• Title/Summary/Keyword: 50 years and older

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Association between diets and mild cognitive impairment in adults aged 50 years or older

  • Kim, Kyoung Yun;Yun, Jung-Mi
    • Nutrition Research and Practice
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    • v.12 no.5
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    • pp.415-425
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    • 2018
  • BACKGROUND/OBJECTIVE: As aging progresses, the number of patients with cognitive impairment also increases. Cognitive function is not generally correlated with diet, and there is debate over that association. Thus, the present study aimed to investigate the association between dietary intake and cognitive function among adults aged 50 years or older. SUBJECTS/METHODS: Between July 2017 and March 2018, 324 adults aged over 50 years from Gwangju Sun-Han hospital participated in a dietary survey. The frequency of food intake and related information were collected using a semi-quantitative food frequency questionnaire (SQ-FFQ) and determining the mini-mental state examination (MMSE) level for 276 participants. The association between dietary intake and cognitive function was assessed by performing logistic regression analysis. RESULTS: Depending on the MMSE score, the participants' age, education level, inhabitation status, medications, alcohol consumption, sleep duration, physical activity, and short geriatric depression scale score were significantly different (P < 0.05). Moreover, those participant characteristics were associated with either decreased or increased odds ratios (OR) for the risk of mild cognitive impairment (MCI). Based on analysis of the participants' intake of 112 detailed food items, which were categorized into 20 food types, intakes of cooked white rice (< 2 times/day compared with ${\geq}3$ times/day) (P < 0.05), properly cooked rice with other grains and legumes (P < 0.001), fruits (P < 0.05), milk (low fat and normal) (P = 0.044), liquid-type yogurt (P = 0.019), and curd-type yogurt (P = 0.015) were found to significantly decrease the OR for the risk of MCI. CONCLUSIONS: Associations were significant between the risk of MCI and the intake of certain food types. Specifically, a moderate intake of cooked white rice and an adequate intake of whole grains, fruits, milk, and dairy products were associated with reduced risks of MCI among adults aged over 50 years.

Suggestion of Yoga Wear Prototype Design for Women Over 50s Based on Market Survey (시장 조사에 근거한 50대 이상 여성의 요가웨어 프로토타입 디자인 제안)

  • Park, Soyoung;Hong, Kyunghi;Choi, Yoonmi;Lee, Jung Soon;Lee, Yejin
    • Journal of the Korean Society of Clothing and Textiles
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    • v.43 no.2
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    • pp.243-254
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    • 2019
  • This study investigates the yoga clothing market for women over 50 years old. The study found that the target demographic felt that many brands were participating in the Yoga Wear market, but most targeted 20-30 year old women. They felt it was difficult to find brands for women over 50 years old. One common complaint by the target demographic was that they experienced discomfort when wearing Yoga Wear currently available in the market. They attributed this to the fact that even the largest sizes available were not appropriate for their body size. They also noted that there is a large variety of designs presently available in the market; however, most are too colorful and revealing for their tastes. Females in their 50s or older preferred less colorful and less revealing clothes. They noted that they reacted sensitively to fat in the forearms due to changes in body shape as they grew older and wanted looser clothes. Elasticity and hygroscopicity of material are therefore very important buying criteria for the target demographic. These criteria were used to propose a prototype yoga suit designed for women over 50 years old.

Comparison of Outcomes after Curative Resection of Primary Lung Cancer between 50 Year or Younger and 70 Year or Older Patients (50세 이하와 70세 이상 원발성 폐암 환자에서의 근치적 수술 후 성적 비교)

  • Lee, Jae-Ik;Kim, Keun-Woo;Park, Kook-Yang;Park, Chul-Hyun;Jeon, Yang-Bin;Choi, Chang-Hyu
    • Journal of Chest Surgery
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    • v.42 no.2
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    • pp.206-213
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    • 2009
  • Background: Previous series have suggested that younger patients with primary lung cancer exhibit a more aggressive disease course with a worse prognosis, as compared to older patients, although this issue is still debatable. Material and Method: We reviewed the medical records of 79 patients (32 patients 50 years and younger (Group I) and 47 patients 70 years and older (Group II)) who underwent curative resection for primary lung cancer between July 2000 and June 2008. Result: The median age of the patients was 46.5 years in Group I and this was 73 years in Group II. The older patients were more likely to have major comorbidities (44% versus 77%, respectively; p=0.003). Histological examinations identified that the minor histological types (excluding non-small cell lung cancer (NSCLC)) were predominantly found in the Group I patients (16% versus 2%, respectively; p=0.037). For the TNM staging of the NSCLC, with excluding the minor histologic types, a higher proportion of patients had stage III disease in Group I (33% versus 13%, respectively; p=0.038). There was no significant difference in major morbidity (16% versus 30%, respectively; p=0.148) and operative mortality (0% versus 4.3%; p=0.512) between the groups. The mean follow-up interval was 33 months (range: $1{\sim}98$ months) for patients in both groups. For the patients with NSCLC, the five-year overall survival rate was 52.3% for Group I and 53.7% for Group II (p=0.955). The rate of freedom from recurrence at five years was significantly lower for the Group I patients than for the Group II patients (39.4% versus 70.4%, respectively; p=0.027), and only being a member of Group I impacted recurrence, based on the Cox proportional hazard analysis (p=0.034). Of the patients who had recurrence, four patients in Group I underwent aggressive surgical treatment. All of these patients exhibited long-term survival (range: $46{\sim}87$ months). Conclusion: In our study, the early outcome and long-term survival were similar for the younger and older patients after curative resection of primary lung cancer. However, we think that younger patients require meticulous follow-up as they had a tendency to proceed to surgery with advanced stage disease, a higher recurrence rate than did the older patients and the survival rates were improved, even for the recurred cases, with early aggressive treatment.

Vitamin D deficiency is an independent risk factor for cardiovascular disease in Koreans aged ${\geq}50$ years: results from the Korean National Health and Nutrition Examination Survey

  • Park, Sun-Min;Lee, Byung-Kook
    • Nutrition Research and Practice
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    • v.6 no.2
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    • pp.162-168
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    • 2012
  • Vitamin D deficiency is a risk factor for metabolic syndromes. We examined whether vitamin D deficiency altered the prevalence of cardiovascular disease (CVD) in older Koreans. Cross-sectional analysis of data from the Korean National Health and Nutrition Examination Survey IV 2008-2009 was used to examine the association between serum 25-hydroxyvitamin D (25(OH)D) levels and the prevalence of CVD in a representative population-based sample of 5,559 men and women aged ${\geq}50$ years. CVD was defined as angina pectoris, myocardial infarction, or stroke. The prevalence of CVD (7.0%) in the older Korean population was lower than that in the older US population, although average serum 25(OH)D levels were much lower in the Korean population. Additionally, serum 25(OH)D levels did not differ significantly between the CVD and non-CVD groups. However, subjects in the lowest category (< 25 nmol/l) of serum 25(OH)D level had the greatest prevalence of CVD, about two-fold higher than subjects in the highest category (> 75 nmol/l), after adjusting for age, gender, body mass index, education level, residence location, and region. The prevalence of other risk factors for CVD, including higher waist circumference, fasting glucose, low-density lipoprotein (LDL) cholesterol, and triglyceride levels and lower high-density lipoprotein (HDL) cholesterol levels, was also higher among subjects in the lowest category than among those in the highest category. In conclusion, low serum 25(OH)D may be an independent risk factor for CVD in older Koreans.

The relationship between lowest bispectral index value and age in high spinal anesthesia (고위 척추마취에서 마취심도감시장치를 이용한 나이에 따른 진정 정도의 비교)

  • Hwang, Byeong-Mun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.5
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    • pp.2322-2328
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    • 2013
  • The aim of this study was to quantify the sedative effects of high spinal anesthesia, according to patient age, by also evaluating respiratory and hemodynamic changes. A prospective study was performed in 60 patients who were electively scheduled for lower limb or lower abdominal surgery. They were allocated into one of 2 groups according to their age: older age (51-80 years) and young age (20-50 years). In all groups, the lowest intraoperative bispectral index (BIS) values significantly lower than preoperative values. Patients in the older age group had significantly lower intraoperative BIS values than younger patients. The sedative effect of high spinal anesthesia is greater in older patients than in young patients, with an increase in respiratory instability. Our study showed a negative correlation between age and lowest BIS value; the lowest BIS value was reduced in older patients.

Nerve Conduction Study of Lateral Dorsal Cutaneous Branch of Sural Nerve (비복신경 외측분지의 신경전도검사)

  • Kim, Sung-Je;Lee, Dong-Kuck
    • Annals of Clinical Neurophysiology
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    • v.5 no.2
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    • pp.192-196
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    • 2003
  • The Lateral dorsal cutaneous branch of sural nerve (LDCB) is a terminal sensory branch of lower extremities. It can be injured frequently in peripheral nerves. However, the normal data of each component of nerve conduction study (NCS) of were not studied at this time. The Nerve Conduction Study of LDCB adults were assessed for amplitude, area, duration and nerve conduction velocity (NCV) in normal fifty. We also evaluated how age, sex and dexterity affect the various components of NCS. The Mean amplitude of LDCB was $9.45{\pm}1.93{\mu}V$, area was $4.05{\pm}0.55{\mu}V/s$, duration was $1.50{\pm}0.13s$, and NCV was $37.9{\pm}3.09m/s$, respectively. The amplitude of right was $10.1{\mu}V$ in men, $8.65{\mu}V$ in women. The area of right was $3.83{\mu}V/s$ in less than 40 years and $4.24{\mu}V/s$ in older than 40 years. The areas of left was $3.86{\mu}V/s$ in less than 40 years and $4.30{\mu}V/s$ in older than 40 years. The NCV was 39.0 m/s in less than 40 years and 36.7 m/s in older than 40 years. All of above differences were statistically significant. There were no statistically significant differences between right and left NCS. Normal data of LDCB could be applicable in peripheral neuropathy or nerve injury.

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Older People's Innovativeness toward Technologies and Demand of Home Automation System (노년층의 기술수용성향과 홈오토메이션 시스템에 대한 요구도)

  • Kwon Oh-Jung
    • Journal of the Korean housing association
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    • v.16 no.6
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    • pp.139-147
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    • 2005
  • The purpose of this study was to determine the factors which affect older people's innovativeness toward technologies and factors which affect their demand of home automation system. The study collected data from 289 persons who are 50 years and older with experience living in an apartment currently or past. Innovativeness toward technologies of respondents were low level and the significant factors which affected their innovativeness were age, education, employment, marital status, current housing types, health status of self and spouse, consideration of home automation system for a newly-moved house. Education, employment types, consideration of home automation system for a newly-moved house, and plan for moving were the major factors which affect demand of home automation system. Also, older people's innovativeness toward technologies was the most important factor which affected demand of home automation system. Th results of this study explained that high technologies which are adopted in residential environment should be considered target consumers' abilities and attitudes for acceptance toward new ideas. Especially, for older consumers, various ideas to expand their understanding of new technologies should be developed and the positive effect of technologies to increase the quality of their later life should be educated.

Older People's Innovativeness toward Technologies and Demand of Home Automation System (노년층의 기술수용성향과 홈오토메이션 시스템에 대한 요구도)

  • Kwon, Oh-Jung
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2005.11a
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    • pp.67-72
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    • 2005
  • The purpose of this study was to determine the factors which affect older people's innovativeness toward technologies and factors which affect their demand of home automation system. The study collected data from 289 persons who are 50 years and older with experience living in an apartment currently or past. Innovativeness toward technologies of respondents were low level and the significant factors which affect their innovativeness were age, education, employment, marital status, current housing types, health status of self and spouse, consideration of home automation system for a newly-moved house. Education, employment types, consideration of home automation system for a newly-moved house, and plan for moving were the major factors which affect demand of home automation system. Also, older people's innovativeness toward technologies was the most important factors which affect demand of home automation system. Th results of this study explained that high technologies which are adopted in residential environment should be considered target consumers' abilities and attitudes for acceptance toward new ideas. Especially, for older consumers, various ideas to expand their understanding of new technologies should be developed and the positive effect of technologies to increase the qualify of their later life should be educated.

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Psychosocial Features Affecting Suicidal Ideation Among Human Immunodeficiency Virus-infected Older Adults

  • Kang, Cho Ryok;Yang, Sook Ja
    • Journal of Korean Public Health Nursing
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    • v.37 no.1
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    • pp.136-146
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    • 2023
  • This cross-sectional design study was undertaken to determine the factors associated with suicidal ideation in human immunodeficiency virus (HIV)-infected older adults. Data from a city-wide representative sample collected by the Seoul Metropolitan Government were used. The cross-sectional survey was conducted between February and March 2013. Participants selected and included in the analysis were HIV-infected adults living in Seoul, and aged 50 years and older. The overall adjusted model showed that being unemployed (adjusted odds ratio [aOR], 3.34; 95% confidence interval [CI], 1.16-9.57), a history of depression treatment (aOR, 4.61; 95% CI, 1.02-20.66), perceived belongingness (aOR, 0.63; 95% CI, 0.41-0.99), and psychological functioning (aOR, 0.85; 95% CI, 0.73-0.99) were significantly related to suicidal ideation. Psychosocial features were found to be strongly associated with suicidal ideation among HIV-infected older adults. The findings could be useful for HIV nursing consultants to identify HIV-infected older adults who are vulnerable to suicidal ideation. Comprehensive mental health services should be provided as coping resources for HIV-infected older adults who have suicidal ideation.

Effect of Geographic Area on Dietary Quality across Different Age Groups in Korea (연령별 식사의 질에 미치는 지역의 영향)

  • Kim, Hyun Ja;Kim, Kirang
    • Korean Journal of Community Nutrition
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    • v.24 no.6
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    • pp.453-464
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    • 2019
  • Objectives: The objective of this study was to examine whether dietary quality varies among different age groups and geographic areas, and whether the difference between geographic areas varies across several age groups in Korea. Methods: The subjects were 14,170 subjects who participated in the 2013-2015 Korea National Health and Nutrition Examination Survey. The dietary quality was assessed using the Korean Health Eating Index (KHEI). Age groups were categorized into six groupings, and areas were categorized into urban and rural according to their administrative districts. The effect of area on the KHEI score was analyzed by multiple linear regression analysis. Results: The KHEI was the lowest in the 20-30s group (57.7 ± 0.4 score for 20s and 61.2 ± 0.3 score for 30s) and increased with age (p<0.001), showing the highest score in the 60s (67.9 ± 0.3 score), and then decreased again in the 70s and older (64.6 ± 0.3 score). As a result of comparing the KHEI score by area, the urban areas had higher KHEI scores than did the rural areas (63.5 ± 0.2 score for urban area and 62.2 ± 0.4 score for rural area, p=0.002). The difference between areas was dependent on the age group, showing a significant difference for subjects who were aged from 50s and older (p=0.002 for 50s, p<0.001 for 60s and p<0.001 for 70s and older). After adjusting for confounding factors, the effect of area on the KHEI score was only shown for those subjects in the over 60 years old group (p=0.035 for 60s and p<0.001 for 70s and older). Conclusions: The dietary quality differed according to the age group and geographic area. The dietary quality was lower for younger people than that for older people, and in rural areas compared to that in urban areas, and especially for older adults. The area factor was a very important factor for the dietary quality.