A Study on Social Factors and Physical Health Status of the Long-Lived Elderly People in Ganghwa-gun Area

강화지역 남녀 장수노인의 사회적, 신체적 건강상태조사

  • Han Hye Kyoung (Department of Food and Nutrition, Duksung Womens University) ;
  • Choi Sung Sook (Department of Food and Nutrition, Duksung Womens University) ;
  • Kim Myung Wha (Department of Food and Nutrition, Duksung Womens University) ;
  • Lee Sung-Dong (Department of Food and Nutrition, College of Health Sciences, Korea University)
  • 한혜경 (덕성여자대학교 식품영양학과) ;
  • 최성숙 (덕성여자대학교 식품영양학과) ;
  • 김명화 (덕성여자대학교 식품영양학과) ;
  • 이성동 (고려대학교 병설 보건대학 식품영양과)
  • Published : 2005.02.01

Abstract

This study was to performed to assess social factors and physical health status. The subjects of the study were 103 elderly people of age over 85 years living in Ganghwa-gun area. The method of this research was based on the interview-survey with questionnaire. Chi-square test was the main data analysis method. The subject group was composed of 36 males and 67 females, the average age being 91.0 $\pm$ 3.2 years old for the males and 91.1 $\pm$ 3.4 years old for the females. The aged average height and weight were 161.0 $\pm$ 7.9 cm and 54.6 $\pm$ 7.8 kg in males, 141.0 $\pm$ 8.2 cm and 42.2 $\pm$ 7.9 kg in females which were lower than the Korean average standard but the mean BMIs of both male and female showed normal range. Their level of education was lower and they tended to be religious. The aged population might be economically poor. Their level of living standards tended to have been lower-middle and lower class. The mean age of their parents' death were 64.3 $\pm$ 17.2 years in males, 59.0 $\pm$ 14.9 years in females for the father and 70.9 $\pm$ 15.5 years in males, 66.8 $\pm$ 16.6 years in females for the mother. The rate of living together with their family or spouse in the female aged was $83.2\%$ higher than in the male aged. They tended to have engaged in hobbies that require less movement. Of the kinds of hobby, 'TV watching ($47.8\%$ in male and $44.9\%$ in female) was the highest. Ratios of the drinking and the smoking elderly were $30.6\%$, $25.0\%$ in male and $7.5\%$, $18.8\%$ in female but they tended to have never drunken and smoked. Of the subjects, $42.9\%$ spend 8$\~$9 hours for sleeping in male and $35.8\%$ spend 10 hours for sleeping in female. They tended to have not done any particular health behavior. The most common diseases were digestive disease in male, arthritis and hypertension in female. Most elderly males ($47.3\%$) and females ($61.2\%$) had 1$\~$2 diseases.

Keywords

References

  1. Baek JW, Koo BK, Kim KJ, Lee YK, Lee SK, Lee HS (2000): Nutritional status of the long-lived elderly people in Kyungpook Sung-ju area (I) -estimation of nutrient intakes- Korean J Nutr 33 (4) : 438-453
  2. Cairney J, Arnold R (1996): Social class, health and aging: socioeconomic determinants of self-reported morbidity among the noninstitutionalized elderly in Canada. Can J Pub Health 87(3): 199-203
  3. Chang HS, Kim MR (1999): A study on dietary status of elderly Koreans with ages. J Korean Soc Food Sci Nutr 28 (1) : 265-273
  4. Chang NS, Kim JM, Kim EJ (1999): Nutritional state and dietary behavior of the free-living elderly women. Korean J Dietary Culture 14(2): 155-165
  5. Cho EJ (1999): Characteristics and vision for the elderly. Ministry of Health and Welfare Form 29: 6-16
  6. Cho YS, Lim HS (1991): A survey on the food habit and health of the aged in a middle city. J Korean Soc Food Nutr 20(4): 346-353
  7. Choi HJ, Kim SH (2003): A study on food habits and health-related behaviors of the long-lived elderly people in Gyeongnam Namhae area. J Korean Soc Food Sci Nutr 32 (7): 1147-1152 https://doi.org/10.3746/jkfn.2003.32.7.1147
  8. Choi SJ (2002): An exploratory study on social and psychological factors contributing to longevity: research on characteristics of centenarians in Korea, Japan and Finland. J Korea Gerontological Soc 22 (2) : 183-207
  9. Chyun JH (1999): A study on health, anthropometry and food behavior of the elderly living in Inchon. Korean J Dietary Culture 14 (5) : 517-527
  10. Clarke RP, Schlenker ED, Merrow SB (1981): Nutrient intake, adiposity, plasma total cholesterol, and blood pressure of rural participants in the (Vermont) nutrition program for older Americans (Title III) : Am J Clin Nutr 34(9): 1743-1751 https://doi.org/10.1093/ajcn/34.9.1743
  11. Darnton-Hill I (1992): Psychosocial aspects of nutrition and aging. Nutr Rev 50(12): 476-479 https://doi.org/10.1111/j.1753-4887.1992.tb02506.x
  12. Davis MA, Murphy SD, Neuhaus JM, Lein D (1990): Living arrangements and dietary quality of older US. adults. J Am Diet Assoc 90 (12): 1667-1672
  13. Davis MA, Neuhaus JM, Moritz DJ, Lein D, Barclay JD, Murphy SP (1994): Health behaviors and survival among middle-aged and older men and women in the NHANES I epidemiologic follow-up study. Prev Med 23 (3) : 369-376 https://doi.org/10.1006/pmed.1994.1051
  14. Ginson SG (1993): Anthropometric assessment. In: Nutritional assessment pp59-60, pp181-182. Oxford University Press, Oxford
  15. Hama MY, Chem WS (1988): Food expenditure and nutrient availability in elderly households. J Consumer Affairs 22: 3-19 https://doi.org/10.1111/j.1745-6606.1988.tb00209.x
  16. Han KH (1999): Nutritional status and life style factors in elderly people. Korean J Community Nutrition 4 (2) : 279-298
  17. Han KH, Choi MS (2002): Relationship among nutritional intake status eating behaviors and related factors of the elderly in Cheongju city. Korean J Dietary Culture 17 (2): 131-140
  18. Han MJ, Koo SJ, Lee YS (1998): The study of food habit and degree of depression in nursing home and private home living elderly. Korean J Dietary Culture 13 (5) : 475-486
  19. Hong SM, Choi SY (1996): A study on meal management and nutrient intake of the elderly. J Korean Soc Food Sci Nutr 25 (6) : 1055-1061
  20. Idler EL, Angel RJ (1990): Self-rated health and mortality in the NHANES I epidemiologic follow-up study. Am J Public Health 80(4): 446-452 https://doi.org/10.2105/AJPH.80.4.446
  21. Jeon TH (1997): A study on depression of the aged living in a home for the aged. Master's thesis in Public Health. Seoul National University
  22. Jeong MS, Kim HK (1998): A study on the nutritional status and health condition of elderly in Ulsan area. Korean J Dietary Culture 13 (3) : 159-168
  23. Kim BJ (1997): The study on health and medical using pattern of the aged in urban poor areas. Master's thesis in Public Health. Seoul National University
  24. Kim JS (1998): A study on self-esttem, IADL, & life satisfaction in the elderly. J Korean Acad Nuts 28 (1): 148-158 https://doi.org/10.4040/jkan.1998.28.1.148
  25. Kim SH, Kang HK, Kim JH (2000): Socio-economic factors affecting the health and nutritional status of the aged. Korean J Nutr 33 (1) : 86-101
  26. Korean Nation Statistical Office (2001): www.stat.go.kr
  27. Lee JW (1997): A study on the quality of life of the aged by family type. Master's thesis in Public Health. Seoul National University
  28. Lee SH (1996): A study on the health needs of the aged in the urban area. Master' thesis in Public Health, Seoul National University
  29. Lindsted KD, Tonstad S, Kuzma JW (1991) : Self-report of physical activity and patterns of mortality in Seventh-day Adventist men. J Clin Epidemiol 44(4-5): 355-364 https://doi.org/10.1016/0895-4356(91)90074-J
  30. McIntosh WA, Shifflett PA (1984): Influence of social support systems on dietary intake of the elderly. J Nutr Elderly 4: 5-18 https://doi.org/10.1300/J052v04n01_03
  31. Min HS (1999): The effects of personal characteristics and metamemory on the old adult's memory performance. Ph. D. thesis in Nursing. Seoul National University
  32. Ministry of Health & Welfare (1998): 1998 yearbook of health and welfare statistics
  33. New England centenarian study homepage (2001) : www.med.harvard.edu/progarms/necs
  34. Pasccui MA, Loving GL (1997): Ingredients of an old and healthy life. J Holistic Nursing 15 (2): 199-213 https://doi.org/10.1177/089801019701500209
  35. Population and Housing Census (2) (2000): Statistic Office
  36. Porter JF, Schafer DJ, Bohi RL (1988): In-hospital mortality as a function of body mass index: An age-dependent variable. J Gerontol 43: M59
  37. Puggaard L, Larsen JB, Ebbesen E, Jeune B (1999): Body composition in 85 year-old women: Effects of increased physical activity. Aging (Clin Exp Res) 11(5): 307-315 https://doi.org/10.1007/BF03339805
  38. Rakowski W, Mor V (1992): Nutrition and aging-potentials and problems for research in developing countries. Nutr Reviews 50: 224-229
  39. Son SM, Lee YN (1999): Nutritional status and related factors of elderly residing in Puchon city. J Korean Soc Food Sci Nutr 26 (6) : 1391-1397
  40. Song S, Chung HK, Cho MS (1995): The nutritional status of the female elderly residents in nursing home- 1. nutritional and biochemical health status. Korean J Nutr 28 (11): 1100-1116
  41. Statistical Office (1992): Social Statistics
  42. Statistical Office (1995): Social Statistics
  43. Takezaki T, Ohashi Y, Ohta T, Tajima K, Tominaga S (1996): Survival factors in healthy aging among rural Japanese residents of Aichi. Nippon Koshu Eisei Zasshi 43 (10): 901-908
  44. The Korean Nutrition Society (2000): Recommended dietary allowances for Koreans. 7th revision, Seoul
  45. US Senate Special committe on aging (1988): Aging America: Trends and projections. 1987-1988 Washington DC, US Government Printing Office
  46. Watkin DM (1982) : The physiology of aging. Am J Clin Nutr 36: 750-758 https://doi.org/10.1093/ajcn/36.4.750
  47. White JV, Ham RJ, Lipschitz DA, Dwyer JT, Wellman NS (1991): Con-sensus of the nutrition screening initiative: risk factors and indicators of poor nutritional status in older Americans. J Am Diet Assoc 91 (7): 783-787
  48. Woo J, Ho SC, Yuen YK, Yu LM, Lau J (1998): Cardiovascular risk factors and 18-month mortality and morbidity in an elderly chinese population aged 70 years and over. Gerontology 44: 51-55 https://doi.org/10.1159/000021983