DOI QR코드

DOI QR Code

A study on the Relationship among Depression, Walking and Quality of Life for the Elderly -Focusing on the Moderation Effects of Walking-

노인의 우울, 걷기, 삶의 질의 관계에 대한 연구 -걷기의 조절효과 중심으로-

  • 송희승 (단국대학교 간호대학 간호학과)
  • Received : 2016.07.02
  • Accepted : 2016.08.20
  • Published : 2016.08.28

Abstract

This study examined how walking moderates the influence of depression on quality of life in elderly. Data of the study were analysed using the sixth Korean National Health and Nutrition Examination Survey (KNHANES V-2, 2014). The subjects were elderly aged 65 years or more and the number of the sample was 1,263. Using hierarchial regression analysis, walking as a moderator of the depression and quality of life relationship was examined. Quality of life for elderly showed significant differences according to sex(t=8.26, p<.001), age(t=5.19, p<.001), number of chronic disease(F=37.88, p<.001), depression(t=9.62, p<.001) and walking per week (t=47.36, p<.001). Walking moderated the relationship between depression and quality of life in elderly. Based on these findings, the enhancement of walking in depressed elderly is recommended to promote the quality of life.

본 연구의 목적은 노인의 우울과 삶의 질의 관계에서 걷기가 어떠한 역할을 하는지 탐색하기 위함이다. 이를 위해 제6기 2차년도(2014) 국민건강영양조사 자료 중 65세 이상 노인 1,263명을 대상으로 하여 연구를 수행하였다. 일반적 특성과 독립변수 및 조절변수에 따른 살의 질 차이를 확인하기 위해 t-test, ANOVA를 이용하여 분석하였으며, 연구결과 성별(t=8.26, p<.001), 나이(t=5.19, p<.001), 만성질환 수(F=37.88, p<.001), 우울(t=9.62, p<.001), 걷기(t=47.36, p<.001)에 따른 삶의 질의 차이가 나타났다. 걷기의 조절효과를 확인하기 위하여 위계적 회귀분석을 이용하여 분석하였으며, 연구결과 걷기는 우울이 삶의 질에 미치는 영향에 있어서 조절효과가 있는 것으로 나타났다. 즉, 걷기 수준이 높아질수록 우울이 삶의 질에 미치는 효과가 감소하는 것으로 해석할 수 있다. 연구결과를 토대로 우울한 노인의 삶의 질을 높이기 위해서 걷기의 증진이 필요함을 제언하는 바이다. 본 연구의 의의는 걷기의 조절효과를 밝힘으로써 삶의 질을 높이기 위한 프로그램 구성의 근거를 제시하였다는 점에 있다.

Keywords

References

  1. H. Y. So, H. Kim, & K. Ju, “Prediction model of quality of life in elderly based on ICF model,” J Korean Acad Nurs, Vol. 41, No. 4, pp. 481-490, 2011. https://doi.org/10.4040/jkan.2011.41.4.481
  2. http://kosis.kr/statisticsList/statisticsList_01List.js p?vwcd=MT_ZTITLE&parentId=A#SubCont
  3. World Health Organization, "Global Health and Ageing. Geneva," World Health Organization, 2011.
  4. K. B. Kim, Y. J. Lee, S. H. Sok, “A comparative study on health status, depression, and quality of life between the elderly living with family and the elderly living alone,” Korean Journal of Adult Nursing, Vol. 20, No. 5, pp. 765-777, 2008.
  5. D. H. Lee & S. O. Bin, “Structure relationships for diseased and health-related quality of life in the elderly,” Journal of the Korea Contents Association, Vol. 11, No. 1, pp. 216-224, 2011. https://doi.org/10.5392/JKCA.2011.11.1.216
  6. C. M. Chang, "A study on relations between physical function, psychological status, falls, and quality of life in elderly people living at home," Korean Journal of Care Management, Vol. 3, pp. 71-89, 2009.
  7. http://kosis.kr/wnsearch/totalSearch.jsp
  8. The Ministry of Health and Welfare, Korea Centers For Disease Control & Prevention, "Korea National Health and Nutrition Examination Survey-KNHANES IV-," Korea Centers For Disease Control & Prevention, 2008.
  9. National Academy on an Aging Society,"Depression : A treatable disease," National Academy on an Aging Society, No. 9, 2000.
  10. B. H. Kim, Y .S. Kim & H. W. Jeon, “A study of the subjectivity of quality of life of the elderly women,” Korean Journal of Adult Nursing, Vol. 19, No. 5, pp. 775-786, 2007.
  11. J. S. Park & Y. J. Oh, “A study health problem and perceived health status of the rural elderly,” Journal of Korea Academy of Community Health Nursing, Vol. 14, No. 2, pp. 274-286, 2010.
  12. N. Segulin & A. Deponte, “The evaluation of depression in the elderly: A modification of the Geriatric Depression Scale(GDS),” Archives of Gerontology and Geriatrics, Vol. 44, No. 2, pp. 105-112., 2007. https://doi.org/10.1016/j.archger.2006.04.002
  13. K. B. Kim & S. H. Sok, “Factors related to the quality of life of the elderly,” Korean Journal of Adult Nursing, Vol. 20, No. 2, pp. 146-155, 2008.
  14. J. W. Rowe & R. L. Kahn, “Human aging: Usual and Successful,” Science, Vol. 237, No. 4811, pp. 143-149, 1987. https://doi.org/10.1126/science.3299702
  15. J. T. Cha & Y. S. Jee, “The effects of regular exercise on cardiovascular function and depression in elderly,” The Korean Journal of Physical Education, Vol. 43, No. 5, pp. 331-340, 2004.
  16. ACSM, "Guidelines for exercise testing and prescription," 6th ed, Philadelphia: Lippincott, Williams & Wilkins, 2000.
  17. A. S. Nalin & A. F. Maria, “Exercise and depresssion in the older adult,” Nutr Clin Care, Vol. 3, No. 4, pp. 197-208, 2000. https://doi.org/10.1046/j.1523-5408.2000.00052.x
  18. E. S. Yi, "The life stress, depression and buffering effect of leisure sports participation among the elderly," Journal of Sport and Leisure Studies, Vol. 36, pp. 539-552, 2009.
  19. R Peter, "Ageing and the brain," Postgrad. Med. J, Vol. 82, Vo. 964, pp. 84-88, 2007. https://doi.org/10.1136/pgmj.2005.036665
  20. S. B. He, W. G. Tang, W. J. Tang, X. L. Kao, C. G. Zhang & X. T. Wong, "Exercise intervention may prevent depression," International Journal Sports Medicine, No. 13, pp. 234-245, 2012.
  21. F. D. Legrand & C. M. Mille, "The effects of 60 minutes of supervised weekly walking (in a single vs. 3-5 session format) on depressive symptoms among older women: findings from a pilot randomized trial," Mental Health Physical Activity, Vol. 2, Iss. 2, pp. 71-75, 2009. https://doi.org/10.1016/j.mhpa.2009.09.002
  22. M. Emile, A. Chalabaev, C. Pradier, C. Cleemen-Guillotin, C. Falzon, S. S. Colson & F. d'Arripe-Longueville, "Effects of supervised and individualized weekly walking on exercise stereotypes and quality of life in older sedentary females," Science & Sports, Vol. 29, Iss. 3, pp. 156-163, 2014. https://doi.org/10.1016/j.scispo.2013.01.008
  23. G. C. Vagetti, V. C. Barbosa Filho, N. B. Moreira, V. Oliveira, O. Mazzardo & W. Campos1, "Association between physical activity and quality of life in the elderly: a systematic review, 2000-2012," Revista Brasileira de Psiquiatria, No. 36, pp. 76-88, 2014.
  24. S. Y. Bae, D. S. Ko, J. S. Noh, B. H. Lee, H. S. Park & J. Park, “Relation of physical activity and health-related quality of life in Korean elder-ly,” Journal of the Korea Contents Association, Vol. 10, No. 10, pp. 255-566, 2010. https://doi.org/10.5392/JKCA.10.10.255
  25. K. E. Park, M. H. Kwon & Y. E. Kwon, “Correlation among depression, death anxiety, and quality of life of aged women,” Journal of Korean Public Health Nursing, Vol. 27, No. 3, pp. 527-538, 2013. https://doi.org/10.5932/JKPHN.2013.27.3.527
  26. M. H. Kim, Y. S. Cho, W. S. Uhm, S. H. Kim, & S. C. Bae, “Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic diseases,” Qual Life Res, Vol. 14, No. 5, pp. 1401-1406, 2005. https://doi.org/10.1007/s11136-004-5681-z
  27. E. G. Lee, J. H. Park, J. R. Park, J. Y. Park, “A study on OHIP-14 and EQ-5D of residents in some rural areas,” Journal of Korean society of Dental Hygiene, Vol. 2, No. 2, pp. 197-211, 2011.
  28. S. H. Lee, “Gender difference in influencing factors on health related quality of life among the elderly in community,” The Journal of Digital Policy & Management, Vol. 11, No. 12, pp. 523-535, 2013.
  29. http://kosis.kr/wnsearch/totalSearch.jsp
  30. S. G. Kwak, S. H. Park & E. K. Kim, “A study on the gendered perceptions and lived experiences of aged women, age, and number of pain types,” The journal of Korean Association of Women's Studies, Vol. 24, No. 4, pp. 41-174, 2008.
  31. H. J. Moon & I.. S. Lee, “Gender based comparison of physical activity levels of older Korean adults with chronic disease,” Journal of Korean Gerontological Nursing, Vol. 13, No. 2, pp. 120-130, 2011.
  32. H. J. Lee & S. K. Kahng, “The reciprocal relationship between cognitive functioning and depressive symptoms: Group comparison by gender,” Korean Journal of Social Welfare Studies, Vol. 42, No. 2, pp. 179-203, 2011.
  33. C. S. Kim & S. E. Kim, “Perception of old age among aged men and women,” Journal of the Korean Gerontological Society, Vol. 32, No. 1, pp. 103-114, 2012.
  34. Y. H. Chung & Y. H. Cho, “Gender difference in quality of life after controlling for related factors among Korean young-old and old-old elderly,” J Agric Med Community Health, Vol. 39, No. 3, pp. 176-186, 2014. https://doi.org/10.5393/JAMCH.2014.39.3.176
  35. L. J. Kang, “The effects of related factors on quality of life for the elderly,” Journal of Korean Home Management Association, Vol. 26, No. 5, pp. 129-142, 2008.
  36. K. S. Park, D. W. Hahn & J. I. Lee, “Psychological determinants of physical health and subjective well-being of old people in Korea,” The Korean Journal of Health Psychology, Vol. 9, No. 2, pp. 441-470, 2004.
  37. World Health Organization, "Active ageing a policy framework," Noncommunicable disease prevention and Health promotion department, pp. 1-60, 2002.
  38. Y. J. Lee, “A study on the effects of pain, Sleep pattern, life satisfaction on depression in elderly women with osteoarthritis,” Journal of the Korean Gerontological Society, Vol. 31, No. 2, pp. 211-222, 2011.
  39. H. R. Kim, K. S. Oh, K. O. Oh, S. O. Lee, S. J. Lee, J. A. Kim, H. Y. Jun & J. H. Kang, “Quality of Life in Low Income Korean Aged,” J Korean Acad Nurs, Vol. 38, No. 5, pp. 694-703, 2008. https://doi.org/10.4040/jkan.2008.38.5.694
  40. H. K. Lee, M. S. Sohn & M. K. Choi, “Factors affecting the mental health of the aged in Korea,” Journal of the Korea Contents Association, Vol. 12, No. 12, pp. 672-682, 2012. https://doi.org/10.5392/JKCA.2012.12.12.672
  41. M. J. Kwon, "Convergence study on the relation between cognition, depression and aggression in the elderly," Journal of the Korea Convergence Society, Vol. 6, Iss. 6, pp. 171-176, 2015. https://doi.org/10.15207/JKCS.2015.6.6.171
  42. S. O. Yang, H. R. Cho & S. H. Lee, “A comparative study on influencing factors of health related quality of life of the elderly in senior center by region: Focus on urban and rural areas,” Journal of Digital Convergence, Vol. 12, No. 1, pp. 501-510, 2014.
  43. S. H. Lee, “Gender difference in influencing factors on health related quality of life among the elderly in community,” The Journal of Digital Policy & Management, Vol. 11, No. 12, pp. 523-535, 2013.
  44. E. H. Kim & Y. C. Kwon, “Factors influencing quality of life of elders in urban regions,” The Journal of Digital Policy & Management, Vol. 11, No. 7, pp. 225-235, 2013.
  45. K. M. Kim & H. Y. Kim, "The systemic contemplation of sadness mediation program applied to internal senior citizens," Journal of Digital Convergence, Vol. 13, No. 12, pp. 391-400, 2015. https://doi.org/10.14400/JDC.2015.13.12.391
  46. J. S. Lee & S. Y. Lee, "Effects of cognitive function and depression on anxiety in elderly people-Convergent approach," Journal of Digital Convergence, Vol. 13, No. 8, pp. 401-408, 2015. https://doi.org/10.14400/JDC.2015.13.8.401
  47. E. Y. Ahn, “Geriatric depression and exercise,” Journal of Coaching Development, Vol. 8, No. 2, pp. 13-21, 2006.
  48. J. T. Cha, Y. S. Jee, “The effects of regular exercise on cardiovascular function and depression in elderly,” The Korean Journal of Physical Education, Vol. 43, No. 5, pp. 331-340, 2004.
  49. J. E. Gaugler, A. Davey, L. L. Pearlin & S. H. Zant, “Modeling caregiver adaptation over time: the longitudinal impact of behavior problems,” Psychology and aging, Vol. 15, No. 3, pp. 437-487, 2000. https://doi.org/10.1037/0882-7974.15.3.437
  50. H. J. Choi & S. G. Back, "A study on depressive disposition by convergence approach of leisure history and family situation in elderly women," Journal of the Korea Convergence Society, Vol. 6, Iss. 5, pp. 295-302, 2015. https://doi.org/10.15207/JKCS.2015.6.5.295
  51. S. M. Kwon, “Effects of low-density exercise in the frail elderly,” The Journal of Digital Policy & Management, Vol. 11, No. 11, pp. 643-650, 2013.
  52. K. O. Chang, D. Y. Bae, S. G. Park, “Effect of perceived health status, sleep and depression on quality of life of elderly school participants,” J Muscle Joint Health, Vol. 19, No. 3, pp. 329-339, 2012. https://doi.org/10.5953/JMJH.2012.19.3.329
  53. S. Zara & P. A. Briss, "The guide to community preventive services: What works to promote health?," New York: Oxford University, 2005.
  54. B. D. Struck & K. M. Ross, “Health promotion in older adults: Prescribing exercise for the frail and home bound,” Geriatrics, Vol. 61, No. 5, pp. 22-27, 2006.
  55. H. H. Paek, J. J. Kim, “Comparison of quality of life according to physical activities of the elderly with chronic diseases between urban and rural areas,” The Journal of Korean Society of Occupational Therapy, Vol. 21, No. 3, pp. 75-85, 2013.

Cited by

  1. Effects of the Health Status and Health Behavior on Health-related Quality of Life of the Elderly Living Alone and Living with Their Families: Using Data from the 2014 Community Health Survey vol.28, pp.1, 2017, https://doi.org/10.12799/jkachn.2017.28.1.78