Journal List > Korean J Community Nutr > v.21(3) > 1038543

Choi, Kang, and Kim: Diet and Health Status of Elderly Women According to the Family Type



This study aimed to evaluate the diet and health status of elderly women according to the family type.


A total of 307 elderly women participated in this study were divided into one of three groups according to their family type: residing with spouse (RSP; n=88), residing with son or daughter (RSD; n=119), and residing alone (RAL; n=100). Chi-square test was used to assess dietary habits and health status of the subjects by the family types.


Results demonstrated significant associations between eating regular meals, person preparing meals, coffee intake, and bone fracture experience and family type. Among the three groups, the RSP and RAL groups had a higher percentage for preparing meals by themselves (p<0.001) than the RSD group. The RAL group had a lower percentage for eating regular meals (p<0.01) but a higher percentage for bone fracture experience (p<0.05) than the other groups. There were no significant differences in monthly allowance, self-estimated health status, physical activity, exercise, drinking, and dietary habits such as frequency of consumption of dairy, beans, eggs, fish, meat, fruits, and vegetables among the three groups.


The results showed that elderly women residing alone without a son, daughter, or spouse had more diet-related and health problems such as irregular meals and high bone fracture experience. These findings suggested that elderly women residing alone need more attention and support.

Figures and Tables

Table 1

General characteristics of the elderly women according to family type


1) Mean±SD

2) F-value analyzed by ANOVA test

3) N (%)

a, b:Different superscript letters in a row indicate significant difference computed by Duncan's multiple range test at α=0.05

*: p < 0.05, ***: p < 0.001

Table 2

Anthropometry of the elderly women according to family type


1) Mean±SD

2) Body mass index

3) N (%)

4) χ2-value analyzed by χ2 test

Table 3

Dietary behaviors of the elderly women according to family type


1) N (%)

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

Table 4

Dietary habits of the elderly women according to family type


1) N (%)

2) Mean±SD

3) F-value analyzed by ANOVA test

a, b: Different superscript letters in a row indicate significant difference computed by Duncan's multiple range test at α=0.05

*: p < 0.05

Table 5

Perceived health status of the elderly women according to family type


1) N (%)

*: p < 0.05

Table 6

Activity and exercise status of the elderly women according to family type


1) N (%)

2) Mean±SD

3) F-value analyzed by ANOVA test


1. Statistics Korea. 2014 Statistics of elderly in Korea [internet]. 2015. cited 2016 Mar 16. Available from:
2. Kang Y, Kim M, Lee E. The relationship of perceived health status, activities of daily living and nutrition status in the community-dwelling Korea elderly. J Korean Acad Nurs. 2008; 38(1):122–130.
3. Yang EJ, Bang HM. Nutritional status and health risks of low income elderly women in Gwangju area. Korean J Nutr. 2008; 41(1):65–76.
4. Park JK, Son SM. The dietary behaviors, depression rates and nutrient intakes of the elderly females living alone. Korean J Community Nutr. 2003; 8(5):716–725.
5. Lim YJ, Choi YS. Seasonal nutrient intakes of elderly women living alone as compared to those living with family in the Gyeongbuk rural area. Korean J Community Nutr. 2007; 12(1):58–67.
6. Shin SK, Kim HJ, Choi BY, Lee SS. A comparison of food frequency for the elderly regarding different family types: based on Community Health Survey for 2008. Korean J Nutr. 2012; 45(3):264–273.
7. Tak YJ, Kim YJ, Lee SY, Lee JG, Jung DW, Yi YH. Health care behavior of people 60 years and older in Korea according to family type and sociodemographic factors - the 5th Korea National Health and Nutrition Examination Survey. J Korean Geriatr Soc. 2013; 17(1):7–17.
8. Korea Institute for Health and Social Affairs. 2014 Survey of Korean elderly [internet]. 2014. cited 2016 Mar 16. Available from:
9. Lee YJ, Kwon MK, Baek HJ, Lee SS. Comparative analysis of food intake according to the family type of elderly women in Seoul area. J Nutr Health. 2015; 48(3):277–288.
10. Lee S, Lee KW, Oh JE, Cho MS. Nutritional and health consequences are associated with food insecurity among Korean elderly: based on the fifth (2010) Korea National Health and Nutrition Examination Survey (KNHANES V-1). J Nutr Health. 2015; 48(6):519–529.
11. de Morais C, Oliveira B, Afonso C, Lumbers M, Raats M, de Almeida MD. Nutritional risk of European elderly. Eur J Clin Nutr. 2013; 67(11):1215–1219.
12. Yim KS, Lee TY. Sociodemographic factors associated with nutrients intake of elderly in Korea. Korean J Nutr. 2004; 37(3):210–222.
13. Kwak CS, Yon M, Lee MS, Oh SI, Park SC. Anthropometric index and nutrient intake in Korean aged 50 plus years living in Kugoksoondam longevity-belt region in Korea. Korean J Community Nutr. 2010; 15(3):308–328.
14. Jang JS, Hong MS. A study on health-related lifestyle, dietary habits, nutritional knowledge and food intake of the elder in Gyeong-gi area. Korean J Food Nutr. 2015; 28(6):1056–1064.
15. Walker D, Beauchene RE. The relationship of loneliness, social isolation, and physical health to dietary adequacy of independently living elderly. J Am Diet Assoc. 1991; 91(3):300–304.
16. Hawkley LC, Cacioppo JT. Loneliness and pathways to disease. Brain Behav Immun. 2003; 17:Suppl 1. S98–S105.
17. Perissinotto CM, Stijacic Cenzer I, Covinsky KE. Loneliness in older persons: a predictor of functional decline and death. Arch Intern Med. 2012; 172(14):1078–1084.
18. Sahni S, Mangano KM, McLean RR, Hannan MT, Kiel DP. Dietary approaches for bone health: Lessons from the Framingham osteoporosis study. Curr Osteoporos Rep. 2015; 13(4):245–255.
19. Kelly G. Aerobic exercise and lumbar spine bone mineral density in postmenopausal women: a meta-analysis. J Am Geriatr Soc. 1998; 46(2):143–152.
20. Lee HS, Chang MJ. Effect of family type on the nutrient intake and nutritional status in elderly women. J Korean Soc Food Sci Nutr. 1999; 28(4):934–941.
21. Kharicha K, Iliffe S, Harari D, Swift C, Gillmann G, Stuck AE. Health risk appraisal in older people 1: are older people living alone an "at-risk" group? Br J Gen Pract. 2007; 57(537):271–276.
22. Fox CM, Harper AP, Hyner GC, Lyle RM. Loneliness, emotional repression, marital quality, and major life events in women who develop breast cancer. J Community Health. 1994; 19(6):467–482.
23. Hawkley LC, Thisted RA, Masi CM, Cacioppo JT. Loneliness predicts increased blood pressure: five-year cross-lagged analyses in middle-aged and older adults. Psychol Aging. 2010; 25(1):132–141.
24. Del Brutto OH, Tettamanti D, Del Brutto VJ, Zambrano M, Montalvan M. Living alone and cardiovascular health status in residents of a rural village of coastal Ecuador (The Atahualpa Project). Environ Health Prev Med. 2013; 18(5):422–425.
25. Udell JA, Steg PG, Scirica BM, Smith SC, Ohman EM, Eagle KA. Living alone and cardiovascular risk in outpatients at risk of or with atherothrombosis. Arch Intern Med. 2012; 172(14):1086–1095.
26. Michael YL, Berkman LF, Colditz GA, Holmes MD, Kawachi I. Social networks and health-related quality of life in breast cancer survivors: A prospective study. J Psychosom Res. 2002; 52(5):285–293.
27. Chung MS, Kang KJ. A survey on the health, food perceptions, and food habits of urban elderly men: with special reference to elderly men in the Tap-gol park. J Korean Soc Food Cult. 1996; 11(4):455–463.

Mi-Hyun Kim

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