Lim Hee-Sook, Yoo Jeong-Ju
Department of Food and Nutrition, Yeonsung University, Anyang 14011, Korea.
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon 14854, Korea.
Healthcare (Basel). 2020 Nov 22;8(4):507. doi: 10.3390/healthcare8040507.
The purpose of this study was to compare sociodemographic factors, health factors and nutritional status according to the physical activity of older women, and to analyze the factors affecting their quality of life. The subjects of this study were 5661 older women aged 60 or older who participated in the Korean National Health and Nutrition Survey (KNHANES) from 2008 to 2013. The socioeconomic factors, subjective health status and disease status, lifestyle and dietary quality, and life quality were compared among two groups (active group and inactive group). The inactive group had significantly higher rates of obesity and unemployment, comorbidities, numbers without spouses, experiencing stress, poor subjective health status, depression or suicidal thoughts, and also higher rates of skipping meals. The life quality index and dietary quality was also significantly lower in the inactive group, and subjects experienced significantly higher pain or discomfort and problems in mobility and the usual activities. The results of multivariate analysis after adjusting for age in groups engaging in physical activities showed the life quality index to increase in accordance with the diet quality, economic income, and education level. It was confirmed that life quality was significantly low if the participant showed a poor subjective health evaluation, obese with many diseases, spouseless, and experienced high levels of stress. Considering the rapid aging and high life expectancy of women, regular physical activity is very important for maintaining health and improving the life quality of older women, and it is believed that comprehensive attention and management of lifestyle and diet quality are necessary.
本研究旨在根据老年女性的身体活动情况比较社会人口学因素、健康因素和营养状况，并分析影响其生活质量的因素。本研究的对象是2008年至2013年参加韩国国家健康与营养调查（KNHANES）的5661名60岁及以上的老年女性。比较了两组（活动组和非活动组）的社会经济因素、主观健康状况和疾病状况、生活方式和饮食质量以及生活质量。非活动组的肥胖率、失业率、合并症、无配偶人数、经历压力、主观健康状况差、抑郁或自杀念头的发生率显著更高，不规律饮食的发生率也更高。非活动组的生活质量指数和饮食质量也显著更低，并且受试者在疼痛或不适、行动能力和日常活动方面存在的问题也显著更多。在对从事体育活动的组进行年龄调整后的多变量分析结果显示，生活质量指数随着饮食质量、经济收入和教育水平的提高而增加。证实如果参与者主观健康评价差、患有多种疾病且肥胖、无配偶且经历高水平压力，则生活质量显著较低。考虑到女性的快速老龄化和高预期寿命，定期体育活动对于维持老年女性的健康和提高其生活质量非常重要，并且认为有必要对生活方式和饮食质量进行全面关注和管理。
