• 대한지역사회영양학회지
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• 제29권1호
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• pp.51-64
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• 2024

Objectives: This study examined the association between ultra-processed food (UPF) consumption and chronic diseases in elderly Koreans. Methods: Data from the 2019-2021 Korea National Health and Nutrition Examination Survey were analyzed. Dietary intake and UPF consumption were assessed using the NOVA food classification based on 24-hour recall data from 3,790 participants (aged 65+ years). Participants were divided into 4 groups based on the quartile of energy intake from UPFs. Regions were classified as urban or rural. Multivariable logistic regression was employed to estimate the adjusted odds ratios (AORs) with 95% confidence intervals (CIs) after controlling for potential confounders. Results: Among the participants, 71.3% resided in urban and 28.7% in rural areas. Compared to the urban elderly, rural participants tended to be older, have lower education and income levels, be more likely to live in single-person households, and have a higher smoking rate (P < 0.05). Urban elderly consumed more UPFs daily (146.1 g) compared to rural residents (126.6 g; P < 0.05). "Sugar-sweetened beverages" were the most consumed category in both regions. "Sweetened milk and its products" and "traditional sauces" were prominent in urban areas, while rural elderly consumed more "traditional sauces" and "distilled alcoholic beverages." Rural areas also had a higher carbohydrate-to-calorie ratio than urban areas. Compared to the lowest quartile of UPF intake, the highest quartile was significantly associated with impaired fasting glucose only in rural areas (AOR, 1.48; 95% CI, 1.00-2.19; P for trend = 0.0014). No significant associations were observed for diabetes in either urban or rural areas. Conclusions: This study suggests that high intake of UPFs is associated with increased odds of impaired fasting glucose in rural elderly. Further research is needed to elucidate the specific negative health effects of UPFs in different populations, and targeted efforts should promote healthy diets in both urban and rural areas.

• 기본간호학회지
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• 제7권2호
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• pp.271-286
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• 2000

This study is designed to investigate what elders think about the meaning of aging. We have used Q-methods to identify meaning of aging from elders, and developed self-referenced surveys to analyze characteristics In this study, we used a non-structured method to select Q sampling. From 183 Q populations, we selected 36 Q sampling. A total of 32 persons sixty-years or older were randomly selected for P samples, When the Q-sorting was complete, we interviewed the participants at both end of the extremes(agree or disagree), and documented their responses. We used PC QUANL to process the data and used principal component analysis for Q factor analysis. There were five subjective types for the meaning of aging by elders. Of the 32 P-samples of elders, 11 were identified as Type 1, 7 as Type 2, 2 as Type 3, 8 as Type 4, and 4 as Type 5. Type 1 : 'Matured elders' Elders wished the well being of their children, thought older persons should maintain good health, worried about becoming senile, and dependent God believing in life after death. Type 2 : 'Assertive-Rights' Elders categorized as Assertive-Rights insisted on their rights to life as a person. Type 2 elders characterized themselves as people who should keep themselves healthy, become weak and lack sexual desires, act selfish like a child, need to be protected, and be financially independent. Type 3 : 'Passive-Dependents' Elders characterize themselves as those who pray for their children's well being, worry about the children even after their death. and becoming senile. Type 4 : 'Hopeless' The 'Hopeless' type of elders characterized aging as a time to pray for their children, insignificant beings, thoughts were selfish and child-like, poor, worried about going senile, regret their life overall, and preferred to die than to live as an old person. Type 5 : 'Attached-Present' The 'Attached-Present' type of elders thought elderly characterized themselves as acting selfish and child-like, wiser, anxious, regret their life, stand aloof of greed and worldly things, being a model for the society, and deserving to be treated with filial respect. Thus far, Korean elders seemed to have a positive and negative meaning of aging due to the current changes in the society, value system, and family structures. The above five subjective meanings of aging confirm that we need to approach and nurse the elderly differently. Years of aging are a part of and a natural process of life with various physical, psychological, and sociological changes. Nurses need to assist elderly to find the positive meaning of their life by providing appropriate physical, psychological, and social support at an earlier stage in nursing. Based on this study, we could derive the following two implication from the perspectives of science of nursing to care for elders. 1) Based on the studies investigating the type of meaning of aging, we could develop tools to assist in nursing intervention programs for elderly. 2) Based on research on the meaning of aging for different developmental stages of life, we could develop a model for roles for different family members in nursing and caring for the elders.

• 농업과학연구
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• 제49권4호
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• pp.1015-1031
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• 2022

The objectives of this study were to classify the types of elderly households and to compare the characteristics of their dietary lifestyle. Panel data surveyed by Korea Rural Economic Institute (KREI) for Food Purchase Attitudes over three years (2019 - 2021) were utilized for the analysis. Through a factor analysis, five common factors were extracted out of 19 basic variables related to dietary style, which indicate two kinds of consumer competency index (safe diet, traditional diet) and three kinds of purchase frequency (healthy food, meat & fish, fresh seafood). Applying the cluster analysis method, by using socioeconomic variables along the five common factors, elderly households aged 60 or older were grouped into four types. As a result, Type 1 elderly households accounted for 50.8%, Type 2 for 16.2%, Type 3 for 27.8%, and Type 4 for 5.2% out of all 870 elderly households. Type 1 is characterized as a low-income vulnerable class with a poor diet, Type 2 as a middle-income class with a healthy food-oriented diet, whereas Type 3 was classified as a middle-income class with a meat-oriented diet, and Type 4 as a high-income class with diverse dietary culture. It is necessary to expand the agri-food voucher pilot project to the entire country and also increase the monthly subsidy for the Type 1 elderly households. Implementing community kitchen projects for elderly single-person households, promoting senior internships by providing incentives to companies that employ retirees, the provision of education by local governments on a safe and balanced diet for Types 2 and 3, and the promotion of an elderly-friendly social environment are also recommended.

• Annals of Geriatric Medicine and Research
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• 제20권3호
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• pp.114-117
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• 2016

A research project, the "Construction of Frailty Cohort for Elderly and Intervention Study," funded by the Ministry of Health and Welfare, has been ongoing since December 2015. The Korean Frailty and Aging Cohort Study (KFACS) aims to identify risk factors for adverse outcomes associated with frailty in community-dwelling older adults, as well as means of prevention. KFACS is a multicenter, longitudinal study, with the baseline survey being conducted in 2016-2017. The sample (n=3,000) consists of those aged 70-84 years, stratified by age and gender, recruited from urban and rural regions nationwide. An in-person interview and health examination are performed every 2 years. This project is also conducting many intervention studies. Project interventions focus on nutrition and exercise. The nutritional intervention study compares the effects of 1.2 g/kg versus 1.5 g/kg daily protein intake on sarcopenia and frailty in older Koreans. The exercise trial examines the effectiveness of an information and communication technology-based program in preventing or reducing frailty.

• 치위생과학회지
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• 제16권6호
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• pp.415-423
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• 2016

본 연구는 65세 이상의 노인을 대상으로 구강보건행태와 주관적인 행복지수들(OHIP-14, 행복지수)의 관련성을 파악하여 주관적 행복지수를 향상시킬 수 있는 근거를 제시하고자 하였다. 2016년 6월 17일부터 6월 30일까지 전북지역에 거주하는 65세 이상 노인 260명을 대상으로 설문조사하였으며, 일반적 특성 따른 행복지수는 연령이 낮고, 배우자가 있는 경우와 교육수준이 높을수록 행복지수가 유의하게 높게 나타났다(p<0.05). 구강보건행태에 따른 행복지수는 칫솔질 횟수가 많고, 치과 정기검진을 하는 경우에서 행복지수가 유의하게 높게 나타났다(p<0.05). 연구대상자의 구강건강과 관련된 삶의 질의 하위개념 중 기능장애는 성별, 연령, 배우자 유무, 세치제사용 여부에 따라 유의한 차이가 있었고(p<0.05), 신체적 통증에서는 배우자 유무, 교육수준, 월 평균용돈, 정기검진에 따라 유의한 차이가 있었으며(p<0.05), 정신적 불편감은 성별, 칫솔질 횟수, 정기검진에 의해 유의한 차이를 보였다(p<0.05). 그리고 신체적 능력 저하는 성별, 연령, 교육수준, 월 평균용돈에 따라 유의한 차이가 있었으며(p<0.05), 정신적 능력 저하는 연령, 동거인 유무, 배우자 유무, 정기검진에 따라 유의한 차이를 나타났다(p<0.05). 또한 연구대상자의 행복지수에 영향을 미치는 요인은 연령, 동거인 유무, 교육수준, 월 평균용돈, OHIP-14로 나타났다(p<0.05). 이상의 결과로 보아 노인들의 구강보건행태는 구강건강관련 삶의 질과 관련이 있고, 구강관련 삶의 질은 행복지수에 영향을 미치는 것으로 파악된다. 이를 바탕으로 노인의 삶의 질 및 행복지수를 높이는 데 필요한 다양한 노인구강향상프로그램 개발 등의 여러 사회적 방안이 요구된다.

• 보건행정학회지
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• 제33권2호
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• pp.141-156
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• 2023

Background: As the population rapidly ages, older adults are increasingly likely to experience mobility problems. This study aims to explore the characteristics related to an elderly person's willingness to live in a nursing home if they have mobility problems Methods: This study analyzed data from 9,917 older adults (5,976 young-old and 3,941 old-old) obtained from the 2020 National Survey of Older Koreans. The dependent variable was the intended place of residence for older adults with mobility problems. Independent variables included various characteristics: (1) sociodemographic and social support, (2) health and functional status, and (3) residential environment. Rao-Scott chi-square tests and survey logistic regression analyses were performed for the young-old and old-old, respectively. Results: The intention to live in a nursing home was significantly different between the young-old (30.4%) and the old-old (34.7%) (p=0.009). According to fully adjusted multivariable analyses, for the young-old, the odds ratio of intending to live in a nursing home was significantly higher in social security benefit recipients (1.45; 95% confidence interval [CI], 1.06-1.97) compared to other individuals. The odds ratio was higher in unmarried (divorced, separated, widowed, or never-married) individuals for both young-old (1.41; 95% CI, 1.22-1.63) and old-old (1.34; 95% CI, 1.09-1.65) age groups, compared to their respective married counterparts. Conclusion: The results of this study suggest that in an aging society, health and social policies should be designed considering the different characteristics of the elderly to improve their health, function, and quality of life.

• 대한토목학회논문집
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• 제37권5호
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• pp.827-835
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• 2017

고령화가 급격한 속도로 진행되며 발생하는 문제 중 고령 운전자 사고는 해결되어야 하는 중요한 사회문제이며 사고를 감소하고자 하는 노력은 앞으로 맞이할 초고령 사회를 대비하기 위해 꼭 필요하다. 현재 고령자는 65세 이상으로 규정되어 있으며 이에 따라 고령 운전자 사고에 관련된 다양한 연구들은 65세를 기준으로 일반운전자와 고령 운전자를 구분하여 분석한다. 이러한 배경으로 인해 수용 가능한 정확도의 수준에서 실질적으로 교통약자로 분류되어야 하는 신체 능력을 갖춘 고령 운전자를 구분하는 기준은 제시되고 있지 않다. 따라서 본 연구에서는 상관분석을 이용하여 고령 운전자의 연령별 사고특성을 분석하여 연령군집별 사고 위험성을 비교하도록 한다. 분석결과 차종별 주요 사고특성에 대해 75세 이상의 경우 사고 발생에 미치는 영향력이 높아지는 것으로 나타났으며, 70세에서 80세 사이 구간에서 사고 발생 빈도가 상대적으로 낮았던 승용차에 대해서도 주요사고특성을 분석한 결과 75세 이상 84세 이하 구간에서 사고 발생에 대한 영향력이 높아지는 것이 두드러지게 나타났다. 이는 고령화가 진행되고 평균 수명이 늘어남으로써 고령자 구간 폭도 증가하는바, 고령자 내에서도 특성이 나뉘게 되며 본 연구를 통해 연령군집별로 사고 발생에 대한 영향력이 달라지는 것을 확인하였다.

• Child Health Nursing Research
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• 제5권3호
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• pp.292-304
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• 1999

The lengthened average span of human life by virtue of recent developments in medicine has caused the Population of elders to increase. The development of modern industrial society has transformed family structure from the large family system to that of a nuclear family. Due to the shift in family structure, the problem of support for the aged has surfaced as a nursing problem as well as a social problem. With regard to this problem, this study aims to investigate the adolescent's understanding of elders and aging. By identifying their understanding and classifying their attitude patterns, this study will help the nursing assessment of the support of elders in the family. This study employed Q-methodology and the research was conducted from December 1998 to May 1999. One method of the research included deep interviews with elders, those who are in their 50's. 40's or 30's. and the adolescent. 183 Q-Populations taken from literary works such as poems or novels were also formed as another method. Finally. 36 Q-cards were made after consultation with Professors of the nursing department. The subjects of the P- sample were 30 high sohoolboys/girls - who were in first, second, and third years. The result showed that 3 factors provided an explanation for 59.14% of the whole variables: the first factor, 41.37%; the second factor. 11.49%, and the third factor. 6.28%. These three factors were analyzed and categorized as three types. Twenty subjects out of the 30 were included in Type 1: Respecting Elders. The statements which showed the most positive consent were as follows: 'The declining age is a perfect time to prosper completing a worthy life' ; 'Getting old. one needs financial stability' and 'Elders wish the best for their children' The statements showing the most negative response were as follows: 'It is better to die than to live as an older person' ; 'Elders are insignificant' ; and 'Getting old is the worst unhappiness that tortures human.' Four subjects were included in Type 2. Resenting Elders. The statements which showed the most positive consent were as follows: 'Aging is a process of dying that nobody can escape from'. 'Elders should be concerned about his health and try to maintain their health' ; and 'When you set older. you regret about the life in the Past.' The statements showing the most negative response were as follows: 'When You get older. You should stand aloof greed and worldly things' 'When You got older, You become generous and gentle' ; and 'When You set he gets old. You change to become a comfortable and warm person.' Six out of 30 subject were included in Type 3 Caring Elders. The statements which showed the most positive consent were as follows: 'Elders should be concerned about his health and try to maintain their health' ; 'Elders wish the best for their children' ; and 'Elders deserve to be treated with filial respects.' The statements showing the most negative response were as follows 'Elders are insignificant' ; 'Elders have freedom and plenty of free time.' and 'Elders are alienated form and drove out of the society.' The above-mentioned results show that most adolescents in Korea recognize aging as the time of fruition and development: it is a time of benefiting and giving back to society. Aging can also be seen as a time of generosity and magnanimity and the time of respect and favorable treatment from society. despite the change of modern society and the ostensible transformation of a family system. Their recognition seems deeply rooted in the traditional confucian values and the dual family system which is Peculiar especially to the Korea - one which maintains both the superficial form of nuclear family and the substantial mode of the enlarged family system. In sum, many Korean adolescents attribute the meaning of the elderly and aging to the type of the respect with the elderly and the type of the elderly's caretaking.

• 대한간호학회지
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• 제42권6호
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• pp.810-818
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• 2012

Purpose: This study was done to explore factors relating to number of falls among community-dwelling elders, based on gender. Methods: Participants were 403 older community dwellers (male=206, female=197) aged 60 or above. In this study, 8 variables were identified as predictive factors that can result in an elderly person falling and as such, supports previous studies. The 8 variables were categorized as, exogenous variables; perceived health status, somatization, depression, physical performance, and cognitive state, and endogenous variables; fear of falling, ADL & IADL and frequency of falls. Results: For men, ability to perform ADL & IADL (${\beta}_{32}$=1.84, p<.001) accounted for 16% of the variance in the number of falls. For women, fear of falling (${\beta}_{31}$=0.14, p<.05) and ability to perform ADL & IADL (${\beta}_{32}$=1.01, p<.001) significantly contributed to the number of falls, accounting for 15% of the variance in the number of falls. Conclusion: The findings from this study confirm the gender-based fall prediction model as comprehensive in relation to community-dwelling elders. The fall prediction model can effectively contribute to future studies in developing fall prediction and intervention programs.

• 한국콘텐츠학회논문지
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• 제19권9호
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• pp.81-91
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• 2019

최근 우리나라는 급격한 고령화와, 급격한 산업화로 인한 가족의 역할 약화로 고령자 부양 자체의 문제나 부양의 질적 하락과 같은 다양한 문제를 겪고 있다. 이 중 부양의 질적 측면에서 고령자의 정서 지지에 관한 문제가 주요한 이슈가 되고 있다. 이런 정서적 지지에 관한 문제는 다양한 물적 인적 지원을 통해 해결하는 것이 가장 좋은 해결책일 것이다. 그러나, 여러 가지 한계로 인해 자원의 효율적 이용 차원의 접근이 시도되고 있으며 그중 디지털 기술의 융합을 통한 지원 노력에 주목할 필요가 있다. 본 연구에서는 고령화 현상으로 인한 고령자 수발 인력난의 문제와 수발 서비스의 질적 하락 문제 중 정서 측면의 문제에 주목하고, 디지털 기술의 융합을 통해 정서 측면을 지원하기 위해 디지털 기술이 어떠한 형태로 접목되었는지 사례를 분석하였다. 그중 스마트 스피커를 통한 고령자 지원의 가능성을 확인하고 스마트 스피커를 통한 정서적 지원을 제안하였다. 또한 중년 고령자를 대상으로 스마트 스피커의 사용성 평가와 함께 인뎁스 인터뷰를 진행함으로써 중년 고령자의 정서 지지를 위한 스마트 스피커 대화체계 가이드라인을 제안하였다. 본 연구결과를 토대로 고령자의 정서 지지를 위한 스마트 스피커 개발 시 대화체계 디자인을 위한 기초자료가 될 수 있을 것으로 기대 된다.