1.Association between living alone with frailty among elderly Korean men
Won JANG ; Minji KIM ; Yangha KIM
Journal of Nutrition and Health 2025;58(1):77-86
Purpose:
The living arrangements of elderly persons can play a crucial role in their health.This study evaluated the association between living arrangements and frailty among elderly Korean men.
Methods:
The cross-sectional data from the Korea National Health and Nutrition Examination Survey (2014–2019) were used. A total of 3,198 men aged 65 years or older were divided into a living alone group (LA, n = 393) and a not living alone group (NLA, n = 2,805). The dietary intake data was obtained from a single 24-hour recall. The food variety score (FVS) was defined as the number of foods items consumed in one day. Frailty was defined as the presence of three or more of the modified Fried frailty phenotype criteria. The association between living arrangements and frailty was analyzed by multiple nominal logistic regression.
Results:
The LA group showed significantly lower FVSs than the NLA group. The intakes of fruit, vegetables, fish and shellfish, fiber, and key antioxidant nutrients such as vitamins A and C, were lower in LA than in NLA. Multiple nominal logistic regression revealed a higher odds ratio (OR) for frailty in the LA group compared to the NLA group (OR [95% confidence interval], 2.05 [1.12–3.74]; p = 0.019).
Conclusion
These findings suggest that the increased risk of frailty among elderly men living alone may be partially associated with their lower dietary variety, particularly reduced intake of essential nutrients from fruit, vegetables, fish, and shellfish, highlighting their vulnerability to suboptimal nutrition. Thus, increasing diversity in food intake could be a useful dietary strategy to prevent the frailty of the living alone elderly.
2.Association between living alone with frailty among elderly Korean men
Won JANG ; Minji KIM ; Yangha KIM
Journal of Nutrition and Health 2025;58(1):77-86
Purpose:
The living arrangements of elderly persons can play a crucial role in their health.This study evaluated the association between living arrangements and frailty among elderly Korean men.
Methods:
The cross-sectional data from the Korea National Health and Nutrition Examination Survey (2014–2019) were used. A total of 3,198 men aged 65 years or older were divided into a living alone group (LA, n = 393) and a not living alone group (NLA, n = 2,805). The dietary intake data was obtained from a single 24-hour recall. The food variety score (FVS) was defined as the number of foods items consumed in one day. Frailty was defined as the presence of three or more of the modified Fried frailty phenotype criteria. The association between living arrangements and frailty was analyzed by multiple nominal logistic regression.
Results:
The LA group showed significantly lower FVSs than the NLA group. The intakes of fruit, vegetables, fish and shellfish, fiber, and key antioxidant nutrients such as vitamins A and C, were lower in LA than in NLA. Multiple nominal logistic regression revealed a higher odds ratio (OR) for frailty in the LA group compared to the NLA group (OR [95% confidence interval], 2.05 [1.12–3.74]; p = 0.019).
Conclusion
These findings suggest that the increased risk of frailty among elderly men living alone may be partially associated with their lower dietary variety, particularly reduced intake of essential nutrients from fruit, vegetables, fish, and shellfish, highlighting their vulnerability to suboptimal nutrition. Thus, increasing diversity in food intake could be a useful dietary strategy to prevent the frailty of the living alone elderly.
3.Association between living alone with frailty among elderly Korean men
Won JANG ; Minji KIM ; Yangha KIM
Journal of Nutrition and Health 2025;58(1):77-86
Purpose:
The living arrangements of elderly persons can play a crucial role in their health.This study evaluated the association between living arrangements and frailty among elderly Korean men.
Methods:
The cross-sectional data from the Korea National Health and Nutrition Examination Survey (2014–2019) were used. A total of 3,198 men aged 65 years or older were divided into a living alone group (LA, n = 393) and a not living alone group (NLA, n = 2,805). The dietary intake data was obtained from a single 24-hour recall. The food variety score (FVS) was defined as the number of foods items consumed in one day. Frailty was defined as the presence of three or more of the modified Fried frailty phenotype criteria. The association between living arrangements and frailty was analyzed by multiple nominal logistic regression.
Results:
The LA group showed significantly lower FVSs than the NLA group. The intakes of fruit, vegetables, fish and shellfish, fiber, and key antioxidant nutrients such as vitamins A and C, were lower in LA than in NLA. Multiple nominal logistic regression revealed a higher odds ratio (OR) for frailty in the LA group compared to the NLA group (OR [95% confidence interval], 2.05 [1.12–3.74]; p = 0.019).
Conclusion
These findings suggest that the increased risk of frailty among elderly men living alone may be partially associated with their lower dietary variety, particularly reduced intake of essential nutrients from fruit, vegetables, fish, and shellfish, highlighting their vulnerability to suboptimal nutrition. Thus, increasing diversity in food intake could be a useful dietary strategy to prevent the frailty of the living alone elderly.
4.Effects of quercetin nanoemulsion on SIRT1 activation and mitochondrial biogenesis in the skeletal muscle of high-fat diet-fed mice
Mak-Soon LEE ; Miae DOO ; Yangha KIM
Nutrition Research and Practice 2024;18(6):806-817
BACKGROUND/OBJECTIVES:
Quercetin (QT) is a plant flavonoid that offers health benefits owing to its various bioactive properties; however, as a hydrophobic substance, it has considerably low bioavailability. We previously demonstrated that QT nanoemulsion (QT+NE) formulated via oil-in-water nanoemulsification exhibited more effective cholesterollowering activity than ordinary QT in high cholesterol-fed rats. In this study, we investigated the effects of QT+NE on the regulation of skeletal muscle mitochondrial function in high-fat diet (HD)-fed mice.MATERIALS/METHODS: C57BL/6J mice were fed a normal chow diet (ND), HD (45% of calories from fat), or HD with 0.05% QT+NE or QT for 11 weeks. We analyzed sirtuin 1 (SIRT1) activation, mitochondrial changes, and the expression of genes involved in mitochondrial biogenesis in skeletal muscle.
RESULTS:
Body weight and body weight gain decreased in the QT+NE group compared with that in the HD group (P < 0.05), but not in the QT group. Epididymal adipose tissue weight decreased in both the QT and QT+NE groups (P < 0.05). Plasma lipid levels also improved in both the QT and QT+NE groups (P < 0.05). QT+NE intake upregulated the messenger RNA levels of SIRT1, peroxisome proliferator-activated receptor-γ coactivator 1-α, nuclear respiratory factor 1, and mitochondrial transcription factor A in skeletal muscle compared with HD intake alone (P < 0.05), whereas QT did not. In particular, SIRT1 activity was significantly increased in the QT+NE group compared with that in the QT group (P < 0.05).HD intake reduced mitochondrial DNA content compared with ND intake; nevertheless, QT+NE intake retained it (P < 0.05).
CONCLUSION
Collectively, our findings suggest that QT+NE may be beneficial in enhancing mitochondrial biogenesis in skeletal muscle of HD-fed mice, which may be associated with SIRT1 activation.
5.Association of seafood consumption and risk of cardiovascular disease according to insomnia status:a community-based prospective cohort study
Minji KIM ; Yeongeun JEONG ; Yuna JEONG ; Won JANG ; Sein KIM ; Yangha KIM
Journal of Nutrition and Health 2024;57(6):641-652
Purpose:
Accumulating evidence suggests that seafood and its components, such as eicosapentaenoic acid and docosahexaenoic acid, are known to prevent cardiovascular disease (CVD). However, little is known about whether sleep quality, which has been recognized as a risk factor for CVD, might influence these associations. Therefore, the purpose of the study was to investigate the longitudinal associations between seafood consumption and CVD in Korean adults with or without insomnia.
Methods:
The data were collected from the Korean Genome and Epidemiology Study (KoGES) and included 3,168 participants aged 40–69 years. Dietary intake was measured by a validated 106-item food-frequency questionnaire, and insomnia was assessed using a questionnaire on sleep-related symptoms. The CVD events included myocardial infarction, coronary artery disease, congestive heart failure, cerebrovascular disease, and peripheral vascular disease. Associations of seafood consumption with CVD were assessed using timedependent Cox regression analyses to calculate the hazard ratios (HRs) and 95% confidence intervals (CIs) while adjusting for potential confounding factors.
Results:
During the 8-year follow-up period, the incidence of CVD was 5.1%. There was a positive association between seafood consumption and most food groups, as well as nutrients. In contrast, as seafood consumption increased, the consumption of grains decreased. Regarding nutrient intake, there was a negative association between seafood consumption and carbohydrate intake. After adjustment for confounding factors, the risk of CVD was inversely associated with seafood consumption, with a 56% lower risk (HRT3 vs. T1 , 0.44; 95% CI, 0.26–0.75; p = 0.002), only in the non-insomnia group.
Conclusion
Findings from this study suggest that seafood consumption might lead to more favorable outcomes against CVD if accompanied by good sleep quality.
6.Effects of quercetin nanoemulsion on SIRT1 activation and mitochondrial biogenesis in the skeletal muscle of high-fat diet-fed mice
Mak-Soon LEE ; Miae DOO ; Yangha KIM
Nutrition Research and Practice 2024;18(6):806-817
BACKGROUND/OBJECTIVES:
Quercetin (QT) is a plant flavonoid that offers health benefits owing to its various bioactive properties; however, as a hydrophobic substance, it has considerably low bioavailability. We previously demonstrated that QT nanoemulsion (QT+NE) formulated via oil-in-water nanoemulsification exhibited more effective cholesterollowering activity than ordinary QT in high cholesterol-fed rats. In this study, we investigated the effects of QT+NE on the regulation of skeletal muscle mitochondrial function in high-fat diet (HD)-fed mice.MATERIALS/METHODS: C57BL/6J mice were fed a normal chow diet (ND), HD (45% of calories from fat), or HD with 0.05% QT+NE or QT for 11 weeks. We analyzed sirtuin 1 (SIRT1) activation, mitochondrial changes, and the expression of genes involved in mitochondrial biogenesis in skeletal muscle.
RESULTS:
Body weight and body weight gain decreased in the QT+NE group compared with that in the HD group (P < 0.05), but not in the QT group. Epididymal adipose tissue weight decreased in both the QT and QT+NE groups (P < 0.05). Plasma lipid levels also improved in both the QT and QT+NE groups (P < 0.05). QT+NE intake upregulated the messenger RNA levels of SIRT1, peroxisome proliferator-activated receptor-γ coactivator 1-α, nuclear respiratory factor 1, and mitochondrial transcription factor A in skeletal muscle compared with HD intake alone (P < 0.05), whereas QT did not. In particular, SIRT1 activity was significantly increased in the QT+NE group compared with that in the QT group (P < 0.05).HD intake reduced mitochondrial DNA content compared with ND intake; nevertheless, QT+NE intake retained it (P < 0.05).
CONCLUSION
Collectively, our findings suggest that QT+NE may be beneficial in enhancing mitochondrial biogenesis in skeletal muscle of HD-fed mice, which may be associated with SIRT1 activation.
7.Effects of quercetin nanoemulsion on SIRT1 activation and mitochondrial biogenesis in the skeletal muscle of high-fat diet-fed mice
Mak-Soon LEE ; Miae DOO ; Yangha KIM
Nutrition Research and Practice 2024;18(6):806-817
BACKGROUND/OBJECTIVES:
Quercetin (QT) is a plant flavonoid that offers health benefits owing to its various bioactive properties; however, as a hydrophobic substance, it has considerably low bioavailability. We previously demonstrated that QT nanoemulsion (QT+NE) formulated via oil-in-water nanoemulsification exhibited more effective cholesterollowering activity than ordinary QT in high cholesterol-fed rats. In this study, we investigated the effects of QT+NE on the regulation of skeletal muscle mitochondrial function in high-fat diet (HD)-fed mice.MATERIALS/METHODS: C57BL/6J mice were fed a normal chow diet (ND), HD (45% of calories from fat), or HD with 0.05% QT+NE or QT for 11 weeks. We analyzed sirtuin 1 (SIRT1) activation, mitochondrial changes, and the expression of genes involved in mitochondrial biogenesis in skeletal muscle.
RESULTS:
Body weight and body weight gain decreased in the QT+NE group compared with that in the HD group (P < 0.05), but not in the QT group. Epididymal adipose tissue weight decreased in both the QT and QT+NE groups (P < 0.05). Plasma lipid levels also improved in both the QT and QT+NE groups (P < 0.05). QT+NE intake upregulated the messenger RNA levels of SIRT1, peroxisome proliferator-activated receptor-γ coactivator 1-α, nuclear respiratory factor 1, and mitochondrial transcription factor A in skeletal muscle compared with HD intake alone (P < 0.05), whereas QT did not. In particular, SIRT1 activity was significantly increased in the QT+NE group compared with that in the QT group (P < 0.05).HD intake reduced mitochondrial DNA content compared with ND intake; nevertheless, QT+NE intake retained it (P < 0.05).
CONCLUSION
Collectively, our findings suggest that QT+NE may be beneficial in enhancing mitochondrial biogenesis in skeletal muscle of HD-fed mice, which may be associated with SIRT1 activation.
8.Association of seafood consumption and risk of cardiovascular disease according to insomnia status:a community-based prospective cohort study
Minji KIM ; Yeongeun JEONG ; Yuna JEONG ; Won JANG ; Sein KIM ; Yangha KIM
Journal of Nutrition and Health 2024;57(6):641-652
Purpose:
Accumulating evidence suggests that seafood and its components, such as eicosapentaenoic acid and docosahexaenoic acid, are known to prevent cardiovascular disease (CVD). However, little is known about whether sleep quality, which has been recognized as a risk factor for CVD, might influence these associations. Therefore, the purpose of the study was to investigate the longitudinal associations between seafood consumption and CVD in Korean adults with or without insomnia.
Methods:
The data were collected from the Korean Genome and Epidemiology Study (KoGES) and included 3,168 participants aged 40–69 years. Dietary intake was measured by a validated 106-item food-frequency questionnaire, and insomnia was assessed using a questionnaire on sleep-related symptoms. The CVD events included myocardial infarction, coronary artery disease, congestive heart failure, cerebrovascular disease, and peripheral vascular disease. Associations of seafood consumption with CVD were assessed using timedependent Cox regression analyses to calculate the hazard ratios (HRs) and 95% confidence intervals (CIs) while adjusting for potential confounding factors.
Results:
During the 8-year follow-up period, the incidence of CVD was 5.1%. There was a positive association between seafood consumption and most food groups, as well as nutrients. In contrast, as seafood consumption increased, the consumption of grains decreased. Regarding nutrient intake, there was a negative association between seafood consumption and carbohydrate intake. After adjustment for confounding factors, the risk of CVD was inversely associated with seafood consumption, with a 56% lower risk (HRT3 vs. T1 , 0.44; 95% CI, 0.26–0.75; p = 0.002), only in the non-insomnia group.
Conclusion
Findings from this study suggest that seafood consumption might lead to more favorable outcomes against CVD if accompanied by good sleep quality.
9.Effects of quercetin nanoemulsion on SIRT1 activation and mitochondrial biogenesis in the skeletal muscle of high-fat diet-fed mice
Mak-Soon LEE ; Miae DOO ; Yangha KIM
Nutrition Research and Practice 2024;18(6):806-817
BACKGROUND/OBJECTIVES:
Quercetin (QT) is a plant flavonoid that offers health benefits owing to its various bioactive properties; however, as a hydrophobic substance, it has considerably low bioavailability. We previously demonstrated that QT nanoemulsion (QT+NE) formulated via oil-in-water nanoemulsification exhibited more effective cholesterollowering activity than ordinary QT in high cholesterol-fed rats. In this study, we investigated the effects of QT+NE on the regulation of skeletal muscle mitochondrial function in high-fat diet (HD)-fed mice.MATERIALS/METHODS: C57BL/6J mice were fed a normal chow diet (ND), HD (45% of calories from fat), or HD with 0.05% QT+NE or QT for 11 weeks. We analyzed sirtuin 1 (SIRT1) activation, mitochondrial changes, and the expression of genes involved in mitochondrial biogenesis in skeletal muscle.
RESULTS:
Body weight and body weight gain decreased in the QT+NE group compared with that in the HD group (P < 0.05), but not in the QT group. Epididymal adipose tissue weight decreased in both the QT and QT+NE groups (P < 0.05). Plasma lipid levels also improved in both the QT and QT+NE groups (P < 0.05). QT+NE intake upregulated the messenger RNA levels of SIRT1, peroxisome proliferator-activated receptor-γ coactivator 1-α, nuclear respiratory factor 1, and mitochondrial transcription factor A in skeletal muscle compared with HD intake alone (P < 0.05), whereas QT did not. In particular, SIRT1 activity was significantly increased in the QT+NE group compared with that in the QT group (P < 0.05).HD intake reduced mitochondrial DNA content compared with ND intake; nevertheless, QT+NE intake retained it (P < 0.05).
CONCLUSION
Collectively, our findings suggest that QT+NE may be beneficial in enhancing mitochondrial biogenesis in skeletal muscle of HD-fed mice, which may be associated with SIRT1 activation.
10.Association of seafood consumption and risk of cardiovascular disease according to insomnia status:a community-based prospective cohort study
Minji KIM ; Yeongeun JEONG ; Yuna JEONG ; Won JANG ; Sein KIM ; Yangha KIM
Journal of Nutrition and Health 2024;57(6):641-652
Purpose:
Accumulating evidence suggests that seafood and its components, such as eicosapentaenoic acid and docosahexaenoic acid, are known to prevent cardiovascular disease (CVD). However, little is known about whether sleep quality, which has been recognized as a risk factor for CVD, might influence these associations. Therefore, the purpose of the study was to investigate the longitudinal associations between seafood consumption and CVD in Korean adults with or without insomnia.
Methods:
The data were collected from the Korean Genome and Epidemiology Study (KoGES) and included 3,168 participants aged 40–69 years. Dietary intake was measured by a validated 106-item food-frequency questionnaire, and insomnia was assessed using a questionnaire on sleep-related symptoms. The CVD events included myocardial infarction, coronary artery disease, congestive heart failure, cerebrovascular disease, and peripheral vascular disease. Associations of seafood consumption with CVD were assessed using timedependent Cox regression analyses to calculate the hazard ratios (HRs) and 95% confidence intervals (CIs) while adjusting for potential confounding factors.
Results:
During the 8-year follow-up period, the incidence of CVD was 5.1%. There was a positive association between seafood consumption and most food groups, as well as nutrients. In contrast, as seafood consumption increased, the consumption of grains decreased. Regarding nutrient intake, there was a negative association between seafood consumption and carbohydrate intake. After adjustment for confounding factors, the risk of CVD was inversely associated with seafood consumption, with a 56% lower risk (HRT3 vs. T1 , 0.44; 95% CI, 0.26–0.75; p = 0.002), only in the non-insomnia group.
Conclusion
Findings from this study suggest that seafood consumption might lead to more favorable outcomes against CVD if accompanied by good sleep quality.

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