• Title/Summary/Keyword: 소화성

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A Study on the Insurance Contribution and Health Care Utilization of the Regional Medical Insurance Scheme (1개 군지역 의료보험제도에서의 보험료 부담수준별 병.의원 의료이용에 관한 연구)

  • Lee, Sang-Il;Choi, Hyun-Rim;Ahn, Hyeong-Sik;Kim, Yong-Ik;Shin, Young-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.4 s.28
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    • pp.578-590
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    • 1989
  • This study was conducted to assess the equity in the regional insurance scheme through analysis of the computerized data from one regional insurance society and National Federation of Medical Insurance. We analysed the insurance contribution and benefit by the classes based on total and income-related contribution per household. The major findings of this study are as follows : 1. The average proportion of income-related contribution among the total was 39.2% and the upper classes show higher proportion of the income-related contribution. 2. The upper classes show higher health care utilization rate than the lower classes. It suggests that the lower classes have relatively large unmet medical needs. 3. The analysis through the Lorenz curve reveals that there exists transference of contributions from the upper to lower classes. But the cumulative percentage of insurance benefit is smaller than that of the number of the insured. It implies that regional medical insurance scheme in Korea has still some inequity in the context of social security principles.

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Studies on the Grassland Development in the Foerst III. Effect of fertilizer level on quality , mineral constituents and tree growth of grass-clover mixtures grown under pine trees (임간초지 개발에 관한 연구 III. 임간혼파초지에서 3요소 시비수준이 목초의 품질과 무기성분함량 및 나무생장에 미치는 영향)

  • Seo, S.;Han, Y.C.;Park, M.S.;Lee, J.Y.
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.5 no.3
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    • pp.187-194
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    • 1985
  • This field experiment was carried out to determine the effects of thirteen different fertilizer levels of nitrogen(N), phosphorus($P_2O_5$) and potassium($K_2O$) on the content of crude protein, crude fiber, mineral constituents of product and tree growth forest pasture with 40-50% shading. The experiment was arranged as a randomized block design and performed in the suburban forest of Suweon in 1984. The results obtained are summarized as follows: 1. Crude protein content and total protein yield were higher in the plot of 28 and 42kg $N/_{10a}$, regardless of $P_2O_5\;and\;K_2O$ level, while those were the lowest in zero fertilizer and N-zero fertilizer plots. 2. The contents of lignin and silica were significantly low in the high N fertilizer level, and the contents of NDF, ADF, cellulose and hemicellulose were not affected by different fertilizer levels. However, the content of crude fiber tended to be low with high N, regardless of $P_2O_5\;and\;K_2O$. 3. The contents of N,K and $SiO_2$ of grasses were influenced by different fertilizer levels. However, those of P,Ca,Ma and Na showed little differences. 4. The recovery percentage of NPK was higher in the plot of standard fertilizer level with 28-20-24 kg/10a, and higher recovery percentage was observed in $K_2O$, followed by N and $P_2O_5$ in that order. 5. The growth of tree was increased as the level of N fertilizer was increased, but no such trend was noted by $P_2O_5\;and\;K_2O$ levels. 6. Crude protein, crude fiber, some mineral contituents of grasses, and growth of tree were influenced by N level, regardless of $P_2O_5\;and\;K_2O$. And the optimum fertilizer level of $N-P_2O_5-K_2O$ seemed to be 28-20-24 kg/10a for the production of grasses with higher quality and more yield in the forest.

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Forage Productivity and Quality of Domestic Italian Ryegrass and Barley Varieties (국내 개발 이탈리안 라이그라스와 청보리 주요 품종의 생산성과 사료가치 비교)

  • Seo, Sung;Kim, Won-Ho;Kim, Ki-Yong;Choi, Gi-Jun;Ji, Hee-Chung;Lee, Sang-Hoon;Lee, Ki-Won;Kim, Meing-Jooung
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.31 no.3
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    • pp.261-268
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    • 2011
  • This study was carried out to determine the forage production and quality of Italian ryegrass (IRG) and forage barley developed by Korea in Suwon, 2009~'10. The nine treatments were two IRG varieties (Kowinearly with early maturity and Kowinmaster with medium maturity), five barley varieties (Youngyang, Wooho, Yuyeon, Dami and Youho), and two mixtures (Kowinearly + Yuyeon and Kowinmaster + Yuyeon). The heading dates of Kowinearly and Kowinmaster were 14 May and 18 May, respectively. The growth stage of barley investigated at 22 May were late milk in Youngyang and Wooho, early dough in Dami and early to medium dough in Yuyeon and Youho. Plant length of IRG in IRG + barley mixtures was 117~118 cm, which was longer than those of IRG monoculture of 98~101 cm, and no lodging was found in mixtures. The dry matter (DM) percentage at harvest was 20.7~25.4% in all treatments. The botanical composition of IRG in mixtures was 43.1%. The percentage of spike per barley plant was become high according to progressed maturity, as a 35.7%, 44.1%, 54.8% and 57.2% in late milk, dough, yellowish and full ripeness stage, respectively, and the spike percentages of Youngyang and Wooho were tends to high. The crude protein (CP) content of IRG as 9.0~10.0% was higher than that of barley (7.0~8.5%), and the contents of NDF and ADF of barley were lower than those of IRG, and in vitro DM digestibility were 64.4% in Kowinearly, 64.1% in Kowinmaster, 64.5% in mixture, and 60.2% (Youho) to 66.4% (Wooho) in barley. The yields of DM, CP and in vitro digestible DM were high in Kowinmaster+barley mixture as a 11,508 kg, 1,046 kg and 7,422 kg per ha, respectively (p<0.05). However, no significant differences in forage yield were observed among cultivar of IRG, and barley, although Wooho was tends to high in digestibility and forage yield among five barley varieties. In conclusion, the mixture cultivation of IRG Kowinmaster + forage barley was recommended, because of preventing of IRG lodging, higher plant length of IRG, increasing of forage yield, and stable production. Selection of suitable winter forage species and variety for district, climate environment, and utilization type of farm was also important.

Effect of Addition of Lactic Acid Bacteria and Chlorella on Nutritive Values and Quality of Italian Ryegrass-Hairy Vetch Silage (젖산균과 클로렐라 첨가가 이탈리안라이그라스-헤어리베치 사일리지의 사료가치 및 품질에 미치는 영향)

  • Choi, Ki Choon;Arasu, M. Valan;Ilavenil, S.;Park, Hyung Su;Jung, Min Woong;Kime, Ji Hye;Jung, Jeong Sung;Hwangbo, Soon;Kim, Won Ho;Lim, Young Chul
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.34 no.1
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    • pp.39-44
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    • 2014
  • This study was conducted to investigate the effect of the addition of lactic acid bacteria (LAB) and chlorella on the change of nutritive value, quality and microbes regarding the mixture silage of Italian ryegrass and hairy vetch (IRG-HV silage). The content of crude protein of IRG-HV silage in only the LAB treatment was not different as compared to the control. However, the content of crude protein significantly increased in the treatment of LAB with chlorella, compared to both the control and LAB treatments (p<0.05). Acid detergent fiber, neutral detergent fiber, total digestible nutrient and in vitro dry matter digestibility of IRG-Alfalfa silage were not significantly different in all treatments. Further, the pH of IRG-HV silage in only the LAB treatment was not different as compared to control, but decreased in both LAB and chlorella treatments (p<0.05). The content of lactic acid in the LAB treatment increased as compared to the control, and also significantly increased in the LAB treatment with chlorella (p<0.05). In addition, the number of LAB in LAB treatment increased as compared to the control, and significantly also increased in the LAB treatment with chlorella (p<0.05). Therefore, we suggest that IRG-HV silage improved with addition of both LAB and chlorella.

Atmospheric Aerosol Monitoring Over Northeast Asia During 2001 from MODIS and TOMS data (MODIS와 TOMS자료를 이용한 2001년 동북아시아 지역의 대기 에어로졸 모니터링)

  • 이권호;홍천상;김영준
    • Korean Journal of Remote Sensing
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    • v.20 no.2
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    • pp.77-89
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    • 2004
  • The spatial and temporal variations of aerosol optical depth (AOD) over Northeast Asia regions have special importance in the aerosol research for estimation of aerosol radiative forcing parameters and climate change. Aerosol optical and physical properties (AOD and ${\AA}$ngstrom parameter) have been investigated by using Moderate Resolution Imaging Spectroradiometer (MODIS) and Total Ozone Mapping Spectrometer (TOMS) Aerosol Index (AI) to estimate aerosol characteristics over the study region during 2001. Additionally, aerosol characteristics over the Korean peninsular during Aerosol Characteristic Experiment in Asia (ACE-Asia) Intensive Observation Period (IOP) have been investigated by using satellite observations. The results showed that the daily-observed aerosol data indicate seasonal variations with relatively higher aerosol loading in the spring and very low during the winter. The typical Asian dust case showed higher AOD (>0.7) with lower Angstrom exponent (<0.5) and higher AI (>0.5) that is mainly due to the composition of coarse particles in the springtime. Mean AOD for 2001 at 4 different places showed 0.65$\pm$0.37 at Beijing, 0.31$\pm$0.19 at Gosan, 0.54$\pm$0.26 at Seoul, and 0.38$\pm$0.19 at Kwangju, respectively. An interesting result was found in the present study that polluted aerosol events with small size dominated-aerosol loading around the Korean peninsular are sometimes observed. The origin of these polluted aerosols was thought to East China. Aerosol distribution from satellite images and trajectory results shows the proof of aerosol transport. Therefore, aerosol monitoring using satellite data is very useful.

The Relationship Between Guunmong and Bok-gwae (<구운몽>과 『주역』 복괘의 관련 양상)

  • Shin, Jae-Hong
    • Journal of Korean Classical Literature and Education
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    • no.38
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    • pp.139-173
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    • 2018
  • In the study of Guunmong, which is one of the representative classical $17^{th}$ century novels of the Joseon Dynasty, interpretations through The Book of Change(Juyeok) have recently emerged. It is necessary to more concretely investigate the themes of the research. The writer Kim man-jung wrote the work in an exile situation. In that time he composed a poem using Chinese letters with meaning connected to The book of Change. In particular, the discourse of Bok-gwae(復卦, ䷗) concentrating on the meaning of recovery might be a basis to construct the inner world of the work. The sentence of 'Bok goes well' in The Book of Change suitably match up with the hero's life in Guunmong. In addition the sentences of 'There is no illness in going and coming. So it will be no faults if friends arriver' can be applied to the meeting between the hero and heroines of Guunmong. The general declarations of The Book of Change are appropriate for explaining the contents of Guunmong. There are six Hyos that make up Gwae. The Hyos, from the first one at the bottom to the fifth one up above, connect to the characters of Guunmong. The phrase of 'Not going far away' regarding to the first Yang Hyo can be connected to Yang So-yu, hero of Guunmong. The phrase of 'Recovering beautifully' with regard to the second Eum Hyo can also be realized in the life of Jeong Gyeong-pae and Ga Chunun, two heroines of the work. The phrase of 'Danger owing to frequently recovering' regarding the third Eum Hyo can be applied to the position of Gye Seom-weol and Jeok Gyeong-hong. The phrase of 'Going middle with recovering alone' regarding the forth Eum Hyo can be matched with Sim Yo-yeon and Baek Reung-pa. The phrase of 'No regrets during an intense recovery' with regard to the fifth Eum Hyo is applicable to Yi So-hwa and Jin Chae-bong. The phrase of 'Boding of a confused recovering' regarding the sixth Eum Hyo is related to the writer's situation. The boding of confused recovering is owing to anti-royal road. The contrast between the royal road and the anti-royal road reflects Confucianism and Buddhism, dream and reality, and Yang So-yu in a dream and Seong Jin, who is same hero, in reality. Moreover, the structure of Guunmong which is organized in the form of reality-dream-reality, has a basis in this contrast. Considering these relationships, we can say the classical novel Guunmong is a fable of Bok-gwae. The work is a hopeful narration of an effective recovery that the writer anticipated in exile.

Therapeutic Endoscopy-related Gastrointestinal Bleeding and Thromboembolic Events in Patients Using Warfarin or Direct Oral Anticoagulant (와파린 및 새로운 경구용 항응고제를 복용하는 환자에서의 치료 내시경과 관련된 위장관 출혈 및 혈전색전증의 위험)

  • Na, Hee Kyong
    • The Korean Journal of Gastroenterology
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    • v.72 no.5
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    • pp.271-273
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    • 2018
  • 내시경 시술 전 일시적으로 항응고제를 중단하는 것은 위장관 출혈의 위험과 혈전색전증의 위험 사이에 적절한 균형을 잡기 어렵기 때문에 논란의 여지가 많다. 와파린은 새로운 경구용 항응고제(direct oral anticoagulant agent, DOAC)보다 임상의에게 더 친숙하고, 효과를 쉽고 빠르게 전환시킬 수 있다는 장점이 있지만 복잡한 약역동학 특징과 좁은 치료적 범위 때문에 관리가 어렵다. 반면, DOAC는 약물의 모니터링 및 용량 조절 없이 정해진 용량으로 처방이 가능하며, 빠르게 작용하고, 반감기가 짧아 관리가 쉽지만 해독제가 없다는 단점이 있다. 이전 연구들에서 DOAC를 복용한 환자들은 와파린을 복용한 환자들보다 시술과 관련되지 않은 위장관 출혈의 위험이 높았다고 보고한 바 있다. 하지만 시술과 관련된 위장관 출혈 위험에 대하여는 알려진 바가 없는 실정이다. 미국이나 유럽 내시경 가이드라인들에서는 저위험 내시경 시술을 받는 환자들에서는 와파린과 DOAC를 유지하도록 권고하고 있으며, 고위험 시술의 경우에는 와파린를 사용하는 환자들에서 헤파린 교량 요법(heparin bridging)을 시행하도록 권고하고 있다. 임상적으로 DOAC를 사용하는 환자들 또한 혈전색전증을 예방하기 위하여 헤파린 교량 요법을 시행해볼 수 있는데, 와파린 및 DOAC의 헤파린 교량 요법과 관련된 출혈 및 혈전색전증 위험의 차이 또한 명확하지 않다. 따라서 저자들은 1) 와파린과 DOAC 치료를 받는 환자들에서의 출혈, 혈전색전증 및 사망의 위험을 비교하고자 하였으며, 2) 13종류의 고위험 내시경 시술 중에서 시술별 위험을 비교하고, 3) 헤파린 교량 요법이 합병증의 발생을 증가시키지 않는지 확인하고자 본 연구를 진행하였다. 일본 대규모 국가 입원 환자 데이터베이스를 이용하여 2014년 4월부터 2015년 5월까지 시술 전 와파린 또는 DOAC(rivaroxaban, apixaban, dabigatran, edoxaban)를 복용하고, 13종류의 고위험 내시경 시술을 시행받은 20세 이상의 성인 환자 총 16,977명을 확인하였다. 고위험 시술은 용종 절제술, 내시경 점막절제술, 내시경 점막하박리술, 협착 부위의 풍선확장술, 내시경 지혈술, 내시경 정맥결찰술, 내시경 주사 경화요법, 내시경 괄약근절개술, 내시경 초음파 유도하 미세침 흡인 검사, 경피적 위루술을 포함하였다. 일대일 성향 점수 매칭 분석(propensity score matching, 나이, 성별, 체질량 지수, 기저 질환, 병원의 규모, 시술의 종류, 약물의 종류를 매칭)을 시행하여 와파린군과 DOAC군에서 시술 위장관 출혈 및 혈전색전증, 사망의 발생을 비교하였다. 또한 경구항혈전제와 헤파린 교량 치료 시행 유무에 따라, DOAC 단독군, 와파린 단독군, DOAC와 헤파린 교량 요법군, 와파린과 헤파린 교량요법군으로 나누어, 하위군(subgroup) 분석을 시행하였다. 5,046쌍이 성향 점수 매칭 분석에 포함되었으며, 와파린군에서 DOAC군보다 통계적으로 의미 있게 위장관 출혈의 비율이 높았다(12.0% vs. 9.9% p=0.02). 혈전색전증 발생률(5.4% vs. 4.7%)과 입원중 사망률(5.4% vs. 4.7%)은 양 군에서 의미 있는 차이는 없었다. DOAC 종류별로 나누어 하위군 분석을 시행하였을 때, 와파린군은 rivaroxaban군에 비하여 위장관 출혈의 비율이 높았으며, rivaroxaban군, dabigatran군에 비하여 혈전색전증의 비율이 높았고, 입원 중 사망률에서는 의미 있는 차이는 없었다. 내시경 시술의 종류로 보정하였을 때 위장관 출혈 및 혈전색전증, 사망률은 DOAC 단독으로 치료한 환자에서보다 와파린과 헤파린 교량 요법(bridging) 또는 DOAC과 헤파린 교량 요법을 시행한 환자에서 높았다. 시술 종류 중에서는 위루관 삽입술에 비하여 내시경 점막하박리술, 내시경 점막절제술 및 내시경 정맥류결찰술, 내시경 주사경화요법을 시행한 환자에서 위장관 출혈의 위험이 가장 높았으며, 하부 내시경 점막절제술, 하부 용종 절제술, 내시경적 유두괄약근절제술 또는 내시경 초음파 유도하 미세침 흡인 검사는 중등도 위험을 보였다.

Effects Against Obesity and Diabetes of Red Pepper (Capsicum annuum L.) Fermented with Lactic Acid Bacteria (유산균을 이용한 홍고추의 발효를 통한 항비만과 항당뇨 효과)

  • Lee, Jun-Hyeong;Kim, Byung-Hyuk;Yoon, Yeo-Cho;Kim, Jung-Gyu;Park, Ye-Eun;Park, Hye-Suk;Hwang, ak-Soo;Kwun, In-Sook;Kwon, Gi-Seok;Lee, Jung-Bok
    • Journal of Life Science
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    • v.29 no.3
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    • pp.354-361
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    • 2019
  • The red pepper (Capsicum annuum L.) is one of the most important vegetables in traditional Korean food, containing vitamins A, C, and E, polyphenol, and flavonoids. In addition, red peppers have high anti-oxidant ability and are known to be effective in preventing obesity, diabetes, hypertension, digestive disorders, stress, and aging. In this study, we investigated the effects against obesity and diabetes of both fermented and non-fermented red pepper. C57BL/6N mice with induced obesity from an eight-week 45% high fat diet (HFD) were then fed either an HFD or diets containing 2.5% non-fermented red pepper marc (NRM), 1.25% fermented red pepper marc (FRM), or 2.5% FRM for a further eight weeks. An oral glucose tolerance test was performed seven weeks after dietary intake, and body weight, liver, epididymal fat weight, serum insulin level, and HOMA-IR were measured and a lipid content test performed at eight weeks. The results show that the 2.5% FRM diet reduced body and tissue weight, lipid content, serum insulin levels, and HOMA-IR compared to the 2.5% NRM and HFD diets. These results suggest that fermented red pepper is effective against obesity and diabetes. We will use this information as the basic data for the development of health food materials using red pepper.

The Effect of Feeding Concentrates Frequency on Weight Change and Colic of Jeju Cross-bred Horses (농후사료 급여 횟수가 제주산마(제주마×더러브렛)의 체중과 산통에 미치는 영향)

  • Woo, Jae-Hoon;Son, Jun-Kyu;Yang, Byung-Chul;Kim, Nam-Young;Shin, Sang-Min;Shin, Moon-Cheol;Yoo, Ji-Hyun;Park, Nam Geon
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.38 no.4
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    • pp.224-230
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    • 2018
  • This study was conducted to investigate the effects of concentrate feeding frequency on weight change and the colic of Jeju cross-bred horses. Around thirty-six old Jeju cross-bred horses were divided into three groups and were investigated by feeding the concentrate feed at 2.5% of their body weight 2 times, 3 times, or 4 times daily. Although the total weight gain and daily weight gain for the different feeding frequencies were higher with feeding concentrates 4 times daily compared with the other treatment groups, there was no statistically significant difference between the groups (p>0.05). Rectal temperatures were above the normal range in weeks 11 to 12, but there was no statistically significant difference between the groups (p>0.05). Fecal pH was below the normal range in weeks 1 to 12, but there were no colic symptoms with any of the treatments and there was no statistically significant difference between the groups (p>0.05). When feeding concentrate feed at 2.5% of body weight, it was assumed that trying to feed it several times per day would help to prevent colic; however, there was no difference in weight gain, blood characteristics, and physiological characteristics in accordance with the number of feeding times.

Protective effect of matcha green tea (Camellia sinensis) extract on high glucose- and oleic acid-induced hepatic inflammatory effect (고당 및 올레산으로 유도된 간세포에서의 염증반응에 대한 말차(Camellia sinensis) 추출물의 보호효과)

  • Kim, Jong Min;Lee, Uk;Kang, Jin Yong;Park, Seon Kyeong;Shin, Eun Jin;Moon, Jong Hyun;Kim, Min Ji;Lee, Hyo Lim;Kim, Gil Han;Jeong, Hye Rin;Park, Hyo Won;Kim, Jong Cheol;Heo, Ho Jin
    • Korean Journal of Food Science and Technology
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    • v.53 no.3
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    • pp.267-277
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    • 2021
  • To evaluate hepatoprotective effects, the antioxidant capacities of matcha green tea extract (Camellia sinenesis) were compared to those of green leaf tea and the anti-inflammatory activities in HepG2 cells were investigated. Evaluation of the total phenolic and total flavonoid content, 2,2'-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) and 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical scavenging activity, and inhibitory effect on lipid peroxidation indicated that the aqueous extract of matcha green tea presented significant catechin content and antioxidant capacity compared to those of green leaf tea. In addition, the extract had considerable inhibitory effects on α-glucosidase, α-amylase, and advanced glycation end-products. The matcha green tea extract significantly increased cell viability and reduced reactive oxygen species in H2O2- and high-glucose-treated HepG2 cells. Furthermore, in response to oleic acid-induced HepG2 cell injury, treatment with matcha green tea aqueous extract inhibited lipid accumulation and regulated the expression of inflammatory proteins such as p-JNK, p-Akt, p-GSK-3β, caspase-3, COX-2, iNOS, and TNF-α. Matcha green tea could be used as a functional material to ameliorate hepatic lipid accumulation and inflammation.