• Journal of the Korean Dietetic Association
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• v.3 no.2
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• pp.197-210
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• 1997

Low energy intakes, poor nutritional quality, and low food diversity are among the factors affecting the nutritional status of elderly in Korea. Therefore, a nutrition counseling and education program was conducted to promote dietary change and to improve nutritional status of elderly. The 7 step program consisted of a individual nutrition counseling and weekly or biweekly group nutrition education programs. Pre- and post-test measurings of dietary behaviors, attitudes, nutrition knowledge, and 24-hour dietary recall data were collected. Positive changes in the attitude related to diet were noted, whereas nutritional knowledge scores were not improved. Significant increases were noted in the frequency of vegetable consumption in female and diversity of food consumption in male. The densities of vitamin C(male & female), $B_1$, $B_2$, and niacin, calculated using the INQ(Index of Nutritional Quality), were significantly improved by nutrition counseling and education programs. These results suggest the appropriateness of nutrition intervention programs for the improvement of elderly nutrition.

• Research in Community and Public Health Nursing
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• v.19 no.2
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• pp.143-156
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• 2008

Purpose: It is important to identify problems in elders' health through health examination as a part of health service for elders and to execute health education so that elders have appropriate abilities to manage and protect themselves. This study was attempted to assess the need of health education in the elderly and to analyze factors affecting the need of health education. Method: The participants in this study were 354 elderly people living independently in the Jeju Special Self-Governing Province of Korea, and a questionnaire survey was conducted through personal interviews from June 25 to July 26, 2007. The methodology was a descriptive study. Data were collected and analyzed using SPSS Win 12.0. Results: As for the contents of education, elders preferred most the area of 'prevention and management of elderly diseases.' Detailed education contents preferred by elders were the prevention of accidents, diet habits, exercise and weight management, mental health and stress management, complementary and alternative therapies, management of drinking and smoking, etc. Conclusion: According to elders' concerns and needs, systemic health education for the elderly should provide right health knowledge, health maintenance, health promotion and setting of appropriate health education.

• Korean Journal of Community Nutrition
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• v.19 no.5
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• pp.448-458
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• 2014

Objectives: Increasing salt preferences with age are said to increase preferences of salty foods, thereby leading to greater sodium consumption, which has further implication for hypertension. This study examined the link between preference of salty taste and dietary factors and health-related risk factors in Korean elderly people. Methods: We studied 312 elderly individuals aged > 65 years (male, 100 and female, 212). With each subject, pleasant concentration of NaCl was estimated using the sip-and-spit method. Dietary habits, food preferences, consumption frequencies, anthropometric and biochemical assessment were assessed. Results: The pleasant salt concentration was significantly increased in individuals older than 75 years (p < 0.05). Subjects who liked high concentration of salt showed significantly higher preferences for salty foods (p < 0.001). Results showed significant effects (p < 0.01) of fruit & fruit juice consumption frequencies, MNA (mini-nutritional assessment), cognition score, BMI, body fat %, waist circumference, arm circumference, calf circumference, vitamin D level that subjects who likes low salty taste were higher than subjects who likes high salty taste. Conclusions: The preference for salty taste in the elderly was not correlated with hypertension. But, increased preference for salty taste with age and increased salty food preferences may result in higher sodium consumption. Therefore, nutritional education regarding lowering salt preference and favorable behaviors of low-salt diet is needed to improve the quality of life in the rural elderly.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.14 no.1
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• pp.72-82
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• 2007

Purpose: The purpose of this study was to identify relationships among trait anger, life styles and physical symptoms in elderly people. Method: The participants were 348 elderly persons over 65 years of age who lived in Seoul, Geonggi Province, South Chungcheong Province and South Jeolla Province. The data were analyzed using descriptive $X^2-test$, t-test, one-way ANOVA and Pearson's correlation coefficient with SPSS win 12.0. Results: Physical symptoms of the participants correlated with trait anger and life style. Trait anger in the elderly people had a significant positive correlation to cardiovascular symptoms. Smoking showed a significantly positive correlation to alcohol drinking and cardiovascular symptoms. Regular diet showed a significantly negative correlation to general symptoms, cardiovascular symptoms and gastrointestinal symptoms. Caffeine intake significantly negative correlation to general symptom and cardiovascular symptom. Conclusion: These results suggested that elderly people with a high degree of trait anger are likely to be high in perceived physical symptoms. Therefore nursing interventions to reduce levels of trait anger and change life style should be provided for elderly people.

• Journal of Korean Academy of Nursing
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• v.38 no.2
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• pp.332-343
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• 2008

Purpose: This study was done to investigate the practice level of 14 health behaviors between male (N=139) and female (N=175) elderly and to identify the barriers to each health behavior of elderly people in Korea. Methods: Data were collected from 314 elderly people (65yr and older) living in metropolitan, urban, and rural areas. Descriptive statistics, $x^2$-test and ordinal logistic regression were used in data analysis using the SPSS Win 15 version. Results: 1) The performances were different in some health behaviors between male and female elderly people. Male elderly showed better performances in balanced diet, regular exercise, and more than 30 min of exercise, while female elderly showed better performances in restriction of fat and cholesterol, restriction on alcohol, and smoking. There were no differences in stress management and health prevention behaviors between the two groups. 2) The common significant barriers in health behaviors of the elderly in Korea were the lack of habit and physical discomfort. However, the lack of perceived benefit was a significant barrier in male elderly. Lack of time and lack of family support were significant barriers in female elderly people in Korea. Conclusion: These results suggest that tailored strategies should be developed considering the gender difference to reduce the main barriers of each health behavior in order to improve the health status of elderly people.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.6
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• pp.495-509
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• 2016

In this study, 60 seniors aged at least 65 years who attended C Senior College in Daegu were selected and randomly allocated to test and control groups of 30 subjects each. The Clean Diet Program was only applied to the test group, and the differences in self-efficacy, depression, health behavior, subjective perception of health, wellness, and physiological indices (blood pressure, blood glucose levels, hyperlipidemia, and BMI) between the test and control groups were compared. The results show a significant difference in the test group exhibiting improved or mitigated self-efficacy (t=6.003, p<.001), depression (t=4.038, p<.001), health behavior (t=6.196, p<.001), subjective perception of health (t=6.624, p<.001), and wellness (t=7.069, p<.001). Among the physiological indices, there was a significant decrease in BMI (t=5.974, p<.001). The results demonstrate the mediation effects of the Clean Diet Program. Since the Clean Diet Program can be implemented through walking, simple exercises, and eating habits, it provides great economic efficiency and usefulness and provides a very reasonable intervention program for the elderly. Based on the results, we discuss how to improve the elderly's attitude toward health promotion and their quality of life.

• Food Quality and Culture
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• v.1 no.1
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• pp.46-57
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• 2007

The purpose of the present study was to examine the nutrient intake status of elderly dementia patients. We surveyed the dietary intake of 50 demented elderly patients receiving a regular diet, who were hospitalized in a geriatric hospital in Yongin, Gyeonggi-do. The average age of the subjects was $79.6{\pm}6.5$ for the males and $80.5{\pm}6.3$ for the females. The average heights were $169.5{\pm}6.0\;cm$ (males) and $154.6{\pm}5.2\;cm$ (females), and the average weights were $58.5{\pm}7.4$ (males) and $51.7{\pm}8.9\;kg$ (females). Depending on the type of dementia, the male patients showed significant differences in their intakes of vegetable protein, fiber, total iron, and non-heme iron between the Alzheimer's disease (AD) and the vascular dementia (VD) groups, and the female patients showed significant differences in their intakes of total protein, phosphorus, zinc, and vitamin $B_6$ between the two groups. The male patients showed significant differences in their intakes of animal-source calcium and carotene according to ability to self-feed. According to physical activity, the male patients showed significant differences in vegetable fat and vitamin A intake, and the females showed significant differences in their intakes of total protein, animal protein, fiber, ash, total calcium, vegetable-source calcium, animal-source calcium, phosphorous, total iron, non-heme iron, heme iron, sodium, vitamins $B_1$, $B_2$, $B_6$, niacin, vitamin C, folate, and potassium. We found that the patients consumed excessive protein, but low amounts of calcium, vitamin $B_2$, and folate. Also, the patients' physical activity abilities appeared to affect their nutrient intakes.

• The Korean Journal of Community Living Science
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• v.23 no.4
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• pp.467-478
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• 2012

This study was carried out to develop nutrition education materials for nutrient intake and the prevention of disease for the elderly and to test their effects on the health-related matters and nutrition intakes after nutrition education. The mean age of the subjects was 71.6 years old. Diet adjustment for health increased a little bit from 2.2% to 11.1% after education but with no significance. The highest reported chronic illness was hypertension. The drinking of the subjects decreased a little bit after their education but wasn't significant. There were no significant changes to the frequency of food consumption across all the items after education, but there was a small increase to the daily intake of milk and dairy products and fruits and to a balanced diet three times per day. There was a significant increase in the intake of such nutrients as energy(p<0.05), protein(p<0.01), lipid(p<0.05), phosphorus(p<0.05), sodium (p<0.05), vitamin $B_2$(p<0.05), vitamin $B_6$(p<0.05), and niacin(p<0.001) after education. Those findings show that nutrition education provided to the elderly had no clear effects on the items that required memorization such as nutrition knowledge but did have some effects on dietary life. If the nutrition education requiring memorization is provided repeatedly with data supplemented, more effective nutrition management will be possible.

• Journal of Society of Preventive Korean Medicine
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• v.8 no.2
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• pp.115-127
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• 2004

The purpose of this study was to investigate the food habits and nutrient intake, among the elder according to their Sasang constitutions. The investigation group was composed of 79 elder men and 117 elder women in Sungjugun Kyungsangbukdo. Data were collected from 1 July, 2002 to 31 July, 2002. In conclusion, diet habits and nutritional intakes were poor in the elderly older than 65 years of age so that they need regular food intake habit and balanced nutrition to obtain enough nutrients to maintain healthy lives. And the following suggestions are made. Firstly, multi-directional studies are needed to improve nutritional intakes, prevent diseases, and improve quality of life in the elderly. Secondly, in-depth studies are needed with various and more people related with Sasang constitutions. Thirdly, we need to screen for risk factors of poor nutrition in each constitution for systemic maintenance of nutritional status and health management in the ever increasing elderly population. For this purpose, an objective investigative tool befitting the situation in Korea should be developed. Fourthly, comparative studies on diet habit and nutritional status are needed by investigating the relationship between Sasang constitutions and diseases. Fifthly, food menu should be proposed according to Sasang constitutions to be utilized as basic data of longevity study.

• Journal of Korean Biological Nursing Science
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• v.14 no.3
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• pp.183-192
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• 2012

Purpose: Number of the old-old elderly is rapidly increasing in Korea, but it is unclear whether there are differences between old-old and young-old elderly in nutritional status, nutrient intakes and health status. The gender differences in Korean elderly in these conditions also remains unknown. This study, therefore, investigated gender-associated differences in nutritional, health status and nutrient intakes and how they are related among young-old and old-old homebound elderly. Methods: Two hundred and eighty elderly who were attending a local elderly welfare center were recruited. Evaluation included demographic, nutritional and health status related data, nutritional intakes, and life style related factors including physical activity. Results: Of the 280 subjects, old-old were 147 (52.5%) and young-old were 133 (47.5%). Male old-old elderly had more often abdominal obesity than female old-old, but male old-old more often had malnutrition than female old-old. There were few differences in nutrient intakes between old-old male elderly and female elderly after energy intakes were controlled. Male old-old more often had less intake of beta carotene and Vitamin A than female old-old. On the other hand, male old-old elderly more often had hypercholesterolemia and hypertension than male young-old. Conclusion: Male old-old may be at a greater health and nutritional risk than female old-old. Targeted nutritional intervention for male old-old emphasizing antioxidant nutritional intakes may be warranted.