• Title/Summary/Keyword: adults over 65 years old

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The Moderating Effect of Home-Based Welfare Facilities for Older Adults between ADL/IADL and Depressive Symptoms among Korean in Later Life (노인의 일상생활수행능력이 우울감에 미치는 영향에 대한 지역사회 재가노인복지시설의 조절효과)

  • Joo, Susanna;Jun, Heyjung;Choi, Bomi
    • 한국노년학
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    • v.38 no.1
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    • pp.243-259
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    • 2018
  • The purpose of this study is to investigate the moderating effect of home-based welfare facilities for older adults on the associations between the activities of daily living (ADL) / instrumental activities of daily living (IADL) and the depressive symptoms among Koreans in later life. Multilevel analysis was conducted with Korean Longitudinal Study of Aging 5th data and the public report about welfare facilities from Ministry of Health and Welfare in Korea. Samples were 4,139 older adults over 65 years old. The dependent variable was depressive symptoms, and individual level independent variables were ADL and IADL. The ratio of home-based welfare facilities out of 10,000 older adults in each city and province was the moderator. As a result, the effects of ADL on depressive symptoms vary according to the proportion of elderly welfare facilities out of the old population in the community. In specific, the older adults who live in the place where the elderly welfare facility rate was higher were less affected by ADL. Also, the more IADL people had, the more depressive symptoms they had. However, the interaction effect between IADL and the proportion of home-based welfare facilities was not significant. It suggests that delivering welfare services helping ADL through the home-based welfare facilities may be useful for decreasing depressive symptoms. Moreover, considering the proportion of facilities and older population will be helpful to make the welfare facilities efficiently work.

A Study on the Relationships among the Influential Variables on Stage of Change of Exercise in the Elderly (노인의 운동실천단계와 관련변인과의 관계연구)

  • 장성옥;이평숙;박은영
    • Journal of Korean Academy of Nursing
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    • v.32 no.5
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    • pp.609-622
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    • 2002
  • The purpose of this study was to investigate the relationships among variables of transtheoretical model for exercise in the elderly. Method: A hypothetical model explaining the stage of change was constructed based on a transtheoretical model. Empirical data for testing the hypothetical model was collected from 246 old adults over 65 years old in a community settings in Seoul, Korea in June and July, 2000. Data were analyzed by descriptive statistics and correlational analysis using pc-SAS program. The Linear Structural Modeling(LISREL) 8.0 program was used to find the best fit model which explain causal relationship of variables. Result: The fitness of modified model to the data was X2= 96.75(df=49, p=.00005), GFI= .98, NFI=.99, AGFI=.95, NNFI=.99. The the predictable variables of stage of change explained 64% of stage of change for exercise Conclusion: Results are consistent with the studies of application of the transtheoretical model, which has been used to understand how people change health behaviors. The findings of this study give useful informations to construct exercise intervention program for the elderly about relationships among variables influencing to the stage of change of exercise.

CEPHALOMETRIC ANALYSIS OF MAXILLOFACIAL NORMALS IN KOREAN ADULTS (한국 성인 정상교합자의 악안면 정상치에 관한 두부방사선 계측학적 연구)

  • Lee, Won You;Sohn, Byung Hwa
    • The korean journal of orthodontics
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    • v.14 no.1
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    • pp.135-149
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    • 1984
  • This study was performed to aid for the case analysis and diagnosis of the maxillofacial deformities. A cephalometric analysis was made from 101 subjects over 18 years old, that consisted of 46 males and 55 females with normal occlusion, acceptable profile. The results o f this study were obtained as follows: 1. The tables of normals in adult male and female were made. 2. The angles of SNO were $65.5^{\circ}$ in male and $65.3^{\circ}$ in female and the horizontal linear measurements from 0 to NA(O-NA) were 9.0 mm in male and 8.9 mm in female. 3. The cranial base angles (SN-FH) were $8.2^{\circ}$in male and $10.3^{\circ}$ in female and the mandibular plane angles (OP-HP) were $28.1^{\circ}$ in male and $26.2^{\circ}$ in female. 4. The correlation of (O-NA) to S-O/S-A and S-O/S-N were higher than SNO, and the correlation of (N-A) to SNA and (N-B) were high.

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Incidence of Low Grip Strength and Related Factors in the Elderly Korean (한국 노인에서 낮은 악력의 발생률 및 관련 요인)

  • Do-Youn Lee
    • Journal of the Korean Society of Physical Medicine
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    • v.19 no.3
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    • pp.81-89
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    • 2024
  • PURPOSE: This study was conducted to provide evidence-based recommendations for customized interventions by identifying the incidence of low grip strength (LGS) in an elderly population in Korea. METHODS: Adults over 65 years of age were selected as subjects using the data from 2016-2018 of the Korea National Health and Nutrition Survey provided by the Korea Centers for Disease Control and Prevention. Of the 24,269 subjects who participated in the survey, 19,313, 533, and 2664 participants who were under the age of 65, did not take the grip strength test, and did not take the health survey, respectively, were excluded. Finally, 1,759 subjects were selected. RESULTS: The incidence rate of LGS was 30.27%: 22.82% in men and 38.48% in women. The related factors of LGS had a high risk of occurrence of old age, low education level, low BMI, alcohol status, aerobic and muscle strength exercise, and low high-density lipoprotein cholesterol (HDL-C). CONCLUSION: This study provided basic data for introducing health promotion policies to improve the grip strength of the elderly in consideration of related factors affecting LGS.

Operation Plan for a Customized Convergence Marine Healing Exercise Program for Metabolic Disease Patients (대사질환자를 위한 맞춤형 융합 해양치유 운동프로그램 운영방안)

  • Lee, Si-Woo;Lim, Byung-Gul;Kim, Hyun-Jun
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.4
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    • pp.261-275
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    • 2022
  • Purpose : According to the Korean Diabetes Association, the number of metabolic disease patients in Korea is approximately 14.97 million as of 2020;, the prevalence of diabetes among adults over 30 years old is 44.3 %, and the prevalence of diabetes in the elderly over 65 years old is 50.4%. These individuals exposed to the risk of complications. Therefore, the purpose of this study was to determine a distribution method for a customized fusion exercise marine healing program for metabolic disease patients. Methods : We have searched numerous papers concerning artificial intelligence (AI), virtual reality (VR), augmented reality (AR), and marine resources related to marine healing programs that can be introduced in marine healing centers for people with metabolic diseases Results : Through the production of various marine resources and evidence-based exercise programs, the provision of exercise programs using AI, and the development of exercise platforms using AR and VR, we were able to establish guidelines for how to operate marine healing programs at marine healing centers. Conclusion : Korea has much more diverse marine healing resources than other advanced countries in the marine healing industry. However, the development of these resources has only just begun. It is hoped that the studied marine healing program will be of great help to metabolic patients by creating contents that will be implemented in marine healing centers by using the cutting-edge technologies and various marine resources that Korea possesses.

Geriatric Dwelling Depression Measurement Based on Projective Image Analysis Modeling

  • Lee, Yewon;Park, Chongwook;Woo, Sungju
    • International Journal of Advanced Culture Technology
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    • v.6 no.4
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    • pp.323-330
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    • 2018
  • The growth of the older population is expected to further increase social problems associated with population aging, such as isolation, poverty, and depression. The emerging issues associated with the older population are also expected to provide further momentum on studies about the dwelling environment as factors that ensure the health of older people as well as improve their quality of life. Therefore, approaches for explaining the issues of the older age group should be diversified using a variety of factors and appropriate analytic tools. Studies on measuring depression have principally focused on assessing an objective self-report questionnaire, usually in a highly structured, textual form which may not reflect the cognitive impairment of older adults. The aim of this study was to define and measure dwelling depression among older adults in Korea. There are two specific hypotheses in this study as follows: (a) there will be statistically significant relationships with dwelling dissatisfaction and depression, and (b) dwelling depression tools containing text and images will be, respectively, assessment tools that have a good construct with content validity and reliability. In the first experiment, to define and measure dwelling depression, 301 people over 65 years old living in single and two-person households were surveyed using a text-based dwelling depression questionnaires from September 1-30, 2017. In the second experiment, to examine whether the projective image questionnaire could serve as a suitable replacement for the text-based questionnaires, the same participants were surveyed from January 22 to February 2, 2018. The results show that depression has a close correlation with dwelling dissatisfaction. In addition, the geriatric dwelling depression index (GDDI) based on the projective image was refined. Additionally, the projective image questionnaire has a close correlation with the text-based questionnaire. Finally, through ROC curve analysis, it was found that the projective image questionnaire can accurately predict a depression group. To this end, this preliminary study examined the validity of the projective image questionnaire in older adults to make this instrument feasible for older populations and to contribute to a profound understanding of geriatric depression due to the living environment. We hope they will provide a basis for further research on psychological diagnoses using projective images.

An Analysis of Groups with Diet Problems Associated with Dining Out (외식관련 식생활 위험군 분석 및 외식 행동 전략 도출 - 제3기 국민건강영양조사 20세 이상 성인 자료 분석 -)

  • Choi, Mi-Kyung
    • The Korean Journal of Food And Nutrition
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    • v.21 no.4
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    • pp.536-544
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    • 2008
  • The principal objectives of this study were to identify diet problems associated with dining out, and to suggest dining out strategies for groups with diet problems. The data collected from adults(all over 20 years old) from the third Korea National Health and Nutrition Examination Survey III(KNHANES III), conducted in 2005, were used in this study. A total of 6,497 data were included in our statistical analyses, using SPSS 14.0. The results of this study demonstrated that there were significant differences in dining out frequency between different genders(p<0.001), ages(p<0.001), and economic status (p<0.001). With the crosstabulation analysis using the Chi-square statistics, the middle class males aged $20{\sim}29$(p<0.05), and lower class females aged 65 and over evidenced different degrees of compliance with the following guidelines. 'Eat a variety of foods' varied by frequency of dining out. In addition, the degree of compliance with the guidelines 'Increase activity and eat an adequate amount of foods for weight control', 'Enjoy the Korean traditional diet', and 'Control consumption of alcohol' also differed by dining out frequency in certain populations. With these results, dining out strategies were suggested for the groups with diet problems associated with dining out.

Factors Influencing Sleep Disturbances among Older Adults Living within a Community (재가노인의 수면 관련요인)

  • Jeon, Bo Min;Choi-Kwon, Smi
    • Korean Journal of Adult Nursing
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    • v.29 no.3
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    • pp.235-245
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    • 2017
  • Purpose: Reported insomnia and decreased sleep quality are common among older adults. The purpose of this study was to identify factors contributing to insomnia and decreased sleep quality among elderly persons living within a community. The data will be verified with Actigraph which is a non-invasive measurement of rest/activity cycles. Methods: 137 participants over 65 years old were recruited from a senior welfare center. Their mean age was $74.07{\pm}5.18years$ old and majority was women (69.3%). The quality and quantity of nighttime sleep were assessed using Varren-synder-Halper Sleep Scale and a sleep log. Depression and fatigue were assessed using Geriatric Depression Scale Short Form and Fatigue Severity Scale, respectively. Pain was assessed using 11-point Numeric rating scale. An actigraph was used to verify the self-reported sleep. Results: Ninety-two participants (67.2%) reported insomnia. Sixty-eight subjects (49.6%) reported good sleep. Of the participants, 56.2% reported depression and 33.6% reported fatigue. In logistic regression, depression was related to insomnia (OR=3.09, p=.003). Sleep quality was related to depression (OR=2.13, p=.045) and fatigue (OR=2.24, p=.044). The data from the Sleep logs correlated with data obtained from the actigraph. Conclusion: Depression significantly influenced insomnia and sleep quality whereas fatigue only influenced sleep quality. Thus, depression and fatigue should be closely monitored among elderly persons with sleep disturbances.

A Influencing Factors in Korea Adults Stroke (한국인의 뇌졸중에 영향을 미치는 요인)

  • Shin, Seung-Ok;Roh, Eun-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.12
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    • pp.6227-6236
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    • 2013
  • This study examined the health behavior and comorbidity based on a community health survey of stroke patients in 2010. The subjects were 4,449 adults over the age of 19 years, who were diagnosed by doctors and completed a community health questionnaire. The subjects demographic characteristics, health behavior and comorbidity were analyzed. Significant differences in age, education, smoking and alcohol consumption were observed. The influencing factors for comorbidity according to gender included myocardial infarction, diabetes and depression. According to the characteristics of comorbidity of the life cycle, hypertension, myocardial infarction and depression. The influencing factors related to the 19-44 year age group included Ex-smokers, 45-64 year old ex-smokers, diabetes, hyperlipidemia, atopic dermatitis, and the 75 year and over group with diabetes, hyperlipidemia, tuberculosis, and atopic dermatitis. This study suggests that health education and a health policy approach based on the relevance between stroke and comorbidity, and the health behavior according to the life cycle and gender are needed.

Effect of Traditional Balance Training on Balance in Older Adults (전통적 균형훈련이 노인의 균형능력에 미치는 영향)

  • Lee, Seung-Eun;Bae, Sung-Soo;Kim, Soo-Min;Kim, Chul-Yong;Song, Joo-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.1 no.1
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    • pp.77-92
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    • 2006
  • Purpose : This study was to evaluate the effect of traditional balance training on balance in older adults. Methods : The subjects of this study were thirty elderly over 65 years old. Thirty subjects ranging aged from 66 to 85($74.0{\pm}5.83$) completed the study and participated three times a week for 5weeks. Subjects were assessed by utilizing two different balance measure : Static standing balance was measured by balance performance monitor(BPM). Dynamic balance was measured by timed up and go test(TUG). The scale for static standing balance was measured by using frequence(Hz), sway area($mm^2$), sway path(mm), max sway velocity(mm/s), ant/post sway angle($^{\circ}$), left/right sway angle($^{\circ}$), and sway number. Results : The change in frequency were statistically significant on pre-test and post-test(P<.05), 2. The change in sway area were statistically significant on pre-test and post-test (P<.05), 3. The change in sway path were statistically significant on pre-test and post-test(P<.05), 4. The change in max sway velocity were statistically significant on pre-test and post-test (P<.05), 5. The change in ant/post sway angle were statistically significant on pre-test and post-test (P<.05), 6. The change in left/right sway angle were statistically significant on pre-test and post-test(P<.05), 7. The change in sway number were statistically significant on pre-test and post-test(P<.05), 8. The score on timed up and go test shows statistically significant increase on pre-test and post-test (P<.05). Conclusion : This study suggest that traditional balance training have an effect on balance performance ability for elderly people. Therefore, the traditional balance training is recommended for older adults to improve balance performance ability.

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