• Journal of Nutrition and Health
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• 제42권3호
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• pp.234-245
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• 2009

Nutritional assessment for the elderly can identify health status and morbidity. However, development of Nutritional Risk Index (NRI) remains limited for elderly because of difficulties in understanding physiological mechanism of elderly. This study was performed to analyze and develop Nutritional Risk Index for Korean elderly Women (Geriatric Nutritional Risk Index, GNRI). Based on literature review, factors for NRI were identified and indices were assessed by a cross-sectional survey. The survey involved Korean elderly women (${\geq}$60, n = 94) in Gwangju area, and sociodemographics, lifestyle characteristics, health conditions, dietary intakes based on 24h- recall, anthropometric measures (wt, ht, BMI, waist, hip, WHR, body protein, body fat, abdominal fat, and triceps skinfold thickness), and clinical biochemistry parameters (systolic blood pressure, diastolic blood pressure, cholesterol, HDL-cholesterol, triglyceride, total protein, albumin, prealbumin, hemoglobin, hematocrit, fasting blood glucose, HbAlc, ferritin, Zn, Ca, Na, K, Vit E, Vit $B_{12}$, folate, C-reactive protein) were examined relation to nutritional risk index. Based on literature review and data analyses, three NRIs were categorized (NRI I, NRI II, NRI III) and used for further analysis. NRI I was related to having metabolic syndrome, NRI II was related to serum albumin and body weight, and NRI III was related to food habit and health concerns. Abdominal fat (%) of elderly was correlated with each NRIs. NRI II was correlated with nutritional deficiency and higher tendency of inflammatory response, and NRI III was correlated with nutritional status which tend to be lower on aging (protein, folate, Vit $B_{12}$). NRI can serve as a useful tools in assessing health risk and nutritional status. Some modification of items in NRI and validity study are need to apply to Korean elderly.

• 지역사회간호학회지
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• 제31권2호
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• pp.119-129
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• 2020

Purpose: The aim of this qualitative study is to explore the health problems and coping experiences of middle-aged and elderly women in the community. Methods: A total of five focus group interviews were conducted with three groups of middle-aged and two groups of elderly women. All interviews were recorded and transcribed. Data were analyzed using the content analysis method. Results: Health problems were categorized as confusion caused by problems that are difficult to handle alone in the middle-aged group and suffering originated by confronting changes in roles and environment in the elderly group. The health problems included stress, suffering, anxiety and social withdrawal as subcategories for the middle-aged women, and the stress, sense of loss, fear, and limited social activities caused by their life events for the elderly women. Meanwhile, the contents of categories about coping were revealed as the beginning of care for the body and mind for healthy life in the middle-aged group and active practice with insight into a healthy lifestyle in the elderly group. While the middle-aged women focused on themselves, attempted changes and started to take care of themselves, the elderly women interacted with the outside world, hardened their mind, made efforts for a dignified death, and managed health by their own methods. Conclusion: There were differences in the experiences of middle-aged and elderly women in accepting their health problems and coping. Nursing interventions reflecting these findings can help to manage and promote the health of middle-aged and elderly women based on an integrated perspective.

• 농업과학연구
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• 제49권4호
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• pp.1015-1031
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• 2022

The objectives of this study were to classify the types of elderly households and to compare the characteristics of their dietary lifestyle. Panel data surveyed by Korea Rural Economic Institute (KREI) for Food Purchase Attitudes over three years (2019 - 2021) were utilized for the analysis. Through a factor analysis, five common factors were extracted out of 19 basic variables related to dietary style, which indicate two kinds of consumer competency index (safe diet, traditional diet) and three kinds of purchase frequency (healthy food, meat & fish, fresh seafood). Applying the cluster analysis method, by using socioeconomic variables along the five common factors, elderly households aged 60 or older were grouped into four types. As a result, Type 1 elderly households accounted for 50.8%, Type 2 for 16.2%, Type 3 for 27.8%, and Type 4 for 5.2% out of all 870 elderly households. Type 1 is characterized as a low-income vulnerable class with a poor diet, Type 2 as a middle-income class with a healthy food-oriented diet, whereas Type 3 was classified as a middle-income class with a meat-oriented diet, and Type 4 as a high-income class with diverse dietary culture. It is necessary to expand the agri-food voucher pilot project to the entire country and also increase the monthly subsidy for the Type 1 elderly households. Implementing community kitchen projects for elderly single-person households, promoting senior internships by providing incentives to companies that employ retirees, the provision of education by local governments on a safe and balanced diet for Types 2 and 3, and the promotion of an elderly-friendly social environment are also recommended.

• 재활간호학회지
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• 제20권1호
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• pp.52-60
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• 2017

Purpose: This study aimed to evaluate the effects of lifestyle modifications on the constipation relief, the time required to see the effects, and the effective lifestyles for constipation in older adults admitted to a geriatric hospital. Methods: Nonequivalent control group pre-post test design was used. The subjects consisted of 25 elderly in the control group and 23 in the experimental group. Constipation was measured with symptoms of constipation, number of bowel movement and use of laxatives. Life style modification consisted of drinking water before breakfast, having a breakfast, scheduled toileting after breakfast and walking everyday for 3 weeks. Results: Symptoms of constipation (t=2.23, p=.030) and number of bowel movement per week (t=-2.55, p=.014) were significantly different between two groups after 3 weeks. Drinking water, scheduled toileting and walking might contribute to the results. Conclusion: Lifestyle modification was effective on constipation in older adults admitted to a geriatric hospital. However, the effects were produced after 3 weeks. Nevertheless, it is recommended that nurses continuously encourage older adults for drinking water, regular trying for bowel movement and walking to relieve constipation, since the lifestyle modification does not need any special education and skill.

• 셀메드
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• 제8권1호
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• pp.3.1-3.3
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• 2018

The aim of this article is to argue that rhythm of janggu may have meaningful effects as a form of vitality for the elderly. Janggu is the most popular and soft pitched instrument in the percussion family in Korean music. It is warm and soft makes very deep and exquisite sounds. Janggu is a source of Korean national pride because of unique, manifestation of yin-yang five-elements represented in Korean music. The meaning and influence of rhythm in human is in essence and natural. This style paper is a course of happy life and a basic step toward in the world. Music therapy has been employed as a therapeutic intervention to facilitate healing across a many of clinical populations. A cheerful rhythm of janggu promotes the vitality of the elderly. This joining has contributed to the vitality, health improvement and the whole body for the elderly. Instead of visiting hospital, they sit in front of the janggu what could be better than a daily dose of exercise. Therefore, the author thinks this might help them forget their anxieties, this very moment, janggu music rhythm therapy lays the foundation of a more vital lifestyle.

• 디지털융복합연구
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• 제11권9호
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• pp.319-324
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• 2013

노인은 그 어느 연령층보다 다양한 특성을 지니고 있다. 다양한 환경과 경험에 따라 다른 성향을 지니고 있기 때문이다. 따라서 모든 노인들에게 획일적인 미술치료프로그램의 진행은 불가능하며 스스로가 치료의 필요성을 느낄 때 참여하여야만 효과적이라고 본다. 미술치료는 미술매체를 통해 내면의 감정을 표출하기 때문에 노인들의 심상에 간직된 감정을 자연스럽게 드러내는 것을 돕고, 감정의 위기를 완화시키는 역할을 한다. 미술치료에서의 치료수단은 비언어적 수단이므로 통제를 적게 받아 자기방어가 감소된다. 또한 미술매체는 감각을 사용할 기회 자체가 줄어드는 노인들의 본연의 감각을 자극하므로 매우 유용한 교육프로그램으로 평가되어진다.

• 인간식물환경학회지
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• 제21권6호
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• pp.565-574
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• 2018

Previous studies have shown that forest therapy program can help prevent dementia. However, few studies have focused on low-income elderly people living alone. The current study examined the meanings that the elderly living alone receiving medical care assigned to the urban forest therapy program, as a way to understand the pathways that nature-based intervention affect preventing dementia. Twenty-one participants were recruited and they participated in a five-week urban forest therapy program. Semi-structured interviews were carried out with 21 participants who experienced the urban forest therapy program, and analyzed qualitative data using thematic analysis. Results showed that all themes identified were related to connectedness with oneself, neighbors and nature. Awarenesses of change were consisted of positive and negative themes. The themes of positive awareness were improvements of mental and emotional condition, feelings of isolation and loneliness, and health-related lifestyle. The negative themes were terminations of short-term programs and inconvenient access to the urban forest. Based on these data, we suggest an urban green welfare framework for future research and interventions for preventing dementia of underprivileged elderly group.

• 디자인학연구
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• 제16권2호
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• pp.151-160
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• 2003

한국은 OECD국가중 노인의 증가 속도가 가장 빠른 것으로 나타나고 있으며, 앞으로의 노인인구 증가속도와 평균수명의 연장 기간을 볼 때 미래사회는 노인사회라고 해도 과언이 아닐 것이다. 따라서 65세 이상의 노인인구를 대상으로 한국의 실버시장 규모도 급히 큰 규모로 성장할 것이다. 고령사회에 이미 들어선 선진국은 실버용품 디자인에 대한 활발한 연구가 진행되어 왔으나, 우리나라의 연구는 이들 외국에 비해 매우 미흡한 실정이다. 곧 다가올 고령사회에서의 한국 노인들이 일상생활에서 사용하고 있는 생활용품디자인 에 대한 구체적이고 종합적인 연구가 시급히 필요하다. 본 연구는 고령화사회와 실버용품에 관한 내용을 문헌연구를 기본으로 연구하였고, 설문지를 이용한 심층면접조사방법을 병행하였다. 그 결과, 우리나라의 노인들은 실버산업에 대한 인식은 매우 높은 것으로 나타났다. 그러나 실버용품 자체에 대해서는 문제점이 많다고 지적을 하였다. 디자인 측면에서 노인들의 라이프 스타일 반영한 새로운 디자인이 필요하고, 노인의 특성을 고려한 사용하기 편한 제품개발이 절실하며, 손쉽게 구입할 수 있는 시스템이 있어야 할 것이다.

• 한국융합학회논문지
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• 제11권1호
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• pp.141-150
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• 2020

논문은 스스로 자신을 부양하는 60-75세 도시 노인들의 공동체 공공 공간에서의 행동특성을 연구하여 노령화 사회의 공공 공간 다지인원리를 제안한다. 경험디자인 방법론을 활용하여 자연 관찰 방법, 설문, 인터뷰 및 그림자 추적을 통해 노인들의 일상 활동에서 시공간의 특성을 분석한다. 공동체의 공공 장소에서 노인들의 행동은 본질적으로 더 많은 관심과 교제를 얻는 사회적 활동이다. 이것은 노인의 공간 사회 활동 수요, 활동 발생 시간, 활동 빈도 및 지속시간 등에 대해 결정한다. 지역 공동체의 공공 장소에서 노인의 행동은 장기적이고 규칙적인 특성을 가지고 있으며, 그 행동은 공간에 따라 약간 변화하지만, 더 큰 영향을 미치는 객관적인 요소는 성별, 연령 및 기후이며, 주관적인 요소는 생활 방식, 가족 구성 및 소득 수준이다.

• 재활치료과학
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• 제12권4호
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• pp.111-122
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• 2023

목적 : 연구는 국민건강보험공단의 2015년 노인코호트 database를 이용하여 지역사회 노인의 라이프스타일 위험요인이 일상생활 활동과 인지기능에 미치는 영향을 알아보고자 하였다. 연구방법 : 독립변수로 설정한 라이프스타일의 위험요인은 체질량지수, 흡연, 음주, 격렬한 운동, 중간정도 운동, 걷기 운동에 대한 변수를 분류하여 분석에 사용하였으며, 종속변수는 기본적/수단적 일상생활 활동 그리고 인지기능으로 설정하여 분석하였다. 성별과 연령에 따른 일상생활과 인지기능은 t-test와 일원배치 분산분석을 실시하였다. 라이프스타일 위험요인과 일상생활 활동, 인지기능 간의 상관관계와 영향력을 분석하기 위해 피어슨 상관 분석(Pearson correlation)과 다중회귀분석을 실시하였다. 결과 : 지역사회 노인의 라이프스타일 위험요인이 기본적/일상생활 활동과 인지기능에 통계적으로 유의한 설명력을 보였다. 기본적 일상생활 활동에 영향을 미치는 요인은 성별과 걷기 운동이었으며, 설명력은 1.7%로 나타났다. 수단적 일상생활 활동은 연령과 음주, 걷기 운동이었으며, 설명력은 2.6%를 보였다. 그리고 인지기능은 성별과 연령, 체질량지수, 격렬한 운동과 걷기 운동이었으며, 설명력은 5.3%로 나타났다. 결론 : 지역사회 노인들에서 라이프스타일 위험요인이 기본적/수단적 일상생활 활동과 인지기능에 부분적으로 영향을 미치고 있음을 확인하였다. 이는 생물학적 노화에 직면한 노년기 노인들의 건강한 삶을 개선 및 유지하기 위해 라이프스타일 위험요인을 체계적으로 관리할 필요성을 시사한다.