• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.3
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• pp.186-197
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• 2018

This study was a systematic review and meta-analysis designed to investigate the effects of physical activity programs on sleep among community-dwelling elders in Korea. Based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines, research articles published until November 20, 2016 were systematically analyzed and a total of seven papers were finally selected. Meta-analysis of the studies was conducted using Comprehensive Meta-Analysis 3.0. The results showed that the total effect of the physical activity program for elderly people, such as healing yoga, aerobic dance, aquarobics, Korean dance, BeHas exercise, exercise programs and Tai Chi exercise on sleep was Hedges' g=0.577 (95% CI: 0.337-0.817) The BeHas exercise program had the largest effect size on elderly's sleep, with a Hedges' g=0.758 (95% CI: 0.248-1.267). This was followed by the Tai Chi exercise program (Hedges' g=0.697; 95% CI: 0.071-1.324) and the exercise program (Hedges' g=0.650; 95% CI: 0.141-1.159). Therefore, when applying nursing interventions to improve quality of sleep of elderly people living in the community, it would be helpful to apply the BeHas exercise and the Tai Chi exercise, which have a positive effect on sleep of the elderly.

• Anxiety and mood
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• v.10 no.1
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• pp.24-29
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• 2014

Objectives : This study aimed to investigate the associations between physical disorders and prevalent/incident suicidal ideation in a community dwelling older population aged 65 years or over. Methods : 1204 people aged 65 years or over evaluated at baseline. Suicidal ideation was identified using the questions from the community version of the Geriatric Mental State Schedule ("GMS B3"). Reported physical disorders covering 11 common and generally chronic health problems were ascertained. Covariates included were depression, age, gender, years of education, accommodation status, past occupation, and current occupation. Of 1066 without suicidal ideation at baseline, 805 (76%) were followed 2 years later, and incident suicidal ideation was evaluated. Results : Prevalent suicidal ideation was significantly associated with 4 of 11 physical disorders: eyesight problems, persistent cough, heart disease and paralysis or weakness in one leg or arm. Incident suicidal ideation was associated with 3 physical disorders: asthma, high blood pressure and paralysis or weakness in one leg or arm. Both prevalent and incident suicidal ideation were significantly associated with increased number of physical disorders. Conclusions : Certain physical disorders were comorbid and precipitating factors of suicidal ideation in elders. And appropriate intervention and treatment of physical disorders might prevent suicidal ideation in elderly.

• Journal of the Korean Society of Food Science and Nutrition
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• v.44 no.1
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• pp.49-56
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• 2015

The present study investigated the risk and prevalence of dysphagia as well as related factors among free-living elders. Subjects were 419 elderly men (116) and women (303) aged 65 years and older ($74.49{\pm}4.70y$) living in Seoul, Gyeonggi-do and Chungcheongbuk-do area in Korea. Data were collected by personal interviews using questionnaires and analyzed by descriptive statistics, t-test, and chi-square test. Prevalence of dysphagia was 53.50% among participants. Risk of dysphagia was significantly different according to age (P<0.001), use of dentures (P<0.05), and activities of daily living (P<0.05). Moreover, dysphagia risk group had significant food intake problems, including poor appetite, smaller portions to reach satiety, frequent meal skipping, as well as poor taste compared to the normal group, accompanied by high risk of weight loss as assessed by simplified nutritional appetite questionnaire (P<0.01). Taken together, risk of dysphagia was more prevalent in older people, affecting the majority of those living independently in the community. This could indicate an association with undernutrition due to factors affecting food intake.

• Journal of the Korean Society of Food Science and Nutrition
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• v.43 no.9
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• pp.1431-1438
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• 2014

This study assessed the risk and prevalence of anorexia as well as associated factors among home-dwelling elderly adults. The subjects were 419 elderly men (116) and women (303) aged 65 years and older ($76{\pm}5.6yr$) living in Korea. Data were collected by personal interviews using questionnaires. The collected data were analyzed by descriptive statistics and Pearson's correlation. The prevalence of anorexia was 35.1% among participants. Male elders (74.1%) had higher proportions of anorexia than female elders (20.1%) (P<0.001). Significant differences in the appetite were observed according to type of disease, depression, and activities of daily living (ADL) index. In the poor appetite group, central nervous system diseases were the primary illness in male elders (P<0.01), whereas endocrine diseases were the primary illness in female elders (P<0.01). Elders with good appetites had less symptoms of depression (P<0.001) and greater independence in ADL (P<0.001). These results explored the high prevalence of anorexia in geriatric populations in Korea and its impact on elderly nutritional status and health. Further research should be performed to identify the causes of anorexia and establish an intervention protocol allowing the early diagnosis of anorexia.

• 한국노년학
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• v.32 no.3
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• pp.819-834
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• 2012

The purpose of this study was to examine the degree of successful aging and to investigate influencing factors of it in elderly to types of gender. Subjects were 73 male elderly and 77 female elderly, total 150 elderly living at K city in C province, from May to June, 2012. The data were analyzed using the SPSS Win 18.0 program for $X^2$ test, t-test, Pearson's correlation coefficients and multiple regression analysis. The correlated factors of successful aging among male elders included life satisfaction(r=.525, p<.001), family support(r=.355, p=.004), depression(r=-.555, p<.001) and loneliness(r=-.437, p<.001). Those of successful aging among female elders included life satisfaction(r=.607, p<.001), leisure satisfaction(r=.679, p<.001), family support(r=.784, p<.001), depression(r=-.516, p<.001), loneliness(r=-.644, p<.001) and self-transcendence(r=.576, p<.001). Life satisfaction and depression were statistically significant influencing factors of successful aging in male elders. Especially in the cases of female elders, life satisfaction, depression, family support and self-transcendence affected to successful aging. Life satisfaction, depression, family support, and self-transcendence were explained 52.9% in perception of successful aging among elders. This study suggests that life satisfaction, depression, family support, and self-transcendence will be considered in enhancing the successful aging promoting care and welfare designed for types of gender.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.4
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• pp.2142-2149
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• 2014

This study was to find out urinary incontinence, quality of sleep and efficacy of fall in the community dwelling elderly and to investigate how the factors were connected to one another. Data were collected between January 3rd and 30th, 2013 from 112 elderly people who aged 65 or older. They agreed to participate in this study sampled among elders assistants in a way of responding to the questionnaire after being read. The study scales were composed of demographic characteristics, urinary incontinence, quality of sleep and efficacy of fall. A total of 45(40.2%) subjects were reported fall experienced. The results showed a positive correlation with urinary incontinence, quality of sleep and efficacy of fall. Multiple linear regression analysis revealed that predictor of efficacy of fall was quality of sleep. A combination of the urinary incontinence and quality of sleep accounted for 9.6% of the efficacy of fall.

• Korean Journal of Biological Psychiatry
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• v.15 no.1
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• pp.5-13
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• 2008

Objectives : It was the aim of the present paper to examine the impact of the apolipoprotein E(APOE) ${\varepsilon}4$ on cognitive performance in community-dwelling elderly samples with 'questionable dementia'. Methods : Total 295 samples who were diagnosed with 'questionable dementia' in the recent year and completed the Korean version of the Consortium Establish a Registry for Alzheimer's Disease(CERAD-K) neuropsychological assessment protocol, were recruited. The CDR test established score of 0.5. Genomic DNA was extracted from the venous blood and APOE genotyping was done in this group. Their cognitive performance was compared by the occurrence of the APOE ${\varepsilon}4$ allele. Results : The impact of ${\varepsilon}4$ allele was significant in the Word List Recall Test(WLRT, F=4.511, df=1, p=0.035). The 'young-old' group aged 75 years and under had a significantly lower performance on the Word List Recall Test(WLRT, F=5.090, df=1, p=0.015), but the 'old-old' group over 75 years of age had not significantly different performance on the all the item of tests in ${\varepsilon}4$+ allele group. Conclusion : The conclusion to be drawn here is that community-dwelling elderly samples with ${\varepsilon}4$ allele in 'questionable dementia' had a significantly lower performance on the Word List Recall Test in the CERAD-K neuropsychological test batteries and the effect was prominent in the 'young-old' age group.

• Research in Community and Public Health Nursing
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• v.25 no.1
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• pp.1-11
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• 2014

Purpose: The purpose of this study is to obtain information of use of complementary and alternative medicines (CAMs) and any reported adverse effects of them on vulnerable elders in a community. Methods: 1,837 elderly subjects aged 65 or higher with health problems were selected from those who were enrolled in a public health care center and received visiting health management services. A proportional stratified sampling method was used. Data collection was completed by face to face interviews using a structured questionnaire. The descriptive statistics and ${\chi}^2$-test were used to analyze the data. Results: The prevalence of CAM use last year was 57.5%, and 10.4% of the subjects reported adverse effects of the therapies. The mean score of the subjects' attitudes towards CAM was $4.1{\pm}3.44$ (range 1~10). The major sources of advice and exposure to CAM therapies were most likely to be from family and friends (72.5%). The primary reason for choosing CAM was to manage symptoms and relieve pain (86.6%). Conclusion: These findings suggest the need to develop nursing strategies for reducing and preventing adverse effects of CAM use by promoting awareness of using safe and appropriate CAM therapies.

• Korean Journal of Biological Psychiatry
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• v.17 no.1
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• pp.15-25
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• 2010

Objectives : The Big Five Inventory(BFI) and the Big Five Inventory-10(BFI-10) are widely used instruments for the evaluation of personality in various cultures, while they have not been formally validated in Korea. This study aimed to develop the Korean versions of BFI(BFI-K) and BFI 10(BFI-K-10) with a Korean elderly population. Methods : The study sample consisted of 1,038 community dwelling elders. BFI-K and BFI-K-10 were administered. For the reliability analyses, scores on Guttmans' split half and Cronbach's ${\alpha}$ were estimated. For the validity analyses, the Korean version of Geriatric Depression Scale(KGDS) and the State-Trait Anxiety Inventory(STAI) were investigated. Results : The reliability of the BFI-K was good(Guttmans' split half=0.59-0.78, Cronbach's ${\alpha}$=0.52-0.75). Scores on the BFI-K-10 were significantly correlated with the scores on BFI-K. Scores on the BFI-K and the BFI-K-10 were significantly correlated with the scores on KGDS and STAI. Conclusion : Both BFI-K and BFI-K-10 might be reliable and valid instruments to evaluate the personality in Korean community elders. BFI-K-10 is short and easy to be administered, and therefore it would be very convenient to use.

• Physical Therapy Korea
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• v.23 no.4
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• pp.16-26
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• 2016

Background: Deficiencies in the ability to maintain balance are common in elderly. Augmented feedback such as knowledge of results (KR) can accelerate learning and mastering a motor skill in older people. Objects: We designed this study to examine whether one session of Wii-Fit game with self-regulated KR is effective for elderly people, and to compare the effect of two different timings of self-regulated KR conditions. Methods: Thirty-nine community-dwelling elders, not living in hospice care or a nursing home, participated in this study. During acquisition, two groups of volunteers were trained in 10 blocks of a dynamic balancing task under the following 2 conditions, respectively: (a) a pre-trial self-regulated KR ($n_1=18$), or (b) a post-trial self-regulated KR ($n_2=21$). Immediate retention tests and delayed retention tests of balancing performance were administered in 15 minutes and 24 hours following acquisition period, respectively. Results: In both groups, significant improvements of balancing performances scores were observed during the acquisition period. Regardless of the group, mean of balancing performance scores on retention tests were well-maintained from the final session. There were no significant differences between groups in balancing performance scores during the acquisition period (p>.05); however, the post-trial self-regulated KR group exhibited significantly higher balancing performance scores in both the immediate retention test and delayed retention test than that of the pre-trial self-regulated KR group (p<.05). Conclusion: Therefore, subjects who regulated their feedback after a dynamic balancing task, during the acquisition period, experienced more efficient motor learning during the retention period than did subjects who regulated their feedback before a dynamic balancing task. Accordingly, in case of presenting the KR of motor learning in clinical settings to elders who reduced dynamic balance abilities, the requesting time of KR is imperative according to self-estimation processes as well as types of KR and practice.