• 제목/요약/키워드: 24 week program

검색결과 400건 처리시간 0.029초

건강한 중년 남성에서 커피 음용 습관이 혈중 총 콜레스테롤 값에 미치는 영향 (The Effect of Coffee Consumption on Serum Total Cholesterol Level in Healthy Middle-Aged Men)

  • 신명희;김동현;배종면;이형기;이무송;노준양;안윤옥
    • Journal of Preventive Medicine and Public Health
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    • 제27권2호
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    • pp.200-216
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    • 1994
  • In present study, the authors investigated the possible effect of coffee consumption on serum cholesterol level in 1017 men between the ages of 40 and 59 years, who were randomly selected from the members of Seoul Cohort Study. Serum total cholesterol data was collected with other serologic indices (e.g. systolic blood pressure, diastolic blood pressure, hight, weight, etc.) through the program of biennial health check-up offered by Korean Medical Insurance Corporation (KMIC). The amount of coffee consumption was assessed by a self-administered questionnaire through mailing. Other confounding factors, such as age, body mass index, cigarette smoking, alcohol consumption, physical activity, and other dietary intake pattern were also determined by the questionnaire. The differences in means of serum total cholesterol in compared to non consumers were $-0.4{\pm}3.56mg/dl$ for those drinking less than 1 cup a day, $-0.6{\pm}3.60mg/dl$ for those drinking 1 cup a day, and $7.1{\pm}3.41mg/dl$ for those drinking more than 2 cups a day. Since smoking interacted the relationship between coffee consumption and serum total choleaterol, we re-analyzed those relationship in smokers and non-smokers separately Other atherogenic behaviors were well correlated with total cholesterol, so we adjusted the mean values of serum total cholesterol through multivariate model selection with age(r=0.12), total cigarette index (cigarette-years; r=0.10), Quetelet's index ($Kg/m^2$, r=0.16), daily calory expenditure (kcal/day, r=0.06), weekly meat and poultry consumption(g/week, r=0.05), weekly fish consumption (g/week, r=0.08), other caffeinated beverage intake (cups/week), and the amount of sugar and prim added to the coffee. Among those variables only age, Quetelet's index, fish consumption, and total cigarette index (in smokers) were remained in the models. After adjustment, the corresponing differences of total cholesterol in smokers were changed to $0.4{\pm}5.24mg/dl,\;-0.5{\pm}4.97mg/dl,\;and\;8.9{\pm}4.78mg/dl$, which were significantly different among themselves (P=0.011). In non-smokers, however, the differences were not statistically significant (P=0.76). Adjusted mean values of systolic blood pressure and diastolic blood pressure were also determined to evaluate the direct effect of coffee to cardiovascular system, but their means were not significantly different by coffee consumption(p=0.18 for SBP, p=0.48 for DBP). Asuming instant coffee in the most popular type of coffee in Korea, the association observed in our study between coffee and serum total cholesterol, especially in smokers, is very interesting finding for the connection between coffee and serum total cholesterol, because only 'boiled coffee' tend to show significant lipid raising effect rather than to other types of coffee, like filtered or espresso, in most of the western countries. We concluded that people who drink coffee more than 2 cups a day have significantly higher serum total cholesterol level than those who never drink coffee, especially in smokers.

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과체중·비만인에서 필라테스 운동 순응도에 따른 식생활 변화, 체구성, 신체 균형도 및 대사지표 개선효과 (Changes in body composition, body balance, metabolic parameters and eating behavior among overweight and obese women due to adherence to the Pilates exercise program)

  • 김현주;박지현;하미리;김예진;김채린;김오연
    • Journal of Nutrition and Health
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    • 제55권6호
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    • pp.642-655
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    • 2022
  • 본 연구는 과체중 및 비만 또는 복부비만 성인을 대상으로 8주간 중강도 수준의 필라테스 운동 후 필라테스 운동의 순응도에 따른 신체조성, 균형능력 및 기초대사 지표의 변화를 확인하였고, 식생활습관 개선교육후 영양지수의 변화도 함께 살펴보았다. 필라테스 운동에 대한 순응도가 높은 군이 순응도가 낮은 군에 비해 신체의 균형도와 체구성에 더 긍정적인 변화를 보였고 더불어 혈관노화지수도 유의적으로 개선되었고 공복혈당과 당화혈색소가 유의적으로 개선되었다. 그러나 필라테스 운동에 대해 순응도가 낮은 군이라도 실시하지 않았던 것에 비해서 신체균형도, 체질량지수 및 피하지방 면적은 유의적으로 개선되었다. 이는 순응군과 비순응군 모두에서 영양지수가 개선된 것과, 순응도 여부에 관계없이 전체 대상자에서 식생활 교육 후에 하루 식사횟수, 아침식사횟수, 식사의 규칙성, 과식 및 외식횟수 등이 긍정적인 방향으로 변동된 것과 관련이 있을 것으로 판단된다. 따라서, 본 연구는 필라테스 운동과 식생활 개선교육을 포함한 전반적인 생활습관의 개선을 통해 과체중 이상의 여성에서 유의미한 개선 결과가 있음을 보여주고 있다. 더불어 식생활습관 개선 교육만으로도 어느정도 비만관련 지표의 개선에 영향을 줄 수 있을 것이며, 필라테스 운동을 함께 실시했을 때에는 그 개선 효과가 좀더 잘 관찰되는 것으로 판단된다.

다감각스토리텔링 기반의 활동중심중재가 뇌성마비 아동의 사회적 상호작용에 미치는 영향 (Effects of the Multisensory Storytelling-Based Activity-Oriented Intervention on Social Interaction in Children with Cerebral Palsy)

  • 이은정;권해연
    • 감성과학
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    • 제24권4호
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    • pp.139-148
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    • 2021
  • 본 연구의 목적은 뇌성마비 아동에게 다감각스토리텔링에 기반한 활동중심중재를 적용하고 사회적 상호작용에 미치는 영향에 대해 알아보는 것이다. 유사실험연구로 단일눈가림, 두 집단 사전-사후검사로 설계하였고, 경직형 뇌성마비로 진단받고, 대동작기능분류체계(GMFCS) I~III단계에 속하는 7~8세 아동 24명을 대상으로 하였다. 실험군과 대조군에 12명씩 무작위 배정하고 아동과 보호자는 집단이 어디에 속하는지 알 수 없도록 하였다. 집단별 프로그램은 회기당 60분, 주 2회, 8주간, 총 16회기 동안 진행되었고, 실험군은 다감각스토리텔링에 기반한 활동중심중재를 하였고, 대조군은 구조화된 신체활동을 실시하였다. 아동의 중재 전과 후에 사회적 상호작용의 변화정도를 확인하기 위해 또래관계기술척도를 사용하여 측정하였다. 수집된 자료는 SPSS 25.0 for windows (IBM Corp, USA) 프로그램을 이용하여 분석하였고, 통계적 검증을 위한 유의수준(α)은 0.05로 하였다. 실험군과 대조군의 또래관계기술의 집단 내 변화는 윌콕슨부호순위검정(Wilcoxon Signed-Rank test)으로 확인하고, 두 집단 간 변화량 차이의 비교는 맨휘트니검정(Mann-Whitney U test)으로 분석하였다. 연구결과 또래관계기술의 집단 내 변화에서 또래관계기술의 전체 값과 하위평가의 협동과 공감영역에서 실험군과 대조군 모두 유의한 차이가 있었고, 주도성 영역에서는 실험군은 유의한 차이를 나타냈으나 대조군은 유의한 차이가 없었다. 두 집단 간 변화량 차이에서 또래관계기술의 하위평가의 주도성영역과 전체 값에서 유의한 차이를 나타냈고, 협동과 공감 영역에서는 유의한 차이가 없었다. 본 연구에서는 뇌성마비 아동을 대상으로 다감각스토리텔링에 기반한 활동중심중재를 적용하여 또래관계기술에 유의한 향상을 확인하였다. 다감각스토리텔링에 기반한 활동중심중재는 뇌성마비 아동의 사회적 상호작용에 효과적인 중재방법으로 제안할 수 있다.

중학생들의 치매에 대한 지식수준 및 학교보건교육의 필요성 (A Study on Middle School Students' Recognition Level for Dementia and Necessity of School Health Education)

  • 문기내;배향선
    • 한국학교ㆍ지역보건교육학회지
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    • 제8권2호
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    • pp.19-34
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    • 2007
  • Background & Objectives: The current study aims to convey correct knowledge of dementia that is be on the rise as the most significant social problem and provide basic data for implementing immediate school health education for dementia which is the basis of improving quality of life for patients with dementia, their family and the society by analyzing recognition level for dementia among male and female students in the 2nd grade of middle school and the necessity of school health education for dementia. Methods: The current study conducted a survey with a total of 150 students. 25 male and female students respectively selected from three middle school taking into account regional characteristics. The study also processed the survey results using SPSS-PC Program 12.0 and gained the following results by implementing Frequency Analysis. Cross-tabulation Analysis and ANOVA Analysis. Results: As for respect for grandparents, 55.3% of the respondents said they respect their grandparents. while 39.3% answered so-so and 5.3% said they don't respect their grandparents. As for the number of they meet grandparents, 36.0% of the respondents said they meet grandparents once or twice a month, which was the most frequent answer. On the other hand, 24.7% are once or twice every six months, 13.3% are once or twice a year and a week, respectively, and 6.7% said that they seldom meet their grandparents. In a question about whether they had recognized dementia after explaining dementia in detail, 82.7% said' yes' while 17.3% said' no'. But few students recognized it when they were asked using a terminology' dementia' first. The average score of knowledge level integrating the most fundamental 16 questions about dementia was $11.20{\pm}1.73$. Also 83.3% of the respondents answered that they had no experience in health education about dementia while 16.7% said presented positive answers. In the necessity of health education about dementia, 73.3% of them said' necessary' while 21.3% said' so-so' and 5.3% said 'not necessary. Conclusions: From the above study results, it was found that it is time to emphasize the necessity and importance of school health education for improving respect for the old and a sense of responsibility for support and converting recognition for dementia in Korea that has social structure of the trend toward the nuclear family and heads for an aged society. However, the fact that the above things are not implemented at all in reality can expand disparate views among family members in the future and further can cause even more serious problem by neglecting senior problems. Therefore, the government, social organizations, especially school organizers should recognize the necessity and importance of school health education and actively begin cultivations of students' character by implementing the education about dementia at the early stage.

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전신진동운동이 드랍랜딩점프 동작에 미치는 영향 (Effect of Whole Body Vibration Training in Drop Landing Jump)

  • 홍수연;장영관;김진현
    • 한국산학기술학회논문지
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    • 제19권3호
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    • pp.423-429
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    • 2018
  • 연구목적 본 연구의 목적은 전신진동운동(whole body vibration exercise)이 드랍랜딩점프(drop landing jump) 동작에 미치는 영향을 규명하는 것으로 진동운동그룹(n=5, VEG, Vibration Exercise Group)과 단순운동그룹(n=5, OEG, Only Exercise Group)을 4주 동안 트레이닝 시킨 후 운동 전과 운동 4주 후 변화를 비교 분석하였다. 실험방법 3차원 영상 데이터는 10개의 적외선카메라(Vicon, UK)를 샘플링 율, 100 Hz.를 사용하여 획득하였으며, 하지 관절의 파워는 2대의 지면반력기(AMTI, USA)를 샘플링 율 1000Hz.로 데이터를 획득 하였다. 연구결과 첫째, 무게중심의 변동성은 하강국면에서 가장 크게 나타나 점프 후 착지 시 상해위험성이 큰 것으로 나타났다. 둘째, 진동운동그룹은 훈련기간에 관계없이 단순운동그룹보다 점프높이가 증가하였다. 셋째, 운동그룹간의 관절파워가 4주 훈련 후 엉덩관절 P1(굴곡)과 무릎관절 P2(신전)에서 통계적으로 유의한 차이를 보였으나, 훈련기간에 따른 하지의 관절파워는 모든 국면과 운동그룹에 관계없이 통계적으로 유의한 차이를 보이지 않았다. 결론 훈련기간에 관계없이 진동과 운동을 병행한 진동운동그룹이 운동만을 수행한 단순운동그룹보다 점프높이에 증가를 가져왔으나 점프높이와 하지의 관절 파워와의 일관성 규명할 수 없었다.

뇌성마비 아동의 감각통합 중재 연구에 대한 체계적 고찰과 메타분석 (A Systematic Review and Meta-analysis of Sensory Integration Intervention Studies in Children with Cerebral Palsy)

  • 김은주;최유임
    • 디지털융복합연구
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    • 제11권4호
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    • pp.383-389
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    • 2013
  • 이 연구는 뇌성마비아동을 대상으로 감각통합중재를 실시한 연구에 대한 체계적 고찰과 메타분석을 통해 근거기반실제를 위한 자료를 제시하는 것이었다. 이를 위해 분석대상 논문을 선정한 후 집단실험설계 연구에 대해서는 메타분석을 통해 효과크기를 알아보았다. 분석대상 연구는 총 24편으로, 사례연구 7편, 단일대상연구 3편, 집단실험설계 연구 14편(무작위 임상실험설계 5편, 두 집단 비무작위연구 3편, 단일집단 비무작위연구 6편). 메타분석을 통해 실험연구의 전체 효과를 알아본 결과 0.272의 중간크기로 나타났다. 종속변수는 소근육 운동발달이, 출판여부는 출판된 논문이, 연구 설계는 두 집단 비무작위연구에서 효과크기가 가장 크게 나타났다. 또한 유아가 아동보다, 감각통합중재 프로그램은 기간이 8주, 횟수는 주5회, 시간은 90분에서 효과크기가 가장 크게 나타났다. 뇌성마비아동을 대상으로 한 감각통합중재는 중간 정도의 효과가 있는 것으로 나타났으나, 감각통합의 효과를 알아보기 위해서는 연구물의 축적이 좀 더 이루어져야 할 것으로 생각된다.

여성의 건강을 위한 간호전달체계 모형개발 - 조산원 중심으로 - (Model Development of Nursing Care System for Women's Health : Based on Nurse-Midwifery Clinic)

  • 박영숙
    • 여성건강간호학회지
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    • 제5권1호
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    • pp.133-145
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    • 1999
  • The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.

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의사 탑승 헬기를 이용한 산악 응급 환자 이송: 시범 연구 (Physician-staffed Helicopter Transport for Mountain-rescued Emergency Patients: a Pilot Trial)

  • 박정호;신상도;이의중;박창배;이유진;김경수;박명희;김한범;김도균;권운용;곽영호;서길준
    • Journal of Trauma and Injury
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    • 제25권4호
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    • pp.230-240
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    • 2012
  • Purpose: We aimed to compare the transport time, the proportion of direct hospital visit and the emergency procedures between the current mountain rescue helicopter emergency medical service (HEMS) and physician-staffed mountain-rescue HEMS. Methods: During weekends from October 2, to November 21, 2010, 9 emergency physicians participated as HEMS staff in the mountain-rescue HEMS program of the Seoul fire department. Patient demographic data, transport time, proportion of direct hospital visits, and emergency procedures were recorded. We also collected data on HEMS mountain-rescued patients from June 1, to September 1, 2010, and we compared them to those for the study patients. After an eight-week trial of the HEMS, we performed a delphi survey to determine the attitude of the physician staff, as well as the feasibility of using a physician staff. Results: Twenty-four(24) patients were rescued from mountains by physician-staffed HEMS during the study period, and 35 patients were rescued during the pre-study period. Patient demographic findings were not statistically different between the two groups, but the transport time and the emergency procedures were. During the study period, the time from call to take-off was $6.1{\pm}4.1min$ (vs. $12.1{\pm}8.9min$ during the pre-study period, p-value=0.001), and the time from call to arrival at the scene was $15.0{\pm}4.8min$ (vs. $22.3{\pm}8.1min$ during the pre-study period, p-value=0.0001). The proportions of direct hospital visit were not different between the two groups, but more aggressive emergency procedures were implemented in the study group. The delphi survey showed positive agreement on indications for HEMS, rapidity of transport and overall satisfaction. Conclusion: A pilot trial of physician-staffed HEMS for mountain rescue showed rapid response and more aggressive performance of emergency procedures with high satisfaction among the attending physicians.

침전극저주파 자극이 해마의 세포사 차단에 미치는 영향 (The Effects of Needle Electrode Electrical Stimulation on Cellular Necrosis Blocking the Hippocampus after Induction of Ischemia)

  • 이정숙;김병기;김성원;김지성;김동일;송치원
    • 동의신경정신과학회지
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    • 제20권2호
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    • pp.111-120
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    • 2009
  • Objectives : This study was performed to investigate the effects of Needle Electrode Electrical Stimulation (NEES) on ischemia-induced cerebrovascular accidents. After obstruction and reperfusion of ${\ast}{\ast}$ arteries in white mice, the amounts of necrosis and inflammation related substances IL-6, Caspase-3, and PARP, C-fos were measured in neurons of the hippocampus. The following results were obtained. Methods : This study used 21 male specific pathogen free (SPF) SD (Sprague Dawley) rats, 8 weeks of age and approximately 300 g in weight, that were given at least 1 week to adapt to the lab environment Each exposed artery was completely occluded with non-absorbent suture thread and kept in that state for 5 minutes. The sutures were then removed to allow reperfusion of blood. Test group is control group for comparison with the common carotid artery occlusion models, a GI group that underwent common carotid artery occlusion, and a needle electrode electrical stimulation (NEES) group that underwent NEES after artery occlusion. The GI and NEES groups were given 12, 24, or 48 hours of reperfusion before NEES. NEES device (PG6, ITO, Japan, 9V, current, 2Hz) was used to stimulate the right and left acupoint ST36 of the SD rats for 30 minutes while they were sedated with 3% isoflurane. An immunohistochemistry test was done on the forebrains of the GI induced rats. All the data collected from this study was symbolized and analyzed using a statistics processing program (SPSS 12.0K/PC). The level of significance was set at ${\alpha}$=0.05 and a T-TEST analysis was used to find out the effects of treatment on each of the groups: the normal group, the CVA induced group, and the treatment after CVA induction group. Results : Both PARP and C-fos immuno-reactive cells, related to apoptosis, were greater in the GI groups than the NEES group. Caspase and IL-6 immuno-reactive cells, related to inflammation, were greater in the GI and NEES groups than the control group. Conclusions : This research was conducted to study the effects of NEES on CVA due to ischemia. Occlusion and reperfusion was performed on the common carotid arteries of white rats, after which amounts of substances related to neuron necrosis and inflammation - PARP, IL-6, Caspase-3, and C-fos - were measured in the Hippocampus

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친환경농산물 소비행태 조사 -대형할인마트 고객을 중심으로- (A Survey of Consumer's Consumption Characteristics of Environmental-Friendly Agricultural Products (EFAP) -Focused on Consumers in Discount Stores-)

  • 이유시;홍미현;류경;김애정;하상도
    • 한국식품위생안전성학회지
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    • 제24권2호
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    • pp.111-123
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    • 2009
  • 본 연구는 소비자들의 친환경농산물 소비 성향을 조사하여 친환경농산물의 생산과 유통을 활성화하고 친환경 농업의 지속 가능한 발전 방향을 모색하고자 하였다. 그 결과 전체의 90.4%가 친환경농산물에 대해 알고 있는 것으로 조사되었으며 응답자의 대부분이 방송, 언론 등을 통해서 친환경농산물의 정보를 얻는 것으로 나타났고 76.4%가 친환경농산물을 구입한 경험이 있는 것으로 나타났다. 친환경농산물 구매경험군은 주1회 구매, 구매이유는 농약 등 유해물질로부터 안전해서, 친환경농산물 구입비가 차지하는 비율은 월 식품비의 20% 미만, 주로 구입하는 친환경농산물의 종류는 엽채류, 과일류 순이며, 구입처는 대형할인매장과 농협직판장이었다. 일반농산물과 비교하여 영양적 품질, 관능적 품질, 안전성에 대한 인식은 우수하다고 나타났으나 가격에 대한 만족은 낮았으며, 유통상의 문제점은 생산, 제조자의 낮은 신뢰성이었다. 친환경농산물 비구매경험군의 소비행태를 조사해 본 결과 일반농산물과 비교하여 영양적 품질, 관능적 품질, 안전성에 대한 인식은 우수하다고 나타났으나 일반농산물에 비해 20-30% 정도 비싸기 때문에 가격에 대한 만족도는 낮았다. 선뢰성 확보방안으로 생산자에 대한 지도단속 강화가 가장 필요하였으며, 가격, 품질 등 문제 해결 시 93.2%가 구입할 의사가 있는 것으로 나타났다. 실태조사 결과, 첫째는 소비자의 신뢰성을 확보하여야 할 것이고, 둘째로는 소비 확대를 위해 가격 경쟁력을 확보하며, 마지막으로는 생산 제품의 종류 및 품목수가 다양화되기를 제언하고자 한다.