• 제목/요약/키워드: Non-Elderly

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Factors Related to Morbidity in Elderly Gastric Cancer Patients Undergoing Gastrectomies

  • Shin, Ha Song;Oh, Sung Jin;Suh, Byoung Jo
    • Journal of Gastric Cancer
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    • v.14 no.3
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    • pp.173-179
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    • 2014
  • Purpose: The prevalence of gastric cancer in the elderly is increasing. The purpose of this study was to clarify factors related to morbidity following gastric cancer surgery in elderly patients. Materials and Methods: For this study, data from 411 patients who underwent curative gastrectomies with lymph node dissections between March 2010 and January 2013 were retrospectively studied using a prospectively designed database. Patients were divided into 2 groups (<70 years vs. ${\geq}70$ years). For each group, perioperative factors were analyzed to determine if they were associated with postoperative morbidity and mortality. Results: Comorbidities were more prevalent in the elderly group (${\geq}70$ years). Intraoperative and postoperative transfusions were also more frequently required in the elderly group. There was no significant difference in the number of retrieved lymph nodes between the 2 groups (44.3 vs. 46.6 nodes). In a comparison of the elderly versus non-elderly groups, the postoperative morbidity rates were 22.7% versus 8.9% (P<0.001) and the postoperative mortality rates were 4.2% versus 0% (P=0.002), respectively. Of the possible non-surgical complications, pulmonary problems were predominately found in the elderly group (P<0.001). Surgical complications were evenly distributed between the 2 groups (P=0.463). Postoperative morbidity was significantly associated with older age and postoperative transfusion. Multivariate analysis showed that higher body mass index (BMI) and postoperative transfusion were important factors associated with postoperative complications in the elderly group. Conclusions: Pulmonary complications were frequently problematic in elderly patients. Higher BMI and postoperative transfusion were significant risk factors for postoperative complications in elderly patients with gastric cancer.

Nutrient intakes and medication use in elderly individuals with and without dry mouths

  • Lee, Kyung Ah;Park, Jung-Chul;Park, Yoo Kyoung
    • Nutrition Research and Practice
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    • v.14 no.2
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    • pp.143-151
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    • 2020
  • BACKGROUND/OBJECTIVES: The nutrition of the elderly depends on various factors. Oral health, especially oral dryness, can be an important risk factor. In this study, we attempted to determine whether dry mouth is associated with compromised nutrient intakes. SUBJECTS/METHODS: A total of 120 participants aged 65-86 yrs (mean age: 69 ± 1 y) were included in this study. Demographic and health-related characteristics, living status, meals, number of medications, medical conditions, chewing ability, and quality of life, the Oral Health Impact Profile (the OHIP-14) were assessed. We performed one day 24-hr recall assessment for nutrient analyses. The differences of the means between the dry-mouth and non-dry-mouth groups were analyzed. Elderly subjects with xerostomia-induced dry mouth were classified as those who reported at least one dryness symptom on a questionnaire. RESULTS: A significant difference in population distribution was observed among the elderly who took medications for hypertension, diabetes and osteoporosis and was significantly higher in the dry-mouth group (70.2%) than in the non-dry-mouth group (44.4%) (P = 0.005). Compared with the non-dry-mouth group (50.8%), a significantly higher proportion (73.7%) of participants in the dry-mouth group took multiple medicines (≥ 4 medications) (P = 0.019). The intakes of vegetable fat, vitamin E, folate and water in the dry-mouth group were lower than in the non-dry-mouth group. The intakes of fluoride and ω-3 fatty acids were significantly lower in the dry-mouth group than in the non-dry-mouth group. CONCLUSION: The participants in the dry-mouth group exhibited low nutrient and water intakes. It is recommended that the elderly with dry mouth should drink sufficient water and receive targeted and specific nutritional guidance to prevent malnutrition.

An Integrative Review of Non-pharmacological Intervention for Constipation in the Elderly in Korea (국내 노인을 대상으로 한 변비 비약물적 중재에 대한 통합적 문헌고찰)

  • Gi-Ran Lee;Doo-Ree Kim
    • Journal of Industrial Convergence
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    • v.21 no.5
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    • pp.87-95
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    • 2023
  • The purpose of this study is to provide evidences throught integrative review of non-pharmacological intervention studies for constipation in the elderly in Korea. Through the domestic search engines RISS and KISS, eleven studies were selected by searching for theses and academic journals published in Korea from 2010 to January 2023. According to the study result, relevant studies were 11, and non-pharmacological interventions included abdominal massage, foot massage, acupressure, moxibustion, lifestyle intervention, carbonated water intake, and complex therapy. Constipation, sleep quality, and depression were confirmed as effects of the intervention. However, there is no study confirming the quality of life related to constipation in the elderly, so it is necessary to develop and apply a non-pharmacological intervention program for constipation considering the quality of life of the elderly.

Images of the Elderly held by Non-Elderly (비노인층이 갖는 노인 이미지 연구)

  • Lee, Yun-Kyoung
    • Korea journal of population studies
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    • v.30 no.2
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    • pp.1-22
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    • 2007
  • This study explores the images of the elderly held by non-elderly. Unlike previous studies on the topic, it considers various dimensions of the images including health, personality, intelligence, and economic ability. The study also attempts to examine factors affecting the images by age groups of non-elderly as well as the dimensions above. The data come from a nationwide survey on the Korean Elderly conducted by Korea Institute for Health and Social Affairs in 2004. Analysis of the samples aged 20-64 reveals that the overall image of the elderly are negative across four dimensions. Nonetheless, differences by dimensions are also observed. Young people in their 20s are more likely than other age groups to have negative views on elderly's health. In the meanwhile, the middle aged are more likely to have negative views on elderly's economic ability. Multivariate analysis based on legit regression model shows that the images of the elderly are affected by age, place of residence, co-residence with older persons, attitude toward life in old age. The findings from this study contain important implications for the improvement of the elderly's images in rapidly aging society.

Effects of Problem Drinking of Elderly on Life Satisfaction Mediated by Depression and Self-esteem: A Latent Means Analysis Application between Poor and Non-poor Elderly (노인 문제음주가 우울, 자아존중감을 매개로 삶의 만족도에 미치는 영향: 빈곤노인 및 비빈곤노인 집단에 대한 잠재평균분석의 적용)

  • Gweon, Hyun Soo
    • 한국노년학
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    • v.29 no.4
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    • pp.1521-1538
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    • 2009
  • The purpose of the present study was to examine the structural causal relationships among problem drinking of elderly, depression, self-esteem and life satisfaction through structural Equation Modeling and also to investigate how these effects were influenced by the differences in the structural relationships between poor and non-poor elderly. The results showed the positive relationship between problem drinking and depression not also poor elderly group but non-poor elderlys'. According to Multi-group analysis, Latent means analysis where non-poor elderly are used as the reference group, poor elderly group showed higher latent mean values on the problemdrinking and depression, and lower latent mean values on the self-esteem and life satisfaction. Depression mediated the relationships between problem drinking of elderly and life satisfaction the only in a poor elderly group. The implications and limitations of this study were discussed, and the suggestions for further studies were recommended.

Comparison of The Effects of Respiratory Exercise between Smokers and Non-smokers on Pulmonary Function and Muscle Activity of Rectus Abdominis with The Elderly People

  • Jun, Hyun Ju;Kim, Ki Jong
    • Journal of International Academy of Physical Therapy Research
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    • v.8 no.2
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    • pp.1146-1151
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    • 2017
  • The purpose of this study was to compare the effects of respiratory exercise on cardiopulmonary function and muscle activity of rectus abdominis in smokers and non-smokers with elderly people. All the participants were older than 65 years, and twenty non-smokers, and twenty smokers participated. Non-smokers and smokers were randomly divined into 10 feedback breathing exercises (FBE) and a balloon-blowing exercise (BBE) group. The FBE and the BBE were performed three times a week for four weeks. Forced vital capacity (FVC), forced expiratory volume at one second (FEV1), forced expiratory volume at one second/forced vital capacity (FEV1/FVC), peak expiratory flow (PEF), and vital capacity (VC) were measured as pulmonary function. EMG was used to measure the activity of the rectus abdominis. In the FBE and BBE groups, $FEV_1$ was significantly lower in non-smokers compared to smokers at two and four weeks (p<.05), $FEV_1/FVC$, PEF and VC were significantly lower in non-smokers compared to smokers to pre-test, two weeks, four weeks and six weeks (p<.05). Muscle activity of rectus abdominis was significantly difference in the BBE group at pre-test, two weeks, four weeks, and six weeks (p<.05). These results suggest that respiratory exercise was effective in improving pulmonary function and rectus muscle activity.

Comparison of nutrient intakes by nutritional anemia and the association between nutritional anemia and chronic diseases in Korean elderly: Based on the 2013-2015 Korea National Health and Nutrition Examination Survey Data

  • Park, So Hyun;Han, So Hee;Chang, Kyung Ja
    • Nutrition Research and Practice
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    • v.13 no.6
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    • pp.543-554
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    • 2019
  • BACKGROUND/OBJECTIVES: The elderly are reported to have a high prevalence of nutritional anemia when they have lower intakes of nutrients or chronic diseases. This study was conducted to compare nutritional status according to nutritional anemia and to determine associations between nutritional anemia and chronic diseases in Korean elderly. SUBJECTS/METHODS: This study utilized data on 3,258 elderly aged ${\geq}65$ years gathered during the $6^{th}$ Korea National Health and Nutrition Examination Survey 2013-2015. Subjects were divided into nutritional anemia (NA) group (n = 415) and non-NA group (n = 2,843) by hemoglobin concentration. Nutrient intakes were assessed using dietary intake data obtained using the 24-hour recall method. The odds ratios (ORs) for nutritional anemia by chronic diseases were determined. Statistical analysis was performed using SPSS Ver. 23.0. RESULTS: Of 3,258 subjects, 12.7% had nutritional anemia. Intakes of potatoes, pulses, and mushrooms by males and potatoes, fruits, meats, eggs, and seafood by females were significantly lower in NA group than in non-NA group. The proportion of the subjects whose intakes of protein, vitamin A, vitamin $B_1$, vitamin $B_2$, niacin, and iron less than estimated average requirement (EAR) were significantly higher in NA group compared to non-NA group. After adjusting for age, the number of family members, energy intake, and alcohol drinking, ORs for nutritional anemia in the subjects with diabetes and myocardial infarction or angina pectoris were significantly higher by 1.74 times and 1.59 times as compared to the subjects without those diseases, respectively. However, ORs for nutritional anemia in the subjects with obesity, abdominal obesity, and hypertriglyceridemia were significantly lower by 0.64 times, 0.60 times, and 0.59 times as compared to the subjects without those diseases, respectively. CONCLUSIONS: The results of this study suggested that nutritional management should be done to enable the Korean elderly to consume foods with high hematopoietic nutrients density to prevent nutritional anemia. Korean elderly need to make regular efforts to check for nutritional anemia.

Effects of Combined Exercise on Body Composition and Cardiovascular fitness in Sarcopenic Obesity Elderly Women (16주간 복합운동이 Sarcopenic Obesity 여성고령자의 신체조성 및 심폐체력에 미치는 영향)

  • Jung, Joo-Ha;Yang, Jum-Hong
    • 한국노년학
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    • v.32 no.3
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    • pp.703-714
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    • 2012
  • The purpose of this study was to analyze the effects of combined exercise on body composition and cardiovascular disease risk factors in sarcopenic obesity elderly women. The subjects for the study were 21 obesity elderly women over 65 years old . They were divided into two groups, the sarcopenic obesity group(n=9) and non-sarcopenic obesity group(n=12). The variables of body composition and cardiovascular fitness were measured in all the subjects before and after 16-week combined exercise. All data was analyzed by two-way ANOVA with repeated measures, and paired t-test by using SPSS 18.0. The findings of this study were as follows; 1. Effects on body composition The relationship between sarcopenia and body composition were only significant for the group ${\times}$ time interaction in FFM. In the sarcopenic obesity elderly women, % body fat significantly decreased and sarcopenia reduced by 30%, but there were no significant changes in the FFM and ASM. On the other hand, the non-sarcopenic obesity elderly women significantly decreased % body fat and significantly increased FFM and ASM. 2. Effects on cardiovascular fitness Both groups significantly increased V˙ O2peak. The most important finding in this study was that sarcopenic obesity elderly women showed delayed effects of a 16-week combined exercise on FFM and ASM compared to the non-sarcopenic obesity elderly women. However, the further studies might need to confirm these results with both genders, different age groups, and various exercise types.

The Effect of Solidarity with Non-Cohabiting Children of the Elderly on Successful Aging (노인의 비동거 자녀와의 결속력이 성공적 노화에 미치는 영향)

  • Lee, Su-Jin;Hong, So-Hyoung
    • Journal of Convergence for Information Technology
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    • v.11 no.7
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    • pp.47-56
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    • 2021
  • This study a secondary data analysis study attempted to identify the factors influencing the successful aging of the elderly in Korea. Using the data of the 7th Aging Research Panel in 2018, 4,106 people over 65 years of age who had at least one non-living child and no missing values in the study variables were enrolled. Data were analyzed by frequency analysis, crossover analysis, independent sample t-test, and binary logistic regression analysis. The results of this study revealed that the factors affecting successful aging among elderly included age, the presence or absence of a spouse, education level, housing type, subjective health, exercise, alcohol drinking, and non-face-to-face contact frequency with non-cohabiting children, and the explanatory power of the variables was 24.1%. In order for the elderly to achieve successful aging, centering on child ties, the frequency of non-face-to-face contact, which can comfort the elderly's life and increase the satisfaction of life in a continuous relationship, is more important than having children live close and meet frequently. Based on this study, various strategies are needed for the successful aging of elderly people who are socially isolated due to concerns about COVID-19 infection.

A Study on Determinants of Elderly Residental Satisfaction on the Planned Elements of the Participatory Residential Environment Improving Projects - Focused on the Project of Yonnam-dong - (주민참여형 주거지 재생사업에 대한 고령거주자의 사업 만족도 결정요소 연구 - 연남동 사업지구를 대상으로 -)

  • Kim, Ah-Leum;Koo, Ja-Hoo
    • Journal of the Korean housing association
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    • v.25 no.5
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    • pp.125-132
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    • 2014
  • The purpose of this study is to estimate the determinants of Elderly Residental Satisfaction on the residential environment improving projects and suggest the political implications. The survey include questionnaires about the satisfaction level on the project physical and non-physical maintenance factors. The results were statistically analyzed by Correlation Analysis and Regression Analysis. As the result of the study, firstly, it shows that 'traffic and improve pedestrian environment' and 'improved parking environment' factors that are important to the satisfaction of the elderly residents of a high impact on the business component a physical maintenance. Secondly, it shows that 'home improvement and management support' and 'economic foundation' factors that are important to the satisfaction of the elderly residents of a high impact on the business component a non-physical maintenance. The results of analysis on the determinants of Elderly Residental Satisfaction on the residential environment improving projects of Yonnam project may be important foundation for future strategies for improvement.