• Annals of Geriatric Medicine and Research
• /
• v.20 no.3
• /
• pp.114-117
• /
• 2016

A research project, the "Construction of Frailty Cohort for Elderly and Intervention Study," funded by the Ministry of Health and Welfare, has been ongoing since December 2015. The Korean Frailty and Aging Cohort Study (KFACS) aims to identify risk factors for adverse outcomes associated with frailty in community-dwelling older adults, as well as means of prevention. KFACS is a multicenter, longitudinal study, with the baseline survey being conducted in 2016-2017. The sample (n=3,000) consists of those aged 70-84 years, stratified by age and gender, recruited from urban and rural regions nationwide. An in-person interview and health examination are performed every 2 years. This project is also conducting many intervention studies. Project interventions focus on nutrition and exercise. The nutritional intervention study compares the effects of 1.2 g/kg versus 1.5 g/kg daily protein intake on sarcopenia and frailty in older Koreans. The exercise trial examines the effectiveness of an information and communication technology-based program in preventing or reducing frailty.

• 한국노년학
• /
• v.37 no.3
• /
• pp.687-705
• /
• 2017

The purpose of present study is to examine the effects of the elderly's assets on life satisfaction, and to examine the indirect effects, such as financial and emotional support exchange with their children, between their assets and life satisfaction. For this study purpose, the 5th data of the Korean Longitudinal Study of Aging (KLoSA) was used. Abstracted from the data, 1,977 cases only for the elderly over 65-year-old were analyzed by employing SPSS 23.0 and SPSS Process Macro. The analysis results are summarized as follows. First, the assets of the elderly had a positive direct effect on the satisfaction of life. Second, the elderly's assets indirectly affected the satisfaction of life through the financial support exchange with their child(ren). Lastly, the elderly's assets indirectly affected the satisfaction of life through the emotional support exchange with their child(ren). Based on these results, this study suggests practical and political implications in terms of social welfare for the elderly's life satisfaction, so as to facilitate the elderly's assets accumulation, and to enhance support exchange between the elderly and their child(ren).

• 한국노년학
• /
• v.40 no.3
• /
• pp.511-530
• /
• 2020

The present study aimed to examine the moderating effects of marital satisfaction (MS) on the association between the number of chronic disease (CD) and depressive symptoms (DS) among ol der men and women. The 6th wave of the Korean Longitudinal Study of Ageing was utilized and the sample was married men (N=585) and women (N=460) aged 65 and over. Multiple regression analysis using SPSS WIN 25.0 and Process Macro was used to test moderating effects of MS. Control variables were age, education, household income, parent-child relationship satisfaction, self-rated health, cognitive function, current smoking status and CD of spouse. Resul ts from elderly men showed the moderating effect of MS was significant. Specifically, those with more CD were more likely to report higher level of DS in the low MS group. However, the effect of CD on DS was not significant in the high MS group. Results from elderly women showed the moderating effect of MS was not significant. This study showed the moderating effect of MS on the association between CD and DS differed by gender in later life. It suggests practical intervention to utilize the resources of spouses is in need to promote mentally healthy aging even though having chronically ill in later life.

• Journal of Preventive Medicine and Public Health
• /
• v.55 no.1
• /
• pp.106-113
• /
• 2022

Objectives: Previous studies have found that the oral health of seniors can affect their physical nutrition and quality of life (QoL). Additionally, poor oral health can lead to the development of dementia, which is associated with decreased cognitive function. This study aimed to examine the impact of geriatric oral health (GOH) on the QoL of Korean seniors and the mediating effects of cognitive function. Methods: We used data from the seventh Korean Longitudinal Study of Aging conducted in 2018. In total, 4049 seniors were included in our study. We analyzed the impact of GOH on QoL according to 5 mediating domains of cognitive function and control variables. To examine each path of mediating effects, bootstrapping with 5000 iterations was performed with 95% confidence intervals. Results: Our findings revealed that good GOH had a positive effect on the QoL of seniors. Also, better GOH corresponded to a higher degree of cognitive function within all 5 domains: orientation, memory registration, attention/calculation, memory recall, and language and visuospatial ability. In addition, 3 domains of the 5 domains (attention/calculation, memory recall, and language and visuospatial ability) had significant mediating effects on the relationship between GOH and QoL. Conclusions: This study suggests that adequate management of GOH is crucial for promoting a better QoL and a high degree of cognitive function among seniors. To prevent cognitive impairment, such as dementia, future studies should take a more targeted approach by examining data according to each cognitive domain and various socio-demographic factors.

• The Journal of Korean Society for School & Community Health Education
• /
• v.24 no.4
• /
• pp.27-37
• /
• 2023

Objectives: The purpose of this study was to investigate the effect of handgrip strength level on cognitive impairment in hypertensive patients. Methods: This study used the first to eighth year data of the Korean Longitudinal Study of Aging (KLoSA). Of the 10,254 respondents who participated in the basic survey, respondents were included that they were diagnosed with high blood pressure and had no cognitive impairment. The handgrip strength was based on the highest value of handgrip strength for both hands. Cognitive function using MMSE results and 23 points or less were defined as cognitive impairment. Cox models were conducted to estimate the hazard ratios (HRs) of cognitive impairment in relation to handgrip strength adjusting for covariates. Results: In the case of hypertension patients, the probability of cognitive decline decreased by 3.0% every time the maximum handgrip strength increased by 1 unit. In the analysis by age, under the age of 64 had a 1.8% decrease in the probability of cognitive decline whenever the maximum handgrip strength increased by 1 unit, and a 3.6% decrease in those over the age of 65. In the gender analysis, male had a 3.2% decrease in the probability of cognitive decline for every 1 unit increase in the maximum handgrip strength, and female had a 2.6% decrease. Conclusions: The results of this study are expected to be used as basic data for the development of interventions to prevent cognitive decline in hypertensive patients by identifying the effect of handgrip strength level on cognitive decline. It is also expected to be used as basic data for health education on the necessity of increasing muscle strength for hypertension patients in the community.

• Journal of Korean Dental Hygiene Science
• /
• v.5 no.2
• /
• pp.145-153
• /
• 2022

Background: The purpose of this study was to analyze the association between the Geriatric Oral Health Assessment Index (GOHAI) and Quality of Life (QoL) between urban and rural residents in Koreausing data from the Korea Longitudinal Study of Aging (KLoSA). Methods: This study was analyzed using the SPSS 20.0 program (IBM SPSS Statistics), and a t-test was performed for difference between GOHAI and QoL, and a multiple regression analysis was used for association between the independent and dependent variables with confounding variables corrected. The statistical significance was p<0.05. Results: Urban residents' average QoL was statistically significantly higher rural residents'(Table 1, p>0.05). For subjects under the age of 65, the QoL increased by 0.30 points for urban residents and 0.39 points for rural residents according to GOHAI increased by one unit (Table 2, p>0.05). Also, for subjects aged 65 years or older, the QoL increased by 0.42 points for urban residents and 0.61 points for rural residents according to the GOHAI, increasing by one unit (Table 3, p>0.05). Conclusion: Through the results of this study, the quality of life of rural residents was lower than that of urban residents. The GOHAI had a stronger impact on QoL among rural residents than in urban areas. In order to address the disparity in QoL between urban and rural residents, it was believed that policies aimed at improving oral health for rural residents should b etaken in to account.

• Journal of Family Resource Management and Policy Review
• /
• v.17 no.2
• /
• pp.173-194
• /
• 2013

The purpose of this study was to examine the association between time-income availability and health-promoting behavior (physical practice, smoking, alcohol consumption) of older males (55-69). This study attempted to shed light on health-behavior changes during the transition period of male retirement. The availability of time resources was examined by addressing the amount of weekly paid labor hours. The availability of financial resources was calculated by using the debt-income ratio. The study sample comprised 1,372 (age range 55-69) male respondents of the 2006 Korean Longitudinal Study of Aging (2006 KLOSA wave 1). The results of CHAID (CHi-squared Automatic Interaction Detection) analysis uncovered four distinctive combinations of resource types: time-money poor, time rich, money rich, time-money rich. According to logit results, these four groups had different socio-demographic profiles and different health-behavior risks. The time-money poor males were unlikely to perform physical activities needed to improve their health or to quit smoking or alcohol consumption. This group was also more likely to consume alcohol compared to the time-money resource types. In contrast, the time-money rich group was more likely to exercise longer and more frequently than the reference group (time and money poor). The time-rich types, those who have time-only resources and less money, were likely to be smokers and have problems with alcohol consumption.

• Journal of Digital Convergence
• /
• v.16 no.7
• /
• pp.429-439
• /
• 2018

The objective of the study was to analyze difference in cognitive function according to social isolation level in elderly Korean. The author classified the social isolation into the structural isolation and contact isolation. Structural isolation corresponded to the no spouse or no children and the contact isolation corresponded to the absence of contact with children, friends or social association. Author conducted multivariate regression analysis with the elderly people aged 65 years or older from the 5th wave of the Korean Longitudinal Study of Ageing data. Number of sample was 3,971. It was confirmed that the level of cognitive function was lower according to level of social isolation. It was also confirmed that friends/neighborhood isolation, and social activity isolation showed significant relationships with cognitive functions. Based on the results, author suggested that to protect the elderly from negative effects of social isolation, we needed the policy to promote elderly's the participation in social activity. The study to analyze the factors related to social isolation was also needed.

• Therapeutic Science for Rehabilitation
• /
• v.12 no.3
• /
• pp.61-77
• /
• 2023

Objective : This study analyzed the correlation between cognitive function and oral health-related quality of life (OHQoL). Methods : Demographic and clinical characteristics were extracted and utilized for subjects aged 45 years or older who participated in the 8th Korean Longitudinal Study on Aging in 2020. The dependent variable was the Geriatric Oral Health Assessment Index, and the independent variable was the level of cognitive function classified by the Mini-Mental State Examination scores. The analysis method used inverse probability of treatment weighting (IPTW). Then, the association between cognitive function and OHQoL was analyzed by multiple regression analysis. Results : Among the participants, 4,367 (71.40%) had normal cognition, 1,155 (18.89%) had moderate cognitive impairment, and 594 (9.71%) had severe cognitive impairment. As a result of analysis by applying IPTW, there was a negative correlation between the cognitive function group and OHQoL (normal vs. moderate: β = -2.534, p < .0001; normal vs. severe: β = -2.452, p < .0001). Conclusion : After propensity score matching, mild cognitive impairment showed a more negative association than severe cognitive impairment. Therefore, patients with cognitive impairment require oral health management education to improve OHQoL regardless of the level of cognitive impairment.

• Korean Journal of Family Social Work
• /
• no.58
• /
• pp.97-122
• /
• 2017

The purpose of this study was to identify the longitudinal patterns of marital satisfaction, characteristics of each pattern, influencing factors and the difference on self-esteem, among married couples who experienced unemployment. To achieve this, the 443 married couples, who were initially employed in the first year but unemployed in next 5 years were extracted from the $2^{nd}$ to $11^{st}$ waves of Korean Welfare Panel Study(KoWePS) data. The results showed that there are five patterns on marital satisfactions of couple who experienced unemployment: maintaining low-level, mid-level, continuous declining, rebound after sharp declining, and maintaining high-level. In addition to this, the groups that maintain the marital satisfaction showed higher self-esteem than the groups that showed positive or negative change in marital relationship. Based on these results, this study suggested political and practical intervention to maintain the satisfaction of marital relationship and their self-esteem in a high level.