• Title/Summary/Keyword: the elderly(85+)

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Effect of nutrient intake and dietary diversity score on osteoporosis of middle-aged adults and elderly based on 2015-2017 Korean National Health and Nutrition Examination Survey data (2015-2017년 국민건강영양조사 자료를 활용하여 영양소 섭취와 식이다양성이 중년 이후 성인과 노인의 골다공증에 미치는 영향)

  • Kwon, Sehyug;Lee, Jung Sug
    • Journal of Nutrition and Health
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    • v.53 no.2
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    • pp.155-174
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    • 2020
  • Purpose: The purpose of this study was to investigate the effects of nutrient intake and dietary diversity score (DDS) on osteoporosis after controlling for sex, age, socioeconomic level, drinking, smoking, physical activity, and body mass index (BMI) as mediators using the 2015-2017 Korean National Health and Nutrition Examination Survey (KNHANES) data. Methods: This study was focused on the age group of 50s and older by using the 2015-2017 KNHANES data. Subjects diagnosed with osteoporosis were classified as the osteoporosis group, and the other subjects were classified as the normal group. Logistic regression was used to assess the association between nutrient intake and DDS after controlling for mediators. Results: The risk of osteoporosis was 2.38 times lower in the 50-65 age group than in the 75 years and older group. The mediators affecting the incidence of osteoporosis by age group were sex, age, household income level, and education level in the 50-64 age group; sex, education level, drinking, and BMI in the 65-74 age group; and sex, age, current smoking, drinking, BMI, and energy intake in the 75 years and older group. The effect of nutrient intake on osteoporosis, with the exception of vitamin B1, was fully mediated by these mediators. The effect of vitamin B1 was partially mediated by mediators in the age group of 65-74 years, and vitamin B1 was effective for preventing the risk of osteoporosis by 25% when consumed over EAR. The effect of DDS was partially mediated in the age group of 75 years and older, and DDS of 2 or less increased the risk of osteoporosis by 2.59 times. Conclusion: As a result of this study, it is necessary to recommend the balanced intake of various foods including grains, meat·fish·legumes, vegetables, fruits, and dairy products as dietary guidelines for the prevention of osteoporosis and promotion of bone health in the elderly.

The Financial Stability of Before-and-after Retirement -Expectation and Support for the Quality of the Elderly Life- (은퇴 전후 세대 재정안정성 -노년기 삶의 수준에 대한 기대와 지원-)

  • Kim, Eunyoung
    • Korean Journal of Social Welfare
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    • v.66 no.1
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    • pp.61-85
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    • 2014
  • Lately, as the problem of the aged poverty becomes a big social issue, this paper studies the problem of financial stability with respect to the income and consumption of before-and-after retirement generations. After dividing the data in Korean Longitudinal Study of Ageing(KLoSA) into retired and non-retired groups, this study compares the difference among ageing groups by cross analysis and t-test. First, the result tells that the total personal income of retired group is lower than the one of non-retired group. Second, the public pension income benefit ratio of retired group is only 30% of it's total income, and the amount of public pension appears to be 40% of the total pension income. The benefit ratio of the personal pension income is low as about 1% in both groups, The private transfer income of the retired group takes relatively large portion in its total personal income. Third, as people gets older, financial stability gets worse because consumption does not decrease as much as the income decreases. Fourth, it is turned out that the expectation of old life supporting from nation is low in both groups. Fifth, the factors that affects the income of the public pension in the retired group are gender, age, education, and health status, when compared with the factors to the personal total income of the non-retired group. In terms of policy, this paper emphasizes the needs of the intensification of the public pension and the support for the revitalization of the personal pension.

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The Effect of Follow-up Nutrition Intervention Programs Applied Aged Group of High Risk Undernutrition in Rural Area( I ) (영양위험 농촌노인집단에 적용한 영양중재 프로그램의 추후관리 효과( I ))

  • Park, Phil-Sook;Chun, Byung-Yeol;Jeong, Gu-Beom;Huh, Churl-Hyoi;Joo, Soon-Jae;Park, Mi-Yeon
    • Journal of the Korean Society of Food Culture
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    • v.22 no.1
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    • pp.127-139
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    • 2007
  • This research was peformed to investigate the anthropometric data, blood profiles, and nutrient intakes of elderly persons living in a rural area. The subjects were 67 undernourished people who participated in follow-up nutrition intervention programs for9 weeks. Anthropometric data showed that the mean heights and weights in the management group were 157.6 cm and 59.1 kg, respectively, for the males and 152.6 cm and 51.0 kg, respectively, for the females. The mean BMIs of the management group were 23.8 kg/m$^2$ in the males and 22.4 kg/m$^2$ in the females. The total cholesterol, HDL-cholesterol, and albumin levels of the subjects were 181.7-191.4mg/dL, 48.3-53.0mg/dL, and 3.85-4.00g/dL, respectively. Energy, ash, P, Na, vitamin B$_1$, vitamin B$_2$, vitamin B$_6$, and niacin increased significantly after intervention for the management group. The mINQ, however, did not significantly increase after intervention. Also after intervention, there was no significant difference in mINQ between the management group and the comparison group. MAR (14) in the management group was significantly increased from 0.62${\pm}$0.2 before intervention to 0.68${\pm}$0.2 after intervention (p=0.022), and it was significantly different between the management group and the comparison group (p=0.017). MAR (8) in the management group was not significantly different (p=0.915) before and after intervention. However, MAR (8) between the management group and the comparison group did show a significant difference (p=0.031). MAR (3) in the management group was significantly increased from 0.48${\pm}$0.2 before intervention to 0.55${\pm}$0.2 after intervention (p=0.045), however, MAR (3) was not significantly different between the management group and the comparison group (p=0.093). For the probability of nutrient insufficiency, in the management group the probability of nutrient values below the EAR (except for Fe) decreased after intervention compared to before intervention. On the other hand, the probabilities of values above the RI, or EAR${\sim}$RI, were increased

Design of the Power Assist Controller for the In-Wheel Type Smart Wheelchair (인휠형 스마트 휠체어를 위한 힘 보조 제어기 설계)

  • Kong, Jung-Shik;Baek, Seung-Yub
    • Journal of the Korean Institute of Intelligent Systems
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    • v.21 no.1
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    • pp.80-85
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    • 2011
  • This paper presents the design of the power-assisted controller for the in-wheel type smart wheelchair by using torque estimation that is predicted by relationship between input voltage and output wheel angular velocity. Nowadays, interest of the moving assistant aids is increased according to the increase in population of the elderly and the handicapped person. However some of the moving assistant aids have problems. For example, manual wheelchair has difficulty moving at the slope, because users lack the muscular strength of their arm. In electric wheelchair case, users should be weak by being decreased muscles of upper body. To overcome these problems, power-assisted electric wheelchair are proposed. Most of the power-assisted electric wheelchair have the special rims that can measure the user's power. In here, the rims have to be designed to install the sensors to measure user's power. In this paper, we don't design the rim to measure the man power. To predict the man power, we propose a control algorithm of the in-wheeled electric wheelchair by using torque estimation from the wheel. First, we measure the wheel velocity and voltage at the in-wheel electric wheelchair. And then we extract driving will forces by using proposed mathematical model. Also they are applied at the controller as the control input, we verify to be able to control in-wheel type smart wheelchair by using simulation.

Qualitative Analysis of Food and Nutrition Informations offered in Television Programs(year 2002-2003) -Newscastings, Health Information Programs and Dramas (지상파 TV 방송프로그램에 나타난 식품영양정보의 질적 분석(2002-2003년) - 뉴스, 건강정보 프로그램, 드라마)

  • Mun, Hyeon-Gyeong;Jang, Yeong-Ju
    • Journal of the Korean Dietetic Association
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    • v.11 no.1
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    • pp.67-85
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    • 2005
  • The study aimed to perform the qualitative analysis of food and nutrition informations offered in TV program by monitoring newscastings, health-related programs giving food and nutrition information, dramas for family, education programs for children, and information programs for elderly in major TV broadcasting station(KBS, MBC, SBS, EBS). In this study, statistical analysis were done for numbers of information items related to health or food and nutrition informations. Duration of program the main, subject, sources, evaluation criteria of the contents. Results of qualitative monitoring for TV program are as follows. For health-related informations major propotions of subjects for the newscastings were about diseases. Those for health information programs were about foods. Those for children-education programs were about groceries. Those for seniors’ information programs were about eating habits. The analysis of food and nutrition information sources for most of programs were interviews with specialist and normal person, and on-the-spot-investingations. For food and nutrition informations those were evaluated as inappropriate, the propotion of news was increased to 72.2% in 2003 from 49.3% in 2002. For health information programs, it was increased to 67.7% in 2003 from 54.0% in 2002. But, in drama the propotion of inappropriate scenes were decreased to 16.2% in 2003 from 63.2% in 2002. In children-education programs, it was 40.0%. In seniors’ information programs, it was 17.9% in 2002. The propotion of cases that the quantity of foods is inappropriate in the food scene of serial drama, decreased to 15.8% in 2003 from 28.6% in 2002. The rate of drinking scenes increased to 11.5% from 10.7%. The rate of smoking scenes decreased to 0.2% from 1.6% due to the broadcasting self-regulation of smoking scenes in dramas. In the newscatings and information programs, reasons of being evaluated as inappropriate was that they didn’t have any practical suggestions and proper intakes. There were also insufficient explanation for technical terminology, different comparison standard of nutritive value, and exaggeration for physiological effect of food. The drama contained a lot of unnecessary scenes of alcohol drinking, coffee drinking, midnight meal, and had more quantity of foods than the quantity needed for persons to the scene. As the result of this study, the rate of food and nutrition information were high, but the rate of information which was evaluate as appropriate was not sufficient. There are need to improve contents of information and to moniter the contents for consumer.

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A Study on Clinical Characteristics of Patients with Mild Cognitive Impairment at Convalescent Hospitals (요양병원에 내원한 경도인지장애환자의 진료특성에 관한 연구)

  • Kim, Youn-Jeong;Kim, Doo Ree;Kim, Kwang-Hwan
    • Journal of the Korea Convergence Society
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    • v.9 no.8
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    • pp.77-85
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    • 2018
  • Dementia among the diseases occurring in the old age is recognized as a disease to be solved at the national level and systematic management is being carried out. However, the awareness and response of the mild cognitive disorder, which is the middle stage of normal aging and dementia, are insufficient and social costs are increasing every year. The subjects of the study were 303 hospitalized patients whose primary diagnosis was mild cognitive impairment (F067) in a nursing hospital located in one district in 2016. The number of days of hospitalization was shorter in autumn and longer in winter or in hospital discharge. The cost of treatment for patients with mild cognitive impairment is lower in autumn and higher in winter or in 'discharge' of medical treatment results. The total cost of medical treatment was high in the winter by season in the ADL 6-12 and ADL 13-20 groups. Difference in the cost of medical treatment according to the characteristics of medical treatment, the medical expenses were the highest when the number of corporal disease was 5 ~ 8. In the medical treatment results, the ADL 6-12 point group and the ADL 13-20 point group had high medical expenses in 'continue'. Considering the clinical characteristics of mild cognitive impairment and considering that 10-15% of the patients with mild cognitive impairment progress to dementia every year, early detection and treatment of mild cognitive impairment is an effective and potentially important task for reducing potential social and dementia patients.

Clinical Finding of MDR Tuberculosis and Frequency of MOTT (다제내성결핵의 임상적 특성과 비결핵항산균증의 빈도)

  • Bae, Mi-Hee;Kim, Hwa-Jung;Kwon, Eun-Soo;Kim, Cheol-Min;Kim, Cheon-Tae;Song, Sun-Dae
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.6
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    • pp.1123-1142
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    • 1998
  • Background : The frequency of MOTT has risen as the prevalence of tuberculosis has been declining. Our country has been also. The most of MOTT was resistant to the major anti-tuberculous drugs. Method : To compare clinical characteristics and frequencies of MDR tuberculosis with MOTT, the author studied 65 patients showing AFB culture positive with sputum. The data were collected from 176 patients who had been admitted at the National Masan Tuberculosis Hospital from May to June, 1997 to April, 1998. Result : The frequency of MDR tuberculosis was 43.1% and that of MOTT was 9.2%. Among 65 isolated mycobacteria, 3 cases were M. intracellulare. 2 cases were M. fortuitum, and 1 case was unidentified MOTT. The most frequent age group in 65 culture positive patients was 4th decade and the mean age was 44. The mean age was 61 in MOTT and 42 in M. tuberculosis and had significant difference(p<0.01). The numbers with past history of treatment were 2.3 in MDR tuberculosis and 1.7 in non-MDR tuberculosis and had significant difference(p<0.05). At the time of admission, the most frequent regimen for the treatment of MDR tuberculosis was 24 months regimen(85.7%) with the 2nd line anti-tuberculosis drugs. For non-MDR tuberculosis, 9 or 12 months regimen (72.9%) with the 1st line anti-tuberculosis drugs and had significant difference (p<0.01). At the time of admission, the symptom of weight loss was shown in 84.7% of M. tuberculosis and 50.0% in MOTT and there was significant difference(p<0.05) between them. All of the MOTT were identified to be resistant against INH and PAS. Drug resistance rates to INH, OFX(p<0.01) and PAS(p<0.05) in MOTT were higher than in MDR. All of three M. intracellulare strains were resistant to INH, RFP, PAS and OFX. All of two M. fortuitum strains were resistant to most anti-tuberculosis drugs. And the other MOTT was resistant to INH, EMB and PAS. Conclusion : MOTT was more common in elderly patients than M. tuberculosis. MOTT cases should be considered to be the probability of multiple drug resistance and treatment failure during the 1st treatment because they showed more resistance to anti-tuberculosis drugs than M. tuberculosis cases. Therefore, there should be more careful investigations for clinical characteristics, natural history of disease, and efficient management for MOTT.

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A Study of Influences Transportation Welfare Facilities on the Mobility Handicapped: Focusing on the Factors of Characteristics Public Transit (교통복지시설이 교통약자에 미치는 영향: 대중교통특성 요소를 중심으로)

  • Eun-Yeol, Oh;Jun-Ok, Shin
    • Journal of Industrial Convergence
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    • v.20 no.11
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    • pp.85-93
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    • 2022
  • As of the end of 2019, the total population nationwide was 51,849,861, and over the past five years, the population per household has decreased by 1.52% annually from 2.45 in 2015 to 2.31 in 2019. Looking at the current status of population distribution by age group, Busan metropolitan city had the highest proportion of senior citizens aged 65 or older at 18.2%, and Sejong Special Self-Governing city had the lowest at 9.4%. In particular, as of 2019, the population of the mobility handicapped was 15,219,000 nationwide, showing a ratio of about 29.4% of the total population. Therefore, it is important to secure the right to move according to the mobile facilities so that the mobility handicapped can move safely and conveniently. Against this background, this study places value on transportation welfare facilities centered on the mobility handicapped for safe and convenient movement, and in particular, in proposing measures to cope with the entry of an aging society and the continuous increase of the mobility handicapped, the transportation facilities, The purpose of this study is to analyze the impact of welfare facilities on the mobility handicapped and suggest implications. As a research method, the results of statistical analysis methods were presented through major preceding studies and expert surveys.

An Exploratory Study on the Children for Poverty Housing (아동 주거빈곤 정책 마련을 위한 탐색적 연구)

  • Ko, Ju-Ae
    • Land and Housing Review
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    • v.7 no.2
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    • pp.77-85
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    • 2016
  • The government has switched the purpose of housing policy, from the 'housing supply' to 'housing welfare', with the Housing Laws established in 2015 under evaluation that resident stability and resident standard were improved. But, as 'affordable' housing is gradually decreasing, residential environment has become more poor. Residential environment is a basic element for the child safety, health, and better education. This study explored that the poor resident environment had effect on the child, figured out the situation on housing poverty of domestic child and searched the situation of the residential policy of domestic and foreign child. The main results are as follows. First, the poor resident environment of childhood has a bad effect on the physical health, mental health, academic achievement and cognitive development. Second, 1.29 million children (11.9%) are living in condition of housing poverty below minimum resident standard and are concentrated in certain areas. Third, the policy on housing poverty of domestic child is almost absent and focuses on the elderly, young people. this study discussed political and practical solutions based on these research results. On the basis of these research results, as policy suggestions we proposed housing policy making based on the UN Convention on the Rights of the Child, evidence-based housing policy enforcement and, residential policy suggestions under the responsibility of central government, and as practical suggestions community working as the subject and related agency's solidarity from prevention activity of housing poverty and child advocacy point and we discussed way for issue and analyzed related laws, policies, commitments.

An Analysis on the Anti-poverty Effectiveness of Public and Private Income Transfers; After the Enactment of National Basic Livelihood Security Act (공적 이전과 사적 이전의 빈곤 감소 효과 분석 : 기초생활보장제도 도입 이후를 중심으로)

  • Hong, Kyung-Zoon
    • Korean Journal of Social Welfare
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    • v.50
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    • pp.61-85
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    • 2002
  • Using the 2001 Family Income and Expenditure Survey micro-data, this study analyses the anti-poverty effectiveness of public and private income transfers. In this study, the anti-poverty effectiveness of income transfers is summarized in two ways; 1) the poverty reduction effect of the income transfers, and 2) the poverty reduction efficiency of the income transfers. The poverty reduction effects are measured with several poverty indices including the head-count ratio, poverty gap, and Sen index. Using Beckerman's model, this study also analyses the poverty reduction efficiency of income transfers. This analysis documents substantial differences in the anti-poverty effectiveness of public and private income transfers. Although the private income transfers contribute more to reduce the head-count poverty ratio and Sen index than public income transfers, their differences are significantly reduced after the enactment of National Basic Livelihood Security Act. The results also reveal that the anti-poverty effectiveness of public and private income transfers vary by the types of families. In families headed by elderly and working aged, private income transfers have more anti-poverty effectiveness. But, public income transfers contribute more to reduce poverty than private income transfers among families headed by single adults with children. The results of this study suggest that recent changes in anti-poverty policies in Korea have been strengthened the Government's responsibility. And more importantly, to effectively reduce poverty among the poor families, anti-poverty polices must be designed to consider different family types.

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