• Korean Journal of Community Nutrition
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• v.29 no.1
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• pp.34-50
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• 2024

Objectives: Transformation through a sustainable food system to provide healthy diets is essential for enhancing both human and planetary health. This study aimed to explain about sustainable diets and illustrate appropriate measurement of adherence to sustainable diets using a pre-existing index. Methods: For literature review, we used PubMed and Google Scholar databases by combining the search terms "development," "validation," "sustainable diet," "sustainable diet index," "planetary healthy diet," "EAT-Lancet diet," and "EAT-Lancet reference diet." For data presentation, we used data from National Health and Nutrition Examination Survey, 2017-2018, among adults aged 20 years and older (n = 3,920). Sustainable Diet Index-US (SDI-US), comprising four sub-indices corresponding to four dimensions of sustainable diets (nutritional quality, environmental impacts, affordability, and sociocultural practices), was calculated using data from 24-hour dietary recall interview, food expenditures, and food choices. A higher SDI-US score indicated greater adherence to sustainable diets (range: 4-20). This study also presented SDI-US scores according to the sociodemographic status. All analyses accounted for a complex survey design. Results: Of 148 papers, 16 were reviewed. Adherence to sustainable diets fell into 3 categories: EAT-Lancet reference diet-based (n = 8), Food and Agriculture Organization (FAO) definition-based (n = 4), and no specific guidelines but including the sustainability concept (n = 4). Importantly, FAO definition emphasizes on equal importance of four dimensions of diet (nutrition and health, economic, social and cultural, and environmental). The mean SDI-US score was 13 out of 20 points, and was higher in older, female, and highly educated adults than in their counterparts. Conclusions: This study highlighted that sustainable diets should be assessed using a multidimensional approach because of their complex nature. Currently, SDI can be a good option for operationalizing multidimensional sustainable diets. It is necessary to develop a Korean version of SDI through additional data collection, including environmental impact of food, food price, food budget, and use of ready-made products.

• Journal of Music and Human Behavior
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• v.2 no.1
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• pp.35-46
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• 2005

Older adults in the hospice care experience difficulties in expressing their emotional and psychological issues, which has detrimental effect in their well-being. The purpose of this study is to examine how music can be used to facilitate self-expression both verbally and nonverbally in order to decrease negative influences of self-concealment. Four cases were referred from hospice personnel at the hospital, and received music therapy sessions for four month. The total number of session varied from 9 to 11 depending on the conditions of each case. Both qualitative and quantitative data were collected from pre and post test of Self-Concealment Scale and Personal Descriptive Essays. The results indicated that the use of music, especially programed songs were effective in evoking emotional responses with various life-related issues and themes. The posttest indicated that the level of self-concealment has decreased, and also the Personal Descriptive Essays involved increased statements of emotional content after music therapy implementation. The study indicates that music can be used as an significant communicative and expressive medium when working with older adults in the hospice or palliative care, since they experience many difficulties to be engaged in the active expression. Music provide both passive and active experience through listening and participating, and programed music therapy intervention will increase the quality of life through expressive music activities.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.2
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• pp.805-810
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• 2013

Increasing the rate of smoking cessation will reduce the burden of diseases related to smoking, including cancer. Understanding the process of smoking cessation is a pre-requisite to planning and developing effective programs to enhance the rate of smoking cessation.The aims of the study were to determine the demographic distribution of smokers across the initial stages of smoking cessation (the pre-contemplation and contemplation stages) and to identify the predictors of smoking cessation among Malaysian adult smokers. Data were extracted from a population-based, cross-sectional survey carried out from April 2006 to July 2006. The distribution of 2,716,743 current smokers across the pre-contemplation stage (no intention to quit smoking in the next six months) or contemplation stage (intended to quit smoking in the next six months) was described. Multivariable logistic regression analysis was used to examine the relationship between socio-demographic variables and the stages of smoking cessation. Of the 2,716,743 current smokers, approximately 30% and 70% were in the pre-contemplative and contemplative stages of smoking cessation respectively. Multivariable analysis showed that male gender, low education level, older age group, married and those from higher income group and number of cigarettes smoked were associated with higher likelihood of pre-contemplation to cease smoking in the next six months. The majority of current smokers in Malaysia were in the contemplative stage of smoking cessation. Specific interventions should be implemented to ensure the pre-contemplative smokers proceed to the contemplative stage and eventually to the preparation stage.

• Journal of Korean Public Health Nursing
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• v.30 no.1
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• pp.105-121
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• 2016

Purpose: This study examined the influencing factors from the Transtheoretical Model on the stage of change in the self-management behaviors, i.e. regular physical activity and diet, among community-residing adults with hypertension in a rural area. Methods: With a cross-sectional descriptive design, 134 adults who had registered and received a prescription for hypertension medication from a public health center in W city were recruited using convenient sampling. The instrument was an interviewer-administered questionnaire on the stage of change, process of change, self-efficacy, and decisional balance of physical activity and diet. The data were analyzed using descriptive statistics, 2-sample t-test, ${\chi}^2$ test, and logistic regression. Results: The results revealed significant differences in the process of change, self-efficacy, and decisional balance of physical activity and diet between those who were in the pre-execution stage (precontemplation, contemplation, preparation) and those who were in the execution stage (action and maintenance). Logistic regression showed that consciousness raising and self-efficacy were significant predictors of the execution stage in physical activity, and self-reevaluation, social liberation and self-efficacy were significant predictors in the diet. Conclusion: The relevant processes of change, differentiated according to the stage of change, along with self-efficacy, should be addressed to enhance the execution of self-management behaviors among hypertensive adults residing in the community.

• Research in Community and Public Health Nursing
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• v.28 no.2
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• pp.196-205
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• 2017

Purpose: Art program has been found to enhance mood such as increasing motivation, self-expression and decreasing depression in older adults. This study was conducted to investigate the effects of clay art and drawing on depression and self-expression among elderly people at a long-term care center. Methods: The research was a pre-test and post-test non-equivalent design. Sixty older patients (clay art program=28. Drawing art program=32) over the age of 65 were recruited from 2 long-term care hospitals to participate in the 5 weeks program. Each group was scheduled with 10,120-minute evaluation sessions, twice per week. Test measures were completed before and after the 5 week intervention period for all participants. The data was collected from April 27 to May 29, 2015. It was analyzed with SPSS 22.0 using chi-square, t-test and paired t-test. Results: There were no significant difference in the levels of depression (t=0.21, p=.830) and total score of self-expression (t=-0.10, p=.919) between the two groups. However, the pre-post scores of self-expression in the clay art program (t=0.22, p=.826) were improved compared to the drawing art program (t=0.80, p=.430). Conclusion: Further studies are needed to evaluate the effectiveness of clay art program for extended senior care applications.

• Journal of Nutrition and Health
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• v.20 no.4
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• pp.281-288
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• 1987

In this study we have evaluated daily beverage intake of the inhabitants in Seoul by a 24 hrs. recall procedure from 1145 respondents between pre-school children to adults in the period of June-July 1985. Estimates of consumption were made for each of seven beverage groups and comparisons were made within age, sex and body weight. Significant differences existed for certain beverage in each category analyzed. Total Fluid intake was greater for male than female at all ages and tended to be lower in the older age group with adjustment for differences in body weight. Milk was the major beverage among children while soft drinks were the predominant beverage for teen-ages. Alcoholic drinks represented the smallest component of daily fluid intake among women but were the second largest component of daily fluid levels for men over the age of 24 years.

• International journal of advanced smart convergence
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• v.10 no.2
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• pp.73-78
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• 2021

Recently, the number of people who visit the hospital due to diabetes is increasing. According to the Korean Diabetes Association, it is statistically indicated that one in seven adults aged 30 years or older in Korea suffers from diabetes, and it is expected to be more if the pre-diabetes, fasting blood sugar disorders, are combined. In the last study, the validity of Triglyceride and Cholesterol associated with diabetes was confirmed and analyzed using Random Forest. Random Forest has a disadvantage that as the amount of data increases, it uses more memory and slows down the speed. Therefore, in this paper, we compared and analyzed Random Forest and XGBoost, focusing on improvement of learning speed and prevention of memory waste, which are mainly dealt with in machine learning. Using XGBoost, the problem of slowing down and wasting memory was solved, and the accuracy of the diabetes recognition factor was further increased.

• The Journal of Korea Robotics Society
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• v.18 no.4
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• pp.409-418
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• 2023

The purpose of this study is to evaluate the usability of the care robots to prevent pressure injury and to present directions for improvement. Thirty-two caregivers of severely disabled people and older adults with mobility difficulties participated in this study. They used the care robot in a real care environment for 2 weeks and conducted pre and post-care interviews. Based on the interview results, improvements were derived through the technical modeling method of care robots. Considering the circumstances in which caregivers take care of a large number of patients in nursing homes and hospitals, it is necessary to ensure the convenience and safety of remote control and side rail operation of the care robots to prevent pressure injury. We expect that the results of this study will be used as basic data for development of care robots to prevent pressure injury.

• Korean Journal of Rural Living Science
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• v.8 no.1
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• pp.25-33
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• 1997

The purpose of this study was to assess the nutrition education program for older adults at rural area. Eighty three adults (mean age ;55.6$\pm$11.9) participated in nutrition education program. Data collection includes serum and urine collections for health state. The impact of nutrition KAP (knowledge attitude and practice) and retention was examined among participants who were assessed at program entry 3 times of education and 1 month of follow-up. The results were as follows : The participants were composed 52 persons of under 60-year-old and 31 persons over 60 years. Of the 83 participants, 60 were females and 23 were males. Serum albumin and calcium content of females (3.5$\pm$1.2g/dl, 7.5$\pm$3.9mg/dl) were significantly lower than males(4.7$\pm$0.9g/dl, 11.2$\pm$4.6mg/dl). Serum TG and cholesterol contents of females (143$\pm$117mg/d1, 205$\pm$31mg/d1) were higher than males (101$\pm$86mg/dl, 192$\pm$19mg/dl) but not significantly different. The calcium (13.4$\pm$9.0mg/dl) and urea (743$\pm$440mg/dl) contents of urine excretion were also significantly lower in female than in males (19.7$\pm$11mg/dl, 1041 $\pm$535mg/dl). Via the question of nutrition attitude, the participants improved significantly between pre and post education (the score of pre, post and after 1 month, 6.7$\pm$1.8, 7.2$\pm$1.5, 7.2$\pm$1.8), and were also attributed to better personal feeling health by modified CMI test but food habit was not significantly improved. As the differences of age and gender groups were compared, under 60-year-old group had better nutrition practice score than over 60 years group.

• Journal of Industrial Convergence
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• v.20 no.6
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• pp.65-72
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• 2022

The purpose of this study was to examine the effects of a suicide prevention program on pain, depression, meaning of life, and suicidal ideation of low-income women aged 80 or older in rural area. A non-equivalent control group pre-post test study design was used. The participants were 89 women, aged 80 or older of a project for employment from O & K province. (experimental group = 45, control group = 44). The experimental group were participated in a total of eight-session, once a week. The collected data were analyzed with descriptive statistics, 𝑥²-test, t-test using SPSS 26.0 program. After a eight-week of intervention, the experimental group showed significant differences in depression (t=-2.19, p=.031), meaning of life (t=2.13, p=.036), and suicidal ideation (t=-2.11, p=.038). Therefore, the study program has proven to be effective in reducing depression and suicidal ideation, and improving the meaning of life of participants.