• 한국식품영양학회지
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• 제29권3호
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• pp.392-403
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• 2016

The purpose of this study was to investigate the relations between HbA1c level and health risk factor. For analysis, 330 elderly women aged 65 years and over were recruited in Jeonla province, Korea. The subjects were classified into two groups according to their HbA1c level; the diabetic group (HbA1c level${\geq}6.5%$, n=68, 20.6%) and control group (HbA1c level<6.5%, n=262, 79.4%). Demographic characteristics were collected, as well as information on physical measurements, blood tests for biochemical indicators, a health status and health-related life style, dietary behavior, favorite food groups, consumption frequency of food groups and nutrient intake. Educational level of the diabetic group was significantly lower than that of the control group. The height of the diabetic group was shorter, and percentage fat of the diabetic group was higher than those of the control group. In the diabetic group, the higher concentrations of creatinine and activity of alkaline phosphatase were found to be significantly unfavorable factors. Therefore, the diabetic group was assumed to be at risk of decreased liver and renal function. The self-rated health level of the diabetic group has a declining tendency, while the medicine intake was significantly higher than that of the control group, but there are no significant differences in visiting frequency of hospital and community health center. The distribution of physical activity showed a significant difference between the groups. Although there are no significant differences in nutrient intake, the diabetic group had relatively inferior nutrient intake of diet, especially vitamin C, as contrasted with the control group. In conclusion, the weight control and increasing physical activity may be effective in the prevention of the diabetes and continuous education and intervention by specialized nutritionists will be needed for diabetic patients. These results could be useful to plan effective strategies to increase the health-life expectancy and the prevention of the diabetes of Korean elderly people living in rural areas.

• 한국식품위생안전성학회지
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• 제14권2호
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• pp.201-215
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• 1999

Limited information is available on the acceptability of Korean MRLs(maximum residue limits) and the health risk based on the pesticide exposure by food intake. The aim of this study was to evaluate TMDI(theoretical maximum daily intake) and EDI(estimated daily intake) for Korean by using MRLs, food intake, residue data, and correction factors, and compare with ADI(acceptable daily intake) in order to estimate the health risk based on the pesticide exposure. The study was performed in three steps. In the frist step, the residual pesticides in each category of food were investigated using the pesticide residue analytical data(1995-96) from officially approved organizations and the analytical data for poultry was adopted from Korean food code method. In the second step, TMDI was estimated from MRLs and food factors, and was compared with ADI. In the third step, the effectiveness of each culinary treatment (washing, peeling, steaming, boiling, and salting) was evaluated and EDI was calculated using pesticide residue data, food factor, and correction factor by treatment. TMDI obtained from MRLs and food intake, and food intake was summed as 1,100.99 g, which was 79.1% of total consumption. The percent ratio of TMDI to ADI for 156 pesticides was mostly below 80% and only 30 pesticides exceeded the ADI. In particular, non-treated EDI from pesticide residue data and food intake was summed up to about 43 $\mu\textrm{g}$/day/capita, and the rank was procymidone(8.6 $\mu\textrm{g}$) > maleic hydrazide(8.2 $\mu\textrm{g}$) > EPN(3.7 $\mu\textrm{g}$) > deltamethrin(3.5 $\mu\textrm{g}$) > cypermethrin(3.0 $\mu\textrm{g}$). The treated EDI calculated from pesticide residue data, food intake, and correction factor by culinary treatment was summed up to 13.7 $\mu\textrm{g}$/day/captia. The percentage of ADI was TMDI(79.74%) > non-treated EDI (0.17%) > treated EDI (0.04%), and the exposure level of Korean population to whole pesticides was below the level to produce health risk. Oncogenic risk of five pesticides used in Korea whose oncogenic potency(Q*) was known were assessed from TMDI and treated EDI. Dietary oncogenic risk for Korean was estimated to be 2.0$\times$10-3 on the basis of TMDI, 8.3$\times$10-7 on the basis of treated EDI. The oncogenic risk from TMDI exceeded the risk level(1$\times$10-6) of EPA, whereas the oncogenic risk from treated EDI and real exposure level lower than that of EPA.

• 한국방사선학회논문지
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• 제15권3호
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• pp.337-344
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• 2021

관상동맥 석회화는 심혈관질환 위험인자와 연관이 있으며, 동맥경화반의 양과 밀접한 관계가 있음을 선행 연구에서 보고되고 있다. 이에 본 연구에서는 2020년 12월부터 2021년 2월까지 대구시 소재 S 영상의 학과 건강검진센터를 방문하여 관상동맥 Calcium scoring CT를 시행한 109명을 대상으로 혈액인자가 관상동맥 석회화 수치에 미치는 영향을 알아보고자 하였다. 연구결과 허리둘레 인자에서는 비정상 군이 정상군에 비해 석회화 발생 위험도가 1.113배 증가하였고, 공복혈당 인자에서는 비정상 군이 정상 군에 비해 석회화 발생 위험도가 1.036배 증가하였으며, 중성지방 인자에서는 비정상 군이 정상 군에 비해 석회화 발생 위험도가 1.008배 증가하였으므로 허리둘레 인자와 공복혈당인자, 중성지방 인자가 관상동맥 석회화 수치에 영향을 주는 인자임을 알 수 있었다. 석회화 수치 발생 위험도는 허리둘레 인자와 공복혈당인자, 중성지방 인자와 유의한 관계가 있으므로 석회화 수치와 연관성이 있는 위험 변수들의 수치를 줄이기 위하여 평소 건강관리에 관심을 갖고 건강검진을 통하여 사전에 예방하기 위해 노력한다면 심혈관질환의 발생률을 낮추고, 심혈관질환과 관련된 의료비를 줄이는데 도움이 될 수 있을 것이라 기대한다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권12호
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• pp.5029-5034
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• 2014

This study aimed to summarize published epidemiological evidence for the relationship between pancreatitis and subsequent risk of pancreatic cancer (PC). We searched Medline and Embase for epidemiological studies published by February $5^{th}$, 2014 examining the risk of PC in pancreatitis patients using highly inclusive algorithms. Information about first author, year of publication, country of study, recruitment period, type of pancreatitis, study design, sample size, source of controls and attained age of subjects were extracted by two researchers and Stata 11.0 was used to perform the statistical analyses and examine publication bias. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated with the random effects model. A total of 17 articles documenting 3 cohort and 14 case-control studies containing 14,667 PC cases and 17,587 pancreatitis cases were included in this study. The pooled OR between pancreatitis and PC risk was 7.05 (95%CI: 6.42-7.75). Howeever, the pooled ORs of case-control and cohort studies were 4.62 (95%CI: 4.08-5.22) and 16.3 (95%CI: 14.3-18.6) respectively. The risk of PC was the highest in patients with chronic pancreatitis (pooled OR=10.35; 95%CI: 9.13-11.75), followed by unspecified type of pancreatitis (pooled OR=6.41; 95%CI: 4.93-8.34), both acute and chronic pancreatitis (pooled OR=6.13; 95%CI: 5.00-7.52), and acute pancreatitis (pooled OR=2.12; 95%CI: 1.59-2.83). The pooled OR of PC in pancreatitis cases diagnosed within 1 year was the highest (pooled OR=23.3; 95%CI: 14.0-38.9); and the risk in subjects diagnosed with pancreatitis for no less than 2, 5 and 10 years were 3.03 (95%CI: 2.41-3.81), 2.82 (95%CI: 2.12-3.76) and 2.25 (95%CI: 1.59-3.19) respectively. Pancreatitis, especially chronic pancreatitis, was associated with a significantly increased risk of PC; and the risk decreased with increasing duration since diagnosis of pancreatitis.

• 지역사회간호학회지
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• 제24권2호
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• pp.225-235
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• 2013

Purpose: The purpose of this study is to identify the prevalence of the metabolic syndrome (MS) and factors associated with it among elders in a rural community. Methods: Data were collected from 683 subjects with a questionnaire, physical measurement, and blood test. The prevalence of the MS was determined by AHA/NHLBI and waist circumference cutoff points for Koreans. Results: The prevalence of the MS was 50.5% in total (41.6% in men, 56.3% in women) while the prevalence of 5 metabolic risk factors was 67.7% for elevated blood pressure, 51.0% for low HDL-cholesterol, and 50.2% for abdominal obesity. Risk factors associated with the prevalence of the MS included family history, BMI, and physical activity; significant factors associated with that of metabolic components included family history, BMI, smoking, drinking, and physical activity. Especially, a higher BMI was a strong risk factor of the prevalence of abdominal obesity as well as the MS and its components. Conclusion: The findings indicate that nurses should care for elders based on each metabolic component regarding its prevalence level and concentrate primarily on reducing elevated blood pressure, low HDL-cholesterol by controlling the main risk factor, abdominal obesity through lifestyle modification.

• 지역사회간호학회지
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• 제24권4호
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• pp.488-497
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• 2013

Purpose: The purpose of this study was to identify the construct equivalence of the general five factors of health behavior and to compare the latent means between adolescents with a health problem and those without in Korea. Methods: The 2009 KYRBS (Korean Youth Risk Behavior Survey) data were used for the analysis. Multi-group confirmatory factor analysis was performed to test whether the scale had configural, metric, and scalar invariances across the existence of health problems in adolescents. Results: Configural, metric, and factor invariances were satisfied for the latent mean analysis (LMA) between adolescents with health problem and those without. Adolescents with health problem and those without were not different in the LMA of all factors. Conclusion: Health providers should give more interest to the group of adolescents with health problems and consider prudential school life to the same group.

• 한국식품위생안전성학회지
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• 제31권3호
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• pp.167-175
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• 2016

후쿠시마 원자력 발전소 사고 이후 한국 정부는 일본 북부지역에서 생산되는 수산물 수입을 금지하였다. 한국과 일본 사이 수산물 분쟁은 아직 진행중이며 소비자들은 식품안전에 위협을 받고 있다. 이 연구는 소비자의 일본 수산물에 대한 위험인식과 위험행동에 영향을 미치는 요인들을 밝히기 위함이다. 이를 위해 2012년 9월부터 10월까지 1,500명의 성인을 대상으로 설문조사를 수행하였다. 분석결과 일본산 수산물에 대한 위험인식에서 감정의 역할이 확인되었는데, 일본산 수산물에 대해 부정적인 감정을 느끼고 있는 개인은 해당 제품에 대한 위험 인식이 높았다. 또 부정적인 감정은 수산물 구입행동에도 영향을 미치는 것으로 나타났다. 한편 운명주의적 성향은 수산물 구입행동에 유의한 변수가 아닌 것으로 나타났다.

• 성인간호학회지
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• 제21권3호
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• pp.314-323
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• 2009

Purpose: This descriptive study was conducted to identify the level of knowledge of stroke symptoms and risk factors among older adults. Methods: A total of 200 older adults over 65 years of age were conveniently recruited from out patient departments of two hospitals and a health care center from October to November 2008. The level of knowledge was assessed using both open-ended questions and a structured questionnaire based on semi-structured interviews. Data were analyzed by t-tests and ANOVA using the SPSS program. Results: 52.5% of the sample had hypertension and 30% had diabetes. The mean knowledge scores for symptoms and risk factors were $8.4{\pm}3.1$ (out of 15) and $9.5{\pm}3.9$ (out of 16), respectively. The older adults who had lower education, lower family income, and who lived in rural areas were more likely to have less knowledge of stroke symptom and risk factors (p < .05). There was no significant knowledge difference between the older adults who had at least one risk factor and those who had no risk factor for stroke. Conclusions: Educational intervention should be focused on informing older adults who are at risk for stroke about the early symptoms and management of risk factors, especially those who have low education and low social status.

• 농촌의학ㆍ지역보건
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• 제47권4호
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• pp.268-274
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• 2022

우울증은 정신과적 질환 중 가장 흔한 질환이자 삶의 질과 직접적으로 연결되어 있으며 신체적 질환과도 연관되어 있는 등 많은 사회적 비용을 초래할 수 있는 중요한 질환이다. 이 연구는 우울증 유무와 연관성이 있는 개인수준과 집단수준의 요인들을 포괄적으로 파악하기 위해 다수준 분석을 시행하였으며, 연구 결과 여러 개인수준의 변수들과 집단수준의 변수에서 우울증과 연관성이 있는 요인들에 대해 파악할 수 있었다. 이러한 연구 결과를 통해 우울증 발생에 있어 전통적인 개인수준의 위험 요인 외에도 지역사회 네트워크를 비롯한 여러 요인들이 함께 영향을 미칠 수 있음을 확인할 수 있었으며, 따라서 우울증을 비롯한 정신건강 관리에 있어 다양한 위험요인들을 종합적으로 관리하는 보건사업이 요구된다 할 수 있다.

• 한국사회복지학
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• 제57권3호
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• pp.195-222
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• 2005

본 연구는 청소년 인터넷 중독의 각 유형에 따른 비교분석에 초점을 두고, 인터넷 중독유형에 대한 위험요인과 보호요인의 상대적 영향력을 확인하며, 중독유형간의 공통적 요인과 상이한 요인을 밝혀보고자 하였다. 또한 인터넷 중독유형이 정신건강에 미치는 영향을 파악하였다. 1,830명의 청소년들을 대상으로 한 연구결과는 첫째, 청소년의 62.3%는 인터넷 중독이었고, 15.9%는 인터넷 게임중독, 10.9%는 인터넷 섹스중독으로 나타났다. 둘째, 모든 인터넷 중독유형에서 위험요인이 보호요인보다 더 높은 영향력을 나타냈으며, 보호요인의 보상효과는 인터넷 중독과 게임중독에서는 나타났으나, 섹스중독에서는 나타나지 않았다. 셋째, 인터넷 중독유형에서의 공통적인 위험요인은 우울, 공격성, 부모 통제, 친구 영향력이었고, 보호요인은 자기통제력 이었다. 상이한 위험요인은 PC접근성이었고, 보호요인은 자기효능감, 교사지지, 친구지지, 부부관계로 나타났다. 넷째, 3개 중독유형 모두에서 일반이용집단보다 중독집단이 더 높은 수준의 정신과적 증상을 경험하는 나타났다. 다섯째, 3개 중독유형 중 섹스중독, 게임중독, 인터넷 중독 순으로 정신과적 증상차원에 높은 부정적 영향을 미치는 것으로 나타났으며, 중독의 정도가 높을수록 정신과적 증상이 심해지는 것으로 나타났다.