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COVID-19: Original Article
No evidence of delay in colorectal cancer diagnosis during the COVID-19 pandemic in Gwangju and Jeonnam, Korea
Hye-Yeon Kim, Min-Gyeong Kim, Mi-Ran Kang, Jeong-Ho Yang, Min-Ho Shin, Sun-Seog Kweon
Epidemiol Health. 2022;44:e2022092.   Published online October 17, 2022
DOI: https://doi.org/10.4178/epih.e2022092
  • 1,641 View
  • 176 Download
AbstractAbstract AbstractSummary PDF
Abstract
OBJECTIVES
We evaluated whether the coronavirus disease 2019 (COVID-19) pandemic caused delays in the diagnosis and treatment of colorectal cancer (CRC) in Korea, where there have been no regional or hospital lockdowns during the pandemic period.
METHODS
Data on CRC patients (n=1,445) diagnosed in Gwangju Metropolitan City and Jeonnam Province between January 2019 and December 2021 were assessed. The stage at the time of CRC diagnosis, route to diagnosis, time to initial cancer treatment, and length of hospital admission were compared before and during the COVID-19 pandemic. Logistic regression was also performed to identify factors associated with the risk for diagnosis in an advanced stage.
RESULTS
No negative effects indicating a higher CRC stage at diagnosis or delayed treatment during the pandemic were observed. Instead, the risk for an advanced stage at diagnosis (TNM stage III/IV) decreased in CRC patients diagnosed during the pandemic (odds ratio, 0.768; 95% confidence interval, 0.647 to 0.911). No significant differences in the interval from diagnosis to operation or chemotherapy were observed.
CONCLUSIONS
No negative effects on CRC diagnosis and treatment were found until the end of 2021, which may be related to the small magnitude of the COVID-19 epidemic, the absence of a lockdown policy in Korea, and the rebound in the number of diagnostic colonoscopy procedures in 2021.
Summary
Korean summary
COVID-19 판데믹 시기에 진단된 대장암환자에서 진단병기의 지연과 치료의 지연이 발생한 증거는 찾을 수 없었다. 이것은 2021년까지 한국에서는 유행규모가 크지 않았고, 의료기관 또는 지역단위의 봉쇄정책이 거의 없었기 때문일 것으로 추정된다.
Key Message
No evidence of delayed diagnosis and treatment of colorectal cancer was found during the COVID-19 pandemic period (2020-2021) in Gwangju-Jeonnam, Korea. It may be related to the small magnitude of the COVID-19 epidemic, the absence of a lockdown policy in Korea.
Original Article
Exploring the relationships between anthropometric indices of adiposity and physical performance in middle-aged and older Brazilian women: a canonical correlation analysis
Rafaela Andrade do Nascimento, Mariana Carmem Apolinário Vieira, Juliana Fernandes, Ingrid Guerra Azevedo, Mayle Andrade Moreira, José Vilton Costa, Saionara Maria Aires da Câmara, Álvaro Campos Cavalcanti Maciel
Epidemiol Health. 2022;44:e2022074.   Published online September 13, 2022
DOI: https://doi.org/10.4178/epih.e2022074
  • 1,442 View
  • 70 Download
AbstractAbstract PDF
Abstract
OBJECTIVES
This study analyzed the influence of anthropometric indices of adiposity on the physical performance of middle-aged and older women.
METHODS
A cross-sectional study was conducted among 368 women from 50 years to 80 years old. Anthropometric and biochemical characteristics were analyzed, and physical performance was evaluated. The statistical analysis used measures of central tendency and dispersion for descriptive data, Pearson correlations to demonstrate the initial associations between the variables, and canonical correlation (CC) to evaluate the relationship between the set of anthropometric adiposity indices and performance-related variables.
RESULTS
The participants had a mean age of 58.57±8.21 years, a visceral adiposity index of 7.09±4.23, a body mass index of 29.20±4.94 kg/m2, and a conicity index of 1.33±0.07. The average handgrip strength was 25.06±4.89 kgf, gait speed was 1.07±0.23 m/s, and the mean Short Physical Performance Battery (SPPB) score was 10.83±1.36. The first canonical function presented the highest shared variance, CC, and redundancy index (cumulative percentage of variance, 82.52; Wilks’ lambda, 0.66; CC, 0.532; p<0.001). From the analysis of this canonical function, the conicity index (-0.59) displayed inverse correlations with handgrip strength (0.84) and the SPPB (0.68), as well as a direct correlation with gait speed (-0.43).
CONCLUSIONS
In middle-aged and older women, there was an inverse relationship between the conicity index and muscle strength and power, while a direct relationship was found between the same index and gait speed.
Summary
Korean summary
Key Message
In aging process there is an increase in body adiposity and reduction in muscle size, mainly in women, due to the consequences of menopause and lower level of physical activity. This study analyzed the influence of anthropometric indices of adiposity on the physical performance of middle-aged and older women (50-80 years old), using canonical correlation analysis. The findings showed an inverse relationship between the conicity index and muscle strength and power, while a direct relationship between the same index and gait speed. Therefore, physical performance is influenced by changes in body composition that occur with age in this population group
Cohort Profile
Cohort profile: the Environmental-Pollution-Induced Neurological EFfects (EPINEF) study: a multicenter cohort study of Korean adults
Heeseon Jang, Woojin Kim, Jaelim Cho, Jungwoo Sohn, Juhwan Noh, Gayoung Seo, Seung-Koo Lee, Young Noh, Sung Soo Oh, Sang-Baek Koh, Hee Jin Kim, Sang Won Seo, Ho Hyun Kim, Jung Il Lee, Sun-Young Kim, Changsoo Kim
Epidemiol Health. 2021;43:e2021067.   Published online September 16, 2021
DOI: https://doi.org/10.4178/epih.e2021067
  • 6,431 View
  • 211 Download
  • 3 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
The general population is exposed to numerous environmental pollutants, and it remains unclear which pollutants affect the brain, accelerating brain aging and increasing the risk of dementia. The Environmental-Pollution-Induced Neurological Effects study is a multi-city prospective cohort study aiming to comprehensively investigate the effect of different environmental pollutants on brain structures, neuropsychological function, and the development of dementia in adults. The baseline data of 3,775 healthy elderly people were collected from August 2014 to March 2018. The eligibility criteria were age ≥50 years and no self-reported history of dementia, movement disorders, or stroke. The assessment included demographics and anthropometrics, laboratory test results, and individual levels of exposure to air pollution. A neuroimaging sub-cohort was also recruited with 1,022 participants during the same period, and brain magnetic resonance imaging and neuropsychological tests were conducted. The first follow-up environmental pollutant measurements will start in 2022 and the follow-up for the sub-cohort will be conducted every 3-4 years. We have found that subtle structural changes in the brain may be induced by exposure to airborne pollutants such as particulate matter 10 μm or less in diameter (PM10), particulate matter 2.5 μm or less in diameter (PM2.5) and Mn10, manganese in PM10; Mn2.5, manganese in PM2.5. PM10, PM2.5, and nitrogen dioxide in healthy adults. This study provides a basis for research involving large-scale, long-term neuroimaging assessments in community-based populations.
Summary
Korean summary
EPINEF 코호트는 환경유해인자에 의한 신경계 질환의 위해성을 평가하고, 환경유해인자로 유발되는 신경심리학적 기능 저하 또는 뇌 노화에 대한 근거를 제공하기 위해 2014년부터 50세 이상의 건강한 성인을 대상으로 시작되었습니다. 본 코호트는 뇌 영상학적 표지자와 인지 기능과 관련된 환경유해인자를 광범위하게 조사한 한국 최초의 장기 추적관찰 연구로, 대기 오염 물질 또는 다환방향족탄화수소 노출이 대뇌 영상표지자 및 신경심리학적 기능, 노인의 우울 증상에 대한 악화 요인으로서의 대기오염물질 노출과 결혼 상태의 교호작용 등의 연구결과들을 발표하였습니다. 또한, 추후에도 코호트의 지속적인 추적을 통해 환경유해인자 노출에 따른 신경학적 건강영향을 연구하여, 신경계 질환 관리를 위한 보건 정책 개선에 기여할 수 있을 것으로 기대됩니다.
Key Message
The EPINEF cohort was started in 2014 to assess the risk of neurological diseases caused by environmental harmful factors and to provide evidence for neuropsychological dysfunction or brain aging induced by these factors. This cohort is the first long-term follow-up study in Korea to extensively investigate brain imaging markers and environmental harmful factors related to cognitive function, and several related research results have been published. In addition, the follow-up survey will be continued in the future, and we expect that the results of the study will contribute to improving health policies for the management of neurological diseases.

Citations

Citations to this article as recorded by  
  • Associations of Particulate Matter Exposures With Brain Gray Matter Thickness and White Matter Hyperintensities: Effect Modification by Low-Grade Chronic Inflammation
    Jaelim Cho, Heeseon Jang, Young Noh, Seung-Koo Lee, Sang-Baek Koh, Sun-Young Kim, Changsoo Kim
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • Surveillance of long-term environmental elements and PM2.5 health risk assessment in Yangtze River Delta, China, from 2016 to 2020
    Keqin Wu, Yuanhua Meng, Yan Gong, Xuhui Zhang, Linlin Wu, Xinliang Ding, Xiaofeng Chen
    Environmental Science and Pollution Research.2022; 29(54): 81993.     CrossRef
  • Reduced brain subcortical volumes in patients with glaucoma: a pilot neuroimaging study using the region-of-interest-based approach
    Yae Won Ha, Heeseon Jang, Sang-Baek Koh, Young Noh, Seung-Koo Lee, Sang Won Seo, Jaelim Cho, Changsoo Kim
    BMC Neurology.2022;[Epub]     CrossRef
Original Article
Association between body temperature and leukocyte telomere length in Korean middle-aged and older adults
Carolina García-García, Chol Shin, Inkyung Baik
Epidemiol Health. 2021;43:e2021063.   Published online September 8, 2021
DOI: https://doi.org/10.4178/epih.e2021063
  • 5,869 View
  • 196 Download
  • 1 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Data on associations between body temperature (BT) and leukocyte telomere length (LTL), which has been widely used as a biomarker of cellular senescence in recent epidemiological studies, are limited. Therefore, this study aimed to explore the associations between a normal BT range (35.0-37.5°C) and LTL via 6-year longitudinal observations of 2,004 male and female adults aged 50 or older.
METHODS
BT was obtained by measuring the tympanic temperature, and relative LTL was determined by real-time polymerase chain reaction. Robust regression analysis was used to evaluate the association between the baseline and follow-up LTL values and their differences.
RESULTS
A significant inverse association was found between BT and LTL at baseline. The regression coefficient estimate was -0.03 (95% confidence interval, -0.07 to -0.001; p<0.05). This association was stronger in participants with a body mass index >25 kg/m2 and males (p<0.01). However, there were no associations between BT and LTL at follow-up or BT and 6-year longitudinal differences in LTL.
CONCLUSIONS
These findings suggest that having a high BT between 35°C and 37.5°C (95°F and 99°F) may be detrimental for obese individuals in terms of biological aging.
Summary
Korean summary
본 역학 연구는 한국 성인 2,004명을 연구대상자로 하여 2011-2012년에 고막 체온을 측정하고 전혈을 채취하여 백혈구 텔로미어 길이를 분석하였으며 이러한 분석을 2017-2018년에 반복하여 6년 동안의 백혈구 텔로미어 길이 변화를 계산하였다. 고막 체온과 초기 텔로미어 길이의 관련성을 분석한 결과, 정상 체온 범위 내 체온이 높을수록 텔로미어 길이가 유의적으로 짧아지는 생리적 노화 상태와 관련된 것으로 나타났으며, 이러한 결과는 비만할 경우 더욱 분명하게 나타났다. 본 연구 결과를 통해 비만 시 체내 열발생과 관련된 노화 진행이 체중 감소를 통해 지연될 수 있는 가능성이 제시되었다.
Key Message
In an epidemiological study including Korean adults, a relatively higher normal body temperature between 35°C to 37.5°C was found to be associated with shorter leukocyte telomere length, a cellular senescence biomarker. In particular, this association was observed to be stronger among obese participants, suggesting that attaining normal body weight may be beneficial for anti-aging.

Citations

Citations to this article as recorded by  
  • Higher Daily Air Temperature Is Associated with Shorter Leukocyte Telomere Length: KORA F3 and KORA F4
    Wenli Ni, Kathrin Wolf, Susanne Breitner, Siqi Zhang, Nikolaos Nikolaou, Cavin K. Ward-Caviness, Melanie Waldenberger, Christian Gieger, Annette Peters, Alexandra Schneider
    Environmental Science & Technology.2022; 56(24): 17815.     CrossRef
Review
A systematic review of barriers and motivators to physical activity in elderly adults in Iran and worldwide
Soudabeh Yarmohammadi, Hossein Mozafar Saadati, Mohtasham Ghaffari, Ali Ramezankhani
Epidemiol Health. 2019;41:e2019049.   Published online November 29, 2019
DOI: https://doi.org/10.4178/epih.e2019049
  • 12,632 View
  • 335 Download
  • 35 Citations
AbstractAbstract PDFSupplementary Material
Abstract
OBJECTIVES
This study was conducted to identify and characterize the barriers and motivations to physical activity (PA) for elderly adults in Iran and other countries.
METHODS
We searched 6 databases (PubMed, Embase, Scopus, Web of Science, Magiran, and the Scientific Information Database) from 2000 to the November 2017, using “aged 60 and over,” “physical activity” or “exercise,” and “motivator” and “barrier” as keywords. Two reviewers independently performed the search, screening, and quality assessment of the studies.
RESULTS
In total, 34 papers were finally included in the study. The most important barriers, based on the frequency of factors, included physical problems, having no companions, and physical barriers to walking. The motivators included improving one’s physical condition, being social, and suitability of the physical environment.
CONCLUSIONS
Important motivators and barriers to PA were more closely related to intrapersonal factors than to the interpersonal and environmental domains. The barriers and motivators to PA in the elderly were not markedly different between Iran and other countries. Therefore, a general strategy could be designed to improve PA in the elderly.
Summary
Korean summary
Key Message

Citations

Citations to this article as recorded by  
  • Physical activity pattern in Iran: Findings from STEPS 2021
    Seyed Aria Nejadghaderi, Naser Ahmadi, Mohammad-Mahdi Rashidi, Ali Ghanbari, Maryam Noori, Mohsen Abbasi-Kangevari, Maryam Nasserinejad, Negar Rezaei, Moein Yoosefi, Nima Fattahi, Erfan Ghasemi, Yosef Farzi, Elham Abdolhamidi, Mahbobeh Darman, Shirin Djal
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Comment on “Adherence, safety and potential effectiveness of a home‐based Radio‐Taiso exercise program in older adults with frailty: A pilot randomized controlled trial”
    Parmida Sadat Pezeshki
    Geriatrics & Gerontology International.2023; 23(2): 157.     CrossRef
  • Psychometric properties of the Barriers Self-Efficacy Scale for Physical Activity–Korean
    Jung-Suk Kim, Chun-Ja Kim, Elizabeth A. Schlenk
    Archives of Psychiatric Nursing.2023; 43: 29.     CrossRef
  • Differential Patterns in Motivations for Practicing Sport and Their Effects on Physical Activity Engagement across the Lifespan
    Marcelo de Maio Nascimento, Élvio Rúbio Gouveia, Bruna R. Gouveia, Adilson Marques, Cíntia França, Pedro Campos, Francisco Martins, Jesús García-Mayor, Andreas Ihle
    Healthcare.2023; 11(2): 274.     CrossRef
  • Factors Related to Physical Activity among Older Adults Who Relocated to a New Community after the Kumamoto Earthquake: A Study from the Viewpoint of Social Capital
    Yumie Kanamori, Ayako Ide-Okochi, Tomonori Samiso
    International Journal of Environmental Research and Public Health.2023; 20(5): 3995.     CrossRef
  • Active or Passive Aging? Analysis of Selected Socioeconomic Factors in the Polish Population
    Elżbieta Biernat, Justyna Krzepota, Dorota Sadowska
    International Journal of Environmental Research and Public Health.2023; 20(6): 4683.     CrossRef
  • Benefits outweigh the risks: a consensus statement on the risks of physical activity for people living with long-term conditions
    Hamish Reid, Ashley Jane Ridout, Simone Annabella Tomaz, Paul Kelly, Natasha Jones
    British Journal of Sports Medicine.2022; 56(8): 427.     CrossRef
  • Experiencia en el uso de videos para la promoción de ejercicio físico en el hogar en modalidad online en personas mayores en Chile durante la pandemia COVID-19
    María Fernanda Calvo Sánchez, Claudia Román Ureta, Patricia Basualto Alfaro, Germán Bannen García-Huidobro, Magdalena Chamorro Giné
    Revista Española de Geriatría y Gerontología.2022; 57(2): 79.     CrossRef
  • The Impact of Chronic Conditions on Leisure Participation among Community-Dwelling Older Adults
    Daniella R. Hauser, Neha S. Tripathi, Melanie N. Smith, Chelsea L. Williams, Brooke M. Lefebvre, Alyssa Ly, Melia K. Higgins
    Physical & Occupational Therapy In Geriatrics.2022; 40(4): 419.     CrossRef
  • Design and Validation of a Questionnaire to Assess the Leisure Time Physical Activity of Adult Women in Gipuzkoa
    Olaia Eizagirre-Sagastibeltza, Uxue Fernandez-Lasa, Javier Yanci, Estibaliz Romaratezabala, Ruth Cayero, Iñaki Iturrioz, Oidui Usabiaga
    International Journal of Environmental Research and Public Health.2022; 19(9): 5736.     CrossRef
  • Factors Related to Preventive Behaviors against a Decline in Physical Fitness among Community-Dwelling Older Adults during the COVID-19 Pandemic: A Qualitative Study
    Yumi Kimura, Hiroshi Akasaka, Toshihito Takahashi, Saori Yasumoto, Kei Kamide, Kazunori Ikebe, Mai Kabayama, Ayaka Kasuga, Hiromi Rakugi, Yasuyuki Gondo
    International Journal of Environmental Research and Public Health.2022; 19(10): 6008.     CrossRef
  • BARRIERS AND FACILITATORS TO ACTIVE AGEING AS VIEWED BY EMPLOYERS AND TRADE UNIONS. SNAPSHOTS FROM POLAND
    Izabela Warwas, Agata Matuszewska-Kubicz
    Polityka Społeczna.2022; 576(3): 11.     CrossRef
  • Health and wellness for disadvantaged older adults: The AFRESH pilot study
    Cathy A. Maxwell, Corley Roberts, Kelsey Oesmann, Sylvie Muhimpundu, Kristin R. Archer, Maulik R. Patel, Mogos F. Mulubrhan, James Muchira, Jeffrey Boon, Marianna LaNoue
    PEC Innovation.2022; 1: 100084.     CrossRef
  • Barriers and facilitators of domain-specific physical activity: a systematic review of reviews
    Leandro Garcia, Gerfeson Mendonça, Tânia R. Bertoldo Benedetti, Lucélia Justino Borges, Inês Amanda Streit, Marina Christofoletti, Fernando Lopes e Silva-Júnior, Camila Bosquiero Papini, Maria Angélica Binotto
    BMC Public Health.2022;[Epub]     CrossRef
  • The Influence of Easing COVID-19 Restrictions on the Physical Activity Intentions and Perceived Barriers to Physical Activity in UK Older Adults
    Jason Tallis, Darren L. Richardson, Emma L. J. Eyre
    International Journal of Environmental Research and Public Health.2022; 19(19): 12521.     CrossRef
  • Electronic Wearable Device Use for Physical Activity in Older Adults: A Qualitative Study
    Mengchi Li, Miranda V McPhillips, Sarah L Szanton, Jennifer Wenzel, Junxin Li, Bo Xie
    Work, Aging and Retirement.2022;[Epub]     CrossRef
  • Factors Associated with Undertaking Health-Promoting Activities by Older Women at High Risk of Metabolic Syndrome
    Jagoda Rusowicz, Anna Serweta, Karolina Juszko, Wojciech Idzikowski, Robert Gajda, Joanna Szczepańska-Gieracha
    International Journal of Environmental Research and Public Health.2022; 19(23): 15957.     CrossRef
  • Effect of the Juggling-Based Motor Learning Physical Activity on Well-Being in Elderly: A Pre–Post Study with a Special Training Protocol
    Jakub Malik, Janusz Maciaszek
    Healthcare.2022; 10(12): 2442.     CrossRef
  • Opportunities to be active in retirement villages and factors associated with physical activity in residents
    Aoi Yoshihara, Katherine Bloomfield, Zhenqiang Wu, Annie Tatton, Joanna Hikaka, Michal Boyd, Kathy Peri, Martin J. Connolly, Tim Stokes
    Journal of Primary Health Care.2022; 15(1): 6.     CrossRef
  • Protein and physical activity in older persons
    Suey S.Y. Yeung, Ruth S.M. Chan, Jean Woo
    Current Opinion in Clinical Nutrition & Metabolic Care.2021; 24(1): 42.     CrossRef
  • Barriers and Facilitators Associated with Physical Activity in the Middle East and North Africa Region: A Systematic Overview
    Sonia Chaabane, Karima Chaabna, Sathyanarayanan Doraiswamy, Ravinder Mamtani, Sohaila Cheema
    International Journal of Environmental Research and Public Health.2021; 18(4): 1647.     CrossRef
  • The Associations of Built Environment with Older People Recreational Walking and Physical Activity in a Chinese Small-Scale City of Yiwu
    Jiabin Yu, Chen Yang, Xiaoguang Zhao, Zhexiao Zhou, Shen Zhang, Diankai Zhai, Jianshe Li
    International Journal of Environmental Research and Public Health.2021; 18(5): 2699.     CrossRef
  • Active Older Adults Keep Aerobic Capacity and Experience Small Reductions in Body Strength During Confinement Due to COVID-19 Outbreak
    Lucimere Bohn, Duarte Barros, Flávia Borges-Machado, Susana Carrapatoso, Andreia N. Pizarro, Joana Carvalho
    Journal of Aging and Physical Activity.2021; 29(6): 1034.     CrossRef
  • Physical activity in older adults: A cross sectional study
    Seyed Abolhassan Naghibi, Fereshteh Rostami, Mahmood Moosazadeh, Seyedeh Somayeh Kazemi
    Health Monitor Journal of the Iranian Institute for Health Sciences Research.2021; 20(2): 179.     CrossRef
  • Older Adults’ Perceptions toward Walking: A Qualitative Study Using a Social-Ecological Model
    Ka-Man Leung, Kai-Ling Ou, Pak-Kwong Chung, Cecilie Thøgersen-Ntoumani
    International Journal of Environmental Research and Public Health.2021; 18(14): 7686.     CrossRef
  • Determinants of Physical Activity Practices in Metropolitan Context: The Case of Lisbon Metropolitan Area, Portugal
    Ana Louro, Pedro Franco, Eduarda Marques da Costa
    Sustainability.2021; 13(18): 10104.     CrossRef
  • Regular Physical Activities and Related Factors among Middle-Aged and Older Adults in Jinan, China: A Cross-Sectional Study
    Shukang Wang, Wei Ma, Shu-Mei Wang, Xiangren Yi
    International Journal of Environmental Research and Public Health.2021; 18(19): 10362.     CrossRef
  • Mediterranean Diet and Physical Activity for Successful Aging: An Update for Nutritionists and Endocrinologists
    Evelyn Frias-Toral, Sebastian Chapela, Maria de los Angeles Carignano, Dino Moretti, Andres Martinuzzi, Dolores Rodríguez-Veintimilla, Mery Guerrero, Gabriella Pugliese, Giovanna Muscogiuri, Luigi Barrea
    Endocrines.2021; 2(4): 366.     CrossRef
  • Walking distances from services and destinations for residential aged-care centres in Australian cities
    Peiman Amini-Behbahani, Li Meng, Ning Gu
    Journal of Transport Geography.2020; 85: 102707.     CrossRef
  • Physical activity in people with axial spondyloarthritis and the impact of overall attitudes, barriers, and facilitators: A cross‐sectional study
    Jens Ole Rasmussen, Jette Primdahl, Willy Fick, Ann Bremander
    Musculoskeletal Care.2020; 18(4): 510.     CrossRef
  • Are Barriers the Same Whether I Want to Start or Maintain Exercise? A Narrative Review on Healthy Older Adults
    Nathalie André, Nounagnon Frutueux Agbangla
    International Journal of Environmental Research and Public Health.2020; 17(17): 6247.     CrossRef
  • Resistance Exercise, Electrical Muscle Stimulation, and Whole-Body Vibration in Older Adults: Systematic Review and Meta-Analysis of Randomized Controlled Trials
    Nejc Šarabon, Žiga Kozinc, Stefan Löfler, Christian Hofer
    Journal of Clinical Medicine.2020; 9(9): 2902.     CrossRef
  • Comparison Study of Perceived Neighborhood-Built Environment and Elderly Leisure-Time Physical Activity between Hangzhou and Wenzhou, China
    Jiabin Yu, Chen Yang, Shen Zhang, Diankai Zhai, Jianshe Li
    International Journal of Environmental Research and Public Health.2020; 17(24): 9284.     CrossRef
  • Factors related to the regular exercise participation of middle-aged and older people
    Yongha Seo, Seungjae Hyun, Sangshin Park
    Korean Journal of Health Education and Promotion.2020; 37(5): 23.     CrossRef
  • Future Drivers of Leisure Time Physical Activity in Iran
    Ali Ziaee, Najaf Aghaei, Marjan Saffari, Reza Yousefi Zenouz, Ivo van Hilvoorde
    Physical Culture and Sport. Studies and Research.2020; 86(1): 66.     CrossRef
Original Articles
The Relationship between Height and Cognitive Function among Community-dwelling Elderly: Hallym Aging Study
Shan Ai Quan, Jin-Young Jeong, Dong-Hyun Kim
Epidemiol Health. 2013;35:e2013002.   Published online April 30, 2013
DOI: https://doi.org/10.4178/epih/e2013002
  • 13,800 View
  • 89 Download
  • 7 Citations
AbstractAbstract PDF
Abstract
OBJECTIVES

Height is known as an index that reflects the environment of the fetal, childhood, and adolescent periods, which affect adult health. This study was conducted to elucidate whether height is associated with cognitive impairment in community-dwelling elders in Korea.

METHODS

The study subjects were recruited among community dwelling elderly individuals aged 65 or over who participated in the 2004 Hallym Aging Study. They were invited to a general hospital and were evaluated for socioeconomic status, smoking history, and various clinical measures. Cognitive function measurement was performed using the Korean-Mini Mental State Examination. Logistic regression was used to evaluate the association between height and cognitive function.

RESULTS

After adjusting for potential covariates such as age and education, the smallest group was associated with higher risk of cognitive impairment compared with the tallest group among elderly men (odds ratio [OR], 4.20; 95% confidence interval [CI], 1.02-17.36), but not among elderly women (OR,1.65; 95% CI, 0.62-4.40).

CONCLUSIONS

The reason for this difference according to sex may be explained by the differential effects of education on cognitive function by sex. A larger population-based prospective cohort study is needed to examine the association between height and cognitive function according to sex.
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Citations

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  • Adult Body Height Is a Good Predictor of Different Dimensions of Cognitive Function in Aged Individuals: A Cross-Sectional Study
    Vitor H. Pereira, Patrício S. Costa, Nadine C. Santos, Pedro G. Cunha, Margarida Correia-Neves, Joana A. Palha, Nuno Sousa
    Frontiers in Aging Neuroscience.2016;[Epub]     CrossRef
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    Mathew A. Harris, Caroline E. Brett, Ian J. Deary, John M. Starr
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    Irit Cohen-Manheim, Glen M. Doniger, Ronit Sinnreich, Ely S. Simon, Havi Murad, Ronit Pinchas-Mizrachi, Jeremy D. Kark
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Development of Risk Prediction Model for Cardiovascular Disease Using Intima Media Thickness of Carotid Artery Among Community-Dwelling Elderly.
Jin Young Jeong, Kyung Soon Hong, Soong Nang Jang, Young Ho Choi, Moon Gi Choi, Sang Kon Lee, Hyun Ah Kim, Seok Won Park, Na Rae Hong, Dong Hyun Kim
Korean J Epidemiol. 2007;29(2):187-199.
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AbstractAbstract PDF
Abstract
PURPOSE
This study was performed to develop risk prediction model for cardiovascular disease using intima-media thickness (IMT) of carotid artery among the community dwelling elderly.
METHODS
Follow-up survey was conducted in 2007 to measure the IMT of carotid artery, which is known as a preclinical marker of atherosclerotic change, among participants at the baseline survey of Hallym Aging Study (HAS) in 2004. They were categorized into two groups; increased IMT > or = 0.9 mm and normal IMT < 0.9 mm. To evaluate which factors are independently related with the increased IMT, multiple logistic regression analysis was done. Based on the regression coefficients of these factors weighed by the magnitude of the effect estimates, we calculated the risk scores for increased IMT for every participants. ROC curve was plotted for the each cutoff point of risk scores and its fitness was tested using Area Under the Curve (AUC). Finally, we calculated risk ratios for the increased IMT according to the level of risk based on the risk scores.
RESULTS
Several factors were found as related factors for the increased IMT in the multiple logistic regression: age (beta=0.15), cholesterol (beta=0.01), insulin (beta=0.13), and pulse pressure (beta=0.90) for men, and age (beta=0.08), family history of diabetes mellitus (beta=0.94) and stroke (beta=0.79), alcohol drinking (beta=0.39), and high cholesterol (beta=0.77) for women. We assigned the weighed value for each factors. The average risk scores were 14.48 (range 9.69-18.76) for men and 4.59 (range 2.41-7.48) for women. The Area Under the Curve (AUC) were 0.77 for men and 0.71 for women. We also observed the higher risk of increased IMT as the risk scores increased.
CONCLUSION
Based on the results, we expect to predict the level of the risk for the increased IMT, which is preclinical marker for atherosclerotic change, among the elderly.
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Korean summary
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Epidemiol Health : Epidemiology and Health
© Korean Society of Epidemiology.