Korean Journal of Community Nutrition

Original Articles

[English]
A Qualitative Study on Attitude, Acceptability, and Adaptation for Home-delivered Meal Services in the Korean Elderly from the Perspective of Life Context: Ji Yun Hwang, Bokyoung Kim, Kirang Kim; Korean J Community Nutr 2014;19(5):459-467. Published online October 31, 2014; DOI: https://doi.org/10.5720/kjcn.2014.19.5.459

OBJECTIVES
The purpose of this study was to suggest the strategies for improvement of home-delivered meal services for the elderly, to identify reasons for recipients to get started with the services and to evaluate the attitude, acceptability and adaptation of recipients to the services from the perspective of life context.
METHODS
The data was collected through face-to-face in-depth interviews with eighteen low-income elderly recipients of home-delivered meals and analyzed using a qualitative research method.
RESULTS
The results were deduced as four themes which comprised of long-term vulnerable socioeconomic contexts resulted in entry to the services, conflicting acceptability to the services, passive adaptation to taking the services, and positive practices to cope with supplement free meals or other services. The service participation was initiated because of a combination of prolonged, vulnerable socioeconomic contexts, including poverty and unexpected life events such as diseases, disability, living alone, aging and unemployment. With regard to taking the services, conflicting acceptability was observed: positive aspects including saving living cost and good quality of meals, and negative aspects including lack of a tailored service and feeling of stigma. Although the recipients needed an individualized service, they did not express their needs and demands for the services and they accepted the unavailability as an accustomed, prolonged vulnerable socioeconomic context. With regard to lack of tailored services, either self-solution such as modification of eating patterns or community-based network and services were used.
CONCLUSIONS
We suggest that a system to concretely identify recipients' attitude, acceptability and adaptation for home-delivered meal services should be developed in the establishment of a tailored nutrition support system for the low-income elderly.

Citations

Citations to this article as recorded by

Food Insecurity and Stress Among Rural Residents in South Carolina: The Moderating Influences of Household Characteristics, Neighborhood Social Environment and Food Environment
Caitlin Koob, Ye Luo, Catherine Mobley, Samuel Baxter, Sarah Griffin, Cassius Hossfeld, Leslie Hossfeld
Journal of Community Health.2023; 48(3): 367. CrossRef
Virtual Grocery Store: Fostering Healthy Nutrition among Seniors
Tara Crowell, Anthony Dissen, Elizabeth G. Calamidas, Elizabeth Finnerty, Laura Engelmann
Journal of Nutrition in Gerontology and Geriatrics.2021; 40(4): 290. CrossRef
Interpersonal and Community Factors Related to Food Sufficiency and Variety: Analysis of Data from the 2017 Community Health Survey
Jiyoun Hong, Taisun Hyun
Korean Journal of Community Nutrition.2020; 25(5): 416. CrossRef
Experiences of Healthcare and Daily Life Support Services in Community-dwelling Elders Living Alone: A Thematic Analysis using Focus Group Interviewing
Yeon-Hwan Park, Kyung-Choon Lim, Be Long Cho, Hana Ko, Yu Mi Yi, Eun-Young Noh, So-Im Ryu, Sun Ju Chang
Journal of Korean Gerontological Nursing.2019; 21(3): 200. CrossRef
Food Insecurity and Geriatric Hospitalization
Rachel S. Bergmans, Briana Mezuk, Kara Zivin
International Journal of Environmental Research and Public Health.2019; 16(13): 2294. CrossRef
Participation in the Supplemental Nutrition Assistance Program and maternal depressive symptoms: Moderation by program perception
Rachel S. Bergmans, Lawrence M. Berger, Mari Palta, Stephanie A. Robert, Deborah B. Ehrenthal, Kristen Malecki
Social Science & Medicine.2018; 197: 1. CrossRef

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[English]
A Study on Customized Nutrition Intervention Program Design and Application for the Low-Income Elderly: Hyun Joo Do, Youngmee Lee; Korean J Community Nutr 2011;16(6):716-729. Published online December 31, 2011; DOI: https://doi.org/10.5720/kjcn.2011.16.6.716

Abstract PDF PubReader

This study aimed to plan nutrition support programs for the elderly living alone whose nutrition status were seriously concerned, conducted seven stages nutrition intervention program on a trial basis, and evaluated the effectiveness of the program of the Elderly Nutrition Support Project. Subjects were selected for personalized nutrition management based on nutritional risk score and nutrition intervention were tailored to the problems occurred. The elderly nutrition support program targets were 44 senior citizens who lived alone with low income. The 33 (as Type 1) of the subjects with whom milk, tofu, seaweed, eggs, black beans have been supported, and also provide nutrition education, and the rest 11 persons (as Type 2) to whom food was not supported but provide nutrition education programs. As a result, all subjects showed that compared with pre and post program implementation, their daily exercise time and milk and protein consumption level were increased and some improvement was observed regular meals consumption and low-salt diets. Their nutrient intake level such as calories, protein, calcium, iron improved after implementation. In addition, NSL DETERMINE scores significantly improved from 13.21 to 7.24 in Type 1 and 11.27 to 9.91 in Type 2. As positive dietary behavioral changes were observed as in that they purchased more protein and calcium rich foods.

Citations

Citations to this article as recorded by

Comparison of the health and nutritional status of Korean elderly considering the household income level, using the 2018 Korea National Health and Nutrition Examination Survey
Jin Mo Khil
Journal of Nutrition and Health.2021; 54(1): 39. CrossRef
The effects of a personalized nutrition intervention program on food security, health and nutritional status of low-income older adults in Seoul city
Yeyeon Lee, Narae Yang, Minjeong Shin, Kyung-Eun Lee, Chang Hee Yoo, Kirang Kim
Journal of Nutrition and Health.2020; 53(4): 416. CrossRef
Effects of a Health Promotion Empowerment Program Using a Resident Volunteer as a Lay Health Leader on Frail Elders' Health and Empowerment
Jeong Sook Park, Yun Jung Oh
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 335. CrossRef
Effect of nutrition care process-based nutrition intervention on improvement of intake in the elderly in-patients with malnutrition
Ji-Hyun Park, Min-Ji Kang, Jung-Sook Seo
Journal of Nutrition and Health.2018; 51(4): 307. CrossRef
A Qualitative Study on Needs of Convenience Meal from the Low-income Female Elderly
Ji-Eun Jang, Ji-Na Kim, Soojin Park, Weon-Sun Shin
Journal of the Korean Society of Food Culture.2014; 29(2): 163. CrossRef
An Evaluation of the Dietary Status for Developing Assistance Programs for Daily Lives of Elderly Individuals in Rural Korea
Jin-Sook Yoon, Min-Kyoung Song, Hye-Jin Lee, Shin-Young Lee, Hee-Keum Cho, Yoon-Ji Choi
The Korean Journal of Community Living Science.2014; 25(2): 163. CrossRef
Qualitative study on home delivery meal services for the elderly
Sunhee Seo, Eunju Yu, Og Yeon Kim
Journal of Nutrition and Health.2013; 46(6): 589. CrossRef

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[English]
Gender and Age Differences in the Nutritional Status of the Low Income Elderly Living in Gwangju: Hee Kyung Ro, Keun Ae Oh; Korean J Community Nutr 2003;8(3):302-310. Published online June 30, 2003

Abstract PDF: This study was undertaken to assess nutritional status of the low income elderly residing in Gwangju. Anthropometric data showed that mean height of the subjects was lower than that of Korean Standard Growth data but weight was similar to that standard value. As the subjects became older, their heights and weights were decreased. Body mass index (BMI) in males and females were 22.9 and 24.4 respectively. However, BMI distribution showed that 56% of the elderly females under 75 were underweight. Advancing age conoibutes significant difference in triceps skinfold thickness in females (p<0.001). Total cholesterol level was higher in the elderly females than the males. It was found that a considerable number of subjects had anemia determined by hemoglobin and hematocrit level, which indicated un iron deficiency. Twenty-four hour dietary recall revealed that, except for phosphorus and vitamin C, all the nutrient intakes of the subjects were below 75% of Korean RDA. Surprisingly, vitamin A and riboflavin intakes of the elderly were below 50% of Korean RDA. Energy intakes of the elderly males and females were 58.7% and 59.6% of Korean RDA respectively. Unbalanced energy ratios of carbohydrate, protein and fat were noted in both genders. Nutrient intakes of females' were lower than those of males'. Thus, there was a significant gender difference in nutrient intakes. It might be further suggested that an appropriate nutritional program should be developed and implemented to improve the Poor nutritional status of the low income elderly living in cities.

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