• Title/Summary/Keyword: Aging Index

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Characteristics of Sleep Apnea Syndrome in the Elderly in a Clinical Setting (나이에 따른 수면무호흡증 임상적 특성의 변화)

  • Shin, Yoon-Kyung;Yoon, In-Young;Hong, Min-Chul;Yun, Yong-Don
    • Sleep Medicine and Psychophysiology
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    • v.12 no.1
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    • pp.39-44
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    • 2005
  • Objectives: Much attention has been paid to sleep apnea syndrome (SAS) in the elderly because of its high prevalence. It is expected that SAS in the elderly has both similarities and differences compared to SAS in the young or middle-aged populations. The aim of this study was to elucidate the characteristics and consequences of SAS in the elderly. Methods: In this study we included 210 young or middle-aged adults between 23 and 59 years (20 women and 190 men) and 65 older adults between 60 and 83 years of age (16 women and 49 men). Respiratory disturbance indices (RDIs) of the study subjects were more than 5 in an overnight polysomnography. They completed the Epworth Sleepiness Scale (ESS) and Pittsburgh Sleep Quality Index (PSQI). Informations about body mass index (BMI), neck, waist, and hip measurements, and blood pressure were obtained. Results: No difference was observed between older adults with SAS (older SAS) and adults aged under 60 with SAS (SAS aged under 60) in RDI, apnea index, % time of oxygen saturation less than 90%, and PSQI. Obstructive apnea index and oxygen desaturation index (ODI) were lower in older SAS. Compared to SAS aged under 60, lowest oxygen saturation and central apnea index were higher in older SAS, but they were statistically not significant. BMI and neck circumference were significantly lower in older SAS compared to SAS aged under 60. Diastolic blood pressure was lower in older SAS compared to SAS aged under 60 with no difference in systolic blood pressure. Older SAS showed lower scores in ESS than SAS aged under 60. Significant correlation was observed between RDI and BMI in SAS aged under 60, but not in the case of older SAS. The relationships between RDI and neck circumference, systolic and diastolic pressure, and ESS were similar. Conclusions: The elderly with SAS were not over-weight and there was no relationship between body weight and the severity of SAS. Also, the behavioral and cardiovascular effects of SAS were not marked in the elderly, which might be partly explained by decreased ODI and relatively higher lowest oxygen saturation in older SAS. The normal aging process, aside from increased body weight, might contribute to the development of SAS in the elderly with modest complications.

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A Study on the Street Facilities for the Sustainability Improvement of the Coastal Street - Focused on the Street Facilities around Jeju Island Beach - (해안 가로의 지속가능성 향상을 위한 가로 시설물 연구 - 제주도 해수욕장 주변 가로시설물을 중심으로 -)

  • Kim, Ja Kyung
    • Korean Institute of Interior Design Journal
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    • v.26 no.4
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    • pp.42-56
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    • 2017
  • In Korea, which has three sides of the sea, various waterfront spaces are being developed and developed along with various coastal landscapes. However, there are a lot of cases that do not consider the regional characteristic of the coast or the characteristic of the coastal landscape. In many cases, the street facilities cause the landscape degradation and the use inconvenience because of incongruity with the scenery, aging and lax management. Therefore, it is necessary to reflect the specificity of the coastal landscape in planning and directing the street facilities, harmonizing with the surrounding natural environment, and consideration of sustainability. However, there is no research or planning index for sustainable street facilities considering the coastal characteristics. Therefore, this study suggests plan elements to improve the sustainability of the street facilities on the shore and proposes them as basic plan elements, and suggests what kind of improvements should be made to improve the sustainability of coastal facilities in Korea. Based on the plan elements derived from the plan, we checked the problems and complementary points of coastal street facilities in Korea by analyzing the current status of the street facilities around the Jeju Island beach from a sustainable point of view, and suggested plan indicators that should be supplemented to improve sustainability. We surveyed the street facilities such as walkway blocks, benches, pagoda, drinking fountain, trash cans, bicycle shelters, fences, guide maps, streetlights, and shower rooms in 10 beaches in Jeju Island. This study analyzed the sustainability characteristics of the each factor of these facilities by surveying the reflectivity of the 23 plan indicators from the six aspects derived from the sustainability planning factor as conformity, partial reflection, non - reflection, and nonconformity. The results of the analysis showed that the functional aspect was the highest with 68.3%, the material aspect (53%), the landscape aspect (22.3%), the productive aspect (14.7%) and the morphological aspect (12.2%), and maintenance / management (10.6%). In addition, the facilities with the lowest fitness in each aspect are bicycle shelter in landscape aspect, bicycle storage box and trash can in form aspect, shower room in material aspect, trash can in functional aspect, showroom, guide maps and drinking fountain in product aspect, showroom In maintenance aspect. In order to improve the sustainability of coastal facilities in the future, it is necessary to complement the administrative and landscape aspects. In coastal facilities, it is necessary to consider the sustainability planning index, especially for showers, taking into account the specificity of beaches. Consideration should be given to various aspects of sustainability for bike shelters and trash facilities. Through this study, we have proposed the plan elements to systematize, supplement, and improve the planning index for sustainability improvement in coastal facilities planning.

An Analysis on the Operation Productivity and Initial Growth of Containerized Seedlings Planted by the Lightweight Planting Auger (경량식혈기를 이용한 용기묘 식재의 작업공정 및 초기생장 분석)

  • Ko, Chi-Ung;Kim, Dong-Hyun;Lee, Kwan-Hee;Kim, Jin-Hyun;Kim, Dong-Geun
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.19 no.6
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    • pp.77-86
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    • 2016
  • Due to aging of the rural and mountain populations the labor force is reduced. However work intensity continues to increase, thus, there is a need to improve the current effectiveness of forest operations. This study compared and analyzed the Operation productivity and efficiency of planting containerized seedlings using a battery-powered planting auger and a mattock. Growth was also investigated by looking into the initial growth increments in the planted seedlings. Tasks were investigated by analyzing the process and operation time needed to plant 1 containerized seedling using a planting auger and a mattock. The time spent on the various elements of the planting process was measured with a stopwatch but observations were done continuously. Result of the study shows that with the use of a lightweight planting auger the average time spent to plant a containerized seedling is 18.61 seconds while with the use of a mattock it took an average of 26.96 seconds which clearly demonstrates that the planting auger is more efficient in terms of working hours. Working intensity was also analyzed with the use of a portable heart rate monitor (Polar V800). The average increase in heart rate and work intensity index were analyzed for one planting cycle. It was observed that when using the lightweight planting auger, there was a 46.51% increase in the average heart rate while a 74.67% increase in heart rate when the mattock was used which shows that there is a significant increase in heart rate when mattock is used. In addition, work intensity index was observed to be 29.95% and 47.83% when the planting auger and mattock were used respectively. With the continuous use, work intensity index is significantly higher with the use of the mattock as compared to that of the lightweight planting auger. There were no significant differences on the growth increment of seedlings planted using the different tools until a year after planting, however differences in growth increment were observed after a year. A difference of 15.1 cm in height and 3.41 mm in diameter was observed which shows that the use of lightweight planting auger is excellent for planting containerized seedlings.

Epidemiology, Incidence and Mortality of Bladder Cancer and their Relationship with the Development Index in the World

  • Mahdavifar, Neda;Ghoncheh, Mahshid;Pakzad, Reza;Momenimovahed, Zohre;Salehiniya, Hamid
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.1
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    • pp.381-386
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    • 2016
  • Background: Bladder cancer is an international public health problem. It is the ninth most common cancer and the fourteenth leading cause of death due to cancer worldwide. Given aging populations, the incidence of this cancer is rising. Information on the incidence and mortality of the disease, and their relationship with level of economic development is essential for better planning. The aim of the study was to investigate bladder cancer incidence and mortality rates, and their relationship with the the Human Development Index (HDI) in the world. Materials and Methods: Data were obtained from incidence and mortality rates presented by GLOBOCAN in 2012. Data on HDI and its components were extracted from the global bank site. The number and standardized incidence and mortality rates were reported by regions and the distribution of the disease were drawn in the world. For data analysis, the relationship between incidence and death rates, and HDI and its components was measured using correlation coefficients and SPSS software. The level of significance was set at 0.05. Results: In 2012, 429,793 bladder cancer cases and 165,084 bladder death cases occurred in the world. Five countries that had the highest age-standardized incidence were Belgium 17.5 per 100,000, Lebanon 16.6/100,000, Malta 15.8/100,000, Turkey 15.2/100,000, and Denmark 14.4/100,000. Five countries that had the highest age-standardized death rates were Turkey 6.6 per 100,000, Egypt 6.5/100,000, Iraq 6.3/100,000, Lebanon 6.3/100,000, and Mali 5.2/100,000. There was a positive linear relationship between the standardized incidence rate and HDI (r=0.653, P<0.001), so that there was a positive correlation between the standardized incidence rate with life expectancy at birth, average years of schooling, and the level of income per person of population. A positive linear relationship was also noted between the standardized mortality rate and HDI (r=0.308, P<0.001). There was a positive correlation between the standardized mortality rate with life expectancy at birth, average years of schooling, and the level of income per person of population. Conclusions: The incidence of bladder cancer in developed countries and parts of Africa was higher, while the highest mortality rate was observed in the countries of North Africa and the Middle East. The program for better treatment in developing countries to reduce mortality from the cancer and more detaiuled studies on the etiology of are essential.

The Effect of Isoflavone and Gamma-linolenic Acid Supplementation on Serum Lipids and Menopausal Symptoms in Postmenopausal Women (폐경 후 여성에서 이소플라본과 감마 리놀렌산의 보충 섭취가 혈중 지질 농도 및 갱년기 증상에 미치는 영향)

  • Gwak, Jung-Hyun;Kim, Ji-Young;Kim, Hyae-Jin;Shin, Dong-Hyeok;Lee, Jong-Ho
    • Journal of Nutrition and Health
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    • v.43 no.2
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    • pp.123-131
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    • 2010
  • This study was performed to examine the combined effects of gamma linolenic acid and isoflavone supplementation on menopausal symptoms and serum lipids in 73 postmenopausal women. A total subjects were randomly assigned to isoflavone (30 mg) + gamma-linolenic acid (110 mg) group or placebo group. We measured menopausal symptoms by modified Kupperman Index (KI) and oxidized LDL, lipid peroxides, blood components and anthropometric parameters before and after the 12 week intervention period. After the 12 weeks of supplementation, supplement group and placebo group showed a significant reduction of modified kupperman index (p < 0.001). Isoflavone (30 mg) + gamma-linolenic acid (110 mg) supplement group showed a significant reduction of oxidized LDL cholesterol concentration (p = 0.006) whereas placebo group did not show significant change. Isoflavone and gamma-linolenic acid consumption did not significantly affect plasma concentrations of total, LDL, HDL cholesterol, triglyceride, apo A1, B and blood components. The result of present study demonstrated the supplementation of 30 mg isoflavone and 110 mg gamma-linolenic acid per day for 12 weeks may protect LDL cholesterol from oxidative stress.

Studies on Quantitative Analysis of Salivary Gland using Computed Tomography (전산화단층사진을 이용한 타액선의 정량분석에 관한 연구)

  • Lee Sang-Chul;Lee Sam-Sun;Heo Min-Suk;Choi Soon-Chul;Park Tae-Won;You Dong-Soo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.29 no.1
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    • pp.209-221
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    • 1999
  • Purpose: The purpose of this study was to calculate the size and CT number of both normal parotid and submandibular gland. and evaluate their relation to sex, age and obesity using computed tomography. Materials and Methods: The computed tomography was performed parallel to the Frankfurt plane in 46 subjects with healthy salivary gland. The subjects were divided into the three groups (young, middle. old) according to their ages. The size of salivary gland was determined as maximum cross-sectional area and the CT number of salivary gland was determined as the mean CT number of three ROI's. The body mass index was calculated from weight and height. Results: The mean maximum cross-sectional area was 7.79(±1.25)cm² on parotid gland and 4.12(±0.83) cm² on submandibular gland. The mean CT number was -4.43(±23.87) HU on parotid gland and 50.01(±15.63) HU on submandibular gland. There was decreasing pattern of the maximum cross-sectional area of submandibular gland and the CT number of both parotid and submandibular gland according to age(p<0.05). As the body mass index increased. the maximum cross-sectional area of parotid gland increased and CT number of both parotid and submandibular gland decreased(p<0.05). The maximum cross-sectional area of submandibular gland in male was larger than that in female(p<0.05). As the maximum cross-sectional area and CT number of left salivary gland increased. those of right gland increased(p<0.05). Conclusion : Intra-individual differences in salivary gland size and CT number is considered in the age and individual obesity.

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Preliminary Research of the effect of Korean Herbal Cosmetic on Quality ofLife based on Dermatology Life Quality Index(DLQI) in Healthy Women (한방화장품이 건강한 성인 여성의 삶의 질에 미치는 영향에 관한 예비 연구)

  • Cho, Ga-Young;Park, Hyo-Min;Kwon, Lee-Kyung;Cho, Sung-A;Kang, Byung-Young;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.28 no.4
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    • pp.111-121
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    • 2015
  • Objective : The aim of this study is to assess the effect of Korean Herbal Cosmetic on quality of life (QoL) of Korean Herbal Cosmetics Using Dermatology Life Quality Index (DLQI) stratified by blind versus non-blinded option.Methods : Forty five healthy females aged 30's to 40's were recruited for this study. Volunteers were divided into two groups : Group A (n=22) was provided an anti-aging cream with ginseng extract in the original packaging including the brand name and logo. Group B (n=23) were provided same cream in a plain white normal jar without any package decoration or logo.Results : All females except two volunteers in group A completed a DLQI questionnaire, baseline, after 4 weeks and 8 weeks of treatment. The baseline of DLQI scores of all groups was 3.23±2.72. There was a significant difference in DLQI scores between before, 4 weeks and 8 weeks after in both groups ; The scores changed from 4.25±3.45 to 0.95±1.15 at 4 weeks, 1.00±1.72 at 8 weeks in group A, The scores of group B changed from 2.35±1.47 to 0.83±1.23 at 4 weeks, 0.65±0.98 at 8 weeks. But both had no interaction effect between follow up times and groups. Subscale DLQI scores improved after 4weeks were 'Symptoms and feelings', only in group BConclusions : Both groups showed significant improvements in QoL quality scores evaluated by DLQI. However, interaction was not observed for whether the participants knew the brand and content of the cream.

Social Welfare Policy Expansion and Generational Equity: Generational Accounting Approach (복지지출 확대가 세대 간 형평성에 미치는 효과 분석: 세대 간 회계를 이용한 접근)

  • Chun, Young Jun
    • KDI Journal of Economic Policy
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    • v.34 no.3
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    • pp.31-65
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    • 2012
  • We study the sustainability of the current fiscal policy of Korea, and the effects of the social welfare policy expansion, which has been recently discussed among the political circles, on the government budget and the generational equity, using generational accounting. We follow the generational accounting approach, considering the fact that most of the social welfare policies are the entitlement programs, which imposes the limitation of the policy maker's discretion to control the cost of their provision. The social welfare expenditure will change due to the change in the policy environments of the future, such as population aging. Therefore, we need to take into account the government cash flow of the future as well as of the present to investigate its effects on the fiscal sustainability, which implies that the national debt or the budget balance is not a proper index for the investigation. Our findings are as follows. The current fiscal policies are not sustainable, and the long-term budgetary imbalance is shown very serious. The required tax adjustment, which is defined as the percentage change of tax burden required to attain the long-term budgetary balance, is very large. Unless the level of the government expenditure is properly controlled, the tax burden and the social contribution level will rise to the untolerable level. Moreover, the expansion of the social welfare policies, which has been discussed among the political circles, will substantially increase the fiscal burden of the future generations. Even though the provision of the free lunch to the primary and the secondary school students, the free child care, and the discounted college tuition do not increase the fiscal burden much, because their magnitude at present is not large and will decrease due to the decrease in the number of the newborns and the students resulting from the fall in the fertility rate, that of the free health care service will increase tax burden of the future generations very much, because the magnitude of the government expenditure needed at present is very large and the population aging will further increase the magnitude of the health care expenditure. The findings indicate that the structural reforms, to prevent the explosive increase in the social welfare expenditure in the future, are necessary before the implementation of the welfare policy expansion. In particular, the cost control of the social transfers to the elderly needs to be made, because the speed of the population aging of Korea is among the highest in the world. The findings also indicate that the budget balance or the national debt can cause the fiscal illusion, which makes the Korean government budget look sound, even though the fiscal policy will rapidly increase the social welfare expenditure in the future, as the population ages. The generational accounting, which takes into account the cash flow of the future as well as of the present, unlike the budgetary balance and the national debt, which shows the results of the government financial activities of the past and the present, is a useful method to overcome the fiscal illusion.

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A Comparison of Upper Body Sizes and Body Types of Women in Their 20s and 30s-40s - Identifying Problems Generated by Preferences of Women in Their 30s and 40s for Young Casual Brands - (20대와 30~40대 여성의 상반신 신체치수 및 체형 비교 연구 - 30, 40대 여성의 영캐주얼 브랜드 선호 현상에 따른 문제점 파악을 중심으로 -)

  • Kim, Eun-Kyong
    • Journal of the Korea Fashion and Costume Design Association
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    • v.18 no.2
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    • pp.15-33
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    • 2016
  • Women in their 30s and 40s, who are at the center of "ageless" and "down-aging" consumer trends, are likely to encounter problems with fitting and size conformity when they wear casual clothes targeting women in their 20s. Hence, differences in upper body sizes and body types between women in their 20s and women in their 30s and 40s were analyzed. The data for this study was from the 6th Size Korea survey of body measurements of 1,675 female adults in their 20s-40s. SPSS 21.0 for Windows was used for analysis of the collected data. To examine differences in average upper body size between women in their 20s and women in their 30s and 40s, descriptive statistics and independent sample t-tests were conducted. Factor and cluster analyses were used to classify body types by age groups. Comparing direct measurement items showed that women in their 20s tend to have higher average values for most height-related items-including body height-and lower average values for circumference, thickness, and width than women in their 30s and 40s. Factors in determining the upper body shapes of women in their 20s to 40s were narrowed to five; through a cluster analysis, upper body shapes of women were classified into three body types as follows. Type 1 women are shorter and thinner with small frames; Type 2 women have the highest vertical values for their upper bodies and average values for obesity-related categories of circumference, thickness, and width. Type 3 women are the shortest and has the highest body mass index (BMI), verifiable as obese. By analyzing differences in body type distribution according to age groups, it was found that more than 90% of women in their 20s belong to Types 1 and 2. On the other hand, most women in their 30s and 40s are identified as Type 3.

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A Study on Anti-aning of Electroacupuncture at Joksamni($ST_{36}$) in Rats (족삼리(足三里) 전침(電鍼)이 흰쥐의 노화(老化)에 미치는 영향(影響))

  • Lee, Jun-Seong;Yim, Yun-Kyoung;Kim, Young-Il
    • Journal of Acupuncture Research
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    • v.24 no.3
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    • pp.145-161
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    • 2007
  • Objectives : The purpose of this study is to investigate the effect of electroacupuncture at Joksanmi($ST_{36}$) on Rat's aging by experimental methods. Methods : The author performed several experimental procedures to observe the effects of the EC-HAS at the arthritis. First, I measured the cell survival rate of the mice lung fibroblasts. Second, the incidence rate of arthritis and arthritis index of CIA were analyzed. Third, the levels of IL-6, $INF-{\gamma}$ , $INF-{\alpha}$ , $IL-1{\beta}$, IgG, IgM and anti-collagen II were measured in serum and the level of $INF-{\gamma}$, $INF-{\gamma}$/IL-4 ratio in the CIA mouse spleen cell culture. Fourth, histological analysis of the mice joint was performed. Fifth, the expression ratio of $CD3e^+$ cells to $CD19^+$ cells, $CD4^+$ cells to $CD8^+$ cells, $CD11a^+CD19^+$ cells, $CD4^+CD25^+$ cells, $CD3^+CD69^+$ cells, and $CD11b^+Gr-1^+$ cells were checked. Results: 1. The hematocrit was meaningfully (p<0.01, p<0.05) decreased in $ST_{36}$ group in comparison with the control and sham group. 2. The glucose, ALP were meaningfully (p<0.05, p<0.05) decreased in $ST_{36}$ group in comparison with the control group. 3. In the activation of hepatic antioxidase, the catalase was meaningfully (p<0.01) increased in $ST_{36}$ group in comparison with the control group. 4. In the liver, the NO formation was meaningfully (p<0.001) decreased in $ST_{36}$ group in comparison with the nomal, control and sham group. 5. In the activation of splenetic antioxidase, the GSH was meaningfully (p<0.01) increased in $ST_{36}$ group in comparison with the sham group, and the catalase was meaningfully (p<0.001) increased in $ST_{36}$ group in comparison with the control group. 6. In the spleen, the MDA formation was meaningfully (p<0.01, p<0.05) decreased in $ST_{36}$ group in comparison with the control and sham group. 7. In the spleen cell culture, the levels of IL-6 was meaningfully (p<0.05) decreased in comparison with the sham group, $INF-{\gamma}$( was meaningfully (p<0.05) increased in comparison with the control group. Conclusions: According to the results, it is considered that electroacupuncture at Joksamni($ST_{36}$) is effective in increasing the activities of antioxidative enzyme and inhibiting lipid peroxides, and has an immunomodulatory reaction. In conclusion, it han an significant anti-aging effect and need more experimental study.

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