Warning: mkdir(): Permission denied in /home/virtual/lib/view_data.php on line 81

Warning: fopen(upload/ip_log/ip_log_2024-11.txt): failed to open stream: No such file or directory in /home/virtual/lib/view_data.php on line 83

Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 84
Health and Nutrition Status of Elderly People with Multimorbidity: A Korea National Health and Nutrition Examination Survey (2013~2015)
Skip Navigation
Skip to contents

Korean J Community Nutr : Korean Journal of Community Nutrition

Search
Advanced Search
OPEN ACCESS
mobile search button mobile menu button

Articles

Page Path
HOME > Korean J Community Nutr > Volume 25(6); 2020 > Article
Research Article
Health and Nutrition Status of Elderly People with Multimorbidity: A Korea National Health and Nutrition Examination Survey (2013~2015)
Na-Gyeong Oh, Jung-Sook Seo
Korean Journal of Community Nutrition 2020;25(6):502-511.
DOI: https://doi.org/10.5720/kjcn.2020.25.6.502
Published online: December 31, 2020
1Instructor, Department of Food and Nutrition, Yeungnam University, Gyeongsan, Korea
2Professor, Department of Food and Nutrition, Yeungnam University, Gyeongsan, Korea
Corresponding author:  Jung-Sook Seo,
Email: jsseo@ynu.ac.kr
Received: 9 September 2020   • Revised: 14 December 2020   • Accepted: 15 December 2020
  • 157 Views
  • 1 Download
  • 2 Crossref
  • 0 Scopus
prev next
Full Article

Download PDF Download PDF

Abstract

Objectives
This study investigated the health and nutritional status of the elderly according to the number of chronic diseases, using data obtained from the Korea National Health and Nutrition Examination Survey 2013~2015. Methods: Data from a total of 2,310 individuals, aged 65 years and over, were used for the analysis. The elders were divided into 0 (n=375), 1 (n=673), 2 (n=637) and 3 or more (n=625) groups, by considering the number of chronic diseases. Results: Compared to other groups, the elderly subjects who were living with their spouse had the highest ratio in group 0 (P < 0.05), whereas subjects without economic activities had highest ratio in 3 or more group (P < 0.05). The EQ-5D index of subjects in the 0 group (0.90 ± 0.01) was higher than that in the 3 or more group (0.86 ± 0.01) (P< 0.05). After adjusting for confounding factors, the energy intake of subjects was determined to be lowest in the 3 or more group (P < 0.05). Protein (P < 0.05) and riboflavin (P < 0.05) intakes of the 3 or more group were also lower than other groups. Conclusions: This study indicates that multimorbidity of the elderly is associated with their health and nutritional status. The nutrients intake of the elderly, especially energy, protein and riboflavin, tended to be lowest in the 3 or more group. Further research is required to elucidate the risk factors related to presence of multimorbidity in the elderly.


Korean J Community Nutr. 2020 Dec;25(6):502-511. Korean.
Published online Dec 31, 2020.
https://doi.org/10.5720/kjcn.2020.25.6.502
Copyright © 2020 The Korean Society of Community Nutrition
Original Article

Health and Nutrition Status of Elderly People with Multimorbidity: A Korea National Health and Nutrition Examination Survey (2013~2015)

Na-Gyeong Oh,1 and Jung-Sook Seo2
    • 1Instructor, Department of Food and Nutrition, Yeungnam University, Gyeongsan, Korea.
    • 2Professor, Department of Food and Nutrition, Yeungnam University, Gyeongsan, Korea.
  • Corresponding author: Jung-Sook Seo. Department of Food and Nutrition, Yeungnam University, 280 Daehak-Ro, Gyeongsan, Gyeongbuk 38541, Korea. Tel: (053) 810-2875, Fax: (053) 810-4666, Email: jsseo@ynu.ac.kr
Received September 09, 2020; Revised December 14, 2020; Accepted December 15, 2020.

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

This study investigated the health and nutritional status of the elderly according to the number of chronic diseases, using data obtained from the Korea National Health and Nutrition Examination Survey 2013~2015.

Methods

Data from a total of 2,310 individuals, aged 65 years and over, were used for the analysis. The elders were divided into 0 (n=375), 1 (n=673), 2 (n=637) and 3 or more (n=625) groups, by considering the number of chronic diseases.

Results

Compared to other groups, the elderly subjects who were living with their spouse had the highest ratio in group 0 (P < 0.05), whereas subjects without economic activities had highest ratio in 3 or more group (P < 0.05). The EQ-5D index of subjects in the 0 group (0.90 ± 0.01) was higher than that in the 3 or more group (0.86 ± 0.01) (P < 0.05). After adjusting for confounding factors, the energy intake of subjects was determined to be lowest in the 3 or more group (P < 0.05). Protein (P < 0.05) and riboflavin (P < 0.05) intakes of the 3 or more group were also lower than other groups.

Conclusions

This study indicates that multimorbidity of the elderly is associated with their health and nutritional status. The nutrients intake of the elderly, especially energy, protein and riboflavin, tended to be lowest in the 3 or more group. Further research is required to elucidate the risk factors related to presence of multimorbidity in the elderly.

Keywords
elderly; chronic diseases; multimorbidity; nutritional status; health behavior

Tables

Table 1
General characteristics of the subjects according to number of chronic diseases

Table 2
Health behaviors of the subjects according to number of chronic disease

Table 3
Dietary behaviors of the subjects according to number of chronic diseases

Table 4
Intakes status of the subjects by food group according to number of chronic diseases

Table 5
Nutrients intake and energy intake distribution of the subjects according to number of chronic diseases

References

    1. Korean Statistical Information Service. Elderly population statistics [Internet]. Statistics Korea; 2018 [cited 2020 Jun 29].
      Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA002&vw_cd=&list_id=&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=E1.
    1. Kim AK, Park JW. A direction of tax policy for low fertility and ageing society. Younsei Law Rev 2013;23(4):195–239.
    1. Kim SU. In: Risk and social conflict of very low birth rate and super aged society. Korea Institute for Health and Social Affairs; 2014 Dec.
      Report No. 22-1-7.
    1. Korea Disease Control and Prevention Agency. 2019 Status and issues of chronic diseases [Internet]. Korea Disease Control and Prevention Agency; 2020 [cited 2020 Jun 30].
      Available from: http://www.cdc.go.kr/gallery.es?mid=a4030302 0100&bid=0003&act=view&list_no=144581.
    1. Marrero SL, Bloom DE, Adashi EY. Noncommunicable diseases: a global health crisis in a new world order. JAMA 2012;307(19):2037–2038.
    1. Makovski TT, Schmitz S, Zeegers MP, Stranges S, van den Akker M. Multimorbidity and quality of life: systematic literature review and meta-analysis. Ageing Res Rev 2019;53:100903
    1. Kim KI, Lee JH, Kim CH. Impaired health-related quality of life in elderly women is associated with multimorbidity: results from the Korean National Health and Nutrition Examination Survey. Gend Med 2012;9(5):309–318.
    1. Jani BD, Hanlon P, Nicholl BI, McQueenie R, Gallacher KI, Lee D. Relationship between multimorbidity, demographic factors and mortality: findings from the UK biobank cohort. BMC Med 2019;17(74):1–13.
    1. Jung YH. Analysis of multimorbidity in the elderly: focusing on outpatient use. Health Welf Issue Focus 2013;196:1–8.
    1. Melis R, Marengoni A, Angleman S, Fratiglioni L. Incidence and predictors of multimorbidity in the elderly: a population-based longitudinal study. PLoS One 2014;9(7):1–8.
    1. Jung YH. Distribution and type of multiple chronic diseases in Korea; Proceeding of Critical Social Welfare Academy; 2014 Oct 10; Seoul:. pp. 1246-1271.
    1. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020;395(10229):1054–1062.
    1. Kim SW, Kim KI. Metabolic change and nutritional supply in the elderly. J Clin Nutr 2014;6(1):2–6.
    1. Miquel J. An update of the oxidation-inflammation theory of aging: the involvement of the immune system in oxi-inflammaging. Curr Pharm Des 2009;15(26):3003–3026.
    1. Jung HW, Kim KI. Multimorbidity in older adults. J Korean Geriatr Soc 2014;18(2):65–71.
    1. Gidwaney NG, Bajpai M, Chokhavatia SS. Gastrointestinal dysmotility in the elderly. J Clin Gastroenterol 2016;50(10):819–827.
    1. Stratton RJ, Green CJ, Elia M. In: Disease related malnutrition: an evidence based approach to treatment. London: Cabi; 2003. pp. 1-156.
    1. Smithard DG, Smeeton NC, Wolfe CD. Long-term outcome after stroke: does dysphagia matter? Age Ageing 2007;36(1):90–94.
    1. Matsuo K, Palmer JB. Anatomy and physiology of feeding and swallowing: normal and abnormal. Phys Med Rehabil Clin N Am 2008;19(4):691–707.
    1. Norman K, Pichard C, Lochs H, Pirlich M. Prognostic impact of disease-related malnutrition. J Clin Nutr 2008;27(1):5–15.
    1. Park KW, Son HR, Kim JH, Kim MH, Choi EJ. The effects of early enteral nutrition in patients: a role of nutrition support team. J Clin Nutr 2016;8(2):66–70.
    1. World Health Organization. International statistical classification of diseases and related health problems 10th revision [Internet]. World Health Organization; 2016 [cited 2018 Jun 20].
      Available from: https://icd.who.int/browse10/2016/en.
    1. Nam HS, Kim KY, Kwon SS, Koh KW, Poul K. In: EQ-5D Korean valuation study using time trade of method. Seoul: Korea Disease Control and Prevention Agency; 2007.
    1. Kim CH. Characteristics of geriatric diseases. Korean J Med 2006;71(2):844–847.
    1. Melo LA, Braga LC, Leite FPP, Bittar BF, Oseas JMF, Lima KC. Factors associated with multimorbidity in the elderly: an integrative literature review. Rev Bras Geriatr Gerontol 2019;22(1):e180154
    1. Tucker-Seeley RD, Li Y, Sorensen G, Subramanian S. Lifecourse socioeconomic circumstances and multimorbidity among older adults. BMC Public Health 2011;11(1):313
    1. Kim JY, Lee SG, Lee SK. The relationship between health behaviors, health status, activities of daily living and health-related quality of life in the elderly. J Korean Gerontol Soc 2010;30(2):471–484.
    1. Lee HS. The factors influencing health-related quality of life in the elderly: focused on the general characteristics, health habits, mental health, chronic diseases, and nutrient intake status: data from the fifth Korea National Health and Nutrition Examination Survey 2010-2012. Korean J Community Nutr 2014;19(5):479–489.
    1. Park BM, Ock MS, Lee HA, Lee SH, Han HJ, Jo MW. Multimorbidity and health-related quality of life in Korean aged 50 or older using KNHANES 2013-2014. Health Qual Life Outcomes 2018;16(1):186.
    1. Dankel SJ, Loenneke JP, Loprinzi PD. Participation in muscle-strengthening activities as an alternative method for the prevention of multimorbidity. Prev Med 2015;81:54–57.
    1. An KO, Kim JH. Association of sarcopenia and obesity with multimorbidity in Korean adults: A nationwide cross-sectional study. J Am Med Dir Assoc 2016;17(10):960.e1–960.e7.
    1. Park SJ. Appetite and related factors among community elders in Korea. J Korean Soc Food Sci Nutr 2014;43(9):1431–1438.
    1. Oh JS, Kim HS, Kim KN, Chang NS. Relationship between fruit and fish intakes and cardiovascular disease risk factors in Korean women with type 2 diabetes mellitus: based on the 4th and 5th Korea National Health and Nutrition Examination Surveys. J Nutr Health 2016;49(5):304–312.
    1. Park JE, An HJ, Jung SU, Lee YN, Kim CI, Jang YA. Characteristics of the dietary intake of Korean elderly by chewing ability using data from The Korea National Health and Nutrition Examination Survey 2007~2010. J Nutr Health 2013;46(3):285–295.
    1. Moon HK, Kim JE, Kim EH. Dietary intake assessment by the number of chronic diseases and the season for elderly living in rural area. Korean J Nutr 2009;42(3):221–233.
    1. Park YK, Lee YJ, Lee SS. The intake of food and nutrient by the elderly with chronic disease in the Seoul area. Korean J Nutr 2012;45(6):531–540.
    1. Mendonça N, Hill TR, Granic A, Davies K, Collerton J, Mathers JC. Macronutrient intake and food sources in the very old: analysis of the Newcastle 85 study. Br J Nutr 2016;115(12):2170–2180.
    1. Suh YS, Park MS, Chung YJ. An evaluation of chronic disease risk based on the percentage of energy from carbohydrates and the frequency of vegetable intake in the Korean elderly: using the 2007-2009 Korea National Health and Nutrition Examination Survey. Korean J Community Nutr 2015;20(1):41–52.
    1. Kwon JS, Lee SH, Lee KM, Lee YN. Study on energy and nutrient intake and food preference of the elderly in care facilities. Korean J Community Nutr 2016;21(2):200–217.
    1. Li HC, Ryu HK. Study on relevance of nutritional status, nutrient intake, and chronic disease risk based on mini nutritional assessment (MNA) of elderly people in Shandong province of China. Korean J Community Living Sci 2017;28(1):5–16.
    1. Oh JH, Jung BM. Comparison analysis of dietary behavior and nutrient intakes of the elderly according to their family status: the Korea National Health and Nutrition Examination Survey 2013-2016. Korean J Community Nutr 2019;24(4):309–320.
    1. Morley JE. Undernutrition in older adults. Fam Pract 2012;29 S1:i89–i93.

Figure & Data

References

    Citations

    Citations to this article as recorded by  Crossref logo
    • Breastfeeding Duration Is Associated with the Risk of Tooth Loss, Chewing Difficulty, and Undernutrition among Older Korean Women: Results of the Korea National Health and Nutrition Examination Survey (KNHANES) 2013–2015
      Ye Rang Jo, Yoo Kyoung Park, Hee-Sook Lim
      Nutrients.2023; 15(24): 5024.     CrossRef
    • Nutritional Status according to the Frailty Status of the Elderly at Home in Seo-gu, Gwangju, Korea
      Ye Eun Kim, Young-Ran Heo
      Korean Journal of Community Nutrition.2021; 26(5): 382.     CrossRef

    Related articles
    Korean J Community Nutr : Korean Journal of Community Nutrition
    © The Korean Society of Community Nutrition.
    Close layer
    TOP