Journal of Nutrition and Health

  • 제50권6호
  • /
  • Pages.603-614
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  • 2017
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  • 2288-3886(pISSN)
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  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
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한국 성인의 식품안정성에 따른 연령별 건강 및 영양섭취상태 : 2010~2012년 국민 건강영양조사 자료를 활용하여

Health and nutritional status of Korean adults according to age and household food security: Using the data from 2010~2012 Korea National Health and Nutrition Examination Survey

  • 박근아 (동덕여자대학교 임상영양학과) ;
  • 김성희 (동덕여자대학교 임상영양학과) ;
  • 김석중 (동덕여자대학교 식품영양학과) ;
  • 양윤정 (동덕여자대학교 식품영양학과)
  • Park, Geun Ah (Department of Clinical Nutrition, Graduate School of Public Health, Dongduk Women's University) ;
  • Kim, Sung Hee (Department of Clinical Nutrition, Graduate School of Public Health, Dongduk Women's University) ;
  • Kim, Seok Joong (Department of Food and Nutrition, School of Natural Science, Dongduk Women's University) ;
  • Yang, Yoon Jung (Department of Food and Nutrition, School of Natural Science, Dongduk Women's University)
  • 투고 : 2017.07.14
  • 심사 : 2017.10.17
  • 발행 : 2017.12.31
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초록

본 연구는 2010~2012년 국민건강영양조사에 참여한 20~79세 한국 성인 총 16,595명을 대상으로 식품안정성에 따른 건강 및 영양섭취상태를 살펴보았다. 식품안정성 문항의 답변에 따라 Secure군은 7,256명 (43.7%), Mildly insecure군은 8,764명 (52.8%), Moderately/Securely insecure군은 575명 (3.5%) 이었다. 식품불안정은 나이가 많을수록, 여성일수록, 교육 및 소득 수준이 낮을수록, 독거인 경우, 체질량지수, 현재 흡연율, 운동유무, 직업에 따라 유의한 차이를 보였다. 또한 20~39세 그룹에서 식품불안정성이 높은 군일수록 헤모글로빈은 낮았고, 철결합능은 높았으며, 40~59세 그룹에서 식품불안정성이 높은 군일수록 HDL-콜레스테롤이 낮았으며, 60~79세 그룹에서 식품불안정성이 높은 군일수록 총 콜레스테롤이 높게 측정되었다. 식품안정성이 불안정할수록 20~39세 남자에서는 수면시간이 적었고, 40~59세 남자에서는 우울증상과 자살을 생각해본 비율이 높았고 60~79세 남자는 수면시간이 많았고 스트레스를 많이 느끼고 우울증상과 자살을 생각해 본 대상자의 비율이 높았다. 또한 식품안정성이 불안정한 여성은 40~59세, 60~79세 공통적으로 스트레스를 많이 느끼며 우울증상과 자살생각과 같은 정신건강과 밀접한 관련이 있었다. 영양소 섭취량은 식품불안정이 높은 그룹일수록 전체적인 영양소 섭취량이 낮은 경향을 보였고, 전반적으로 20~39세 그룹에서는 Secure군과 Mildly insecure군의 섭취에는 유의적인 차이가 없는 반면, 40~59세, 60~79세 그룹에서는 세 그룹 간에 유의적인 차이가 있었다. 또한 식품섭취량은 모든 그룹에서 식품불안정이 높은 그룹일수록 전반적인 식품섭취는 감소하는 경향을 보였다. 본 연구 결과 우리나라 성인의 식품안정성은 나이, 성별, 교육, 소득수준, 독거 유무, 직업 특성 및 활동 가능성 여부 등과 관련이 있으며 식품안정성은 식품섭취와 영양소 섭취뿐만 아니라 스트레스, 우울증, 자살생각과 성인의 정신건강과 밀접한 관련이 있었다. 한국 성인 및 노인에게 식품불안정이 신체적 및 정신적 건강상태와 식이섭취상태를 악화시키는 요인으로 나타났다. 본 연구에서는 젊은 성인보다 중년과 노인이 식품불안정에 따른 건강에 더 취약한 것으로 나타나 연령에 따라 식품안정성과 건강을 확보하기 위한 다양한 정책과 영양지원 프로그램이 필요함을 확인하였다.

Purpose: This study was performed to identify the health and nutritional status of Korean adults according to food security by age group. Methods: The subjects were 20~79 year old adults (n = 16,595) who participated in the fifth Korea National Health and Nutrition Examination Survey (2010~2012). Subjects were divided into three groups based on food security such as secure, mildly insecure, and moderately/severely insecure groups. Dietary intake was estimated by 24-hour dietary recall. As for mental health status, the data on mental stress, sleep hours, depression symptoms, and suicide ideation were used. Results: Korean adults who were exposed to high food insecurity typically had low income levels, lived alone, and were recipients of basic welfare. In the 20~39y group, people with higher food insecurity had lower concentrations of hemoglobin and higher iron-binding capacity. In the 40~59y group, people with higher food insecurity had lower HDL-cholesterol. In the 60~79y group, people with higher food insecurity had higher total cholesterol levels, more stress, more experiences of depression symptoms, and were more suicidal. Mean intakes of energy, protein, calcium, phosphorus, potassium, vitamin A, carotene, vitamin $B_1$, vitamin $B_2$, niacin, and vitamin C were lower in the food insecure groups. Amounts of vegetables, fruits, and seasoning intakes tended to be lower in people with higher food insecurity. The effects of food security on nutrition intake were greater in the 40~59y and 60~79y groups than the 20-39y group. Conclusion: Food insecurity was related to certain health indicators such as anemia and cholesterol levels and affected mental health. The effects of food insecurity on health and nutritional status were different by age group.

키워드

참고문헌

  1. Shim JS, Oh K, Nam CM. Association of household food security with dietary intake: based on the third (2005) Korea National Health and Nutrition Examination Survey (KNHANES III). Korean J Nutr 2008; 41(2): 174-183.
  2. Kim K, Kim MK, Shin YJ. Household food insecurity and its characteristics in Korea. Health Soc Welf Rev 2009; 29(2): 268-292. https://doi.org/10.15709/hswr.2009.29.2.268
  3. Jung SH. The Korean development strategy: trajectories of the Korean economic development, 1961-2010. J Econ Geogr Soc Korea 2011; 14(4): 453-466. https://doi.org/10.23841/egsk.2011.14.4.453
  4. Food and Agriculture Organization of the United Nations. The state of food insecurity in the world, 2001. 3rd edition. Rome: Food and Agriculture Organization in the United Nations; 2001.
  5. Drewnowski A, Darmon N. Food choices and diet costs: an economic analysis. J Nutr 2005; 135(4): 900-904. https://doi.org/10.1093/jn/135.4.900
  6. Monsivais P, Drewnowski A. The rising cost of low-energy-density foods. J Am Diet Assoc 2007; 107(12): 2071-2076. https://doi.org/10.1016/j.jada.2007.09.009
  7. Vozoris NT, Tarasuk VS. Household food insufficiency is associated with poorer health. J Nutr 2003; 133(1): 120-126. https://doi.org/10.1093/jn/133.1.120
  8. Kendall A, Olson CM, Frongillo EA Jr. Relationship of hunger and food insecurity to food availability and consumption. J Am Diet Assoc 1996; 96(10): 1019-1024. https://doi.org/10.1016/S0002-8223(96)00271-4
  9. Guthrie JF, Nord M. Federal activities to monitor food security. J Am Diet Assoc 2002; 102(7): 904-906. https://doi.org/10.1016/S0002-8223(02)90202-6
  10. Oh SY, Kim MY, Hong MJ, Chung HR. Food security and children's nutritional status of the households supported by the National Basic Livelihood Security System. Korean J Nutr 2002; 35(6): 650-657.
  11. Kwon SO, Oh SY. Associations of household food insecurity with socioeconomic measures, health status and nutrient intake in low income elderly. Korean J Nutr 2007; 40(8): 762-768.
  12. Kim K, Kim MK, Shin YJ. The concept and measurement of food security. J Prev Med Public Health 2008; 41(6): 387-396. https://doi.org/10.3961/jpmph.2008.41.6.387
  13. Park S. Nutritional status and dietary behavior depending on the food security of the household [dissertation]. Yongin: Yong-In University; 2009.
  14. Lim YS, Cho KJ, Nam HJ, Lee KH. A comparative study of nutrient intakes and factors to influence on nutrient intake between low-income elderly living in urban and rural areas. J Korean Soc Food Sci Nutr 2000; 29(2): 257-267.
  15. The Korean Nutrition Society. Dietary reference intakes for Koreans. 1st revision. Seoul: The Korean Nutrition Society; 2010.
  16. Frongillo EA Jr. Validation of measures of food insecurity and hunger. J Nutr 1999; 129(2S Suppl): 506S-509S. https://doi.org/10.1093/jn/129.2.506S
  17. Yang YJ. 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. Korean J Community Nutr 2015; 20(1): 30-40. https://doi.org/10.5720/kjcn.2015.20.1.30
  18. Kim K, Hong SA, Kim MK. 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 2008; 41(7): 667-681.
  19. Facchini LA, Nunes BP, Motta JV, Tomasi E, Silva SM, Thume E, Silveira DS, Siqueira FV, Dilelio AS, Saes MO, Miranda VI, Volz PM, Osorio A, Fassa AG. Food insecurity in the Northeast and South of Brazil: magnitude, associated factors, and per capita income patterns for reducing inequities. Cad Saude Publica 2014; 30(1): 161-174. https://doi.org/10.1590/0102-311X00036013
  20. Chinnakali P, Upadhyay RP, Shokeen D, Singh K, Kaur M, Singh AK, Goswami A, Yadav K, Pandav CS. Prevalence of household-level food insecurity and its determinants in an urban resettlement colony in North India. J Health Popul Nutr 2014; 32(2): 227-236.
  21. Lee JS, Frongillo EA Jr. Factors associated with food insecurity among U.S. elderly persons: importance of functional impairments. J Gerontol B Psychol Sci Soc Sci 2001; 56(2): S94-S99. https://doi.org/10.1093/geronb/56.2.S94
  22. Seligman HK, Bindman AB, Vittinghoff E, Kanaya AM, Kushel MB. Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999-2002. J Gen Intern Med 2007; 22(7): 1018-1023. https://doi.org/10.1007/s11606-007-0192-6
  23. Seligman HK, Laraia BA, Kushel MB. Food insecurity is associated with chronic disease among low-income NHANES participants. J Nutr 2010; 140(2): 304-310. https://doi.org/10.3945/jn.109.112573
  24. Perez-Escamilla R, Segall-Correa AM, Kurdian Maranha L, Sampaio Md MF, Marin-Leon L, Panigassi G. An adapted version of the U.S. Department of Agriculture Food Insecurity module is a valid tool for assessing household food insecurity in Campinas, Brazil. J Nutr 2004; 134(8): 1923-1928. https://doi.org/10.1093/jn/134.8.1923
  25. Melgar-Quinonez HR, Zubieta AC, MkNelly B, Nteziyaremye A, Gerardo MF, Dunford C. Household food insecurity and food expenditure in Bolivia, Burkina Faso, and the Philippines. J Nutr 2006; 136(5): 1431S-1437S. https://doi.org/10.1093/jn/136.5.1431S
  26. Chan HM, Fediuk K, Hamilton S, Rostas L, Caughey A, Kuhnlein H, Egeland G, Loring E. Food security in Nunavut, Canada: barriers and recommendations. Int J Circumpolar Health 2006; 65(5): 416-431. https://doi.org/10.3402/ijch.v65i5.18132
  27. Kim K, Hong SA, Kwon SO, Oh SY. Development of food security measures for Korean National Health and Nutrition Examination Survey. Korean J Nutr 2011; 44(6): 551-561. https://doi.org/10.4163/kjn.2011.44.6.551
  28. Kim K, Hong SA, Kwon SO, Choi BY, Kim GY, Oh SY. Validation of food security measures for the Korean National Health and Nutrition Examination Survey. Korean J Community Nutr 2011; 16(6): 771-781. https://doi.org/10.5720/kjcn.2011.16.6.771
  29. Dixon LB, Winkleby MA, Radimer KL. 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 2001; 131(4): 1232-1246. https://doi.org/10.1093/jn/131.4.1232
  30. McIntyre L, Williams JV, Lavorato DH, Patten S. Depression and suicide ideation in late adolescence and early adulthood are an outcome of child hunger. J Affect Disord 2013; 150(1): 123-129. https://doi.org/10.1016/j.jad.2012.11.029
  31. Payab M, Motlagh AR, Eshraghian M, Rostami R, Siassi F. The association of family food security and depression in mothers having primary school children in Ray-Iran. J Diabetes Metab Disord 2014; 13(1): 65. https://doi.org/10.1186/2251-6581-13-65
  32. Carter KN, Kruse K, Blakely T, Collings S. The association of food security with psychological distress in New Zealand and any gender differences. Soc Sci Med 2011; 72(9): 1463-1471. https://doi.org/10.1016/j.socscimed.2011.03.009

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