Nutr Res Pract.  2010 Aug;4(4):295-302.

Eating habits, obesity related behaviors, and effects of Danhak exercise in elderly Koreans

Affiliations
  • 1Department of Food & Nutrition/Health Sciences Research Institution, College of Health Sciences, Korea University, Seoul 136-703, Korea.
  • 2Department of Food Science, Changwon College, Changwon 641-771, Korea.
  • 3Department of Environmental Health, College of Health Sciences, Korea University, Seoul 136-703, Korea.
  • 4Department of Oriental Medical Food and Nutrition, Semyung University, Chungbuk 390-711, Korea.
  • 5Department of Food Science, Eulji University, Gyeonggi 461-713, Korea.
  • 6Department of Food & Nutrition, College of Health Sciences, Korea University, San-1 Jeongneung-dong, Seongbuk-gu, Seoul 136-703, Korea. kteresa@korea.ac.kr

Abstract

The aims of this study were to evaluate obesity-related dietary behaviors and to determine long-term exercise effects on obesity and blood lipid profiles in elderly Korean subjects. A total of 120 subjects, aged 60-75 yr, were recruited, and obesity-related dietary behaviors were determined. An exercise intervention was conducted with 35 qualified elderly females for 6 months, and body composition and blood lipids were measured 6 times at 4 week intervals. At baseline, mean BMI (kg/m2) was 24.8 for males and 23.1 for females. The females had better eating habits than the males and were more concerned with reading nutrition labels on food products (P < 0.001); they also preferred convenience foods less than the male subjects (P < 0.05). Obese individuals were more likely than overweight or normal weight individuals to misperceive their weight (P < 0.001). Those with a high BMI responded feeling more depressed (P < 0.01), lacking self-confidence (P < 0.01), and feeling isolated (P < 0.01), as well as having more difficulty doing outdoor activities (P < 0.01). After exercise, body fat (%) and WHR were significantly reduced (P < 0.05), while body weight and BMI were also decreased without statistical significance. Total cholesterol and blood HDL were significantly improved (207.1 mg/dl vs. 182.6 mg/dl, HDL: 45.6 mg/dl vs. 50.6 mg/dl, P < 0.05). Other benefits obtained from exercise were improvements in self-confidence (26.4%), movement (22.6%), stress-relief (18.9%), and depression (13.2%). In conclusion, elderly females had better eating habits and were more concerned with nutrition information and healthy diets compared to elderly males. However, misperceptions of weight and obesity-related stress tended to be very high in females who were overweight and obese, which can be a barrier to maintain normal weight. Long-term Danhak practice, a traditional Korean exercise, was effective at reducing body fat (%) and abdominal obesity, and improved lipid profiles, self-confidence, and stress.

Keyword

Elderly; obesity; eating habits; exercise; blood lipid profiles

MeSH Terms

Adipose Tissue
Aged
Body Composition
Body Weight
Cholesterol
Depression
Diet
Eating
Fast Foods
Female
Humans
Male
Obesity
Obesity, Abdominal
Overweight
Cholesterol

Figure

  • Fig. 1 The effects of DanHak excercise in elderly people


Reference

1. Ministry of Health and Welfare. The Third Korea National Health and Nutrition Examination Survey (KNHANES III). 2006. Seoul: Ministry of Health and Welfare;55–60.
2. Defay R, Delcourt C, Ranvier M, Lacroux A, Papoz L. Relationships between physical activity, obesity and diabetes mellitus in a French elderly population: the POLA study. Pathologies Oculaires lieés á l' Age. Int J Obes Relat Metab Disord. 2001. 25:512–518.
Article
3. Villareal DT, Apovian KM, Kushner RF, Klein S. Obesity in older adults: Technical review and position statement of the American society for nutrition and NAASO, The Obesity Society. Am J Clin Nutr. 2005. 82:923–934.
Article
4. Inelmen EM, Jimenez G, Miotto F, Pisent C, Peruzza S, Coin A, Sergi G, Enzi G. Health status, quality of life and mortality in a randomized Italian elderly people. J Nutr Health Aging. 2002. 6:24–26.
5. Heikkinen RL, Berg S, Avlund K, Tömäkangas T. Depressed mood: changes during a five-year follow-up in 75-year-old men and women in three Nordic localities. Aging Clin Exp Res. 2002. 14:16–28.
6. Blazer DG, Moody-Ayers S, Craft-Morgan J. Depression in diabetes and obesity: racial/ethnic/gender issues in older adults. J Psychosom Res. 2002. 53:913–916.
7. Atlantis E, Barnes EH, Ball K. Weight status and perception barriers to healthy physical activity and diet behavior. Int J Obes (Lond). 2008. 32:343–352.
Article
8. Fiatarone MA, O'Neill EF, Ryan ND, Clements KM, Solares GR, Nelson ME, Roberts SB, Kehayias JJ, Lipsitz LA, Evans WJ. Exercise training and nutritional supplementation for physical frailty in very elderly people. N Engl J Med. 1994. 330:1769–1775.
Article
9. Shim JY, Kim YH. Effects of brain respiration training on electroencephalogram and depressive state in old women. Korean Journal of Sport Psychology. 2006. 17:117–133.
10. Lee KH, Lee SB, Won YS. A study on the effect of exercise in Kuk Sun Do/ Dan-Jeon Breathing. Korean Journal of Physical Education. 2004. 43:635–645.
11. Pyo NS, An JD. The development of exercise therapy for psychological care. Korean Journal of Sport Psychology. 2002. 13:129–151.
12. Hyun KS. The effect of the Dan-jeon breathing exercise program on % body fat and levels of serum lipid of women in midlife. J Korean Public Health Assoc. 2003. 29:118–126.
13. International Obesity Task Force. Report on the Asia-Pacific perspective: redefining obesity and its treatment. 2000. Sydney, Australia: International Obesity Task Force;12–25.
14. Ha AW, Han IK. The Characteristics of obesity related factors, perceptions of body image and psychological eating behaviors in married obese women living in the Seoul area. Journal of the East Asian Society of Dietary Life. 2009. 19:327–338.
15. Ha AW, Kim JH, Yoo KS. Obesity related stress, food group intake and physical activity in mothers and their children. Journal of the East Asian Society of Dietary Life. 2008. 18:651–661.
16. Jung MS. The comparison of obesity-related stress, diet habit, level of nutrition knowledge and level of quality of life on environment of life for middle aged women [master's thesis]. 2005. Seoul: Dongduck Women's University.
17. Lee SH. Do-In Gymnastics by Symptom for Disease Treatment II. 1999. Seoul: Hanmunhwa Multimedia Co.;10–33.
18. National Institutes of Health (NIH). Executive summary of the clinical guidelines on the identification, evaluation and treatment of overweight and obesity in adults. Arch Intern Med. 1998. 158:1855–1867.
19. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972. 18:499–502.
Article
20. Jin CH, Chang KJ. College students' attitude toward body weight control, health-related lifestyle and dietary behavior by self-perception on body image and obesity index. J Korean Soc Food Sci Nutr. 2005. 34:1559–1565.
Article
21. Johnson F, Cooke L, Croker H, Wardle J. Changing perceptions of weight in Great Britain: comparison of two population surveys. BMJ. 2008. 337:a494.
Article
22. Brener ND, Eaton DK, Lowry R, McManus T. The association between weight perception and BMI among high school students. Obes Res. 2004. 12:1866–1874.
Article
23. Jung IK, Kwan SO, Han IK, Lee IH. A study on perceptions on body image and weight control method in Korean women. 2003. In : Korean Society of Community Nutrition Conference Proceeding; Seoul. 4–8.
24. Turrell G. Determinants of gender differences in dietary behavior. Nutr Res. 1997. 17:1105–1120.
Article
25. Rurik I. Nutritional differences between elderly men and women. Ann Nutr Metab. 2006. 50:45–50.
Article
26. Woo J, Leung SSF, Ho SC, Shan A, Lam TH, Janus ED. Influence of educational level and marital status on dietary intake, obesity and other cardiovascular risk factors in a Hong Kong Chinese population. Eur J Clin Nutr. 1999. 53:461–467.
Article
27. Woo KJ, Chyun JH, Choei EO, Rho JO. Comparison Study of the daily food intake and its related factors of the elderly living in Incheon. Journal of the East Asian Society of Dietary Life. 2003. 13:379–389.
28. Blanck HM, Gillespie C, Kimmons JE, Seymour JD, Serdula MK. Trends in fruit and vegetable consumption among US men and women, 1994-2005. Prev Chronic Dis. 2008. 5:A35.
29. Salehi L, Eftekhar H, Mohammad K, Tavafian SS, Jazayery A, Montazeri A. Consumption of fruit and vegetables among elderly people: a cross sectional study from Iran. Nutrition Journal. 2010. 9:2.
Article
30. Thierney LM, McPhee S, Papadakis M. Current medical diagnosis and treatment. 1999. San Francisco: McGraw-Hill Co;2–6.
31. Ahn SJ, Kang SA. A study on the food habits and dietary behaviors among the Korean elderly. Korean J Phys Educ. 1999. 15:81–94.
32. Hallfrisch J, Muller D, Drinkwater D, Tobin J, Andres R. Continuing diet trends in men: the Baltimore Longitudinal Study of Aging (1961-1987). J Gerontol. 1990. 45:M186–M191.
Article
33. Garry PJ, Hunt WC, Koehler KM, VanderJagt DJ, Vellas BJ. Longitudinal study of dietary intakes and plasma lipids in healthy elderly men and women. Am J Clin Nutr. 1992. 55:682–688.
Article
34. Shim JY, Kim YH. Effects of brain respiration training on electroencephalogram and depressive state in old women. Korean Journal of Sport Psychology. 2006. 17:117–133.
35. Kim BS, An BH. 2007. The effect of the long-term a exercise on body composition and health related with physical fitness in elderly men. Journal of Korea Sport Research. 2007. 18:51–56.
36. Sorkin JD, Muller DC, Andres R. Longitudinal change in height of men and women: implications for interpretation of the body mass index: the Baltimore Longitudinal Study of Aging. Am J Epidemiol. 1999. 150:969–977.
Article
37. Beaufrère B, Morio B. Fat and protein redistribution with aging: metabolic considerations. Eur J Clin Nutr. 2000. 54:S48–S53.
Article
38. Johanna TD. Satin DG, Blakeney BA, editors. Nutritional concerns and problems of the aged. The clinical care of the aged person, an interdisciplinary perspective. 1994. New York: Oxford University Press;200–203.
39. Lee JS. The study of the change in the blood when acupuncture points are stimulated or when Do-Ing aerobic exercise. J Korea Acad Psychol Type. 2000. 7:629–639.
40. Kim HJ. Effect of aerobic exercise according to the presence of exercise experience on body composition and blood lipids in middle-aged obese women [master's thesis]. 2004. Seoul: Kook Min University.
41. Yoon JH, Jeong IG. A comparison of pulmonary function between smoker and non-smoker focusing on the body surface area. J Sport Leis Stud. 2000. 14:659–666.
42. Kim HS. Functional fitness and cardio respiratory response to exercise training with dumbbell in the elderly. Korean Alliance for Health, Physical Education, Recreation and Dance. 2000. 39:432–442.
43. Kim BS, An BH. The effect of the long-term a exercise on body composition and health related with physical fitness in elderly men. Journal of Korea Sport Research. 2007. 18:51–56.
44. Jung SL, Kim BR. The effects of aerobic and muscular combined exercises for 12 weeks on the physical strength, body composition, blood lipid profiles in the middle aged obese women. The Korean Journal of Physical Education. 2003. 42:649–658.
45. Willett WC, Dietz WH, Colditz GA. Guidelines for healthy weight. N Engl J Med. 1999. 341:427–434.
Article
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