• Journal of Korean Academy of Nursing
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• v.35 no.7
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• pp.1314-1324
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• 2005

Purpose: The purpose of the study was to identify the effects of problem solving nursing counseling and intensified walking exercise on diabetic self-care, coping strategies, and glycemic control among older adults with DM type II. Method: Ninety nine DM patients who were older than 50 were recruited from DM clinics or public health centers and conveniently assigned into three groups: the Polar(n=41), counseling(n=30) and control groups (n=28). Participants in both Polar and counseling groups attended weekly problem solving nursing counseling for 12 weeks. Polar heart rate monitors were used in the Polar group to intensify walking exercise. Data was collected from November 2003 to August 2004 and analyzed by ANOVA or ANCOVA using the SPSS WIN program. Result: After a 12 week intervention, participants in both the Polar and counseling groups reported increased diabetic self care behaviors and decreased blood glucose levels, which is significantly different from those in the control group. There were no distinctively different program effects between the Polar and counseling groups. Conclusion: Based on the findings, we concluded that problem solving counseling alone could have positive effects on diabetic self care and glycemic controls for older adults with DM. Future research is needed to identify long-term effects of the program.

• Therapeutic Science for Rehabilitation
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• v.12 no.4
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• pp.111-122
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• 2023

Objective : To identify the effect of lifestyle risk factors on the daily activities and cognition of the older adults in the community using the National Health Insurance Corporation 2015 geriatric cohort database. Methods : Lifestyle risk factors were defined as body mass index (BMI), smoking, drinking, vigorous exercise, moderate exercise, and walking, and basic and instrumental activities of daily living (ADL) and cognitive function variables were included in the analysis. ADL and cognitive function according to sex and age were analyzed using a t-test and one-way ANOVA. The correlation between lifestyle risk factors, ADL, and cognitive function was analyzed using Pearson's correlation analysis, and multiple regression analysis was performed to analyze their influence. Results : The factors affecting basic ADL (BADL) were sex and walking exercises, with an explanatory power of 1.7%. Instrumental ADL (IADL) included age, drinking, and walking exercises, with an explanatory power of 2.6%. Cognitive function included sex, age, BMI, vigorous exercise, and walking, with an explanatory power of 5.3%. Conclusion : Lifestyle risk factors partially affected BADLs/IADLs and cognitive function in community-dwelling older adults. This suggests the need to systematically manage lifestyle risk factors to improve and maintain the healthy lives of older adults facing biological aging.

• 한국노년학
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• v.40 no.3
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• pp.543-563
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• 2020

As people age and their physical functions are declined, they stay longer in the home, thus being more affected by the home environment. Many studies have shown the association between the home environment and health. However, little is known about the effect of the home environment on disability and depression of older people with functional limitation. This study, therefore, aimed to examine the moderating effect of the home environment on the pathway between walking limitation and instrumental activity of daily living(IADL) disability, and the relationship between IADL disability and depression. We performed logistic regression and multiple linear regression analyses with data on 3,027 participants from the 2018 Seoul Aging Survey. As results, first, older people who lived home with poor conditions showed a higher risk of walking limitation(OR=1.487, 95% CI: 1.250 - 1.770), IADL disability(OR=1.594, 95% CI: 1.303 - 1.949), and depression(OR=1.943, 95% CI: 1.553 - 2.430). Second, the home environment moderated the relationship between walking limitation and IADL disability. Older people with walking limitation who lived in poor housing condition experienced more IADL disability than others. Third, after controlling for walking limitation, the home environment had significant moderating effect on the relationship between IADL disability and depression. Elderly with IADL disability living in poor home experienced higher risk of depression. Based on these results, the study suggests the necessity of home modification intervention targeting functional limitation of older adults as strategy for preventing disability and depression, and enabling aging in place.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.15 no.1
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• pp.16-27
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• 2016

This study identified the factors which affect pedestrian behavior using the tobit model with a descriptive analysis. Individual characteristics, household characteristics, zone characteristics were selected as the independent variables. Walking frequency and walking time was adopted for the variables which represent walking behavior. The results showed that the walking time models were superior than the walking frequency models. The model for education purpose had the most lowest fitness and the model for others purpose had characteristics mixed up the various purposes. Futhermore, this research found that independent variables: individual, household and zone characteristic variables affected walking activities of elderly pedestrian by purpose. The walking activity decresed when a pedestrian grew older or had a vehicle or a driver's license. The Elderly facilities promoted the walking activity of seniors. As the floor area of neighborhood and business facilities was wide, the walking activities were animated. In addition, the compacted downtown developments decreased the elderly's walking activities, so it is needed to consider those results in terms of the urban planners.

• Korean Journal of Applied Biomechanics
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• v.17 no.4
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• pp.27-36
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• 2007

The purpose of this study was to investigate the effect of the upper body in order to increase a propulsive force in the old's walking. The subjects were each 10 males, the latter term of the aged and former term of the aged. There were three walking speeds of slow(about 5km/h), medium(about 6km/h), and maximum speed(about 7km/h). The subjects walking 11m were filmed the 5m section (from 3m to 8m) by 2-video cameras using three dimensional cinematography. And we computed different mechanical quantities and especially computed the relative momentum in order to achieve this study's aim. In this study, we was able to acquire some knowledge. The step length and step frequency increased in proportion to the walking speed, and the faster walking speed, the shorter ratio of supporting time( both legs supporting time/one step length time). When it was one leg support phase, the torso was indicated to generate the momentum in order to produce the propulsive force of walking. The upper and lower body had a cooperative relation for walking such as keeping step rate with the arms to legs and maintaining the body balance. The opposition phase for upward-and-downward direction of the torso and arms in walking was functioned to prevent the increase rapidly toward vertical direction of the center of gravity. The arms had contributed to coordinate the tempo of legs and the posture maintenance of the upper body. And by absorbing the relative momentum from the upper torso with arms to the lower torso, it had the rhythmical movement on upward-and-downward direction reducing the vertical reaction force. On account of the relations of absorption and generation of the propulsive force and the production of vertical impulse in the lower torso when walking by maximum speed, it was showed that the function of lower torso was come up as important problem for the mechanical posture stability and propulsive force coordination.

• Journal of Korean Academy of Rural Health Nursing
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• v.1 no.1
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• pp.21-31
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• 2006

Purpose: This purpose of this study was to examine the effect of a walking exercise program on blood pressure and related factors in older patients with hypertension living in rural areas. Method: The participants were 233 patients with hypertension, 60years or age or over, who were registered at one of 36 public health centers in North Chung Cheong Province and agreed to participate in this study. The program was implemented for 12 weeks from Dec. 2005to Feb. 2006. The data were collected before and right after the program and paired t-test was used to analyze the data. Analysis was done with the SPSS program. Result: Systolic pressure (t=7.460, p=0.000) and diastolic pressure (t=5.309, p=0.000) decreased significantly. Total cholesterol l (t=-9.991, p=0.000), LDL cholesterol and HDL cholesterol (t=-3.180, p=0.000) all increased significantly. There was no change in weight or obesity level. Blood sugar (t=2.218, p=0.028) decreased significantly. Knowledge of hypertension increased significantly as did the self-care behavior of these patients with hypertension. Conclusion: The walking exercise program was found to be effective to control blood pressure in older patients with hypertension in rural areas and to help HDL cholesterol, knowledge of hypertension, and self-care behavior of hypertension increase greatly, while blood sugar level decreased.

• International Journal of Highway Engineering
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• v.19 no.4
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• pp.69-78
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• 2017

PURPOSES : In this study, we analyzed the road crossing behavior of older pedestrians on a mid-block signalized crosswalk, and compared it to that of younger pedestrians. In addition, we analyzed the correlation between accidents involving older pedestrians while crossing roads and their behavioral characteristics. Finally, we confirmed the reasons for an increase in accidents involving older pedestrians. METHODS : First, 30 areas with the highest incidence of accidents involving older pedestrians while crossing roads were selected as target areas for analysis. Next, we measured the start-up delay (the time elapsed from the moment the signal turns green to the moment the pedestrian starts walking) and head movement (the number of head turns during crossing a road) of 900 (450 older and 450 younger) pedestrians. The next step was to conduct a survey and confirm the differences in judgment between older and younger pedestrians about approaching vehicles. Finally, we analyzed the correlation between the survey results and traffic accidents. RESULTS : The average start-up delay and head movement of the older pedestrians was 1.58 seconds and 3.15 times, respectively. A definite correlation was obtained between head movement and the frequency of pedestrian traffic accidents. The results of our survey indicate that 17.3% of the older pedestrians and 7.8% of the younger pedestrians have a high crash risk. CONCLUSIONS : Behavioral characteristics of older pedestrians were closely correlated with accidents involving older pedestrians while crossing roads in mid-block signalized crosswalks. Our study indicates that in order to reduce the number of accidents involving older pedestrians, it is necessary to develop an improvement plan including measures such as installation of safety facilities taking the behavioral characteristics of older pedestrians into consideration and their safety education.

• Journal of the Korean Applied Science and Technology
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• v.36 no.4
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• pp.1349-1357
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• 2019

The purpose of this study was to investigate to effect of core exercise with swiss ball on sarcopenia index in agriculture older women. A total of 30 subjects(15 Ex group, 15 Con group, 65 over agriculture older woman) were participated in this study. Intervention group were assigned to performing a progressive core exercise training program for 12 weeks(2 time/week). Dependent variable were grip strength, chair stand, muscle mass, 4m gait speed, Timed up and go, and 400m walking. As a result were following. Grip strength was not significantly difference but chair stand was significantly difference in time. And muscle mass was significantly difference in groups. And 4m gait speed, Timed up and go and 400m walking were significantly difference in time. In conclusion, lower body muscle strength and short physical performance battery by muscle activating with core muscle strength training.

• Journal of Korean Academy of Nursing
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• v.48 no.6
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• pp.743-753
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• 2018

Purpose: This study aimed to explore the effects of a community-based first and third Intergenerational Exchange Program (IGEP) on older adults' health-related quality of life (HRQoL), loneliness, depression, and walking speed, and on 4~5-year-old preschool children's learning-related social skills. Methods: This study employed a non-equivalent control group pre-post-test design. The experimental group included 42 older adults and 42 children who participated in the IGEP for 8 weeks, and the control group included 39 older adults. The experimental group participated in the IGEP once a week for 8 weeks. It comprised a traditional play program based on the intergroup contact theory. Results: Compared to the control group, there was a significant increase in scores on the HRQoL-Visual analogue scale (VAS) and a decrease in loneliness and depression in older adults in the experimental group (p<.05). Children who participated in the IGEP showed an improvement in their learning-related social skills (p<.001). Conclusion: These results confirm that the IGEP is an effective intervention to improve HRQoL-VAS, loneliness, and depression among older adults and learning-related social skills among preschool children in the community.

• 한국노년학
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• v.40 no.4
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• pp.729-746
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• 2020

For the development and better use of information and communication technology(ICT) for promoting health and quality of life in older people, it is important to understand personal factors associated with ICT use. The aims of this study were to describe the pattern of ICT use according to health characteristics of elderly and to investigate significant factors related to ICT use among three age groups. The data of 2017 National Survey of Older Koreans was used for analysis and 10,058 of older adults aged 65 and over were included for study participants. As results, first, the young old(65~74) used more functions of ICT than the middle-old(75~84) and the old-old(85 and over). Second, ICT was more used among older people with good conditions in chronic disease, subjective health, cognition, depression, vision, hearing, walking and IADL. Third, higher prevalence of ICT use was significantly associated with age, education, household income, subjective health, depression, cognitive function, vision limitation and walking limitation. Fourth, factors influencing the use of ICT were a little different among three age groups. For the young-old(65~74), subjective health, depression, cognitive decline, walking limitation, and IADL disability were significant factors affecting on ICT use. For the middle-old(75-84), subjective health, depression, cognitive decline, vision, hearing, and walking limitation were related with their ICT use. For the old-old(85 and over), only cognitive function and depression were associated with their ICT use. Based on these results, this study suggested the need to consider multiple health conditions for developing and using ICT for older adults.