• Title/Summary/Keyword: Older Women

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Sex Differences in Coronary Artery Disease: Insights From the KoRean wOmen'S chest pain rEgistry (KoROSE)

  • Hack-Lyoung Kim;Myung-A Kim
    • Korean Circulation Journal
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    • v.53 no.10
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    • pp.655-676
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    • 2023
  • Interest in sex differences in coronary artery disease (CAD) has been steadily increasing. Concurrently, most of the data on these differences have primarily been Western-oriented. The KoRean wOmen'S chest pain rEgistry (KoROSE), started in 2011, has since published numerous research findings. This review aims to summarize the reported differences between men and women in CAD, integrating data from KoROSE. Cardiovascular risk in postmenopausal women escalates dramatically due to the decrease in estrogen levels, which normally offer cardiovascular protective effects. Lower estrogen levels can lead to abdominal obesity, insulin resistance, increased blood pressure, and endothelial dysfunction in older women. Upon analyzing patients with CAD, women are typically older and exhibit more cardiovascular risk factors than men. Diagnosing CAD in women tends to be delayed due to their symptoms being more atypical than men's. While in-hospital outcome was similar between sexes, bleeding complications after percutaneous coronary intervention occur more frequently in women. The differences in long-term prognosis for CAD patients between men and women are still a subject of ongoing debate. Pregnancy and reproductive factors also play a significant role as risk factors for cardiovascular disease in women. A notable sex disparity exists, with women found to use fewer cardiovascular protective drugs and undergo fewer interventional or surgical procedures than men. Additionally, women participate less frequently than men in clinical research. Through concerted efforts to increase awareness of sex differences and mitigate sex disparity, personalized treatment can be provided. This approach can ultimately improve patient prognosis.

Effect of core exercise with swiss ball on sarcopenia index in agriculture older women (스위스볼을 이용한 코어 저항 운동이 농업 여성노인의 근감소증 지표에 미치는 영향)

  • Park, Woo-Young
    • 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.

Age-Period-Cohort Analysis of Liver Cancer Mortality in Korea

  • Park, Jihwan;Jee, Yon Ho
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8589-8594
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    • 2016
  • Background: Liver cancer is one of the most common causes of death in the world. In Korea, hepatitis B virus (HBV) is a major risk factor for liver cancer but infection rates have been declining since the implementation of the national vaccination program. In this study, we examined the secular trends in liver cancer mortality to distinguish the effects of age, time period, and birth cohort. Materials and Methods: Data for the annual number of liver cancer deaths in Korean adults (30 years and older) were obtained from the Korean Statistical Information Service for the period from 1984-2013. Joinpoint regression analysis was used to study the shapes of and to detect the changes in mortality trends. Also, an age-period-cohort model was designed to study the effect of each age, period, and birth cohort on liver cancer mortality. Results: For both men and women, the age-standardized mortality rate for liver cancer increased from 1984 to 1993 and decreased thereafter. The highest liver cancer mortality rate has shifted to an older age group in recent years. Within the same birth cohort group, the mortality rate of older age groups has been higher than in the younger age groups. Age-period-cohort analysis showed an association with a high mortality rate in the older age group and in recent years, whereas a decreasing mortality rate were observed in the younger birth cohort. Conclusions: This study confirmed a decreasing trend in liver cancer mortality among Korean men and women after 1993. The trends in mortality rate may be mainly attributed to cohort effects.

Convergence Factors Affecting Sarcopenia in Middle-Aged and Older Women in Korea: A Cross Sectional Study by Using 5th KNHANES (한국 중년 이후 여성의 근감소증에 영향을 미치는 융합적 요인: 제 5기 국민건강영양조사 자료를 활용한 단면조사 연구)

  • Lee, Hanna;Kim, Bohyun
    • Journal of the Korea Convergence Society
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    • v.11 no.11
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    • pp.405-416
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    • 2020
  • This study was conducted to identify the factors affecting sarcopenia in middle-aged and older women in Korea. This is a cross sectional study by using 5th Korea National Health and Nutrition Examination Survey data. The data were analyzed by using the SPSS 26.0 program. The prevalence of sarcopenia was 10.8%. There were significant differences according to ASM, age, education, current job, marital status, perceived health status, energy intake, protein intake, BMI, body fat, alcohol drinking, menopause, central obesity, impaired fasting glucose and chronic disease. Woman with central obesity and osteoarthritis increased risk of sarcopenia each 4.15 times(p<.001), 3.06 times(p=.041) and energy intake decreased risk of sarcopenia 0.99 times(p=.043). In order to prevent and manage sarcopenia, strategies for managing central obesity and osteoarthritis in mddile-aged and older woman and adequate food intake are needed.

Associations between Serum 25-hydroxyvitamin D and Consumption Frequencies of Vitamin D Rich Foods in Korean Adults and Older Adults (한국 성인과 노인의 계절별 혈중 25-hydroxyvitamin D 농도와 비타민 D 급원식품 섭취빈도와의 관계)

  • Yu, Areum;Kim, Jihye;Kwon, Oran;Oh, Se-Young;Kim, Junghyun;Yang, Yoon Jung
    • Korean Journal of Community Nutrition
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    • v.19 no.2
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    • pp.122-132
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    • 2014
  • Objectives: This study was conducted to investigate the vitamin D status and to determine the association between serum 25-hydroxyvitamin D [25(OH)D] concentrations and consumption frequencies of vitamin D rich foods in Korean adults and older adults. Methods: Subjects were 10,374 adults and 2,792 older adults participating in the 2008-2009 Korea National Health and Nutrition Examination Survey (KNHANES). Consumption frequencies of vitamin D rich foods were estimated by using a qualitative food frequency questionnaire (FFQ). Eleven food items such as beef, egg, mackerel, tuna, yellow corvina, pollack, anchovy, mushroom, milk, yogurt, and ice cream were selected as vitamin D rich foods based on previous research. Results: The proportions of deficiency (< 12 ng/mL), inadequacy (12-20 ng/mL) and sufficiency (${\geq}20ng/mL$) of serum 25(OH)D concentrations from June to November and December to May in adults were 8.8%, 42.3%, 48.8%, and 28.2%, 52.8%, 19.1%, respectively. The proportions of deficiency, inadequacy and sufficiency of serum 25(OH)D concentrations from June to November and December to May in older adults were 10.1%, 32.4%, 57.5%, and 24.1%, 45.4%, 30.5%, respectively. The mean serum 25(OH)D concentrations in adults were positively related to the consumption frequencies of mackerel, anchovy, all fish, milk and milk dairy products. The mean serum 25(OH)D concentrations in older adults were positively related to the consumption frequencies of yellow corvina and negatively related to the consumption frequencies of ice cream. Conclusions: Our results suggest that Korean adults were more deficient in serum 25(OH)D concentrations than older adults. The consumption of vitamin D rich foods may affect vitamin D status in Korean adults. Further studies are required to confirm these findings.

Effect of Selection Attributes for Home Meal Replacement(HMR) on Purchasing of Married Women Living in a City (도시 기혼여성의 간편가정식 선택속성이 구매에 미치는 영향)

  • Ryu, Si-Hyun;Kim, Hee-Kyong;So, Mi
    • The Korean Journal of Food And Nutrition
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    • v.29 no.5
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    • pp.643-654
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    • 2016
  • The purpose of this study was to investigate the purchasing behavior and selection attributes for Home Meal Replacement (HMR) and to identify the selection attributes affecting purchasing frequency and purchasing costs of married women living in a city. Among 837 questionnaires distributed to HMR married women consumers, 752 complete questionnaires (89.8%) were analyzed. The younger married women group showed higher frequency of purchasing HMR than the older age group. The 20s and 30s age groups showed higher purchasing costs for HMR than the 40s and older age groups. A higher proportion of employed married women purchased HMR three or more times per week and spent an average of more than 20,000 won per purchase in comparison with unemployed married women. HMR selection attributes were classified into five factors: 'taste and sanitation', 'economic efficiency', 'health and nutrition', 'convenience', and 'reliability and awareness'; mean scores of these factors' importance levels were 4.28, 3.93, 3.59, 3.54, and 3.50 out of 5 points, respectively. The importance level of 'taste and sanitation' factor was significantly greater as married women's age decreased. However, the importance level of 'health and nutrition' factor was significantly greater as married women's age increased. The results of the logistic regression analyses indicate that the 'taste and sanitation' and 'health and nutrition' factors affected frequency of purchasing HMR. The 'reliability and awareness' factor had the most significant impact on cost per purchasing HMR. Therefore, a product differentiation strategy according to married women's age and employment status should be applied. Product qualities and brand value should be improved to enhance competition in the HMR market.

Effect of Childbirth Age on Bone Mineral Density in Postmenopausal Women

  • We, Ji Sun;Han, Kyungdo;Kwon, Hyuk-Sang;Kil, Kicheol
    • Journal of Korean Medical Science
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    • v.33 no.48
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    • pp.311.1-311.10
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    • 2018
  • Background: In postmenopausal women, there is rapid bone loss due to estrogen depletion. In women, reproductive factors such as age at menarche, breastfeeding, and parity are considered risk factors of osteoporosis. Many reports suggest that obesity is associated with a reduced risk of osteoporosis. This nationwide, population-based study aims to identify the association between maternal age and osteoporosis risk in postmenopausal women of different obesity classifications. Methods: We assessed data from the Korean National Health and Nutrition Examination Survey 2010-2012. The study included 1,328 postmenopausal women, after excluding women with missing data for reproductive history among 4,546 postmenopausal women in the survey. Multivariate regression was used to identify the association between childbirth age and postmenopausal bone mineral density after adjustments for confounding factors. Results: The prevalence of postmenopausal osteoporosis was 35.24% (n = 468). After dividing the subjects into obese and non-obese groups based on body mass index (BMI) and waist circumference, there were significant differences between non-osteoporosis and osteoporosis groups with regard to age at first childbirth, age at last childbirth, and parity in the BMI-based general obesity group. The prevalence of osteoporosis was highest in women older than 35 years old at last childbirth. The prevalence of osteoporosis was also greater in women with parity ${\geq}4$ compared to those with lower parity levels. Conclusion: Postmenopausal women of older age at last childbirth and higher parity were at increased risk of osteoporosis in the BMI-based non-general obesity group.

The Comparison of the Body Measurement of Chinese Adult Women by the Age -with the Focus on the Women Residing in Beijing and Shanghai- (중국 성인 여성의 연령별 신체 계측치 비교 -북경과 상해에 거주하는 여성을 중심으로-)

  • Im, Soon;Shon, Hee-Soon;Seok, Hye-Jung
    • The Research Journal of the Costume Culture
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    • v.11 no.6
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    • pp.889-901
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    • 2003
  • The purpose of this study is to look into the physical features for each residential area by the age, with the female subjects residing in Beijing and Shanghai. This would provide the specific information regarding the body types of Chinese adult women, and additionally it would assist the effective advancement into the Chinese local markets by serving as the basic data for the size development and fitting improvement of clothing products for Chinese women. The body measurements were made with 525 adult female subjects of 20 to 49 years of age, residing in Beijing and Shanghai, China. The number of measurements items was 79. The results are as follows: As they grew older, the women residing in Beijing and Shanghai all showed increases in the items of width, thickness, girth, and length, which are highly correlated with the physical obesity, while they did not show any differences by the age range in the item of height. Differences were also found in the tendency of the type distribution by the age range of Chinese adult women in each residential area. As they grew older, the women residing on Beijing showed increases in the distribution of Body type 2 and Body type 4, which clearly indicated the features of obesity. On the other hand, the women residing in Shanghai showed the almost similar distribution in their 20's and 30's, while those in their 40's showed a high frequency in Body type 2 than in Body type 4.

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