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노인의 성별에 따른 인지기능과 영양관리상태의 차이

Gender Differences in the Cognitive Function and Nutritional Status in Older Age: A Representative Nationwide Data of Korean Elders

  • 투고 : 2017.07.17
  • 심사 : 2017.08.11
  • 발행 : 2017.08.31

초록

Purpose: The purpose of this study was to identify the gender differences in the cognitive function and nutritional status among elderly people living in the community. Methods: This study used data from the 2014 National Survey on the Elderly and focused on 10,054 respondents who answered that they did not have dementia. The Korean version of Mini-Mental State Examination for Dementia Screening and the Nutrition Screening Initiative were used. IBM SPSS Statistics 23.0 was used to conduct statistical analyses. Results: The cognitive function score was 25.30 for men, which was higher than for women. The percentage of subjects who showed cognitive decline was 25.5% for males and 50.2% for females, which was statistically significant (p<.001). There were statistically significant differences in the nutritional status between males and females (p<.001). There was a statistically significant negative correlation between the cognitive function and nutritional status in both men and women (p<.001, p<.001). Conclusion: These results showed that the intervention to maintain cognitive functioning should be provided to elderly women with a low education level or high number of chronic diseases and medication, and an intervention to prevent the cognitive decline of the elderly should include nutritional management for health and function maintenance.

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참고문헌

  1. Berg, A. I., Hassing, L. B., McClearn, G. E., & Johansson, B. (2006). What matters for life satisfaction in the oldest-old? Aging and Mental Health, 10(3), 257-264. http://dx.doi.org/10.1080/13607860500409435
  2. Chang, H. K. (2015). Influence of frailty, nutritional status, positive thinking and family function on health conservation of the elderly at home. The Journal of Korean Academic Society of Adult Nursing, 27(1), 52-62. http://dx.doi.org/10.7475/kjan.2015.27.1.52
  3. Choi, S., Choe, M. A., Kim, K. S., Yi, M. S., Suh, E. Y., & Suh, M. H. (2012). Nutritional status, nutrients intakes, and health status of young-old and old-old homebound elderly in Korea. Journal of Korean Biological Nursing Science, 14(3), 183-192. http://dx.doi.org/10.7586/jkbns.2012.14.3.183
  4. Ha, J. H., Chung, E. K., & Jeong, E. S. (2015). Gender differences in the impact of a cognitive decline on older adults’ social participation in Korea. Korean Journal of Social Welfare Studies, 46(1), 5-30.
  5. Halpern, D. F. (1992). Sex differences in cognitive abilities (2nd ed.). Hillsdale, NJ: Lawrence Erbaum Associates.
  6. Han, H. J., & Kim, N. C. (2007). Mini-Nutritional Assessment of Elders in Rural Areas. Journal of Korean Gerontological Nursing, 9(1), 22-28.
  7. Hwang, Y. J., Kim, S. H., Shin, E. Y., Kim, S. H., & Jeong, W. M. (2013). The comparison of level of cognitive function. Journal of Korean Society of Neurocognitive Rehabilitation, 5, 9-17.
  8. Hyun, H. S. (2014). Nutritional status and risk factors of malnutrition in the community-dwelling low-income elderly. Unpublished doctoral dissertation, Seoul National University, Seoul.
  9. Johansson, Y., Bachrach-Lindstrom, M., Carstensen, J., & Anna-Christina, E. (2008). Malnutrition in a home-living older population: prevalence, incidence and risk factors. a prospective study. Journal of Clinical Nursing, 18(9), 1354-1364. http://dx.doi.org/10.1111/j.1365-2702.2008.02552.x
  10. Kang, Y. H., Kim, M. Y., & Lee, E. (2008). The relationship of perceived health status, activities of daily living and nutrition status in the community-dwelling Korean elderly. Journal of Korean Academy of Nursing, 38(1), 122-130. https://doi.org/10.4040/jkan.2008.38.1.122
  11. Kim, E. J. (2010). Factors influencing cognitive impairment of the elderly residents. Journal of East-West Nursing Research, 16(2), 122-130.
  12. Kim, H. K., Kim, Y. S., & Kim, T. Y. (2011). Effects of age, education, and gender on multiple cognitive measures of Korean older adults. Korean Journal of Clinical Psychology, 30(3), 681-701. https://doi.org/10.15842/kjcp.2011.30.3.004
  13. Kim, H. Y., Lee, J. S., Youn, J. C., & Chang, M. J. (2016). Food and nutrient intake status of Korean elderly by degree of cognitive function. Journal of Nutrition and Health, 49(5), 313-322. http://dx.doi.org/10.4163/jnh.2016.49.5.313
  14. Kim, K. W., Kim, M. H., Kim, B. J., Kim, J. R., Kim, T. H., Moon, S. W., et al. (2009). Standardization of dementia diagnosis tool. Research Report. Seongnam: Seoul National University Bundang Hospital. Report No.: 11-1351000-000589-01
  15. Kim, M. S., Yoon, S. Y., & Oh, E. Y. (2012). Relationships among cognition, activities of daily living and depression in persons with decreased memory. Journal of Korean Public Health Nursing, 26(3), 404-416. http://dx.doi.org/10.5932/JKPHN.2012.26.3.404
  16. Kim, Y. O., & Shim, M. S. (2015). Cognitive functions, instrumental activities of daily living, depression and quality of life in the elderly with mild cognitive impairment. Journal of Korean Public Health Nursing, 29(2), 219-230. http://dx.doi.org/10.5932/JKPHN.2015.29.2.219
  17. Kwon, Y. S., & Paek, K. S. (2014). Factors associated with cognitive decline in the elderly in community. Journal of Digital Convergence, 12(2), 587-594. http://dx.doi.org/10.14400/JDC.2014.12.2.587
  18. Park, H. K,. & Song, H. J. (2016). Predictors of cognitive function decline of elderly: Using living conditions and welfare needs of older Korean persons panel data. The Korena Journal of Health Service Management, 10(3), 147-158. http://dx.doi.org/10.12811/kshsm.2016.10.3.147
  19. Park, M. K., & Sung, K. W. (2015). Nutritional risk, stress, and health related quality of life among older women with a foreign daughter-in-law. Journal of Korean Public Health Nursing, 29(2), 312-324. http://dx.doi.org/10.5932/JKPHN.2015.29.2.312
  20. Park, M. Y., Park, J. Y., & Park, P. S. (2015). Nutrition states and related factors of female elderly according to residence. Journal of East Asian Society of Dietary Life, 25(1), 39-48. http://dx.doi.org/10.17495/easdl.2015.2.25.1.39
  21. Park, Y. H., & Suh, E. Y. (2007). The risk of malnutrition, depression, and the perceived health status of older adults. Journal of Korean Academy of Nursing, 37(6), 941-948. https://doi.org/10.4040/jkan.2007.37.6.941
  22. Posner, B. M., Jette, A. M., Smith, K. W., & Miller, D. R. (1993). Nutrition and health risks in the elderly: The nutrition screening initiative. American Journal of Public Health, 83(7), 972-978. https://doi.org/10.2105/AJPH.83.7.972
  23. Ratigan, A., Kritz-Silverstein, D., & Barrett-Connor, E. (2016). Sex differences in the association of physical function and cognitive function with life satisfaction in older age: The Tancho Bernardo Study. Maturitas, 89, 29-35. https://doi.org/10.1016/j.maturitas.2016.04.007
  24. Shimada, H., Park, H., Makizako, H., Doi, T., Lee, S., & Suzuki, T. (2014). Depressive symptoms and cognitive performance in older adults. Journal of Psychiatric Research, 57, 52-59. http://dx.doi.org/10.1016/j.jpsychires.2014.06.004
  25. So, E. J., & Joung, H. J. (2015). Socio-economic status is associated with the risk of inadequate energy intake among Korean elderly. Journal of Nutrition and Health, 48(4), 371-379. http://dx.doi.org/10.4163/jnh.2015.48.4.371
  26. St. John, P. D., & Montgomery, P. R. (2010). Cognitive impairment and life satisfaction in older adults. International Journal of Geriatric Psychiatry, 25(8), 814-821. http://dx.doi.org/10.1002/gps.2422
  27. Van Hooren, S. A. H., Valentijn, A. M., Bosma, H., Ponds, R. W. H. M., van Boxtel, M. P. J., & Jolles, J. (2007). Cognitive functioning in healthy older adults aged 64-81: a cohort study into the effect of age, sex, and education. Aging, Neurosychology, and Cognition, 14, 40-54. http://dx.doi.org/10.1080/138255890969483
  28. Van Rossum, M. E., & Koek, H. L. (2016). Predictors of functional disability in mild cognitive impairment and dementia. Maturitas, 90, 31-36. http://dx.doi.org/10.1016/j.maturitas.2016.05.007
  29. Wong, L. L., Yu, J. K., Chan, S. S., & Tong, M. C. (2014). Screening of cognitive function and hearing impairment in older adults: A preliminary study. Bio Med Research International, 2014, 1-7. http://dx.doi.org/10.1155/2014/867852
  30. Yang, S. J. (2005). Nutritional risk and its contributing factors in the low-income elderly in urban areas. Journal of Korean Academy of Community Health Nursing, 16(4), 392-403.