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A clinical study of ADL and health related Behaviors of elders Aged 65 or over in An urban Area (도시지역 노인의 ADL과 건강관리에 대한 임상적 연구)

  • Hur, Young-Gu
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.4 no.1
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    • pp.45-58
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    • 1998
  • This study was carried out to find out general characteristics and health-related behaviors of elders aged 65 or over and factors related to their activities of daily living. and thus to contribute to their health maintenance and promotion. The subjects were 200 elders who had resided at Tae Jean city, with males and females was scaled 1 : 3. To collect data for study, the field survey was conducted from March 20 to October 31, 1997 with questionaire. 1. 65.0% of the subjects were 65-75 years old, while 35.0% were 75 years old or over, 20.5% of them were illterate, 46.5% could read and write Korean. graduated from elementary school, and 11.5% middle school or higher level. 2. 28.5% of subjects perceived their current health status, 46.0% of men and 38.0% of women as fair, In genal elderly men perceived their health status better than elderly women. Among the subjects, 62.0% of men and 57.0% of women reported that they experienced one or more illnesses during the last year. 3. 76.0% of men and 33.0% of women were current smokers. 55.0% of current smokers. 55.0% of current make smokers smoked 11-12 cigarettes per day and 53.2% of current female smokers smoked less than 10 cigarettes per day. 4. 76.0% of men and 37.3% of women drank alchol currently. 5. 56.0% of men and 34.7% of women practiced regular exercise for their health maintenance and promotion. 6. In general, 38.5% of subjects needed other's assistance for doing one or more Activites such as doing heavy home work, Walking up and down stairs or walking half a mile. 7. Common disease of the subjects were hypertention, depenerative arthritis and diabetes mellitus in order.

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A clinical study of ADL and health related Behaviors of elders Aged 65 or over in Che-ju Area (제주지역 노인의 일상생활과 건강관리에 대한 임상적 연구)

  • Hur, Young Goo;Lee, Han Seok
    • Journal of Korean Physical Therapy Science
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    • v.24 no.1
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    • pp.38-48
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    • 2017
  • Background: This study was carried out to find out general characteristics and health-related behaviors of elders aged 65 or over and factors related to their activities of daily living, and thus to contribute to their health maintenance and promotion. The subjects were 200 elders who had resided at Cheju city, with males and females was scaled 1 : 3. Methods: To collect data for study, the field survey was conducted from March 20 to October 31, 2016 with questionaire. Results: This study are as follows; 65.0% of the subjects were 65-75 years old, while 35.0% were 75years old or over, 20.5% of them were illterate, 46.5% could read and write Korean, graduated from elementary school, and 11.5% middle school or higher level. 28.5% of subjects perceived their current health status, 46.0% of men and 38.0% of women as fair, In general elderly men perceived their health status better than elderly women. Among the subjects, 62.0% of men and 57.0% of women reported that they experienced one or more illnesses during the last year. 76.0% of men and 33.0% of women were current smokers. 55.0% of current smokers. 55.0% of current make smokers smoked 11-12 cigarettes per day and 53.2% of current female smokers smoked less than 10 cigarettes per day. 76.0% of men and 37.3% of women drank alchol currently. 56.0% of men and 34.7% of women practiced regular exercise for their health maintenance and promotion. In general, 38.5% of subjects needed other's assistance for doing one or more Activites such as doing heavy home work, Walking up and down stairs or walking half a mile. Common disease of the subjects were hypertention, depenerative arthritis and diabetes mellitus in order. Conclusion: This study ADL activity are significant effect.

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A Study on Health Related and Eating Related Behaviors by Self-Recognized Health Status (춘천시 일부 노인들의 건강자각정도에 따른 건강관련행동 및 식행동에 관한 연구)

  • 이혜숙;이정애;안수연;강금지
    • Korean Journal of Community Nutrition
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    • v.6 no.3
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    • pp.340-353
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    • 2001
  • The aim of this study was to investigate health-related and eating-related behaviors as part of self-recognized health status. The survey was conducted among 304 elderly people in Chunchon city in 1999. Fifty two percent(52%) of the respondents recognized they were healthy, 32% felt so-so and 16% thought themselves unhealthy. When they felt healthy, they engaged in more social work and regular exercise, had better appetites, lower conflict scores with their children, lower depression, higher satisfaction in life, better physical condition(eye, ear, tooth, mentality and walking), and higher ability of ADL(activities of daily living) and IAD(instrumental activities of daily living). Also, the self-recognized group consumed each food groups (meats, green, yellow and white vegetables, fruits, milks, seaweeds, beans) more often and showed a higher preference of food. The results of this study indicate that self-recognized health status affects every pattern of life among the elderly. As a result, comprehensive education(such as nutrition, health, physical and psychological education) should be offered to the elderly.

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Comparative Analysis, of Characteristics of Lumbago Among Teachers of Elementary and High Schools (${\cdot}$중등 교사들의 요통발생 특성에 관한 비교분석)

  • Chen Jae-Kyun;Kim Sang-Soo
    • The Journal of Korean Physical Therapy
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    • v.6 no.1
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    • pp.37-48
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    • 1994
  • In order to grasp the occupational add social characteristics of the onset of lumbago among elementary and high school teachers, 423 elementary and high school teachers were taken as subjects of study through questionaires. The following are the results of the study which were analyzed through data, conducted for one month in the City of Taegu, between Jun. 90, and Jul. 20 of 1993: 1. the incidence of lumbago of the entire teachers was $75.2\%$, with the elementary school teacher$(81.9\%)$ higher than high school teacher$(70.6\%)$. 2. In the relationship between the characteristics of job and lumbago. characteristics of teaching, monthly income, chores and satisfaction with job did not show significance, but weekly teaching hours, mental stress and the degree of comfort of chair reflected significantly(p<0.01). 3. In social relationship, personal nature, sleeping hours and place, smoking and drinking did not hold significance, but daily average walking hours, posture during sleep, general health conidition(p<0.01) and daily average riding hours and regular exercise(p<0.05) etc. showed significant relationships. 4. In the sistuation of lumbago of the teacher groups, no significant differences wee found in the cause of lumbago, duration of lumbago, sick leaves and recognigion of lumbago, but it was contrary in the treatment of lumbago(p<0.01). Based on the above results, lumbago is closely related to occupational and social factors, the prevention and treatment can be diversified based on occupation and environment. Consequently, regular educational program is considered imperative mainly on prevention of lumbago by putting aside time for such purpose.

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The Effects of Smart Program for Patients Who Underwent Percutaneous Coronary Intervention (SP-PCI) on Disease-Related Knowledge, Health Behavior, and Quality of Life: A Non-Randomized Controlled Trial (관상동맥중재술을 받은 환자를 위한 스마트 프로그램이 질병관련 지식, 건강행위와 삶의 질에 미치는 효과: 비무작위 대조군설계)

  • Lee, Jueun;Lee, Haejung
    • Journal of Korean Academy of Nursing
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    • v.47 no.6
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    • pp.756-769
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    • 2017
  • Purpose: To identify the effects of a smart program for the patients who underwent percutaneous coronary intervention (SP-PCI) on coronary disease-related knowledge, health behaviors, and quality of life. Methods: A nonequivalent control group with a non-synchronized design was utilized and 48 participants (experimental=22, control=26) were recruited from a university hospital in Gyeongsang area from May to December, 2016. The 12-week SP-PCI consisted of self-study of health information using smart phone applications (1/week), walking exercise (>5/week) using smart band, feedback using Kakao talk (2/week), and telephone counseling (1/week). Patients in the control group received usual care from their primary health care providers and a brief health education with basic self-management brochure after the PCI. Data were analyzed using the SPSS 21.0 program through descriptive statistics, $x^2$ test, and t-test. Results: After the 12-week SP-PCI, the experimental group showed higher levels of coronary disease-related knowledge (t=2.43, p=.019), heart-related health behaviors (t=5.96, p<.001), regular exercise (Z=-4.47, p<.001), and quality of life-MCS (t=3.04, p=.004) and showed lower levels of stress (Z=-3.53, p<.001) and sodium intake (t=-4.43, p<.001) than those in the control group. There were no significant group differences in medication adherence and food intake in total energy, lipids, and cholesterol. Conclusion: The suggested SP-PCI provided easy access and cost-effective intervention for patients after PCI and improved their knowledge of the disease, performance of health behaviors, and quality of life. Further study with a wider population is needed to evaluate the effects of SP-PCI on disease recurrence and quality of life for patients after PCI.

Treatment of Obese Women with Low Calorie Diet, Aerobic Exercise and Behavior Modificaiton (저열량균형식, 운동 및 행동수정에 의한 비만여성의 치료에 관한 연구)

  • 장경자
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.24 no.4
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    • pp.510-516
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    • 1995
  • A multidisciplinary weight control program was conducted for obese women. The major components of the program included low calorie diet therapy, exercise, behavior modification and nutritional education and counseling. Sixteen healthy volunteers in excess of body fat, above 30%, were enrolled in the group support program. But 5 person were dropped out in the 2nd week of treatment. During the 1st week of group orientation, individual cause of obesity was assessed through a computer program including survey of dietary intake, activity, eating habits and life styles. During the 5 weeks of treatment, 4.8kg of average weight loss was accomplished using a following program ; low calorie diet(1200kcal/day with all essential nutrients), low impact aerobic exercise(50~60% of $VO_{2max}$, 1 hour/day in a group, 3~5 days/week), behavior modification of individual life styles and eating habits causing obesity and nutritional education concerning nutrition, role of exercise such as brisk walking, importance of slow eating in regular meal pattern and internal motivation for weight reduction, health risk of obesity and rapid weight loss, weight recycling and yo-yo syndrome, etc. Nutritional conseling was conducted 3 times per week with checking self-records of foods, activity, emotional state and tiredness. Before and immediately after 5 weeks of treatment, blood pressure, fasting blood glucose, cholesterol and triglyceride were measured and comparied with paired t-test. After 5 weeks of treatment, body weight, body mass index, body fat and circumferences of waist, upper arm and hip were significantly decreased. Also LDL-cholesterol was significantly decreased after obesity treatment.

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A Review on Physical Activity for Health Care in the Era of COVID-19 (COVID-19 시대의 건강관리를 위한 신체활동 고찰)

  • Yoo, Jae-Hyun
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.2
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    • pp.149-157
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    • 2021
  • One year has passed since the pandemic of COVID-19, which occurred in Wuhan, China, in November 2019 began. Worldwide, as of January 2021, more than 95 million people have been infected, and the death toll is higher than 2 million. In Korea, there are 74,262 infected and 1,328 dead, and government policies such as social distancing to prevent infection are being implemented. Accordingly, many inconveniences occurred in the physical activity environment, such as the closure of various sports facilities. It was necessary to consider physical activities to maintain healthy life while cooperating with the national policy while preventing infection. This study investigated the benefits of physical activity to reduce the risk of trichomoniasis and diabetes, improve bone mineral density, prolong healthy lifespan, maintain activity performance with aging, and improve psychological anxiety and depression. In addition, the physiological changes that may occur in the situation of stopping exercise due to social distancing to prevent COVID-19 infection were reviewed. In addition, moderate-intensity exercise that helps strengthen immune function by activating natural killer cells, neutrophils, and antibody responses was investigated. In addition, it reduces the level and function of blood B-cells, T-cells, and natural killer cells for several hours, decreases phagocytosis of neutrophils in the nasal cavity, increases inflammatory cytokines, decreases immune function, and increases infection. High-intensity exercise was considered. Therefore, in the age of COVID-19, long-term high-intensity exercise such as marathon, which causes impaired immune function, should be refrained from. And you should do moderate-intensity regular aerobic exercise such as fast walking to help prevent infection. It is also recommended to participate in resistance exercises to prevent loss of muscle mass.

Investigation on Influencing Environmental Factors on Health Status of Korean Septuagenarians Dwelling in Longevity Region in Jeonla Province (전라도 농촌장수지역 거주 70대 노인의 건강상태에 영향을 미치는 환경적 요인에 대한 탐색 연구)

  • Kwak, Chung Shil;Yon, Miyong;Lee, Mee Sook;Oh, Se In;Park, Sang Chul
    • Korean Journal of Community Nutrition
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    • v.19 no.2
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    • pp.142-162
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    • 2014
  • Objectives: To evaluate the critical environmental factors on healthy-aging of Korean people, we investigated the significant factors influencing health status of septuagenarians living in rural area of Jeonla province, known to be one of the representative longevity regions in Korea. Methods: We divided subjects into healthy group (36M/25F) or poor-health group (26M/73F) based on self-reported health status, body mass index, a number of prescription, and blood test data. General characteristics, physical measurements, lifestyle, dietary behavior and nutrient intake, physical health and mental health data were statistically compared between the two groups. Results: Average age was not different between healthy group and poor-health group in men and women, respectively. In men, significantly favorable factors to health were observed to be higher education, regular exercise, higher grip strength and walking function, body mass index (${\geq}18.5kg/m^2$), moderate frequency of drinking and eating-out, non-smoking, normal red blood cell (RBC) count, higher serum dehydroepiandrosterone-sulfate (DHEAS) level, good digestive function and appetite, normal hearing function, regular meals, adequate vegetable and fruit intake, diverse food intake, adequate energy and nutrients (protein, vitamin $B_1$, $B_6$, C and E, folate, niacin, P, Zn and K) intake, higher mini-nutrient status assessment (MNA) score and low level of depression. On the other hand, in women, those were literacy, living arrangement, moderate frequency of drinking, healthy teeth, higher grip strength and walking function, bone mineral density, normal RBC and white blood cell (WBC) count, higher DHEAS concentration, higher MNA score, normal cognition and memory function, having snack and adequate fruit intake. Conclusions: These results could be useful to plan effective strategies to increase health-life expectancy of Korean old people living in rural areas.

The Relation between Bone Mineral Density and Lifestyle in College Students (일부 대학생의 골밀도와 생활습관간의 관련성)

  • Kang, Tae-Hun;Lee, Mu-Sik;Bae, Suk-Hwan;Kim, Yong-Kwon
    • Journal of radiological science and technology
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    • v.39 no.3
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    • pp.429-434
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    • 2016
  • This study was performed in order to identify the relation between bone nineral density and life styles of some of Korean colleage students. A total of 121 college students were assessed through bone mineral density test on femoral neck and lumbar spine using dual energy X-ray absorptiometry(DEXA). The survey about their lifestyles with a self-rating questionnaire, was conducted from September 2014 to November 2014. SPSS 18.0 Program was used for those research data analyses such as the frequency analysis, the cross analysis. The percentage of the osteoporisis, osteopenia and normal groups were 0.0%, 24.8% and 75.2%. BMI, Regular menstrual cycle, Walking and Regular exercise in adolescence were positively related with T-score. But Using time of electronic devices was negative related with T-score. It can be concluded that desirable life style in time of college students and adolescence is important for their bone health. The necessity of preparing guideline for preventing bone disease in old age connected with the school curriculum should be recognized to the public and educational authorities.

Factors Affecting to the Instrumental Ability of Daily Living(IADL) in the Urban Elderly (도시지역 노인들의 도구적 일상생활 수행능력(IADL)에 영향을 미치는 요인)

  • Lee in hak;Moon Seng ki;Kim kun joo;Park Jae-Young
    • The Journal of Korean Physical Therapy
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    • v.14 no.3
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    • pp.238-272
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    • 2002
  • This study was intended to find out the factors affecting to the IADL, allowing objective assessment of physical function status of increasing elderly populations. The subjects of 635 elderly persons aged over 65 years old who live in Taejon metropolitan city were interviewed during the two-month period from June to July of 2000. The IADL of Older American Resources and Services(OARS), developed in Duke medical college of USA, was interpreted for use. The study results were statistically processed using SPSSWIN(ver 10.0) and conferred the following results: 1. Among the seven items of IADL, the women showed higher rates of 'yes' in items about using the telephone, getting to the places out of walking distance, going shopping for groceries, taking their own medicine while outnumbered by the men only in the item about managing their own money, without significant differences between them in items about preparing their own meals and doing their own housework. 2. In terms of IADL scores, $82.0\%$ of subjects showed the normal range of scores and $18.0\%$ were under the normal range, meaning dysfunction IADL. Specifications of general characteristics revealed that more dysfunctional were the male subjects, the higher age groups who are more than 75 years old, the higher educated groups, the groups who live in nursing homes, the groups without a spouse. 3. Based on daily activities, lower scores of IADL were found in the subjects who don't go out, who don't have recreational activities, who don't attend elderly gatherings in their neighborhood, who don't hold social meetings. Specifications of psychological traits revealed that more dysfunctional were IADL in the subjects who don't feel satisfied with their lives of the past or the present, who have a deep feeling of isolation, and who don't have the will to live. 4. Among 7 items of health habits, only the subjects who don't regular exercise had lower scores of IADL than those who do. According to HPI, the lower HPI, the more dysfunctional. 5. Based on the factors associated with IADL, the odds ratio of the subjects who don't live together with their families were 1.53 times that of the ones who do, who are educated 3.22 times that of the ones who are not, who don't have spouses 2.09 times that of the ones who do, who don't go out 4.35 times that of the ones who frequently go out, who don't recreational activities for an interest 2.64 times that of the ones who do, who don't attend elderly gatherings in their neighborhood 1.47 times that of the ones who do, who don't hold social meetings 2.23 times that of the ones who do, who don't feel satisfied with their present living 1.43 times that of the ones who do, who have a feeling of isolation 1.53times that of the ones who don'1, who have the weak will to live 3.21 times that of the ones who have the strong one, and who don't regular exercise 2.45 times that of the ones who do. 6. Logistic regression analysis of the study results found that such factors are significantly related as the degree of education, with/without spouse, social meetings, the will to live, and regular exercise, and that higher rates of dysfunctional subjects were in the more educated group, in the group without spouse, in the group who don't frequently go out, who don't have social meetings, who have the weak will to live, and who don't exercise.

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