This study examined the reproducibility of nutrient intakes estimated by the 24-hour recall method in a prospective cohort study (Longitudinal study of aging and health monitoring of Korean elderly) of middle-aged volunteer subjects (42 males and 49 females) in the Seoul area. The three-day 24-hour recall was administered twice at an interval of approximately 6 months. The first data were collected and a corrective procedure was performed by interviewing of the subjects and a trained dietitian. The second data were collected by mail from the subjects without the performance of any corrective procedure. The mean age of the subjects was 53.5 $\pm$ 9.6 for the males and 52.2 $\pm$ 8.9 for the females. The subjects who had above college education were 95% in the case of the males and 60% in the case of the females. The characteristics of the male subjects in this study were that they were highly educated and held professional jobs and were from the middle or upper class. Comparing the first and second 24-hour recall data, the second data showed relatively lower intakes of all nutrients, except vitamin A, vitamin Bi and cholesterol. There was no difference in the nutrients of the first and the second data with respect to vitamin A, vitamin B$_1$ and cholesterol in the males and calcium, iron, sodium, vitamin A, vitamin B$_1$, vitamin B$_2$ and cholesterol in the females. This data may indicate that the 24 hour retail method without a dietitian's help may result in lower reporting of the subject's intakes. The men had a tendency to remember less than the women. Pearson's correlation coefficients with unadjusted nutrient intakes values were ranged from 0.24 to 0.66. When energy intake was adjusted, there was a slight increase (from 0.26 to 0.71). Intra-class correlation coefficients with nutrient-unadjusted values ranged from 0.22 to 0.66, and the energy-adjusted values were ranged from 0.23 to 0.69. The weighted Kappa statistical values ranged from 0.10 to 0.40. On the average,46.3% of the subjects who were found in the lowest quartile of the nutrient intake levels based on the first 24-hour recall, were in the lowest quartile based on the second 24-hour recall. Therefore, there was a low reproducibility between the first and the second 24-hour recall. We should examine the factors influencing low reproducibility. Also, strategies should be developed to maximize the reliability of the assessment, with regard to portion-size training and telephone validation. (Korean J Community Nutrition 8(4) : 603∼609, 2003)
Journal of the Korea Academia-Industrial cooperation Society
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v.21
no.6
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pp.349-357
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2020
This study aimed to examine the effects of self-rated health on life satisfaction among Korean babyboomers and to address the mediating effect of depression on the self-rated health-life satisfaction relationship. Further, this study attempted to identify any relationship between self-rated health, depression, and life satisfaction among babyboomers according to work status. Researchers conducted a secondary data analysis using the 6th wave of the Korean Longitudinal Study on Aging. The final sample was 2,479 babyboomers born between 1955 and 1963. Testing the mediating effect of depression was done by the significance of direct, indirect, and total effects. Researchers also compared an unconstrained model with constrained model for multiple group analysis. Results indicate that self-rated health was a significant factor in determining the life satisfaction of babyboomers. In addition, depression had a significant mediating effect on the self-rated health and life satisfaction of babyboomers. Multiple group analysis demonstrated, in the non-working babyboomer model, the effects of self-rated health and depression on life satisfaction, and the effect of depression on life satisfaction was stronger than that of the working babyboomer model. The results of this study have established the importance of health and working status in addressing depression and life satisfaction among babyboomers.
This study examined the impact of late-life poverty on self-rated health, focusing on the mediating and moderating effects of health behaviors and social support. Despite the significant associations among poverty, health behaviors, and health outcomes, little studies have tested complex structural pathways among them. Thus, the purpose of this study is to identify multiple causal pathways between poverty and self-rated health, mediated and moderated by health behaviors and social support. To test the structural pathways, the structural equation modeling was utilized using the 2006 Korean Longitudinal Study of Aging data. The results of this study indicated that poverty had the direct negative impact not only on the health behaviors such as smoking and lack of regular exercise but also on the self-rated health. In addition, regular exercise significantly mediated the relationship between poverty and self-rated health. Finally, informal social support from family and friends buffered the negative impact of poverty on the self-rated health. Findings suggested that providing informal social support to the low income elderly is important in addition to the economic support. It is also necessary to develop programs for promoting healthy behaviors, especially regular exercise.
The purposes of this study are to examine the factors affecting retirement satisfaction, focusing on health, social activity and social security anticipation, and to compare the results between young-old and middle-old. A total of 860 retired people who live alone or live with their spouses were selected from 6th Korean Longitudinal Study of Aging, and binomial logistic regression analysis was used to analyze 416 young-old(aged from 65 to 74) and 444 middle-old(aged from 75 to 83). The results are as follows. First, there was no significant difference in retirement satisfaction between young-old and middle-old. Second, when factors affecting retirement satisfaction was examined, young-olds showed hgher retirement satisfaction with higher perception of health condition and mental health condition, and showed lower retirement satisfaction with higher expectation of long-term care insurance. Middle-old was likely to show higher retirement satisfaction when they had better perspective on physical and mental health condition. The results of the study show that health condition of elderly is an important contributing factor in determining retirement satisfaction of the elderly. Based on the results of the study, political and practical suggestions were proposed to improve retirement satisfaction.
Orthodontic patients are individuals that grow and develop ; therefore selection of the proper time for orthodontic treatment is considered to be one of most difficult and yet difficult factor. Since the development of cephalometric X-ray, amount and Pattern of craniofacial growth change with aging could be predicted and be came useful in the process of orthodontic treatment. The relationship between the mean values of cephalometric measurements and body height and weight was studied among the groups(boys and girls) of Korean children from the ages 6-years to 17-years. 409 boys and 437 girls with no abnormality in growth and development and no history of orthodontic treatment from the ages of 6 years to 17 years were chosen as subjects Cephaloment X-ray were taken for 3 years and hard tissue analysis based on Burstone's COGS, which was devided into measurements of 6 parts(Cranial base, Maxillar and Mandible, Dental measurements). The relationship between craniofacial growth and height & weight was studied. The following conclusions were obtained : 1. The maximum growth in the measurements of cranial base, N-Ar(FH), N-Ba(FH) corresponded with the age with the maximum increase in body height & weight in both boys and girls. 2. Genial angle gradually decreased with aging in both boys and girls. 3. N-ANS(L) showed greater amount of growth than ANS-Ne(L), and this had greater influence on facial profile. 4. N-A-$Pog^{\circ}$ decreased with aging, and mandibular growth exceeded maxillary growth in amount and rate. 5. Length of Y-axis Increased, but Y-axis to FH plane remained constant. This show that mandible grows at a constant angulation to cranial base. 6. As permanent teeth erupt, interincisal angle deceased.
The current study examines whether retirement changes health behaviors and how the effect differs by reasons for retirement. This study conducts fixed-effects logistic regression analyses, using data from the Korean Longitudinal Study of Aging (KLoSA) over the period 2006 through 2014. Results indicates that retirees are more likely to participate in regular exercise compared to their employed counterparts. Retirement is positively associated with participation in regular exercise regardless of reasons for retirement. The odds of being engaged in smoking among retirees are 50% less relative to those for employees. However, analyses by reasons for retirement reveal that only participants who retired for health problems or reaching retirement age are less likely to smoke cigarettes compared to employed participants. Retirees show significantly lower odds in drinking compared to employees. Yet, further analyses present that only individuals who retired due to health problems are less likely to drink alcohol. Overall, these results suggest that retirement may provide opportunities for positive changes in health behaviors. The present study imply that individuals who retired due to health problems benefits most from retirement in terms of health behaviors compared to retirees who retired for other reasons.
This study aims to explore health behavior profiles and the association between the derived profiles and living arrangement among middle-aged and older adults. Using data from wave 6 (2016) of the Korean Longitudinal Study of Aging, latent profile analyses were applied to identify patterns of health behaviors and multinomial logistic regression models were conducted to predict profile membership using living arrangement (i.e., living alone, living with spouse only, living with family members) and sociodemographic characteristics. A sample of 7,048 respondents aged 55 and older were included in the study. Results revealed that Korean middle-aged and older adults can be grouped into four health behavior profiles: "High health-compromising" (4%), "Moderate health-compromising" (28%), "Low health-compromising" (65%), and "High physical activity" (3%). Also, living arrangement showed significant profile differences. Compared to the respondents living alone, those living with spouse only were more likely to belong to low and moderate levels of health-compromising behavior profiles than the "High physicial activity profile". Respondents living with family members were more likely to belong to the "High health-compromising profile" than the "High physical activity profile" compared to those living with spouse only. These findings indicate that living arrangement needs to be taken into consideration when developing health promoting programs and supports. Moreover, policy interventions suiting the needs of various sociodemographic subgroups are recommended.
Using data from Korean Longitudinal Study on Aging (KLoSA), this study examines how continuity and change of marital status is associated with health over time among older women, focusing on the moderating effects of age and parent-child relationships. KLoSA data set has two waves of interviews, and for this study, 2046 women aged 65 and over were selected. To analyze data, Structural Equation Modeling (SEM) was used. The major findings are as follows. First, there was no statistically significant difference in health between continuously married older women and continuously single older women. However, older women who had transition from being married to being single showed lower physical health than continuously married and continuously single older women. Second, there were statistically significant differences in the effect of marital status on mental health according to the age of older women. Older women who had transition from being married to being single showed lower mental health than continuously married elders when older women were younger. Third, contact with children moderated the effect of marital status on physical health. Older women who had transition from being married to being single showed lower physical health than continuously single and continuously married older women when older women had less contact with their children. The findings imply after the loss of marital role, older women's relationship with adult children plays a significant role in promoting health. In conclusion, the findings of this study show the different pathways through which marital status is associated with health for 3 different groups of older women, being continuously single, being continuously married, and making transition from being married to being single.
The purpose of this study is to examine which factors determine fall experience among Korean elderly. To achieve this purpose, it uses the Korean Longitudinal Study of Aging(KLoSA), wave 1 and 2. Participants aged 65 from wave 1 were selected. From wave 2, a dependent variable was selected and it was fall experiences since the first interview in 2006. Other than this variable, all independent variables were selected from wave 1. In analyses, x2 or t-test were conducted to examine whether independent variables significantly differ between falls and no falls. Then, since a dependent variable consisted of two categories-falls or no falls, multiple logistic regressions were run. Female, using hearing aid, having two diseases, having three or more diseases, depression, and exercise 5 times/a week or more elevated the odds ratios of fall experience. compared to their reference categories. Particularly, if Korean elderly had three or more diseases or depression, their likelihood of fall experience would have about 2 times higher than their reference categories. In conclusion, health practitioners should make the elderly be recognized how much these risk factors are important to falls. Also, Korean government should support Korean elderly having these risk factors to prevent them from falling.
Journal of Korean Home Economics Education Association
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v.33
no.4
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pp.31-48
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2021
The purpose of this study was to provide an understanding of the trajectories of multidimensional health among older adults, including depression, chronic diseases, and cognitive function. Data were drawn from the 1-6 waves of the Korean Longitudinal Study of Ageing(KLoSA), and a sample of 2,059 respondents aged 65 and older at baseline was used for the analyses. Latent growth curve models and growth mixture models were used to explore the changes in depression, chronic diseases, cognitive function, and heterogeneous trajectories among them. One-way ANOVAs with Scheffé post-hoc analysis and chi-square tests were used to find differences in sociodemographic characteristics, health behaviors, and life satisfaction across the latent trajectory classes. Latent growth curve models revealed that depressive symptoms and the number of chronic diseases increased over time, while cognitive function showed gradual decreases. Three heterogeneous patterns of multidimensional health trajectories were identified: normal aging, increase in chronic diseases, and chronic deterioration. Significant differences were observed in sociodemographic characteristics, health behaviors, and life satisfaction across the three latent classes. In particular, low educational attainment, household income, and life satisfaction were associated with the chronic deterioration class. Based on the findings, we discussed suggestions for health promotion education targeting older adults. This study also emphasizes the importance of home economics education in promoting health literacy across the life course.
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