• Journal of Preventive Medicine and Public Health
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• v.45 no.3
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• pp.204-208
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• 2012

Objectives: To investigate whether caffeine intake is associated with urinary incontinence (UI) among Japanese adults. Methods: A total of 683 men and 298 women aged 40 to 75 years were recruited from the community in middle and southern Japan. A validated food frequency questionnaire was administered face-to-face to obtain information on dietary intake and habitual beverage consumption. Urinary incontinence status was ascertained using the International Consultation on Incontinence Questionnaire-Short Form. Results: Mean daily caffeine intake was found to be similar between incontinent subjects (men 120 mg, women 94 mg) and others without the condition (men 106 mg, women 103 mg), $p$=0.33 for men and $p$=0.44 for women. The slight increases in risk of UI at the highest level of caffeine intake were not significant after adjusting for confounding factors. The adjusted odds ratios (95% confidence interval) were 1.36 (0.65 to 2.88) and 1.12 (0.57 to 2.22) for men and women, respectively. Conclusions: No association was evident between caffeine intake and UI in middle-aged and older Japanese adults. Further studies are required to confirm the effect of caffeine in the prevention of UI.

• Korean Journal of Community Nutrition
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• v.15 no.4
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• pp.536-549
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• 2010

The purpose of this study was to investigate food intake, dietary diversity and dietary pattern during the summer in middle aged and older adults living in Gugoksundam (Gurye, Goksung, Sunchang and Damyang counties), Jeonla Province located in southern part of Korea and known as one of the representative Korean longevity areas. Food intake and dietary diversity were assessed by using the data from 2 day-24 hour recall of 1,051 subjects (394 males and 711 females) aged 45 years and older (45-93 years in male, 45-105 years in female). The average ages of males and females were 70.7 years and 71.1 years, respectively. Average total daily food intake was significantly decreased with aging in both genders, and the average animal food intake ratio to total food intake was ranged 10~14% in 3 different age groups, 45~64 years, 65~74 years and 75 years and older. The contribution of each food group, in weight, to total food intake showed the descending order of grains, fruits, vegetables and alcohols in males, and grains, fruits, potatoes and meats in females. On daily intake amount of each food item, rice, watermelon, soju, kimchi, and potato were ranked on top 5 in descending order in males, and rice, watermelon, potato, kimchi and ylmukimchi in females. On intake frequency, rice, kimchi, onion, green pepper and potato were ranked on top 5 in descending order in both genders. Dietary variety score (DVS) and dietary diversity score (DDS) for the assessment of dietary diversity and balance were significantly decreased with aging in both genders. In food group intake pattern (DMGFV), 01101 type without consumption of dairy and fruits was the most prevalent, and only 3.6% of male and 3.9% of female subjects showed 11111 type, consumed all the 5 food groups a day. Dietary pattern of subjects was analyzed by cluster analysis with 18 food groups intake. Overall dietary pattern was classified into two clusters, one was more desirable and the other was less desirable. The percentage of subjects with more desirable dietary pattern was about 15% in male and 32% in female. In conclusion, most of our subjects living in Gugoksundam area were taking very simple diet with low amount of dairy products and fruits. These results indicate that nutrition intervention and education for older people living in rural areas should be focused on various food intake including dairy products and fruits.

• Journal of Digital Convergence
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• v.17 no.3
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• pp.313-321
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• 2019

This study investigated the themes of self-esteem memories in female adults. Self-esteem memories mean memories that are focused on evaluations of the self and the themes of them are classified as achievement or social relationship. Eighteen young adults(M=21.56), fifteen middle aged adults(M=54.13), and twenty older adults(M=74.35), totally fifty three female adults participated. They recalled 4 positive and 4 negative self-esteem memories respectively. The results showed that memories of positive and negative self-worth frequently focused on relationship themes, and this tendency was significant in positive memory of young adults and negative memory of middle aged adults. This suggests that social relationship is a dominant cultural value in Korea. Links between interpersonal relationship and positive/negative self-esteem memories are explained by culture, gender and developmental tasks. Further researches about the differences by sex and life scripts in the content of self-esteem memories are needed.

• The Journal of Korean Physical Therapy
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• v.36 no.5
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• pp.171-176
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• 2024

Purpose: This study analyzed the prevalence of tinnitus and related factors in middle-aged and elderly people in Korea to provide basic data for prevention. Methods: Using the data from 2019-2021, 5,206 subjects who participated in a health survey among adults aged 40 or older and under the age of 65 and did not have complex diseases other than tinnitus were selected. The related factors of tinnitus were analyzed through complex logistic regression analysis. Results: The prevalence of tinnitus among the study subjects was 7.90%, and the factors associated with tinnitus were age, sex, noise exposure, subjective health status, and stress. For each one-year increase in age, the risk of tinnitus increased by an OR of 1.044 (95% CI 1.026-1.063). Compared to females, males had an OR 2.354 (95% CI 1.607-3.449) higher risk of tinnitus. Individuals exposed to occupational noise had an OR 2.179 (95% CI 1.675-2.834) higher risk of tinnitus. Those who responded "Bad" to their subjective health status had an OR 1.522 (95% CI 1.069-2.169) higher risk of tinnitus than those who responded "Good." In addition, individuals with high stress levels had an OR 1.814 (95% CI 1.422-2.315) higher risk of tinnitus than those with low stress levels. Conclusion: Tinnitus is not caused by a single factor but can result from the combined effects of various physiological, environmental, and psychological factors. Therefore, an integrated approach and strategy addressing each of these factors are necessary to prevent and manage it.

• Journal of Gastric Cancer
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• v.19 no.2
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• pp.202-211
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• 2019

Purpose: Poor physiological reserve for withstanding major cancer surgery in older adults is an important concern in the selection of patients for oncologic gastrectomy. The present study aimed to analyze mortality patterns among patients who underwent gastrectomy for cancer according to age groups. The primary outcomes of this study were early- and middleterm results: 30-day and 3-, 6-, 12-, and 36-month mortality rates. Materials and Methods: A retrospective review of 288 patients who underwent surgical resection for gastric cancer in two centers was carried out. Patients were stratified into four groups according to age: 29-50 years (group I, n=27), 51-65 years (group II, n=117), 66-75 years (group III, n=81), and 76-92 years (group IV, n=58). Statistical calculations focused on the differences in the survival rates between groups I and II as well as between groups II and IV. Results: The middle-aged patients (group II) had significantly better 3-year survival than either the youngest (group I) or the oldest patients (group IV). The 6-month mortality rates were 16.9% in group III and 29.3% in group IV. Two-thirds of the patients from groups III and IV who died between 2 and 6 months after surgery had an uneventful postoperative course. Conclusions: Age is an important prognostic factor of middle-term survival after gastrectomy for cancer. Geriatric assessment and better patient selection for major surgery for cancer are required to improve the outcome of gastrectomy for cancer in patients aged over 75 years.

• 한국노년학
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• v.40 no.4
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• pp.691-706
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• 2020

This study aims to explore health behavior profiles and the association between the derived profiles and living arrangement among middle-aged and older adults. Using data from wave 6 (2016) of the Korean Longitudinal Study of Aging, latent profile analyses were applied to identify patterns of health behaviors and multinomial logistic regression models were conducted to predict profile membership using living arrangement (i.e., living alone, living with spouse only, living with family members) and sociodemographic characteristics. A sample of 7,048 respondents aged 55 and older were included in the study. Results revealed that Korean middle-aged and older adults can be grouped into four health behavior profiles: "High health-compromising" (4%), "Moderate health-compromising" (28%), "Low health-compromising" (65%), and "High physical activity" (3%). Also, living arrangement showed significant profile differences. Compared to the respondents living alone, those living with spouse only were more likely to belong to low and moderate levels of health-compromising behavior profiles than the "High physicial activity profile". Respondents living with family members were more likely to belong to the "High health-compromising profile" than the "High physical activity profile" compared to those living with spouse only. These findings indicate that living arrangement needs to be taken into consideration when developing health promoting programs and supports. Moreover, policy interventions suiting the needs of various sociodemographic subgroups are recommended.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.17 no.4
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• pp.450-459
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• 2010

Purpose: The purposes of this study were to identify awareness and attitudes toward advance directives (ADs) among Korean adults and to examine various opinions in the utilization of ADs among young, middle-aged, and older adults. Methods: Data were collected using a structured questionnaire from 384 adults selected by a quota sampling method on the basis of age. Results: The majority of participants preferred that they themselves would be the primary decision maker. Most of them were unaware of the option of ADs but supported the utilization of ADs. Most of the participants preferred detailed descriptions on end-of-life decisions in ADs but wanted to allow some leeway in following it. Significant differences were found among age groups in terms of the preferences regarding the utilization of ADs. Conclusion: It is suggested that nurses make efforts to educate the general public about ADs and facilitate advance care planning, which focuses on the process of communication on end-of-life preferences within the social network of relationships.

• Archives of Craniofacial Surgery
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• v.23 no.5
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• pp.205-210
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• 2022

Background: Nasal bone fractures are the most common type of facial bone fracture, but are under-studied in adults above 65 years of age. Therefore, we investigated the epidemiology and patterns of nasal bone fractures among older adults in comparison to different age groups. Methods: This retrospective study included 2,321 nasal bone fracture patients who underwent surgery at our hospital from January 2010 to December 2017. The patients were classified by age as preschoolers, school-age children, young and middle-aged adults, and the elderly. We performed pairwise comparisons between elderly patients and each other age group in terms of sex, cause of injury, and fracture type. Results: The 2,321 nasal bone fracture patients included 76 elderly patients (50 men [65.8%] and 26 women [34.2%]). In these patients, the two most common injury causes were falling or slipping down (n= 39; 51.3%) and road traffic accidents (n= 19; 25.0%). According to the Stranc and Robertson classification, the most common force vector was lateral, and plane 2 fractures with lateral forces predominated. Conclusion: The elderly showed similar patterns of nasal bone fractures to those observed in young and middle-aged adults, but significant differences from preschoolers (in the injury vector and plane of fracture) and from school-age children (in the sex ratio and plane of fracture). However, elderly patients presented significantly different epidemiological characteristics compared to the other three groups. Therefore, it is necessary to improve the quality of life of the elderly and prepare for the upcoming super-aged society by taking steps to reduce the incidence and severity of fractures. Possible options for doing so include strengthening individual-level safety factors and expanding the social safety net for the elderly.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.43 no.4
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• pp.221-228
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• 2017

Objectives: The purpose of this study was to establish normative data for healthy Korean adults by measuring the maximal strength and endurance scores of the tongue, lip, and cheek, and to examine correlations between these measurements. Materials and Methods: This study included 120 subjects that were divided into three groups according to age: young (20-39 years), middle-aged (40-59 years), and older (over 60 years); and by gender. Measurements were taken using the Iowa Oral Performance Instrument (IOPI). Results: The mean maximal tongue strengths were as follows: young men ($46.7{\pm}10.2kPa$) and women ($32.1{\pm}7.9kPa$), middle-aged men ($40.9{\pm}9.3kPa$) and women ($36.9{\pm}8.6kPa$), and older men ($35.2{\pm}9.0kPa$) and women ($34.5{\pm}6.9kPa$). The mean tongue endurance scores were: young men ($28.8{\pm}12.6$ seconds) and women ($20.8{\pm}13.5$ seconds), middle-aged men ($17.0{\pm}8.5$ seconds) and women ($15.3{\pm}5.2$ seconds), and older men ($15.8{\pm}6.7$ seconds) and women ($17.9{\pm}8.1$ seconds). The mean maximal lip strengths were: young men ($11.6{\pm}3.0kPa$) and women ($11.4{\pm}3.8kPa$), middle-aged men ($11.4{\pm}4.2kPa$) and women ($11.1{\pm}5.1kPa$), and older men ($14.5{\pm}3.9kPa$) and women ($11.7{\pm}2.6kPa$). The mean lip endurance scores were: young men ($41.1{\pm}23.9$ seconds) and women ($22.4{\pm}21.7$ seconds), middle-aged men ($24.3{\pm}10.3$ seconds) and women ($30.5{\pm}13.4$ seconds), and older men ($24.9{\pm}11.0$ seconds) and women ($12.8{\pm}7.6$ seconds). The mean maximal cheek strengths were: young men ($24.5{\pm}4.6kPa$) and women ($20.5{\pm}4.3kPa$), middle-aged men ($25.2{\pm}6.4kPa$) and women ($21.2{\pm}5.5kPa$), and older men ($22.4{\pm}5.3kPa$) and women ($18.0{\pm}4.8kPa$). The mean cheek endurance scores were: young men ($47.8{\pm}24.4$ seconds) and women ($43.9{\pm}25.0$ seconds), middle-aged men ($27.3{\pm}11.3$ seconds) and women ($20.0{\pm}14.6$ seconds), and older men ($21.7{\pm}14.5$ seconds) and women ($17.2{\pm}11.4$ seconds). Conclusion: The data collected in this study will provide an important database of standardized measurements for maximal strength and endurance scores of the tongue, lip and cheek in healthy, normal Koreans.

• The Journal of the Convergence on Culture Technology
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• v.7 no.3
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• pp.255-260
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• 2021

This study tried to investigate the effects of the adaptation of middle-aged and elderly adult learners to college life on happiness. For this purpose, a questionnaire survey and analysis were conducted on 321 middle-aged and older adults studying at two-year and four-year colleges in Daegu and Gyeongbuk Province, and the results are as follows. First, college life adaptation according to the general characteristics of middle-aged and elderly learners are higher for those in their 50s and 2nd grade in good health condition. Happiness was the highest women, 60s and those in the form of households where only couples live. Second, there is a static correlation between the adaptation of middle-aged and elderly adult learners to college life and happiness, and the correlation between satisfaction with internal growth and satisfaction with meaning was the highest. Third, it was found that middle-aged and elderly adults' adaptation to college life influenced happiness, and the adaptation to adult student relationships, which is the lower part of the adaptation to college life, had the greatest impact on happiness. The above research results suggest that the various positive experiences experienced in university life can affect happiness by easing student relationships, psychological stability, and physical tension, and improving one's own satisfaction with internal growth.