The Korean social life, health and aging project-health examination cohort

Lee, Jumi; Lee, Won Joon; Kim, Hyeon Chang; Choi, Wungrak; Lee, Jina; Sung, Kyungmin; Chu, Sang Hui; Park, Yeong-Ran; Youm, Yoosik

doi:10.4178/epih/e2014003

Cited by 26 publications

(28 citation statements)

References 16 publications

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“…The data collection procedure has been described in detail elsewhere. 20 During the second wave of the KSHAP (September 2012–August 2013), 509 participants completed a questionnaire survey. To examine insomnia and its correlates, we used cross-sectional data from this second wave, which included more number of sleep-related variables than ones of the other waves of the KSHAP.…”

Section: Methodsmentioning

confidence: 99%

Factors Associated with Insomnia among the Elderly in a Korean Rural Community

Kim

Joo

Baek

et al. 2017

Psychiatry Investig

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ObjectiveSleep disturbance is common in the elderly, which is result from multi-factorial causes encompassing socio-demographic, behavioral, and clinical factors. We aimed to identify factors associated with insomnia among the elderly in a rural community in South Korea, a country with a rapidly growing aged population.MethodsThis cross-sectional study used the data from the second wave of the Korean Social life, Health and Ageing Project, which is a cohort study of individuals living in a typical rural community in South Korea. Socio-demographic, behavioral, and clinical characteristics were obtained through face-to-face interviews. Various factors suspected to be associated with insomnia were compared between elderly participants with and without insomnia, and multiple logistic regression analyses were conducted to identify independent risk factors for insomnia.ResultsWe found that 32.4% of 509 participants (72.8±7.7 years old) had insomnia. Female sex [odds ratio (OR)=2.19], low education level (OR=2.44), current smoking (OR=2.26), number of chronic diseases (OR=2.21 for 2–3 chronic diseases; OR=2.06 for 4 or more chronic diseases), and depression (OR=2.53) were independently associated with insomnia.ConclusionWe found that sex, education, chronic disease, and depression independently increase the risk of insomnia of the elderly in a Korean rural community. To overcome the elderly's insomnia, interventions should target modifiable factors such as depression. To promote active aging, longitudinal studies of factors associated with insomnia among the elderly should be performed in different regions and communities.

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Section: Methodsmentioning

confidence: 99%

Factors Associated with Insomnia among the Elderly in a Korean Rural Community

Kim

Joo

Baek

et al. 2017

Psychiatry Investig

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“…The KSHAP-Health Examination (KSHAP-HE) cohort consists of 698 people who completed additional health examinations at a public health centre or at their home. The sampling and data collection procedures have been described in detail elsewhere 15. In this study, 129 participants were excluded for missing key variables (n=85); history of stroke, angina pectoris or myocardial infarction (n=32); or CRP levels above 20 mg/L (n=12).…”

Section: Methodsmentioning

confidence: 99%

Association between C reactive protein level and depressive symptoms in an elderly Korean population: Korean Social Life, Health and Aging Project

et al. 2015

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ObjectiveThe relationship between inflammatory markers and depressive symptoms has been reported inconsistently. Moreover, there were only a few studies conducted in an Asian population. The purpose of this study was to examine the association between C reactive protein (CRP) and depressive symptoms in an elderly Korean population.Design, setting and participantsThis study used data from the Korean Social Life, Health and Aging Project Health Examination Cohort, which started in 2011. Among participants aged 60 or over recruited from a rural community, 569 (224 men and 345 women) without a history of stroke, angina pectoris, myocardial infarction or CRP≥20 mg/L were employed for cross-sectional analyses. As a marker of systemic inflammation, CRP was measured. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression (CES-D) scale. Multiple linear regression analysis was used to investigate the relationship between CRP and depressive symptoms.ResultsIn men, CRP levels had significant associations with depressive symptoms before (β=0.420, p=0.010) and after (β=0.336, p=0.025) adjusting for age, body mass index, systolic blood pressure, number of comorbidities, smoking status, alcohol intake, marital status, education and sleep duration. However, in women, the association between CRP and depressive symptoms was not significant before (p=0.250) and after (p=0.256) adjustment.ConclusionsOur findings suggest that elevated CRP levels are independently associated with the presence of depressive symptoms in elderly Korean men.

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“…Of these 860 adults, 814 people (94.7% response rate) completed face-to-face interviews from December 2011 to March 2012 [ 20 ]. All KSHAP participants were also invited to attend health examinations, and 698 people (85.7% of KSHAP participants, 81.1% of target population) received health examinations at a public health center (n=533) or at home (n=165) [ 21 ]. Individuals for whom data on BP checkup behaviors (n=15) or physical examination (n=30) was missing were excluded.…”

Section: Methodsmentioning

confidence: 99%

Gender Differences in Hypertension Control among Korean Older Adults

Chu

Baek

Kim

et al. 2015

J Prev Med Public Health

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Objectives:Controlling blood pressure is a key step in reducing cardiovascular mortality in older adults. Gender differences in patients’ attitudes after disease diagnosis and their management of the disease have been identified. However, it is unclear whether gender differences exist in hypertension management among older adults. We hypothesized that gender differences would exist among factors associated with hypertension diagnosis and control among community-dwelling, older adults.Methods:This cross-sectional study analyzed data from 653 Koreans aged ≥60 years who participated in the Korean Social Life, Health, and Aging Project. Multiple logistic regression was used to compare several variables between undiagnosed and diagnosed hypertension, and between uncontrolled and controlled hypertension.Results:Diabetes was more prevalent in men and women who had uncontrolled hypertension than those with controlled hypertension or undiagnosed hypertension. High body mass index was significantly associated with uncontrolled hypertension only in men. Multiple logistic regression analysis indicated that in women, awareness of one’s blood pressure level (odds ratio [OR], 2.86; p=0.003) and the number of blood pressure checkups over the previous year (OR, 1.06; p=0.011) might influence the likelihood of being diagnosed with hypertension. More highly educated women were more likely to have controlled hypertension than non-educated women (OR, 5.23; p=0.013).Conclusions:This study suggests that gender differences exist among factors associated with hypertension diagnosis and control in the study population of community-dwelling, older adults. Education-based health promotion strategies for hypertension control might be more effective in elderly women than in elderly men. Gender-specific approaches may be required to effectively control hypertension among older adults.

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The Korean social life, health and aging project-health examination cohort

Cited by 26 publications

References 16 publications

Factors Associated with Insomnia among the Elderly in a Korean Rural Community

Factors Associated with Insomnia among the Elderly in a Korean Rural Community

Association between C reactive protein level and depressive symptoms in an elderly Korean population: Korean Social Life, Health and Aging Project

Gender Differences in Hypertension Control among Korean Older Adults

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