Bae Seongryu, Park Hyuntae
Department of Health Sciences, The Graduate School of Dong-A University, Busan 49315, Republic of Korea.
Digital Healthcare Institute, Dong-A University, Busan 49315, Republic of Korea.
Nutrients. 2025 Jan 27;17(3):462. doi: 10.3390/nu17030462.
Chronic diseases are a significant public health issue, especially for socioeconomically vulnerable population groups. The purpose of this study is to compare the prevalence of chronic diseases in people receiving and not receiving BLS and to determine the prevalence of chronic diseases according to the physical activity and dietary habits of people receiving BLS.
Data were derived from the sixth to ninth waves (2014-2022) of the Korea National Health and Nutrition Examination Survey (KNHANES), focusing on 15,041 participants aged 65 and older. Demographic characteristics, dietary intake, physical activity, and chronic disease status were assessed. Multivariate logistic regression analysis was used to calculate odds ratios for chronic diseases according to physical activity and dietary habits.
The BLS group exhibited higher prevalence rates of hypertension and diabetes, along with lower dietary intake of energy, protein, fat, carbohydrates, dietary fiber, and vitamin C, compared to the non-BLS group. A below-average intake of energy and carbohydrates was associated with increased odds of hypertension and diabetes, particularly in the BLS group. For dietary fiber, a significant association with diabetes was found only in the BLS group. Sedentary behavior exceeding 9 h per day was linked to higher odds of chronic diseases in both groups, with stronger associations in the BLS group. Limited walking frequency (less than 1 day per week) further exacerbated risks.
BLS recipients demonstrated higher chronic disease prevalence, poorer dietary habits, and more sedentary behavior compared to non-recipients. The associations between lifestyle factors and chronic diseases were generally more substantial in the BLS group, suggesting the need for targeted interventions to improve dietary quality and physical activity patterns in this vulnerable population.
慢性病是一个重大的公共卫生问题，尤其是对社会经济弱势群体而言。本研究的目的是比较接受和未接受基本生活保障（BLS）人群的慢性病患病率，并根据接受BLS人群的身体活动和饮食习惯确定慢性病的患病率。
数据来自韩国国家健康与营养检查调查（KNHANES）的第六至第九轮（2014 - 2022年），重点关注15041名65岁及以上的参与者。评估了人口统计学特征、饮食摄入、身体活动和慢性病状况。采用多因素逻辑回归分析来计算根据身体活动和饮食习惯患慢性病的比值比。
与未接受BLS的组相比，接受BLS的组高血压和糖尿病的患病率更高，同时能量、蛋白质、脂肪、碳水化合物、膳食纤维和维生素C的饮食摄入量更低。能量和碳水化合物摄入量低于平均水平与高血压和糖尿病的患病几率增加有关，特别是在接受BLS的组中。对于膳食纤维，仅在接受BLS的组中发现与糖尿病有显著关联。两组中每天久坐行为超过9小时与慢性病的患病几率更高有关，在接受BLS的组中关联更强。步行频率有限（每周少于1天）进一步加剧了风险。
与未接受者相比，接受BLS的人慢性病患病率更高，饮食习惯更差，久坐行为更多。生活方式因素与慢性病之间的关联在接受BLS的组中通常更为显著，这表明需要针对这一弱势群体采取有针对性的干预措施，以改善饮食质量和身体活动模式。
