DOI QR코드

DOI QR Code

Nutrient Intake Assessment of Korean Elderly Living in Inje Area, According to Food Group Intake Frequency

인제지역 노인의 식품군 섭취 빈도에 따른 영양섭취량 조사

  • Yim, Kyeong-Sook (Department of Food and Nutrition, College of Human Ecology, The University of Suwon)
  • 임경숙 (수원대학교 생활과학대학 식품영양학과)
  • Published : 2008.12.31

Abstract

The consumption of a wide variety of food groups is considered one of the key components of nutritional adequacy. The 2005 Dietary Guidelines for Koreans includes the consumption of a variety of foods from diverse food groups as a component of a normal diet. A survey was conducted to evaluate the relationship between the dietary diversity of food groups and nutrient intake in elderly patients (age 65 and above) at a rural area in Korea (Inje). 296 subjects (111 male and 185 female) were probed in a 3 day 24-recall dietary survey. Subjects were grouped according to food group intake frequency, based on six food groups (grain, meat/fish/legume/egg, vegetable, fat/oil, dairy, fruit). Nutritional quality was evaluated according to the numbers of nutrients under EAR (Estimated Average Requirements), and MAR (mean adequacy ratios). The frequency of elderly subjects consuming a meat/fish/legumes/egg food group less than once per day was 29.4%. The frequency of elderly subjects consuming fat/oil food group less than once per day was 65.8%. The percentage of subjects who did not eat dairy food was 88.8%, and that of subjects who did not eat fruit was 57.5%. A stepwise multiple regression analysis was used to develop models relating nutritional quality to possible food group intake frequency factors. Using the number of nutrients under EAR as a dependent variable, the meat/fish/legume/egg food group intake frequency explained 9.9% of variance, followed by the grain group, fat/oil group, dairy group, and vegetable and fruit group (Model $R^2$=0.260). For mean nutrient adequacy ratio as a dependent variable, the model $R^2$ was 0.326. The results of this study suggest that a highly varied diet in elderly might be associated with better nutritional quality, as assessed by nutrient intake. Accordingly, dietary guidelines should take into consideration nutritional characteristics in order to improve intake from all major food groups and to provide a variety of foods in the diet.

Keywords

References

  1. 대한영양사협회, 삼성서울병원. 1999. 사진으로 보는 식품 및 음식의 눈대중량. 대한영양사협회. 서울
  2. 안동현, 이정현, 박영숙. 2004. 청소년의 식사지침개발을 위한 식품 섭취 가짓수의 권장수준 모색 연구. 대한지역사회영양학회 춘계학술대회 초록집, pp 404-405
  3. Baek JW, Koo BK, Lee YK, Lee SK, Lee HS. 2000. Nutritional Status of the Long- lived Elderly People in Kyungpook Sung- Ju area(1): Estimation of Nutrients Intakes. Korean J Nutrition, 33(4):438-453
  4. Bernstein MA, Tucker KL, Ryan ND, O'Neill EF, Clements KM, Nelson ME, Evans WJ, Fiatarone Singh MA. 2002. Higher dietary variety is associated with better nutritional status in frail elderly people. J Am Diet Assoc, 102(8):1096-1104 https://doi.org/10.1016/S0002-8223(02)90246-4
  5. Guthrie HA, Scheer JC. 1981. Validity of a dietary score for assessing nutrient adequacy. J Am Diet Assoc, 78(3):240-245
  6. Hsu-Hage BH, Wahlqvist ML. 1996. Food variety of adult Melbourne Chinese: a case study of a population in transition. World Rev Nutr Diet., 79:53-69
  7. Kant AK, Schatzkin A, Harris TB, Ziegler RG, Block G. 1993. Dietary diversity and subsequent mortality in the First National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Am J Clin Nutr., 57(3):434-40 https://doi.org/10.1093/ajcn/57.3.434
  8. Kim IS, Yu HH, Kim YS. 2001a. A Study on nutrient intake, food behavior and health conditions according to food intake diversity the elderly in a local city. Korean J Community Nutrition, 6(2):205-217
  9. Kim IS, Yu HH, Seo ES, Seo EA, Lee HJ. 2002. A Study on the Dietary Quality Assessment among the Elderly in Jeonju Area. Korean J Nutrition, 35(3):352-367
  10. 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
  11. Kim JS, Lee MY, Cheong SH, Lee JH, Kim HD, Lee JH, Hyun TS, Chang KJ. 2001b. A study on supplements use in the middle-age and elderly. Korean J Community Nutrition, 6(5):798-808
  12. Kim SY, Moon SJ. 1990. An Ecological Analysis of the Relationship between Diet Diversity and Nutrient Intake. Korean J Nutrition, 23(5):309-316
  13. Kim WK. 1999. Effects of vitamin I supplementation on immune response and antioxidant defense parameters in healthy korean elderwomen. J Korean Soc Food Sci Nutr, 28(4):924-933
  14. Korean National Statistic office. 2008. URL: www.stat.go.kr
  15. Krebs-Smith SM, Smiciklas-Wright H, Guthrie HA, Krebs-Smith J. 1987. The effects of variety in food choices on dietary quality. J Am Diet Assoc., 87(7):897-903
  16. Kwak EH, Lee SL, Yun JS, Lee HS, Kwon JS, Kwon IS. 2003. Macronutrient, Mineral and Vitamin Intakes in Elderly People in Rural Area of North Kyungpook Province in South Korea. Korean J Nutrition, 36(10):1052-106
  17. La Vecchia C, Muoz SE, Braga C, Fernandez E, Decarli A. 1997. Diet diversity and gastric cancer. Int J Cancer, 72(2):255-257 https://doi.org/10.1002/(SICI)1097-0215(19970717)72:2<255::AID-IJC9>3.0.CO;2-Q
  18. Lee YS, Kim HK. 2002. Nutritional status and Cognitive Status of the Elderly Using Public Health Center in Ulsan. Korean J Nutrition, 35(10):1070-1080
  19. Lee MS. Woo MK. 2001. A study on the factors influencing food consumption by food frequency questionnaire for the middle aged and elderly living Chonju Area. Korean J Community Nutrition, 6(5):789-797
  20. Ministry of Health and Welfare. 2006. The Third Korea National Health and Nutrition Examination Survey (KNHANES III). Seoul
  21. Park MY, Chun BY, Joo SJ, Jeong GB, Huh CH, Kim GR, Park PS. 2008. A Comparison of Food and Nutrient Intake Status of Aged Females in A Rural Long Life Community by the Stage Model of Dietary Behavior Change. Korean J Community Nutrition, 13(1):34-45
  22. Park MY, Kim GR, Lee DJ, Kim JM, Park PS. 2006. A Survey of Food and Nutrient Intakes of the Eged People in Rural Area, Gyeongbuk Yecheon. Korean J Nutrition, 39(1):58-73
  23. Park MY, Lee KH, Youn HS. 2001. Nutrition status of the rural elderly living in Kyungnam: Focusing on health-related habits. dietary behaviors and nutrient intakes. Korean J Community Nutrition, 6(3S):527-541
  24. Ro HK, Oh KA. 2003. Gender and Age Differences in the Nutritional Status of the Low Income Elderly Living in Gwangju. Korean J Community Nutrition, 8(3):302-310
  25. SAS/STAT User's guide. 2006. SAS Institute INC, ver 9.1 edition. Cary NC. USA
  26. Son SM, Lee YN. 1999. Nutritional status and related factors of elder residing in Puchon City: 1. Anthropometric data and biochemical nutritional status. J Korean Soc Food Sci Nutr, 28(6):1391-1397
  27. Song YJ, Paik HY. 1998. Seasonal variation of dietary intake and quality from 24 hour recall survey in adults living in Yeonchon Area. J Korean Soc Food Sci Nutr, 27(4):775-784
  28. The Korean Nutrition Society. 2000. Rccommended Dietary Allowancef for Koreans. 7th revision, Seoul
  29. The Korean Nutrition Society. 2005. Dietary Reference Intakes for Koreans. Seoul
  30. Yim KS. 1997. Elderly nutrition improvement program in the community health center: Nutritional evaluation of the elderly using the index of nutritional quality and food group intake pattern. J Korean Diet Assoc, 3(2):182-196
  31. Yim KS. 1999. Strategies to improve elderly nutrition: Comparisons of dietary behavior according to the mean nutrient adequacy ratio. Korean J Community Nutrition, 4(1):46-56