• Title/Summary/Keyword: older-elderly

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Elderly Nutrition Improvement Program in the community health center : Nutritional evaluation of the elderly using the Index of Nutritional Quality and food group intake pattern (보건소 노인 영양 개선 사업 : 영양밀도와 섭취 식품군의 다양성에 의한 노인 영양 평가)

  • Im, Gyeong-Suk
    • Journal of the Korean Dietetic Association
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    • v.3 no.2
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    • pp.182-196
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    • 1997
  • Physiological changes that affect nutrient absorption and utilization occur in older adults, and the collection of nutritional information is an important part of examining the nutrition and health issue. A nutritional survey using the 24-hour recall method was performed to identify nutritional quality and leading patterns of food group intake for protein, vitamin C, P and Fe were over 1, whereas those for vitamin A, $B_1$, $B_2$, niacin and Ca were below 1. The MAR(Mean Adequacy Ratio) was relatively low(0.75). The percentage of energy from carbohydrate, protein, and fat was 65.1, 15.6, and 19.5, respectively, thus the quantities of energy source were ideal. The Older subjects revealed poorer nutrition quality than the younger subjects did. The food group intake pattern of the elderly was not diverse, only 9% of them consumed all food groups in a day. These results suggest that nutritional guidelines for older Koreans should focus on the maintenance of adequate energy intake. In addition, selection of foods with high protein and calcium, such as dairy food, should be emphasized, particularly in the older elderly. Nutrition programs should target individuals at risk of not receiving enough nutrients, like the oldest elderly, and persons with lower education.

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A Proposal for the Unit Remodeling Considering the Elderly - Focused on Two Older People Living Alone Independently in Public Rental Housing - (노인의 특성을 반영한 단위세대 리모델링 제안 - 장애정도가 낮고 일상생활이 가능한 임대아파트 거주 독거노인 2인을 대상으로 -)

  • Hong, Yoo-Seok;Je, Hae-Seong;Kwon, Soon-Jung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.13 no.2
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    • pp.19-26
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    • 2007
  • As a result of rapid aging speed in our society, it is necessary to supply a lot of housing for older people in near future. When we think that high portion of residence in rental housing complex composed of small units is the elderly, the housing units in those apartments have to be designed for the physical, mental, social, and economical conditions of elderly people who lives in such a residential complex. Considering these living conditions of the elderly, this study proposes a remodeling prototype of a living unit for older people in rental housing complex. For the research of this topic, various characteristics of the elderly and the environmental requirements for them firstly have been analysed from the literature survey and the interviews with two residents living in a rental apartment. And the design considerations for each space of the housing unit such as entrance, living room, bed room, bath room, and so forth have been explored. Based on the design guidelines above, the remodeling plan of a housing unit for older people has been propose as a result of this study.

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Living Arrangements Affect Nutritional Status of the Elderly

  • Kim, Cho-Il;Lee, Haeng-Shin
    • Journal of Community Nutrition
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    • v.3 no.2
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    • pp.103-109
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    • 2001
  • With a continuous and steep increase in life expectancies, Korean society is expected to enter the aged society by year 2020. And as the number of elderly increases, the burden of medical and health care expenses for them becomes greater in every developed society. Hence, the preventive approach for chronic degenerative diseases remains to be the best solution for the above-mentioned problem and warranting optimal nutrition would be one of the most important approaches. We performed a nutrition survey on 585 older adults of 50 years of age and older, residing in 3 metropolitan areas including Daejun, Daeku and Kwangju. Anthropometry, including body composition analysis based on the bioelectrical impedance analysis using InBody 3.0 and dietary intake survey by semi-quantitative flood frequency questionnaires, were used in collecting data. As one of the most important factors affecting the health and nutritional status of the elderly, we focused on living arrangements. Analyses were performed on the data from 550 subjects only, after excluding statistical outliers. Three hundred and sixty-eight of them(66.9%) were female and the number of elderly(65 years of age and older) was 485. According to the statistical analyses, the female elderly were more vulnerable to malnutrition than the male elderly. And the older they befame, the less adequate they were in nutrient intake. In addition to this, the elderly living alone showed the poorest patterns of nutrient intake and anthropometry. Although the exact effect of living alone could differ among different sex-age groups, the fact that the elderly living alone is vulnerable to malnutrition would remain concrete. This raises the utmost necessity of nutrition intervention to be devised and directed to the targeted population, namely the living-alone elderly from the government level. The intervention may include nutrition education, nutrition counseling and support In forms of meal service by networking the efforts of central as well as local governments to ensure the good health of the Korean elderly.

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The effect of ADL and IADL on the Depression of the Older-elderly - Focusing on the mediating effect of social activity participation and elder abuse - (고령노인의 일상생활기능 저하가 우울에 미치는 영향 -사회활동참여와 노인학대의 매개효과를 중심으로-)

  • Bae, Jin-Hee
    • 한국노년학
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    • v.29 no.1
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    • pp.353-368
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    • 2009
  • The purpose of this study was to investigate the relationship among ALD/IADL, social activity participation, elder abuse and the depression of the older-elderly. It was focused on the mediating effect of social activity participation and elder abuse between ADL/IADL and depression. For these purposes, 603 older-elderly in Chonbuk province were interviewed using structured questionaire. Major finding of this study are as follow : First, the depression level of the older-elderly was very high. Second, ADL/IADL influences the depression directly and indirectly. Third, social activity participation has the mediating effect between ADL/IADL and the depression. Fourth, elder abuse has the mediating effect between ADL/IADL and the depression. Result indicate that lower ADL/IADL, social activities and elder abuse related negatively to depression. On the basis of these results, implications for policy and practice are suggested for prevention the depression of the older-elderly.

A Study on the Establishment and Management of a Library for Older Adults (노인도서관 설립과 운영에 관한 연구)

  • Lim, Seong-Kwan
    • Journal of the Korean Society for Library and Information Science
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    • v.54 no.2
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    • pp.323-348
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    • 2020
  • The purpose of this study is to suggest a plan to establishment and management for a library for old adults. Therefore, the library for old adults defined to the concept of providing a specialized service by providing the necessary material with an elderly user over 65 focus. And presenting the basic direction and specific direction, organizational plan, and ordinance on establishment and management of a library for older adults. In addition, after conducting a semi-structured interview based on a pre-prepared questionnaire targeting 30 elderly people aged 65 or older who had experiences using public libraries, the results were analyzed, and 20 responses indicated that the purpose of using the library was a way to participate in the program as an essential service for the elderly. 12 respondents stated that the purpose of using the library was possibly a necessity for such things as writing autobiographies and reflections of historical events. Lastly, investigating the operational cases of two public libraries that already utilize elderly learning and health information rooms, it was concluded that the operation of the elderly library also needs to reflect the regional differences and characteristics unique to older adults.

Sleep Apnea in Older Adults (노인에서의 수면무호흡)

  • Moon, Hwa-Sik;Lee, Sang-Haak
    • Sleep Medicine and Psychophysiology
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    • v.14 no.1
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    • pp.13-19
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    • 2007
  • Sleep disordered breathing is highly prevalent in the elderly and affects older men and women similarly. Nocturia, cardiovascular diseases, cognitive impairment, traffic accidents and repeated falls are common manifestations of sleep apnea in the elderly and sleep study may be indicated in these patients. When a sleep study is planned, reliable markers of respiratory efforts and a tibial EMG should be included because central sleep apneas and periodic leg movements are common in the elderly patients. Although cardiovascular morbidity and mortality seem to be lower in the elderly than in middle-aged adults, these may not be as low as commonly believed. Excessive daytime sleepiness, cognitive dysfunction and nocturia can be improved by effective treatment with continuous positive airway pressure and a therapeutic trial should be recommended to all symptomatic patients. It is still unclear whether sleep apnea in older adults is a specific entity or the same disease as in younger adults. Further clinical research is warranted.

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A Study on the Behavior Related to Brassieres Purchasing Decision Making of Elderly Women (노년여성의 브래지어 구매의사결정 관련행동에 관한 연구)

  • 박은미
    • Journal of the Korean Home Economics Association
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    • v.35 no.2
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    • pp.65-79
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    • 1997
  • This research is intended for 418 elderly women who reside in Seoul and the National Capital region. the survey and analysis are on the practical behavior related to purchasing decision making of brassieres for elderly women. The purpose of the survey and analysis is to induce contented and rational purchase activity for elderly women; also, to supply the fundamental sources which can support accomplishing scientific and systematic marketing activity to foundation manufacturing business. The main results of this study are as follows; 1. The elderly women tend to decide on purchase of the brassiere subjectively alone than rely on the informants and to listen to sales women's advice more. The younger, more educated and higher income of family, the elderly women tend more to depend on their own subjective sense than others' recommendations and rely on such mass media as TV and magazines for information source. 2) The elderly women tend to purchase their brassieres personally. In particular, the younger, more educated and higher income they tend more to choose their brassieres alone rather than with others. 3) The companions for elderly women's purchase were their daughter, daughter-in-law and friends. The younger, more educated and higher income, they tend more to accompany friends. The older, less educated and lower income, they tend more to be accompanied by their daughter or daughter-in-lay. 4) The elderly women are aware of the trademarks for brassieres. Although most of them know about their brassiere size, the majority of them tend to purchase their brassieres without trying on them. the older, less educated and lower income, they are less aware of trademarks and their brassiere size, and thus are less influential in their purchasing decision making. 5) The places of purchasing on which elderly women rely most for their brassiere are department stores, agent and markets. Other places are private haberdashery's, discount and pension shop. The department stores are most used by the less younger, more educated and higher income, while the markets are most often visited by those older, less educated and lower income, while the markets are most often visited by those older, less educated and lower income. The agent are favored by the medium class old people between two extremes.

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Community Resource Linkage to Revitalize Frailty Prevention Programs for Vulnerable Seniors: Persons Receiving Care from Living Support Workers in the Elderly Customized Care Project (취약계층 노인의 허약예방 프로그램 활성화를 위한 지역사회자원연계 사례: 노인맞춤돌봄서비스 생활지원사의 돌봄대상자)

  • Kim, Sun Jung;Yim, Eun Shil;Jang, Hyun Jin
    • Journal of Korean Academy of Rural Health Nursing
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    • v.19 no.1
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    • pp.66-74
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    • 2024
  • Purpose: This study evaluates the effectiveness of providing frailty prevention services by living support workers through a case of community resource connection centered on living support workers to revitalize frailty prevention programs for vulnerable elderly people. Methods: This is a research study using secondary data from a neighborhood health-sharing project among the integrated health promotion projects of one public health center in Daegu Metropolitan City. To assess frailty effects pre-assessments were conducted in August, and post-assessments were conducted in November. Frailty was measured using a 20-item frailty instrument used in home healthcare projects. Data were analyzed using the chi-square, independent t-test, and paired t-test. Results: Preliminary measurements showed that older elderly had higher frailty scores than younger elderly. However, among the elderly aged 75 or older the total frailty score decreased statistically significantly from 5.97 points to 5.30 points (t=3.03, p=.003). Conclusion: The older elderly showed greater effect of frailty prevention than the younger elderly.

Nutrition Education for the Elderly in the US

  • Reicks, Marla
    • Journal of Community Nutrition
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    • v.4 no.1
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    • pp.51-58
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    • 2002
  • Eating behavior change as a result of nutrition education interventions as secondary prevention strategies can contribute to an increase in life expectancy and better health for older adults in the United States (U.S.). Many of the chronic conditions prevalent in older adults are modifiable by dietary changes, including heart disease, diabetes mellitus, hypertension, obesity and osteoporosis. Important demographic observations in the U.S. including the projected large increase in number of older adults by 2030 have implications for nutrition education focus and services. A comprehensive review of nutrition education interventions for older adults in the U.S. published in 1995 identified elements from adult education theories that contribute to the effectiveness of nutrition education. These elements have been the focus of more recent studies with older adults providing additional evidence for relationships between concepts from commonly used behavior change theories and dietary patterns or change. In the U.S, an important program contributing to nutritional adequacy of the diet for older adults is the Elderly Nutrition Program which provides resources for congregate dining and includes a mandatory nutrition education component. Nutrition education is also provided through clinic based programs, and print and broadcast media. Application of the Transtheoretical Model has shown that the level of interest or motivation to comply with dietary guidance may be greater for some older adults due to an increasing burden of chronic disease and poorer quality of life, while others may not feel a need to change lifestyle habits.

Factors Related to Death Preparedness among Community-dwelling Older Adults in Korea: Using Korean National Survey on Elderly 2014 (지역사회 노인의 죽음준비에 영향을 미치는 요인: 2014년도 노인실태조사를 중심으로)

  • Kim, Hyang;Yoon, Ju Young
    • Journal of Home Health Care Nursing
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    • v.24 no.3
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    • pp.264-274
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    • 2017
  • Purpose: This study examined the current state of death preparedness and factors related to the death preparedness among community-dwelling older adults in Korea. Methods: A total of 6,879 older adults' data, selected from the Korean National Survey on the Elderly 2014 data, were analyzed. The criteria for selection were responding to the questionnaires directly and normal cognitive function. Stratified sampling logistic regression analysis was conducted on the compiled data. Results: It was seen that 37.3% of older adults were prepared for death; specifically, 28.6% had arranged for resting places, 10.7% had purchased burial clothes, 6.8% had subscribed to mutual aid societies, 0.7% participated in death education, and 0.6% had signed a will. The results of logistic regression indicated that the older adults who were females, older age, religious, highly educated, more satisfied with their economic status, living in rural areas, and participating in more social activities were more likely to prepare for their deaths compared to their counterparts. Conclusion: Education programs that prepare for death need to target marginalized groups in the community, such as male older adults and whose participation in social activities or satisfaction with their economic status are relatively low.