Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
권호 표지

Comparison of Dietary Intakes and Plasma Lipid Levels in Diabetes and Control Elderly

당뇨병 노인군과 대조군의 영양소 섭취실태 및 혈장지질 양상비교

  • 이상은 (서울여자대학교 자연과학대학 식품영양학과) ;
  • 김정희 (서울여자대학교 자연과학대학 식품영양학과)
  • Published : 2004.02.01
Download PDF
⟨ Previous Next ⟩

Abstract

This study was done to investigate and compare the nutritional status and plasma lipids in the diabetes and control elderly. Subjects were 105 persons (male 32, female 73) aged over 65 years and visited public health centers in Ulsan area. The subjects were divided into 2 groups, diabetes and control group. Athropometric measurement, dietary intakes, and plasma biochemical indices were examined. Body Mass Index (BMI), Percentage of Ideal Body Weight (PIBW) and Waist-Hip Ratio (WHR) of diabetes group were higher than those of control group. Overall eating behavior were worse in diabetes group than those of control group. There was no significant difference in smoking and exercise status among groups. The ratio of drinkers was significantly higher in control group. But the amount of alcohol consumed at once was higher in the diabetes group. There was no significant difference in most nutrient intakes between males and females. The intakes of fiber, natrium (Na), vitamin A, and $\beta$-carotene were significantly higher in diabetes group than control groups while that of potassium (K) was lower in diabetes group. Diabetes group had the higher levels in triglyceride, VLDL-cholesterol, Chol/HDL-cholesterol ratio, LDL/HDL-cholesterol ratio, while they had lower HDL-cholesterol level. Overall results might imply that the elderly with diabetes have to be more careful to their meals and health-related behaviors to increase the likelihood of a healthier life.

Keywords

References

  1. Ausman Lm (1999): Criteria and recommendations for vitamin C intake. Nutr Rev 57(7): 222-224
  2. Avioli LV (1988): Calcium and phosphorus. In Goodhart RS, ME, eds. Modern nutrition in health and disease 7th ed., Lea & Febiger. Philadelphia. pp.142-158
  3. Baek JW, Koo NK, Kim KJ, Lee YK, Lee SK, Lee HS (2000): Nutritional status of the long-lived elderly people in Kyungpook Sungju Area (I) -Estimation of nutrients intakes-. Korean J Nutrition 33(4): 438-453
  4. Baik SH, Choi KM, Cho YJ, Kim KO, Kim DR, Kim NH, Kim SG, Shin DH, Park IB, Choi DS (2001): Prevalence of diabetes mellitus in elderly Korea in Southwest Seoul (SWS Study) -Comparision of 1997 ADA & 1995 WHO Criteria in Elderly Korean-. J Kor Diabetes Asso 25: 125-132
  5. Battisti WP, Palmisano, Keane WE (2003): Dyslipidemia in patients with type w Diabetes. relation between lipids, kidney disease and cardiovascular disease. Clin Chem Lab Med 41(9): 1174-81
  6. Carr AC, Frei B (1999): Towerd a new recommended dietary allowance for vitamin C based on antioxidant and health effects in humans. Am J Clin Nutr 69(6): 1086-1097 https://doi.org/10.1093/ajcn/69.6.1086
  7. Choi SB, Park SM (1999): The Relationship between apolipoprotein E phenotypes, serum lipid metabolism, and oxidative stress in Korea Type 2 diabetic patients. J Kor Diabetes Asso 23(2): 182-192
  8. Coban E, Timuragaoglu A, Meric M (2003): Iron deficiency anemia in the elderly: prevalence and endoscopic evaluation of the gastrointestinal tract in outpatients. Acta Haematol 110(1): 25-28
  9. Colditz GA, Willett WC, Rotnitzky A, Manson JE (1995): Weight gain as a risk factor for clinical diabetes in women. Ann Intern Med 122: 481-486 https://doi.org/10.7326/0003-4819-122-7-199504010-00001
  10. Du S, Zhai F, Wang Y, Popkin BM (2000): Current methods for estimating dietary iron bioavailability do not work in China. J Nutr 130(2): 193-198
  11. Friedewald WT, Levy RI, Fredrickson DS (1972): Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 18: 499-502
  12. Gaal LV, Rillaerts E, Creten W, Leeuw ID (1998): Relationship of body fat distribution pattern to atherogenic risk factors in IDDM. Preliminary result. Diabetes Care 11: 103
  13. Goran MI, Coronges K, Bergman RN, Cruz ML, Gower BA (2003): Influence of family history of type 2 diasetes on insulin sensitivity in prepubertal children. J Clin Endocrinol Metab 88(1): 192-195
  14. Han KH, Kim KN, Park DY (1998a): Drug consumption and nutritional status of the elderly in Chung-buk area I. Diseases and drug consumption. Korean J Comm Nutr 3(1): 76-93
  15. Han KH, Park DY, Kim KN (1998b): Drug consumption and nutritional status of the elderly in Chung-buk area Ⅱ. Nutritional status of urban and rural elderly. Korean J Comm Nutr 3(2): 228-244
  16. Harris MI, Hadden WC, Knoler WC, Bennett PH (1987): Prevalence of diabetes and impaired glucose tolerance and plasma glucose levels in US population aged 20-70yr. Diabetes 36: 523 https://doi.org/10.2337/diabetes.36.4.523
  17. Jeong MS, Kim HK (1998): A study on the nutritional status and health condition of elderly in Ulsan area. Korean J Dietary Culture 13(3): 159-168
  18. Joo EJ, Kim IS, Seo EA (2000): Nutritional status of iron of elderly in Jeon-Ju area. Korean J Comm Nutr 5(3): 493-501
  19. Kim EK, Lee KY, Kim YL, Huh KB (1991a): Body fat content and its distribution in diabetics. Korean J Nutrition 23(4): 257-269
  20. Kim EK, Lee KY, Kim YL, Huh KB (1991b): Relationdhip of total body fat content and its distribution to carbohydrate tolerance and serum lipid in diabetics. Korean J Nutrition 24(1): 1-11
  21. Kim KN, Lee JW, Park YS, Hyun TS (1996): Nutritional status of the elderly living in Cheongju-I. Health-related habits, dietary behaviors and nutrient intakes-. Korean J Comm Nutr 2(4): 556-567
  22. Kim MH, Moon HK (2002): The nutritional status of a diabetes mellitus risk group and a control group in Kangbukgu. Korean J Comm Nutr 7(2): 219-231
  23. Kim YK, Lee HO, Chang R, Choue RW (2002): A Study on the food habits, nutrient intake and the disease distribution in the elderly (aged over 65 years) (I). Korean J Comm Nutr 7(4): 516-526
  24. Kiyohara Y, Shinihara A, Kato I, Shirota T, KIbo M, Tanizaki Y, Fujjshima M, Lida M (2003): Dietary factors and development of impaired glucose tolerance and diabetes in a general japanese population: the hisayama study. J Epidemiol 13(5): 251-258
  25. Korea National Statistical Office (2003): The cause of death statistics 2002 (deaths and death rates)
  26. Korea National Statistical Office (2003): The elderly statistics 2003
  27. Korolewski AS, Warram JH, Cupples et al (1985): Hypertension, orthostatic hypertension and microvascular complication of diabetes. J Chronic Dis 38: 432
  28. Lee DH, Kim IS (2000): The study associations among serum lipids, anthropometric measurements, food intake frequency and nutrient intake in healthy adults. Korean J Comm Nutr 5(4): 642-653
  29. Lee H, Baek SH, Kam DH, Kim SG, Bea SJ, An WS, Kang DY, Kim DK, Kim YD, Kim JS (1996): The clinical significance and relationship of atherosclerosis indices to macrovascular disease in NIDDM patients. J Kor Diabetes Asso 20(2): 153-162
  30. Lee HJ, Park SJ, Kim JH, KIM CI, Chang KJ, Yim KS, Kim K, Choi H (2002): Development and validation of semi-quantitative food frequency questionnaire for evaluating nutritional status of 50yr and older subjects in Korea. Korean J Comm Nutr 7(20): 277-285
  31. Lee HS, Yee JA, Kang KJ (2001): A Study on health related and eating related behaviors by self-recognized health status. Korean J Comm Nutr 6(3): 340-353
  32. Lee JW, Kim KA, Lee MS (1998): Nutritional intake status of the elderly taking free cogregate lunch meals compared to the middleincome class elderly. Korean J Comm Nutr 3(4): 594-608
  33. Lee YK, Jeon SM, Choi MS (1999): Total body fat content and its distribution and plasma cholesterol metabolism in elderly women. Korean J Nutrition 32 (6): 732-738
  34. Manson JE Rimm EB, Stampfer MJ, et al (1991): A prospective study of physical activity and the incidence of non-insulin-dependent diabetes mellitus in women. Lancet 338: 774-778 https://doi.org/10.1016/0140-6736(91)90664-B
  35. Ministry of Health & Welfare (2002): 2001 National health and nutrition survey- Chronic diseases-pp.4, 48
  36. Moon HK, Joung HJ (1999): Dietary risk factors of hypertension in the elderly. Korean J Nutrition 32(1): 90-100
  37. Moon OR, Kim NS, Jang SM, Yoon TH, Kim SO (1999): Relationship between BMI and prevalence of hypertension & diabetes mellitus based on national health interview survey. J Korean Acad Fam Med 20(6): 771-786
  38. Morris RD, Rimm DL, Hartz AJ, Kalkhoff RK, Rimm AA (1989): Obesity and heredity in the etiology of non-insulin-dependent diabetes mellitus in 32, 662 adult white women. Am J Epidemiol 130: 112-121 https://doi.org/10.1093/oxfordjournals.aje.a115302
  39. Pyorala K, Laakso M, Unsitupa M (1987): Diabetes and athrosclerosis: An epidemiologic view. Diabetes Metab Rev 3: 463 https://doi.org/10.1002/dmr.5610030206
  40. Schilenker ED (1998): Nutrition in aging. 3rd ed. WCB McGraw-Hill
  41. Shimokata H, Tobin JD, Muller DC, Elahi D, Coon PJ, Andres R (1989): Studies in the distribution of body fat. I. effects of age, sex, and obesity. J Gerontol 44: M66-M73
  42. Sim KW, Lee SH, Lee HS (2001): The relationship between body mass index and morbidity in Korea. Korean J Society for the Study of Obesity 10(2): 147-155
  43. The Korean Nutrition Society (2000): Recommended Dietary Allowances for Koreans, 7th revision
  44. Tull ES, Thurland A, LaPorte RE, Chambers EC (2003): Acculturation and psychosocial stress show differential relationships to insulin resistance (HOMA) and body fat distribution in two groups of black living in the US Virgin Islands (2003): J Natl Med Assoc 95(7): 560-569
  45. Tuomileho J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Rastas M, Salminen V, Uusitupa M (2001): Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 344: 1390-1392
  46. Yim KS, Min YH, Lee TY (1997): Nutrition in the Elderly: An analysis of health related factors and the nutritional risk index of the elderly. Korean J Comm Nutr 2(3): 376-387
  47. Yoon HJ, Kwoun JH, Lee SK (2002): Nutritional status and energy expenditure in the elderly in a rural community. Korean J Comm Nutr 7(3): 336-344