Journal List > J Nutr Health > v.47(1) > 1081371

J Nutr Health. 2014 Feb;47(1):67-76. Korean.
Published online February 28, 2014.  https://doi.org/10.4163/jnh.2014.47.1.67
© 2014 The Korean Nutrition Society
A study on dietary habits and food intakes in adults aged 50 or older according to depression status
Seungjae Lee, Yuri Kim, Sunhee Seo and Mi Sook Cho
Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 120-750, Korea.

To whom correspondence should be addressed. tel: +82-2-3277-2826, Email: misocho@ewha.ac.kr
Received September 30, 2013; Revised October 23, 2013; Accepted December 30, 2013.

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.


Abstract

Purpose

This study was conducted in order to analyze the dietary habits and food intake status according to the prevalence of depression in adults.

Methods

A total of 496 subjects, 224 men and 272 women aged 50 to 100 years were recruited from more than 13 cities in Korea. The questionnaires consisted of general characteristics, dietary life status, food intakes, the mean mini dietary assessment and satisfaction with food-related life questionnaire of the subjects to ask according to the degree of depression. Depression status was evaluated according to the Korean form of the Geriatric Depression Scale (K-GDS).

Results

All subjects were divided into depression or normal groups; the prevalence of depression was 13.8% (male) and 23.9% (female). People aged 65 or older were more likely to have higher prevalence of depression and to be bereaved. People in the depression group had poor appetite, almost never dined-out, and ate alone. The food intake of miscellaneous cereals, beans, tofu, chicken/duck meat, cabbage, carrot/amber, fungi, apple, pear, strawberry, grapes, and banana was significantly higher in the normal group compared with the depression group. In particular, significantly higher intake of vegetables and fruits was observed in the normal group. In addition, subjects in the depression group ate more fatty meat and were more dissatisfied with food-related life than those in the normal group.

Conclusion

The results of this study imply that the prevalence of depression may affect the dietary habits, food intake, and dietary behaviors in the older adult population.

Keywords: adult; depression; dietary habit; food intake; dietary behavior

Tables


Table 1
General Characteristics of Subjects according to depression degree n (%)
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Table 2
Dietary behaviors of the subjects according to depression degree n (%)
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Table 3
The intakes of each food items among the subjects according to depression degree
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Table 4
The mean mini dietary assessment index score of the subjects according to depression degree
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Table 5
Satisfaction with food-related life of the subjects according to depression degree
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Notes

This work was supported by the Ewha Global Top5 Grant 2012 of Ewha Womans University.

References
1. Statistics Korea. Estimated future population [Internet]. Daejeon: Statistics Korea; 2011 [cited 2013 Sep 30].
2. Statistics Korea. Annual report on the vital statistics [Internet]. Daejeon: Statistics Korea; 2000 [cited 2013 Sep 30].
3. Ministry of Health and Welfare. The fifth Korea national health and nutrition examination survey (KNHANES V-2). Korea Centers for Disease Control and Prevention; 2011.
4. Brownie S. Why are elderly individuals at risk of nutritional deficiency? Int J Nurs Pract 2006;12(2):110–118.
5. Lee YS, Kim HK. Nutritional status and cognitive status of the elderly using public health center in Ulsan. Korean J Nutr 2002;35(10):1070–1080.
6. Furman EF. Undernutrition in older adults across the continuum of care: nutritional assessment, barriers, and interventions. J Gerontol Nurs 2006;32(1):22–27.
7. 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.
8. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2011: Korea National Health and Nutrition Examination Survey (KNHANES V-2). Cheongwon: Korea Centers for Disease Control and Prevention; 2012. pp. 308-310.
9. Yoo KJ, Shin SC, Jeon SB, Yoon KS, Kim MK, Moon SJ, Lee MJ. Epidemiologic assessment of depression in Korea. J Korean Med Assoc 1991;373(2):172–180.
10. Kim DB, Sohn ES. A meta-analysis of the variables related to depression in elderly. J Korean Gerontol Soc 2005;25(4):167–187.
11. Cullum S, Tucker S, Todd C, Brayne C. Screening for depression in older medical inpatients. Int J Geriatr Psychiatry 2006;21(5):469–476.
12. Alexopoulos GS. Depression in the elderly. Lancet 2005;365(9475):1961–1970.
13. 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.
14. 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.
15. Cho YS, Lim HS. The nutrition and health survey of aged people in a rural area II. Anthropometry, blood pressure, blood constituents, diseases and obesity rate. Korean J Nutr 1986;19(6):382–391.
16. 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.
17. Kim WY, Ahn SY, Song YS. The nutritional status and intervention effects of multivitamin-mineral supplementation in nursing-home residents in Korea. Korean J Community Nutr 2000;5(2):201–207.
18. Kim Y, Seo S, Kwon O, Cho MS. Comparisons of dietary behavior, food intake, and satisfaction with food-related life between the elderly living in urban and rural areas. Korean J Nutr 2012;45(3):252–263.
19. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1982-1983;17(1):37–49.
20. Jung IK, Kwak DI, Joe SH, Lee HS. A study of standardization of Korean form of Geriatric Depression Scale (KGDS). J Korean Geriatr Psychiatry 1997;1(1):61–72.
21. Kim WY, Cho MS, Lee HS. Development and validation of mini dietary assessment index for Koreans. Korean J Nutr 2003;36(1):83–92.
22. Kwon YE, Kim YS, Seo KH. Cognitive function and depression of the elderly in a community setting. J Korean Gerontol Nurs 2006;8(2):161–169.
23. Lee MA. Depression degree and sex difference of elderly according to the married state. Korean J Sociol 2010;44(4):32–62.
24. Jo KH, Kim YK. Influencing factors on depression, suicidal thought, and life satisfaction of Korean elders. J Korean Acad Soc Nurs Educ 2008;14(2):176–187.
25. Hong WH. Sex difference in the rate of depression. J Korean Neuropsychiatr Assoc 1978;17(4):411–422.
26. Kim HJ. The correlation between depression and physical health in the elderly. Korean J Rural Med 2001;26(2):193–203.
27. Blazer D, Burchett B, Service C, George LK. The association of age and depression among the elderly: an epidemiologic exploration. J Gerontol 1991;46(6):M210–M215.
28. Kim HS, You SJ, Han KR. The relation of cognitive function, physical health, self-esteem, social support and depression of elderly women in the community. J Korean Gerontol Nurs 2002;4(2):163–175.
29. Zisook S, Shuchter SR, Sledge PA, Paulus M, Judd LL. The spectrum of depressive phenomena after spousal bereavement. J Clin Psychiatry 1994;55 Suppl:29–36.
30. Nuss WS, Zubenko GS. Correlates of persistent depressive symptoms in widows. Am J Psychiatry 1992;149(3):346–351.
31. Gilewski MJ, Farberow NL, Gallagher DE, Thompson LW. Interaction of depression and bereavement on mental health in the elderly. Psychol Aging 1991;6(1):67–75.
32. Kim JS, Lee HS, Jung IK, Kwak DI. Depressive symptoms of the spousal bereaved elders. J Korean Geriatr Psychiatry 1998;2(1):85–93.
33. Kim JH, Lee MJ, Moon SJ, Shin SC, Kim MK. Ecological analysis of food behavior and life-styles affecting the prevalence of depression in Korea. Korean J Nutr 1993;26(9):1129–1137.
34. Chang HS, Kim M. A study on dietary status of elderly Koreans with ages. J Korean Soc Food Sci Nutr 1999;28(1):265–273.
35. Park JE, Kim SJ, Choue R. Study on stress, depression, binge eating, and food behavior of high school girls based on their BMI. Korean J Community Nutr 2009;14(2):175–181.
36. Park PS, Park KO, Jeong 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. J Korean Living Sci Assoc 2009;18(6):1349–1361.
37. Carroll D, Ring C, Suter M, Willemsen G. The effects of an oral multivitamin combination with calcium, magnesium, and zinc on psychological well-being in healthy young male volunteers: a double-blind placebo-controlled trial. Psychopharmacology (Berl) 2000;150(2):220–225.
38. Son SM, Kim MJ. Nutritional status and utilization of public health center of elderly. Korean J Community Nutr 2001;6(2):218–226.
39. Yim KS. Nutrition status and depression in the elderly. Nonmunjip-Suwondaehakgyo 1997;15:281–292.
40. Otto MW, Pollack MH, Sachs GS, O'Neil CA, Rosenbaum JF. Alcohol dependence in panic disorder patients. J Psychiatr Res 1992;26(1):29–38.