보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제32권3호
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  • Pages.109-120
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  • 2015
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  • 1229-4128(pISSN)
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  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
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지역사회 재가 노인의 기능장애 위험요인

Risk factors for functional disability among community dwelling elderly

  • 송현종 (상지대학교 의료경영학과)
  • Song, Hyun-jong (Department of Health Policy & Management, Sangji University)
  • 투고 : 2015.07.29
  • 심사 : 2015.09.23
  • 발행 : 2015.09.30
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초록

Objectives: The purpose of this study was to investigate risk factors for chronic ADL, IADL disability. The study explored clinical and socio-demographic risk factors of functional status decline. Methods: Data from the Survey of Living Condition of Elderly 3-year panel study were analyzed. The study subjects were 5,928 community-dwelling people aged 65 years or older who were no disability in ADL and IADL at baseline. Predisposing factors, pathology, impairment, and functional limitations were regarded as risk factors. Logistic regression analysis was used. Results: During the 3-year study period, 3.9% participants developed chronic ADL disability, 9.4% participants were IADL disabled. After controlling for predisposing factor, the best predictors for ADL disability at 36 months were fall as a pathology factor, cognitive decline, disability judgement, lower limb functional limitation. Comorbidity, fall, cognitive decline, disability judgement, lower limb and upper limb functional limitation were risk factors for IADL disability. Conclusions: Health promotion program focusing elderly is essential to prevent ADL and IADL disability. Mobilizing physical activity should be included in health promotion program for elderly.

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