Nutr Res Pract.  2007 Jun;1(2):143-149.

Regional comparison of dietary intakes and health related behaviors among residents in Asan

Affiliations
  • 1Korea Food Research Institute, Seongnam, Kyunggi-do 463-746, Korea.
  • 2Regional Innovation Center, Soonchunhyang University, Asan, Choongnam 336-745, Korea.
  • 3Department of Food Science and Nutrition, Soonchunhyang University, Asan, Choongnam 336-745, Korea. hskim1@sch.ac.kr

Abstract

Inadequate dietary intakes and poor health behaviors are of concern among rural residents in Korea. This study is conducted to compare dietary intakes, dietary diversity score (DDS), mean nutrient adequacy ratio (MAR) and health related behaviors by rural, factory and urban areas in Asan. A total of 930 adults (351 men and 579 women) were interviewed to assess social economic status (SES), health related behaviors and food intakes by a 24-hour recall method. Mean age was 61.5 years with men being older (64.8 years) than women (59.3 years, p<0.001). Men in the factory area were older than rural or urban men while urban women were the youngest. Education and income of urban residents were higher than other area residents. There were more current drinkers in urban area while smoking status was not different by regions. Physical activity was significantly higher in rural or factory areas, whilst urban residents exercised more often (p<0.05). Rural or factory area residents considered themselves less healthy than others while perceived stress was lower than urban residents. Energy intakes were higher in urban residents or in men, however, after SES was controlled, energy intake did not show any differences. Energy-adjusted nutrient intakes were significantly higher in the urban area (p<0.05) for most nutrients except for carbohydrate, niacin, folic acid, vitamin B6, iron and fiber. Sodium intake was higher in factory area than in other areas after SES was controlled. DDS of rural men and MAR of both men and women in the rural area were significantly lower when SES was controlled. In conclusion, dietary intakes, diversity, adequacy and perceived health were poor in the rural area, although other health behaviors such as drinking and perceived stress were better than in the urban area. In order to improve perceived health of rural residents, good nutrition and exercise education programs are recommended.

Keyword

Dietary intake; health behavior; regional comparison; rural area

MeSH Terms

Adult
Chungcheongnam-do*
Drinking
Education
Energy Intake
Female
Folic Acid
Health Behavior
Humans
Iron
Korea
Male
Motor Activity
Niacin
Smoke
Smoking
Sodium
Vitamin B 6
Folic Acid
Iron
Niacin
Smoke
Sodium
Vitamin B 6

Figure

  • Fig. 1 Regional comparison of dietary diversity score (DDS) by ANOVA (A) and estimated marginal means of DDS after adjustment with age, income and energy intake as covariates in ANCOVA models (B) by sex. Error bars are standard error and different alphabet means significant differences among regions by post hoc test with LSD (p<0.05).

  • Fig. 2 Regional comparison of mean nutrient adequacy ratio (MAR) by ANOVA (A) and estimated marginal means of MAR after adjustment with age, income and energy intake as covariates in ANCOVA models (B) by sex. Error bars are standard error and different alphabet means significant differences among regions by post hoc test with LSD (p<0.05).


Reference

1. Bernstein MA, Tucker KL, Ryan ND, O'Neil EF, Clements KM, Nelson ME, Evans WJ, Fiatarone Singh MA. Higher dietary variety is associated with better nutritional status in frail elderly people. J Am Diet Assoc. 2002. 102:1096–1104.
Article
2. Chung SK, Han YS, Lee SI, Kang S. Urban and rural differences in the prevalence of gender and age specific obesity and related health behaviors in Korea. Journal of Korean Medician Science. 2005. 20:713–720.
Article
3. Drewnowski A, Henderson SA, Driscoll A, Rolls BJ. The Dietary Variety Score: assessing diet quality in healthy young and older adults. J Am Diet Assoc. 1997. 97:266–271.
4. Foote JA, Murphy SP, Wilkens LR, Basiotis PP, Carlson A. Dietary variety increases the probability of nutrient adequacy among adults. J Nutr. 2004. 134:1779–1785.
Article
5. Guthrie HA, Scheer J. Validity of a dietary score for assessing nutrient adequacy. J Am Diet Assoc. 1981. 78:240–245.
Article
6. Haines PS, Siega-Riz AM, Popkin BM. The Diet Quality Index revised: a measurement instrument for populations. J Am Diet Assoc. 1999. 99:697–704.
7. Hatloy A, Torheim LE, Oshaug A. Food variety-a good indicator of nutritional adequacy of the diet? A case study from an urban area in Mali, West Africa. Eur J Clin Nutr. 1998. 52:891–898.
Article
8. Kant A, Block G, Schatzkin A, Ziegler R, Nestle M. Dietary diversity in the US population, NHANES II, 1976-1980. J Am Diet Assoc. 1991. 91:1526–1531.
Article
9. Kant A, Schatzkin A, Harris T, Ziegler R, Block G. Dietary diversity and subsequent mortality in the First National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Am J Clin Nutr. 1993. 57:434–440.
Article
10. Katanoda K, Kim HS, Matsumura Y. Dietary diversity in the Japanese National Dietary Guidelines. Nutr. 2006. 22(3):283–287.
Article
11. Kennedy ET. Dietary diversity, diet quality, and body weight regulation. Nutr Rev. 2004. 62:78–81.
Article
12. Kim S, Haines PS, Siega-Riz AM, Popkin BM. The Diet Quality Index-International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr. 2003. 133:3476–3484.
Article
13. Krebs-Smith SM, Smiciklas-Wright H, Guthrie HA, Krebs-Smith J. The effects of variety in food choices on dietary quality. J Am Diet Assoc. 1987. 87:897–903.
Article
14. Korean Society of Nutrition. Dietary Reference Intakes for Koreans. 2005. Seoul. Republic of Korea: Hanareum Publishing Co..
15. Lee MJ, Popkin BM, Kim S. The unique aspects of the nutrition transition in South Korea: the retention of healthful elements in their traditional diet. Public Health Nutr. 2002. 5:197–203.
Article
16. Marshall TA, Stumbo PJ, Warren JJ, Xie XJ. Inadequate nutrient intakes are common and are associated with low diet variety in rural, community-dwelling elderly. J Nutr. 2001. 131:2192–2196.
Article
17. Ministry of Health and Welfare. Report on the 1998 National Health and Nutrition Survey; Report on the 2001 National Health and Nutrition Survey. 2002. Seoul. Republic of Korea: Ministry of Health and Welfare.
18. Ruel MT. Operationalizing dietary diversity: a review of measurement issues and research priorities. J Nutr. 2003. 133:3911–3926.
Article
19. WHO. Preparation and use of food-based dietary guidelines. WHO Technical Report, Series 880. Report of a Joint FAO/WHO Consultation. 1996. Geneva. Switzerland: World Health Organization.
20. Willett WC. Willett , editor. Implications of total energy intake for epidemiologic analyses. Nutritional epidemiology. 1990. New York. USA: Oxford Univ. Press;245.
Article
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