The Journal of Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회지)

The Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of ADL and QoL for the Osteoporosis and Non-osteoporosis in elderly people with disabilities

고령 장애인의 골다공증 유무에 따른 일상생활수행능력과 삶의 질 비교

  • Kim, Ye-Soon (Dept. of Healthcare and Public Health Research, Korea National Rehabilitation Center) ;
  • Nam, Young-Hee (Dept. of Health Administration, Namseoul University)
  • 김예순 (국립재활원 건강보건연구과) ;
  • 남영희 (남서울대학교 보건행정학과)
  • Received : 2021.01.08
  • Accepted : 2021.01.23
  • Published : 2021.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: This study examines the prevalence of osteoporosis, and compares with activity of daily living(ADL), instrumental activity of daily living(IADL) and health-related quality of life(QoL) among the elderly people with disabilities. Methods: This study analyzed the data of 3,113 persons with disabilities over 65 years of age who responded to the questionnaire using data from the National Survey of People with Disabilities in 2017 on the people with disabilities (PWD). Descriptive statistics, X2-test, and independent sample t-test were conducted using the SPSS win 21.0 program. Results: The prevalence of osteoporosis in the elderly PWD was 18.7%. There were significant differences in sex, age, type of disability, and disability severity according to the presence or absence of osteoporosis (p<0.05). Walking and Transfer of ADL were related to osteoporosis in elderly PWD. Financial management and Transportation use of IADL were related to osteoporosis (p<0.05). The PWD with osteoporosis were analyzed to have lower health-related quality of life compared to the disabled elderly without osteoporosis (p<0.05). Conclusion: Based on the results of this study, a strategy for developing a program for managing osteoporosis. Strengthening health management in the elderly PWD is required.

Keywords

References

  1. Borba-Pinheiro, C. J., de Alencar Carvalho, M. C. G., Lima da Silva, N. S., Janotta Drigo, A., Pereira Bezerra, J. C., & Dantas, E. H. M. (2010). Bone density, balance and quality of life of postmenopausal women taking alendronate participating in different physical activity programs. Therapeutic advances in musculoskeletal disease, 2(4), 175-185. https://doi.org/10.1177/1759720X10374677
  2. Center, J. R., McElduff, A., & Beange, H. (1994). Osteoporosis in groups with intellectual disability. Australia and New Zealand Journal of Developmental Disabilities, 19(4), 251-258. https://doi.org/10.1080/07263869400035291
  3. Choi, P. B. (2011). Long-term combined exercise has effect on regional bone mineral density and cardiovascular disease risk factors of the elderly with osteoporosis. J Korean Gerontol Soc, 31, 355-369.
  4. Chung, H. Y. (2008). Osteoporosis Diagnosis and Treatment 2007. Journal of Korean Endocrine Society, 23(2), 76-108. https://doi.org/10.3803/jkes.2008.23.2.76
  5. Drake, M. T., Clarke, B. L., & Lewiecki, E. M. (2015). The pathophysiology and treatment of osteoporosis. Clinical Therapeutics, 37(8), 1837-1850. https://doi.org/10.1016/j.clinthera.2015.06.006
  6. Ha, Y. C. (2016). Epidemiology of osteoporosis in Korea. J Korean Med Assoc, 59(11), 836-841. https://doi.org/10.5124/jkma.2016.59.11.836
  7. Hong, H., Kim, J., Shin, J., & Kim, J. H. (2019). Relationship between the Leisure Activities of People with Disabilities and the Mental Health-Using the National Survey of People with Disabilities in 2017. Korea Journal of Hospital Management, 24(3), 27-37.
  8. Hong, S., & Choi, W. H. (2011). Osteoporosis and decrease in bone mineral density have associated with the reduced quality of life. Osteoporosis, 9(2), 175-179.
  9. http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board
  10. Kim, D. H., Cho, J. K., & Kang, H. (2018). The association between socioeconomic status, handgrip strength, and osteoporotic status in elderly women. Exercise Science, 27(2), 134-139. https://doi.org/10.15857/ksep.2018.27.2.134
  11. Kim, J. Y., & Yang, Y. (2020). Factors Influencing on Health-Related Quality of Life among Men Osteoporosis Patients over 50 Years. Korean Journal of Adult Nursing, 32(2), 145-155. https://doi.org/10.7475/kjan.2020.32.2.145
  12. Kim, S. H., Lee, Y. H., Oh, U. K., Hwang, J. H., Oh, M. A., Lee, M. K., Oh, H. K. (2017). National Survey of People with Disabilities in 2017. Ministry of Health and Welfare
  13. Korea National Statistical Office. (2019). Prevalence of osteoporosis [Prevalence of Self-Recognition On Chronic Disease and Doctor's Diagnosis Rate by General Feature of older persons(Over 65 Years Old)].
  14. Kulik, C. T., Ryan, S., Harper, S., & George, G. (2014). Aging populations and management.
  15. Nam, Y. H. (2020). The Effect of Physical Activity Program of Elderly in Rural Areas on Life Satisfaction. International Journal of Current Research and Review, 12(16), 154-162. https://doi.org/10.31782/IJCRR.2020.121831
  16. Lin, L. P., Hsu, S. W., Yao, C. H., Lai, W. J., Hsu, P. J., Wu, J. L., ... & Lin, J. D. (2015). Risk for osteopenia and osteoporosis in institution-dwelling individuals with intellectual and/or developmental disabilities. Research in developmental disabilities, 36, 108-113. https://doi.org/10.1016/j.ridd.2014.09.022
  17. Park, A. H., & Park, H. R. (2019). Relationships between Osteoporosis Knowledge, Outcome Expectations for Exercise, and Self-efficacy for Exercise in Elderly Women with Osteoporosis Aged over 60. The Korean Journal of Rehabilitation Nursing, 22(2), 95-103. https://doi.org/10.7587/kjrehn.2019.95
  18. Park, E. J., Joo, I. W., Jang, M. J., Kim, Y. T., Oh, K., & Oh, H. J. (2014). Prevalence of osteoporosis in the Korean population based on Korea National Health and Nutrition Examination Survey (KNHANES), 2008-2011. Yonsei medical journal, 55(4), 1049-1057. https://doi.org/10.3349/ymj.2014.55.4.1049
  19. Park, K. S., Yoo, J. I., Kim, H. Y., Jang, S., Park, Y., & Ha, Y. C. (2017). Education and exercise program improves osteoporosis knowledge and changes calcium and vitamin D dietary intake in community dwelling elderly. BMC Public Health, 17(1), 966. https://doi.org/10.1186/s12889-017-4966-4
  20. Park, M., Kim, S., Cho, E., Park, S., & Kang, H. (2013). A Study on the Development of a Self-regulated Exercise Maintenance Program for Osteoporotic Elderly Women. Journal of the Korean Gerontological Society, 33(2), 419-437.
  21. Schrager, S. (2004). Osteoporosis in women with disabilities. Journal of women's health, 13(4), 431-437. https://doi.org/10.1089/154099904323087123
  22. Smeltzer, S. C. (2006). Preventive health screening for breast and cervical cancer and osteoporosis in women with physical disabilities. Family & community health, 29(1), 35S-43S. https://doi.org/10.1097/00003727-200601001-00007
  23. Smeltzer, S. C., Zimmerman, V., & Capriotti, T. (2005). Osteoporosis risk and low bone mineral density in women with physical disabilities. Archives of physical medicine and rehabilitation, 86(3), 582-586. https://doi.org/10.1016/j.apmr.2004.09.002
  24. Smith, E. M. (2011). Treatments for osteoporosis in people with a disability. PM&R, 3(2), 143-152. https://doi.org/10.1016/j.pmrj.2010.10.001
  25. Statistics Korea. (2017). Future population special estimate. Seoul: Statistics. Retrieved November 1, 2020, from
  26. The Korean Society of Bone Metabolism: Diagnosis and Treatment of osteoporosis. 1-5, 2008.
  27. Yang, H. T., & Shin, W. W. (2011). The study on characteristics of the elderly with disability. Korean J Gerontol Soc Welf, 52(52), 255-278.
  28. Yoshimura, N., Muraki, S., Nakamura, K., & Tanaka, S. (2017). Epidemiology of the locomotive syndrome: The research on osteoarthritis/osteoporosis against disability study 2005-2015. Modern rheumatology, 27(1), 1-7. https://doi.org/10.1080/14397595.2016.1226471
  29. Yoshimura, N., Muraki, S., Oka, H., Mabuchi, A., En-Yo, Y., Yoshida, M., ... & Ishibashi, H. (2009). Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: the research on osteoarthritis/osteoporosis against disability study. Journal of bone and mineral metabolism, 27(5), 620-628. https://doi.org/10.1007/s00774-009-0080-8
  30. Wagemans, A. M. A., Fiolet, J. F. B. M., Van Der Linden, E. S., & Menheere, P. P. C. A. (1998). steoporosis and intellectual disability: is there any relation?. Journal of Intellectual Disability Research, 42(5), 370-374. https://doi.org/10.1046/j.1365-2788.1998.00152.x
  31. Wilkins, C. H., & Birge, S. J. (2005). Prevention of osteoporotic fractures in the elderly. The American journal of medicine, 118(11), 1190-1195. https://doi.org/10.1016/j.amjmed.2005.06.046
  32. Zylstra, R. G., Porter, L. L., Shapiro, J. L., & Prater, C. D. (2008). Prevalence of osteoporosis in community-dwelling individuals with intellectual and/or developmental disabilities. Journal of the American Medical Directors Association, 9(2), 109-113. https://doi.org/10.1016/j.jamda.2007.09.008