Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Comparison of the Nutrient Intake and Health Status of Elderly Koreans According to their BMI Status: Focus on the Underweight Elderly Population

우리나라 노인의 체질량지수에 따른 영양소 섭취 수준과 건강 상태 비교: 저체중 노인을 중심으로

  • Lee, You-Sin (Department of Home Economics Education, Dongguk University) ;
  • Lee, Yoonna (Department of Food and Nutrition, Shingu College)
  • Received : 2022.09.05
  • Accepted : 2022.10.26
  • Published : 2022.10.31
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Abstract

Objectives: With an increase in the population of the elderly in Korea, their nutritional status has become a cause for concern. This study was designed to compare the nutritional intake and health status of the Korean elderly according to their body mass index. Methods: The subjects were 3,274 elderly people aged 65 and above who had participated in the 2016-2018 Korea National Health and Nutrition Examination Survey. The subjects were divided into four groups: underweight, normal, overweight, and obese, based on their BMI. The general characteristics, daily energy, and nutrient intakes, nutrient intakes compared to the recommended nutrient intake, percentage of participants whose nutrient intake was lower than the estimated average requirement (EAR), index of nutrient quality, the mean adequacy ratio (MAR), intakes by food group, and health status of the four groups were compared. Results: Underweight elderly people showed lower energy, lipids, dietary fiber, vitamin C, riboflavin, niacin, phosphorus, sodium, and potassium intake and MAR score (P < 0.001) compared to the normal or obese elderly. The mean protein, riboflavin, niacin, vitamin C, phosphorus, and iron intake of the underweight elderly was lower than the EAR (P < 0.05). Underweight elderly people also had a lower intake of vegetables and fats, oil and sweets food groups than the other groups (P < 0.001). The prevalence of diabetes and dyslipidemia was higher in the obese group, but the percentage of anemia was higher in the underweight group. Conclusions: Underweight elderly people were vulnerable to undernutrition and were at a higher risk of anemia.

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References

  1. Statistics Korea. Estimated future population: 2000-2025 [Internet]. Statistics Korea; 2020 [cited 2022 Jul 25]. Available from: https://kosis.kr/statisticsList/statisticsListIndex.do?vwcd=MT_ZTITLE&menuId=M_01_0.
  2. Korea Disease Control and Prevention Agency. Korea Health Statistics 2018: Korea National Health and Nutrition Examination Survey (KNHANES VII-2). Cheongju: Korea Disease Control and Prevention Agency; 2019.
  3. Haslam D, James W. Obesity. Lancet 2005; 366(9492): 1197-1209. https://doi.org/10.1016/S0140-6736(05)67483-1
  4. Kim JI, Kim YM, Nam MR, Choi JY, Son GY. Disease and health behavior of low-weight elderly living alone: Focusing on the Community Health Survey 2014. J Korea Acad Ind Coop Soc 2018; 19(3): 479-488.
  5. Dorner TE, Schwarz F, Kranz A, Freidl W, Rieder A, Gisinger C. Body mass index and the risk of infections in institutionalised geriatric patients. Br J Nutr 2010; 103(12): 1830-1835. https://doi.org/10.1017/S0007114510000152
  6. Kim JS, Kim YH, Yu JO. Factors contributing to low weight in community-dwelling older adults. J Korean Acad Community Health Nurs 2011; 22(4): 429-437. https://doi.org/10.12799/jkachn.2011.22.4.429
  7. Kim MH, Chung HK. Relationship between sense of belonging, powerlessness and nutritional status of elderly people. J Korean Soc Food Cult 2015; 30(1): 118-128. https://doi.org/10.7318/KJFC/2015.30.1.118
  8. Colditz GA, Willett WC, Rotnitzky A, Manson JE. Weight gain as a risk factor for clinical diabetes mellitus in women. Ann Intern Med 1995; 122(7): 481-486. https://doi.org/10.7326/0003-4819-122-7-199504010-00001
  9. Gomez-Ambrosi J, Silva C, Galofre JC, Escalada J, Santos S, Millan D et al. Body mass index classification misses subjects with increased cardiometabolic risk factors related to elevated adiposity. Int J Obes 2012; 36(2): 286-294. https://doi.org/10.1038/ijo.2011.100
  10. Winter JE, Maclnnis RJ, Wattanapenpaiboon N, Nowson CA. BMI and all-cause mortality in older adults: A meta-analysis. Am J Clin Nutr 2014; 99(4): 875-890. https://doi.org/10.3945/ajcn.113.068122
  11. Yeom J, Kim JK, Crimmins EM. Factors associated with Body Mass Index (BMI) among older adults: A comparison study of the U.S., Japan, and Korea. J Korea Gerontol Soc 2009; 29(4): 1479-1500.
  12. Kim H, Yoon JL, Lee A, Jung Y, Kim MY, Cho JJ, Ju YS. Prognostic effect of body mass index to mortality in Korean older persons. Geriatr Gerontol Int 2018; 18(4): 538-546. https://doi.org/10.1111/ggi.13213
  13. Kim YK, Lee HO, Chang R, Choue R. A study on the food habits, nutrient intake and the disease distribution in the elderly (aged over 65 years) (I). Korean J Community Nutr 2002; 7(4): 516-526.
  14. Lee S, Lee S. Association of dietary quality with subjective health-related perception and chronic diseases according to age segmentation of Korean elderly. Korean J Community Nutr 2021; 26(5): 363-381. https://doi.org/10.5720/kjcn.2021.26.5.363
  15. Park MS, Suh YS, Chung YJ. Comparison of chronic disease risk by dietary carbohydrate energy ratio in Korean elderly: Using the 2007- 2009 Korea National Health and Nutrition Examination Survey. J Nutr Health 2014; 47(4): 247-257. https://doi.org/10.4163/jnh.2014.47.4.247
  16. Bae A, Yoon J, Yun SY, Asano K. Dietary and health characteristics of the young-old and the old-old by food security status: analysis of data from the 6th (2013~ 2015) Korea National Health and Nutrition Examination Survey. J Nutr Health 2019; 52(1): 104-117. https://doi.org/10.4163/jnh.2019.52.1.104
  17. So EJ, Joung H. Socio-economic status is associated with the risk of inadequate energy intake among Korean elderly. J Nutr Health 2015; 48(4): 371-379. https://doi.org/10.4163/jnh.2015.48.4.371
  18. Donini LM, Scardella P, Piombo L, Neri B, Asprino R, Proietti AR et al. Malnutrition in elderly: Social and economic determinants. J Nutr Health Aging 2013; 17(1): 9-15. https://doi.org/10.1007/s12603-012-0374-8
  19. Hyun HS, Lee IS. Body mass index (BMI)-related factors of community-dwelling elders: Comparison between early and late elderly people. J Korean Acad Community Health Nurs 2013; 24(1): 62-73. https://doi.org/10.12799/jkachn.2013.24.1.62
  20. Kim SW, Kim KI. Metabolic change and nutritional supply in the elderly. J Clin Nutr 2014; 6(1): 2-6. https://doi.org/10.15747/jcn.2014.6.1.2
  21. Han G, Yang E. Evaluation of dietary habit and nutritional intake of Korean elderly: Data from Korea National Health and Nutrition Examination Survey 2013-2015. J East Asian Soc Diet Life 2018; 28(4): 258-271. https://doi.org/10.17495/easdl.2018.8.28.4.258
  22. Karademirci M, Kutlu R, Kilinc I. Relationship between smoking and total antioxidant status, total oxidant status, oxidative stress index, vit C, vit E. Clin Respir J 2018; 12(6): 2006-2012. https://doi.org/10.1111/crj.12757
  23. Karppanen H, Mervaala E. Sodium intake and hypertension. Prog Cardiovasc Dis 2006; 49(2): 59-75. https://doi.org/10.1016/j.pcad.2006.07.001
  24. Tsugane S. Salt, salted food intake, and risk of gastric cancer: Epidemiologic evidence. Cancer Sci 2005; 96(1): 1-6. https://doi.org/10.1111/j.1349-7006.2005.00006.x
  25. Park JH, Kang MJ, Seo JS. Effect of nutrition care process-based nutrition intervention on improvement of intake in the elderly in-patients with malnutrition. J Nutr Health 2018; 51(4): 307-315. https://doi.org/10.4163/jnh.2018.51.4.307
  26. Lee YN, Lee HS, Jang YA, Lee HJ, Kim BH, Kim CI. Dietary intake pattern of the Korean adult population by weight status-2001 National Health and Nutrition Survey. Korean J Community Nutr 2006; 11(3): 317-326.
  27. Kim DM, Kim KH. Food and nutrient intake status of Korean elderly by perceived anxiety and depressive condition: Data from Korean National Health and Nutrition Examination Survey 2013~2015. J Nutr Health 2019; 52(1): 58-72. https://doi.org/10.4163/jnh.2019.52.1.58
  28. Oh JH, Jung BM. Comparison analysis of dietary behavior and nutrient intakes of the elderly according to their family status: The Korea National Health and Nutrition Examination Survey 2013-2016. Korean J Community Nutr 2019; 24(4): 309-320. https://doi.org/10.5720/kjcn.2019.24.4.309
  29. Azadbakht L, Akbari F, Esmaillzadeh A. Diet quality among Iranian adolescents needs improvement. Public Health Nutr 2015; 18(4): 615-621. https://doi.org/10.1017/S1368980014000767
  30. Oh SY. Analysis of methods on dietary quality assessment. Korean J community Nutr 2000; 5(2S): 362-367.
  31. Ham SW, Kim KH. Evaluation of the dietary quality and nutritional status of elderly people using the Nutrition Quotient for Elderly (NQE) in Seoul. J Nutr Health 2020; 53(1): 68-82. https://doi.org/10.4163/jnh.2020.53.1.68
  32. Kim H, Kim H, Kwon O, Park H. Food and nutrient intake level by the risk of osteoporosis and cardiovascular disease in postmenopausal women: The use of the 5th Korean National Health and Nutrition Examination Surveys (2010-2011). Korean J Community Nutr 2019; 24(2): 152-162. https://doi.org/10.5720/kjcn.2019.24.2.152
  33. Beelen J, Vasse E, Janssen N, Janse A, de Roos NM, de Groot LC. Protein-enriched familiar foods and drinks improve protein intake of hospitalized older patients: A randomized controlled trial. Clin Nutr 2018; 37(4): 1186-1192. https://doi.org/10.1016/j.clnu.2017.05.010
  34. Han G. Evaluation of chronic disease and nutritional intake by obesity of Korean elderly-Data from Korea National Health and Nutrition Examination Survey 2016~ 2018. Korean J Food Nutr 2020; 33(4): 428-439.
  35. Lee YE, Park JE, Hwang JY, Kim WY. Comparison of health risks according to the obesity types based upon BMI and waist circumference in Korean adults: The 1998-2005 Korean National Health and Nutrition Examination Surveys. Korean J Nutr 2009; 42(7): 631-638. https://doi.org/10.4163/kjn.2009.42.7.631
  36. Sim KW, Lee SH, Lee HS. The relationship between body mass index and morbidity in Korea. J Korean Soc Stud Obes 2001; 10(2): 147-155.
  37. Zamboni M, Mazzali G, Fantin F, Rossi A, Di Francesco V. Sarcopenic obesity: A new category of obesity in the elderly. Nutr Metab Cardiovasc Dis 2008; 18(5): 388-395. https://doi.org/10.1016/j.numecd.2007.10.002
  38. Roubenoff R. Sarcopenic Obesity: Does muscle loss cause fat gain?: Lessons from rheumatoid arthritis and osteoarthritis a. Ann New York Acad Sci 2000; 904(1): 553-557. https://doi.org/10.1111/j.1749-6632.2000.tb06515.x
  39. Ju SY, Lee JY, Kim DH. Association of metabolic syndrome and its components with all-cause and cardiovascular mortality in the elderly: a meta-analysis of prospective cohort studies. Medicine 2017; 96(45): e8491. https://doi.org/10.1097/MD.0000000000008491
  40. Park SH, Han SH, Chang KJ. Comparison of nutrient intakes by nutritional anemia and the association between nutritional anemia and chronic diseases in Korean elderly: Based on the 2013-2015 Korea national health and nutrition examination survey data. Nutr Res Pract 2019; 13(6): 543-554. https://doi.org/10.4162/nrp.2019.13.6.543
  41. Kupusinac A, Stokic E, Doroslovacki R. Predicting body fat percentage based on gender, age and BMI by using artificial neural networks. Comput Methods Programs Biomed 2014; 113(2): 610-619. https://doi.org/10.1016/j.cmpb.2013.10.013