Kim, Kyungwon;Yun Ahn;Hyunjoo Kang;Kim, Kyung-A;Eunmi Shin;Kim, Hee-Seon;Song, Ok-Young
Journal of Community Nutrition
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v.3
no.2
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pp.110-119
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2001
This study was designed to assess the needs for nutrition education and educational materials for older adults. Two cross-sectional surreys were conducted. The first survey, conducted by personal interviews, was part of the large-scale elderly nutrition study. Subjects were adults aged 50 and over, recruited from 6 large cities and 8 middle-sized cities(n = 1,850). The second survey, done by mail survey using open-ended questions, was conducted with dietitians working at public health centers or hospitals(n = 53). Adults aged 50 and over were interested in topics such as healthly eating(32.1%), hypertension/stroke and diet(22.1%), osteoporosis and diet(11.4%), and diabetes and diet(9.2%). Television and radio(58.2%), health professionals(12.2%) and friends(7.9%) were common sources of nutrition information. Preferred topics of nutrition education and sources of nutrition information were different by general characteristics of subjects, suggesting that nutrition education or educational materials be planned considering the characteristics of subjects. About 70% of subjects indicated that they sometimes use or do not use nutrition information in daily lives, suggesting the need to provide more practical information. Among 53 facilities responding to the second survey, 73.6% provided nutrition education for older adults. Common topics for nutrition education included diabetes(39.3%), hypertension and stroke(19.1%) and general nutritional management(11.2%). These were consistent to the topics preferred by older adults. As materials In elderly education, dietitians wanted primarily to use leaflets and slides. Boards, booklets and posters were other commonly cited materials. For contents of elderly educational materials, dietitians mentioned the nutritional management for age-related diseases(33.8%), general nutritional management for older adults(25.4%) and practically applicable information(19.7%). They also suggested that nutrition education materials for the elderly should use larger print and attractive pictures, and be easily understood, as well as presenting simple, specific and practical information. These results provide baseline information for developing nutrition education and educational materials for older adults.
Sleep disordered breathing is highly prevalent in the elderly and affects older men and women similarly. Nocturia, cardiovascular diseases, cognitive impairment, traffic accidents and repeated falls are common manifestations of sleep apnea in the elderly and sleep study may be indicated in these patients. When a sleep study is planned, reliable markers of respiratory efforts and a tibial EMG should be included because central sleep apneas and periodic leg movements are common in the elderly patients. Although cardiovascular morbidity and mortality seem to be lower in the elderly than in middle-aged adults, these may not be as low as commonly believed. Excessive daytime sleepiness, cognitive dysfunction and nocturia can be improved by effective treatment with continuous positive airway pressure and a therapeutic trial should be recommended to all symptomatic patients. It is still unclear whether sleep apnea in older adults is a specific entity or the same disease as in younger adults. Further clinical research is warranted.
In 2018, 14.3 percent of South Korea's elderly population aged 65 or older entered an aged society and is expected to enter a super-aged society with more than 20 percent of the elderly population around 2025. Older adults often visit different medical institutions to take medicine, which requires medication management, such as interaction between each drug. In this study, we wanted to analyze the U.S. system, which specializes in drug management for the elderly, and Korea's system, which is about to enter a super-aged society, to find a systematic way to manage drugs for the elderly. The method of study was a systematic literature study on elderly drug management in Korea and the United States. Studies have shown that the United States has enacted the Medication Therapy Management (MTM) for the elderly and has been running the Senior Drug Enforcement Program. In Korea, a community care business is underway to manage drugs for senior citizens, but it is analyzed that the elderly need to have a special medicine system for senior citizens to use them more safely.
Purpose: This study was done to examine factors affecting quality of life among community-dwelling elderly women who live in rural areas. Methods: The design of this research was cross-sectional descriptive study. The participants were 92 community-dwelling women aged 65 or older. Data were collected from November 1 to 15, 2013. ADL (Kart's Index), GDS-SF (Geriatric Depression Scale Short Form) and GQOL (Geriatric Quality of Life Scale) were used to measure variables. Data were collected using self-administered questionnaires and analyzed using descriptive statistics, Spearman's coefficient and stepwise multiple regression. Results: The participants' mean age was 77.5, and 85.9% had elementary school graduation or less education, and for 64.1%, their economic status was low. Spearman's rho coefficient analysis found that QOL was significantly associated with depression (r=-.72, p<.001), perceived health (r=.58, p<.001), regular exercise (r=.47, p<.001), education level (r=.29, p=.005), and ADL (r=-.21, p=.043). Multiple regression analysis showed that 65.9% of their QOL was explained by depression (${\beta}=-.72$), perceived health (${\beta}=.24$), ADL (${\beta}=-.16$), exercise (${\beta}=.22$) and number of diseases (${\beta}=.19$). Conclusion: These results indicate that older women who live rural areas need support for ADL, and prevention of depression to improve their quality of life.
The purpose of this study is to identify differences in processes of change, decision making, and self-efficacy by exercise behavioral stages and determine variables significantly affecting the older people's participation in exercises. The subjects of this study included 299 people aged 65 or over who were residents of G and S districts in Busan Metropolitan City. They were selected through purposive quota sampling at colleges and centers for old people and homes in order that they could be evenly distributed over stages of pre-contemplation, contemplation, preparation, action and maintenance. Data were analyzed using descriptive, ANOVA, Logistic Regression. Variables that discriminate between participants and non-participants in exercise include self-reevaluation, reinforcing management, cons and self-efficacy. Thus if variables that discriminate between participant and non-participation in exercise such as self-reevaluation, reinforcing management, cons and self-efficacy are fully considered in designing nursing interventions for inducing old people to become exercise participants, it would provide guidelines for nursing intervention programs as appropriate for the people's exercise stages. The purpose of this study is to identify differences in processes of change, decision making, and self-efficacy by exercise behavioral stages and determine variables significantly affecting the older people's participation in exercises. The subjects of this study included 299 people aged 65 or over who were residents of G and S districts in Busan Metropolitan City. They were selected through purposive quota sampling at colleges and centers for old people and homes in order that they could be evenly distributed over stages of pre-contemplation, contemplation, preparation, action and maintenance. Data were analyzed using descriptive, ANOVA, Logistic Regression. Variables that discriminate between participants and non-participants in exercise include self-reevaluation, reinforcing management, cons and self-efficacy. Thus if variables that discriminate between participation and non-participation in exercise such as self-reevaluation, reinforcing management, cons and self-efficacy are fully considered in designing nursing interventions for inducing old people to become exercise participants, it would provide guidelines for nursing intervention programs as appropriate for the people's exercise stages.
Objectives: The study aim was to identify changes in the nutritional status of older adults during the COVID-19 pandemic according to household income and demographic characteristics. Methods: Study participants were 2,408 adults aged 65 and over who participated in the 2019-2020 Korea National Health and Nutrition Examination Survey (KNHANES). To examine changes in nutrient intake levels resulting from COVID-19, data of 2019 and of 2020 were compared. Study participants were divided into three groups based on household income level to compare these changes. The changes were compared according to household income level, age group, and household type. Results: Percentages of recommended intakes for energy, protein, and most micronutrients were the lowest for the low-income group of both males and females in 2020. The Mean Adequacy Ratio (MAR) score was the lowest for the low-income group in both years. When comparing nutrient density for 2019 and 2020 by income group, the male low-income group experienced a decrease in nutrient densities of vitamin A, thiamine, calcium, and iron. For the same group, a decreased percentage for energy intake from protein was noted. Fruit intake was lowest in the low-income group for both males and females. Low-income males had the lowest intake levels for meat, fish, eggs, and legumes in both 2019 and 2020 and the lowest milk and milk product intake levels in 2020. Older adults living alone or single older adults with children had lower MAR scores than those living with a spouse. Older adults living alone experienced decreases in energy and thiamine and iron intake levels in 2020 compared to their intake levels in 2019. Conclusions: Because of the COVID-19 pandemic, nutrition intake levels worsened for older adult males in the low-income group and older adults living alone. This finding shows the need for a more systematic nutritional support strategy for the vulnerable older adults population in national disaster situations.
International Journal of Advanced Culture Technology
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v.10
no.4
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pp.198-209
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2022
This study is an analytical study of changes in the perception of Covid-19 communities and surveyed residents aged 20 or older living in 00-gun, Gyeongsangbuk-do, to identify community awareness (anxiety, stability, economic problems, and director's intention) after COVID-19. As a result of analyzing community perception (anxiety about COVID-19, stability, economic problems, and intention to move) according to gender, age, and family specificity, the survey subjects showed the highest anxiety about COVID-19 among community perception with 4.94, followed by stability 3.92, director's intention 3.51, and economic problem 3.21. primarily aims to find ways to contribute so that residents can restore trust in the local community, rebuild healthy families, and settle down in their daily lives.
Ciesielski, Maciej;Kruszewski, Wieslaw Janusz;Szajewski, Mariusz;Walczak, Jakub;Spychalska, Natalia;Szefel, Jaroslaw;Zielinski, Jacek
Journal of Gastric Cancer
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v.19
no.2
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pp.202-211
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2019
Purpose: Poor physiological reserve for withstanding major cancer surgery in older adults is an important concern in the selection of patients for oncologic gastrectomy. The present study aimed to analyze mortality patterns among patients who underwent gastrectomy for cancer according to age groups. The primary outcomes of this study were early- and middleterm results: 30-day and 3-, 6-, 12-, and 36-month mortality rates. Materials and Methods: A retrospective review of 288 patients who underwent surgical resection for gastric cancer in two centers was carried out. Patients were stratified into four groups according to age: 29-50 years (group I, n=27), 51-65 years (group II, n=117), 66-75 years (group III, n=81), and 76-92 years (group IV, n=58). Statistical calculations focused on the differences in the survival rates between groups I and II as well as between groups II and IV. Results: The middle-aged patients (group II) had significantly better 3-year survival than either the youngest (group I) or the oldest patients (group IV). The 6-month mortality rates were 16.9% in group III and 29.3% in group IV. Two-thirds of the patients from groups III and IV who died between 2 and 6 months after surgery had an uneventful postoperative course. Conclusions: Age is an important prognostic factor of middle-term survival after gastrectomy for cancer. Geriatric assessment and better patient selection for major surgery for cancer are required to improve the outcome of gastrectomy for cancer in patients aged over 75 years.
This study was carried out to present design guidelines for developing electric bikes which could be used for more users regardless of gender and age. Through a survey with 336 male and female respondents in Seoul aged between 10s and 70 years or older, the convenience of bicycle use and image preference by gender and age were investigated. To evaluate convenience of bicycle use, the 7 principles of universal design made by Universal Design Center were customized to fit for accessing bicycles. The following are results of statistical analysis on 301 valid data: (1) of the 7 principles, conventional bicycles were identified to be the most inconvenient in principle 6(low physical effort), followed by in principle 5(tolerance for error) and 7(size and space for approach and use). Women appeared to feel more inconvenience than men in all evaluation criteria while using bicycles. The relation between the convenience of use and users' age was not identified. (2) Preferred images by bicycle users turned out to be those of 'simple' and 'light.' By gender, male preferred more 'technical' and 'dynamic' images than female. By age, users in their 10s-20s preferred more 'individual' image than 70 years or older.
Objective: This study was designed to describe the trends in body mass index (BMI) during 6 years (2002-2008) and to identify associations between these trends and the amount of physical activity of South Korean career soldiers. Method: This study targeted the 40 993 (38 857 men and 2136 women) of the 58 657 career soldiers who had undergone four (2002, 2004, 2006, and 2008) biennial medical examinations conducted by the National Health Insurance Corporation; 17 664 soldiers with missing data on height, weight, and physical activity were excluded. A linear mixedregression model was used to categorize changes in BMI due to age versus those due to amount of physical activity. Results: Career soldiers experienced significant increases in BMI compared with baseline data gathered in 2002. The increases in each age group were as follows: men aged 20-29: 1.16, men aged 30-39: 0.61, men aged 40-49: 0.05, women aged 20-29: 0.35, women aged 30-39: 0.30, women aged 40 -49: 0.26, and women aged 50-59: 0.21. However, men aged 50 or older showed significant decreases (as high as 0.5) in BMI compared with baseline data obtained in 2002. They also experienced significant decreases in BMI compared with those who reported no physical activity. The differences between baseline and final BMIs were: 0.02 for men exercising 1-2 times per week, -0.07 for men exercising 3-4 times per week, -0.19 for men exercising 5-6 times per week, -0.21 for men exercising seven times per week, -0.05 for women exercising 1-2 times per week, -0.19 for women exercising 3-4 times per week, -0.30 for women exercising 5-6 times per week, and -0.30 for women exercising seven times per week. Conclusions: Obesity in South Korean career soldiers increased markedly between 2002 and 2008, and our data showed that the amount of physical activity was inversely related to increases in BMI. Policies to prevent obesity are needed to reduce this trend.
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