노년기 건강관리ㅣ3가지를 꼭 기억하세요 / 건강하게 늙는 법!

길병원TV
26 May 202210:16

Summary

TLDRThe speaker emphasizes the importance of maintaining physical, mental, and social health for overall well-being, particularly as people age. They note that while life expectancy in their country is around 83 years, healthy life expectancy is only about 65. Key factors such as physical activity, especially leg strength, play a crucial role in aging healthily. The speaker advocates for a balanced approach to health, integrating proper habits in nutrition, exercise, and stress management, alongside nurturing relationships, to promote a harmonious life.

Takeaways

  • 😀 The average life expectancy in the user's country is around 83 years, but the healthy life expectancy is around 65 years, meaning many spend about 17 years dealing with health issues.
  • 🚶‍♂️ Maintaining lower body strength is critical for aging well, as studies show a significant difference in health between those who can walk well after 70 and those who cannot.
  • ⚖️ Health is about balance, known as 'homeostasis,' emphasizing that overindulgence or excess in any area—such as food or exercise—can disrupt well-being.
  • 💪 The concept of 'Trinity Health' focuses on three key areas: physical health, mental health, and social health, with all needing to be in balance for true well-being.
  • 🧠 Mental health is closely linked to the brain's stress response, involving hormones like cortisol, which are affected by external stressors and internal imbalances.
  • 💤 Adequate sleep is crucial for both mental and physical health, as hormones related to stress, growth, and metabolism are regulated during proper sleep cycles.
  • 👥 Social health is about maintaining positive relationships with others, as strong social connections are essential to reduce stress and maintain overall well-being.
  • 🤝 The term 'social' comes from the idea of 'living with others,' emphasizing the importance of harmonious relationships with those around us to prevent stress.
  • 🍽️ Social eating habits should also strike a balance—it's important to eat well in social settings without going to extremes, to maintain both social and physical health.
  • 🔄 As people age, maintaining consistent daily routines in areas like diet, exercise, and social interaction becomes increasingly important for sustaining vitality and preventing health decline.

Q & A

  • What is the average life expectancy and healthy life expectancy in the speaker's country?

    -The average life expectancy is around 83 years, while the healthy life expectancy is approximately 65 years.

  • What is the main difference between people who manage their health well and those who don’t?

    -The main difference is noticeable around the age of 65, where individuals who have taken care of their health are much healthier than those who haven’t.

  • What is emphasized as crucial for elderly people according to the comparison between those who can walk well and those who cannot?

    -Maintaining lower body strength is emphasized as crucial, as it greatly affects health in later years.

  • What is the 'Trinity of Health' mentioned by the speaker?

    -The 'Trinity of Health' consists of physical health, mental health, and social health. These three aspects should be balanced for true health.

  • How is physical health defined in terms of 'homeostasis' according to the speaker?

    -Physical health is about maintaining balance, known as 'homeostasis,' where extremes in any behavior (diet, exercise, sleep) are avoided.

  • What does the speaker mention about modern health challenges related to diet?

    -Modern people are more likely to suffer from overeating-related health issues rather than starvation, as people now consume excess food.

  • What role does stress play in mental health, according to the speaker?

    -Stress, whether from physical pain or emotional harm like hurtful words, negatively impacts mental health. Managing stress is critical for maintaining mental well-being.

  • Why is sufficient sleep considered vital for both mental and physical health?

    -Sufficient sleep is crucial because it helps regulate hormones like melatonin, growth hormone, and leptin, all of which are essential for metabolic and overall health.

  • What is the significance of 'social health' according to the speaker?

    -Social health is about maintaining good relationships with others. It involves reducing stress that comes from social interactions and creating a supportive environment.

  • How are social relationships connected to physical and mental health?

    -Poor social relationships can lead to stress, which disrupts hormone balance and can contribute to physical issues like obesity, binge eating, and poor sleep.

Outlines

00:00

🧓 The Importance of Maintaining Health into Old Age

The average life expectancy in Korea is about 83 years, but healthy life expectancy is only around 65 years. This gap of around 17 years highlights the importance of health management from a young age. Japan serves as a model for understanding how critical it is to stay active, especially walking after the age of 70. Maintaining lower body strength is vital as people age. The speaker introduces the 'Trinity of Health,' based on a 1948 definition: physical, mental, and social health, which emphasizes the balance between these areas. The speaker points out that focusing solely on physical health without mental and social balance can undermine overall well-being.

05:00

🧠 Balancing Mental and Physical Health through Homeostasis

Mental health is intertwined with physical health, specifically through the body's homeostasis or dynamic balance. Modern life often focuses too much on physical health, but without mental and social health, it becomes difficult to sustain physical well-being. Stress can disrupt this balance, as seen in both major and minor stressors. The speaker shares personal experience in losing weight to combat metabolic diseases and highlights the importance of healthy habits, like balanced eating, exercise, and stress management. The body's intricate systems, especially hormones, respond to stress, so maintaining overall equilibrium is key to long-term health.

10:02

🌍 Social Health: Building Relationships for Overall Well-being

Social health, often overlooked, is crucial for maintaining overall well-being. The concept of 'living together,' rooted in the Latin term for social, means that relationships with those around us directly impact our health. Poor social habits, like isolating oneself during meals or neglecting relationships, can lead to stress, which negatively affects mental and physical health. By fostering positive connections and balancing social interactions, people can reduce stress and maintain healthier lives. The speaker emphasizes that health involves more than just diet and exercise; it is about creating a supportive and harmonious environment.

Mindmap

Keywords

💡Life Expectancy

Life expectancy refers to the average number of years a person is expected to live. In the video, it is mentioned that the average life expectancy in the speaker's country is around 83 years, which serves as a foundation for discussing the gap between living long and maintaining health during those years.

💡Healthy Life Expectancy

Healthy life expectancy refers to the number of years a person can live in good health. In the video, it is mentioned that while life expectancy is 83 years, the healthy life expectancy is only 65 years, highlighting the importance of managing health to reduce the gap and improve quality of life as one ages.

💡Dynamic Equilibrium

Dynamic equilibrium, or homeostasis, is the body's ability to maintain a stable internal state despite external changes. The video emphasizes that physical health relies on this balance, where neither excessive action nor complete inactivity is beneficial, and maintaining this balance is essential for long-term health.

💡Muscle Strength

Muscle strength, particularly in the lower body, is highlighted as a key factor in healthy aging. The video compares people who maintain strong leg muscles after 70 with those who do not, showing a significant difference in overall health outcomes, reinforcing the importance of physical activity.

💡Threefold Health Model

The threefold health model encompasses physical, mental, and social health. The video explains how each aspect of health interacts, emphasizing that neglecting mental or social health can negatively impact physical well-being, and vice versa.

💡Physical Health

Physical health refers to the well-being of the body, including maintaining a dynamic equilibrium through balanced diet, exercise, and proper sleep. The speaker discusses how many people overly focus on physical health while neglecting mental and social health, which can undermine overall wellness.

💡Mental Health

Mental health is the emotional and psychological well-being of an individual. The video touches on how stress, sleep, and hormone regulation are crucial for maintaining mental health, as neglecting it can lead to physical symptoms such as headaches, digestive issues, and more serious illnesses.

💡Social Health

Social health refers to the quality of relationships and interactions with others. The video highlights the importance of positive social relationships, explaining that isolation or poor relationships can lead to stress, which can ultimately affect both mental and physical health.

💡Homeostasis

Homeostasis is the body's ability to regulate its internal environment to maintain a stable, constant condition. In the video, homeostasis is described as the key to physical health, where the body’s systems must remain in balance to function properly, especially as one ages.

💡Stress Management

Stress management refers to the techniques and strategies used to control stress levels, which affect both mental and physical health. The speaker discusses how stress can disrupt hormonal balance and contribute to health issues, underlining the importance of managing stress for overall well-being.

Highlights

Average life expectancy in the country is around 83 years, but the healthy life expectancy is around 65 years.

There is a significant difference in health management between those who have maintained their health well and those who have not, starting from around the age of 17.

As society ages, looking at Japan's statistics can provide insights into health management practices.

A comparison between those who can walk well after 70 and those who cannot shows a significant health difference.

Maintaining lower body strength is symbolically important as one ages.

The concept of '3-in-1 Health' is discussed, which includes physical, mental, and social health.

The World Health Organization's definition of health in 1948 included physical, mental, social, and spiritual health, but later combined mental and spiritual health due to religious issues.

Balancing the three aspects of health—physical, mental, and social—is considered the true goal of health.

The importance of physical health is emphasized, with a focus on medical knowledge.

Mental and social health are crucial for maintaining physical health, and their neglect can lead to physical health issues.

Homeostasis is a key concept in medicine, representing a dynamic balance that is essential for health.

Excess in any aspect is harmful, and maintaining a balance in diet, exercise, and sleep is important.

The speaker shares a personal experience of losing weight due to metabolic syndrome and the importance of maintaining a healthy weight.

Creating healthy habits is crucial for maintaining physical health.

Mental health is complex and involves the brain's response to stress through hormones like cortisol and adrenaline.

Stress can have a significant impact on both mental and physical health.

Adequate sleep is essential for mental and physical health, as it is when important hormones are released.

Social health is about maintaining good relationships with those around you to reduce stress.

The concept of 'living with' in the original meaning of 'social' emphasizes the importance of relationships.

Social health is about creating a positive environment by managing relationships and reducing stress from social interactions.

The interplay between physical, mental, and social health is crucial for overall well-being.

Understanding the holistic approach to health can help in maintaining good habits as one ages.

The importance of maintaining a balanced and dynamic equilibrium in all aspects of health is emphasized.

The speaker suggests that maintaining consistent, healthy habits is more important than ever as one gets older.

Transcripts

play00:01

[음악]

play00:08

저희나라 평균 수명이 83세 정도

play00:12

되거든요 그런데 건강 수명이 65세

play00:16

정도 됩니다 그러니까 저희나라에서

play00:19

평균적으로 한 17년

play00:21

정도를 젊었을 때부터 이제 건강

play00:24

관리를 잘한 분하고 못한 분하고 이제

play00:28

나눠지기 시작한다는 거죠 그래서 서

play00:30

요즘 이제 고령화 시대로

play00:33

가기 가는 속도가 빨라졌는데 이제

play00:36

저에 가까운 일본을 보면은 저희가

play00:39

많이 그 통계들을 알 수가 있어요

play00:42

그래서 일본은 어 건강 관리에 제일

play00:46

중요한 몇 가지를 이제 실천을 하는데

play00:49

어 70세 이후로 잘 걷는 분하고 못

play00:53

걷는 분을 비교를 했더니 건강 차이가

play00:57

너무 많이 나는 거예요 그래서 그

play00:59

얘기는 뭐냐면

play01:00

하체 근력을 유지하는게

play01:04

그 나이 들어서 어 노용기 들어가면서

play01:08

굉장히 중요하다는 얘기를 상징적으로

play01:11

하고 있는 거죠 그 전에 이제 제가

play01:14

조금 얘기를 하는 거는 그 3위일체

play01:17

건강법이 얘기를 많이 하거든요 그게

play01:20

뭐냐면

play01:23

1948년에에서 건강에 대한 정의를

play01:26

첫 번째 육체적 건강 두 번째 정신적

play01:29

건강 세 번째 사회적 건강네 번째

play01:32

영적 건강을 했거든요 근데 영적

play01:34

건강은 종교적인 문제가 많으니까이

play01:37

4번의 영적 건강을 2번의 정신

play01:40

건강으로 합쳤어요 그러다 보니까

play01:43

육체적 건강 정신적 건강 사회적 건강

play01:46

이래서이 세 가지를 고로 잘 균형을

play01:50

이루어서 유지하는 것을 건강에 이제

play01:53

진정한 목표다 이렇게 설정을 했거든요

play01:56

그래서 이제 제가 그걸 3위일체

play01:57

건강법이다 이렇게 얘기를 했습니다

play02:00

그러니까 아 물론 이제 신체적인

play02:04

건강을 굉장히

play02:06

중시하는 세상이 되다 보니까 의학적인

play02:10

지식도 이제 거기에 편중되어 있거든요

play02:12

근데 어떻게 보면 더 중요한게

play02:15

육체적인 신체적인 건강 다음으로 있는

play02:18

정신적인 건강 사회적 건강을 잘

play02:21

유지하지 못하면 첫 번째 신체적

play02:24

건강도 잘 유지가 안 된다는 걸

play02:26

의미합니다 그런데 많은 부분들이 너무

play02:28

신체적 건강 만 매달려 있는 거

play02:31

같아요 먼저 이제 신체적 건강을

play02:33

얘기를 하자면 우리 의학에서 제일

play02:36

중요한 단어가 호메오스타시스 그래

play02:38

가지고 항상성이 걸 의미하거든요

play02:42

그거는 어떻게 보면 균형 동적인 균형

play02:45

다이나믹 equum 동적 균형을

play02:48

의미하거든요 그러니까 신체적 건강은

play02:51

뭐든지 과함은 좋지 않다는 겁니다

play02:54

그러니까 그걸 기준으로 해서 항상성이

play02:57

개념을 머리에 갖고 계시면 본인들이

play03:00

식사를 하든 운동을 하든 수면을 하든

play03:03

어떤 모든 것에 있어서 균형을 잘

play03:07

맞추는 이게 중요하다 그런 의미를

play03:10

내포하고 있습니다 그러니까 현대인은

play03:14

아 잘 살다 보니까 요즘은 굶어 죽는

play03:17

사람은 없고요 많이 먹어서 죽는다는

play03:21

표현도 하거든요 본인도 한 3년 전에

play03:24

몸무게가 많이 나가서 이제 대사성

play03:27

질환이 오니까 제가 독하게

play03:30

한 3개월에 16km 뺀 경험이

play03:32

있거든요 그래서 지금 한 3년간 잘

play03:36

유지하고 있으니까 결국은 그 말은 뭘

play03:42

의미하면서 크게 나타나는 거 말고

play03:45

우리 세포 차원에서 일어나는 미세한

play03:48

세포 차원에서 일어나는 거는 우리가

play03:51

잘 염두 두지 않고 있다는 거죠

play03:54

그래서 어 제일 중요한 건 건강한

play03:58

습관 만들기가 중요합니다 그 먹는

play04:00

것도 습관이고 운동하는 것도 습관이고

play04:03

스트레스를 적게 할 수 있는 방법을

play04:06

자기 나름대로 찾는 것도 습관이라는

play04:08

거죠 그래서 신체적 건강은 그런

play04:12

항상성에 좀 중심을

play04:15

두고 보존을 잘해야 되고요 두 번째가

play04:18

이제 정신적 건강 있잖아요 근데

play04:20

정신적 건강은 우리 이제 뇌과학으로

play04:23

따지면 하이포라 피터리 아드레날

play04:27

엑시스 그래가지고 그 스트레스 기

play04:30

조금 뇌이 들어가니까 복잡하죠

play04:32

시상하부 그다음에 이제 호르몬의 어떤

play04:36

전체 총화 기관인 치타리 그랜드

play04:39

그다음에 콩팥 위에 있는 조그만한

play04:41

부신이 데서 콜티이라는 스트레스

play04:44

호르몬을 만들어요 근데 그게 굉장히

play04:47

유기적으로 작동을 하거든요 그러니까

play04:51

우리가 어떤 큰

play04:53

몽둥이로 이제 맞는 것도 아픔도 있고

play04:57

스트레아 근데 남한테 굉장히 나쁜

play05:00

말을 듣는 것도 그거 못지 않게

play05:02

똑같은 효과를 하거든요 그래서

play05:05

정신적인 건강은 그 주변에 좀 그

play05:10

스트레스라는게 모든게 과하면

play05:14

망가지거나 내면은 또 자기 능력이 안

play05:17

되는 일을 과하게 하다 보면 그게

play05:19

이제 자기한테 다 스트레스가 된다는

play05:21

거죠 그것도 신체적 건강의

play05:23

호메오스타시스 하고 좀 유간하 병원만

play05:27

가면 뭐 두통이 오든 뭐 모든 다

play05:30

스트레스라 그러고 위가 아파서 위

play05:32

계향이 생겨도 스트레스 성이라 그러고

play05:34

이제 그러니까 많은 그 환자분들이

play05:38

병원에 가면 무조건 신경성이라고 근데

play05:42

그마만큼 중요한 겁니다 근데 그

play05:44

복잡한 매각하게 얽혀 있는 얘기를

play05:47

장시간 할 수가 없어서 그냥

play05:49

신경성이라고 표현을 하고요 정신

play05:52

건강에 굉장히 또 중요한게 그 수면이

play05:54

그든 수면하고 두시간네 시간 이럴

play05:58

때마다 멜라토닌 또 그로스 르몬 우리

play06:01

성장 호르몬 많은 랩틴 이런 대사상

play06:05

질환의 총괄적인 그런 호르몬들이 막

play06:08

나와요

play06:09

그러니까 충분한 수면을 잘 유지하는

play06:12

것도 어 정신적 건강 신체적 건강이

play06:15

굉장히 중요합니다 요즘은 수면에 대한

play06:18

과학이 많이 밝혀져서 어 책들도 많이

play06:21

나와 있죠 그다음에 이제 제일

play06:22

중요한게 세 번째 사회적 건강이에요

play06:25

사회적 건강은 저게 무슨 얘기지 근데

play06:29

사람 은 우리가 사회라는 단어가 원래

play06:33

그리스 로마 이제 있죠 그리스어 하고

play06:36

라틴어의 어원을 보면 소셜이라는

play06:38

단어가 말 그대로 living

play06:41

with예요이 더불어 산다는 의미를

play06:45

이제 중국이나 일본 거쳐서 우리가

play06:47

조금 늦었잖아요 문명이 그래서 그거를

play06:50

모회 막 이런 식으로 이제 환자로

play06:53

번역을 하다 보니까 요즘 젊은

play06:55

친구들은 라틴어를 배웠으면 아

play06:58

사회라는 이게 더불어 산다는 어원이

play07:01

있구나 그렇게 하면 쉽게 이해할 텐데

play07:04

어 집단이 사람들이 모여 있는게

play07:06

사회인가 그러면 그 모여 있는 집단을

play07:09

위해서 법이 생겨야 되고 어떤 규제가

play07:12

생겨야 되는 어떤 토탈 시스템이

play07:15

사회가 이렇게 복잡하게 생각하는

play07:16

거예요 그런데 어원을 보면 더불어

play07:20

살이니까 더불어 산다는게 자기 주변에

play07:23

가까이 있는 사람하고 관계가

play07:25

중요하다는 겁니다 그 사회적

play07:27

건강은 많은 분들이 이제 신체적

play07:30

건강을 위해서 단식도 하고 간헐적

play07:33

단식도 하고 막 그래 가지고 저녁에

play07:35

모임 갔는데 먹는 것도 잘 안 먹고

play07:38

막 그러잖아요 그러면 이게 관계가

play07:42

한두 번은 참는데 오래 갈지 못한다는

play07:44

거죠 그러니까 자기가 조용이 있을

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때는 좀 덜 먹고 친구들하고 올 때는

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또 과하지 않게 자기 조절하면서 먹고

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이제 이런 걸 의미합니다 그러니까

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사회적 건강은 자기 주변 사람들하고

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관계를 좋게 해서 그분들로부터 오는

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스트레스를 막는 세상을 만든다는

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겁니다 그러니까 본인이 본인 주변을

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천국으로 만드냐 지옥으로 만드냐

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본인한테 달려 있거든요 근데 그게 왜

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건강의 일체 건강에서 더

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중요하냐 그걸 관심을 안 둬요 그러다

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보니까 평소에 사람을 대하는 태도나

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어떤 주번 사람과의 관계를 경쟁

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위주로 가다 보니까 거기서 스트레스가

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다 오는 거예요 그 사회적 건강

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속에서 정신적 건강이 무너져 가지고

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우리 몸에 호르몬의 조화가 불균형이

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돼서 그게 신체적 건강의 비만이 되고

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폭음 폭식하는 거예요 야식하는

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그러니까 이게 3위일체 건강이 굉장히

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중요하니까 건강의 전체적인 틀 속에서

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이해를 하면 이제 나이 드신 분들의

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식 습관이라 운동습관 이라든지 어떤

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사람을 대하는 태도라 이런 것들을

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쉽게 이해할 수 있다는 거죠 그걸

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빼고 뭐 1번 먹을 때 집중하라 2번

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잠을 잘 자라 3번 이런 식으로

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해가지고는

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그때그때 그 그걸

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해석하는 본질을 모르게 된다는 거죠

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그래서 제가 드리고 싶은 말은 건강이

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그렇게 육체적 건강 정신적 건강

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사회적 건강이 잘 이렇게 아울러 져야

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된다는 그런 항상 균형을 맞추는

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동적인 균형 잡는 개념을 가지고

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뭐든지 과하지 않고 젊을 때는 좀

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과해도 금방 회복되거든 내 연세가

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드시면 하루 잠만 설쳐도 그다음날

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활력이 확 떨어지거든요 그러니까 과거

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생각보다는 요즘에 더 매일매일 똑같은

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규칙적인 습관 속에서 건강을 잘

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유지하는게

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어 나이 드신 분들의 건강의 제일

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유지법 제일 중요한 사항이라고 얘기할

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수 있겠습니다

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