Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Disease and Health Behavior of Low-Weight Elderly Living Alone : Focusing on the Community Health Survey 2014

저체중 독거노인의 질병과 건강행태 : 2014년 지역사회건강조사 자료를 중심으로

  • Kim, Jong-Im (College of Nursing, Chungnam National University) ;
  • Kim, Yu-Mi (Research Institute For medical Sciences, Chungnam National University) ;
  • Nam, Mi-Ra (Department of Nursing, Kunsan College of Nursing) ;
  • Choi, Ji-Yeon (Department of Nursing, Gimcheon University) ;
  • Son, Gi-Yeon (Department of Preventive Medicine, College of Medicine, Konyang University)
  • 김종임 (충남대학교 간호대학) ;
  • 김유미 (충남대학교 의학연구소) ;
  • 남미라 (군산간호대학교 간호학과) ;
  • 최지연 (김천대학교 간호학과) ;
  • 손기연 (건양대학교 의과대학 예방의학교실)
  • Received : 2017.12.20
  • Accepted : 2018.03.09
  • Published : 2018.03.31
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Abstract

This study was conducted to investigate factors affecting low body weight of solitary elderly people by grasping the illness and health behavior of elderly living alone. Using the raw data of the community health survey from 2014, the data of 922 elderly living alone who are 65 years or older were used for the final analysis. Data were analyzed by technical analysis statistics, The Rao Scott $x^2$ test, and logistic regression analysis using the composite analysis module of the SPSS/WIN 22.0 program. The results of this study showed that elderly living alone had a high percentage of chronic diseases as well as poor health behaviors such as smoking, drinking, lack of exercise, poor eating habits, difficulties in dentistry due to dentures, and poor subjective health status. Result of logistic regression analysis the risk probability of low-weight due to gender of the elderly living alone is as follows. Risk of low body weight because of smoking was 3.004 times among occasional smokers in women and the elderly, while risk of low body weight due to walking amount is less than 3 days the possibility that the person walking is low is 1.420 times significantly higher. When feeling subjective stress, the possibility of low body weight was 2.220 times greater for male elderly and 1.282 times for female elderly. The probability of low body weight for a person with a poor subjective health level was 3.633 times for male elderly and 1.590 times for female elderly. Based on the results of this study, it is necessary to establish appropriate nursing intervention and management strategies to improve health behavior of low body weight elderly living alone. It is also necessary to conduct additional studies considering various variables such as physical, psychological, and social characteristics of low-weight elderly individuals.

본 연구는 독거노인의 질병과 건강행태의 파악을 통해 독거노인의 저체중에 영향을 미치는 요인을 규명하기 위한 조사연구이다. 2014년 지역사회건강조사 원시자료를 활용하였으며, 65세 이상 저체중 독거노인 922명의 자료를 최종분석에 사용하였다. 자료의 분석은 SPSS/WIN 22.0 프로그램의 복합표본분석 모듈을 이용하여, 기술통계, Rao Scott $x^2$ test, 로지스틱 회귀분석을 통해 분석하였다. 본 연구의 결과, 독거노인들은 만성질환을 가지고 있는 비율이 높았으며, 흡연, 음주, 운동량 부족, 짜게 먹는 식습관, 틀니사용에 의한 저작 불편, 나쁜 주관적 건강상태와 같은 좋지 않은 건강행태를 가지고 있는 것으로 나타났다. 로지스틱 회귀분석 결과 독거노인의 성별에 따른 저체중 발생 위험확률은 다음과 같다. 흡연으로 인한 저체중 위험도는 여자노인에서 가끔 피우는 경우 3.004배, 걷기량으로 인한 저체중 위험도는 3일미만 걷는 사람이 저체중일 가능성은 1.420배로 유의하게 높았다. 주관적 스트레스를 많이 느끼는 경우 저체중일 가능성은 남자노인에서 2.220배, 여자노인에서 1.282배로 유의하게 높았다. 주관적 건강수준이 나쁜 사람이 저체중일 가능성은 남자노인에서 3.633배, 여자노인에서 1.590배로 유의하게 높았다. 본 연구의 결과를 토대로 저체중 독거노인의 건강행태 개선을 위한 적절한 간호중재의 수립과 관리방안의 마련이 필요하다. 또한, 저체중 독거노인에 대한 신체적, 심리적, 사회적 특성 등의 다양한 변인을 고려한 반복연구가 필요할 것이다.

Keywords

References

  1. Kore Institute for Health and Social Affair, Current status of living alone and policy responses, 2015.
  2. Lee, D. Y., Park, J. D, "A Study on the Factors for the Elderly Living Alone at Home to Determine Their Participation in a Health Promotion Activity Program: With the application of Anderson Model", Social Welfare Policy, vol. 38, no. 4, pp. 1-23, 2011. DOI: https://doi.org/10.15855/swp.2011.38.4.1
  3. Cho, Y. U., Han, C. K, "A Study on the Relationship between Depression and Suicidal Attempt among Elderly Man Living Alone in Permanent Rental Housing: Analyzing Moderating Effect of Social Support", HEALTH AND SOCIAL WELFARE REVIEW, vol. 34, no. 4, pp. 295-320, 2014. DOI: https://doi.org/10.15709/hswr.2014.34.4.295
  4. Woo, J., Leung, J., & Kwok, T, "BMI, body composition, and physical functioning in older adults", Obesity, vol. 15, no. 7, pp. 1886-1894, 2007. DOI: https://doi.org/10.1038/oby.2007.223
  5. Yeom, J., Kim, J. K., & Crimmins, E. M, "Factors associated with body mass index (BMI) among older adults: A comparison study of the U.S., Japan, and Korea. Journal of the Korean", Gerontological Society, 29 no. 4, pp. 1477-1498, 2009.
  6. Bae, N. K., Kwon, I., & Cho, Y. C, "Ten year change of body mass index in Korean: 1997-2007", Journal of Korean Society for the Study of Obesity, vol. 18, no. 1, pp. 24-30, 2009.
  7. Chae, K. H., Won, C. W., Choi, H., & Kim, B. S, "Obesity indices and obesity-related quality of life in adults 65 years and older", Korean Journal of Family Medicine, vol. 31, no. 7, pp. 540-546, 2010. DOI: https://doi.org/10.4082/kjfm.2010.31.7.540
  8. Ferra, A., Bibiloni, D. M., Zapata, M. E., Pich, J., Pons, A., & Tur, J. A, "Body mass index, life-style, and health status in free living elderly people in menorca island", The Journal of Nutrition, Health & Aging, vol. 16, no. 4, pp. 298-305, 2012. DOI: https://doi.org/10.1007/s12603-011-0068-7
  9. Berraho, M., Nejjari, C., Raherison, C., ElAchhab, Y., Tachfouti, N., Serhier, Z., et al, "Body mass index, disability, and 13-year mortality in older French adults", Journal of Aging and Health, vol. 22, no. 1, pp. 68-83, 2010. DOI: https://doi.org/10.1177/0898264309349422
  10. Cho, Y. H, "A study on the related factors and status of body mass index in rural elderly", Journal of the Gerontological Society, vol. 27, no. 4, pp. 897-912, 2007.
  11. Lee, S. G., Jeon, S. Y., & Lee, J. Y, "Factors related with low body weight in older adults at a urban-rural composite area", Journal of the Korean Gerontological Society, vol. 28, no. 1, pp. 105-121, 2008.
  12. Song, Y. S, Bae, N. K, Cho, Y. C, "Age-Related Function(ADL, IADL) and its Related Factors of Eldely People in Korea", Journal of the Korea Academia- Industrial cooperation Society, vol. 16, no. 3, pp. 2002-2011, 2015. https://doi.org/10.5762/KAIS.2015.16.3.2002
  13. Oh, H. J, Ryu, S. Y, "Relationship between of Body Mass Index(BMI) and Depression in the Females Elderly with Arthritis over 65 years old", Journal of the Entertainment Industry Association, vol. 9, no. 1, pp. 175-184, 2015. DOI: https://doi.org/10.21184/jkeia.2015.03.9.1.175
  14. Son, I. H, Han, Y. H, Hyun, T. S, "Changes in weight, waist circumference, prevalence of obesity, and dietary factors associated with weight gain over 8 years in Korea adults: Longitudinal data from the Korean Genome and Epidermiology Study", Journal of Nutrition and Health, vol. 50, no. 4, pp. 336-349, 2017. https://doi.org/10.4163/jnh.2017.50.4.336
  15. Dorner, T. E., Schwarz, F., Kranz, A., Freidl, W., Rieder, A., & Gisinger, C, "Body mass index and the risk of infections in institutionalised geriatric patients", The British Journal of Nutrition, vol. 103, no. 12, pp. 1830-1835, 2010. DOI: https://doi.org/10.1017/S0007114510000152
  16. Nielson, C. M., Marshall, L. M,, Adams, A. L., LeBlanc, E. S., Cawthon, P. M., & Ensrud, K, "BMI and fracture risk in older men: The osteoporotic fractures in men study (MrOS)", Journal of Bone and Mineral Research, vol. 26, no. 3, pp. 496-502, 2011. DOI: https://doi.org/10.1002/jbmr.235
  17. Vermeulen, J., Neyens, J., van Rossum, E., Spreeuwenberg, M., & de Witte, L, "Predicting ADL disability in community-dwelling elderly people using physical frailty indicators: A systematic review", Bio Med Central Geriatrics, vol. 11, no. 1, pp. 33, 2011. DOI: https://doi.org/10.1186/1471-2318-11-33
  18. Kim, J. S., Kim, Y. H., & Yu, J. O, "Factors contributing to low weight in community-dwelling older adults" Journal of Korean Academy of Community Health Nursing, vol. 22, no. 4, pp. 429-437, 2011. DOI: https://doi.org/10.12799/jkachn.2011.22.4.429
  19. Korea Society for the Study of Obesity, "Obesity treatment guidelines", 2014.
  20. Statics Korea, "Future population estimate: 2015-2065", 2016
  21. Hyun, H, S., Lee, I, S, "Body Mass Index(BMD) Related Factors of Community-Dwelling Elders: Comparison between Early and Late Elderly People", Journal of Korean cademy of Community Health Nursing, vol. 24, no. 1, pp. 62-73, 2013. https://doi.org/10.12799/jkachn.2013.24.1.62
  22. Statistics Korea. Korean Statistical information Service[lenternet]. Sep. 2017.From: http://kostat.go.kr.
  23. Ministry for Health, "Welfare and Family Affairs' Health & welfare", Seoul:Ministry for Health, Welfare and Family Affairs Press, 2008.
  24. Kim, T. M., Lee, S. G., & Jeon, S. Y, "The Relations of Social Support to the Health Behaviors and Health Status in the Elderly", Korean Journal of Health Education and Promotion, vol. 2393, pp. 99-119, 2006.
  25. Mineur, Y. S., Abizaid, A., Rao, Y., Salas, R., DiLeone, R. J., Gündisch, D., et al, "Nicotine decreases food intake through activation of POMC neurons", Science, vol. 332, no. 6035, pp. 1330, 2011. DOI: https://doi.org/10.1126/science.1201889
  26. Lee, S. G., Jeon, S. Y., & Lee, J. Y, "Factors Related with Low Body Weight in Older Adults at a Urban-Rural Composite Area", Journal of the Korean Gerontological Society. vol. 28, no. 1, pp. 105-121, 2008.