• Title/Summary/Keyword: The Older Person

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Analysis of Vitamin $B_{12}$ in the Korean Representative Foods and Dietary Intake Assessment for Koreans

  • Choi, Youn-Ju;Kim, Ji-Yung;Lee, Haeng-Shin;Kim, Cho-Il;Hwang, In-Kyeong;Park, Hye-Kyung;Kim, Tae-Hwa;Oh, Chang-Hwan
    • Food Science and Biotechnology
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    • v.17 no.2
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    • pp.262-266
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    • 2008
  • This study was conducted to provide a vitamin $B_{12}$ database for the representative Korean food items and to assess the dietary intake assessment of vitamin $B_{12}$ for Koreans. The vitamin $B_{12}$ content of 106 foods had been determined by high performance liquid chromatography (HPLC) using column switching method. Rich sources of vitamin $B_{12}$ were meats, milk, and egg ($0.3-3.4\;{\mu}g/100g$). Vegetables and fruits contained vitamin $B_{12}$ below limit of detection (LOD). The major food sources for vitamin $B_{12}$ intake were milk (72.0%), meats (22.3%), egg (3.6%), and fishes & shellfishes (2.1%). Mean vitamin $B_{12}$ intake of Koreans was $3.16\;{\mu}g$/person/day. The proportion of population with intake below estimate average requirement (EAR) and above recommended intake (RI) of vitamin $B_{12}$ was 60.7 and 36.5%, respectively. The vitamin $B_{12}$ intake level of young children with 1-2 years which was 834.6% of RI while the intake level of the older adults 50 years and older was only 70.0% of RI. Also, there were regional differences between urban and rural area. The population with intake below RI was larger than that with intake above RI in Korea.

Comparison of Risk Factors in Cognitive Impairment between Non-depressive Elderly and Depressive Elderly (우울정상노인과 우울노인의 인지기능저하에 미치는 위험요인 비교)

  • Park, Kwang-Hi;Kim, Hye-Soon;Yi, Yeo-Jin
    • The Journal of the Korea Contents Association
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    • v.13 no.7
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    • pp.301-310
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    • 2013
  • The purpose of this study was to investigate and compare the risk factors of cognitive impairment between non-depressive elderly and depressive elderly. Data was obtained from 1,477 elderly not diagnosed to dementia. In result, non-depressive elderly group was found as having risk factors of cognitive function in age and educational level. In non-depressive group, older elderly(OR=1.095) and the elderly with no experience of education(OR=9.129) had more in risk of cognitive impairment. Depressive elderly group was found as having risk in age, educational level, and residence style. In depressive elderly, older elderly (OR=1.101), the person with low education(illiteracy:OR=33.020, elementary:OR=10.176, middle school: OR=9.841), and the elderly living in nursing home(OR=8.490) had more in risk of cognitive impairment. Through this result, it could be suggested that the depressive elderly with low educational level living in nursing home should be intervened to decrease the rate of dementia more effectively.

Starting Construction of Frailty Cohort for Elderly and Intervention Study

  • Won, Chang Won;Lee, Yunhwan;Choi, Jaekyung;Kim, Ki Woong;Park, Yongsoon;Park, Hyuntae;Oh, In-Hwan;Ga, Hyuk;Kim, Young Sun;Jang, Hak Chul;Korean Frailty Cohort and Intervention Study Group
    • Annals of Geriatric Medicine and Research
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    • v.20 no.3
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    • pp.114-117
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    • 2016
  • A research project, the "Construction of Frailty Cohort for Elderly and Intervention Study," funded by the Ministry of Health and Welfare, has been ongoing since December 2015. The Korean Frailty and Aging Cohort Study (KFACS) aims to identify risk factors for adverse outcomes associated with frailty in community-dwelling older adults, as well as means of prevention. KFACS is a multicenter, longitudinal study, with the baseline survey being conducted in 2016-2017. The sample (n=3,000) consists of those aged 70-84 years, stratified by age and gender, recruited from urban and rural regions nationwide. An in-person interview and health examination are performed every 2 years. This project is also conducting many intervention studies. Project interventions focus on nutrition and exercise. The nutritional intervention study compares the effects of 1.2 g/kg versus 1.5 g/kg daily protein intake on sarcopenia and frailty in older Koreans. The exercise trial examines the effectiveness of an information and communication technology-based program in preventing or reducing frailty.

The Ecological Characteristics of the Communities and Social Interactions of the Elderly in rural Korea (농촌마을의 환경특성과 노인들의 사회적 상호작용에 대한 사례연구)

  • Han Gyoung Hae;Kim Joo Hyun
    • The Korean Journal of Community Living Science
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    • v.16 no.1
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    • pp.73-88
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    • 2005
  • As the proportion of the elderly population in rural Korea has increased rapidly, the quality of life of the rural elderly has become a major public and policy concern. In this regards, most of the researches on rural elderly have focused mainly on the 'risk factors or problems' of rural areas, ignoring the 'positive or protective aspects' of rural community on the quality of life of elderly. This study attempts to explore the possible positive influence of rural community on the quality of life of elderly and to examine the linkage among ecological characteristics of the communities, social interaction and quality of life of rural elderly. To achieve this goal, a community case study was conducted in four Korean rural villages. The data were collected using participant observation method and in-depth interviews (person-to-person, group interviews). All the interviews were tape-recorded and transcribed verbatim for the analysis. The data was analyzed using the reflective qualitative analytic technique. The major findings of this study are as follows : All of the four villages have strong community ties and provide contexts which make it possible for older people to share their everyday life with neighbors and to actively participate as a community member. Although the four villages were geographically not far from each other, the pattern of social interaction and the nature of everyday-life of the elderly were nevertheless different depending on the ecological environment of each community, the relationship history among the community members, and the shared experience of historical events in recent Korean history. Elderly men have smaller networks and have less frequent contact with community members than elderly women. The political and practical implications of this study are discussed.

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Family Member's Perceptions of Side Rail Use in Geriatric Hospital (노인요양병원에서의 침대난간(Side Rail) 사용에 대한 환자가족의 인식)

  • Lee, Keum-Jae;Park, Gyeong-Sook;Park, Yeon-Suk
    • Journal of Digital Convergence
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    • v.14 no.12
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    • pp.503-513
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    • 2016
  • The purpose of this study is to figure out family member's perceptions of side rail use in geriatric hospital by Cavanagh's content analysis with in-depth interview. This finding of the study suggests that the six themes of these perceptions are precautionary safety supervision, movement convenience, ritualistic nursing, physical restraint, danger of wounds, and alternative methods in an older person ward, and that the cause of recognized perceptions is not based on actual events, but rather on relatives' perceived protective value. With the transition of medical industry environment, there is a significant emphasis on efficacy and effectiveness of practice, risk management and evidence-based practice. However, the issue of side rail use and physical restraints remains unsolved in care of older people. Nurses claim the necessity of regimented protocol and clarification from professional organization regarding the side rail use.

Relationship between Social Support and Self-care of Patients with Hypertension (고혈압 환자의 사회적 지지와 자가간호행위와의 관계)

  • Woo, Min Soo;Min, Hee Jeong;Sung, Song I;Lee, So Yun;Lee, Chae Lin;Jang, Hyo Jeong
    • Journal of Korean Academy of Rural Health Nursing
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    • v.15 no.2
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    • pp.49-56
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    • 2020
  • Purpose: This descriptive correlational study was done to analyze the relationship between social support and self-care in hypertensive patients aged 30 years or older. Methods: Data were collected from April 09 to April 16, 2020 through an online survey (Naver Form) at Internet cafes and SNS Eighty 80 adults aged 30 or older who had been diagnosed with high blood pressure at a medical institution participated in the study. Data were analyzed using t-test, one-way ANOVA, Scheffé's test and Pearson correlation coefficients with SPSS statistics 26.0. Results: The study results showed that social support for hypertensive patients was significantly higher for men (t=-2.17, p=.033), according to religious status (t=-2.33, p=.023), and the number of people in the household (F=6.05, p=.001). In addition, there was a significant positive correlation between social support and hypertensive self-care (r=.24, p=.036). Conclusion: The results confirm that the social support of patients with hypertension is related to self care for hypertension management. As the number of elders and single-person households who cannot manage their health well increases, it is necessary to establish a long-term and continuous social support system for these clients.

Factors Influencing Health-related Quality of Life of the Elderly by the Types of Households (가구 유형에 따른 노인의 건강 관련 삶의 질에 미치는 영향요인)

  • Yun, Mi-Soon;Choi, Eun-Hi;Kim, Yoo-Jin;Kang, Yuri;Choi, Si-Eun
    • Journal of muscle and joint health
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    • v.28 no.2
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    • pp.174-182
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    • 2021
  • Purpose: This study is a secondary data analysis study to identify factors related to the quality of life of people aged 65 y or older, according household type. Methods: In 2019, the study extracted the data from the elderly participants (65 y of age or older) from G province Community Health Survey. The data were compiled and analyzed in a composite sample. Results: The quality of life was lowest among single people, grandparents-grandchildren (F=39.88, p<.001). Variables that significantly influenced quality of life in single-person households were basic security(β=-.03, p=.002), high-risk drinking (β=.04, p=.002), number of day to walk (β=.01, p<.001), diabetes mellitus (β=-.03, p<.001), depression (β=-.02, p<.001), and contact frequency (β=.00, p<.001). Variables that significantly influenced grandparents-grandchildren households were basic security (β=.03, p<.001), smoking(β=-.02, p<.001), number of day to walk (β=.00, p<.001), hypertension (β=-.01, p=.009), diabetes mellitus (β=-.04, p<.001), cognitive impairment (β=-.02, p<.001), depression(β=-.02, p<.001), contact frequency (β=.01, p<.001), and neighborhood trust (β=.02, p<.001). Conclusion: In this study, there were differences in health-related quality of life for each type of household, and various support systems are needed in their social networks to suit their characteristics.

Effect of Korean and Western Attire of Eldery Women and Perceiver's Age on Impression Formation (노년여성의 한복 및 양장 착용과 관찰자의 연령이 인상형성에 미치는 영향)

  • 이명희
    • Journal of the Korean Society of Costume
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    • v.43
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    • pp.187-202
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    • 1999
  • The objectives of this study were to analyze the effect of dress(Korean traditional dress and suit) of elderly Women and situation on impression formation. The experimental design was $10\times{2}\times{2(dress}\times{perceiver's age}\times{situation)}$ factorial design by 3 independent variables. The stimuli of color photographs of female in her 60's model and the semantic differential scale were used. Six variables of impression formation were used: preference: elegance: potency: activity: feminine: and modernity. Samples were 400 women 200 were in their twenties and 200 in their forties and fifties. The data were analyzed by $\alpha$-reliability t-test ANOVA and duncan's multiple range test. The Korean traditional dress with the combination of Korean traditional color(light blue upper dress with dark red purple collar and string.dark blue skit) had the most positive effect on impression of elegance. Pink traditional dress and light blue traditional dress had a negative effect on impression of potency activity and modernity. Red purple suit had a positive effect on potency and modernity. The interaction between dress perceiver's age and stituation was significant for the impression of activity. Women in their 40's and 50's perceived the activity of red purple suit positively in the situation of alumnae meeting more than in the wedding ceremony. The perceived age of the stimulus person was different according to dresses. Traditional dresses was perceived older than suits were. Women in their 40's and 50's evaluated preferences of the dresses positively more than 20's did. This means that 40's and 50's feel similarity with the stimulus person more than 20's as the age of model was in their 60's The result supports the theory that similarity is basic factor in interpersonal attraction.

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Prescribing Pattern and Safety Analysis of Nonsteroidal Anti-inflammatory Drug and Gastro- Protective Agent following Reimbursement Guidelines Relaxation (요양급여심사기준 완화에 따른 비스테로이드성 항염제 및 위장관 보호제 처방 변화 및 안정성 분석)

  • Han, Mi Hye;Noh, Eunsun;Nam, Jin Hyun;Lee, Sang Won;Lee, Eui-Kyung
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.4
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    • pp.250-257
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    • 2017
  • Objective: The prevalence rate of osteoarthritis in Koreans aged 50 years or older is 14.3%, and the total amount of medical costs is more than KRW 1 trillion. Recently, the reimbursement guidelines for osteoarthritis treatment have changed. Methods: In this study, we sought to describe prescription patterns of nonsteroidal anti-inflammatory drugs (NSAIDs) and gastro-protective agent (GPA) and analyze the clinical and economic impacts of the new policy using the national health insurance claims data. The incidence of upper gastrointestinal adverse event by policy change was identified through the odds ratio, and changes in medicine and medical costs related to osteoarthritis through mean and median. Results: There were 204,552 patients before the reimbursement guidelines relaxation and 239,710 after it, a 17.2% rise. The prescription ratio was 3.3% for the patients prescribed with COX-2 selective NSAIDs alone and 1.3% for those with both COX-2 selective NSAIDs and GPA combination before the reimbursement guidelines relaxation. The reimbursement guidelines relaxation significantly increased their ratios to 6.9% and 2.8%, respectively. Gastrointestinal adverse events significantly reduced by 1.21%p after reimbursement guidelines relaxation. The average medicine cost per person increased significantly to KRW 140,291 from KRW 137,323 after the reimbursement guidelines relaxation, while the average medical cost per person slightly decreased from KRW 311,605 to KRW 310,755 after the relaxation, showing no meaningful difference. Conclusion: The reimbursement guidelines relaxation may influence on decreasing the upper gastrointestinal adverse event, increasing the medicine costs and maintaining the medical costs for osteoarthritis.

Cohort Study on the Association between Alcohol Consumption and the Risk of Colorectal Cancer in the Korean Elderly (노인인구에서 음주와 대장직장암 발생간의 연관성에 관한 코호트연구)

  • Lim, Hoi-Jeong;Park, Byung-Joo
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.1
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    • pp.23-29
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    • 2008
  • Objectives : We examined the association between alcohol consumption and incidence of colorectal cancer in elderly Koreans. Methods : The cohort members (n=14,304) consisted of 4,834 males and 9,470 females derived from the Korea Elderly Pharmacoepidemiologic Cohort (KEPEC), a population-based dynamic cohort. They were aged 65 years old or older and lived in Busan between 1993-1998; they were beneficiaries of the Korean Medical Insurance Corporation (KMIC). Baseline information was surveyed by a self-administered, mailed questionnaire. This study population was restricted to 14,304 participants who reported alcohol drinking habits on the questionnaire and had not been diagnosed with colorectal cancer at baseline. The adjusted hazard ratios (aHR) of status, type, frequency and daily average amount of alcohol consumption were computed with Cox's proportional hazard model, with the never-drinkers as a reference group and controlling for age and gender. Results : After 4.82 person-years of mean follow-up 112 cases of colorectal cancer occurred. The incidence densities of colorectal cancer were 161 (95% CI=123-200) for never-drinkers, 219 (95% CI=125-339) for ex-drinkers, and 137 (95% CI=84-189) for current-drinkers per 100,000 person-year. The status, type, frequency, and daily average amount of alcohol consumption were not significantly related to the incidence of colorectal cancer after controlling for age and gender. Conclusions : There was no significant association between alcohol consumption and colorectal cancer among elderly people after controlling for age and gender.