고령인구 비율이 높은 지역 장년, 노년층의 건강.영양상태 및 이에 영향을 미치는 인자에 관한 연구 I. 신체계측, 생화학적 영양상태 (혈청지질, 철분지표, 무기질 등)

Nutritional Status and Related Factors of Residents Aged Over 50 in Longevity AreasI. Anthropometric and Biochemical Nutritional Status

  • 최정숙 (농촌진흥청 농촌자원개발연구소) ;
  • 백희영 (서울대학교 식품영양학과) ;
  • 권성옥 (농촌진흥청 농촌자원개발연구소)
  • 발행 : 2004.11.01

초록

Studies on the health problems of the elderly have been increased with increasing life expectancy of Koreans. To assess the health status of people over 50 years old including the elderly (678 free-living people: men (168), women (510)), anthropometric measurements and biochemical nutritional status were analyzed. General characteristics and the prevalences of specific diseases were also examined. The mean anthropometric values for males and females were heights of 162 cm and 149 cm, respectively; and weights of 59 kg and 52 kg, respectively, which were much lower than the Korean standards established in the Korean Recommended Dietary Allowances. The mean BMI, WHR (waist hip ratio), and body fat rate (%), which are obesity indices, were significantly higher in females than in males. As the age went up, height, weight, lean body mass, and mid-arm circumference decreased. Whereas, blood pressure (SBP) for women increased. Mean blood HDL-cholesterol levels of men and women were 46.0 mg/dl and 46.3 mg/dl, respectively; their triglyceride levels were 129.1 mg/d1 and 135.6 mg/dl, respectively, which were not significantly different. Total cholesterol and LDL-cholesterol levels were significantly higher in females than in males. For man there were significantly different in ${\gamma}$-GTP, Na levels by age. As the age went up for women, RBC, hemoglobin, hematocrit, HDL-cholesterol, ${\gamma}$-GTP and $Ca^{2+}$ levels significantly decreased. Levels of total protein and albumin were above the lower normal limit for the majority of the participants. Prevalence of anemia, assessed by hemoglobin using World Health Organization (WHO) definition, was 43.9% for men and 42.1% for women. Also, many of the subjects were out of the normal range in total cholesterol (women), HDL-cholesterol, TAS (total antioxidant status), APase, RBC, hemoglobin, hematocrit levels. Therefore, measures to improve the biochemical nutritional status for the people in rural area are required.d.

키워드

참고문헌

  1. Terry RD. Introductory community nutrition. Wm. C. Brown Publishers, Dubuque, Iowa, 1993
  2. Koo JO, Park YJ, Kim JQ, Lee YH, Yoon HY, Son SM. Nutritional and health status of Korean elderly from low-income, urban areas and improving effect of meal service on nutritional and health status - II. biochemical nutritional status and health status. Korean J Comm Nutr 1 (2) : 215-227, 1996
  3. Kim HK, Yoon JS. A Study on the Nutritional State and Health Condition of Elderly Women Living in Urban Community. Kor J Nutr 22 (3) : 175-184, 1989
  4. Cho YS, Lim HS. The Nutrition and Health Survey of Aged People in a Rural Area II. Anthropometry, Blood Pressure, Blood Constituents, Diseases and Obesity Rate. Kor J Nutr 19 (6) : 382-391, 1986
  5. Cho YS, Lim HS. A survey on the food habit and health of the aged in a middle city. J Korean Soc Food Sci Nutr 20(4): 346-353, 1991
  6. Song YS, Chung HK, Cho MS. The nutritional status of the female elderly residents in nursing home- I. Nutritional and biochemical health status-. Kor J Nutr 28 (11): 1100-1116, 1995
  7. Son SM, Lee YN. Nutritional status and related factors of elderly residing in Puchon city I. Anthropometric data and biochemical nutritional status. J Korean Soc Food Sci Nutr 28 (6) : 1391-1397, 1999
  8. Kang NE. A study on the influence of aging and nutrition on the cognitive function by the blood glucose level among elderly Koreans. Thesis of doctoral degree, Ewha Woman's University, 1993
  9. Cha Youn Soo, Sohn Hee Sook, Joo Eun Jung. Nutritional intake and biochemical status in blood and urine of elderly women: comparisons among subgroups divided by residence type. Kor J Nutr 30 (9) : 1095-101, 1997
  10. Hyun TS, Kim KN. Nutritional status of the elderly living in Cheongju -II. Anthropometric, biochemical and clinical assessment. Korean J Comm Nutr 2(4) : 568-577, 1997
  11. Chyun JH, Shin MW. Nutritional status in healthy Koreans from urban households. Kor J Nutr 21 (1) : 12-22, 1988
  12. Baek JW, Koo BK, Kim KJ, Lee YK, Lee SK, Lee HS. Nutritional status of the long-lived elderly people in Kyungpook Sung-ju area (II) -Biochemical nutritional status.- Kor J Nutr 33 (4) : 454-463, 2000
  13. Mishima Y, Kibata M, Ishioka T, Okada K, Karnisaka K, Fujiwara M, Kimura I. Nutritional assessment and rapid turnover protein in the elderly. Jpn J Geriat 30: 771-777, 1993 https://doi.org/10.3143/geriatrics.30.771
  14. Hirose N, Arai Y, Kawamura M, Homma S, Hasegawa H, Ishida H, Shimizu K, Osono Y, Takeda S, Noji H, Homma A, Nakamura Y. Tokyo centenarian study 5. nutritional status of Japanese centenarians. Jpn J Geriat 34: 324-330, 1997 https://doi.org/10.3143/geriatrics.34.324
  15. Paolisso G, Gambardella A, Stefania Ammendola, Maria R. Tagliamonte, Naria R. Rizzo, Antonio Capurso, Nichele Varricchio. Preserved Antilipolytic Insulin Action Is Associated with a Less Atherogenic Plasma Lipid Profile in Healthy Centenarians. J An Geriatr Soc 5: 1504-1509, 1997
  16. Baggio G, Donazan S, D. Monti, D. Mari, S. Martini, C. Gabelli, M. Dalla, L. Previato, M. Guido, S. Pigozo, I. Cortella, G. Crepaldi, C. Franceschi. Lipoprotein (a) and lopoprotein profile in healthy centenarians: a reappraisal of vascular risk factors. FASEB J 12: 433-437, 1998
  17. Malaguarnera M, I. Giugno, P. Ruello, M. Rizzo, M.P. Panebianco, G. Pistone, F.B. Tomasello. Lipid profIle variations in a group of healthy elderly and centenarians. European Review for Medical and Pharmacological Sciences 2: 75-79, 1998
  18. 2000 Population Census, Korea National Statistical Office, 2001
  19. Fries JF. Aging, natural death, and the compression of morbidity. The new England Journal of Medicine 203 (3) : 130-135, 1980
  20. Park YS, Kim S, Park KS, Lee JW, Kim KN. Nutrient intakes and health-related behaviors of the elderly in rural area. Korean J Comm Nutr 4 (1) : 37-45, 1999
  21. Kim JH, Koo BK, Kim KJ, Baek JW, Lee YK, Lee SK. Characteristics of eating behaviors of the long-lived elderly People in Kyungpook Sung-Ju. Korean J Comm Nutr 4(2) : 219-230, 1999
  22. 2001년도 국민건강 $\cdot$ 영양조사 보고서, 보건복지부, 보건사회연구원, 2002
  23. Vellas B, Guigoz Y, Baumgartner M, Garry PJ, Lauque S, AIbarede JL. Relationships Between Nutritional Markers and the Mini-Nutritional Assessment in 155 Older Persons. J Am Geriatr Soc 48: 1300-1309, 2000
  24. 이태용. 충남 청양지역의 사례로 본 농부증의 현황과 대책. '농어민건강 워크샵 및 공개강좌 자료집 (충청남도 농업기술원)' , pp.5-24, 2000
  25. Son HY, Cho KH. Health status of the elderly in kwangju, Kyonggi-Do by blood indices. Kor J Gerontol 8 (1): 105-115, 1998
  26. Barbagalo CM, Averna MR, Frada G, Noto D, Cavera G, Notarbartolo A. Lipoprotein Profile and High-Density Lipoproteins; Subfractions Distribution in Centenarians. Gerontology 44: 106-110, 1998 https://doi.org/10.1159/000021992
  27. Park KH, Park HS. Serum total calcium, ionized calcium ion and lipid compositions in hypertensive Koreans. Kor J Nutr 22 (6) : 476-484, 1989
  28. 토마스 펄스, 마거리 허터 실버, 존 라우어만. 하버드 의대가 밝혀낸 100세 장수법. 사이언스 북스, 2003
  29. Kim JH. Korean J Community Nutrition 2nd International Symposium: Nutritional Management for the Elderly, p.35, 2002
  30. Kreisberg RA, Kasim S. Cholesterol metabolism and aging. Am J Med 82: 54, 1987 https://doi.org/10.1016/0002-9343(87)90272-5
  31. 노인영양상태 연구, 한국공업협회 식품연구소, 1987
  32. Lee MS, Woo MK. A study on health-related habits, dietary behaviors and health status of the middle aged and the elderly living in Chonju area. Kor J Nutr 33 (3) : 343-352, 2000
  33. Son SM, Kim MJ. Nutritional status and utilization of public health center of elderly. Kor J Comm Nutr 6(2) : 218-226, 2001
  34. Kannel WB. Nutritional contributors to cardiovascular disease in the elderly. J Am Geriatr Soc 34: 27-33, 1986
  35. Han KH, Park DY, Kim KN. Drug consumption and nutritional status of the elderly in Chung-buk area -II. Nutritional status of urban and rural elderly. Korean J Community Nutrition 3: 228-244, 1998
  36. 1998년도 국민건강 $\cdot$ 영양조사 보고서, 보건복지부, 보건사회연구원, 1999