Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Association between frailty and dietary intake amongst the Korean elderly: based on the 2018 Korean National Health and Nutrition Examination Survey

한국 노인의 식사 섭취와 노쇠와의 연관성 연구: 2018년 국민건강영양조사 자료를 이용하여

  • Yang, Suhyeon (Department of Clinical Nutrition, Ewha Graduate School of Converging Clinical & Public Health) ;
  • Jang, Won (Department of Nutritional Science and Food Management, Ewha Womans University) ;
  • Kim, Yangha (Department of Nutritional Science and Food Management, Ewha Womans University)
  • 양수현 (이화여자대학교 임상보건융합대학원 임상보건학과) ;
  • 장원 (이화여자대학교 식품영양학과) ;
  • 김양하 (이화여자대학교 식품영양학과)
  • Received : 2021.08.06
  • Accepted : 2021.11.12
  • Published : 2021.12.31
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Abstract

Purpose: Frailty is a clinical syndrome in older adults, and adequate nutrition is a modifiable factor in preventing the condition. The current study aims to investigate the association between frailty and dietary intake in the Korean elderly. Methods: This cross-sectional study included data from the 2018 Korean National Health and Nutrition Examination Survey of 1,268 subjects (535 men and 733 women) aged 65 years or older. Frailty was defined as having more than three of the following 5 modified Fried frailty phenotype criteria: unintentional weight loss, exhaustion, walking difficulties, weakness, and low physical activity. Dietary intake was assessed by applying the one-day 24-hour dietary recall. The association between frailty and dietary intakes were analyzed by multiple logistic regression. Results: Totally, 9.7% men and 21.9% women were classified as the frail group. Increasing levels of frailty were proportional to a decreased mean nutrient adequacy ratio in both genders. Moreover, the total food intake was significantly low in the frail elderly. In male subjects, multiple logistic regression analyses after adjusting covariates showed that the odds ratio (OR) of frailty in the highest tertile of the consumption of fruits (OR [95% confidence interval, CI] = 0.34 [0.13-0.93], p-trend = 0.021) were significantly lower than values obtained in the lowest tertile. In females, the highest tertile of fish and shellfish intake showed a significantly lower OR for frailty (OR [95% CI] = 0.55 [0.30-0.99], p-trend = 0.045), as compared with the lowest tertile. Conclusion: The present study indicates that high intake of fruits for men, and fish and shellfish for women, are probably linked with lowering the risk of frailty in the elderly.

본 연구는 제7기 3차년도 (2018년) 국민건강영양조사 자료를 활용하여 65세 이상 노인의 노쇠에 따른 영양소와 식품섭취의 차이를 분석하고 식품섭취와 노쇠의 연관성을 분석하고자 하였다. 성별에 따른 노쇠 유병률은 남성은 9.7%, 여성은 21.9%로 여성의 비율이 유의적으로 높았다. 성별에 관계없이 남녀 노쇠군은 평균영양소 적정섭취비 (MAR)와 18가지 식품군에 대한 총 식품 섭취량이 유의하게 적었다. 식품 섭취수준에 따른 노쇠와의 연관성은 남성의 경우 과일류 (OR [95% CI] = 0.34 [0.13-0.93])의 상위 3삼분위 섭취군이 하위 1삼분위 섭취군에 비해 노쇠 위험이 유의하게 낮았다. 여성의 경우 어패류 (OR [95% CI] = 0.55 [0.30-0.99])의 상위 3삼분위 섭취군이 하위 1삼분위 섭취군에 비해 노쇠 위험이 유의하게 낮았다. 결론적으로 본 연구에서는 식이섭취와 노쇠와의 연관성을 분석하여 남성의 경우 과일류 섭취가, 여성의 경우 어패류 섭취가 낮은 노쇠 위험과 관련성이 있음을 제시하였다.

Keywords

Acknowledgement

This research was supported by Academic-research Cooperation Program in Korea Maritime Institute (KMI) (No. 2021-0010-1002).

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