• Title/Summary/Keyword: Normal elderly

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Factors Affecting to the Instrumental Ability of Daily Living(IADL) in the Urban Elderly (도시지역 노인들의 도구적 일상생활 수행능력(IADL)에 영향을 미치는 요인)

  • Lee in hak;Moon Seng ki;Kim kun joo;Park Jae-Young
    • The Journal of Korean Physical Therapy
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    • v.14 no.3
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    • pp.238-272
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    • 2002
  • This study was intended to find out the factors affecting to the IADL, allowing objective assessment of physical function status of increasing elderly populations. The subjects of 635 elderly persons aged over 65 years old who live in Taejon metropolitan city were interviewed during the two-month period from June to July of 2000. The IADL of Older American Resources and Services(OARS), developed in Duke medical college of USA, was interpreted for use. The study results were statistically processed using SPSSWIN(ver 10.0) and conferred the following results: 1. Among the seven items of IADL, the women showed higher rates of 'yes' in items about using the telephone, getting to the places out of walking distance, going shopping for groceries, taking their own medicine while outnumbered by the men only in the item about managing their own money, without significant differences between them in items about preparing their own meals and doing their own housework. 2. In terms of IADL scores, $82.0\%$ of subjects showed the normal range of scores and $18.0\%$ were under the normal range, meaning dysfunction IADL. Specifications of general characteristics revealed that more dysfunctional were the male subjects, the higher age groups who are more than 75 years old, the higher educated groups, the groups who live in nursing homes, the groups without a spouse. 3. Based on daily activities, lower scores of IADL were found in the subjects who don't go out, who don't have recreational activities, who don't attend elderly gatherings in their neighborhood, who don't hold social meetings. Specifications of psychological traits revealed that more dysfunctional were IADL in the subjects who don't feel satisfied with their lives of the past or the present, who have a deep feeling of isolation, and who don't have the will to live. 4. Among 7 items of health habits, only the subjects who don't regular exercise had lower scores of IADL than those who do. According to HPI, the lower HPI, the more dysfunctional. 5. Based on the factors associated with IADL, the odds ratio of the subjects who don't live together with their families were 1.53 times that of the ones who do, who are educated 3.22 times that of the ones who are not, who don't have spouses 2.09 times that of the ones who do, who don't go out 4.35 times that of the ones who frequently go out, who don't recreational activities for an interest 2.64 times that of the ones who do, who don't attend elderly gatherings in their neighborhood 1.47 times that of the ones who do, who don't hold social meetings 2.23 times that of the ones who do, who don't feel satisfied with their present living 1.43 times that of the ones who do, who have a feeling of isolation 1.53times that of the ones who don'1, who have the weak will to live 3.21 times that of the ones who have the strong one, and who don't regular exercise 2.45 times that of the ones who do. 6. Logistic regression analysis of the study results found that such factors are significantly related as the degree of education, with/without spouse, social meetings, the will to live, and regular exercise, and that higher rates of dysfunctional subjects were in the more educated group, in the group without spouse, in the group who don't frequently go out, who don't have social meetings, who have the weak will to live, and who don't exercise.

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Relationship Between Depressive Symptoms and Physical Function(ADL, IADL) Among the Rural Elderlies (농촌지역 노인들의 신체적 기능(ADL, IADL)과 우울수준과의 관련성)

  • Shin, Eun-Sook;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.201-210
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    • 2012
  • This study was performed to determine the levels of depressive symptoms and to reveal its relationships between ADL and IADL among rural elderlies. The interviews were performed, during the period from April 1st, to June 30th, 2010, to 412 elderlies in rural areas. As a results, the distribution of ADL among all subjects were 94.7% in normal-range group, and 5.3% in impaired group. In terms of IADL, 87.4% of the subjects were normal-range group, 12.6% were impaired group. The distribution of depression group among all subjects were 38.2% in normal-range group of ADL, and 90.9% in impaired group of ADL, but it was 35.8% in normal-range group of IADL, and 76.9% in impaired group of IADL. In logistic regression analysis, the adjusted odds ratio of the depression was significantly increased in impaired group of ADL than in normal-range group of ADL(OR=23.21, 95% CI=4.38~123.05). Also it was significantly increased in impaired group of IADL than in normal-range group of IADL(OR=7.76, 95% CI=2.99~20.08). In conclusion, the depression of rural elderlies was significantly increased in impaired group than in normal-range group of ADL and IADL. Thus, strategic effort needs to be prevented to depression in impaired group of ADL and IADL.

Cognitive Impairment and Decreased Quality of Life in Elderly Patients with Subsyndromal Depression (노인 아증후군적 우울증 환자의 인지기능 및 삶의 질 저하)

  • Ryu, Jae Sung;Kim, Moon Doo;Lee, Chang In;Park, Joon Hyuk
    • Korean Journal of Biological Psychiatry
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    • v.20 no.2
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    • pp.45-53
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    • 2013
  • Objectives Non-major depression with fewer symptoms than required for a Diagnostic and Statistical Manual of Mental Disorders-4th edition diagnosis of major depressive disorder (MDD) has consistently been found to be associated with functional impairment. In this study, we aim to estimate the cognitive impairment and the quality of life in elderly patients with subsyndromal depression (SSD) compared with non-depressive elderly (NDE). Methods The Korean version of Mini International Neuropsychiatric Interview was administered to 194 outpatients with depression and 108 normal controls. SSD is defined as having five or more current depressive symptoms with core depressive symptoms (depressive mood or loss of interest or pleasure) during more than half a day and more than seven days over two weeks. Depression was evaluated by the Korean form of Geriatric Depression Scale of a 15-item short version. Global cognition was assessed by Mini-Mental State Examination in the Korean version of CERAD assessment packet (MMSE-KC). Subjective cognitive impairment was assessed by the Subjective Memory Complaint Questionnaire. Quality of life was evaluated by the Korean Version of Short-Form 36-Item Health Survey. Results The mean score of the MMSE-KC in the SSD group was lower than that in the NDE group with adjustment for age, gender, and education [F = 4.270, p = 0.04, analysis of covariance (ANCOVA)]. If we defined those having Z-score of MMSE-KC < -1.5 as a high risk group of cognitive impairment, the odds ratio for the high risk group of cognitive impairment was 1.86 [95% confidence intervals (CI) 1.04-3.34] in SSD and 7.57 (95% CI 3.50-16.40) in MDD compared to NDE. The scores of physical component summary (F = 9.274, p = 0.003, ANCOVA) and mental component summary (F = 53.166, p < 0.001, ANCOVA) in the SSD group were lower than those in the NDE group with adjustment for age, gender, and education. Conclusions The subjects with SSD, as well as those with MDD, showed impairment of global cognition and also experienced low quality of life in both physical and mental aspects, compared to the NDE group.

The Effect of Aerobic Rhythmical Exercise Program on Physical Fitness, Self-efficacy and Quality of Life in Elderly (유산소 리듬 운동프로그램이 노인의 체력, 자기효능감 및 삶의 질에 미치는 효과)

  • Kim Jong Hwa;Park Young Sook
    • Journal of Korean Public Health Nursing
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    • v.14 no.1
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    • pp.12-25
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    • 2000
  • The purpose of this study was to determine the effects of aerobic rhythmical exercise program on $VO_2$ max, leg strength, grip strength, flexibility, exercise self-efficacy and quality of life in elderly. This quai-experimental study was designed as a non-equivalent control group pretest-posttest study. 36 subjects, aged between 65 and 73 years who have normal cognition. sensory function and cerebellum function participated in this study. 19 experimental group subjects participated aerobic rhythmical exercise program. Aerobic rhythmical exercise program was developed on the basis of calisthenics, stretching, aerobic exercise, Korean traditional dance and music by the author. The program consisted of approximately 1 hours of exercise, 3 times a week for 9 weeks. During 1 hours workout, there were 15 minutes of warm-up dancing, 35 minutes of conditioning dance and 10 minutes of cool-down dancing. The intensity for the conditioning phase was between $40\%\;and\;60\%$ of age adiusted maximum heart rates. The $VO_2$ max, grip strength, leg strength, flexibility, exercise self-efficacy and quality of life were measured prior to and following the experimental treatment. Data were analyzed with $x^2-test$, t-test, mean, standard deviation. percentage of change and ANCOVA test using SAS program. Results were obtained as follows. 1. The $VO_2$ max of the experimental group were significantly lower than those of the control group following the aerobic rhythmical exercise program(F=7.76, p=0.008). 2. The grip strength of the experimental group were significantly lower than those of the control group following the aerobic rhythmical exercise program(F=4.61, p=0.039). 3. The leg strength of the experimental group were significantly lower than those of the control group following the aerobic rhythmical exercise program(F=9.29, p=0.000). 4. The was no significantly difference of flexibility between experimental and control group 5. The self-efficacy of the experimental group were significantly lower than those of the control group following the aerobic rhythmical exercise program(F=43.40, p=0.000). 6. The quality of life of the experimental group were significantly lower than those of the control group following the aerobic rhythmical exercise program(F=8.91. p=0.005). The results suggest that aerobic rhythmical exercise program can improve $VO_2$ max, grip strength. leg strength. exercise self-efficacy and quality of life elderly. Thus. aerobic rhythmical exercise program was a useful nursing intervention for elderly.

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Study on Injury Risk Factors of the Elderly for Safety·Security Design (안전·안심디자인을 위한 고령자의 손상 위험요인에 관한 연구)

  • Kim, Mi-Young
    • The Journal of the Korea Contents Association
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    • v.17 no.2
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    • pp.105-112
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    • 2017
  • This study recognizes it as a social problem that can be prevented by basic research on safety security design for the elderly, and aims to clearly analyze risk factors for injury. For this study, raw data from the 6th Korean National Health and Nutrition Survey were employed and analyzed. Their social characteristics were classified with standards including gender, education, EuroQoL(human locomotion, normal activity and pain uncomfortableness), the quality of life(PHQ-(1)(2)(4)), recognition on stress, activity restriction status and associated causes(bone fracture and joint injury). Their epidemiological traits were chronic diseases, 'diabetes and hip-joint pain', and health-behavioral traits were 'smoking, breakfast frequency and high-level physical activity status.' In conclusion, it can be found that damage risk of elderly rose in case of female, lower education, inconvenience or limitation, pain or discomfort in locomotion and daily activities, higher recognition of stress, lower interest in work, feeling of depression, despair, and weariness, restriction in activity caused by bone fracture and joint injury, having diabetes and hip-joint pain, smoking, low frequency in having breakfast and high-level physical activities. Based on this study, we envision that an effective solution for injury risk factors caused by the organic relation can be reached in the near future.

Assessment of Elderly's Isokinetic Muscle Function, Flexibility and Balance in a Region of Seoul (서울 일부 지역 노인들의 등속성 근기능, 유연성, 균형성 측정 및 평가)

  • Kim, Suk-Won;Sohn, Jee-Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.37-44
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    • 2016
  • The aim of the present study was to compare the strength, balance, and flexibility across two age groups (older adults vs. young adults). The isokinetic muscle function, ankle ROM, trunk forward flexibility, stability, and antropometric data for the elderly and 46 university students were collected. The results indicated that male older adults possessed relatively low flexibility (2.97cm) among the groups and showed better stability in the right foot than in the left foot and $35^{\circ}$ of plantar flexion ROM, which was not in the normal range. Their peak strength at the knee joint was below 50% of their counterpart. They revealed a hamstring deficit of 18.55%, ankle eversion deficit of 23.08%, and ankle inversion deficit of 19.19%. The results indicated that female older adults possessed comparable flexibility compared to female young adults. The reciprocal muscle strength ratio of both knees was under 50%, and the deficit was 14.32% (extension) and 19.73% (flexion). The ankle plantar flexion peak torque was approximately 62% (left) and 73% (right) of WS's. The ankle dorsi flexion deficit was 25.05% and the plantar flexion was 26.86%. The eversion deficit was 19.97% and the inversion was 21.09%. These results will be significant in establishing an elderly fitness enhancement program and policy.

Dental Health Determinants of Elderly People (노인의 주관적 치아건강수준에 영향을 미치는 요인)

  • Choi, Jin-Young;Kim, Gi-Ug;Kim, Ji-Hwa
    • Journal of Digital Convergence
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    • v.12 no.11
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    • pp.427-435
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    • 2014
  • This study was Dental health determinants of elderly people. For this purpose, a questionnaire was done for 396 elderly people of 60 or more years old who have visited Seogwipo city public health center(branch) in Jejudo from May 27th to June 5th 2013 after they heard the intention of that investigation. Result of the most answers were 'normal' for the question asking the subjective status of teeth health of whom having more than 20 natural teeth as 73.3%; the most answers of whom with less than 19 natural teeth were 'bad' as 41.4%, which showed difference(p<0.05). The factors influencing the subjective teeth health were 4.3times higher in cases of women than men. The higher educational(high school or more)had they, the more monthly average income(2 million won or more) did they have, the higher was their subjective teeth health status(p<0.01). It is more important than anything that they reserve more than 20 natural teeth until they get old to keep and improve their oral and body health. In addition to that, the oral health project or oral health program to perform country-wide programs for free, consistent and systematic oral health examination and education should be planned.

Relationship between Naming Abilities, Hearing Handicap, and Depression in Community-Dwelling Elderly (지역사회 노인의 연령에 따른 이름대기 능력, 청력장애, 우울 수준의 관계)

  • Lee, Hyun Jung
    • Journal of the Korea Convergence Society
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    • v.12 no.10
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    • pp.97-104
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    • 2021
  • The purpose of the study was to investigate whether there are differences in confrontation naming ability, generative naming ability, hearing handicap, and depression in community-dwelling elderly by age group, and whether there is any correlation among them, and to find out what factors explain the two naming abilities (confront and generative) of the elderly. Sixty-five community-dwelling elderly people participated: 65~74 years were classified into young-old; 75~84 years into old-old; and 85 years and over into oldest-old. K-BNT-15 for the confrontation naming ability, animal naming test for the generative naming ability, K-HHIE for the subjective hearing handicap, and GDS for the subjective depression were administered. First, there was a statistically significant difference in confrontation naming and depression levels according to age groups. Second, there was a positive correlation between chronological age and subjective depression level and between subjective hearing handicap level and subjective depression level, and a negative correlation between education level and subjective depression level. Third, the confrontation naming score was explained by age, and the generative naming score was explained by subjective depression level. The results show that naming abilities, subjective hearing handicap, and subjective depression level are not simply the result of normal aging and that a convergence approach is needed in various fields to solve the issue.

A Meta-analysis of Effectiveness of Kigong Programs for the Physical Health of the Elderly (노인 신체건강을 위한 기공(氣功)프로그램 효과성 메타분석)

  • Kim, Ilsik;Kim, Gyeryung;Lee, Su-kyung;Seo, Hochan
    • 한국노년학
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    • v.38 no.1
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    • pp.65-82
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    • 2018
  • The purpose of this study is to statistically summarize the effect sizes using meta-analysis of various Kigong programs implemented on the subject of physical health of the elderly. Including 23 academic journal studies and 11 thesis studies reported domestically until 2016, a total of 34 studies were selected and analyzed to verify the effect sizes of programs, program types, measuring variables, and activity elements. The findings are as follows. First, it was found that the programs were midium effective with overall average effect size showing .748(p<.001). A program of Tai-Chi indicated the largest effect size of .836(p<.001). In terms of measuring variables, physical strength showed the largest effect size of .806(p<.001). In terms of gender by group, it was found that groups consisting only of men indicated the largest effect size of 2.388(p<.001). As for effect size by group of disease state, normal group with showed the highest effect size of .804(p<.001). Second, in activity elements, 31~60 by the group size has the largest effect size of .873(p<.001), total number of sessions for 31~40 sessions indicated the largest effect value of .829(p<.001). As for number of sessions per week, 5 sessions showed largest effect value of .918(p<.001), in terms of activity time, 50 minutes showed large effect value of 1.391(p<.001). As summarized above, Kigong programs are midium effective for physical health of the elderly, as an activity elements to consider when configuring the program, for group size 31~60, 31~40 sessions in total, 5 sessions per week and 50 minutes per sessions were recommended.

The Influence of Combined Exercise Training with and without Blood Flow Restriction on Physical Performance and Balance in Elderly Females (복합운동에 혈류제한 적용과 비적용이 여성노인들의 운동수행능력과 평형성에 미치는 영향)

  • Kim, Daeyeol;Kang, Hyo-Young;Park, Hyeok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.363-371
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    • 2021
  • The goal of this study was to investigate the influence of exercise training with or without blood flow restriction (BFR) on physical performance and balance in elderly females. Participants (N = 43) were randomly divided into combined exercise with BFR group (n = 14, EX-BFR), only combine exercise group (n =14, EX) or a non-exercise control group (n = 15, CON). Both EX-BFR and EX groups had completed exercise training for 12 weeks. During the training period, the CON group maintained their normal lives. After baseline tests, two-way repeated measures ANOVA with contrast testing was conducted using SPSS 22.0. Study results found that physical performance and balance in both EX-BFR and EX groups were significantly improved, and fall index in both EX-BFR and EX groups were significantly decreased. There were no changes in the CON group. In addition, the % change and effect size of all variables in the EX-BFR group were larger than the EX group. So, the results showed that the EX-BFR group had performed more intense exercise caused by restricted blood flow during the training period compared to the EX group. Thus, exercise with BFR training may additionally influence physical performance and balance in elderly females.