$\require{mediawiki-texvc}$
  • 검색어에 아래의 연산자를 사용하시면 더 정확한 검색결과를 얻을 수 있습니다.
  • 검색연산자
검색연산자 기능 검색시 예
() 우선순위가 가장 높은 연산자 예1) (나노 (기계 | machine))
공백 두 개의 검색어(식)을 모두 포함하고 있는 문서 검색 예1) (나노 기계)
예2) 나노 장영실
| 두 개의 검색어(식) 중 하나 이상 포함하고 있는 문서 검색 예1) (줄기세포 | 면역)
예2) 줄기세포 | 장영실
! NOT 이후에 있는 검색어가 포함된 문서는 제외 예1) (황금 !백금)
예2) !image
* 검색어의 *란에 0개 이상의 임의의 문자가 포함된 문서 검색 예) semi*
"" 따옴표 내의 구문과 완전히 일치하는 문서만 검색 예) "Transform and Quantization"
쳇봇 이모티콘
안녕하세요!
ScienceON 챗봇입니다.
궁금한 것은 저에게 물어봐주세요.

논문 상세정보

전주지역 노인의 식사의 질 평가에 관한 연구

A Study on the Dietary Quality Assessment among the Elderly in Jeonju Area

초록

전주 지역에 거주하는 65세 이상 노인 230명 (남자 73명 (31.7%) 여자 157(68.3%))을 대상으로 식생활 조사를 실시하여 식사의 질을 평가, 분석한 결과는 다음과 같다. 교육수준은 남자는 중-고졸이 47.9%, 여자는 초등졸 이하가 55.4% (p<0.001), 가구소득은 남자는 51~150만원이 49.3%, 여자는 50만원 이하가 54.3% (p<0.001), 용돈은 남자는 6~10만원이 31.5%, 여자는 5만원 이하가 30.2% (p<0.001), 가족형태가 43.3%로 각각 가장 높은 빈도를 보여 유의적인 차이(p<0.001)가 있었다. 하루에 섭취한 식품가지수인 DVS는 남녀 각각 19.6, 17.7로 남자가 여자보다 유의하게 높았다(p<0.05). 평균 1일 식품 총 섭취량은 남녀 각각 1492.5, 1204.2g으로, 당류, 채소류, 음료, 난류, 어패류, 유제품은 남자가 여자보다 (p<0.05~p<0.001), 해조류는 여자가 남자보다 유의적으로 많이 섭취하였다(p<0.05). 식물성;동물성 식품비율은 남녀 각각 85 : 15, 89 : 11로 식물 비율이 남녀 모두 높았다. DDS(곡류, 육류, 유제품, 채소류, 과일류)의 식품군별 패턴에서 남녀 모두 11011 (유제품만 섭취하지 않음)이 각각 47.9, 33.8%로 가장 많았으며, KDDS(곡류, 육류, 채소류, 유제품, 유지류)의 식품군별 패턴 1위는 11100 (곡류, 육류, 채소류는 섭취하고 유제품, 유지류는 섭취하지 않음)으로 남녀 각각 46.6, 31.8%였다. DDS는 남녀 각각 4.0, 3.7 (p<0.05), KDDS는 각각 3.5, 3.2 (p<0.01)로 KDDS가 DDS보다 낮았다. KDDS를 끼니별로 적용한 Meal balance 분류에서 very bad($\leq$6)가 남녀 각각 4.1, 21.7%, bad(7~9)는 각각 58.9, 55.4%, normal (10~13)은 34.2, 22.3%, good (14~15)은 2.7, 0.5% (p<0.01)로 여자가 남자보다 점수가 낮았으며, 평균 점수는 남녀 각각 9.1, 8.1 (p<0.001)로 매 끼니마다 식품을 다양하게 섭취하지 못하였다. 1일 평균 에너지 섭취량이 남녀 각각 1,740, 1,433 kcal (p<0.05)로, 권장량의 각각 84.0, 80.9%로 단백질 섭취량은 남녀 각각 67, 49 g(p<0.001)으로, 권장량의 각각 100.7, 88.3% (p<0.001)로 양호한 섭취를 보였다. 그러나, 칼슘은 권장량의 각각 62.7, 55.3% (p<0.001), 비타민 A는 각각 60.7, 53.9%이었다. 열량 구성 영양소인 단백질 : 지방 : 탄수화물의 비율이 남자는 15.8:15.7:68.5, 여자는 13.8:13.2:73:0으로 남자가 여자보다 단백질, 지방의 섭취비는 유의적으로 높고 (p<0.001), 탄수화물 비는 낮았다(p<0.01), 아침 : 점심 : 간식 : 저녁 : 밤참의 끼니별 에너지 배분을 보면 남자는 29.2 : 32.4 : 5.0 : 31.2 : 2.2, 여자는 30.5 : 33.5 : 4.5 : 28.6 : 2.9로 세끼 식사 중에 남녀 모두 점심이 차지하는 비율이 가장 높았다. 에너지 섭취를 고려한 INQ는 칼슘과, 비타민 A는 남녀 모두, 비타민 B$_2$는 여자가 1이하로 나타났다. 또한 NAR 중에서도 낮은 영양소는 비타민 A (남 0.52, 여 0.42 (p<0.05), 칼슘 (남 0.68, 여 0.54 (p<0.001)), 비타민 B$_2$(남 0.77, 여 0.67 (p<0.01))이었다. MAR은 남녀 각각 0.82, 0.73 (p<0.001)로 여자가 남자보다 낮았다. 이상의 결과를 종합해 볼 때 전주지역 노인들은 식품을 다양하게 섭취하지 못하였으며, 특히 유제품군과 유지류 섭취가 낮았다. 영양소 섭취는 대체로 양호하였으나, 비타민 B$_2$는 질적 평가에서, 칼슘과 비타민 A는 질과 양이 모두 낮은 영양소로 나타났으며 특히 여자의 경우는 권장량의 절반이하의 수준으로 나타났다. 따라서 이들 영양소의 섭취를 위해 효율적인 식품선택이나 추가 보충등의 방안이 모색되어야 할 것으로 보인다. DVS를 종속변수로 하고 DDS, KDDS, MBS를 독립변수로 하여 다중회귀분석 (Stepwise 방법)을 실시하여, 남자는 KDDS (p<0

Abstract

In order to assess the quality of dietary intake among the elderly, a survey was conducted during Jucy-August, 1999, of 230 subjects who were 65 years or older and who were living in Jeonju City. Results of the analysis of the data are as follows : Regarding Dietery Variety Score (DVS), the average number of food items consumed per person was significantly higher for males (19.6) than for females (17.7). The intake of plant food was higher than animal food for both sexes the proportion of plant versus animal foods consumed by fresh weight was 85 : 15 for males and 89 : 11 for females. Diet Diversity Score (DDS) is determined by how many from five food groups (cereal, meat, dairy, vegetable and fruit) consumed per day while Korean Diet Diversity Score (KDDS) is determined by how many from five different food groups (cereal, meat, vegetable, dairy and oil) consumed per day. The subjects'average DDS and KDDS were 4.0 and 3.5 for males, and 3.7 and 3.2 for females, respectively. Overall, the distribution of DDS was lower than that of KDDS. The average Meal Balance Score (MBS : Apply the KDDS at breakfast, lunch and dinner) was 9.1 for malts and 8.1 for females. Average daily caloric intake for males and females was 1,740 kcal and 1,433 kcal, which was 84.0% and 80.9% of the RDA, respectively. Average daily protein intake for males and females, at 67 g and 49 g (100.7% and 88.3% of the RDA), respectively, was satisfactory. However, intakes of calcium and vitamin A were below 75% of the RDA (calcium : 62.7% for males and 55.3% for females ; vitamin A : 60.7% for males and 53.9% far females). The average proportional contribution of protein/fat/carbohydrate (PFC) to total calorie intake was 15.8 : 15.7 : 68.5 for males and 13.8 : 13.2 : 73.0 for females. Distribution of energy for each meal (breakfast : lunch : afternoon snack : dinner : night snack) was 29.2 : 32.4 : 5.0 : 31.2 : 2.2 among males and 30.5 : 33.5 : 4.5 : 28.6 : 2.91 among females. The Index of Nutritional Quality (INQ) was above 1 for protein, phosphorus, iron, vitamin B$_1$, niacin, and vitamin C. However, the INQ of calcium and vitamin A were below 1 among both males and females, and the INQ of vitamin B$_2$was below l among females. The Nutrient Adequacy Ratio (NAR = nutrient intake %RDA) was below 1 for all nutrients, and the NAR of vitamin A were the lowest among 9 nutrients (protein, calcium, phosphorus, iron, vitamin A, vitamin B$_1$, vitamin B$_2$, niacin, vitamin C) for both males and females, with values of 0.52 and 0.42, respectively. The second and third lowest NAR values were for calcium(males: 0.68: females: 0.54) and vitamin B$_2$(males: 0.77: females: 0.67). Values of Mean Adequacy Ratio (MAR = sum of 9 NARs/9) for males (0.82) were higher than for females (0.73). These results indicate that the intakes of calcium and vitamin A were severely inadequate. The results of a stepwise multiple regression analysis, where the DVS or MAR were the dependent variables and the DDS, KDDS, and MBS were independent variables, indicated that DDS is a more useful variable than KDDS in determining the quality of meals of the elderly.

참고문헌 (48)

  1. http://www.donga.com/fbin/searchview 
  2. Department of Health and Welfare. '98 National Health & Nutrition Survey-Overview report-,1999 
  3. Department of Health and Welfare. '98 National Health & Nutrition Survey-Health condidon of elderly-, 1999 
  4. http://www.nso.go. kr/cgi-bin/sws_999.cgi 
  5. http://healthguide.kihasa.re.kr/main3/index.html 
  6. Kim KN, Lee JW, Park YS, Hyun TS. Nutritional status of the elderly living in Cheongju-1. Health-related habits, dietary behaviors and nutrient intakes-. Kor J Commu Nutr 2(4): 556-567, 1997 
  7. Kim HK, Yoon JS. A study on the nutritional status and health condition of elderly women living in urban community. Kor J Commu Nutr 22(3): 175-184, 1989 
  8. 김현숙.노인의 식이섭취에 영향을 미치는 요인들. 1999년도 한국영향학회 춘계학술대회,1999 
  9. Lee KJ. A comparative study on the eating behavior in Inchon: The elderly living in home and the elderly nursing home. J of the East Asian of Dietary Life 7(2): 221-231, 1997 
  10. Yim KS, Min YH, Lee TY, Kim YJ. Strategies to improve nutrition for the elderly in Suwon: analysis of dietary behavior and food preferences. Kor J Commu Nutr 3(3): 410-422, 1998 
  11. Lim YS, Cho KJ, Nam HJ, Lee KH, Park HR. A comparative study of nutrient intakes and factors to influence on nutrient intake between low-income elderly living in urban and rural areas. J Kor Soc Food Sci Nutr 29(2): 257-267, 2000 
  12. Chang HS, Kim MR. A study on dietaiy status of elderly Koreans with ages. J Kor Soc Food Sci Nutr 28(1): 265-273, 1999 
  13. Jeong MS, Kim HK. A study on the nutritional status and health condition of elderly in Ulsan area. Kor J Diet Culture 13(3): 159-168,1998 
  14. Chyun JH, Shin MW. Nuthtional status in healthy elderly koreans from urban households. Kor J Nutr 21(1): 12-22,1988 
  15. Han KH, Park DY, Kim KN. Drug consumption and nutritional status of the elderly in Chung-buk Area II. Nuthdonal status of urban and rural elderly. Kor J Commu Nutr 3 (3): 228-244,1998 
  16. Han KH. Nutridonal status and life style factors in elderly people. Kor J Commu Nutr 4(2). 279-298,1999 
  17. Hong SM, Choi SY. A study on meal management and nutrient intake of the elderly. J Kor Soc Food Sci Nutr 25 (6): 1055-1061,1996 
  18. Kim IS, Seo EA, Yu HH. A longitudinal study on the change of nutrients and food consumption with advance in age among middleaged and the elderly. Kor J Commu Nutr 4(3): 394-402,1999 
  19. Lee SY. Assessment of dietary intake obtained by 24-hour recall method in Korean adults living in rural area. Seoul university, 1996 
  20. Drewnowski A, Henderson SA, Driscoll A, Rolls BJ. Salt taste perception and preferences are unrelated to sodium consumption in healthy older adults. J Am Diet Assoc 96(5): 471-474,1996 
  21. Haines PS, Siega-Riz AM, Popkin BM. The Diet Quality Index revised: a measurement instrument for populations. J Am Diet Assoc 99 (6): 679-704,1999 
  22. Kant AK, Schatzkin A, Harris TB, Ziegler RG, Block G. Dietary diversity and subsequent mortality in the First National Health and Examination Survey Epidemiologic Follow-up Study. Am J Clin Nutr 57: 434-440,1993 
  23. Kant AK. Indexes of overall dietary quality: a review. J Am Diet Assoc 96(8): 785-791,1996 
  24. Slattery ML, Berry TD, Potter J, Caan B. Diet diversity, diet composition, and risk of colon cancer (United States). Cancer Causes Control 8(6): 872-821,1997 
  25. La Vecchia C, Munoz SE, Braga C, Fernandez E, Decarli A. Diet diversity and gastric cancer. Int J Cancer 72(2): 255-257,1997 
  26. Mc Cann SE, Randall E, Manhall JR, Graham S, Zielezny M, Freudenheim JL. Diet diversity and risk of colon cancer in western New York. Nutr Cancer 21(2): 133-141, 1994 
  27. Recommended Dietary AUowance for Koreans: Koran Nutrition Society, 6th revision, 1995 
  28. Koran Nuthtion Society. Data of food's nutrient, 1998 
  29. Koran Nutrition Society. Data of dish's nutrient, 1998 
  30. Rural nutrition institute. Table food composition 5th revision, 1996 
  31. Shim JE, Ryu JY, Paik HY. Contribution of seasonings to nutrient intake assessed by food frequency questionnaire in adults in rural area of Korea. Kor J Nutr 30(10): 1211-1218, 1997 
  32. Recommended Dietary Allowance for Koreans: Koran Nutrition Society, 7th revision, 2000 
  33. No HJ. Statistic analysis of multiple classification data. Seokjeog, 1999 
  34. He YM. SPSS and statistic analysis. Goymunsa, 1994 
  35. Chang NS, Kim JM, Kim EJ. Nutritional state and dietary behavior of the free-living elderly women. Kor J Diet Culture 14(2): 155-165,1999 
  36. Yim KS. 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 Kor Diet Assoc 3(2): 182-196,1997 
  37. Lee YH, Lee GS. A study on the nutritional knowledge, food behavior, nutriaonal attitudes and food preference-in case of elderly living in home-. Kor J Home 33(6): 213-224,1995 
  38. Cho KJ. The study of the relationship between food habits and bone state in the elderly. J Kor Soc Food Nutr 25(3): 423-432, 1996 
  39. Kim SH. A study on nutrient intake condition and diet quality evaluation of adults in Kyung-buk. Keimyung University, 1998 
  40. Lee JW, Hyun HJ, Kwak CS, Kim CI, Lee HS. Relationship between the number of different food consumed and nutrient intake. Kor J Commn Nutr 5(2S): 297-306, 2000 
  41. Department of Health and Welfare. '98 National Health & Nutrition Survey-Nuthtion survey-, 1999.12 
  42. 寸宋工雄, 榮養の心理, 三工出版株式會社, 日本, 1979 
  43. Kang NE, Kim WK. The effect of nutrient intake, body mass index and blood pressure on plasma lipid profiles in elderly people Kor J Gerontol 6(1): 76-87,1996 
  44. Choi HM et. 21st century Nuthtion. Goymunsa, 2000 
  45. Dwyer JH, Li L, Dwyer KM, Curtin LR, Feinleib M. Dietary calcium, alcohol, and incidence of treated hypertension in the NHANES I epidemiologic follow-up study. Am J Epidemiol 44(9): 828-838,1996 
  46. Iso H, Stampfer MJ, Manson JE, Rexrode K, Hennekens CH, Colditz GA, Speizer FE, Willett WC. Prospective study of calcium, potassium, and magnesium intake and risk of stroke in women. Stroke 30 (9): 1772-1779,1999 
  47. Chung CE, Kin SH. Effects of nuthtional status of the elderly Korean on the aging process. Kor J Gerontol 1(1): 98-106,1991 
  48. Choi YJ, Kim SY, Jung KA, Chang YK An assessment of diet quality in the postmenopausal women. Kor J Nutr 33(3): 304-313, 2000 

이 논문을 인용한 문헌 (5)

  1. 2003. "A Comparison Study of the Daily Food Intake and Its Related Factors of the Elderly Living in Incheon" 東아시아食生活學會誌 = Journal of the East Asian Society of Dietary Life, 13(5): 379~390 
  2. Yim, Kyeong-Sook 2008. "Nutrient Intake Assessment of Korean Elderly Living in Inje Area, According to Food Group Intake Frequency" 韓國食生活文化學會誌 = Journal of the Korean Society of Food Culture, 23(6): 779~792 
  3. Lim, Hyun-Jung ; Woo, Mi-Hye ; Moon, Sang-Kwan ; Choue, Ryo-Won 2008. "A Comparative Study of Diabetes Mellitus Patients with Cerebral Infarction or without Cerebral Infarction - Focused on Nutrient Intakes and Dietary Quality -" 韓國營養學會誌 = The Korean journal of nutrition., 41(7): 621~633 
  4. Kwak, Chung-Shil ; Yon, Mi-Yong ; Lee, Mee-Sook ; Oh, Se-In ; Park, Sang-Chul 2010. "Anthropometric Index and Nutrient Intake in Korean Aged 50 Plus Years Living in Kugoksoondam Longevity-belt Region in Korea" 대한지역사회영양학회지 = Korean journal of community nutrition, 15(3): 308~328 
  5. Kim, Bok Hee ; Yang, Ji-Suk ; Kye, Seung-Hee ; Lee, Yoonna 2014. "The Effect of a Community-Based Nutrition Intervention Program on Dietary Behavior and Nutritional Status of Low-Income Elderly Women in Gwangju City" 한국식품영양학회지 = The Korean journal of food and nutrition, 27(3): 495~506 

DOI 인용 스타일