• 대한한의학회지
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• 제45권1호
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• pp.65-79
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• 2024

Objectives: The purpose of this study is to evaluate weight change and analyze adverse events in post-menopausal obese women with Gamitaeeumjowee-tang for weight loss. Methods: A retrospective chart review was conducted for medical records of 115 post-menopausal obese women (body mass index, BMI≥25 kg/m²) who were administered with Gamitaeeumjowee-tang for 12 weeks for the purpose of weight loss. Weight, skeletal muscle ratio and BMI changes were compared before and after the program. Adverse events were evaluated by causality, severity and system-organ classes. Results: A total of 115 patients were included in this study. The average total weight loss in post-menopausal women was 5.72±2.04kg(p<0.001) and the average weight loss rate was 8.06±2.70%(p<0.001). After the 12-week program, the body fat rate was significantly decreased(3.76±2.20%)(p<0.001) and the skeletal muscle ratio was significantly increased(2.07±1.24%)(p<0.001). There were no significant differences in weight loss, skeletal muscle ratio change and body fat rate change depending on the number of hospital visits. Insomnia was frequently reported throughout the period, and no serious adverse events were reported. Conclusions: This study showed the potential that weight management treatment with Gamitaeeumjowee-tang could be a good way to lose weight of post-menopausal obese women without serious adverse events. Continuous well designed clinical studies are needed.

• 기본간호학회지
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• 제22권3호
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• pp.258-267
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• 2015

Purpose: The purpose of study was to compare depression, marital intimacy, sexual function and quality of life between a group of sexually active women and a group of women who were sexually inactive. All of the women were post-menopausal married women. Methods: Post-menopausal married women (n=395) of 40 to 59 years old participated in the study. Data were collected through self-report questionnaires which included items on general characteristics, and tools on depression (CES-D), marital intimacy (MIQ), sexual function (FSFI), and quality of life. Data were analyzed using descriptive statistics, t-test, $X^2-test$, ANCOVA, and Pearson correlation coefficients. Results: About 42% of the participants were identified as sexually inactive. Marital intimacy, sexual function, and quality of life in the sexually active group were significantly higher than the inactive group (F=17.12, p<.001; F=36.86, p<.001; F=16.78, p<.001). Depression scores in the sexually active group were significantly lower than in the inactive group (F=14.64, p<.001). Also, there was a significant relationship of depression, marital intimacy, and sexual function to quality of life in both groups. Conclusion: The results of this study indicate that health professionals need to counsel and provide a psychosexual approach especially when caring for post-menopausal married women who are sexual inactive.

• 여성건강간호학회지
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• 제20권1호
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• pp.62-71
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• 2014

Purpose: This study investigated the effects of menopausal adaptation and Sanhujori (Korean traditional postnatal care) on the Health-related quality of life in middle-aged women. Methods: Women aged from 45 to 60 completed questionnaires consisting of SF-36 ver. 2 and menopausal adaptation scale between July to Aug, 2013. Two hundred and eighteen participants' data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple regression. Results: Physical health ($69.5{\pm}15.1$) was better than mental health ($68.8{\pm}17.1$), and bodily pain and social functioning were the same results as 2009 general U.S. population, with the sub-variables of quality of life being lower. Menopausal adaptation was at moderate level, and correlation of its sub-variables with quality of life were significant: fatigue (r=.60, p<.001), accomplishing feeling (r=.55, p<.001), confidence (r=.54, p<.001), dryness (r=.51, p<.001), flush (r=.38, p<.001), dominance (r=-.36, p<.001), stability (r=.26, p<.001). Fatigue, confidence, stability, period of sanhujori, and dryness revealed as influencing quality of life, while the total variation explained by these components was at 52%. Conclusion: To improve quality of life of middle aged women, health care providers need to provide nursing intervention to relieve fatigue and dryness; and address psychosocial concerns with developing nursing strategies to improve stability and confidence. For post-partum women, enough periods of sanhujori needs to be recommended.

• Nutritional Sciences
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• 제5권2호
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• pp.68-74
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• 2002

Studies of the relationship between the composition of serum fatty acids and blood pressure are complex and controversial. Fatty acids, important constituents of biological membranes, could potentially affect vasoreactivities including blood pressure. In this study the compositions of fatty acids in serum phospholipids were compared between three types of hypertensive subjects (men, pre-menopausal women, and post-menopausal women) and their respective nrmotensive controls. Serum lipids were extracted and phospholipids were separated by thin layer chromatography. The percentage of palmitic acid (16 : 0) in serum phospholipids was significantly higher and the percentage of stearic acid (18 : 0) was significantly lower in all three hypertensive groups, compared with their corresponding control groups. Only in the group of post-menopausal women, palmitic acid was closely associated wish increases in both systolic (SBP) and diastolic blood pressure (DBP), while stearic acid was associated with decreases in both SBP and DBP. The polyunsaturated fatty acids in serum phospholipids behaved differently from saturated fatty acids. The ratios of products / precursor fatty acids, such as $\sumLCPUFA\omega6/18 : 2\omega$6, 20 : 4$\omega$6/18 : 2$\omega$6, ∑LCPUFA$\omega$3/18 : 3$\omega$3 and 22 : 6$\omega$3/20 : 5$\omega$3, were all clearly associated with both SBP and DBP in hypertensive, post-menopausal women. Desaturation and elongation in fatty acid metabolism could affect the bioavailability of eicosanoid precursors. Changes in the constituent fatty acids of phospholipids and eicosanoid precursors may also influence fluidity, ionic transport, hormone receptors and enzyme activities in biological membranes. In conclusion, both systolic and diastolic blood pressure in post-menopausal women was positively associated with the level of palmitic acid, and negatively associated with the level of stearic acid, in serum phospholipids. The relationships between serum phospholipid-$\omega$6 and $\omega$3 series fatty acids and blood pressure in women, especially in post-menopausal women, require further investigation by taking into consideration hormonal status and eicosanoid metabolism. Funker study is needed to determine the value of dietary manipulation of fatty acid constituents of serum phospholipids, relating to hypertension in women.

• Journal of Menopausal Medicine
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• 제24권3호
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• pp.139-142
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• 2018

• 한국융합학회논문지
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• 제10권9호
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• pp.99-110
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• 2019

본 연구는 제 5기 국민건강영양조사(2010~2012) 결과를 바탕으로 폐경여성의 대사증후군 지표에 따른 영양소 섭취를 비교 조사하였다. 조기폐경 여성 214명과 일반폐경 여성 2,545명을 분류하였으며, 폐경여성의 영양섭취에서 비만인 경우 레티놀 섭취와의 연관을 나타내고 있음을 확인하였고, 당뇨인 경우 리보플라빈 섭취량에 있어서 유의함을 확인하였다. 본 연구 결과 폐경여성에서 레티놀과 리보플라빈, 조섬유, 칼슘 및 나트륨 등의 미량영양소가 대사증후군 위험과 관련성이 있음을 보였는데, 추후 대규모 전향적 연구가 실시되어 각 영양소 섭취량과 폐경 후 대사증후군의 인과관계를 더욱 명확히 규명할 필요가 있을 것이라 사료된다.

• 여성건강간호학회지
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• 제16권1호
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• pp.1-9
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• 2010

Purpose: The study addressed the adaption of middle- aged Korean women to menopause, including the use of Yangsaeng, a traditional health care regimen that incorporates specific principles and methods to promote health and prevent illness, with the aim of improving health and longevity of life. Methods: Middle-aged women (40~59 years, n=171) residing in Seoul and Gyeong-Gi Province. Data was collected by using a self-reported questionnaire. Menopausal period adaptation was measured by 29 items in four categories (physical, self-concept, role function, and inter-dependent). Yangsaeng was measured by 31 questionnaire items in eight categories (morality, mind, diet, activity and rest, exercise, sleep, seasonal, and sexuality). Results: Significant differences in menopausal adaptation were evident on the basis of participant education and income. There were significant differences in Yangsaeng in terms of participant education, nature of employment, and income. Menopausal adaptation positively correlated to use of Yangsaeng. Physical adaptation, self-concept adaptation, role function adaptation, and inter-dependent adaptation positively correlated to morality Yangsaeng, mind Yangsaeng, and activity and rest Yangsaeng. Conclusion: Middle-aged Korean women who practice Yangsaeng may be better positioned to adapt to menopause. Yangsaeng may be an advantageous nursing intervention in this population.

• 동아시아식생활학회지
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• 제4권3호
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• pp.41-49
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• 1994

This study was intended to investigate the effects of nutritional, physical and environmental conditions on the bone status of 102 pre and post menopausal women living in Ulsan area. The results of this study are summarized as follows : when subjects were classified into two groups by bone status, there were significant differences in age, calcium index, serum estrogen and physical activity between two groups. Average daily calcium intake of subjects was 682.9 (149.2)mg, which is almost same as RDA, but 41.1% of the subjects consumed calcium below RDA. Calcium index(p<0.05), serum estrogen(p<0.001), physical activity(p<0.001) of poor bone group were significantly lower than those of good bone group. Although there was not a significant difference between bone status and other influential factors, such as family type, skip meal, alcohol drinking, smoking and BMI, each has been shown to have an effect, if slight, on the bone status.

• Journal of Acupuncture Research
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• 제31권3호
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• pp.25-33
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• 2014

Objectives : The purpose of this study is to evaluate the correlation between bone mineral density(BMD), age, weight, visual analog scale(VAS), menopausal rating scale(MRS), and to compare the difference between BMD, age, weight, VAS, MRS according to severity of the menopausal symptoms. Methods : The participants were 62 menopausal women diagnosed with osteoporosis who visited Cheonan Oriental Hospital, Daejeon University from December, 2011 to July, 2014. Age, weight, VAS, MRS were used as an evaluation tool. Results : 1. In all 62 cases of menopausal patients diagnosed with osteoporosis, the study found a statistically significant correlation between BMD and weight, while inverse correlation between BMD and MRS index. 2. Among menopausal patients with above 9 MRS index(group B), BMD and weight showed statistically significant correlation, while VAS and MRS index showed statistically significant inverse correlation. 3. Among group B, VAS were higher compared to control group(group A). Conclusions : This study showed that as patients with severer menopausal symptoms apt to show increased VAS and decreased BMD. Therefore, long-term follow-up in patients with menopausal syndrome is needed to improve the patients' quality of life.

• 대한간호학회지
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• 제46권5호
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• pp.619-629
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• 2016

Purpose: This study was a systematic review to evaluate the effects of aromatherapy on menopausal symptoms, perceived stress and depression in middle aged-women. Methods: Eight databases were searched from their inception September 8, 2015. Two reviewers independently performed the selection of the studies, data abstraction and validations. The risk of bias was assessed using Cochrane criteria. For analysis of the data, a meta-analysis of the studies was performed. Results: From the electronic databases, 73 articles were selected, and 19 removed due to duplication. After two reviewers read the abstracts of 54 studies, 34 studies were selected. Complete papers for 34 s were read and, 12 studies which met selection criteria were reviewed and the effects of aromatherapy on menopausal symptoms, stress and depression analyzed using meta-analysis with RevMan. In the 2 studies which included Randomized Controlled Trials testing of aromatherapy on menopausal symptoms and comparison of control and placebo groups were done. Aromatherapy massage was favorably effective in reducing the menopausal symptoms compared to the control group (n=118, MD=-6.33; 95% CI -11.51 to -1.15), and compared to the placebo group (n=117, MD=-4.14; 95% CI -7.63 to -0.64). Also aromatherapy was effective in reducing stress (n=72, SMD=-0.64; 95% CI -1.12 to -0.17) and depression (n=158, MD=-5.63; 95% CI -10.04 to -1.22). Conclusion: There is limited evidence suggesting that aromatherapy for middle-aged women may be effective in controlling menopausal symptoms, perceived stress and depression.