Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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A study on dietary habits and food intakes in adults aged 50 or older according to depression status

50세 이상 성인과 노인의 우울여부에 따른 식습관 및 식품섭취상태에 관한 연구

  • Lee, Seungjae (Department of Nutritional Science and Food Management, Ewha Womans University) ;
  • Kim, Yuri (Department of Nutritional Science and Food Management, Ewha Womans University) ;
  • Seo, Sunhee (Department of Nutritional Science and Food Management, Ewha Womans University) ;
  • Cho, Mi Sook (Department of Nutritional Science and Food Management, Ewha Womans University)
  • 이승재 (이화여자대학교 식품영양학과) ;
  • 김유리 (이화여자대학교 식품영양학과) ;
  • 서선희 (이화여자대학교 식품영양학과) ;
  • 조미숙 (이화여자대학교 식품영양학과)
  • Received : 2013.09.30
  • Accepted : 2013.12.30
  • Published : 2014.02.28
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Abstract

Purpose: This study was conducted in order to analyze the dietary habits and food intake status according to the prevalence of depression in adults. Methods: A total of 496 subjects, 224 men and 272 women aged 50 to 100 years were recruited from more than 13 cities in Korea. The questionnaires consisted of general characteristics, dietary life status, food intakes, the mean mini dietary assessment and satisfaction with food-related life questionnaire of the subjects to ask according to the degree of depression. Depression status was evaluated according to the Korean form of the Geriatric Depression Scale (K-GDS). Results: All subjects were divided into depression or normal groups; the prevalence of depression was 13.8% (male) and 23.9% (female). People aged 65 or older were more likely to have higher prevalence of depression and to be bereaved. People in the depression group had poor appetite, almost never dined-out, and ate alone. The food intake of miscellaneous cereals, beans, tofu, chicken/duck meat, cabbage, carrot/amber, fungi, apple, pear, strawberry, grapes, and banana was significantly higher in the normal group compared with the depression group. In particular, significantly higher intake of vegetables and fruits was observed in the normal group. In addition, subjects in the depression group ate more fatty meat and were more dissatisfied with food-related life than those in the normal group. Conclusion: The results of this study imply that the prevalence of depression may affect the dietary habits, food intake, and dietary behaviors in the older adult population.

본 연구는 노인의 우울 상태에 따른 일반적 특성, 식행동 특성, 식품섭취상태, 간이 영양 상태 평가, 간이 식생활 진단 평가, 식생활만족도에서의 차이를 비교하였다. 연구결과는 다음과 같다. 1) 연구대상자는 50세 이상 성인과 노인으로 구성되었으며, 우울군이 비우울군보다 평균연령이 높았다. 여성의 우울군 비율이 남성보다 1.7배 더 높았고, 사별한 경우와 혼자 사는 경우에서 우울군의 비율이 높았다. 2) 식욕상태는 우울군이 비우울군에 비해 나쁘다고 보고하였고, 우울군이 대체적으로 혼자 먹고, 식사를 혼자 준비하는 경향이 강했다. 외식 또한 거의 하지 않는 비율이 우울군에서 더 높았다. 3) 총 34종의 식품에 대해 섭취 상태를 조사한 결과, 전반적인 식품 섭취가 우울군이 비우울군에 비해 유의하게 적게 섭취하였다. 특히 과일류와 채소류에서 우울군과 비우울군간의 섭취 차이가 가장 컸다. 4) 우울군의 경우 기름진 음식 (지방이 많은 육류)을 비우울군에 비해 더 많이 섭취하는 식생활을 하고 있으며, 비우울군은 육류, 생선, 달걀, 콩, 두부, 채소를 더 많이 먹었다. 5) 음식에 대한 만족도는 우울군이 비우울군에 비해 유의적으로 낮았다. 결론적으로 50세 이상 성인 및 노인들에게서 우울여부에 따라 식행동, 식품섭취 상태 및 식생활 만족에 차이가 있는 것으로 나타났다. 본 연구에서 노인의 우울은 식습관 및 식품섭취 상태와 밀접하게 관련되어 있음이 확인되었고, 그 결과 전반적으로 우울군이 비우울군에 비해 식습관과 식품섭취 상태가 취약하므로 이에 대한 적절한 관리 방안을 모색해야 한다고 사료된다.

Keywords

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