• Archives of Craniofacial Surgery
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• v.23 no.5
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• pp.205-210
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• 2022

Background: Nasal bone fractures are the most common type of facial bone fracture, but are under-studied in adults above 65 years of age. Therefore, we investigated the epidemiology and patterns of nasal bone fractures among older adults in comparison to different age groups. Methods: This retrospective study included 2,321 nasal bone fracture patients who underwent surgery at our hospital from January 2010 to December 2017. The patients were classified by age as preschoolers, school-age children, young and middle-aged adults, and the elderly. We performed pairwise comparisons between elderly patients and each other age group in terms of sex, cause of injury, and fracture type. Results: The 2,321 nasal bone fracture patients included 76 elderly patients (50 men [65.8%] and 26 women [34.2%]). In these patients, the two most common injury causes were falling or slipping down (n= 39; 51.3%) and road traffic accidents (n= 19; 25.0%). According to the Stranc and Robertson classification, the most common force vector was lateral, and plane 2 fractures with lateral forces predominated. Conclusion: The elderly showed similar patterns of nasal bone fractures to those observed in young and middle-aged adults, but significant differences from preschoolers (in the injury vector and plane of fracture) and from school-age children (in the sex ratio and plane of fracture). However, elderly patients presented significantly different epidemiological characteristics compared to the other three groups. Therefore, it is necessary to improve the quality of life of the elderly and prepare for the upcoming super-aged society by taking steps to reduce the incidence and severity of fractures. Possible options for doing so include strengthening individual-level safety factors and expanding the social safety net for the elderly.

• Korean Journal of Exercise Nutrition
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• v.24 no.1
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• pp.9-13
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• 2020

[Purpose] This preliminary study aimed to develop a regression model to estimate the resting metabolic rate (RMR) of young and middle-aged Koreans using various easy-to-measure dependent variables. [Methods] The RMR and the dependent variables for its estimation (e.g. age, height, body mass index, fat-free mass; FFM, fat mass, % body fat, systolic blood pressure, diastolic blood pressure, mean arterial pressure, pulse pressure, and resting heart rate) were measured in 53 young (male n = 18, female n = 16) and middle-aged (male n = 5, female n = 14) healthy adults. Statistical analysis was performed to develop an RMR estimation regression model using the stepwise regression method. [Results] We confirmed that FFM and age were important variables in both the regression models based on the regression coefficients. Mean explanatory power of RMR₁ regression models estimated only by FFM was 66.7% (R²) and 66.0% (adjusted R²), while mean standard errors of estimates (SEE) was 219.85 kcal/day. Additionally, mean explanatory power of RMR₂ regression models developed by FFM and age were 70.0% (R²) and 68.8% (adjusted R²), while the mean SEE was 210.64 kcal/day. There was no significant difference between the measured RMR by the canopy method using a metabolic gas analyzer and the predicted RMR by RMR₁ and RMR₂ equations. [Conclusion] This preliminary study developed a regression model to estimate the RMR of young and middle-age healthy Koreans. The regression model was as follows: RMR₁ = 24.383 × FFM + 634.310, RMR₂ = 23.691 × FFM - 5.745 × age + 852.341.

• Journal of the Korean Dietetic Association
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• v.27 no.3
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• pp.162-178
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• 2021

The study examined the perceived health status, dietary habits, and health-related lifestyle habits of middle-aged men and women in Seoul and Gyeonggi-do areas. The survey was conducted on 670 individuals (320 men and, 350 women), aged 40~64 years, in Seoul and Gyeonggi-do areas. The online and written data were analyzed using the SPSS WIN 25.0 program. Although there was a significant difference in the perceived health status (P < 0.01), there were no significant differences in the subjective stress and the current disease status according to sex. For dietary habits, the scores for fruit intake (P < 0.05), meat and fish intake (P < 0.05), milk and dairy products intake (P < 0.01), and seaweed intake (P < 0.05) were higher in women than men. The scores for three-meal eating (P < 0.05) and water intake (P < 0.01) were higher in men than women. For the health-related habits, alcohol-drinking frequency, daily alcohol consumption, smoking experience, and daily smoking were higher in men than women (P < 0.001). In contrast, caffeinated beverage intake, exercise frequency, and daily smart-phone, computer, and TV using time were similar in both sexes. The meal-eating time was faster in men than women (P < 0.01). For dietary behavior changes, only appetite showed a significant gender difference (P < 0.05). This study provides essential information on the perceived health status, dietary habits, and health-related lifestyle habits in middle-aged men and women. Nevertheless, further research and a practical nutrition program will be needed to solve undesirable dietary habits and improve the health and lifestyle of middle-aged adults according to sex.

• Journal of the Korean Society for information Management
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• v.41 no.2
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• pp.317-351
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• 2024

This study aims to determine the impact of digital literacy skills of middle-aged and older people using public libraries on their life satisfaction. For this study, a survey was conducted on 192 middle-aged and older people aged 40 to 64 living in area G. The collected data were analyzed using the statistical package SPSS 27 program. The analysis methods in this study included frequency analysis, descriptive statistical analysis, t-test, one-way ANOVA, Duncan's multiple range test for post-hoc analysis, and regression analysis. The results of this study are as follows: First, digital literacy competency has a significant positive impact on the life satisfaction of middle-aged and older adults; as their digital literacy skills improve, their life satisfaction increases. Second, digital literacy competency varies based on gender, education level, employment status, and average monthly income, influencing their engagement in activities such as study or work. Additionally, higher levels of digital literacy competency, as determined by the highest level of education, positively affect life satisfaction, leisure activities, and cultural life.

• Journal of Korean Biological Nursing Science
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• v.12 no.3
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• pp.195-205
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• 2010

Purpose: The purpose of this study was to develop the dietary approaches to stop hypertension (DASH) diet education program tailored to Korean adults and to examine the effect of the DASH diet education program on bone mineral density in middle aged women. Methods: The subjects of this study were 26 middle aged women, pre and post menopause, who attend a church located in Kyung-In district. The DASH group I (n=13) was provided with the DASH diet education program only, while the DASH group II (n=13) was provided with DASH diet education program along with calcium supplements (1 g/day). The DASH diet education program included one lecture on DASH diet, one face to face counseling, and five telephone counseling sessions during the 8 weeks period. Results: The knowledge and subjective compliance level of DASH diet increased significantly in both groups, at 4 and 8 weeks after the intervention. The level of objective compliance of DASH diet in both groups increased over the study period, but it was not significant as compared to those of the baseline. Bone mineral density of both groups decreased at 8weeks as compared to the baseline after the intervention. Conclusion: Although 8weeks of DASH diet education program increased the knowledge and compliance of DASH diet, it was not effective to bring the changes in bone mineral density among the middle aged women.

• Korean Journal of Health Education and Promotion
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• v.29 no.3
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• pp.75-89
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• 2012

Objectives: This study was performed to identify the level of health literacy and to investigate the relationship between the health literacy and preventive health care use in middle-aged adults in Korea. Methods: A total of 315 adults aged 40 to 64 years living in Seoul participated in the study. Data were collected from December 15-24, 2010 from outpatient hospitals, clinics, workplaces and other locations in the community. Health literacy was measured using the Functional Health Literacy and Self-rated Health Literacy Questionnaires. Preventive health service use was defined as receiving screening (general health checkups, gastric and colorectal cancer, mammogram, and pap smear) and influenza vaccination. Descriptive analysis, t-test, and ANOVA were used. Results: The mean of functional health literacy was 3.87 (score range 0-6) and the self-rated health literacy was 60.08 (score range 16-80). The most difficult items of the self-rated questionnaires were patient educational materials provided by health care providers and medical forms. The most difficult items of functional health literacy were information-based, including nutritional facts and clinical schedules. Association between health literacy and preventive health service use was not found. Conclusions: Further study is necessary with larger samples and with considerations for their education level, age, and preventive health care use.

• Korean Journal of Family Social Work
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• no.58
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• pp.37-66
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• 2017

The purpose of this study was to investigate the effects of elderly generation sympathy, family intimacy and age-friendly environment of young and middle-aged generations on supporting the older adults, and to identify differences of influencing factors among generations. With these purpose, we used data of the '2017 Age Integration Survey' provided by the Humanities and Social Capacity Enhancement Project in Korea Research Foundation. The analysis of the data was performed on 640 participants who were between 18 and 64 years old, and they were selected from total 1017 study population. The analysis method was the Structural Equation Model(SEM). The results of this study were as follow. Firstly, elderly generation sympathy and family intimacy were significant statistically significant effect on the notion of supporting the older adults positively to all generations. Secondly, the relationship between the notion of supporting the older adults and the influential factors suggested in this study was found to be significant among the generations. Thirdly, the young generation showed a statistically significant effect on the notion of supporting the older elderly generation sympathy and family intimacy. Elderly generation sympathy and family intimacy had a significant statistical impact in the middle aged generation, however, age-friendly environment significant statistically significant effect on notion of supporting the older adults negatively. With these results, we presented practical and policy suggestions to enhance the notion of supporting the older adults.

• Korean Journal of Human Ecology
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• v.23 no.6
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• pp.1013-1033
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• 2014

This study attempted to develop a valid and reliable instrument capable of measuring Korea midlife family resilience (The Korea Midlife Family Resilience Scale: KMFRS). An exploratory, non-experimental, cross-sectional, and quantitative design was used to develop and validate the KMFRS. A tentative factor structure of family resilience and an item pool of the scale were constructed through a comprehensive literature review and personal interview. The pilot study was conducted with 424 middle aged adults(40~59) to select items for a scale, resulting in a preliminary scale composed of 70 items. In the main study, the preliminary scale was administered to a national representative sample of 562 middle-aged Korean adults. The scale was filtered into 40 items by the item analysis and an exploratory factor analysis, resulting in 6 factors: Family Connectedness & Problem Solving, Family's Positive Perception of Adversity, Family's Economic Stability, Family Religion & Spirituality, Support of Extended Family, and Support of Friends & Neighbors. These 6 factors explained 61.82% of total variance. The findings of the current study indicate substantial support for the reliability and the validity of the KMFRS. Other challenges and suggestions for future research on family resilience scale are discussed.

• Therapeutic Science for Rehabilitation
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• v.13 no.3
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• pp.9-21
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• 2024

Objective : This study investigated the effects of depression on online and offline social interactions among middle-aged and older adults with the aim of enhancing their social connectivity and mental well-being. Methods : Utilizing the Patient Health Questionnaire-9 and the Lubben Social Network Scale-6, this study assessed depression and social relationships in 429 middle-aged adults. We explored the mediation effects of offline relationships on online interactions using path analysis and the Sobel test. Results : Significant links were found between depression and social relationships in a cohort of educated males averaging 63 years of age. Offline interactions mediated 32% of the influence of depression on online relationships, with strong model fit indices emphasizing the importance of offline social interactions. Conclusion : This study highlights the role of active engagement in online and offline networks in improving mental health and managing the impact of depression on social activity among older adults, helping prevent isolation.

• Journal of the Korea Convergence Society
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• v.9 no.10
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• pp.549-559
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• 2018

The purpose of this study is to examine the prevalence of depression in Korean middle-aged adults and to identify the gender difference in factors associated with the severity of depression. The data of 2,241 individuals who participated in the Sixth Korea National Health and Nutrition Examination Survey in 2014 were used. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9), and multivariate ordinal logistic regression analysis was performed. The prevalence rate of moderate to severe depression ($PHQ-9{\geq}10$) was identified at 5.2% (men 3.3%, women 7.0%). The factors associated with the severity of depression in men were younger age, living in metropolitan, unemployed, lower body mass index, and heavily drinking. On the other hand, women were affected by having no spouse, lower income, limited physical activity, and sleeping shorter hours.