A Study on Dietary Pattern and Nutritional Status of the Long-Lived Elderly People by Food Habit Index in Ganghwa-gun Area

강화도 장수 노인의 식습관 점수별 식생활태도 및 영양상태 조사

  • Kim Myung Wha (Department of Food and Nutrition, Duksung Women's University) ;
  • Han Hye Kyoung (Department of Food and Nutrition, Duksung Women's University) ;
  • Choi Sung Sook (Department of Food and Nutrition, Duksung Women's University) ;
  • Lee Sung-Dong (Department of Food and Nutrition: College of Health Sciences, Korea University)
  • 김명화 (덕성여자대학교 식품영양학과) ;
  • 한혜경 (덕성여자대학교 식품영양학과) ;
  • 최성숙 (덕성여자대학교 식품영양학과) ;
  • 이성동 (고려대학교 병설보건대학 식품영양과)
  • Published : 2005.12.01

Abstract

This study was carried out to assess the food habit index of the long-lived elderly who were aged over 85 years living in Ganghwa-gun. A survey was conducted during December 2003. Dietary nutrient intake data was obtained through the 24-hr recall method. The subjects were 96 (32 males, 64 females) aged people and divided into three groups based on food habit index scores. Such as group A: good $16\∼20$, group B: fair $11\∼15$, and group C: poor $5\∼10$. The three groups of the subjects were 90.7 years of age and $21.3\;kg/m^{2}$ of BMI on average. Healthy eating index scores of the subjects were $9.4\%$ in group A, $54.2\%$ in group B and $36.5\%$ in group C. Their level of education were lower and their levels of living standards tended to have been middle and lower of the middle class. The percentage of living together with their families or spouses in all groups were over $60.0\%$ and the rates of the subjects who have responsibility for their meal preparations were also very high in all groups. Most subjects tended not to drink nor smoke, and spend $8\~10$ hours for their sleep. The percent of number of diseases in group A was lower than in groups B and C. Their dietary habits such as taking three meals a day regularly have shown that they have good eating habit in general. There was a positive correlation between the eating behaviors and nutrient intakes. The protein, animal protein, fat, PUFA, vitamin E, vitamin $B_{2}$, niacin, P and K intaks in group A were significantly higher than that of the groups B and C. For group A of good food habits aged had no sufficient intake of Ca and vitamin A than the Korean RDA and long-lived elderly of group C in Ganghwa areas had worse nutrients intakes, especially Ca, vitamin A, vitamin $B_{2}$ and vitamin E. According to this research having a good eating habits could be considered as increasing of the health and nutritional status. (Korean J Community Nutrition 10(6) $892\∼904$, 2005)

Keywords

References

  1. Baek JW, Koo BK, Kim KJ, Lee YK, Lee SK, Lee HS (2000): Nutritional status of the long-lived elderly people in Kyungpook Sungju area (I) -estimation of nutrient intakes- Korean J Nutr 33 (4): 438-453
  2. Chang HS, Kim MR (1999): A study on dietary status of elderly Koreans with ages. J Korean Soc Food Sci Nutr 28 (1) : 265-273
  3. Cho YS, Lim HS (1986): The nutrition and health survey of aged people in a rural area I. The relationship between the food habit and the health responses to the today health index. Korean J Nutr 19(5): 315-322
  4. Choi HJ, Kim SH (2003): A study on food habits and health-related behaviors of the long-lived elderly people in Gyeongnam Namhae area. J Korean Soc Food Sci Nutr 32 (7): 1147-1152 https://doi.org/10.3746/jkfn.2003.32.7.1147
  5. Choi MS, Han KH, Park KS (2001): Comparison dietary intakes by 24hr dietary recall, dietary record and food frequency questionnaire among elderly people. Korean J Nutr 34 (6) : 688-700
  6. Choi SJ (2002): An exploratory study on social and psychological factors contributing to longevity: research on characteristics of centenarians in Korea, Japan and Finland. J Korean Gerontological Soc 22 (2): 183-207
  7. Chyun JH (1999): A study on health, anthropometry and food behavior of the elderly living in Inchon. Korean J Dietary Culture 14 (5) : 517-527
  8. Cyndia DM (1997): Effect of dietary sodium restriction in overall nutrient in take. Am J Clin 65 (2) : 687s-691s https://doi.org/10.1093/ajcn/65.2.687S
  9. Darnton-Hill I (1992): Psychosocial aspects of nutrition and aging. Nutr Rev 50(12): 476-479 https://doi.org/10.1111/j.1753-4887.1992.tb02506.x
  10. Garry PJ, Rhyne RL, Halioua L, Nicholson C (1989): Changes in dietary patterns over 1 6-year period in an elderly population. Annals of New York Academy of Science 561: 104-112 https://doi.org/10.1111/j.1749-6632.1989.tb20974.x
  11. Ginson SG (1993): Anthropometric assessment. In: Nutritional assessment pp.59-60, pp.181-182. Oxford University Press, Oxford
  12. Han HK, Choi SS, Kim MW, Lee SD (2005): A study on social factors and physical health status of the long-lived elderly people in Ganghwa-gun area Korean J Community Nutrition 10(1): 111-121
  13. Han KH (1999) : Nutritional status and life style factors in elderly people. Korean J Community Nutrition 4 (2) : 279-298
  14. Han KH, Choi MS (2002): Relationship among nutritional intake status, eating behaviors and related factors of the elderly in Cheongju city. Korean J Dietary Culture 17 (2): 131-140
  15. Kerstetter JE, Holthausen BA, Fitz PA (1992): Malnutrition in the institutionalized older adult. J Am Diet Assoc 92 (9): 1109-1116
  16. Kang MH (1994): Nutritional status of Korean elderly people. Korean J Nutr 27 (6): 616-635
  17. Kim CI, Park YS (2000): Comparing health-related behaviors, food behaviors, and the nutrient adequacy ratio of rural elderly by single-elderly families vs. extended families. Korean J Nutr 5(2S): 307-315
  18. Kim HY, Lee SH (1995): A study on the dietary and nutrients intake of the elderly resident in nursing home. J Korea Gerontological Society 15 (2) : 29-83
  19. Kim IS, Yu HR, Sheo ES, Seo EA, Lee HJ (2002): A study on the dietary quality assessment among the elderly in Jeonju area. Korean J Nutr 35 (3) : 352-367
  20. Kim SH, Kang HK, Kim JH (2000): Socio-economic factors affecting the health and nutritional status of the aged. Korean J Nutr 33 (1) : 86-101
  21. Kohrs MB, C'Noal R, Preston A, Eklund D, Abrahms D (1978): Nutritional status of elderly residents in Missouri. Am J Clin Nutr 31 : 2186-2197 https://doi.org/10.1093/ajcn/31.12.2186
  22. Koo JO (1996): Nutritional and health status of Korean elderly from low-income, urban areas and improving effect of meal service on nutritional and health status. Korean J Community Nutrition 1 (2) : 215-227
  23. Kwak EH, Lee SL, Lee HS, Kwun IS (2003): Relation dietary and urinary Na, K, and Ca level to blood pressure in elderly people in rural area. Korean J Nutr 36 (1) : 75-82
  24. Lee JW, Kim KE, Kim KN, Hyun TS, Hyun WJ, Park YS (2000): Evaluation of the validity of a simple screening test developed for identifying Korean elderly at risk of undernutrition. Korean J Nutr 33 (8) : 864-872
  25. Lee SH (1996): A study on the health needs of the aged in the urban area. Master' thesis in Public Health, Seoul National University
  26. Ministry of Health & Welfare (1998): 1998 yearbook of health and welfare statistics
  27. Murphy SP, Davis MA, Neuhaus JM, Lezin D (1990): Factors influencing the dietary adequacy and energy in take of older Americans. J Nutr Educ 22 (6): 284-291 https://doi.org/10.1016/S0022-3182(12)80109-9
  28. Nordenram G, Ljunggren G, Cederholm T (2001): Nutritional status and chewing capacity in nursing home residents. Aging (milano) 13 (5) : 370-377
  29. Park MY, Lee KH, Youn HS (2001): Nutrition status of the rural elderly living in kyungnam. Korean J Community Nutrition 6(3S): 527-541
  30. Puggaard L, Larsen JB, Ebbesen E, Jeune B (1999): Body composition in 85 year-old women: Effects of increased physical activity. Aging (Clin Exp Res) 11 (5): 307-315 https://doi.org/10.1007/BF03339805
  31. Shim JE, Paik HY, Lee SY, Moon HK, Kim YO (2002): Comparative analysis and evaluation of dietary intake of Koreans by age groups: (4) the korean diet quality index. Korean J Nutr 35 (4): 558-570
  32. Son SM, Park YJ, Koo JO, Kim SB, Lee KS, Yoon HY (1996): Nutritional and health status of korean elderly from low-income, urban area and improving effect of meal service on nutritional and health status. Korean J Community Nutrition 1(3): 395-404
  33. Song S, Chung HK, Cho MS (1995): The nutritional status of the female elderly residents in nursing home-1. nutritional and biochemical health status. Korean J Nutr 28 (11): 1100-1116
  34. The Korean Nutrition Society (2000): Recommended dietary allowances for Koreans. 7th revision, Seoul
  35. Tripp F (1997): The use of dietary supplements in the elderly: current issues and recommendations. J Am Diet Assoc 97(10 suppl 2): S18l-S183 https://doi.org/10.1016/S0002-8223(97)00009-6
  36. Troisi RJ, Heinold JW, Vokonas PS, Weiss ST (1990) Cigarette smoking, dietary intake, and physical activity: effects on body fat distribution-the Normative aging study. Am J Clin Nutr 53 (5): 1104-1111
  37. Townsend MS, Peerson J, Love B, Achterberg C, Murphy SP (2001):Food insecurity is positively related to overweight in women. J Nutr 131: 1738-1745 https://doi.org/10.1093/jn/131.6.1738
  38. US Senate Special Committee on Aging (1988): Aging America: Trends and projections. 1987-1988 Washington DC, US Government Printing office
  39. White JV, Ham RJ, Lipschitz DA, Dwyer JT, Wellman NS (1990) consensus of the nutrition screening initiative: risk factors and indicators of poor nutrition status in older Americans. J Am Diet Assoc 91: 783-787
  40. Yim KS, Min YH, Lee TY (1997): Strategies to improve nutrition in the elderly: an analysis of health related factors and the nutritional risk index of the elderly. Korean J Community Nutrition 2 (3) : 376-387
  41. Yoon HJ, Kwoun JH, Lee SK (2002): Nutritional status and energy expenditure in the elderly in a rural community. Korean J Community Nutriton 7 (3) : 336-344