scholarly journals Association Between Frailty and Dietary Diversity in Korean Elderly: Based on the 2018 Korean National Health and Nutrition Examination Survey

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1050-1050
Author(s):  
Jungeun Kim ◽  
Suhyeon Yang ◽  
Hyesook Kim ◽  
Eugene Chang ◽  
Yangha Kim

Abstract Objectives Frailty is a clinical syndrome in older adults. Adequate nutrition is a modifiable factor in preventing frailty. The purpose of this study was to investigate the association between frailty and dietary intake in Korean elderly. Methods This study used raw data from the 2018 Korea National Health and Nutrition Examination Survey. Study subjects were 1268 (535 of men and 733 of women). Frailty was defined as having three or more of the following five criteria including unintentional weight loss, weakness, waking difficulties, exhaustion and low physical activity. Pre-frail was defined as having one or two criteria. Robust was defined as having none of the criteria. Dietary intake was assessed by a one-day 24 h dietary recall. The food variety score (FVS) was defined as the number of food items consumed by each subject during the last 24 h. Results In this study, 9.7% of men and 21.9% of women were classified as frail group. Intake of energy, macronutrients and micronutrients was significantly low in frail men and women. Also, total food intake was significantly low in frail men and women. In men, the odds ratio (95% CI) of frailty for those in the highest tertile compared with the lowest tertile of food intake were 0.34 (0.13–0.93) for fruits. In women, the odds ratio (95% CI) of frailty for those in the highest tertile compared with the lowest tertile of food intake were 0.57 (0.35–0.93) for potatoes and 0.55 (0.30–0.99) for fish and shellfish. In addition, subjects with higher mushroom intake had lower risk of frailty 0.31 (0.12–0.78) in consumer and 0.41 (0.22–0.79) in non-consumer after adjustment for all potential covariables. Conclusions These results suggested that diverse diets composed with five major food groups may have preventive effect against the risk of frailty among Korean elderly. Funding Sources This research was supported by the BK21 FOUR (Fostering Outstanding Universities for Research) funded by the Ministry of Education(MOE, Korea) and National Research Foundation of Korea(NRF).

2020 ◽  
Vol 29 (4) ◽  
pp. 416-426
Author(s):  
Dong-Hyuk Park ◽  
Sung-Hyun Hong ◽  
Wonhee Cho ◽  
Justin Y. Jeon

PURPOSE:The purpose of this study was to examine the association of resting heart rate (RHR) and relative hand grip strength (RHGS) with diabetes among Korean adult over 65 years old.METHODS: Cross-sectional analyses were performed using the 2015-2018 Korea National Health and Nutrition Examination Survey (KNHANES). Among 31,649, a total of 4,814 adults over 65 years old were included in this study. Participants were divided into tertile according to their RHR and RHGS. Statistical methods included frequency analysis, ANCOVA (Analysis of covariance) and logistic regression.RESULTS: Participants in the 3rd tertile of RHR (RHR over 73 bpm in men, 74 bpm in women) had 2.00 times [95% Confidence Interval (CI): 1.58-2.54] and 1.80 times (95% CI: 1.44-2.26) higher odds of having diabetes in men and women, respectively, compared with participants in the 1st tertile (RHR below 64 bpm in male, 65 bpm in female). Participants in the 1st tertile of RHGS (RHGS below 0.46 in men, 0.31 in women) had 2.51 times (95% CI: 1.76-3.58) and 1.86 times (95% CI: 1.48-2.35) higher odds of having diabetes in men and women, respectively, compared to participants with 3rd tertile (RHGS over 0.54 in men, 0.38 in women). When a joint association of RHR and RHGS with risks of diabetes were analyzed, participants with the highest RHR and the lowest RHGS had 4.23 times (95% CI: 2.74-6.54) and 2.90 times (95% CI: 1.98-4.23) higher odds of having diabetes compared to participants with the lowest RHR and the highest RHGS in men and women, respectively.CONCLUSIONS: The current study showed that higher RHR and lower RHGS were associated with increased risk of diabetes in Korean elderly population.


Author(s):  
Sang-Dol Kim

(1) Background: Obesity management has become an important issue due to the COVID-19 outbreak; therefore, periodic surveys on the approaches to obesity management of the entire population and target obese population are required. (2) Methods: The study used nationally representative data from the 2018 Korea National Health and Nutrition Examination Survey. Participants reported all approaches they had used to reduce or maintain weight in the past year. Data were analyzed with multiple response methods. (3) Results: The most commonly reported approach was exercise, which included fitness, yoga, biking, and other physical activities (74.7% of respondents), and the second most commonly reported approach was decreased food intake (69.6% of respondents). The use of approaches differed according to respondents’ demographic characteristics. Regarding sex-related differences, in particular, men preferred to exercise, while women were more likely to decrease food intake. Among men, exercise was highest in the 40–49 years age group (48.3%). Among women, decreased food intake was highest in the same age group (16.1%). (4) Conclusions: These findings indicate that it is necessary to introduce individualized weight management approaches and measures according to target groups in obese adults.


Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 2952
Author(s):  
Yong Zhu ◽  
Neha Jain ◽  
Vipra Vanage ◽  
Norton Holschuh ◽  
Anne Hermetet Agler ◽  
...  

This study examined differences in dietary intake between ready-to-eat cereal eaters and non-eaters in adults from the United States. Participants (n = 5163) from the National Health and Nutrition Examination Survey 2015–2016 were included. One-day dietary recall was used to define ready-to-eat cereal consumption status and estimate dietary intake in eaters and non-eaters. Data from Food Patterns Equivalent Database 2015–2016 were used to compare intakes of food groups by consumption status. Diet quality was assessed by Healthy Eating Index 2015. Nineteen percent of US adults were ready-to-eat cereal eaters; they had a similar level of energy intake as non-eaters, but they had significantly higher intake of dietary fiber, and several vitamins and minerals, such as calcium, iron, magnesium, potassium, zinc, vitamin A, thiamin, riboflavin, niacin, vitamin B6, folate, vitamin B12, and vitamin D. They were also more likely to meet nutrient recommendations. Compared to non-eaters, ready-to-eat cereal eaters had the same level of added sugar intake but they had significantly higher intake of whole grains, total fruits, and dairy products. The diet quality of ready-to-eat cereal eaters was significantly higher than that of non-eaters. The study supports that ready-to-eat cereal eaters have better dietary intake with a healthier dietary pattern than non-eaters in the United States.


2012 ◽  
Vol 23 (2) ◽  
pp. 128-136 ◽  
Author(s):  
Nga L Tran ◽  
Leila M Barraj ◽  
Xiaoyu Bi ◽  
Laurie C Schuda ◽  
Jacqueline Moya

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