• International Journal of Advanced Culture Technology
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• 제11권3호
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• pp.131-141
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• 2023

This study aimed to identify the determinants of physical frailty among the old-old adults in rural Korean communities. A total of 191 individuals aged 75 and older were included in the study, with the majority being female. Participants were classified into healthy (n=47), pre-frail (n=54), and frail (n=90) groups. Significant differences were found across these groups in terms of age, gender, education level, depression, and nutritional status. Multiple logistic regression analysis revealed that age (OR=1.16), depression (OR=0.21), malnourishment (OR=10.85), and short physical performance ability (OR=0.70) were significant predictors of physical frailty. These findings underscore the multifaceted nature of physical frailty among old-old adults in urban-rural complex communities and highlight the need for comprehensive and integrated interventions. Such interventions should consider not only physical factors but also broader health conditions and socio-demographic influences impacting the elderly. Further research is needed to develop and evaluate interventions that address these determinants and promote health equity among the elderly population in urban-rural complex communities

• Nutrition Research and Practice
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• 제14권6호
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• pp.679-690
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• 2020

BACKGROUND/OBJECTIVES: Concerns about regional disparities in heathy eating and nutritional status among South Korean adults are increasing. This study aims to identify the magnitude of regional disparities in diet and nutritional status among Korean adults who completed the 2017 Korea National Health and Nutrition Examination Survey (KNHANES). SUBJECTS/METHODS: The participants were a nationally representative sample of Korean adults aged 19 years and older from the 2017 KNHANES (n = 6,126). We employed the svy commands in STATA to accommodate the complex survey design. The relative concentration index (RCI), absolute concentration index (ACI) and index of disparity were used to measure regional nutritional inequalities. RESULTS: Overweight and obese adults were more prevalent among the poor than among the rich in urban areas (RCI = -0.041; P < 0.05), while overweight and obese adults were more prevalent among the rich than among the poor in rural areas of South Korea (RCI = 0.084; P < 0.05). Economic inequality in fruit and vegetable intake ≥ 500 g per day was greater in rural areas than in urban areas in both relative size (RCI = 0.228 vs. 0.091, difference in equality = 0.137; P < 0.05) and absolute size (ACI = 0.055 vs. 0.023, difference in equality = 0.032; P < 0.05). CONCLUSIONS: This study provides useful information identifying opposite directions in the relative concentration curves between urban and rural areas. Adult overweight/obesity was more prevalent among the poor in urban areas, while adult overweight/obesity was more prevalent among the rich in rural areas. Public health nutrition systems should be implemented to identify nutritional inequalities that should be targeted across regions in South Korea.

• 한국콘텐츠학회논문지
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• 제20권10호
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• pp.326-337
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• 2020

본 연구의 목적은 도시 고령자와 농촌 고령자의 사회참여활동 유형이 인지기능 손상 정도(정상, 경증 인지기능저하, 중증 치매 의심)에 미치는 영향을 분석하는 것이다. 연구목적을 위해 6차(2016년)와 7차(2018년) 고령화 연구패널 조사 데이터 중 55세 이상 고령자 5,668명의 자료를 사용하여 다항 로지스틱 회귀분석을 하였다. 분석결과는 어떤 유형이든지 사회참여활동 하는 것이 인지기능 장애 위험을 줄여준다는 것은 도시와 농촌 둘 다 일관되게 유의하였으나, 도움이 되는 사회참여활동 유형이 도시와 농촌 간 차이가 있었다. 즉, 도시와 농촌에 사는지에 따라 정상군에서 인지기능저하 또는 치매 의심이 될 위험을 낮추는 데 도움이 되는 사회참여 활동 유형과 인지기능저하에서 치매 의심이 될 위험을 낮추는 데 유의한 유형이 달랐다. 따라서 인지기능 장애를 예방하고 치매 중증도를 완화하는 데 사회참여활동을 적극적으로 권장돼야 하며 적절한 지원이 필요하다는 것을 보여준다. 그리고 도시와 농촌의 차이를 고려한 정책과 개입이 요구됨을 함의한다.

• 한국조리학회:학술대회논문집
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• 한국조리학회 2005년도 제7차 하계 해외연수 및 국제학술대회
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• pp.73-90
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• 2005

Korean adults have dietary habits of eating full three meals a day: breakfast, lunch and dinner evenly. The latest survey showed that people who have dinner most was 61.8%, and who have lunch most was 30.8% and then breakfast most was 7.4%. The Korean Nutrition Association suggests that daily required amount of salt intake is 3,450 mg (8.7 g). But the daily amount of salt intake of Korean people is 15 ${\sim} 20 g which surpasses the required amount. needed with 15 ~20g a day, which is usually formed before the age 6 as a dietary habit. When Koreans eat out, they choose Korean food(80.5%), Chinese food(7.0%), Western food(4.5%), fast food(4.8%), etc.(3.1%). The monthly frequency of the urban adults' eating out indicated 32.6% 'seldom', 41.1% 'less than 5 times monthly', 15.6% '5-10 times', 10.8% 'more than 10 times'. Most of them responded less than 5 times a month for eating out. If we look into dietary habits of the urban adults, the monthly eating out frequency of the respondents, was 73.6% of eating out by less than 5 times a month and was 74.9% of the respondents dine regularly.

• 한국조리학회:학술대회논문집
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• 한국조리학회 2005년도 제7차 하계 해외연수 및 국제학술대회
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• pp.55-71
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• 2005

Korean adults have dietary habits of eating full three meals a day: breakfast, lunch and dinner evenly. The latest survey showed that people who have dinner most was 61.8%, and who have lunch most was 30.8% and then breakfast most was 7.4%. The Korean Nutrition Association suggests that daily required amount of salt intake is 3,450 mg (8.7 g). But the daily amount of salt intake of Korean people is 15 ~ 20 g which surpasses the required amount. needed with 15 ~20g a day, which is usually formed before the age 6 as a dietary habit. When Koreans eat out, they choose Korean food(80.5%), Chinese food(7.0%), Western food(4.5%), fast food(4.8%), etc.(3.1%). The monthly frequency of the urban adults' eating out indicated 32.6% 'seldom', 41.1% 'less than 5 times monthly', 15.6% '5-10 times', 10.8% 'more than 10 times'. Most of them responded less than 5 times a month for eating out. If we look into dietary habits of the urban adults, the monthly eating out frequency of the respondents, was 73.6% of eating out by less than 5 times a month and was 74.9% of the respondents dine regularly.

• 디지털융복합연구
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• 제12권1호
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• pp.501-510
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• 2014

본 연구의 목적은 경로당을 이용하는 65세 이상 노인을 대상으로 건강관련 삶의 질 정도와 이에 영향을 미치는 요인을 도시와 농촌의 지역별로 비교분석하는 것이다. 조사 대상은 902명(도시: 571명, 농촌: 331명)의 노인으로 구성하였다. 2011년 7월 20일부터 8월 31일까지 자료를 수집하였고, SPSS/WIN 21.0을 이용하여 분석하였다. 연구결과는 도시 경로당 이용 노인의 건강관련 삶의 질이 농촌에 비해 유의하게 낮았고, 도시와 농촌에 따라 건강관련 삶의 질의 영향요인에 차이가 있었다. 도시의 경우는 우울, 연령, 주관적 건강상태, 음주, 만성질환 수, 흡연이 영향요인이었고, 농촌의 경우는 우울, 주관적 건강상태, 만성질환 수, 교육수준이 영향요인이었다. 결론적으로 도시와 농촌 모두 우울과 주관적 건강상태, 만성질환 수는 노인의 건강관련 삶의 질에 주 영향요인임을 확인할 수 있었으며, 도 농간 건강관련 삶의 질의 영향요인에 차이가 있었으므로 경로당 이용 노인의 건강관련 삶의 질 향상 프로그램을 개발하는데 이러한 지역별 차이를 고려되어야 할 것이다.

• 대한지역사회영양학회지
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• 제26권6호
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• pp.441-454
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• 2021

Objectives: This study investigated the association between the frequency and pattern of eating alone and the mental health status according to region in Korean adults. Methods: The data of 10,040 Korean adults aged ≥ 19 years from the Korea National Health and Nutrition Examination Survey (KNHANES) 2017 and 2019 were used. Participants were divided into 4 groups based on their frequency of eating alone: none (all meals together), 1, 2, and 3 meals/day alone. The regions were divided into urban and rural areas. Mental health status was assessed by stress recognition, depressive symptoms, and suicidal ideation. Multivariable logistic regressions were conducted to estimate the adjusted odds ratios (AORs) with 95% confidence intervals (CIs) on the association of the frequency and pattern of eating alone with poor mental health after controlling for covariates. Results: Among Korean adults, 74.1% ate more than one meal a day alone. Individuals having 3 meals a day alone tended to be less educated, single, single person households, or living in urban areas (all P < 0.05). In rural areas, those having 3 meals/day alone had higher odds of stress recognition (AOR: 1.55, 95% CI: 1.02-2.35) than those having all meals together. In urban areas, individuals eating alone 3 times/day had higher odds of stress recognition (AOR: 1.60, 95% CI: 1.31-1.96), depressive symptoms (AOR: 1.61, 95% CI: 1.23-2.12), and suicidal ideation (AOR: 2.14, 95% CI: 1.42-3.22) compared to those having all meals together. Urban residents having dinner alone had higher odds of depressive symptoms (AOR: 1.29, 95% CI: 1.05-1.58) and suicidal ideation (AOR: 1.66, 95% CI: 1.19-2.33) than those having dinner with others. Conclusions: Our findings showed that the frequency and patterns of eating alone were differentially associated with increased odds of poor mental health according to region of residence. Nutrition education is needed for those frequently eating alone, particularly those living in urban areas, to highlight the advantages of eating together and to ensure that they have balanced and healthy meals even if they eat alone.

• 한국환경과학회지
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• 제29권2호
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• pp.145-154
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• 2020

The purpose of this study is to examine the differences of use behavior and environmental perception of a park and to analyze the influence of environmental perception factors on park satisfaction among 7 parks in Suseong-gu, Daegu. The data from the 255 questionnaires of young adults (30-59) and old adults (more than 60) who use the park more than once a week were used for the analysis. In terms of park use behavior, young adults used the park for walking and jogging mainly on weekday evenings, while old adults used the park for walking and rest mainly during weekday daytimes. In addition, old adults used the park more times a week than young adults, and spent more time in the park. In the analysis of the environmental perception of the park, similar results were found in both age groups but overall, old adults were more satisfied with the park environment than the young adults. As a result of analyzing the influence of environmental perception factors, it was determined that park satisfaction in young adults has a significant influence on 'use amenity', 'use convenience', 'facility suitability', and 'landscape diversity' in this order. On the other hand, park satisfaction for old adults has an influence on 'use amenity', 'facility suitability', and 'use convenience' in this order. The findings of this study can be used as an effective basic data for future park planning considering age groups.

• Physical Therapy Rehabilitation Science
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• 제12권1호
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• pp.72-79
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• 2023

Objective: Despite known associations between negative body image and health declines in chronic pain patients, few studies have examined longitudinal associations between psychological stress and perceived hand deformities. This study examined whether psychological distress was associated with hand deformities 4 years later and if rural and urban adults differed in the association. Design: A community-based cohort study. Methods: Community dwelling adults (mean age=51.97, 52.3% women) in a rural (n=2968) and urban area (n=2784) provided demographic data at baseline and, in the 4-year follow-up, responded to questionnaires about psychological distress. Perceived hand deformities were assessed at the 8-year follow-up. Linear regression was conducted to examine the effects of psychological distress on hand deformities and moderation by residential areas. Results: The perceived hand deformities were more likely among those with severe psychological stress, hand osteoarthritis, or any chronic disease condition (p<0.01) but less likely among those with younger age, higher education, or income (p<0.01). The regression results showed that psychological distress predicted more perceived hand deformities 4 years later even after adjusting for demographic and health covariates (p<0.01). The residential areas did not significantly moderate the association between distress and hand deformities. Conclusions: This study suggected that psychological distress may trigger later perception of hand deformities in both urband and rural adults. The findings indicate that stress management interventions that are customizable to regional contexts may be effective at preventing negative body image related health problems of community-dewelling adults.

• 지역연구
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• 제31권3호
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• pp.113-130
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• 2015

성인을 중심으로 건강도시를 논의한 기존 연구와 달리, 본 연구는 청소년 비만에 영향을 미치는 도시 특성을 규명하고자 했다. 도시특성이 청소년 비만에 영향을 미치는 기제(mechanism)에 대한 엄격한 의학적 이론이 드물기 때문에 본 연구는 선행연구 검토를 통해 청소년 비만에 영향을 미칠 것으로 판단되는 도시특성을 도출하고, 이를 토대로 회귀분석을 했다. 교육부의 학생 신체검사 자료를 이용하여 서울 시내 각 학교별 비만학생 비율을 종속변수로 설정했다. 선행연구를 통해 파악한 도시특성을 각 학교를 중심으로 하는 일정 반경(500m, 1000m, 1500m) 내에서 버퍼분석(buffer analysis)으로 측정한 뒤, 독립변수로 설정했다. 회귀분석한 결과, 성인교육수준이 낮을수록, 단독 연립 다세대 다가구 주택이 많을수록, 노후 주택이 많을수록, 토지이용혼합도가 낮을수록 비만청소년이 많았다. 인구밀도, 대중교통 접근성, 도시공원 등은 유의하지 않았다. 이러한 결과를 토대로 청소년 비만율을 낮추거나 관리하기 위한 도시계획 방안이 앞으로 더욱 논의되어야 할 것으로 보인다.