DOI QR코드

DOI QR Code

독거노인의 연령에 따른 일상생활, 건강 수준 및 영양 관련 특성 비교: 2020년 노인실태조사 자료를 중심으로

Comparison of Daily Living Activities, Health Status and Nutritional-Related Characteristics of Older Adults Living Alone by Age: Based on Data from the 2020 National Survey of Living Conditions and Welfare Needs of Older Koreans

  • Kim, Eunjung (Department of Nursing, Seoul National University Hospital) ;
  • Seol, Eun-Mi (Department of Nursing, Seoul National University Hospital)
  • 투고 : 2024.10.11
  • 심사 : 2024.11.05
  • 발행 : 2024.11.30

초록

Purpose: This study evaluates activities of daily living activities, health status, and nutritional-related characteristics of older adults living alone by age. Methods: This study analyzed data from aged 65 or older who participated in the National Survey of Living Conditions and Welfare. Data were collected on the following factors: demographic characteristics, comorbidities, body mass index (BMI), need for assistance with activities of daily living, exercise, subjective health status, Mini-Mental State Examination for Dementia Screening (MMSE-DS), and short form of Geriatric Depression Scale (SGDS-K). The definition of malnutrition is BMI <18.5 kg/m2 . Results: A total of 3,136 participants were included, with 1,488 classified as younger older adults and 1,648 classified as older older adults. The prevalence of hypertension, difficulties in daily living, need for daily living assistance, MMSE-DS, and SGDS-K scores were significantly higher in the older older adults than in the younger older adults. Both groups had low levels of participation in education and use of community centers or welfare centers. The distribution of cognitive function decline and depression was high in the malnourished group. Furthermore, the malnourished group without cognitive decline or depression had higher monthly income, exercise performance, and use of electronic device. Conclusion: Older adults who live alone suffer from poor health behaviors, activities of daily living, and nutritional status, and the older adults are even more vulnerable. Therefore, monitoring of older adults living alone with poor living conditions is necessary, and intensive efforts are needed to improve their health and functional status.

키워드

참고문헌

  1. Statistics Korea. Population projections for Korea (2060~2072) [Internet]. Daejeon: Statistics Korea [cited 2023 December 14]. Available from: https://kosis.kr/search/search.do?query=%EB%85%B8%EC%9D%B8%EC%9D%B8%EA%B5%AC
  2. Kojima G, Taniguchi Y, Kitamura A, Fujiwara Y. Is living alone a risk factor of frailty? A systematic review and meta-analysis. Aging Research Reviews. 2020;59:101048. https://doi.org/10.1016/j.arr.2020.101048
  3. Jung KH. Facts on elderly living alone and coping strategies. Health・ Welfare Issue & Focus. 2015;300(2015-32):1-8.
  4. Scherr PA, Albert MS, Funkenstein HH, Cook NR, Hennekens CH, Branch LG, et al. Correlates of cognitive function in an elderly community population. American Journal of Epidemiology. 1988;128(5):1084-101.
  5. Wattmo C, Londos E, Minthon L. Solitary living in Alzheimer's disease over 3 years: Association between cognitive and functional impairment and community-based services. Clinical Interventions in Aging. 2014;9: 1951-62. https://doi.org/10.2147.CIA.S71709 https://doi.org/10.2147.CIA.S71709
  6. Kim IS, Chung YK, Han SE. A study on health-care for the solitude elderly people. Chung-Ang Journal of Nursing. 1998;2(2):37-59.
  7. Olin AO, Koochek A, Ljungqvist O, Cederholm T. Nutritional status, well-being and functional ability in frail elderly service flat residents. European Journal of Clinical Nutrition. 2005;59(2):263-70. https://doi.org/10.1038/sj.ejcn.1602067
  8. Ahmed T, Haboubi N. Assessment and management of nutrition in older people and its importance to health. Clinical Interventions in Aging. 2010;5:207-16.
  9. Lee YM, Kim SH, Kim YS, Kim EM, Kim JY, Keum MA, et al. Nutritional status of Korean hospitalized patients: A multi-center preliminary survey. Journal of Clinical Nutrition. 2014;6(2):71-8. https://doi.org/10.15747/jcn.2014.6.2.71
  10. Norman K, Pichard C, Lochs H, Pirlich M. Prognostic impact of diseaserelated malnutrition. Clinical Nutrition. 2008;27(1):5-15. https://doi.org/10.1016/j.clnu.2007.10.007
  11. Lee HJ, Kim JT, Lee BK. Effects of a nutrition support team with parenteral nutrition on gastrointestinal cancer patients who underwent surgery. Journal of Clinical Nutrition. 2014;6(2):79-86.
  12. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157-63. https://doi.org/10.1016/S0140-6736(03)15268-3
  13. Ministry of Health and Welfare. 2017 The Korean elderly survey [Internet]. Sejong: Ministry of Health and Welfare; 2018 [cited 2018 May 30]. Available from: https://repository.kihasa.re.kr/handle/201002/29728
  14. Oh JH, Jung B. Comparison analysis of dietary behavior and nutrient intakes of the elderly according to their family status: Korea National Health and Nutrition Examination Survey 2013-2016. The Korean Society of Community Nutrition. 2019;24(4):309-20. https://doi.org/10.5720/kjcn.2019.24.4.309
  15. Lee SM, Kim SH, Kim Y, Kim E, Baek HJ, Lee S, et al. Nutritional support in the intensive care unit of 6 Korean tertiary teaching hospitals: A national multicenter observational study. Korean Journal of Critical Care Medicine. 2012;27(3):157-64. https://doi.org/10.4266/kjccm.2012.27.3.157
  16. Li CL, Tung HJ, Yeh MC. Combined effect of eating alone and a poor nutritional status on cognitive decline among older adults in Taiwan. Asia Pacific Journal of Clinical Nutrition. 2018;27(3):686-94. https://doi.org/10.6133/apjcn.092017.05
  17. Jeon J. Effects of nutrient intake status on cognitive functioning among older adults living alone: The mediating effects of depression. Korean Journal of Gerontological Social Welfare. 2023;78(3):37-58. https://doi.org/10.21194/kjgsw.78.3.202309.37
  18. Lee YH, Hong GR. Factors influencing cognitive decline in living alone by the residence characteristics: A longitudinal study. Journal of Korean Gerontological Nursing 2023;25(2):141-51. https://doi.org/10.17079/jkgn.2303.31001
  19. Fukunaga R, Abe Y, Nakagawa Y, Koyama A, Fujise N, Ikeda M. Living alone is associated with depression among the elderly in a rural community in Japan. Psychogeriatrics. 2012;12(3):179-85.
  20. Kim TH, Jhoo JH, Park JH, Kim JL, Ryu SH, Moon SW, et al. Korean version of mini mental status examination for dementia screening and its' short form. Psychiatry Investigation. 2010;7(2):102-8.
  21. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research. 1982;17(1):37-49.
  22. Lee JH. The relationship of depression, self-esteem and health-promoting behaviors in the elderly women who live alone. Korean Academy of Psychiatric and Mental Health Nursing. 2005;14(2):109-18. https://doi.org/10.12934/jkpmhn.2005.14.2.109
  23. Wang Q, Liu X, Zhu M, Pang H, Kang L, Zeng P. Factors associated with health-related quality of life in community-dwelling elderly people in China. Geriatrics and Gerontology International. 2020;20(5):422-9. https://doi.org/10.1111/ggi.13895
  24. Chang S, Kim SY. The social network typology among elderly living alone in Busan, depression, and self-neglect. Korean Journal of Gerontological Social Welfare. 2017;72(2):245-73. https://doi.org/10.21194/kjgsw.72.2.201706.245
  25. Lam WJ, Ha JY. The effects of health literacy on medication compliance in the independent living: Mediating effect of e-health literacy: A crosssectional descriptive study. Journal of Korean Gerontological Nursing. 2024;26(2):180-90. https://doi.org/10.17079/jkgn.2023.00304
  26. Lee MS, Woo MK, Kwak CS, Kim IG, Park SC. Problems in nutritional intake of the Korean elderly and recommended meal pattern. Korean Journal of Gerontology. 1999;9(1):57-69.
  27. Chau D, Cho LM, Jani P, St Jeor ST. Individualizing recommendations for weight management in the elderly. Current Opinion in Clinical Nutrition and Metabolic Care. 2008;11(1):27-31. https://doi.org/10.1097/MCO.0b013e3282f31744
  28. Van As BAL, Imbimbo E, Franceschi A, Menesini E, Nocentini A. The longitudinal association between loneliness and depressive symptoms in the elderly: A systematic review. International Psychogeriatrics. 2022; 34(7):657-69. https://doi.org/10.1017/S1041610221000399
  29. Deutz NE, Matheson EM, Matarese LE, Luo M, Baggs GE, Nelson JL, et al. Readmission and mortality in malnourished, older, hospitalized adults treated with a specialized oral nutritional supplement: A randomized clinical trial. Clinical Nutrition. 2016;35(1):18-26. https:///doi.org/10.1016/j.clnu.2015.12.010
  30. Song S, Kim T, Park MS, Eom TR. A study on empathy experiences of welfare practitioners of single-household elderly support center. Korean Journal of Gerontological Social Welfare. 2019;74(2):61-85. https://doi.org/10.21194/kjgsw.74.2.201906.61