• 한국직업건강간호학회지
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• 제25권4호
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• pp.384-393
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• 2016

Purpose: The purpose of this study was to examine the effectiveness of Participatory Action-Oriented Training (PAOT) programs in korean manufacture workers with metabolic syndrome for three years. Methods: A total of 890 workers with risks of metabolic syndrome were recruited from one workplace. The experimental group (n=51) received PAOT program for the preventive management on metabolic syndrome, while the control group (n=51) received conventional program. Results: In the experimental group who participated in PAOT program, percentage of achieved action plans was 73.4% at three months, 75.8% at six months, 82.8% at three years. After three years, the rate of risk factor in the experimental group has significantly decreased from $1.94{\pm}1.77$ to $0.76{\pm}1.25$ for moderate exercise, and from $1.72{\pm}2.01$ to $1.04{\pm}1.59$ for the strenuous exercise. Systolic and diastolic blood pressure has significantly decreased from $125.06{\pm}11.83$ to $117.65{\pm}19.94$, from $83.45{\pm}13.38$ to $76.39{\pm}8.09$ mmHg. In addition, risk factor score also decreased from $3.31{\pm}0.61$ to $1.41{\pm}0.89$. Conclusion: To improve the effectiveness of PAOT program for the management of risk factors of metabolic syndrome, there is a need to continue implement programs and analyze the long-term effects are required in the workplace.

• 한국콘텐츠학회논문지
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• 제22권7호
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• pp.395-404
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• 2022

본 연구는 1인 가구 중고령자의 비만 영향요인을 교육 수준에 따라 비교분석함으로써, 노인 비만 예방, 그리고 교육 수준에 따른 차별화된 개입방안을 모색하는 데 목적을 두었다. 국민건강영양조사 20년도 자료를 활용하여 총 400명의 응답자의 자료를 통해 교차분석, 로지스틱 회귀분석 등을 실시하였고, 분석 결과 교육 수준이 낮을 경우 비만에 영향을 줄 수 있는 신체활동에서 취약성이 나타났으며, 교육 수준이 높은 집단에서는 외식과 나트륨 섭취 등의 위험요인 점수가 높음을 확인하였다. 교육 수준 구분을 통해 영향요인을 비교분석한 결과, 교육 수준이 낮은 집단에서는 앉아서 보내는 시간이 위험요인이었고, 교육 수준이 높은 집단에서는 나트륨 섭취가 비만 위험요인인 것으로 나타났다. 이를 통해 1인 가구 중고령자들을 대상으로 한 건강한 영양 섭취 및 신체활동 교육을 실시하고, 교육수준에 따라 차별화된 개입 등이 필요함을 논의하였다.

• 대한지역사회영양학회지
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• 제4권4호
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• pp.521-528
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• 1999

Cardiovascular disease is very prevalent in Korea, and many risk factors, if properly identified are possibly corrected. However, the study results on prevalence and distribution of risk factors may not be reliable while the risk factors of disease are always issued on health promotion projects conducted recently in a community. The subjects of this study were 854 adults who participated in the health and nutrition survey in a community. They were aged between 20 and 69 and sampled representatively. This study intended to estimate the prevalence and the distribution of risk factors of cardiovascular disease such as hypertension, diabetes mellitus, hypercholesterolemia, and obesity. Systolic blood pressure and diastolic blood pressure levels were estimated at $123.9{\pm}2.2mgHg(men)$, $117.9{\pm}1.7mgHg$(women), and $80.4{\pm}1.5mg(men)$, $74.9{\pm}1.1mgHg(women)$, respectively. Glucose level was estimated at $99.1{\pm}2.3mg/dl$ in men, and $95.7{\pm}1.7mg/dl$ in women. The estimated level of total cholesterol and HDL-cholesterol were $183.4{\pm}3.8mg/dl(men)$, $181.7{\pm}3.1mg/dl(men)$, and $122.0{\pm}4.5mg/dl(women)$, and body mass index was estimated at $24.0{\pm}0.4kg/m^2$ in men and $23.9{\pm}0.4kg/m^2$ in men and $23.9{\pm}0.3kg/m^2$ in women. The prevalence of hypertension was 20.5% for men, and 14.4% for women. The prevalence of diabetes mellitus was estimated to 6.9% for men, and 6.1% for women. The estimated prevalence of hypercholesterolemia was 3.8%(men), 3.9%(women). The rate of obesity was estimated to 28.5%(men), 28.4% (women), respectively. The levels of blood pressure, glucose, and cholesterol were higher in men than in women in almost all the almost ate groups. The prevalence of hypertension for men is about 20%. It was found that the prevalence of diabetes mellitus for males aged between 40 and 59 was rapidly increased. The risk factor with highest prevalence was obesity, and hypertension and diabetes mellitus were the second and third most prevalent.

• 대한예방한의학회지
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• 제15권1호
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• pp.89-98
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• 2011

Objectives : The aim of this study was to investigate the prevalence of metabolic syndrome and the association between lifestyle factors and the risk of metabolic syndrome in Korean adolescents. Methods : The metabolic syndrome was defined with ${\geq}$ 3 metabolic abnormalities using the age-modified criteria of the Adult Treatment panel III specified by National Cholesterol Education Program in adolescents aged 12 to 18 years who have participated in the Kroean National Health and Nutrition Examination Survey in 1998(n＝936) and 2008(n＝620). Physical activity and dietary intakes were assessed. Results : The overall prevalence of metabolic syndrome in Korean adolescents declined over 10 years (P < 0.01). Adolescents engaging regular exercise significantly increased over 10 years (P < 0.001). Physically activity was associated with a lower risk of metabolic syndrome (P < 0.001). Dietary intake patterns were not associated with a risk of metabolic syndrome. Conclusions : The prevalence of metabolic syndrome among Korean adolescents declined over 10 years which may be in part due to the increased regular physical activity. The risk of metabolic syndrome is lower in individuals who are physically active.

• 한국학교보건학회지
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• 제36권2호
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• pp.52-61
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• 2023

Purpose: The purpose of the study was to compare the characteristics between adolescents who have run away from home before and who have contemplated running away from home before, and to find risk factors that predict runaway behavior among them. Methods: The data of 「the survey on adolescents' right to adequate housing and the way to ensure their housing with the focus on social exclusion」 by the National Youth Policy Institute (2020) were analyzed. A total of 494 adolescents were included in the study. Descriptive statistics, x2 test, t-test, and simple and multiple logistic regressions were carried out using SAS 9.2. Results: Gender, depression, anxiety, self-esteem, and school level were significantly different between the two groups. From the multivariate analysis, the adjusted odds ratio for runaway behavior was significantly higher in male students (AOR: 2.14, p<.001), lower in the middle economic class than in the high economic class (AOR: 0.64, p=.051), lower in the 4th quartile group of self-esteem (AOR: 0.52, p=.041), and higher in high school students (AOR: 1.55, p=.050). Conclusion: Considering that male students, students from wealthier families, students with low self-esteem, and high school students are high-risk groups for runaway behavior, among adolescents who have contemplated running away before, interventions targeting these groups are needed.

• Journal of Nutrition and Health
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• 제40권3호
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• pp.259-269
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• 2007

Recently, dietary pattern analysis was emerged as an approach to examine the relationships between diet and risk of chronic diseases. This study was to identify groups with population who report similar dietary pattern in Korean genome epidemiology study (KoGES) and association with several chronic diseases. The cohort participants living in Ansung and Ansan (Gyeonggi province) were totally 10,038. Among those, 6,873 subjects with no missing values in food frequency questionnaire were included in this analysis. After combining 103 food items into 17 food groups, 4 dietary factors were obtained by factor analysis based on their weights. Factor 1 showed high factor loadings in vegetables, mushrooms, meats, fish, beverages, and oriental-cereals. Factor 2 had high factor loadings in vegetables, fruits, fish, and factor 3 had high factor loadings in cereal-oriental, cerial-western and snacks. Factor 4 showed positive high factor loadings in rice and Kimchi and negative factor loadings in mushrooms and milk and dairy products. Using factor scores of four factors, subjects were classified into 3 clusters by K-means clustering. We named those 'Rice and Kimchi eating' group, 'Contented eating' group, and 'Healthy and light eating' group depending on their eating characteristics. 'Rice and Kimchi eating' group showed high prevalence in men, farmers and 60s. 'Contented eating' group and 'Healthy and light eating' group had high prevalence in women, people living in urban area (Ansan Citizen), with high-school education and above, and a monthly income of one million won and more. 'Contented eating' group appeared lower distribution proportion in the sixties and 'Healthy and light eating' group does higher in the fifties. 'Contented eating' versus 'Rice and Kimchi eating', odds ratio for hypertension, diabetes, metabolic syndrome and obesity significantly decreased after adjusting age and sex (OR=0.64, 0.73, and 0.85 respectively, 95% CI). Although our results were from a cross-sectional study, these imply that the dietary patterns were related to diseases.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2005년도 제57차 추계 학술대회 연제집
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• pp.372-372
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• 2005

• 한국학교ㆍ지역보건교육학회지
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• 제23권1호
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• pp.29-40
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• 2022

Objectives: The purpose of this study is to identify the relationship between metabolic syndrome factor diseases and falls in the elderly aged 65 years or older and use them as basic data to reduce the risk of falls. Methods: The method of this study was to compare the injury-related characteristics of the fall and non-fall groups with a factor disease of metabolic syndrome in Korea over 65 years of age. Data from the 14th National Hospital Discharge In-depth Injury Survey in 2018 were used to conduct the study. A total of 7,991 data were analyzed using SPSS 23.0. Results: Among the total injuries, the fall group with metabolic syndrome factor disease accounted for 69.0% and the non-fall group 31.0%. Falls occurred in 86.3% of households. In the fall group with metabolic syndrome factor disease, the number of females was 1.9~2.1 times higher than that of males. Compared to 65~69 years of age, the incidence of falls was 1.4~1.5 times higher in 70~79 years, 1.7~2.2 times higher in 80~89 years, and 2.5~3.6 times higher in 90-year-olds and older. In NISS, the incidence of falls was 1.7 times higher in moderate compared to mild. In principle diagnosis, the incidence of falls was 2.2 times higher in S40-S99 compared to S00-S19. Conclusion: The elderly with metabolic syndrome factor disease should continue to promote health through light exercise that can strengthen muscle strength to prevent falls.

• 한국산업보건학회지
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• 제15권2호
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• pp.83-89
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• 2005

This study aims to compare a self-reported and expert-observed method on ergonomic risk factors of Work-related Musculoskeletal Disorders (WMSDs). The checklist was developed based on the results of previous studies, and the symptoms of WMSDs were obtained using a self-reported questionnaire from 1,029 shipyard workers. The risk factors were assessed through the self-report by workers and video analysis by ergonomists. The symptom prevalence at the low back (59.2%), shoulders (50.8 %), and knees (49.7%) were relatively higher than those at other body parts. Odds ratios (ORs) by body parts were 2.48 to 2.90 for the risk job, and the ORs were significantly different from those of the low risk job. The risk factor scores by body parts between workers and ergonomist were very high correlation(r=0.82 to 0.92). The rates of self-report from risk job were 54.0% (elbow and arm) to 72.1 % (low back), but sometimes overestimated(105.7 to 122.6%) than those by ergonomists. The checklist, developed in this study, will be an efficient tool for the evaluation of risk jobs using self-report by workers.

• Nutrition Research and Practice
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• 제9권2호
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• pp.199-206
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• 2015

BACKGROUND/OBJECTIVE: Even though the prevalence of metabolic syndrome in adolescents is increasing, little is presently known about this syndrome in adolescents. This study aimed to cluster metabolic risk factors as well as examine the associations between identified patterns and nutrient intake using data from the Korean National Health Examination and Nutritional Assessment (KNHANES). SUBJECTS/METHODS: A total of 2,958 subjects aged 10 to 18 years along with both biochemical and dietary data information were obtained from KNHANES 2007-2010. Six components of metabolic syndrome were used to identify any patterns via factor analysis. Individuals were categorized into quartile groups according to their pattern score. RESULTS: Three clustering patterns with high loadings were identified and named as follows: 1) high blood pressure, 2) dyslipidemia, and 3) glucose abnormality patterns. The high blood pressure pattern showed high loadings of systolic and diastolic blood pressures, the dyslipidemia pattern showed high loadings of triglyceride and HDL-cholesterol levels, and the glucose abnormality pattern showed high loadings of fasting blood glucose levels. Intakes of fat and riboflavin were significantly decreased, whereas those of sodium and niacin were significantly increased across the quartiles in the dyslipidemia pattern. No nutrient intake except that of thiamin was significantly associated with the high blood pressure or glucose abnormality pattern. CONCLUSION: Our findings show that metabolic syndrome risk factors in the Korean adolescent population are characterized by three distinct patterns, which are differentially associated with dietary factors. Characterizing metabolic risk factors and providing specific dietary guidelines for target groups are important.