Na-Young Yi; Jung-Hwa Choi

doi:10.5720/kjcn.2019.24.3.197

Articles

Page Path: HOME > Korean J Community Nutr > Volume 24(3); 2019 > Article

Research Article
Nutritional Risk of the Elderly Receiving a Home-Delivered Meal Service Program and the Factors for Nutritional Risk: Na-Young Yi, Jung-Hwa Choi; Korean Journal of Community Nutrition 2019;24(3):197-207.
DOI: https://doi.org/10.5720/kjcn.2019.24.3.197
Published online: June 30, 2019

¹Department of Food and Nutrition, Daejeon University, Daejeon 34520, Korea, Professor.

²Department of Food and Nutrition, Soongeui Women's College, Seoul 04628, Korea, Professor.

Corresponding author: Jung-Hwa Choi. Department of Food and Nutrition, Soongeui Women's College, Seoul 04628, Korea. Tel: (02) 3708-9262, Fax: (02) 3708-9121, junghwachoi@sewc.co.kr

• Received: June 7, 2019 • Revised: June 24, 2019 • Accepted: June 24, 2019

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.

153 Views
4 Download
4 Crossref

prev next

Full Article

Download PDF

Abstract
Acknowledgments
Acknowledgments
REFERENCES

Abstract

Objectives
This study examined the characteristics and nutritional risk of the elderly who receive home delivery services. We then analyzed the effects of the characteristics of the elderly who receive the home-delivery meal service on their nutritional risk.
Methods
A total of 220 respondents who receive home-delivery meal service in Seoul participated in the survey. The survey consisted of the characteristics of the elderly (health status, tooth condition, physical activity, social participation activity, depression and relationship with neighbors), nutritional risk assessment and other general matters. The data was analyzed by using the SPSS program. Cross-tabulation analysis, t-test, correlation analysis and regression analysis were all conducted.
Results
47.0% of the subjects were under 80 years old and 53.0% were over 80 years old, The nutritional risk score, as evaluated by a Nutrition Screening Initiative (NSI) checklist was 10.7 points, and the high nutrition risk group was 91.5% of the subjects. The subjective self-health status score was 2.24 points (out of a total of 5 points) and the tooth status score was 3.30 points. The physical activity level was 2.17 points for the under 80 years old group and 1.76 points for the over 80 years old, and there was a significant difference according to age (p<0.01), The higher the health status, tooth condition, physical activity and social participation activity level, the lower was the nutritional risk. Further, the higher the degree of depression, the higher was the nutritional risk.
Conclusions
For the healthy life of the elderly in the community, various welfare policies should be planned to increase social participation as well as to promote physical health and reduce depression.
Keywords: elderly; home-delivery meal service; nutritional risk

Acknowledgments

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (2016R1C1B1010809).

REFERENCES

1. Statistics Korea. Prospective statistics of Korean population 2015-2065 [Internet]. Statistics Korea; 2016; cited 2019 Apr 25]. Available from: http://www.kostat.go.kr.
2. Brownie S. Why are elderly individuals at risk of nutritional deficiency? Int J Nurs Pract 2006; 12(2): 110-118.Article PubMed
3. Choi Y, Kim C, Park YS. The effect of nutrition education program in physical health, nutritional status and health-related quality of life of the elderly in Seoul. Korean J Nutr 2007; 40(3): 270-280.
4. Ahmed T, Haboubi N. Assessment and management of nutrition in older people and its importance to health. Clin Interv Aging 2010; 5: 207-216.PubMed PMC
5. Chung JY, Lee MY, Kim MJ. A study on the prevalence of chronic diseases, health-related habits and nutrients intakes according to the quality of life in Korean adults. Korean J Community Nutr 2010; 15(4): 445-459.
6. Kang MH. Nutritional status of Korean elderly people. Korean J Nutr 1994; 27(6): 616-635.
7. Son SM, Park YJ, Koo JO, Mo SM, Yoon HY, Sung CJ. Nutritional and health status of Korean elderly from low income, urban area and improving effect of meal service on nutritional and health status: I. anthropometric measurements and nutrient intakes. Korean J Community Nutr 1996; 1(1): 79-88.
8. Hong SM, Choi SY. A study on meal management and nutrient intake of the elderly. J Korean Soc Food Sci Nutr 1996; 25(6): 1055-1061.
9. Yang KM. A study on nutritional intake status and health related behaviors of the elderly people in Gyeongsan area. J Korean Soc Food Sci Nutr 2005; 4(7): 1018-1027.
10. Drewnowski A, Shultz JM. Impact of aging on eating behaviors, food choices, nutrition and health status. J Nutr Health Aging 2001; 5(2): 75-79.PubMed
11. Brownie S. Why are elderly individuals at risk of nutritional deficiency? Int J Nurs Pract 2006; 12(2): 110-118.Article PubMed
12. Kim MH, Chung HK. Relationship between sense of belonging, powerlessness and nutritional status of elderly people. J Korean Soc Food Cult 2015; 30(1): 118-128.Article
13. Kang YH, Kim MY, Lee L. The relationship of perceived health status, activities of daily living and nutrition status in the community-dwelling Korean elderly. J Korean Acad Nurs 2008; 38(1): 122-130.Article
14. Jung YM, Kim JH. Comparison of cognitive levels, nutritional status, depression in the elderly according to living situations. J Korean Acad Nurs 2004; 34(3): 495-503.Article PDF
15. Nam YH, Nam JR. A study of the factors affecting the subjective health status of elderly people in Korea. Korean J Fam Welf 2011; 16(4): 145-162.
16. Yoon JS, Lee J. Nutrients intake, zinc status and health risk factors in elderly Korean women as evaluated by the nutrition screening inistiative (NSI) checklist. Koran J Community Nutr 2002; 7(4): 539-547.
17. Kwon JD, Choi JY. A study of factors influencing the life satisfaction of the aged. Korean J Gerontol Soc 2000; 20(3): 61-76.
18. Kang NE. A nutrition survey of urban elderly in Seoul with the analysis of dietary attitude after retirement. Korean J Nutr 1986; 19(1): 52-65.
19. Park JH, Kwon HK, Choi CH, Choi YH. A survey on the oral health condition of institutionalized elderly people resident in free asylum. J Korean Acad Dent Health 2002; 26(4): 555-566.
20. Walls AW, Steele JG. The relationship between oral health and nutrition in older people. Mech Ageing Dev 2004; 125(12): 853-857.Article PubMed
21. Shin BM, Bae SM, Ryu DY, Choi YK. The relationship between the numbers of natural teeth and nutritional status of elderly in Korea: based on 2007-2009 national health and nutrition survey data. J Korean Soc Dent Hyg 2012; 12(3): 521-531.Article
22. Yoshida M, Suzuki R, Kikutani T. Nutrition and oral status in elderly people. Japanese Dent Sci Rev 2014; 50(1): 9-14.Article
23. Sahyoun NR, Lin CL, Krall E. Nutritional status of the older adult is associated with dentition status. J Am Diet Assoc 2003; 103(1): 61-66.Article PubMed
24. Posner JD, Gorman KM, Windsor-Landsberg L, Larsen J, Bleiman M, Shaw C. Low to moderate intensity endurance training in healthy older adults: Physiologic responses after four months. J Am Geriatr Soc 1992; 40(1): 1-7.PubMed
25. Park YH. Physical activity and sleep patterns in elderly who visited a community senior center. J Korean Acad Nurs 2007; 37(1): 5-13.Article PDF
26. Park JK, Son SM. The dietary behaviors, depression rates and nutritional intakes of the elderly females living alone. Korean J Community Nutr 2003; 8(5): 716-725.
27. Kim HR. Prevalence and risk factors of depression in women elderly living alone in Korea. Korean Rev Crisis Emerg Manag 2014; 10(2): 307-326.
28. Chae IS, Yang IS, Lee HY, Park MK. Evaluation of homedelivered meals service program for home-bound elderly with low income class. J Korean Diet Assoc 2000; 6(2): 57-70.
29. Lee KE, Yi NY, Park JY. Food safety knowledge and home food safety practices of home-delivered meal service recipients. J Korean Soc Food Sci Nutr 2009; 38(5): 618-625.Article
30. Park JY, Lee KE, Yi NY, Kwak TK. Clients` handling and consumption of home-delivered meals at home and their perceptions on home-delivered meal services for older adults. Korean J Community Nutr 2010; 15(3): 379-392.
31. Posner BM, Jette AM, Smith KW, Miller DR. Nutrition and health risks in the elderly: The nutrition screening initiative. Am J Public Health 1993; 83(7): 972-978.Article PubMed PMC
32. Boyle MA, Holben DH. Community nutrition in action: an entrepreneurial approach. 3rd ed. Wadsworth: Cengage Learging; 2003. p. 352.
33. Dwyer JT. Nutrition and aging: How will Koreans meet this challenge?. Proceedings of International Symposium in Commemoration of the 50th Anniversary of Seoul National University; 1996 Sep 20; Seoul. p. 59-81.
34. Kim HY, Kim MH, Hong SG, Hwang SJ, Park MH. A study on the nutrient intake, health risk factors, blood health status in elderly Korea women living alone. Korean J Community Nutr 2005; 10(2): 216-223.
35. Lee TW, Ko IS, Lee KJ, Kang KH. Health status, health perception and health promotion behaviors of low-income community dwelling elderly. J Korean Acad Nurs 2005; 35(2): 252-261.Article PDF
36. Lee MS. Nutritional risk, perceived health status, and depression of the young-old and the old-old in low-income elderly women. J Agric Med Community Health 2012; 37(1): 12-22.Article
37. Kim CI, Key SH, Kim BH, Lee HS. 2001 National health and nutrition survey. Ministry of Health and Welfare & Korean Health Industry Development Institute; 2002 03. Report No. Policy-Food-2002-08.
38. Choi Y, Park Y, Kim C, Chang Y. Evaluation of functional ability and nutritional risk according to self-rated health (SRH) of the elderly in Seoul and Kyunggi-do. Korean J Nutr 2004; 37(3): 223-235.
39. Kim BH, Jung E. The changes of types nutritional risk and nutritional intake according to depression and self-esteem among the elderly in Chunnam province. Fam Environ Res 2008; 46(8): 97-107.
40. Park KA. Factors related to the self-rated health status among Korean elderly: analysis of the 2016 Korean national health and nutrition examination survey. J Korean Diet Assoc 2018; 24(4): 344-360.
41. Nunley BL, Hall LA, Rowles GD. Effects of the quality of dyadic relationships on the psychological well-being of elderly care recipients. J Gerontol Nurs 2000; 26(12): 23-31.Article PubMed
42. Menec VH, Chipperfield JG. A prospective analysis of the relation between self-rated health and health care use among elderly Canadians. Can J Aging 2001; 20(3): 293-306.Article
43. Lee HJ, Lee KH. Evaluation of diet quality according to selfrated health status of Korean middle-aged women based on 2008-2009 Korean National Health and Nutrition Examination Survey. J Korean Soc Food Sci Nutr 2013; 42(9): 1395-1404.Article
44. Yeom DM, Jung JS. Research on subjective health status and satisfaction with life of elderly: focused on the mediating effect of depression and the moderating effect of social networking. Soc Sci Res Rev 2014; 30(4): 27-50.
45. Moon SM. Gender differences in the impact of socio-economic, health-related, and heath behavioral factors on the health-related quality of life of the Korean elderly. J Digit Converg 2017; 15(6): 259-271.
46. 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 area. J Korean Soc Food Sci Nutr 2000; 29(2): 257-267.
47. Yoon H, Kwoun J, Lee S. National status and energy expenditure in the elderly in a rural community. Korean J Community Nutr 2002; 7(3): 336-344.
48. Yeom JH, Park JS, Kim DH. A study of factors affecting selfrated health among Korean elderly: focusing on gender differences. J Korean Gerontol Soc 2012; 32(4): 1101-1118.
49. Yeun EJ, Kwon YM, Lee YM. Comparison of influencing factors for self-rated health between middle aged and elderly. J Korea Contents Assoc 2016; 16(2): 200-210.Article
50. Oh YH, Bae HO, Kim YS. A study on physical and mental function affecting self-perceived health of older persons in Korea. J Korean Gerontol Soc 2006; 26(3): 461-476.
51. Kim DM, Kim KH. Food and nutrient intake status of Korean elderly by perceived anxiety and depressive condition: data from Korean national health and nutrition examination survey 2013~2015. J Nutr Health 2019; 52(1): 58-72.Article PDF
52. Minardi HA, Blanchard M. Older people with depression: pilot study. J Adv Nurs 2004; 46(1): 23-32.Article PubMed
53. Park PS, Park KO, Jung GB, Chun BY, Choi MW, Park MY. A survey on stages of dietary behavior change and nutrient intake status of old people in islands areas according to depression degree. Korean J Hum Ecol 2009; 18(6): 1349-1358.Article
54. Zylstra RCE, Beerman K, Hillers V, Mitchell M. Who's at risk in Washington State? Demographic characteristics affect nutritional risk behaviors in elderly meal patients. J Am Diet Assoc 1995; 95(3): 358-360.PubMed
55. Johnson CM, Sharkey JR, Dean WR. Eating behaviors and social capital are associated with fruit and vegetable intake among rural adults. J Hunger Environ Nutr 2010; 5(3): 302-315.Article PubMed PMC
56. Kim SK, Kim JW, Lee HJ, Shin HR, Kim YS. Research on relationship between the oral health and nutrition: Focusing on the social capital's moderating effects. Korean J Gerontol Soc Welf 2019; 74(1): 7-35.
57. Royal College of Psychiatrists. Who cares wins: Improving the outcome for older people admitted to the general hospital: Guidelines for the development of Liaison Mental Health Services for older people. London: Royal College of Psychiatrists; 2005. p. 30-33.
58. Park YH, Suh EE. The risk of malnutrition, depression, and the perceived health status of older adults. J Korean Acad Nurs 2007; 37(6): 941-948.Article PDF
59. Kim CG, Park HJ, Chang SK. Effect of lifestyle and depression on the nutritional status of elderly people. J Korean Acad Fundam Nurs 2007; 14(1): 92-102.

Table 1

General characteristics of respondents

1) N (%), 2) Multiple choices

^**: p<0.01, ^***: p<0.001

Table 2

Characteristics of elderly receiving home-delivered meal service program

1) A 5-point scale was used (1: strongly disagree ~5: strongly agree), 2) Mean (SD)

^**: p<0.01

Table 3

Subject response for the Nutrition Screening Initiative(NSI) checklist

1) N (%), 2) Mean (SD), 3) t-value

^*: p<0.05

Table 4

Distribution of NSI checklist score results

1) N (%)

Table 5

Correlation relationship between main variables

^*: p<0.05, ^**: p<0.01

Table 6

Effects of the elderly characteristics on Nutritional risk

^*: p<0.05, ^**: p<0.01, ^***: p<0.001

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Health Outcome Comparison Based on Dietary Inflammatory Levels among Sample of Korean Elderly
Seul-Ki Koo, Hee-Sook Lim
Healthcare.2024; 12(10): 1003. CrossRef
Factors associated with malnutrition in demented and non-demented elderly residing in the community of Korea: a cross-sectional descriptive and analytical study
Jinhee Kwon, Jung Hee Kim, Hyeonjin Jeong, Jung Suk Lee
Korean Journal of Community Nutrition.2024; 29(5): 359. CrossRef
광주광역시 서구지역 경로식당 이용 노인의 식품안정성에 따른 식생활 실태연구
지수 백, 영란 허
Korean Journal of Food and Cookery Science.2023; 39(5): 402. 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

PubReader

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Nutritional Risk of the Elderly Receiving a Home-Delivered Meal Service Program and the Factors for Nutritional Risk

Korean J Community Nutr. 2019;24(3):197-207. Published online June 30, 2019

DOI: https://doi.org/10.5720/kjcn.2019.24.3.197

XML Download

We recommend

Nutritional Risk of the Elderly Receiving a Home-Delivered Meal Service Program and the Factors for Nutritional Risk

Table 1

General characteristics of respondents

1) N (%), 2) Multiple choices

^**: p<0.01, ^***: p<0.001

Table 2

Characteristics of elderly receiving home-delivered meal service program

1) A 5-point scale was used (1: strongly disagree ~5: strongly agree), 2) Mean (SD)

^**: p<0.01

Table 3

Subject response for the Nutrition Screening Initiative(NSI) checklist

1) N (%), 2) Mean (SD), 3) t-value

^*: p<0.05

Table 4

Distribution of NSI checklist score results

1) N (%)

Table 5

Correlation relationship between main variables

^*: p<0.05, ^**: p<0.01

Table 6

Effects of the elderly characteristics on Nutritional risk

^*: p<0.05, ^**: p<0.01, ^***: p<0.001

Table 1 General characteristics of respondents

1) N (%), 2) Multiple choices

^**: p<0.01, ^***: p<0.001

Table 2 Characteristics of elderly receiving home-delivered meal service program

1) A 5-point scale was used (1: strongly disagree ~5: strongly agree), 2) Mean (SD)

^**: p<0.01

Table 3 Subject response for the Nutrition Screening Initiative(NSI) checklist

1) N (%), 2) Mean (SD), 3) t-value

^*: p<0.05

Table 4 Distribution of NSI checklist score results

1) N (%)

Table 5 Correlation relationship between main variables

^*: p<0.05, ^**: p<0.01

Table 6 Effects of the elderly characteristics on Nutritional risk

^*: p<0.05, ^**: p<0.01, ^***: p<0.001