DOI QR코드

DOI QR Code

Differential Patterns of Elderly Farmers and Non-farmers According to Vulnerability to Aging

노화에 대한 취약성 비교에 따른 고령 농업인과 비농업인의 차별적 패턴

  • Shin, Dabi (Department of Rehabilitation Medicine, Kangwon National University Hospital) ;
  • Kang, Eun Kyoung (Department of Rehabilitation Medicine, Kangwon National University Hospital)
  • 신다비 (강원대학교병원 재활의학과) ;
  • 강은경 (강원대학교병원 재활의학과)
  • Received : 2020.07.15
  • Accepted : 2020.09.22
  • Published : 2020.09.30

Abstract

목적: 본 연구는 65세 이상 농업인과 비농업인의 노화에 따른 취약성을 파악하고 차이를 비교 분석하고자 하였다. 방법: 본 연구는 단면 연구로서 강원도에 거주하는 고령의 농업인 29명과 비농업인 25명이 연구에 참여하였다. 노화에 대한 취약성 평가를 위해 노쇠, 신체 구성, 인지·신체 기능, 심리 상태를 검사하였다. 결과: 집단 간 유의한 차이가 있었던 배우자 유무를 보정하여 편 상관 분석한 결과, 농업인에서만 나이와 취약성 요소 간 유의한 상관관계가 있었으며, 편 상관 계수를 비교하였을 때 body mass index(BMI, r = -0.625 vs 0.026, P < 0.01), 우울도(r = 0.521 vs -0.046, P < 0.05)에서 유의한 차이가 있었다. 결론: 고령의 농업인과 비농업인의 노화에 대한 취약성을 비교하였을 때 나이와 취약성 요소 간 유의한 상관관계는 농업인에서만 나타나 비농업인과는 차별적인 패턴을 보였다. 이러한 결과는 농촌의 고령 농업인에 대하여 건강한 노화를 위한 예방 및 관리 전략이 필요함을 시사한다.

Keywords

References

  1. Durazo EM, Jones MR, Wallace SP, Van Arsdal J, Aydin M, Stewart C. The health status and unique health challenges of rural older adults in California. UCLA Center for Health Policy Research [Internet]. 2011; [cited 2011 Jun 14]. Available from: https://escholarship.org/content/qt0ds8j0w9/qt0ds8j0w9.pdf.
  2. Yeom JH. A Comparison Study of Self-Rated Health(SRH) Trajectory between Urban and Rural Older Adults: Using Latent Growth Modeling. The Korea Rural Sociological Society 2013;23(1): 193-239 (Korean)
  3. Chun J-D, Ryu SY, Han MA, Park J. Comparisons of health status and health behaviors among the elderly between urban and rural areas. J Agric Med Community Health 2013;38(3):182-94 (Korean) https://doi.org/10.5393/JAMCH.2013.38.3.182
  4. Laceulle H. Virtuous aging and existential vulnerability. J Aging Stud 2017;43:1-8 https://doi.org/10.1016/j.jaging.2017.08.001
  5. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001;56(3): 146-57 https://doi.org/10.1093/gerona/56.3.M146
  6. Pescatello LS, Riebe D, Thompson PD. ACSM's guidelines for exercise testing and prescription. Philadelphia, Lippincott Williams & Wilkins, 2013, pp.62-64
  7. Baudouin A, Isingrini M, Vanneste S. Executive functioning and processing speed in age-related differences in time estimation: a comparison of young, old, and very old adults. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn 2019;26(2):264-81 https://doi.org/10.1080/13825585.2018.1426715
  8. Perera S, Mody SH, Woodman RC, Studenski SA. Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc 2006;54(5):743-9 https://doi.org/10.1111/j.1532-5415.2006.00701.x
  9. Palsson S, Skoog I. The epidemiology of affective disorders in the elderly: a review. Int Clin Psychopharmacol 1997;12:S3-S14 https://doi.org/10.1097/00004850-199712007-00002
  10. Waern M, Rubenowitz E, Wilhelmson K. Predictors of suicide in the old elderly. Gerontology 2003;49(5):328-34 https://doi.org/10.1159/000071715
  11. Kang EK, Shin D, Yun J-Y, Park W, Park H-W. Investigating the interference pattern of dual tasks using serial decomposition. Restor Neurol Neurosci 2018;36(5):639-646 https://doi.org/10.3233/RNN-180825
  12. Jung H-W, Jang I-Y, Lee YS, Lee CK, Cho E-I, Kang WY, Chae JH, Lee EJ, Kim DH. Prevalence of frailty and aging-related health conditions in older Koreans in rural communities: a cross-sectional analysis of the aging study of Pyeongchang rural area. J Korean med sci 2016;31(3):345-52 https://doi.org/10.3346/jkms.2016.31.3.345
  13. Lee DY, Lee KU, Lee JH, Kim KW, Jhoo JH, Kim SY, Yoon JC, Woo SI, Ha J, Woo JI. A normative study of the CERAD neuropsychological assessment battery in the Korean elderly. J Int Neuropsychol Soc 2004;10(1):72-81 https://doi.org/10.1017/S1355617704101094
  14. Smith JL, Smith EA, Provost AL, Heathcote A. Sequence effects support the conflict theory of N2 and P3 in the Go/NoGo task. Int J Psychophysiol 2010;75(3):217-26 https://doi.org/10.1016/j.ijpsycho.2009.11.002
  15. Gawel J, Vengrow D, Collins J, Brown S, Buchanan A, Cook C. The short physical performance battery as a predictor for long term disability or institutionalization in the community dwelling population aged 65 years old or older. Physical Therapy Reviews 2012;17(1):37-44 https://doi.org/10.1179/1743288X11Y.0000000050
  16. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39(2):142-8 https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  17. Nam B. Testing the validity of the Korean SF-36 health survey. J Korean Soc Health Stat 2003;28:3-24 (Korean)
  18. Han H, Yeom T, Shin Y. The validity and reliability of Beck Depression Inventory Korean version. J Korean Neuropsychiatr Assoc 1986;25:487-500 (Korean)
  19. Preacher KJ. Calculation for the test of the difference between two independent correlation coefficients [Internet]. [cited 2002 May]. Available from: http://www.quantpsy.org/corrtest/corrtest.htm.
  20. Cohen J, Cohen P. Applied multiple regression/correlation analysis for the behavioral sciences. Hillsdale, NJ Erlbaum, 1983, pp.54
  21. Lee J-M, Lee I-S. Factors affecting the depression of the elderly women in poverty. J Agric Med Community Health 2009;34(2):256-66 (Korean) https://doi.org/10.5393/JAMCH.2009.34.2.256
  22. Park E-A, Lee I-S. Factors affecting the depression of the elderly women in poverty. J Agric Med Community Health 2009;34(2):256-66 (Korean) https://doi.org/10.5393/JAMCH.2009.34.2.256
  23. Junggook G, Jeonghwa L, Young eun O. The Effect of Physical Health Variables on the Depression of the Korean Rural Elderly - with a Focus on a Comparison of Young-old and Old-old. Korean Soc Community Living Sci 2019;30(1):83-100 (Korean) https://doi.org/10.7856/kjcls.2019.30.1.83
  24. Kim H, Yoon JL, Lee A, Jung Y, Kim MY, Cho JJ, Ju YS. Prognostic effect of body mass index to mortality in Korean older persons. Geriatr Gerontol Int 2018;18(4):538-46 https://doi.org/10.1111/ggi.13213
  25. Jung K-H, Kim C-H, Sung E-J, Shin H-C, Kang J-Y, Shin W-J, Kim D-K. The relationship between body mass index and factors of frailty. Korean J Fam Pract 2015;5(3):563-8 (Korean)
  26. Mehta M, Whyte E, Lenze E, Hardy S, Roumani Y, Subashan P, Huang W, Studenski S. Depressive symptoms in late life: associations with apathy, resilience and disability vary between young‐old and old‐old. Int J Geriatr Psychiatry 2008;23(3):238-43 https://doi.org/10.1002/gps.1868
  27. Mobily KE, Rubenstein LM, Lemke JH, O’Hara MW, Wallace RB. Walking and depression in a cohort of older adults: The Iowa 65+ Rural Health Study. J Aging Phys Act 1996;4(2):119-35 https://doi.org/10.1123/japa.4.2.119
  28. Park H, Jang I-Y, Jung H-W, Lee E, Kim DH. Screening value of social frailty and its association with physical frailty and disability in community-dwelling older Koreans: aging study of PyeongChang rural area. Int J Environ Res Public Health 2019;16(16):2809 https://doi.org/10.3390/ijerph16162809
  29. Bunt S, Steverink N, Olthof J, van der Schans C, Hobbelen J. Social frailty in older adults: a scoping review. Eur J Ageing 2017;14(3):323-34 https://doi.org/10.1007/s10433-017-0414-7