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      연령집단에 따른 노인의 허약(Frailty) 예측요인 분석 = Investigating the Predictors of Frailty: An Age-Dependent Analysis

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      https://www.riss.kr/link?id=A103533608

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      다국어 초록 (Multilingual Abstract)

      This study aims to investigate the predictors of frailty in different age groups. To address this purpose, this study used the 2014 Survey of the Living Conditions of the Elderly (SLCE). In the research model, 4,123 older adults aged 75 and older were included from the SLCE. All participants were subdivided into two age groups based on their age; the young old group (75-85) and the old-old group (85+). The young old group consisted of 1,453 (43%) pre-frail older adults and 1,268 (37%) frail older adults; the old-old group consisted of 304 (40%) pre-frail older adults and 396 (52%) frail older adults. Our regression analysis showed that in the young-old, being female, lower levels of education, having more chronic diseases, having fall experience, higher depression, lower cognitive functioning significantly predicted transition to pre-frailty from non-frail status. In the old-old, being female, higher depression, lower level of social activity were significant predictors. On the other hand, predictors of transition to frailty from pre-frail status in the young-old were being female, higher age, being unemployed, having more chronic diseases, having fall experience, higher depression, lower cognitive functioning. In the old-old, predictors of transition to frailty from pre-frail status were only higher age, having more chronic disease, higher depression, and lower cognitive functioning. The research findings can be used as a reference point in the making of strategies for preventing frailty.
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      This study aims to investigate the predictors of frailty in different age groups. To address this purpose, this study used the 2014 Survey of the Living Conditions of the Elderly (SLCE). In the research model, 4,123 older adults aged 75 and older were...

      This study aims to investigate the predictors of frailty in different age groups. To address this purpose, this study used the 2014 Survey of the Living Conditions of the Elderly (SLCE). In the research model, 4,123 older adults aged 75 and older were included from the SLCE. All participants were subdivided into two age groups based on their age; the young old group (75-85) and the old-old group (85+). The young old group consisted of 1,453 (43%) pre-frail older adults and 1,268 (37%) frail older adults; the old-old group consisted of 304 (40%) pre-frail older adults and 396 (52%) frail older adults. Our regression analysis showed that in the young-old, being female, lower levels of education, having more chronic diseases, having fall experience, higher depression, lower cognitive functioning significantly predicted transition to pre-frailty from non-frail status. In the old-old, being female, higher depression, lower level of social activity were significant predictors. On the other hand, predictors of transition to frailty from pre-frail status in the young-old were being female, higher age, being unemployed, having more chronic diseases, having fall experience, higher depression, lower cognitive functioning. In the old-old, predictors of transition to frailty from pre-frail status were only higher age, having more chronic disease, higher depression, and lower cognitive functioning. The research findings can be used as a reference point in the making of strategies for preventing frailty.

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      참고문헌 (Reference)

      1 임은실, "허약노인의 건강관련 삶의 질과 영향요인" 한국지역사회간호학회 21 (21): 12-20, 2010

      2 황환식, "한국형 노쇠측정도구 개발 및 타당도 조사" 대한노인병학회 14 (14): 191-202, 2010

      3 김여진, "한국 노인의 자원봉사활동참여 관련요인:연령집단별 분석" 한국콘텐츠학회 13 (13): 218-229, 2013

      4 박진경, "취약계층 노인의 허약 영향 요인" 한국노년학회 34 (34): 441-456, 2014

      5 김효영, "지역사회 허약노인과 비허약노인의 신체기능과 자아통합감" 노인간호학회 16 (16): 27-37, 2014

      6 권상민, "지역사회 거주하는 허약노인과 비허약노인의 건강증진행위와 지각된 건강상태" 13 (13): 73-83, 2009

      7 이정주, "정책연구를 위한 정책효과 분석에 대한 이해" 한국장애인고용공단고용개발원 2008

      8 이인숙, "전 · 후기 허약 고위험 노인을 대상으로 한 지역사회 중심의 다요인적 허약 예방 프로그램의 효과 평가" 한국지역사회간호학회 23 (23): 201-211, 2012

      9 마승현, "일부 지역사회 거주 노인들의 노쇠수준과 기능장애의 연관성 및 노쇠 관련요인" 대한가정의학회 30 (30): 588-597, 2009

      10 이보은, "노인의 허약수준과 환경유해인자 노출" 한국환경특성학회 349-350, 2013

      1 임은실, "허약노인의 건강관련 삶의 질과 영향요인" 한국지역사회간호학회 21 (21): 12-20, 2010

      2 황환식, "한국형 노쇠측정도구 개발 및 타당도 조사" 대한노인병학회 14 (14): 191-202, 2010

      3 김여진, "한국 노인의 자원봉사활동참여 관련요인:연령집단별 분석" 한국콘텐츠학회 13 (13): 218-229, 2013

      4 박진경, "취약계층 노인의 허약 영향 요인" 한국노년학회 34 (34): 441-456, 2014

      5 김효영, "지역사회 허약노인과 비허약노인의 신체기능과 자아통합감" 노인간호학회 16 (16): 27-37, 2014

      6 권상민, "지역사회 거주하는 허약노인과 비허약노인의 건강증진행위와 지각된 건강상태" 13 (13): 73-83, 2009

      7 이정주, "정책연구를 위한 정책효과 분석에 대한 이해" 한국장애인고용공단고용개발원 2008

      8 이인숙, "전 · 후기 허약 고위험 노인을 대상으로 한 지역사회 중심의 다요인적 허약 예방 프로그램의 효과 평가" 한국지역사회간호학회 23 (23): 201-211, 2012

      9 마승현, "일부 지역사회 거주 노인들의 노쇠수준과 기능장애의 연관성 및 노쇠 관련요인" 대한가정의학회 30 (30): 588-597, 2009

      10 이보은, "노인의 허약수준과 환경유해인자 노출" 한국환경특성학회 349-350, 2013

      11 임경춘, "노인의 연령별 우울정도와 영향요인: 전기노인과 후기노인의 비교" 정신간호학회 21 (21): 1-10, 2012

      12 전경숙, "노인의 사회 관계망 및 사회적 지지와 허약의 관계" 대한노인병학회 16 (16): 84-94, 2012

      13 박병진, "노인 허약에 대한 통합의학적 접근" 대한가정의학회 31 (31): 747-754, 2010

      14 권태연, "노년기 연소노인, 중고령노인, 초고령노인 집단의 스트레스 요인과 자아존중감이 우울에 미치는 영향 - 자아존중감 2요인의 매개효과를 중심으로 -" 한국사회복지연구회 40 (40): 163-196, 2009

      15 Winograd, C. H., "Targeting the hospitalized elderly for geriatric consultation" 36 (36): 1113-1119, 1988

      16 Etman, A., "Socio-demographic determinants of worsening in frailty among community-dwelling older people in 11 European countries" 66 : 1116-1121, 2012

      17 Peek, M. K., "Social support, stressors, and frailty among older Mexican American adults" 67 (67): 755-764, 2012

      18 Woo, J., "Social determinants of frailty" 51 (51): 402-408, 2005

      19 Mendelsohn, C., "Smoking and depression : a review" 41 (41): 304-307, 2012

      20 Puts, M. T., "Sex differences in the risk of frailty for mortality independent of disability and chronic diseases" 53 (53): 40-47, 2005

      21 정복자, "Relationships of exercise with frailty, depression, and cognitive function in older women" 한국운동재활학회 10 (10): 291-294, 2014

      22 Fushiki, Y., "Relationship of hobby activities with mortality and frailty among community-dwelling elderly adults : results of a follow-up study in Japan" 22 (22): 340-347, 2012

      23 Samper‐Ternent, R., "Relationship between frailty and cognitive decline in older Mexican Americans" 56 (56): 1845-1852, 2008

      24 Covinsky, K. E., "Reduced Employment in Caregivers of Frail Elders Impact of Ethnicity, Patient Clinical Characteristics, and Caregiver Characteristics" 56 (56): 707-713, 2001

      25 Dent, E., "Psychosocial factors modify the association of frailty with adverse outcomes: a prospective study of hospitalised older people" 14 (14): 108-, 2014

      26 Buttery, A. K., "Prevalence and correlates of frailty among older adults: findings from the German health interview and examination survey" 15 (15): 22-, 2015

      27 Son, J., "Physical frailty predicts medical expenses in community-dwelling, elderly patients : Three-year prospective findings from living profiles of older people surveys in Korea" 6 (6): 412-416, 2015

      28 Makizako, H., "Physical frailty predicts incident depressive symptoms in elderly people : prospective findings from the Obu Study of Health Promotion for the Elderly" 16 (16): 194-199, 2015

      29 Auyeung, T. W., "Physical frailty predicts future cognitive decline—a four-year prospective study in 2737 cognitively normal older adults" 15 (15): 690-694, 2011

      30 Dury, S., "Identifying frailty risk profiles of home-dwelling older people: focus on sociodemographic and socioeconomic characteristics" 1-9, 2016

      31 Kanauchi, M., "Frailty, health‐related quality of life and mental well‐being in older adults with cardiometabolic risk factors" 62 (62): 1447-1451, 2008

      32 Robinson, T. N., "Frailty predicts increased hospital and six-month healthcare cost following colorectal surgery in older adults" 202 (202): 511-514, 2011

      33 Frisoli, A., "Frailty predictors and outcomes among older patients with cardiovascular disease : Data from Fragicor" 61 (61): 1-7, 2015

      34 Buchman, A. S., "Frailty is associated with incident Alzheimer’s disease and cognitive decline in the elderly" 69 (69): 483-489, 2007

      35 Fried, L. P., "Frailty in older adults evidence for a phenotype" 56 (56): 146-157, 2001

      36 Rockwood, K., "Frailty in elderly people : an evolving concept" 150 (150): 489-, 1994

      37 Clegg, A., "Frailty in elderly people" 381 (381): 752-762, 2013

      38 González-Vaca, J., "Frailty in INstitutionalized older adults from ALbacete. The FINAL Study : rationale, design, methodology, prevalence and attributes" 77 (77): 78-84, 2014

      39 Vermeiren, S., "Frailty and the Prediction of Negative Health Outcomes : A Meta-Analysis" 17 (17): 1161-1163, 2016

      40 Ensrud, K. E., "Frailty and risk of falls, fracture, and mortality in older women : the study of osteoporotic fractures" 62 (62): 744-751, 2007

      41 Chang, Y. -W., "Frailty and its impact on health-related quality of life : a cross-sectional study on elder community-dwelling preventive health service users" 7 (7): 1-5, 2012

      42 Wong, C. H., "Frailty and its association with disability and comorbidity in a community-dwelling sample of seniors in Montreal : a cross-sectional study" 22 (22): 54-62, 2010

      43 Wilhelm-Leen, E. R., "Frailty and chronic kidney disease : the third national health and nutrition evaluation survey" 122 (122): 664-671, 2009

      44 Weiss, C. O., "Frailty and chronic diseases in older adults" 27 (27): 39-52, 2011

      45 Lee, Y., "Frailty and body mass index as predictors of 3-year mortality in older adults living in the community" 60 (60): 475-482, 2014

      46 Brody, K. K., "Evaluation of a self-report screening instrument to predict frailty outcomes in aging populations" 37 (37): 182-191, 1997

      47 Hubbard, R., "Effect of smoking on the accumulation of deficits, frailty and survival in older adults: a secondary analysis from the Canadian Study of Health and Aging" 13 (13): 468-472, 2009

      48 Etman, A., "Do lifestyle, health and social participation mediate educational inequalities in frailty worsening?" 25 (25): 345-350, 2015

      49 Steger, M. F., "Depression and everyday social activity, belonging, and well-being" 56 (56): 289-300, 2009

      50 Sun Kim, "Correlation between Frailty and Cognitive Function in Non-Demented Community Dwelling Older Koreans" 대한가정의학회 35 (35): 309-320, 2014

      51 Newman, A. B., "Associations of subclinical cardiovascular disease with frailty" 56 (56): 158-166, 2001

      52 Bock, J. -O., "Associations of frailty with health care costs–results of the ESTHER cohort study" 16 (16): 128-, 2016

      53 Strawbridge, W. J., "Antecedents of frailty over three decades in an older cohort" 53 (53): 9-16, 1998

      54 Fulop, T., "Aging, frailty and age-related diseases" 11 (11): 547-563, 2010

      55 Morley, J. E., "A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans" 16 (16): 601-608, 2012

      56 Malmstrom, T. K., "A comparison of four frailty models" 62 (62): 721-726, 2014

      57 Rockwood, K., "A brief clinical instrument to classify frailty in elderly people" 353 (353): 205-206, 1999

      58 Bortz, W. M., "A Conceptual Framework of Frailty A Review" 57 (57): 283-288, 2002

      59 한국보건사회연구원, "2014년도 노인실태조사" 한국보건사회연구원 2014

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      2021-01-01 평가 등재학술지 유지 (재인증) KCI등재
      2018-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2015-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2011-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2010-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2009-01-01 평가 등재후보학술지 유지 (등재후보1차) KCI등재후보
      2008-04-25 학술지등록 한글명 : 보건사회연구
      외국어명 : Health and Social Welfare Review
      KCI등재후보
      2007-01-01 평가 SCOPUS 등재 (신규평가) KCI등재후보
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