Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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The Relationship between Health Related Physical Fitness, Depression, and Quality of Life of the Elderly

노인의 건강체력과 우울, 삶의 질 관계 : 인지기능을 매개변수로

  • Chun, Myung-Up (Division of Department of sport industy & information, Graduate of Chung-Ang University) ;
  • Choi, Jae-Won (Division of Sport Science, Chung-Ang University) ;
  • Kang, Sung-Goo (Division of Sport Science, Chung-Ang University) ;
  • Yoo, Ha-Na (Division of Sport Science, Chung-Ang University) ;
  • Lee, Kyung-Ha (Division of Sport Science, Chung-Ang University)
  • 천명업 (중앙대학교 스포츠산업정보학과) ;
  • 최재원 (중앙대학교 스포츠과학부) ;
  • 강성구 (중앙대학교 스포츠과학부) ;
  • 유하나 (중앙대학교 스포츠과학부) ;
  • 이경하 (중앙대학교 스포츠과학부)
  • Received : 2019.10.02
  • Accepted : 2019.12.20
  • Published : 2019.12.28
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Abstract

The purpose of this study is to analyze the relationship between health related physical fitness, cognitive function, depression and quality of life variables of elderly people in a comprehensive way based on quantitative evaluation. The subjects of this study were 385 people who voluntarily participated in the elderly welfare center in Gyeonggi and Seoul the elderly people. As for the data collection methods, were measured the characteristics, depression and quality of life, cognitive function questionnaires along with measures of lower and upper body strength, dynamic equilibrium and agility, total endurance and grip strength. As a result, the first was a statistically significant correlation between integrated health of the elderly, cognitive function, quality of life and depression. Second, the analysis of cognitive function, elderly integrated health, quality of life, and depression revealed statistical significance among all variables. Third, there was the partial intervention effect of function in the quality of life and depression of the elderly.

본 연구의 목적은 노인의 건강체력, 우울 및 삶의 질 변인 간의 통합적 인과성을 규명하고자 한다. 자료 수집은 서울·경기 소재의 노인복지관과 노인정에서 동의를 얻은 자발적 참여자 385명을 대상으로 인구통계학적 특성과 인지기능, 삶의 질 및 우울의 설문지와 하체·상체 근력, 동적평형성 및 민첩성, 악력과 전신지구력을 측정하여 자료를 수집하였다. 이에 일련의 절차를 걸쳐 도출된 연구결과는 다음과 같다. 첫째, 노인의 인지기능과 건강체력, 우울 및 삶의 질 간에는 통계적으로 유의한 상관관계가 나타났다. 둘째, 노인의 인지기능과 건강체력, 삶의 질 및 우울의 통합적 관계성에 대한 결과 모든 변인 간에 통계적으로 유의성이 나타났다. 셋째, 노인의 건강 체력이 삶의 질과 우울에 미치는 영향에서는 인지기능의 부분 매개효과가 나타났다.

Keywords

References

  1. National Statistical Office. (2018). Future population estimate. http://www.kostat.go.kr
  2. R. V. Dvorak & E. T. Poehlman. (1998). appendicular skeletal muscle mass, physical activity, and cognitive status in patients with Alzheimer's disease. Neurology, 51(5), 1386-1390. DOI : 10.1212/WNI.51.5.1386
  3. R. S. Willson, C. F. Mendes, D. A. Bennett, J. L. Bienias & D. A. Evans. (2004). Depressive symptoms and cognitive decline in a community population of older persons. Journal of Neurology and Psychiatry, 75, 126-129.
  4. Y. H. Wang, F. Y. Huang, Y. Zheng, G. S. Shi, L. Wang & S. S. Liao. (2017). Study on the association between social isolation and cognitive function among elderly in Daqing city, Heilongjiang province. Zhonghua Liu Xing Bing Xue Za Zhi, 38(4), 472-477. DOI : 10.3760/JISSN.2017.04.012
  5. R. G. Logsdon, L. E. Gibbons, S. M. McCurry & L. Teri. (2002). Assessing quality of life in older adults with cognitive impairment. Psychoso - matic Medicine, 64(3), 510-519. DOI : 10.1097/00006842-200205000-00016
  6. Y. K. Kim & H. R. Ghim. (2015). The Effects of a Cognitive Enhancement Program for the Elderly. The Korean Journal of Developmental Psychology, 28(4), 87-108.
  7. S. K. Chu, J. H. Yoo & C. Y. Lee. (2007). The Effects of a Cognitive Behavior Program on Cognition, Depression, and Activities of Daily Living in Elderly with Cognitive Impairment. Journal of korean Academy of Nursing, 37(7), 1049-1060. DOI : 10.4040/JKAN.2007.37.7.1049
  8. C. A. Rentz. (1995). Reminiscence A Supportive Intervention for the Person With Alzheimer's Disease. Journal of psychosocial nursing and mental health services, 33(11), 15-20. https://doi.org/10.3928/0279-3695-19951101-04
  9. H. M. Kim & S. Y. Chun. (2012). The Effect of Group Art Therapy through Reminiscence on the Cognitive Function and Depression of the Demented Old People. Journal of Korean Art Therapy Association, 19(5), 1289-1312. DOI : 10.35594/KATA.2012.19.5.016
  10. C. I. Jung, Y. S. Kim, H. W. Lee & G. C. Kim. (2011). The Effect of Cooking and Art Activities on Cognitive Function and Depression of Dementia Patients. Journal of korean Institute of Oriental Medical Diagnostics, 15(1), 67-76.
  11. S. J. Chang & T. S. Kihl. (2012). The Effects of Music Game Therapy on Cognition Function, Depression and Self-esteem of Elderly Patients. Journal of The Korean Society for Computer Game, 25(3), 117-127.
  12. J. J. Hun. (2012). The Effects of a Beauty Therapy Program on Demented Elders' Cognitive Function and Mood Change. Journal of The Korean Society of cosmetology, 18(2), 383-390.
  13. D. R. Brown. (1992). Physical activity, aging, and Psychological well-being. An overview of the research. Canadian Journal of Sport Science, 17, 185-193.
  14. G. A. Park & M. H. Oh. (2016). Relationships between Cognitive Function and Self Efficacy, Health Behavior of the Elderly Participation to Physical Activity. Journal of Rehabilitation Research, 20(1), 189-210. DOI : 10.16884/JRR.2016.20.1.189
  15. J. H. Han, J. E. Lee, J. H. Park, S. H. Lee & H. S. Kang. (2014). Original Study : Effect of a 12 Week-Aerobic Exercise Program on Physical Fitness, Depression, and Cognitive Function in the Elderly. Journal of Korean Association Exercise Physiology, 23(4), 375-385. DOI : 10.15857/KSEP.2014.23.4.375
  16. D. H. Kang, H. J. Kim, D. H. Yoon, J. S. Kim & W. Song. (2014). Effects of 12 Weeks High-Speed Elastic Band Training on Cognitive Function, Physical Performance and Muscle Strength in Older Women with Mild Cognitive Impairment: A Randomized Controlled Trial. Korean Society For Health Promotion And Disease Prevention, 14(1), 26-32. DOI : 10.15384/KJHP.2014.14.1.26
  17. K. A. Kim & O. S. Kim. (2015). The Effects of Exercise-Cognitive Combined Dual-Task Program on Cognitive Function and Depression in Elderly with Mild Cognitive Impairment, The Korean Academic Society of Adult Nursing, 27(6), 707-717. DOI : 10.7475/KJAN.2015.27.6.707
  18. S. N. Hoon. (2016). The Effect of Resistance Exercise on Cognitive Function and Risk Factors of Dementia for Elderly Women with Mild Cognitive Impairment. Korea Sport Society, 14(2), 305-315
  19. J. K. Kim, H. S. Kim & B. H. Chong. (2008). The Effects of Small Group Physical Activities on Demented old adults' Cognitive Functions. The Journal of Occupational Therapy for the Aged and Dementia, 2(2), 13-24.
  20. S. Y. Um & Y. S. Kwak. (2004). The effects of regular exercise on cognitive function and blood Lipid in woman patient with senile dementia. Korean Journal of Sport Science, 15(1), 57-65.
  21. B. H. Lee, J. S. Park & N. R. Kim. (2011). The Effect of Physical Activity Program on Cognitive Function, Physical Performance, Gait, Quality of Life and Depression in the Elderly with Dementia. Institute of Special Education & Rehabitation Science, 50(2), 307-328.
  22. R. E. Rikli & C. J. Jones. (1999). Development and validation of a functional fitness test for community-residing older adults. Journal of Aging and Physical Activity, 7(2), 129-161. DOI : 10.1123/JAPA.7.2.129
  23. S. J. Park, B. G. Ko, J. H. Song, H. S. Song, J. W. Chung, S. H. Park & M. H. Lee. (2016). Frailty, Physical Activity and Functional Fitness in the Community-dwelling Elderly. Korean Journal of Sport Science, 27(2), 234-244. DOI : 10.24985/KISS.2016.27.2.234
  24. J. Y. Jeong, J. H. Yoon & J. K. Oh. (2016). The correlation between hand grip strength and knee strength, proprioception and balance in Elderly. Sport Science, 34(1), 55-62.
  25. Y. H. Choi & N. Y. Kim. (2013). The Effects of an Exercise Program using a Resident Volunteer as a Lay Health Leader for Elders' Physical Fitness, Cognitive Function, Depression, and Quality of Life. Korean Association of Community Nursing, 24(3), 346-357. DOI : 10.12799/JKACHN.2013.24.3.346
  26. J. I. Woo Author et al. (2016). Korean version of the consortium to establish a registry for alzheimer's disease assessment packet : Seoul National University Publishing Culture Center.
  27. J. I. Sheikh & J. A. Yesavage. (1986). Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clinical Gerontologist: The Journal of Aging and Mental Health. DOI : 10.1300/J018v05n01_09
  28. B. S. Kee. (1996). A Preliminary Study for the Standardization of Geriatric Depression Scale Short Form-Korea Version. Journal of The korean Neuropsychiatric Association, 35(2), 298-307.
  29. S. G. Min, G. I. Kim, S. Y. Seo & D. K. Young. (2000). Development of Korean Version of World Health Organization Quality of Life Scale. Journal of The korean Neuropsychiatric Association, 39(1), 78-88.
  30. K. S. Kim. (2004). Analysis structural equation modeling : data solution
  31. K. S. Kim. (2010). Analysis structural equation modeling : Hannara Academy
  32. L. T. Hu & P. M. Bentler. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55. DOI : 10.1080/10705519909540118
  33. S. H. Boutcher. (2000). Cognitive performance, fitness and ageing. Physical activity and psychological well-being, 118-129.
  34. C. D. Hall, A. L. Smith & S. W. Keele. (2001). The impact of aerobic activity on cognitive function in older adults: A new synthesis based on the concept of executive control. European Journal of Cogni tive Psychology, 13(1/2), 279-300. DOI : 10.1080/09541440126012
  35. A. E. Kramer, S. Hahn, N. J. Cohen, M. T. Banich, E. McAuley, C. R. Harrison & A. Colcombe. (1999). Aging, fitness and neurocognitive function. Nature, 400, 418-419. https://doi.org/10.1038/22682
  36. D. R. Hopkins, B. Murrah, W. W. Hoeger, & R. C. Rhodes. (1990). Effect of low-impact aerobic dance on the functional fitness of elderly women. The Gerontologist, 30(2), 189-192. DOI : 10.1093/GERONT.30.2.189
  37. J. H. Park Author et al. (2015). The effect of composite exercise on the cognitive function, health fitness and inflammatory cytokine of the elderly. Korean journal of physical education, 2015(12), 273-273.
  38. J. W. Cho, H. N. Yoo, H. W. Lee, S. G. Kang & H. Y. Jung. (2018). Relationship between Exercising Activity, Muscle Mass, Muscular Strength and Cognitive Function in the Elderly. Journal of the Korea Convergence Society, 9(5), 219-229. DOI : 10.15207/JKCS.2018.9.5.219
  39. D. M. Landers & S. M. Arent. (2007). Physical activity and mental health. Handbook of Sport Psychology, 2, 740-765.
  40. H. A. O'Neal, A. L. Dunn & E. W. Martinsen. (2000). Depression and exercise. International Journal of Sport Psychology, 31, 110-135 DOI : 10.12691/AJSSM-6-2-1
  41. I. S. Nam & S. R. Yeom (2013). Effect of socioeconomic status on depression : Focusing on the mediating effect of regular exercise. Korean Society of Gerontological Social Welfare, 62, 109-126.
  42. J. A. Blumenthal, M. A. Babyak, P. M. Doraiswamy, L. Watkins, B. M. Hoffman, K. A. Barbour & A. Hinderliter. (2007). Exercise and pharmacotherapy in the 338 treatment of major depressive disorder. Psychosomatic Medicine, 69(7), 587. DOI : 10.1097/PSY.0b013e318148c19a
  43. J. H. Han & H. S. Kang. (2015). Clinical Article : The Relationship between Functional Physical Fitness and Mild Cognitive Impairment in Older Adults. Korean Society of Sports Medicine, 33(2), 102-109. DOI : 10.5763/KJSM.2015.33.2.102
  44. H. S. Byun, Y. S. Kim & H. J. Lee. (2018). Change in Objective Cognition and Depression, Anxiety related to Subjective Cognitive Function in the Elderly - 6 Month Follow Up -. Journal of Cognitive Enhancement and Intervention, 9(1), 1-13. DOI : 10.21197/JCEL.9.1.1
  45. S. I. Steinberg, S. Negash, M. D. Sammel, H. Bogner, B. T. Harel & M. G. Livney. (2013). Subjective memory complaints, cognitive performance and psychological factors in healthy older adults. American Journal of Alzheimer's Disease & Other Dementias, 28(8), 776-783. DOI : 10.1177/1533317513504817
  46. H. W. Shin & Y. M. Baek. (2015). The Effects of the Cognitive Enhancement Program on Memory, Depression and Quality of Life in Elderly. The Korean Journal of Rehabilitation Psychology, 22(2), 263-278.
  47. H. S. Kim, Y. J. Yi, K. H. Park, U. K. Kang & B. M. Lee. (2010). Effects of Cognition Promoting Program on Cognitive Function, Depression and Quality of Life in Elderly. The Korea Contents Society, 10(8), 227-239. https://doi.org/10.5392/JKCA.2010.10.8.227
  48. E. S. Ju & Y. S. Bang. (2018). The Effects of Multimodal Activity Program on Physical Function, Cognitive Function and Depression of the Elderly Stroke. Korea Entertainment Industry Association, 12(7), 317-328. DOI : 10.21184/JKEIA.2018.10.12.7.317
  49. H. K. Yang. (2006). The Effects of the Recreational Music Therapy on the Cognitive Functional of the Aged People with Dementia. The Korean Gerontological Society, 26(4), 749-765.
  50. A. N. Choi & L. G. Kwong. (2007). The Effect of Group Music Therapy on Cognition, Depressive mood, Quality of Life and BPSD(Behavioral and Psychological Symptoms of dementia) in Patients with Dementia. Institute of Special Education & Rehabitation Science, Daegu University. 46(3), 143-174.
  51. E. S. Ryu & Y. S. Jeon. (2016). A Study on the Effect of Group Art Therapy Combined with Therapeutic Recreation on the Cognitive Function, Depression, and Interpersonal Relations of Elderly Dementia Patients. Korean Journal of Art Therapy, 23(5), 1371-1393. DOI : 10.35594/KATA.2016.23.5.7.007
  52. Y. H. Choi & C. J. Lee. (2012). Effects of a Recreational Combination Gymnastics Program for Old-old Women. Journal of Korean Academy of Nursing, 42(6), 843-852. DOI : 10.4040/JKAN.2012.42.6.843
  53. J. S. Jang & D. H. Lee. (2017). The Effectiveness of Enhanced Laughter Therapy Program: Focusing on Recognition and Mental Health of the Elderly. Journal of the Korean Academy of Health and Welfare for Elderly, 9(2), 33-47.
  54. C. M. Cho. (2017). Effects of Laughter Therapy on Cognitive Function, Depression and Quality of Life in Community-Dwelling Elders Receiving Visiting Nursing Services. The Korean Society of Living Environmental System, 24(1), 64-72. DOI : 10.21086/KSLES.2017.02.24.1.64
  55. S. E. Kim, S. M. Park & M. Y. Jung. (20017). Effects of a Multimodal Intervention Program on Cognitive Function and Depression of the Elderly With Early Dementia. Korean Journal of Occupational Therapy, 25(1), 45-55.
  56. Y. J. Lee, J. H. Lee, Y. J. Kim, N. Y. Yang & J. H. Park. (2014). The Effect of Multimodal Intervention on Quality of Life, Depression, and Cognitive Function in Elderly People With Dementia: A Pilot Study. Korean Journal of Occupational Therapy, 22(3), 85-98. https://doi.org/10.14519/jksot.2014.22.3.07