http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
주간보호센터 시설 이용 인지장애 노인의 노쇠와 영양상태와의 관련성
나우리(Woori Na),김지유(Jiyu Kim),김혜지(Hyeji Kim),이예지(Yeji Lee),손정민(Cheongmin Sohn),장대자(Dai-Ja Jang) 한국식품영양과학회 2021 한국식품영양과학회지 Vol.50 No.1
본 연구는 주간보호센터의 인지장애 노인을 대상으로 노쇠예방 및 관리를 위해 노쇠와 관련된 요인을 도출하고 영양상태와의 관련성을 분석하였다. 노쇠에 유의하게 영향을 미치는 요인을 도출하기 위해 관련 요인을 성별, 연령, 일상생활능력, 욕창위험도(Braden scale), 낙상위험도(Huhn scale), 식욕부진(SNAQ), 영양상태(MNA)로 하여 다중회귀분석을 실시한 결과, 노쇠에 유의하게 영향을 미치는 요인은 연령(β=0.273, P=0.007), MNA(β=-0.244, P=0.047)로 나타났다. 영양상태에 따른 노쇠와의 관련성을 분석하기 위해 MNA 점수에 따라 성별, 연령, 만성질환 개수를 보정하여 전노쇠의 교차비를 분석한 결과 0.788배(95% confidence interval(CI): 0.643-0.965, P=0.021)로 나타났으며, 노쇠의 교차비는 0.654배(95% CI: 0.477-0.879, P=0.008)로 나타났다. 본 연구를 통해 노쇠에 영향을 미치는 주요한 요인이 영양상태임을 보였고, 이는 노쇠 정도에도 관련을 보였다. 따라서 상대적으로 낮은 수준의 돌봄 수준을 가진 주간보호센터의 인지장애 노인의 영양상태 개선을 위한 적극적인 영양관리 방안이 마련되어야 할 것으로 보인다. The cognitive disorder in elderly can cause various malfunctions, so it requires steady caring. Daycare centers for elderly are proper as a facility to take care of the elderly with cognitive disorders that are able to lead a normal life and that need relatively low level of caring. This study analyzed the relation with the frail of the elderly who have cognitive disorders among those who use adult daycare centers in order to provide basic resources of nutrition management to manage and improve their frail. The participants of the study were 88 persons whose Korean version of Mini-Mental State Examination (MMSE-K) is less than 19 among the elderly at three adult daycare centers in Jeollabuk-do. The questionnaire items were gender, age, number of chronic diseases, BMI, hand grip, nutritional status (mini nutritional assessment, MNA) and health status (activity of daily living (K-ADL), pressure ulcer (Braden scale), fall (Huhn scale), appetite assessment (simplified nutritional appetite questionnaire, SNAQ), and K-FRAIL is used for frail assessment. For statistical analysis, the logistic regression was used for the analysis of relation between frail and nutritional condition. The result of analyzing the odds ratio of pre-frail by revising gender, age and the number of chronic diseases according to MNA scores for analysis of frail by nutritional condition was 0.788 (95% confidence interval (CI): 0.643∼0.965, P=0.021), and the odds ratio of frail was 0.654 (95% CI: 0.477∼0.879, P=0.008). This indicates that it is necessary to establish an active nutrition management plan to improve health condition of the elderly with cognitive disorders in elderly care facilities.
대사성 질환자의 영양평가를 위한 한국형 식사염증지표 개발 및 타당성 검증
나우리(Na, Woori),김미성(Kim, Misung),박수산(Park, Susan),이민형(Lee, Minhyung),손정민(Sohn, Cheongmin) 한국생활과학회 2017 한국생활과학회지 Vol.26 No.4
This study was intended to develop a Korean-dietary inflammatory index (K-DII) for metabolic disease patients, by using health examinee cohort data. It was also intended to evaluate the validity of K-DII. Based on 18 food groups in the Korean Genome and Epidemiology Study (KoGES), food groups were reclassified into 51 groups. Food groups showing significance correlation with hs-CRP by binomial logistic regression analysis were selected. In order to evaluate the validity of the developed K-DII, the researchers analyzed the correlation with health indicators and the relationship between the odd ratio of metabolic syndrome and K-DII. ANOVA and logistic regression analysis were carried out, according to tertile of K-DII, by using SPSS 23 version. Final 17 food groups were selected as factors utilized for the formula to calculate the K-DII assessment tool. The formula was the sum of product of intakes and beta values in each food group. A significant difference was shown in age, body mass index, waist measurement, diastolic blood pressure, triglyceride and hs-CRP, according to tertile of K-DII. In the results of analyzing metabolic syndrome risk according to K-DII, it was shown that metabolic syndrome risk in the group having the highest K-DII was 1.204 times higher than the lowest K-DII group (95% Cl; 1.123-1.290)(p=0.002, p for trend=0.000). The K-DII was composed of food groups that represented the inflammatory potential in Korean diet. Its strong relationship with metabolic syndrome showed a usefulness in assessing the inflammatory status of total diets. It is hoped that the K-DII can be utilized in actual clinical settings as a nutritional assessment tool, after validation in different metabolic disease patients.
노인의 사회경제적, 심리적, 건강행태 요인이 노쇠에 미치는 영향: 주관적 건강상태와 다중이환을 매개하여
김혜지(Kim, Hyeji),나우리(Na, Woori),손정민(Sohn, Cheongmin) 한국생활과학회 2021 한국생활과학회지 Vol.30 No.3
Frailty increases the disability and hospitalization rates, reduces individuals quality of life, and increases dependence on others due to dysfunction. Therefore, preemptive management of factors affecting frailty is required. This study aims to construct a structural equation model by selecting factors that influence frailty through multimorbidity and subjective health status as the mediating factors and to analyze their impact. This study was conducted in 1,958 elderly subjects (males: 922(47.1%), females: 1,036(52.9%) aged 65 years or older who participated in the second year of the 6th Korean National Health and Nutrition Examination Survey(2014~2015). This studys main variables were the frailty diagnosis variable, subjective health status, multimorbidity, income, physical activity, anxiety/depression, and dietary quality. As a result of this study, according to the frailty criteria, 572 people(29.2%) were normal, 1,105 people(56.4%) were in the pre-frailty state, and 281 people(14.4%) were in the frailty state. The direct and total effects on subjective health status were found to be significant in all observed variables(p<0.05), and the direct and total effects on multimorbidity were significant in the anxiety/depression variables(p<0.05). The total effect on frailty by mediating the subjective health status and multimorbidity was physical activity -0.202, anxiety/depression 0.183, dietary quality -0.137, and income -0.133 in that order. Direct effect, indirect effect, and total effect were significant in all observed variables(p<0.05). The influence of income, anxiety/depression, dietary quality, and physical activity was increased more when subjective health status was mediated than when multimorbidity was mediated. Therefore, to manage frailty, it is necessary to improve the subjective health status.