• Journal of Preventive Medicine and Public Health
• /
• v.53 no.3
• /
• pp.180-188
• /
• 2020

Objectives: The Short Form 36 (SF-36) questionnaire is increasingly being used to measure health-related quality of life (HRQoL) in Indonesia. However, evidence that it is valid for use in Indonesian adults is lacking. This study assessed the validity and reliability of the SF-36 in Indonesian middle-aged and older adults. Methods: Adults aged 46-81 years (n=206) in Yogyakarta, Indonesia completed the SF-36, another measure of HRQoL (the EuroQoL visual analogue scale [EQ-VAS]), and measures assessing their demographic characteristics. Fifty-four percent (n=121) completed the SF-36 measure again 1 week later. Confirmatory factor analysis was conducted to confirm the factor structure of the SF-36. Internal consistency reliability was estimated using Cronbach's alpha, and test-retest reliability was assessed using intraclass correlations. Convergent and discriminant validity were assessed by computing correlations among SF-36 subscales, between subscales and the 2 component scores, and between component scores and EQ-VAS scores. Results: Most scaling assumptions were met. The hypothetical factor structure fit the data poorly (root mean square error of approximation [RMSEA]=0.108) and modification was required for a good fit (RMSEA=0.060). Scores on all subscales demonstrated acceptable internal consistency (α>0.70) and test-retest reliability (r>0.70). Divergent validity was supported by weak to moderate interscale correlations (r=0.19 to 0.64). As expected, the 2 summary scores were moderately to strongly correlated with the EQ-VAS (r>0.60). Conclusions: The findings adequately support the use of SF-36 in Indonesian middle-aged and older adults, although the optimal algorithm for computing component scores in Indonesia warrants further investigation.

• Nutrition Research and Practice
• /
• v.14 no.5
• /
• pp.519-531
• /
• 2020

BACKGROUND/OBJECTIVES: Regional disparities in dietary factors might be related to regional disparities in cardiometabolic health. Therefore, this study investigated the associations of cardiometabolic risk factors and dietary factors with regional types in Korean adults. SUBJECTS/METHODS: Based on data from the 2007-2017 Korea National Health and Nutrition Examination Survey, the study included 39,781 adults aged ≥ 19 years who completed the dietary survey and a health examination. Healthy and unhealthy dietary factors (fat, sodium, fruit, and vegetable intakes) were evaluated using 1-day 24-h dietary recall method, as well as the use of nutrition labels with a questionnaire. RESULTS: Of the participants, 48.7%, 36.0%, and 15.2% lived in metropolitan, urban, and rural areas, respectively. Adults living in urban and rural had higher odds ratios (ORs) for obesity (OR for urban, 1.07; 95% confidence interval (CI), 1.01-1.14; OR for rural, 1.14; 95% CI, 1.05-1.24) than adults living in metropolitan areas; these associations were significantly observed in middle-aged adults. Compared to metropolitan residents, rural residents had lower ORs for hypertension in middle-aged (OR, 0.86; 95% CI, 0.76-0.96) and metabolic syndrome in older adults (OR, 0.78; 95% CI, 0.67-0.91). Regarding urban residents, a lower OR for diabetes in middle-aged adults (OR, 0.85; 95% CI, 0.74-0.97) and a higher OR for hypertension in older adults (OR, 1.19; 95% CI, 1.02-1.39) were observed. Overall rural residents had higher ORs of excessive carbohydrate, low fruit, and high salted-vegetable intakes than metropolitan residents. Low fruit intake was positively associated with obesity, metabolic syndrome, and hypertension, after adjustment for regional type and other confounders in total participants. CONCLUSIONS: These findings indicate that cardiometabolic risk and unhealthy dietary factors differ among regional types and age groups within Korea. Nutritional policy and interventions should consider regional types for prevention and management of cardiometabolic risk factors.

• Nutrition Research and Practice
• /
• v.17 no.6
• /
• pp.1225-1237
• /
• 2023

BACKGROUND/OBJECTIVES: Unhealthy dietary behaviors constitute one of risk the factors for chronic and cardiovascular diseases, which are prevalent in middle-aged and older populations. Milk and dairy products are high-quality foods and important sources of calcium. Calcium protects against osteoporosis and cardiovascular disease. Therefore, this study investigated the association of milk and dairy product consumption with cardio-cerebrovascular disease incidence in middle-aged and older Korean adults. SUBJECTS/METHODS: Data were derived from the Ansan-Anseong cohort study, and a total of 8,009 individuals aged 40-69 years were selected and followed up biennially. Cox proportional hazard models were used to examine the association of milk and dairy product consumption with cardio-cerebrovascular disease incidence. RESULTS: During a mean follow-up period of 96.5 person-months, 552 new cases of cardio-cerebrovascular disease were documented. Milk consumers (< 1 serving/day) exhibited a 23% lower risk of cardio-cerebrovascular disease incidence than non-milk consumers (hazard ratio [HR], 0.77; 95% confidence interval [CI], 0.61-0.97; P for trend = 0.842). High yogurt consumption was associated with a 29% lower incidence risk (≥ 0.5 servings/day vs. none: HR, 0.71; 95% CI, 0.53-0.96; P for trend = 0.049), whereas high ice cream consumption was associated with a 70% higher risk of cardio-cerebrovascular disease incidence (≥ 0.5 servings/day vs. none: HR, 1.70; 95% CI, 1.01-2.88; P for trend = 0.070). CONCLUSIONS: This study indicates that less than one serving of milk and high yogurt consumption are associated with a lower cardio-cerebrovascular disease risk in the middle-aged and older populations.

• Phonetics and Speech Sciences
• /
• v.14 no.1
• /
• pp.37-47
• /
• 2022

The purpose of the this study is to observe the effects of healthy adults' age on temporal features of speech and identify which could differentiate older and young adults. We examined speech rates(i.e., overall speaking rate, articulation rate), occurrence of pause, and duration of pause per utterance by utilizing the National Institute of Korean Language's open corpus. We selected a total of 30 healthy adults (10 young, 10 middle-aged, and 10 older adults) in this study. There were significant differences among the groups in the overall speaking rate, articulation rate, total occurrence of pause, the occurrence of pause between syntactic words, total duration of pause, and duration of pause between syntactic words. The older and middle-aged adults showed slower speech rates and longer and more frequent pause than young adults. But there were no significant differences among the three groups in terms of pause within syntactic word. The overall speaking rate significantly differentiated older adults from young adults. These findings suggested that the effect of speakers' age was reflected in gradual changes in the temporal features of their speech.

• Journal of the Korean Society for information Management
• /
• v.41 no.2
• /
• pp.317-351
• /
• 2024

This study aims to determine the impact of digital literacy skills of middle-aged and older people using public libraries on their life satisfaction. For this study, a survey was conducted on 192 middle-aged and older people aged 40 to 64 living in area G. The collected data were analyzed using the statistical package SPSS 27 program. The analysis methods in this study included frequency analysis, descriptive statistical analysis, t-test, one-way ANOVA, Duncan's multiple range test for post-hoc analysis, and regression analysis. The results of this study are as follows: First, digital literacy competency has a significant positive impact on the life satisfaction of middle-aged and older adults; as their digital literacy skills improve, their life satisfaction increases. Second, digital literacy competency varies based on gender, education level, employment status, and average monthly income, influencing their engagement in activities such as study or work. Additionally, higher levels of digital literacy competency, as determined by the highest level of education, positively affect life satisfaction, leisure activities, and cultural life.

• Journal of Korean Public Health Nursing
• /
• v.29 no.3
• /
• pp.540-550
• /
• 2015

Purpose: The purpose of this study was to examine a combined influence of obesity and metabolic syndrome on ischemic heart disease in Korean middle aged and older adults. Methods: This study used secondary data from the 2013 Korea National Health and Nutrition Examination Survey. A total of 3,726 adults over age 40 were included. Logistic regression was used for analysis of complex samples. Gender, age, educational level, family income, family history of ischemic heart disease, physical activity, smoking, and heavy alcohol consumption were analyzed as covariates. Results: Ischemic heart disease was more prevalent among adults with metabolic syndrome regardless of obesity (non-obesity: Adjusted Odds Ratio [AOR]: 3.044, 95% Confidence Interval [CI]: 1.163-7.967, overweight: AOR: 2.805, 95% CI: 1.246-6.316, obese: AOR: 3.137, 95% CI: 1.548-6.358) compared to the reference group, defined as adults with non-obesity and non-metabolic syndrome. Odds of ischemic heart disease were not significant in the group with obesity and non-metabolic syndrome compared to the reference group. Conclusion: The results of this study show that the population with metabolic syndrome is an at-risk group for ischemic heart disease. Thus, management of metabolic syndrome is required for prevention of ischemic heart disease.

• Korean Journal of Family Social Work
• /
• no.58
• /
• pp.37-66
• /
• 2017

The purpose of this study was to investigate the effects of elderly generation sympathy, family intimacy and age-friendly environment of young and middle-aged generations on supporting the older adults, and to identify differences of influencing factors among generations. With these purpose, we used data of the '2017 Age Integration Survey' provided by the Humanities and Social Capacity Enhancement Project in Korea Research Foundation. The analysis of the data was performed on 640 participants who were between 18 and 64 years old, and they were selected from total 1017 study population. The analysis method was the Structural Equation Model(SEM). The results of this study were as follow. Firstly, elderly generation sympathy and family intimacy were significant statistically significant effect on the notion of supporting the older adults positively to all generations. Secondly, the relationship between the notion of supporting the older adults and the influential factors suggested in this study was found to be significant among the generations. Thirdly, the young generation showed a statistically significant effect on the notion of supporting the older elderly generation sympathy and family intimacy. Elderly generation sympathy and family intimacy had a significant statistical impact in the middle aged generation, however, age-friendly environment significant statistically significant effect on notion of supporting the older adults negatively. With these results, we presented practical and policy suggestions to enhance the notion of supporting the older adults.

• Journal of Korean Biological Nursing Science
• /
• v.25 no.4
• /
• pp.256-265
• /
• 2023

Purpose: This study examined the definitions, diagnostic criteria, and measurements of sarcopenic obesity and identified effective exercise interventions that improve cardiometabolic outcomes in middle-aged and older adults, in whom the prevalence of sarcopenic obesity is increasing. Methods: This comprehensive review followed the principles of literature search, data extraction, and review, as described in the PRISMA 2009 guidelines. Results: The 11 articles included in this study presented different concepts of sarcopenic obesity. Exercise interventions for sarcopenic obesity varied in their effects. Resistance exercise improved muscle mass and physical function, while aerobic exercise primarily impacted obesity and cardiometabolic indicators. Combined exercise had mixed results across indicators. Conclusion: This study addressed a pressing public health concern in the context of an aging population, acknowledged the unique challenges of sarcopenic obesity, and attempted to clarify definitions and assessment methods, while identifying effective exercise interventions to reduce cardiometabolic risk. Sarcopenic obesity is a multifaceted condition with varying definitions and diagnostic criteria. Its association with cardiometabolic risk underscores the need for comprehensive assessments considering both muscle and obesity indicators. While exercise interventions hold promise for managing sarcopenic obesity, further research is required to establish effective strategies.

• Korean Journal of Social Welfare Studies
• /
• v.49 no.2
• /
• pp.181-209
• /
• 2018

This study aims to examine the relationship between physical environment and depression symptoms of middle-aged and older adults in metro city. To verify correlates of community environment and depression, mediating effect model structured by social capital and sense of coherence(SOC) were used. For the purpose, a survey was conducted aged 48 - 70 from the local community centers and senior welfare centers in Seoul, and the total collected cases were 331. After data cleaning, total 309 cases were used. The structured equation modeling applied to analyse the direct and indirect effects. The findings were followed : First, the community environment did not directly affect level of depression. Second, in the indirect effect analysis, social capital was not statistically significant, thus indirect effect was confirmed only through the SOC. To be specific, the higher the satisfaction of the physical environment increased SOC, and decreased the level of depression. The results of this study shed lights on practical interventions to promote mental health of the middle-aged and older adults those who are exposed to poor community environment.

• Journal of Digital Convergence
• /
• v.18 no.3
• /
• pp.23-34
• /
• 2020

This study aims to verify the mediating effect of mobile social participation on the relationship between the mobile device capability and life satisfaction. Using the data of 2018 Digital Divide Survey conducted by the National Information Society Agency(NIA), the mediating effect was verified by Baron & Kenny (1986)'s 3 step process, targeting 1,665 middle and older aged adults. The result is as follows: first, the mobile device capability of the middle and older aged people has a positive effect on life satisfaction. Second, the effect of the mobile device capability of middle and older aged people on life satisfaction is partially mediated by mobile social participation including expressing opinions on social concerns, proposing policies and filing a civil complaint, donation and volunteering work and online voting and responding to a poll. The result represents that the mobile device, such as a smart phone or a smart pad, capability of the middle and older aged group not only directly benefits the group but also helps expand their mobile social participation, which leads to, although indirectly, higher life satisfaction. Therefore, the study is expected to be a groundwork for a practical intervention for enlarging the use of mobile device and lifting digital information level of the elderly to encourage mobile social participation and drive life satisfaction.