Predicting Healthy Lifestyle Patterns in Older Community Dwelling Adults: A Latent Profile Analysis
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Objective : The aim of this study was to identify subgroups of older adults with respect to their lifestyle patterns and examine the characteristics of each subgroup in order to provide a basic evidence for improving the health and quality of life. Methods : This cross-sectional study was conducted in South Korea. Community-dwelling older adults (n=184) above the age of 65 years were surveyed from April 2019 to May 2019. This study used latent profile analysis to examine the subgroups. Chi-squared (χ 2) and multinomial logistic regression measures were then used to analyze individual characteristics and influencing factors. Results : The pattern of physical activity which is one of the lifestyle domains in elderly was categorized into three types: ‘passive exercise type (31.1%)’, ‘low intensity exercise type (54.5%)’, and ‘balanced exercise type(14.5%)’. Activity participation was divided into three patterns: ‘inactive type (12%)’, ‘self-management type (61%)’, and ‘balanced activity participation type (27%)’. In terms of nutrition, there were only two groups: ‘overall malnutrition type (13.5%)’ and ‘balanced nutrition type (86.5%)’. Furthermore, as a result of the multinomial logistic regression analysis to understand the effects of lifestyle types on the health and quality of life of the elderly, it was confirmed that the health and quality of life were higher in those following an active and balanced lifestyle. In addition, gender, education level and residential area were analyzed as predictive factors. Conclusion : The health and quality of life of the elderly can be improved when they have balanced lifestyle. Therefore, an empirical and policy intervention strategy should be developed and implemented to enhance the health and quality of life of the elderly.
Abstract
Objective : The aim of this study was to identify subgroups of older adults with respect to their lifestyle patterns and examine the characteristics of each subgroup in order to provide a basic evidence for improving the health and quality of life. Methods : This cross-sectional study was conducted in South Korea. Community-dwelling older adults (n=184) above the age of 65 years were surveyed from April 2019 to May 2019. This study used latent profile analysis to examine the subgroups. Chi-squared (χ 2) and multinomial logistic regression measures were then used to analyze individual characteristics and influencing factors. Results : The pattern of physical activity which is one of the lifestyle domains in elderly was categorized into three types: ‘passive exercise type (31.1%)’, ‘low intensity exercise type (54.5%)’, and ‘balanced exercise type(14.5%)’. Activity participation was divided into three patterns: ‘inactive type (12%)’, ‘self-management type (61%)’, and ‘balanced activity participation type (27%)’. In terms of nutrition, there were only two groups: ‘overall malnutrition type (13.5%)’ and ‘balanced nutrition type (86.5%)’. Furthermore, as a result of the multinomial logistic regression analysis to understand the effects of lifestyle types on the health and quality of life of the elderly, it was confirmed that the health and quality of life were higher in those following an active and balanced lifestyle. In addition, gender, education level and residential area were analyzed as predictive factors. Conclusion : The health and quality of life of the elderly can be improved when they have balanced lifestyle. Therefore, an empirical and policy intervention strategy should be developed and implemented to enhance the health and quality of life of the elderly.
참고문헌 (48)
- 방요순, "지역사회 노인의 신체활동 참여와 우울 및 신체 기능과의 관계", 한국콘텐츠학회 논문지, 9(10), pp.227~237 (2009), 한국콘텐츠학회
- Bartos, R., "Over 49-the invisible consumer market", Harvard Business Review, 58(1), pp.140~148 (1980)
- Celeux, G., "An entropy criterion for assessing the number of clusters in a mixture model", Journal of Classification, 13(2), pp.195~212 (1996)[DOI]
- 정민재, "노인 대상 영양지수 개발 : 평가항목 선정과 구성 타당도 검증", Journal of Nutrition and Health, 51(1), pp.87~102 (2018), 한국영양학회[DOI]
- Clark, F., "Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people : Results of the well elderly 2 randomised controlled trial", Journal of Epidemiology and Community Health, 66(9), pp.782~790 (2012)[DOI]
- Collins, L. M., "Goodness-of-fit testing for latent class models", Multivariate Behavioral Research, 28(3), pp.375~389 (1993)[DOI]
- Engel, J. F., "Consumer behavior" (1982), The Dryden Press
- Ferrari, P., "The role of measurement error in estimating levels of physical activity", American Journal of Epidemiology, 166(7), pp.832~840 (2007)[DOI]
- Ferreira, L. K., "Evaluation of lifestyle and quality of life in the elderly : A literature review", Revista Brasileira de Geriatria e Gerontologia, 21(5), pp.616~627 (2015)[DOI]
- Godwin, M., "Testing the simple lifestyle indicator questionnaire : Initial psychometric study", Canadian Family Physician, 54(1), pp.76~77 (2008)
- Hu, F. B., "Preventing chronic diseases by promoting healthy diet and lifestyle : Public policy implications for China", Obesity Reviews, 12(7), pp.552~559 (2011)[DOI]
- 허준수, "노인들의 사회참여활동 유형별 결정요인에 관한 연구", 노인복지연구, (64), pp.235~263 (2014), 한국노인복지학회[DOI]
- Jackson, J. M., "Lifestyle redesign: Implementing the well elderly program" (1999), AOTA Inc
- Jedidi, K., "A maximum likelihood method for latent class regression involving a censored dependent variable", Psychometrika, 58(3), pp.375~394 (1993)[DOI]
- 전형상, "노인의 라이프스타일 및 삶의 질 문헌탐색 연구", 한국체육과학회지, 25(4), pp.135~149 (2016), 한국체육과학회
- 전형상, "척도 재구성을 통한 노인의 라이프스타일 연구", 한국체육과학회지, 26(4), pp.193~206 (2017), 한국체육과학회[DOI]
- 지병태, "노인들의 라이프스타일에 따른 건강운동 효과 분석", 보건교육건강증진학회지, 27(2), pp.69~78 (2010), 한국보건교육건강증진학회
- Kang, E. N., "Current state and challenges of senior employment programs", Health and Welfare Policy Forum, 2017(9), pp.28~39 (2017)
- 강은나, "시설거주노인의 사회적 네트워크 유형에 관한 탐색적 연구: 노인요양시설 외부 관계자원을 중심으로", 보건사회연구, 34(2), pp.133~160 (2014), 한국보건사회연구원[DOI]
- 김기랑, "한국인의 생애 주기별 교육 수준에 따른 영양 상태와 식품 불충분성-2005년도 국민건강영양조사 자료를 이용하여", Journal of Nutrition and Health, 41(7), pp.667~681 (2008), 한국영양학회
- 김미옥, "잠재프로파일 분석(LPA)을 통한 청소년의 직업선택 요인 유형과 삶의 만족도와의 관계", 청소년학연구, 25(12), pp.85~107 (2018), 한국청소년학회[DOI]
- 김사현, "잠재집단분석방법을 통한 서울시민의 복지태도 연구", 사회복지정책, 37(2), pp.95~121 (2010), 한국사회복지정책학회
- 김선숙, "일 고급형 실버타운 거주 노인의 건강증진행위 실천 유형별 관련변인 탐색", 한국노년학, 32(1), pp.51~66 (2012), 한국노년학회
- 이해정, "세계보건기구 기능제약평가목록 2.0: 12항목-버전의 한글도구 개발과 신뢰도 검사", 대한물리의학회지, 6(4), pp.475~481 (2011), 대한물리의학회
- 이영희, "지역사회 노인의 신체활동도와 낙상 두려움, 우울, 신체기능", 성인간호학회지, 23(4), pp.351~362 (2011), 한국성인간호학회
- Lo, Y., "Testing the number of components in a normal mixture", Biometrika, 88(3), pp.767~778 (2001)[DOI]
- Magidson, J., "Latent class models for clustering : A comparison with K-means", Canadian Journal of Marketing Research, 20(1), pp.37~44 (2002)
- "Living profiles of older people survey in Korea" (2017)[URL]
- Min, S. K., "Development of the Korean version of WHO quality of life scale and WHOQOL-BREF", Quality of Life Research, 11(6), pp.593~600 (2002)[DOI]
- Mooney, S. J., "Patterns of physical activity among older adults in New York city", American Journal of Preventive Medicine, 49(3), pp.13~22 (2015)[DOI]
- 문성미, "우리나라 성인의 건강행태군집 유형과 관련요인", 디지털융복합연구, 12(8), pp.397~410 (2014), 한국디지털정책학회[DOI]
- Neugarten, B. L., "Middle age and aging" (1968), University of Chicago Press
- Nylund, K. L., "Deciding on the number of classes in latent class analysis and growth mixture modeling : A Monte Carlo simulation study", Structural Equation Modeling, 14(4), pp.535~569 (2007)[DOI]
- Ovrum, A., "Socioeconomic status and lifestyle choices : Evidence from latent class analysis", Health Economics, 20(8), pp.971~984 (2011)[DOI]
- 박강현, "건강과 삶의 질에 영향을 미치는 지역사회 고령자의라이프스타일 구성요소에 관한 사전연구: 델파이 조사", 대한작업치료학회지, 27(3), pp.105~120 (2019), 대한작업치료학회[DOI]
- 박강현, "구조방정식 모형을 이용한 고령자의 기능 수준, 환경적 요인 및 라이프스타일이 건강과 삶의 질에 미치는 융합적인 영향 분석", 한국융합학회논문지, 10(12), pp.377~386 (2019), 한국융합학회[DOI]
- 박강현, "지역사회 거주 고령자의 라이프스타일 측정도구에 관한 조사: 경향과 활용전망", 재활치료과학, 8(3), pp.7~29 (2019), 대한신경계작업치료학회
- Richardson, M. T., "Validation of the Stanford 7-day recall to assess habitual physical activity", Annals of Epidemiology, 11(2), pp.145~153 (2001)[DOI]
- Roley, S. S., "Occupational therapy practice framework : Domain &process 2nd edition", The American Journal of Occupational Therapy, 62(6), pp.625~683 (2008)[DOI]
- Roth, P. L., "A Monte Carlo analysis of missing data techniques in an HRM setting", Journal of Management, 21(5), pp.1003~1023 (1995)[DOI]
- 서영미, "노인의 신체활동 수준별 신체활동 예측요인", 한국융합학회논문지, 7(6), pp.151~160 (2016), 한국융합학회[DOI]
- Sodergren, M., "Predicting healthy lifestyle patterns among retirement age older adults in the WELL study : A latent class analysis of sex differences", Maturitas, 77(1), pp.41~46 (2014)[DOI]
- Song, M. O., "Occupational therapy students perceive research on image", Journal of The Korean Society of Integrative Medicine, 1(3), pp.97~109 (2013)[DOI]
- Switzer III, F. S., "Systematic data loss in HRM settings : A Monte Carlo analysis", Journal of Management, 24(6), pp.763~779 (1998)[DOI]
- WANG LIN, "노인의 건강 및 안전문제에 대한 빅데이터 분석", 한국콘텐츠학회 논문지, 19(4), pp.336~344 (2019), 한국콘텐츠학회[DOI]
- World Health Organization, "International Classification of Functioning, Disability and Health:ICF" (2000), World Health Organization
- "Noncommunicable disease" (2015)[URL]
- Zanjani, S., "Determinants of healthy lifestyle and its related factors among elderly people", Journal of Education Health Promotion, 4, pp.1~5 (2015)[DOI]
