• International Journal of Advanced Culture Technology
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• v.11 no.3
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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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• v.14 no.6
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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.

• The Journal of the Korea Contents Association
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• v.20 no.10
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• pp.326-337
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• 2020

The purpose of this study is to analyze the effect of social participation types on cognitive impairment degree(normal, mild, severe cognitive function) by urban and rural difference. The research was performed by multinomial logistic regression with the data of elderly 5,668 over 55 years of age from the sixth wave(2016) and the seventh wave(2018) of the Korean Longitudinal Study of Ageing. Results show that social participation reduces the risk of cognitive impairment on both urban and rural older adults regardless of types, but the types of social participation, which are effective to reduce the risk of cognitive impairment, are different between urban and rural area. According to residential area, types of social participation, which are effective to decline the risk of being mild or severe cognitive impairment and the risk of being severe cognitive impairment relative to mild, are different. These findings suggest that, in order to prevent cognitive impairment and reduce the severity, social participation is strongly recommended and appropriate supports are required. This implies policy and intervention efforts considering the urban and rural difference are needed.

• Proceedings of the Culinary Society of Korean Academy Conference
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• 2005.07a
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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.

• Proceedings of the Culinary Society of Korean Academy Conference
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• 2005.07a
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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.

• Journal of Digital Convergence
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• v.12 no.1
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• pp.501-510
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• 2014

Purpose: The purpose of this study was to compare urban-rural differences on influencing factors of health related quality of life(HRQoL) of the elderly in senior center. Methods: The subjects were 902 older adults (571 from urban areas, 331 from rural areas). Data were collected using a questionnaire from 20 July to 31 August, 2011. The SPSS/WIN program was used for data analysis. Results: For older adults of urban areas, the influencing factors of HRQoL were depression, age, subjective health, drinking, number of chronic disease, and smoking. On the other hand, the influencing factors of HRQoL of older adults of rural areas were depression, subjective health, number of chronic disease, and educational level. The significant factors of HRQoL were depression, subjective, and number of chronic disease in both urban and rural areas. Conclusion: Public health nurses should consider urban-rural differences when designing HRQoL enhancing program for the elderly in senior center.

• Korean Journal of Community Nutrition
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• v.26 no.6
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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.

• Journal of Environmental Science International
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• v.29 no.2
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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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• v.12 no.1
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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.

• Journal of the Korean Regional Science Association
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• v.31 no.3
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• pp.113-130
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• 2015

This study is to identify urban characteristics affecting obesity of elementary, middle and high school students. Most of previous studies in Korea discussed healthy city focusing on adults. We list up possible urban characteristic factors that are considered to affect adolescent obesity from previous studies, and then conduct regression analysis to find policy implications in urban planning. Based on the physical examination data of adolescent students in Seoul from the Ministry of Education, we set the rate of obese students by school as a dependent variable. Urban characteristic variables are set as explanatory variables, and measured by buffer analysis within 500m, 1000m and 1500m. The result of regression analysis shows that the obese rate of students increases with adults' lower education level, higher rate of non-apartment houses, older age of houses and more homogeneous land use. However, the result does not indicate that population density, accessibility to public transportation and the urban park are significant factors for adolescent obesity. Based on this result, urban planning policy for promoting adolescent health should be discussed further.