• Title/Summary/Keyword: hypertension and diabetes

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만성질환자의 정기적 의료이용에 영향을 미치는 요인 - 고혈압, 당뇨병, 고지혈증을 중심으로 - (Factors Affecting Regular Medical Services Utilization of Chronic Disease Patients - Focusing on the Hypertension, Diabetes Mellitus, Hyperlipidemia -)

  • 서영숙;박종호;임지혜
    • 보건교육건강증진학회지
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    • 제31권3호
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    • pp.27-37
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    • 2014
  • Objectives: This study aims to identify the factors associated with regular medical services utilization of chronic disease patients. Methods: The research selected 4,489 adults aged over 30, diagnosed with hypertension, diabetes, hyperlipidemia, hypercholesterolemia, from the Korea health panel. We analyzed states of regular medical service utilization using descriptive statistics. Multiple regression analysis was used to examine the main factors associated with regular medical services utilization in chronic disease patients. Results: In terms of socio-demographic factors, gender, age, marital status, education level, employment, household income and disability were significantly different between hypertension, diabetes, hyperlipidemia and hypercholesterolemia. Among health status and behavioral factors, number of chronic diseases, subjective health status, smoking, high risk drinking, regular meals, physical activity, obesity were significantly different. From the multiple logistic regression analysis, age, number of chronic diseases, obesity, type of chronic diseases were associated with regular medical services utilization. Conclusions: It is necessary to develop effective health education programs and individualized approach to improve continuous management in chronic diseases patients.

성별, 연령별, 월소득차이에 따른 질병발생의 위험성 차이연구;암, 고혈압, 중풍, 당뇨병, 관절염, 심장병을 중심으로 (The Risk of Onset of the Illnesses Based on Gender, Age, and Monthly Income;Focusing on cancer, hypertension, stroke, diabetes, arthritis, cardiac disorders)

  • 이준오;김세진;이선동
    • 대한예방한의학회지
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    • 제12권1호
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    • pp.19-48
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    • 2008
  • In order to verify the risk of onset of the illnesses based on gender, age, and monthly income 1,739 subjects from Hongcheon county, Gangwon province were selected. Questionnaire on demographic sociology, health condition, existence of illnesses(cancer, hypertension, stroke, diabetes, arthritis, cardiac disorders), and usage of public health services was surveyed from October 1, 2006 to October 20, 2006. Following conclusions were reached on the basis of the questionnaire : - For demographic sociological peculiarities, gender, age, occupation, and education level were evenly distributed. Most were under normal marriage(67.38%), health insurance(86.39%), 494(36.0%) individuals with less than monthly income of 1 million won, 494(36.0%) individuals with monthly income between 1 and 2 million won, 219(16.0%) with monthly income between 2 and 3 million won, and 164(12.0%) individuals with more than 3 million won, thus showing relatively low income. - For health status, 1,199(70.28%) individuals are non-smokers, 209(45.63%) individuals smoke $10{\sim}20$ cigarettes a day, 754(44.02%) individuals exercise less than twice a week are the major sector of the population. 1,518(88.10%) individuals have regular checkup more than once and 1,131(65.49%) stated their health condition less than average. - For comparison of existence of illnesses between genders, there was no statistical significance on cancer, stroke, and diabetes. But statistical significance was shown on hypertension(P value 0.025), arthritis(P value 0.000), and cardiac disorders(P value 0.016). Statistical significance was seen in the age comparison, and OR(confidence interval) drastically increased with increase in age. - There was no difference between the primary health clinic(P value 0.000), most visited clinic(P value 0.000), selection criteria(P value 0.000), and satisfaction on efficacy(P value 0.000). There was a tendency preferring hospital than public health center with increase in income. - For correlation between the existence of illnesses among different income levels, except for cancer(P value 0.172), statistical significance was seen in hypertension(P value 0.000), stroke(P value 0.003), diabetes (P value 0.001), arthritis(P value 0.000), and cardiac disorders(P value 0.000). The number of individuals suffering from illnesses and ratio all decreased for all illnesses with increase in income. - After adjusting confounding factors(gender, age, income, marriage, occupation, education) and male (1) as the standard, OR (confidence interval) of cancer, hypertension, stroke, diabetes, arthritis, cardiac disorders were 0.47(0.11${\sim}$2.05), 1.27(0.89${\sim}$1.81), 0.58(0.21${\sim}$1.59), 0.71(0.41${\sim}$1.23), 1.79(1.34${\sim}$2.39, P<0.01), and 1.46(0.72${\sim}$2.96), respectively. Risk of arthritis is significantly high in female and 20's (1) as the standard, OR(confidence interval) of cancer, hypertension, stroke, diabetes, arthritis, cardiac disorders were 1.01(0.96${\sim}$1.07), 1.06(1.04${\sim}$1.07, P<0.01), 1.05(1.01${\sim}$1.10, P<0.01), 1.06(1.03${\sim}$1.08, P<0.01), 1.05(1.03${\sim}$1.06, P<0.01), and 1.06(1.04${\sim}$1.09, P<0.01), respectively. Risk of onset for illnesses significantly increased with yearly aging except for cancer. - For comparison between monthly income after adjusting confounding factors(gender, age, income, marriage, occupation, education), with less than 1 million won (1) as the standard, OR(confidence interval) of cancer for 1 to 2 million won, 2 to 3 million won, and more than 3 million won were 0.23(0.03${\sim}$2.16), 2.53(0.41${\sim}$15.43), and 1.73(0.15${\sim}$19.50), respectively. OR(confidence interval) of hypertension were 1.12(0.76 ${\sim}$1.66), 0.68(0.34${\sim}$1.34), and 2.04(1.08${\sim}$3.86, P<0.01), respectively. OR(confidence interval) of stroke were 0.96(0.30${\sim}$3.08) for 1 to 2 million won, and 0.80(0.08${\sim}$8.46) for 2 to 3 million won. OR(confidence interval) of diabetes were 0.73(0.38${\sim}$1.38), 0.65(0.24${\sim}$1.71), and 0.69(0.24${\sim}$2.01), respectively. The values were 0.76(0.55${\sim}$1.03), 1.14(0.75${\sim}$1.73), and 0.90(0.56${\sim}$1.46), respectively for arthritis. OR(confidence interval) of cardiac disorders were 1.15(0.53${\sim}$2.48), 0.63(0.13${\sim}$3.12), and 1.20(0.28${\sim}$5.14), respectively. Risks of cancer, hypertension, stroke, diabetes, arthritis, and cardiac disorders were dependent of monthly income, and stroke and diabetes decreased with increase in income. Summarizing above data, arthritis was significantly higher in women and increase in age by each year brought significant increase in the chance of onset in hypertension, stroke, diabetes, arthritis, and cardiac disorders except for cancer. Stroke and diabetes decreased with increase in income. Above findings can be applied and reflected in public health policies at the national level, and it can also be applied at the personal level for individual health maintenance and prevention.

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고혈압 환자의 혈압강하제 처방양상 - 외래 처방전을 중심으로 - (Prescribing Patterns of Antihypertensive Drugs by Outpatients with Hypertension in 2007)

  • 성예나;장선미;임도희;신숙연;송현종;이숙향
    • 한국임상약학회지
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    • 제19권2호
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    • pp.167-179
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    • 2009
  • Hypertension is one of the most common chronic diseases and it causes cardiovascular and cerebrovascular disease. While antihypertensive drug use increased, it took 15% of national health insurance drug expenditure. This study aimed to examine the pattern of antihypertensive drug prescription using National Health Insurance claims database and compare it with recommendations of Korea Hypertension Treatment Guidelines. Among the antihypertensive drugs, calcium channel blocker(64.4%) was most commonly prescribed class, and diuretics(44.6%), angiotensin II receptor blocker(33.3%), angiotensin converting enzyme inhibitor(11.7%) was followed. Approximately 81% of antihypertensives prescription were without cardiovascular or cerebrovascular disease, and among the comorbid conditions, diabetes(10.7%) was most common. calcium channel blocker(62.3%) was mostly prescribed class for hypertension with angina pectoris, angiotensin receptor blocker(45.3%) with myocardial infarction, diuretics(70.2%) and calcium channel blocker(49.5%) with congestive heart failure. For Hypertension with cerebrovascular disease, calcium channel blocker(68.0%) and angiotensin receptor blocker(43.3%) were prescribed mainly. When it comes to diabetes, calcium channel blocker(57.2%) was still mostly prescribed and angiotensin receptor blocker(45.9%) followed. But in hospitals and tertiary hospitals, angiotensin receptor blocker(65.7, 66.1%) was mostly prescribed for the patients with diabetes. For Hypertension with chronic renal disease, angiotensin receptor blocker(59.5%), calcium channel blocker(56.5%), diuretics(54.6%) were mainly used. Average number of classes per prescribing was $1.89{\pm}0.89$ class, average days per prescribing was $33{\pm}19$ day. Among the hypertension without comorbidity, 40.5% of prescription was monotherapy and 58.8% of polytherapy included diuretics. Among the outpatient prescriptions, calcium channel blocker was the most commonly used class, and the prescription pattern in clinic did not closely followed recommendations of Hypertension Treatment Guidelines.

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심혈관계 위험요인수준 추정을 위한 지역사회 역학연구 (Distribution and Prevalence Estimation of Cardiovascular Risk Factors through Community Based Health Examination Survey)

  • 이순영;김영옥;한근식;김혜경;박주원;이연경;신승수
    • 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.

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고혈압, 당뇨병 성인의 뇌졸중 및 심근경색증 조기 증상 비인지 관련 요인: 질병 관리 관련 특성을 중심으로 (Factors Associated with Unawareness of Early Symptoms of Stroke and Myocardial Infarction in Adults with Hypertension and Diabetes: Focused on Management related to Disease)

  • 권영숙
    • 한국응용과학기술학회지
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    • 제38권1호
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    • pp.60-74
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    • 2021
  • 본 연구의 목적은 고혈압 및 당뇨병을 진단 받은 성인의 뇌졸중 및 심근경색증의 조기 증상 인지 정도를 파악하고 비인지와 관련된 요인을 분석하기 위함이다. 2017년 지역사회건강조사 원시자료를 활용하여, 40세 이상 성인 12,277명의 자료를 분석하였다. 뇌졸중 및 심근경색증의 조기 증상 인지율은 각각 53.6%와 46.8%였다. 뇌졸중 및 심근경색증 조기 증상 비인지 요인을 평가하기 위해 로지스틱 분석을 수행하였다. 고혈압 관리 교육, 혈압 수치 및 당화혈색소 수치 인식은 다변량 분석에서 인구사회학적 변수를 보정한 후에도 뇌졸중 조기 증상 비인지와 유의한 관련이 있었다. 혈압 수치 및 당화혈색소 수치 인식은 심근경색증 조기 증상 비인지와 유의한 관련이 있었다. 그러므로 고혈압과 당뇨병을 모두 관리해야 하는 고위험군에 대한 홍보 촉진 및 교육 강화 등 심뇌혈관질환 조기 증상 인지 수준 개선을 위한 중재 및 전략의 개발이 요구된다.

Bone formation-suppressing Activities in Osteoblast like-UMR106 cells by high Glucose contents

  • Jung, In-Ok;Kwon, Eun-Hee;Kim, Sung-Jin
    • 대한약학회:학술대회논문집
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    • 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.1
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    • pp.125.1-125.1
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    • 2003
  • Diabetes is complex in nature but it gets further complicated in associating with number of other diseases like hypertension, ratinal disintegration, renal failure and many others. The latest addition to diabetic-complication is its association with bone degeneration disease:osteoporosis, which is a form of bone loss. In both the types of primary diabetes, the insulin dependent diabetes militus (IDDM) as well in insulin independent diabetes millitus (IIDM) the glucose metabolism is altered. (omitted)

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고혈압·당뇨병 환자의 혈압·혈당 조절에 미치는 의원 기반 만성질환관리사업의 효과 (Effects of Chronic Disease Management Based on Clinics for Blood Pressure or Glycemic Control in Patients with Hypertension or Type 2 Diabetes Mellitus)

  • 정원;임준;오대규;임정수;고광필;김윤미
    • 농촌의학ㆍ지역보건
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    • 제38권2호
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    • pp.108-115
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    • 2013
  • 본 연구는 인천시 만성질환관리사업을 통해 고혈압, 당뇨병 환자의 혈압 및 혈당이 조절되었는지를 평가하고자 수행하였다. 2010년 1년 간 참여의원에 등록한 11,501명을 대상으로 인천시 사업의 일환으로 진행된 교육과 필수검사에 따라 혈압과 혈당이 조절되었는지를 1년간의 추적관찰을 통해 분석하였다. 연구 결과 고혈압의 경우 등록 시점에서 혈압 조절이 안 된 군은 1년 후 교육이 혈압조절에 효과가 있는 반면, 등록 시점에서 혈압조절이 잘 된 군은 1년 후 필수검사가 혈압 조절에 효과가 있는 것으로 나타났다. 반면, 당뇨병 환자의 혈당 조절과 교육 및 필수검사와의 관련성은 확인하지 못하였다. 본 연구결과를 통해 향후 고혈압 환자의 효과적인 만성질환 관리를 위해서는 교육과 필수검사의 활성화가 중요하며 이를 위한 적극적인 노력이 필요할 것으로 생각된다.

Diabetes Mellitus prevalence and related factors in Korean Adult over 19 years according to time trend: Data from the Korea National Health and Nutrition Examination Survey (KNHANES) 2011, 2021

  • Ji-Suk Seong
    • 한국컴퓨터정보학회논문지
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    • 제29권8호
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    • pp.123-131
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    • 2024
  • 본 연구는 국민건강영양조사의 자료를 이차 분석하여 시간적 추이에 따른 19세 이상 한국 성인의 당뇨병 유병률과 관련 요인을 파악하여 당뇨병 예방과 관리를 위한 기초자료를 제공하기 위해 시도되었다. 자료는 IBM SPSS/WIN 22 program을 이용하여 2011년, 2021년 2개년도 연구대상자의 일반적 특성, 질병관련 특성, 건강관련 특성을 분석하기 위해 복합표본 빈도분석, 복합표본 교차분석, 복합표본 다중 로지스틱 회귀분석을 이용하여 분석하였다. 연구 결과 당뇨병 유병를은 2011년 6.6%에서 2021년 9.5%로 증가하였고 당뇨 유병 관련 요인은 2011년에서 성별, 연령, 교육 수준, 고혈압, 이상지질혈증, 주관적 건강인지로 나타났고(Negelkerke R2=.255) 2021년에서 성별, 연령, 교육 수준, 고혈압, 이상지질혈증, 모친의 당뇨병, 주관적 건강인지로 나타났다(Negelkerke R2=.327). 본 연구는 시간적 추이에 따른 당뇨병 유병률과 관련 요인을 파악하여 관련 요인의 변화를 확인했다는 점에서 의의가 있으며, 당뇨병을 예방하고 관리할 수 있는 중재 프로그램의 개발 및 적용이 필요하다.

중년기 성인의 당뇨병 유병형태에 대한 생리적 지표 및 생활습관 비교 (Comparison of Biological Markers and Lifestyle Factors on the Presence of Diabetes Mellitus in Middle-aged adults)

  • 금혜선;서순림
    • 한국산학기술학회논문지
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    • 제17권2호
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    • pp.104-111
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    • 2016
  • 본 연구는 중년기 성인의 당뇨병 유병형태에 대한 생리적 지표 및 생활습관 요인을 비교, 조사하기 위해 시행되었다. 대상자는 2010-2012년 국민건강영양조사 자료를 이용한 2차 자료 분석이며, 40-64세의 중년기 성인 5,363명을 표본으로 하였다. 자료는 기술적 통계, 교차분석, ANCOVA, 로지스틱 회귀분석으로 분석하였다. 정상군, 전당뇨병군, 당뇨병군을 비교한 결과는 다음과 같다. 체질량지수는 정상군보다 전당뇨병군과 당뇨병군에서 유의하게 높았다. 고혈압, 복부비만여부, 고콜레스테롤혈증여부, 고중성지방혈증여부, 흡연, 음주, 탄수화물 섭취량은 세 군 간에 유의한 차이가 있었다. 생리적 지표 및 생활습관 요인 중 고혈압(OR:1.64, CI 1.35-2.01), 고콜레스테롤혈증(OR:1.36, CI 1.03-1.79), 고중성지방혈증(OR:1.71, CI 1.34-2.18), 복부비만(남;OR:2.31, CI 1.75-3.05, 여;OR:2.20, CI 1.67-2.91), 체질량지수(OR:1.13, CI 1.10-1.17), 음주(OR:1.44, 1.16-1.79)가 당뇨병전단계에 영향을 주는 요인으로 나타났다. 당뇨병에 영향을 주는 요인은 고혈압(OR:2.27, CI 1.68-3.06), 고콜레스테롤혈증(OR:2.31, CI 1.67-3.20), 고중성지방혈증(OR:1.95, CI 1.39-2.73), 복부비만(남;OR:2.31, CI 1.60-3.32, 여;OR:3.26, CI 2.24-4.73), 체질량지수(OR:1.12, CI 1.07-1.18), 흡연(OR:1.59, CI 1.18-2.13)으로 나타났다. 본 연구 결과를 바탕으로 중년기 성인에서 고혈압, 비만, 이상지질혈증, 음주, 흡연 등의 생활습관을 개선할 수 있는 효과적인 당뇨병 예방을 위한 중재 프로그램의 개발을 제언한다.

심뇌혈관질환 고위험군 중 치료연속자와 치료불연속자 간의 특성 비교 (The Comparison of Variables between Therapy Continuity Group and Therapy Discontinuity Group of Patients With Hypertension and Diabetes in Daegu Initiative)

  • 박정숙;권영숙;오윤정
    • 보건교육건강증진학회지
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    • 제26권2호
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    • pp.135-148
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    • 2009
  • Objectives: The purpose of this study is to identify the characteristics between therapy continuity group and therapy discontinuity group and to develop management program for Korean patients with hypertension and diabetes. Methods: The subject of the study were 109 therapy continuity and 66 therapy discontinuity of Korea hypertension diabetes Daegu initiative. The data collection was performed from December 5 to December 30, 2008. Analysis of data was done by using descriptive statistics, chi-square test, t-test and ANCOVA with SPSS program. Results: 1) The groups were significantly correlated with such variables systolic BP(F=4.518, p=0.035) and diastolic BP(F=17.793, p=0.000). 2) The groups with hypertensive were significantly correlated with such variables perceived susceptibility of disease($\chi^2$=25.053, p=0.000), perceived barrier of health behavior($\chi^2$=12.584, p=0.006), drinking($\chi^2$=27.545, p=0.000), diet($\chi^2$=8.645, p=0.013), regular taking medicine($\chi^2$=92.415, p=0.000) and regular measurement of BP($\chi^2$=6.045, p=0.049). 3) The groups with diabetic were significantly correlated with such variables perceived seriousness of disease($\chi^2$=6.128, p=0.047), perceived susceptibility of disease($\chi^2$=8.079, p=0.018), health knowledge and attitude(F=8.418, p=0.006), drinking($\chi^2$=6.276, p=0.043), diet($\chi^2$=7.275, p=0.026), regular taking medicine($\chi^2$=33.083, p=0.000) and regular measurement of glucose($\chi^2$=7.233, p=0.027). Conclusion: The above findings indicate that it is necessary to develop and apply special management programs according to the therapy discontinuity group.