독거노인의 연령에 따른 일상생활, 건강 수준 및 영양 관련 특성 비교: 2020년 노인실태조사 자료를 중심으로
Comparison of Daily Living Activities, Health Status and Nutritional-Related Characteristics of Older Adults Living Alone by Age: Based on Data from the 2020 National Survey of Living Conditions and Welfare Needs of Older Koreans
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
목적: 본 연구는 노인실태조사에 참여한 65세 이상 노인의 일상생활, 건강상태, 영양관련 특성을 연령별로 평가하는 것을 목적으로 한다. 방법: 본 연구는 노인실태조사에 참여한 65세 이상 노인의 자료를 분석하였다. 자료는 인구통계학적 특성, 동반질환, 체질량지수(BMI), 일상생활활동에 지원이 필요한 여부, 운동, 주관적 건강상태, 치매 선별을 위한 간이정신상태검사(MMSE-DS), 노인우울척도(SGDS-K) 등을 이용하여 수집하였다. 영양불량은 BMI < 18.5 kg/m²로 정의하였다. 결과: 총 3,136명의 대상자 중 1,488명은 연소노인, 1648명은 고령노인 으로 분류하였다. 고혈압, 일상생활의 불편함 정도, 일상생활 영위에 도움 필요성 여부, MMSE-DS, SGDS-K는 고령노인에서 연소노인보다 유의하게 높았다. 두 그룹 모두 교육 참여, 커뮤니티 센터 또는 복지 센터 이용은 낮았다. 영양불량 집단에서 인지 기능 및 우울증 점수의 분포가 95% 신뢰 구간 오차 막대가 더 높았다. 또한, 인지 기능이 정상이고 우울증이 없는 영양불량 집단은 월 소득, 운동 수행 능력 및 전자 기기 사용이 더 높았다. 결론: 혼자 사는 노인은 건강 행위 일상생활 활동 및 영양상태가 좋지 않으며 이는 노령층에서 더 취약하다. 따라서 취약한 독거노인을 정기적으로 모니터링하고 이들의 건강과 기능 상태를 개선하기 위한 적극적인 노력이 필요하다.
Abstract
Purpose: This study evaluates activities of daily living activities, health status, and nutritional-related characteristics of older adults living alone by age. Methods: This study analyzed data from aged 65 or older who participated in the National Survey of Living Conditions and Welfare. Data were collected on the following factors: demographic characteristics, comorbidities, body mass index (BMI), need for assistance with activities of daily living, exercise, subjective health status, Mini-Mental State Examination for Dementia Screening (MMSE-DS), and short form of Geriatric Depression Scale (SGDS-K). The definition of malnutrition is BMI <18.5 kg/m2. Results: A total of 3,136 participants were included, with 1,488 classified as younger older adults and 1,648 classified as older older adults. The prevalence of hypertension, difficulties in daily living, need for daily living assistance, MMSE-DS, and SGDS-K scores were significantly higher in the older older adults than in the younger older adults. Both groups had low levels of participation in education and use of community centers or welfare centers. The distribution of cognitive function decline and depression was high in the malnourished group. Furthermore, the malnourished group without cognitive decline or depression had higher monthly income, exercise performance, and use of electronic device. Conclusion: Older adults who live alone suffer from poor health behaviors, activities of daily living, and nutritional status, and the older adults are even more vulnerable. Therefore, monitoring of older adults living alone with poor living conditions is necessary, and intensive efforts are needed to improve their health and functional status.
참고문헌 (30)
- "Population projections for Korea (2060~2072)"[URL]
- Kojima G, "Is living alone a risk factor of frailty? A systematic review and meta-analysis", Aging Research Reviews, 59, pp.101048~ (2020)[DOI]
- Jung KH, "Facts on elderly living alone and coping strategies", Health･Welfare Issue & Focus, 300(2015-32), pp.1~8 (2015)
- Scherr PA, "Correlates of cognitive function in an elderly community population", American Journal of Epidemiology, 128(5), pp.1084~1101 (1988)
- Wattmo C, "Solitary living in Alzheimer’s disease over 3 years : Association between cognitive and functional impairment and community-based services", Clinical Interventions in Aging, 9, pp.1951~1962 (2014)[DOI]
- Kim IS, "A study on health-care for the solitude elderly people", Chung-Ang Journal of Nursing, 2(2), pp.37~59 (1998)
- Olin AO, "Nutritional status, well-being and functional ability in frail elderly service flat residents", European Journal of Clinical Nutrition, 59(2), pp.263~270 (2005)[DOI]
- Ahmed T, "Assessment and management of nutrition in older people and its importance to health", Clinical Interventions in Aging, 5, pp.207~216 (2010)
- Lee YM, "Nutritional status of Korean hospitalized patients : A multi-center preliminary survey", Journal of Clinical Nutrition, 6(2), pp.71~78 (2014)[DOI]
- Norman K, "Prognostic impact of diseaserelated malnutrition", Clinical Nutrition, 27(1), pp.5~15 (2008)[DOI]
- Lee HJ, "Effects of a nutrition support team with parenteral nutrition on gastrointestinal cancer patients who underwent surgery", Journal of Clinical Nutrition, 6(2), pp.79~86 (2014)
- WHO Expert Consultation, "Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies", Lancet, 363, pp.157~163 (2004)[DOI]
- "2017 The Korean elderly survey" (2018)[URL]
- Oh JH, "Comparison analysis of dietary behavior and nutrient intakes of the elderly according to their family status : Korea National Health and Nutrition Examination Survey 2013-2016", The Korean Society of Community Nutrition, 24(4), pp.309~320 (2019)[DOI]
- Lee SM, "Nutritional support in the intensive care unit of 6 Korean tertiary teaching hospitals : A national multicenter observational study", Korean Journal of Critical Care Medicine, 27(3), pp.157~164 (2012)[DOI]
- Li CL, "Combined effect of eating alone and a poor nutritional status on cognitive decline among older adults in Taiwan", Asia Pacific Journal of Clinical Nutrition, 27(3), pp.686~694 (2018)[DOI]
- Jeon J, "Effects of nutrient intake status on cognitive functioning among older adults living alone : The mediating effects of depression", Korean Journal of Gerontological Social Welfare, 78(3), pp.37~58 (2023)[DOI]
- Lee YH, "Factors influencing cognitive decline in living alone by the residence characteristics : A longitudinal study", Journal of Korean Gerontological Nursing, 25(2), pp.141~151 (2023)[DOI]
- Fukunaga R, "Living alone is associated with depression among the elderly in a rural community in Japan", Psychogeriatrics, 12(3), pp.179~185 (2012)
- Kim TH, "Korean version of mini mental status examination for dementia screening and its' short form", Psychiatry Investigation, 7(2), pp.102~108 (2010)
- Yesavage JA, "Development and validation of a geriatric depression screening scale : A preliminary report", Journal of Psychiatric Research, 17(1), pp.37~49 (1982)
- Lee JH, "The relationship of depression, self-esteem and health-promoting behaviors in the elderly women who live alone", Korean Academy of Psychiatric and Mental Health Nursing, 14(2), pp.109~118 (2005)[DOI]
- Wang Q, "Factors associated with health-related quality of life in community-dwelling elderly people in China", Geriatrics and Gerontology International, 20(5), pp.422~429 (2020)[DOI]
- Chang S, "The social network typology among elderly living alone in Busan, depression, and self-neglect", Korean Journal of Gerontological Social Welfare, 72(2), pp.245~273 (2017)[DOI]
- Lam WJ, "The effects of health literacy on medication compliance in the independent living : Mediating effect of e-health literacy : A crosssectional descriptive study", Journal of Korean Gerontological Nursing, 26(2), pp.180~190 (2024)[DOI]
- Lee MS, "Problems in nutritional intake of the Korean elderly and recommended meal pattern", Korean Journal of Gerontology, 9(1), pp.57~69 (1999)
- Chau D, "Individualizing recommendations for weight management in the elderly", Current Opinion in Clinical Nutrition and Metabolic Care, 11(1), pp.27~31 (2008)[DOI]
- Van As BAL, "The longitudinal association between loneliness and depressive symptoms in the elderly : A systematic review", International Psychogeriatrics, 34(7), pp.657~669 (2022)[DOI]
- Deutz NE, "Readmission and mortality in malnourished, older, hospitalized adults treated with a specialized oral nutritional supplement : A randomized clinical trial", Clinical Nutrition, 35(1), pp.18~26 (2016)[DOI]
- Song S, "A study on empathy experiences of welfare practitioners of single-household elderly support center", Korean Journal of Gerontological Social Welfare, 74(2), pp.61~85 (2019)[DOI]