• Title/Summary/Keyword: Healthy aging

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Changes of Gait Variability by the Attention Demanding Task in Elderly Adults

  • Yeo, Sang Seok
    • The Journal of Korean Physical Therapy
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    • v.29 no.6
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    • pp.303-306
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    • 2017
  • Purpose: Gait variability is defined as the intrinsic fluctuations which occur during continuous gait cycles. Increased gait variability is closely associated with increased fall risk in older adults. This study investigated the influence of attention-demanding tasks on gait variability in elderly healthy adults. Methods: We recruited 15 healthy elderly adults in this study. All participants performed two cognitive tasks: a subtraction dual-task (SDT) and working memory dual-task (WMDT) during gait plus one normal gait. Using the $LEGSys^+$ system, we measured the coefficient of variation (CV %=$100{\times}$[standard deviation/mean]) for participants' stride time, stride length, and stride velocity. Results: SDT gait showed significant increment of stride time variability compared with usual gait (p<0.05), however, stride length and velocity variability did not difference between SDT gait and usual gait (p>0.05). WMDT gait showed significant increment of stride time and velocity variability compared with usual gait (p<0.05). In addition, stride time variability during WMDT gait also significantly increased compared with SDT gait (p<0.05). Conclusion: We reported that SDT and WMDT gait can induce the increment of the gait variability in elderly adults. We assume that attention demanding task based on working memory has the most influence on the interference between cognitive and gait function. Understanding the changes during dual task gait in older ages would be helpful for physical intervention strategies and improved risk assessment.

Development of Health Indices and Market Segmentation Strategies for Senior Health Services

  • Shin, Jeong-Hun
    • The Journal of Industrial Distribution & Business
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    • v.9 no.11
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    • pp.7-15
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    • 2018
  • Purpose - This study surveys factors such as lifestyles, nutritional status, physical indicators, and physical fitness levels that affect the health of seniors over the age of 65 and based on the collected data attempts to create a senior health index model that provides health service information, help support seniors' successful aging, and improve their quality of life. Research design, data, and methodology - This paper conducted the development for senior health index model and the cross validity verification to examine the status of senior health level, and aimed at setting the health status evaluation criteria. Seniors 384 usable data were analyzed. Results - As an attempt to segment the senior health service market, I divided the results of this study based on measurability, accessibility, disparity between groups, and the size of the potential client base. I divided the senior market into five subgroups: very healthy, healthy, normal, weak, and very weak. Conclusions - The findings of this study may prove useful in preparing for the forthcoming super-aged society through segmentation of the senior market, understanding differences between groups with different health conditions, and discovering effective marketing strategies that meet the demands of different senior groups.

Formation of a composite theory of planning built environment for holistic health (총체적 건강을 위한 건축 공간계획의 실험적 복합이론 구축연구)

  • Lee, Yeun-Sook;An, So-Mi;Lim, Soo-Hyun
    • KIEAE Journal
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    • v.10 no.1
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    • pp.97-107
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    • 2010
  • Although aspiration towards quality of life and holistic health has been growing faster in our modern society and the affordance of health in built environment has been more acknowledged, there has been hardly any development on built environment planning and design theory that can be comfortably and confidently used in creating built environment to promote holistic health. Thereby, this study sets out to experimently formulate a composite theory that explains the relationship between health and built environment. The main methodology of this study is literature review and analysis. Theories that have been applied in other similar fields were chosen to be analyzed by health related perspectives and graft those theories onto holistic health viewpoints to compose a comprehensive theory. Selected theories that were considered useful to be analyzed were Lawton's Environment Press Theory, Carp & Carp's Complementary & Congruence Theory, Valins' Activity-based Design Criteria Theory, Atchley's Continuity Theory, Murtha & Lee's User Benefit Criteria Theory, and Alexander's Pattern Language Theory. Characteristics of these theories were compared by their abstractness and concreteness, and the range of application, and analyzed by a holistic health perspective. Then, these theories were comprehensively structuralized and synthesized as a built environment for health theory. This study has its significance in providing a base to develop healthy built environment research further as it introduced a conceptual framework which explains spatial elements in the health functionality point of view.

The Preference of Geriatric Depression Scale and the Images Applied to Preferable Color of the Elderly - Focused on the Living room - (고령자의 우울증 정도와 선호 색채 적용 이미지의 선호도 분석 - 거실 공간을 중심으로 -)

  • Park, Sung-Jun
    • Korean Institute of Interior Design Journal
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    • v.25 no.2
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    • pp.13-20
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    • 2016
  • Recently, the concern of aging society is 'Healthy life' for the elderly and pre-elderly. Especially, realizing the 'Healthy life', it is very important for the elderly to establish living environment for holding and maintaining mental depression. Mental depression is related to dysfunction of sensory organ included physical functions. Therefore, the dysfunction of elderly's sensory organ is required to the guideline of environmental planning. In this study, among five senses, I focused visual sense due to the large proportion of environmental perception. The purpose of this study is to analyze the degree of geriatric depression and preference of simulated images applying preferable color for the elderly. This study conducted literature review and questionnaire survey. Firstly, the previous studies related with the melancholy, sense of isolation, self-regard for the elderly analyzed. Secondly, the questionnaire tool measuring the degree of geriatric depression developed. Thirdly, the tool investigating the preference for the simulated images applied main, sub, and accent colors produced. Applied preferable colors were used from the results previous study. Lastly, based on the result, the basic data of color planning were suggested. It was judged that this study is an useful as the basic guideline of color planning for the elderly's residential spaces and the potential value of considering geriatric depression and the color planning in terms of the elderly's visual sense.

Age of Postmenopause Women: Effect of Soy Isoflavone in Lipoprotein and Inflammation Markers

  • Barrasa, Gladys Roxana Rocha;Canete, Natalia Gonzalez;Boasi, Luis Emilio Valladares
    • Journal of Menopausal Medicine
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    • v.24 no.3
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    • pp.176-182
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    • 2018
  • Objectives: Menopause is associated with adverse metabolic changes in plasma lipoprotein and inflammation markers. Estrogens have beneficial effects on lipid metabolism and inflammation. Isoflavones (ISO) have structurally similar to estradiol. Our objective was analize the effect of soy-ISO on serum lipid and inflammatory markers (sP-selectin and sCD40L) in postmenopausal women. Methods: A 12-week randomized, double-blind, placebo-controlled intervention with soy-ISO (50 mg, twice daily) was conducted in 35 healthy postmenopausal women (55-72 years old). The women were divided in 2 groups: 20 were allocated to soy-ISO, and 15 to a placebo group. Results: The changes of total cholesterol (TC), triglycerides, low-density lipoproteins-cholesterol (LDL-C), high-density lipoprotein-cholesterol, Apo-A1, sP-selectin and sCD40L in 2 groups before and after 12-week treatment showed no statistical significance. In subgroup analysis, soy-ISO supplementation significantly decreased the levels of TC, LDL-C and sCD40L in women under 65 years old, and with null effects on serum lipid and inflammation markers in women over 65 years old. Conclusions: Soy-ISO did not significantly favorable effects on the lipid profile and inflammatory markers in postmenopausal women. However, in women under 65 years of age, soy-ISO significantly decreased the TC, LDL-C and sCD40L, whereas, no effects on lipid profile and inflammation markers in women over 65 years old were observed.

The Effect of Kinesiology Taping on Suprahyoid Muscles Activity in Community-Dwelling Elderly People

  • Kim, Heejeong;Choi, Heesu;Kown, Yonghwa
    • Journal of International Academy of Physical Therapy Research
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    • v.12 no.2
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    • pp.2338-2344
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    • 2021
  • Background: The therapeutic exercise method using kinesiology taping (KT) has been reported to be effective in activating the suprahyoid muscle in healthy adults. However, its applicability and effectiveness are not known to the physically vulnerable elderly. Objectives: To investigate the effects of kinesiology taping on the activity of suprahyoid muscles in community-dwelling elderly people. Design: Repeated measure design. Methods: We enrolled 23 healthy elderly adults (age range 60-75 years) with no history of neurologic disease. Participants performed five consecutive spontaneous swallowing actions at 5-second intervals under three conditions (KT with 80% stretch, placebo-KT, and non-KT. Activation of the suprahyoid muscles during swallowing in the three conditions was measured using surface electromyography (sEMG). In addition, a 0-10 numerical rating self-report scale was used to evaluate the required effort and the resistance felt during swallowing. Results: KT with 80% stretch were significantly higher in sEMG mean value, peak value, required effort, and resistance felt during swallowing compared to other two conditions (P<.05, all). KT with 80% stretch required the most effort during swallowing and, consequently, has a positive effect on increasing suprahyoid muscle activation. Conclusion: Our results could be taken into consideration in therapeutic exercise method for suprahyoid muscle in dysphagia rehabilitation.

Nutritional Status of the Oldest-elderly Population in Sunchang County (순창군 장수인의 영양섭취 실태)

  • Lee, Mee-Sook
    • Korean Journal of Community Nutrition
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    • v.14 no.3
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    • pp.255-265
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    • 2009
  • This study was investigated nutrient intakes and dietary evaluation index of the healthy subjects over 85 of Sunchang County to explore the improved dietary pattern for healthy aging of the elderly. The survey was conducted by personal interview to 161 elderly subjects (59 males and 102 females over 85) in 2006, and their daily dietary intake was assessed by 24-hr recalls and weighing one meal. The daily energy intakes of males were 1,335 ${\pm}$ 67 kcal, and those of females were 1,095 ${\pm}$ 38 kcal comprised of 66.8% and 68.4% of the EER for the age group of 75. The proportions of energy from carbohydrate : protein : lipid were 70.7 : 14.6 : 14.6 for males and 68.6 : 14.0 : 17.4 for females. The average protein intakes were 95.4% for males and 85.0% for females of RI, and the average calcium intakes were 54.3% for males and 43.6% for females of RI. The daily vitamin intakes were below 70% except vitamin A, vitamin $B_6$, and vitamin E. The proportion of the relative risk groups of protein, phosphate, iron and vitamin A ranged 40-49% of RI over 75 year groups. The other nutrient intakes showed that there were over 50% risk groups. Especially for nutrients such as calcium, vitamin $B_1$, vitamin $B_2$, vitamin C, folate and niacin over 70% of the subjects were under risk. The median value of all nutrient intakes did not reach AI. The INQ of nutrients were over 0.8 except for folate and vitamin C. Calcium intakes were relatively low and needed attention. However, the ratio of calcium and phosphate showed 1 : 1.6, which appeared to be superior to the other districts. The DVS were higher as the dietary balance scores, KDDS were higher, and the groups with high KDDS had high intakes of nutrients compared to the groups with low KDDS. The high risk groups as judged by simple nutrition screening test had lower nutrient intakes than the groups of middle risk or low risk groups. The subjects in Sunchang area had relatively low intakes of several nutrients. However, judging from the desirable patterns of the energy proportion from three major nutrients, ratio of calcium and phosphate and INQ of nutrients there is a possibility that extended healthy aging might be related to the quality of nutrients and relative ratio between nutrients. To improve nutrient status of the elderly of the surveyed area further application involving KDDS and DVS appeared to be required.

Occurrence of Toxigenic Fusarium spp. and Zearalenone in Scabby Rice Grains and Healthy Ones (붉은곰팡이 감염 벼와 건전 벼의 독성 곰팡이와 제랄레논 발생)

  • Jang, Ja Yeong;Kim, Sosoo;Jin, Hyun Suk;Baek, Seul Gi;O, Sujin;Kim, Kyutae;Kim, Jeomsoon;Lee, Theresa
    • Research in Plant Disease
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    • v.24 no.4
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    • pp.308-312
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    • 2018
  • We analyzed rice sample with scab (collected in 2017) for fungal occurrence and found that frequency of Fusarium spp. was the highest among fungal genera. Within Fusarium, Fusarium asiaticum-nivalenol type dominated as 79%. Among mycotoxins, zearalenone was the highest toxin detected (1117 ng/g), followed by deoxynivalenol (163 ng/g), 15-acetyl deoxynivalenol (155 ng/g), nivalenol (110 ng/g). Analysis of mycotoxin levels in scabby and healthy grains (collected in 2015) revealed that both grain samples were contaminated with zearalenone. However, level difference of zearalenone between the samples was over 5 times as the scabby samples were 1400-2370 ng/g, while healthy ones were 240-430 ng/g. This result indicates that scabby grains should be removed when harvest to reduce zearalenone contamination in rice.

Elevated Levels of Serum Lipids Accelerate Biological Vascular Aging evaluated by the Second Derivative of Photoplethysmogram Waveform in the Middle-Age Adults (중년 성인남녀의 혈중 지질농도가 가속도맥파에 미치는 영향)

  • Nam, Tong-Hyun;Koh, Hyung-Kyun;Park, Young-Bae
    • Journal of Acupuncture Research
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    • v.19 no.3
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    • pp.126-137
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    • 2002
  • Objective : There is accumulating data that cardiovascular diseases, including hypertension, cerebro-vascular accident, coronary heart disease, relate to atherosclerotic changes. Increased serum levels of lipids could play a role in these circumstances. the SDPTG(the second derivative of photoplethysmogram waveform) is noninvasive methods for evaluating the pulse wave and is correlated with age and other risk factors for atherosclerosis. Methods : To study the effects of serum lipid levels on the SDPTG in the middle-age adults, data on serum lipid levels and the SDPTG were collected in 80 healthy middle age with varying serum lipid concentrations. Biological vascular age was assessed using the SDPTG. the SDPTG consists of an a, b, c, and d wave in systole and an e wave in diastole; an SDPTG aging index(Al) was calculated as (b-c-d-e)/a. Results : Serum triglyceride, total cholesterol, total lipid, phospholipid, HDL cholesterol levels were respectively and significantly correlated with SDPTG Al. Serum lipid levels and blood pressure are age-dependent and the SDPTG is blood pressure-dependent. Restricting analysis to age and blood pressure yield strong positive correlations between serum triglyceride, total lipid levels and SDPTG Al, but no correlations between serum total cholesterol, phospholipid levels and SDPTG Al. Conclusion : The results of this study suggest that preventive acupuncture programs or herbal medications for reducing serum lipid, especially triglyceride, levels in middle-age should include a evaluation of biological vascular aging with the second derivative of photoplethysmogram waveform.

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Extraction of An Improvement Plan of Day Care Center's Interior Environment Design Reflecting Persona Characteristics -The case of Jounno Ward Silver Center- (페르소나 특성을 반영한 데이케어센터 실내환경디자인 개선방안 도출 - 종로 구립 실버센터의 사례를 중심으로 -)

  • Lee, Jin-Woo;Nam, Kyung-Sook
    • Korean Institute of Interior Design Journal
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    • v.24 no.1
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    • pp.43-53
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    • 2015
  • As part of alternative of elderly problems in the future super-aging society, this study aims to extract an improvement plan of interior environment design of Seoul-type day care centers to expand in future by observing day care centers as medical and healing environments, from the perspective of user experience. For this study, after selecting major activity areas of representative cases of Seoul-type day care centers, user behaviors in the space were observed and 4 seniors of baby-boom generation who are potential uses were chosen as personas by reflecting characteristics of healthy elderly, physical aging, mental aging and infirm elderly, from the perspective of user experience. Based on previous studies on healing environments, these characteristics and demands of personas were classified into environmental aspects, physical aspects and mental aspects to extract an improvement plan. The study results are as follows. First, interior environment design reflecting persona characteristics helps the elderly adapt to the environment and provides a comfortable environment like home for stability, treatment and recovery of memory. Second, interior environment design reflecting persona characteristics helps psychological healing through light entering the large windows and natural environment elements. Third, for interior environment design reflecting persona characteristics, finish materials with bright and soft colors should be used to change the images of facilities positively. Fourth, spatial composition should be remedied through division of space and built-in furniture depending on the needs of users for loitering of extra time and programs.