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Body mass index and relative handgrip strength are associated with the prevalence of hypertension in Korean elderly: Korean national fitness assessment in 2019

  • Kim, Ji Young;Park, Hun-Young;Kim, Jisu;Lim, Kiwon
    • Korean Journal of Exercise Nutrition
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    • v.25 no.2
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    • pp.26-32
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    • 2021
  • [Purpose] This study aimed to analyze the prevalence of hypertension according to the body mass index (BMI) and relative handgrip strength (RHGS) among elderly individuals in Korea. [Methods] We analyzed the data of 44,183 Korean elderly individuals over 65 years old (men: n = 15,798, age = 73.31 ± 5.04 years, women: n = 28,385, age = 72.14 ± 5.04 years) obtained from the Korean National Fitness Assessment in 2019. All the participants were categorized into three groups according to the BMI and RHGS; additionally, one-way ANOVA and logistic regression analysis were performed. [Results] Overweight (men: 1.16 odds ratio [OR] 1.06-1.26, 95% confidence interval [CI]; women: 1.15 OR, 1.07-1.23 95% CI) and obese (men: 1.54 OR, 1.42-1.66 95% CI; women: 1.44 OR, 1.36-1.53 95% CI) elderly individuals showed a higher prevalence of hypertension than elderly individuals with normal weight, after controlling for age. In men, a lower RHGS was associated with a higher prevalence of hypertension after controlling for age (weak RHGS: 1.09 OR, 1.00-1.17 95% CI; middle RHGS: 1.21 OR, 1.12-1.31 95% CI vs. strong RHGS). [Conclusion] A higher BMI was associated with the prevalence of hypertension in the elderly Korean population. In addition, a lower RHGS was associated with the prevalence of hypertension in elderly Korean men.

The Effect of Low Birth Weight and Age on the Cognitive Performance of Preterm Preschoolers (조산아의 저출생체중과 연령이 학령전기 인지수행에 미치는 영향)

  • Lee, Seo-Yoon;Min, Aran;Lee, Hyun Ju;Park, Hyewon;Oh, Mi-Young;Cho, Ji-Hyun;Ahn, Dong-Hyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.2
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    • pp.141-148
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    • 2017
  • Objectives: The current study examined the effect of birth weight on the relationship between age and IQ of children, who were born preterm with very low birth weight (VLBW) or extremely low birth weight (ELBW). Methods: The study subjects were 82 children, aged between 3-5 years, who visited the neonatal intensive care unit of a university hospital located in Seoul. The children had been born prematurely with VLBW or ELBW. Their IQ was tested using the performed Korean-Wechsler Preschool and Primary Scale of Intelligence fourth edition. Results: A hierarchical regression analysis showed a significant interaction effect of birth weight and age on Full Scale IQ (FSIQ); the effect of age on FSIQ differed according to birth weight. For the group with VLBW, FSIQ was more likely to be higher with increasing age. Conversely, for the group with ELBW, FSIQ remained low regardless of the age level. In addition, birth weight and age had a significant interaction effect on the Visual Spatial Index. Birth weight had a significant main effect on Verbal Comprehension Index. Conclusion: This research suggested the possibility of predicting the cognitive developmental of premature children, by highlighting the fact that prematurely born children, with VLBW/ELBW, have different cognitive developmental trajectories.

AN EPIDEMIOLOGIC STUDY OF ORAL STATUS OF HANDICAPPED PERSONS (심신 장애자의 구강상태에 관한 역학조사)

  • Kim, Seon-Mi;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.2
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    • pp.441-449
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    • 1998
  • For the purpose of knowing oral status of handicapped persons and surveying correlative factors, authors interviewed and inspected 259 persons (cerebral palsy 143, mental retardation 101, Down's syndrome 15) from six year to thirty years old in Kwangju. The results were as follows. 1. The dmf rate and dft index of handicapped persons according to age were lower than that of report of normal persons. 2. The DMF rate and DMFT index of handicapped persons increased with age and were similar to or lower than that of report of normal persons by the age of twenty, but were higher after that age. There was no significant difference between handicaps in DMFT rate. 3. Percentage of toothbrushing by himself or herself was 74% in mental retardation, 69% in Down's syndrome, and 48% in cerebral palsy and the frequency of toothbrushing per day of mental retardation, Down's syndrome was higher than that of cerebral palsy. The frequency of toothbrushing per day increased with age. The number of toothbrushing of handicapped persons was slightly higher than that of report of normal persons. 4. Prevalence of gingivitis was 62% in cerebral palsy, 48% in Down's syndrome and 60% in mental retardation. Prevalence of gingivitis increased with age, and was higher than that of report of normal persons. 5. Percentage of tooth anomaly was 15% in Down's syndrome, 8.5% in mental retardation and 4.9% in cerebral palsy. In this study, dental caries of handicapped persons was similar to or lower than that of normal persons and increased with age. The prevalence of gingivitis was much higher in handicapped persons. Subject or frequency of toothbrushing had no influence on the dental caries and gingivitis, education of oral health and system are needed.

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A SURVEY ON DENTAL HEALTH OF CHILDREN OF MULTICULTURAL FAMILIES IN CHONBUK PROVINCE (전북지역 다문화가족 어린이의 구강건강 실태조사)

  • Seo, Yun-Jin;Lee, Kwang-Hee;La, Ji-Young;An, So-Youn;Kim, Yun-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.2
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    • pp.137-145
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    • 2011
  • The purpose of this study was to obtain the data for dental caries experience and occlusal pattern to utilize these data for motivating oral health promotion and activating oral health care programme in preschool children of multicultural family. Caries prevalence on primary teeth was surveyed for 3-5 years old 190 children of multicultural families in Chonbuk province. The results were as follows : 1. Dental caries prevalence rate of primary teeth (dmf rate) was 61.7% at 3 years of age, 88.7% at 4 years of age, and 92.6% at 5 years of age (p>0.05). 2. Average score of dmft index was 2.22 at 3 years of age, 4.97 at 4 years of age, and 6.62 at 5 years of age (p>0.05). 3. Most of the caries-prevailed tooth was maxillary primary central incisor and showed 28.8% at 3 years of age, 56.7% at 5 years of age. 4. dmft index and dmfs index of children of Vietnamese, Cambodian, and Filipinos women were higher than those of Chinese and Japanese. 5. In sagittal primary molar relationship, flush terminal plane type was 82.6%, distal step type was 5.2% and mesial step type was 8.4%. This study is the first report for children of multicultural families in Korea. More attention for children of multicultural families will be needed in aspect of oral disease prevention and treatment.

Analysis of the Correlation Between Ultrasonography Diagnosis Fatty Liver Grade and Hyperlipidemia and Obesity Indicators by Age Groups (연령대별 초음파 진단 지방간 등급과 고지혈증 및 비만 지표 간의 상관관계 분석)

  • Hyeon, Sang-Yeon;Seoung, Youl-Hun
    • Journal of the Korean Society of Radiology
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    • v.14 no.7
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    • pp.863-870
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    • 2020
  • The purpose of this study was to analyze the correlation between the grade of fatty liver diagnosed by ultrasonography and hyperlipidemia and obesity indicators by age groups. A total of 1,470 patients of various sex and age groups were examined by abdominal ultrasonography at the H Center in Chungbuk. The patients were classified as normal and fatty liver by age groups (below twenty, the thirties, forty, fifties, and over sixties). The grade of fatty liver was classified in detail as Grade 1 (mild fatty liver), Grade 2 (moderate fatty liver), Grade 3 (severe fatty liver). We selected indicators of hyperlipidemia as total cholesterol, triglyceride, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol. The obesity indicators were height, weight, body mass index, and waist circumference. The demographical descriptive statistic analysis and frequency analysis by age groups were performed. The difference of average and correlation between hyperlipidemia and obesity indicators were analyzed. As a result, patients over 60 have fatty liver regardless of sex. there was a difference between triglyceride, high-density lipoprotein cholesterol, weight, body mass index, and waistline for all age groups. The degree of fatty liver was highly correlated with waist size and body mass index for all age groups.

The Development of Obesity Age (OA) for Health Index of Middle Aged Obese Women (중년기 비만여성에 있어서 건강지표를 위한 비만연령의 개발)

  • Lee, Dong-Jun;Park, Tae-Seop
    • Journal of Life Science
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    • v.19 no.10
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    • pp.1403-1409
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    • 2009
  • The purpose of this study was to compare Obesity Age (OA) and chronological age, to calculate Obesity Age (OA), which gauges the state of obesity, and to analyze presented factors of obesity using expectant factors on middle-aged obese women. The subjects were one hundred twenty seven middle-aged obese women ($49.6\pm7.3$ yr, BMI $29.41\pm2.9$, fat $36.8\pm4.6%$) who participated in different weight loss programs three times. The body composition, physical fitness, blood pressure and blood were measured before the weight loss programs. Informed consent was obtained from all subjects before enrollment in the study. The regression equation is as follows: (1) OAS (Obesity Age Score)=$0.106*X_1+0.035*X_2+0.048*X_3+0.041*X_4+0.003*X_5-0.037*X_6-10.667$ ($X_1$: BMI, $X_2$: weight, $X_3$: %fat, $X_4$: WC, $X_5$: TG, $X_6$: $VO_{2max}$), (2) OA (Obesity Age)=7.3*OAS+49.6*(-1), (3) Z (correction factor)=(CA-49.6)(1-0.03), (4) OAc (corrected Obesity Age)=1.03*CA-7.3*OAS+1.47. The comparison of corrected Obesity Age (OAc) and chronological age did not have any differences, and the average of the OAc was close to chronological age. The correlation coefficient between the OAc and chronological age was r=0.724 (p<0.05). The equation can be utilized for middle-aged obese women, because it could evaluate the obesity-related factors by including BMI, body weight, %fat, waist circumference, triglycerides and $VO_{2max}$.

Carbohydrate Consumption and Glycemic Index of the Usual Diet in Type 2 Diabetes Mellitus Patients (제2형 당뇨병 환자의 평소 식사 중 당질섭취량과 glycemic index 관련 연구)

  • Im, Hui-Suk;Kim, Sun-Gyeong
    • Journal of the Korean Dietetic Association
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    • v.10 no.3
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    • pp.322-332
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    • 2004
  • The possibility that high, long-term intake of carbohydrates that are rapidly absorbed as glucose may increase the risk of type 2 diabetes has been long-standing controversy. A high consumption of carbohydrates with a high glycemic index produces greater insulin resistance than did the intake of low glycemic index carbohydrates. This study was designed to evaluate the cabohydrate intake status include glycemic index and correlation carbohydrtae intake status with anthropometry factors & other nutrients in usual diet of the Korean type 2 diabetes mellitus. In 104 tpye 2 diabetes mellitus patients(mean age : 51.8yr, male=44.femal=60), we determined carbohydrte intake status include glycemic index with 24hr recall method and measured anthropometry. Mean daily carbohydrtae intakes and glycemic index were 307.3g(male 323.1g, female 295.5g) and 90.7(male 93.4, female 88.8), respectively. We found a strong and statistically significant association between carbohydrate ratio and glycemic index in obese factors, other nutrient. But carbohydrate intake/kg of body weight was low a significant differences in obese factors, other nutrient. Also glycemic index was effected by total energy intake and carbohydrate ratio than carbohydrate intake/kg of body weight. In conclusion, emphasis for dietary modification should be total energy intake and carbohydrate ratio in diabetes mellitus patient.

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Impact of Prepregnancy Body Mass Index on Pregnancy Outcome in Women with a Singleton Conceived by Assisted Reproductive Technology and Spontaneously Conceived Pregnancy: A Case-Control Study (생식보조술을 받은 산모와 자연임신한 산모에서 임신 전 체질량지수가 임신 결과에 미치는 영향)

  • Kim, Ju-Hee;Shin, Hye-Sook;Park, Bo-Kyung;Yang, Kwang-Moon;Lee, Young-Ho;Ryu, Hyun-Mee
    • Journal of Korean Academy of Nursing
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    • v.42 no.4
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    • pp.517-524
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    • 2012
  • Purpose: To compare and confirm the impact of prepregnancy body mass index on pregnancy outcome in women with a singleton conceived by assisted reproductive technology and spontaneously conceived pregnancy. Methods: A sample of 165 and 247 pregnant women with and without assisted reproductive technology were retrospectively recruited from electronic medical charts of C hospital. Results: There were significant differences between the two groups for maternal age, paternal age, length of marriage, prepregnancy body mass index, parity, spontaneous abortion experience, and preterm delivery. A prepregnancy body mass index of ${\geq}25$ was associated with higher risk for maternal and neonatal complication in the assisted reproductive technology group. Conclusion: The results indicate that a higher prepregnancy body mass index is associated with increased risks for adverse pregnancy outcomes for women using assisted reproductive technology. So these women need appropriate care to compensate for the risk.

Estimation of Site Index and Stem Volume Equations for Larix leptolepis Stand in Jinan, Chonbuk (전북 진안 낙엽송 임분의 지위지수 및 간재적식 추정)

  • Jeon, Byung-Hwan;Lee, Sang-Hyun;Lee, Young-Jin;Kim, Hyun;Kang, Hag-Mo
    • Journal of Korean Society of Forest Science
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    • v.96 no.1
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    • pp.40-47
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    • 2007
  • The objectives of this study were to derive site index and stem volume prediction equation based on stem analysis data for Larix leptolepis in Jinan region. The function for site index was developed by algebraic difference equation method. Polymorphic site index family curves with base age of 40 were presented based on the Schumacher height equation. The best stem volume prediction equation was suggested as $V=0.00260+0.00000399D^2H$. The simultaneous F-test using this equation showed that the estimated tree stem volumes were not significantly different (${\alpha}=0.05$ level) from the observed stem volumes for model evaluation. Therefore, site index and volume prediction equations prepared in this study could provide an indication of site quality and basic information for making of yield table, and could be used for rational forest management of Larix leptolepis stands grown in Jinan region.

Treatment Patterns, Costs, and Survival among Medicare-Enrolled Elderly Patients Diagnosed with Advanced Stage Gastric Cancer: Analysis of a Linked Population-Based Cancer Registry and Administrative Claims Database

  • Karve, Sudeep;Lorenzo, Maria;Liepa, Astra M;Hess, Lisa M;Kaye, James A;Calingaert, Brian
    • Journal of Gastric Cancer
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    • v.15 no.2
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    • pp.87-104
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    • 2015
  • Purpose: To assess real-world treatment patterns, health care utilization, costs, and survival among Medicare enrollees with locally advanced/unresectable or metastatic gastric cancer receiving standard first-line chemotherapy. Materials and Methods: This was a retrospective analysis of the Surveillance, Epidemiology, and End Results-Medicare linked database (2000~2009). The inclusion criteria were as follows: (1) first diagnosed with locally advanced/unresectable or metastatic gastric cancer between July 1, 2000 and December 31, 2007 (first diagnosis defined the index date); (2) ${\geq}65$ years of age at index; (3) continuously enrolled in Medicare Part A and B from 6 months before index through the end of follow-up, defined by death or the database end date (December 31, 2009), whichever occurred first; and (4) received first-line treatment with fluoropyrimidine and/or a platinum chemotherapy agent. Results: In total, 2,583 patients met the inclusion criteria. The mean age at index was $74.8{\pm}6.0years$. Over 90% of patients died during follow-up, with a median survival of 361 days for the overall post-index period and 167 days for the period after the completion of first-line chemotherapy. The mean total gastric cancer-related cost per patient over the entire post-index follow-up period was United States dollar (USD) $70,808{\pm}56,620$. Following the completion of first-line chemotherapy, patients receiving further cancer-directed treatment had USD 25,216 additional disease-related costs versus patients receiving supportive care only (P<0.001). Conclusions: The economic burden of advanced gastric cancer is substantial. Extrapolating based on published incidence estimates and staging distributions, the estimated total disease-related lifetime cost to Medicare for the roughly 22,200 patients expected to be diagnosed with this disease in 2014 approaches USD 300 millions.