국민건강 영양조사(2010년)를 이용한 도시와 농촌지역 거주 폐경기 중년여성의 비만도, 영양소 섭취, 식생활 요인 비교

Abstract

This study was conducted to compare obesity rate, nutrient intakes and dietary factor among postmenopausal women using the 2010 Korean National Health and Nutrition Examination Survey data. Income and educational level of 183 postmenopausal women in rural areas were significantly lower than those in urban areas though more rural subjects participated in earning their living than 543 urban subjects. Indices of obesity such as waist circumference and BMI in rural subjects were significantly higher than those of urban subjects. Despite their perception on thinness of body weight, actual body weight of rural subjects was slightly higher than those in urban subjects. Rural subjects concerned less on body weight management than urban subjects and they engaged in more vigorous and moderate activity than urban ones. Urban subjects took more dietary supplements and made use of nutrition labelling with food selection in daily life. Significantly higher intakes of energy, protein fat and less carbohydrate consumption was noted in urban subjects than those in rural subjects. Energy ratio of carbohydrate : protein : fat was 71.1 : 14.0 : 14.9 for the urban subjects and 75.3 : 12.8 : 11.9 for the rural subjects. Regardless of regions, intakes of protein, P, Fe, vitamin A and vitamin C were adequate. However Ca intakes in both groups were less than 75% of Recommended intake(RI). NAR and MAR were good in both groups except for Ca and riboflavin. INQ was under 1 for most nutrients except for P of rural subject. Generally nutritional intakes of postmenopausal subjects in urban groups were slightly better for rural subjects. However intakes of Ca and riboflavin in both groups were inadequate regardless of regions. Dietary factor contributing obesity rather than activity might be involved in energy balance of rural subjects. It might be suggested that effective nutrition education program especially targeting rural subjects should be developed and implemented to select healthy diet for proper weight management. In addition, nutritional needs and food sources of Ca and riboflavin targeting postmenopausal women regardless of regions, should be educated.