• 대한치과의사협회지
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• 제58권1호
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• pp.38-44
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• 2019

Although the Korea National Health and Nutrition Examination Survey (KNHANES) calculates oral health functional restriction rate and chewing discomfort rate every year, these two indicators are not all indicators of oral health. Therefore, indicators are needed to subdivide by age group and cover dental caries, periodontal disease, remaining teeth, and oral care use. The purpose of this study is to identify the key indicators of oral health in mature and middle age. The average number of existing natural teeth, the rates of 20 or more natural teeth, complaints of chewing discomfort, oral examination, periodontal disease and dental caries, were analyzed using KNHANES VI (2013-2015) as a complex sample. In the age group between 40 and 64, there were 25.2 natural teeth remaining, 91.4% natural teeth retention rate, 23% chewing discomfort rate, 34.7% oral examination rate, 38.7% periodontal disease prevalence, 6.46 the number of caries experience teeth, 21.4% interdental brush usage rate.

• 한국보건간호학회지
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• 제32권1호
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• pp.44-55
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• 2018

Purpose: This study was conducted to identify factors influencing fundus examination to prevent diabetic retinopathy in diabetes patients to provide basic data to improve screening rates of fundus examinations. Methods: Raw data from the 6th Korea National Health and Nutrition Examination Survey, which is a cross-sectional and nationally representative survey, were used in this study. The subjects of the study were 1,029 adult diabetes patients over the age of 19 years who had been diagnosed with diabetes. The demographic characteristics, diabetes and disease-related characteristics and health behavior characteristics according to the fundus examinations were analyzed by the chi-squared test and logistic regression analyses were used to examine the factors influencing fundus examination. Results: A total of 333 patients underwent fundus examination at a screening rate of 32.2%. We identified factors influencing fundus examination in patients with diabetes as level of education, type of diabetes care, period of diabetes, and smoking. Conclusion: A multiple approach is required to raise the low screening rate of fundus examination, including specialized education for low-education groups. Moreover, nursing intervention should focus on subjects who do not engage in insulin and oral hypoglycemic agents and with diabetes for a long period.

• 대한통합의학회지
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• 제12권2호
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• pp.25-32
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• 2024

Purpose: This study utilizes big data from the 8th (2021) National Health and Nutrition Examination Survey to determine first, the relationship between chewing discomfort in the elderly and some systemic diseases and second, whether oral diseases and oral health problems are related to systemic diseases. Since this may have an impact, we aim to provide basic data to facilitate the expansion and emphasize the importance of integrated health management education. Methods: Original data from the 8th (2021) National Health and Nutrition Survey, conducted by the Korea Centers for Disease Control and Prevention, were analyzed using SPSS Version 21.0 (IBM). A complex sample frequency analysis was conducted to confirm the general and health-related characteristics of the study subjects, and a complex sample cross-analysis was conducted to determine chewing discomfort according to both general and health-related characteristics. Complex sample multiple logistic regression analysis was conducted to determine the effect on chewing discomfort. Results: In order to analyze the factors that affect chewing discomfort, the general characteristics that showed significant differences in chewing discomfort were adjusted for age, personal income, education level, basic livelihood security, high blood pressure, subjective health status, and subjective oral health. It was found that the condition had a statistically significant effect on chewing discomfort. Conclusion: The findings of this study demonstrate that high blood pressure, subjective health status, and subjective oral health status affect chewing discomfort; hence, measures such as developing and operating programs to improve national oral health are needed. We hope that our study will be used as basic data for research into chewing discomfort and systemic diseases in the elderly.

• 보건교육건강증진학회지
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• 제28권1호
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• pp.69-80
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• 2011

Objectives: This study aims to identify the factors associated with colorectal cancer screening behaviors. Methods: The nation-wide representative samples of 2,928 adults aged ${\geq}50$ years for colorectal cancer screening were derived from the fourth Korea National Health and Nutrition Examination Survey (KNHANES IV). This study investigated socio-demographic, health behavioral and contextual factors associated with colorectal cancer screening using descriptive statistics and multivariate logistic regression analysis. Results: In terms of socio-demographic factors, gender, age, marital status, occupation, monthly income, and resident region were significantly different between screening group and non-screening group. Among health behavioral and contextual factors, regular physical checkup, weight control, physical activity, smoking, drinking and having other cancers were significantly different. From the multivariate logistic regression analysis, marital status, education level, regular physical checkup and weight control were associated with colorectal cancer screening behavior. Conclusions: It is necessary to understand the importance of early detection and cancer screening. Appropriate health education and active promotion about the cancer screening should be developed based on the study findings in order to motivate people to have cancer screening. Also, these findings should be reflected in the health policy.

• 대한지역사회영양학회지
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• 제26권6호
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• pp.482-494
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• 2021

Objectives: This study evaluated dietary behavior and nutritional status according to the metabolic syndrome status in Korean menopausal women. Methods: The subjects were 1,392 menopausal women aged 50 to 64 who took part in the Korea National Health and Nutrition Examination Survey of 2016 and 2017. Subjects were classified into normal (NOR) group, pre-metabolic syndrome (Pre-MetS) group, and metabolic syndrome (MetS) groups according to the number of metabolic syndrome risk factors present. Results: The overall prevalence of metabolic syndrome was 33.7%. Using the NOR group as a reference, the odds of belonging to the MetS group in Model 1 adjusted for age were higher at 53% (OR = 1.53, 95% CI:1.011-2.307) for 'not used' subjects compared to 'used' subjects of the nutrition labeling system. Using the NOR group as a reference, every 1g increase in the intake of monounsaturated fatty acids (MUFA) and polyunsaturated fatty acids (PUFA) decreased the odds of belonging to the MetS group in Model 1 adjusted for age by 3% (MUFA, OR = 0.97, 95% CI:0.946-0.991; PUFA, OR = 0.97, 95% CI:0.942-0.993). Conclusions: These results suggest that to reduce the number of risk factors of metabolic syndrome in menopausal women, nutritional education should emphasize the adequate intake of riboflavin, unsaturated fatty acids, protein, and calcium, and also encourage the recognition and use of nutritional labeling. Results of this study are expected to be utilized as basic data for the health management of menopausal women.

• 한국치위생학회지
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• 제18권6호
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• pp.957-967
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• 2018

Objectives: The aim of this study was to confirm health behaviors that affect periodontal health status. Based on these results, we also intended to provide information for the prevention of gingivitis prior to periodontitis and establish strategies for maintaining healthy periodontal tissues. Methods: Data for this descriptive study were extracted from the Korea National Health and Nutrition Examination Survey 2013-2015. A total of 2,710 adults, aged 19-39 years were included in this study. Complex logistic regression analyses were performed to confirm relationships between health behaviors and periodontal health, after adjusting for socio-demographics, oral and systemic health status. Results: Dental clinic visits (odd ratio [OR] = 1.761, 95% confidence interval [CI]; 1.391-2.229), use of floss (OR = 1.504, 95% CI; 1.213-1.865), and non-smoking (OR = 1.269, 95% CI; 1.040-1.549) were found to support periodontal health. Conclusions: Dental visits for continued professional oral health care, self-oral care including interdental flossing, and a non-smoking habit, are necessary for periodontal health maintenance. Additionally, the results suggest that physical activities such as regular walking can help. These methods should be considered as the primary preventative care strategies for minimizing the occurrence of gingival inflammation.

• 한국학교ㆍ지역보건교육학회지
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• 제20권3호
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• pp.53-65
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• 2019

Objectives: The purpose of this study is to examine the current status of cancer screening among subjects in the lung cancer screening cycle and to analyze the factors affecting the cancer screening of subjects in the lung cancer screening cycle. Methods: This study used the 'National Health and Nutrition Survey 7th Year (2017)' surveyed nationwide as the main data. The subjects are lung cancer screening projects, the dependent variable is early cancer screening, the independent variables are gender, age, marital status, household income level, education level, national health insurance type, private health insurance, The number of chronic diseases, general health examination, smoking status, drinking status, moderate intensity physical activity, stress perception rate, and weight control efforts were determined. Results: The results of this study showed that factors affecting early cancer screening of lung cancer screening subjects were gender, age, marital status, education level, national health insurance, smoking status, drinking status, moderate physical activity, and weight. Irrespective of the control effort, it was found that the private medical insurance, the number of chronic diseases, the medical examination, and the stress perception rate were affected. Conclusion: If the lung cancer screening subjects recognize the importance of early cancer screening themselves and create a social environment to increase their participation rate, lung cancer screening patients and their families will help them to live a healthy life.

• Nutrition Research and Practice
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• 제9권6호
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• pp.650-657
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• 2015

BACKGROUND/OBJECTIVES: The aim of this study was to estimate average total fat and fatty acid intakes as well as identify major food sources using data from the Korea National Health and Nutrition Examination Survey (KNHANES) VI-1 (2013). SUBJECTS/METHODS: Total fat and fatty acid intakes were estimated using 24-hour dietary recall data on 7,048 participants aged ${\geq}3years$ from the KNHANES VI-1 (2013). Data included total fat, saturated fatty acid (SFA), monounsaturated fatty acid (MUFA), polyunsaturated fatty acid (PUFA), n-3 fatty acid (n-3 FA), and n-6 fatty acid (n-6 FA) levels. Population means and standard errors of the mean were weighted in order to produce national estimates and separated based on sex, age, income, as well as residential region. Major food sources of fat, SFA, MUFA, PUFA, n-3 FA, and n-6 FA were identified based on mean consumption amounts of fat and fatty acids in each food. RESULTS: The mean intake of total fat was 48.0 g while mean intakes of SFA, MUFA, PUFA, n-3 FA, and n-6 FA were 14.4 g, 15.3 g, 11.6 g, 1.6 g, and 10.1 g, respectively. Intakes of MUFA and SFA were each higher than that of PUFA in all age groups. Pork was the major source of total fat, SFA, and MUFA, and soybean oil was the major source of PUFA. Milk and pork were major sources of SFA in subjects aged 3-11 years and ${\geq}12years$, respectively. Perilla seed oil and soybean oil were main sources of n-3 FA in subjects aged ${\geq}50years$ and aged < 50 years, respectively. CONCLUSIONS: Estimation of mean fatty acid intakes of this study using nationally represented samples of the Korean population could be useful for developing and evaluating national nutritional policies.

• 한국융합학회논문지
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• 제13권3호
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• pp.113-124
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• 2022

본 연구는 한국 성인 여성의 체내 납 (Pb) 노출 수준과 심혈관질환 (CVD) 사이의 관계를 분석하기 위해 수행되었다. 2017년 국민건강영양조사 (KNHANES)에 참여한 만 19세 이상 성인 1,821명을 대상으로 혈중 납과 허혈성 심장 질환 (IHD), 뇌졸중 및 고혈압의 자가 보고한 의사 진단에 대한 단면 자료를 이용하였다. CVD 및 혈중 납 농도는 로지스틱 회귀분석을 통해 분석하였고, pearson 상관계수를 이용하여 요인 간의 상관관계를 확인하였다. 혈중 납 수치 증가는 여성에서만 허혈성 심장 질환 (OR 5.68, 95% CI 1.01-17.51) 및 고혈압 (OR 3.37, 95% CI 2.24-5.07) 위험 증가와 연관이 있었다. 또한, 혈중 납과 영양소 섭취 사이에는 상관관계가 있었다. 이는 혈중 납 수치가 CVD 발병의 주요 예측 인자로 사용될 수 있으며 여성이 납 노출과 관련된 IHD 및 고혈압에 더 취약하다는 것을 시사한다.

• 한국치위생학회지
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• 제16권3호
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• pp.491-498
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• 2016

Objectives: The purpose of the study was to investigate the influencing factors of the perceived oral health for improvement of quality of life in Korean elderly. Methods: The subjects were 1,289 elderly over 65 years old from the sixth National Health and Nutrition Examination Survey 2013. The dependent variable was subjective oral health status. The independent variable was sociodemographic characteristics. Results: The perceived oral health of the unemployed elderly and those having chewing problems were 1.65-fold(95% CI=1.12=2.44) and 3.45-fold(95% CI=2.37-5.02), respectively than employed and chewable elderly. The perceived oral health of the former was 2.49-fold worse(95% CI=1.73-3.60) than the latter. Conclusions: The influencing factors of perceived oral health status included occupation, perceived health status and chewing problems. To improve the oral health-related quality of life in the elderly, continuous education and hands-on programs should be provided for the elderly in the long term care.