• 제목/요약/키워드: 10 Years Longitudinal Study

검색결과 399건 처리시간 0.031초

장기간 관찰에 의한 식생활과 혈청 총 콜레스테롤, 혈압, 체질량지수 및 혈당과의 관련성 연구 (A Long Term Observation of Total Cholesterol, Blood Pressure, BMI and Blood Glucose Concerned with Dietary Intake)

  • 김인숙;서은아
    • 대한지역사회영양학회지
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    • 제5권2호
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    • pp.172-184
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    • 2000
  • To establish a basic cohort which can survey the nutrient and food intake related to the health status of the middle and old-aged vertically, a longitudinal survey of 110 adults over forty years old was conducted three times in Chon-ju city over 5 years (1994-1999), and the influences of health status by changes in their nutrient and food intake were examined in this study. The results were as follows ; The number of subjects was 110(43 man, 67 women), 10.0% in their forties, 28.2% in their fifties, 45.4% in their sixties 6.4% over seventy, and their average age was 61.4. There were decrease of height about 1cm , increase of body fat % and few changes of BMI during the testing period. As the subjects were aging, the percentage of anemia increased, but averages of blood pressure and blood glucose(men : 91.8mg/㎗, women : 90.3mg/㎗) were constant. Total cholesterol increased from 196.7mg/㎗ to 212.6mg/㎗(P 0.05) over five years, and the numerical values for women were higher than that of men. In many cases, lack of nutrient intake was shown, as compared with the Recommended Dietary allowance(RDA) especially calcium and vitamin A(71.7%, 64.9% of RDA). Grains intake showed a tendency to decrease(P 0.01). On the contrary, fruit intake showed a tendency to increase(P 0.001). On whole meal, plant foods were 85.1% and animal foods were 14.9%. As dietary factors influencing health status were investigated, blood glucose was influenced by vitamin B$_2$, potatoes and triglyceride, DBP and SBP were affected by vitamin B$_1$, vitamin C, legumes, fishes, triglyceride and age. Total cholesterol was under the influence of triglyceride, milk, seeds and fat. BMI was influenced by iron, SBP, animal food, and age.

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Association between health status and tooth loss in Korean adults: longitudinal results from the National Health Insurance Service-Health Examinee Cohort, 2002-2015

  • Kim, Yeon-Tae;Choi, Jung-Kyu;Kim, Do-Hyung;Jeong, Seong-Nyum;Lee, Jae-Hong
    • Journal of Periodontal and Implant Science
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    • 제49권3호
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    • pp.158-170
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    • 2019
  • Purpose: This study investigated the association between health status and tooth loss based on data from the National Health Insurance Service-Health Examinee Cohort in 2002-2015. Methods: Multivariate Cox proportional hazards regression analyses were applied to a longitudinal retrospective database, which was updated and newly released in 2018, to assess the association between health status and tooth loss while adjusting for potential confounders among sociodemographic and economic factors (sex, age, household income, insurance, and presence of disability), general and oral health status (body mass index [BMI], smoking and drinking status, periodic dental visits and scaling, and brushing before sleep), and comorbid disease (hypertension, diabetes mellitus [DM], and Charlson comorbidity index [CCI]). Results: Among 514,866 participants from a South Korean population, 234,247 (45.5%) participants satisfying the inclusion criteria were analyzed. In the adjusted multivariate analysis, sex, age, household income, insurance, presence of disability, BMI, smoking and drinking status, periodic scaling, tooth brushing before sleep, DM, and CCI showed statistically significant associations with the loss of at least 1 tooth. The risk of experiencing a loss of ${\geq}4$ teeth was associated with an increase in age (in those 50-59 years of age: hazard ratio [HR], 1.98; 95% confidence interval [CI], 1.93-2.03; in those 60-69 years of age: HR, 2.93; 95% CI, 2.85-3.02; and in those 70-79 years of age: HR, 2.93; 95%, CI 2.81-3.05), smoking (HR, 1.69; 95% CI, 1.65-1.73), and DM (HR, 1.43; 95% CI, 1.38-1.48). Conclusions: The results of this study showed that the risk of experiencing tooth loss was related to multiple determinants. DM and smoking were especially significantly associated with tooth loss.

시간차이에 따른 웹사이트 이용자의 웹사이트 신뢰도 요인 변화에 대한 연구 (A study on longitudinal differences in website user's trust factors)

  • 신길환;정천수;이춘열
    • 인터넷정보학회논문지
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    • 제13권2호
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    • pp.127-136
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    • 2012
  • IT산업은 기술과 트랜드가 빠르게 변화하는 대표적인 분야이다. 웹사이트 또한 이러한 IT분야의 대표적인 분야 중 한 분야로써, 기술발전속도가 빠른 IT산업의 특성에 따라서 새로운 서비스의 출현이나, 플랫폼의 변화가 다양하고, 빠르게 일어나고 있다. 또한, 웹사이트가 담고 있는 정보는 사회적 상황에 따라 의제의 변화와 노출빈도 등이 크게 달라진다. 따라서, 이러한 변화가 B2C 측면에서 웹사이트 신뢰도 요인에도 변화를 줄 수 있다고 본다. 이러한 관점에서 본 연구에서는 10년 전과 후의 데이터를 비교하여 신뢰도 요인에 대한 종적 연구를 실시함으로써, 선행연구에서 거의 다루어지지 않은 시간차이에 따른 웹사이트 이용자의 신뢰도 요인 변화를 분석하였다.

주 양육자의 삶의 만족도와 학령기 아동의 자아존중감과 우울 간의 종단연구 (A Longitudinal Study between Main Caregivers' Life Satisfaction and Self-esteem and Depression of School-aged Children)

  • 김혜금;조혜영
    • 한국보육지원학회지
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    • 제12권5호
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    • pp.137-155
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    • 2016
  • The purpose of the present study was to investigate the longitudinal relationship between main caregivers' life satisfaction and depression and self-esteem of school-aged children, and to provide plans for improving the lives of the school-aged children. For this purpose, we analyzed the three years'longitudinal panel data (2011-2013) of the Korean Children and Youth Panel Survey (KCYPS) including 2,342 first grade elementary school children employing the latent growth model using SPSS 18.0 and AMOS 22.0. Analysis results were as follows. First, main caregivers'life satisfaction and school-aged children's depression increased as time passes and linear change model was selected. Second, the initial status of main caregivers'life satisfaction had effects on the initial status of their children's depression, but initial status and rates of change of life satisfaction did not have an influence on the rates of change of the depression. However, it was found that the main caregivers' life satisfaction had effects on the school-aged children's self-esteem and it worked as a mediator on the longitudinal relationship between the main caregivers'life satisfaction and the children's depression. School-aged children's self-esteem was a partial mediator on the initial status of their depression and full mediator on these rates of change. These findings suggests that programs improving school-aged children's self-esteem should be developed.

생태체계 이론을 적용한 기혼 폐경 여성의 주관적 건강상태에 대한 궤적: 잠재성장모형을 이용한 종단연구 (Trajectories of subjective health status among married postmenopausal women based on the ecological system theory: a longitudinal analysis using a latent growth model)

  • 김은진;노주희
    • 여성건강간호학회지
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    • 제28권2호
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    • pp.123-133
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    • 2022
  • Purpose: This study investigated the trajectory of subjective health status in married postmenopausal women and aimed to identify predictive factors affecting subjective health status. Methods: Data were obtained from women who participated in wave 4 (2012) of the Korean Longitudinal Survey of Women & Families Longitudinal Study and continued to the latest phase (wave 7, 2018). A latent growth model (LGM) was used to analyze data from 1,719 married postmenopausal women in the framework of the ecological system theory. Results: The mean age of the participants at wave 4 was 56.39±4.71 years, and the average subjective health status was around the midpoint (3.19±0.84). LGM analysis confirmed that subjective health status decreased over time (initial B=3.21, slope B=-0.03). The factors affecting initial subjective health were age, body mass index, frequency of vigorous physical activity (microsystem level), marital satisfaction (mesosystem level), and medical service utilization (macrosystem level). Medical service utilization and the frequency of vigorous physical activity were identified as predictive factors affecting the slope in subjective health status. The model fit was satisfactory (TLI=.92, CFI=.95, and RMSEA=.04). Conclusion: This analysis of the trajectory of subjective health status of married postmenopausal women over time confirmed that subjective health is influenced by overall ecological system factors, including the microsystem, mesosystem, exosystem, macrosystem, and chronosystem. Therefore, it is necessary to assess physical activity and support policies promoting access to medical services in order to improve the subjective health status of married postmenopausal women.

폐경 후 이상지질혈증 발생양상과 위험요인 (Incidence and Risk Factors of Dyslipidemia after Menopause)

  • 정인숙;윤혜선;김묘성;황윤선
    • 대한간호학회지
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    • 제52권2호
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    • pp.214-227
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    • 2022
  • Purpose: This study was aimed at investigating the incidence and risk factors of dyslipidemia in menopausal women using a Korean community-based longitudinal study. Methods: The subjects were 245 postmenopausal women without dyslipidemia who had participated in the Ansan-Ansung cohort study from 2001~2002 (baseline) to 2015~2016 (seventh follow-up visit). The dyslipidemia incidence was measured as incidence proportion (%) and incidence rate per 100 person-years. The predictors of developing dyslipidemia were analyzed with Cox's proportional hazard model. Results: The incidence of new dyslipidemia during the follow-up period was 78.4% (192 patients), and 11.9 per 100 person-years. Mean duration from menopause to developing dyslipidemia was 5.3 years in new dyslipidemia cases. The triglyceride/high density lipoprotein (TG/HDL-C) ratio at baseline (hazard ratio = 2.20; 95% confidence interval = 1.39~3.48) was independently associated with developing dyslipidemia. Conclusion: Dyslipidemia occurs frequently in postmenopausal women, principally within five years after menopause. Therefore, steps must be taken to prevent dyslipidemia immediately after menopause, particularly in women with a high TG/HDL-C ratio at the start of menopause.

Radiomics of Non-Contrast-Enhanced T1 Mapping: Diagnostic and Predictive Performance for Myocardial Injury in Acute ST-Segment-Elevation Myocardial Infarction

  • Quanmei Ma;Yue Ma;Tongtong Yu;Zhaoqing Sun;Yang Hou
    • Korean Journal of Radiology
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    • 제22권4호
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    • pp.535-546
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    • 2021
  • Objective: To evaluate the feasibility of texture analysis on non-contrast-enhanced T1 maps of cardiac magnetic resonance (CMR) imaging for the diagnosis of myocardial injury in acute myocardial infarction (MI). Materials and Methods: This study included 68 patients (57 males and 11 females; mean age, 55.7 ± 10.5 years) with acute ST-segment-elevation MI who had undergone 3T CMR after a percutaneous coronary intervention. Forty patients of them also underwent a 6-month follow-up CMR. The CMR protocol included T2-weighted imaging, T1 mapping, rest first-pass perfusion, and late gadolinium enhancement. Radiomics features were extracted from the T1 maps using open-source software. Radiomics signatures were constructed with the selected strongest features to evaluate the myocardial injury severity and predict the recovery of left ventricular (LV) longitudinal systolic myocardial contractility. Results: A total of 1088 segments of the acute CMR images were analyzed; 103 (9.5%) segments showed microvascular obstruction (MVO), and 557 (51.2%) segments showed MI. A total of 640 segments were included in the 6-month follow-up analysis, of which 160 (25.0%) segments showed favorable recovery of LV longitudinal systolic myocardial contractility. Combined radiomics signature and T1 values resulted in a higher diagnostic performance for MVO compared to T1 values alone (area under the curve [AUC] in the training set; 0.88, 0.72, p = 0.031: AUC in the test set; 0.86, 0.71, p = 0.002). Combined radiomics signature and T1 values also provided a higher predictive value for LV longitudinal systolic myocardial contractility recovery compared to T1 values (AUC in the training set; 0.76, 0.55, p < 0.001: AUC in the test set; 0.77, 0.60, p < 0.001). Conclusion: The combination of radiomics of non-contrast-enhanced T1 mapping and T1 values could provide higher diagnostic accuracy for MVO. Radiomics also provides incremental value in the prediction of LV longitudinal systolic myocardial contractility at six months.

Formulations of Job Strain and Psychological Distress: A Four-year Longitudinal Study in Japan

  • Mayumi Saiki;Timothy A. Matthews;Norito Kawakami;Wendie Robbins;Jian Li
    • Safety and Health at Work
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    • 제15권1호
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    • pp.59-65
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    • 2024
  • Background: Different job strain formulations based on the Job Demand-Control model have been developed. This study evaluated longitudinal associations between job strain and psychological distress and whether associations were influenced by six formulations of job strain, including quadrant (original and simplified), subtraction, quotient, logarithm quotient, and quartile based on quotient, in randomly selected Japanese workers. Methods: Data were from waves I and II of the Survey of Midlife in Japan (MIDJA), with a 4-year followup period. The study sample consisted of 412 participants working at baseline and had complete data on variables of interest. Associations between job strain at baseline and psychological distress at follow-up were assessed via multivariable linear regression, and results were expressed as β coefficients and 95% confidence intervals including R2 and Akaike information criterion (AIC) evaluation. Results: Crude models revealed that job strain formulations explained 6.93-10.30% of variance. The AIC ranged from 1475.87 to 1489.12. After accounting for sociodemographic and behavioral factors and psychological distress at baseline, fully-adjusted models indicated significant associations between all job strain formulations at baseline and psychological distress at follow-up: original quadrant (β: 1.16, 95% CI: 0.12, 2.21), simplified quadrant (β: 1.01, 95% CI: 0.18, 1.85), subtraction (β: 0.39, 95% CI: 0.09, 0.70), quotient (β: 0.37, 95% CI: 0.08, 0.67), logarithm quotient (β: 0.42, 95% CI: 0.12, 0.72), and quartile based on quotient (β: 1.22, 95% CI: 0.36, 2.08). Conclusion: Six job strain formulations showed robust predictive power regarding psychological distress over 4 years among Japanese workers.

말늦은 아동의 말소리 발달 종단 연구 (A longitudinal study of phonological development in Korean late-talkers)

  • 김수진;이수향;홍경훈
    • 말소리와 음성과학
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    • 제9권4호
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    • pp.115-122
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    • 2017
  • This study attempts to determine the extent to which late talkers are at the risk of delayed phonological development, in order to identify groups at risk and to find factors affecting delayed phonological development. A group of 1,452 children (51% boys, 49% girls) were recruited from the nationwide Panel Study on Korean Children. The current study collected data from 418 children who were previously identified as late-talkers (LT) at their age of three on average (Time 1: expressive vocabulary test) and three years later (Time 2: phonological test). Their phonological outcomes of the Time 2 were analyzed and then compared to those of a group of 1,056 children with typical language development (NLT: no late-talkers) at the age of three in terms of the number of incorrect consonants, and the speech sound disorders rating scores. LT showed a lower articulation score than NLT, and boys showed a lower score than girls. These findings indicate that the late onset of speech and the gender of young children could be potential risk factors of speech sound disorders.

여성장애인 노동시장 진입 영향요인에 관한 종단연구 (A Longitudinal Study on the Influential Factors for the Labor Market Entry of Disabled Women)

  • 박미희
    • 한국콘텐츠학회논문지
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    • 제16권5호
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    • pp.783-801
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    • 2016
  • 본 연구는 여성장애인의 노동시장 진입에 영향을 미치는 요인을 파악하여, 여성장애인의 노동시장 진입을 지원할 수 있는 정책적인 대안을 제시하는 데 그 목적이 있다. 이를 위해서 장애인고용패널조사의 3차부터 7차까지의 종단자료를 활용하여 사건사분석을 실시하였다. 사건사분석을 통해 시간의 변화에 따른 여성장애인의 노동시장 진입이 어떠한 변화유형을 나타내는지, 영향을 미치는 요인은 무엇인지 분석하고자 하였다. 분석결과는 다음과 같다. 첫째, 미취업기간에 따른 노동시장 진입의 변화를 생명표 분석을 통해 분석한 결과, 최장 미취업기간(4년)까지 미취업상태로 남아있는 비율은 90%이고, 노동시장에 진입한 비율은 10%로 나타났다. 둘째, 노동시장 진입에 영향을 미치는 요인을 파악하고자 콕스회귀분석을 한 결 과 기초수급 여부, 장애정도, 구직 시 차별경험 요인이 노동시장 진입에 영향을 미치는 것으로 나타났다. 이러한 결과를 통해 여성장애인의 노동시장 진입 수준을 높이기 위한 실천적 방안을 제안하였다.