Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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A Study on the Health and Nutritional Status and Nutrient Intakes in Elderly Korean Female

서울 일개 교회 여자 노인의 영양상태, 건강상태와 영양소 섭취에 관한 연구

  • Received : 2010.02.05
  • Accepted : 2010.04.03
  • Published : 2010.06.30
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Abstract

Purpose: The purpose of this study was to investigate the health status, nutritional status, and nutrient intakes of Korean female elderly who are members of a local church in Seoul, Korea. Methods: The subjects were 59 female who are aged >65 yr. We investigated the nutritional status of the subjects using anthropometric and biochemical measurements. Interview was conducted to obtain the information regarding the health status. We also obtained dietary intake of these subjects to figure out the nutrient intakes. Results: The mean age of the subject was 74.0 yr old. Based on the WHO standard (obesity, body mass index, BMI ${\qeq}25$), we categorized the subjects to the obese and the non obese groups. The number of subjects in the obese group was 34 (57.6%). The mean Diastolic BP (p=.002), BMI (p<.001), waist circumference (p<.001), hip circumference (p<.001), blood level of transferrin (p=.038), and nutrient intakes of calcium (p=.026), potassium (p=.046), folate (p=.038) and vitamin E (p=.031) were higher in the obese group than in the non obese group. The subjects with hypertension was 67.5%. The presence of hypertension was correlated with BMI (p<.05). The number of subjects with hypercholesterolemia was 17 (28.8%). The level of cholesterol was correlated with BMI (p<.05) and wasit/hip ratio (p<.05). Conclusion: The female elderly in our study had higher prevalence of obesity which is a risk factor for hypertension and hypercholesterolemia. The nutrient intake of high sodium, high cholesterol, and low dietary fiber of these subjects suggests that there is an urgent need to develop an well planned nutritional education program for female elderly.

Keywords

References

  1. American Diatetes Association. (2009). Diagnosis and classification of diabetes mellitus. Diabetes Care, 32(Suppl 1), S62-67. https://doi.org/10.2337/dc09-S062
  2. Anderson, J. W., & Tietyer-Clark, J. (1986). Dietary fiber: Hyperlipidemia, hypertension and coronary heart disease. The American Journal of Gastroenterology, 81, 907-919.
  3. Aslam, F., Haque, A., Lee, L. V., & Foody, J. (2009). Hyperlipidemia in older adults. Clinics in Geriatric Medicine, 25, 591-606. https://doi.org/10.1016/j.cger.2009.08.001
  4. Bjorntorp, P. (1985). Regional patterns of fat distribution. Annals of Internal Medicine, 103, 994-995. https://doi.org/10.7326/0003-4819-103-6-994
  5. Blumentahl, J. A., Matthews, K., Fredrikson, M., Rifai, N., Schniebolk, S., German, D., et al. (1991). Effects of exercise training on cardiovascular function and plasma lipid, lipoprotein, and apolipoprotein concentrations in premenopausal and postmenopausal women. Arteriosclerosis and Thrombosis, 11, 912-917. https://doi.org/10.1161/01.ATV.11.4.912
  6. Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L. Jr., et al. (2003). The Seventh Report of Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: The JNC 7 Report. The Journal of the American Medical Association, 289, 2560-2572. https://doi.org/10.1001/jama.289.19.2560
  7. Choi, J. H., Kim, M. H., Cho, M. S., Lee, H. S., & Kim, W. Y. (2002). The nutritional status and dietary pattern by BMI in Korean elderly. Korean Journal of Nutrition, 35, 480-488.
  8. Eom, J. S., Lee, T. R., Park, S. J., Ahn, Y. J., & Chung Y. J. (2008). The risk factors of the pre-hypertension and hypertension of rural inhabitants in Chungnam-do. Korean Journal of Nutrition, 41, 328- 336.
  9. Kim, H. Y., Kim, M. H., Kim, S. K., Hong, S. J., Hwang, S. J., & Park, M. H. (2005). A study of the nutrient intake, health risk factors, blood health status in elderly Korean women living alone. Korean Journal of Community Nutrition, 10, 216-223.
  10. Kim, W. Y., Kang, M. H., & Cho, M. S. (2001). Body composition assessment Nutritional Assessment (2nd ed.). Seoul: Shinkwang.
  11. Kim, Y. H., Lee, H. O., Chang, R., & Cho, R. W. (2002). A study on the food habits, nutrient intake and the disease distribution in the elderly (aged over 65 years) (I). Korean Journal Community Nutrition, 7, 516-526.
  12. Korean Ministry of Health and Welfare. (2008). The Fourth Korea National Health and Nutrition Examination Survey IV (KNHANES IV). Seoul: Author.
  13. Korean Ministry of Health and Welfare. (2009). The Fourth Korea National Health and Nutrition Examination Survey IV (KNHANES IV). Seoul: Author.
  14. Korean Society of Lipidology and Atherosclerosis. (2003). Korean guidelines of hyperlipidemia treatment for prevention of atherosclerosis. Seoul: Author.
  15. Lee, H. J., Lee, H. K., & Lee, S. K. (2007). The health status and nutrient intakes of elderly female in Daegu area. Korean Journal of Community Nutrition, 12, 50-57.
  16. Lee, H. J., Park, S. J., Kim, J. H., Kim, C. I., Chang, K. J., Yim, K. S., et al. (2002). Development and validation of a computerized semiquantitative food frequency questionnaire for evaluating the nutritional status of Korean elderly. Korean Journal of Community Nutrition, 7, 277-285.
  17. Lee, H. S., Kwun, I. S., & Kwon, C. S. (2009). Prevalence of hypertension and related risk factors of the older residents in Andong rural area. Journal of Korean Society Food Science and Nutrition, 38, 852- 861. https://doi.org/10.3746/jkfn.2009.38.7.852
  18. Li, Z., McNamara, J. R., Fruchart, J. C., Luc, G., Bard, J. M., Ordovas, J. M., et al. (1996). Effects of gender and menopausal status on plasma lipoprotein subspecies and particle sizes. Journal of Lipid Research, 37, 1886-1898.
  19. Lindheim, S. R., Notelovits, M., Feldman, E. B., Larsen, S., Khan, F. Y., & Lobo, R. A. (1994). The independent effects of exercise and estrogen on lipids and lipoproteins in postmenopausal women. Obstetrics and gynecology, 83, 167-172.
  20. Park, K. A., Lee, H. S., Park, M. S., Lee, J. H., Cheon, S. E., Kim J. S., et al. (2002). Studies on alterations in taste perception of Korean elderly. Journal of Korean Geriatric Society, 6, 299-310.
  21. Pender, N. J. (1996). Health promotion in nursing practice (3rd ed.). Stanford: Appleton and Lange.
  22. Preuss, H. G. (1993). Nutrition and diseases of women: Cardiovascular disorders. Journal of the American College of Nutrition, 12, 417-425. https://doi.org/10.1080/07315724.1993.10718331
  23. Shin, A., Choi, J. Y., Chung, H. W., Park, S. K., Shin, C. S., Choi, Y. H., et al. (2004). Prevalence and risk factors of distal radius and calcaneus bone mineral density in Korean population. Osteroporosis International, 15, 639-644.
  24. Shin, S. J., Shin, K. R., Shin, C., & Park, S. Y. (2008). Bone mineral density and risk factros of osteoporosis in healthy men and women. Journal of Korean Society for Health Education and Promotion, 25, 53-64.
  25. Son, E. J., & Moon, H. K. (2002). The relationship of nutritional status to the degree of hypertension in residents of Kangbuk-gu, Seoul. Korean Journal of Community Nutrition, 7, 304-315.
  26. Son, S. M., & Lee, Y. N. (1999). Nutritional status and related factors of elderly residing in Puchon city. Journal of Korean Society Food Science and Nutrition, 28, 1391-1397.
  27. Son, S. M., Park, J. K., & Lee, H. S. (2003). Depression and dietary factors related to hyperlipidemia in urban living elderly female from low income group. Korean Journal of Community Nutrition, 8, 938- 959.
  28. Talati, R., Baker, W. L., Pabilonia, M. S., White, C. M., & Coleman, C. I. (2009). The effects of barley-derived soluble fiber on serum lipids. Annals of family medicine, 7, 157-163. https://doi.org/10.1370/afm.917
  29. The Korean Society of Nutrition. (2005). Dietary Reference of Intake for Koreans. Seoul: Author.
  30. The Statistics Korea. (2009). Causes of death statistics in 2008. Seoul: Author.
  31. Tucker, K., Spiro, A. I., & Weiss, S. T. (1995). Variation in food and nutrient intakes among older men: Age and other socio-demographic factors. Nutrition Research, 15, 161-176. https://doi.org/10.1016/0271-5317(95)92582-5
  32. White, J. V., Ham, R. J., Ripschitz, D. A., Dwyer, J. T., & Wellman, N. S. (1991). Consensus of the nutrition screening initiative: Risk factors and indicators of poor nutrition status in older Americans. Journal of the American Dietetic Association, 91, 783-789.
  33. World Health Organization. (2002). The World health report 2003: Reducing risk, promoting healthy life. Geneva: Author.
  34. World Health Organization Expert Consultation. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 363, 157-163. https://doi.org/10.1016/S0140-6736(03)15268-3
  35. World Health Organization Regional Office for the Western Pacific (WPRO), the International Association for the Study of Obesity (IASO) and the International Obesity Task Force (IOTF). (2000). The Asia Pacific perspective-redefining obesity and its treatment.
  36. Yang, K. M. (2005). A study on nutritional intake status and healthrelated behaviors of the elderly people in Gyeongsan area. Journal of Korean Society Food Science and Nutrition, 34, 1018-1027. https://doi.org/10.3746/jkfn.2005.34.7.1018
  37. Yoo, H. J. (1994). Nutritional problems in the elderly patients. Korean Journal of Nutrition, 27, 666-674.