• 한국노년학
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• 제32권3호
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• pp.941-954
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• 2012

본 연구의 목적은 일 도시지역 저소득 노인을 75세 미만의 전기노인과 75세 이상의 후기노인으로 구분하여 우울 유병율과 관련요인을 확인하는 것이다. 본 연구의 대상자는 60세 이상 국민기초생활보장 수급자로 434명의 전기노인과 206명의 후기노인이다. Yesavage등이 개발한 한국판 노인우울척도(Geriatric Depression Scale)로 측정한 우울의 유병율은 전기노인이 53.9%인데 비해 후기노인이 63.2%로 더 높았다. 로지스틱 회귀분석 결과 전기노인은 주거상태가 자가인 노인에 비해 월세인 노인에서, 자가평가 건강상태가 건강한 노인에 비해 건강하지 못한 노인에서, 규칙적인 여가활동을 하는 노인에 비해 규칙적인 여가활동을 하지 못하는 노인에서, 규칙적인 식습관을 가진 노인에 비해 규칙적인 식습관을 갖지 못하는 노인에서 우울 유병율이 높았다. 이에 비해 후기노인은 사회적 지지가 낮을수록, 자가평가 건강상태가 건강한 노인에 비해 보통이거나 건강하지 못한 노인에서, 규칙적인 여가활동을 하는 노인에 비해 하지 못하는 노인에서 우울 유병율이 높았다. 본 연구에서 국민기초생활보장 수급 노인을 대상으로 우울 유병율과 관련요인이 전기노인과 후기노인 간에 차이가 있다는 것을 확인하였다. 본 연구의 결과가 저소득 노인의 우울을 관리하는데 있어 전기노인과 후기노인의 차이에 따라 차별화된 전략을 개발하기 위한 근거가 될 것으로 본다.

• Journal of Korean Biological Nursing Science
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• 제17권4호
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• pp.287-296
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• 2015

Purpose: The purpose of this study was to identify the influence of physical activity and depression on sleep quality among the young-old and old-old community-dwelling elderly. Methods: Participants were 216 community-dwelling older adults in Korea aged 65 or above. Data were collected using structured questionnaires with face-to-face interviews that included demographic and health-related characteristics, International Physical Activity Questionnaires (IPAQ), the Short Form Geriatric Depression Scale (SGDS) and the Pittsburgh Sleep Quality Index (PSQI). A hierarchical multiple regression was conducted to examine whether physical activity and depression would predict sleep quality under other controlled factors. Results: There were differences in demographic and health-related characteristics, physical activity, and depression by age groups, but not in sleep quality. In the young-old elderly, physical activity (${\beta}=-0.22$, p=.043) and depression (${\beta}=0.31$, p=.002) were significantly associated with sleep quality (F=4.46, p=.001, Adjusted $R^2=.16$). In the old-old elderly, physical activity (${\beta}=-0.29$, p=.001) and depression (${\beta}=0.41$, p<.001) were significantly associated with sleep quality (F=10.79, p<.001, Adjusted $R^2=.29$). Conclusion: These finding highlight physical activity and depression as important contributors to sleep quality in both young-old and old-old elderly.

• 한국사회복지학
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• 제58권2호
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• pp.197-222
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• 2006

본 연구는 노인의 범주를 60세 혹은 65세 이상으로 구분할 때 동질적이라고 보기 힘든 전기노인과 후기노인으로 구분하여 노인의 신체적, 심리적, 사회적, 경제적, 환경적인 요인들과 삶의 질의 차이 및 하위영역이 삶의 질에 미치는 영향력을 각각 조사하였으며, 전 후기여성노인의 삶의 질에 영향을 주는 요인들의 차이를 비교하였다. 연구대상은 대구, 경북지역의 노인 310명이며 전기, 우기노인들의 특성을 비교하기 위하여 t-test와 $X^2$검증을 사용하였다. 또한 각 변인들의 삶의 질에 미치는 영향을 조사하기 위하여는 위계적 다중회귀분석을 사용하였다. 연구결과에 의하면 전기, 후기노인 모두 배우자, 건강인지, 자긍심, 사회적 지지는 유의미하게 삶의 질에 긍정적인 영향을 주었으며 전기노인의 경우 역할수행은 삶의 질에 영향을 미치지 않았고 경제적 어려움은 삶의 질에 부정적인 영향을 주었다. 또한 사회참여는 긍정적인 영향을 주었다. 반면에 후기노인의 경우 역할수행은 삶의 질에 긍정적인 영향을, 사회참여는 삶의 질에 부정적인 영향을 미쳐 전기와 후기노인의 삶의 질 영향요인에 차이점을 나타내고 있다.

• 대한한의학회지
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• 제29권2호
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• pp.60-70
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• 2008

Objectives: The aim of the present investigation was to determine whether the finger photoplethysmography (PPG) of the young will become analogous to those of the old when the PPG harmonic components in the young decrease. Methods: The PPG was measured in 46 old men (21 males and 25 females) over the age of 60 years and 10 young men (5 males and 5 females). We acquired the representative pulse waveform of old men by averaging the PPG waveforms measured in the old men. after the PPG harmonic components in the young men were diminished with notch filtering, we compared the representative pulse waveform of old men and those of the young men. Results: The PPG waveform of the young males became analogous to the representative pulse waveform of the old as the PPG harmonic components in the young were diminished with notch filtering. Especially after the second harmonic component in the young was diminished with notch filtering, increase of the Pearson's correlation coefficient was prominent. On the other hand, the Pearson's correlation coefficient between the PPG waveforms of the young females and that of the old deceased after the second harmonic component diminished in the young. Conclusions: Decrease of the second harmonic component may be a precondition of typical age-related change of the pulse waveform in the healthy male.

• 대한인간공학회지
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• 제30권2호
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• pp.285-290
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• 2011

Due to the ageing-related degradation in physical and cognitive abilities, the elderly have difficulty in car driving and this is related to the high rate of car accidents among them. This study investigated the kinematic characteristics of old drivers' steering in right turning at intersections by comparing with young drivers. Thirteen old(60~70) and thirteen young(20~30) drivers who participated in the experiment turned their cars right side at intersections in a driving simulator. As results, the completion time of right turning at intersection of old drivers was larger than that of young drivers. The speeds of vehicle at the beginning and ending point of the right turning area of old drivers were smaller than those of young drivers, and also the steering angle at the ending point of the turning area of the former was smaller than that of the latter. The normalized jerk of old driver's steering was significantly larger than that of young drivers. These results indicate that old drivers modify their steering movement repeatedly and take the driving strategy of avoiding risks due to their reduced physical capabilities.

• 임상간호연구
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• 제27권1호
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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.

• 한국운동역학회지
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• 제15권3호
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• pp.51-59
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• 2005

To examine the influence of aging on the mechanism of muscle fatigue, we compared the magnitude of central and peripheral fatigue in young and old women before, during and after a sustained submaximaI isometric contraction of elbow flexor muscles. Twelve women (6 young. $20.7{\pm}1.2$ years and 6 old, $68.8{\pm}29$ years) performed a contraction at 20% of maximal voluntary contraction (MVC) torque with their non-dominant arm. The old women were weaker than the young women, however their endurance time for the 20% contraction was longer compared with the young women ($1822{\pm}444$ vs. $1061{\pm}678$ sec, P <. 05). Both groups had a similar reduction in voluntary activation ratio (VA) during and after the fatiguing contraction. However, the old women showed much greater variability in VA before and after the contraction ($91.61{\pm}4.54%$ and $76.70{\pm}19.55\;%$ range of $79{\sim}99$ to $87{\sim}99%$ respectively) compared with the young women ($95.71{\pm}1.86\;%$ and $83.46{\pm}7.57\;%$ range of $39{\sim}75$ to $69{\sim}90%$, respectively). Furthermore, the EMG activity of the elbow flexor muscles and triceps brachii was greater for the old women compared with the young women throughout the fatiguing contraction, indicating different activation strategies with age. Indices of peripheral fatigue including twitch properties, showed that fatigue within the muscle was more rapid for the young women compared with the old women. These results suggest that although old women are weaker than young women, they have greater endurance due to mechanisms within muscle. Furthermore, old women showed great variability in their ability to optimally activate all muscle fiber compared with young women for an isometric contraction.

• 가정과삶의질연구
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• 제35권1호
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• pp.1-16
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• 2017

Using data from the 2015 Korea Welfare Panel Study, we examined the predictors of psychological well-being (life satisfaction and depression) of single elderly people living alone across development stages (young-old, mid-old, and old-old) and suggested implications for elderly policy. For this purpose, we selected 1,364 elderly people who lived alone but preserved their family relationships, and were 65 years of age or older. Separate analyses were conducted for the three groups of single elderly people living alone. Overall, the psychological well-being of single elderly people living alone was higher than moderate level, and they were generally satisfied with their everyday lives and less depressed. However, there were group differences: the young-old group was more satisfied than the old-old group with in their everyday lives and less depressed than the mid-old and old-old groups. In the young-old group, life satisfaction was significantly associated with subjective health, non-physical conflict with family, disposal income, house ownership, dietary deficiency, cost of living, and public pension. In addition, depression was significantly associated with subjective health, non-physical conflict with family, dietary deficiency, and physical conflict with family. In the mid-old group, life satisfaction was significantly associated with subjective health, housing non-physical conflict with family, disposal income, and dietary deficiency. Depression was significantly associated with subjective health, housing deficiency. In the old-old group, life satisfaction was significantly associated with subjective health and non-physical conflict with family. Depression was significantly associated with subjective health. Therefore, 'health'and 'family'are important key concepts to consider when making elderly policy.

• 대한지역사회영양학회지
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• 제5권3호
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• pp.484-492
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• 2000

In an attempt to figure out the relationship between zinc status and taste acuity of old and young women, dietary zinc intake, urinary zinc excretion, and taste acuity were determined for 118 women. Zinc intake was measured by 2-day food records and food frequency method. Urinary zinc excretion was measured from urine samples collected for twenty four hours. Body fat, lean body mass (LBM), and total body water were measured by bio-impedence. Average dietary zinc intake by food record was 4.15$\pm$1.33mg (=35% if Korean RDA) for the old women and 5.41$\pm$2.76mg (=25% of RDA) for young women. When zinc intake was measured by a frequency method, the average intakes of the old and young women were 3.5$\pm$1.7mg 4.5$\pm$1.9mg, respectively. It appears that dietary zinc intake of young women was significantly higher than that of the old women. Average urinary zinc excretion of the subjects was 0.27$\pm$0.16mg in the elderly and 0.24$\pm$0.13mg in young women, which indicated a marginal zinc status. However, zinc status was not significantly different between old and young women. Correlation analysis indicated that zinc intake and urinary zinc excretion were positively related to BMI and LBM in young women. The old women (m=49) showed significantly higher taste detection thresholds than young subjects (n=47) for both sweet and salty tastes. Recognition thresholds for sodium chloride and sucrose were not significantly different between old and young women. The lower the taste thresholds for salty taste, the higher the average dietary zinc intake. However, taste perception concentration was not related to the urinary zinc excretion level.

• Journal of Nutrition and Health
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• 제52권1호
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• pp.104-117
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• 2019

본 연구에서는 제6기 (2013 ~ 2015년) 국민건강영양조사 자료를 이용하여 전기노인 (65 ~ 74세)과 후기노인 (75세 이상)의 식생활 및 건강 특성을 식품안정성에 따라 비교 분석하였다. 본 연구의 주요 결과를 요약하면 다음과 같다. 전체 노인의 식품불안정성 비율은 10.6%였고, 전기노인과 후기노인에서는 각각 10.0%, 11.6%로 나타났다. 전기노인과 후기노인에서 공통적으로 식품불안정군에서 식품안정군에 비해 에너지, 지방으로부터의 에너지섭취비율, 리보플라빈, 니아신의 섭취량이 유의적으로 낮았고, 탄수화물로부터의 에너지섭취비율은 식품불안정군에서 식품안정군보다 유의하게 높았다. 전기노인에서는 분석한 모든 영양소 (단백질, 비타민 A, 티아민, 리보플라빈, 니아신, 비타민 C, 칼슘, 인, 철)에 대하여 식품불안정군에서 식품안정군보다 부족하게 섭취하는 비율이 높았다. 반면 후기 노인에서는 단백질, 리보플라빈, 니아신, 인을 부족하게 섭취하는 비율이 식품불안정군에서 식품안정군보다 유의하게 높았으나 비타민 A, 티아민, 비타민 C, 칼슘, 철에서는 식품안정성에 따라 유의적인 차이가 없었고, 식품불안정군뿐 아니라 식품안정군에서도 영양소 섭취 부족자 비율이 높게 나타났다. 전기노인과 후기노인에서 공통적으로 식품불안정군에서 식품안정군보다 고기 생선 달걀 콩류와 과일류의 섭취 횟수가 유의적으로 낮았고, 전기노인에서는 곡류와 채소류, 후기노인에서는 유지 당류의 섭취 횟수에서도 식품안정성에 따라 유의적인 차이가 있었다. 전기노인과 후기노인 모두 식품불안정군에서 식품안정군에 비해 식사를 거르는 비율이 높은 경향을 보였다. 전기노인에서 아침, 점심, 저녁을, 후기노인에서는 아침과 저녁을 혼자서 식사하는 비율이 식품불안정군에서 식품안정군에 비해 유의적으로 높았다. 건강 특성에 대해서는 전기노인과 후기노인에서 공통적으로 식품불안정군에서 식품안정군에 비해 주관적 건강 상태가 '매우 나쁘다' 또는 '나쁘다'고 응답한 비율이 높았다. 또한 전기노인에서는 저작불편함을 느낀다고 응답한 비율이 식품불안정군에서 식품안정군보다 높게 나타났으나 후기노인에서는 식품안정성에 따른 유의적인 차이는 없었다. 결론적으로, 두 연령집단에서 식품안정성에 따른 식생활 및 건강 특성은 다른 양상을 보였다. 이러한 차이는 전기노인에서 후기노인보다 뚜렷하게 나타났다. 따라서 향후 노인 대상 식품 및 영양지원 프로그램 설계 시 노인을 연령별로 세분화하고 식품안정성에 따라 다르게 나타난 양상을 고려할 필요가 있겠다.