• Title/Summary/Keyword: Senior Health Index

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Development of a "Grandmothering Stress Index" for Korean Day-care Grandmothers (손자녀 양육 스트레스 측정도구 개발 - 주간양육 할머니를 중심으로 -)

  • Kim, Moon-Jeong;Chung, Chae-Weon
    • Women's Health Nursing
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    • v.14 no.1
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    • pp.56-65
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    • 2008
  • Purpose: The study was to develop an instrument to measure grandmothering stress for Korean day-care grandmothers and to test the validity and reliability of the instrument Method: The items of the instrument were based on a literature review and secondary data, After content validity tests and a pilot test, 20 items were developed. In order to test the reliability and validity of the scale, data were collected from 126 grandmothers. Result: After a factor analysis, five factors and 15 items were selected. These explained 67.2% of the total variance. The first domain was termed 'Health problems', and explained 18.1 % of the total variance, and the second domain of 'Possibility of role substitution' explained 13.8%. The third and the fourth domains were 'Relations with adult children' and 'Grandchildren's characteristics' explaining 12.5% and 12.1 %, respectively. The last domain explained 10.8% of the total variance with the theme 'Restriction of social life' After accomplishing the reliability analysis, Cronbach's alpha coefficient was determined to be .75. Conclusions : This initial step in the development of a Grandmothering Stress Index is valuable to reflect the subject of Grandmothering stress in senior citizens in Korea. Future study should to refine the constitution of the instrument.

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Effectiveness of NQ-E index-based individual nutrition counseling for community-care elderly: an intervention study on improving nutritional status, complex chronic diseases, and quality of life (커뮤니티케어 대상 노인의 NQ-E 지수 기반 개별영양상담 효과성: 복합만성질환과 삶의 질 개선에 관한 중재 연구)

  • Yoonjeong Choi;Jihyun Lee;Heesook Lim;Yoo Kyoung Park
    • Korean Journal of Community Nutrition
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    • v.28 no.6
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    • pp.480-494
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    • 2023
  • Objectives: This study sought to assess the effectiveness of community-based nutrition counseling on improving nutritional status, managing complex chronic diseases, and enhancing the quality of life for elderly individuals with chronic conditions, particularly in older adults with high levels of food insecurity and multiple chronic illnesses. Methods: Thirty elderly subjects with diabetes and hypertension who were registered at local Senior Welfare Center received individualized nutrition counseling, based on their Nutrition Quotient for the Elderly (NQ-E) index. Over a 16-week period, they received tailored counseling and underwent various health and nutritional assessments. The final analysis included 28 participants after two dropped out. Data analysis was conducted using the SPSS v28.0. Results: The subjects were over 70, with multiple chronic diseases including diabetes and hypertension and predominantly female. After 16 weeks, significant improvements were observed in the subjects' grip strength, and HbA1c levels, as well as in their NQ-E scores, indicating improved dietary balance and diversity. There were no significant improvements in the 'Moderation' subdomain of the NQ-E index, suggesting that this aspect requires further attention in nutritional counseling. The subjects' nutritional risk scores (NSI) were also significantly decreased, indicating less nutritional risk. Lastly, as measured by the SF-36K, the subjects' quality of life showed significant improvement in several domains including physical role performance and social function. Conclusions: This study demonstrates that tailored nutrition counseling, based on the NQ-E index, can improve elderly health, manage chronic diseases, and enhance quality of life. This approach potentially broadens the scope of community nutritionists' roles within an aging society. However, additional research is necessary to evaluate these interventions' long-term effects and sustainability.

Effects of ATP2B1 Variants on the Systolic and Diastolic Blood Pressure according to the Degree of Obesity in the South Korean Population (한국인에게서 ATP2B1 유전 변이가 비만 정도에 따른 수축기 혈압과 이완기 혈압에 미치는 영향)

  • Kim, Gi Tae;Kim, In Sik;Jee, Sun Ha;Sull, Jae Woong
    • Korean Journal of Clinical Laboratory Science
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    • v.52 no.1
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    • pp.45-52
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    • 2020
  • Hypertension often leads to cardiovascular disease and kidney disease, and hypertention is an important worldwide problem. Body mass index (BMI) has an important role for raising blood pressure. Further, hypertension can be affected by both environmental factors and genetic factors. Many single nucleotide polymorphisms have been associated with hypertension. Genome wide association study (GWAS) is a method of confirming a new locus of increasing the risk of disease, and GWAS has confirmed several single nucleotide polymorphisms (SNPs) that are associated with high blood pressure. This study analyzed the relationship between systolic blood pressure, diastolic blood pressure and SNP of the ATP2B1 gene in 994 Koreans. SNPs that showed the highest statistical significance with systolic and diastolic blood pressures were selected on the multiple linear regression analysis. One-way analysis of variance for systolic and diastolic blood pressures was performed, and multiple logistic regression analysis was performed on the risk of hypertension. The P values were two-tailed, and P<0.05 was considered significant. Four SNPs were associated with systolic blood pressure and six SNPs were associated with diastolic blood pressure. In addition, a genotype-based analysis showed significant odds ratios for the risk of hypertension in older men (adjusted OR, 5.743; 95% CI, 1.173~28.121; P=0.031). This study suggests that the ATP2B1 variants affect both the systolic and diastolic blood pressure.

Analysis of the Change of Health Status Among the Republic of Korea Air Force Soldiers During Military Service

  • Yoo, Seok-Ju;Park, Won-Ju;Lee, Kwan;Lim, Hyun-Sul;Kim, Hyun-Jin;Lee, Suk-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.47 no.4
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    • pp.230-235
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    • 2014
  • Objectives: The aim of this study was to investigate whether the health status of Republic of Korea Air Force (ROKAF) soldiers changed after one year of military service. Methods: We selected 483 ROKAF soldiers from the 11 749 recruits who participated in the 2011 physical examination. The selected soldiers underwent another physical examination in 2012 for advancement to senior airman. Data from 2011 and 2012 were merged. To collect data on lifestyle, a questionnaire was sent to all included subjects via the military intranet e-mail service. Results: The percentage of recruits with an abnormal alanine transaminase level (normal range <40 IU/L) decreased from recruitment (13.7%) to the following year (2.7%). Moreover, the percentage of obese soldiers (body mass index ${\geq}25kg/m^2$) decreased from recruitment (20.5%) to the following year (10.4%). There was a significant change in mean duration of exercise carried out each day before ($0.8{\pm}1.3$ hours) and after ($1.0{\pm}0.7$ hours) joining the ROKAF service. Conclusions: These ROKAF soldiers were generally in good health before and after joining the armed service. After one year of military service, the health status of most soldiers improved, especially with respect to body mass index and alanine transaminase level.

The Happiness Index by the Number of Teeth of Senior Citizens Residing in Dong-gu in Daejeon (대전 동구에 거주하는 노인들의 치아 수에 따른 행복지수)

  • Koong, Hwa-Soo;Song, Eun-Joo;Hwang, Soo-Jeong;Jang, Ha-Ram;Jeon, Da-Hye;Jeon, Min-Jeong;Jeong, Su-A;Kim, Hye-Jin;Kang, Kyung-Hee
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.661-667
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    • 2013
  • This paper aims to identify the relationship between the number of teeth of the elderly and their life happiness index. A face-to-face interview survey was conducted with elderly residents of Dong-gu, Daejeon from June 27 to July 25, 2012. A Tukey post hoc test and correlation analysis were implemented after a t-test and variance analysis. The results of analysis showed that satisfaction with life related to oral health was significant, but happiness in daily life had no significant difference. For the elderly, the quality of life related to oral health and happiness in daily life had no significant difference. Masticatory performance difference depending on usage of dentures also showed significant difference (p<0.001). The difference of masticatory performance depending on the number of teeth was analyzed by a correlation analysis. The present number of teeth, present anterior teeth and molars demonstrated a correlation. Quality in life related to oral health depending on the number of teeth correlated with the present number of teeth, present anterior teeth and present molars.

Comparisons of the Body Composition and Health Conservation between Low and High Physical Activity Groups in Professional Retired Elderly (저 활동군과 고 활동군 전문직 은퇴노인의 신체구성과 건강보존정도 비교)

  • Sung, Kiwol
    • Journal of Korean Public Health Nursing
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    • v.31 no.2
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    • pp.220-233
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    • 2017
  • Purpose: This study compared the body composition and health conservation of low and high physical activity groups in professional retired elderly. Methods: The participants were 132 professional retired elders using a university of education for the elderly and senior welfare centers in D and K city. Data were collected through interviews from November to December in 2015. The body composition was measured using an Inbody 230 and the health conservation was measured using Sung's (2005) Health Conservation Scale. The low and high physical activity groups were divided by CHAMPS (The Community Healthy Activities Model Program for Seniors Questionnaire). The collected data were analyzed using a $x^2$ test, independentt-test, andbinary logistic regression using the SPSS/WIN 20.0 program. Results: The body composition (body mass index, body fat percentage, and fitness score) and health conservation score were higher in the high physical activity group than in the low physical activity group. The result shows that the body weight (OR=10.62) is the highest risk factor influencing the physical activity in professional career-retired elders. Conclusion: These results suggest that to induce physical activity level among professional retired elders, nursing interventions are needed to increase the health conservation and body composition, particularly in controlling the body weight.

Physical Recovery through Health Management Education for the Disabled or the Elderly

  • SON, Byung-Kook;CHOI, Eun-Mee;KWON, Lee-Seung
    • Journal of Wellbeing Management and Applied Psychology
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    • v.4 no.1
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    • pp.27-34
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    • 2021
  • Purpose: The number of people with disabilities and the elderly over 65 years of age is gradually increasing due to physical disabilities and social aging. Their typical physical disorders or chronic diseases include low back pain, sciatic pain, arthritis, and musculoskeletal systems such as discs. The average prevalence of disease is 78%. These are various physical obstacles and hindrances in daily life. Research design, data and methodology: From August 6, 2019 to September 24, 2019, the Senior Welfare Center in Gyeyang-gu, Incheon, operated a healthy body exercise and health education program for living health management. Results: The vascular health index using U-Bio pulse wave was relatively good at the first average of +7.4, but the second average of -6.3. This can be seen as a result of the combination of diet and lifestyle education along with the effect of corrective exercise. As a result of body shape measurement analysis, the number of persons requiring management with 3 or more body imbalances was found to be from 75% before to 62.5% afterwards. Conclusions: Exercise effect appears when exercise lasts for at least 10 weeks. Some performances were good, but there were limitations due to the operation of a short training period.

Validation Study of the Korean Version of the Jefferson Scale of Empathy-Health Professions Students for Measuring Empathy in Undergraduate Nursing Students (간호대학생 대상 한국판 의료계열 학생용 제퍼슨 공감 척도의 신뢰도 및 타당도 검증)

  • Kim, Jisoon;Ahn, Sukhee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.3
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    • pp.259-268
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    • 2018
  • Purpose: This study was to validate the Korean version of the Jefferson Scale of Empathy-Health Professions Students (K-JSE-HPS) in undergraduate nursing students. Methods: With a survey design, a total of 293 junior and senior nursing students were recruited and data were collected using a self-administered study questionnaire to measure their levels of empathy use the K-JSE-HPS. Using SPSS/WIN 22.0 and AMOS 22.0, data analysis was conducted with confirmatory factor analysis, criterion validity, and reliability. Results: For construct validity, confirmatory factor analysis showed an acceptable model fit (Goodness of Fit Index was 0.88) along with confirming convergent and discriminant validity (construct reliability was 0.70). For criterion validity, the scale was significantly related with the Interpersonal Reaction Index. For reliability, Cronbach's ${\alpha}$ coefficient for the scale was 0.87 and for the subscales were 0.84, 0.78, and 0.69, respectively. Conclusion: The findings show satisfactory construct and criterion validity and reliability of the Korean version of the JSE-HPS for measuring empathy in undergraduate nursing students.

Lifestyle Habits Associated with Poor Defecation Habit among Pupils in Japan

  • Kohyama, Jun
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.6
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    • pp.567-576
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    • 2020
  • Purpose: Not enough attention has been paid to defecation habits in Japan. This study aimed to emphasize the importance of defecation habits on health and function in Japanese pupils. Methods: Using multiple regression analysis, 2,722 questionnaires obtained from pupils in grades 5 to 12 were analyzed to determine lifestyle habits associated with defecation frequency. Results: Significant regression formulae for defecation scores were obtained for all school types: elementary school (ES) (adjusted R2=0.08, p<0.001), junior high school (JHS) (0.09, p<0.001), and senior high school (SHS) (0.15, p<0.001). The following factors were associated with poorer defecation scores, according to school type: female gender (all 3 school types), breakfast skipping (elementary and JHSs), lower physical activity (JHSs and SHSs), and longer school-day screen time (elementary and SHSs). In addition, poorer self-reported academic performance scores in ES, less standardized body mass index (BMI) in JHS, and shorter non-school- day screen time scores in SHS, were associated with poorer defecation scores. Conclusion: Poor defecation frequency showed significant associations with various lifestyle habits, such as breakfast skipping, physical activity, and screen time, among pupils. Academic performance and standardized BMI were also associated with defecation frequency. More attention should be paid to defecation frequency to sustain health and function in pupils.

The Effects of Resistance and Aerobic Exercise on Gait Ability, Physical Fitness, and Body Composition in Older Women (저항운동과 유산소운동이 여성노인의 보행능력, 체력 및 신체구성에 미치는 효과)

  • Byun, Jaechul
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.3
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    • pp.103-112
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    • 2018
  • Purpose : The purpose of this study was to determined the effects of resistance and aerobic exercise on gait ability, physical fitness and body compositions in older women. Method : The subjects were 24 older women who were randomly divided into two groups (resistance exercise, n=12, and aerobic exercise, n=12). They 65~80 years old. The subjects done the Gym-ball, Togu, and senior dance exercise three times per week-for 70 minutes each time for 16 weeks. Body compositions, physical fitness, and gait ability were measured in this study. Result : There were significantly improved the walk performance after exercise training for 16 weeks. In particular, it was more effective on resistance exercise training in older women. There were significant differences in muscle endurance, flexibility, balance, body weight, percent of body fat, and body mass index (BMI) after the exercise program. Conclusion : It was more effective improved on muscle endurance, flexibility, and balance performance after resistance exercise program than an aerobic exercise program in older women.