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김경민,오태정,장하나,국현정,송민승,이희연,장학철,임수 대한노인병학회 2017 Annals of geriatric medicine and research Vol.21 No.2
Background: The world over, the multimorbidity associated with aging is proving to be a great socio-economic burden. The loss of muscle mass and increased adiposity are typical of aging, but the number of longitudinal studies focusing on sarcopenia or sarcopenic obesity is currently limited. We launched a hospital-based, prospective cohort study of aged people(HAPPY cohort) to identify the impact of sarcopenia or sarcopenic obesity on the occurrence of chronic diseases including diabetes, or its vascular complications, osteoporosis and fractures, cognitive dysfunction, and mortality. Methods: For the HAPPY cohort, we aim to recruit 1,000 patients, aged 60 years and above, who visit a tertiary hospital from August 2015. Participants are scheduled to undergo repeated waves of assessment every 3 years; this will be done for 9 years or until death. Results: General information and medical histories are collected through personal interviews and validated using medical records. Participants’ physical function is assessed by diverse functional assessments including the hand grip strength test, timed up and go test, and the chair rise test. The functional status, nutritional status, levels of depression, and cognitive function of the participants are also measured. The body compositions are assessed using dual energy X-ray absorptiometry and the bioelectrical impedance method. The biochemical parameters related with chronic diseases are measured. Conclusion: This HAPPY cohort study will provide results relevant to the many health issues among elderly Asians(among at least elderly Koreans). These results will help us gain a better understanding of sarcopenia and sarcopenic obesity, as well as the cross-sectional and longitudinal association of chronic diseases and mortality among elderly adults.
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박명화,Linh Khanh Bui,정미리,최은정,이나영,곽민정,김자현,김진주,정지혜,Ouckyong Shin,나준식,국현정 대한의료정보학회 2022 Healthcare Informatics Research Vol.28 No.3
Objectives: This study aimed to analyze the outcomes of the Comprehensive Health and Social Need Assessment (CHSNA)system, which identifies community residents’ health and social needs, and to link these needs with the International Classificationof Functioning, Disability, and Health (ICF). Methods: Adult community residents in a metropolitan city in Koreawere recruited. They were asked to assess their health and social needs via the CHSNA system, which was integrated into anonline community-care platform. Three assessment steps (basic health assessment, needs for activities of daily living, andin-depth health assessment) associated with five ICF components were used to evaluate physical health impairment, difficultiesin activities and participation, and environmental problems. The final list of health and social needs was systematicallylinked to the domains and categories of the ICF. Only data from participants who completed all three assessment steps wereincluded. Results: Wide ranges of impairments and difficulties regarding the daily living activities, physical health, and environmentalstatus of the community were recorded from 190 people who completed assessments of their health and socialneeds by the CHSNA system. These participants reported various health and social needs for their community life; commonneeds corresponded to the ICF components of body functions and activities/participation. Conclusions: The ICF may besuitable for determining the health-related problems and needs of the general population. Possible improvements to the presentsystem include providing support for completing all assessment steps and developing an ICF core set for an enhancedunderstanding of health and social needs.
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