score and the Enriched Social Support Inventory score. Nutritional bioparameters and antioxidant power were associated with age among undernourished subjects. Old age, the prevalence of hyperlipidemia, and poor social support significantly increased the risk of undernutrition. Poor social support, the prevalence of diabetes mellitus and depression significantly increased the risk of nutritional deficiency after controlling for age, educational and economic variables. Conclusion: More strategies to increase social support in the Korean female elderly population may improve their nutritional status.


Aged;Nutritional status;Nutritional assessment;Social support;Chronic disease


  1. Benzie, I. F., & Strain, J. J. (1996). The ferric reducing ability of plasma (FRAP) as a measure of "antioxidant power": the FRAP assay. Analytical Biochemistry, 239(1), 70-76.
  2. Brown, L., Rosner, B., Willett, W. W., & Sacks, F. M. (1999). Cholesterol-lowering effects of dietary fiber: a meta-analysis. Americal Journal of Clinical Nutrition, 69, 30-42.
  3. Brownie, S. (2006). Why are elderly individuals at risk of nutritional deficiency? International Journal of Nursing Practice, 12, 110-118.
  4. Cho, M. J., Bae, J. N., Suh, G. H., Hahm, B. J., Kim, J. K., Lee, D. W., et al. (1999). Validation of geriatric depression scale, Korean versiion (GDS) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychologic Association, 38(1), 48-62.
  5. Choi-Kwon, S., Park, K. A., Lee, H. J., Park, M. S., Lee, J. H., Jeon, S. E., et al. (2004). Temporal changes in cerebral antioxidant enzyme activities after ischemia and reperfusion in a rat focal brain ischemia model: effect of dietary fish oil. Developmental Brain Research, 152(1), 11-18.
  6. Choi, S. H., & Choi-Kwon, S. (2011). The metabolic syndrome and associated lifestyle factors among older adluts. Journal of Korean Bjological Nursing Science, 13(1), 53-60.
  7. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd Edition), New York: Psychology press.
  8. Ford, E. S., Mokdad, A. H., Giles, W. H., & Brown, D. W. (2003). The metabolic syndrome and antioxidant concentrations: findings from the Third National Health and Nutrition Examination Survey. Diabetes, 52, 2346-2352.
  9. Franz, M. J., Horton, E. S., Bantle, J. P., & Beebe, C. A. (1994). Nutrition principles for the management of diabetes and related complication. Diabetes Care, 17, 490-518.
  10. Humphreys, V., Martin, R. M., Ratcliffe, B., Duthie, S., Wood, S., Gunnell, D., et al. (2007). Age-related increases in DNA repair and antioxidant protection: A comparison of the Boyd Orr Cohort of elderly subjects with a younger population sample. Age & Ageing, 36, 521-526.
  11. Inal, M. E., Kanbak, G., & Sunal, E. (2001). Antioxidant enzyme activities and malondialdehyde levels related to aging, Clinica Chimica acta : International Journal of Clinical Chemistry, 305(1-2), 75-80.
  12. Kim, H. J., Kim, M. K., Kim, J. U., Ha, H. Y., & Choi, B. Y. (2010). Major determinants of serum homocysteine concentrations in a Korean population. Journal of Korean Medical Science, 25, 509-516.
  13. Korean Ministry of Health and Welfare. (2009). The Fourth Korea National Health and Nutrition Examination Survey IV (KNHANES IV). Seoul: Author.
  14. Lee, G. S. (2004). Nutritional Evaluation by using Mini Nutritional Assessment (MNA) and relating factors of postoperative recovery for elderly in Gastric Cancer. Unpublished master's thesis, Kosin University, Busan.
  15. Lee, H. J., Park, S. J., Kim, C. I., Chang, K. J., Yim, K. S., Kim, K., et al. (2003). Evaluating nutrient intakes of Korean elderly using semi-quantitative food frequency questionnaire. Korean Journal of Community Nutrition, 8, 311-318.
  16. Lim, H. S., & Kim, S. K. (2008). Comparative of the nutritional atatus and correlation of cardiovascular disease in type II diabetes mellitus patients with metabolic syndromes. Korean Journal of Nutrition, 41, 327-340.
  17. Lim, K. A., Kim, H. S., Seo, J. W., & Lee, S. J. (1999). The utility of serum prealbumin concentrations for short-term nutritional assessment in patients with acute diarrhea. Journal of Korean Pediatric Society, 42, 88-93.
  18. Mclntosh, W. A., Shifflett, P. A., & Picou, J. S. (1989). Social support, stressful events, starin, dietary intake, and the elderly. Medical Care, 27(2), 141-153.
  19. Miller, D. M., & Aust, S. D. (1989). Studies of ascorbate-dependent, iron-catalyzed lipid peroxidation. Archives of Biochemistry & Biophysics, 271, 113-120.
  20. Mitchell, P. H., Powell, L., Blumenthal., J., Norten, J., Ironson, G., Pitula, C. R., et al. (2003). A short cocial support measure for patients recovering from myocardial infarction. Journal of Cardiopulmonary Rehabilitation, 23, 398-403.
  21. Nakagawa, S., & Cuthill, I. C. (2007). Effect size, confidence interval ans statistical significance: a practical guide for biologists. Biological Review, 82, 591-605.
  22. National Hypertension Center data. (2006). Retrieved April 7, 2006, from
  23. Park, J. H., & Kwon, Y. C. (1990). Modification of the mini-mental state examination for use in the elderly in a non-western society. Part 1. Development of Korean version of mini-mental state examination. International Journal of Geriatric Psychiatry, 5, 381-387.
  24. Park, K. A., Kim, S., Park, Y. H., Suh, E. Y., Park, M. S., Kim, E. S., et al. (2010). A study on the health and nutritional status and nutrient intakes in elderly Korean female. Journal of Korean Biological Nursing Science, 12(1), 39-47.
  25. Smoliner, C., Norman, K., Wagner, K. H., Hartig, W., Lochs, H., & Pirlich, M. (2009). Malnutrition and depression in the institutionalised elderly. British Journal of Nutrition, 102, 1663-1667.
  26. Thavanati, P. K., Kanala, K. R., de Dios, A. E., & Garza, J. M. (2008). Age-related correlation between antioxidant enzymes and DNA damage with smoking and body mass index, Journals of Gerontology Series A. Biological Sciences & Medical Sciences, 63A, 360-364.
  27. The Korean Nutrition Society. (2010). Dietary Reference of Intake for Koreans. Seoul: Author.
  28. Vellas, B. M., Guigoz, Y., Garry, P. J., Nourhashemi, F., Bennahum, D., Lauque, S., et al. (1999). The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients, Nutition, 15(2), 116-122.
  29. Yang, E. J. (2009). The analysis of geriatric nutritional risk index (GNRI) for nutritional assessment and health care in elderly women. Korean Journal of Nutrition, 42, 234-245.

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