Journal List > Korean J Nutr > v.45(3) > 1043932

Korean J Nutr. 2012 Jun;45(3):252-263. Korean.
Published online June 28, 2012.
© 2012 The Korean Nutrition Society
Comparisons of dietary behavior, food intake, and satisfaction with food-related life between the elderly living in urban and rural areas
Yuri Kim, Sunhee Seo, Oran Kwon and Mi Sook Cho
Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 120-750, Korea.

To whom correspondence should be addressed. (Email: )
Received April 09, 2012; Revised April 16, 2012; Accepted April 20, 2012.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


The present study was performed to evaluate dietary behavior, food intake, and satisfaction with food-related life regarding the elderly residing in different regions of Korea. The survey was conducted on 631 individuals over 55 years old in either urban or rural areas. The survey was carried out using a questionnaire including dietary behavior, mini dietary assessment, and a food frequency questionnaire. The average age of the rural elderly was higher than that of the urban elderly whereas, education level and economic status were higher in the urban elderly compared to the rural elderly. The intake of dairy products, meats, instant foods, snacks, and the use of nutrient supplementation were significantly higher in the urban elderly than those of the rural elderly (p = 0.000). The intake of vegetables was significantly higher in the rural elderly (p = 0000). Furthermore, the rural elderly were more satisfied with food-related life and had better balanced diets than those of the urban elderly. Taken together, the results of this study revealed that customized nutritional management and education for adequate meals in different regions should be developed and provided in order to improve the quality of healthy living for the elderly.

Keywords: elderly; dietary behavior; food intake; urban; rural


Table 1
General characteristics of the subjects n (%)
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Table 2
Self-perceived health status of the subjects n (%)
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Table 3
The mean mini dietary assessment index score of the subjects
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Table 4
Dietary life status of the subjects n (%)
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Table 5
Satisfaction with food-related life of the subjects
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Table 6
Food intakes from each food group of the subjects
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This work was supported by the Ewha Global Top 5 Grant 2011 of Ewha Womans University.

1. Statistics Korea. Population projection and proportion by age groups. Daejeon: Statistics Korea; 2011.
2. Murphy SP, Davis MA, Neuhaus JM, Lezin D. Factors influencing the dietary adequacy and energy intake of older Americans. J Nutr Educ 1990;22(6):284–291.
3. 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.
4. Koo J, Park YJ, Kim JQ, Lee YH, Yoon HY, Son SM. Nutritional and health status of Korean elderly from low-income, urban areas and improving effect of meal service on nutritional and health status -II. Biochemical nutritional status and health status-. Korean J Community Nutr 1996;1(2):215–227.
5. Lee HO, Yum CA, Jang MS. A study on the dietary intake and health of aged person I -Based on elderly person in Seoul-. J Korean Soc Food Nutr 1986;15(4):72–80.
6. Jeong MS, Kim HK. A study on the nutritional status and health condition of elderly in Ulsan area. Korean J Diet Cult 1998;13(3):159–168.
7. Kohrs MB, O'Neal R, Preston A, Eklund D, Abrahams O. Nutritional status of elderly residents in Missouri. Am J Clin Nutr 1978;31(12):2186–2197.
8. Son SM, Park YJ, Koo J, Mo S, 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. Antropometric measurements and nutrient intakes-. Korean J Community Nutr 1996;1(1):79–88.
9. Kim KN, Lee JW, Park YS, Hyun TS. Nutritional status of the elderly living in Cheongju - I. Health-related habits, dietary behaviors and nutrient intakes. Korean J Community Nutr 1997;2(4):556–567.
10. Park M, Kim S, Wi S. The consumption patterns of fast food in small cities. Korean J Diet Cult 1999;14(2):139–146.
11. Cho K, Han D. A study on the survey of the dining out behavior of Korean older person. Korean J Food Cult 2005;20(5):554–560.
12. Kang MH. Nutritional status of Korean elderly people. Korean J Nutr 1994;27(6):616–635.
13. Kim MK, Choi BY, Lee SS. A study on the nutrient supplements usage and related factors in Seoul, Korea. Korean J Nutr 1992;25(3):264–274.
14. Chang N, Kim JM, Kim EJ. Nutritional state and dietary behavior of the free-living elderly women. Korean J Diet Cult 1999;14(2):155–165.
15. Kwon JH, Yoon HJ, Moon HJ, Lee JM, Son YH, Park SH, Lee HK, Lee SK. Antropometric and health status of the elderly women attending a health promotion program in an urban community. Korean J Community Nutr 2002;7(6):762–768.
16. Yoon HJ, Lee HK, Lee SK. The health status and nutrient intakes of elderly female in Daegu area. Korean J Community Nutr 2007;12(1):50–57.
17. Lee KH, Park MY. Nutrient intake of the rural elderly living in Kyungnam -focusing on health and aging status, and life-satisfaction. Korean J Community Nutr 2001;6(5):773–788.
18. Kim HR, Ju MJ, Moon HK, Kim HY. Comparative analysis of dietary intake for introduction of meal service in pavilion of the elderly living in rural area. Korean J Food Cult 2007;22(6):765–774.
19. Lim YS, Cho KJ, Nam HJ, Lee KH, Park H. A comparative study of nutrient intakes and factors to influence on nutrient intake between low-income elderly living in urban and rural areas. J Korean Soc Food Sci Nutr 2000;29(2):257–267.
20. Kim YH, Ha TY, Lee BH. A comparative analysis of mental status, dietary life and nutritional status among senior citizens with or without leisure activities in urban area. J Korean Soc Food Sci Nutr 2006;35(4):422–429.
21. Speake DL, Cowart ME, Pellet K. Health perceptions and life-styles of the elderly. Res Nurs Health 1989;12(2):93–100.
22. Kim WY, Cho MS, Lee HS. Development and validation of mini dietary assessment index for Koreans. Korean J Nutr 2003;36(1):83–92.
23. Lee HS, Yee JA, Yeon AS, Kang KJ. A study on health related and eating related behaviors by self-recognized health status. Korean J Community Nutr 2001;6(3):340–353.
24. Lee MS, Woo MK. A study of health-related habits, dietary behaviors and the health status of the middle-aged and the elderly living in the Chonju area (II). Korean J Community Nutr 2002;7(6):749–761.
25. Statistics Korea. Elderly statistics. Daejeon: Statistics Korea; 2011.
26. South Korea and the consciousness of the elderly living conditions survey. Korea Institute for Elderly; 1993.
27. Sohn SY. A comparative study on the quality of life of the elderly and its affecting factors between rural and urban areas. J Korean Gerontol Soc 2006;26(3):601–615.
28. Ferraro KF, Farmer MM. Utility of health data from social surveys: Is there a gold standard for measuring morbidity? Am Sociol Rev 1999;64(2):303–315.
29. Kwak HK, Lee MY, Kim MJ. Comparisons of body image perception, health related lifestyle and dietary behavior based on the self-rated health of university students in Seoul. Korean J Community Nutr 2011;16(6):672–682.
30. Kim DB, Yoo BS, Min JS. Analysis of factors affecting health inequalities among Korean elderly. Korean J Soc Welf Stud 2011;42(3):267–290.
31. Phillips RL. Role of life-style and dietary habits in risk of cancer among seventh-day adventists. Cancer Res 1975;35(11 Pt 2):3513–3522.
32. Moon HK, Choi SO, Kim JE. Dishes contributing to sodium intake of elderly living in rural areas. Korean J Community Nutr 2009;14(1):123–136.
33. Park MY, Kim GR, Lee DJ, Kim JM, Park PS. A survey of food and nutrient intakes of the eged people in rural area, Gyeongbuk Yecheon. Korean J Nutr 2006;39(1):58–73.
34. Kwak EH, Lee SL, Yoon JS, Lee HS, Kwon CS, Kwun IS. Macronutrient, mineral and vitamin intakes in elderly people in rural area of North Kyungpook province in South Korea. Korean J Nutr 2003;36(10):1052–1060.
35. Moon HK. Changing patterns of fat intake Koreans. Korean J Lipidol 1995;5(1):113–126.
36. Kwak TK, Rew ES, Nam SR, Lee HS, Kim SH, Moon HK, Joo SY. Nutritional concerns for fast foods by consumer and fast foods franchisors, and evaluation of nutrient adequacy. Korean J Soc Food Sci 1991;7(3):37–46.
37. The Korean Nutrition Society. Recommended dietary allowances for Koreans. 7th revision. Seoul: 2000.
38. Yim KS. Elderly nutrition improvement program in the community health center : nutritional evaluation of the elderly using the index of nutritional quality and food group intake pattern. J Korean Diet Assoc 1997;3(2):182–196.
39. Park CE, Joo MJ, Lee HJ, Kim HY. Menu development and evaluation using food intake status of the elerly in busy farming season of Damyang Jeonnam. Korean J Food Cult 2008;23(1):41–47.
40. Choi YC. In: A study on consumer recognition for health supplementary foods [MS Thesis]. Seoul: Seoul National University; 1997.
41. Kim IG. In: Study on the product transition and quality control of health foods [MS Thesis]. Seoul: Chung-Ang University; 2000.
42. Heo KO, Lee EH, Kim SW, Kim KJ, Cha KO. In: Consumer's trend and market. Seoul: Kyomunsa; 2006. pp. 79-89.
43. Kim SH. A survey on the use of and significant variables for health functional foods among Korean elderly. Korean J Food Cultn 2011;26(1):30–38.
44. Koo NS, Park JY. Consumption pattern of health food by adults in Taejon. Korean J Community Nutr 2000;5(3):452–460.
45. Rhee HS, Lee HS, Yee JA, Kang KJ. A study on the intake patterns of health food of the elderly aged over 60 years in the Chuncheon area. Korean J Community Nutr 2001;6(4):635–644.
46. Brombach C. The EVA-study: nutrition behaviour in the life course of elderly women. J Nutr Health Aging 2001;5(4):261–262.
47. Satia JA, Kristal AR, Curry S, Trudeau E. Motivations for healthful dietary change. Public Health Nutr 2001;4(5):953–959.
48. Udry JR. In: The media and family planning. Ballinger Publishing Company; 1974.