• The Journal of the Korea Contents Association
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• v.12 no.12
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• pp.261-268
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• 2012

This study investigates suicidal ideation and its associated factors by sex in adolescents, focusing health behaviors and health status. For this study, data of 931 adolescents(11-18years) from the Fifth Korean National Health and Nutrition Examination Survey(KNHANES V-1, 2010) were analyzed. Those who had activity limitation, depression, less exercise showed higher suicidal ideation. For male adolescents, those who were high school student compared with middle school showed lower suicidal ideation and had depression showed higher suicidal ideation. On the other hand, the risk factors of suicidal ideation for female adolescents were activity limitation, smoking experience, depression, less exercise. The development of suicide prevention program for adolescents requires different approaches for each sex.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.11
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• pp.5771-5777
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• 2013

The need of continuous management for diseases came to the fore as a chronic disease has increased, however, research related to personalized food intake analysis are insufficient. In diabetes risk analysis model of this study, food preferences are calculated by Pearson correlation coefficient that is proven method to assess the similarity, and diabetes risk is computed as a Logistic regression that was used in prevalence studies. For the Significance evaluation of this model, it was verified through t-test at 0.05 level of 52 comparison subjects and 52 control subjects. Both groups were significantly independent (p=0.046 <0.05). This model is a new way to personalized health management, through the application to healthcare system based on web and mobile.

• Journal of the Korean Data and Information Science Society
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• v.28 no.3
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• pp.573-584
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• 2017

The main purpose of this study is to investigate the important impacting factors of health-related quality of life (HRQOL) by different age groups. The subjects of this study were 5,976 adults over 19 based on data from the 2014 Korea National Health and Nutrition Examination Survey and EQ-5D index score was used for the measurement of HRQOL. Three age groups were considered of young (19-39), middle (40-65), and old (over 66) and for each age group Bayesian ordered probit model analysis was fitted to identify significant factors and their effects on HRQOL. Sex, subjective awareness of health, stress and diseases have been identified to be common important factors for all age groups. HRQOL of women is more likely to be lower than that of men. Subjective awareness of health affect positively but stress and diseases affect negatively on HRQOL. For middle age group, occupational activities have been found to be important positive factors on HRQOL. On the other hand, obesity is more important factor influencing on HRQOL negatively and frequent walking is recommended for old age group.

• Journal of Nutrition and Health
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• v.51 no.6
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• pp.567-579
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• 2018

Purpose: This study examined the mediation effects of dietary habits, nutrient intake, daily life in the relationship between the working hours of Korean shift workers and metabolic syndrome. Methods: Data were collected from the sixth (2013-2015) Korea National Health and Nutrition Examination Survey (KNHANES). The stochastic regression imputation was used to fill missing data. Statistical analysis was performed in Korean shift workers with metabolic syndrome using the SPSS 24 program for Windows and a structural equation model (SEM) using an analysis of moment structure (AMOS) 21.0 package. Results: The model fitted the data well in terms of the goodness of fit index (GFI) = 0.939, root mean square error of approximation (RMSEA) = 0.025, normed fit index (NFI) = 0.917, Tucker-Lewis index (TLI) = 0.984, comparative fit index (CFI) = 0.987, and adjusted goodness of fit index (AGFI) = 0.915. Specific mediation effect of dietary habits (p = 0.023) was statistically significant in the impact of the working hours of shift workers on nutrient intake, and specific mediation effect of daily life (p = 0.019) was statistically significant in the impact of the working hours of shift workers on metabolic syndrome. On the other hand, the dietary habits, nutrient intake and daily life had no significant multiple mediator effects on the working hours of shift workers with metabolic syndrome. Conclusion: The appropriate model suggests that working hours have direct effect on the daily life, which has the mediation effect on the risk of metabolic syndrome in shift workers.

• Journal of The Korean Ophthalmological Society
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• v.58 no.11
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• pp.1260-1268
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• 2017

Purpose: Strabismus affects any age and represents various functional or non-functional eye problems. This population-based study was conducted to determine the prevalence of strabismus and nystagmus in South Korea according to various sociodemographic factors. Methods: We acquired data from the Korea National Health and Nutrition Examination Survey, a nation-wide cross-sectional survey and examinations of the non-institutionalized civilian population in South Korea (n = 30,538), conducted from July 2008 to December 2011. The prevalence of strabismus and nystagmus were verified, and associated sociodemographic factors was evaluated. Results: The overall prevalence of strabismic disorder in participants over 3 years of age was $1.4{\pm}0.1%$ (95% confidence interval [CI] 1.3-1.6%; $1.5{\pm}0.1%$ in males, $1.3{\pm}0.1%$ in females). The prevalence of exodeviation (15 or more prism diopters), esodeviation (10 or more prism diopters), vertical deviation, and other complicated strabismus and nystagmus was 1.0%, 0.2%, 0.2%, 0.1% and 0.1% respectively. The prevalence was highest in the 6 to 15-year age group ($1.9{\pm}0.3%$), and lowest in the 40 to 49 years age group ($0.8{\pm}0.1%$) (p = 0.005). There were no statistically significant differences for gender, region, residential area, household income, educational level and occupation. Conclusions: This nation-wide epidemiologic study demonstrated that the prevalence of strabismus and nystagmus according to various sociodemographic factors in South Korea was not statistically significant except for age group. Further investigations are required based on more surveys to better recognize the etiologic or risk factors that may be related to strabismus and nystagmus.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.6
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• pp.3882-3888
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• 2015

The present study was conducted to assess the relationship between obesity and abdominal obesity and Parathyroid hormone (PTH) in adults aged 50 or older (n=3,305) using 2011 Korean National Health and Nutrition Examination Survey (KNHANES) data, which represents national data in Korea. Key study results were as follows: First, the PTH levels increased significantly with an increase in Body mass index (BMI) (p=0.003), shown by sIAD levels after adjusted the variables that affect sIAD levels (age, gender, SBP, DBP, and 25(OH)D). These were $66.25{\pm}0.89ng/dL$ for Normal weight (BMI, < $23.0kg/m^2$), $67.83{\pm}1.07 ng/dL$ for Overweight (BMI, $23.0-24.9kg/m^2$), $70.71{\pm}0.94ng/dL$ for Obesity (BMI,${\geq}25.0kg/m^2$). Second, the PTH level of abdominal obesity group ($69.30{\pm}0.80ng/dL$) was significantly higher (p=0.017) than non-abdominal obesity group ($66.63{\pm}0.74ng/dL$). In conclusion, BMI and waist measurement are positively associated with the PTH levels in Korean adults.

• Journal of Korean Academy of Nursing
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• v.45 no.3
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• pp.420-428
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• 2015

Purpose: Purpose was to explore associations between sleep duration and metabolic syndrome (MS) risks, and to determine factors associated with self-rated health (SRH) of adults with MS compared to other adults. Methods: This is a secondary data analysis based on the Fifth Korea National Health and Nutrition Examination Survey KNHANES V (N=12662). Study instruments included sleep duration, MS risk factors, SRH and health-related quality of life (HRQoL). Results: Mean age of participants was $43.68{\pm}12.26years$. Fifty-eight percent were women, and 18.3% were identified as having MS. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and SRH were significantly different according to sleep duration (p <.05) among all participants. In the non MS group, male gender, younger age (19~30 and 41~50 age brackets) upper income level, sufficient sleep duration, and high density lipoprotein (HDL) were positively associated with SRH, whereas, lower education levels (${\leq}$ middle school), glucose level, and waist circumference were negatively associated with SRH (p <.05). In the MS group, lower income, lower education levels (${\leq}$ middle school), glucose level, and waist circumference were negatively associated with SRH, whereas, having an occupation was positively associated with SRH (p <.05). Conclusion: Results suggest that tailored approaches are required for prevention and control of MS and sleep duration of each individual should be considered rather than applying standardized guidelines. However, as sleep quality was not included in the analysis, further investigations regarding influence of sleep quality on MS and SRH and controlling for other lifestyle and health behavior factors are required.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.5
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• pp.2949-2954
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• 2013

Background: This study was conducted to determine the relationship between lifestyle behavior and quality of life (QoL) among cancer survivors in Korea. Materials and Methods: Data for a total of 471 (173 men, 298 women) cancer survivors (CS) over 40 years old were obtained from the database of the $4^{th}$ Korean National Health and Nutrition Examination Survey (KNHANES IV). An identical number of subjects of the same age, sex, and education who had no restrictions in physical activity were randomly selected from the database and represented the control group (CG). Drinking, smoking, and exercise behavior were assessed. Results: The number of heavy drinkers was lower in CS (9.4%) than in CG (15.8%) (p<0.01); similarly, there were fewer smokers in CS (9.1%) than in CG (14.0%) (p<0.05). The percentage of individuals engaging in vigorous, moderate, and low-intensity exercise did not differ between CS (13.6%, 14.7%, and 50.0%) and CG (14.3%, 13.4%, and 49.7%, respectively). No differences in Euro QoL Questionnaire 5-Dimensional Classification (EQ-5D) scores on both drinking and smoking behaviors were noted. Compared to the non-exercisers, the low-intensity exercisers in CG ($0.91{\pm}0.10$ vs. $0.94{\pm}0.09$), vigorous-intensity exercisers in CS ($0.84{\pm}0.62$ vs. $0.91{\pm}0.11$), and low-intensity exercisers in CS ($0.82{\pm}0.22$ vs. $0.88{\pm}0.13$) scored higher on the EQ-5D. Conclusions: Although cancer survivors practiced more conscious health behavior in drinking and smoking, their engagement in exercise did not differ from that of non-cancer survivors. Since exercise engagement increases QoL in general, implementation of an educational program that promotes exercise engagement in cancer survivors may be required.

• Journal of Korean society of Dental Hygiene
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• v.16 no.1
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• pp.129-136
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• 2016

Objectives: The purpose of the study is to investigate the relationship between oral health status and body mass index (BMI) in adults over 65 years old. Methods: The study subjects were 4,550 adults over 65 years old from the 5th Korea National Health and Nutrition Examination Survey(KNHANES V) in 2010-2012. Mastication-related oral health status included the number of remaining teeth, and mean number of decayed, missing, and filled permanent teeth(DMFT). Body mass index(BMI, $kg/m^2$) was categorized as underweight(<18.5), normal weight (18.5-22.9), overweight(23.0-24.9), and obese(${\geq}25.0$). Multinomial logistic regression analysis was performed to examine the association of BMI categories with the number of remaining teeth and DMFT. Results: The mean number of DMFT was highest($13.0{\pm}0.7$) in the underweight group and lowest($8.8{\pm}0.3$) in the obese group. Those having less favorable masticatory ability, and fewer number of remaining teeth and no prosthesis, tended to be underweight. Those having a higher number of remaining teeth and prosthetic teeth tended to be overweight or obese. In the multinomial logistic regression analysis, compared with those having 20 or more remaining teeth, including prosthetic teeth, those having less than 20 remaining teeth and no prosthesis had 4.48 times higher odds ratio of being underweight. DMFT was positively associated with underweight, while negatively associated with overweight or obesity. Conclusions: The masticatory ability and dental caries prevention maintained the healthy body weight in adults of old age.

• Korean Journal of Clinical Pharmacy
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• v.31 no.3
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• pp.231-236
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• 2021

Background: Sarcopenia is a skeletal muscle disorder that involves the loss of muscle mass and function. Handgrip strength (HGS) is the most commonly used tool to assess muscle strength to diagnose sarcopenia. HGS is also associated with various diseases and health outcomes. Thus, we aimed this study to examine the HGS status in Korean adults and relevant factors of HGS. Methods: Data was obtained from the 7th Korea National Health and Nutrition Examination Survey (KNHANES), a population-based nationwide survey. The estimated mean value of HGS was calculated in each age group. The mean HGS in men and women aged over 40 was compared according to the household income level, lifestyle factors, and comorbidities. Results: A total of 16,708 participants were included in this study. The mean HGS showed a maximum value in the 30s for both men and women, and then tended to decrease with increasing age. When analyzed for people aged 40 or older, the mean HGS was significantly higher in the current or past smoker, drinker, and aerobic exercise groups in both men and women. The mean HGS was lower in the group with comorbidities such as hypertension, dyslipidemia, type 2 diabetes, and bone diseases. Conclusion: Our study found that the mean HGS was significantly different between those with and without underlying chronic diseases. In groups with relevant comorbidities, close monitoring for the development of sarcopenia and taking preventive measures such as exercise and nutritional support may be recommended.