• Title/Summary/Keyword: gerontology

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Starting Construction of Frailty Cohort for Elderly and Intervention Study

  • Won, Chang Won;Lee, Yunhwan;Choi, Jaekyung;Kim, Ki Woong;Park, Yongsoon;Park, Hyuntae;Oh, In-Hwan;Ga, Hyuk;Kim, Young Sun;Jang, Hak Chul;Korean Frailty Cohort and Intervention Study Group
    • Annals of Geriatric Medicine and Research
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    • v.20 no.3
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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.

Psychological Characteristics of the Aged Dealt with in the "Journal of the Korean Gerontological Society": Historical Review and Future Task (「한국노년학」에서 다룬 노인의 심리적 특성: 역사적 고찰과 미래의 과제)

  • Jung, Taeyun
    • 한국노년학
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    • v.28 no.4
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    • pp.815-829
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    • 2008
  • The purpose of the present study was to review psychological studies which have appeared in the "Journal of the Korean Gerontological Society". All told, 130 psychological papers have published for the last 30 years. Nineteen studies appeared in the 1980's, among which were 14 empirical ones and the remainders were review papers. In the 1990's were 51 papers published, and 49 ones were empirical and the rest of 2 literature review ones. In the 2000's did 56 papers appear, among which 56 ones were empirical and the rest of 4 literature review or theoretical ones. Research topics mainly examined about the aged were about mental health, life satisfaction and leasure, parent care and family relations, developmental change in cognition, and the old age general. After review of research trends for the last three decades, findings on each of research topics were examined. Finally, some limitations on the previous studies and future research directions were mentioned.

Research Trends of Psychology Studies Published in 『Journal of the Korean Gerontological Society』 (『한국노년학(韓國老年學)』의 심리학 분야 연구동향)

  • Jung, Taeyun;Youn, Gahyun
    • 한국노년학
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    • v.38 no.3
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    • pp.767-782
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    • 2018
  • Academic research of the elderly psychology flourishes in an aging society. The basic concern of both psycho-gerontology dealing with psychological processes of aging and geronto-psychology dealing with psychology of the elderly is with the maintenance of high quality of life and well-being. Given this context, the present study examined research trends of 91 depression and suicide studies and 31 aging and successful aging studies, and compared the trends with those identified in studies published within the first 30 years. It was found that a majority of studies are concerned with the direct or mediating effects of depression on suicide and everyday life, risk factors influencing depression, perceptions of aging and factors influencing those perceptions, and successful aging and factors influencing successful aging. Further, the number of studies of these topics is greater than that of studies published within the first 30 years. The findings were discussed in the context of heightening the quality of life of the older adults.

[Retraction]Influencing Factors on Pre-implementation Acceptance of Geron-technology for the Elderly Residing in Community ([논문 철회]지역사회 노인의 제론테크놀로지에 대한 사용 전 수용성에 영향을 미치는 요인)

  • An, Jiwon;Park, Kyongok
    • Journal of Digital Convergence
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    • v.17 no.7
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    • pp.157-165
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    • 2019
  • Geron-technology contributing to successful "Aging in place" increases the quality of life for the elderly and decreases the social caring cost. This study aims to identify influencing factors on pre-implementation acceptance of geron-technology for the elderly residing in a community. Data for 129 participants were analyzed. Results indicated that location, physical function, lack of technical support by family members, and the high financial cost as a 28% power were identified as the influencing factors on pre-implementation acceptance of geron-technology. Therefore, in the development of health and welfare strategy, these influencing factors should be considered in order to archive 'aging in place' for the elderly.

Aging and Families: A Review of a Decade of Research in the Journal of the Korean Gerontological Society (한국 노년가족학 연구의 최근 10년 연구경향과 향후 과제)

  • Han, Gyounghae;Cha, Seung-Eun;Min, Joohong
    • 한국노년학
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    • v.38 no.3
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    • pp.667-683
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    • 2018
  • This study reviews advances in research made during the last decade in studies of aging families in Korea. Specifically, we provide a critical review of the theoretical directions and empirical findings of 87 research articles focused on aging families published in the Journal of the Korean Gerontological Society between 2008 and 2017. Topics and issues covered include: (a) diversity in family structures and households, (b) intergenerational relations, (c) intimate relations, and (d) family problems in later life. We found that while research applying theories and employing advanced methodologies has increased, embracing more diverse theories and ensuring nationally representative panel data from multi-reporters within families will enhance future research in aging and families. The authors conclude that more multidisciplinary and interdisciplinary approaches are needed in the field of family studies and gerontology in Korea.

The Effect of Transition to Living with Chronic Diseases on Depressive Symptoms (만성질환 진단이 노인의 우울수준에 미치는 영향: 주요 5대 만성질환의 초기 진단기를 중심으로)

  • Park, Min Kyoung;Cho, Kyuyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.354-361
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    • 2021
  • This study explored whether the transition to living with a chronic disease changes the level of depression symptoms among middle-aged and older adults in South Korea. We hypothesize that the transition to living with chronic disease leads to a higher level of depressive symptoms. A nationally representative sample (N = 6,284) of adults 45 years and older from the Korean Longitudinal Study of Ageing (KLoSA) was analyzed. Multi-regression modeling was used to examine the association between the diagnosis of chronic disease and the level of depressive symptoms in patients. The findings highlight the need for policy makers, clinicians, as well as patients and their caregivers to become more aware of mental health risks in patients diagnosed with chronic diseases, particularly first-time patients. This study contributes to encouraging greater psychosocial support, including monitoring the level of depressive symptoms of patients who develop chronic conditions and providing appropriate treatments for those at the highest risk.

Differences in Environmental Tobacco Smoke Exposure between Self-reporting and Cotinine Test: The Application of Biomarkers (자가응답과 코티닌 측정에 의한 간접흡연 노출률 비교: 생체지표 활용의 정책적 필요성)

  • Park, Myung-Bae;Sim, Boram
    • Health Policy and Management
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    • v.30 no.4
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    • pp.505-512
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    • 2020
  • Background: In monitoring exposure to environmental smoke (ETS), biomarkers can overcome the subjectivity and inaccuracy of self-reporting measurements, and have the advantage of reflecting ETS exposure in all places. This study aims to evaluate the effectiveness of ETS exposure measurement using biomarkers such as urine cotinine. Methods: This study used the Korea National Health and Nutrition Survey data from 2009 to 2018. A total of 28,574 non-smokers with urine cotinine data were selected for the study. The cotinine concentration and ETS exposure rate using urine cotinine was estimated and then compared with the self-reporting measurements. The degree of agreement among measurements of ETS exposure was confirmed. Results: As a result of measuring ETS exposure with urine cotinine, 23,594 (83.8%) out of 28,574 subjects were classified as to exposure groups. This estimate differs significantly from measurements made by self-reporting. In addition, the average concentration of cotinine in non-smokers has decreased to a 10th level over the past 10 years. Based on the biomarker, the sensitivity of the self-reporting was 8.5%-29.0%, the specificity was 16.4%-19.5%, and the kappa value was 2.0%-5.8%. Conclusion: The findings of our study show that self-reporting measurement does not well reflect the extent to which non-smoker's exposure to smoking materials. Whereas cotinine concentration has decreased significantly over the past 10 years, the ETS exposure rate has not reduced. It strongly suggests the need for intervention in the group of non-smokers exposed to low concentrations of smoke. Therefore, an assessment using biomarkers such as cotinine-based measurement should be made in the Health Plan 2030.

Perceptions of Residents in Relation to Smartphone Applications to Promote Understanding of Radiation Exposure after the Fukushima Accident: A Cross-Sectional Study within and outside Fukushima Prefecture

  • Kuroda, Yujiro;Goto, Jun;Yoshida, Hiroko;Takahashi, Takeshi
    • Journal of Radiation Protection and Research
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    • v.47 no.2
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    • pp.67-76
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    • 2022
  • Background: We conducted a cross-sectional study of residents within and outside Fukushima Prefecture to clarify their perceptions of the need for smartphone applications (apps) for explaining exposure doses. The results will lead to more effective methods for identifying target groups for future app development by researchers and municipalities, which will promote residents' understanding of radiological situations. Materials and Methods: In November 2019, 400 people in Fukushima Prefecture and 400 people outside were surveyed via a web-based questionnaire. In addition to basic characteristics, survey items included concerns about radiation levels and intention to use a smartphone app to keep track of exposure. The analysis was conducted by stratifying responses in each region and then cross-tabulating responses to concerns about radiation levels and intention to use an app by demographic variables. The intention to use an app was analyzed by binomial logistic regression analysis. Text-mining analyses were conducted in KH Coder software. Results and Discussion: Outside Fukushima Prefecture, concerns about the medical exposure of women to radiation exceeded 30%. Within the prefecture, the medical exposure of women, purchasing food products, and consumption of own-grown food were the main concerns. Within the prefecture, having children under the age of 18, the experience of measurement, and having experience of evacuation were significantly related to the intention to use an app. Conclusion: Regional and individual differences were evident. Since respondents differ, it is necessary to develop and promote app use in accordance with their needs and with phases of reconstruction. We expect that a suitable app will not only collect data but also connect local service providers and residents, while protecting personal information.

Knee Joint Isokinetic Rehabilitation Exercise Equipment Usability Evaluation

  • Byoung-Kwon Lee;Seung-Hwa Jung;Hye-Ri Shin;Dong-Wook Han;Chang-Young Kim;Jong-Min Woo;Dae-Sung Park
    • Physical Therapy Rehabilitation Science
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    • v.11 no.4
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    • pp.414-420
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    • 2022
  • Objective: In this study, the test-retest reliability and validity were presented to evaluate the usability of isokinetic rehabilitation equipment for the knee joint. Design: Cross-sectional design, reliability & validity study. Methods: Thirty healthy adults participated in the study. A CSMI dynamometer was used as a standardized measuring device to present the validity of the equipment. It was measured based on the dominant leg. The average peak torque value was selected as the measurement variable. After the measurement, a questionnaire was conducted on safety, satisfaction, and performance through the usability evaluation questionnaire. Results: The knee joint isokinetic rehabilitation equipment showed high reliability with Intraclass Correlations Coefficients (ICC) =0.883~0.956. In order to check the validity of the equipment, the 95% confidence interval of the mean difference limit was confirmed by the Bland & Altman plot. As a result, all three angular velocities showed a smaller confidence interval in the flexion than in extension. There were less than 10 plots that were not included in 2 Standard Deviation (SD) between all measurements. As a result of the usability evaluation questionnaire, the average of the safety domain(4.9±0.4), satisfaction domain(4.1±0.8), performance domain(4.3±0.8). Conclusions: If the product is improved by supplementing the items identified in the usability evaluation process, it is judged that it can be used as a useful device in various knee joint rehabilitation fields.

Effect of exercise on cystatin C as a risk factor for renal failure and hypertension

  • Kwon, Yoo Chan;Park, Sang Kab;Park, Hyun Tae;Kim, Eun Hee;Park, Jin Kee;Jang, Jae Hee
    • Korean Journal of Exercise Nutrition
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    • v.16 no.1
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    • pp.27-33
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    • 2012
  • This study was conducted to investigate the effect of a 24-week combined exercise training program in older women with hypertension. Women with hypertension who were 70 years and older were randomized into two groups: combined exercise group (CE; n = 15) and a control group (n = 15). The CE group performed a combined exercise training program four times per week for 24 weeks and the control group did not. Five factors, including body composition (percent body fat and skeletal muscle mass), health-related physical fitness, adipocytokines (interleukin-6 [IL-6] and tumor necrosis factor-alpha [TNF-α]), kidney risk factors (glomerular filtration rate [GFR] and cystatin C), and systolic and diastolic blood pressure were measured before and after the program. The findings showed that total muscle mass, health-related physical fitness factors, and GFR increased significantly in the CE group compared to those in the control. Additionally, systolic and diastolic blood pressure and IL-6, TNF-α, and cystatin C levels in the CE group decreased significantly after the intervention. In contrast, total muscle mass decreased significantly and blood pressure remained unchanged in the control group. These results suggest that CE training may positively impact circulating levels of adipocytokines and cystatin C and improve physical fitness levels in elderly women with hypertension. Therefore, CE training helps to prevent renal disease and improve health-related physical fitness, eventually leading to a better quality of life.