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도시지역 노인의 치매 위험요인에 관한 단면연구

Community Based Cross-sectional Study on the Risk Factors of Dementia among the Elderly in a City

Abstract

Objectives : To identify the risk factors of dementia among the elderly in a large city. Methods : A cross-sectional study was conducted in July 2001, with potential participants selected by stratified two stage cluster sampling of the elderly population of Keumgog dong, Busan. A total of 452 elderly people aged 65 years and over, underwent a two phase diagnostic procedure. Mini-mental State Examination-Korean (MMSE-K) and Samsung Dementia Questionnaire were used for the 1st stage, and the Clinical Dementia Rating Scale (CDR), the Bartel ADL, and IADL Index, the Korean Geriatric Depression Scale (KGDS), the Modified Hatchinski Ischemic Scale (MHIS), and other laboratory tests were used for the 2nd stage. Results : Of the 446 participants finally chosen, 45 were confirmed with dementia, and 363 as normal, with the rests not confirmed with dementia or as normal, were excluded from the analysis. According to the logistic regression analysis, the risk of dementia was significantly higher In: people aged 80 and above (OR=4.36, 95% CI=1.97-9.62), illiterate (OR=3.58, 95% CI=1.71-7.46), who had a history of strokes (OR=6.35, 95% CI=2.71-14.87), or who had 3 history of hyperlipidemia (OR=4.74, 95% CI=1.65-13.61), compared to their counterparts. Conclusions : These results suggest that efforts to prevent strokes and hyperlipidemia can significantly decrease the risk of dementia.

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이 논문을 인용한 문헌 (5)

  1. Kim, Sang-Kyu ; Hwang, Tae-Yoon ; SaKong, Joon ; Lee, Kyeong-Soo ; Kang, Pock-Soo 2007. "Change of Cognitive Function and Associated Factors among the Rural Elderly: A 5-Year Follow-up Study" Journal of preventive medicine and public health = 예방의학회지, 40(2): 162~168 
  2. Ahn, Kwon-Suk ; Ji, Min-Gyeong ; Min, Hee-Hong 2009. "A study on dental professionals' recognition on a system of long-term care insurance for the elderly" 한국치위생교육학회지 = The Journal of Korean Academy of Dental Hygiene Education, 9(1): 169~180 
  3. Shin, Eun-Sook ; Cho, Young-Chae 2011. "Cognitive Function and Its Related Factors Among the Elderly People Affiliated with Long-term Care Insurance Services in Rural Areas" 한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, 12(10): 4493~4501 
  4. Lee, Bong-Hyo ; Jeon, Won-Kyung ; Han, Chang-Hyun 2011. "A Study on Interpretation of Alzheimer Disease through Three Yin and Three Yang and the Direction of Acupuncture Treatment" 경락경혈학회지= Korean journal of acupuncture, 28(4): 159~167 
  5. Lee, Bong-Hyo ; Jeon, Won-Kyung ; Han, Chang-Hyun 2011. "A Interpretation of Vascular Dementia through Three Yin & Three Yang to Study on the Acupuncture Treatment" 경락경혈학회지= Korean journal of acupuncture, 28(4): 169~175 

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