Purpose: This study examined the health status and physical therapy in elderly women in rural areas to provide basic data on the promotion of health and physical therapy management of elderly women in rural areas. Methods: The subjects were 110 elderly women. The data was collected through individual interviews, and the tool developed for this study was a structured questionnaire based on the literature. The reliability coefficient was 0.57 ~ 0.79(Chronbach' $\alpha$). Results: Village 1 made the most of an oriental medicine clinic and a neighborhood clinic, whereas village 2 mainly used a public health center. Arthritis/ neuralgia and high blood pressure/low blood pressure were the most common complaints in the two villages; a medical institution was used once a month by more than 50% of subjects. Most rural elderly women used physical therapy, and the prevalence of arthritis/neuralgia was high. The most common problem in the two villages was poor health. The improvement in mobility was higher in the more healthy women, who also had less need for treatment at a medical institution. Conclusion: Most rural elderly women were concerned about poor health and used physical therapy. Therefore, rural medical institutions need to pay attention to the medical service and preventive activity to reduce the incidence and severity of neuromuscular syndrome in rural elderly women.
The purpose of this study was to compare the nutritional status and the immunocompetence of elderly women residing in urban and rural areas. Dietary food records and anthropometric measurements were used to evaluate the nutritional status of subjects. The immune function of subjects was assessed by total and differential white blood cell(WBC) counts. Total B and T Lymphocytes, and T cell subsets were quantified by flow-cytometer. Immunoglobulin G, A, and M concentrations were also measured as an index of humoral immunity. Elderly women in rural area showed a relatively lower dietary intake of total energy, protein, and iron than did urban elderly women. Total WBC, neutrophil counts, eosinophil counts, and the percentage of neutrophils among total leukocytes were significantly higher in urban elderly women than in rural women. Although the numbers of lymphocytes were not significantly different, the percentage of Lymphocytes among total leukocytes as greater in rural elderly women than in urban. Both groups did not show any significant differences in numbers of T cell subsets and NK cells. Immunoglobulin G, A, and M levels were not significantly different between the two groups, but the numbers of subjects placed under the deficient range of immunoglobulins were greater in rural than in urban elderly women. from the present study, it could be suggested that poor nutritional intake may selectively affect the number of immune cells, thereby influencing the immunocompetence of elderly women. (Korean J Nutrition 31(7) 1174-1182, 1998)
Purpose: This study was aimed to compare health promotion behaviors and safety consciousness for elderly women living alone in rural areas and elderly women in group homes, and then provide information for the development of safety awareness programs for elderly. Methods: The participants were 120 elderly women living alone in rural areas aged 65 or older and 120 elderly women living in group homes. The data collection was conducted during November 2020, and the collected data used the SPSS/WIN 25.0 program to verify frequency, percentage, average, standard deviation, and independent t test. Results: There were significant differences of health promotion behaviors between elderly women living alone and elderly women in group homes (t=15.77, p<.001). In addition, there were significant differences of safety consciousness between elderly women living alone and elderly women in group homes (t=21.42, p<.001). Conclusion: Since the safety consciousness and health promotion behaviors of the elderly in group homes are significantly higher than that of the elderly living alone, various programs should be developed to improve the safety consciousness and health promotion behaviors in the elderly living alone. Based on local government' acts, continuous support and attention is needed that elderly women in group homes can maintain a healthy life.
Purpose: The objective of this study was to evaluate the effects of leisure programs over 8 weeks on elderly women 60 and over who lived in a rural area. Did the program affect feelings of depression and self-esteem? Method: The leisure programs in this study included rhythm gymnastics for elderly women, recreation, balloon art, paper folding, viewing movies, shuttle cock game, exhibition and evaluation activity. As a Quasi-Experimental study, the design of this study was a Nonequivalent Control Group Pretest-Posttest Design. Results: It was shown that leisure programs for elderly women for 8 weeks, consisting of rhythm gymnastics, self-introduction, hobby activities and recreation can reduce depression and enhance the feeling of self-esteem in elderly women in the rural area. Conclusion: It is concluded that public health centers in rural areas should conduct leisure programs during the farmers' slack season, and that the community halls for elders can contribute to improving the life quality of elderly women by being more affirmative and positive if they develop as healthy and active cultural centers where elderly women will want to come and participate.
The nutritional status of 362 elderly men and women in Chung-bud area was evaluated in terms of their nutrient intakes, biochemical and anthrophometric measurements by interviews with questionnaires from August to October 1996. Mean intake of all nutrients except ascorbic acid did not meet the RDA for this sample. Protein, vit A, reboflavin, calcium were the most likely to be deficient on the basis of propotions of elderly consuming less than 75% of the RDA. The subjects nutrient intake was significantly affected by gender, marital status, number of family, family composition, educational level, pocket money, and region. Men in rural areas and women over 75 in urban areas were the most vulnerable groups with nutritional deficiency. According to serum biochemical indices, mean level of cholesterol, triglycerides, LDL, total protein, albumin and iron belonged to normal range but mean level of HDL showed below the normal range. More elderly men and women in urban areas showed a higher percentage of abormal level of cholesterol, triglycerides, LDL and HDL than those in rural areas. More elderly men and women in rural areas had abnormal levels of RBC, Hematocrit and hemoglobin compared to those in urban areas. Mean height and weight of elderly men was 161.4cm and 56.2Kg, respectively and 149.1cm and 50.5kg for women. The elderly in rural areas were taller than those in urban areas but had less weight, MAC, TSF, MAMC. Mean BMI of this sample belonged to normal range. However, the elderly in rural areas had a higher rate of underweight and lower for overweight than those in urban areas. The elderly in urban areas had higher blood pressure than those in rural areas.
Purpose: This study was conducted to investigate the correlation between degrees of health promotion behaviors and life satisfaction and effects of health promotion behaviors on life satisfaction in rural elderly women living alone. Methods: A descriptive correlation study was conducted with 189 rural elderly women living alone aged 65 or older in four senior counties in Jeollanam-do. Descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation, and multiple regression. Results: The subjects' health promotion behaviors and life satisfaction were significantly positive. Among the factors influencing the subjects' life satisfaction, nutrition and diet showed the greatest positive effects, followed by exercise and activity, and drinking and smoking. Among them, drinking and smoking had significantly negative influence. Conclusion: Among the health promotion behaviors that influenced life satisfaction, nutrition and diet, exercise and activity, and drinking and smoking were most significant factors. Therefore, this study provided basic data for improving the life satisfaction among rural elderly women living alone.
The purpose of this study was to assess dietary habits and seasonal variation and diversity of food intakes of elderly women living alone as compared to those of elderly women living with family in a rural area. Forty nine elderly women living alone and forty one elderly women living with family who reside in Goryeong-gun, Gyeongbuk, were interviewed using questionnaires in summer 2005, and their food intakes were assessed secondly in winter and thirdly in spring 2006. The average ages were 74.7 years for elderly living alone and 72.8 years for elderly living with family. Tooth status and bone fracture experience were similar between the groups. The prevalence of musculoskeletal disease was 61.2% and that of circulatory disease was 32.7% of the subjects. Average of total score of mental depression of the subjects was 5.94 out of 12 points, and it was not significantly different between the two groups. Skipping meals was more frequent and mealtime was more irregular in the elderly women living alone as compared with the elderly women living with family. Consumption of dietary supplements was also less in the elderly women living alone. Food intakes by the elderly women living alone tended to be lower than those by the elderly women living with family. Dietary diversity score was significantly lower with the elderly women living alone as compared with the elderly women living with family only in summer (p < 0.01). Percentages of the subjects who have taken meat group and vegetable group were significantly lower in the elderly living alone compared with the elderly living with family during summer. Therefore, it is necessary to develop food assistance or supporting program suited for the season within a community for elderly women living alone.
This study was conducted to provide basic information on the nutritional status and health status of the rural elderly. The food intake, food habits and others health related factors were surveryed by interview method. The subjects was 200 people(71 male, 129 female) aged over 65 year in the Han-an area. The obtained results as follows; Their average age is 73.5$\pm$5.6. Mean height and weight of elderly men were 163 cm and 58.1 kg. respectively and 148.7 cm and 50.0 kg for women. The regularity appetite and frequency of eating snacks and eating out were higher in men than in women. The favorite snacks for men were alcohol fruit coffee and for women was fruit, candy, cookies and coffee. The daily alcohol drinking and smoking ration were 50.0%, 60.6% for men, respectively and 14.0%, 24.8 % for women. The nutritional intake ratio to RDA of men was significantly higher than women. Especially, the intakes of energy, Ca, Vit.A, Vit B$_1$, Vit B$_2$ niacin were extremely low in women. The frequency of alcohol intake was related to nutrient intake of women . There was a negative correlation between age. smoking rate and the nutritional intake. The pocket money, weight height appetite, and frequency of snacks showed a positive relation to nutritional intake. In conclusion the study shows that gender did influence food intake in the elderly, Food intake of women was extremely in deficit, because the most elderly rural women live alone. For successful aging. a program for rural elderly is needed on the govermment level, i.e actions to provide minimum economic life, food delivery and psychological/ physical health care through regional pubilc health centers.
In this study, nutrient intake status and energy expenditure were examined to investigate the nutritional status of the elderly in a rural community. The results obtained by questionaries, the 24 hour recall method, and time-diary were as follows: The elderly men surveyed were 73.8 years old, on the average. The elderly women surveyed were 73.5 years old, on the average. The proportion of the elderly with diseases was 51.9%. Most of the subjects (86.1%) had a regular meal pattern of consuming three meals a day. The average daily energy intake of the rural elderly was much lower than the Korean RDA. The dietary assessment data showed that each energy intake of the males and the females was 79.5% and 84.3% of the RDA, respectively. The dietary intake of Ca, Fe, niacin, thiamin, and riboflavin was lower than the Korean RDA, and that of P and Vitamin C was adequate. The Fe intake was significantly different with respect to age and sex (p < 0.05). Although, in both elderly men and elderly women it decreased with age, the elderly men's intake was lower than the elderly women's. The heights of the elderly men and the elderly women was 159.7 cm and 147.5 cm, respectively, and the weights were 60.0 kg and 52.2 kg, respectively, and the BMI was in the moderate range. Heights significantly decreased with age (p < 0.05). According to daily living schedules, leisure time (11.0 hour) was the longest, physiological time (9.6 hours) was next, and work time (3.4 hours) was the shortest. Energy expenditure significantly decreased with age (p < 0.01). Energy intake also decreased with aging. Energy balance (energy expenditure/energy intake) was 93.4% in elderly men and 104.0% in elderly women. Especially, in elderly men in the 65 to 74 age range, the energy balance was the lowest, and the nutrient intake was also much lower than that of elderly women.
Purpose: The strudy was done to determine the effect of an exercise program using the muscle strengthening flowchart on flexibility and hand strength and depression of rural elderly women. Methods: For 11 months, from January 9, to November 29, 2013, a survey was done of 37 voluntary participants who were elderly women living in rural areas. This study was a one group pretest-posttest Quasi-experimental research design to identify the effectiveness of self-directed programs. The Korean version of the depression measurement tool (Jo and Kim, 1993) was used. The collected data were analyzed using frequency, descriptive statistics, and paired t-test with SPSS /PC 17.0 program. Results: Comparison of before and after the self-directed program showed that flexibility (p <.001), left grip strength (p <.001), and right grip strength (p <.001) were significantly increased. Depression (p <.001) was significantly reduced. Conclusion: The results of the study show that the exercise program using the muscle strengthening flowchart resulted in of significant muscle strengthening and reduction in depression in rural elderly women. Future use of the muscle strengthening flowchart is recommended to provide long-term operational exercise programs.
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