Food Habits and Nutritional Status of the Long-Lived Elderly People in Ganghwa-gun Area

강화지역 장수노인의 식습관 및 영양소섭취량

  • Han Hye Kyoung (Department of Food and Nutrition, Duksung Womens University) ;
  • Choi Sung Sook (Department of Food and Nutrition, Duksung Womens University) ;
  • Kim Myung Wha (Department of Food and Nutrition, Duksung Womens University) ;
  • Lee Sung-Dong (Department of Food and Nutrition, College of Health Sciences)
  • 한혜경 (덕성여자대학교 식품영양학과) ;
  • 최성숙 (덕성여자대학교 식품영양학과) ;
  • 김명화 (덕성여자대학교 식품영양학과) ;
  • 이성동 (고려대학교 병설 보건대학 식품영양과)
  • Published : 2005.02.01

Abstract

This survey was carried out to obtain the information concerning nutritional status, including factors of food habits and nutrient intake of the long-lived elderly men and women living in Ganghwa-gun. In order to assess the quality of dietary intake among the elderly, a survey was conducted during December 2003 of 103 subjects who were over 85 years of age. Dietary nutrient intake data were obtained through the 24 hr recall method. Chi-square test and t-test were the main data analysis method. Their dietary habits such as three meals a day and a regular meal time have shown that they have generally good eating habits. Average daily calorie intake ($\%$ RDA) was 1233.2 kcal ($68.8\%$) for male and 1215.8 kcal ($75.8\%$) for female which were lower than the Recommended Dietary Allowances (RDA) for Koreans. Energy intake of females got closer to RDA than that of male. Protein intake was 49.3 g for male and 46.9 g for female (which was $82.3\%$ RDA for male and $85.1\%$ RDA for female) for elderly person, the proportion of animal protein to total protein intake were $45.2\%$ for male and $39.0\%$ for female. Average CPF ratio of energy intake for both male and female were 68.7 : 16.1 : 15.2 and 69.6 : 15.4 : 15.0. SFA : MUFA : PUFA ratio of the subject was 0.78 : 1.03 : 1.00 for male and 0.64 : 0.92 : 1.00 for female. Calcium intakes for both males and females were 321.3 mg and 377.2 mg. Vitamin A was the nutrient found to be least sufficient. Mean daily intakes of most of the vitamins and minerals for both males and females were lower than RDA except vitamin C and Zn for female, especially $\%$ RDAs of vitamin A, Ca for male and vitamin A for females were less than $50\%$ of RDA. In conclusion, long-lived elderly in Ganghwa areas did not consume enough nutrients quantitatively as well as qualitatively, especially Ca, Fe, vitamin A, vitamin $B_2$ and vitamin E. These results suggest that nutritional guidelines for older Koreans should focus on the maintenance of adequate energy intake. In addition, selection of foods with high protein and calcium, such as dairy food, should be emphasized, particularly in the long-lived elderly.

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 Sung-ju area (I) -estimation of nutrient intakes. Korean J Nutr 33 (4): 438-453
  2. Butler RN (1992): Quality of life: can it be an end point? How can it be measured? Am J Clin Nutr 55 (6 suppl): 1267S-1270S
  3. Cataldo CB, DeBruyne LK, Whitney EN (2003): Nutrition and diet therapy. 6th ed., Wadsworth, p.222
  4. 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
  5. Chang NS, Kim JM, Kim EJ (1999): Nutritional state and dietary behavior of the free-living elderly women. Korean J Dietary Culture 14(2): 155-165
  6. 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 todai health index. Korean J Nutr 19 (5): 315-322
  7. 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
  8. Choi HM (2000): 21st century Nutrition, Goymunsa
  9. Chung JE (1992): A study on connotative meaning of foods to elderly Korean. Korean J Dietary Culture 7: 281-289
  10. 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
  11. 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
  12. Han MJ, Koo SJ, Lee YS (1998): The study of food habit and degree of depression in nursing home and private home living elderly. Korean J Dietary Culture 13 (5): 475-486
  13. Hegarty V (1995): Nutrition-Food and the environment. Eagan Press, Minnesota 9: 267
  14. Hong SM, Choi SY (1996): A study on meal management and nutrient intake of the elderly. J Korean Soc Food Sci Nutr 25(6): 1055-1061
  15. Houston DK, Johnson MA, Poon LW, Clayton GM (1994): Individual foods and food group patterns of the oldest old. J Nutr Elder 13 (4): 5-23 https://doi.org/10.1300/J052v13n04_03
  16. Jeong MS, Kim HK (1998): A study on the nutritional status and health condition of elderly in Ulsan area. Korean J Dietary Culture 13 (3): 159-168
  17. Jones PJ, Leitch CA, Pederson RA (1993): Meal-frequency effects on plasma hormone concentrations and cholesterol synthesis in humans. Am J Clin Nutr 57 (6): 868-874 https://doi.org/10.1093/ajcn/57.6.868
  18. Kang MH (1994): Nutritional status of Korean elderly people. Korean J Nutr 27 (6): 616-635
  19. Kerstetter JE, Holthausen BA, Fitz PA (1992): Malnutrition in the institutionalized older adult. J Am Diet Assoc 92 (9): 1109-1116
  20. Kim HY, Iee 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
  21. Kim IS, Yu HH, 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
  22. Kim JH, Koo BK, Kim KJ, Baek JW, Lee YK, Lee SK, Lee HS (1999): Characteristics of eating behaviors of the long-lived elderly people in Kyungpook Sung-Ju. Korean J Community Nutrition 4 (2): 219-230
  23. Kim KH, Lee JW, Park YS, Hyun TS (1997): Nutritional status of the elderly living in Chungju (I. Health-related habits, dietary behaviors and nutrition intakes.) Korean J Community Nutrition 2: 556-567
  24. Kim WY (1994): Osteoporosis and dietary factors. Korean J Nutr 27 (6): 636-645
  25. Kohrs MB, O'Neal R, Preston A, Eklund D, Abrahams O (1978): Nutritional status of elderly residents in Missouri. Am J Clin Nutr 31 (12): 2186-2197 https://doi.org/10.1093/ajcn/31.12.2186
  26. 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: 215-227
  27. Korean Nation Statistical Office (2001): www.stat.go.kr
  28. Lee JW, Kim KA, Lee MS (1998): Nutritional intake status of the elderly taking free congregate lunch meals compared to the middle-income class elderly. Korean J Community Nutrition 3: 594-608
  29. Lee SM (1999): Aging trend and it's social implication in Korea. The VI International symposium The population aging and it's strategy in the east asia. Graduate School of Public Health in Kyungpook National University. Taegu, Korea, pp.14-28
  30. Mo SM, Choi HM, Koo JO, Lee JW (1994): Nutrition in lifecycle. Hyoil Co. Seoul, pp.313-380
  31. Mowe M, Bohmer T, Kindt E (1994): Reduced nutritional status in an elderly population (>70y) is probable before disease and possibly contributes to the development of disease. Am J Clin Nutr 59(2): 317-324 https://doi.org/10.1093/ajcn/59.2.317
  32. Son SM, Park YJ, Koo JO, Mo SM, Yun HY, Sung CJ (1996): Nutritional and health status of Korean elderly from low income, urban area and improving effect of meal service on nutritional and health status (I. Anthropometric measurements and nutrient intakes). Korean J Community Nutrition 1: 79-88
  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. Subar AF, Harlan LC, Mattson ME (1990): Food and nutrient intake difference between smokers and nonsmokers in the US. Am J Public Health 80(11): 1323-1329 https://doi.org/10.2105/AJPH.80.11.1323
  35. The Korean Nutrition Society (2000): Recommended dietary allowances for Koreans. 7th revision, Seoul
  36. Tripp F (1997): The use of dietary supplements in the elderly: current issues and recommendations. J Am Diet Assoc 97 (10 suppl 2) : S181-S183 https://doi.org/10.1016/S0002-8223(97)00759-1
  37. Troisi RJ, Heinold JW, Vokonas PS, Weiss ST (1991): Cigarette smoking, dietary intake, and physical activity: effects on body fat distribution-the Normative aging study. Am J Clin Nutr 53 (5): 1104-1111 https://doi.org/10.1093/ajcn/53.5.1104
  38. US Senate Special committe on aging (1988): Aging America: Trends and projections. 1987-1988 Washington DC, US Government Printing Office
  39. Van Staveren WA, de Groot LC, Blauw YH, van der Wielen RP (1994): Assessing diets of elderly people: problem and approaches. Am J Clin Nutr 59 (1 suppl): 221S-223S https://doi.org/10.1093/ajcn/59.1.221S
  40. White JV, Ham RJ, Lipschitz DA, Dwyer JT, Wellman NS (1991): Consensus of the nutrition screening initiative: risk factors and indicators of poor nutritional status in older Americans. J Am Diet Assoc 91 (7): 783-787
  41. Wiley JA, Camacho TC (1980): Life-style and future health: evidence from the Alameda country study. Prev Med 9 (1): 1-21 https://doi.org/10.1016/0091-7435(80)90056-0
  42. Wilson D, Benedict J (1996): Nevada's elderly: nutrition screening, risk and interventions. Nutr Rev 54: 27-45 https://doi.org/10.1111/j.1753-4887.1996.tb03895.x
  43. Yoo HJ (1994): Nutritional problems in the elderly patients. Korean J Nutr 27: 666-674