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Physical Activity and Eating Habits Are Related to Chronic Disease in the Basic Livelihood Security Program
Seongryu Bae1,2, Hyuntae Park1,2
1Department of Health Sciences, The Graduate School of Dong-A University, Busan 49315, Republic of Korea.
Nutrients
|February 13, 2025
Summary
Recipients of Basic Livelihood Security (BLS) have higher chronic disease rates and poorer lifestyle habits. Targeted interventions are needed to improve diet and physical activity in this vulnerable group.
Area of Science:
- Public Health
- Gerontology
- Epidemiology
Background:
- Chronic diseases pose a significant public health challenge, disproportionately affecting socioeconomically vulnerable populations.
- Understanding the health status of individuals receiving social support, such as Basic Livelihood Security (BLS), is crucial for targeted health interventions.
Purpose of the Study:
- To compare the prevalence of chronic diseases between individuals receiving and not receiving BLS.
- To examine the association between physical activity, dietary habits, and chronic disease prevalence among BLS recipients.
Main Methods:
- Utilized data from the Korea National Health and Nutrition Examination Survey (KNHANES) waves 6-9 (2014-2022).
- Included 15,041 participants aged 65 and older, assessing demographics, diet, physical activity, and chronic disease status.
- Employed multivariate logistic regression to analyze odds ratios for chronic diseases based on lifestyle factors.
Main Results:
- BLS recipients showed higher prevalence of hypertension and diabetes, with poorer dietary intake (energy, protein, fiber, vitamins) compared to non-recipients.
- Inadequate energy and carbohydrate intake increased hypertension and diabetes odds, especially in the BLS group; dietary fiber was linked to diabetes only in BLS recipients.
- Sedentary behavior (>9 hours/day) and infrequent walking (<1 day/week) were associated with higher chronic disease risks, particularly pronounced in the BLS group.
Conclusions:
- BLS recipients exhibit a greater burden of chronic diseases, coupled with less healthy dietary patterns and increased sedentary behavior.
- Lifestyle factors demonstrated stronger associations with chronic diseases in the BLS group, highlighting their vulnerability.
- There is a critical need for tailored public health strategies to enhance dietary quality and promote physical activity among BLS recipients.
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