• Journal of Preventive Medicine and Public Health
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• 제52권5호
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• pp.308-315
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• 2019

Objectives: Estimating influenza-associated mortality is important since seasonal influenza affects persons of all ages, causing severe illness or death. This study aimed to estimate influenza-associated mortality, considering both periodic changes and age-specific mortality by influenza subtypes. Methods: Using the Microdata Integrated Service from Statistics Korea, we collected weekly mortality data including cause of death. Laboratory surveillance data of respiratory viruses from 2009 to 2016 were obtained from the Korea Centers for Disease Control and Prevention. After adjusting for the annual age-specific population size, we used a negative binomial regression model by age group and influenza subtype. Results: Overall, 1 859 890 deaths were observed and the average rate of influenza virus positivity was 14.7% (standard deviation [SD], 5.8), with the following subtype distribution: A(H1N1), 5.0% (SD, 5.8); A(H3N2), 4.4% (SD, 3.4); and B, 5.3% (SD, 3.7). As a result, among individuals under 65 years old, 6774 (0.51%) all-cause deaths, 2521 (3.05%) respiratory or circulatory deaths, and 1048 (18.23%) influenza or pneumonia deaths were estimated. Among those 65 years of age or older, 30 414 (2.27%) all-cause deaths, 16 411 (3.42%) respiratory or circulatory deaths, and 4906 (6.87%) influenza or pneumonia deaths were estimated. Influenza A(H3N2) virus was the major contributor to influenza-associated all-cause and respiratory or circulatory deaths in both age groups. However, influenza A(H1N1) virus-associated influenza or pneumonia deaths were more common in those under 65 years old. Conclusions: Influenza-associated mortality was substantial during this period, especially in the elderly. By subtype, influenza A(H3N2) virus made the largest contribution to influenza-associated mortality.

• 문화기술의 융합
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• 제8권4호
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• pp.381-386
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• 2022

본 연구는 노인여가복지시설 중 하나인 경로당을 중심으로 고령자의 공간이용행태를 조사하여 공간이용도 및 만족도 개선을 위한 조건을 파악하는 것을 목적으로 한다. 경로당을 이용한 경험이 있는 만 65세 고령자 300명(남성 104명, 여성 196명)을 대상으로 경로당 공간이용행태 및 선호이용행태를 파악하기 위하여 온라인 설문조사를 실시하였다. 본 연구결과를 정리하면 다음과 같다. 첫 번째, 고령자의 경로당 이용빈도는 월 1-3회가 가장 많았고, 선호 이용빈도는 주 1-3회로 나타났다. 즉, 경로당을 자주 이용하고 싶지만 실제로는 자주 이용하지 못한다는 결과가 나타났다. 경로당에서 건강증진을 위한 활동프로그램의 선호도가 높은 것을 볼 때, 건강증진을 목적으로 하는 공간프로그램이 제공된다면 이용도를 높일 수 있을 것으로 파악된다. 두 번째, 경로당 이용시간이 최소 1시간에서 최대 5시간으로나타남에 따라 다양한 개인적 활동을 지원하는 공간이 제공된다면 만족도 및 이용도가 향상될 수 있을 것으로 여겨진다. 세 번째, 경로당 이용하지 않은 이유에 대하여 친목의 어려움, 접근성의 어려움으로 나타나 친목을 강화시켜줄 수 있는 프로그램 또는 공간구성이 개선되거나 접근성을 제고시켜줄 수 있는 다양한 편의를 제공하는 것이 도움이 될 것으로 여겨진다.

• Nutritional Sciences
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• 제2권2호
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• pp.107-112
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• 1999

Diet quality index DQI) offers a new way of comparing eating habits across populations and across countries. Nutrients and food consumption data from 100 elderly Korean women aged 65 and older were collected in Seoul or Kyunggi-do, Korea by the 24 hour recall method. Diet quality index (DQI) was computed for 1049 elderly women (65 and older) from the 1994-1996 Continuing Survey of Food Intakes by Individuals (CSFII) in the US according to US dietary guidelines, and applied to the diet of elderly Korean women for purposes of comparison. A modified 16-point DQI awarded 2 points each for moderate consumption of fat ($\leq$ 30% energy), saturated fat ($\leq$ 10%), cholesterol ($\leq$ 300 mg/day), sodium ($\leq$ 2400 mg/day), and protein ($\leq$ 100% RDA), adequate intakes of carbohydrate ($\qeq$50% energy) and calcium ($\qeq$ 100% RDA), and plenty of fruits and vegetables ($\qeq$ 5 servings). Criteria were based on US dietary guidelines. Partial scores were given if subjects were close to meeting these cutoff points. Diets with $\leq$ 300 mg cholesterol/day were reported by 97% or the Korean sample and 82% of the American sample, while 90% of the Koreans and 42% of the Americans met the goal of $\leq$ 30% of energy from fat, and 98% of the Koreans and 47% of American met the recommendation of $\leq$ 10% of energy from saturated fat. In contrast, only 8% of the Korean sample met the sodium recommendation of $\leq$ 2400 mg sodium per day, whereas 54% of the American subjects met this goal. The mean DQI scores were 10.1 for the elderly American women and 11.3 for the elderly Korean women. Overall, the elderly Korean diet was more consistent with the US dietary guidelines than the elderly American diet.

• The Journal of Korean Physical Therapy
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• 제22권4호
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• pp.73-81
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• 2010

Purpose: The purpose of this study was (1) to examine the effects of a Health Promotion Exercise Program (HPEP) on functional improvement, physical strength (PS) and muscle activation (MA), and the interactive influence with activities of daily living (ADL) and instrumental activities of daily living (IDAL) in the elderly, and (2) to develop and provide a HPEP for the elderly in order to prevent declines and impairments in integrated nerve function and physical capacity. Methods: Our study included relatively healthy elderly people aged 65 years or older. The experimental group, which was composed of 30 people, participated in a HPEP 50~60 minutes a day, 3 times a week, for a total of 12 weeks. Results: Confirmatory factor analysis (CFA) validated the measurement models for MA, physical strength, ADL and IADL with a p<0.01. This confirms (i) the beneficial effects of the ADFP on their MA and PS, and (ii) that their improvement in PS, in turn, can improve their IADL. The results of this study indicates that ADFP can help Korean seniors 65 years or older improve their MA, PS, ADL, and IADL, and do so synergistically. Conclusion: An HPEP, when organized in such a way that the elderly can easily do it, and when exercise items and intensity can be programmed and reorganized accordingly to individual physical and physiological characteristics by presenting 5 categorized health domains of physical strength, may be useful, especially because it can be practiced irrespective of time and place.

• 근관절건강학회지
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• 제28권2호
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• pp.174-182
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• 2021

Purpose: This study is a secondary data analysis study to identify factors related to the quality of life of people aged 65 y or older, according household type. Methods: In 2019, the study extracted the data from the elderly participants (65 y of age or older) from G province Community Health Survey. The data were compiled and analyzed in a composite sample. Results: The quality of life was lowest among single people, grandparents-grandchildren (F=39.88, p<.001). Variables that significantly influenced quality of life in single-person households were basic security(β=-.03, p=.002), high-risk drinking (β=.04, p=.002), number of day to walk (β=.01, p<.001), diabetes mellitus (β=-.03, p<.001), depression (β=-.02, p<.001), and contact frequency (β=.00, p<.001). Variables that significantly influenced grandparents-grandchildren households were basic security (β=.03, p<.001), smoking(β=-.02, p<.001), number of day to walk (β=.00, p<.001), hypertension (β=-.01, p=.009), diabetes mellitus (β=-.04, p<.001), cognitive impairment (β=-.02, p<.001), depression(β=-.02, p<.001), contact frequency (β=.01, p<.001), and neighborhood trust (β=.02, p<.001). Conclusion: In this study, there were differences in health-related quality of life for each type of household, and various support systems are needed in their social networks to suit their characteristics.

• 보건행정학회지
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• 제29권4호
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• pp.412-421
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• 2019

Background: The purpose of this study was to identify the status of Successful Aging among the elderly aged 65 and over in rural areas and to compare factors related with Successful Aging between "kyung-ro-dang" users and non-users. Methods: A total of 181 elderly aged 65 or older were selected from four districts (Heung-upri, Mejiri, Sajerri, and Daeanri) of Wonju city. A survey method using face to face interviews was applied to collect information. Successful aging was measured on a 5-point Likert-type scale using the successful aging scale developed for the Korean elderly, which indicates the higher the score, the higher the level of successful aging. Descriptive statistics, bivariate, and multivariate analyses were computed; the level of significance was set at 5%. Hierarchical polynomial regression was applied to find out the factors associated with successful aging. Results: Of the total, 112 elders used kyung-ro-dang and 69 elders who did not use kyung-ro-dang. The level of successful aging of the elderly was higher among kyung-ro-dang users than non-users. The factors related to successful aging among kyung-ro-dang users were walking and social participation. Users who walk more than 4 times per week and social participation activities have a higher level of satisfaction. In the case of non-users, a higher level of monthly income, having a spouse, social support, and social participation associated with a higher level of successful aging. Conclusion: Monthly income, social participation, and social factors were found to be related to successful aging along with physical and mental health conditions among the elderly in rural areas. Therefore, it can be concluded that income, social as well as mental and physical factors, are more critical for successful aging in the rural community care in Korea.

• 대한두개안면성형외과학회지
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• 제23권5호
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• pp.205-210
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• 2022

Background: Nasal bone fractures are the most common type of facial bone fracture, but are under-studied in adults above 65 years of age. Therefore, we investigated the epidemiology and patterns of nasal bone fractures among older adults in comparison to different age groups. Methods: This retrospective study included 2,321 nasal bone fracture patients who underwent surgery at our hospital from January 2010 to December 2017. The patients were classified by age as preschoolers, school-age children, young and middle-aged adults, and the elderly. We performed pairwise comparisons between elderly patients and each other age group in terms of sex, cause of injury, and fracture type. Results: The 2,321 nasal bone fracture patients included 76 elderly patients (50 men [65.8%] and 26 women [34.2%]). In these patients, the two most common injury causes were falling or slipping down (n= 39; 51.3%) and road traffic accidents (n= 19; 25.0%). According to the Stranc and Robertson classification, the most common force vector was lateral, and plane 2 fractures with lateral forces predominated. Conclusion: The elderly showed similar patterns of nasal bone fractures to those observed in young and middle-aged adults, but significant differences from preschoolers (in the injury vector and plane of fracture) and from school-age children (in the sex ratio and plane of fracture). However, elderly patients presented significantly different epidemiological characteristics compared to the other three groups. Therefore, it is necessary to improve the quality of life of the elderly and prepare for the upcoming super-aged society by taking steps to reduce the incidence and severity of fractures. Possible options for doing so include strengthening individual-level safety factors and expanding the social safety net for the elderly.

• 한국체육학회지인문사회과학편
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• 제57권6호
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• pp.263-272
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• 2018

본 연구는 여성노인의 허약 상태에 대한 보행 변동성과 체력의 역할을 검증하고자 하였다. 본 연구 기관의 지역사회에 거주하는 65세 이상 여성노인 168명(나이 75.07±5.40)을 대상으로 인구사회학적 특성, 신체조성, 보행 변인 및 변동성, 체력, 인지기능, 우울상태를 측정하였다. 그리고 Fried et al.(2001)의 허약진단 지표(체중감소, 정서적 고갈, 신체활동, 보행속도, 악력)를 기준으로 정상, 전-허약, 허약으로 구분하였다. 허약 상태 예측을 위한 보행 변인 및 변동성 그리고 체력의 역할을 검정하기 위해 로지스틱 회귀분석을 실시하였다. 그 결과, 나이, 교육수준, 보유한 질병 수, 일상생활수행능력 및 인지기능 점수와 우울점수를 통제 한 후 허약그룹은 정상그룹(OR=1)과 비교하였을 때, 두 다리 지지비율(OR=1.48, 95% CI=0.10-2.21, p=.049) 및 분당 보폭수(OR=2.06, 95%CI=1.20-3.43, p=.009)의 변동성이 통계적으로 높게 나타났으며, 상체근력(OR=0.49, 95%CI=0.31-0.77, p=.002)이 낮은 것으로 나타났다. 결론적으로 본 연구에서 허약의 예측인자로 나타난 두발 지지비율 및 분당 보폭수의 변동성 그리고 상체근력은 허약 상태를 예측하고 평가하는데 중요한 지표로 사용될 수 있을 것으로 판단된다.

• Journal of Preventive Medicine and Public Health
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• 제35권2호
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• pp.107-115
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• 2002

Objectives : To evaluate the effects of a strengthening exercise program on the physical activity, activities of daily living(ADL), social behavior and functional performance of the elderly in a home for the aged. Methods : We administered a survey questionnaire that consisted of questions to establish general characteristics, health habits and status, physical activity, ADL, and social behavior. Additionally, a physical fitness and functional performance examination was peformed on subjects who were 65 years old or older. Study subjects numbered 33 in the experimental group and 35 in the control group. For intervention, we used a strengthening exercise program of the upper and lower limbs for 12 weeks(5 times/week) using dumbbells and lead-packed weights. Results : After the strengthening exercise program, the scores of physical activity and social behavior were significantly higher than the control group and the before exercise measurements. Moreover, the variables of functional performance were significantly higher than in the control group or the before exercise records. Conclusion : These results Indicate that a strengthening exercise program can improve the score of physical activity, ADL and social behavior, as well as decrease the time(sec) of functional performance of the elderly in a home for the aged.

• 여성건강간호학회지
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• 제20권4호
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• pp.297-308
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• 2014

Purpose: The purpose of this study was to review the effects of physical activity on musculoskeletal outcomes in older Koreans. Methods: Experimental studies were retrieved from the search engines (PubMed, CINAHL, PsycINFO, Cochrane, RISS, KISS, and KoreaMed). The selected studies for analysis were 27 articles of musculoskeletal outcomes (gait, muscle strength, flexibility, balance, grip strength, endurance, body fat, and weight) from 515 articles. Results: The most common type of physical activity was a resistance exercise. There were significant improvements in gait (71.4%), muscle strength (86.7%), flexibility (63.6%), balance (72.2%), grip strength (71.4%), endurance (71.4%), body fat (57.1%), and weight (28.6%). The activity programs that apply over 150 minutes a week showed greater improvement of 69.5% than 65.0% from those did not meet the guidelines totally. Conclusion: Based on the review, we conclude that regular physical activity in the elderly may improve the musculoskeletal outcomes. To be more effective programs, it is necessary to meet the guidelines of 150 minutes a week or 30 minutes of moderate-intensity activities on 5 days per week for the elderly.