• Proceedings of the ESK Conference
• /
• 1993.10a
• /
• pp.33-37
• /
• 1993

근래 우리나라에서도 평균수명이 길어져 노동의욕이 있는 중고령자가 증가하는 한편, 출산율이저 하되어 젊은 근로자의 수가 감소되고 있다. 통계청의 인구통계과의 추계에 의하면 2000년에는 60세 이 상이 총인구에 점하는 비율이 10.7%, 65세 이상은 6.8%가 되고, 2020년에는 60세 이상이 19.5%, 65세 이 상도 12.5%에 도달한다는 것이다. 인구노령화로 인한 고령화 사회에 대한 준비를 서둘러야 할 때라고 생각된다. 또 고령화 사회로 되면 젊은 연령층의 경제적 부담이 증가되므로 중고령자의 노동인구를 이대 로 방치해 두는 것은 국가적으로나 사회복지적으로나 불경제라고 할 수 있다. 그런데, 문제가 되는 것은, 중고령자를 취업시키는 것이 오히려 사회의 생산성을 저하시키거나 경제적으로 불리하게 되어서는 안되는 것과 중고령노동자 자신의 안전을 확보해야 하는 것이다. 이러한 문제를 해결하기 위해서는 고용에 있어 서 어떠한 점에서 중고령노동자에게 특징과 문제가 있는가를 분명히 할 필요가 있다. 고령자는 청년자 보다 노동능력이 떨어지는 특징과 문제가 있는가를 분명히 할 필요가 있다. 고령자는 청년자 보다 노동능력이 떨어지는 경향이 있지만 개인차도 크고 고령자 중에는 청년자의 기능에 비교해도 뒤떨어지지 않는 자도 있다. 연령만으로 노동능력을 판정하는 것은 적절한 방법이라고 할 수 없다. 문헌에 의하면 역연령(chornological age)이 25세의 경우, 생리적 연령은 23세에서 27세로 4년 차이가 있다고 한다. 이러한 생리적 연령의 차이는 역연령이 더해감에 따라서 점차 크게 되어 역연령이 45세에서는 12년, 80세 에서는 20년이나 된다는 것이다. 이것은 인간에 있어서 시간적 경과를 나타내는 역연령 이외에 신체적 기능연령(functional age)가 있다는 것을 의미하는 것이다. 한편, 생산현장에서는 자동화, 기계화가 진보되어 육체적인 노동이 경감된 결과, 중고령자라도 할 수 있는 작업이 많아지고 있다. 또, VDT (Visual Dislay Terminal) 작업과 같은 정보처리 작업의 수요가 증가하여 그 인재의 부족이 지적되고 있다. 따라서 중고령자의 기능을 조사하여 어떠한 작업에 적합한가를 판단하는 것이 중요한 과제로 되었다. 그러나 노동에는 많은 기능이 관여 하고, 그 내용에 따라서 요구되는 기능이 서로 다르기 때문에 노동적응능력의 기본적인 기능으로 보여지는 것에 좁혀서 작업능력의 연령증가 변화에 대하여다원적 평가를 하는 것이 실제적이라고 할 수 있다. 따라서 본 연구에서는 인간이 가지고 있는 다수의 기능중에서 수지교 치성과 연령증가와의 관계를 조사한다. 만약 연령증가 만으로 수지교치성을 평가 할 수 없는 경우에는 어떠한 요인이 수지기민성의 변화에 영향을 미치는가를 검토한다.

• Clinical and Experimental Pediatrics
• /
• v.52 no.12
• /
• pp.1370-1376
• /
• 2009

Purpose:Treatment of precocity with gonadotropin releasing hormone analogue (GnRHa) might theoretically exert a detrimental effect on the bone mass during pubertal development. We investigated the short-term changes in bone mineral density (BMD) during GnRHa treatment and the enhancement in the changes with the co-administration of GnRHa and human growth hormone (hGH). Methods:Forty girls with precocious or early puberty who were using GnRHa for more than 1 year were enrolled. Of them, 14 concurrently received hGH. Lumbar bone mineral density was measured before and after the treatment, and bone mineral density-standard deviation scores (BMD-SDSs) were compared according to chronologic age (CA) and bone age (BA), as well as according to the administration of GnRHa alone (Group I) or the co-administration of hGH and GnRHa (Group II). Results:BMDs before and after treatment were in the normal range according to CA but were significantly lower according to BA (P<0.05). During treatment, BMD-SDSs did not change according to CA but significantly increased according to BA (P<0.05). BMD-SDSs in group I did not change during treatment according to CA or BA, while those in group II increased significantly according to BA (P<0.05), but not according to CA. Conclusion:Lumbar BMD was adequate according to CA at initial manifestation of precocity but was lower if compared to BA, that is, BMD did not increase with BA. Because co-treatment with hGH significantly increased BMD-SDSs according to BA, hGH co-treatment could be considered during GnRHa therapy.

• Clinical and Experimental Pediatrics
• /
• v.50 no.7
• /
• pp.678-685
• /
• 2007

Purpose : Recent reports pointed out that gonadotropin releasing hormone analogue (GnRHa) therapy alone is not so promising for improving adult height in precocious puberty. So, that we studied the growth promoting effect of combined therapy with GnRHa and growth hormone (GH) in early pubertal girls. Methods : Twenty three early pubertal girls ($9.73{\pm}1.59yr$) with predicted adult heights (PAH) below-2 standard deviation score (SDS) were included. They were divided into two groups as follows; Group I before menarche (n=19) and Group II after menarche (n=4). After combined therapy, various growth parameters were compared between two groups and between the before and after therapy. Results : Between the two groups before therapy, chronologic age (CA), growth velocity (GV), body mass index (BMI), target height (TH), PAH and serum insulin-like growth factor binding protein-3 were not different, but BA, height and difference between bone age (BA) and CA were significantly higher and insulin-like growth factor-1 (IGF-1) was marginally higher in group II. After therapy, BA still remained higher in group II, but other parameters were not different. In both groups, after therapy, the difference between BA and CA, the ratio of BA over CA, and GV were significantly decreased, but PAH, height SDS and BMI were significantly increased. Regarding IGF-1 level, a significant increase was noted in group I, but not in group II. Conclusion : With combined therapy of GnRHa and GH, PAH in early pubertal girls might be improved significantly and even approach TH. Among them, those who were before menarche might have greater potential for the height gain than those after menarche in view of IGF-1 changes during therapy.

• Journal of the Korean Applied Science and Technology
• /
• v.38 no.1
• /
• pp.318-331
• /
• 2021

This study was conducted on the assumption that bone age would be more effective when it comes to physique and physical fitness assessment for adolescents, and the purpose of this study was to identify the differences in physique and physical fitness for students in their adolescence through bone age and chronological age in order to contribute to the well-balanced physique and physical fitness development in adolescents and the health improvement in students. Total 874 adolescents(483 males, 391 females) aged 11~16 were selected as subjects out of the total population of 1100 adolescents aged 6~16 based on the PAPS(Physical Activity Promotion System) and age standards of the TW3 method; and skeletal maturation, which symbolize the indicators of biological maturation, were evaluated by using the TW3(Tanner-Whitehouse 3) method after hand-wrist radiographs, and birth date was used for chronological age. A stadiometer and InBody 270 (Biospace, Korea) were used to measure 2 components in physique. A total of 7 components in physical fitness, which included muscular strength, muscular endurance, flexibility, power, cardiovascular endurance, balance, agility, were measured as well. A independent samples t-test was conducted for data processing using SPSS 25.0, and the significance level was set at p< .05. The study results are as follows. First, bone age and chronological age used for physique comparison in males aged 11 and 12, height and weight showed significant difference; in males aged 13, weight showed signicant difference. Weight and height in females aged 11, and height in females aged 12 showed significant difference. Second, bone age and chronological age used for physical fitness comparison in males aged 11, muscular strength, power, flexibility, cardiovascular endurance showed significant difference; in males aged 12, muscular strength. power, cardiovascular endurance; in males aged 13, flexibility showed significant difference. Muscular strength, power, flexibility, muscular endurance, cardiovascular endurance in females aged 11, and flexibility in females aged 14 showed significant difference. As a result, this study concluded that in a period of rapid skeletal growth, evaluating physique and physical fitness based on bone age is more accurate than evaluating based on chronological age.

• Proceedings of the Korean Society of Computer Information Conference
• /
• 2022.01a
• /
• pp.153-154
• /
• 2022

본 논문에서는 역연령으로 구분되었던 기존 생물학적 성숙도에 기반한 체력 지표가 아닌 골성숙도를 활용한 생물학적 성숙도에 기반하여 유소년의 신체에 맞는 체계적인 운동을 추천하는 기법을 제안한다. 이를 통해 유소년의 성장기에 개인화된 운동능력 발달을 성취하게 함으로써 국민 체력 증진에 기여하고 체육 공교육 활성화 및 유소년 피트니스 관리 산업 발전에 도움이 될 것으로 기대한다.

• Clinical and Experimental Pediatrics
• /
• v.50 no.2
• /
• pp.198-204
• /
• 2007

Purpose : The hope that arresting pubertal developement might increase final adult height has led to an attempt to use GnRH agonist (GnRHa) in children with early puberty and poor growth prognosis. We investigated the growth-promoting effect of GnRH agonists with or without growth hormone (GH) in girls with early puberty and decreased predicted adult height (PAH). Methods : Thirty five girls with advanced bone age and early pubertal signs were randomized for treatment for about 1 year with monthly GnRHa in group 1 (n=18), or with a combination of GH and GnRHa in group 2 (n=17). The following growth parameters were compared between groups, and the difference ($\Delta$) before and after treatment : chronological age (CA), bone age (BA), $\Delta$(BA-CA), height (HT), target height (TH), predicted adult height (PAH), $\Delta$ (TH-PAH), serum insulin-like growth factor (IGF-1) and insulin-like growth factor binding protein (IGFBP-3). Results : Before treatment, BA, TH, PAH Standard deviation scores (SDS), $\Delta$(TH-PAH) were not different between the two groups, but CA was higher in group 2 and $\Delta$(BA-CA) were higher in group 1 (P<0.05). After $1.06{\pm}0.93$ year of treatment, $\Delta$ (BA-CA) decreased and there were significant changes in PAH and $\Delta$ (TH-PAH), especially in group 2 (P<0.05 in group 1, and P<0.001 in group 2). In both groups, IGF-1 and IGFBP-3 were not different before and after treatment, but after treatment, IGF-1 level in group 2 was marginally higher than IGF-1 in group 1 (P<0.1). Conclusion : Compromised predicted adult height in girls with early puberty and advanced bone age was significantly improved with GnRH with/without GH treatment in the short-term period. The addition of GH to GnRHa results in a significant increase in PAH compared to GnRHa alone because GnRHa suppressed growth hormone-IGF-1 axis. For comparison of final adult height, further longitudinal follow-up will be needed.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.38 no.2
• /
• pp.161-169
• /
• 2011

Longitudinal serial cephalometric films in the every second year from fifty girls were used for the analysis of growth pattern of maxillary alveolar bone (MAE). Six parameters regarding MAB height were measured and were compared with stature and chronological age. Descriptive analysis. correlation coefficient test and linear regression analysis were done for the statistical analyses. 1. The height of MAE increased until 14 years although growth velocity was gradually decreased. which was different with stature growth pattern. 2. The correlation coefficients between chronological age and MAB height were high and had no statistical differences with those of stature and MAB height. In addition. the correlation coefficients between chronological age groups within each parameter of MAB were very high. 3. The growth amount of MAB could be predicted using linear regression analysis on the basis of chronological age data. The growth pattern between MAE and statue was quite different because of the growth pattern difference between skeletal and neuronal system. Therefore. growth pattern of Korean MAB must be considered in dental treatment of youth. Also. close relationship between chronological age and MAB height would be useful when clinicians want to predict growth amount of MAE for the dental implant treatment.

• Korean Journal of Ichthyology
• /
• v.27 no.2
• /
• pp.133-141
• /
• 2015

Age and growth of redlip mullet, Chelon haematocheilus were determined using samples collected in Han River estuary of Korea from June, 2013 to May, 2014. Age was determined from sagital otoliths and Annul marks were formed in January once a year. In addition, spawning season was estimated in May, thus first ring was formed 8 months. The mullets were principally composed of 0 to 3 years old and the oldest was 9 years old. Relationship between standard length (SL) and total weight (TW) were $TW=0.0124SL^{3.0133}$($r^2=0.9931$). The Von Bertalanffy growth parameters estimated were $L_{\infty}$ 61.3, $W_{\infty}$ 3,230.6, K 0.29/year, $t_0$ - 0.05 year.

• Clinical and Experimental Pediatrics
• /
• v.48 no.3
• /
• pp.292-297
• /
• 2005

Purpose : It is known that 3-50 percent of type 1 diabetes mellitus(T1DM) patients develop autoimmune thyroid disease. We analyzed the clinical characteristics of autoimmune thyroid disease(AITD) developed in patients with T1DM in Korean. Methods : The medical records of 139 patients, who were followed up in Department of Pediatrics, Seoul National University Children's Hospital from Jan. 1981 to Jul. 2004, were analyzed retrospectively. Results : Forty-four males and 95 females were enrolled. At least one of the autoantibodies for thyroid was positive in 54 cases. The detection rate for AITD was not correlated with sex ratio, control of T1DM, body mass index, age at diagnosis of T1DM, and familial history of thyroid disease, between two groups. In the male group, AITD was more frequently found at a younger age than in the female group. The frequency of AITD was significantly higher in the goiter group without sex differences. In the thyroid disease group, 40 patients(74.0 percent) were euthyroid, seven patients(12.9 percent) were hypothyroid, and seven patients(12.9 percent) were hyperthyroid. Conclusion : We should monitor thyroid function and autoantibodies routinely in T1DM patients who develop goiters, or young boys with T1DM.

• Journal of the Korean Data and Information Science Society
• /
• v.20 no.6
• /
• pp.1145-1153
• /
• 2009

The problem of Korean registered population is that population classified by age increases as one grows older until 6 age or 7 age. This paper is to suggest an algorithm of the re-projection under 7 age on Korean registered population and to analysis of comparison with the reported population statistical data. As the result, the reprojections population is trusted in the number of 0 age on the comparison of other reported population statistical data.