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Association between nutrient intake and frailty status in Korean older adults: a cross-sectional study using the 9th (2022–2023) Korea National Health and Nutrition Examination Survey
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Hyejin Yu, Sang-Jin Chung
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Korean J Community Nutr 2026;31(2):153-164. Published online April 30, 2026
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DOI: https://doi.org/10.5720/kjcn.2026.00038
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Abstract
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- Objectives
This study evaluated the intake status of key macronutrients and micronutrients (calcium, magnesium, iron, and vitamin D) among Korean older adults and investigated their associations with frailty and its individual components.
Methods Data from 1,246 participants (aged ≥ 65 years) in the 9th Korea National Health and Nutrition Examination Survey (2022–2023) were analyzed. Participants were classified into Robust, Pre-frail, and Frail groups based on a modified version of the Fried frailty phenotype (unintentional weight loss, exhaustion/fatigue, muscle weakness, slow gait speed, and low physical activity). Nutrient intake levels were categorized into tertiles. Multivariable logistic regression was used to estimate odds ratios (ORs) for frailty. Model 1 was adjusted for age, sex, and total energy intake. Model 2 included additional adjustments for socioeconomic factors (household composition, household income) and function-related factors (aerobic physical activity, chewing difficulty, and disease status).
Results Total energy intake differed significantly across frailty groups in both Model 1 (P = 0.011) and Model 2 (P = 0.043). In the fully adjusted model, participants in the highest tertile of iron intake (T3) had 35% lower odds of frailty compared to those in the lowest tertile (T1) (OR = 0.65; 95% confidence interval [CI], 0.44–0.96). Iron intake maintained the strongest independent association with reduced odds of muscle weakness (T3 vs. T1: OR = 0.45; 95% CI, 0.28–0.71). Furthermore, higher protein intake per kilogram of body weight (T3) was significantly associated with lower odds of slow gait speed (OR = 0.53; 95% CI, 0.33–0.87) in the minimally adjusted model. Vitamin D, calcium, and magnesium were not significantly associated with overall frailty after full adjustment.
Conclusion Insufficient intake of protein and iron is associated with increased odds of frailty and its functional components in Korean older adults. These findings underscore the critical need for evidence-based nutritional interventions and policy development to prevent and manage frailty at the population level.
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Total sugar intake and its contributed foods by age groups in Koreans using the 8th (2019–2021) Korea National Health and Nutrition Examination Survey: a cross-sectional study
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Hyejin Yu, Sang-Jin Chung
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Korean J Community Nutr 2024;29(3):222-233. Published online June 30, 2024
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DOI: https://doi.org/10.5720/kjcn.2024.29.3.222
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Abstract
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This study was conducted to investigate the status of total sugar intake and contributing foods in Korea according to age groups.
Methods This study used 24-hour dietary recall data from the 8th Korea National Health and Nutrition Examination Survey (2019–2021) to investigate the nutritional and total sugar intake status among Koreans. A total of 18,338 research participants (≥3 years old) were included in this study. To analyze the types of foods contributing to total sugar intake, these foods were categorized into 15 types. Moreover, we examined the total sugar intake and ranked the most consumed foods by age groups (3–11 years, 12–18 years, 19–34 years, 35–49 years, 50–64 years, over 65 years). A survey procedure was employed for statistical analysis.
Results The energy intake ratio from total sugars was approximately 12%–15%, which was within the recommended range. However, the proportion of individuals consuming total sugar exceeding 20% of their total caloric intake is nearly 20%, raising concerns about excessive sugar consumption. Furthermore, the percentage of participants whose intake of sugar from processed foods exceeded 10% of their total calories was highest in the 12–18 age group at 37.1%, followed by the 3–11 age group at 35.2%, and the 19–34 age group at 34.0%. Carbonated drinks, cola, and cider were the primary foods consumed by children and adolescents (3–18 years old) and young adults (19–34 years old). For middle-aged and older adults, mixed coffee with sugar and cream was a prominent contributor to sugar intake.
Conclusions This study investigated sugar consumption patterns among Koreans, finding the principal foods contributing to this intake. Identifying these contributors is pivotal, given their potential impact on public health.
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Citations
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- Psychosocial factors related to the stages of change in reducing sugar intake among adults in Seoul, Korea: a cross-sectional study
Ju Young Lee, Kyung Won Kim Korean Journal of Community Nutrition.2026; 31(1): 21. CrossRef
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