• 가정과삶의질연구
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• 제22권6호
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• pp.27-45
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• 2004

The propose of this study was to investigate the management characteristics of assisted living facility(ALF) as an housing alternative for semi-dependent elderly. For this purpose, 5 ALFs which have been well known as best practices in rural Virginia were selected for a multi- site case study. Face-to-face interview with administrators or assistant administrators of i facilities were done. In addition to this, written materials about the each facility and personal record from researcher were used to analyze the data. Six management categories including 82 open-ended questions were analyzed and successful examples and management difficulties were identified from best practices. Based on the results, some recommendations for development of ALFs in Korean elderly were suggested. In short, this study found that best practices which were selected and analyzed in this study showed that successful management was resulted from continuous efforts of the stalls to provide better services in order for improving the quality of life of their residents.

• PNF and Movement
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• 제12권4호
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• pp.217-224
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• 2014

Purpose: The purpose of this study is to analyze the hand functions of elderly persons according to their cognitive status and age. Methods: A total of 65 persons voluntarily participated in the study. The subjects were divided into three groups: impairment cognitive group, normal cognitive group, adult group (persons in their twenties). Assessment of cognitive status was performed using a mini-mental state examination for Koreans (MMSE-K). Hand function was assessed using the Purdue pegboard test. The collected data were analyzed using a one-way ANOVA and Pearsonn Acorrelation. Results: There were significant differences in hand functions in the three groups. Post-hoc test results showed significant differences between each group. There were statistically significant differences in the correlation among hand functions, cognitive status, and age. The findings of this study suggest that hand functions have a positive correlation with cognitive status. However, a negative correlation was found between hand function and age. Conclusion: According to the study's results, hand functions are correlated with age and cognitive functions in elderly persons. This study suggests that hand rehabilitation with cognitive intervention increases hand functions in elderly persons.

• 한국노년학
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• 제40권3호
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• pp.413-428
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• 2020

본 연구는 '2017년도 노인 실태조사'에 응답한 65세 이상 노인 8,942명을 대상으로 ICT를 활용한 자녀·손자녀 접촉빈도, 디지털 리터러시 등의 특성이 인지기능에 미치는 영향을 파악하기 위한 이차자료 분석 연구로, 다중 회귀분석을 활용하였다. 연구 결과 노인의 인지기능에 가장 큰 영향을 미치는 요인은 디지털 리터러시로 나타났다. 또한 ICT를 활용한 손자녀와의 접촉빈도는 디지털 리터러시 및 인지기능과 유의한 상관관계가 있으며 인지기능에 긍정적 영향을 주는 요인임이 새롭게 밝혀졌다. 이를 토대로 노인을 대상으로 한 정보화 교육 및 활용의 중요성과 이를 통한 세대 간 의사소통 활성화의 필요성에 대해 논의하였다.

• Journal of Korean Biological Nursing Science
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• 제18권4호
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• pp.296-304
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• 2016

Objective: The purpose of this study was to explore the effects of a senior functional game (Rejuvenescent village) on cognitive function, instrumental activities of daily living (IADL), depression, and life satisfaction in Korea. Methods: An one-group pretest-posttest design was used in this study. Data were collected twice (at the beginning and the end) from 100 elderly adults in S city who played "Rejuvenescent village" 8 times (twice per week, one hour per session) for a month. Also they completed questionnaires on their cognitive function, IADL, depression, life satisfaction, and general characteristics. The data were analyzed using SPSS 20.0 programs. Results: The mean age was 70.06(${\pm}3.77$) years, with a range of 65-80 years old. Among 100 subjects, 21% were male and 85% were young old. There were statistically significant differences in cognitive function (t=-3.32, p=.001), IADL (t=1.98, p=.049), and life satisfaction (t=-2.15, p=.034). Although there was no statistically significant difference in mean depression score (t=1.06, p=.292), categorized depression was statistically significant (${\chi}^2=62.97$, p<.001). Conclusion: The findings in this study show that the serious game (Rejuvenescent village) was effective for older Koreans' cognitive function, IADL, depression, and life satisfaction. Thus, we need to consider senior functional games to get health benefits by making elderly adults active with enjoyment.

• Journal of Preventive Medicine and Public Health
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• 제42권3호
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• pp.199-207
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• 2009

Objectives : Research on the gender differences of health among older Korean people has been limited compared with the research for other stages of life. This study first examined the patterns and magnitude of the gender differences of health in later life. Second, we examined the gender differences in the health of older men and women that were attributable to differing socioeconomic conditions. Methods : Using the nationally representative 2005 Korean National Health and Nutrition Examination Survey, the gender differences in disability and subjective poor health were assessed by calculating the age adjusted and gender-specific prevalence. Logistic regression analyses were used to assess if the differences between the men and women for health could be explained by differential exposure to socioeconomic factors and/or the differential vulnerability of men and women to these socioeconomic factors. Results : Our results indicated that older women were more likely than the men to report disability and poor subjective health. The health disadvantage of older women was diminished by differential experiences with socioeconomic factors, and especially education. The differences shrink as much as 43.7% in the case of disability and 35.4% in the case of poor subjective health by the differential exposure to educational attainment. Any differential vulnerability to socioeconomic factors was not found between the men and women, which means that socioeconomic factors may have similar effect on health in both genders. Conclusions : Differential socioeconomic experience and exposure between the men and women might cause gender difference in health in old age Koreans.

• 보건행정학회지
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• 제21권4호
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• pp.511-526
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• 2011

This study aims at surveying how Koreans look upon and prepare for the age of longevity("age of 100 years") drawing near at hand, analyzing factors affecting such a perception and behavior. To this end, a telephone survey was launched for 1200 persons sampled to evenly comprise the young, middle-aged, and elderly groups. Our findings indicate that more Koreans looked upon the upcoming "age of 100 years" as a 'disaster' rather than a 'blessing.' The sense of combined uneasiness over the aged life being further elongated while they are unprepared for it, anxiety over maintaining health and so forth came into play. However, the better a person is prepared by way of health management, savings for retirement, preparation for leisure activities and employment for the later life, the more positively he or she looked upon the "age of 100 years". An analysis by group indicates that women rather than men, the elderly rather than the young, the less educated rather than the highly educated, the low-income bracket rather than the high-income bracket looked upon the "age of 100 years" more negatively. Under such circumstances, it is suggested that the nation's social system tailored to a life expectancy of 80 years should be readjusted, tailored to a 'longevity paradigm' and that to this end social systems should be reoriented toward the direction where 'healthy aging' and 'active aging' are fully supported.

• Journal of Nutrition and Health
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• 제47권4호
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• pp.247-257
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• 2014

우리나라 대다수 노인이 고 탄수화물 식사를 하고 있고, 고 탄수화물 식사가 만성질환의 위험과 관련될 수 있다고 보고되었다. 이에 본 연구는 한국 노인에서 탄수화물 에너지비 수준에 따른 만성질환 위험성을 파악하고자 2007~2009년 제4기 국민건강영양조사 자료를 이용하여 65세 이상 노인 3,917명을 대상으로 1일 에너지 섭취량이 500~5,000 kcal에 속하면서, 고혈압, 당뇨, 고지혈증, 뇌졸중, 심근경색 또는 협심증, 빈혈로 치료받는 자를 제외한 1,535명에 대한 자료를 분석하였다. 식사의 탄수화물 에너지비가 55~70%인 적정군과 70%를 초과한 과다군의 두 군으로 대상자를 분류하여 영양섭취상태와 만성질환의 위험 비율을 비교하였다. 모든 자료는 제4기 국민건강영양조사의 가중치를 적용한 후 성, 거주지역, 소득수준, 교육수준 또는 에너지 섭취량을 보정하여 일반선형모델을 사용하여 분석하였다. 만성질환 위험도는 로지스틱 회귀모형을 적용하여 만성질환 위험요인의 판별기준치에 따라 위험군의 백분율과 교차비를 구하고 ${\alpha}$ = 0.05 수준에서 유의성을 검토하였다. 1) 전체 대상자 중 탄수화물 과다군이 81.4%로 적정군에 비해 4배 이상 많았다. 과다군에 남자보다는 여자가 많았고, 읍면에 거주하고, 소득수준과 교육수준이 낮은 사람이 많았다. 2) 체질량 지수에서는 두 군 간에 차이가 없었으나, 체중, 허리둘레, 이완기 혈압이 과다군에 비해 적정군에서 높았다. 3) 탄수화물비 과다군에서 육류 및 난류, 우유 및 유제품, 주류의 섭취 빈도가 낮았고, 반면에 서류의 섭취 빈도는 높았다. 남자에서는 탄수화물 적정군에서 육류 및 난류의 섭취빈도가 높았고, 여자에서는 육류 및 난류 외에도, 우유 및 유제품, 스낵류, 해조류의 섭취 빈도가 적정군에서 높았다. 4) 탄수화물: 단백질: 지방 에너지비는 과다군 79.87: 11.66: 8.46, 적정군 64.88: 16.18: 18.94로 두 군 간에 탄수화물비 외에도 단백질비와 지방비에 큰 차이가 있었고, 에너지 섭취량은 과다군의 1,492 kcal에 비해 적정군이 1,722 kcal로 높았다. 조섬유, 칼륨, 비타민 A, 카로틴, 비타민 C섭취량은 두군 간에 차이를 보이지 않았으나, 나머지 영양소-단백질, 지방, 칼슘, 인, 철분, 레티놀, 티아민, 리보플라빈, 나이아신, 수분-의 섭취량이 탄수화물 적정군에서 높았다. 5) 영양소적정섭취비 (NAR)와 영양밀도지수 (INQ) 역시 비타민 C를 제외한 모든 영양소에서 탄수화물 적정군이 높았다. 성별로 분석하였을 때에도 전체 대상자에서와 비슷한 경향이었으나, 특히 칼슘, 리보플라빈의 영양소적정섭취비와 영양밀도지수가 여자 탄수화물 과다군에서 매우 낮았다. 6) 탄수화물 적정군에서 과다군에 비해 여성은 복부비만의 위험이 1.719배, 남자는 이상지질혈증의 위험이 2.094배 높았다. 이를 요약하면 탄수화물 과다군에서 동물성 식품의 섭취빈도가 낮고 에너지 및 다수 영양소의 섭취량이 낮아 영양부족의 우려가 있으나 빈혈 위험도에는 차이가 없었고, 남자에서는 이상지질혈증, 여자에서는 복부비만의 위험이 탄수화물 적정군에 비해 낮게 나타나서 탄수화물 과다군에서 만성질환의 위험이 높고 빈혈 위험이 높으리라는 연구 가설과는 일치하지 않는 결과를 나타내었다. 추후 이에 대한 확인과 함께, 노인 연령층을 일반 성인층에서 분리하여 만성질환 위험을 낮추는데 도움을 줄 수 있는 노인의 적정 탄수화물 에너지비 설정을 위한 연구가 필요하다.

• 한국산학기술학회논문지
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• 제15권7호
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• pp.4353-4360
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• 2014

이 연구는 우리나라 노인의 구강건강 개선을 위하여 현재 저작 불편 호소와 치과 보철 필요와의 관련성을 평가하고자 하였다. 연구대상자는 제5기 1차년도 국민건강영양조사에 참여한 65세 이상 노인 1,177명을 대상으로 조사를 실시하였다. 구강검사를 통하여 상실치아와 필요 보철 상태를 파악하였으며, 구조화된 설문도구를 이용하여 사회경제요인, 구강건강 관심도, 저작능력과 발음문제를 조사하였다. 수합된 자료는 SPSS 19.0 프로그램을 사용하여 분석하였다. 우리나라 노인의 42.9%는 저작 불편을 호소하였으며, 로지스틱 회귀분석을 통하여 혼란변수를 보정한 결과 고정 보철 필요 위험비는 1.22, 부분의치 필요 위험비는 2.47, 총의치 필요 위험비는 2.06이었다. 치과보철 필요는 저작 불편 호소와 관련이 있었다. 따라서 노인을 위한 치과 보철 정책과 구강건강증진의 뒷받침이 가장 필요하다.

• Nutrition Research and Practice
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• 제5권6호
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• pp.553-559
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• 2011

The purpose of this study was to define a one-portion size of food frequently consumed by the Koreans aged 65 years or over. From the original 8,631 people who took part in the Forth Korea National Health and Nutrition Examination Survey(KNHANES IV-2) 2008, we analyzed the data on 1,458 persons (16.9%) aged 65 and over, and selected food items consumed based on the intake frequency of 30 or more by all participant. A total of 158 varieties of food items were selected. The portion size of food items was set on the basis of the median amount (50 percentile) in a single intake by a single person. In the cereals category, 13 items were selected, of which the most frequently consumed item was well-polished rice with portion size of 75 g. Among legumes, 7 items were selected, of which the most frequent item was dried black soybean with a portion size of 6 g. Among the 16 groups, the most varied food group (49 items) was vegetables, and among these the most frequently occurring item was garlic (5 g), while among the fruit group, only 11 items were selected, as their intake frequency was low. Fish and shellfish were more frequently consumed by the elderly than meats. The most frequently consumed meat was pork loin, with a portion size of 30 g. In fish and shellfish, the most frequently consumed item was dried and boiled large anchovy with a portion size of 2 g. Portion sizes for food items consumed regularly by the elderly may be conveniently and effectively used in dietary planning and in nutritional education programs, and in assessing the diet intake status of the elderly.

• Journal of Preventive Medicine and Public Health
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• 제41권1호
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• pp.23-29
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• 2008

Objectives : We examined the association between alcohol consumption and incidence of colorectal cancer in elderly Koreans. Methods : The cohort members (n=14,304) consisted of 4,834 males and 9,470 females derived from the Korea Elderly Pharmacoepidemiologic Cohort (KEPEC), a population-based dynamic cohort. They were aged 65 years old or older and lived in Busan between 1993-1998; they were beneficiaries of the Korean Medical Insurance Corporation (KMIC). Baseline information was surveyed by a self-administered, mailed questionnaire. This study population was restricted to 14,304 participants who reported alcohol drinking habits on the questionnaire and had not been diagnosed with colorectal cancer at baseline. The adjusted hazard ratios (aHR) of status, type, frequency and daily average amount of alcohol consumption were computed with Cox's proportional hazard model, with the never-drinkers as a reference group and controlling for age and gender. Results : After 4.82 person-years of mean follow-up 112 cases of colorectal cancer occurred. The incidence densities of colorectal cancer were 161 (95% CI=123-200) for never-drinkers, 219 (95% CI=125-339) for ex-drinkers, and 137 (95% CI=84-189) for current-drinkers per 100,000 person-year. The status, type, frequency, and daily average amount of alcohol consumption were not significantly related to the incidence of colorectal cancer after controlling for age and gender. Conclusions : There was no significant association between alcohol consumption and colorectal cancer among elderly people after controlling for age and gender.