Korean J Community Nutr.  2009 Dec;14(6):831-845.

Association of Nutritional Status with Obesity by Body Mass Index and Waist Circumference among Hypertensive Elderly Patients

• Seo KH
• Lee HJ
• Lim BD
• Choi YJ
• Oh H
• Yoon JS

Abstract

Hypertension and obesity are important modifiable risk factors for cardiovascular disease, the leading cause of death in Korea. Therefore, we assessed the association between dietary pattern and obesity in hypertensive patients to formulate health promotion strategies for the older population. Dietary information was collected from hypertensive patients visiting community health education and information center by using 24 hour recall method. The 2005 DRIs for Koreans was used to evaluate the dietary adequacy. When subjects were categorized by body mass index (BMI) as normal, overweight and obese, no significant difference in energy intake was found among groups. Dietary intakes of folate, and vitamin C in obese hypertensive patients were significantly lower than in normal weight patients (p < 0.05). When we compare the nutritional status by waist circumferences, dietary intakes of zinc, vitamin A, thiamin, vitamin C and folate were significantly lower in the obese group. Vegetable intake was significantly lower in the obese group according to BMI as well as waist circumference. Energy intake from carbohydrate was significantly higher in obese hypertensive patients (p < 0.05). Obese hypertensive patients had a higher risk of nutritional inadequacy compared to normal weight patients. Our results indicated the need for developing interventions that encourage greater consumption of vegetables while cutting down salt intake with wise selection of staple foods, for obese hypertensive patients.

Keyword

Hypertension; BMI; elderly; abdominal obesity; nutrients intake; food pattern

MeSH Terms

Aged
Ascorbic Acid
Body Mass Index
Cardiovascular Diseases
Cause of Death
Energy Intake
Folic Acid
Health Education
Health Promotion
Humans
Hypertension
Information Centers
Korea
Nutritional Status
Obesity
Obesity, Abdominal
Overweight
Risk Factors
Vegetables
Vitamin A
Waist Circumference
Zinc
Ascorbic Acid
Folic Acid
Vitamin A
Zinc