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자료유형
전문잡지
저자정보
김영주 (중앙대)
저널정보
대한건축학회 건축 建築 第59卷 第02號
발행연도
2015.2
수록면
28 - 32 (5page)

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The housing environment and health link becomes increasingly important with age. Many older adults spend up to 90% of their time indoors, often at home. Since most of older people’s activities are carried out at home, it is essential that older people can live independently without others’ help in their residential environment. Housing conditions impact the health of older adults in numerous ways. For the elderly interact with the housing environment in ways that reflect changing lifestyles and changing physical capabilities, the residential environment is an important element which highly affects their health and the quality of lfie.
The normal ageing process is the gradual decline in functional ability per year associated with age. Age-associated physiological changes include: changes in body composition due to reduction in muscle bulk and lean body mass; body fat increase; reduction in bone mass and strength with increased risk of fracture; osteoarthritic changes in joints; reduction in blood volume; reduced tolerance of tachycardia; reduced ability to control blood pressure with postural change; reduction in vital(lung) capacity; reduction in kidney function; impaired thirst mechanisms which increase susceptibility to dehydration; reduced sensitivity to vitamin D and subsequent reduction in calcium absorption; reduced motility of the large bowel; nervous system changes, including reduction in cortical function and reduced motor and sensory peripheral nerve function; changes in autonomic function, including control of heart rate and temperature regulation (failure of normal response mechanisms to hot and cold); reduced elasticity of the eye’s lens; high tone hearing impairment.
People aged 65 years and over often have one or more chronic conditions such as stroke, coronary heart disease, respiratory conditions, diabetes, arthritis and rheumatism, Alzheimer’s disease, and depression. Many of the chronic health conditions experienced by older people have a causal link to poor housing. Visual loss is associated with an increased risk of falling. Falls prevention strategies include improving lighting, installing handrails and grab bars, making items easier to reach and secuirng or removing items that could cause older adults to trip or slip while walking. Conditions such as chronic diseases and limited vision and hearing may limit mobility and create special needs. The residential environment for the elderly’s healthy living should be designed as follows: First, provide the residential environment safe from all sorts of dangers in the residential environment by applying the barrier-free concept to cope with physical changes of the aged. Second, provide the environment equipped with a continuous protection system (flex-care system) in consideration of both of the physical and socio-psychological aspects and the treatment environment for the aged. Safe, decent, accessible, and universally designed housing environment can allow older adults to age in place and remain in their community all their entire lives in healthy condition.

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머리말
노화와 노인성질환
노화의 증세와 실태
노화와 노인성질환에 대응하는 주거환경계획
맺음말
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