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

농촌 장수마을 여자 노인의 식행동 변화단계 모형에 따른 식품 및 영양소 섭취상태 비교

  • Park, Mi-Yeon (Department of Food and Nutrition, Gyeongsang National University) ;
  • Chun, Byung-Yeol (Department of Medicine, School of Medicine, Kyungpook National University) ;
  • Jo, Soon-Jae (Rural Environment & Amenity, Rural Resource Development Institute) ;
  • Jeong, Gu-Beom (Department of Computer Engineering, Sangju National University) ;
  • Huh, Chul-Hyoi (Department of Multimedia Information, SungDuk College) ;
  • Kim, Geum-Ran (Department of Food and Nutrition, Sangju National University) ;
  • Park, Phil-Sook (Department of Food and Nutrition, Sangju National University)
  • 박미연 (경상대학교 식품영양학과) ;
  • 천병렬 (경북대학교 의과대학 예방의학교실) ;
  • 조순재 (농촌자원개발연구소) ;
  • 정구범 (상주대학교 컴퓨터공학과) ;
  • 허철회 (성덕대학 멀티미디어정보계열) ;
  • 김금란 (상주대학교 식품영양학과) ;
  • 박필숙 (상주대학교 식품영양학과)
  • Published : 2008.02.29

Abstract

For the correct dietary habit and balanced dietary intake of aged people, the nutrition management that fits to the dietary behavior change stage has to be accomplished. In order to do so, in this paper, we chose 175 women that are aged more than 65 years old who are rural long life community residents and surveyed the dietary intake for 2 days including a twice depth interview and the 24 hour recall method. Also, for the sake of our aim, using the transtheoretical model, the dietary behavior change stage group was divided into the contemplation stage group, the preparation stage group, the action stage group and the maintenance stage group. The results are as follows: In the intake amount of protein (p < 0.01), vitamin $B_1$ (p < 0.05) and vitamin $B_6$ (p < 0.05), the intake amount of these nutrients in the action stage group and the maintenance stage group were significantly larger than the intake amount in the contemplation stage group and the preparation stage group. The nutrition evaluation according to the dietary behavior change stage, the ratio of subjects who took insufficient amount of energy, protein, vitamin A, and vitamin C were low as the dietary behavior change stage was upgraded. The subjects of maintenance stage group were most likely to consume vegetables more than once a day, and consume fruits and milk and milk products more than 5 times/week. MAR [13], MAR [10] and MAR [4] of subjects in the action stage group and the maintenance stage group were significantly higher than MAR [13], MAR [10] and MAR [4] of subjects in the contemplation stage group and the preparation stage group (p < 0.001). From the above results, there were differences of nutrient intakes according to the dietary behavior change stage. Therefore, it is considered that the intervention for the dietary behavior motivation induction has to be advanced before accomplishing the individually fitting intervention at the time of nutrient management intervention.

Keywords

References

  1. Gibson RS (1990): Principles of nutritional assessment. Oxford University Press, New York
  2. Grant KA (2004): An exploration of the effectiveness of a phase approach to nutrition counseling using the transtheoretical and brief intervention model, pp. 15-28 University Press of Florida, Atlantic
  3. Han HK, Choi SS, Kim MW, Lee SD (2005): Food habits and nutritional status of the long-lived elderly people in Ganghwagun area. Korean J Comm Nutr 10(1): 101-110
  4. Hansen RG (1973): An index of food quality. Nutr Rev 31: 1-7 https://doi.org/10.1111/j.1753-4887.1973.tb05134.x
  5. Jang, YA (2007): How to use KDRIs in nutrition assessment counseling: Development of CAN program. proceedings Korean Nutr Society
  6. Jeong GB, Huh CH, Park MY, Park PS (2007a): The program of dietary life management of old people in rural area (long-life community). www. sors.or.kr: No 2007-01-199-009026
  7. Jeong GB, Huh CH, Park PS, Park MY (2007b): The development of dietary life management program of old people in rural area (long-life community). Rural Resource Development Institute
  8. Kim JH, Bae YJ, Lee DH, Cho HK, Choi SH, Sung CJ (2005): A evaluation study on nutrient intake status and diet quality of middle and old aged vegetarian women in Korea. Korean J Comm Nutr 10(6): 869-879
  9. Korea National Statistical Office (2005): Korean statistical information system
  10. Korea National Statistical Office (2006): Korean statistical information system
  11. Lee MS (2005): The dietary habits of the nonagenarian population in longevity belt in Korea. Korean J Comm Nutr 10(4): 513-524
  12. Lee JS, Yu CH, Park SH, Han GJ, Lee SS, Moon HK, Paik HY, Shin SY (1998): A study on nutritional intake of the rural people in Korea. -Comparison of the nutrient intake by areas and age- Korean J Nutr 31(9): 1468-1480
  13. Lim YJ, Choi YS (2007): Seasonal nutrient intakes of elderly women living alone as compared to those living with family in the Gyeongbuk rural area. Korean J Comm Nutr 12(1): 58-67
  14. Ni Mhurchr CN, Margetts BM, Speller VM (1997): Applying the stages-of-change model to dietary change, Nutrition Reviews 55: 10-16 https://doi.org/10.1111/j.1753-4887.1997.tb06115.x
  15. Park MY, Chun BY, Jeong GB, Oh HM, Lee JH, Park PS (2007a): The effect of follow-up nutrition intervention programs applied aged group of high risk undernutrition in rural area (II). Korean Living Science Assoc 16(1): 193-204
  16. Park MY, Kim GR, Lee DJ, Kim JM, Park PS (2006): A survey of food and nutrient intakes of the aged people in rural area, Gyeongbuk Yecheon. Korean J Nutr 39(1): 58-73
  17. Park MY, Kwon JH, Lee DJ, Cho EK, Park PS (2004): A study on the dietary attitudes and nutritional status of lifestyle disease patients living on Tongyoung city. Korean J Health Promotion and Disease Prevention 4(3): 137-147
  18. Park PS, Chun BY, Jeong GB, Huh CH, Joo SJ, Park MY (2007b): The effect of follow-up nutrition intervention programs applied aged group of high risk undernutrition in rural area (II). Korean J Food Culture 22(1): 127-139
  19. Park PS, Jeong GM, Kim JH, Paik JH, Park MY (2003): Risk factors of a complex disease for the diabetes mellitus group and the hypertension group in the Geoje community. Korean J Food Culture 18(2): 123-133
  20. Pollitt E, Hathirat P, Kotchabhakdi NJ, Missell L, Valyasevi A (1989): Iron deficiency and educational achievement in Thailand. Am J Clin Nutr 50: 687-697 https://doi.org/10.1093/ajcn/50.3.687
  21. Prochaska JO, Diclemante CC (1983): Stage of processes of self change of smoking : Toward an integrative model. J of Consulting and Clinical Psychology 56: 520-528
  22. Prochaska JO, Redding CA, Evers KE (1997): The transtheoretical model and stages of change, In K, Glanz, RM, Lewis, & B K, Timer (Eds,), Health behavior and health education: Theory, research, and practice, San Francisco, CA: Jossey-Bass 60-84
  23. Prochaska JO, Velicer WF (1997): The transtheoretical model of health behavior change. Am J of Health Promotion 12(1): 38-48 https://doi.org/10.4278/0890-1171-12.1.38
  24. Randall E, Nichaman MZ, Contant CF Jr (1985): Diet diversity and nutrient intake. J Am Diet Assoc 85: 830-836
  25. Ministry of Health & Wealth (2006): The Third Korea National and Nutrition Examination Survey (KNHANES III)-Nutrition survey (1)
  26. Ministry of Health & Wealth (2006): The Third Korea National and Nutrition Examination Survey (KNHANES III)-Nutrition survey (2)
  27. The Korean Nutrition Society (2005): Dietary reference intakes for Koreans. Seoul
  28. Yeum KJ, Lee-Kim YC, Jhu S, Xian S, Mason J, Russell RM (1999): Serum concentrations of antioxidant nutrients in healthy American, Chinese and Korean adults. Asia Pacific J Clin Nutr 8: 4-8 https://doi.org/10.1046/j.1440-6047.1999.00035.x
  29. Yim KS (2007): Health-related behavioral factors associated with nutritional risks in Korean aged 50 years and over. Korean J Comm Nutr 12(5): 592-605
  30. Yim KS, Min YH, Lee TY, Kim YJ (1999): Strategies to improve elderly nutrition through nutrition education -Evaluation of the effectiveness of the program- Korean J Comm Nutr 4(2): 207-218