• 디지털융복합연구
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• 제10권3호
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• pp.219-225
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• 2012

2004년부터 시행된 국가적 사업인 퇴원손상심층조사 자료를 이용하여 100병상 이상 의료기관 퇴원환자들중 65세 이상 노인환자의 의료이용을 분석하였다. 시행 초기자료부터 2008년까지의 자료를 분석한 결과 매년 노인환자의 퇴원비율이 증가하는 것으로 나타났다. 남성보다 여성의 퇴원환자 비율이 높고 재원일수, 사망비율이 65세 미만 퇴원환자에 비하여 65세 이상 노인환자가 높은 것으로 나타났다. 입원중 수술을 경험하는 비율은 노인환자가 낮았다. 호발하는 주된 질병을 분석한 결과 순환기 계통에 해당하는 뇌경색, 협심증 그리고 호흡기 계통에 해당하는 폐암, 폐렴, 기타 만성 폐쇄성 폐질환이 많고, 기타 위암, 당뇨병, 간암, 대장암의 진단 비율이 높은 것으로 나타났다. 진단과 관련한 신경계통, 심혈관 계통 수술이 많은 것으로 분석되었다. 따라서 이러한 결과를 바탕으로 노인의 건강증진을 위한 정책수립에 있어 자원을 우선 배분하고 의료기관들은 앞으로 초고령 사회를 대비하기 위하여 노인환자의 의료이용 특성을 고려하여 경영전략을 수립하여야 할 것이다.

• Tuberculosis and Respiratory Diseases
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• 제47권5호
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• pp.660-668
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• 1999

연구배경: 폐암의 발생은 접점 증가추세로 65세 이상환자가 전체 폐암의 50% 정도를 차지하지만, 잦은 만성 질환의 동반, 각종 장기의 기능저하로 수술, 방사선치료나 항암화학요법과 같은 적극적 치료를 감당하지 못할 것을 우려하여 적절한 치료를 받지 못하고 있어 노령 폐암환자의 임상적 특성의 분석을 통하여 향후 이들에 대한 대책수립하고자 본 연구를 시행하였다. 방 법: 1994년 9월부터 1998년 8월사이에 서울특별시립 보라매 병원에 입원하여 폐암으로 진단받은 환자 207명을 대상으로, 65세이상의 I군과 65세미만의 II군으로 분류하여 후향적 분석을 하였다. 결 과: 60대에서 36.2%로 가장 높은 발병률을 보였고, 65세 이상의 남자환자가 전체환자의 42%였다. I군에서 호흡곤란을 주소로 하는 환자가 유의하게 많았으나, 이외의 증상이나 병기, 조직학적 분류상두군간에 유의한 차이는 없었다. ECOG기준 활동도 3, 4인 환자가 II군의 12.9%에 비해 I군에서는 35.2%로 많았다. 소세포폐암의 치료는 두 군간에 차이가 없었으나, 비소세포폐암 환자는 II군의 35%에 비해 I군 환자의 74%가 보존적 치료만을 받았고, 수술이나 근치적 방사선치료를 받은 환자는 I군에서 14%에 불과하였다. 두 군간에 생존을 비교하면 I군의 중앙생존기간이 10개월로 II군의 17.4개월에 비해 떨어지지만, 보존적 치료외에 어떠한 치료라도 받았던 환자에서는 두군간에 차이를 보이지 않았다. 활동도, 병기, 조직학적 아형만이 다변량분석시 생존에 영향을 미치는 유의한 인자였고 연령은 생존과 무관한 인자였다. 결 론: 폐암은 노령환자의 질환이라고 할만큼 65세 이상에서 호발하며, 환자의 연령에 의해서 예후가 결정되는 것이 아니므로 노령환자라 하더라도 폐암에 대한 적극적 진단 및 치료가 필하다고 하겠다.

• 보건교육건강증진학회지
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• 제6권2호
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• pp.58-65
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• 1989

This study analyzes the structural characteristics of rapid changes in Korean population, using the data of a census and other data on the changes in the population. Major findings are : 1. During 1950~1955, annual increase rate of population was about 1.02%, about 2.88% during 1955~1960, and 1.36% during 1980~1985. It is expected to decrease to 0.07% during 2015~2020. 2. Major Age Composition 0~14 is expected to reduce to 16.5% in 2020 from 41.2% in 1955, while the ratio of population aged 15~64 is expected to increase to 72.1% from 55.5%. Furthermore, for the population group of age 65 and over is expected to increase from a mere 3.3% to 11.4%. 3. The aging index of population is expected to increase to 69.5 in 2020 from 8.0 in 1955 and so the old dependency ratio is expected to 15.9 from 6.0 4. The median age is expected to 40.2 in 2020 from 19.0 in 1955. 5. In 2020 the child-woman ratio is expected to reduce to 22.3 from 64.7 in 1955. 6. In 2020 the age index of 0~4 is expected to 57.4 from 169.4 in 1955, and the age index of 65~69 to 261.7 from 95.6 on the contrary.

• 지역사회간호학회지
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• 제30권2호
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• pp.141-149
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• 2019

Purpose: The purpose of this study is to identify risk factors of accidental falls by age in the Korean elderly. Methods: The study subjects included 10,242 community-dwelling elders aged 65 or over. The data were analyzed by logistic regression analysis. Results: The risk factors of accidental falls in the younger old group (aged 65~74) include fear of falling (OR=16.28, 95% CI: 12.03~22.03), depression (OR=1.24, 95% CI: 1.06~1.44), and hearing impairment (OR=1.20, 95% CI: 1.01~1.43). The risk factors of accidental falls in the older old group (aged 75~84) include fear of falling (OR=11.54, 95% CI: 7.04~18.93), muscle strength (OR=1.36, 95% CI: 1.15~1.60), number of chronic disease (OR=1.65, 95% CI: 1.09~2.50), and presence of spouse (OR=1.27, 95% CI: 1.06~1.51). The risk factors of accidental falls in the oldest old group (aged 85 years old or older) include fear of falling (OR=8.05, 95% CI: 1.85~34.98) and exercise (OR=2.91, 95% CI: 1.36~6.24). Fear of falling is defined as a common factor in the all age groups. Conclusion: Different strategies should be developed for age groups to prevent elderly falls with understanding of contributing factors of falls in each group.

• Journal of Korean Neurosurgical Society
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• 제38권2호
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• pp.107-110
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• 2005

Objective : Lumbar spinal stenosis is increasingly recognized as a common cause of low back pain in elderly patients. Conservative treatment has been initially applied to elderly patients, however, surgical treatment is sometimes indispensable to relieve severe pain. We retrospectively examine the age-related effects on the surgical risk, and results following general anesthesia and operative procedure in geriatric patients for two different age groups of at least 65years old. Methods : Consecutive 51 patients [${\ge}$ 65years], who underwent open surgical procedure for degenerative lumbar spinal stenosis, were selected in the study. Patients were divided into two groups. Group A included all patients who were between 65 and 69years of age at the time of surgery. Group B included all patients who were at least 70years of age at the time of surgery. We reviewed medical history including preoperative American Society of Anesthesiologists[ASA] classification of physical status, anesthetic risk factor, operative time, estimated blood loss, transfusion requirements, hospital stay, operated level, and clinical outcome to look for comparisons between two age groups [$65{\sim}69$ and over 70years]. Results : In preoperative evaluation, mean anesthetic risk factor of patients was numerically similar between the groups. The American Society of Anesthesiologists classification of physical status was similar between two groups. There was no difference in operated level, operative time, estimated blood loss, hospital stay, and anesthetic risk factor between the two groups. The clinical successful outcome showed 82.7% for Group A and 81.8% for group B. The overall postoperative complication rates were similar for both group A and B. Conclusion : We conclude that advanced age per se, did not increase the associated morbidity and mortality in surgical decompression for spinal stenosis.

• 한국식품영양학회지
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• 제20권4호
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• pp.460-466
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• 2007

The purpose of this study was to estimate coffee consumption and it's relationship to blood pressure and blood lipid profiles in Korean adult men and women. Antheropometrics, dietary intake by 24-hour recall, and serum lipid profiles were measured in 354 subjects. The average subject ages for the age ranges of $20{\sim}49$, $50{\sim}64$, and over 65 years, were 39.7, 57.5, and 70.6 years for the men, and 40.7, 56.9, and 70.9 years for the women, respectively. Mean height and weight were significantly higher in the men and decreased with increasing of age. Thirty percent and 28% of the men and women, respectively, consumed coffee. The proportions of coffee consuming subjects in the age rangers of $20{\sim}49$ years(34.9%) and $50{\sim}64$ years(35.6%) were significantly higher than in the group over 65 years(11.5%). The mean daily intakes of food and energy were showed the same results according to sex and age. Mean daily coffee intake was not significantly different between the men and women, but it was significantly lower in the over 65 age group. Systolic blood pressure was significantly higher in the men and increasing age. The atherogenic index was significantly higher in the $20{\sim}49$ year-old men, and in the women over 65 years. There were no significant correlations among coffee consumption, blood pressure, and the serum lipid profile. In conclusion, the daily coffee consumption by adult men and women, with the exception of the elderly, was $50{\sim}90m{\ell}$, and it was not significantly correlated to blood pressure or blood lipids.

• 동아시아식생활학회지
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• 제22권6호
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• pp.711-719
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• 2012

The purpose of this study was 1) to investigate the food intake, dietary habits and life behavioral characteristics, and 2) to examine the relationship among these factors in a sample of adult Korean women. In October 2010, self-reported questionnaire survey was distributed to 200 women aged 30 to 65 in Gyunggi Province. Overall, 177 women participated and completed the survey. Most participants were married (97.2%) and housewives (83.6%). About 85% of respondents lived with their children. For comprehensive analysis, all respondents were divided into three age groups; 30~39, 40~49, and 50~65. The percent of intake of high protein foods such as meat and fish, eggs, and milk products was higher younger age groups (p<0.05). Moreover, age 30~39 group were more likely to eat potatoes (p<0.05) than age 50~65 group. However, age 50~65 women more frequently consumed seaweed than other age groups (p<0.01). Women who ate breakfast or dinner consumed a significantly higher frequency of vegetables, seaweed, potatoes, and kimchi (p<0.01). Additionally, women who ate breakfast with family more frequently consumed vegetables, fruit and kimchi. Furthermore, older women were likely to have less sleeping time than other groups. In conclusion, there were western dietary patterns among adult women and these dietary patterns were partly related to different life behavior and dietary habits. Considering that negative dietary habits of adult women can influence their family and health for the rest of their life, nutritional education programs based on changes in lifestyle should be developed.

• Journal of Nutrition and Health
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• 제53권2호
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• pp.129-140
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• 2020

본 연구는 국민건강영양조사 2008-2016년 자료를 이용하였고, 그중 자신이 당뇨병을 앓고 있다는 것을 인지하고 있는 65세 이상 노인들을 대상으로 분석을 실시하였다. 총 2,353명을 대상으로 세부 연령 그룹별 정신건강 특성, 식이 섭취수준 및 HRQoL 수준을 비교하였다. 노인 당뇨병 인지자들을 65-69세, 70-74세, ≥ 75세로 분류하여 EQ-5D 개별 항목과 index 수준을 비교 분석한 결과 5가지 항목 중, 연령이 높을수록 운동능력, 자기관리, 일상활동, 통증/불편 항목의 수준이 낮은 결과를 보였고, EQ-5D index 또한 가장 낮은 것으로 나타났다. 노인 당뇨병 환자의 경우, 질환을 통해 직접적인 영향을 받는 것과 노화로 인해 나타나는 여러 기능장애들이 함께 동반되는 경우가 많기 때문에 이를 반영한 개별적인 치료 및 관리가 필요한 실정이다. 이에 따라 노인 당뇨병 환자들의 건강관리에서 HRQoL 측정의 중요성은 강조되며, 지속적인 추적 조사를 통해 노인 당뇨병 환자들의 건강에 영향을 주는 특정 요인에 대한 체계적인 관리 및 파악이 가능할 것으로 생각된다. 또한 이를 고려하여 국내 당뇨병 환자의 HRQoL 수준을 향상시키는 것은 개인의 건강관리뿐만 아니라 국가의 보건복지정책에 이바지할 수 있을 것으로 사료된다.

• 한국사회정책
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• 제25권1호
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• pp.125-159
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• 2018

본 연구는 중고령 장애인의 장기요양서비스 이용의향 영향요인을 찾아내고, 각 연령집단의 특성과 영향요인을 규명하는데 목적이 있다. 중고령 장애인을 연령집단으로 구분하여 50-64세 장애인집단과 65세 이상 장애인집단 대상으로 확률효과 패널 로짓 종단분석을 실시하였다. 분석결과, 50-64세 장애인집단과 65세 이상 장애인집단별로 각각 영향요인에 차이가 있는 것으로 나타났다. 요인별로 살펴보면, 소인성 요인에서 연령, 거주지역, 교육수준, 배우자유무가 각 집단의 장기요양서비스 이용의향에 유의한 영향을 주는 것으로 나타났다. 자원요인에서 노인장기요양보험 제도인지여부, 저축유무, 근로소득유무, 주택소유여부가 각 집단의 장기요양서비스 이용의향에 유의한 영향을 주는 것으로 나타났다. 욕구요인에서 만성질환유무, 심리적 건강상태, IADL이 각 집단의 장기요양서비스 이용의향에 유의한 영향을 주는 것으로 나타났다. 이러한 연구결과를 바탕으로 중고령 장애인을 위한 장기요양서비스 제도개선에 대한 학술적, 정책적 함의를 제시하였다.

• 대한영양사협회학술지
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• 제12권2호
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• pp.118-126
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• 2006

The purpose of this study was to estimate sugar intake and relation between it and blood lipid profiles in Korean adult according to age. The 346 subjects were measured anthropometric assessment, dietary intake using 24-hour recall method, and serum lipid profiles. The average age of the subjects of 20-49, 50-64, over 65 years were 40.8, 57.0, 70.2 years, respectively. The mean height and weight were significantly decreased with increment of age(p<0.001, p<0.01). The mean energy, food, and sugar intakes of the age groups were decreased with increment of age(p<0.05, p<0.001, p<0.001), that is, 1649.8 ㎉/1253.6 g/36.1 g for 20~49 years, 1555.4 ㎉/1157.0 g/31.4 g for 50~64 years, 1404.4 ㎉/893.5 g/17.1 g for over 65 years. The major foods consumed sugar of the age groups were watermelon, sugar, ice cream for 20-49 years, watermelon, sugar, peach for 50-64 years, watermelon, sugar, kimchi for over 65 years. Carbohydrate intake of the subject adjusted age provided significantly negative correlation with serum HDL-cholesterol(p<0.05). However, there was not significant correlation between sugar intake and serum lipid profile. Based on these results, further studies on effects on blood lipid of sugar and carbohydrate intakes were needed for proper carbohydrate intake.