Journal of Korean Academy of Nursing

Minhee Suh

2 Articles

Influences of Autonomic Function, Salivary Cortisol and Physical Activity on Cognitive Functions in Institutionalized Older Adults with Mild Cognitive Impairment: Based on Neurovisceral Integration Model: Minhee Suh; J Korean Acad Nurs 2021;51(3):294-304. Published online June 30, 2021; DOI: https://doi.org/10.4040/jkan.20282

Purpose
This study aimed to investigate objectively measured physical activity (PA) in institutionalized older adults with mild cognitive impairment (MCI) and to elucidate the influence of autonomic nervous function, salivary cortisol, and PA on cognitive functions based on neurovisceral integration model.
Methods
Overall cognitive function was evaluated using the mini-mental state examination (MMSE) and executive function was evaluated using semantic verbal fluency test and clock drawing test. Actigraph for PA, HRV and sAA for autonomous function, and the geriatric depression scale for depression were used. Saliva specimens were collected in the morning for sAA and cortisol.
Results
Ninety-eight older adults from four regional geriatric hospitals participated in the study. They took 4,499 steps per day on average. They spent 753.93 minutes and 23.12 minutes on average in sedentary and moderate-to-vigorous activity, respectively. In the multiple regression analysis, lower salivary cortisol level (β = - .33, p = .041) and greater step counts (β = .37, p = .029) significantly improved MMSE score. Greater step count (β = .27, p = .016) also exerted a significant influence on verbal fluency, and greater sAA (β = .35, p = .026) was significantly associated with a better clock drawing test result.
Conclusion
Salivary cortisol, sAA and physical activity were significantly associated with cognitive functions. To prevent older adults from developing dementia, strategies are needed to increase their overall PA amount by decreasing sedentary time and to decrease salivary cortisol for cognitive function, and to maintain their sympathetic nervous activity for executive function.

Citations

Citations to this article as recorded by

Rest-activity circadian rhythm in hospitalized older adults with mild cognitive impairment in Korea and its relationship with salivary alpha amylase: an exploratory study
Minhee Suh, Jihye Choi
Journal of Korean Biological Nursing Science.2023; 25(4): 306. CrossRef
Circadian Rhythm Changes in Healthy Aging and Mild Cognitive Impairment
Ahmadreza Keihani, Ahmad Mayeli, Fabio Ferrarelli
Advanced Biology.2023;[Epub] CrossRef
Changes in stress pathways as a possible mechanism of aerobic exercise training on brain health: a scoping review of existing studies
Cristina Molina-Hidalgo, Chelsea M. Stillman, Audrey M. Collins, Daniel Velazquez-Diaz, Hayley S. Ripperger, Jermon A. Drake, Peter J. Gianaros, Anna L. Marsland, Kirk I. Erickson
Frontiers in Physiology.2023;[Epub] CrossRef

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Structural Equation Modeling on Quality of Life in Stroke Survivors: Minhee Suh, Smi Choi-Kwon; J Korean Acad Nurs 2010;40(4):533-541. Published online August 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.4.533

Abstract PDF

Purpose

This study was designed to test structural equation modeling of the quality of life of stroke survivors in order to provide guidelines for development of interventions and strategies to improve their quality of life.

Methods

The participants in the study were patients who visited the neurology outpatient department of a tertiary hospital in Seoul between June 25 and October 15, 2009. Data collection was carried out through one-on-one interviews. Demographic factors, functional independence, social support, nutritional status, post-stroke biobehavioral changes and quality of life were investigated.

Results

The final analysis included 215 patients. Fitness of the hypothetical model was appropriate (χ²=111.5, p=.000, GFI=.926, AGFI=.880, RMSA=.068, NFI=.911, CFI=.953). Functional dependency, social support and post-stroke biobehavioral changes were found to be significant explaining variance in quality of life. Post-stroke biobehavioral changes had the strongest direct influence on quality of life. Nutritional status had an indirect effect on the quality of life.

Conclusion

To improve the quality of life of stroke survivors, comprehensive interventions are necessary to manage post-stroke biobehavioral changes, and strengthening social support networks that can contribute to enhancing the quality of life of stroke survivors.

Citations

Citations to this article as recorded by

Predictors of long‐term medication adherence in stroke survivors: A multicentre, prospective, longitudinal study
Sung‐Hee Yoo, Gye‐Gyoung Kim, Sung Reul Kim, Man‐Seok Park, Joon‐Tae Kim, Kang‐Ho Choi, Hyun‐Young Park, Sang‐Hak Yi, Jae‐Kwan Cha, Dae‐Hyun Kim, Hyun‐Wook Nah
Journal of Clinical Nursing.2023; 32(1-2): 58. CrossRef
Factors Related to Beliefs about Medication in Ischemic Stroke Patients
Gye-Gyoung Kim, Sung-Hee Yoo, Man-Seok Park, Hyun-Young Park, Jae-Kwan Cha
Journal of Clinical Medicine.2022; 11(13): 3825. CrossRef
Is post-ischemic stroke insomnia related to a negative functional and cognitive outcome?
Andreia Matas, Luísa Amaral, Assunção Vaz Patto
Sleep Medicine.2022; 94: 1. CrossRef
A prediction model of health‐related quality of life in young adult patients with stroke
Susie Yoon, Hye Young Kim, Sung Reul Kim
Journal of Clinical Nursing.2021; 30(13-14): 2023. CrossRef
Factors related to Bowel Cleanliness of Colonoscopy Examinees
Yohan Lee, Haejung Lee
Korean Journal of Adult Nursing.2021; 33(6): 545. CrossRef
Predictive Model for Quality of Life in Patients 1 Year After First Stroke
Sung Reul Kim, Sung-Hee Yoo, Hye Young Kim, Gye-Gyoung Kim
Journal of Cardiovascular Nursing.2021; 36(5): E60. CrossRef
Incidence and prevalence of post-stroke insomnia: A systematic review and meta-analysis
Satu Baylan, Susan Griffiths, Nicola Grant, Niall M. Broomfield, Jonathan J. Evans, Maria Gardani
Sleep Medicine Reviews.2020; 49: 101222. CrossRef
Factors Influencing 1-Year Medication Adherence of Korean Ischemic Stroke Survivors
Gye-Gyoung Kim, Duck-Hee Chae, Man-Seok Park, Sung-Hee Yoo
International Journal of Behavioral Medicine.2020; 27(2): 225. CrossRef
Factors Associated to Returning Home in the First Year after Stroke
Seung Han Kim, Yong-Il Shin, Seung Chan Kim, Sung Hwa Ko, Deog Young Kim, Jongmin Lee, Min Kyun Sohn, Sam-Gyu Lee, Gyung-Jae Oh, Yang-Soo Lee, Min Cheol Joo, Eun Young Han, Junhee Han, Won Hyuk Chang, Ji Hong Min, Yun-Hee Kim
Brain & Neurorehabilitation.2020;[Epub] CrossRef
Meta-Analysis of Social Psychological Factors related to Quality of Life in Stroke Patients
Young-Ok Yang, Minju Kim, Kyung-Yeon Park
Journal of Korean Academy of Community Health Nursing.2018; 29(4): 510. CrossRef
Characteristics and Factors related to Fatigue in Older Adults at a Senior Welfare Center
Su Yeon Jeong, Smi Choi-Kwon
Korean Journal of Adult Nursing.2018; 30(5): 516. CrossRef
Musculoskeletal and central pain at 1 year post-stroke: associated factors and impact on quality of life
S. Choi-Kwon, S. H. Choi, M. Suh, S. Choi, K.-H. Cho, H.-W. Nah, H. Song, J. S. Kim
Acta Neurologica Scandinavica.2017; 135(4): 419. CrossRef
Structural equation modeling of the quality of life for patients with marfan syndrome
Ju Ryoung Moon, Yong Ae Cho, June Huh, I-Seok Kang, Duk-Kyung Kim
Health and Quality of Life Outcomes.2016;[Epub] CrossRef
A Study about the Quality of Life and QALYs of Stroke Patients according to the Medical Care Utilization Behavior: Findings from the 2009–2012 Korea Health Panel Data
Seong-Bong Park, Tae-Woong Uhm, Nam-Kwen Kim
Journal of Korean Medicine.2016; 37(1): 41. CrossRef
Factors Associated with Poststroke Fatigue: A Systematic Review
Amélie Ponchel, Stéphanie Bombois, Régis Bordet, Hilde Hénon
Stroke Research and Treatment.2015; 2015: 1. CrossRef
Modeling health-related quality of life in people recovering from stroke
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Sleep Disturbances After Cerebral Infarction: Role of Depression and Fatigue
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Journal of Stroke and Cerebrovascular Diseases.2014; 23(7): 1949. CrossRef
The Effect of Functional Dependency and Stress on Health-related Quality of Life in Patients under Rehabilitation after Stroke
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Journal of muscle and joint health.2013; 20(2): 81. CrossRef

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