Nutrition Research and Practice

The Korean Nutrition Society (한국영양학회)
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Gender and age group differences in nutrition intake and dietary quality of Korean adults eating alone: based on Korean National Health and Nutrition Examination Survey Data, 2013-2016

  • Ahn, Yoonjin (Department of Food and Nutrition, Myongji University) ;
  • Lee, Youngmi (Department of Food and Nutrition, Myongji University) ;
  • Park, Haeryun (Department of Food and Nutrition, Myongji University) ;
  • Song, Kyunghee (Department of Food and Nutrition, Myongji University)
  • Received : 2019.12.09
  • Accepted : 2020.07.07
  • Published : 2021.02.01
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Abstract

BACKGROUND/OBJECTIVES: This study investigated gender and age differences in nutrient intake and dietary quality of people eating alone. SUBJECTS/METHODS: From Korean National Health and Nutrition Examination Survey 2013-2016 data, 2,305 adults aged 20 years and older that ate meals alone were included in this study. Their energy and nutrients intakes, as well as their nutrient adequacy ratio (NAR), mean adequacy ratio (MAR), and index of nutritional quality (INQ) were analyzed. Food group consumption pattern, dietary variety score (DVS), dietary diversity score (DDS) were also analyzed. All data were compared among gender and age groups. RESULTS: Men consumed more energy and nutrients than women, except for vitamin C, and the NARs showed similar gender differences. The INQs of 4 nutrients (calcium, vitamin A, vitamin C, and riboflavin) were lower than 1.0 in men, whereas only the calcium INQ was lower than 1.0 in women. Men had a lower DDS (3.6) than women (3.9) (P < 0.001) and had more 'undesirable' food group consumption patterns than women (P < 0.001). The intakes of calcium, vitamin A, and vitamin C were relatively low in the young-aged group (INQs less than 1.0). In the old-aged group, the MAR level was relatively low, and the INQs of calcium, riboflavin, and niacin were below 1.0. The old-aged group consumed more menu items, but their DVS was the lowest. CONCLUSIONS: Compared to women, the dietary quality and food diversity among men were poorer. There were poorer quality and diversity patterns in the young-aged group compared to those of the older groups. An overall low intake of nutrients and the low nutrient density of meals were the main dietary problems among the old-aged group who eat alone. Therefore, men, particularly young- and old-aged, need to be prioritized in nutritional policies directed toward those who eat alone.

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References

  1. Kerner S, Chou C, Warmind M. Commensality: from everyday food to feast. London: Bloomsbury Publishing; 2015.
  2. Kim HW. Single-person households and broadcasting trends change. Media Educ 2015;5:152-71.
  3. Statistics Korea. 2018 senior citizen statistics [Internet]. Daejeon: Statistics Korea; 2018 [cited 2019 September 10]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/6/1/index.board?bmode=read&aSeq=370779.
  4. Statistics Korea. Current status and characteristics of one-person households [Internet]. Daejeon: Statistics Korea; 2018 [cited 2019 September 10]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/10/1/index.board?bmode=read&aSeq=370806.
  5. Kang Y, Kang S, Kim KJ, Ko H, Shin J, Song YM. The association between family mealtime and depression in elderly Koreans. Korean J Fam Med 2018;39:340-6. https://doi.org/10.4082/kjfm.17.0060
  6. Lee KI, Hwang YJ, Ban HJ, Lim SJ, Jin HJ, Lee HS. Impact of the growth of single-person households on the food market and policy tasks. Report No. R762. Naju: Korea Rural Economic Institute; 2015.
  7. Song EG, Yoon YS, Yang YJ, Lee ES, Lee JH, Lee JY, Park WJ, Park SY. Factors associated with eating alone in Korean adults, findings from the Sixth Korea National Health and Nutrition Examination Survey 2014. Korean J Fam Pract 2017;7:698-706. https://doi.org/10.21215/kjfp.2017.7.5.698
  8. Kimura Y, Wada T, Okumiya K, Ishimoto Y, Fukutomi E, Kasahara Y, Chen W, Sakamoto R, Fujisawa M, Otsuka K, Matsubayashi K. Eating alone among community-dwelling Japanese elderly: association with depression and food diversity. J Nutr Health Aging 2012;16:728-31. https://doi.org/10.1007/s12603-012-0067-3
  9. Tani Y, Sasaki Y, Haseda M, Kondo K, Kondo N. Eating alone and depression in older men and women by cohabitation status: the JAGES longitudinal survey. Age Ageing 2015;44:1019-26. https://doi.org/10.1093/ageing/afv145
  10. Wang X, Shen W, Wang C, Zhang X, Xiao Y, He F, Zhai Y, Li F, Shang X, Lin J. Association between eating alone and depressive symptom in elders: a cross-sectional study. BMC Geriatr 2016;16:19. https://doi.org/10.1186/s12877-016-0197-2
  11. Kwon AR, Yoon YS, Min KP, Lee YK, Jeon JH. Eating alone and metabolic syndrome, a population-based Korean National Health and Nutrition Examination Survey 2013-2014. Obes Res Clin Pract 2018;12:146-57. https://doi.org/10.1016/j.orcp.2017.09.002
  12. Song SY, Jeong YH. Association between eating alone and metabolic syndrome: a structural equation modeling approach. J Korean Diet Assoc 2019;25:142-55. https://doi.org/10.14373/JKDA.2019.25.2.142
  13. de Castro JM, de Castro ES. Spontaneous meal patterns of humans: influence of the presence of other people. Am J Clin Nutr 1989;50:237-47. https://doi.org/10.1093/ajcn/50.2.237
  14. Locher JL, Robinson CO, Roth DL, Ritchie CS, Burgio KL. The effect of the presence of others on caloric intake in homebound older adults. J Gerontol A Biol Sci Med Sci 2005;60:1475-8. https://doi.org/10.1093/gerona/60.11.1475
  15. Hetherington MM, Anderson AS, Norton GN, Newson L. Situational effects on meal intake: a comparison of eating alone and eating with others. Physiol Behav 2006;88:498-505. https://doi.org/10.1016/j.physbeh.2006.04.025
  16. Park YA. Dietary behavior and nutrient intake of high school students in Seoul: focused on students who eat alone [dissertation]. Seoul: Hanyang University; 2011.
  17. Bae YJ. Evaluation of nutritional status in Korean adolescents according to eating breakfast together as a family: based on the 2013-2015 Korea National Health and Nutrition Examination Survey. Korean J Food Nutr 2017;30:1210-21. https://doi.org/10.9799/KSFAN.2017.30.6.1210
  18. Lee YM, Cho WK, Oh YJ. Comparison of eating behavior between commensality and solo-eating of university students by BMI. Korean J Community Nutr 2012;17:280-9. https://doi.org/10.5720/kjcn.2012.17.3.280
  19. Kim HK, Chung J. Associations of the eating alone behavior with nutrient intake, obesity and metabolic syndrome in middle-aged adults based on the 2013 - 2017 Korean National Health and Nutrition Examination Survey. J Nutr Health 2019;52:435-48. https://doi.org/10.4163/jnh.2019.52.5.435
  20. Lee EJ, Lee KR. Comparison of solo eating perception and dietary behaviors according to gender in the Seoul and Gyonggi-do regions. J Korean Soc Food Cult 2018;33:531-42. https://doi.org/10.7318/KJFC/2018.33.6.531
  21. Lee Y, Oh YJ, Cho W, Jo PK. Differences in solo eating perceptions and dietary behaviors of university students by gender. J Korean Diet Assoc 2015;21:57-71. https://doi.org/10.14373/JKDA.2015.21.1.57
  22. Tani Y, Kondo N, Takagi D, Saito M, Hikichi H, Ojima T, Kondo K. Combined effects of eating alone and living alone on unhealthy dietary behaviors, obesity and underweight in older Japanese adults: results of the JAGES. Appetite 2015;95:1-8. https://doi.org/10.1016/j.appet.2015.06.005
  23. Jo PK, Oh YJ. Comparison of dietary behavior of eating alone in single households by status of workers and age. Korean J Community Nutr 2019;24:408-21. https://doi.org/10.5720/kjcn.2019.24.5.408
  24. Park SH, Lee KS, Park HY. Dietary carbohydrate intake is associated with cardiovascular disease risk in Korean: analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III). Int J Cardiol 2010;139:234-40. https://doi.org/10.1016/j.ijcard.2008.10.011
  25. Ministry of Health and Welfare (KR); The Korean Nutrition Society. Dietary reference intakes for Koreans 2015. Seoul: The Korean Nutrition Society; 2015.
  26. Guthrie HA, Scheer JC. Validity of a dietary score for assessing nutrient adequacy. J Am Diet Assoc 1981;78:240-5. https://doi.org/10.1016/S0002-8223(21)04795-7
  27. Madden JP, Goodman SJ, Guthrie HA. Validity of the 24-hr. recall. Analysis of data obtained from elderly subjects. J Am Diet Assoc 1976;68:143-7. https://doi.org/10.1016/S0002-8223(21)06320-3
  28. Kant AK, Block G, Schatzkin A, Ziegler RG, Nestle M. Dietary diversity in the US population, NHANES II, 1976-1980. J Am Diet Assoc 1991;91:1526-31. https://doi.org/10.1016/S0002-8223(21)01428-0
  29. Yang SJ. Nutritional risk and its contributing factors in the low-income elderly in urban areas. J Korean Acad Community Health Nurs 2005;16:392-403.
  30. Ministry of Health and Welfare (KR); The Korean Nutrition Society. Korea health statistics 2017: Korea National Health and Nutrition Examination Survey (KNHANES VII-2). Sejong: Ministry of Health and Welfare; 2019.
  31. Lee JW. Effects of frequent eating-out and breakfast skipping on body mass index and nutrients intake of working male adults: analysis of 2001 Korea National Health and Nutrition Survey data. Korean J Community Nutr 2009;14:789-97.
  32. Lee KA, Jeong BY, Moon SK, Kim IS, Soichiro N. Comparisons of Korean adults' eating habits, food preferences, and nutrient intake by generation. Korean J Nutr 2006;9:494-504.
  33. Min C, Noh H, Kang YS, Sim HJ, Baik HW, Song WO, Yoon J, Park YH, Joung H. Skipping breakfast is associated with diet quality and metabolic syndrome risk factors of adults. Nutr Res Pract 2011;5:455-63. https://doi.org/10.4162/nrp.2011.5.5.455
  34. Lachat C, Nago E, Verstraeten R, Roberfroid D, Van Camp J, Kolsteren P. Eating out of home and its association with dietary intake: a systematic review of the evidence. Obes Rev 2012;13:329-46. https://doi.org/10.1111/j.1467-789X.2011.00953.x
  35. An HK. A study on the recognition and practice for reducing sodium intake of one-person households [dissertation]. Seoul: Chung-Ang University; 2015.
  36. Choi BB. Recognition and consumption of meal alone and processed food according to major of college students. Korean J Food Nutr 2016;29:911-22. https://doi.org/10.9799/ksfan.2016.29.6.911
  37. Yates L, Warde A. Eating together and eating alone: meal arrangements in British households. Br J Sociol 2017;68:97-118. https://doi.org/10.1111/1468-4446.12231
  38. Choi J, Park H, Song K, Kwon S, Lee Y. Menu evaluation of meal boxes sold in Korean convenience stores. J Food Nutr Res 2018;6:18-25. https://doi.org/10.12691/jfnr-6-1-4