• Journal of Korean Biological Nursing Science
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• v.13 no.3
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• pp.245-252
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• 2011

Purpose: This study was designed to find the correlations between physical activity and insulin resistance of the middle-aged adults. Methods: One hundred thirty one subjects participated in this study were age 40-60 from Y university's center for physical exercise in W city. The data were collected from August 5 to October 5, 2009. To measure physical activity, the contracted Korean version of the Self-Report of Physical Activity Questionnaires of IPAQ was used. Insulin resistance was measured using fasting glucose levels, serum insulin levels, and HOMA method (serum insulin${\times}$fasting glucose/22.5). Results: The continuous physical activity overall in this study was on average $1,792.30{\pm}2,216.81$ MET (min/week), and as a result of categorical classification: no activity was 66 subjects (50.4%); minimum activity, 41 (31.3%); and health-improving activity, 24 (18.3%), respectively. The overall degree of insulin resistance in these subjects was $2.20{\pm}2.62$(0.28-12.74). There was negative correlation between moderate intensity activity and insulin resistance (r= -.189, p<.05). Conclusion: These results revealed that promoting moderate-intensity physical activity is important in preventing and improving insulin resistance and possibly other metabolic risk factors in the middle-aged adults.

• Korean Journal of Adult Nursing
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• v.21 no.2
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• pp.225-234
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• 2009

Purpose: This study examined family function and self-esteem among young and middle-aged adults with physical disabilities. Methods: The subjects of this study consisted of 116 adults with physical disabilities. Data were collected from 4 Community rehabilitation centers in C area from October to November 2008. All subjects were questioned about family function and self-esteem by the APGAR scale and the Rosenberg Self-esteem Scale. SPSS/WIN 12.0 was used for descriptive analysis, t-test, one-way ANOVA, and Pearson correlation. Results: Subjects had a moderate level of family function (5.31) and self-esteem (28.13). There were significant differences of family function according to age, monthly income, economic status, and disability site. There were significant differences in self-esteem according to age, gender, monthly income, and economic status. The level of family function and income were related to self-esteem. Conclusion: These findings suggest that there is a necessity to improve family function and self-esteem among young and middle-aged adults with physical disabilities. Nursing interventions should take into account the role of family function in promoting self-esteem in people with physical disabilities.

• Journal of Digital Convergence
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• v.18 no.8
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• pp.253-261
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• 2020

The purpose of this study was to investigate the mediation effects of self-esteem on the relationship between meaning in life and resilience in middle-aged adults. The data were collected from May to June 2019 by giving a questionnaire to 148 middle-aged adults between the ages of 45-64 years. The research tools were meaning in life, self-esteem, and resilience. The data were analyzed with descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple linear regression using the SPSS/WIN 21.0 program. The result showed that the difference in resilience relating to general characteristics were significant age, religion, and health. There were significant positive correlations among meaning in life, self-esteem, and resilience. Self-esteem had a mediating effect on the relationship between meaning in life and resilience. Based on the findings of this study, in order to strengthen the resilience of middle-aged adults, it is necessary to develop a program that promotes self-esteem as well as meaning in life. This will help them have a healthy middle age and improve their quality of life.

• Journal of Digital Convergence
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• v.19 no.5
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• pp.69-79
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• 2021

As the government's public services have been digitized, the necessity of research on the use of e-government services by middle and high-aged people has been raised. Thus, this study aims to verify the mediating effect of digital capacity on the relationship between the family structure and use of e-government services of middle and older aged adults. The study analyzed 1,660 middle and elderly individuals from the 2018 Digital Divide Survey conducted by the National Information Society Agency(NIA) using Baron & Kenny(1986)'s method for mediation. The result is as follows: first, the family structure of the middle and older adults has a significant effect on use of e-government services. Second, the effect of the family structure of middle and older aged people on use of e-government services is partially mediated by digital capacity. The result represents that the elderly living with two or three generations have higher use of e-government services than the elderly living alone and married elderly couple. Also the elderly living with two or three generations have higher digital capacity, resulting in higher use of e-government services. Based on the results, The study suggested that the specific plan for each type of family structure to promote the use of e-government services and a plan to improve the digital capacity of middle and older aged adults.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.9
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• pp.141-155
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• 2016

This research is a descriptive study that aimed to identify the health knowledge and optimistic bias related to stroke of middle-aged adults and the effect these had on their health-promoting lifestyle. The research was conducted from July 15 to August 15, 2015. The research subjects were 191 adults aged between 40 to 60 years. A structured questionnaire was used and self-administered for data collection. The PASW Statistics 21.0 and AMOS 21.0 programs were used for data analysis, and analysis of variance, correlation analysis, and structural equation modeling analysis were conducted. It was found that the middle-aged adults recognized smoking and hypertension as higher risk factors for stroke than diabetes, and there was a slight optimistic bias for stroke. Health knowledge about stroke had correlations with optimistic bias (r = -.143, p = .048) and health-promoting lifestyle (r = .268, p = < .001), while optimistic bias had correlations with interpersonal relationships and stress (r = .177, p = .014) in health-promoting lifestyle. In addition, health-promoting lifestyle affected health knowledge more than optimistic bias. In conclusion, it was found that the active information acquisition, health knowledge, and optimistic bias of middle-aged adults toward stroke were important factors pertaining to a stroke-related health-promoting lifestyle. Therefore, an education program to improve the health-promoting lifestyle related to stroke in middle-aged adults should be considered as a way to enhance stroke-related health knowledge and reduce optimistic bias.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.12
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• pp.719-730
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• 2020

This study examined the degree and relations of stroke literacy, health literacy, stroke knowledge, and self-management to identify the significant determining factors affecting stroke prevention among middle-aged and older adults with a high incidence of stroke. Data on the sociodemographic characteristics, stroke literacy, health literacy, stroke knowledge, and self-management of 198 participants were collected from December 5, 2019, to March 31, 2020, using a structured questionnaire. The data were analyzed using the SPSS/WIN 23.0 program. The determining factors affecting self-management in middle-aged and older adults were age (β=.190. p=.015), followed in order by smoking (β=-.226, p=.001), self-rated health status (β=.297, p<.001), and stroke knowledge (β=-.168, p=.014); the explanation power was approximately 20.3%. The results suggest that the self-rated health status and stroke knowledge should be considered when developing nursing interventions to improve self-management among middle-aged and older adults. Furthermore, it will be necessary to find the intervening variable between stroke knowledge and self-management for community-dwelling middle-aged and older adults in the community. Overall, these findings underscore the importance of systematic and ongoing education on stroke prevention.

• The korean journal of orthodontics
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• v.46 no.2
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• pp.81-86
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• 2016

Objective: The aims of this study were to assess the direction and degree of lip-line cant in Korean adult orthodontic patients and to identify the effects of sex and age on changes in the cant severity. Methods: In this cross-sectional retrospective study, lip-line cant was measured in the frontal photographs of 585 Korean patients (92 men and 493 women) aged 18-48 years. The outcome variables (direction and degree of lip-line cant) were assessed in terms of predictor variables (sex, age, sagittal skeletal relationship, and menton deviation angle). Results: The direction of lip-line cant did not differ according to sex, age, or skeletal classification. Patients had $1.6^{\circ}$ of lip-line cant on average before orthodontic treatment. Middle-aged adults displayed a significant trend toward a lower degree of lip-line cant compared to younger adults (p < 0.01). Multiple linear regression analysis showed that the degree of lip-line cant was weakly negatively correlated with age (p < 0.001). Conclusions: While the direction of lip-line cant did not differ according to the parameters explored here, the degree of cant was correlated with age in adults, independent of menton deviation. Specifically, middle-aged adults tended to display significantly lower degrees of lip-line cant than did younger adults.

• Journal of Korean society of Dental Hygiene
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• v.24 no.3
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• pp.253-262
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• 2024

Objectives: This study aimed to identify the factors influencing the relationship between diabetes and oral health in Korean adults. Methods: We analyzed 5,319 adults who were included in the 9th Korea National Health and Nutrition Examination Survey. The data were analyzed for demographic characteristics, daily health care, and oral health care according to diabetic conditions using a complex sample analysis. Multiple logistic regression analysis was performed to analyze the factors influencing the oral health of patients with diabetes. Results: The factors influencing the oral health of patients with diabetes varied according to life cycle. In late middle-aged adults, statistically significant differences were observed in sex (p<0.001), educational level (p=0.030), economic activity (p=0.018), aerobic exercise (p=0.034), smoking (p=0.004), periodontal therapy (p=0.011), and prosthesis production/repair (p=0.025). In younger elderly individuals, statistically significant differences were found in terms of whether they lived together (p=0.027) and educational level (p=0.032). Conversely, no statistically significant differences were observed in the older elderly group. Conclusions: The results of this study showed that the level of oral health of patients with diabetes is already determined in middle and old age; therefore, a system should be prepared to ensure that health care can be systematically performed in late middle-aged adults.

• Journal of Information Technology Applications and Management
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• v.31 no.2
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• pp.1-13
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• 2024

The purpose of this study is to identify the quality of life (QOL) and factors influencing the QOL in middle-aged and elderly cancer patients. Among the 2019 data of the Korea Health Panel, data from 498 adults over the age of 40 who were diagnosed with cancer by doctors were analyzed. As a result of the study, the mean QOL of middle-aged cancer patients was 0.90 (±0.09) and that of elderly cancer patients was 0.86 (±0.12). The QOL of middle-aged cancer patients was significantly higher than that of elderly cancer patients. Factors influencing the QOL of middle-aged cancer patients were subjective health status, anxiety, suicidal ideation, and bedridden status. Factors influencing the QOL of elderly cancer patients were subjective health status, bedridden status, economic activity, education level, regular physical activity, stress, and age. In order to improve the QOL of middle-aged and elderly cancer patients, along with interest in the QOL of middle-aged and elderly cancer patients, it is necessary to develop an age-specific intervention program, such as reducing anxiety and suicidal ideation for middle-aged cancer patients, and improving regular physical activity and reducing stress for elderly cancer patients.

• The Journal of Korean Society for School & Community Health Education
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• v.24 no.3
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• pp.13-22
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• 2023

Objectives: The purpose of this study was to provide baseline data for management policies by exploring the association between alcohol and mental health in menopause and andropause middle-aged Methods: This study used the data from from the 8th National Health and Nutrition Examination Survey (2019-2021). Adults between the ages of 40 and 64 were considered menopause and andropause middle-aged and 7,704 of the total number of 8,549 subjects were selected as the final study subjects without missing data. Mental health was defined as depression diagnosis and suicidal thoughts, and drinking was defined as current drinking and high-risk drinking. SAS 9.4 was used for all statistical analyses. Results: There were significant differences between menopause middle-aged men and women in current drinking (83.4% for men and 66.6% for women) and in high-risk drinking (24.2% for men and 4.9% for women). The significant factors affecting the depression diagnosis were identified as economic activity, income level, and subjective health status for men and economic activity, income level, subjective health status, and smoking for women (p < .05). The significant factors affecting suicidal ideation included economic activity, income level, and subjective health status for men and economic activity, high-risk drinking, current smoking, and subjective health status for women (p < .05). Conclusion: As a result of analyzing the association between alcohol and mental health in menopause and andropause middle-aged adults, Drinking alcohol and high-risk drinking in women were associated with mental health, but insignificantly in men. Based on this study, it is necessary to program development and health education for the physical and mental health of menopausal middle-aged women exposed to alcohol, and to develop menopausal mental health management policies that take into account the gender differences.