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"Yun Sang Lee"

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"Yun Sang Lee"

Original Articles
Correlation between Frailty Level and Adverse Health-related Outcomes of Community-Dwelling Elderly, One Year Retrospective Study
Eun Young Shim, Seung Hyun Ma, Sun Hyoung Hong, Yun Sang Lee, Woo Youl Paik, Deok Seoung Seo, Eun Young Yoo, Mee Young Kim, Jong Lull Yoon
Korean J Fam Med 2011;32(4):249-256.   Published online May 31, 2011
DOI: https://doi.org/10.4082/kjfm.2011.32.4.249
Background

Frailty is considered to be a clinical syndrome characterized by decreased physiological reserves associated with a greater risk of health-related problems, hospitalization, and death. The current study examined hospitalization, falls, cognitive decline and disability between robust, prefrail and frail elderly in one year.

Methods

110 participants aged 65 or more who visited two senior welfare centers in Seoul from February 2008 to June 2008 were surveyed again from March 2009 to June 2009 with demographic characteristics, number of chronic diseases and medication, study of osteoporotic fractures (SOF) frailty index, instrumental activity of daily living (IADL), depression, mini-mental state examination-Korean version (MMSE-K), falling history and admission history within one year. These results were compared with participants' previous survey done one year ago.

Results

Among total 110 subjects, 48 (44%) robust, 30 (27%) prefrail, and 32 (29%) frail subjects changed to 26 (24%), 54 (49%), and 30 (27%) respectively over the year. There were statistical significances in age, number of chronic disease, depressive mood, MMSE, falls, hospitalization, IADL disability contributing to frailty (P < 0.05). Frailty defined by SOF frailty index was associated with greater risk of adverse outcomes. Frail subjects had a higher age-adjusted risk of cognitive function decline (odds ratio [OR], 3.57), disability (OR, 9.64), fall (OR, 5.42), and hospitalization (OR, 4.45; P < 0.005).

Conclusion

The frailty index like SOF frailty index might predict risk of falls, disability, hospitalization, and cognitive decline in the elderly, emphasizing special attention to the individuals showing frailty in outpatient examination.

Citations

Citations to this article as recorded by  
  • Sex differences in the association between sleep duration and frailty in older adults: evidence from the KNHANES study
    Beomman Ha, Mijin Han, Wi-Young So, Seonho Kim
    BMC Geriatrics.2024;[Epub]     CrossRef
  • Relationship between frailty and mortality after gastrectomy in older patients with gastric cancer
    Ju-Ri Jeong, Ji-Won Choi, Seong-Yeob Ryu, Yu-Ri Choe
    Journal of Geriatric Oncology.2022; 13(1): 67.     CrossRef
  • Prevalence of frailty and mobility disability in older people living in retirement villages
    Janet Cobden, Marcos de Noronha, Michael Kingsley
    Australasian Journal on Ageing.2022; 41(2): 222.     CrossRef
  • Cross-sectional associations of physical frailty with fall, multiple falls and fall-injury among older Indian adults: Findings from LASI, 2018
    Shriya Thakkar, Muhammad T., Shobhit Srivastava, David G. Greenhalgh
    PLOS ONE.2022; 17(8): e0272669.     CrossRef
  • Physical Frailty and Fall Risk in Community-Dwelling Older Adults: A Cross-Sectional Study
    Jiraporn Chittrakul, Penprapa Siviroj, Somporn Sungkarat, Ratana Sapbamrer
    Journal of Aging Research.2020; 2020: 1.     CrossRef
  • Fear of Falling and Mortality among Older Adults in Korea: Analysis of the Korean Longitudinal Study of Aging
    Ari Lee, Jungun Lee, Gyumin Lee, Dong Ryul Lee
    Korean Journal of Family Medicine.2020; 41(4): 243.     CrossRef
  • Diagnosis and Management of Frailty in Primary Health Care
    Chang Won Won
    Korean Journal of Family Medicine.2020; 41(4): 207.     CrossRef
  • Prevalence and Factors Associated with Frailty and Cognitive Frailty Among Community-Dwelling Elderly with Knee Osteoarthritis
    Kulthanit Wanaratna, Weerasak Muangpaisan, Vilai Kuptniratsaikul, Chalobol Chalermsri, Apiwan Nuttamonwarakul
    Journal of Community Health.2019; 44(3): 587.     CrossRef
  • Increasing use of cognitive measures in the operational definition of frailty—A systematic review
    R. Vella Azzopardi, I. Beyer, S. Vermeiren, M. Petrovic, N. Van Den Noortgate, I. Bautmans, E. Gorus
    Ageing Research Reviews.2018; 43: 10.     CrossRef
  • Frailty as a Risk Factor for Falls Among Community Dwelling People: Evidence From a Meta‐Analysis
    Mei‐Hsun Cheng, Shu‐Fang Chang
    Journal of Nursing Scholarship.2017; 49(5): 529.     CrossRef
  • Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital
    Crislainy Vieira Freitas, Edilene do Socorro Nascimento Falcão Sarges, Karlo Edson Carneiro Santana Moreira, Saul Rassy Carneiro
    Revista Brasileira de Geriatria e Gerontologia.2016; 19(1): 119.     CrossRef
  • The Association between Frailty and Cognition in Elderly Women
    Ji-Young Kang, Cheol-Hwan Kim, Eun-Ju Sung, Ho-Cheol Shin, Woon-Jung Shin, Keun-Hyeong Jung
    Korean Journal of Family Medicine.2016; 37(3): 164.     CrossRef
  • Relationship between health-related quality of life, comorbidities and acute health care utilisation, in adults with chronic conditions
    Anastasia F. Hutchinson, Marnie Graco, Tshepo Mokuedi Rasekaba, Sumit Parikh, David John Berlowitz, Wen Kwang Lim
    Health and Quality of Life Outcomes.2015;[Epub]     CrossRef
  • Circumstances of falls and fall-related injuries among frail elderly under home care in China
    Hong-Ying Pi, Meng-Meng Hu, Jie Zhang, Pei-Pei Peng, Dan Nie
    International Journal of Nursing Sciences.2015; 2(3): 237.     CrossRef
  • Elderly patients attended in emergency health services in Brazil: a study for victims of falls and traffic accidents
    Mariana Gonçalves de Freitas, Palmira de Fátima Bonolo, Edgar Nunes de Moraes, Carla Jorge Machado
    Ciência & Saúde Coletiva.2015; 20(3): 701.     CrossRef
  • Prevalence of Frailty Indicators and Association with Socioeconomic Status in Middle-Aged and Older Adults in a Swiss Region with Universal Health Insurance Coverage: A Population-Based Cross-Sectional Study
    Idris Guessous, Jean-Christophe Luthi, Christopher Barrett Bowling, Jean-Marc Theler, Fred Paccaud, Jean-Michel Gaspoz, William McClellan
    Journal of Aging Research.2014; 2014: 1.     CrossRef
  • Quedas: conceitos, frequências e aplicações à assistência ao idoso. Revisão da literatura
    Gláucia Regina Falsarella, Lívia Pimenta Renó Gasparotto, Arlete Maria Valente Coimbra
    Revista Brasileira de Geriatria e Gerontologia.2014; 17(4): 897.     CrossRef
  • Relationship between health-related quality of life, and acute care re-admissions and survival in older adults with chronic illness
    Anastasia Hutchinson, Tshepo Rasekaba, Marnie Graco, David Berlowitz, Graeme Hawthorne, Wen Lim
    Health and Quality of Life Outcomes.2013; 11(1): 136.     CrossRef
  • Cognitive frailty: Rational and definition from an (I.A.N.A./I.A.G.G.) International Consensus Group
    Eirini Kelaiditi, M. Cesari, M. Canevelli, G. Abellan van Kan, P.-J. Ousset, S. Gillette-Guyonnet, P. Ritz, F. Duveau, M.E. Soto, V. Provencher, F. Nourhashemi, A. Salva, P. Robert, S. Andrieu, Y. Rolland, J. Touchon, J.L. Fitten, B. Vellas
    The Journal of nutrition, health and aging.2013; 17(9): 726.     CrossRef
  • Physical Predictors of Cognitive Performance in Healthy Older Adults: A Cross-Sectional Analysis
    Christiaan G. Blankevoort, Erik J. A. Scherder, Martijn B. Wieling, Tibor Hortobágyi, Wiebo H. Brouwer, Reint H. Geuze, Marieke J. G. van Heuvelen, Jerson Laks
    PLoS ONE.2013; 8(7): e70799.     CrossRef
  • Frailty and falls among adult patients undergoing chronic hemodialysis: a prospective cohort study
    Mara A McAdams-DeMarco, Sunitha Suresh, Andrew Law, Megan L Salter, Luis F Gimenez, Bernard G Jaar, Jeremy D Walston, Dorry L Segev
    BMC Nephrology.2013;[Epub]     CrossRef
  • Clinical Factors Related to Frailty Estimated by the Korean Frailty Index
    Hwee Soo Jeong, Dong Wook Lee, Ki Heum Park, Yong Kook Lee, Sang Ho Bae, Mi Jin Kang, Min Sung Shim, Chen Hsuen Teong
    Journal of the Korean Geriatrics Society.2013; 17(2): 71.     CrossRef
  • Frailty, Falls, and Fractures
    John E. Morley
    Journal of the American Medical Directors Association.2013; 14(3): 149.     CrossRef
  • 4,668 View
  • 38 Download
  • 23 Crossref
Inpatient Smoking Cessation Program and Its Success Rate for Abstinence among Korean Smokers.
Ki Yun Jung, Sang Ho Yoo, Seung Hyun Ma, Sun Hyoung Hong, Yun Sang Lee, Un Young Shim, Jong Lull Yoon, Mee Young Kim
Korean J Fam Med 2009;30(7):503-510.   Published online July 20, 2009
DOI: https://doi.org/10.4082/kjfm.2009.30.7.503
Background
Inpatient smoking cessation programs have been known to be quite effective for smoking cessation, but it was rarely conducted among Koreans. This study was to investigate the effect of inpatient smoking cessation program among Korean smokers. Methods: From March 1 to April 30, 2008, we carried out a randomized controlled trial for inpatient smoking cessation program among 70 smokers who were 18 years of age or over and admitted to a university hospital in Seoul, Korea. For the intervention group, a trained doctor conducted the systematic educational program for smoking cessation of 30 minutes to an hour. For the control group, they were advised with a 3-minute explanation for smoking cessation. We assessed the abstinence rates of study participants at 1 week, 1 month, and 3 months after discharge. Results: In 3 months after the discharge, the abstinence rate for the intervention group was 37.1% while that of the control group was 14.3%. In simple logistic regression analysis, the smokers among the intervention group were 3.5 times more likely to abstain than those in the control group. After controlling for confounding factors, the smokers among the intervention group was 11.4 times more likely to abstain than those in the control group. Conclusion: For Korean smokers, the inpatient smoking cessation program showed a higher success rate of abstinence compared to simple advice and limited counselling.

Citations

Citations to this article as recorded by  
  • Factors Related to Smoking Relapse Within Six-Months of Smoking Cessation Among Inpatients
    Ji Eun Bae, Chul-Woung Kim, Seung Eun Lee, Myungwha Jang
    Research in Community and Public Health Nursing.2023; 34: 307.     CrossRef
  • Factors Related to Smoking Recurrence within Six-months Smoking Cessation among Employees in Enterprises with Smaller than 300 Workers
    Byung Jun Jin, Chul-Woung Kim, Seung Eun Lee, Hyo-Bin Im, Tae-Yong Lee
    Journal of Korean Academy of Community Health Nursing.2021; 32(1): 107.     CrossRef
  • Factors Associated with Indoor Smoking at Home: A Focus on Socioeconomic Status in South Korea
    Bomgyeol Kim, Yejin Lee, Young Dae Kwon, Tae Hyun Kim, Jin Won Noh
    Epidemiology and Health.2020; : e2020067.     CrossRef
  • Decrease in Smoking and Related Factor after the Price Raise of Tobacco in Hypertension Patients: Using 2015 Korea National Health and Nutrition Examination Survey
    Mi Hyun Joo, Mi Ah Han, Jong Park, Seong Woo Choi, So Yeon Ryu, Jun Ho Shin
    Journal of Health Informatics and Statistics.2019; 44(1): 83.     CrossRef
  • Factors associated with the satisfaction of smoking cessation programs in clinics among Korean military personnel: An application of Transtheoretical model
    Eunjoo Kwon, Eun-Hee Nah
    Korean Journal of Health Education and Promotion.2019; 36(5): 1.     CrossRef
  • The Abstinence Rate of the Inpatient Smoking Cessation Program
    Jae-Hang Cho, Seock-Hwan Lee, Jung-Woo Sohn, Hye-Young Yang
    Journal of the Korean Society for Research on Nicotine and Tobacco.2017; 8(2): 88.     CrossRef
  • Continuous Abstinence Rates from Smoking Over 12 Months according to the Frequency of Participation in a Hospital-based Smoking Cessation Program among Patients Discharged after Acute Myocardial Infarction
    Young-Hoon Lee, Mi-Hee Han, Mi Rim Lee, Jin-Won Jeong, Nam-Ho Kim, Seok Kyu Oh, Kyeong Ho Yun, Sang Jae Rhee, Jum Suk Ko, Gyung-Jae Oh
    Korean Journal of Health Promotion.2016; 16(1): 48.     CrossRef
  • Predictors of Successful Smoking Cessation after Inpatient Intervention for Stroke Patients
    Eugene Ha, Jun-Yong Jo, Ah-Leum Ahn, Eun-Jung Oh, Jae-Kyung Choi, Dong-Yung Cho, Hyuk-Jung Kweon
    Korean Journal of Family Medicine.2016; 37(2): 85.     CrossRef
  • Compliance and Effectiveness of Smoking Cessation Program Started on Hospitalized Patients
    Gun Hee Shin, Sung Won Yi, Yoo Seock Cheong, Eal Whan Park, Eun Young Choi
    Korean Journal of Family Medicine.2016; 37(3): 149.     CrossRef
  • Effects of Brief Smoking Cessation Education with Expiratory Carbon Monoxide Measurement on Level of Motivation to Quit Smoking
    Won-Young Choi, Cheol-Hwan Kim, Ok-Gyu Lee
    Korean Journal of Family Medicine.2013; 34(3): 190.     CrossRef
  • Effects of a Smoking Cessation Education on Smoking Cessation, Endothelial Function, and Serum Carboxyhemoglobin in Male Patients with Variant Angina
    Sook-Hee Cho
    Journal of Korean Academy of Nursing.2012; 42(2): 190.     CrossRef
  • The Effects of the Brief Inpatient Smoking Cessation Counseling on Quit Success and Stage of Change
    Kyeong-Su Kim, Eon-Sook Lee, Jun-Hyung Lee, Yeong-Sook Yoon, Yun-Jun Yang, Seon-Hyeon Park, Hyungjun Kwak
    Journal of the Korean Society for Research on Nicotine and Tobacco.2012; 3(1): 10.     CrossRef
  • User Satisfaction as a Tool for Assessment and Improvement of Quitline in the Republic of Korea
    B. Y. Jeong, M. K. Lim, E. H. Yun, J.-K. Oh, E. Y. Park, S. H. Shin, E.-C. Park
    Nicotine & Tobacco Research.2012; 14(7): 816.     CrossRef
  • 2,601 View
  • 41 Download
  • 13 Crossref
An analysis of fatigue among outpatients.
Bang Bu Youn, Kyun Sang Lee, Hee Cheol kang, Kyung Kyun Shin
J Korean Acad Fam Med 1999;20(8):978-990.   Published online August 1, 1999
Background
: Up to the present, there has been little study on chronic fatigue or chronic fatigue syndrome, and there is equally sparse relevant statistical data For this reason, we attempted to investigate the present status of fatigue, particularly its incidence and actual conditions.

Methods : The study subjects were 12,152 outpatients who visited family practice in hospitals all over Korea between July 24 and September 21,1997. They were given a questionnaire which included questions reflection the (U.S) Center for Disease Control criteria defining chronic fatigue syndrome.

Results : Among the subjects, 861 people complained of fatigue in their response to the questionnaire-re and they became the focus of the study. Of this fatigue group, 426 people(49.4%) had manifested fatigue for more than 6 months, and the male/female ratio was 54%/46%, respectively. People who re-ported that fatigue impaired their ability to function on a daily basis made up 35.8% of the fatigue group and the percentage of people who had considered visiting a clinic due to fatigue was an unexpectedly high 52.8%. The reported causes of fatigue, in decreasing order, were: social interactions(males 68.5%/females 45.1%); sleep disturbance(males 26.8%/females 21.8%); and physical maladies(males 24.2%/fe-mals 26.5%). There were significant gender differences in social interaction relating to domestic problems(males 4.7%/females 16.7%) and emotional problems(males 12.2%.femals 21.4%). Among 33 chronic fatigue syndrome patients who indicted what they thought were the causes of their problems, 68.8% reported physical maladies, 65.5% social life, 31.3% emotional problems, 21.9% sleep disturbance, and 21.9% domestic problems. The associated symptoms of fatigue reported in both males and females, in de-creasing order, included: myalgia, headache and neurological symptoms. The prevalence of chronic fatigue was 0.27%.

Conclusion : Our study showed that 7.1% of family practice outpatients complained of fatigue and that their daily activities or occupational life were disturbed as a result. This group demonstrates is serious need for medical assistance. Therefore, doctors should have more interest in fatigue, particularly in chronic fatigue syndrome, so as to provide real and versatile care.( J Korean Acad Fam Med 1999;20:978-990)
  • 1,282 View
  • 11 Download
The Risk factors of Osteoporosis.
Kyun Sang Lee, Ho Seong Moon, Soo Jin Yoon
J Korean Acad Fam Med 1996;17(12):1450-1461.   Published online December 1, 1996
Background
: Osteoporosis is one of the characteristic adult diseases and important health problem. It brings to high prevalence, easy fracture, many complications, and lowers geriat-ric quality of life. With concern about osteoporosis as a primary care physician, we would like to know the relations between risk factors and BMD.

Methods : Among the patients who have taken the Bone-mineralodensitometry(BMD) ex-amination, from January. 4, 1994, to July. 31, 1995, at Sung Nam Central Hospital, we sele-cted 112. Data was gathered from the BMD examination and questionnaire. These data were analysed using SPSS/PC correlation and stepwise multiple regression statistic program.

Results : The study subjects were composed of 112 patients (female:51, male:61). By osteoporosis definition, the 2.5 S.D. below the peak bone mass is 51(45.5%), the normal group is 61(54.5%). In the stepwise multiple regression analysis, the most important risk factors are age and weight in female, exercise and weight in male.

Conclusion : In the prevention and early diagnosis and treatment of osteoporosis, the physician should consider the risk factors. Due to noticeable frequency of male osteoporosis, more studies are needed.
  • 1,477 View
  • 26 Download
Depression tendency and Family function of Hemodialysis patients.
Kyun Sang Lee, Soo Jin Yun, Ho Seong Moon, Moon Jae Kim
J Korean Acad Fam Med 1996;17(7):514-522.   Published online July 1, 1996
Background
: Depression is frequently observed during long-term hemodialysis of patients. Comp-lications occur in proportion to depression tendency which gives wrong influences of their prognosis. Family function is influenced by long-term hemodialysis and patients show severe declines in their family function due to stresses and depression during treatment. We carried out this study to estimat the depression tendency of HD patients and their family function, compared them with non-HD patients and searching for relations between depression tendency and family function of HD patients.

Methods : As the study group, we took 78 cases(male 54, female 24 cases) among respondents who had hemodialysis regularly at Artificial Hemodialysis Unit in Seongnam Central Hospital and InHa University and as a control group took 78 cases of patients hospitalized in Internal Medicine department. We compared two groups about depression tendency by B야 scores and family function by Family APGAR score trough interview and questionnaire survey consisted of 37 questions.

Results : Average BDI score in HD patients was 27.1 and 19.3 in non-HD patients. Average Family APGAR score of HD patients and non-HD patients were respectively 5.8 and 6.8 and there was a statistic significance between two groups. And there was a close correlation between Family APGAR score and depression tendency in non-HD patients.

Conclusion : Ratio of depression tendency was 66.7% in HD patients, significantly higher thatn non-HD patients. Depression tendency was high in women and higher in older than younger. Family APGAR score was lower in HD patients than non-HD patients. In both groups depression tendency was highest in severely dysfunctional families. And there was no close correlations between depression tendency and Family APGAR score in HD patients.
  • 1,184 View
  • 9 Download
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