• 한국노년학
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• v.39 no.4
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• pp.741-762
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• 2019

The purpose of this study is to identify the Nutrition Quotient for Elderly(NQ-E) of the elderly living in the community and to investigate the characteristics of living conditions affecting the nutritional status of the elderly. The subjects of the survey were 1,970 elderly single elderly households aged 65 and over in the nationwide through convenience sampling method. A survey cooperative system was established with Comprehensive Support Center for Elderly Living Alone, and the 25 social welfare institutions. 385 Life Managers for Elderly Living Alone participated as a survey agent. As a result, NQ-E was 51.14 points, which is the lowest level in the NQ-E, and the explanatory power was 20.1% in multiple regression analysis. Significant variables were age, sex, subjective health status, low number of medication, non-smoker, non-alcoholic, satisfactory economic status, academic status, and the interaction with family and neighbors. Based on this result, this study explains that comprehensive measures of nutritional management for the elderly living alone needs to be sought.

• Journal of Nutrition and Health
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• v.55 no.1
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• pp.155-173
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• 2022

Purpose: This study was undertaken to update the Nutrition Quotient for Elderly (NQ-E), which reflects dietary quality and behavior among Korean older adults. Methods: The first 29 items of the measurable food behavior checklist were obtained from a previous NQ-E checklist, recent literature reviews, and national nutrition policies and recommendations. One-hundred subjects (50 men and 50 women) aged ≥ 65 years living in the Seoul Metropolitan Area, including Gyeonggi Province, completed a pilot survey from March to April 2021. Based on the results of the pilot study, we conducted factor analysis and frequency analysis to determine whether the items of the survey were properly organized and whether the distribution of answers for each evaluation item was properly distributed. As a result, we reduced the number of items on the food behavior checklist and used 23 items for the national survey. Nationwide, 1,000 subjects (472 men and 528 women) aged > 65 years, completed the checklist survey, which was applied using a face-to-face survey method from May to August 2021. The construct validity of the NQ-E 2021 was assessed using confirmatory factor analysis, LISREL. Results: Seventeen food behavior checklist items were selected for the final NQ-E 2021. Checklist items addressed three factors: balance (8 items), moderation (2 items), and practice (7 items). Standardized path coefficients were used as the weights of items to determine nutrition quotients. NQ-E and three-factor scores were calculated according to the weights of questionnaire items. Conclusion: The updated NQ-E 2021 produced by structural equation modelling provides a suitable tool for assessing the dietary quality and behavior of Korean older adults.

• Journal of Nutrition and Health
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• v.56 no.5
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• pp.483-495
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• 2023

Purpose: The purpose of this study was to determine whether the dietary quality of food consumed by the elderly is influenced by the consumption of healthy functional foods using Nutrition Quotients for the Elderly (NQ-E). Methods: The study subjects were 250 adults aged ≥ 65 living in Seoul or Gyeonggi-do. Those who had consumed healthy functional food for more than 2 weeks within the previous year were classified as healthy functional food consumers, and the quality of their meals was evaluated using the NQ-E. Statistical analysis was performed using SAS 9.4, and sex and age-associated differences were adjusted before comparing differences based on healthy functional food intake. Results: The average age of the study subjects was 70.8. The scores for each area and the Nutrition Quotient (NQ) score were as follows: balance 43.3 points, moderation 56.7 points, practice 65.7 points, and NQ 52.5 points. When comparing differences according to healthy functional food intake status, healthy functional food consumers had significantly higher balance and NQ scores than non-consumers. When considering each NQ item score, healthy functional food consumers had significantly higher scores than non-consumers for fruit, fish and seafood, eggs, nuts, and whole grain rice, and a higher score for effort to maintain a healthy diet. Conclusion: Dietary quality as assessed by Nutrition Quotients for the Elderly was better for healthy functional food consumers than non-consumers.

• Journal of Nutrition and Health
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• v.53 no.1
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• pp.68-82
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• 2020

Purpose: This study evaluated the dietary quality and nutritional status of elderly people using the Nutrition Quotient for Elderly (NQ-E). Methods: The participants were 204 elderly people over 65 years of age (38 men and, 166 women) in Seoul. The dietary information was analyzed using a questionnaire of NQ-E, which consisted of 19 checklist items, and 24-recall test data. The NQ-E scores and its four factors, including 'balance', 'moderation', 'diversity', and 'dietary behavior' factors, were calculated according to general characteristics of the subjects. The subjects were divided into the 'monitoring needed group' (62 > NQ-E score) and the 'good group' (62 ≤ NQ-E score) according to their NQ-E score. Results: The mean NQ-E score of the total subjects was 61.9, which was within the mediumhigh grade. The scores of balance, moderation, and dietary behavior factors were within the medium-high grade, while the score of the diversity factor was within the medium-low grade. The NQ-E score was 54.8 in the monitoring needed group and 69.3 in the good group. For the score of the diversity factor, the elderly living alone had a significantly lower score than the score for the elderly living with a spouse. The female subjects showed significantly higher scores of moderation and dietary behavior factors than did the male subjects. The daily intakes of vitamin A, thiamin, riboflavin, vitamin C and calcium in the monitoring needed group were significantly lower than those in the good group. The nutrient adequacy ratios (NAR) of vitamin A, thiamin, riboflavin, vitamin C and calcium in the monitoring needed group were significantly lower compared to the scores of the good group. The indexes of nutritional quality (INQ) of vitamin A, thiamin, riboflavin, vitamin C, calcium and potassium were less than 1 for all the subjects. The monitoring needed group had a significantly lower consumption of total foods, vegetables and mushrooms than the good group. As a result, the nutritional status of the monitoring needed group was significantly lower than that of the good group. Conclusion: The results of this study show that NQ-E would be a useful tool for assessing the dietary quality of the elderly. In conclusion, a focused-nutrition education program and a useful guideline are needed for promoting the health and nutritional status in elderly people.

• Journal of Nutrition and Health
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• v.51 no.1
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• pp.87-102
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• 2018

Purpose: The purpose of this study was to develop a valid instrument for measuring the dietary quality and behaviors of Korean elderly. Methods: The development of the Nutrition Quotient for Elderly (NQ-E) was conducted in three steps: item generation, item reduction, and validation. The 41 items of the NQ-E checklist were derived from a systematic literature review, expert in-depth interviews, statistical analyses of the fifth Korean National Health and Nutrition Examination Survey data, and national nutrition policies and recommendations. Pearson's correlation was used to determine the level of agreement between the questionnaires and nutrient intake level, and 24 items were selected for a nationwide survey. A total of 1,000 nationwide elderly subjects completed the checklist questionnaire. The construct validity of the NQ-E was assessed using confirmatory factor analysis, LISREL. Results: The nineteen checklist items were used as final items for NQ-E. Checklist items were composed of four-factors: food behavior (6 items), balance (4 items), diversity (6 items), and moderation (3 items). The standardized path coefficients were used as the weights of the items. The NQ-E and four-factor scores were calculated according to the obtained weights of the questionnaire items. Conclusion: NQ-E would be a useful tool for assessing the food behavior and dietary quality of the elderly.

• 한국노년학
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• v.32 no.3
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• pp.759-776
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• 2012

This study analysed the income-related health inequality of the aged in Korea applied to EQ-5D. Two decompositions were used in analysis. One was the decomposition of income-related health inequality into six different dimensions of EQ-5D, and the other was to decompose it by sub-group such as sex, region, existence of spouse. The results are summarized as follows. First, the health concentration index(CI) of the aged was .0254, which meant that there were pro-rich inequality in elderly people's health levels. The same patterns were also seen in the analysis of different dimensions of EQ-5D such as mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Second, mobility accounted for 35.8% of total EQ-5D score, most contributing to CI of the dimensions of EQ-5D. The CIs by the dimensions ranged from .0091 for mobility to .0013 for self-care. Third, The decompositions by sub-groups showed that the contributions of sex, region, and existence of spouse to health inequality was similar to each other, all of three sub-groups accounted for 10 % of inequality respectively. Fourth, the inequality within group was higher in female group, rural area, and the aged without spouse. The average health level of these groups was lower than that of the other ones, too. These facts indicated that old women, the aged without spouse, and the elderly in rural area were the most vulnerable groups in health problems. Therefore, it is necessary to pay more attention to health problems of these groups in the policy making of health security and social welfare services.

• Proceedings of the SOHE Conference
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• 2003.10a
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• pp.93-93
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• 2003

저소득층 노인 대상의 급식서비스 영양효과를 분석하기 위한 기초연구로써 광주광역시 북구 지역 저소득층 노인 100명을 대상으로 2002년 11월 20일~12월 15일까지 실태조사를 통해 건강ㆍ영양문제를 도출하고 급식서비스 제공에 따른 영양효과를 분석한 결과는 다음과 같다. 수혜를 받은 대상자의 평균 연령은 72.44세, 신장은 158.50cm, 체중은 52.29kg 이었고 이로부터 구한 평균 체질량지수는 20.86kg/$m^2$이었다. 평균 영양소 섭취량은 열량 1,389,67㎉, 단백질 53.50g, 지질 26.20g, 탄수화물 234.41g, 섬유질 5.56g, 칼슘 481.15mg, 인 882,76mg, 철분 8.59mg, 나트륨 4,208.98mg, 칼륨 2,069.77mg, Retinol 408,69RE, Thiamin 0.84mg, Riboflavin 0,73mg, 나이아신 11.04NE, Ascorbic acid 80.63mg, 콜레스테롤 157.63mg 이었고, 연령이 증가할수록 영양제 섭취 비율이 증가하였다.

• Proceedings of the Korean Journal of Food and Nutrition Conference
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• 2004.07a
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• pp.41-41
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• 2004

본 연구는 남자 노인의 체조성, 식습관, 영양소 섭취 및 혈청 지질 수준을 파악하여, 이들의 건강유지 및 영양개선을 위한 기초 자료를 제공하는데 그 목적of 있다. 광주광역시 지역사회 건강 클리닉에 참여한 200명의 남자 노인을 대상으로 2003년 9월 30일에 신체계측, 식습관, 식이섭취 조사 및 혈액채취를 실시하여, 총 118부를 분석한 결과는 다음과 같다. 대상자의 연령을 50∼64세, 65∼74세, 75세 이상으로 분류한 신장과 체중은 세 연령군 모두 표준치에 근사하였으며 신장과 체중이 연령이 증가함에 따라 유의적으로 감소하였고 체질량지수(BMI)는 모두 정상범위이었다. (중략)

• Journal of the Korea Convergence Society
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• v.6 no.6
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• pp.153-162
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• 2015

A descriptive research is studied to identify the physical factors affecting to cognitive function among elderly residents over 65 years old in a community. The data were collected from 352 participants as part of a health-related survey by home visits in Seoul in 2010-2012. Their cognitive function was measured using the Korean form of Hasegawa Dementia Scale(HDS-K) and the collected data were analyzed by using t-test, ANOVA, and multiple regression analysis. From the analysis, the prevalence rate of cognitive impairment was 13.6%. Elderly residents in a community showed different cognition levels by the status of age, change of weight, change of BMI, walking and flexibility exercise. Especially, the lowest cognition level was found in the normal BMI group with decreased BMI change by over 3. The factors influencing on cognition level of the elderly with normal BMI were age, change of weight, change of BMI, and walking exercise. The variance indicated 12.2% as their cognition level. Therefore, for preventing the cognitive impairment of the elderly that were rapidly decreased of BMI, we need the program to manage their nutrition and walking exercise.

• Journal of dental hygiene science
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• v.10 no.4
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• pp.251-257
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• 2010

The purpose of this study was to examine the demographic characteristics, oral health awareness and oral health behavior of 1,356 Korean senior citizens based on the fourth raw materials of the 2008 national health and nutrition survey, and to analyze their DMFS, DMFT and FS-T indexes, which were oral health indicators. The findings of the study were as follows: 1. The mean DMFS index of the Korean senior citizens was 26.62, and their average DMFT index was 6.76. Their mean FS-T index was 21.51. 2. Out of the demographic characteristics of the Korean elderly people, education made statistically significant differences to the DMFS(p<0.05) and FS-T(p<0.001) indexes, and whether they worked or not made statistically significant differences to the DMFT(p<0.01), DMFS(0.001) and FS-T(0.001) indexes. There were no significant gaps according to gender, age and presence or absence of a spouse. 3. The oral health awareness of the Korean senior citizens(subjective oral health status, whether to need a dental treatment, concern for oral health and mastication) had no statistically significant relationship to their DMFS, DMFT and FS-T indexes. 4. Among the oral health behaviors of the Korean elderly people, whether they got a dental checkup over the past year made statistically significant differences to the DMFT(p<0.01), DMFS(p<0.001) and FS-T (p<0.001) indexes, and there were statistically significant gaps in the DMFT(p<0.010, FS-T(p<0.01) and DMFS(p<0.001) indexes according to yesterday's toothbrushing frequency. The time when they went to a dentist made a significant difference to the FS-T(p<0.01) index only.