The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional Study

김미지; 서성효; 서애림; 김보경; Gyeong-Ye Lee; 최연순; 김진환; 김장락; 강윤식; 정백근; 박기수

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자료유형: 학술저널

저자정보: 김미지 서성효 서애림 김보경 Gyeong-Ye Lee 최연순 김진환 김장락 강윤식 정백근 박기수

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제52권 제6호

발행연도: 2019.1

수록면: 405 - 415 (11page)

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Objectives: The aim of this study was to evaluate the associations of frailty with perceived neighborhood walkability and environmental pollution among community-dwelling older adults in rural areas. Methods: The participants were 808 community-dwelling men and women aged 65 years and older in 2 rural towns. Comprehensive information, including demographics, socioeconomic status, grip strength, polypharmacy, perceived neighborhood environment (specifically, walkability and environmental pollution), and frailty, was collected from participants using face-to-face interviews conducted between June and August 2018. Perceived neighborhood walkability was measured using 20 items that were selected and revised from the Neighborhood Environment Walkability Scale, the Neighborhood Walkability Checklist from the National Heart Foundation of Australia, and the Physical Activity Neighborhood Environment Survey. The Kaigo-Yobo Checklist was used to assess participants’ frailty. Results: The overall prevalence of frailty in this community-dwelling population was 35.5%. Sex, age, cohabitation status, educational attainment, employment status, grip strength, and polypharmacy were significantly associated with frailty. In the logistic regression analysis, frailty was associated with low perceived neighborhood walkability (adjusted odds ratio [aOR], 0.881; 95% confidence interval [CI], 0.833 to 0.932; p<0.001) and severe perceived neighborhood environmental pollution (aOR, 1.052; 95% CI, 1.017 to 1.087; p=0.003) after adjusting for sex, age, cohabitation status, educational attainment, employment status, monthly income, grip strength, and polypharmacy. Conclusions: More studies are warranted to establish causal relationships between walkability and environmental pollution and frailty.

참고문헌 (40)

참고문헌 신청

Korean Statistical Information Service / Statistics on the aged in 2018

Gobbens RJ / 2010 / Towards an integral conceptual model of frailty / J Nutr Health Aging 14(3):175~181

Kim DH / 2015 / Social frailty / Korean J Clin Geriatr 16(2):44~49

Gobbens RJ / 2010 / Determinants of frailty / J Am Med Dir Assoc 11(5):356~364

Topinková E / 2008 / Aging, disability and frailty / Ann Nutr Metab 52(Suppl 1):6~11

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