In-Depth Assessment of the Nutritional Status of Korean American Elderly
In-Depth Assessment of the Nutritional Status of Korean American Elderly
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DOI：
10.1016/j.gerinurse.2009.02.001
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发表时间：
2009-09-01
影响因子：
2.7
通讯作者：
Han, Hae-Ra
中科院分区：
文献类型：
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作者：
Lee, Young Hee;Lee, Jongeun;Han, Hae-Ra
虽然对移民的研究普遍表明，移民后饮食发生了重大变化，反映了西方饮食，但以前的数据仅限于年轻人和中年人的饮食模式和摄入量。使用一个相对较大的样本的韩裔美国老年人（KAE）移民，本文提供了一个深入的评估KAE，在美国增长最快的少数民族人口之一的营养状况。在这项研究中，202 KAE在东海岸的一个大都市参加了一个全面的营养调查，使用24小时的饮食回忆。尽管他们在美国生活了大约16年，但KAE一天吃两顿以上的常规食物，这被认为是韩国食物模式的一部分。与第三次全国健康与营养调查相比，报告的营养素平均摄入量普遍低于美国人，碳水化合物、植物蛋白和钠摄入量除外。与膳食参考摄入量相比，钙、膳食纤维和叶酸的摄入量不足是值得注意的。这些发现可以帮助卫生保健提供者和研究人员设计适当的营养教育计划，以促进在这一移民群体中采用更健康的饮食习惯。特别是，未来的干预措施应考虑如何降低钠摄入量，增加KAE中的水果和蔬菜消费，同时鼓励他们保持健康的饮食模式。（Geriatr Nurs 2009;30：304-311）
Although studies of immigrants have generally indicated significant dietary changes that mirror a Western diet upon immigration, previous data are limited to the dietary patterns and intakes of younger and middle-aged adults. Using a relatively large sample of Korean American elderly (KAE) immigrants, this article offers an in-depth assessment of the nutritional status of KAE, one of the most rapidly increasing minority populations in the United States. In this study, 202 KAE in a metropolitan city on the East Coast participated in a comprehensive nutritional survey using 24-hour dietary recall. Despite their spending about 16 years in the United States, the KAE consumed more than 2 regular meals in a day that were considered part of a Korean food pattern. When compared with the National Health and Nutrition Examination Survey III, the average consumption of nutrients reported was generally lower than in Americans, with the exception of carbohydrates, vegetable protein, and sodium intake. Inadequate intake of calcium, dietary fiber, and folate were notable when examined in comparison to the Dietary Reference Intakes. These findings can help health care providers and researchers design appropriate nutritional education programs to facilitate the adoption of healthier dietary practices in this immigrant population. In particular, future interventions should consider ways to lower sodium intake and increase fruit and vegetable consumption among KAE, while encouraging them to maintain their healthy dietary pattern. (Geriatr Nurs 2009;30:304-311)