• Title/Summary/Keyword: Normal cognition

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Does the Obesity Paradox Exist in Cognitive Function?: Evidence from the Korean Longitudinal Study of Ageing, 2006-2016 (인지기능에 비만 역설은 존재하는가?: 고령화연구패널자료(2006-2016)를 이용하여)

  • Kang, Kyung Sik;Lee, Yongjae;Park, Sohee;Kimm, Heejin;Chung, Woojin
    • Health Policy and Management
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    • v.30 no.4
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    • pp.493-504
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    • 2020
  • Background: There have been many studies on the associations between body mass index (BMI) and cognitive function. However, no study has ever compared the associations across the methods of categorizing BMI. In this study, we aimed to fill the gap in the previous studies and examine whether the obesity paradox is valid in the risk of cognitive function. Methods: Of the 10,254 people aged 45 and older from the Korean Longitudinal Study of Ageing from 2006 to 2016, 8,970 people were finalized as the study population. The dependent variable was whether a person has a normal cognitive function or not, and the independent variables of interest were BMI categorized by the World Health Organization Western Pacific Regional Office (WHO-WPRO) method, the WHO method, and a 10-group method. Covariates included sociodemographic factors, health behavior factors, and health status factors. A generalized linear mixed model analysis with a logit link was used. Results: In the adjusted model with all covariates, first, in the case of BMI categories of the WHO-WPRO method, underweight (odds ratio [OR], 1.16; 95% confidence interval [CI], 1.15-1.17), overweight (OR, 1.36; 95% CI, 1.35-1.36), and obese (OR, 1.34; 95% CI, 1.33-1.34) groups were more likely to have a normal cognitive function than a normal-weight group. Next, in the case of BMI categories of the WHO method, compared to a normal-weight group, underweight (OR, 1.15; 95% CI, 1.14-1.16) and overweight (OR, 1.06; 95% CI, 1.06-1.07) groups were more likely to have a normal cognitive function; however, obese (OR, 0.62; 95% CI, 0.61-0.63) group was less likely to have it. Lastly, in the case of the 10-group method, as BMI increased, the likelihood to have a normal cognitive function changed like a wave, reaching a global top at group-7 (26.5 kg/㎡ ≤ BMI <28.0 kg/㎡). Conclusion: The associations between BMI and cognitive function differed according to how BMI was categorized among people aged 45 and older in Korea, which suggests that cognitive function may be positively associated with BMI in some categories of BMI but negatively in its other categories. Health policies to reduce cognitive impairment need to consider this association between BMI and cognitive function.

The Analysis on Domestic Thesises Related with Music Therapy for Normal and Disabled Children (국내 일반 및 장애 아동 관련 음악치료 학위논문 유형분석)

  • Lee, Mi Kyung
    • Journal of Music and Human Behavior
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    • v.3 no.2
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    • pp.15-28
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    • 2006
  • Music plays significant roles in the process of human development. The requirement in each process of development can be encouraged by children's participating in various musical activity and so the musical circumstance can make an important factor. Acknowledging that, there were some attempts to use music as a means of treatment or education for children. The subjects of clinic studies in music therapy, especially in Korea, have mainly been children with delay or disability in development. The purpose of this article is focused on collecting and analyzing articles which are written about children who are the main subjects of clinic studies. By collecting and analyzing those articles, the tendency of domestic studies about music therapy concerned with children can be widely examined. Ninety thesis about music therapy related with normal and disabled children have been collected and analyzed considering the subjects, methods, fields of the studies and musical intervention. The conclusions are the same with followings. First, considering the subjects, the studies on children with disabilities are more than normal children and the studies on autistic children occupy the largest portion of them Recently the studies on normal children have been increased as well as the studies on children with disability. Second, for the methods1 experimental studies have been performed more widely than descriptive studies. Third, considering the fields of development, the studies on the social field occupies the largest part of all and they are followed by emotion, language and communication, cognition in turn. Last, in case of musical intervention, it is clear that musical intervention is more used as forms of singing songs and playing instruments than special skills of music. Through this article, the achievements and shortcomings in this territory could be possibly shown at the same time. Moreover, the direction which it has to move toward could be shown.

The Characteristics of Intellectual and Psychological in the Children with Moyamoya Disease (모야모야 질환 아동의 인지기능 및 정서적인 특성 분석)

  • Yeom, Insun;Kim, Dong-Seok;Lee, Eun-Young;Kim, Hea-Soon
    • Child Health Nursing Research
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    • v.21 no.2
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    • pp.123-130
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    • 2015
  • Purpose: The purpose of this study was to understand the intellectual and psychological features of children with Moyamoya disease who were patients in the Department of Pediatric Neurosurgery of Severance Hospital. Methods: From December 2010 through December 2012, 63 patients with diagnoses of Moyamoya disease and 59 children in a normal group were enrolled. This study was conducted using the Korean-Wechsler Intelligence Scale for Children, Rey-Kim Memory Test for children, Korean Child Behavior Checklist and Pediatric Quality of Life Inventory$^{TM}$4.0. Results: The results showed that the intellectual and psychological profiles of children with Moyamoya disease were lower than the average of the normal control group. The tested patients showed significantly lower scores for Performance Intelligence Quotient cognition level. Also, in terms of quality of life, children with Moyamoya disease had lower levels of physical and school functionality. The results were in line with those of previous studies involving psychological tests of children with chronic diseases. Conclusion: Considering the intellectual and psychological characteristics of children with Moyamoya disease, integrated psychological intervention plans including elements such as supportive therapy for patients and programs for parental education are required.

Audio Stress Effect on Visual ERP Stimulated by 3-dimensional Environment (청각 스트레스가 3차원 시자극 유발전위에 미치는 영향 분석)

  • 박찬희;홍철운;김남균
    • Journal of Biomedical Engineering Research
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    • v.23 no.4
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    • pp.301-308
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    • 2002
  • This research was performed to analyze quantitatively how spiritual stress affects some ERPs on human through sight stimulus after the settlement of visual and auditory integration environment in three dimension space. We measured ERPs in the normal state and spiritual stress sessions separately. The subjects were 10 normal men and women and vital signs was recorded from Fpl, Fz, Cz, Pz, O1, O2's scalps. The experiment was done in isolated room where electro-magnetic effect do not affect. The result showed that P300's amplitude was a little higher under stress session and latent period in this resulted in longer time. We recorded through voltage variation the activity of brain which is in charge of human's perception. cognition, process of action and evaluated the effect of spiritual stress. We expected that the result of this research can be used to evaluate the malfunction of brain.

A review of cognitive orientation to daily occupational performance with stroke

  • Ahn, Si-Nae
    • Physical Therapy Rehabilitation Science
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    • v.6 no.4
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    • pp.202-207
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    • 2017
  • Objective: The self-decisions of the client regarding the meaningful work as a therapeutic approach of client-orientation. The Cognitive Orientation to daily Occupational Performance (CO-OP) is an occupation-oriented problem-solving approach. The purpose of this study was to describe the goals and intervention protocols of CO-OP in those affected by stroke. Design: A systematic review. Methods: Using EBSCOhost, PubMed, and ProQuest databases, we searched studies published in the past decade that utilized the CO-OP intervention. An initial search revealed 71,171 potential articles. After applying our search criteria to screen the titles, abstracts, and full-text, we included 7 articles that met our inclusion and exclusion criteria. In this study, we used the patient, intervention(s), comparison, outcome method to analyze the 7 selected studies. We analyzed the frequency of goals and intervention protocols. Results: Seven articles met our selection criteria; these studies included participants with an almost normal cognitive function from inpatient and outpatient rehabilitation facilities. CO-OP was used for 237 goals; the most used goal was the instrumental activities of daily living. The training procedure used 3 types of self-selecting goals in the activities. One of the goals was not trained, but was only evaluated to determine the generation effect. The most common outcome measurements included the Canadian Occupational Performance Measure and the Performance Quality Rating Scale. Conclusions: This research provided information about the effectiveness of CO-OP and selecting the correct evaluation tool to assess the efficiency of the intervention. This study suggests that treatment with CO-OP in occupational therapy is effective and that it outlines common protocols.

A Study on Effects of the Elderly Heterosexual Attitudes upon Life Satisfaction - For socioeconomic activists -

  • Jung, Myung-Hee;Jo, Young-Jun
    • The Journal of Industrial Distribution & Business
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    • v.8 no.2
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    • pp.11-20
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    • 2017
  • Purpose - The elderly do not want to know what they want and what happiness is, and have no interest in their society. Thus, many studies have been made to investigate real-life situations and to find a solution. Further studies are needed to investigate the effect of the elderly's dating upon happiness. This study investigated the effects of the elderly's dating upon life satisfaction. Research design, data, and methodology - After coding, SPSS Win18.0 was used. The study was investigated as follows. The subjects were 530 elderly of 3 cities in Chungnam who live without children. A total of 512 questionnaire responses were used after we excluded 18 questionnaire because of incomplete responses. Results - The elderly's date value accounted for 3.22 of 5 in full. In this study, the interviewees (82.3%) said normal or higher level to be satisfied with the date. Conclusions - With the extended life span of the elderly, their chances to retain or make new partners have increased. Considering this trend, social workers and others in senior centers should give health services to the elderly to consult and give educational programs to be free from prejudice and conservative attitudes. Most of the elderly had desire to date but thought that with prejudice and bias.

Factors Influencing Participation in National Health Screening Program among Korean Older Adults by Cognitive Function Level

  • Han, Song Yi;Ko, Young
    • Research in Community and Public Health Nursing
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    • v.30 no.4
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    • pp.508-517
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    • 2019
  • Purpose: The aim of this study was to identify the participation rate of the National Health Screening Program (NHSP) and its influencing factors by cognitive function level in Korean older adults. Methods: This study was a secondary analysis using data from the survey of the Korean Longitudinal Study of Aging in 2016. The data were analyzed using 𝑥2 test and multiple logistic regression. Results: The participation rates of the NHSP in the mild cognitive impairment group (79.6%) and the suspected dementia group (58.0%) were lower than the normal cognitive function group (88.1%). The factors influencing NHSP varied by cognitive function level. Especially, in the suspected dementia group, higher participation rates of the NHSP were associated with living in rural areas, enrollment in private health insurance, no depressive symptoms, participation in social activities, and no living with children. Depression and participation in social activities influenced participation in NHSP in all groups. Conclusion: This study suggests that interventions differentiated by cognitive function level are important for increasing the participation in the health screening.

Characteristic Analysis of Nano-hole Array Optical Filter having Psychological Protection for Color Recognition (색 인지에 대한 심리보호효과를 가지는 나노홀어레이 광학필터 특성 분석)

  • Kang, Tae Young;Ahn, Heesang;Shin, Dong-Myeong;Hong, Suck Won;Kim, Kyujung;Lee, Donghoon
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.15 no.6
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    • pp.95-100
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    • 2016
  • We suggest and simulate an optical filter that a red wavelength range cannot transmit to protect the psychological stress that originates from the cognition of red color in emergency medical technicians. When a nanohole hexagonal array is fabricated on gold film using Anodic Aluminum Oxide (AAO), the blocked wavelength can be tuned by the hole diameter and film thickness. The characteristic of the transmittance for normal incident white light is simulated with Finite Element Method (FEM) in the MATLAB platform. Although the transmittance of the overall wavelength is reduced by 50% by the gold film, the transmittance of the red wavelength range is decreased by over 87%.

A Study on ADL, IADL, and Cognitive Function of Low-income Community Dwelling Elderly (도시 저소득층 노인의 ADL, IADL 및 인지기능과의 관계)

  • Yoo, Moon-Sook;Kim, Hye-Kyung;Jo, Eun-Mi;Kim, Yong-Soon
    • Journal of Home Health Care Nursing
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    • v.14 no.1
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    • pp.5-10
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    • 2007
  • Purpose: The purpose of the study was to analyze the ADL, IADL and cognitive function of low-income elderly who are receiving the visiting nurse service in the community. Method: Study participant were 2,413 community-dwelling elderly who live in S City. The data were collected from 5th Jan. to 28th Feb. 2006. The cross-sectional descriptive survey was done using a structured questionnaire through interviews by visiting nurses. Result: The average scores of ADL and IADL was respectively high, which indicates a relatively independent everyday life. However, the score of cognitive function was 21.87(normal range is over 23). There was a significantly positive correlation among ADL, IADL and cognitive function with the pearson correlation coefficients. Conclusion: It is concluded that elder subjects who are women, old aged, and live alone should be watched carefully for the cognitive impairment. In addition, the government should apply early detection and management system for cognitive impaired people who live in the community.

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Behavioral and intelligence outcome in 8- to 16-year-old born small for gestational age

  • Yi, Kyung Hee;Yi, Yoon Young;Hwang, Il Tae
    • Clinical and Experimental Pediatrics
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    • v.59 no.10
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    • pp.414-420
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    • 2016
  • Purpose: We investigated behavioral problems, attention problems, and cognitive function in children and adolescents born small for gestational age (SGA). Methods: Forty-six SGA children born at term and 46 appropriate for gestational age (AGA) children born at term were compared. Psychiatric symptoms were examined with reference to the Korean-Child Behavior Checklist, Korean-Youth Self Report, and Attention Deficit Hyperactivity Disorder Rating Scale (ADHD-RS). Cognitive function was estimated using the Wechsler Intelligence Scale. Sociodemographic data were recorded from interviews. Results: SGA children had high scores on delinquent behavior, aggressive behavior, and the externalizing scale, and they also showed a propensity for anxiety and depression. The SGA group had a higher mean ADHD-RS score than the AGA group ($10.52{\pm}8.10$ vs.$9.93{\pm}7.23$), but the difference was not significant. The SGA group had a significantly lower verbal intelligence quotient (IQ) than the AGA group, but the mean scores of both groups were within normal limits. Conclusion: This study indicates marked behavioral problems, such as delinquency, aggressiveness, and anxiety and depression, as well as low verbal IQ in the SGA group than in the AGA group. Even in cases in which these symptoms are not severe, early detection and proper treatment can help these children adapt to society.