A Study on the Health Status and Nutrient Intake in Elderly Dwelling in Rural Area of Jeollabuk-do

전라북도 순창지역 노인의 건강 및 영양섭취 실태

Oh, Se In;Lee, Mee Sook

  • Received : 2019.02.25
  • Accepted : 2019.05.13
  • Published : 2019.06.30


The objective of this study was to investigate the health status and nutritional intake of the old population living in Soonchang, Jeollabuk-do, Korea. 69 subjects aged 65 years and older were recruited in July 2016. The WHR, was significantly higher in elderly male group than elderly female group (p<0.05), but both groups had abdominal obesity (0.85 and over). T-score mean of elderly male and female groups were below $-2.5mg/cm^3$ that they were osteoporotic. In the elderly male group, the higher concentrations of creatinine, homocysteine and uric acid were found to be significantly unfavorable factors (p<0.001, respectively). The blood vitamin $D_3$ levels of elderly male group was significantly higher than that of elderly female group (p<0.05). The physical activity and self-rated health were significantly higher in elderly male group than in elderly female group (p<0.05, p<0.01, respectively). The nutrient intakes of male group were found to be significantly favorable factors than in female group. The score of mini nutrition assessment was significantly lower in elderly female group than in the elderly male group. These results could be useful to plan effective strategies to increase the health-life expectancy and the prevention of disease of Korean elderly people living in rural areas.


biochemical indicator;nutrient intake;mini nutrition assessment;Korean mini mental state examination;EQ-5D index


  1. Hooshmand B, Solomon A, Kareholt I, Rusanen M, Hanninen T, Leiviska J, Winblad B, Laatikainen T, Soininen H, Kivipelto M. 2012. Associations between serum homocysteine, holotranscobalamin, folate and cognition in the elderly: A longitudinal study. J Intern Med 271:204-212
  2. Houston DK, Johnson MA, Nozza RJ, Gunter EW, Shea KJ, Cutler GM, Edmonds JT. 1999. Age-related hearing loss, vitamin B-12, and folate in elderly women. Am J Clin Nutr 69:564-571
  3. Hyun HS, Lee IS. 2014. Nutritional status and risk factors for malnutrition in low-income urban elders. J Korean Academy Nurs 244:708-716
  4. Idler EL, Kasl SV. 1995. Self-rating of health: Do they also predict change in functional ability? J Gerontol B 50:s344-s353
  5. Jang JS, Hong MS. 2015. A study on health-related lifestyle, dietary habits, nutritional kowledge and food intake of the elder in Gyeong-gi area. Korean J Food Nutr 28:1056-064
  6. Jung YH, Ko SJ, Kim EJ. 2013. A study on the effective chronic disease management. Korea Institute for Health and Social Affairs. Report No. 2013-31-19
  7. 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
  8. Fuchs J, Scheidt-Nave C, Hinrichs T, Mergenthaler A, Stein J, Reidel-Heller SG. 2013. Indicators for healthy aging-a debate. Int J Environ Res Public Health 10:6630-6644
  9. Goldman A, McKay B, Mojet J, Kremer S. 2014. Meeting the food needs of the ageing population - Implications for food science and technology. IUFoST Scientific Information Bulletin
  10. Chun SS, Yoon E. 2016. A comparative study of taste preference, food consumption frequency, and nutrition intake between the elderly in their 80's living in long life regions in Jeollanam-do and a part of Seoul. Korean J Food Nutr 29:115-127
  11. Doets EL, Kremer S. 2016. The silver sensory experience - A review of senior consumers' food perception, liking and intake. Food Qual Prefer 48:316-332
  12. Hansen RG, Wyse BW. 1998. Expression of nutrient allowances per 1,000 kilocalories. J Am Diet Assoc 76:223-227
  13. Herrmann M, Widmann T, Colaianni G, Colucci S, Zallone A, Herrmann W. 2005. Increased osteoclast activity in the presence of increased homocysteine concentrations. Clin Chem 51:2348-2353
  14. Jung YS. 2018. Oral health factors affecting the nutritional status of the elderly. J Korean Soc Dental Hyg 18:903-910
  15. Katz S, Jackson BA, Jaffe MW. 1963. Studies of illness in the aged the index of ADL: A standardized measure of biological and psychosocial function. J Am Med Assoc 185:914-919
  16. Katzman R. 1993. Education and the prevalence of dementia and Alzheimer's disease. Neurology 43:13-20
  17. Kim EJ. 2010. Factors influencing cognitive impairment of the elderly residents. J East-West Nurs Res 16:122-130
  18. Kim SH, Choi-Kwon S. 2012. Nutritional status among elderly Korean women and related factors. J Korean Biol Nurs Sci 14:16-24
  19. Kim YJ, Moon MS, Yang YJ, Kwon O. 2012. Relationship between serum 25-hydroxyvitamin D concentration and the risks of metabolic syndrome in premenopausal and postmenopausal women. Korean J Nutr 45:20-29
  20. Korean Statistical Information Service. 2017. Health statistics. databsae source: Ministry of Health and Welfare, Korea National Health and Nutrition Examination Survey. Available from
  21. Lee HS. 2014. The factors influencing health-related quality of life in the elderly: Focused on the general characteristics, health habits, mental health, chronic diseases, and nutrient intake status: Data from the fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010-2012. Korean J Community Nutr 19:479-489
  22. Lee MS. 2012. Health-related factors influencing the quality of life of rural elderly subjects - Activities of daily living, cognitive functions, prevalence of chronic diseases and nutritional assessment. Korean J Community Nutr 17:772-781
  23. Maggio D, Cherubini A, Lauretani F, Russo RC, Bartali B, Pierandrei M, Ruggiero C, Macchiarulo MC, Giorgino R, Minisola S, Ferrucci L. 2005. 25(OH)D Serum levels decline with age earlier in women than in men and less efficiently prevent compensatory hyperparathyroidism in older adults. J Gerontol A Biol Sci Med Sci 60:1414-1419
  24. Ministry of Health and Welfare, The Korean Nutrition Society. 2015. Dietary reference intakes for Koreans 2015. Sejong
  25. Moon Y, Han SH. 2012. Vitamin D deficiency and cognitive dysfunction. Dement Neurocognitive Disord 11:111-117
  26. Ravaglia G, Forti P, Maioli F, Martelli M, Servadei L, Brunetti N, Porcellini E, Licastro F. 2005. Homocysteine and folate as risk factors for dementia and Alzheimer disease. Am J Clin Nutr 82:636-643
  27. Rowe JW, Kahn RL. 1997. Successful aging. Gerontologist 37:433-440
  28. Sakamoto W, Isomura H, Fujie K, Deyama Y, Kato A, Nishihira J, Izumi H. 2005. Homocysteine attenuates the expression of osteocalcin but enhances osteopontin in MC3T3-E1 preosteoblastic cells. Biochim Biophys Acta - Molecular Basic Dis 1740:12-16
  29. Sieber CC. 2006. Nutritional screening tools - How dose the MNA compare? Proceeding of the session held in Chicago May 2-3, 2006 (15 Years of Mini Nutritional Assessment). J Nutr Health & Aging 10:488-492
  30. Sorenson AW, Wyse BW, Wittwer AJ, Hansen RG. 1976. An index of nutritional quality for a balanced diet. New help for an old problem. J Am Diet Assoc 68:236-242
  31. Vuorisalmi M, Lintonen T, Jylha M. 2006. Comparative vs global self-rated health: Associations with age and functional ability. Aging Clin Exp Res 18:211-217
  32. Won JS, Kim JH. 2003. Influencing factors on cognitive function and depression in elderly. Korean Acad Psychiatr Ment Health Nurs 12:148-154
  33. Won JS, Kim KH. 2008. Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. J Korean Acad Nurs 38:1-10


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