• Title/Summary/Keyword: older adults

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Age-related Bimanual Coordination Impairments in Elderly People: a Systematic Review and Meta-analysis (건강한 노인의 양손 협응성 변화 패턴: 체계적 문헌고찰 및 메타분석 연구)

  • Kim, Rye Kyeong;Kang, Nyeonju
    • Korean Journal of Applied Biomechanics
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    • v.31 no.4
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    • pp.259-269
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    • 2021
  • Objective: The purpose of this systematic review and meta-analysis was to investigate age-related bimanual coordination functions in older adults. Method: Thirteen studies that compared bimanual coordination functions in older adults with those in healthy young adults qualified for this meta-analysis. We additionally categorized 21 total comparisons from the 13 qualified studies into two types of task-related moderator variables: (1) kinematic versus kinetic movements and (2) symmetry versus asymmetry movements. Results: Random effects model meta-analysis found that older adults revealed significant bimanual coordination impairments as compared with young adults (Hedges's g = -0.771; p < .0001; I2 = 74.437%). We additionally confirmed specific bimanual coordination deficits using two moderator variables: 1) kinematic (Hedges's g = -0.884; p < .0001; I2 = 0.000%) and kinetic (Hedges's g = -0.666; p = .023; I2 = 86.170%). 2) symmetry (Hedges's g = -0.712; p = .001; I2 = 74.291%) and asymmetry (Hedges's g = -0.817; p < .0001; I2 = 76.322%). The moderator variable analysis indicated older adults indicated bimanual coordination deficits in the upper extremities than healthy young adults while performing kinematic bimanual coordination tasks and asymmetry coordination tasks. Conclusion: These findings suggest that developing motor rehabilitation programs based on asymmetric bimanual movement task for enhancing interlimb coordination functions of older adults may be crucial for increasing their independence in everyday activities. Given that elderly revealed the deficits in lower extremities coordination when older adults perform gait, posture, and balance, future studies should estimate lower limb coordination functions in elderly people.

Risk Factors of Malnutrition by Age in Hospitalized Older Adults (입원 노인의 연령별 영양불량 위험요인)

  • Kim, Eun Jung
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.1
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    • pp.77-84
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    • 2021
  • Purpose: Malnutrition affects all age groups, but older adults are particularly more vulnerable to nutritional deficiencies. This study evaluated the age-specific factors affecting malnutrition in hospitalized older adults. Methods: A retrospective study was conducted on inpatient elderly people who received artificial nutrition from 2010 to 2017. Data of demographics, diagnosis, type of nutrition therapy, number of comorbidity, fall risk assessment, Acute Physiologic Assessment and Chronic Health Evaluation (APACHE) score, and intensive care unit admission were collected. Malnutrition was defined as a body mass index (BMI) of less than 18.5 kg/m2. Patients were classified as the young-old (65~74 years old), the old-old (75~84 years old), or the oldest-old (85 years old or older). Results: A total of 7,130 older adults were included, and 4,028 patients were classified as the young-old, 2,506 into the old-old, and 596 into the oldest-old. Proportion of malnutrition was higher in the oldest-old compared to the other groups. In multivariate analysis, parenteral nutrition, alcohol, and high risk of falls were factors affecting malnutrition in all groups. Parenteral nutrition and alcohol in the young-old, high risk of falls in the old-old, and male sex in the oldest-old were the factors affecting malnutrition by the age group. Conclusion: Older age was the most significant factor affecting malnutrition. Specific strategies by age are needed to improve nutritional status in hospitalized older adults as influencing factors for malnutrition vary among different age groups.

Comparison of Healthy Life Style and Chronic Disease Management between Urban and Rural Older Adults (도시와 농촌노인의 건강생활습관과 만성질환관리 실태비교)

  • Lee, Jia;Lee, Yena
    • The Korean Journal of Rehabilitation Nursing
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    • v.15 no.2
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    • pp.100-108
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    • 2012
  • Purpose: The purpose of this study was to compare healthy life style and chronic disease management between urban and rural older adults. Methods: The study employed a comparative and descriptive survey design. Data were collected from 154 older adults living independently in communities (79 from urban and 75 from rural areas) using structured questionaries from 24 July, 2010 to 14 August, 2011. Results: Perceived health status was significantly lower in urban older adults than those in rural areas ($x^2$=13.27, p = .001). Frequency of regular health examination was better in the urban group than the rural group ($x^2$=4.71, p = .030). Among older adults with hypertension, medication noncompliance was higher, and participation rate in disease management education was lower in the rural group than the urban group ($x^2$=6.43, p = .040; $x^2$=23.51, p<.001, respectively) and the same as arthritis. Conclusion: Rural older adults had more problems with health and disease management in this study, might be, due to difficulties in access to health care services than urban residents. More tailored programs of disease management as well as health service programs and staffing should be developed in rural areas. For urban older adults, meal preparation program and more opportunities producing income may be needed.

Issues and Directions in Developing Nutrition Education for Older Adults in Korea

  • Kim, Kyung-Won
    • Journal of Community Nutrition
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    • v.2 no.1
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    • pp.71-84
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    • 2000
  • This paper presents the status of nutrition education for older adults in Korea, and examines considerations in developing effective nutrition education programs for the elderly based on literature reviews. Finally, strategies of nutrition education for older adults in Korea are examined. Status of nutrition education were examined by surveying 90 senior centers, and 46 public health centers providing nutrition services. Most senior centers(96%) provided health education programs, however, nutrition was only a part of health programs. Among the 41 public health centers which responded to the survey, 73.1% provided nutrition education for older adults. The frequently covered topics were prevention & management of hypertension/stroke, diabetes, nutritional management during later adulthood, and osteoporosis. Common barriers in planning and implementing elderly education were; lack of educational materials for older adults, reliance on lectures, difficulty in following-up. To develop effective nutrition education, four stages consisting of needs assessment, planning and implementation of programs, and evaluation should be carefully done. Needs assessment might be done using quantitative or qualitative assessment. Factors influencing nutrition behavior of older adults can be systematically examined using a theoretical approach such as the PRECEDE-PROCEED framework. Qualitative methods, such as focus group interviews, also provide insightful information regarding the needs of older adults. In planning nutrition education programs, physical and pshychological changes associated with aging should be considered. Literature regarding elderly education suggest that active participation or participatory learning is also effective for older adults. Educational materials are developed following the principle of KISS and pre-tested. Program evaluation has been rarely done in practice, although it provides valuable feedback to the program. Strategies for developing nutrition education for Korean elderly include; performing needs assessment, developing a standard program by topics in a logical and systematic way, developing programs for subgroups of elderly, applying diverse education methods developing educational materials for the elderly, evaluating programs using simple tools, and delivering a nutrition program as a part of health promotion program. Finally, the interaction and communication between researchers and practitioners is strongly recommended to ensure better nutrition education and services to the elderly.

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Awareness and attitudes regarding oral care intervention program based on community care for older adults at home : focusing on the grounded theory (커뮤니티케어 기반의 방문구강건강관리 중재 수혜자의 프로그램 운영 관련 인식 및 태도: 근거이론적 접근)

  • Myeong-Hwa Park;Ji-Won Park;Seul-Ah Lee;Jong-Hwa Jang
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.5
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    • pp.351-360
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    • 2023
  • Objectives: This study is based on a visiting oral health care intervention program in the community care. This qualitative study was conducted through in-depth interviews to identify awareness and attitudes regarding intervention program among older adults. Methods: The research team visited the homes of the target older adults and conducted in-depth interviews for approximately an hour using a semi-structured questionnaire. The collected voice recordings were transcribed using Clova Note, and AI program by Naver. Using the 'Word Cloud Generator 3.7' program, words of high importance and interest from interview answers were extracted, visualized, and analyzed. Results: Participating older adults acknowledged that their quality of life related to oral health could be improved by increasing the level of oral health awareness and oral health knowledge through the intervention program. In addition, the older adults indicated that their oral hygiene management ability improved compared to before the intervention through expert oral hygiene management and oral health education. Further, as the level of oral health knowledge increased, so too did satisfaction with the intervention program increase. Conclusions: The intervention program for visiting oral health care showed a positive effect on the awareness and attitude of older adults. Thus, it is suggested that education for continuous competency enhancement of dental hygienists and multidisciplinary education for the improvement of general health and quality of life of older adults should be promoted.

Social Isolation and Life Satisfaction among Low-income Older Adults: The Mediating Effect of Sense of Community (빈곤노인의 사회적 고립이 생활만족도에 미치는 영향: 지역사회인식의 매개효과)

  • Park, Mijin
    • 한국노년학
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    • v.30 no.3
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    • pp.895-910
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    • 2010
  • This study examined the mediating effect of social isolation on the life satisfaction among lowincome older adults. The purpose of this study was to find out isolated older adults' social isolation rate and mediating effect of sense of community by community dwelling older adults with loweconomic status. This study used the Gijang Welfare Network study(2009). The sample consisted 256 older adults 65 and older residing in Busan(Gijang). As statistical method, correlation analysis and structural equation model used in this paper. The results of this study suggested some practical implications in reducing social isolation for older adults with low economic status. We need to emphasize social relations and social participations as well as outreach program for high-risk elderly of social isolation. In addition, Findings suggested that community based interventions should be provided to protect older people, especially poor elderly from social isolation.

New Directions in Communicating Better Nutrition to Older Adults

  • Guldan, Georgia-Sue;Wendy Wai-Hing Hui
    • Journal of Community Nutrition
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    • v.2 no.1
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    • pp.62-70
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    • 2000
  • Nutrition education should be an important component of ongoing health promotion for older adults and their caregivers. This is because prevention through sound nutrition and food hygiene practices and regular excercise is the most cost-effective way to reduce risks for and deal with their major health problems. nutritions education services should effectively promote optimum intake and successful self-care. Unfortunately, however relative to other vulnerable groups, nutrition education for older adults has not been systematically developed or evaluated. Usually oder adults care a lot about their health, so this should be a relatively easy group to teach - but their increasing numbers, longevity and great diversity with respect to health, physical, and economic status and educational level present challenges. Some older adults may not perceive they would benefit from nutrition education, so interesting and motivating them is a challenge. The food and nutrition knowledge of older people has been acquired through a lifetime of experience. For most older adults in the Asian region, their sources are restricted by their restricted education, so that their major sources of information have been informal sources, such as television, radio, friends, family, and perhaps newspapers and magazines if they are literature. Nonetheless, dietary advice for older people should build on their existing knowledge and ingrained values. It should provide information useful in daily food selection, and focus on food, not nutrients - the same foods and groups considered appropriate for younger people, with consistent messages as given throughout the population. Attention must also be paid to discovering learning styles in older people. When we teach in schools, the young students are a captive audience resigned to their learning role. Learning by an older adult, however, reflects an effort to meet his or her perceived needs. Therefore, nutrition education should be a positive experience in a non-threatening environment, relaxed and non-competitive, and perhaps even social environment. The messages also need to be practical and achievable. A needs assessment is essential, because our ability to provide the most effective nutrition education will depend on our success in matching the needs, both perceived and unperceived. of this vulnerable group. Therefore, go to the potential older learners to assess their interest and preferences. Nutrition education activities for older adults are widespread, but few have been evaluated. Evaluation is therefore also recommended, particularly when new methods are used. Tips from other countries for giving successful nutrition education will be given, including some examples of applications as attempted in Hong Kong. Research needs will also be described. In conclusion, successful nutrition education for older adults depends on positive needs-based messages. This is may be hard to do, as few good examples are available to illustrate these principles.

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A suggestion of the research direction for older adults' ICT use behaviors: SILC (노인 정보통신기술 사용 행태에 대한 연구방향 제시: SILC)

  • Lee, Woong-Kyu
    • The Journal of Information Systems
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    • v.22 no.3
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    • pp.59-75
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    • 2013
  • Although information communication technology (ICT) has been one of the most important infrastructures for our societies, it is still considered as a kind of black box having a barrier to be accepted and being not easily understood. Nevertheless, there are no proper research models or theories for explaining older adults' ICT uses. The objective of this study is to suggest a direction for studying older adults' ICT using behaviors. For this purpose, based on the review and analysis of current studies, main research issues are discussed and a new research framework for the research of older adults' ICT use, Silver ICT users Life Cycle(SILC), is suggested.

The Predictors of Subjective Well-Being among Older Adults (노인의 주관적 안녕감 예측요인)

  • Gong, Su-Ja;Kim, Hyun-Sook;Ha, Mi-OK
    • Korean Journal of Adult Nursing
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    • v.17 no.3
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    • pp.368-378
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    • 2005
  • Purpose: This study was to explore the predictors of subjective well-being of Korean older adults. Method: Data were collected through the structured interview using questionnaire with 199 older adults over 60 years. To identify the most effective predictor of the SWB, a stepwise regression analysis was conducted on each subscale of SWB measure. Results: The results showed that receiving support from family was the effective factor of life satisfaction. Receiving support from family, health, optimism, economy, positive reappraisal, and giving support to family were the effective factors of emotional well-being. Conclusion: This study found that family support was the most important predictor on SWB among Korean older adults.

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The effect of a physical activity on blood cholesterol in older adults (노인의 신체활동이 혈중지질에 미치는 영향)

  • Kim, Hyun-Sook;Um, Ki-Mai;Lim, In-Hyuk
    • Journal of Korean Physical Therapy Science
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    • v.13 no.3
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    • pp.7-14
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    • 2006
  • Despite well-known benefits of physical activity for older adults, most older adults remain significantly underactive. The purpose of this study was to examine the effects of a physical activity on blood cholesterol in older adults with an inclusive, choice-based physical activity promotion program to increase lifetime physical activity levels of seniors. A six-month comparison-group trial was conducted with 14 older adults(experimental group = 8, control group = 6) in community senior center. Changes in self-reported physical activity and blood cholesterol were evaluated using paired t-test. The intervention group increased estimated caloric expenditure by 858 calories/week in physical activities of any intensity (p=.050), total cholesterol(p=0.049), high density lipoprotein cholesterol(p=0.045). Control group changes were also negligible. The program led to meaningful physical activity increase. Individually tailored programs to encourage lifestyle changes in seniors may be effective and applicable to health care and community settings.

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