• Journal of Oral Medicine and Pain
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• 제25권2호
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• pp.253-263
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• 2000

We collected age determination cases which were done at Yonsei university dental hospital, department of oral medicine from 1976 to 1999 to analyze it's tendency among Koreans. We analyzed 435 clients cases which were stored by age estimation program from January 1993 to December 1999. The results are as follows: 1. There were no significant difference in the sexual distribution (male : 52.0%, female : 48.0%) and more than half percent (51%) were 20's and 30's. 2. Among the age determination clients, those who wanted to decrease their age (50.3%) and those who wanted to increase their age (49.7%) shows similar in number. And the former case were predominant in the female clients, but the latter case in the male clients. Also the clients below six years of age were predominant in the former case, but the clients more than sixty were predominant in the latter case. 3. The purposes of age correction showed different distribution for ages: job or employment for 20's and 30's, marriage for 20's, registration for school for below six, welfare and other social services for 50 and older. 4. Age was estimated by Nolla's growth stage for 12 and under, calcification of the second and third molar for 12~20, and for 20 and over, Takei's tooth abrasion model was used. 5. The alleged age was in accordance with the documents and other information given by clients, but in the 20.6% of the estimation cases, the alleged age was discarded. In the results of the analysis of age determination cases in Koreans, many of the cases resulted from our historical turbulence and social distinctiveness, causing an increase in the necessity for age correction in each age group. For more accurate determination for each age group, further studies with Koreans must be done continuously.

• Nutrition Research and Practice
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• 제17권5호
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• pp.969-983
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• 2023

BACKGROUND/OBJECTIVES: We investigated the association of plant and animal protein intake with grip strength in Koreans aged ≥ 50 yrs. SUBJECTS/METHODS: The data was collected from 3,610 men and 4,691 women (≥ 50 yrs) from the 2016-2018 Korea National Health and Nutrition Examination Survey. We calculated the total energy intake, and the intake of animal and plant protein and collected dietary data using 1-day 24-h dietary recalls. Low grip strength (LGS) was defined as the lowest quintile (men: up to 26.8 kg, women: up to 15.7 kg). The association of protein intake with grip strength was examined using Pearson's correlation and multiple linear regression analysis. RESULTS: The results proved that participants with LGS had lower daily energy, protein and fat intake, and percent energy from protein than those with normal or high grip strength (P < 0.0001). Total energy intake, animal protein, and plant protein were positively associated with grip strength. A higher intake of total plant protein (P for trend = 0.004 for men, 0.05 for women) and legumes, nuts, and seeds (LNS) protein (P for trend = 0.01 for men, 0.02 for women) was significantly associated with a lower prevalence of LGS. However, non-LNS plant protein intake was not associated with LGS (P for trend = 0.10 for men, 0.15 for women). In women, a higher total animal protein intake was significantly associated with decreased LGS (P for trend = 0.03). CONCLUSIONS: Higher total plant protein and LNS protein intake are negatively associated with LGS.

• 보건행정학회지
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• 제32권2호
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• pp.190-204
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• 2022

Background: In Korea, the population is rapidly aging, and the types of households for the elderly are also diversifying. The self-rated health of the elderly is a valuable health indicator that can comprehensively represent the overall quality of life along with physical, mental, and functional health. On the other hand, studies on the association between household type and self-rated health of the elderly are still insufficient. Thus, this study analyzed the association between household type and self-rated health by gender in Korean older adults. Methods: Using data from the analysis of the National Survey of Older Koreans 2017, 10,299 elderly people aged 65 and over were targeted. For the accuracy of the analysis data, 9,910 people were selected as the study sample by excluding proxy responses, those diagnosed with dementia, and non-response. And technical analysis, univariate analysis using the Rao-Scott chi-square test, and logical regression analysis involving survey characteristics were conducted by gender. Results: According to the adjusted model with all variables, in both men and women, the odds ratio of self-rated health 'bad' in 'couple (with ill spouse)' was significantly higher than 'couple (with spouse)'. It was 2.54 (95% confidence interval [CI], 2.05-3.15) for men and 2.11 (95% CI, 1.70-2.62) for women. In addition, the odds ratio of self-rated health 'bad' in 'living with adult children' was 1.43 (95% CI, 1.09-1.87) for men and 1.42 (95% CI, 1.15-1.75) for women, which was more significant in women than men. Conclusion: This study states that there is an association between gender, household type, and self-rated health of the elderly, and the health of a spouse and cohabitation with children have a significant effect on self-rated health. As a result, in order to improve the health status of the elderly, health promotion and health care policies involving the characteristics of the elderly's gender and household type are needed.

• 한국노년학
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• 제39권2호
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• pp.305-323
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• 2019

본 연구는 좋은 죽음에 대한 사회적 관심을 반영하여 국내에 거주하는 중노년층이 인식하는 좋은 죽음이 무엇인가에 주목하였다. 구체적으로 중노년층의 좋은 죽음 인식을 유형화하고 그 특성을 파악하는 것에 목적을 둔다. 이를 위해 2018년 한국보건사회연구원에서 수집된 '웰다잉에 관한 전국민 인식조사' 데이터를 활용하여 중노년층의 좋은 죽음 인식유형을 잠재집단분석(LCA)을 통해 유형화하였으며, 기술통계 및 교차분석 등을 통해 유형별 인구사회학적 특성을 파악하였다. 연구결과, 소극적 인식형, 다층적 준비형, 현세중심적·죽음준비형의 3개 유형이 도출되었다. 도출된 유형들은 죽음의 가시성, 죽음의 여정에 대한 관점, 마지막으로 죽음이 갖는 사회적 관계성을 바탕으로 다층화 되었으며, 이러한 유형은 성별 및 주관적 건강상태에 따라 차이를 보였다. 이를 통해 우리 사회 웰다잉 구현을 위해 개인적·사회적 차원의 인식개선, 당사자 및 가족의 죽음준비를 위한 종합적 지원, 임종기 의료비 및 간병비 경감 등을 위한 제도 마련, 죽음의 자기결정권 확보를 위한 기반 구축 등의 정책적 제언을 제시하였다.

• 한국노년학
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• 제37권3호
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• pp.669-686
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• 2017

본 연구는 지역사회에 거주하고 있는 우리나라 노인이 어떠한 근린환경 구조 속에서 생활하고 있는지를 규명하고, 노인이 실제 거주하는 근린환경 유형들이 노인의 삶의 만족과 직접적인 관련이 있는지 검증하고자 한다. 이를 위해 지역사회에 거주하고 있는 65세 이상 노인을 대상으로 보건복지부와 한국보건사회연구원에서 2014년에 수행한 "노인실태조사" 자료에서 대리응답을 제외한 본인이 직접 응답한 10,281명의 자료를 분석에 사용하였다. 근린환경 유형을 판단하기 위해 식료품 가게, 의료기관, 행정기관, 복지시설, 대중교통(정류장, 지하철역) 등의 지역사회기관이나 장소까지 도보로 걸리는 시간(분 단위)을 지표로 활용하였으며, 근린환경 유형을 파악하기 위해 잠재프로파일분석을 실시하였다. 분석 결과, 노인이 생활하는 근린환경 유형은 여가 복지 도보제한형(20.3%), 여가 복지 원거리형(15.5%), 균형근접형(7.8%), 상점 교통형(35.0%), 교통근접형(10.1%), 격리형(11.3%) 등 여섯 가지 유형으로 도출되었으며, 앞의 네 개 유형은 도시형에 가까우며 교통근접형과 격리형은 농어촌형에 가까운 특성을 보이고 있다. 근린환경 유형이 노인의 삶의 만족에 미치는 영향을 분석한 결과, 균형근접형에 비해 상점 교통형과 격리형에 거주하고 있는 노인들의 삶의 만족이 통계적으로 유의하게 낮은 것으로 나타났다. 그 밖에 남성보다 여성이, 연령과 교육수준, 그리고 가구소득이 높을수록, 유배우자 집단의 삶의 만족도가 높았으며, 건강상태(주관적 건강, 만성질환개수, 기능상태)가 좋을수록, 그리고 비동거 자녀, 형제자매, 그리고 친구나 이웃과의 연락빈도가 높을수록 삶의 만족수준이 높은 것으로 나타났다. 본 연구는 노인을 둘러싼 근린환경의 구조가 노인의 삶의 질과 직접적인 관련이 있다는 것으로 실증적으로 검증한 연구로서 물리적 근린환경의 구조적인 측면도 고령친화적 지역사회를 구현하는데 고려되어야 함을 보여주고 있다.

• 여성건강간호학회지
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• 제20권4호
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• pp.297-308
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• 2014

Purpose: The purpose of this study was to review the effects of physical activity on musculoskeletal outcomes in older Koreans. Methods: Experimental studies were retrieved from the search engines (PubMed, CINAHL, PsycINFO, Cochrane, RISS, KISS, and KoreaMed). The selected studies for analysis were 27 articles of musculoskeletal outcomes (gait, muscle strength, flexibility, balance, grip strength, endurance, body fat, and weight) from 515 articles. Results: The most common type of physical activity was a resistance exercise. There were significant improvements in gait (71.4%), muscle strength (86.7%), flexibility (63.6%), balance (72.2%), grip strength (71.4%), endurance (71.4%), body fat (57.1%), and weight (28.6%). The activity programs that apply over 150 minutes a week showed greater improvement of 69.5% than 65.0% from those did not meet the guidelines totally. Conclusion: Based on the review, we conclude that regular physical activity in the elderly may improve the musculoskeletal outcomes. To be more effective programs, it is necessary to meet the guidelines of 150 minutes a week or 30 minutes of moderate-intensity activities on 5 days per week for the elderly.

• 대한간호학회지
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• 제34권8호
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• pp.1483-1490
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• 2004

Community-based centres were surveyed to determine the frequency of and risk factors for falls among elderly Koreans. We examined fall-related risk factors, including physiological and physical health, psychosocial functions, self-reported physical capacity and activity, vision, and the use of medication, among 351 elderly people aged 65 years or older, with ambulatory. Forty-two per cent of elderly Korean subjects reported at least one episode of falling in the previous 12 months, $38\%$ of whom had consequences that required either the attention of a physician or hospitalization. Factors significantly associated with an increased risk of falling were a restricted activity during the previous five years (adjusted OR 1.3), use of alternative therapy (adjusted OR 2.7), low knee flexor and extensor-muscle strength (adjusted OR 1.21 and 1.20), and poor balance with closed eyes (adjusted OR 8.32). We conclude that falls among older persons living in the community are common in Korea and that indicator of bad health and frailty or variables directly related to neuromuscular impairment are significant predictors of the risk of falling.

• Journal of Korean Biological Nursing Science
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• 제21권2호
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• pp.108-113
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• 2019

Purpose: The purpose of this study was to investigate the difference in serum ferritin and leukocyte regarding overweight and obese South Korean adults. Methods: This study was conducted on 5,281 subjects older than 19, according to data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-3), 2015. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, and stepwise multiple regression analysis (SPSS 24.0). Results: First, serum ferritin and leukocyte were higher regardubg obesity, followed by being overweight and within normal weight. Second, body mass index (BMI) was positively correlated with serum ferritin and leukocyte. Third, factors affecting serum ferritin were gender, and being obese and overweight. Explanatory power of the model was 26.2%. Factors affecting leukocyte were gender, obesity, being overweight, and weight change over the past year (weight gain). Explanatory power of the model was 10.2%. Conclusion: Obesity and being overweight were factors affecting serum ferritin and leukocyte, and obesity was more affected than being overweight in Koreans older than 19. In conclusion, serum ferritin was a marker of inflammation, rather than iron status, in overweight and obese Korean adults.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제43권4호
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• pp.221-228
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• 2017

Objectives: The purpose of this study was to establish normative data for healthy Korean adults by measuring the maximal strength and endurance scores of the tongue, lip, and cheek, and to examine correlations between these measurements. Materials and Methods: This study included 120 subjects that were divided into three groups according to age: young (20-39 years), middle-aged (40-59 years), and older (over 60 years); and by gender. Measurements were taken using the Iowa Oral Performance Instrument (IOPI). Results: The mean maximal tongue strengths were as follows: young men ($46.7{\pm}10.2kPa$) and women ($32.1{\pm}7.9kPa$), middle-aged men ($40.9{\pm}9.3kPa$) and women ($36.9{\pm}8.6kPa$), and older men ($35.2{\pm}9.0kPa$) and women ($34.5{\pm}6.9kPa$). The mean tongue endurance scores were: young men ($28.8{\pm}12.6$ seconds) and women ($20.8{\pm}13.5$ seconds), middle-aged men ($17.0{\pm}8.5$ seconds) and women ($15.3{\pm}5.2$ seconds), and older men ($15.8{\pm}6.7$ seconds) and women ($17.9{\pm}8.1$ seconds). The mean maximal lip strengths were: young men ($11.6{\pm}3.0kPa$) and women ($11.4{\pm}3.8kPa$), middle-aged men ($11.4{\pm}4.2kPa$) and women ($11.1{\pm}5.1kPa$), and older men ($14.5{\pm}3.9kPa$) and women ($11.7{\pm}2.6kPa$). The mean lip endurance scores were: young men ($41.1{\pm}23.9$ seconds) and women ($22.4{\pm}21.7$ seconds), middle-aged men ($24.3{\pm}10.3$ seconds) and women ($30.5{\pm}13.4$ seconds), and older men ($24.9{\pm}11.0$ seconds) and women ($12.8{\pm}7.6$ seconds). The mean maximal cheek strengths were: young men ($24.5{\pm}4.6kPa$) and women ($20.5{\pm}4.3kPa$), middle-aged men ($25.2{\pm}6.4kPa$) and women ($21.2{\pm}5.5kPa$), and older men ($22.4{\pm}5.3kPa$) and women ($18.0{\pm}4.8kPa$). The mean cheek endurance scores were: young men ($47.8{\pm}24.4$ seconds) and women ($43.9{\pm}25.0$ seconds), middle-aged men ($27.3{\pm}11.3$ seconds) and women ($20.0{\pm}14.6$ seconds), and older men ($21.7{\pm}14.5$ seconds) and women ($17.2{\pm}11.4$ seconds). Conclusion: The data collected in this study will provide an important database of standardized measurements for maximal strength and endurance scores of the tongue, lip and cheek in healthy, normal Koreans.

• 한국노년학
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• 제38권1호
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• pp.243-259
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• 2018

본 연구는 노인의 일상생활수행능력(ADL)과 도구적 일상생활수행능력(IADL)이 우울감에 미치는 영향에 대한 지역사회 재가노인복지시설의 조절효과를 탐색하는 데에 그 목적이 있다. 이를 위해 고령화연구패널 5차(2014년)자료와 지역사회 재가노인복지시설 수에 대한 보건복지부 현황 자료(2014년)를 결합하여 다층분석을 실시하였다. 연구대상은 65세 이상 노인 4,139명이다. 종속변수는 우울감이며, 개인수준 독립변수는 ADL과 IADL이다. 지역수준의 조절변수는 시 도의 노인인구 1만 명당 재가노인복지시설의 수(재가노인복지시시설 비율)이다. 연구결과, ADL이 우울에 미치는 영향은 재가노인복지시설의 비율에 따라서 달라진다. 즉, 노인인구 1만 명당 재가노인복지시설의 수가 많은 지역에 거주하는 노인일수록 ADL이 우울에 미치는 영향력이 작은 것으로 나타났다. IADL에 관해서는 제한 수준이 높을수록 노인이 더 우울해지는 경향이 있었으나 IADL과 재가노인복지시설 비율의 상호작용 효과는 발견되지 않았다. 본 연구결과는 일상생활수행과 관련된 개입 서비스를 지역사회 재가노인복지시설을 통해 전달하는 것이 노인의 우울감 완화에 효과적일 수 있음을 시사한다. 특히 재가노인복지시설이 지역사회 노인 수요에 맞추어 충분히 제공될 때 복지제도의 효율성이 높아질 수 있음을 뒷받침한다.