• Title/Summary/Keyword: Aged, 65 and over

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Relationship between Nutrients intake and Anthropometric indices using '98 Korean National Health and Nutrition Examination Survey (24시간 회상법으로 조사된 영양섭취 상태와 신체계측결과 비교분석: '98 국민 건강,영양 조사)

  • Sim, Jae-Eun;Mun, Hyeon-Gyeong
    • Journal of the Korean Dietetic Association
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    • v.10 no.2
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    • pp.174-183
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    • 2004
  • This analysis was performed to investigate the relationship between nutrition and anthropometric indices using the data from a cross-sectional survey of a large national sample, '98 Korean national health and nutrition examination survey. Subjects were selected by stratified multistage probability sampling design and completed dietary questionnares including food intakes for one day by 24-hour recall method. For this analysis, 6566 subjects were selected by age(over 20 years old). For anthropometry, height, weight, and waist- and hip- circumference were measured. They were classified by body mass index(BMI, weight(Kg)/$height^2 $($m^2 $)) and waist-hip ratio(WHR, waist circumference(Cm)/hip circumference(Cm)). The nutrients intake of subjects were compared with the recommended daily allowances(RDA). Mean adequacy ratio(MAR) was calculated. Mean heights, weights, BMIs were higher in the groups with nutrient intake over 125% of RDA than the lower intake groups for most nutrients. However, Mean WHR was the highest in the groups with nutrient intake under 75% of RDA for most nutrients excluding iron intake of women aged 20-64 years. Among women aged 20-64 years, means of MAR were 0.71 for obese individuals(BMI>30), 0.72 for subjects with underweight(BMI<18.5), and 0.76 for subjects with normal weight(18.5$\leq$BMI<25). Normal subjects has statistically significantly higher MAR than those of other groups. However, among elderly people aged over 65 years, obese group had the highest MAR, 0.68. Women with abdominal obesity(WHR>0.9) had lower MAR, 0.71 than those with normal weight(MAR=0.76). From these results, obesity and abdominal obesity seems to be the results of malnutrition including both undernutrition and overnutrition rather than simple problem of excess energy intake. Obesity in elderly people needs to be handled differently from adults.

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A Cost Benefit Analysis of Visiting Health Care for People 65 Years and Over Using Total Medical Expense from Health Insurance Claims Data (국민건강보험공단 진료비 자료를 활용한 65세 이상 방문건강관리사업 대상자의 비용-편익분석)

  • Kim, Jinhyun;Ko, Young;Kwon, Hyun-Jeong;Yim, Eunshil
    • Journal of muscle and joint health
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    • v.27 no.3
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    • pp.238-246
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    • 2020
  • Purpose: This study aimed to investigate the effect of home visiting care service and to evaluate the effect from the cost-benefit among older people. Methods: The target participants were enrolled in 2007 and they were classified into 1 year, 2 years, 3 years, and 4 years according to their service provision period. We analyzed health insurance claims data and entitlement data from the National Health Insurance Service databases between 2006 and 2010. This study examined the participants' social-economic and health status factors related to total medical expense. Cost-benefit analysis was done using the net benefit and benefit/cost ratio. Results: Based on the use of home visiting service, the effect was reduced by 223,914 won. The cost for 952,109 people aged 65 or older was 39,891,462,882 won and the benefit was 213,190,534,626 won. The net benefit was 173,299,071,744 won and the benefit/cost ratio was 5.34 times, which was very economical. Conclusion: Home visiting health care should continue to expand as a means of economically effective health care for people aged 65 and older and to ensure health equity for vulnerable groups.

A Study on Guidelines for the Kitchen Workspace of the Aged (노인을 위한 부엌 작업공간의 계획지침 연구)

  • Kim, Hyun-Jee;Hong, Yi-Kyung;Oh, He-Kyung
    • Journal of Families and Better Life
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    • v.24 no.5 s.83
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    • pp.89-99
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    • 2006
  • The purpose of this study was to devise guidelines for the kitchen workspace of the aged by examining current usage. To achieve this objective, surveys were conducted and measurement were taken between June 15 and lune 30, 2005. The data were gathered from 50 women over 65- years-old who live in the downtown and suburbs of Seoul, Korea. The collected data were processed using SPSS 12.0 for Microsoft Windows and resulted in the following conclusions: The kitchen for the aged needs to be laid out in ㄱ-shape and the refrigerator needs to be positioned prominently. The height of the work counter is relative to the user's height (${\times}0.49{\sim}056$). and the length varies depending on the available space of the house and the type of work counter needed: however it was found that it should be at least 270cm Concerning the depth of the work counter, the standard sizes (60cm) currently on the market did not cause any inconvenience. It was found that the sink must be designed to allow for some space at the bottom so as to ensure comfortable sedentary work. Also, an electrical oven was preferred over a gas-fuelled one. Finally, the height of the upper cabinet should be relative to the user's height at ${\times}0.85{\sim}1.0$ from the floor to the bottom of the cabinet.

Repair of Large to Massive Rotator Cuff Tears in the Elderly Patients (65세 이상 고령 환자의 대형 및 광범위 회전근 개 파열에 대한 봉합술)

  • Jung, Hong Jun;Chun, Jae Myeung;Jeon, In-Ho;Kwon, Jun;Ha, Sang-Ho;Yang, Sung Wook;Lee, Ji-Ho
    • Clinics in Shoulder and Elbow
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    • v.15 no.2
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    • pp.91-98
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    • 2012
  • Purpose: The objective of this study is to evaluate the functional outcome and identify prognosis of retear patients in patients aged 65 years or over undergoing surgical repair for a large to massive full-thickness rotator cuff tear. Materials and Methods: From 1995 September to 2010 March, 147 patients aged 65years or over (40 male, 107 female, with an average age of 69.6) undergoing surgical repair for large to massive full thickness rotator cuff tear (large 67 cases, massive 80 cases). For functional evaluation, preoperative and postoperative 1 year range of motion and muscle power checked. For subjective evaluation, American shoulder and elbow surgeons score and Constant score were checked. For anatomical evaluation, 87 patients were checked shoulder MRI at the time of the postoperative 1 year. Results: ASES score improved from to 50.4 to 88.9, Constant score improved from 47.1 to 75.2. Supraspinatus power improved from 51.1% to 80.8%, external rotator muscle power improved from 64.5% to 83.1%. Forward elevation improved from 117.4 degrees to 153 degrees, external rotation improved from 23.6 degrees to 41.8 degrees. Follow up MRI showed re-tear in 23%, all re-tear patients were from massive tear except one patient. All re-tear patients showed improved clinical outcomes, but supraspinatus and external rotator muscle power were not improved. Conclusions: Patients aged 65 years or over undergoing surgical repair for a large to massive full-thickness rotator cuff tear showed successful outcomes over 90 percent. Re-tear patients also showed successful clinical outcomes. In elderly patients with large to massive full thickness rotator cuff tear, aggressive surgical repair leads good clinical outcomes.

Health Behaviors and Health Status according to Socioeconomic Status of the Elderly in Daegu (대구시 노인의 사회경제적 특성에 따른 건강행태 및 건강수준)

  • Lee, Sung-Hee
    • Journal of Korean Public Health Nursing
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    • v.26 no.1
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    • pp.113-125
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    • 2012
  • Purpose: This study was conducted in order to investigate health behaviors and health status and to identify factors that affect health behaviors and health status of the elderly in Daegu. Methods: Analysis of data on 360 Daegu citizens aged 65 and over, which were taken from the 2010 social survey, was analyzed using the SAS program. Results: Results of logistic regression analysis showed that gender, age, education, and economic activity were independent predictors of health behaviors. Economic activity and owner-occupied housing were found to be independent predictors of health status. Conclusion: Findings of this study indicate a need for development of strategies to promote the health of vulnerable members of the elderly population with consideration for these variables that were found to affect health behaviors and health status of elderly citizens.

The Relationship among Life Habits, Health Status and Sleep Time of the Elderly (노인의 생활습관 및 건강상태와 수면시간의 관계)

  • Kim, Mi-Young;Ha, Su-Jung;Jun, Seong-Sook
    • The Korean Journal of Health Service Management
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    • v.8 no.1
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    • pp.41-50
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    • 2014
  • This study was a descriptive study to investigate factors affecting sleep time in the Korean elders. A secondary data analysis was conducted using the data of "The Fifth Korea National Health and Nutrition Examination Survey, 2011". The survey included 3,487 people aged over 65 years and 1,163 samples were used for this study. Data were analyzed with the ${\chi}^2$-test and logistic regression using the SPSS/WIN 18.0 program. Analysis showed that sleep time was related with the number of chronic disease and limit on the activities of daily living(ADL). These findings suggest that nursing researchers need to consider chronic disease, and ADL as important factors affecting sleep time of Korean elders. Therefore nursing intervention focusing on the issues in needed to develope.

Effects of Continuity of Care on Diabetes-Related Avoidable Hospitalizations among Middle- and Old-Aged Patients: Analysis of National Health Insurance Claims Data (건강보험 청구자료를 이용한 진료 연속성이 당뇨 관련 예방 가능 입원에 미치는 영향 분석: 중·고령군을 중심으로)

  • Kim, Boah
    • Health Policy and Management
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    • v.29 no.3
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    • pp.277-287
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    • 2019
  • Background: Diabetes is known as one of the most important ambulatory care sensitive conditions. This study purposed to assess the status of continuity of care (COC) and diabetes-related avoidable hospitalizations (DRAHs) of a group of middle- and old-aged patients and to observe the relationship of the two elements by the two age groups. Methods: This study utilized the National Health Insurance Service's National Sample Cohort data and the subjects are diabetes patients of 45 and over, classified into two groups of 'middle-aged'(45-64 years) and 'old-aged'(${\geq}65years$) patients. The dependent variable was DRAHs, which was defined in accordance with the definition of the Organization for Economic Cooperation and Development "Health Care Quality Indicators" project. COC, as an independent variable, is measured by the COC index in this study. Two-part model (multi-variate and multi-level analyses) was utilized. Results: Factors associated with the status and the number of DRAHs differed by each age group. Meanwhile, the two-part model showed that higher COC was associated with a lower risk of preventable hospitalizations in both middle- and old-aged groups. Conclusion: Study findings can provide health policy insights and implications in order to strengthen the primary care system for further improvement of diabetes management, especially for middle- and old-aged groups.

A Study of ADL, Medications and Falls Frequency in Community-dwelling Elderly (재가노인의 일상생활활동, 투약 및 낙상에 관한 연구)

  • Jeon, Eun-Young;Kim, Sook-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.11 no.2
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    • pp.107-113
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    • 2008
  • Purpose: The purpose of this study was to identify the risk factors for falls among the elderly living in community. Method: This was a descriptive study. The subjects comprised 80 elderly aged 65 years or over living in D city. The instruments used for this study was the MDS-HC V2.0. The data was analyzed by SPSS Win 14.0 using t-test, ANOVA, and Pearson correlation. Result: Among the socio-demographic characteristics, the significant differences were found in ADL by gender and marital status. Older elderly(${\geq}85$) used more medications than other elderly. The elderly were use average 4.33 medications, but 46.3% of the subjects didn't have the physician reviewed all medications. There was statistically significant correlation between number of medications and accidental falls. Conclusion: Nurses should inspect about the number of medications, drug interaction, and side effects. It would be preventive intervention for falls in elderly.

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Factors Influencing Depression of the Elderly (노인의 우울 영향 요인)

  • Kim, Kwuy-Bun;Sok, So-Hyune
    • Research in Community and Public Health Nursing
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    • v.20 no.2
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    • pp.197-206
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    • 2009
  • Purpose: This study was to examine factors related to depression of the elderly, and using them, to lay the ground for the development of nursing intervention. Methods: This was a descriptive correlation study. The subjects were 581 elders aged over 65 from senior centers in Seoul and Gyeonggi-do. Data were analyzed by descriptive statistics, Pearson's correlation coefficients, and multiple regression with SAS. Results: The predictors of depression in the elderly were quality of life, moral, life satisfaction, self-esteem, loneliness, nonformal support, and perceived health state. Among them, quality of life was the most significant predictor in the elderly. These factors explained 72.2% of the total variance. Conclusion: These findings suggest the need to develop nursing strategies for decreasing depression in the elderly. To decrease the depression of the elderly, the above-mentioned major influencing factors should be considered.

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