The Korean Journal of Food And Nutrition (한국식품영양학회지)

The Korean Society of Food and Nutrition (한국식품영양학회)
권호 표지
DOI QR코드

DOI QR Code

A Study on the Blood Health Status and Nutrient Intake in Elderly Women Dwelling in Longevity Region in Jeonla Province according to Family Arrangement

전라도 장수지역에 거주하는 여자노인의 동거유형에 따른 생화학적 지표 및 영양섭취상태에 관한 연구

  • Oh, Se In (Dept. of Food and Nutrition, Seoil University) ;
  • Kwak, Chung Shil (Korea Institute on Aging, Seoul National University) ;
  • Yon, Miyong (Nutrition Policy Team, Dept. of Health Industry & Policy, Korea Heallth Industry Development Institute) ;
  • Lee, Mee Sook (Dept. of Food and Nutrition, Hannam University)
  • 오세인 (서일대학교 식품영양학과) ;
  • 곽충실 (서울대학교 노화고령사회연구소) ;
  • 연미영 (한국보건산업진흥원 보건산업정책단 영양정책팀) ;
  • 이미숙 (한남대학교 식품영양학과)
  • Received : 2014.09.04
  • Accepted : 2014.10.14
  • Published : 2014.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to compare the degree nutrient intake, health status and other characteristics of females aged 65 years and over in a longevity area according to family arrangement. For analysis, 585 female elderly were recruited from the Kugoksoondam area (Kurye, Goksung, Soonchang and Damyang counties), known as the longevity-belt region in Jeonla province, Korea. The subjects were categorized into three groups according to family arrangement (living alone, living with spouse only and living with family). Demographic characteristics were collected, as well as information on physical measurements, blood tests for biochemical indicators, health status and health-related life style, dietary behavior, favorite food groups, consumption frequency of food groups, nutrient intake and mini nutrition assessment. In the group living with their spouse only, the highest education, physical activity, diverse food intake, frequency of eating meats and fish, energy and nutrients intake, and score on the mininutrient status assessment (MNA) were found to be significantly favorable factors. Taken together, these results demonstrated that the group living with their spouse only had relatively superior nutrient intake and the quality of diet. In contrast, the group living alone showed the lowest self-rated economic status, diversity of food intake, and physical activity, with the highest frequency of drinking, smoking and regular exercise for almost everyday compared with the other groups. On the other hand, those living with family demonstrated the lowest intake of supplements or functional foods, and levels of hemoglobin hematocrit MCH, but the highest HBA1c and blood sugar. Therefore, the group living with family was assumed to be at risk of anemia and diabetes. These results could be useful to plan effective strategies to increase the health-life expectancy of Korean elderly people living in rural areas, according to family arrangement.

Keywords

References

  1. Ahmadi SM, Mohammadi MR, Mostafavi SA, Keshavarzi S, Kooshesh SM, Joulaei H, Sarikhani Y, Peimani P, Heydari ST, Lankarani KB. 2013. Dependence of the geriatric depression on nutritional status and anthropometric indices in elderly population. Iran J Psychiatry 8:92-96
  2. Amador LF, Al Snih S, Markides KS, Goodwin JS. 2006. Weight change and mortality among elderly Mexican Americans. Aging Clin Exp Res 18:196-204 https://doi.org/10.1007/BF03324649
  3. American Diabetes Association (ADA). 2010. Diagnosis and classification of diabetes mellitus. Diabetes Care 33:S62-69 https://doi.org/10.2337/dc10-S062
  4. Bollwein J, Volkert D, Diekmann R, Kaiser MJ, Uter W, Vidal K, Sieber CC, Bauer JM. 2013. Nutritional status according to the mini nutritional assessment (MNA) and frailty in community dwelling older persons: a close relationship. J Nutr Health Aging 17:351-356 https://doi.org/10.1007/s12603-013-0034-7
  5. Campion EW, deLabry LO, Glynn RJ. 1988. The effect of age on serum albumin in healthy males: report from the Normotive Aging Study. J Gerontol 43:M18-20
  6. Choe JS, Kwon SO, Paik HY. 2006. Nutritional status and related factors of the elderly in longevity areas. III. Relation among selfrated health, health-related behaviors, and nutrient intake in rural elderly. Korean J Nutr 39:286-298
  7. Choi JS, Kwon SO, Paik HY. 2006. Nutritional status and related factors of the elderly in longevity area-III. Relation among selfrelated health, health-related behaviors and nutrient intake in rural elderly-. Korean J Nutr 39:286-298
  8. Chun H, Khang YH, Kim IH, Cho SI. 2008. Explaining gender differences in ill-health in South Korea: the roles of sociostructural, phycosocial, and behavioral factors. Soc Sci Med 67:988-1001 https://doi.org/10.1016/j.socscimed.2008.05.034
  9. Cooper JK, Gardner C. 1989. Effect of aging on serum albumin. J Am Geriatr Soc 37:1039-1042 https://doi.org/10.1111/j.1532-5415.1989.tb06917.x
  10. Ennis BW, Saffel-Shrier S, Verson H. 2001. Diagnosis malnutrition in the elderly. Nurse Practitioner 26:52-65
  11. Hamer M, Lavoie KL, Bacon SL. 2013. Taking up physical activity in later life and healthy ageing: the English longitudinal study of aging. Br J Sports Med 48:239-243
  12. Hooshmand B, Solomon A, Kreholt I, Rusanen M, Hnninen T, LeiviskJ, Winblad B, Laatikainen T, Soininen H, Kivipelto M. 2012. Associations between serum homocysteine, holotranscobalamin, folate and cognition in the elderly: a longitudinal study. J Intern Med 271:204-212 https://doi.org/10.1111/j.1365-2796.2011.02484.x
  13. Idler EL, Kasl SV. 1995. Self-rating of health: do they also predict change in functional ability? J Gerontol B Psychol Sci Soc Sci 50:s344-s353
  14. 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 Acad Nurs 38:122-13 https://doi.org/10.4040/jkan.2008.38.1.122
  15. Keller H, Ostbye T, Goy R. 2004. Nutritional risk predicts quality of life in elderly community-dwelling Canadians. J Gerontol A Bio Sci and Med Sci 59A:68-74
  16. Kim C, Park YS. 2000. Comparing health-related behaviors, food behabiors, and the nutrient adequacy ratio of rural elderly by single-elderly families vs. extended families. Korean J Community Nutrition 5:307-315
  17. Kim MH, Lee JC, Bae YJ. 2009. The evaluation study on eating behavior and dietary quality of elderly people residing in Samcheok according to age group. Korean J Community Nutr 14:495-509
  18. Kippartick E, Bloomgarden Z, Zimmet P. 2009. Is hemoglobin A1c a step forward for diagnosis diabetes? BMJ 339:b4432 https://doi.org/10.1136/bmj.b4432
  19. Korea Center for Disease Control and Prevention. 2007. In-depth analysis on the third (2005) national health and nutrition examination survey - Nutrition survey. p. 398 Available from http://knhanes.cdc.go.kr [cited 2010 March]
  20. Korea National Statistics Office. 2013. 2013 Statistics on aged population. Available from http://kostat.go.kr [cited December 10, 2013]
  21. Korean Nutrition Society. 2010. Dietary Reference Intakes for Koreans. Kookjin Publishing. Seoul
  22. Kuo HK, Sorond FA, Chen JH, Hashmi A, Milberg WP, Lipsitz LA. 2005. The role of homocysteine in multisystem agerelated problems: a systematic review. J Gerontol A Biol Sci Med Sci 60:1190-1201 https://doi.org/10.1093/gerona/60.9.1190
  23. Kwak CS, Yon MY, Lee MS, Oh SI, Park SC. 2014. Investigation on influencing environmental factors on health status of Korean septuagenarians welling in longevity region in Jeonla province Korea. Korean J Community Nutr 19:142-162 https://doi.org/10.5720/kjcn.2014.19.2.142
  24. Kwak EH, Lee SL, Yoon JS, Lee HS, Kwon CS, Kwun IS. 2003. Macronutrient, mineral and vitamin intakes in elderly people in rural areas of North Kyungpook province in South Korea. Korean J Nutr 36:1052-1060
  25. Lee HS, Yee JA, Kang KJ. 2001. A study on health related and eating related behaviors by self-recognized health status. Korean J Community Nutr 6:340-353
  26. Lee KS, Cheong HW, Kim EA, Kim KR, Oh BH, Hong CH. 2009. Nutritional risk and cognitive impairment in the elderly. Arch Gerontol Geriatrics 48:95-99 https://doi.org/10.1016/j.archger.2007.11.001
  27. Lee SG, Jeon SY, Lee JY. 2008. Factors related with low body weight in older adults at a urban-rural composite area. J Korean Gerontol Soc 28:105-121
  28. Lee YH, Choi KS, Kang IO. 1998. Determinants of self-rated health among the Korean elderly living in the community. J Korea Gerontol Soc 18:110-124
  29. Lim YJ, Choi YS. 2007. Seasonal nutrient intakes of the elderly women living alone as compared to those living with family in the Gyeongbuk rural area. Korean J Community Nutr 12:58-67
  30. Lim YJ, Choi YS. 2008. Dietary behavior and seasonal diversity of food intakes of elderly women living alone as compared to those living with family in Gyeongbuk rural area. Korean J Community Nutr 13:620-629
  31. Ministry of Health and Welfare. 2008. 2007 National Health Statistics-The first year of the fourth national health and nutrition examination survey. Korea Center for Disease Control and Prevention, Seoul
  32. Montlahuc C, Soumare A, Dufouil C, Berr C, Dartigues JF, Poncet M, Tzourio C, Alperovotch A. 2011. A self-rated health and risk of incident dementia: A community-based elderly cohort, the 3C study. Neurology 77:1457-1411 https://doi.org/10.1212/WNL.0b013e31823303e1
  33. Newman AB, Yanez D, Harris T, Duxbury A, Enright PL, Fried LP. 2001. Weight change in old age and its association with mortality. J Am Geriatr Soc 49:1309-1318 https://doi.org/10.1046/j.1532-5415.2001.49258.x
  34. Park MY, Kim GR, Lee DJ, Kim JM, Park PS. 2006. A survey of food and nutrient intakes of the aged people in rural area, Gyeongbook Yecheon. Korean J Nutr 39:58-73
  35. Park SC. 2002. Korean Centenarians. Seoul National University Publishing, Seoul
  36. Ravaglia G, Forti P, Maioli F, Martelli M, Servadei L, Brunetti N, Porcellini E, Licastro F. 2005. Homocysteine and folate as risk factors for dementia and Alzheimer disease. Am J Clin Nutr 82:636-643
  37. Rowe JW, Kahn RL. 1997. Successful aging. Gerontologist 37: 433-440 https://doi.org/10.1093/geront/37.4.433
  38. Sieber, 2006. Nutritional screening tools - How dose the MNA compare? Proceeding of the Session Held in Chicago May 2-3, 2006 (15 Years of Mini Nutritional Assessment). J Nutrition Health & Aging 10:488-492
  39. Thomas DR, Ashmen W, Morley JE, Evans WJ. 2000. Nutritional management in long-term care: development of a clinical guideline. Council for nutritional strategies in long-term care. J Gerontol A Biol Sci Med Sci 55:M725-M734 https://doi.org/10.1093/gerona/55.12.M725
  40. Vuorisalmi M, Lintonen T, Jylha M. 2006. Comparative vs global self-rated health: associations with age and functional ability. Aging Clin Exp Res 18:211-217 https://doi.org/10.1007/BF03324651
  41. Yang EJ, Bang HM. 2008. Nutritional status and health risks of low income elderly women in Gwangju area. Korean J Nutr 41:65-76
  42. Yang EJ, Kim WY. 2005. Nutritional status of Korean elderly. Korean J Gerontol 15:1-10
  43. Yatabe MS, Taguchi F, Ishida I, Sato A, Kameda T, Ueno S, Takano K, Watanabe T, Sanada H, Yatabe J. 2013. Mini nutritional assessment as a useful method of predicting the development of pressure ulcers in elderly patients. J Am Geriatr Soc 61:1698-170
  44. Yim KS. 2007. Health-related behavioral factors associated with nutritional risks in Korean aged 50 years and over. Korean J Community Nutr 12:592-605
  45. Yoon HJ, Kwon JH, Lee SK. 2002. Nutritional status and energy expenditures in the elderly in a rural community. Korean J Community Nutr 7:336-344
  46. Yoon HJ, Lee HK, Lee SK. 2007. The health status and nutrient intakes of elderly female in Daegue area. Korean J Community Nutr 12:50-57

Cited by

  1. Eating alone and metabolic syndrome: A population-based Korean National Health and Nutrition Examination Survey 2013–2014 2017, https://doi.org/10.1016/j.orcp.2017.09.002