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Regional Differences in Metabolic Risk in the Elderly in Korea

Author

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  • Ji-Myung Kim

    (Food and Nutrition Major, Division of Food Science & Culinary Arts, Shinhan University, Uijeongbu 11644, Korea)

  • Yun-Jung Bae

    (Major in Food and Nutrition, Division of Food Science and Biotechnology, Korea National University of Transportation, Jeungpyeong 27909, Korea)

Abstract

Lifestyle and dietary differences in urban and rural environments have different impacts on elderly health. We aimed to evaluate the nutritional intakes and metabolic risks in the urban and rural elderly. We analyzed 3018 elderly individuals (1358 men, 1660 women) who were aged 65 years and older using the Korea National Health and Nutrition Examination Survey data (2013–2016). Anthropometric data, blood pressure, and blood profiles were collected using health examinations. Daily dietary intakes were analyzed by the 24-h dietary recall method. Rural elderly women had significantly higher triglycerides (TG) levels and lower high-density lipoprotein (HDL)-cholesterol levels than urban elderly women ( p = 0.014, p = 0.005). The rural elderly had higher carbohydrate intake and percentage of carbohydrate energy intake and lower intakes of fat, vitamin A, vitamin B 2 , and vitamin C and percentage of fat energy intake than the urban elderly for both men and women ( p < 0.05). The odds of high TG and low HDL-cholesterol were 1.66 (95% confidence interval [CI] 1.23–2.23) and 1.33 (95% CI 1.01–1.77), respectively, in elderly women living in rural areas compared to their urban counterparts, after adjusting for confounding factors. Therefore, nutritional intervention might be needed to improve the nutritional status of the elderly in rural areas and to manage low HDL-cholesterol in rural women.

Suggested Citation

  • Ji-Myung Kim & Yun-Jung Bae, 2022. "Regional Differences in Metabolic Risk in the Elderly in Korea," IJERPH, MDPI, vol. 19(18), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:18:p:11675-:d:916598
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    References listed on IDEAS

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    1. Jianwen Wei & Jie Zhang & Yuping Deng & Long Sun & Ping Guo, 2018. "Suicidal Ideation among the Chinese Elderly and Its Correlates: A Comparison between the Rural and Urban Populations," IJERPH, MDPI, vol. 15(3), pages 1-10, February.
    2. Guna Lee & Hye Young Choi, 2020. "Factors Associated with Dietary Control and Physical Activity in the Management of Metabolic Syndrome in Korean Menopausal Women," IJERPH, MDPI, vol. 17(18), pages 1-12, September.
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