DOI QR코드

DOI QR Code

The association between vegetable intake and marital status in Korean adults aged 30 years and over: based on the 2007~2010 Korea National Health and Nutrition Examination Survey

30세 이상 한국성인의 결혼상태와 채소섭취와의 연관성 분석: 2007~2010년 국민건강영양조사 자료를 이용하여

  • Baek, Yeji (Graduate School of Public Health, Seoul National University) ;
  • Joung, Hyojee (Graduate School of Public Health, Seoul National University) ;
  • Shin, Sangah (Institute of Health and Environment, Seoul National University)
  • Received : 2014.07.03
  • Accepted : 2015.03.09
  • Published : 2015.04.30

Abstract

Purpose: The aim of this study was to examine associations between marital status and vegetable intake. Methods: Data were from participants 30 years and over (n = 18,190) in the 2007~2010 Korea National Health and Nutrition Examination Survey. Marital status was divided into three groups: married, never married, and separated/divorced/widowed. Vegetable intake was estimated from the twenty-four hour dietary recall. Data were analyzed using a chi-square test, analysis of covariance, least squares means, and logistic regression. Results: Married respondents tend to consume more vegetables, including kimchi, than all other marital status groups. Vegetable intake, excluding kimchi, was lowest among 30~64 year-old respondents who had never married. Elderly men (65 years and older) who were never married/separated/divorced/ widowed had significantly lower vegetable intake than elderly men who were married (p = 0.0008). When considering the Korean dietary reference intake (KDRIs), elderly men who were never married/separated/divorced/widowed, compared with elderly men who were married, had a significantly higher odds ratio for consuming fewer vegetables than the KDRIs (OR = 1.64, 95% CI: 1.13~2.37). Conclusion: The findings of this study indicate that marital status might influence vegetable intake and the probability of consuming fewer vegetables than the KDRIs. In particular, being never married/separated/divorced/ widowed might adversely affect vegetable consumption among elderly men, although assessing the causal effect of marital status from this cross-sectional study is difficult.

본 연구는 30세 이상 한국성인의 결혼상태와 채소섭취와의 연관성을 분석하고자 하였다. 이를 위해 2007~2010년 국민건강영양조사 자료를 이용하여 조사 참가자의 성별, 연령대별 채소섭취량을 비교하고, 채소를 권장섭취횟수보다 부족하게 섭취할 위험도를 분석하였다. 분석결과, 결혼상태에 따라 성별, 연령대별 채소섭취량에 차이가 있었다. 남녀 모두 유배우자 동거 집단의 김치를 포함한 채소섭취량이 결혼한 적 없는 집단과 별거/이혼/사별 집단과 비교해 가장 높았다. 김치를 포함한 채소를 권장섭취횟수보다 적게 섭취할 위험도는 유배우자 동거집단에 비해 결혼한 적 없거나 별거/이혼/사별인 경우 높아지는 경향을 보였다. 65세 이상 남자의 경우 결혼한 적 없음/별거/이혼/사별 집단은 유배우자 동거 집단과 비교해 채소섭취량이 낮았으며, 채소를 권장섭취횟수보다 적게 섭취할 위험도는 높았다. 결혼상태와 채소섭취량의 관계를 명확히 파악하기 위해서는 결혼상태와 식생활의 변화를 함께 조사할 수 있는 코호트 연구가 수행돼야 한다. 또한 결혼상태의 지속기간, 결혼상태의 만족도 등 결혼상태를 다양하게 파악할 수 있는 정보와 함께, 식생활 상태를 평가할 수 있는 자료를 수집해야 한다.

Keywords

References

  1. Chun SS. A study on the indices of life expectancy by marital status. J Korean Public Health Assoc 1999; 25(1): 83-99.
  2. Son JY, Han GH. The effects of marital status on health among older adults: the mediating effects of economic resources and social networks. Korean J Fam Welf 2012; 35: 5-40.
  3. Park K. Marital status effects on sex-specific mortality: a theoretical integration. Korean J Sociol 1994; 28: 117-137.
  4. Kaplan RM, Kronick RG. Marital status and longevity in the United States population. J Epidemiol Community Health 2006; 60(9): 760-765. https://doi.org/10.1136/jech.2005.037606
  5. Dupre ME, Beck AN, Meadows SO. Marital trajectories and mortality among US adults. Am J Epidemiol 2009; 170(5): 546-555. https://doi.org/10.1093/aje/kwp194
  6. Choi H, Marks NF. Socioeconomic status, marital status continuity and change, marital conflict, and mortality. J Aging Health 2011; 23(4): 714-742. https://doi.org/10.1177/0898264310393339
  7. Jang SN, Kawachi I, Chang J, Boo K, Shin HG, Lee H, Cho SI. Marital status, gender, and depression: analysis of the baseline survey of the Korean Longitudinal Study of Ageing (KLoSA). Soc Sci Med 2009; 69(11): 1608-1615. https://doi.org/10.1016/j.socscimed.2009.09.007
  8. Clavarino A, Hayatbakhsh MR, Williams GM, Bor W, O'Callaghan M, Najman JM. Depression following marital problems: different impacts on mothers and their children? A 21-year prospective study. Soc Psychiatry Psychiatr Epidemiol 2011; 46(9): 833-841. https://doi.org/10.1007/s00127-010-0253-8
  9. Gabriel B, Beach SR, Bodenmann G. Depression, marital satisfaction and communication in couples: investigating gender differences. Behav Ther 2010; 41(3): 306-316. https://doi.org/10.1016/j.beth.2009.09.001
  10. Jeon GS, Lee JY. Impact of marital status on depression and suicidal ideation among Korean adults: focused on the difference by age and sex. Korean J Health Serv Manag 2011; 5(3): 179-190. https://doi.org/10.12811/kshsm.2011.5.3.179
  11. Schafer RB, Schafer E, Dunbar M, Keith PM. Marital food interaction and dietary behavior. Soc Sci Med 1999; 48(6): 787-796. https://doi.org/10.1016/S0277-9536(98)00377-3
  12. Haapala I, Prattala R, Patja K, Mannikko R, Hassinen M, Komulainen P, Rauramaa R. Age, marital status and changes in dietary habits in later life: a 21-year follow-up among Finnish women. Public Health Nutr 2012; 15(7): 1174-1181. https://doi.org/10.1017/S1368980012000602
  13. Eng PM, Kawachi I, Fitzmaurice G, Rimm EB. Effects of marital transitions on changes in dietary and other health behaviours in US male health professionals. J Epidemiol Community Health 2005; 59(1): 56-62. https://doi.org/10.1136/jech.2004.020073
  14. Lee S, Cho E, Grodstein F, Kawachi I, Hu FB, Colditz GA. Effects of marital transitions on changes in dietary and other health behaviours in US women. Int J Epidemiol 2005; 34(1): 69-78. https://doi.org/10.1093/ije/dyh258
  15. Hughes ME, Waite LJ. Marital biography and health at mid-life. J Health Soc Behav 2009; 50(3): 344-358. https://doi.org/10.1177/002214650905000307
  16. Liu H, Umberson DJ. The times they are a changin': marital status and health differentials from 1972 to 2003. J Health Soc Behav 2008; 49(3): 239-253. https://doi.org/10.1177/002214650804900301
  17. Shahar DR, Schultz R, Shahar A, Wing RR. The effect of widowhood on weight change, dietary intake, and eating behavior in the elderly population. J Aging Health 2001; 13(2): 189-199. https://doi.org/10.1177/089826430101300202
  18. Håkansson K, Rovio S, Helkala EL, Vilska AR, Winblad B, Soininen H, Nissinen A, Mohammed AH, Kivipelto M. Association between mid-life marital status and cognitive function in later life: population based cohort study. BMJ 2009; 339: b2462. https://doi.org/10.1136/bmj.b2462
  19. Hanson KL, Sobal J, Frongillo EA. Gender and marital status clarify associations between food insecurity and body weight. J Nutr 2007; 137(6): 1460-1465. https://doi.org/10.1093/jn/137.6.1460
  20. Lindstrom M. Marital status, social capital, material conditions and self-rated health: a population-based study. Health Policy 2009; 93(2-3): 172-179. https://doi.org/10.1016/j.healthpol.2009.05.010
  21. Yim HJ, Park HA, Kang JH, Kim KW, Cho YG, Hur YI, Sung EJ. Marital status and health behaviors in middle-aged Korean adults: from the 2007-2010 Korea National Health and Nutrition Examination Survey. Korean J Health Promot 2012; 12(4): 178-186.
  22. Ministry of Health and Welfare (KR). Dietary guideline for Korean. Seoul: Ministry of Health and Welfare; 2009.
  23. Bazzano LA, He J, Ogden LG, Loria CM, Vupputuri S, Myers L, Whelton PK. Fruit and vegetable intake and risk of cardiovascular disease in US adults: the first National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Am J Clin Nutr 2002; 76(1): 93-99. https://doi.org/10.1093/ajcn/76.1.93
  24. Lee SY, Choi KY, Kim MK, Kim KM, Lee JH, Meng KH, Lee WC. The relationship between intake of vegetables and fruits and colorectal adenoma-carcinoma sequence. Korean J Gastroenterol 2005; 45(1): 23-33.
  25. Boggs DA, Palmer JR, Wise LA, Spiegelman D, Stampfer MJ, Adams-Campbell LL, Rosenberg L. Fruit and vegetable intake in relation to risk of breast cancer in the Black Women's Health Study. Am J Epidemiol 2010; 172(11): 1268-1279. https://doi.org/10.1093/aje/kwq293
  26. Kwon JH, Shim JE, Park MK, Paik HY. Evaluation of fruits and vegetables intake for prevention of chronic disease in Korean adults aged 30 years and over: using the Third Korea National Health and Nutrition Examination Survey (KNHANES III), 2005. Korean J Nutr 2009; 42(2): 146-157. https://doi.org/10.4163/kjn.2009.42.2.146
  27. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1). Cheongwon: Korea Centers for Disease Control and Prevention; 2011.
  28. The Korean Nutrition Society. Dietary reference intakes for Koreans, 1st revision. Seoul: The Korean Nutrition Society; 2010.
  29. Jung HJ. Analysis of dietary factors related to metabolic syndrome among Koreans: based on adherence to the Korean food guidance system [dissertation]. Seoul: Seoul National University; 2012.
  30. Billson H, Pryer JA, Nichols R. Variation in fruit and vegetable consumption among adults in Britain. An analysis from the dietary and nutritional survey of British adults. Eur J Clin Nutr 1999; 53(12): 946-952. https://doi.org/10.1038/sj.ejcn.1600877
  31. Pollard J, Greenwood D, Kirk S, Cade J. Lifestyle factors affecting fruit and vegetable consumption in the UK women's cohort study. Appetite 2001; 37(1): 71-79. https://doi.org/10.1006/appe.2001.0415
  32. Riediger ND, Moghadasian MH. Patterns of fruit and vegetable consumption and the influence of sex, age and socio-demographic factors among Canadian elderly. J Am Coll Nutr 2008; 27(2): 306-313. https://doi.org/10.1080/07315724.2008.10719704
  33. Li Y, Li D, Ma CY, Liu CY, Hui D, Wen ZM, Peng LP. Consumption of, and factors influencing consumption of, fruit and vegetables among elderly Chinese people. Nutrition 2012; 28(5): 504-508. https://doi.org/10.1016/j.nut.2011.07.023
  34. Satheannoppakao W, Aekplakorn W, Pradipasen M. Fruit and vegetable consumption and its recommended intake associated with sociodemographic factors: Thailand National Health Examination Survey III. Public Health Nutr 2009; 12(11): 2192-2198. https://doi.org/10.1017/S1368980009005837
  35. Choe JS, Ji SM, Paik HY, Hong SM. A study on the eating habits and dietary consciousness of adults in urban area. J Korean Soc Food Sci Nutr 2003; 32(7): 1132-1146. https://doi.org/10.3746/jkfn.2003.32.7.1132
  36. Kamphuis CB, Giskes K, de Bruijn GJ, Wendel-Vos W, Brug J, van Lenthe FJ. Environmental determinants of fruit and vegetable consumption among adults: a systematic review. Br J Nutr 2006; 96(4): 620-635.

Cited by

  1. Nutritional quality of lunches consumed by Korean workers: Comparison between institutional and commercial lunches vol.10, pp.6, 2016, https://doi.org/10.4162/nrp.2016.10.6.606
  2. Eating Alone is Differentially Associated with the Risk of Metabolic Syndrome in Korean Men and Women vol.15, pp.5, 2018, https://doi.org/10.3390/ijerph15051020
  3. Trends and Dietary Assessment According to Fruit and Vegetable Intake in Korean Elderly People: Analysis Based on the Korea National Health and Nutrition Examination Survey 1998, 2008, and 2018 vol.9, pp.11, 2020, https://doi.org/10.3390/foods9111712