• Title/Summary/Keyword: 노인의 건강상태

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The Factors Influencing Health-Related Quality of Life in the Elderly - Focused on the General Characteristics, Health Habits, Mental Health, Chronic Diseases, and Nutrient Intake Status: Data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012 (우리나라 노인의 건강관련 삶의 질에 영향을 주는 요인 - 일반 특성, 생활습관, 정신건강, 만성질환, 영양섭취상태를 중심으로: 제5기 국민건강영양조사자료, 2010~2012)

  • Lee, Hye-Sang
    • Korean Journal of Community Nutrition
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    • v.19 no.5
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    • pp.479-489
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    • 2014
  • Objectives: This study intended to determine significant factors that influence the health-related quality of life ("HRQoL"; EuroQol 5 Dimension health-related quality of life (EQ_5D) & EuroQol visual analogue scale (EQ_VAS)) of the elderly in Korea. Methods: This study was based on 3,903 subjects aged 65 years or more who participated in the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012. The HRQoL was analyzed by various factors (general characteristics, health habits, mental health, chronic diseases, nutrient intakes). SPSS statistics for complex samples (Windows ver. 21.0) was used. Results: The HRQoL was higher in the males, those with higher educational level or higher income level while it was lower in those belong to single households. In particular, the EQ_5D was significantly higher in the group who reported walking practice, moderate physical activity (male), and the group who reported no vigorous physical activity (female). The EQ_VAS was significantly higher in the group who reported walking practice. Both EQ_5D and EQ_VAS were significantly lower in the group with stress, melancholy, suicidal thinking, and osteoarthritis. EQ_5D was significantly lower in the group with < 75% Estimated Energy Requirements (EER) in energy intake, and with < Estimated Average Requirements (EAR) in iron or niacin intake. A stepwise regression analysis revealed that i) higher educational level (male), and good self-rated health status significantly increased the EQ_5D, ii) age, alcohol intake (male), melancholy (female), suicidal thinking, osteoarthritis, and niacin intake deficiency (male) significantly decreased the EQ_5D, iii) higher income level (male) and good self-rated health status significantly increased the EQ_VAS, and iv) age (male), stress, suicidal thinking (female) and osteoarthritis significantly decreased the EQ_VAS. Conclusions: This study suggested that general characteristics, mental health, osteoarthritis, and niacin intake were associated with the HRQoL. Prospective research of long-term control is needed to establish the causal relationship between factors and the HRQoL.

A Study on Nutritional Status of the Long-lived Elderly People in Kyungnam (경남 일부지역 장수노인의 영양섭취상태에 관한 연구)

  • 최희정;김경업;김성희;강동희;정효숙
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.31 no.5
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    • pp.877-884
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    • 2002
  • This study was carried out to examine nutrients intake and food preference in 100 elderly people aged over 85 years residing in Namhae-gun Kyungnam. Mean daily energy intake and Korean recommended dietary allowances (RDA) percent were 1547.6$\pm$452.7 kcal and 91.5%, respectively. Mean daily intakes of protein (63.1$\pm$28.2 g), iron (16.7$\pm$11.2 mg), vitamin Bi (1.0410.4 mg) and vitamin C (97.0$\pm$45.3 mg) were higher than RDA. The intakes of calcium (418.1$\pm$189.7 mg) and vitamin B2 (0.94$\pm$0.5 mg) were shown to be 58.4% and 78.4% of the RDA. Females had higher intakes of energy and most other nutrients than males. Major food source of energy and protein intakes was rice and cereals, and that of lipid intake was meat, fish, egg and beans. Cooked rice, all kind of vegetables, fish, yogurt and sugars were preferred to the subjects. The most preferred taste was sweet.

Relationship between oral health status and socioeconomic status of elderly in Korea -based on 2010~2011 Korea National Health and Nutrition Examination survey data- (2010~2011년 국민건강영양조사를 활용한 한국 노인의 치아보유상태에 따른 사회경제적 수준 분석)

  • Choi, Yong-Keum;Han, Sun-Young;Kim, Cheoul-Sin
    • The Journal of the Korean dental association
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    • v.51 no.5
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    • pp.265-273
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    • 2013
  • The insurance payment plan for dental implants in Korea has been criticized because the payment priority has not been properly established, and the benefits are concentrated among middle-class citizens. In the current study, the relationship between the oral health condition and socioeconomic status of the elderly was analyzed using data from the Korea National Health and Nutrition Examination Survey (KNHANES). This study aims to determine the reason underlying the criticism of the insurance payment plan. The subjects were >65-year-old individuals in the 2010 and 2011 database of KNHANES. Data from 2,812 subjects were analyzed. The socioeconomic status was determined based on edentulousness, molar tooth loss, and presence of 28 teeth. According to the analysis, the average income was 1,560,000 won for edentulous elderly, 1,811,000 won for elderly who had lost molar teeth, and 1,896,000 won for elderly with 28 teeth (p<0.05). In addition, elderly with a low education level demonstrated a poor oral health condition (p<0.001). In conclusion, the insurance plan currently under examination is not properly designed for economically impoverished elderly because the plan only covers 50% of the costs and is limited to implantation of molar teeth only. This plan will not provide practical benefits to elderly with a poor socioeconomic status; therefore, the insurance payment plan needs to be improved so that the appropriate beneficiaries can be targeted.

Influential Factors to the Oral Hygiene Behavior and Perceived Oral Health Status of the Elderly (노인의 주관적 구강건강상태 및 구강보건행태에 영향을 미치는 요인)

  • Lee, Sook-Jeong;Kim, Chang-Hwan;Choi, Gyu-Yil
    • The Korean Journal of Health Service Management
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    • v.6 no.1
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    • pp.39-51
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    • 2012
  • The purpose of this study is to provide a set of fundamental data for the oral hygiene education for the elderly as a result of the survey on the oral hygiene and subjective oral health of the elderly in an aged society. For this purpose, 269 elders who dwelled in Gyeongsangbuk-do region were randomly selected in an arbitrary selection process, followed by a survey on their oral hygiene and health. The collected data were coded and processed by using SPSS 15.0 software. As for the analysis of the data, the general characteristics and the basic items concerning the management of the oral health were analyzed for their frequency and percentages, while the general characteristics and the awareness on the oral health were processed with Chi-square validation to show a set of results as follows; Firstly, among the items on the oral health, the satisfaction on the current condition of their oral health was below average. Secondly, concerning the oral hygienic behaviors, the majority of the samples answered that they were brushing their teeth twice a day. And, as for the brushing methods, the largest number of the samples answered that they were brushing their teeth in a 'horizontal direction'. Thirdly, they reported they were having difficulties in getting dental treatments. The implications of this study are that it is necessary to provide sound oral health education to them to correct the inappropriate oral hygienic behaviors.

The oral status of the elderly in some states difference between oral health-related quality of life (일부 노인의 구강내 상태에 따른 구강건강관련 삶의질 차이에 관한 연구)

  • Park, Jong-Hee
    • Journal of Technologic Dentistry
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    • v.36 no.1
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    • pp.51-62
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    • 2014
  • Purpose: Recently our country is rapidly aging population is growing. In the oral cavity of the elderly status of oral health-related quality of life to evaluate any impact. Methods: The survey used structured self administered questionnaires from April to May in 2011 in Daejeon and Chungcheong provinces to 277 people, analysis of the general characteristics of a frequency analysis method, the difference between the quality of life T/F test, whether oral self-according to the quality of life healthy oral health effects of the multiple regression analysis. Results: Award comes on the number of residual value, lower age all the more, smaller monthly income was small, but significant difference between them was no difference between gender. Residual value according to the number of differences in the quality of life of physical pain upper, physical disability, the lower the physical pain, physical disability, psychological disability were significant differences in degradation. Depending on oral maxillary prosthesis fitted to physical pain, psychological discomfort, physical disability, the lower the functional limitation, physical pain, there was a significant difference in physical disability. Conclusion: Status of the oral cavity of the elderly factors affecting the quality of life remaining in the lower dimensions, upper and lower prosthetics, self-aware state of oral health in order to improve the quality of life of elderly oral health education to be strengthened to increase the residual value, reducing their own prosthetic perceived oral health is health, so they feel it should be for the development of health education programs for the elderly should be.

The Effect of Nutrition Education Program in Physical Health, Nutritional Status and Health-Related Quality of Life of the Elderly in Seoul (영양교육 프로그램이 서울 지역 노인의 체력, 영양상태, 건강관련 삶의 질에 미치는 영향)

  • Choi, Yoon-Jung;Kim, Chan;Park, Yoo-Sin
    • Journal of Nutrition and Health
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    • v.40 no.3
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    • pp.270-280
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    • 2007
  • This study was performed to investigate the effects oi nutrition education program in physical health, nutritional status and health-related quality of life (HRQoL) of the Elderly in Seoul. Nutrition education program was consisted of healthy eating, prevention and diet therapy of obesity, diabetes, cardiovascular disease, and osteoporosis. Seventy eight free-living elderly people (13 male, 65 female), aged ${\geq}60 $ years participated in this program. Before and after nutrition education program, we surveyed the general characteristics, physical health, general health, nutrition status, and health-related quality of life to the subjects. All the subjects were divided into program completers (N=47) and noncompleters (N=31). All the data were analyzed by student t-test, chi-square test, paired t-test, and marginal homogeneity test using SPSS 9.0 version at p<0.05. After nutrition education program, physical activity and ADL maintained, however IADL improved in program noncompleters. In eating habits, 'slow eating' significantly improved in program completers in program completers. Nutrition knowledge and recognition scores were significantly increased in both groups, and accuracy score was significantly increased in program completers. However, nutrient-intakes of %RDA were not significantly changed in both groups, and it seemed to be more influenced by other factors such as 'family income' or 'family type' than by the nutrition education program. In HRQoL, social functioning was improved after nutrition education program in both groups (p<0.05). The nutrition education program has more effects on the program completers than on the noncompleters, and it is also needed social supports for the Elderly to fulfill their nutrient requirements.

Evaluation of Nutritional Status of Vitamins and Minerals According to Consumption of Dietary Supplements in Korean Adults and the Elderly: Report Based on 2017 Korea National Health and Nutrition Examination Survey data (우리나라 성인 및 노인의 식이보충제 복용에 따른 비타민 및 무기질 영양상태 평가: 2017 국민건강영양조사 자료)

  • Kim, Ji-Myung
    • Korean Journal of Community Nutrition
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    • v.25 no.4
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    • pp.329-339
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    • 2020
  • Objectives: This study was undertaken to evaluate the intake of vitamins and minerals from dietary supplements (DSs) in Korean adults and elderly. Methods: Data for this study was generated from the 2017 Korea National Health and Nutrition Examination Survey (KNHANES). We analyzed 4,204 individuals aged 19 years and older (2,579 users and 1,625 non-users). The survey included 24-h recall questions on food and DS intakes, as well as questions on DS use over the past year. The nutrient DSs evaluated were calcium, phosphorus, iron, vitamin A, thiamin, riboflavin, niacin, and vitamin C. Total nutrient intakes were obtained by combining nutrient intakes of foods and DSs consumed by each subject. Results: Most micronutrient intakes from food (except for thiamin) in adult users, and the four micronutrient intakes (iron, vitamin A, vitamin B2 and vitamin C) in elderly users, were significantly higher than values obtained in non-users. For total intake of nutrients and DSs, both adult and elderly users had a significantly higher intake than non-users. While proportions below Estimated Average Requirements for all micronutrients by adding respective DSs in users were significantly reduced in adults and elderly as compared to non-users, the proportions of above Tolerable Upper Intake Levels for calcium and vitamin A in adults, and vitamin A in elderly, were significantly increased. In the total subjects examined, consumption of DSs was associated with lower odds ratios of undernutrition of micronutrients, and with higher odds ratios of overnutrition of calcium, iron, and vitamin A, as compared to non-users of DSs. Conclusions: Although DSs consumption by adults and the elderly improves the micronutrient status, it also increases the risk of excessive intake of certain vitamins and minerals.

A Study on Health Conditions and Nutritional Status of Elderly Women in Gyeongnam (경남 일부 지역 여자 노인의 건강 및 영양 상태 조사)

  • Seo, Eun-Hi;Hwang, Yong-Il;Cheong, Hyo-Sook;Park, Eun-Ju
    • Journal of the East Asian Society of Dietary Life
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    • v.21 no.3
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    • pp.311-324
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    • 2011
  • This study was performed to assess the nutritional status of low income elderly women aged ${\geq}$65 years residing in Gyeongnam Masan (n=124). Nutrition intakes, food intake frequency, and health-related behaviors including smoking, drinking, and exercise were investigated. Nutrition intake was calculated by the 24-hour recall method using CAN-pro (ver. 3.0). Average daily intakes of energy were $1,142.3{\pm}39$ kcal (71.4% of EER) in subjects aged 65~74 years and $1,071.0{\pm}41.7$ kcal (66.9% of EER) in subjects aged ${\geq}$75 years and the subjects consumed energy less than both 75% of estimated energy requirement (EER). The proportions of energy derived from protein, fat, and carbohydrate were 15.4:15.5:70.6 (aged 65~74 years), and 15.3:13.4:70.8 (aged ${\geq}$75). Nutrients consumed at less than estimated average requirements (EARs) were Ca (60.4%), P (98.4%), Zn (91%), vitamin E (48% of adequate intake, AI), vitamin $B_1$ (63.3%), vitamin $B_2$ (54%), niacin (87.7%), vitamin C (62.5%), and folate (50.5%). Especially, the intakes of Ca (58%), vitamin E (41% of AI), vitamin $B_1$ (60%), vitamin $B_2$ (50%), folate (46.5%), and vitamin C (54%) were 75% less than the EAR for people aged ${\geq}$75 years. According to the food intake frequency survey, the intakes of calcium, milk, fruits, and vegetables were very poor. In conclusion, this study suggests that a nutritional support program for elderly women of low socioeconomic class must be provided by the government to improve the quality of remaining life.

Changes in the Nutrition Status of Elderly Females in Health Promotion Programs of Health Centers in Chungbuk Province (충북 일부지역 보건소 건강증진프로그램에 참여한 여자 노인의 영양상태 변화)

  • Kim, Myoung-Sook
    • The Korean Journal of Community Living Science
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    • v.26 no.2
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    • pp.225-236
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    • 2015
  • Materials for nutrition education to promote nutrition intake and prevent diseases in elderly individuals were developed, nutrition education was provided to 46 elderly females for 12 weeks, and its effects on the body composition, blood profile, and nutritional quality of subjects were qualitatively analyzed. After the education program, the weight of subjects decreased from 56.7 kg to 56.0 kg (p<0.001), their body fat dropped from 20.8 kg to 19.6 kg (p<0.01), their body mass index (BMI) declined from $25.2kg/m^2$ to $24.9kg/m^2$ (p<0.01), and their percentage of body fat decreased significantly (p<0.05). On the other hand, blood sugar showed a significant increase from 131.6 mg/dl to 141.8 mg/dl (p<0.05). Overall, the percentage of nutrition intake rose. In particular, the estimated energy requirement increased from 89.3% to 99.5% (p<0.05). Further, the contrast ratio of recommended intake showed significant increases in protein (p<0.01), phosphorus (p<0.05), vitamin $B_2$ (p<0.05), vitamin $B_6$ (p<0.05), and niacin(p<0.001), and that of adequate intake showed a significant increase in sodium (p<0.05). The nutrient adequacy ratio (NAR) showed a significant increase only in niacin (p<0.05), and the index of nutritional quality (INQ) showed significant increases in protein (p<0.05) and niacin (p<0.001). After the nutrition education program, a qualitative analysis of nutrients consumed by subjects was conducted. The results show improvements across the board except for the deficient intake of calcium and folic acid, suggesting that the nutrition status of subjects changed in a positive direction through the program. The implementation of this program for elderly individuals in a continuous and repetitive manner is expected to facilitate their nutrition management.

The Influence of Job Stress, Stress Coping Strategies, Empathy ability on Burnout of Social Workers in Long-term Care Facilities (노인요양시설 사회복지사의 직무스트레스, 스트레스 대처전략, 공감능력이 소진에 미치는 영향)

  • Kim, Bo-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.218-226
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    • 2020
  • This study was conducted to investigate the relationships between job stress, stress coping strategies, empathy ability, and burnout in social workers at long-term care facilities. Data was collected from 201 social workers in three cities from March to May 2020 using structured questionnaires. Data was analyzed by descriptive statistics, t-test, ANOVA, Pearson correlations, and hierarchical multiple regression. Results showed that burnout significantly differed according to age, marital status, and career among the general characteristics. In the relationships between major variables, burnout showed a significant positive correlation with job stress and showed significant negative correlations with stress coping strategies and empathy ability. The major factors affecting burnout were job stress and empathy ability, which explained 72.3% of the variance. The results of this study suggest that job stress and empathy ability are important factors for burnout. Findings indicate a need to decrease job stress and increase empathy ability to prevent the burnout of social workers. Further studies are needed to examine burnout prevention strategies for social workers.