Nutrition Research and Practice

The Korean Nutrition Society (한국영양학회)
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Dietary pattern classifications with nutrient intake and body composition changes in Korean elderly

  • Oh, Chorong (Department of Nutrition and Health Care, Kyungsung University) ;
  • No, Jae-Kyung (Department of Nutrition and Health Care, Kyungsung University) ;
  • Kim, Hak-Seon (Department of Foodservice Management, Kyungsung University)
  • Received : 2013.12.23
  • Accepted : 2014.02.15
  • Published : 2014.04.01
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Abstract

BACKGROUND/OBJECTIVES: The body composition changes in aging increased the risk of metabolic disorder. Recent dietary studies have increasingly focused on the correlations between dietary patterns and chronic diseases to overcome the limitations of traditional single-nutrient studies because nutrients in food have complex relations that interact. SUBJECTS/METHODS: This study was conducted to classify a dietary pattern among Korean elderly using cluster analysis and to explore the relationships between dietary patterns and body composition changes in Korean elderly aged 65 years or older. The study subjects (n=1,435) were individuals who participated in the Korean National Health Examination and Nutrition Survey (KNHANES) in 2011. RESULTS: There were three dietary patterns derived by cluster analysis in this study: 'Traditional Korean' (37.49% of total population), 'Meat and Alcohol' (19.65%) and 'Westernized Korean' (42.86%). The (1) 'Traditional Korean' pattern was characterized by high consumptions of white rice and low protein, low fat, and low milk products, while (2) 'Westernized Korean' pattern ate a Korean-style diet base with various foods such as noodles, bread, eggs and milk, (3) 'Meat and Alcohol' pattern had high consumptions of meat and alcohol. In body composition changes, compared with the 'Traditional Korean' pattern, the 'Meat & alcohol' pattern was associated with a 50% increased risk of having elevated BMI ($kg/m^2$), 'Westernized Korean' pattern was associated with a 74% increased abnormality of ASM/Wt (kg) by logistics analysis. Most of the Korean adult population continues to follow ether a traditional Korean having beneficial effects for successful aging. However, the 'Traditional Korean' pattern showed low protein intake (0.7 g/kg), calcium intake, and vitamin D intake as well as low of appendicular skeletal muscle mass (ASM (kg)) among 3 groups. CONCLUSIONS: Considering the low ASM, consumption of protein, calcium and vitamin D should be increased for Korean elderly health body composition.

Keywords

References

  1. Jung K-W, Won Y-J, Park S, Kong H-J, Sung J, Shin H-R, et al. Cancer statistics in Korea: incidence, mortality and survival in 2005. J Korean Med Sci. 2009;24:995-1003. https://doi.org/10.3346/jkms.2009.24.6.995
  2. Zamboni M, Mazzali G, Fantin F, Rossi A, Di Francesco V. Sarcopenic obesity: a new category of obesity in the elderly. Nutr Metab Cardiovasc Dis. 2008;18:388-95. https://doi.org/10.1016/j.numecd.2007.10.002
  3. Roubenoff R. Sarcopenic Obesity: Does Muscle Loss Cause Fat Gain?: Lessons from Rheumatoid Arthritis and Osteoarthritisa. Ann N.Y. Acad Sci. 2000;904:553-7.
  4. Balagopal P, Proctor D, Sreekumaran Nair K. Sarcopenia and hormonal changes. Endocrine. 1997;7:57-60. https://doi.org/10.1007/BF02778064
  5. Li Z, Heber D. Sarcopenic obesity in the elderly and strategies for weight management. Nutri Reviews. 2012;70:57-64. https://doi.org/10.1111/j.1753-4887.2011.00453.x
  6. Jackson AA, Burdge GC, Lillicrop K. Diet, nutrition and modulation of genomic expression in fetal origins of adult disease. J Nutrigenet Nutrigenomics. 2011;3:192-208.
  7. Roubenoff R. Catabolism of aging: is it an inflammatory process? Curr Opin Clin Nutr Metab Care 2003;6:295-9.
  8. Burdge GC, Lillycrop KA. Nutrition, epigenetics, and developmental plasticity: implications for understanding human disease. Ann Rev Nutri. 2010;30:315-39. https://doi.org/10.1146/annurev.nutr.012809.104751
  9. Anand P, Kunnumakara AB, Sundaram C, Harikumar KB, Tharakan ST, Lai OS, et al. Cancer is a preventable disease that requires major lifestyle changes. Pharmaceutical Research. 2008;25:2097-116. https://doi.org/10.1007/s11095-008-9661-9
  10. Ilanne-Parikka P, Eriksson JG, Lindstrom J, Peltonen M, Aunola S, Hamalainen H, et al. Effect of lifestyle intervention on the occurrence of metabolic syndrome and its components in the Finnish Diabetes Prevention Study. Diabetes Care. 2008;31:805-7. https://doi.org/10.2337/dc07-1117
  11. Candow DG, Forbes SC, Little JP, Cornish SM, Pinkoski C, Chilibeck PD. Effect of nutritional interventions and resistance exercise on aging muscle mass and strength. Biogerontology. 2012;13:345-58. https://doi.org/10.1007/s10522-012-9385-4
  12. Chung J-Y, Hong S-H. Vitamin D status and its association with cardiometabolic risk factors in Korean adults based on a 2008-2010 Korean National Health and Nutrition Examination Survey. Nutr Res Pract. 2013;7:495-502. https://doi.org/10.4162/nrp.2013.7.6.495
  13. Kant AK. Dietary patterns and health outcomes. J Amer Diet Asso. 2004;104:615-35. https://doi.org/10.1016/j.jada.2004.01.010
  14. Sanchez-Villegas A, Delgado-Rodriguez M, Martinez-Gonzalez MA, De Irala-Estevez J. Gender, age, socio-demographic and lifestyle factors associated with major dietary patterns in the Spanish Project SUN (Seguimiento Universidad de Navarra). Euro J Clin Nutr. 2003;57:285-92. https://doi.org/10.1038/sj.ejcn.1601528
  15. Lee JE, Kim J-H, Son SJ, Ahn Y, Lee J, Park C, et al. Dietary pattern classifications with nutrient intake and health-risk factors in Korean men. Nutrition. 2011;27:26-33. https://doi.org/10.1016/j.nut.2009.10.011
  16. Heidemann C, Schulze MB, Franco OH, van Dam RM, Mantzoros CS, Hu FB. Dietary patterns and risk of mortality from cardiovascular disease, cancer, and all causes in a prospective cohort of women. Circulation. 2008;118:230-7. https://doi.org/10.1161/CIRCULATIONAHA.108.771881
  17. Korean National Health Examination and Nutrition Survey2011 [cited 2013 December 20]. Available from:https://knhanes.cdc.go.kr
  18. Park HS, Oh SW, Cho S-I, Choi WH, Kim YS. The metabolic syndrome and associated lifestyle factors among South Korean adults. Inte J Epid. 2004;33:328-36. https://doi.org/10.1093/ije/dyh032
  19. Heymsfield SB, Smith R, Aulet M, Bensen B, Lichtman S, Wang J, et al. Appendicular skeletal muscle mass: measurement by dual-photon absorptiometry. Amer J Clin Nutri. 1990;52:214-8. https://doi.org/10.1093/ajcn/52.2.214
  20. Oh SW. Obesity and metabolic syndrome in Korea. Diabe&Meta J. 2011;35:561-6.
  21. Song Y, Joung H, Engelhardt K, Yoo SY, Paik HY. Traditional v. modified dietary patterns and their influence on adolescents' nutritional profile. British J Nutr. 2005;93:943-50. https://doi.org/10.1079/BJN20051435
  22. Song Y, Joung H. A traditional Korean dietary pattern and metabolic syndrome abnormalities. Nutr Metab Cardiovasc Dis. 2012;22:456-62. https://doi.org/10.1016/j.numecd.2010.09.002
  23. Volkert D. The role of nutrition in the prevention of sarcopenia. Wien Med Wochenschr. 2011;161:409-15. https://doi.org/10.1007/s10354-011-0910-x
  24. Lee M-J, Popkin BM, Kim S. The unique aspects of the nutrition transition in South Korea: the retention of healthful elements in their traditional diet. Publ Health Nutr. 2002;5:197-204.
  25. Mithal A, Bonjour J-P, Boonen S, Burckhardt P, Degens H, Fuleihan GEH, et al. Impact of nutrition on muscle mass, strength, and performance in older adults. Osteoporos Int. 2012:1-12.
  26. Hong H, Kim E-K, Lee J-S. Effects of calcium intake, milk and dairy product intake, and blood vitamin D level on osteoporosis risk in Korean adults: analysis of the 2008 and 2009 Korea National Health and Nutrition Examination Survey. Nutr Res Prac. 2013;7:409-17. https://doi.org/10.4162/nrp.2013.7.5.409
  27. Melanson EL, Donahoo WT, Dong F, Ida T, Zemel MB. Effect of Low-and High-Calcium Dairy-Based Diets on Macronutrient Oxidation in Humans. Obesity Research. 2005;13:2102-12. https://doi.org/10.1038/oby.2005.261
  28. Holick MF. Vitamin D: Importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. Am J Clin Nutr. 2004; 79:362-71. https://doi.org/10.1093/ajcn/79.3.362
  29. Bunout D, Barrera G, Leiva L, Gattas V, de la Maza MP, Avendano M, et al. Effects of vitamin D supplementation and exercise training on physical performance in Chilean vitamin D deficient elderly subjects. Exp Gerontol. 2006;41:746-52. https://doi.org/10.1016/j.exger.2006.05.001
  30. Volpi E, Campbell WW, Dwyer JT, Johnson MA, Jensen GL, Morley JE, et al. Is the optimal level of protein intake for older adults greater than the tecommended dietary allowance? J Gerontol A Biol Sci Med Sci. 2013;68:677-81. https://doi.org/10.1093/gerona/gls229
  31. Hannan MT, Tucker KL, Dawson-Hughes B, Cupples LA, Felson DT, Kiel DP. Effect of dietary protein on bone loss in elderly men and women: the Framingham Osteoporosis Study. J Bone Miner Res. 2000;15:2504-12. https://doi.org/10.1359/jbmr.2000.15.12.2504
  32. Kruman II, Kumaravel T, Lohani A, Pedersen WA, Cutler RG, Kruman Y, et al. Folic acid deficiency and homocysteine impair DNA repair in hippocampal neurons and sensitize them to amyloid toxicity in experimental models of Alzheimer's disease. J Neurosci. 2002;22: 1752-62. https://doi.org/10.1523/JNEUROSCI.22-05-01752.2002
  33. Chung J-Y, Kang H-T, Lee D-C, Lee H-R, Lee Y-J. Body composition and its association with cardiometabolic risk factors in the elderly: A focus on sarcopenic obesity. Arch Gerontol Geriatr. 2012.

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