• Journal of Photoscience
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• 제1권1호
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• pp.47-52
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• 1994

Effects of HgCl$_2$-treatment on electron transport, chlorophyll a fluorescence and its quenching were studied using isolated barley (Hordeum vulgare L. cv. Albori) chloroplasts. Depending on the concentration of HgCI$_2$, photosynthetic oxygen-evolving activities of photosystem II (PS II) were greatly inhibited, whereas those of photosystem I (PS I) were slightly decreased. The inhibitory effects of HgCl$_2$ on the oxygen-evolving activity was partially restored by the addition of hydroxyamine, suggesting the primary inhibition site by HgCl$_2$2-treatment is close to the oxidizing site of PS tl associated with water-splitting complex. Addition of 50 $\mu$M HgCI$_2$ decreased both photochemical and nonphotochemical quenching of chlorophyll fluorescence. Especially, energy dependent quenching (qE) was completely disappeared by HgCl$_2$-treatment as observed by NH$_4$CI treatment. In the presence of HgCI$_2$, F'o level during illumination was also increased. These results suggest that pH gradient across thylakoid membrane can not be formed in the presence of 0 $\mu$M HgCl$_2$. In addition, antenna pigment composition might be altered by HgCl$_2$-treatment.

• 약학회지
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• 제35권2호
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• pp.99-110
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• 1991

This study was initiated to investigate the effects of organic germanium on cadmium and mercury intoxication. The effect was determined by the metallothionein induction in liver and kidney. Male rats (Sprague-Dawley) were treated with CdCI$_{2}$ (2mg/kg), HgCI$_{2}$ (1 mg/kg) and organic germanium (GE-132) (100 mg/kg) in single and in combination via intraperitoneal injection or intragastric administration every other days for 17 days. Experimental animals were sacrificed after 7, 12 and 17 days treatment. The serum transaminase activities (SGOT, SGPT), concentration of metal and metallothionein, metal-binding capacity of metallothionein in liver and kidney were determined and pathomorphological observations were undertaken. The combined treatment of GE-132 and CdCI$_{2}$ significantly decreased the increment of serum transaminase activities in rats treated with CdCI$_{2}$ only, but the combined treatment of GE-132 and HgCI$_{2}$ did not affect to activities of transaminases induced by mercury only. The concentration of metals (Cd and Hg) except Ge in the liver and kidney of rats increased with the time of treatment. Mercury concentration in kidney of rat treated with HgCI$_{2}$ only was significantly higher than the combined treatment of GE-132 and HgCI$_{2}$. The combined treatment of GE-132 and CdCI$_{2}$ significantly increased the concentration of metallothionein in liver compared to the CdCI$_{2}$ only, although the concentration of cadmium in liver were not significantly different between two groups. This indicates that GE-132 decreased toxicity of cadmium in liver by promoting metallothionein induction. There were no significant differences in metallothionein concentration in liver and kidney of rats between the combined treatment of GE-132 and HgCI$_{2}$ and HgCI$_{2}$ only. Metal-binding capacity of metallothionein varied with each time intervals in liver and kidney of metals treated rats except the liver of the combined treatment of GE-132 and CdCI$_{2}$. This finding explains the concentration of metallothionein in liver keeps abreast with the concention of metal. Furthermore, the combined treatment of GE-132and CdCl$_{2}$ revealed pathologically less changes in liver tissue than CdCl$_{2}$ only; the damages of liver cell, such as lobular necrosis and portal inflammation, were relieved and appeared more later. From the above results, organic germanium is considered to have some beneficial effect on the protection of liver from the cadmium intoxication.

• 한국산학기술학회논문지
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• 제15권9호
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• pp.5660-5667
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• 2014

본 연구는 국가자료인 2012년도 국민건강영양조사 자료를 이용하여 20세 이상 성인(n=5,889)에서 대사증후군 및 Metabolic syndrom score(MSS)와 맥압(Pulse pressure, PP)의 관련성을 평가하고자 실시하였다. 연구결과에서 맥압에 대한 관련변수를 보정하였을 때, 맥압에 대한 평균값이 MSS 0은 $41.30{\pm}0.34mmHg$, MSS 1은 $42.16{\pm}0.31mmHg$, MSS 2는 $44.73{\pm}0.34mmHg$, MSS 3은 $46.46{\pm}0.42mmHg$, MSS 4는 $48.62{\pm}0.58mmHg$, MSS 5는 $53.50{\pm}1.05mmHg$으로 MSS가 증가할수록 증가하였고(p<0.001), Non-Metabolic syndrome군($42.77{\pm}0.19mmHg$)에 비하여 Metabolic syndrome군($47.25{\pm}0.34mmHg$)에서 유의하게 증가하였다(p<0.001). 또한 관련변수를 보정한 후 Hyper-PP(>61 mmHg)의 Odd Ratio(OR)값은 MSS 0에 비하여 MSS 1은 4.49(95% confidence interval[CI], 2.68-7.57), MSS 2는 8.01(95% CI, 4.77-13.47), MSS 3은 11.37(95% CI, 6.67-19.35), MSS 4는 19.69(95% CI, 11.20-34.60), MSS 5는 34.07(95% CI, 17.44-66.52)로 MSS가 증가할수록 Hyper-PP의 OR값도 증가하였고, Non-Metabolic syndrome군에 비하여 Metabolic syndrome군[2.83(95% CI, 2.29-3.49)]에서 유의하게 증가하였다. 결론적으로 대사증후군과 MSS의 증가는 맥압을 증가시킨다.

• Journal of Preventive Medicine and Public Health
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• 제50권6호
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• pp.377-385
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• 2017

Objectives: Although mercury (Hg) exposure is known to be neurotoxic in humans, its effects on liver function have been less often reported. The aim of this study was to investigate whether total Hg exposure in Korean adults was associated with elevated serum levels of the liver enzymes aspartate aminotransferase (AST), alanine transaminase (ALT), and gamma-glutamyltransferase (GGT). Methods: We repeatedly examined the levels of total Hg and liver enzymes in the blood of 508 adults during 2010-2011 and 2014-2015. Cross-sectional associations between levels of blood Hg and liver enzymes were analyzed using a generalized linear model, and nonlinear relationships were analyzed using a generalized additive mixed model. Generalized estimating equations were applied to examine longitudinal associations, considering the correlations of individuals measured repeatedly. Results: GGT increased by 11.0% (95% confidence interval [CI], 4.5 to 18.0%) in women and 8.1% (95% CI, -0.5 to 17.4%) in men per doubling of Hg levels, but AST and ALT were not significantly associated with Hg in either men or women. In women who drank more than 2 or 3 times per week, AST, ALT, and GGT levels increased by 10.6% (95% CI, 4.2 to 17.5%), 7.7% (95% CI, 1.1 to 14.7%), and 37.5% (95% CI,15.2 to 64.3%) per doubling of Hg levels, respectively, showing an interaction between blood Hg levels and drinking. Conclusions: Hg exposure was associated with an elevated serum concentration of GGT. Especially in women who were frequent drinkers, AST, ALT, and GGT showed a significant increase, with a significant synergistic effect of Hg and alcohol consumption.

• Journal of Preventive Medicine and Public Health
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• 제51권6호
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• pp.298-309
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• 2018

Objectives: The objective of this study was to assess the relationship between systolic and diastolic blood pressure (SBP, DBP) and the risk of death from specific causes other than cardiovascular diseases. Methods: We calculated the risk of specific death by SBP and DBP categories for 506 508 health examinees in 2002-2003 using hazard ratios (HRs) and 95% confidence intervals (CIs) in a Cox proportional hazards model. Results: Compared to normal levels (SBP <120 or DBP <90 mmHg), stage I systolic and diastolic hypertension (SBP 140-159, DBP 85-89 mmHg, respectively) were associated with an increased risk of death from diabetes mellitus, alcoholic liver disease, and renal failure (HR, 1.83; 95% CI, 1.51 to 2.22; HR, 1.24; 95% CI, 1.06 to 1.46; HR, 2.30; 95% CI, 1.64 to 3.21; HR, 1.67; 95% CI, 1.27 to 2.20; HR, 1.99; 95% CI, 1.41 to 2.81; HR, 1.31; 95% CI, 0.99 to 1.73, respectively), but a decreased risk of death from intestinal pneumonia (HR, 0.64; 95% CI, 0.42 to 0.98; HR, 0.59; 95% CI, 0.39 to 0.91). Only stage II systolic hypertension (SBP ${\geq}160mmHg$) was associated with an increased risk of death from pneumonia, liver cirrhosis, and intestinal ischemia (HR, 1.54; 95% CI, 1.19 to 1.98; HR, 1.46; 95% CI, 1.00 to 2.15; HR, 3.77; 95% CI, 1.24 to 11.40, respectively), and stage I and II diastolic hypertension (SBP 140-159 and ${\geq}160mmHg$) were associated with an increased risk of death from intestinal ischemia (HR, 3.07; 95% CI, 1.27 to 7.38; HR, 4.39; 95% CI, 1.62 to 11.88, respectively). Conclusions: An increase in blood pressure levels may alter the risk of death from certain causes other than cardiovascular diseases, a well-known outcome of hypertension, although the mechanism of these associations is not well documented.

• Journal of Preventive Medicine and Public Health
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• 제33권2호
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• pp.199-207
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• 2000

농촌지역 성인들에서 고혈압 발생과 관련이 있는 위험요인을 조사하기 위하여 1996년 경상북도 청송군의 20세이상 성인 3,573명을 대상으로 면담조사와 신체검사를 실시하였다. 연구대상 코호트는 고혈압이 없는 2,580명으로 하였는데, 1년 후 1,781명(69.0%)의 추적조사가 완료되었다. 조사한 독립변수들은 일반적 특성(연령, 성, 교육수준, 경제적상태, 결혼상태), 고혈압 가족력, 식이, 술, 담배, 커피, 스트레스, 그리고 여성에서 경구용 피임약, 폐경상태가 추가되었다. 그리고, 키, 몸무게, 허리둘레, 엉덩이둘레, 초기혈압, 혈청 총 콜레스테롤이었다. 다중 로지스틱 회귀분석 결과, 남자에서는 연령의 비교위험도가 1.50(95% 신뢰구간; 1.15-1.96), 고혈압 가족력이 2.11(95% 신뢰구간; 1.04-4.26), 허리-엉덩이 둘레비가 2.09(95% 신뢰구간; 1.15-3.79), 초기 수축기 혈압은 120mmHg 미만을 기준으로 하였을 때 130-139mmHg가 3.34(95% 신뢰구간; 1.47-7.60)로 경계형이상 고혈압의 발생과 유의한 관련이 있는 위험요인이었다. 여자에서는 연령의 비교 위험도가 1.06(95% 신뢰 구간; 1.03-1.09), 추적 기간동안 새로이 폐경을 경험한 경우는 3.32(95% 신뢰구간; 1.01-10.87), 초기 수축기 혈압은 120mmHg미만을 기준으로 하였을 때 120-129mmHg가 2.00(95% 신뢰구간; 1.02-3.90), 130-139mmHg가 2.64(95% 신뢰구간; 1.34-5.20), 그리고 초기 이완기 혈압은 80mmHg미만을 기준으로 하였을 때 85-89mmHg가 4.09(95% 신뢰구간; 1.86-8.96)로 유의한 관련이 있는 위험요인이었다. 결론적으로 경 계형 이상 고혈압 발생과 관련된 위험요인으로는 남자에서는 연령, 고혈압 가족력, 허리-엉덩이 둘레비 그리고 높은 정상 혈압이었다. 여자에서는 연령, 폐경이 새롭게 일어난 경우 그리고 높은 정상 혈압이었다.

• Journal of Preventive Medicine and Public Health
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• 제48권2호
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• pp.105-110
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• 2015

Objectives: Recently, low systolic blood pressure (SBP) was found to be associated with an increased risk of death from vascular diseases in a rural elderly population in Korea. However, evidence on the association between low SBP and vascular diseases is scarce. The aim of this study was to prospectively examine the association between low SBP and mortality from all causes and vascular diseases in older middle-aged Korean men. Methods: From 2004 to 2010, 94 085 Korean Vietnam War veterans were followed-up for deaths. The adjusted hazard ratios (aHR) were calculated using the Cox proportional hazard model. A stratified analysis was conducted by age at enrollment. SBP was self-reported by a postal survey in 2004. Results: Among the participants aged 60 and older, the lowest SBP (<90 mmHg) category had an elevated aHR for mortality from all causes (aHR, 1.9; 95% confidence interval [CI], 1.2 to 3.1) and vascular diseases (International Classification of Disease, 10th revision, I00-I99; aHR, 3.2; 95% CI, 1.2 to 8.4) compared to those with an SBP of 100 to 119 mmHg. Those with an SBP below 80 mmHg (aHR, 4.5; 95% CI, 1.1 to 18.8) and those with an SBP of 80 to 89 mmHg (aHR, 3.1; 95% CI, 0.9 to 10.2) also had an increased risk of vascular mortality, compared to those with an SBP of 90 to 119 mmHg. This association was sustained when excluding the first two years of follow-up or preexisting vascular diseases. In men younger than 60 years, the association of low SBP was weaker than that in those aged 60 years or older. Conclusions: Our findings suggest that low SBP (<90 mmHg) may increase vascular mortality in Korean men aged 60 years or older.

• 대한임상검사과학회지
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• 제53권1호
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• pp.32-40
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• 2021

본 연구는 한국 성인에서 고혈압(HTN), 추정사구체여과율(eGFR) 및 소변미세알부민/크레아티닌 비율(ACR)과의 연관성을 평가하기 위한 연구이다. 제 6차 국민건강영양조사(2013~2014)에서 20세 이상 8,922명(남자 3,941명, 여자 4,981명)을 대상으로 관련변수를 보정한 후, 신기능저하(eGFR <60 mL/min/1.73 ㎡) 및 알부민뇨(ACR ≥30 mg/g)에 따른 고혈압의 위험률을 분석하였다. 남자의 경우 HTN [수축기 혈압(SBP) ≥140 mmHg, 이완기 혈압(DBP) ≥90 mmHg 또는 HTN 약물 사용]의 위험비(ORs)가 정상 그룹(eGFR ≥60 mL/min /1.73 ㎡ 및 ACR <30 mg/g)에 비하여 저하된 eGFR 그룹(eGFR <60 mL/min/1.73 ㎡, 1.98; 95% CI, 1.21~3.24), ACR 상승 그룹(ACR ≥30 mg/g, 2.03; 95% CI, 1.54~2.69), eGFR이 감소하고 ACR이 증가된 그룹(eGFR <60 mL/min/1.73 ㎡ 및 ACR ≥30 mg/g, 6.03; 95% CI, 2.82~12.92)에서 유의하게 높았다. 여자에서 HTN의 위험률은 정상 그룹보다 eGFR 저하 그룹(2.29, 95% CI, 1.27~4.13), ACR 상승 그룹(2.22, 95% CI, 1.68~2.94)과 eGFR이 저하되고 ACR이 증가된 그룹(10.77, 95% CI, 3.89~29.82)에서 유의하게 높았다. 결과적으로 HTN은 한국 성인에서 eGFR 저하, ACR 상승과 관련이 있으며, eGFR 저하와 ACR 상승이 동시에 발생했을 때 HTN의 유병률이 크게 증가했다.

• Environmental Analysis Health and Toxicology
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• 제27권
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• pp.13.1-13.10
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• 2012

Objectives: We aimed to investigate the acute effects of heat stress on body temperature and blood pressure of elderly individuals living in poor housing conditions. Methods: Repeated measurements of the indoor temperature, relative humidity, body temperature, and blood pressure were conducted for 20 elderly individuals living in low-cost dosshouses in Seoul during hot summer days in 2010. Changes in the body temperature, systolic blood pressure (SBP) and diastolic blood pressure (DBP) according to variations in the indoor and outdoor temperature and humidity were analyzed using a repeated-measures ANOVA controlling for age, sex, alcohol, and smoking. Results: Average indoor and outdoor temperatures were $31.47^{\circ}C$ (standard deviation [SD], $0.97^{\circ}C$) and $28.15^{\circ}C$ (SD, $2.03^{\circ}C$), respectively. Body temperature increased by $0.21^{\circ}C$ (95% confidence interval [CI], 0.16 to $0.26^{\circ}C$) and $0.07^{\circ}C$ (95% CI, 0.04 to $0.10^{\circ}C$) with an increase in the indoor and outdoor temperature of $1^{\circ}C$. DBP decreased by 2.05 mmHg (95% CI, 0.05 to 4.05 mmHg), showing a statistical significance, as the indoor temperature increased by $1^{\circ}C$, while it increased by 0.20 mmHg (95% CI, -0.83 to 1.22 mmHg) as outdoor temperature increased by $1^{\circ}C$. SBP decreased by 1.75 mmHg (95% CI, -1.11 to 4.61 mmHg) and 0.35 mmHg (95% CI, -1.04 to 1.73 mmHg), as the indoor and outdoor temperature increased by $1^{\circ}C$, respectively. The effects of relative humidity on SBP and DBP were not statistically significant for both indoor and outdoor. Conclusions: The poor and elderly are directly exposed to heat waves, while their vital signs respond sensitively to increase in temperature. Careful adaptation strategies to climate change considering socioeconomic status are therefore necessary.

• Journal of Preventive Medicine and Public Health
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• 제42권5호
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• pp.298-304
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• 2009

Objectives : The aim of this study was to investigate the association of blood pressure levels with the common carotid artery intima-media thickness (CCA-IMT) and carotid plaques. Methods : Data were obtained from 2,635 subjects, aged 50 years and over, who participated in the Community Health Survey (a population-based, cross-sectional study) in Dong-gu, Gwangju city between 2007 and 2008. Participants were categorized into three groups according to blood pressure levels; normotensives (<120/80 mmHg), prehypertensives (120-139/80-89 mmHg), and hypertensives ($\geq$140/90 mmHg). Prehypertensives were further categorized as low prehypertensives (120-129/80-84 mmHg) and high prehypertensives (130-139/85-89 mmHg). Carotid intima-media thickness and plaques were evaluated with a high-resolution B-mode ultrasound. Statistical analyses were performed using chi-square test, ANOVA, and multiple logistic regression. Results : Prehypertensives had significantly greater maximal CCA-IMT values than normotensives, with a multivariate adjusted odds ratio of 1.78 (95% CI=1.36-2.32) for abnormal CCA-IMT (maximal CCA-IMT$\geq$1.0 mm), and 1.45 (95% CI=1.19-1.77) for carotid plaques. The multivariate adjusted odds ratio of low prehypertensives was 1.64 (95% CI=1.21-2.21) for abnormal CCA-IMT, and 1.30 (95% CI=1.04-1.63) for carotid plaques compared with normotensives. Subject with hypertension had higher frequency of abnormal CCA-IMT (odds ratio, 2.18; 95% CI=1.49-3.18), and carotid plaques (odds ratio, 1.98; 95% CI=1.46-2.67) compared with normotensives after adjustment for other cardiovascular risk factors. Conclusions : Our results indicate that there is a significant increase in the prevalence of carotid atherosclerosis in subjects with prehypertension (even in low prehypertensives) compared with normotensive subjects. Further studies are required to confirm the benefits and role of carotid ultrasonography in persons with prehypertension.