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RISS 인기검색어
- 검색키워드
- 저자 : ( Hunkyung Kim ) (검색결과 3 건)
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Hunkyung Kim,Hirouki Sasai 한국식품영양과학회 2021 한국식품영양과학회 학술대회발표집 Vol.2021 No.10
Frailty and sarcopenia among older adults have been an area of great interest in current geriatric and gerontological research. Previous studies have shown that frailty and sarcopenia are closely associated with adverse health outcomes such as functional disability, injurious falls, hospitalization, long-term care needs, morbidity, and mortality. How frailty and sarcopenia develop are still a matter of intense debate, however there have been several factors noted, such as sociodemographic factors, physical and biological factors, lifestyle and psychological factors, and chronic diseases. Currently, there are no approved medications for treating frailty and sarcopenia. A systematic review and meta-analysis summarized the effectiveness of the interventions on the management of frailty and sarcopenia. There are four treatment strategies including exercise-based intervention, nutrition-based intervention, combined exercise and nutrition intervention, and drug therapy. Among them, this time we will focus on nutritional supplementation. The nutritional intervention included supplement intake and daily dietary management. Although numerous nutrients have been tested, such as proteins, vitamin D, omega-3 fatty acids, eicosapentaenoic acid, docosahexaenoic acid, L-carnitine, and others, their effectiveness to date seems very limited and the findings from these studies have not always been consistent. In clinical practice guideline for frailty published in 2020 indicated that single nutritional interventions, such as nutritional education and nutritional supplementation, can be weakly recommended for frailty, and recommend physical exercise therapy in combination with nutritional supplementation for frailty. Many prior studies reported the effects of exercises combined with nutritional supplementations for frailty and sarcopenia. Among them, protein supplementation combined with resistance training was most commonly used in previous studies. However, the ideal nutrient components and supplement amount for frailty and sarcopenia are not yet known. Further large-scale and long-term interventions are required to confirm the most effective nutritional ingredients for the management of frailty and sarcopenia.
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Randomized Controlled Trial for the Prevention of Falls in Community Elderly in Japan
( Takao Suzuki ),( Hunkyung Kim ) 대한운동사협회 2003 대한운동사협회 운동사대회자료집 Vol.2003 No.-
Falls are common in elderly people. Possible consequences include serious injuries and the post-fall syndrome with functional decline and limitation of physical activity. The present randomized controlled study sought to clarify the benefits of a combined long-term and home-based fall prevention program for elderly Japanese women. The subjects were individuals aged over 73 years, living at home in a western suburb of Tokyo, who had attended a comprehensive geriatric health check. Persons with a marked decline in the basic activities of daily living (ADL), hemiplegia, or missing baseline data were excluded. Fifty-two subjects who expressed a wish to participate in the trial were randomized, 28 to an exercise intervention group and 24 to a control group. Baseline data for age, handgrip force, walking speed, total serum cholesterol, serum albumin, basic ADL, visual and auditory impairments, self-rated health, and experience of falls did not differ significantly between the two groups. Beginning from June 2000, the intervention group attended a 6-month program of fall prevention exercise classes aimed at improving leg strength, balance and walking ability; this was supplemented by a home-based exercise program that focused on leg strength. The control group received only a pamphlet and advice on fall prevention. The average exercise class attendance was 75.3% (64 to 86%). Participants showed significant improvements in tandem walk and functional reach after the intervention program, with enhanced self confidence. At an 8-month follow-up, the incidence of falls was 13.6% (3/22) in the intervention group and 40.9% (9/22) in the control group. We conclude that a mild exercise intervention program plus a home-based program significantly decreases the incidence of falls in both the short and the long term, contributing to improved health and quality of life in the elderly.
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