• 보건교육건강증진학회지
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• 제5권2호
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• pp.52-62
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• 1988

The purpose of this study was to improve the motivation for prevention of adult chronic disease through identifying the relationship between health awareness and health behavior. These data was based on the survey of 524 men, This study employed 90 questions, related to general cheracteristics, health awareness, health behavior, dietary habit, mass media utilizing health information, The data were analyzed by using t-test, ANOVA, Contingency-Coefficient, Duncan's multiple range test. The result of this study revealed the follows: 1. The contingency coefficient between health awareness and health behavior showed that total(C=0.3272), 30-39 age group(C=3949), 40-49 age group(C=0.3978), which(C.) mean higher scores, had a [used to visit whenever they were ill], that 50-59 age group(C=0.4165) demonstrate higher score concerned with [Smoking]. 2, The general dietary habit related to statistically significant difference in men's age, educational status, income, economic status, job, concern of adult chronic disease(p<0.01). 3. The general dietary habit related to statistically significant difference in cancer patients arrounding them, knowledge of diabetes, hypertensiom and cancer (p<0.01). 4, Dietary habit for preventing obesity related to statistically significant difference in men's age, income(p<0.05). 5, Dietary habit for preventing obesity related to statistically significant difference in sensitivity of diabetes, hypertension and knowledge of diabetes, cancer(p<0.01). In conclusion, health education which were emphasis of health behavior formation is reguired.

• 대한지역사회영양학회지
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• 제14권6호
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• pp.734-745
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• 2009

Diabetes mellitus is the prevalent disease among older adults. The purpose of this study was to implement and evaluate the nutrition education program for diabetes mellitus patients aged 60 and over. The one group pretest and posttest design was employed to evaluate the program effectiveness. Nutrition education program for diabetes mellitus patients was carried out at the public healthy center in Guri city. The 38 out of 63 patients completed education program. They received four sessions of group education during four weeks. Nutrition education materials (booklet, leaflet) for older adults were provided to participants. Data about blood glucose, blood pressure, nutrition and diabetes mellitus knowledge, dietary behavior, dietary intake by 24-hour recalls were collected before and after nutrition education to evaluate the program effectiveness. All data were statistically analyzed using SAS package (ver.8.2) and significant difference was evaluated by $X^2$-test, paired t-test and Wilcoxon signed rank test. Study results showed that blood pressure and blood glucose were slightly decreased after nutrition education but they did not reach statistical significance. There were positive changes in nutrition knowledge and dietary behavior. The total score of nutrition and diabetes knowledge increased significantly (p < 0.001), and the total score of dietary behavior was improved (p < 0.05) after nutrition education. Dietary intakes of most of nutrients examined were not significantly different between pre- and post-test. Based on study results, it appears that nutrition education program for the aged diabetes mellitus patients might effectively increase nutrition knowledge, dietary behavior and diet quality. This nutrition education program can be used at the public health centers or senior centers for the management of diabetes mellitus for older adults.

• 한국컴퓨터정보학회논문지
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• 제29권8호
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• pp.123-131
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• 2024

본 연구는 국민건강영양조사의 자료를 이차 분석하여 시간적 추이에 따른 19세 이상 한국 성인의 당뇨병 유병률과 관련 요인을 파악하여 당뇨병 예방과 관리를 위한 기초자료를 제공하기 위해 시도되었다. 자료는 IBM SPSS/WIN 22 program을 이용하여 2011년, 2021년 2개년도 연구대상자의 일반적 특성, 질병관련 특성, 건강관련 특성을 분석하기 위해 복합표본 빈도분석, 복합표본 교차분석, 복합표본 다중 로지스틱 회귀분석을 이용하여 분석하였다. 연구 결과 당뇨병 유병를은 2011년 6.6%에서 2021년 9.5%로 증가하였고 당뇨 유병 관련 요인은 2011년에서 성별, 연령, 교육 수준, 고혈압, 이상지질혈증, 주관적 건강인지로 나타났고(Negelkerke R²=.255) 2021년에서 성별, 연령, 교육 수준, 고혈압, 이상지질혈증, 모친의 당뇨병, 주관적 건강인지로 나타났다(Negelkerke R²=.327). 본 연구는 시간적 추이에 따른 당뇨병 유병률과 관련 요인을 파악하여 관련 요인의 변화를 확인했다는 점에서 의의가 있으며, 당뇨병을 예방하고 관리할 수 있는 중재 프로그램의 개발 및 적용이 필요하다.

• 대한영양사협회학술지
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• 제10권2호
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• pp.205-217
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• 2004

This study was carried out to provide information on the effect of nutrition education program for diabetic patients at the Guri City's Public Health Center. Subjects of this study were 31 persons(male 7, female 24) who attended all courses of "2002 Diabetes Education Class". They were indicated as the 'education group'(EG). Eating and living habits of EG were investigated before the education. EG's weight and blood glucose (post prandial 2 hours, PP2) were examined as well. EG's PP2 reduction was compared with a 'control group'(CG) who didn't join any course in that class. All of the subjects were non-insulin-dependent diabetes mellitus(NIDDM) patients. EG's average age was 62.4$\pm$8.8. Before taking the course, EG's PP2 was 251.5$\pm$29.6mg/dl, and body mass index(BMI) was 26.3$\pm$2.3 on average. Most of them were stressed out from their daily lives and usually had no exercise. Most people of EG ate meals rapidly and liked sweet and fatty foods. After the course of training, EG's weight and BMI before the training were not decreased significantly. However, all of the EG's PP2s, which were measured 4 times(before the meal at the special lunch session, after 2 hours at this meal, after 2 weeks and 4 weeks dietary assembly), were decreased in comparison with the PP2 which was checked prior to joining the training. EG's average PP2 was more reduced than CG's one. In addition, all groups' PP2s were decreased for 8 weeks. After all, this nutritional education at the public health center was effective in glycemic control for diabetes mellitus patients. Especially, when the dietary assembly as practical training was included in the educational process, the patient's dietary intake and PP2 was improved more effectively. Therefore, this study suggests that nutrition work at public health centers is necessary for the Health Promotion Policy.

• 셀메드
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• 제4권3호
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• pp.21.1-21.5
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• 2014

The purpose of this study is to determine the type-2 diabetes risk status of the individuals applying to the internal diseases outpatient clinic and the affecting factors. This descriptive study was conducted on 500 individuals who applied to the internal diseases department of a hospital in Ordu Turkey, between May and June 2010 without diabetes diagnosis. The questionnaire form and Type 2 Diabetes Risk Assessment Form are used to collect the data. For the evaluation of data; independent samples t-test and One-Way Anova are used to evaluate the data. It is determined that the type-2 diabetes risk an score of the individuals participating in the study is $10.4{\pm}5.5$ and 32.4% of them have low type-2 diabetes risk score, 26.6% have slightly elevated score, 18% have moderate score, 16.6% have high and 6.4% have very high type-2 diabetes risk score. It is found that the type-2 diabetes risk mean score of the women participating in the study who are adults, are married, have low education level, are unemployed, are non-smoker, do not drink alcohol and do not have any information about type-2 diabetes is statistically significantly high (p < 0.05). It is determined that 16.6% of the individuals participating in the study have high type-2 diabetes risk and 6.4% have very high type-2 diabetes risk.

• 대한통합의학회지
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• 제11권3호
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• pp.99-114
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• 2023

Purpose : The purpose of this study was to determine factors that affect the quality of life (QoL) of people with diabetes. We hope to provide a basis for intervention strategies for health promotion and related research among patients with diabetes in the field of physical therapy. Methods : We selected individuals diagnosed with diabetes who were aged 19 years or higher by using data from the 2019 Korean Health Panel survey and analyzed the results of 1,527 people. The influencing factors were sex, age, household income, marital status, age, education level, subjective health status, body mass index (BMI), smoking, drinking, regular exercise, experience of depression and anxiety, suicidal thoughts, stress, and frequency of walking (days/week). Frequency analysis, descriptive statistics, independent sample t-test, one-way analysis of variance, and multiple regression analysis were performed. Results : The EQ-5D score for QoL was .87 ± .12, with pain and discomfort being the most detrimental to the QoL of people with diabetes. In terms of patients characteristics, the QoL was lower among participants who were female, older, and separated/widowed/divorced; had an education level below middle school; had a poor subjective health status; were non-smokers and drinkers; and did not walk and exercise regularly, experienced a lot of stress, and experienced depression and anxiety; and had suicidal thoughts (p<.001). Being separated/bereaved/divorced; experiencing a lot of stress, depression, and anxiety; and having suicidal thoughts were negatively associated with QoL in people with diabetes (p<.01). On the other hand, age of 65 years or younger; graduation from high school, fair or better subjective health, regular exercise and alcohol consumption, and walking (days/week) were positively associated with QoL (p<.05). Conclusion : Regarding the QoL of patients with diabetes, intervention strategies should be formulated by considering general characteristics and disease-related characteristics. Among the various factors affecting QoL, the number of walking and regular exercise were found to be the factors that improved the QoL of patients with diabetes. These results can be used as a basis for the education and management of patients with diabetes in the field of physical therapy.

• 보건교육건강증진학회지
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• 제27권1호
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• pp.81-89
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• 2010

Objectives: To investigate the relationship between experience of hunger in childhood or adolescence and diabetes mellitus in old age. Methods: Stratified national samples of 421 men and 554 women aged 60-89 in South Korea were analyzed. Diabetes diagnosed by a doctor was used as the dependent variable. Experience of hunger in childhood was assessed with the question, "In your childhood, have you ever gone hungry with skipping a meal?" and "In your childhood, have you ever eaten porridge or some bran cake as main dish instead of rice because of lack of food?" Odds ratios (ORs) and 95% confidence interval (CI) were calculated by multiple logistic regressions. Results: ORs of diabetes by experience of hunger in childhood were 1.64(95% CI 0.95-2.83) for men and 1.58(95% CI 1.01-2.47) for women. Significant association of experience of hunger in childhood with prevalence of diabetes persisted in men after adjustment for adulthood and old age socioeconomic position indicators and other risk factors(OR 1.88(95% CI 1.04-3.41)). The effect of experience of hunger in 10-19 years was more prominent than that in less than 10 years in both gender. Conclusion: Experience of hunger in childhood or adolescence may increase the risk of diabetes in Korean elders.

• 한국게임학회 논문지
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• 제16권4호
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• pp.87-96
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• 2016

본 연구는 제2형 당뇨환자에게 맞춤형 식이교육을 제공하기 위하여 기능성게임을 개발하기 위한 콘텐츠 효과를 검증한 연구이다. 기존의 기능성 게임이 제1형 당뇨에 중점을 두고 개발되었기 때문에 본 연구에서는 제2형 당뇨환자와 보건교육자가 상호작용을 통해 맞춤형 교육을 실시할 수 있도록 설계되었다. 자료수집 기간은 2015년 11월 7일부터 12월 26일까지였으며, 연구대상자는 보건소에 내원하여 당뇨 식이교육을 신청한 제2형 당뇨환자 중 선정기준에 적합하고 8회의 교육을 꾸준히 이수한 총 26명이었다. 기능성 게임 프로토타입으로 맞춤형 식이교육을 제공받은 후 대상자의 자가간호행위, 당화혈색소가 통계적으로 유의하게 상승하였다(p<.05).

• Asian Pacific Journal of Cancer Prevention
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• 제14권9호
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• pp.5123-5125
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• 2013

Background: Breast cancer is one the most common cause of cancer-related deaths among women worldwide. The aims of this study were to investigate the impact of dietary factors and health status indicators on breast cancer (BC) incidence. Materials and Methods: Risk factor data (RFD) of 89,404 individuals (15-64 years old) were gathered by questionnaire and laboratory examinations through a cross sectional study from the Non-Communicable Disease Surveillance Centre (NCDSC) of Iran. BC incidences of all provinces through 2001-2006 segregated by age and gender were obtained from the Cancer Registry Ministry of Health (CRMH). Results: a significant positive relationship was seen between diabetes mellitus, fish comsupmption, percent of academic education and non-consumption of fruit, and breast cancer in women. However, non fish consumption, percent age illiteracy and taking fruit showed a significant negative relationship with the incidence of breast cancer. In addition, multiple linear regression analysis showed associations among percentage with academic education, fruit consumption and diabetes. Conclusions: We conclude that dietary factors such as fish and furit consumption, dairy products, health status indicators, academic education, and some diseases like diabetes mellitus can affect the BC incidence, although the results of ecologic studies like this must naturally be interpreted with caution.

• 보건교육건강증진학회지
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• 제32권4호
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• pp.37-46
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• 2015

Objectives: This study was conducted to expand evidence-base for the effectiveness of lifestyle intervention programs to prevent the onset of diabetes and cardiovascular diseases. Methods: Seven intervention studies between 2006 and 2014 at Korea Association of Health Promotion were analyzed. All the studies were randomized controlled trials(RCTs) and included multi-component behavioral interventions. The participants of the programs were 2,172 adults with risk factors regarding metabolic syndrome criteria. The proportions of normalized participants were compared within and across the studies using odds ratio effect sizes. Results: The reductions in the prevalence of metabolic syndrome were from 49.6% to 65.1% in intervention groups, and from 38.7% to 52.3% in comparison groups. Significant differences in effectiveness between groups were found in two studies, one in 2006 with odds ratio of 1.69(p<0.01) and another in 2009 with odds ratio of 2.36(p<0.001). Proportions of normalized participants were higher in blood pressure(31.9% to 52.5% in the intervention groups and 23.0% to 43.3% in comparison groups) than other risk factors. Abdominal obesity showed weakest improvement after the intervention in both groups. Conclusions: Lifestyle modification program is an effective method to reduce diabetes and cardiovascular risks in adults by decreasing the prevalence of metabolic syndrome and its components.