DOI QR코드

DOI QR Code

A Study on the Health and Nutritional Characteristics according to Household Income and Obesity in Korean Adults Aged over 50 -Based on 2005 KNHANES-

우리나라 50세 이상 성인의 소득수준과 비만에 따른 영양건강 특성 분석에 대한 연구 -2005년 국민건강영양조사 자료 분석-

  • Ahn, So-Hyun (Department of Food Science & Nutrition, The Catholic University of Korea) ;
  • Son, Sook-Mee (Department of Food Science & Nutrition, The Catholic University of Korea) ;
  • Kim, Hye-Kyeong (Department of Food Science & Nutrition, The Catholic University of Korea)
  • 안소현 (가톨릭대학교 생활과학부 식품영양학전공) ;
  • 손숙미 (가톨릭대학교 생활과학부 식품영양학전공) ;
  • 김혜경 (가톨릭대학교 생활과학부 식품영양학전공)
  • Received : 2012.05.25
  • Accepted : 2012.07.30
  • Published : 2012.08.31

Abstract

This study investigated the health and nutritional characteristics according to household income level and obesity in Koreans aged over 50 years based on the 2005 National Health and Nutrition Examination Survey. Subjects were classified into 3 groups by average household income with reference to the minimum monthly living expenses (MLE): low (n = 319, < 100% MLE), middle (n = 222, < 200% MLE), high (n = 411, ${\geq}$ 200% MLE) and each group was compared by BMI index. With increasing income level, the prevalence of systolic hypertension and hyperlipidemia was increased. In the low income group, serum total cholesterol, triglycerides, and fasting glucose were higher in the obese compared with the normal. In the middle and high income groups, the prevalence of hyperlipidemia and diastolic hypertension were higher in the obese. Subjects had nutritional imbalance, such as inadequate intake of calcium and potassium. With increasing income level, the percentages of protein and fat to total calorie were increased in addition to the intakes and density of nutrients. The obese in the low income group had higher intakes of energy, protein, phosphorus and higher consumption frequency of cereals and potatoes compared with the normal. It was shown that the obese of the middle and high income groups tended to have lower consumption frequency of Korean cabbage and higher frequency of fruits. The obese of high income group also had binge drinking habit. Therefore, this study suggests that specific approaches based on economic status should be considered in developing nutrition education program for the elderly.

Keywords

References

  1. Choi JH, Moon HK (2008): Comparison of dietary patterns by sex and urbanization in different economic status. Korean J Community Nutr 13(3): 346-358
  2. Choi YJ, Kim C, Park YS (2007): The effect of nutrition education program in physical health, nutritional status and health-related quality of life of the elderly in Seoul. Korean J Nutr 40(3): 270- 280
  3. Dietz WH (2000): Birth weight, socioeconomic class, and adult adiposity among African Americans. Am J Clin Nutr 72(2): 335-336 https://doi.org/10.1093/ajcn/72.2.335
  4. Drewnowski A, Darmon N (2005): Food choices and diet costs: an economic analysis. Korean J Nutr 135(4): 900-904
  5. Drewnowski A, Specter SE (2004): Poverty and obesity : The role of energy density and energy cost. Am J Clin Nutr 79(1): 6-16 https://doi.org/10.1093/ajcn/79.1.6
  6. Friedwald WT, Levy RI, Fredrickson DS (1972): Estimation of the concentration of low density lipoprotein cholesterol without use of the preoperative ultra centrifuge. Clin Chem 18(6): 499-502
  7. Guh DP, Zhang W, Bansback N, Amarsi Z, Birmingham CL, Anis AH (2009): The incidence of co-morbidities related to obesity and overweight: a systematic review and meta-analysis. BMC Public Health 9: 88-107 https://doi.org/10.1186/1471-2458-9-88
  8. Gyeonggi Research Institute (2008): An analysis on the actual conditions of the low-income and strategies to overcome their poverty in GyeongGi-Province
  9. Hwang JY, Ru SY, Ryu HK, Park HJ, Kim WY (2009): Socioeconomic factors relating to obesity and inadequate nutrient intake in women in low income families residing in Seoul. Korean J Nutr 42(2): 171-182 https://doi.org/10.4163/kjn.2009.42.2.171
  10. Jelliffe DB (1966): The assessment of the nutritional status of the community, WHO, Geneva
  11. Jeon HS (2005): Analysis of obesity factors in Korean middle aged men and women : 2001 Korean National Health and Nutrition Examination Survey. Dissertation, Catholic University of Korea, pp. 11-16
  12. Kang YH, Kim MY, Eliza L (2008): The relationship of perceived health status, activities of daily living and nutrition status in the community-dwelling Korean elderly. Korean J Adult Nurs 38(1): 122-130 https://doi.org/10.4040/jkan.2008.38.1.122
  13. Kim BH, Lee JW, Lee YN, Lee HS, Jang YA, Kim CI (2005): Food nutrient consumption patterns of the Korean adult population by income level-2001 National Health and Nutrition Survey. Korean J Community Nutr 10(6): 952-962
  14. Kim KM, Kwon JS (2004): Nutritional and health status of the elderly living in Songnam-II. Dietary habits and nutrient intake-. Korean J Food & Nutr 17(4): 420-428
  15. Kook SR, Park YS, Ko WK, Kim SM, Lee DJ, Kang HC, Yoon BB(1997): Relationship of body fat, lipid, blood pressure, glucose in serum to waist-hip ratio between obese and normal body mass index group. J Korean Acad Fam Med 18(3): 317-326
  16. Korea Health Industry Development Institute (2009): 2010 Elderly Statistics
  17. Korea National Statistical Office (2010): Dependency ratios & agedchild ratio. population projections 2010
  18. Kwon JH, Yoon HJ, Lee JM, Lee SK (2002): Dietary behavior and nutritional status of the elderly women attending at the health promotion program in an urban community. Korean J Community Nutr 7(6): 814-823
  19. Lee YN, Lee HS, Jang YA, Lee HJ, Kim BH, Kim CI (2006): Dietary intake pattern of the Korean adult population by weight status -2001 National Health and Nutrition Survey-. Korean J Community Nutr 11(3): 317-326
  20. Ministry of Health & Welfare (2006): The minimum cost of living for household - Notification No. 2004-77 of Ministry of Health & Welfare in 2005
  21. Ministry of Health & Welfare, Korea Centers for Disease Control & Prevention (2007): Guidelines of The 3rd National Health and Nutritional Examination Survey
  22. Ministry of Health & Welfare, Korea Centers for Disease Control & Prevention (2010): 2009 National Health Statics, Korea National Health and Nutrition Examination Survey (KNHANES IV-3)
  23. Moon HK, Kim EG (2004): Food intake of Koreans by economic status using 1998 Korean National Health Examination Nutrition Survey. Proceedings of 2004 Fall Symposium of the Korean Nutrition Society of Community Nutrition, p.228
  24. Moon HK, Kong JE (2010): Assessment of nutrient intake for middle aged with and without metabolic syndrome using 2005 and 2007 Korean National Health and Nutrition Survey. Korean J Nutr 43(1): 69-78 https://doi.org/10.4163/kjn.2010.43.1.69
  25. Nord M, Andrews M, Carison S (2006): Measuring food security in the United States: household food security in the United Status, 2005. U.S. Department of Agriculture, Economic Research Service, Economic Research Report No. 29
  26. Park HA, Cho JJ (2011): Economic activities and socioeconomic status of morbidly obese Korean adults. Korean J Obes 20(4): 210-218 https://doi.org/10.7570/kjo.2011.20.4.210
  27. Park JA, Yoon JS (2005): Dietary behaviors and status of nutrient intakes by the obesity levels of housewives in Daegu, Korean J Community Nutr 10(5): 623-632
  28. Park JH (2011): Measuring BMI cutoff points of Korean adults using morbidity of BMI-related diseases. Korean J Obes 20(1): 36-43 https://doi.org/10.7570/kjo.2011.20.1.36
  29. Park JK, Son SM (2003): The dietary behaviors, depression rates and nutrient intakes of the elderly females living alone. Korean J Community Nutr 8(5): 716-725
  30. Park MJ, Yun KE, Lee GE, Cho HJ, Park HS (2006): The relationship between socioeconomic status and metabolic syndrome among Korean adults. Korean J Obes 15(1): 10-17
  31. Park YJ, Shin NM, Yoon JW, Choi J, Lee SJ (2010): Comparison of cardiovascular health status and health behaviors in Korean women based on household income. J Korean Acad Nurs 40(6): 831-843 https://doi.org/10.4040/jkan.2010.40.6.831
  32. Savage DB, Petersen KF, Shulman GI (2007): Disordered lipid metabolism and the pathogenesis of insulin resistance. Physiol Rev 87(2): 507-520 https://doi.org/10.1152/physrev.00024.2006
  33. US Department of Health and Human Services (2000): Healthy people 2010. 2nd ed. Understanding and improving health and objectives for improving health. 2 Vols. Washington CD : US Goverment Printing Office, pp.1-1244
  34. Woo J, Cheung B, Ho S, Shan A, Lam TH (2008): Influence of dietary pattern on the development of overweight in a Chinese population. Eur J Clin Nutr 62(4): 480-487 https://doi.org/10.1038/sj.ejcn.1602702
  35. Yang DJ, Kim WY (2005): Nutritional status of Korean elderly. Korean J Gastroenterol 15(1): 1-10
  36. Yoon JS, Jang HK (2011): Diet quality and food patterns of obese adult women from low income classes -based on 2005 KNHANES-. Korean J Community Nutr 16(6): 706-715 https://doi.org/10.5720/kjcn.2011.16.6.706
  37. Zhang C, Rexroce KM, van Eam RM, LI TY, Hu FB (2008): Abdominal obesity and the risk of all-cause, cardiovascular, and cancer mortality: sixteen years of follow-up in US women. Circ 117(13): 1658-1667 https://doi.org/10.1161/CIRCULATIONAHA.107.739714
  38. Zhao G, Ford ES, Li C, Tsai J, Dhingra S, Balluz LS (2011): Waist circumference, abdominal obesity, and depression among overweight and obese US adults: National Health and Nutrition Examination Survey 2005-2006. BMC Pyschiatry 11: 130 https://doi.org/10.1186/1471-244X-11-130

Cited by

  1. 20세 이상 성인 여성의 소득계층에 따른 영양상태 및 식습관 평가 - 제4기(2007~2009) 국민건강·영양조사 자료를 이용하여 - vol.27, pp.4, 2014, https://doi.org/10.9799/ksfan.2014.27.4.660
  2. 20세 이상 저소득층 여성의 연령에 따른 비만 및 영양상태 평가 - 제4기(2007~2009) 국민건강영양조사 자료를 이용하여 - vol.25, pp.2, 2012, https://doi.org/10.17495/easdl.2015.4.25.2.246
  3. 제5기 국민건강영양조사 자료를 이용한 중산층 성인의 영양소 섭취실태 연구 vol.48, pp.4, 2012, https://doi.org/10.4163/jnh.2015.48.4.364
  4. 반응표면분석을 이용한 녹차와 애엽 혼합물의 추출조건 최적화 vol.31, pp.4, 2016, https://doi.org/10.13103/jfhs.2016.31.4.278
  5. 우리나라 성인의 비타민 A 섭취현황 : 2007~2012년 국민건강영양조사 자료를 이용하여 vol.49, pp.4, 2012, https://doi.org/10.4163/jnh.2016.49.4.258