DOI QR코드

DOI QR Code

노인의 신체활동 참여에 따른 체력과 인지기능, ADL, IADL, 및 심리적 변인의 차이

Differences in Physical fitness, Cognitive function, ADL, IADL, and Psychological variables according to the Elderly's participation in Physical activity

  • 최재원 (중앙대학교 스포츠과학부) ;
  • 김상범 (중앙대학교 스포츠과학부) ;
  • 강성구 (중앙대학교 스포츠과학부) ;
  • 유하나 (중앙대학교 스포츠과학과) ;
  • 이경하 (중앙대학교 스포츠과학과)
  • Choi, Jae-Won (Division of Sport Science, Chung-Ang University) ;
  • Kim, Sang-Bum (Division of Sport Science, Chung-Ang University) ;
  • Kang, Sung-Goo (Division of Sport Science, Chung-Ang University) ;
  • Yoo, Ha-Na (Division of Sport Science, Chung-Ang University) ;
  • Lee, Kyung-Ha (Division of Sport Science, Chung-Ang University)
  • 투고 : 2021.06.04
  • 심사 : 2021.06.28
  • 발행 : 2021.06.30

초록

본 연구는 서울·경기 소재 65세 이상 노인 463명을 대상으로 신체활동 참여에 따른 체력요인과 인지기능, 일상생활수행능력, 도구적 일상생활수행능력 및 심리적 변인에 대한 차이를 분석하였다. 수집 된 자료는 SPSS 25.0 통계프로그램을 이용하여 빈도분석, 신뢰도 분석, 독립 t-검증과 일원분산분석 그리고 피어슨의 상관관계분석을 실시하였으며 모든 통계적 유의수준은 p<.05로 설정하였다. 그 결과 첫째, 노인의 신체활동 참여유무에 따라 체력, 인지기능, 일상생활수행능력, 도구적일상생활수행능력 및 심리적 변인인 우울과 삶의 질에 통계적으로 유의한 차이가 나타났으며, 신체활동에 참여하는 노인의 참여빈도에 따라 체력, 인지기능, ADL, IADL, 우울 및 삶의 질에 통계적 유의한 차이가 나타났다. 신체활동에 참여하는 노인의 참여시간에 따라 체력에서 통계적 유의한 차이가 나타났다. 둘째, 체력과 인지기능, ADL, IADL, 우울 및 삶의 질의 상관관계를 살펴본 결과 대부분의 요인에서 상관관계가 나타났다. 이러한 연구결과를 바탕으로 노인의 성공적인 노화와 자립적인 노후생활을 위해 신체활동을 포함한 체계적인 중재 전략의 개발이 필요하다.

The subjects of this study were 463 people aged 65 and older in the senior welfare center in Seoul and Gyeonggi. The purpose of the study is to analyze the differences between physical fitness factors and cognitive functions, activities of daily living, instrumental activities of daily living, and psychological variables in the participation of the elderly in physical activities. Data ware analyzed by frequency analysis, reliability analysis, independent sample t-test and one-way ANOVA, and Pearson's correlation analysis, with SPSS 25.0 statistics program. The results of this study are as follows. First, there are statistically significant differences in physical fitness, cognitive function, activities of daily living, instrumental activities of daily living, and psychological factors such as depression and quality of life, depending on whether the elderly participate in physical activity. There were statistically significant differences in physical fitness, cognitive function, ADL, IADL, depression and quality of life, depending on the frequency of participation of older people in physical activity. A statistically significant difference in physical fitness appeared depending on the participation time of the elderly who participated in physical activity. Second, a study of the correlation between physical fitness and cognitive function, ADL, IADL, depression, and quality of life revealed a correlation for most factors. Based on these research results, it is necessary to develop a systematic arbitration strategy including physical activity for the successful aging of the elderly and the independent life of old age.

키워드

과제정보

This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea(NRF-2018S1A5A2A03031024)

참고문헌

  1. Y. H. Nam, & J. R. Nam, "A study of the factors affecting the subjective health status of elderly people in Korea", Korean Journal of Family Welfare, Vol.16, No.4 pp. 145-162, (2011).
  2. Y. H. Shin, & H. J. Lee, "Factors associated with successful aging of Korean older people living in a city", Journal of the Korean Gerontological Society, Vol.29, No.4 pp. 1327-1340, (2009).
  3. J. A. Kim, The Relationship among Activities of Daily Living, Perceived Health Status and Happiness of the Elderly. Department of Nursing Graduate School, Catholic University of Pusan, (2017).
  4. American College of Sports Medicine. ACSM's exercise testing and prescription. Lippincott williams & wilkins, (2018).
  5. O. L. Charansonney, "Physical activity and aging: a life-long story", Discovery medicine, Vol.12, No.64 pp. 177-185, (2011).
  6. B. Elsawy, & K. E. Higgins, "Physical activity guidelines for older adults", American family physician, Vol.81, No.1 pp. 55-59, (2010).
  7. K. Y. Chang, E. J. Lee, M. Y. Gang, "A Study on the Determinants among Types of the Korean Seniors' Physical Activity and Related Health", The Journal of Korean society of community based occupational therapy, Vol.10, No.2 pp. 47-61, (2020). https://doi.org/10.18598/kcbot.2020.10.2.05
  8. J. W. Choi, M. U. Chun, S. G. Kang, "Cognitive function, depression and quality of life according to the demographic characteristics and physical activity type of the elderly", Journal of the Korea Convergence Society, Vol.8, No.12 pp. 431-444, (2017). https://doi.org/10.15207/JKCS.2017.8.12.431
  9. M. J. Kwon, T. S. Park, S. Y. Kim, "A study on daily living physical performance and depression of the female senior citizen participated in sport for all program," Journal of Leisure & Wellness, Vol.8, No.1 pp. 1-8, (2017).
  10. R. E. Rikli, C. J. Jones, Senior fitness test manual. Human kinetics, Champaign, USA, (2013).
  11. B. S. Kee, "A preliminary study for the standardization of geriatric depression scale short form-Korea version", J Korean Neuropsychiatr Assoc, Vol.35, No.2 pp. 298-307, (1996).
  12. N. Lok, S. Lok, M. Canbaz, "The effect of physical activity on depressive symptoms and quality of life among elderly nursing home residents: Randomized controlled trial", Archives of gerontology and geriatrics, Vol.70, pp. 92-98, (2017). https://doi.org/10.1016/j.archger.2017.01.008
  13. LSSCB. de Oliveira, E. C. Souza, R. A. S. Rodrigues, C. A. Fett, A. B. Piva, "The effects of physical activity on anxiety, depression, and quality of life in elderly people living in the community", Trends in psychiatry and psychotherapy, Vol.41, No.1 pp. 36-42, (2019). https://doi.org/10.1590/2237-6089-2017-0129
  14. K. H. Lee, J. W. Choi, N. E. Lee, S. G. Kang, H. Y. Jung, M. U. Chun, J. S. Park, "Relationship between health-related physical fitness, cognitive function and isolation in the elderly", Journal of the Korea Convergence Society, Vol.9, No.4 pp. 285-301, (2018). https://doi.org/10.15207/JKCS.2018.9.4.285
  15. H. B. Lee, H. K. Lee, T. S. Kim, M. G. Kwon, & K. M. Lim, "Difference in Obese Aged Women's Mental Health, Life Quality, and Medical Expenses According to Participation in Physical Activity", Journal of the Korean society for Wellness Vol.16, No.1 pp. 316-321, (2021). https://doi.org/10.21097/ksw.2021.02.16.1.316
  16. M. G. Kwon, H. B. Lee, K. M. Lim. H. K. Lee, T. S. Kim, "Differences in quality of Life, subjective health status, and medical expenses of obese elderly women according to their physical activities", Korean Society For The Study Of Physical Education Vol.25, No.4 pp. 309-323, (2021). https://doi.org/10.15831/JKSSPE.2021.25.4.309
  17. Y. K. Kim, K. M. Koo, "The effect of elderly's participation in physical activity on subjective health status", Korean Journal of Adapted Physical Activity, Vol.29, No.1 pp. 169-177, (2021).
  18. J. Y. Kim, H. S. Kim, "A comparative study on the physical, psychological, and social well-being of elderly women in rural areas depending on their participation in swimming activities", Journal of Convergence for Information Technology, Vol.11, No.2 pp. 64-72, (2021). https://doi.org/10.22156/CS4SMB.2021.11.02.064
  19. J. T. Shin, S. H. Kwon, "The structural relationship between the elderly s participation in exercise, cognitive function, and life satisfaction," Korea Gerontological Society, Vol.41, No.1 pp. 107-125, (2021). https://doi.org/10.31888/JKGS.2021.41.1.107
  20. E. J. Shim, H. Ha, J. E. Park, B. S. Kim, S. M. Chang, J. P. Hong, B. J. Hahm, "Gender-based examination of the association between individual symptoms of alcohol use disorder, major depressive disorder, and suicidal behaviors: a network analysis of data from the Korean Epidemiologic Catchment Area Study", Journal of Affective Disorders. Vol.272, pp. 432-439, (2020). https://doi.org/10.1016/j.jad.2020.03.162
  21. Y. J. Kim, K. D. M. S. Han, H. Cho, E. J. Lee, C. H. Lyoo, "Association between physical activity and conversion from mild cognitive impairment to dementia" Alzheimer's research & therapy, Vol.12, No.1 pp. 1-8, (2020). https://doi.org/10.1186/s13195-019-0546-4
  22. U.S. Department of Health and Human Services. Physical Activity Guidelines for Americans, 2nd edition. Washington, DC: U.S. (2018).
  23. Ministry of health and welfare. Health Plan 2030. http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=0319&CONT_SEQ=365340. (2021).
  24. Y. I. Lee, "The Relationships among the Elderly's Types of Leisure Activities, Health Locus of Control and Activities of Daily Living", Journal of Gerontological Social Welfare, Vol.41 pp. 255-276, (2008).
  25. E, S, Shin, Y, C, Cho, "Relationship between depression symptoms and physical function(ADL, IADL) among the rural elderlies", Journal of the Korea Academia-Industrial Cooperation Society, Vol.13, No.1 pp. 201-210, (2012). https://doi.org/10.5762/KAIS.2012.13.1.201
  26. J, H, Yoo, "The effects of cognitivebehavioral program on cognitive function, depression, activities of daily living in the community elderly", Doctoral Thesis, Yonsei University, (2007).
  27. Y, O, Kim, M, S, Shim, "Cognitive Functions, Instrumental Activities of Daily Living, Depression and Quality of Life in the Elderly with Mild Cognitive Impairment", Journal of Korea Public Health Nursing, Vol.29, No.2 pp. 219-230, (2015). https://doi.org/10.5932/JKPHN.2015.29.2.219