• Title/Summary/Keyword: $L_{eq}$

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Exploratory Study of Dimensions of Health-related Quality of Life in the General Population of South Korea

  • Kim, Seon-Ha;Jo, Min-Woo;Ock, Minsu;Lee, Sang-il
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.6
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    • pp.361-368
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    • 2017
  • Objectives: This study aimed to explore dimensions in addition to the 5 dimensions of the 5-level EQ-5D version (EQ-5D-5L) that could satisfactorily explain variation in health-related quality of life (HRQoL) in the general population of South Korea. Methods: Domains related to HRQoL were searched through a review of existing HRQoL instruments. Among the 28 potential dimensions, the 5 dimensions of the EQ-5D-5L and 7 additional dimensions (vision, hearing, communication, cognitive function, social relationships, vitality, and sleep) were included. A representative sample of 600 subjects was selected for the survey, which was administered through face-to-face interviews. Subjects were asked to report problems in 12 health dimensions at 5 levels, as well as their self-rated health status using the EuroQol visual analogue scale (EQ-VAS) and a 5-point Likert scale. Among subjects who reported no problems for any of the parameters in the EQ-5D-5L, we analyzed the frequencies of problems in the additional dimensions. A linear regression model with the EQ-VAS as the dependent variable was performed to identify additional significant dimensions. Results: Among respondents who reported full health on the EQ-5D-5L (n=365), 32% reported a problem for at least 1 additional dimension, and 14% reported worse than moderate self-rated health. Regression analysis revealed a $R^2$ of 0.228 for the original EQ-5D-5L dimensions, 0.200 for the new dimensions, and 0.263 for the 12 dimensions together. Among the added dimensions, vitality and sleep were significantly associated with EQ-VAS scores. Conclusions: This study identified significant dimensions for assessing self-rated health among members of the general public, in addition to the 5 dimensions of the EQ-5D-5L. These dimensions could be considered for inclusion in a new preference-based instrument or for developing a country-specific HRQoL instrument.

The Factors Influencing Health-Related Quality of Life in the Elderly - Focused on the General Characteristics, Health Habits, Mental Health, Chronic Diseases, and Nutrient Intake Status: Data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012 (우리나라 노인의 건강관련 삶의 질에 영향을 주는 요인 - 일반 특성, 생활습관, 정신건강, 만성질환, 영양섭취상태를 중심으로: 제5기 국민건강영양조사자료, 2010~2012)

  • Lee, Hye-Sang
    • Korean Journal of Community Nutrition
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    • v.19 no.5
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    • pp.479-489
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    • 2014
  • Objectives: This study intended to determine significant factors that influence the health-related quality of life ("HRQoL"; EuroQol 5 Dimension health-related quality of life (EQ_5D) & EuroQol visual analogue scale (EQ_VAS)) of the elderly in Korea. Methods: This study was based on 3,903 subjects aged 65 years or more who participated in the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012. The HRQoL was analyzed by various factors (general characteristics, health habits, mental health, chronic diseases, nutrient intakes). SPSS statistics for complex samples (Windows ver. 21.0) was used. Results: The HRQoL was higher in the males, those with higher educational level or higher income level while it was lower in those belong to single households. In particular, the EQ_5D was significantly higher in the group who reported walking practice, moderate physical activity (male), and the group who reported no vigorous physical activity (female). The EQ_VAS was significantly higher in the group who reported walking practice. Both EQ_5D and EQ_VAS were significantly lower in the group with stress, melancholy, suicidal thinking, and osteoarthritis. EQ_5D was significantly lower in the group with < 75% Estimated Energy Requirements (EER) in energy intake, and with < Estimated Average Requirements (EAR) in iron or niacin intake. A stepwise regression analysis revealed that i) higher educational level (male), and good self-rated health status significantly increased the EQ_5D, ii) age, alcohol intake (male), melancholy (female), suicidal thinking, osteoarthritis, and niacin intake deficiency (male) significantly decreased the EQ_5D, iii) higher income level (male) and good self-rated health status significantly increased the EQ_VAS, and iv) age (male), stress, suicidal thinking (female) and osteoarthritis significantly decreased the EQ_VAS. Conclusions: This study suggested that general characteristics, mental health, osteoarthritis, and niacin intake were associated with the HRQoL. Prospective research of long-term control is needed to establish the causal relationship between factors and the HRQoL.

A Study on the Transition Characteristics of Precipitation Components in Dangjin and Anmyon-do Area (唐津과 安眠島地域 降水 成分의 變化特性에 關한 硏究)

  • Chung, Jin-Do;Lee, Choun-Ho
    • Journal of Korean Society for Atmospheric Environment
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    • v.20 no.5
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    • pp.593-601
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    • 2004
  • In this study, we are going to compare the chemical composition of the precipitation that falls in the Dangjin and Anmyon-do areas by analyzing the water soluble components (anion and cation). We also examined the effects of seasonal change and regional difference in those data sets. The [$NO_3\;^- \;+\;SO_4\;^{2-}$] at 49.2${\mu}$eq/l is 67% of the total anion of 73.1${\mu}$eq/l, while that of [$NH_4\;^+\;+\;Ca^{2+}$] at 37.7${\mu}$eq/l is 62% of the cation in Dangjin area. Also, the [$NO_3\;^-\;+\;SO_4\;^{2-}$] concentration of 151.8 (${\mu}$eq/l) is 62% for the total anion of 143.5 (${\mu}$eq/l), and the [$NH_4\;^+\;+\;Ca^{2+}$] concentration of 119.7 (${\mu}$eq/l) is 47% for the cation of 254.3 (${\mu}$eq/l) in Anmyon-do area. The ion composition ratio is shown for the order by 22% of $SO_4\;^{2-}$, 20.8% of $NH_4\;^+$ and 15.4% of $Cl^-$ that is the sum of 58.7% for the total ion composition in Dangjin area, and is the order by 33.8% of $NH_4\;^+$, 16.3% of $SO_4\;^{2-}$ and 11.1% of $Cl^-$ in Anmyon-do area. Furthermore, We predicted that even areas which were previously clean will get acid rain if there is large scale construction there or nearby.

Quality of Nutrient Adequacy and Health-related Quality of life of the Rural Elderly (농촌지역 노인의 영양소 적정섭취 수준과 건강관련 삶의 질)

  • Lee, Mee Sook
    • Korean Journal of Community Nutrition
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    • v.20 no.6
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    • pp.423-432
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    • 2015
  • Objectives: In Korea, the percentage of elderly is increasing at an unprecedented rate, and is expected to account for 40% of the population by 2060. This massive demographic change stresses the importance of research on aging as it is necessary to improve the quality of life (QoL) of this population. This study aimed to examine the health-related quality of life (HRQoL) of the rural elderly and to clarify its association with the nutrient adequacy ratio (NAR). Methods: A cross-sectional study was performed in S-gun, Chonbuk, a critical agricultural area. The elderly people without abnormal physical functioning composed our study population and the data were collected by personal visits to 336 elderly people aged over 65 years (110 males and 226 females). Subjects were interviewed with questionnaires pertaining to general characteristics and EuroQol (EQ-5D). Nutrient intakes were assessed two days by 24-hours recall method. Subjects were defined as high QOL group if EQ-5D index with Nam's model was above the median. Results: Generally, EQ-5D index was lower in women than in man, and lower in older subjects than in younger subjects. The percentages of people below the median were 42% (low QoL group) and 58% (high QoL group) were found to be the above the median. The high QoL group had higher NAR, especially for vitamin C, vitamin B1, vitamin B2 and folate. All dimensions in the EQ-5D were affected by NAR of some nutrients and especially anxiety/depression dimension was significantly correlated with NAR of 5 nutrients (protein, calcium, iron, vitamin C and vitamin B1) and EQ-5D scores. Conclusions: HRQol was significantly reduced in elderly with increasing age and this was more pronounced in women than in man. The NAR of some nutrients were associated with the EQ-5D index, especially anxiety/depression dimension, among rural elderly.

Antioxidant Component and Activity of Dropwort (Oenanthe javanica) Ethanol Extracts (미나리 에탄올 추출물의 항산화성분과 항산화활성)

  • Hwang, Cho-Rong;Hwang, In-Guk;Kim, Hyun-Young;Kang, Tae-Soo;Kim, Yun-Bae;Joo, Sung-Soo;Lee, Jun-Soo;Jeong, Heon-Sang
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.40 no.2
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    • pp.316-320
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    • 2011
  • This study was conducted to investigate the antioxidant compounds and antioxidant activity on the dropwort (Oenanthe javanica) and its solvent fraction. The dropwort was extracted with 70% (v/v) ethanol, and then partitioned using the solvents of hexane, chloroform, ethyl acetate, butanol, and aqueous. The ethyl acetate fraction contained the highest phenolic and flavonoid of 240.61 mg GA eq/g and 105.57 mg catechin eq/g, followed by ethanol extract of 37.50 mg GA eq/g and 26.50 mg catechin eq/g, respectively. The DPPH radical scavenging activity ($IC_{50}$) on the solvent fractions increased in the order of ethyl acetate, butanol, ethanol extract, chloroform, aqueous, and hexane with 0.08, 0.58, 1.07, 2.43, 2.47, and 3.31 mg/mL, respectively. The ABTS radical scavenging activity was the highest value of 382 mg AA eq/g in ethyl acetate fraction. Reducing power and chelating effect on the ethanol extracts and its solvent fraction were in range of 0.23~0.75 and 0~32.01%, respectively. Hydroxyl radical scavenging activity ($IC_{50}$) was the lowest value of $26.71\;{\mu}g$/mL in ethyl acetate fraction.

Ammonia oxidation activity of nitrifying bacteria and effects of some environmental factors (질화세균의 암모니아 산화능과 이에 미치는 환경요인의 영향)

  • 송홍규;하영칠;홍순우
    • Korean Journal of Microbiology
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    • v.21 no.2
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    • pp.79-85
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    • 1983
  • Ammonia oxidation activity of polluted water samples in Jinhae Bay and isolated strain from the seawater was investigated, and effects of environmental factors such as temperature, salinity, substrate concentration to the ammonia oxidation were also investigated. The ammonia oxidation activities of sediments, 0.01-0.04mg eq. $NO_2-N/l/h$, were exceptionally higher than that of sea water, $0.5{\sim}1{\mu}g$ eq. $NO_2-N/l/h$. the activities of muddy sediments at station 4 and 2 were 0.03~0.04mg eq. $NO_2-N/l/h$ and that of sandy sediment at station 3 was 0.002mg eq. $NO_2-N/l/h$. In the case of sea water, the activity of polluted area, station 1, was 2 times higher than that of offshore, station 4. The isolated strain reached log phase after 30days culturs and its oxidation activity was $2{\sim}3{\mu}g$ eq. $NO_2-N/day$. The maximum oxidation of ammonia by IA 13 strain occured at 30mg/l oxidation increased with the salinity rising up to 100% seawater concentraion. And temperature for maximum oxidation of ammonia was $35^{\circ}C$. the oxidation increased with the salinity rising up to 100% seawater concentration.

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The Actual Conditions and Characteristics of Railroad Noise Level in Taegu Area in the Seoul-Pusan Line (대구지역 경부선 철도주변의 소음실태와 특성)

  • 민경섭;송희봉
    • Journal of Environmental Science International
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    • v.6 no.1
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    • pp.9-16
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    • 1997
  • We investigated and analysed the actual conditions and characteristics of railroad noise levels for 17 sites in the vicinity of the Seoul-Pusan Line. The results i,we summarized as follows : 11 Railroad noise level ranged to 64 ~ 74 $L_{eq}$ dB(A) at day time and ranged to 60 ~ 72 $L_{eq}$ dB(A) at night time. 21 Increased night noise level depend on the increase of trains passing at night time. 31 The major factor of Increased noise level in the vicinity of stations are using loudspeakers and stream whistle on trains. 4) Decreased effect of noise according to distance is able to be described quantitatively using regression equations of multiplicative model. $L_{eq}$=$78.59^{X-0.056}$, n =25, r=-0.994, s.e. =1.007 $P_{av}$ = $105.68X^{-0.073}$, n =25, r =-0.997, s.e. = 1.007 Also increased and decreased effect of noise according to floor in apartment Is able to be described quantitatively using regression equations of multiplicative model. $L_{eq}$ = $64.238X^{0.0567}$, n = 39, r = 0.787, s.e. = 1.004 $P_{av}$ =79.963X0.0524, n =39, r =0.689, s.e. = 1.056 5) Average noise level in high floor is over 70 $L_{eq}$ dB(A) at day and night time. so more detailed soundproofing countermeasured in high floors apartment is required.

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Effect of Individual Low Sodium Dialysate on Blood Pressure, Interdialytic Weight Gain, Thirst and Intradialytic Discomfort In End-Stage Renal Disease Patients (개별적 저 나트륨 투석 액 적용이 말기 신부전증 환자의 혈압, 투석 간 체중 증가, 갈증 및 투석 중 불편감에 미치는 영향)

  • Kim, Sangsuk;Choi, Youngsil
    • Journal of Korean Biological Nursing Science
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    • v.21 no.3
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    • pp.169-177
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    • 2019
  • Purpose: The purpose of this paper was to identify blood pressure, interdialytic weight gain, thirst and intradialytic discomfort in subjects after applying individual low-sodium dialysis fluid (1,2,3 mEq/L) to hemodialysis patients for 12 weeks. Methods: This study was a non-equivalent pre-post design. For 12 weeks, dialysate concentration was maintained at 1 mEq/L or 2 mEq/L or 3 mEq/L based on average sodium concentration of each individual, and the difference was compared after applying individually. Results: Change in blood pressure significantly decreased in the group where in pre-hemodialysis systolic pressure decreased the gradient of sodium concentration in serum sodium and dialysis solution by 2mEq/L. Interdialytic weight gain, and thirst showed significant decrease in all three groups. But in all three groups, intradialytic discomfort among dialysis showed no significant changes. Conclusion: Although application of low sodium dialysis fluid showed no change in intradialytic discomfort, lowered blood pressure, thirst, and interdialytic weight gain, which could be used for individual showing increased interdialytic weight gain and increased blood pressure. There is need for continued study on this.

Comparision of Musculoskeletal Disorders and Health Related Quality of Life Using EQ-5D between Greenhouse Farmers and Paddy Farmers (시설작물과 벼 재배 농업인의 근골격계질환 및 EQ-5D를 이용한 건강관련 삶의 질 비교)

  • Lee, Se-Hyun;Oh, Gyung-Jae
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.20 no.2
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    • pp.79-87
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    • 2010
  • Objectives: The purpose of this study was to investigate the symptoms of work-related musculoskeletal disorders (WMSDs), the influence of the WMSDs on the health-related quality of life (HRQoL), and to identify the differences of WMSDs and HRQoL between greenhouse farmers and paddy farmers. Methods: Subjects were 34 greenhouse farmers and 56 paddy farmers who were living in a rural community. The sociodemographic characteristics, health-related behavior, working characteristics, WMSDs and HRQoL were investigated. WMSDs symptoms were measured by a selfassessed questionnaire on musculoskeletal disorders symptoms and HRQoL was measured by the Euro Quality of Life (Euroqol) EQ-5D index. The differences on the WMSDs, EQ-5D and it's related factors between the groups were assessed with t-test and ${\chi}^2$-test. Results: Greenhouse farmers were longer the working hours per day and working duration than paddy farmers. The level of prevalence of the WMSDs in greenhouse farmers is higher than in paddy farmers. The EQ-5D index of greenhouse farmers and paddy farmers were 0.819 and 0.874, respectively. Overall, the mean value of EQ-5D index was significantly lower greenhouse farmers than paddy farmers. Conclusions: These results showed that the HRQoL for farmers are strongly influenced by WMSDs and agicultural type in that we are aware of the need to comply with regulations of WMSDs, especially greenhouse farmers.

A Study on the Salt Intake Amounts of Manufacturing Workers in Pusan Area (부산지역 산업장 근로자들의 식염 섭취량에 관한 조사)

  • Kim, Don-Gyun;Lee, Su-Il;Jeong, Gap-Yeol;Lee, Chung-Ryeol;Lee, Yong-Hwan;So, Dong-Jin
    • 산업보건소식
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    • no.47
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    • pp.4-14
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    • 1987
  • The authors investigated estimated amounts of salt intake of workers in manufacturing industries who consisted of 1,506 males in 6 manufacturing fields and 476 females in 3 fields in Pusan area using filter paper method which was developed recently. The obtained results were as follows; 1. Mean excretion amounts of urinary electrolytes were Na 200.7 mEq/l, K 44.2 mEq/l and Cr 1.12g/l in male and Na 190.2 mEq/l, K 44.0 mEq/l and Cr 1.10g/1 in female. 2. Mean daily salt intake amounts were 19.4g in male and l5.3g in female. 3. By the fields of manufacturing industries in male, workers in metal product field had the highest salt intake as 20.0g, and the following were workers in food and tobacco field as 19.7g, workers in textile, wearing apparel and leather field as 19.6g in order. 4. In female, workers in textile, wearing apparel and leather field had the highest salt intake as l5.7g and the next were workers in chemical, coal and rubber products field as l5.0g and workers in fabricated metal products, machinery and equipments as l4.3g, respectively.

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