• 감성과학
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• 제25권2호
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• pp.45-54
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• 2022

본 연구는 국민건강영양조사 제6기 자료(KNHANES VI-3)를 이용하여 성별에 따른 비만 관련 위험요인들을 확인하고자 생리적 건강지표인 혈액검사와 스트레스를 비교분석 하였다. 연구에 사용된 대상자는 국민건강영양조사 전체 인구 중 성인(19세 이상) 이며 정상 체중과 비만에 해당하는 3,343명을 대상으로 자료를 분석하였다. BMI 지수에서 남성이 여성에 비해 유의미하게 높았으며(p<.001), 특히 비만 그룹이 더 많은 것으로 확인되었다. 여성의 경우 스트레스가 남성에 비해 높아 성별의 차이를 보였으며(p<.001), 생리학적 지표인 혈액검사에서 여성은 혈소판(PLT) 수치가 높고(p<.001) 남성의 경우 백혈구(WBC) 수치가 유의미하게 높게 나타났다(p<.001). 성별에 따른 비만의 관련 요인으로는 체형에 대한 주관적 판단(95% CI=0.026~0.045, p<.001), 스트레스(95% CI=0.487~0.925, p=.015), 백혈구(95% CI=1.232~1.392, p<.001)가 여성에서 중요한 요인으로 관찰되었다. 따라서, 성별에 따라 주관적 체형 인식 및 스트레스와 객관적 생리학적 지표가 체질량지수의 주요 변인임이 확인되었으며, 이는 추후 비만 예방 교육 및 관련 프로그램 개발을 위한 중요한 기초자료가 될 것으로 생각된다.

• 한국융합학회논문지
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• 제9권9호
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• pp.149-157
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• 2018

본 연구는 19세 이상 비만자를 대상으로 구강건강 상태와 행태를 분석하여 관련 요인을 알아보고자 실시하였다. 국민건강영양조사 제6기 3차의 원시자료를 활용하여 5,632명을 체질량지수에 따라 저체중, 정상, 과체중으로 분류하여 비만도에 따른 음주, 흡연, 구강건강상태와 행태에 대한 관련성을 복합표본 교차분석과 복합표본 로지스틱 회귀분석을 실시하였다. 결과는 남자, 60대, 저소득층, 교육수준이 낮고, 기혼에서 비만도가 높았으며, 비만자일수록 치주질환 유병이 높았고, 주관적 구강건상 상태가 더 나쁘다고 인지하는 것으로 나타났다. 이런 결과를 고려한 연구는 비만성인의 구강건강 향상에 도움이 될 프로그램 개발에 도움이 될 것으로 판단된다. 따라서, 비만 성인에 맞는 맞춤형 구강교육 프로그램의 개발을 통한 정기적인 교육으로 구강건강상태와 행태를 개선하기 위한 동기유발이 필요할 것으로 사료된다.

• 한방비만학회지
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• 제14권1호
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• pp.36-45
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• 2014

Objectives: The purpose of this studay was to compare the eating-related index and the patterns of pre- and post-prandial gut hormone level in normal-overweight and obese subjects of Taeemin population. Methods: We enrolled healthy male participants who were diagnosed with Taeeumin by Sasang Constitutional diagnosis and who were normal-overweight ($18.5kg/m^2{\leq}$body mass index [BMI)< $25kg/m^2$) or obese ($25.0kg/m^2{\leq}$BMI< $30kg/m^2$). Eating behavior and gastrointestinal problems were assessed by using standardized scale. Subjective appetite ratings using visual analogue scales and the profiling of serum levels of ghrelin and peptide YY (PYY) were assessed before and after a standard meal (6 time points: 30 minutes pre-prandial, immediately before meal, 15, 30, 60, and 120 minutes post-prandial). Results: Tewnty two healthy Taeeumin people classified as normal-overweight group or obese group are the final subjects. External eating score of Dutch eating behavior questionaire scores is higher in normal-overweight group than in obese group. The variations of subjective appetite ratings in obese group are smaller than in normal-overweight group. The pattern of ghrelin in normal-overweight group shows a high peak at 30 minutes post-prandial point, which is contrary to existing studies. The pattern of PYY in obese group decreases from 15 minutes post-prandial point and shows lower peak level, whereas in normal-overweight group shows increasing tendency from pre-prandial point until 30 minutes post-prandial point. Conclusions: There are differences in the eating-related index and the gut hormone patterns related to obesity.

• 지역사회간호학회지
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• 제19권3호
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• pp.431-442
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• 2008

Purpose: The Purpose of this study was to examine the degree of obesity stress and analyze factors having an effect on obesity stress among college women. Method: The subjects were 347 female students from a university in J City. Data were collected using a self-report questionnaire for general characteristics, health-related characteristics, and current and preferred somatotype. Obesity stress was measured using 10 items developed by Cho (1996) based on Body Attitudes questionnaire (BAQ) of Ben-Tovim and Walker (1991). The survey was conducted from September 4 to September 7, 2007. Data were analyzed by t-test, ANOVA, Scheffe test, Spearman's rank correlation test, and stepwise multiple regression using SPSS 14.0. Results: The average score of obesity stress was $2.78{\pm}0.90$ out of 5.00. Stepwise multiple regression analysis showed that the major factors that affect obesity stress of female college students were perceived body shape, disagreement between current and preferred somatotype, history of weight control, body mass index (BMI), and perceived health status, and these factors explained 38.4% of obesity stress. Conclusion: Subjective judgment in the perception of or preference for body shape was the most important factor affecting obesity stress in female college students. Therefore, a plan is necessary to mitigate obesity stress and evaluate individually subjects who perceive themselves to be fat or want to be thinner than the current somatotype. And consultation and constant management are needed to help the high risk group (experience of weight control, BMI ${\geq}23kg/m^2$, not good health status).

• 한국학교ㆍ지역보건교육학회지
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• 제18권3호
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• pp.17-28
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• 2017

Ojectives: This study performed to analyze health promotion factors related to subjective stress level among first-year students of university. Methods: To examine the association with subjective stress level and health promotion factors, health survey was conducted with 3,892 students who were first-year students in an university by self-reported questionnaire from February 26 to March 10, 2015 in an university. Multiple regression analysis performed to identify the difference of health promotion factors by subjective stress level. Results: 1,015 students (26.1%) were on high stress level and 2,110 students (54.2%) were in healthy status. The 10.8% of them was obesity group and the 40% was alcohol use disorder group. The 8.2% had experienced depression in the last 1 year. In multiple regression models, it remained significantly the difference of subjective stress level by sex, subjective health status, sleep hours in a day, eating frequency of fruit and vegetable in a day, depression experience and suicidal thought in the last 1 year(p<0.05, p<0.01). On the other hand, it was not significant the difference by age, BMI, alcohol use disorder, eating breakfast, regular exercise and current smoking. Conclusions: To improve health promotion of first-year students of university, it should provide the intensive mental health program to women on campuses.

• Journal of Korean Biological Nursing Science
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• 제20권3호
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• pp.169-176
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• 2018

Purpose: This study was performed to elucidate whether the obesity or body image is a barrier to breast screening compliance in Korean women. Methods: We included 54,017 women aged between 35 to 70 years from the Korea Community Health Survey (KCHS) 2014 dataset. To identify whether a mutual relationship exists between weight perceptions and breast cancer screening rates, the participants were divided into three groups according to the level of concordance between Body Mass Index (BMI) and a subjective body image. Descriptive analyses, a chi-square test, and multivariate logistic regression analyses were performed. Results: After covariate adjustment, the screening rate of the overweight group was 1.09 times higher than the normal weight group (odds ratio [OR], 1.09; confidence interval [CI], 0.00-0.16; p= .038) and the severe obesity group was 1.20 times lower (OR, 0.83; CI, -0.36-0.00; p= .047). Weight misperception also had a significant influence on breast cancer screening. Especially, The overweight distortion group was less likely to undergo breast cancer screening (OR, 0.93; CI, -0.15-0.00; p= .037). Conclusion: Obesity and weight misperceptions are associated with lower compliance with breast cancer screening guidelines.

• 한국학교보건학회지
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• 제16권1호
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• pp.9-21
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• 2003

The present study was designed to evaluate the factors influential on stress and subjective fatigue symptoms based on school life environments and daily life styles among high school students. The self-administered questionnaires were delivered to 2,381 high school students of both sexes in Taejon Metropolitan city during the period from Mar. 1st to Jun. 30th, 2000. The analysis of study results revealed the following findings: 1. According to the magnitude of stress, the normal subjects were 3.1%, the groups with potential stress were 64.7%, and the groups at high risk for stress were 32.2%. Higher level of stress existed in the female than the male students, and in the third grader than the 1st and 2nd graders. According to the classification of typical constitutional symptoms of fatigue, category III (group with bodily projection of fatigue) was the most frequent and it was followed by category II (group with difficulty in concentration) and category I (group with dullness and sleepiness) in a decreasing order of frequency, which showed that the predominant pattern of fatigue arose from the body parts. 2. With regard to the school life characteristics and stress scores, the higher scores of stress were shown in the groups with the lower grades, with worse friend's relation and with the lower satisfaction with the school life. The scores for the subjective fatigue symptoms were higher in the male, in the low graders, in the better friend's relation, and in the satisfactory group than the respective counterparts. 3. Concerning home life characteristics, the higher scores of stress were associated with the students characterized by the recognized poor economic conditions, lower interests of parents, lack of satisfaction with the home life, the poor subjective health status. On the other hand, the scores for the subjective fatigue symptoms were higher in the student groups with good economic conditions, higher interests of parents, presence of satisfaction with the home life, and good subjective health status. 4. Concerning daily life styles, the higher scores of stress were in the students who had inappropriate sleep hours, skipped breakfasts, daily consumption of intermeal snacks, lack of exercise, daily smoking, normal indices of obesity, and lower indices of health habit. Conversely, the scores of subjective fatigue symptoms were higher in the groups who had daily breakfasts, no intermeal snacks, daily exercise, no smoking than their counterparts. 5. The factors exerting influence upon the stress included the satisfaction with school life, friend's relation, satisfaction with the home life, exercise, school grades, interests of parents, school year, sex, scores of health habit, degree of obesity, economic conditions of home. Those influencing on the degree os stress included stress, intermeal snacks, smoking, friend's relation and satisfaction with the home life.

• 한국보건간호학회지
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• 제34권3호
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• pp.416-428
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• 2020

Purpose: This study identified socioeconomic factors affecting the health status of Korean adults. Methods: Secondary data from 12,921 adults aged 19 to 64 old in the 7th Korean National Health and Nutrition Examination Survey were used. The participants' health status was measured using the indicators that included health behaviors (smoking, high-risk drinking, strength exercise, and aerobic physical activity) and health outcomes (metabolic syndrome, and subjective health status). Results: For all health behaviors and health outcomes, gender, age, educational level, and income were common affecting factors. Regarding health behaviors, the employment status was related to smoking, high-risk drinking, strength exercise, and aerobic physical activity. The marital status was related to high-risk drinking, strength exercise, and aerobic physical activity. The household type was related to smoking. The residential area was related to smoking, high-risk drinking, and aerobic physical activity. For health outcomes, the household type was related to obesity, and subjective health status; residential area was related to obesity. Conclusion: This study presented basic data for assessing the differences in health status. The characteristics of the affecting factors to health status should be considered, depending on the health behaviors and health outcomes.

• 대한치과기공학회지
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• 제35권2호
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• pp.157-171
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• 2013

Purpose: This study aims to present a database for the development of a healthcare management program based on the survey and analysis of self reported psychosomatic symptoms among the current dental technology students. Methods: Subjects of our study are 480 dental technology major students enrolled in a third year college located Gyeonggi, Chungcheong, and Gangwon province. Using a random sampling, we conducted a self-report survey from August 30, 2011 to October 28, 2011 and 418 reports were collected as feedback and we put an analysis on them. Results: 1. The average physical self symptom was 20.49, which is higher than the average mental self symptom(18.54). Of the subcategories of psychosomatic self symptom, we observed multiple subjective symptoms as the highest one(37.77), and aggression as the lowest(13.77). 2. As to gender, both physical and mental self symptom were statistically significant with the scale score of(p<.001). The scale score of subcategories is as follows; multiple subjective symptoms(I, p<.001), eye and skin(B, p<.001), digestive(C, p<.001), impulsiveness(H, p<.001), lie scale(L, p<.001), mental instability(J, p<.001), depression(K, p<.001), aggression(F, p<.001), irregularity of life(G, p<.001), mouth and anal(D, p<.05), nervousness(E, p<.05). 3. As for obesity, statistical significance was shown with the scale scores of physical self symptom(p<.001), multiple subjective symptoms(I, p<.001), digestive(C, p<.001), aggression(F, p<.001), depression(K, p<.01), irregularity of life(G, p<.01), respiratory(A, p<.05), eye and skin(B, p<.05), impulsiveness(H, p<.05), mental instability(J, p<.05). The scale scores in the environmental quality and life satisfaction were shown as follows; depression(K, p<.001), lie scale(L, p<.01), and irregularity of life(G, p<.05). 4. We employed multiple regression analysis to take account of general factors affecting psychosomatic self symptoms, and drew that the explanatory power of the model was proved with the scales of physical self symptom(4.1%) and mental self-symptom(3.6%). Obesity was a factor that affects physical self symptom with the scale score of(p<.01), and environmental quality and life satisfaction(p<.01) and obesity(p<.05) affect mental self symptom. Conclusion: In this analysis we observed obesity of dental technology students can influence their psychosomatic self symptoms. In this sense, it would be reasonable to develop a healthcare management and education programs that help the students maintain a healthy weight and promote their health.

• 한국치위생학회지
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• 제7권3호
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• pp.273-284
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• 2007

Oral health in youth is very important because this period influences life for adult remarkably. Therefore, more effective oral health education and recognition of early treatment for oral disease are required sincerely. For more effectual education for high-school students, it is necessary to consider their circumstance like obesity and smoking. This study will analyze the correlation oral health behavior with obesity and subjective oral health concerns. In addition to, the actual condition of smoking for high-school girls and oral health condition will be verified. A survey was progressed for high-school girls in Busan city and BMI(body mass index) was used for classification of weight. The statistical significance was analyzed using SPSS 13.3 for Windows. Results of this study is following. 1. The frequence of daily toothbrushing was significantly different with obesity although difference of oral health knowledge was not significant. The frequency of toothbrushing of overweight students were lesser than the others. This results may be caused by low-level for oral health concerns and by passive life style of fat person. This habit has possibility of causing serious periodontal disease like periodontitis and tooth caries. 2. The correlation of obesity and time of brush change, using for supplement, and recent dental institution was insignificant. However, concerns of oral health were showed significantly according to obesity. Under-weight and standard-weight students were more concerned about oral health than over-weight. This results can be related to frequence of toothbrushing for fat subject. This relevance of two factors was confirmed by logistic regression analysis. 3. Approximately 70% students have smoking experience responded to uncomfortableness of periodontal conditions. On the other hand, non-smoking students felt uncomfortable in 50%. This results indicated that smoking have an effect on oral health condition. Further study which identify periodontal conditions practically has to go on for verification of direct correlation smoking and oral health.