• Journal of Oral Medicine and Pain
• /
• 제35권2호
• /
• pp.135-147
• /
• 2010

본 연구에서는 최근 Sato 등이 고안한 mixing ability index(MAI)를 이용하여 측두하악장애 환자 중 통증이 있는 군과 무통성 관절잡음이 있는 군을 대상으로 객관적인 저작 효율을 정상인으로 구성된 대조군과 비교하고, 주관적인 평가 방법인 설문조사법 중에서 음식섭취가능지수(Food Intake Ability Index, FIA)와 저작 능력에 대한 주관적 인식도 평가(Visual Analogue Scale, VAS)를 이용하여 저작 효율을 평가하고, 구강건강과 관련된 삶의 질을 평가하기 위해 Oral Health Impact Profile(OHIP)-49K 설문조사를 시행하였다. 각 평가 방법 간의 상관성을 알아보고, 또한 통증군에 있어서는 치료 후 통증이 감소함에 따라 저작 효율의 변화 양상을 조사하여 다음과 같은 결과를 얻었다. 1. MAI, FIA, VAS는 통증군이 정상군에 비해 통계학적으로 유의하게 감소하였으며, 관절잡음군보다도 감소하여 통증군이 정상군과 관절잡음군에 비해 저작 효율이 떨어지는 것으로 나타났다(P<0.05). 관절잡음군에서는 MAI, FIA, VAS에서 정상군과 유의한 차이를 보이지 않았다. 2. 구강건강관련 삶의 질에 대한 설문지인 OHIP-49K의 경우 정상군에 비해 통증군과 관절잡음군 모두 통계학적으로 유의하게 증가하여 구강건강과 관련한 삶의 질이 떨어지는 것으로 나타났다. 3. 전체 대상자(71명)에서 객관적 저작 능력 평가 방법인 MAI와 주관적 저작 능력 평가 방법인 FIA와 VAS간에는 서로 유의성 있는 상관관계를 보였다(P<0.01). OHIP-49K에서도 MAI를 제외하고 모두 통계학적으로 상관관계가 있는 것으로 나타났다. 4. 관절잡음군에서는 FIA와 VAS에서만 통계학적으로 상관관계가 있는 것으로 나타났으며(P<0.01), 이외의 모든 항목은 상관관계가 없는 것으로 나타났다. 5. 각 평가 방법 간의 상관성에서 FIA와 VAS는 전체 대상자, 통증군, 관절잡음군 모두에서 상관관계가 있는 것으로 나타났다. 6. 통증군에서 치료 전에 비해 치료 후 통증 감소와 함께 VAS에서는 통계학적으로 유의성 있게 증가 하였다(P<0.05). 반면에 MAI에 있어서는 저작 효율이 증가하는 경향을 보였으나 통계학적 유의성은 없었다. 또한 FIA, OHIP-49K에서도 치료 전과 후 통증 감소에 따른 변화는 없는 것으로 나타났다. 이번 연구를 통하여 측두하악장애 환자에서 저작 효율을 감소시키는 주요인은 통증이며, 관절잡음은 저작 효율을 감소시키는 요인은 아니지만 삶의 질을 저하시키는 한 요인으로 작용한다는 것을 알 수 있었다. 따라서 측두하악장애 환자에서 저작 효율을 개선시키기 위해서는 우선적으로 통증을 치료하는 것이 가장 중요하며, 삶의 질을 향상시키기 위해서는 통증뿐만 아니라 관절잡음에 대한 관리도 필요할 것으로 사료된다.

• 한국임상약학회지
• /
• 제31권2호
• /
• pp.115-124
• /
• 2021

Background: With an increase in the number of breast cancer survivors, greater importance is attached to health-related quality of life, particularly pain and symptom control. This study aimed to identify the factors that are associated with pain in cancer patients based on the patterns of prescribing opioid, non-opioid, and adjuvant analgesics. Methods: This analysis included new patients who had developed breast cancer between 2003 and 2012. The degree of pain was analyzed based on the socio-demographic (age, income quintile, number of hospitalizations, and duration of disease), indicator (Body Mass Index; BMI, Charlson Comorbidity Index; CCI, Cumulative Analgesic Consumption Score; CACS), operation (mastectomy, lymph node dissection), and therapy (chemotherapy, radiation therapy), as well as complication-related variable (lymphedema). Results: As for the patterns of prescribing analgesics by stages, non-opioid and opioid analgesics constituted 30.7 and 69.3%, respectively. The mean value and variance of CACS were 5.596 and 12.567, respectively. The factors that significantly affected the degree of pain were age (≥50; IRR: 1.848, 95% CI 1.564-2.184, p=0.000), income quintile (IRR: 0.964, 95% CI 0.938-0.991, p=0.008), BMI (≥ 25; IRR: 1.479, 95% CI 1.222-1.795, p=0.000), CCI (≥ 4; IRR: 1.649, 95% CI 1.344-2.036, p=0.000), and lymphedema (yes; IRR: 1.267, 95% CI 1.006-1.610, p=0.047). Conclusions: It is necessary to develop systematic and comprehensive pain control measures to improve the quality of life for breast cancer survivors, especially for those who are 50 years or older, lie in the lower-income quintile, have BMI of ≥25 and CCI score ≥ 4, or have lymphedema.

• 한국식품영양학회지
• /
• 제30권2호
• /
• pp.297-304
• /
• 2017

Although adolescents' obesity prevalence increases recently in Korea due to Westernized dietary life, according to social and economic development, and physical activity decline, distorted body image and improper dietary habits are prevalent, because of excessive obsession with weight control, deriving from psychological impacts including appearance supremacy. This study conducted a survey on health oriented awareness and attitude related with dietary habits targeting adolescents, such as high school students and college students, younger than 24, from May 11 to May 29, 2015. In this study, 280 questionnaire copies were collected out of 300 distributed questionnaire copies, and used 269 copies as analysis data, except 11 copies of which responses were inadequate. The results of this study are as follows: First, the high school students showed higher dietary regularity than the college students. Especially, 95.5% of the college students showed very high irregularity of lunch, compared with just 4.5% of the high school students. Second, the adolescents showed distorted perceived body image in comparison with body mass index (BMI). As a result of examining BMI relationship, according to one's own perception on body type, 28.6% of the respondents perceived themselves fat, despite normal BMI, and 40.4% of the respondents perceived themselves normal, despite low BMI. Third, health behavior activities level was higher, as the regularity of breakfast (B=1.093), lunch, (B=0.650), and dinner (B=0.765) was higher. The variable affecting the most ( ${\beta}=0.372$) was the regularity of breakfast. As interest in weight control was higher, health behavior activities was lower. Because over-interest in weight control may be linked with improper dietary habits or weight control, a caution is needed. The results of this study are expected to be utilized as the basic data for the policy and health-oriented program development to improve adolescents' health behavior practice.

• 한국환경보건학회지
• /
• 제41권4호
• /
• pp.259-267
• /
• 2015

Objectives: This study evaluated the regional and seasonal concentrations of ambient hazardous heavy metals in an industrial complex area in Daegu City. Methods: A total of 64 SPM (Suspended Particulate Matter) samples were collected in non-industrial and industrial areas during 2014 and were analyzed for hazardous heavy metals elements (As, Cd, Mn, Ni, Pb) with ICP after acid extraction. Results: SPM and hazardous heavy metals concentrations showed regional (industrial complex area>non-industrial complex area) and seasonal (spring, winter>fall, summer) variations. All of the hazardous heavy metals were influenced by anthropogenic sources. The pollution index of hazardous heavy metals was very low, showing roughly one-quarter of the level of the air quality guidelines of WHO. The correlation analysis among SPM and hazardous heavy metals indicated that components of non-industrial complex areas were more related to each other than those of industrial complex areas, and the correlation in the winter was higher than in other seasons. Conclusion: It is necessary to control air pollution sources and establish related policy because hazardous heavy metals from industrial areas can influence residential areas.

• 한국치위생학회지
• /
• 제20권6호
• /
• pp.889-897
• /
• 2020

Objectives: This study aimed to investigate whether there was a connection between oral health and memory loss in elderly individuals with no abnormalities in their daily lives and to identify factors affecting memory loss. Methods: This study aimed to identify an association between the Geriatric Oral Health Assessment Index and Subjective Memory Complaints for the elderly individuals living in the community. Results: The results of analyzing the oral health assessment according to the general characteristics of the study participants revealed that with increase in age, income (p=0.05) and oral health of the elderly living alone decreased compared to those living together in the family (p=0.05). Moreover, the lower the income (p=0.05), the higher was the memory loss for the elderly living alone than for the elderly living together with their family (p=0.05). Conclusions: The study identified a link between oral health of the elderly and subjective memory loss and observed that oral health, cohabitation, and income level were related to subjective memory loss. Therefore, oral health should be considered as a predictor of memory loss for the elderly.

• Asian Pacific Journal of Cancer Prevention
• /
• 제15권2호
• /
• pp.1005-1010
• /
• 2014

Background: A relation between abdominal obesity and colorectal tumor development has been reported repeatedly, and is believed to be more remarkable in man than in women. However, the details vary depending on scientific reports. This may be due at least partly to the selected surface anthropometric index in addition to the influence of gender and ethnic groups. To cope with this, we considered a new index of abdominal obesity and evaluated its risk prediction potential. Materials and Methods: Six hundred ninety five Japanese (262 women and 433 men) who had a colonoscopy were studied. The new index was named as waist circumference to height index (WHI) and was calculated by the formula of waist circumference (cm)/height (m)/height (m). Biochemical and lifestyle factors were investigated preceding the colonoscopy. Statistical analysis was performed using SPSS for Windows. Results: Increase of WHI was associated with altered metabolism of carbohydrate and lipid in both women and men. WHI was positively related with the development of colon tumor of women, while not with that of men. Logistic regression analysis performed for stratified age groups (45-54, 55-64 and 65-74 years) showed that WHI significantly increased odds ratio to 1.31 (CI 1.05-1.64 p=0.01) in women of 55-65 years. In contrast, in men this index WHI reduced the odds ratio insignificantly, while low density lipoprotein and triglyceride significantly increased the odds ratio to 1.01 (CI 1.00-1.03 p=0.02) in the 55-65 year group and to 1.02 (CI 1.00-1.03 p=0.02) in the 45-55 year group. Conclusions: In Japanese the risk factors for colon tumor development are different between women and men. WHI is a simple and efficient predictor of colon tumor risk in Japanese women and may be used to select those who should have colonoscopy.

• 치위생과학회지
• /
• 제11권6호
• /
• pp.489-495
• /
• 2011

고정성 치열교정 환자의 구강건강행위 실천도와 치면세균막지수 및 치은염지수를 파악하고자 2009년 7월 6일부터 11월 14일까지 총 206명을 대상으로 설문조사와 구강검사를 병행하여 다음과 같은 결론을 얻었다. 1. 구강건강행위 실천도는 여자가 남자보다 칫솔질 부위(p<0.05) 및 횟수(p=0.001), 구강위생용품 이용(p<0.01)이 높았고, 연령에 따라 칫솔질 방법에서 차이를 나타냈으며(p=0.01), 교정기간 교육경험이 많을수록 구강위생용품 이용이 많았고(p<0.05), 치열교정 목적과 기간, 장치는 칫솔질 시간에서 유의한 차이를 나타냈다(p<0.05). 2. 치열교정장치는 자가결찰 교정장치가 일반결찰 교정 장치보다 협면 치면세균막지수(p<0.001)와 치은염지수(p<0.05)가 낮게 나타났다. 3. 단계적 다중회귀분석 결과 자가결찰 교정장치를 한 경우(p<0.001), 칫솔질 방법 실천도(p<0.001)와 연령이 높을수록(p=0.021) 협면 치면세균막지수가 낮게 나타났다. 이 결과 치열교정환자의 구강건강행위 실천 교육은 17세 미만 군과 일반결찰 교정장치 군과 남자에 대하여 보다 체계적으로 이루어져, 교정기간 동안 구강건강에 문제가 발생하지 않도록 하는 것이 필요하겠다.

• 대한치위생과학회지
• /
• 제5권2호
• /
• pp.73-83
• /
• 2022

Background: This study was aimed at reducing depression and improving the quality of life and oral health of the elderly Koreans by elucidating the effect of depression on their life quality and oral health. Methods: Original data from the 8th National Health and Nutrition Survey (2019) were analyzed and implemented. The elderly (age≥65years) Koreans were enrolled. The oral health status was determined using the Decayed, Missing, Filled Teeth (DMFT) index and subjective self-report. The quality of life was quantified as the sum of score of each item in the Euro Qol-5 dimension (EQ-5D) and Health-related Quality of Life Instrument with 8 Items (HINT-8). The t-test, one-way analysis of variance, correlation analysis, and multiple regression analysis were performed to statistically compare the quality of life, oral health status, and oral health status according to the depression status. Results: EQ-5D and HINT-8 scores differed significantly with the history of depression, current depression, stress perception, depression for 2 weeks, and annual suicidal intention (p≤0.05). The DMFT index score differed significantly with the depression diagnosis and depression for 2 weeks (p≤0.05). EQ-5D, HINT-8, and DMFT index differed significantly with all oral health behavior variables (p≤ 0.05). Conclusions: The results of this study could serve as a basis to formulate oral health programs for the elderly to reduce depression and improve the quality of life.

• 한국치위생학회지
• /
• 제9권4호
• /
• pp.620-632
• /
• 2009

Objectives : The present study purposed to survey the oral health-related quality of life among elderly in metropolis Methods : We had individual interviews and oral survey using a questionnaire with 336 elderly who were using seniors' centers in Metropolitan City during the period from the $9^{th}$ to $31^{st}$ of July, 2007. Results : Factors of GOHAI showed the significant relation with types of health insurance, a large number of medication, perceived oral health status, perception of dental care needs those with pains in the temporomandibular joint, the number of natural teeth and the explanatory power or the final model was 25.5%. Factors of OHIP-14 showed the significant relation with types of health insurance, a large number of medication, perception of dental care needs those with pains in the temporomandibular joint, gingival bleeding, the number of natural teeth and the explanatory power or the final model was 26.6%. Conclusions : Oral health-related quality of life among elderly as factors by general characteristics of study subjects, by perceived heath status and oral health status, perceived oral symptoms and oral health status that were relevant. Accordingly, for the healthy maintenance of elders' natural teeth, it is considered necessary to develop and execute continuous oral health management systems and oral health education programs that promote preventive activities and enhance the perception of oral health.

• Journal of Preventive Medicine and Public Health
• /
• 제47권6호
• /
• pp.289-297
• /
• 2014

Objectives: This community-based cohort study was performed to investigate the incidence of and factors related to self-reported fragility fractures among middle-aged and elderly women living in rural Korea. Methods: The osteoporosis cohort recruited 430 women 40 to 69 years old in 1999, and 396 of these women were followed over 11 years. In 1999, questionnaires from all participants assessed general characteristics, medical history, lifestyle, menstrual and reproductive characteristics, and bone mineral density. In 2010, self-reported fractures and the date, site, and cause of these fractures were recorded. Cox proportional hazards models were used to calculate hazard ratios (HRs). Results: Seventy-six participants among 3949.7 person-years experienced fragility fractures during the 11-year follow-up. The incidence of fragility fractures was 1924.2 per 100 000 person-years (95% confidence interval [CI], 1491.6 to 2356.8). In the multivariate model, low body mass index (HR, 2.66; 95% CI, 1.13 to 6.24), a parental history of osteoporosis (HR, 2.03; 95% CI, 1.18 to 3.49), and postmenopausal status (HR, 3.50; 95% CI, 1.05 to 11.67) were significantly related to fragility fracture. Conclusions: Fracture prevention programs are needed among postmenopausal, rural, Korean women with a low body mass index and parental history of osteoporosis Korea.