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The Comparative Analysis of Health Risk Factor according to HbA1c Level of Elderly Women Dwelling in Jeonla Province - Blood Health Status, Food Habit and Nutrient Intake -

전라도에 거주하는 여자노인의 당화혈색소 수준에 따른 건강위험인자의 비교분석 - 생화학적 요인, 식습관 및 영양상태 -

  • Oh, Se In (Dept. of Food and Nutrition, Seoil University) ;
  • Kwak, Chung Shil (Korea Institute on Aging, Seoul National University) ;
  • Lee, Mee Sook (Dept. of Food and Nutrition, Hannam University)
  • 오세인 (서일대학교 식품영양전공) ;
  • 곽충실 (서울대학교 노화고령사회연구소) ;
  • 이미숙 (한남대학교 식품영양학과)
  • Received : 2016.03.04
  • Accepted : 2016.06.14
  • Published : 2016.06.30

Abstract

The purpose of this study was to investigate the relations between HbA1c level and health risk factor. For analysis, 330 elderly women aged 65 years and over were recruited in Jeonla province, Korea. The subjects were classified into two groups according to their HbA1c level; the diabetic group (HbA1c level${\geq}6.5%$, n=68, 20.6%) and control group (HbA1c level<6.5%, n=262, 79.4%). Demographic characteristics were collected, as well as information on physical measurements, blood tests for biochemical indicators, a health status and health-related life style, dietary behavior, favorite food groups, consumption frequency of food groups and nutrient intake. Educational level of the diabetic group was significantly lower than that of the control group. The height of the diabetic group was shorter, and percentage fat of the diabetic group was higher than those of the control group. In the diabetic group, the higher concentrations of creatinine and activity of alkaline phosphatase were found to be significantly unfavorable factors. Therefore, the diabetic group was assumed to be at risk of decreased liver and renal function. The self-rated health level of the diabetic group has a declining tendency, while the medicine intake was significantly higher than that of the control group, but there are no significant differences in visiting frequency of hospital and community health center. The distribution of physical activity showed a significant difference between the groups. Although there are no significant differences in nutrient intake, the diabetic group had relatively inferior nutrient intake of diet, especially vitamin C, as contrasted with the control group. In conclusion, the weight control and increasing physical activity may be effective in the prevention of the diabetes and continuous education and intervention by specialized nutritionists will be needed for diabetic patients. These results could be useful to plan effective strategies to increase the health-life expectancy and the prevention of the diabetes of Korean elderly people living in rural areas.

Keywords

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