STRESS

Original Articles

Quality of Life and Its Influencing Factors among Older Adults with Diabetes Mellitus in Korea: Mee Young Im; STRESS. 2025;33(4):226-235. Published online December 31, 2025; DOI: https://doi.org/10.17547/kjsr.2025.33.4.226

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Abstract PDF: Background
This study aimed to assess the quality of life (QoL) of older adults with diabetes in Korea and to identify the factors influencing their QoL.
Methods
A total of 1,887 individuals aged ≥65 years with diabetes (weighted n=8,305,093) from the 7th–8th (2018–2020) Korea National Health and Nutrition Examination Surveys were analyzed. Considering the complex sampling design, descriptive statistical analyses, independent t-tests, analysis of variance, and multiple regression analyses were performed.
Results
The mean EQ‑5D index score was 0.87 (±0.01). Among the five EQ‑5D dimensions, self-care had the highest proportion of participants reporting “no problems” (86.6%), whereas mobility had the lowest proportion (57.5%). Significant factors associated with QoL included economic activity (B=0.02, p＜.001), chewing difficulty (B=−0.04, p＜.001), activity limitations (B=−0.10, p＜.001), and aerobic physical activity (B=0.04, p＜.001). In particular, all mental health variables—including perceived health status (B=−0.08, p＜.001), perceived stress (B=−0.03, p＜.021), and depression (B=−0.13, p＜.001)—showed significant associations with QoL. The final regression model explained 40.7% of the variance in QoL (Adj. R²=40.7, p＜.001).
Conclusions
The QoL of older adults with diabetes may be influenced not only by physical health, but also by psychological well-being. Therefore, integrated nursing interventions that promote physical activity, maintain oral health, and enhance mental health are essential for improving the QoL in this population.

The Effect of Depression on Metabolic Syndrome and Its Components among Korean Adults: Mee Young Im; STRESS. 2021;29(4):235-241. Published online December 31, 2021; DOI: https://doi.org/10.17547/kjsr.2021.29.4.235

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Citations

Citations to this article as recorded by

Depressive symptoms, eating habits, and dietary quality among young adults in Chungcheong, Korea
Seong-Hee Yoon, Mi-Kyeong Choi
Nutrition Research and Practice.2025; 19(1): 55. CrossRef
Association between metabolic syndrome and autonomic nervous system activity in middle-aged menopausal women in South Korea: a cross-sectional study
Myung-hwa Kim, So-Eun Choi
Journal of Korean Biological Nursing Science.2025; 27(4): 619. CrossRef
Association between seafood intake and depression in Korean adults: analysis of data from the 2014–2020 Korea National Health and Nutrition Examination Survey
Hyemin Shin, Won Jang, Yangha Kim
Journal of Nutrition and Health.2023; 56(6): 702. CrossRef

The Effect of Stress on Prevalence Risk of Metabolic Syndrome among Korean Adults: Mee Young Im; STRESS. 2019;27(4):441-447. Published online December 31, 2019; DOI: https://doi.org/10.17547/kjsr.2019.27.4.441

4,980 View
140 Download
7 Citations

Abstract PDF

Background:

The purpose of this study was to estimate the effects of stress on metabolic syndrome (MS) among Korean adults (age≥20).

Methods:

The total subject 6,458 (weighted subjects=41,717,139) were recruited from the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII-2, 2017). Data were analyzed by t-test, ANOVA, χ² and logistic regression considering strata, cluster and weight using SAS V9.3 program.

Results:

The prevalence of MS and stress (≥high) was 31.9% and 27.5%. The very low stress group had significant higher prevalence of MS and MS score (number of clinical MS Component) then others (p=.002, p<.001). The odds ratio (OR) of MS with stress were 0.67∼0.77 (p<.01, p=.15) in unadjusted model. After all covariates (age, sex, body mass index (BMI), education, marriage, income, occupation, smoking, alcohol, exercise) adjusted, finally ORs weren’t significant (0.99≤OR≤-1.22, 0.12≤p≤.96). However, HDL cholesterol, HBP (high blood pressure), and FBS (fasting blood sugar) had significant relation with stress, respectively (1.14≤OR≤1.18, 1.66≤OR≤2.01, 1.33≤OR≤1.47, all p<.001).

Conclusions:

This study indicates that stress was not independently associated with metabolic syndrome prevalence risk. However, HDL cholesterol, HBP, and FBS were significantly increased in low and high stress group then very low group.

Citations

Citations to this article as recorded by

Association between metabolic syndrome and autonomic nervous system activity in middle-aged menopausal women in South Korea: a cross-sectional study
Myung-hwa Kim, So-Eun Choi
Journal of Korean Biological Nursing Science.2025; 27(4): 619. CrossRef
Metabolic Syndrome Prevalence Change Before and After the COVID-19 Epidemic: Using Data from the National Health and Nutrition Examination Survey 2018-2021
Jung-Hwa Kim, Kyung-Hee Kim, Gyu Bin Park, Won Kee Lee
Journal of Health Informatics and Statistics.2024; 49(4): 315. CrossRef
Factors Affecting the Health-Related Quality of Life of Cancer Survivors According to Metabolic Syndrome
HyunHae Lee, Ji-Su Kim
Cancer Nursing.2023; 46(4): 294. CrossRef
Assessment of Metabolic Syndrome Risk Based on Body Size Phenotype in Korean Adults: Analysis of Community-based Cohort Data
Ji Young Kim, Youngran Yang
Research in Community and Public Health Nursing.2023; 34: 158. CrossRef
Effects of Oral Health Behavior and Mental Health on Metabolic Syndrome in Korean Adults
Jin-Ah Jung, Hye-Won Cheon, Sang-Eun Moon, Sun-Hwa Hong
Journal of Dental Hygiene Science.2022; 22(2): 90. CrossRef
Effect of Household Type on the Prevalence of Metabolic Syndrome in Korea: Using Propensity Score Matching
Jisu Park, Ilsu Park
Healthcare.2022; 10(10): 1894. CrossRef
The Effect of Depression on Metabolic Syndrome and Its Components among Korean Adults
Mee Young Im
Korean Journal of Stress Research.2021; 29(4): 235. CrossRef

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