• 한국융합학회논문지
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• 제9권10호
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• pp.243-248
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• 2018

노년기의 사회참여는 사회적 상호작용의 기회를 제공하여 삶의 만족감을 고취시키기 때문에 성공적인 노화를 달성하기 위해서 중요하다. 이 연구는 우리나라 지역사회 노인을 대상으로 노년기 사회 활동의 관련요인과 사회 참여를 예측하는 통계적 분류 모형을 구축하였다. 분석 대상은 2015년도 지역사회 건강조사를 완료한 60세 이상 노인 1,864명(남 829명, 여 1,035명)이었다. 결과 변수는 지난 1달 간 사회 활동 경험(있음, 없음)으로 정의하였다. 예측모형은 Classification and Regression Trees(CRT) 알고리즘 기반 의사결정나무모형을 이용하여 구축하였다. 연구결과, 사회참여의 유의미한 분류 변수는 주관적 건강, 이웃과의 만남빈도, 친척과의 만남빈도, 배우자 동거여부이었고, 그 중에서도 가장 우선적으로 관여하는 예측 요인은 주관적 건강수준이었다. 본 연구의 결과를 기초로 도래하는 초고령사회의 성공적인 노화를 대비하기 위해서 노인의 사회 활동에 대한 사회적 관심과 지원이 요구된다.

• Journal of Korean Neurosurgical Society
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• 제47권6호
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• pp.442-445
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• 2010

Objective : The purpose of this study was to examine the efficacy and safety of microvascular decompression (MVD) for hemifacial spasm (HFS) in elderly patients. Methods : Between 1997 and June 2008, 1,174 patients had undergone MVD for HFS at our institute. Among these, 53 patients were older than 65 years. We retrospectively reviewed and compared the complication and the cure rates of these patients with those of younger patients. Results : There were 38 females and 15 males. The mean duration of symptoms of HFS of these patients was 94.6 months (range, 12-360 months), compared with 67.2 months (range, 3-360 months) in the younger group. The overall cure rate in elderly patients who underwent MVD for HFS during this period was 96.2%. Permanent cranial nerve dysfunctions, such as hearing loss and facial palsy, were seen in 2 patients (3.8%, 2/53) in the elderly group and 19 patients (1.7%, 19/1121) in the younger group. The difference in permanent cranial nerve dysfunction between the two groups was not statistically significant. There was no operative mortality in either group. Conclusion : Microvascular decompression is the most effective surgical modality available for the treatment of HFS. Results of this study indicate that such technique can be performed in the elderly without higher rates of morbidity or mortality. Any patient with HFS, whose general health is acceptable for undergoing general anesthesia, should be considered as a candidate for MVD.

• 대한통합의학회지
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• 제7권4호
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• pp.53-59
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• 2019

Purpose : The purpose of this study was to determine the influence of the elastic-band exercise program for elderly who over 65 years old in terms of depression and physical self efficacy. We aim to suggest interventions with an elastic-band exercise program for elderly. Methods : The study subjects selected were females or males 65 years old or more who could walk without assistance and could talk about daily living without mental or physical disorders. A total of eight subjects understood the purpose of this study and agreed to participate. Before and after the exercise program, the subjects were monitored for changes in their physical self-efficacy and depression. To measure the physical self-efficacy, we used a perceived physical ability scale and physical self-presentation confidence scale (Cronbach α =0.942). To measure depression, we used the geriatric depression scale short form (Korea version, Cronbach α =0.969). The data obtained from each measure were analyzed using the Wilcoxon signed rank test to determine changes from before and after the exercise program. The program consisted of three parts (warm-up, main exercise and cool-down) and included the upper extremities, the lower extremities and trunk exercises with an elastic band (yellow and red). The program lasted for 15 weeks, once a week, with each session lasting for 60 minutes. Results : After 15 weeks of the elastic-band exercise program, there was a significant decrease on the depression scale (p<0.05) and significant improvements on the physical self-efficacy scale (p<0.05). Conclusion : Based upon our results, we demonstrated that the exercise program using the elastic band was effective in improving the depression and physical self-efficacy of the elderly.

• 대한지역사회영양학회지
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• 제12권5호
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• pp.592-605
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• 2007

Undernutrition could be a significant deterrent to healthy aging and could negatively affect health outcomes in elderly. This study aimed to assess health-related factors which are associated with nutritional risks in middle-aged and elderly individuals by a cross-sectional study. Interviews were conducted with 2660 subjects (847 males, 1813 females), aged 50 years and over, in 15 cities in Korea. Data on food intake were obtained through a validated semi-quantitative food frequency questionnaires. Nutritional status were analyzed according to health-related factors including cigarette smoking, alcohol drinking, exercise, stress and depression level. Less regular exercise was associated with a higher likelihood of a poor nutrition [odds ratio (OR) 1.94; 95% confidence intervals (CI) 1.43-2.65] of middle-aged and elderly male subjects. Cigarette smoking (OR 1.84; 95% CI 1.24-2.71), less exercise (OR 2.58; 95% CI 2.07-3.21), stress (OR 1.73; 95% CI 1.36-2.22), and depression (OR 1.34, 95% CI 1.08-1.67) of middle-aged and elderly female subjects was associated with a higher likelihood of a poor nutrition. The results of the multiple regression analysis showed that less exercise proved to be the strongest predictors for the poor nutrition, followed by stress, smoking, and depression (model $R^2= 9.0%$). It suggests that guidance to promote regular exercise, to quit smoking, to minimize stress and depression level might help to improve nutritional status of middle-aged and elderly in Korea. These findings also suggest that having recommendable health behaviors are beneficial to the good nutrition of subjects aged 50 years and over.

• 한국식품영양학회지
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• 제30권4호
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• pp.780-787
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• 2017

The consumption of high-salt foods is an independent risk factor for increased hypertension. Thus, evaluating the relationship of taste sensitivity and pleasantness of high-salt foods such as Korean jang products, would help contribute to an understanding of salty food eating behaviors of the Korean rural elderly. This study aimed to verify the association between taste sensitivity and salinity of Korean jang products, and the preferences of food groups and nutrient intake in the rural elderly. We studied 269 elderly persons (males 83, females 186) aged above 65 years, residing in the rural area, Sunchang gun Jeonbuk. For each subject, a recognition threshold of 4 basic tastes and pleasant concentrations of NaCl were estimated using the sip- and-spit method. Taste preferences, frequency of intake of food groups, nutrient intakes, and salinity and sweetness of Korean jang products (Doenjang, Ganjang, Gochujang) were assessed. No association was found between salt taste recognition threshold and optimally preferred concentration of salt and salinity of Korean jang products. However, the sweet taste recognition threshold was positively related to the sweetness of Korean jang products. Also, the salinity of Doenjang positively correlated with the frequencies of food groups and nutrient intakes. That is to say that the sweet taste sensitivity was related to the sweetness of Korean jang products, but was not sensitive to the salty taste. The salinity of Doenjang correlated with the consumption of food and nutrient intakes. Taken together, these findings suggest the need for appropriate intervention and education to reduce the salinity of Doenjang, which is an important modifiable factor contributing to reducing sodium intake in the rural elderly.

• 대한방사선기술학회지:방사선기술과학
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• 제44권5호
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• pp.495-502
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• 2021

This study aims to provide basic data for elderly health insurance policy and medical radiation safety management by analyzing the general radiography usage and exposure dose of the elderly in Korea. The effective dose for each general radiography was calculated using the ALARA-GR program for 260 general radiography codes selected from 'National Health Insurance Care Benefit Cost'. The usage of general radiography was analyzed in the 2016 elderly patient data of the Health Insurance Review and Assessment Service, and the effective dose for each general radiography was applied. The general radiography usage and exposure dose per person aged 65 years and over was 6.47 cases and 0.56 mSv. Females showed higher value than males as 7.15 cases and 0.66 mSv(p<.001). By age, those between 75 and 79 showed the highest number as 6.97 cases and 0.62 mSv(p<.001). Those who were supported by Medical Aid showed higher value than those who were insured by National Health Insurance as 8.82 cases and 0.76 mSv(p<.001). In addition, the ratio by radiography was in the order of Chest 20.85%, Knee Joint 15.58%, and L-spine 14.67%, and the exposure dose was L-spine 29.40%, Chest 15.82%, Abdomen 7.97%, and Entire Spine 7.20%. General radiography, which is widely used due to the high frequency of diseases in the elderly population should be taken into consideration when establishing health insurance policies. In addition, it is necessary to check whether the general radiography with high exposure dose is performed as a routine examination without considering medical necessity.

• 한국치위생학회지
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• 제19권4호
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• pp.555-564
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• 2019

Objectives: The purpose of this study was to investigate how mental health status affects oral health in the elderly. Methods: The subjects of the study provided the data for the sixth Korea National Health and Nutrition Examination Survey from 2013 to 2015. Four-hundred and twenty-one subjects were selected for the study. All data were analyzed by complex sampling frequency, chi-square test, and composite multiple regression analysis using SPSS 21.0 version. In addition, a significance level of 0.05 was considered. Results: The general factors affecting cases of periodontal disease were general characteristics, mental health status, oral health status, elderly males, household income, education level, daily brushing frequency, speaking, and stress. The effect of periodontal disease was 1.64 times higher in the male group than in the female group (p<0.001). In the household income level, the 'low' group had 1.91 times more periodontal disease, while the 'mid low' group had 1.64 times more periodontal disease than the 'high' group (p<0.05). Periodontal disease was found to be lower in the group that recognized subjective oral health status as 'good' (p<0.05). The study subjects had low levels of periodontal disease when there was no speaking difficulty (p<0.05). Conclusions: Therefore, in order to improve oral health of the elderly, it is necessary to understand the mental health condition of the elderly and prepare proper oral health education programs accordingly. Institutional devices for various oral health projects should be prepared, as well.

• 대한통합의학회지
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• 제10권2호
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• pp.1-11
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• 2022

Purpose : This study was conducted to assess the status of sarcopenia and locomotive syndrome in the Korean elderly population over 65 years of age by applying the recently updated screening tool for diagnostic evaluation of sarcopenia and locomotive syndrome. Methods : Sarcopenia and locomotive syndrome (LS) were diagnosed and evaluated in 210 Korean elderly people over 65 years of age. There were 36 patients in the "sarcopenia group", 164 in the "locomotive syndrome group", and 10 in the "normal group". The collected data were analyzed using the chi-square and Kruskal-Wallis tests. Results : The diagnostic evaluation of sarcopenia and LS showed the presence of sarcopenia in 9.05 % of males and 8.10% females among the Korean elderly population over 65 years of age. Prevalence of stage 1 locomotive syndrome (LS 1) was 95.24 %; stage 2, (LS 2) 36.19 %; and stage 3 (LS 3), 16.19 % among the study population. Both the sarcopenia diagnostic indicator and the LS evaluation indicators showed significant differences between the three groups. All the subjects in the sarcopenia group had LS; further, on comparison of the detailed composition ratio of each patient with LS, the prevalence of LS in the sarcopenia group was found to be: LS 1 41.67 %, LS 2 41.67 %, and LS 3 16.67 %, whereas in the LS group, it was found to be: LS 1 66.46 %, LS 2 16.46 %, and LS 3 17.07 %. The difference between the two groups was statistically significant. Conclusion : It was confirmed that sarcopenia is correlated with LS incidence. This suggests that the evaluation of motor LS can be used as a tool for the early diagnosis and prevention of sarcopenia in cases of functional decline due to aging in the elderly population.

• 산업경영시스템학회지
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• 제27권1호
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• pp.51-56
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• 2004

The performance decreases as the workers get older and the degree of decrease in the performance shows a marked difference depending on each individuals. On the other hand, the older workers tend to have better ability to adapt to the new working environments and expert skills. Our purpose in this paper is to focus on the analysis about this conflicting situation, thereby important informations are applied in designing working conditions of older workers. Experimental results show that the expert skill of the aged workers can be improved through the effective use of their experiences, therefore some operation can not be influenced by age.

• 한국컴퓨터정보학회:학술대회논문집
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• 한국컴퓨터정보학회 2020년도 제62차 하계학술대회논문집 28권2호
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• pp.143-144
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• 2020

본 연구에서는 사이즈코리아에서 2015년 이루어진 제7차 인체치수조사 데이터 중 60대 남성의 치수와 2014년에 이루어진 고령자인체치수조사 데이터의 70대와 80대 남성의 치수를 분석하여 신체적인 노화가 주로 나타나는 연령 구간과 노화에 따른 노년 남성 체형의 변화에 대한 특성을 살펴보고자 하였다. 노년 남성의 경우 대체로 66-68세 사이와 75-77세 사이 그리고 84-85세 사이에 급격한 노화현상이 나타나게 되고 60대와 70대에는 서서히 노화가 진행되다가 대체로 80대에 들어서면서 노화가 심화되어 신체적으로 체형의 변화가 급격히 나타나게 된다. 연령의 증가에 따른 노화의 현상으로 신체의 둘레, 너비, 높이 등에서는 변화가 심화되나 둘레, 너비, 높이에 비해 두께의 경우에는 변화가 크지 않은 것으로 분석되었다. 또, 노년 여성의 경우에는 등이 굽는 현상이 나타났으나 노년 남성의 경우에는 여성과는 반대로 뒤로 젖혀진 체형이 나타나 차이가 발견되었다. 따라서 의복패턴 제작 시 앞중심길이와 등길이 설정에 있어서 노년 여성과는 반대로 등 길이를 짧게 하는 패턴상의 수정이 요구된다.