• Korean Journal of Psychosomatic Medicine
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• v.27 no.2
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• pp.90-100
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• 2019

Objectives : This study aimed to investigate the association between depression with atypical features and metabolic syndromes in Korean adults using the 2016 Korean National Health and Nutrition Examination Survey (KNHANES) data. Methods : We used the 2016 KNHANES data to enroll 277 participants with a score of 10 or higher on Patient Health Questionnaire-9. Depression with atypical features was diagnosed when at least two of the following criteria were met : 1) sleeping more than 10 hours a day ; 2) weight gain of more than 3 kg in a year ; and 3) fatigue/anergia. Depression was divided into two groups based on the presence/absence of atypical features. Physical and mental health, and risk of metabolic syndrome were compared between the groups. Results : Among the 277 participants, 91 had depression with atypical features. We identified significant differences in age, sex, income, and education between the two groups. After adjusting for these variables, depression with atypical features had lower EuroQol-5D index scores (p<0.001) and higher prevalence of metabolic syndromes (p=0.035) compared to the depression without atypical features. Depression with atypical features had higher odds ratio (OR) in association with metabolic syndromes after adjusting for confounding variables (OR=1.923 ; 95% confidence interval : 1.069-3.460). Conclusions : Depression with atypical features increases the risk of metabolic syndromes and lowers the quality of life.

• Journal of Nutrition and Health
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• v.48 no.1
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• pp.46-57
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• 2015

Purpose: The aim of this study was to determine an appropriate energy level of breakfast with less risk of chronic disease for Korean adults. Methods: Using data from the 2007~2009 Korean National Health & Nutrition Examination Survey, from a total of 12,238 adults aged 19~64, the final 7,769 subjects were analyzed except subjects who were undergoing treatment for cancer or metabolic disorder. According to the percent of breakfast energy intake versus their estimated energy requirement (EER), the subjects were divided into four groups: < 10% (very low, VL), 10~20% (low, L), 20~30% (moderate, M), ${\geq}30%$ (sufficient, S). All data were analyzed on the metabolic risk and nutritional state after application of weighted value and adjustment of sex, age, residential area, income, education, job or jobless, and energy intake using a general linear model or logistic regression. Results: The subjects of group S were 16.9% of total subjects, group M 39.2%, group L 37.6%, and group VL 6.3%. The VL group included more male subjects, younger-aged (19 to 40 years), urban residents, higher income, higher education, and fewer breakfasts eaters together with family members. Among the 4 groups, the VL group showed the highest waist circumference, while the S group showed the lowest waist circumference, body mass index, and serum total cholesterol. The groups of VL and L with lower intake of breakfast energy showed high percent of energy from protein and fat, and low percent of energy from carbohydrate. With the increase of breakfast energy level, intake of energy, most nutrients and food groups increased, and the percentage of subjects consuming nutrients below EAR decreased. The VL group showed relatively higher intake of snacks, sugar, meat and eggs, oil, and seasonings, and the lowest intake of vegetable. Risk of obesity by waist circumference was highest in the VL group by 1.90 times of the S group and the same trend was shown in obesity by BMI. Risk of dyslipidemia by serum total cholesterol was 1.84 times higher in the VL group compared to the S group. Risk of diabetes by Glu-FBS (fasting blood sugar) was 1.57 times higher in the VL group compared to the S group. Conclusion: The results indicate that higher breakfast energy level is positively related to lower metabolic risk and more desirable nutritional state in Korean adults. Therefore, breakfast energy intake more than 30% of their own EER would be highly recommended for Korean adults.

• Journal of the Korean Data and Information Science Society
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• v.24 no.4
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• pp.815-824
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• 2013

Traditional Pearson chi-squared test is not appropriate for the data collected by the complex sample design. When one uses the traditional Pearson chi-squared test to the complex sample categorical data, it may give wrong test results, and the error may occur not only due to the biased variance estimators but also due to the biased point estimators of cell proportions. In this study, the design based consistent Wald test statistics was derived for k-population homogeneity test, and the traditional Pearson chi-squared test statistics was partitioned into three parts according to the causes of error; the error due to the bias of variance estimator, the error due to the bias of cell proportion estimator, and the unseparated error due to the both bias of variance estimator and bias of cell proportion estimator. An analysis was conducted for empirical results of the relative size of each error component to the Pearson chi-squared test statistics. The second year data from the fourth Korean national health and nutrition examination survey (KNHANES, IV-2) was used for the analysis. The empirical results show that the relative size of error from the bias of variance estimator was relatively larger than the size of error from the bias of cell proportion estimator, but its degrees were different variable by variable.

• Journal of Nutrition and Health
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• v.50 no.5
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• pp.483-493
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• 2017

Purpose: The purpose of this study was to determine trends in dietary vitamin E intakes and contributing food groups among Korean adults. Methods: This study included 66,695 subjects aged ${\geq}19years$ who completed a nutrition survey as part of the Korea National Health and Nutrition Examination Survey (1998, 2001, 2005, 2007~2009, 2010~2012, 2013~2015). We estimated individual daily intakes of ${\alpha}-$, ${\beta}-$, ${\gamma}-$, ${\delta}-tocopherol$, and total vitamin E by linking food consumption data with a vitamin E database of commonly consumed foods. Results: Daily vitamin E intake significantly increased from $6.4mg\;{\alpha}-TE/d$ in 1998 to $7.7mg\;{\alpha}-TE/d$ in 2013~2015 (p for trend < 0.0001) among men as well as from $5.4mg\;{\alpha}-TE/d$ in 1998 to $6.5mg\;{\alpha}-TE/d$ in 2013~2015 among women (p for trend < 0.0001). However, the intake of vitamin E was lower than the adequate intake (AI) of Dietary Reference Intakes for Koreans 2015 (2015 KDRI). In 2013~2015, men consumed 6.5 mg/d of ${\alpha}-tocopherol$, 0.5 mg/d of ${\beta}-tocopherol$, 6.0 mg/d of ${\gamma}-tocopherol$, and 3.9 mg/d of ${\delta}-tocopherol$, whereas women consumed 5.7 mg/d of ${\alpha}-tocopherol$, 0.4 mg/d of ${\beta}-tocopherol$, 4.8 mg/d of ${\gamma}-tocopherol$, and 2.8 mg/d of ${\delta}-tocopherol$. The major food groups contributing to vitamin E intake were vegetables (men: 23.3%, women: 22.7%), grains (men: 14.5%, women: 13.9%), and eggs (men: 13.0%, women: 12.5%). Conclusion: This study provides scientific evidence for vitamin E intake in Korean adults. Since the current intake of vitamin E was lower than the reference intakes set by 2015 KDRI, dietary vitamin E intake should be monitored regularly among Korean adults.

• Journal of Nutrition and Health
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• v.49 no.3
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• pp.153-164
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• 2016

Purpose: The objective of this study was to examine the effect of the body shape discordance, the difference between true body type based on body mass index (BMI) and self-recognized body image, on nutrient intake, weight control attempt, and mental health in Korean adults. Methods: Subjects were persons aged 19~64 years (4,382 men and 6,226 women) who participated in the 2010~2012 Korea National Health and Nutrition Examination Survey. Subjects were categorized as RL (Group recognized as lighter than BMI criteria), RA (Group with agreement between BMI criteria and self-recognized body image), and RH (Group recognized as heavier than BMI criteria) according to the difference between actual body type based on BMI and self-recognized body image. Results: Means of BMI in RH groups were lower than or equal to that of RA groups in all groups. No significant differences in total energy intake were observed among the three groups in men, but total energy intake was higher in the RL group than in the RH group in 30~49 year old women. Proportion of carbohydrate was the highest in the RL group among 30~49 year old women. RH groups paid more attention to weight control and had less weight gain than other groups. Higher proportions of depressive symptoms were reported in the RH group in 19~29 year old men, while a higher proportion of depressive symptoms were reported in the RL group in 50~64 year old men. Conclusion: The current findings suggest an association of perceiving body shape with energy intake, weight control attempt, or depressed mood in some age groups. Body image perception can influence eating, weight control attempt, and depressed mood, therefore proper body image perception should be established in Korean adults.

• Journal of the Health Care and Life Science
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• v.9 no.1
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• pp.147-151
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• 2021

This study was conducted to investigate the variables affecting the quality of life according to the degree of obesity of male and female college students. The research data used the data of the 8th year (2019) of the National Health and Nutrition Survey. Among the survey data, 287 students enrolled in college were enrolled. As a result of the study, the body mass index according to sex was 23.71kg/m2 for male students, 21.31kg/m2 for female students, and male students were overweight, and female students showed normal weight. The quality of life score according to gender was 0.97 points for male students and 0.98 points for female students, indicating a high quality of life score for female students. In the results of a regression analysis conducted to investigate the effect of obesity on the quality of life of college students, boys had normal weight (β=0.053, p=0.003), overweight (β=0.041, p=0.030) and obese weight compared to underweight. The quality of life was significantly higher in (β=0.046, p=0.012). However, there was no significant relevance in female students. In the future, it is considered that the education program for obese body type and the education program for underweight should be combined with the university's health-related education program.

• Korean Journal of Clinical Laboratory Science
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• v.48 no.3
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• pp.183-187
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• 2016

The aim of this study was to assess the association between microalbumin and pulse pressure (PP) in Korean adults. The study subjects were Korean adults 20 years or older (n=4,948) who participated in the Korea National Health and Nutrition Examination Survey 2012. The urine microalbumin level ($M{\pm}SE$) was significantly higher (p=0.047) in the high PP group (PP>60.0 mmHg) [$33.02{\pm}4.93{\mu}g/mL$ (95% confidence interval (CI), 23.37~42.68)] than the normal PP group ($PP{\leq}60.0mmHg$) [$22.57{\pm}1.63{\mu}g/mL$ (95% CI, 19.36~25.77)], after adjusting for age, gender, smoking, drinking, regular exercising, WM, BMI, TC, TG, HDL-C, FBG, BUN, creatinine, and urine creatinine. In conclusion, pulse pressure was associated with the microalbumin level in Korean adults.

• Journal of Digital Convergence
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• v.16 no.2
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• pp.251-259
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• 2018

This study aimed to identify the risk factors for cardiovascular disease (CVD) among age groups using the Framingham risk score (FRS). The research design used was a cross sectional descriptive study using the Sixth Korean National Health and Nutrition Examination Survey from 2013-2015. Data from 5211 men, between the ages of 30-74 was analyzed. After adjusting for age, the result of logistic regression analysis showed that obesity (OR=2.51 95% CI=2.05-3.07), physical inactivity (OR=1.71, 95% CI=1.39-2.10), heavy alcohol drinking (OR=1.33, 95% CI=1.09-1.62), and dietary fiber intake (OR=0.99, 95% CI=0.98-0.99) were presented as predictors of CVD. Obesity was considered to be a particularly important predictor of CVD for young and middle-aged men. This result will be used for developing intervention relating to lifestyle modification for young and middle-aged men.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.10
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• pp.7034-7042
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• 2015

The purpose of this study was to investigate the effects of metabolic syndrome(MS) on quality of life(QoL) using the Korea National Health and Nutrition Examination Survey of 2013. We analyzed data for 4,890 adults, aged 19 year or older and provided the correct data about MS and QoL. MS was defined by the National Cholesterol Education Program-Adult Treatment Panel III with Korea-specific waist circumference cutoffs and QoL was measured by the EuroQol 5-dimension(EQ-5D). The prevalence of MS was 22.1% and high density lipoprotein(HDL)-cholesterol was the highest prevalence in MS components. The mean of EQ-5D index was significantly lower in subject with MS compared to subjects without MS. Among MS components, only higher waist circumference led to EQ-5D index decreasing and the regression coefficient was -0.018. In conclusion, we suggest the attention to QoL and intervention program for improving the QoL in subjects with MS.

• The Journal of the Korea institute of electronic communication sciences
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• v.13 no.1
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• pp.187-192
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• 2018

The aim of this study was to assess the association of obesity and abdominal obesity and pulse pressure (PP) in Korean adults. The study subjects were Korean adults 20 years or older (n=5,889) who participated in the Korea National Health and Nutrition Examination Survey 2012. After adjusting for relevant variables (include age), in women, the odds ratio (OR) of High PP (PP >61 mmHg) of the obesity [1.37 (95 % CI, 1.03-1.82)] and abdominal obesity [1.38 (95% CI, 1.07-1.78)] group compared to the normal group was not significant. However, in men, the OR of High PP of the obesity and abdominal obesity group compared to the normal group was not significant. In conclusion, the obesity and abdominal obesity were associated with pulse pressure in Korean women, but not in men.