Journal of Society of Occupational Therapy for the Aged and Dementia (고령자･치매작업치료학회지)

Society of Occupational Therapy for the Aged and Dementia (고령자치매작업치료학회)
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An investigation of grip strength, anthropometric parameters, depression, quality of life in elders : Using Korea national health and nutrition examination survey (2016)

노인의 장악력 및 신체계측인자, 우울, 삶의 질에 관한 연구 : 2016년 국민건강영양조사를 이용하여

  • Kang, So-La (Dept. of Occupational Therapy, Incheonsarang Medical Center) ;
  • Kim, Ye-Soon (Dept. of Healthcare and Pubic Health Research, National Rehabilitation Research Institute, National Rehabilitation Center) ;
  • Moon, Jong-Hoon (Dept. of Healthcare and Pubic Health Research, National Rehabilitation Research Institute, National Rehabilitation Center)
  • 강소라 (인천사랑병원 재활의학과 작업치료실) ;
  • 김예순 (국립재활원 재활연구소 건강보건연구과) ;
  • 문종훈 (국립재활원 재활연구소 건강보건연구과)
  • Received : 2018.07.30
  • Accepted : 2018.11.29
  • Published : 2018.12.30

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Abstract

Objective : The aim of current investigation was to standardize the grip strength of elders and to examine the correlation between grip strength, anthropometric parameters, depression and quality of life. Method : The researchers used Korea national health and nutrition examination surveys (2016) for analysis and analyzed the data of 919 elders who had completed the screening test among right-handed elderly without activity limitation. The researchers classified the age of the elders as 65~69, 70~74, 75~79, and 80 years old for standardization of grip strength. Anthropometric parameters are height, weight, body mass index, and waist circumference. Depression was measured by PHQ-9(Patient Health Questionnaire-9) and quality of life was assessed by EQ-5D. Result : The ratio of right handedness of the elderly was 87.8%, left handed 4.9%, and both handles 5.7%. In the standardization and correlation analysis, the grip strength decreased with age (p<.01, r=-.308~-.305). The grip strength showed a strong correlation with height (p<.001, r=.747~.741). There was a significant correlation between depression (p<.01, r=-.172~-.163) and quality of life (p<.01, r=.285~.267). Conclusion : The findings of this investigation suggest that height, depression, and quality of life need to be considered when assessing the level of grip strength in the elderly.

목적 본 연구는 노인의 장악력을 표준화하고 장악력, 신체계측인자, 우울, 삶의 질 사이에 상관관계를 알아보고자 하였다. 연구방법 연구자는 2016년 국민건강영양조사를 분석에 이용하였으며, 활동제한이 없는 오른손잡이 노인 중 장악력 검사를 완료한 919명의 자료를 분석하였다. 노인 전체, 남성, 여성의 장악력을 65세~69세, 70세~74세, 75세~79세, 80세 이상으로 구분하여 장악력을 표준화하였다. 신체계측인자에는 키. 몸무게, 체질량지수, 허리둘레가 포함되었다. 우울은 PHQ-9로 측정되었고, 삶의 질은 EQ-5D로 평가되었다. 연구결과 노인의 오른손잡이의 비율은 87.8%, 왼손잡이 4.9%, 양손잡이 5.7%로 나타났다. 표준화 결과 및 상관분석에서, 남녀노인 모두 나이가 증가함에 따라 장악력이 감소하였다(p<.01, r=-.308~-.305). 장악력은 키와 가장 높은 상관성을 나타냈다(p<.01, r=.747~.741). 장악력은 우울(p<.01, r=-.172~-.163)과 삶의 질(p<.01, r=.285~.267) 사이에 유의한 상관이 있었다. 결론 본 연구의 결과는 노인의 연령별 장악력 수준을 고려할 때, 키, 우울, 삶의 질에 따라 장악력의 차이가 나타날 수 있음을 고려할 필요가 있음을 시사한다.

Keywords

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