• 제목/요약/키워드: Comorbid chronic disease

검색결과 20건 처리시간 0.021초

유산소운동의 실천과 만성질환이 동반된 관절염의 유병률 및 위험도에 대한 관계 연구 (A Study on Relationship between the Practice of Aerobic Exercise and the Prevalence and Risk of Arthritis with Comorbid Chronic Diseases)

  • 윤인상;이혜림;이종석;정득
    • 디지털융복합연구
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    • 제19권8호
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    • pp.351-359
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    • 2021
  • 본 연구는 유산소운동의 실천과 만성질환이 동반된 관절염의 유병률 및 위험도에 대한 관계를 실증적으로 분석하기 위해 수행되었다. 이 연구를 위해 국민건강영양조사 2017-2019년 자료를 활용하였으며, 연구대상으로 17,356명을 선정하였다. 인구사회학적 특성과 만성질환에 따라 유산소운동의 실천과 관절염의 유병률 및 위험도 관계를 카이제곱 독립성 검정과 Breslow-Day 검정으로 분석하였다. 인구사회학적 특성이 여성, 고연령, 저소득층, 저학력층, 지방거주인 경우 유산소운동 실천률이 낮은 반면 관절염의 유병률과 위험도인 오즈비가 상대적으로 높았다. 그리고 만성질환 양성집단에서 유산소운동 실천을 하는 집단이 실천하지 않는 집단보다 관절염의 유병률과 발병할 위험도가 낮았다. 특히 유산소 운동 실천은 고혈압, 당뇨, 이상지질혈증이 있는 사람들에게 관절염의 유병률과 위험도를 낮추는데 효능이 있는 보완재가 된다. 따라서 인구학적 특성에서 관절염의 유병률이 높은 집단과 만성질환이 동반된 관절염이 있는 사람들이 걷기와 천천히 달리기, 에어로빅 댄스와 같은 일상의 유산소운동을 반드시 실천할 수 있도록 예방의학과 보건의료 차원에서 권장되어야 함을 시사한다.

Pneumonia in Patients with Chronic Obstructive Pulmonary Disease

  • Restrepo, Marcos I.;Sibila, Oriol;Anzueto, Antonio
    • Tuberculosis and Respiratory Diseases
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    • 제81권3호
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    • pp.187-197
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    • 2018
  • Chronic obstructive pulmonary disease (COPD) is a frequent comorbid condition associated with increased morbidity and mortality. Pneumonia is the most common infectious disease condition. The purpose of this review is to evaluate the impact of pneumonia in patients with COPD. We will evaluate the epidemiology and factors associated with pneumonia. We are discussing the clinical characteristics of COPD that may favor the development of infections conditions such as pneumonia. Over the last 10 years, there is an increased evidence that COPD patients treated with inhaled corticosteroids are at increased risk to develp pneumonia. We will review the avaialbe information as well as the possible mechanism for this events. We also discuss the impact of influenza and pneumococcal vaccination in the prevention of pneumonia in COPD patients.

만성폐쇄성폐질환과 수면장애 (Chronic Obstructive Pulmonary Disease and Sleep Disorder)

  • 김세원;강현희
    • 수면정신생리
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    • 제27권1호
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    • pp.8-15
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    • 2020
  • Sleep disorder in chronic obstructive pulmonary disease (COPD) is common and typically is associated with oxygen desaturation. The mechanisms of desaturation include hypoventilation and ventilation to perfusion mismatch. Despite the importance of sleep in patients with COPD, this topic is under-assessed in clinical practice. Impaired sleep quality is associated with more severe COPD and may contribute to worse clinical outcomes. Recent data have indicated that specific respiratory management of patients with COPD and sleep disordered breathing improves clinical outcomes. Clinicians managing patients with COPD should pay attention to and actively manage symptoms of comorbid sleep disorders. Management of sleep-related problems in COPD should particularly focus on minimizing sleep disturbance.

한국의 지역사회 거주노인들에게 있어서 우울증, 만성질환, 일상생활활동이 삶의 질에 미치는 영향 (Impact of Depression, Comorbid Chronic Diseases, and ADL on Health-Related Quality of Life Among Community-Dwelling Elderly People in Korea)

  • 김명화
    • 한국콘텐츠학회논문지
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    • 제14권5호
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    • pp.190-198
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    • 2014
  • 본 연구는 지역사회 거주 노인들의 건강관련 삶의 질에 영향을 미치는 위험요인들을 측정하여 평가 하는 것을 목적으로 하였다. 연구대상은 지역사회 거주노인 총 314명(연령평균:75.8세(5.64))이며 무질병 대상자가 81명, 만성질환자가 233명이며, 2개월 동안 삶의 질에 관한 설문지를 활용하여 상담을 실시하였다. 일상생활활동은 Barthel Index(BI)와 Frenchay Activities Index(FAI)로 평가하였으며 심리상태는 노인우울척도, 건강관련 삶의 질은 한국판 SF-36으로 평가하였다. 조사결과 중복 만성질환 노인은 일상생활동작이 떨어지며, 우울하고, 인지기능의 저하와 건강관련 삶의 질이 낮은 것으로 나타났다. 또한 우울증, 중복 만성질환 및 일상생활활동이 노인의 건강관련 삶의 질을 저하시키는 것으로 나타났다. 본 연구는 중복 만성질환과 낮은 일상생활활동이 우울증과 결합되어 건강관련 삶의 질을 더욱 저하시킬 수 있다는 것을 새롭게 제시하였다.

Asthma and the Risk of Rheumatoid Arthritis: An Insight into the Heterogeneity and Phenotypes of Asthma

  • Rolfes, Mary Claire;Juhn, Young Jun;Wi, Chung-Il;Sheen, Youn Ho
    • Tuberculosis and Respiratory Diseases
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    • 제80권2호
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    • pp.113-135
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    • 2017
  • Asthma is traditionally regarded as a chronic airway disease, and recent literature proves its heterogeneity, based on distinctive clusters or phenotypes of asthma. In defining such asthma clusters, the nature of comorbidity among patients with asthma is poorly understood, by assuming no causal relationship between asthma and other comorbid conditions, including both communicable and noncommunicable diseases. However, emerging evidence suggests that the status of asthma significantly affects the increased susceptibility of the patient to both communicable and noncommunicable diseases. Specifically, the impact of asthma on susceptibility to noncommunicable diseases such as chronic systemic inflammatory diseases (e.g., rheumatoid arthritis), may provide an important insight into asthma as a disease with systemic inflammatory features, a conceptual understanding between asthma and asthma-related comorbidity, and the potential implications on the therapeutic and preventive interventions for patients with asthma. This review discusses the currently under-recognized clinical and immunological phenotypes of asthma; specifically, a higher risk of developing a systemic inflammatory disease such as rheumatoid arthritis and their implications, on the conceptual understanding and management of asthma. Our discussion is divided into three parts: literature summary on the relationship between asthma and the risk of rheumatoid arthritis; potential mechanisms underlying the association; and implications on asthma management and research.

만성 신부전증을 동반한 협심증 환자에서 심폐바이패스를 사용하지 않는 관상동맥우회술 -3예 보고- ("Off-pump" Coronary Artery Bypass Graft in the Chronic Renal Failure Patients -3 Cases Report-)

  • 김태헌;김기봉
    • Journal of Chest Surgery
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    • 제32권9호
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    • pp.835-839
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    • 1999
  • 1974년에 말기 신부전증 환자에서 심폐바이패스를 이용한 관상동맥우회술이 처음 보고된 이래 고위 穩\ulcorner인 만성 신부전증 환자들에서의 관상동맥우회술에 대한 많은 연구 논문들이 발표되어 왔다. 만성 신부전증 환자들은 고혈압, 당뇨 등을 동반하는 경우가 종종 있으며, 이 질환들의 합병증 혹은 만성 신부전증 자체가 관상동맥우회술의 단기및 장기 생존율에 영향을 미칠수 있다. 개심술을 받은 말기 신부전증 환자들에서는 감염과 패혈증 등의 합병증의 발생률이 높으며, 수술전후의 수액량과 전해질 장애 등으로 수술 위험도가 증 가하는 것으로 알려져 왔다. 저자들은 3예의 만성 신부전증 환자들에서 심폐바이패스를 사용하지 않고 관상 동맥우회술을 시행하여 그 결과를 발표하고자 한다.

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Prevalence of unrecognized depression in patients with chronic pain without a history of psychiatric diseases

  • Lee, Ho-Jin;Choi, Eun Joo;Nahm, Francis Sahngun;Yoon, In Young;Lee, Pyung Bok
    • The Korean Journal of Pain
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    • 제31권2호
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    • pp.116-124
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    • 2018
  • Background: We aimed to investigate the prevalence of unrecognized depression in patients with chronic pain, but with no history of psychiatric diseases. Methods: Patients with chronic pain who did not have a history of psychiatric disease were selected for this study. The Beck Depression Index (BDI) was used to evaluate depression. Participants' socio-demographic characteristics and pain-related characteristics were also recorded. Results: The study included 94 consecutive patients with chronic pain (28 men and 66 women). Based on the BDI scores, 33/94 (35.1%) patients with chronic pain had comorbid depression. The prevalence of depression was significantly higher in our cohort than it was in the general population (P < 0.001). The standardized incidence ratio, adjusted for age and sex, was 2.77 in men and 2.60 in women. Patients who were unmarried (odds ratio [OR] = 3.714, P = 0.044), and who had subjective sleep disturbance (OR = 8.885, P < 0.001), were more likely to have moderate to severe depression. Patients with high education levels (OR = 0.244, P = 0.016), and who were economically active (OR = 0.284, P = 0.023), were less likely to have moderate to severe depression. Conclusions: Our results indicate that unrecognized depression in patients with chronic pain is common. Therefore, pain physicians should actively seek to identify these problems rather than relying on the patient to volunteer such information.

Recipient Management before Lung Transplantation

  • Kim, Hyoung Soo;Park, Sunghoon
    • Journal of Chest Surgery
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    • 제55권4호
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    • pp.265-273
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    • 2022
  • Lung transplantation is considered a viable treatment option for patients with end-stage lung disease. Recent decades have seen a gradual increase in the number of lung transplantation patients worldwide, and in South Korea, the case number has increased at least 3-fold during the last decade. Furthermore, the waiting list time is becoming longer, and more elderly patients (>65 years) are undergoing lung transplantation; that is, the patients placed on the waiting list are older and sicker than in the past. Hence, proper management during the pre-transplantation period, as well as careful selection of candidates, is a key factor for transplant success and patient survival. Although referring and transplant centers should address many issues, the main areas of focus should be the timing of referral, nutrition, pulmonary rehabilitation, critical care (including mechanical ventilation and extracorporeal membrane oxygenation), psychological support, and the management of preexisting comorbid conditions (coronary artery disease, diabetes mellitus, gastroesophageal reflux disease, osteoporosis, malignancy, viral infections, and chronic infections). In this context, the present article reviews and summarizes the pre-transplantation management strategies for adult patients listed for lung transplantation.

만성질환에 관한 잠재계층분석과 예측요인 -2014 국민건강영양조사를 중심으로- (A Latent Class Analysis and Predictors of Chronic Diseases -Based on 2014 Korea National Health and Nutrition Examination Survey-)

  • 김우진;이송이
    • 한국산학기술학회논문지
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    • 제19권6호
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    • pp.324-333
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    • 2018
  • 본 연구의 목적은 만성질환인 고혈압, 이상지질혈증, 관절염, 갑상선 질환, 우울증, 아토피, 알레르기, 당뇨병 등의 잠재계층이 어떻게 구성되어 있는지와 유형화된 만성질환의 예측요인을 살펴보고자 하는 것이다. 연구대상은 2014년 국민건강영양조사에 참여한 대한민국 국민으로, 표본추출방법은 층화집락표본추출방법을 사용하였으며 표본 수는 총 7,550명이고, 이를 대상으로 잠재계층분석을 적용하였다. 결과적으로 1 class 유형은 고혈압, 당뇨 그룹으로 고혈압을 앓고 있을 확률이 78.6%이고 당뇨병을 앓고 있을 확률이 34.6%이었다. 2 class 유형은 아토피, 알레르기 그룹으로 아토피를 앓고 있을 확률이 20.3%이고 알레르기를 앓고 있을 확률이 42.2%이었다. 3 class 유형은 이상지질, 관절염, 갑상선질환, 우울증 그룹으로 이상지질 56.1%, 관절염 50.9%, 갑상선 질환 19.4%, 우울증 28.75%로 나타날 확률을 지닌 집단이었다. 4 class 유형은 만성질환을 갖고 있지 않은 정상집단으로 나타났다. 준거변수인 4 class와 1 class를 비교하였을 때, 연령, 운동능력, 자기관리, 비만, 고콜레스테롤 유병여부 등이 유의하게 나타났고, 2 class와 비교하였을 때, 성별, 연령, 교육수준 등이 유의하게 나타났으며, 3 class와 비교하였을 때, 성별, 연령, 통증 및 불편, 고 콜레스테롤 등이 유의하게 나타났다. 결과적으로 세 유형 모두 연령은 복합적인 만성질환을 일으킬 수 있는 요인으로 나타났는데, 이는 질환을 일으킬 수 있는 결정적인 시기가 오기 전에 예방이 중요하다는 것을 의미한다. 따라서 연령에 따른 질병의 유병율 발생 시기를 파악하여 이에 적절한 예방적 노력이 필요하다.

KAAACI Evidence-Based Clinical Practice Guidelines for Chronic Cough in Adults and Children in Korea

  • Song, Dae Jin;Song, Woo-Jung;Kwon, Jae-Woo;Kim, Gun-Woo;Kim, Mi-Ae;Kim, Mi-Yeong;Kim, Min-Hye;Kim, Sang-Ha;Kim, Sang-Heon;Kim, Sang Hyuck;Kim, Sun-Tae;Kim, Sae-Hoon;Kim, Ja Kyoung;Kim, Joo-Hee;Kim, Hyun Jung;Kim, Hyo-Bin;Park, Kyung-Hee;Yoon, Jae Kyun;Lee, Byung-Jae;Lee, Seung-Eun;Lee, Young Mok;Lee, Yong Ju;Lim, Kyung-Hwan;Jeon, You Hoon;Jo, Eun-Jung;Jee, Young-Koo;Jin, Hyun Jung;Choi, Sun Hee;Hur, Gyu Young;Cho, Sang-Heon;Kim, Sang-Hoon;Lim, Dae Hyun
    • Allergy, Asthma & Immunology Research
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    • 제10권6호
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    • pp.591-613
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    • 2018
  • Chronic cough is common in the community and causes significant morbidity. Several factors may underlie this problem, but comorbid conditions located at sensory nerve endings that regulate the cough reflex, including rhinitis, rhinosinusitis, asthma, eosinophilic bronchitis, and gastroesophageal reflux disease, are considered important. However, chronic cough is frequently non-specific and accompanied by not easily identifiable causes during the initial evaluation. Therefore, there are unmet needs for developing empirical treatment and practical diagnostic approaches that can be applied in primary clinics. Meanwhile, in referral clinics, a considerable proportion of adult patients with chronic cough are unexplained or refractory to conventional treatment. The present clinical practice guidelines aim to address major clinical questions regarding empirical treatment, practical diagnostic tools for non-specific chronic cough, and available therapeutic options for chronic wet cough in children and unexplained chronic cough in adults in Korea.