• Journal of the Korean Orthopaedic Association
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• v.56 no.1
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• pp.34-41
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• 2021

Purpose: To evaluate the long-term clinical results and survivorship of unicompartmental knee arthroplasty (UKA) in elderly patients older than 70 years by analyzing cases that have been implanted for >10 years ago. Materials and Methods: The long-term follow-up results were evaluated in 39 patients (46 cases) who underwent medial UKA from March 2002 to February 2004. The mean age of the patients at the time of surgery was 74.0 years, and the preoperative diagnosis was degenerative arthritis of the knee in all cases. Results: Of the 46 cases, reoperation occurred due to the complications in four cases. In 22 cases without 14 cases of death and six cases of follow-up loss, follow-up more than 10 years was possible. The mean Knee Society knee and function scores improved significantly from 53.0 and 52.5 points pre-operatively to 89.4 and 80.9 points at the last follow-up, respectively (p<0.001). The mean range of motion of the knee recovered to 132.5°, and the mean tibiofemoral angle changed to 5.9° of valgus at the last follow-up. Complications following the UKA occurred in four cases; the most prevalent complication was mobile bearing dislocation (n=2). One case of failure occurred due to aseptic loosening and degenerative arthritis of the lateral compartment, respectively. The cumulative survival rate of the implants was 95.0% at 10 years and 85.7% at 15 years. Of the 40 cases, excluding six cases of follow-up loss, 36 cases (90.0%) could be used without reoperation until death or at the last follow-up after surgery. Conclusion: These results showed the outstanding functions of the knee and satisfactory long-term survivorship after UKA. Therefore, UKA could be a useful method for the treatment of osteoarthritis of the knee in elderly patients older than 70 years of age.

• Journal of Korean Academy of Nursing
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• v.31 no.3
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• pp.443-453
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• 2001

Purpose: To identify age, gender, medication, seasons and place of fall, and areas of the fractures from the fall among the hospitalized elderly patients in order to provide the basic data for future fall prevention program for the elderly. Methods: This study was conducted for 106 elderly patients admitted into a university hospital by fractures from the fall during the period from January 1, 1999 to December 31, 1999. Data on the age, gender, medication, season and place of the fall, areas of the fracture were collected based on their medical records. Result: The age range of the subjects were from 60 to 96 years old. The subjects were aged between 60-69 years old 49(46.2%), between 70-79 years old 31(29.2%), between 80-89 years old 24(22.6%), and over 90 years old 2(1.9%). Male patients comprised was 34(28.3%), while female patients comprised 76(71.7%). The fall occurred in Winter most frequently 34(32%). The place of the fall included room 81(76.4%), streets 13(12.3%), bathroom 6(5.7%), stair 4(3.8%), and mountain 2(1.9%). Twenty-two subjects (20.8%) had medication regularly, while 84 subjects (79.2%) had no medication. The areas of the fracture from the fall included upper extremities 20(18.9%) and lower extremities 86(81.1%). Radius fracture (7.5%) was the area where the fracture occurred most frequently in upper extremities and femur fracture (52.8%) was the area where the fracture occurred most frequently in lower extremities. A significant difference was found in the fracture area by age, season and place of the fall (p<.05). No significant difference was found in the fracture area by gender and medication. In all age groups, seasons and places of the fall, occurrence of fracture in lower extremity was significantly higher than that in upper extremity.

• Journal of the Korean Society of Clothing and Textiles
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• v.44 no.6
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• pp.1070-1086
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• 2020

This study analyzed the size of women in their 60s, 70s and 80s in the 2014 Human Body Dimension Survey data among Size Korea's 7th Human Dimension Survey Data in 2015. This study examined the characteristics of changes in female body shape according to aging and the age range. The height item gradually decreased from the 60s and then rapidly decreased to the 80s. In the case of the circumference item, a sharp change occurred in the section from 69 to 70 years old. The reduction in hip height, waist height, and navel level waist height was not significant compared to the decrease in stature. Both width, thickness, and circumference gradually decreased with age. It can be seen that the back bends forward and the legs become thinner than the body due to the aging phenomenon with increasing age. Even for older women, the characteristics of aging differ in their 60s, 70s and 80s, so age segmentation of silver clothing should be considered.

• International Journal of Vascular Biomedical Engineering
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• v.3 no.1
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• pp.14-22
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• 2005

In the present study, our aim is to investigate whether responses to the head-up tilt (HUT) on nonlinear properties of heart rate variability (HRV) in young and elderly subjects are different or not. Thirteen young-healthy subjects ($24.5{\pm}3.7$ years) and 18 old-aged healthy subjects ($74.5{\pm}7.4$ years) participated in this study. An electrocardiogram (ECG) in the supine posture, at $0^{\circ}$, and in the standing posture, at $70^{\circ}$ of head-up tilt, was recorded. Detrended fluctuation analysis (DFA) and approximate entropy (ApEn), measures of short-/long-term correlation properties and overall complexity of heart rate (HR) respectively, along with spectral components of HR variability (HRV) were analyzed for both the supine and HUT postures. We observed that the short-term fractal exponent ${\alpha}_1$ increased during HUT posture (F(1, 29) = 39.79, P = 0.000), especially, the young subjects showed a significantly higher values compared to the elderly subjects. ApEn significantly decreased (F(1, 29) = 8.61, P = 0.006) during HUT posture. HUT posture decreased the complexity in HR dynamics and increased short-term fractal exponent values in young subjects but not in elderly subjects. These results imply that there are differences of response to HUT on nonlinear properties between young and elderly subjects.

• Korean Journal of Clinical Laboratory Science
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• v.39 no.1
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• pp.37-41
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• 2007

This study was carried out to investigate the cadmium level in blood by age, gender, and smoking status among 162 elderly subjects in Gyeongnam Province from September 2006 to February 2007. The cadmium level in blood was analyzed by atomic absorption spectrophotometer. Subjects were classified according to smoking status and divided into smokers and non-smokers, smoking duration, daily smoking habits, age, and gender. Mean blood cadmium levels in male and female were $0.70{\pm}0.41{\mu}g/dL$ and $0.57{\pm}0.32{\mu}g/dL$ respectively, with no significant differences between the two groups. Cadmium levels in the blood of smokers and non-smokers were $0.57{\pm}0.32{\mu}g/dL$, $0.90{\pm}0.44{\mu}g/dL$ respectively, with the cadmium level of smokers being significantly higher than that of non-smokers. In comparison by age, cadmium levels in the blood of subjects over the age 70 years and over the age 80 years were $0.91{\pm}0.44{\mu}g/dL$, $1.02{\pm}0.39{\mu}g/dL$ respectively, showing a significantly higher blood cadmium level than that of non-smokers. when compared by the amount of daily cigarette consumption, there were no significant differences in the blood cadmium level between groups. However when compared by smoking duration, the blood cadmium level for the group of smoking duration of over 10 years was $1.15{\pm}0.38{\mu}g/dL$, significantly higher than $0.67{\pm}0.31{\mu}g/dL$ for the group of smoking duration of less than 10 years. In conclusion, longer smoking duration and older aged group showed higher cadmium level in blood. For more reliable results, further study of the elements that elevate the cadmium level in blood with more subjects and study variables will be needed.

• Journal of Korean Neurosurgical Society
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• v.60 no.6
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• pp.654-660
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• 2017

Objective : Mechanical thrombectomy is increasingly being used for the treatment of acute ischemic stroke. The population over 80 years of age is growing, and many of these patients have acute infarction; however, these patients are often excluded from clinical trials, so the aim of this study was to compare the functional outcomes and complication rates in very elderly patients (age ${\geq}80$ years) and aged patients (60-79 years) treated with mechanical thrombectomy. Methods : Between January 2010 and June 2015, we retrospectively reviewed 113 senior patients (over 60 years old) treated at our institution for acute ischemic stroke with mechanical thrombectomy. They were divided into a very elderly (${\geq}80$ years) and aged (60-79 years) group, with comparisons in recanalization rates, complications, death and disability on discharge be reported. Results : The mean age was 70.3 years in the aged group and 83.4 years in the very elderly group. Elderly patients had higher rates of mechanical thrombectomy failure than the younger group (40% vs. 14%; odds ratio [OR] 4.1; 95% confidence interval [CI] 1.4-11.9; p=0.012). Results from thrombolysis in cerebral ischemia and modified Rankin scale at discharge were worse in the older group (p=0.005 and 0.023 respectively). There were no differences in mortality rate or other complications, but infarction progression rates were significantly higher in the very elderly group. (15% vs. 2.2%; OR 8.0; 95% CI 1.2-51.7; p=0.038). The majority (92.3%) of the patients who failed in aged group were not successful after several trials. However, in half (4 of 8) of the very elderly group, the occlusion site could not be accessed. Conclusion : Patients older than 80 years of age undergoing mechanical thrombectomy for acute infarction were more difficult to recanalize due to inaccessible occlusion sites and had a higher rate of infarction progression, However, mortality and other complications were similar to those in younger patients.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.3
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• pp.1180-1190
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• 2013

This study is to analyze femoral necks and lumbar spine bone mineral density in Korean men aged 60 or older 2,736 people, as well as to research in its relation to anthropometry, life style, diet, fracture history, family history of osteoporosis and medical history using data from Korea National Health and Nutrition Examination Survey (KNHANES)(the 2nd(2008) and 3rd(2009) year at the 1st survey, and the 1st(2010) year at the 5th survey). To express the strength of the associations, percent differences were calculated from multiple linear regression models using the formula ${\beta}{\times}$(unit/mesnBMD). Unit for continuous variables were chosen to approximate 1 standard deviation(SD). Prevalence of osteoporosis for 60-69, 70-79 and >80 old men were 6.7%, 15.8% and 31.4% respectively. The proportion of osteoporosis calculated for each age group in the femoral neck group was: 60-69 years old, 2.6%, 70-79years old, 8.2%, >80years old, 24.8%. For the lumbar spine group, the values were: 60-69 years old, 5.5%, 70-79years old, 11.3%, >80years old, 15.4%. In men aged 60 or older, lean mass greatly influenced bone density in the femoral neck and lumbar spine. Thus, to increase the lean mass would be an effective way to prevent osteoporosis in elderly men.

• YAKHAK HOEJI
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• v.58 no.5
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• pp.328-336
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• 2014

Anticholinergic drugs are included in the efficacy group of various antidepressants, antihistamines, antispasmodics like skeletal muscle relaxants. Elderly patients are often taking anticholinergic drugs due to various diseases such as sleep disorders and dysuria. But the use of anticholinergic drugs is restricted in guidelines such as Beers Criteria or STOPP due to the anticholinergic adverse effects including dry mouth, constipation, difficult urination, delirium, hallucinations and especially cognitive impairment. In this study, we investigated the usage of anticholinergic drugs in out-of-hospital prescription of 4,442 elderly patients. Results of the study were obtained that 32% (n=1,421) of overall patients were prescribed with 1~6 products (average 1.37) of anticholinergic drugs. 70.9% of the 1,421 patients (n=1,007) were prescribed with one drug, 22.7% (n=323) were two drugs and 4.9% (n=70) were three drugs. 27.1% of the 1,421 patients (n=430) were 70~74 years old patients who were the most commonly prescribed with anticholinergic drugs. Amitriptyline, chlorpheniramine, dimenhydrinate and quetiapine were most frequent component of ACB Score 3 drugs and amantadine, baclofen, carbamazepine, cyproheptadine and oxcarbazepine were most frequent of ACB Score 2 drugs. Anticholinergic Drug Scale (ADS) of individual patients presented one point (48.5%, n=689), 2 points (15.4%, n=219), more than 3 points (36.1%, n=513), and up to maximum 12 point (n=1). More than 2 points were more than half (51.5%, n=732). Therefore, additional prospective study in the use and adverse effects of anticholinergic drugs for elderly patients will be required. And national management such as DUR program will be required for elderly drug administration from now on.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.6
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• pp.70-80
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• 2016

This study was conducted to investigate the effects of an integrated recreation program on mood states, flexibility, and stress of elderly women. The integrated recreation program was applied to dance as a physical activity and songs and art as emotional activities in consideration of the characteristics of the elderly activities. The subjects were 50 elderly women aged 65 years or older who reside in K-do. The examination period was December 2 in 2014 to February 17 in 2015, during which time mood states, flexibilities, density of the salivary cortisol, variations in heartbeats, and stress were measured. The integrated recreation program had positive effects on mood, flexibility and stress reduction in elderly women. Based on these results, the integrated recreation program is considered to increase mood states and flexibility of elderly women while lowering stress. Therefore, the integrated recreation program developed in this study not only helps the physical and mental health of elderly women, but can also be widely utilized as a health promotion program for the elderly.

• Journal of the Korean Society of Costume
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• v.59 no.8
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• pp.123-131
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• 2009

This study aims at presenting the basic data related to the somatotype of elderly men at the point of Korea's entering into an aging society. Efforts were made to classify the lower-half somatotype of elderly men, with the application of the measurements of 261 elderly men of 60 years of age and over up to 70, which were available from the physique measurement survey project for Koreans. The number of analysis items was 31. The statistical treatment was made through SPSS win 12.0 program, and the analytical methods used were the basic statistics, factor analysis, and cluster analysis. The findings are as follows: Elderly men experienced the decreases in height and weight, in comparison with middle-aged ones, while they showed a flat shape at trunk, with more protruded waist and abdomen and with flat buttock. The analysis of the constituting factors for the lower-half body of elderly men resulted in the 6 items. The elements constituting the lower-half body of elderly men included the shape from waist to hip, the spread of hip and height of knee, the shape of leg, thigh size, the length of leg, and the volume of abdominal. The total accountability was 81.59 %. The cluster analysis for lower-half somatotype of elderly men resulted in the classification of three types. The above findings are intended to assist the designing of ready-made slacks with a high level of fitness for elderly men.