The accelerated aging population may lead to the prevalence of metabolic syndrome and increase in medical costs as well. The aim of this study is to investigate the association with prevalence of metabolic abnormalities and its components in urban/rural area among Korean elderly. We examined the association between metabolic abnormalities and urban/rural area with data from the 2009 Korean National Health and Nutrition Examination Survey. The subjects were 1,622 elderly aged 65 years or over. The sixty percent of Korean elderly reside in urban and 40 % in rural. Rural residents were significantly lower income and less educated than urban residents. But there was no significant different in nutritional factors. They showed significantly 26% lower likelihood of having metabolic syndrome (0.578-0.950, p=0.018) compared with urban residents. Urban residents were associated with higher prevalence of metabolic syndrome than rural residents. This results will contribute to develop strategy for prevention metabolic syndrome for Korean elderly according to urban/rural area.
Objectives: This study was to investigate the needs for developing the health promotion program for elderly and to compare the health promoting lifestyles behaviors and perceived health status of elderly in urban and rural area. Methods: The data was collected from 82 elders in urban(D city) and 77 elders in rural area(C county) by face to face interview. The Health Promoting Lifestyle ProfileII(HPLPII) and Perceived Health Status were used. Results: 1) The total score of HPLP was 2.44. In the subscales, the highest degree of performance was 'nutrition', following 'interpersonal relationship', 'stress management', 'health responsibility' and 'spiritual growth' and the lowest degree of performance was 'physical activity'. 2) Elderly people living in urban area had significantly higher the total HPLP score than elderly people living in rural area The urban elderly had significantly higher the score of HPLP subscales such as 'physical activity', 'interpersonal relationship' and stress management than rural elderly. 3) The mean score of perceived health status was 8.79. There was no significant difference in the perceived health status between urban and rural elderly. Conclusions: The above findings indicate that it is necessary to develop a health promotion program with reinforced physical activity, health responsibility and spiritual growth for elderly people in Korea. Especially the physical activity need to he strengthened for rural elderly.
Purpose: The study was carried out to identify the correlations among social support, depression and life satisfaction, and compare them between the rural and urban elderly. Method: The study participants included 57 rural elderly and 59 urban elderly, who were surveyed and interviewed using social support and depression. like satisfaction inventories by nursing students from May, 2002 to June, 2002. Result: The mean scores of social support and life satisfaction in the urban elderly were higher than those in the rural elderly. However, significant differences in the variables between the two elderly groups were not found. The mean score of depression in the rural elderly was higher than that in the urban elderly, but a significant difference between the two groups in depression was not found. Social support was significantly correlates with age, religion, health status in the urban elderly and with family in the rural elderly. Depression was significantly correlated with religion, monthly expenditure, health status in the both groups. Life satisfaction was significantly correlated with age. marital status, religion, monthly expenditure in the urban elderly and with health status in the rural elderly. Social support, depression and life satisfaction were correlated each other in the urban elderly. The significant correlations were found between depression and life satisfaction, and between social support and life satisfaction in the rural elderly. Conclusion: The results suggest that further replicated studies are needed with larger samples. Appropriate nursing interventions with the consideration of characteristics of the rural and urban elderly are needed and developed to improve their social support and depression.
Purpose: This study was conducted to identify the relationships of self-esteem, health status and self-care, and compare them between the rural and urban elderly. Method: The subjects were 126 persons with age over 65: rural(69 persons) and urban(57 persons). The data was collected from 1st Sep to 10th Oct, 2004 by questionnaires, and was analyzed with t-test, ANOVA, Least Significant Difference and Pearson's correlation coefficient in the SPSS-Win 10.0. Results: The level of self-esteem, health status and self-care of the elderly in rural were lower than those of the elderly in urban. The higher group self-esteem in the rural elderly shows more health status and self-care than the lower group. Significant differences between two groups in the urban elderly were not found. Self-esteem, health status and self-care were positively correlated each other in the rural elderly. Significant correlations were found between self-esteem and health status, and between self-esteem and self-care in the rural elderly. Conclusion: Self-esteem forms the foundation of psychosocial health and provides a measure for the quality of life of the elderly in long term care. As nursing is in a unique position to promote self-esteem, the nurse can plan and provide nursing intervention with the consideration of characteristics of the rural and urban elderly to promote the self-esteem, health status and self-care of the elderly.
This study is designed to find out the difference of life satisfaction and depression between urban and rural elderly. The research method is a questionnaire that surveys those aged 60 and older. The collected data were analyzed by categorizing them into two groups, 503 residing in the elderly who live in Daejeon city and 676 in those who live in Chungnam area. The result of analysis indicated that; First, life satisfaction of the urban elderly was higher than that of the rural elderly(t=3.67, p<.001). But depression between the two groups, the elderly who live in urban area and those who live in rural area, did not show a statistically significant difference. Second, the factors influencing the life satisfaction of urban elderly were convenience of housing, economic level, health status, local safety, life attitude, and period of residence. Third, the depression of urban elderly significantly related to health status, life attitude, economic level, age, and convenience of housing. Fourth, the factors influencing the life satisfaction of rural elderly were health status, economic level, convenience of housing, local safety, life attitude, type of residence, and period of residence. Fifth, the depression of rural elderly significantly related to health status, life attitude, and economic level.
The nutritional status of 362 elderly men and women in Chung-bud area was evaluated in terms of their nutrient intakes, biochemical and anthrophometric measurements by interviews with questionnaires from August to October 1996. Mean intake of all nutrients except ascorbic acid did not meet the RDA for this sample. Protein, vit A, reboflavin, calcium were the most likely to be deficient on the basis of propotions of elderly consuming less than 75% of the RDA. The subjects nutrient intake was significantly affected by gender, marital status, number of family, family composition, educational level, pocket money, and region. Men in rural areas and women over 75 in urban areas were the most vulnerable groups with nutritional deficiency. According to serum biochemical indices, mean level of cholesterol, triglycerides, LDL, total protein, albumin and iron belonged to normal range but mean level of HDL showed below the normal range. More elderly men and women in urban areas showed a higher percentage of abormal level of cholesterol, triglycerides, LDL and HDL than those in rural areas. More elderly men and women in rural areas had abnormal levels of RBC, Hematocrit and hemoglobin compared to those in urban areas. Mean height and weight of elderly men was 161.4cm and 56.2Kg, respectively and 149.1cm and 50.5kg for women. The elderly in rural areas were taller than those in urban areas but had less weight, MAC, TSF, MAMC. Mean BMI of this sample belonged to normal range. However, the elderly in rural areas had a higher rate of underweight and lower for overweight than those in urban areas. The elderly in urban areas had higher blood pressure than those in rural areas.
The present study was performed to evaluate dietary behavior, food intake, and satisfaction with food-related life regarding the elderly residing in different regions of Korea. The survey was conducted on 631 individuals over 55 years old in either urban or rural areas. The survey was carried out using a questionnaire including dietary behavior, mini dietary assessment, and a food frequency questionnaire. The average age of the rural elderly was higher than that of the urban elderly whereas, education level and economic status were higher in the urban elderly compared to the rural elderly. The intake of dairy products, meats, instant foods, snacks, and the use of nutrient supplementation were significantly higher in the urban elderly than those of the rural elderly (p = 0.000). The intake of vegetables was significantly higher in the rural elderly (p = 0000). Furthermore, the rural elderly were more satisfied with food-related life and had better balanced diets than those of the urban elderly. Taken together, the results of this study revealed that customized nutritional management and education for adequate meals in different regions should be developed and provided in order to improve the quality of healthy living for the elderly.
Food habit, eating-out pattern, smoking and drinking habits of 814 elderly (aged over 60) living in Incheon were surveyed by questionnaire. The ratio of the elderly who have balanced meals at moderate amount was slightly higher in urban area. Urban elderly tended to have mild foods, while rural elderly preferred hot and salty foods. Score for food habit was higher in urban elderly and there was no difference between male and female elderly. Most urban elderly had their meal at the public facilities for elderly, while most rural elderly used general restaurant and public room for elderly. Korean foods were the most favorite menu when ate out. Ratio of elderly who have difficulties in chewing was 21.2 and 39.6% for urban and rural elderly, respectively. Many elderly, especially more than 70% of female elderly, prepared the meals for themselves. Rural elderly smoked and drank more than urban elderly and male elderly did more than female elderly.
The purpose of this study was to compare the nutritional status and the immunocompetence of elderly women residing in urban and rural areas. Dietary food records and anthropometric measurements were used to evaluate the nutritional status of subjects. The immune function of subjects was assessed by total and differential white blood cell(WBC) counts. Total B and T Lymphocytes, and T cell subsets were quantified by flow-cytometer. Immunoglobulin G, A, and M concentrations were also measured as an index of humoral immunity. Elderly women in rural area showed a relatively lower dietary intake of total energy, protein, and iron than did urban elderly women. Total WBC, neutrophil counts, eosinophil counts, and the percentage of neutrophils among total leukocytes were significantly higher in urban elderly women than in rural women. Although the numbers of lymphocytes were not significantly different, the percentage of Lymphocytes among total leukocytes as greater in rural elderly women than in urban. Both groups did not show any significant differences in numbers of T cell subsets and NK cells. Immunoglobulin G, A, and M levels were not significantly different between the two groups, but the numbers of subjects placed under the deficient range of immunoglobulins were greater in rural than in urban elderly women. from the present study, it could be suggested that poor nutritional intake may selectively affect the number of immune cells, thereby influencing the immunocompetence of elderly women. (Korean J Nutrition 31(7) 1174-1182, 1998)
Objectives: This study examined the association between ultra-processed food (UPF) consumption and chronic diseases in elderly Koreans. Methods: Data from the 2019-2021 Korea National Health and Nutrition Examination Survey were analyzed. Dietary intake and UPF consumption were assessed using the NOVA food classification based on 24-hour recall data from 3,790 participants (aged 65+ years). Participants were divided into 4 groups based on the quartile of energy intake from UPFs. Regions were classified as urban or rural. Multivariable logistic regression was employed to estimate the adjusted odds ratios (AORs) with 95% confidence intervals (CIs) after controlling for potential confounders. Results: Among the participants, 71.3% resided in urban and 28.7% in rural areas. Compared to the urban elderly, rural participants tended to be older, have lower education and income levels, be more likely to live in single-person households, and have a higher smoking rate (P < 0.05). Urban elderly consumed more UPFs daily (146.1 g) compared to rural residents (126.6 g; P < 0.05). "Sugar-sweetened beverages" were the most consumed category in both regions. "Sweetened milk and its products" and "traditional sauces" were prominent in urban areas, while rural elderly consumed more "traditional sauces" and "distilled alcoholic beverages." Rural areas also had a higher carbohydrate-to-calorie ratio than urban areas. Compared to the lowest quartile of UPF intake, the highest quartile was significantly associated with impaired fasting glucose only in rural areas (AOR, 1.48; 95% CI, 1.00-2.19; P for trend = 0.0014). No significant associations were observed for diabetes in either urban or rural areas. Conclusions: This study suggests that high intake of UPFs is associated with increased odds of impaired fasting glucose in rural elderly. Further research is needed to elucidate the specific negative health effects of UPFs in different populations, and targeted efforts should promote healthy diets in both urban and rural areas.
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