• Title/Summary/Keyword: Elderly(>70 years)

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Socio-economic status is associated with the risk of inadequate energy intake among Korean elderly (노인의 에너지 섭취 부족과 관련된 사회환경요인 분석)

  • So, Eun Jin;Joung, Hyojee
    • Journal of Nutrition and Health
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    • v.48 no.4
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    • pp.371-379
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    • 2015
  • Purpose: This study was conducted to evaluate the factors influencing inadequate energy intake among Korean elderly. Methods: Our study included 1,869 elderly people (over 60 years old) who completed a dietary survey from the fifth Korean NHANES (2010). Factors that could affect the nutritional status of the elderly included age, family status, socio-economic factors (education, family income, livelihood security, employment), and health related factors (having chronic disease, functional status, diet therapy, depression, and suicidal thoughts). Energy and protein intake were assessed using the dietary intake data from 24hr recall method. Results: The percentage of people who consumed energy less than 75% of EEA for Koreans was 23.7% in men, 31.1% in women. The carbohydrate contribution to the total energy intake in the inadequate energy intake group was significantly higher than that in the adequate intake group (p < 0.05). Factors significantly related to inadequate energy intake after adjusting for age, family status, education, family income, employment, functional status, and suicidal thoughts were education (OR: 1.480 in men, 1.614 in women) and employment (OR: 1.751 in men, 1.464 in women), age 70 years or older in men (OR: 1.475), and living with family but without spouse in women (OR: 1.496). Conclusion: In summary, the results imply that energy intake of elderly would be affected by the status of social environment with aging and nutrition-related policy for Korean elderly should be based on the social status as well as health related conditions.

A Study on the Effects of the Behavior Problems for the Demented Elderly upon the Stress among Family members (치매 노인의 문제행동이 가족스트레스에 미치는 영향)

  • 마정수;김초강
    • Korean Journal of Health Education and Promotion
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    • v.12 no.1
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    • pp.83-110
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    • 1995
  • The purpose of this study was to investigate the status of the problematic behavior for the demented elderly and the stress among family members, and the effects of the problematic behavior upon the stress in order to offer the basic data for the adult and the elderly health education about dementia. For this purpose, 70 families who were resident in Seoul and Inchon were surveyed by quetionnaires. This was carried out from 26 July, 1994 to 11 September, 1994. Datum was analysed by using SPSS\PC+ including percentage, mean, t - test, ANOVA, Pearson correlation. So, the results of this study were as follows: 1. In view of socia-demographic characteristics, female were 82.9%, and of the female daughters-in-law of the demented elderly were 44.9%. 40th years old were 32.9% and 88.6% wase married. The christian were 34.8%, those who graduated university 47.1%, and those who had a job 32.9%. 2. Of the demented elderly, female were 74.3%, 80 years old were 37.1%, and their average age was seventy-seven point one years old. 66.2% of the elderly has been lived alone and the christian were 27.5%. In addition, those who graduated elementary school were 66.5%. 3. Of the behavior problem for the demented elderly, Activities of the Daily Living(ADL) was the most severe problem. The 2nd was cognitive function problem, the 3th, change of personality, the 4th, emotional disturbance, and the last, misconduct behavior. 4. For the status of behavior problems, females were more severe than male, and 80th years elderly ware the most severe groups. The longer disease period was, the severe problematic behaviors were, and in 4-6 years of the disease period the status was the highest(p<0.05). Those who diagnosed the disease had more severe problems(p<0.001). 5. The orders of the stress among family members caring for the demented elderly in this study were as follows : 1. The deficiency of supporting network 2. Decrease of elderly's cognitive activities 3. Assistance of BADL(Basic Activities of Daily Living) 6. Elderly's abnormal behavior 5. Assistance of IADL(Instrumental Activities of Daily Living), 6. As for the status of the stress among family members, female respondants were higher than male. On the ages, 20th years' stress score were the highest. Daughters-in-law were stressed more than other family members. The longer the time of caring per day was, the highest the status of the stress(p<0.05), 7. Those who caring for female elderly and more than 80 years had more stressed. When the elderly was received the diagnosis, the family members were more stressed. On the disease period, 1-2 years was the highest and after 2 years the status of the stress was decreased and more than 6 years was the lowest(p<0.05). 8. Behavior problems of the demented elderly were closely associated to the stress for family members. Of the problems, change of personality was the most related factor(r = 0.6552). The factors of Basic Activities of the Daily Living(BADL) was most correlated on assistance of Basic Activities of Daily Living (BADL), emotional disturbance the assistance of IADL(Instrumental Activities of Daily Living). Change of personality was most related to the stress of the decrease of cognitive activities and elderly's abnormal behavior. The deficiency of supporting network was most related to misconduct behavior.

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A Comparative Study on the Footwear Wearing Practices and Preferences of Young and Elderly Women (청년층과 노년층 여성의 신발 착용 실태 및 선호도에 관한 비교 연구)

  • Kook, Young-ji;Lim, Ho-sun
    • Fashion & Textile Research Journal
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    • v.22 no.2
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    • pp.202-208
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    • 2020
  • This study is to help produce highly comfortable and wearable and footwear based on the establishment of basic data for manufacturing elderly footwear patterns and products. For this, a survey of 207 women in their 20s and 60-70s was conducted to identify the wearing of shoes, inconvenience areas, purchase practices and footwear preferences by age group. The results are as follows. First, the average age of the young female group was 22.5 years old, the elderly female group was 68.8 years old, and the average shoe size was 236.3 mm for the young female group and 238.3 mm for the elderly female group. Second, young women wore shoes for a longer time than elderly women, resulting in swollen and numb legs, hardened soles, uncomfortable toes and sore heels. However, elderly women felt more uncomfortable wearing footwear than young women. They suffered pain in the joint area, heal and toe areas as well as had more toe deformations due to aging. Third, all age groups preferred athletic shoes and loafers as well as purchases from footwear brand stores and department stores. The elderly spent more money on shoes, longer time to buy and valued the feeling of wearing, whereas the young considered design first. Fourth, both age groups prefer low-heels and natural leather, the young preferred to wear various types of shoes; however, the elderly are found to desire shoes that are comfortable and stable in both form and wearing.

A Study for Developing Housing Alternatives for the Elderly Focused on Group Home and Shared Housing for Aging in Place - Focused on the Elderly Lived in Detached Housing, Busan - (그룹 홈과 공유주택 개념을 중심으로 본 Aging in Place를 위한 노인주거대안 개발을 위한 연구 - 부산광역시 단독주택 거주 노인을 중심으로 -)

  • Oh, Chan-Ohk
    • Journal of the Korean housing association
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    • v.19 no.3
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    • pp.59-70
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    • 2008
  • The purpose of the study was to suggest the housing alternatives for the elderly from the viewpoint of aging in place. The study was intended to present the alternatives on the basis of the concept of group home and shared housing. In order to achieve it, first, the concept and characteristics of group home and shared housing were examined. Then, the living conditions of the elderly and the home sharing related needs of them were examined. The subjects were 201 older persons whose age was more than 65 years and lived in detached houses. Results were as follows; 1) It was identified that group home and shared housing were acceptable to the subject aged. 2) The modified group home which consisted of less than 10 individual detached houses and common area was presented as an alternative for the elderly. The individual ones were existing ones which the elderly lived in. The common area included of common kitchen, dining room, bathroom, and living room for about 10 old persons. The common area can be provided by building a new one and remodeling the existing building for other purpose or community center for the elderly. The detached houses which had spare bedrooms can be shared by another old persons. This alternative would be economic and useful to the elderly.

The Relationship between Metabolic Syndrome Factor Diseases and Falls in Korean Elderly: Using National Hospital Discharge In-depth Injury Survey (한국 노인의 대사증후군 요인 질환과 낙상과의 관련성: 퇴원손상심층조사를 이용하여)

  • Nam, Younghee
    • The Journal of Korean Society for School & Community Health Education
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    • v.23 no.1
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    • pp.29-40
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    • 2022
  • Objectives: The purpose of this study is to identify the relationship between metabolic syndrome factor diseases and falls in the elderly aged 65 years or older and use them as basic data to reduce the risk of falls. Methods: The method of this study was to compare the injury-related characteristics of the fall and non-fall groups with a factor disease of metabolic syndrome in Korea over 65 years of age. Data from the 14th National Hospital Discharge In-depth Injury Survey in 2018 were used to conduct the study. A total of 7,991 data were analyzed using SPSS 23.0. Results: Among the total injuries, the fall group with metabolic syndrome factor disease accounted for 69.0% and the non-fall group 31.0%. Falls occurred in 86.3% of households. In the fall group with metabolic syndrome factor disease, the number of females was 1.9~2.1 times higher than that of males. Compared to 65~69 years of age, the incidence of falls was 1.4~1.5 times higher in 70~79 years, 1.7~2.2 times higher in 80~89 years, and 2.5~3.6 times higher in 90-year-olds and older. In NISS, the incidence of falls was 1.7 times higher in moderate compared to mild. In principle diagnosis, the incidence of falls was 2.2 times higher in S40-S99 compared to S00-S19. Conclusion: The elderly with metabolic syndrome factor disease should continue to promote health through light exercise that can strengthen muscle strength to prevent falls.

Clinical Features and Prognostic Factors in Elderly Koreans with Advanced Non-Small-Cell Lung Cancer in a Tertiary Referral Hospital

  • Kim, Seo Woo;Kim, Mi Yeon;Lee, Yoon Pyo;Ryu, Yon Ju;Lee, Seok Jeong;Lee, Jin Hwa;Chang, Jung Hyun;Shim, Sung Shine
    • Tuberculosis and Respiratory Diseases
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    • v.75 no.2
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    • pp.52-58
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    • 2013
  • Background: More than half of cases for advanced non-small-cell lung cancer (NSCLC) occur in elderly patients with a median age at diagnosis of 70 years. The aim of our study was to examine the clinical features and prognostic factors contributing to mortality in elderly patients with advanced NSCLC. Methods: Following a retrospective review of clinical data, 122 patients aged 70 years and over with a histopathological diagnosis of locally advanced (stage IIIB, n=32) and metastatic (stage IV, n=90) NSCLC between 2005 and 2011 were enrolled. Results: The median age was 76 years (interquartile range, [IQR], 72-80 years), and 85 (70%) patients were male. Fifty-seven (46%) patients had never smoked, and 17 (19%) were in a malnourished state with a body mass index (BMI) of <$18.5kg/m^2$. The initial treatments included chemotherapy (40%) and radiotherapy (7%), but 57% of the patients received supportive care only. The 1-year survival rate was 32%, and the 3-year survival rate was 4%, with a median survival duration of 6.2 months (IQR, 2.5-15.3 months). Male gender (hazard ratio [HR], 2.2; 95% confidence interval [CI], 1.3-3.9; p=0.005), low BMI (HR, 2.3; 95% CI, 1.3-3.9; p=0.004), and supportive care only (HR, 1.9; 95% CI, 1.2-2.9; p=0.007) were independent predictors of shorter survival based on a Cox proportional hazards model. Conclusion: Elderly patients with advanced NSCLC had a poor prognosis, particularly male patients, those with a low BMI, and those who received supportive care only.

Nutritional Status and Bone Mineral Density of Elderly Women in Asan

  • Kim Ji Sun;Kwon Young Suk;Shin Yoon Jeong;Kim Min Kyung;Kim Hee Seon
    • Journal of Community Nutrition
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    • v.7 no.1
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    • pp.49-57
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    • 2005
  • Nutrition factors play an important role in the pathogenesis of osteoporosis. The purpose of this study is to investigate the relationship between nutritional status and bone mineral density of elderly women. Three hundred thirty five elderly women (over 65 years) in Asan were divided into three age groups (group 1, less than 70 y ; group 2, from 70 to 75 y ; group 3, 75 y or more). Total alkaline phosphatase and serum calcium (Ca) were analyzed using spectrophotometric procedure. Data for food and nutrient intakes were obtained by a 24-hour recall method. Bone density was measured by broadband ultrasound attenuation (BUA) using QUS-2. Age differences were tested with the X 2 test for categorical variables and with ANOVA and Tukey's test for continuous variables. Correlation was conducted to test the association between bone density and nutrient intake. The subjects in age groups 1,2 and 3 were $36.7\%$, $32.8\%$ and $30.4\%$, respectively. Height and body weight of the subjects were significantly decreased with age. Average bone density of the subjects in group 3 was lower than the other age groups. Osteoporosis determined by t-score is $17.9\%$ for group 1, $24.5\%$ for group 2 and $55.9\%$ for group 3 (p < 0.001). The serum Ca level of the subjects in group 2 was significantly lower than that of group 1 although mean values in all age groups are within the normal range. Dietary Ca intake, nutrient adequacy ratio (NAR) and index of nutrient quality (INQ) were decreased with age. Bone density was negatively correlated with age (p < 0.001), while body mass index (p < 0.01) was positively related with bone density. Although partial correlation did not reveal the significant correlation of BMD and dietary calcium after controlling for age, since calcium intake was very poor compared to sodium and phosphorous intakes, recommendation of more calcium intake for elderly women especially those over 75 years must be continuously emphasized.

Breast Cancer at Extreme Ages - a Comparative Analysis in Chile

  • Acevedo, Francisco;Camus, Mauricio;Sanchez, Cesar
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.4
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    • pp.1455-1461
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    • 2015
  • Background: Young onset breast cancer (BC) has a worse outcome as compared to in the elderly. However, some studies have shown that BC in the elderly, despite indolent features, does also cause increase in mortality. In an attempt to compare clinic-pathological characteristics, BC subtypes and survival in patients with BC presenting at extremes of age, we performed a retrospective study. Materials and Methods: Patients were either ${\leq}40$ or ${\geq}70$ years old. Subtypes were defined using immunohistochemistry and histological grade. Chi-Square test was used for evaluation of categorical variables, and Kaplan-meier and log-rank for disease-specific survival (DSS) and disease free survival (DFS). Results: We analyzed 256 patients ${\leq}40$ and 366 patients ${\geq}70$. Younger patients presented with more aggressive disease, with less luminal A but more luminal B and triple negative (TN) subtype. With a median follow-up of 57.5 months, DFS at 5 years in younger patients was 72.3% vs 84.6% in the elderly (p=0.007). Luminal A and B disease presented with worse DFS in younger patients. The opposite was seen in the TN subgroup. Although we found no significant differences in DSS, older patients with TN tumors died of BC more frequently. This group also received less chemotherapy. Conclusions: Young patients present with more aggressive disease, this translating into worse DFS. However, elderly patients with TN disease represent a particular subpopulation with worse DFS and DSS, suggesting that chemotherapy should not be withheld only because of age.

Effect of Kinesio Taping on Isokinetic Muscular Function and Pain of Knee Joint in Elderly Women (키네시오 테이핑이 고령자의 슬관절 등속성 근 기능 및 통증에 미치는 영향)

  • Bang, Hee-Myung
    • The Journal of the Korea Contents Association
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    • v.6 no.12
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    • pp.226-234
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    • 2006
  • The aim of this study were to evaluate the effect of kinesio taping on isokinetic muscular function and pain of knee joint. The subjects for this study were twelve elderly women($65{\sim}70$years) suffered by knee joint pain over more than three years. The taping methods performed on 3 times a week for 8 weeks for improvement of isokinetic muscular function. Also, the change of visual analogue scale(VSA) and varval rating scale(VRA) has been measured before and post taping 8 weeks. Paired t-test was performed for data analysis at the 0.05 level of significance. After 8 weeks, the results of the study are as follow; First, peak torque, peak torque % BW, total work and ipsilateral balance ratio were significantly improved. And, work fatigue, visual analogue scale and verval rating scale were decreased significantly after 8 weeks taping. The results suggest that applying kinesio taping on knee joint may improve isokinetic muscular function of elderly women. Therefore kinesio taping method was effective for pain relief and prevention of knee joint pain in the elderly women.

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A study on connotative meaning of foods to elderly Korean (한국노인의 식품에 대한 개념 연구)

  • Chung, Chin-Eun
    • Journal of the Korean Society of Food Culture
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    • v.7 no.3
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    • pp.281-289
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    • 1992
  • This study was designed to investigate and quantify components of the connotative meaning of foods, and to analyze the correlations between food concepts and food frequencies on elderly Korean. It involves adapting a communications research tools, the semantic differential and demonstrating its use with two population groups, urban and rural aged. The data were collected by interviewing 217 males and females of 70 years of age and older living in urban and rural areas. To assess how they feel and what they know about foods, the instrument which contains concepts of price, taste, goodness of health, interest, usuality, likes and dislikes, appetite, fattening, quality, and nutritive value about foods were developed. The result shows that there are significant correlations between food concepts and food frequencies. The more affirmative concepts the elderly have, the more food frequencies tend to be. positive concepts are appeared on the meat, fishes, vegetables & fruits, Kimchi and the rice, but negative connotations are appeared on the milk and sugar. There are significant differences between the urban and rural elderly on food concepts.

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