보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제28권2호
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  • Pages.51-62
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  • 2011
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  • 1229-4128(pISSN)
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  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
권호 표지

지역사회 대상의 대사증후군 자가관리 프로그램 중재 효과 - 서울특별시 대사증후군 관리 시범사업 -

Effects of a Self-management Program for Metabolic Syndrome - A Metabolic Syndrome Management Program in Seoul -

  • 김희선 (서울특별시 서울의료원 의학연구소 정책연구실) ;
  • 윤석준 (고려대학교 의과대학 예방의학교실) ;
  • 이건세 (서울특별시 서울의료원 의학연구소 정책연구실) ;
  • 김형수 (건국대학교 의학전문대학원) ;
  • 오상우 (동국대학교 일산병원 가정의학과) ;
  • 유호신 (고려대학교 간호대학) ;
  • 추진아 (고려대학교 간호대학) ;
  • 이계희 (서울특별시 서울의료원 의학연구소) ;
  • 유병욱 (서울특별시 서울의료원) ;
  • 이동옥 (서울특별시 복지건강본부 건강증진과) ;
  • 박동림 (서울특별시 복지건강본부 건강증진과)
  • Kim, Hee-Sun (Department of Health-Policy, Institute of Research in Seoul Medical Center) ;
  • Yoon, Seok-Jun (Department of Preventive Medicine, College of Medicine, Korea University) ;
  • Lee, Kun-Sei (Department of Health-Policy, Institute of Research in Seoul Medical Center) ;
  • Kim, Hyeong-Su (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Oh, Sang-Woo (Dongguk University Ilsan Hospital) ;
  • Ryu, Ho-Sihn (Korea University College of Nursing) ;
  • Choo, Jin-A (Korea University College of Nursing) ;
  • Lee, Kye-Heui (Department of Health-Policy, Institute of Research in Seoul Medical Center) ;
  • Ryu, Byung-Wook (Seoul Medical Center of Seoul Metropolitan Government) ;
  • Lee, Dong-Ok (Department of Health Promotion, Health & Welfare Bureau, Seoul Metropolitan Government) ;
  • Park, Dong-Rim (Department of Health Promotion, Health & Welfare Bureau, Seoul Metropolitan Government)
  • 투고 : 2011.03.28
  • 심사 : 2011.06.11
  • 발행 : 2011.06.30
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초록

Objectives: The aim of the study was to identify the effects of a community-level metabolic syndrome self-care management program. Methods: Data included baseline demographics, abdominal circumference, blood pressure, blood sugar, triglyceride, and HDL-cholesterol collected at 15 public health centers in Seoul from January to March, 2010. A data obtained(584 men and 410 women) from Metabolic Syndrome Management Program in Seoul was analyzed using Paired t-test and Linear mixed model. Results: The group with 6-month intervention resulted in significant decrease in abdominal circumference, systolic and diastolic blood pressure, blood sugar, and triglyceride. In moderate intervention group with 3-month follow-up showed tendency that abdominal circumference(-1.27(${\beta}$)) and diastolic blood pressure(-1.66(${\beta}$)) are significantly reduced. In the group with aggressive intervention, the more counseling led to significant reduction in abdominal circumference(-0.22(${\beta}$)). Conclusions: These results indicate that a self-care for metabolic syndrome management can improve metabolic syndrome status over a short-term period. Further structured research is needed to develop a systematic program on health behaviors focusing on exercise, diet, and intervention.

키워드

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