Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
권호 표지
DOI QR코드

DOI QR Code

Socio-demographic Characteristics, Nutrient Intakes and Mental Health Status of Older Korean Adults depending on Household Food Security: Based on the 2008-2010 Korea National Health and Nutrition Examination Survey

한국 노인의 식품안정성에 따른 인구사회학적 특성, 영양섭취상태 및 정신건강상태: 2008-2010년 국민건강영양조사 자료를 이용하여

  • Yang, Yoon Jung (Department of Food and Nutrition, Dongduk Women's University)
  • 양윤정 (동덕여자대학교 식품영양학과)
  • Received : 2014.12.23
  • Accepted : 2015.01.23
  • Published : 2015.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study was performed to investigate the associations of food security with socio-demographic characteristics, nutrient intakes and mental health status among older Korean adults. Methods: This study was conducted using data from the 2008-2010 Korea National Health and Nutrition Examination Survey (KNHANES). Subjects were 4,451 adults aged 65~98 years. Food security was measured using a self-reported question on food sufficiency of subjects' household. Based on the answers, study subjects were classified into secure, mildly insecure, moderately insecure, and severely insecure groups. Dietary intake was estimated by 24-hour dietary recall. Nutrient intake was assessed by dietary reference intakes (DRI). As for mental health status, the data on mental stress, depression, and suicide ideation were used. Results: Rate of food insecurity in older adults was 14.3%. Old age, being female, low education, low income level, living alone, and discomfort in daily living were more related to food insecurity. Means of nutrient intakes were significantly different according to food security status. Intakes of calcium, potassium, and vitamin $B_2$ were lower than recommended intakes in all groups. Consumption amounts of soy and soybean products, vegetables, mushrooms, fruits, vegetable oils, meats, eggs, seafood, and dairy products were lower in food insecure groups. Mental stress, depression, and suicide ideation were higher in food insecure groups independent of the gender and income level. Conclusions: These present findings suggested that food security is related to mental health as well as nutrition status in older Korean adults. A national system that include food and psychosocial support programs for the elderly should be considered in order to improve the overall health of older Korean adults.

Keywords

References

  1. Alaimo K, Briefel RR, Frongillo EA, Olson CM (1998): Food insufficiency exists in the United States: results from the third National Health and Nutrition Examination Survey (NHANES III). Am J Public Health 88(3): 419-426 https://doi.org/10.2105/AJPH.88.3.419
  2. Berkowitz SA, Gao X, Tucker KL (2014): Food-insecure dietary patterns are associated with poor longitudinal glycemic control in diabetes: results from the Boston Puerto Rican Health study. Diabetes Care 37(9): 2587-2592 https://doi.org/10.2337/dc14-0753
  3. Carter KN, Kruse K, Blakely T, Collings S (2011): The association of food security with psychological distress in New Zealand and any gender differences. Soc Sci Med 72(9): 1463-1471 https://doi.org/10.1016/j.socscimed.2011.03.009
  4. Chinnakali P, Upadhyay RP, Shokeen D, Singh K, Kaur M, Singh AK, Goswami A, Yadav K, Pandav CS (2014): Prevalence of household-level food insecurity and its determinants in an urban resettlement colony in north India. J Health Popul Nutr 32(2):227-236
  5. Dewing S, Tomlinson M, le Roux IM, Chopra M, Tsai AC (2013): Food insecurity and its association with co-occurring postnatal depression, hazardous drinking, and suicidality among women in peri-urban South Africa. J Affect Disord 150(2): 460-465 https://doi.org/10.1016/j.jad.2013.04.040
  6. Dixon LB, Winkleby MA, Radimer KL (2001): Dietary intakes and serum nutrients differ between adults from food-insufficient and food-sufficient families: Third National Health and Nutrition Examination Survey, 1988-1994. J Nutr 131(4): 1232-1246 https://doi.org/10.1093/jn/131.4.1232
  7. Drewnowski A, Darmon N (2005): Food choices and diet costs: an economic analysis. J Nutr 135(4): 900-904 https://doi.org/10.1093/jn/135.4.900
  8. Facchini LA, Nunes BP, Motta JV, Tomasi E, Silva SM, Thume E, Silveira DS, Siqueira FV, Dilelio AS, Saes MO, Miranda VIA, Volz PM, Osorio A, Fassa AG (2014): Food insecurity in the Northeast and South of Brazil: magnitude, associated factors, and per capita income patterns for reducing inequities. Cad Saude Publica 30(1): 161-174 https://doi.org/10.1590/0102-311X00036013
  9. Food and Agriculture Organization in the United Nations (2002): The state of food insecurity in the world 2001, Food and Agriculture Organization in the United Nations, Rome, pp.2-12
  10. Franklin B, Jones A, Love D, Puckett S, Macklin J, White-Means S (2012): Exploring mediators of food insecurity and obesity: a review of recent literature. J Community Health 37(1): 253-264 https://doi.org/10.1007/s10900-011-9420-4
  11. Frongillo EA (1999): Validation of measures of food insecurity and hunger. J Nutr 129(2): 506S-509S https://doi.org/10.1093/jn/129.2.506S
  12. Hong SA, Kim K (2014): Factors contributing to participation in food assistance programs in the elderly population. Nutr Res Pract 8(4): 425-431 https://doi.org/10.4162/nrp.2014.8.4.425
  13. Jung SH (2011): The Korean development strategy: Trajectories of the Korean economic development, 1961-2010. J Econ Geographical Soc 14(4): 453-466 https://doi.org/10.23841/egsk.2011.14.4.453
  14. Kendall A, Olson CM, Frongillo EA (1996): Relationship of hunger and food insecurity to food availability and consumption. J Am Diet Assoc 96(10): 1019-1024 https://doi.org/10.1016/S0002-8223(96)00271-4
  15. Kim K, Hong SA, Kim MK (2008): Nutritional status and food insufficiency of Korean population through the life-course by education level based on 2005 National Health and Nutrition Survey. Korean J Nutr 41(7): 667-681
  16. Kim K, Hong SA, Kwon SO, Oh SY (2011): Development of food security measures for Korean National Health and Nutrition Examination Survey. Korean J Nutr 44(6): 551-561 https://doi.org/10.4163/kjn.2011.44.6.551
  17. Kim K, Kim MK, Shin YJ (2008): The concept and measurement of food security. J Prev Med Public Health 41(6): 387-396 https://doi.org/10.3961/jpmph.2008.41.6.387
  18. Kim K, Kim MK, Shin YJ (2009): Household food insecurity and its characteristics in Korea. Health Soc Welf Rev 29(2): 268-292 https://doi.org/10.15709/hswr.2009.29.2.268
  19. Kim MK, Kim TW, Woo SH, Lee SH (2012): Poverty statistics yearbook, Korea Institute Health and Social Affairs, Sejong, pp.85-91
  20. Kwon SO, Oh SY (2007): Associations of household food insecurity with socioeconomic measures, health status and nutrient intake in low income elderly. Korean J Nutr 40(8): 762-768
  21. Lee JS, Frongillo EA (2001a): Factors associated with food insecurity among U.S. elderly persons: importance of functional impairments. J Gerontol B Psychol Sci Soc Sci 56(2): S94-S99 https://doi.org/10.1093/geronb/56.2.S94
  22. Lee JS, Frongillo EA (2001b): Nutritional and health consequences are associated with food insecurity among U.S. elderly persons. J Nutr 131(5): 1503-1509 https://doi.org/10.1093/jn/131.5.1503
  23. McIntyre L, Williams JV, Lavorato DH, Patten S (2013): Depression and suicide ideation in late adolescence and early adulthood are an outcome of child hunger. J Affect Disord 150(1): 123-129 https://doi.org/10.1016/j.jad.2012.11.029
  24. Monsivais P, Drewnowski A (2007): The rising cost of low-energy-density foods. J Am Diet Assoc 107(12): 2071-2076 https://doi.org/10.1016/j.jada.2007.09.009
  25. Payab M, Motlagh AR, Eshraghian M, Rostami R, Siassi F (2014): The association of family food security and depression in mothers having primary school children in Ray-Iran. J Diabetes Metab Disord 13(1):65 https://doi.org/10.1186/2251-6581-13-65
  26. Seligman HK, Bindman AB, Vittinghoff E, Kanaya AM, Kushel MB (2007): Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999-2002. J Gen Intern Med 22(7): 1018-1023 https://doi.org/10.1007/s11606-007-0192-6
  27. Seligman HK, Laraia BA, Kushel MB (2010): Food insecurity is associated with chronic disease among low-income NHANES participants. J Nutr 140(2): 304-310 https://doi.org/10.3945/jn.109.112573
  28. Shim JS, Oh K, Nam CM (2008): Association of household food security with dietary intake-Based on the third (2005) Korea National Health and Nutrition Examination Survey (KNHANESIII). Korean J Nutr 41(2): 2288-3886
  29. Statistics Korea (2014): Korean Statistical Information Service: Population. Available from http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parentId=A [cited December 15, 2014]
  30. The Korean Nutrition Society (2010): Dietary Reference Intakes for Koreans, The Korean Nutrition Society, Seoul, pp25-419
  31. Wunderlich GS, Norwood JL (2006): Food insecurity and hunger in the United States: An assessment of the measure. Panel to Review U.S. Department of Agriculture's Measurement of Food Insecurity and Hunger, National Academies Press, Washington, pp.2-6

Cited by

  1. 제5기 국민건강영양조사 자료를 이용한 중산층 성인의 영양소 섭취실태 연구 vol.48, pp.4, 2015, https://doi.org/10.4163/jnh.2015.48.4.364
  2. 우리나라 노인의 식품불안정성 및 관련 요인: 2013년 국민건강영양조사자료 vol.21, pp.4, 2015, https://doi.org/10.14373/jkda.2015.21.4.308
  3. 한국 성인의 식품안정성과 우울증 연관성 vol.17, pp.1, 2015, https://doi.org/10.5762/kais.2016.17.1.62
  4. 노년시기별 단독거주 노인의 심리적 복지감 예측 요인과 정책적 함의 vol.35, pp.1, 2015, https://doi.org/10.7466/jkhma.2017.35.1.1
  5. 한국 성인의 식품안정성에 따른 연령별 건강 및 영양섭취상태 : 2010~2012년 국민 건강영양조사 자료를 활용하여 vol.50, pp.6, 2015, https://doi.org/10.4163/jnh.2017.50.6.603
  6. Spatial Disparity in Food Environment and Household Economic Resources Related to Food Insecurity in Rural Korean Households with Older Adults vol.10, pp.10, 2015, https://doi.org/10.3390/nu10101514
  7. 전기노인과 후기노인의 식품안정성에 따른 식생활 및 건강 특성 : 제6기 (2013~2015년) 국민건강영양조사 자료 분석 vol.52, pp.1, 2015, https://doi.org/10.4163/jnh.2019.52.1.104
  8. 서울시 일부 취약계층 노인에서 맞춤형 영양중재 프로그램에 따른 식품안정성 확보 및 건강·영양상태 개선 효과 vol.53, pp.4, 2015, https://doi.org/10.4163/jnh.2020.53.4.416
  9. Factors associated with bicycle helmet use: A multilevel analysis vol.37, pp.3, 2020, https://doi.org/10.14367/kjhep.2020.37.3.39
  10. 식품충분성과 다양성의 개인간 및 지역사회 관련 요인: 2017년 지역사회건강조사 자료 분석 vol.25, pp.5, 2020, https://doi.org/10.5720/kjcn.2020.25.5.416
  11. 생애주기에 따른 식사의 질이 삶의 질에 미치는 영향 - 2013년~2016년 국민건강영양조사 자료이용 - vol.34, pp.1, 2021, https://doi.org/10.9799/ksfan.2021.34.1.096
  12. Is It What They Eat or How Much They Eat That Matters More in Adults with Food Insecurity in a Wealthy-Country Context? vol.13, pp.3, 2015, https://doi.org/10.3390/nu13030851