연령과 성별이 한국 노인의 신체 기능과 삶의 질에 미치는 영향
The Effect of Age and Gender in Physical Function and Quality of Life in Korean Elderly: The Korean Longitudinal Study on Health and Aging
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Abstract
Objective: To investigate the physical function of Korean elderly by age and gender and to assess the impact of declined physical function on their quality of life. Method: The Korean Longitudinal Study on Health and Aging (KLoSHA) is designed as a populationbased prospective cohort study on health and aging of Korean elderly aged 65 years and over. In one city among the central metropolitan area for one year, 1,000 subjects includeing a simple random sample and an oldest-old subpopulation participated in baseline study. All subjects are older than 65 years (76.3±14.8, 65∼98 years). We surveyed their general characteristics and symptoms related physical function and examined physical function, functional disabilities, balance function and quality of life with standardized assessment tools. Results: The strengths of quadriceps were preserved over the functional level, but BMI was significantly reduced according to age irrespective of sex. Physical function and quality of life were consistently decreased according to age in female elderly, especially over 80 years. On the contrary, male elderly under 85 years preserved their physical function. In 85∼89 year group, they showed the remarkable disabilities related to musculoskeletal conditions or pain and decrease of balance. Elderly people had greater disabilities and lesser confidence for balance, lower quality of life irrespective of sex. Conclusion:Significant gender differences in Korean elderly were found in the patterns of functional decline. Physical dysfunctions and disabilities are main factors lowering quality of life.
참고문헌 (26)
- National Statistical Office, "Estimates of the population by age group. Korea Statistical Yearbook", 53~124 (2005)
- Andersen-Ranberg K, "Declining physical abilities with age: a cross-sectional study of older twins and centenarians in Denmark", Age Ageing, 28, pp.373~377 (1999)
- Ostchega Y, "The prevalence of functional limitations and disability in older persons in the US: data from the National Health and Nutrition Examination Survey III", J Am Geriatr Soc, 48, pp.1132~1135 (2000)
- Verbrugge LM, "Age differences and age changes in activities: Baltimore Longitudinal Study of Aging", J Gerontol B Psychol Sci Soc Sci, 51, pp.S30~S41 (1996)
- Jitapunkul S, "Disability-free life expectancy of elderly people in a population undergoing demographic and epidemiologic transition", Age Ageing, 32, pp.401~405 (2003)
- Verbrugge LM, "The disablement process", Soc Sci Med, 38, pp.1~14 (1994)
- The concepts and characteristics of frail elderly people. In: Study on development of health care services and coordinated system for frail elderly people, "Sunwoo D", Korea Institute for Health and Social Welfare, 49~79 (2004)
- Woo J, "An estimation of the functional disability burden in elderly Chinese age 70 years and over", Disabil Rehabil, 18, pp.609~612 (1996)
- Laukkanen P, "Morbidity and disability in 75- and 80-year-old men and women. A five-year follow-up", Scand J Soc Med, 53(Suppl), pp.79~106 (1997)
- Murtagh KN, "Gender differences in physical disability among an elderly cohort", Am J Public Health, 94, pp.1406~1411 (2004)
- Verbrugge LM, "Women, men, and osteoarthritis", Arthritis Care Res, 8, pp.212~220 (1995)
- Wray LA, "Explaining the role of sex on disability: a population-based study", Gerontologist, 41, pp.499~510 (2001)
- Bae SC, "Cross-cultural adaptation and validation of Korean Western Ontario and McMaster Universities (WOMAC) and Lequesne osteoarthritis indices for clinical research", Osteoarthritis Cartilage, 9, pp.746~750 (2001)
- Han CW, "Development of the Korean version of Short-Form 36-Item Health Survey: health related QOL of healthy elderly people and elderly patients in Korea", Tohoku J Exp Med, 203, pp.189~194 (2004)
- Fairbank J, "Use of Oswestry Disability Index (ODI)", Spine, 20, pp.1535~1537
- Kim DY, "Validation of the Korean version of the oswestry disability index", Spine, 30, pp.E123~E127 (2005)
- Won CW, "The development of Korean activity daily living (K-ADL) and Korean instrumental activity daily living (K-IADL) scale", J Korean Geriatr Soc, 6, pp.107~120 (2002)
- Faber MJ, "Clinimetric properties of the performance-oriented mobility assessment", Phys Ther, 86, pp.944~954 (2006)
- Jang SN, "The validity and reliability of Korean fall effcacy scale (FES) and activities- specific balance confidence scale (ABC)", J Kor Geriatr Soc, 7, pp.255~268 (2003)
- Fortinsky RH, "Fall-risk assessment and management in clinical practice: views from healthcare providers", J Am Geriatr Soc, 52, pp.1522~1526 (2004)
- Arber S, "Gender differences in health in later life: the new paradox?", Soc Sci Med, 48, pp.61~76 (1999)
- Takeda S, "Two-year survival and changes in the level of care for the elderly patients recognized as in need of long-term care in the public nursing-care insurance scheme", Nippon Koshu Eisei Zasshi, 51, pp.157~167 (2004)
- Sattin RW, "The incidence of fall injury events among the elderly in a defined population", Am J Epidemiol, 131, pp.1028~1037 (1990)
- Tinetti ME, "Fear of falling and fall-related efficacy in relationship to functioning among community-living elders", J Gerontol, 49, pp.M140~M147 (1994)
- Tinetti ME, "The effect of falls and fall injuries on functioning in community-dwelling older persons", J Gerontol A Biol Sci Med Sci, 53, pp.M112~M119 (1998)
- Sattin RW, "Reduction in fear of falling through intense tai chi exercise training in older, transitionally frail adults", J Am Geriatr Soc, 53, pp.1168~1178 (2005)