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Nutritional Status, Nutrients Intakes, and Health Status of Young-old and Old-old Homebound Elderly in Korea

연소 · 고령 노인의 성별에 따른 건강 및 영양상태 비교 조사 연구

  • Choi-Kwon, Smi (Seoul National University College of Nursing & Research Institute of Nursing Science) ;
  • Choe, Myoung-Ae (Seoul National University College of Nursing & Research Institute of Nursing Science) ;
  • Kim, Keum Soon (Seoul National University College of Nursing & Research Institute of Nursing Science) ;
  • Yi, Myung Sun (Seoul National University College of Nursing & Research Institute of Nursing Science) ;
  • Suh, Eunyoung (Seoul National University College of Nursing & Research Institute of Nursing Science) ;
  • Suh, Minhee (Research Institute of Nursing Science, Seoul National University)
  • Received : 2012.09.27
  • Accepted : 2012.11.12
  • Published : 2012.11.30

Abstract

Purpose: Number of the old-old elderly is rapidly increasing in Korea, but it is unclear whether there are differences between old-old and young-old elderly in nutritional status, nutrient intakes and health status. The gender differences in Korean elderly in these conditions also remains unknown. This study, therefore, investigated gender-associated differences in nutritional, health status and nutrient intakes and how they are related among young-old and old-old homebound elderly. Methods: Two hundred and eighty elderly who were attending a local elderly welfare center were recruited. Evaluation included demographic, nutritional and health status related data, nutritional intakes, and life style related factors including physical activity. Results: Of the 280 subjects, old-old were 147 (52.5%) and young-old were 133 (47.5%). Male old-old elderly had more often abdominal obesity than female old-old, but male old-old more often had malnutrition than female old-old. There were few differences in nutrient intakes between old-old male elderly and female elderly after energy intakes were controlled. Male old-old more often had less intake of beta carotene and Vitamin A than female old-old. On the other hand, male old-old elderly more often had hypercholesterolemia and hypertension than male young-old. Conclusion: Male old-old may be at a greater health and nutritional risk than female old-old. Targeted nutritional intervention for male old-old emphasizing antioxidant nutritional intakes may be warranted.

Keywords

References

  1. Adams, K. F., Schatzkin, A., Harris, T. B., Kipnis, V., Mouw, T., Ballard-Barbash, R., et al. (2006). Overweight, obesity, and mortality in a large prospective cohort of persons 50 to 71 years old. The New England Journal of Medicine, 355, 763-778. https://doi.org/10.1056/NEJMoa055643
  2. Brownie, S. (2006). Why are elderly individuals at risk of nutritional deficiency? International Journal of Nursing Practice, 12, 110-118 https://doi.org/10.1111/j.1440-172X.2006.00557.x
  3. Castel, H., Shahar, D., & Harman-Boehm, I. (2006). Gender dierences in factors associated with nutritional status of older medical patients. Journal of the American College of Nutrition, 25, 128-134. https://doi.org/10.1080/07315724.2006.10719523
  4. Chen, C. C., Schilling, L. S., & Lyder, C. H. (2001). A concept analysis of malnutrition in the elderly. Journal of Advanced Nursing, 36, 131-142. https://doi.org/10.1046/j.1365-2648.2001.01950.x
  5. Choi-Kwon, S., Yang, Y. H., Kim, E. K., Jeon, M. Y., & Kim, J. S. (1998). Nutritional status in acute stroke: undernutrition versus overnutrition in different stroke subtypes. Acta Neurologica Scandinavica, 98, 187-192.
  6. Choi, H. M. (2011). Nutrition for 21st century. Paju: Kyomunsa.
  7. Cohen, J. (Ed.). (1988). Statistical power analysis for the behavioral sciences (2nd edition ed.). New Jersey: Lawrence erlbaum associates.
  8. Craig, C. L., Marshall, A. L., Sjostrom, M., Bauman, A., Booth, M., Ainsworth, B., et al. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise, 35, 1381-1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB
  9. Daco, D. S. (2007). Market report 2007-07. Seoul: Jinhan M & B.
  10. Dubos, R. (1987). Mirage of Health: Utopias, Progress, and Biological Change. Piscataway: Rutgers University Press.
  11. International Association of Gerontology. (1951). Report on the 2nd International Conference of Gerontology, 1951.
  12. Kang, & Cho, M. S. (1994). A study on nutritional status and its related factors in elderly Koreans with ages. Korean Journal of Food and Nutrition, 7, 361-372.
  13. Kang, J. H., Jeong, B. G., Cho, Y. G., Song, H. R., & Kim, K. A. (2010). Medical expenditure attributable to overweight and obesity in adults with ischemic heart disease and stroke in Korea. Korean Journal of Health Education and Promotion, 27(4), 83-90.
  14. Kim, Y. K., Cho, M. R., Kim, R., & Cho, Y. W. (2002). Food habits, nutrients intake, and disease distribution according to sasang constitutions in the elderly aged over 65 years(II). Korean Journal of Community Nutrition, 7, 76-85.
  15. Kim, H. Y., Cho, M. S., Chang, Y. A., Won, H. S., & Lee, H. S. (2001). Clinical nutrition. Seoul: Shinkwang Press.
  16. Kwon, J. S., & Lee, H. J. (2003). Nutritional and health status of the elderly living in songnam. Korean Journal of Food and Nutrition, 16, 310-320.
  17. Lee, H. J., Park, S. J., Kim, J. H., Kim, C. I., Chang, K. J., Yim, K. S., et al. (2002). Development and validation of Semi-Quantitative Food Frequency Questionnaire for evaluating nutritional status of 50 yr and older subjects in Korean. Korean Journal of Community Nutrition, 7, 277-285.
  18. Lin, J. W., Carey, J. L., Chang, M. H., & Lin, Y. S. (2010). Sex, menopause, metabolic syndrome, and all-cause and cause-specific mortality--cohort analysis from the Third National Health and Nutrition Examination Survey. The Journal of Clinical Endocrinology and Metabolism, 95, 4258-4267. doi: 10.1210/jc.2010-0332
  19. Ministry of Health and Welfare. (2010). Korea health statistics 2009 :Korea national health and nutrition examination survey (KNHANESIV-3). Seoul.
  20. Neugarten, M. (1996). The Meanings of Age: Selected Papers. Chicago: University of Chicago Press.
  21. Park, K. A., Lee, H. J., Park, M. S., Lee, J. H., Jeon, S. E., Kim, J. S., et al. (2002). Studies on alterations in taste perception of Korean elderly. Journal of the Korean Geriatrics Society, 12, 299-319.
  22. Park, K. A., Park, Y. H., Kim, S. J., Suh, E. Y., Park, M. S., Suh, M. H., et al. (2010). A study on the health and nutritional status and nutrient intakes in elderly Korean female. Korean Journal of Biological Nursing Science, 4, 39-47.
  23. Park, K. A., Sim, Y. M., Kim, S. B., & Choi-Kwon, S. (2006). A study of the nutritional status and its related factors in the elderly hemodialysis patients. The Korean Journal of Nutrition, 39, 133-144.
  24. Perissinotto, E., Pisent, C., Sergi, G., & Grigoletto, F. (2002). Anthropometric measurements in the elderly: age and gender dierences. The British Journal of Nutrition, 87, 177-186. https://doi.org/10.1079/BJN2001487
  25. Pi-Sunyer, F. X. (2000). Overnutrition and undernutrition as modifiers of metabolic processes in disease states. The American Journal of Clinical Nutrition, 72(2 Suppl), 533S-537S. https://doi.org/10.1093/ajcn/72.2.533S
  26. Ritchie, C. S., Burgio, K. L., Locher, J. L., Cornwell, A., Thomas, D., Hardin, M., et al. (1997). Nutritional status of urban homebound older adults. American Journal of Clinical Nutrition, 66, 815-818. https://doi.org/10.1093/ajcn/66.4.815
  27. Ro, H. K., & Oh, K. A. (2003). Gender and age dierences in the nutritional status of the low income elderly living in gwangju. Korean Journal of Community Nutrition, 8, 302-310.
  28. Seoul National Univerisity Bundang Hospital. (2009). Standardization of Korean version of MMSE for Dementia Screening. Seoul: Seoul National Univerisity Bundang Hospital.
  29. Son, S., & Kim, M. J. (2001). Nutritional status and utilization of public health center of elderly. Korean Journal of Community Nutrition, 6, 218-226.
  30. Vikan, T., Schirmer, H., Njolstad, I., & Svartberg, J. (2009). Endogenous sex hormones and the prospective association with cardiovascular disease and mortality in men: the Tromso Study. European Journal of Endocrinology 161, 435-442. https://doi.org/10.1530/EJE-09-0284
  31. Volkert, D., Kreuel, K., Heseker, H., & Stehle, P. (2004). Energy and nutrient intake of young-old, old-old and very-old elderly in Germany. European Journal of Clinical Nutrition, 1190-1200.

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