• Title/Summary/Keyword: Exercise in elderly

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Comparisons of obesity indicators for obesity and chronic diseases management among older adults (중·고령인구에서 비만과 만성질환 관리를 위한 비만 측정 지표 비교)

  • Chun, Heeran;Park, Eun-Ja;Kim, Il-Ho;Cho, Sung-Il
    • Korean Journal of Health Education and Promotion
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    • v.31 no.5
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    • pp.109-120
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    • 2014
  • Objectives: This study was to examine the associations between obesity level and major chronic diseases in older population in Korea, using different obesity indicators. Methods: Data was from the 2008 KloSA Biomarker pilot, a nationwide sample of 514 non-institutionalized subjects (age $63.6{\pm}9.8$ years; women 57.2%). Anthropometric information was collected by home visiting nurses. Portable bioimpedence devices(Omran HBF359) were used for measuring fat mass. Obesity cut-offs used the Asian criteria of $BMI{\geq}25$, $WC{\geq}90/85cm$, and $fat%{\geq}25/35$ for men and women. Chronic disease prevalence was defined by physician-diagnosed history of 8 specified diseases. Results: Prevalence of chronic diseases significantly increased with increment of obesity level by BMI, WC and fat %. Odds ratios of acquiring chronic diseases remained significant in the obese group (BMI OR 2.76, 95%CI 1.82-4.19; WC OR 2.73, 95%CI 1.81-4.11; Fat OR 1.87 95%CI 1.26-2.78), after adjusting for age, sex, marital status, education, work participation, household income, smoking, drinking, and exercise. Conclusions: Obesity measured by all three indicators, BMI, WC, and fat mass cannot be disregarded, accentuating the significant effect on increases in disease risks among older population. BMI and WC measure appeared better to assess the risks of chronic diseases.

Characteristic Analysis of Lower Limbs Muscles in Young Normal Adults on a Tilting Bed Using an Unstable Platform (불안정판을 부착한 경사침대에서 하지운동 시 정상성인의 근력 특성 분석)

  • Yu, Mi;Lee, Sun-Yeon;Piao, Yong-Jun;Kim, Kyong;Jeog, Gu-Young;Kim, Jung-Ja;Kwon, Tae-Kyu
    • Journal of the Korean Society for Precision Engineering
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    • v.28 no.12
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    • pp.1425-1433
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    • 2011
  • We investigated an early rehabilitation training system that increase the intensity of patient rehabilitation training to shorten the time it takes for patients to progress to a secondary rehabilitation training stage by allowing patients incapable of self-ambulation. It consisted of tilting bed, unstable platform using strong springs and training program for lower limb rehabilitation. We performed experimental study on the muscular activities of tibialis anterior(TA), soleus(SO), gastrocnemius(GA) in the lower extremities during training of straight line, circle, quardrangle pattern during tilting angle of $30^{\circ}$, $60^{\circ}$. The muscle activities were higher during tilting angle of $30^{\circ}$ than $60^{\circ}$. In straight line pattern, the muscle activities were higher by SO, GA and TA during medio-lateral direction, however, by TA, SO and GA during anterio-posterior direction. In circle and quardrangle pattern, the muscle activities were higher by TA, SO and GA during clockwise and counterclockwise direction. The results indicate that the early rehabilitation training system could be applied to improve the lower extremity muscular strength for elderly and patients, especially, stroke.

Analyzing the association of dyslipidemia based on total cholesterol according to dietary life and health characteristics using Korea National Health and Nutrition Examination Survey(KNHANES VII-1) (식생활 및 건강특성에 따른 총콜레스테롤을 기준으로 한 이상지질혈증의 연관성 분석 -제7기 1차년도 국민건강영양조사 자료를 중심으로-)

  • Chong, Min-Young
    • Journal of Digital Convergence
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    • v.18 no.12
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    • pp.615-630
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    • 2020
  • This study analyzes the difference in total cholesterol blood concentration according to dietary characteristics and health characteristics, as well as general characteristics, and the relationship between that factor and total cholesterol level according to the diagnostic criteria for dyslipidemia, and then compares and analyzes the relative risk ratio of significant factors for the occurrence of dyslipidemia. As a result, the total cholesterol blood concentration increases with age, so continuous management is necessary. Mainly, waist circumference level in early adulthood, regular exercise of appropriate intensity in late adulthood, and subjective health level management in the elderly are necessary. It was found that it was necessary to manage BMI level and eating-out level overall.

Changes in the Ratio of Medial to Lateral Gastrocnemius Muscle Activities According to Mediolateral Ramp Angles during Cross Ramp Walking (경사로 횡단 보행 시 경사로 각도에 따른 안·바깥쪽 장딴지근의 활성 비율 변화)

  • Lee, Sang-Yeol;Ahn, Soo-Hong;Kim, Young-Hoon
    • PNF and Movement
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    • v.15 no.3
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    • pp.253-257
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    • 2017
  • Purpose: This study was conducted to predict the risks that arise while standing on mediolateral ramps at various ramp angles by identifying the ratio of medial to lateral gastrocnemius muscle activities. Methods: The subjects were 20 healthy adult men. Seven mediolateral ramp angles ($0^{\circ}$, $2^{\circ}$, $5^{\circ}$, $10^{\circ}$, $15^{\circ}$, $20^{\circ}$, and $25^{\circ}$) were applied for the experiment. The ratio of medial to lateral gastrocnemius muscle activities in each condition was measured using electromyography, and the measured data were converted to root mean square values to calculate the activity ratios. Results: The study results showed statistically significant differences in the ratio of mediolateral gastrocnemius muscle activities according to the selected mediolateral ramp angles. The results of a post hoc test confirmed that the multifidus muscles were asymmetrically used on the two sides at mediolateral ramp angles of $5^{\circ}$ or higher. Conclusion: This study found that an asymmetric use of the multifidus muscles began at a mediolateral ramp angle of $5^{\circ}$, and the provision of propulsion using the ankle joints on mediolateral ramps at $5^{\circ}$ or steeper was maneuvered differently from that on flat ground. This suggests that individuals with balance control disorder have the risk of falling due to ankle sprains and unstable balance control. Therefore, patients and elderly people are required to exercise caution when crossing $5^{\circ}$ or steeper ramps.

A Wireless ECG monitoring System for Application in Life Emergency Event Detection and Analysis (긴급환자 상황인식 및 분석을 위한 무선 ECG모니터링 시스템)

  • Bhardwaj Sachin;Lee Dae-Seok;Chung Wan-Young
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2006.05a
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    • pp.421-425
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    • 2006
  • An ubiquitous healthcare system for the home care of elderly persons was designed and implemented using wireless sensor network technology. The wireless technology for home-care purpose gives new possibilities for monitoring of vital parameter with wearable biomedical sensors, and will give the patient the freedom to be mobile and still be under continuously monitoring and thereby to better quality of patient care. Emphasis is placed on recent advances in wireless ECG system for cardiac event monitoring with particular attention to arrhythmia detection in patient. This paper presents a diagnostic system for cardiac arrhythmias from ECG data, using wireless sensor technology. The system also provides an application for recording activities, events and potentially important medical symptoms. The hardware allows data to be transmitted wirelessly from on-body sensor to the base station and then to PC/PDA. Data is also transmitted to a back-end server for analysis using wireless internet connection. Experiments were conducted using the system for activity monitoring, exercise monitoring and medical screening tests and present preliminary data and results.

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A Study on the Needs and Understanding about the Home Physical Therapy System (가정 물리치료제도에 대한 인식 및 필요에 대한 조사연구 -가정간호수습생을 대상으로-)

  • Kwon, Hei-Jeoung;Hong, Wan-Seong;Kim, Myung-Joon;Yang, Yung-Ae;Hwang, Seong-Soo
    • Journal of Korean Physical Therapy Science
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    • v.6 no.3
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    • pp.125-143
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    • 1999
  • The purpose of this study was to investigate the need and understanding about the physical therapy. The subjects of this study were 101 licensee nurses who was taking the home nursing trainers. The results were as follows: 1. The home nursing trainers(97.1%) were required the need for home physical therapy service. The reasons which requires the home physical therapy were 'the increased elderly patients(97.0%)', 'the early leaving of the hospital(96.0.%)', 'the lack of caretakers(96.0%)', and 'the increased chronic patients(96.0%)'. 2. The ratio of affirmation of home physical therapy system was 97% of the home nursing trainers, the reasons which were helped the patients was 'the saved time(97.0%)'. 'the decreased psychological stress(95.0%)' 'the continuing treatment after discharge(93.0%)' and 'the teaching patients and caretakers(93.0%)'. 3. The main center which was organized the home physical therapy service was 'the department of home physical therapy arid the home nurse(42.6%)', 'the department of home nurse(22.8%)', and 'the department of home physical therapy(1l.9%)'. 4. The home nursing trainers wanted to learn the home physical therapy methods for chronic patients(95.0%). The contents of home physical therapy methods was 'the therapeutic exercise for preventing deformity(15.4%)', and 'maintenance of normal posture and howe to change body position(12.4%)'. 5. Statistically significant difference in the teams (the home physical therapy, the home nurse, and the home physical therapy with the home nurse) was found between the age groups, and statistically significant difference in the teams was found between the educational degree groups.

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Development of disease-specific qigong program for Parkinson's disease (질환 중심 기공프로그램 개발 사전연구 : 파킨슨병 관리 프로그램을 중심으로)

  • Lee, Hwa-Jin;Lee, Hye-Jung;Yin, Chang-Shik;Chae, Youn-Byoung;Baik, You-Sang;Shin, Yong-Cheol;Lee, Sang-Jea;Park, Hi-Joon
    • Korean Journal of Acupuncture
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    • v.26 no.4
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    • pp.77-88
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    • 2009
  • Background : Qigong is an exercise therapy based on the principles of Traditional East Asian Medicine. The exercises combine the practice of motion and breathing, both guided by mental imagery. Beneficial effects of qigong have been reported on a variety of complaints in chronically ill patients and on gait imbalance in the elderly. Parkinson's disease is a progressive neurodegenerative disorder that affects neurophysiological function, movement abilities, and quality of life. Objectives : We developed a qigong program based on the Traditional East Asian medical theory regarding the improvement of clinical symptoms of Parkinson's disease. Methods and Results : Our qigong program consists of three parts. The first one includes movements which stimulate the meridians that run from the toes to the top of the head. The second one is composed of breathing and qigong movements that create harmony and balance with the circulation of Qi and blood on the Meridians. The third is a stage of finger pressure therapy and massage from Daoyin medical qigong to maintain meridian stability. Conclusions : These qigong program would help relieve the clinical symptoms of Parkinson's disease patients.

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The Association of Social Support with Health Status and Health Behavior among Rural Aged Population (일부 농촌 지역 노인의 사회적 지지와 건강수준 및 건강행태와의 관련성)

  • Jeon, Bo-Young;Lee, Hye-Jae;Shon, Chang-U;Kim, Nam-Kwon;Kim, Ae-Ryun;Park, Ji-Eun;Lee, Eun-Sang;Lee, Jeong-Wha;Choi, Ju-Hyun
    • Journal of agricultural medicine and community health
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    • v.34 no.1
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    • pp.13-23
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    • 2009
  • Objective: The objective of this study was to evaluate the association of social support with health status and health behavior. Methods: This study was conducted with 79 elderly people in Gunja-ri, Dongsan-myun, Chuncheon. We performed face to face interview which was composed of socio-demographic characteristics, social support, health status and health behavior. The association between social support and result variables was analysed by Chi-square test and logistic regression. We used SAS ver9.1 for statistic analysis. Results: Mean age of the study population was 72.0$\pm$7.0, social support score was 14.3$\pm$4.7 with full marks of 20 and 36.25% of the total population were shown to have depression. When the social support score was changed, depression (p=0.0007) and physical exercise (p=0.0312) showed significant difference. The self-rated health status was significantly related to the relationship with family members (OR=0.25, 95% CI=0.07-0.95) and the quality of sleep was also significantly associated to the relationship with family members (OR=0.21, 95% CI=0.06-0.73). The physical exercise was done significantly less in the group without close friends than in the group with many close friends (OR=0.21, 95% CI=0.05-0.94) and the depression was significantly more in the group without community participation than in the group with community participation (OR=4.79, 95% CI=1.62-14.15). Conclusions: Through this study, we could conclude that the social support factors are associated with health status and health behavior. Therefore, to improve the health status of rural elderly, we need to approach to develop social support.

Sarcopenia: Nutrition and Related Diseases

  • Du, Yang;No, Jae Kyung
    • Culinary science and hospitality research
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    • v.23 no.1
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    • pp.66-78
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    • 2017
  • "Sarcopenia", sarcopenia is an old age syndrome, and used to describe the reduction of skeletal muscle. Initially, it was thought that sarcopenia was only a senile disease characterized by degeneration of muscle tissue. However, its cause is widely regarded as multifactorial, with neurological decline, hormonal changes, inflammatory pathway activation, declines in activity, chronic illness, fatty infiltration, and poor nutrition, all shown to be contributing factors. Skeletal muscle mass can be measured by a variety of methods, currently, the commonly used methods are dual-energy X-ray scanning (DXA), computer tomography (CT), magnetic resonance imaging (MRI), etc. Muscular skeletal disorders can also be assessed by measuring appendicular skeletal muscle (ASM), particularly muscle tissue content. At the same time, sarcopenia refers to skeletal muscle cell denervation, mitochondrial dysfunction, inflammation, hormone synthesis and secretion changes and a series of consequences caused by the above process and is a progressive loss of skeletal muscle syndrome, which can lead to the decrease of muscle strength, physical and functional disorders, and increase the risk of death. Sarcopenia is mainly associated with the aging process, but also related to other causes such as severe malnutrition, neurodegenerative diseases, and disuse and endocrine diseases associated with muscular dystrophy, and it is the comprehensive results of multi-factors, so it is difficult to define that sarcopenia is caused by a specific disease. With the aging problem of the population, the incidence of this disease is increasingly common, and seriously affects the quality of the life of the elderly. This paper reviews the etiology and pathogenesis of myopathy, screening methods and diagnosis, the influence of eating habits, etc, and hopes to provide reference for the diagnosis and treatment of this disease. At present, adequate nutrition and targeted exercise remain the gold standard for the therapy of sarcopenia.

Effects of Targeted Knee Flexion Angle on the Biomechanical Factors of Upward and Downward Phases during Forward Lunge

  • Lim, Young-Tae;Park, Jun Sung;Lee, Jae Woo;Kwon, Moon-Seok
    • Korean Journal of Applied Biomechanics
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    • v.27 no.2
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    • pp.125-132
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    • 2017
  • Objective: The aim of this study was to investigate the effect of targeted knee flexion angle on biomechanical factors of knee joint between upward and downward phases during the forward lunge. Method: Eight elderly subjects (age: $22.23{\pm}1.51years$, weight: $69{\pm}6.63kg$, height: $174.88{\pm}6.85cm$) participated in this study. All reflective marker data and ground reaction force during a forward lunge were collected. The knee joint movement and reaction force and joint moment at maximum knee flexion angle were compared by repeated measures one-way analysis of variance (ANOVA) (p<.05). The peak knee joint reaction force and joint moment between upward and downward phases were compared by repeated measures two-way ANOVA (p<.05). Results: The anterior and vertical knee joint movements, reaction force, and extensor moment of $80^{\circ}$ targeted knee flexion condition at maximum knee flexion angle was greater than both $90^{\circ}$ and $100^{\circ}$ conditions (p<.05). The $80^{\circ}$ knee flexed angle condition had greater peak joint reaction force and extensor moment compared with both $90^{\circ}$ and $100^{\circ}$ conditions between upward and downward phases during the forward lunge. Conclusion: As the targeted knee joint flexion angle increases, knee joint movement and kinetic variables become greater during the forward lunge exercise.