• 제목/요약/키워드: Dietary Lifestyle

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서울지역 식품영양전공.비전공대학생의 골밀도에 미치는 영향요인에 관한 연구 (Bone Density and Related Factors of Food and Nutrition Major and Non-Major University Students in Seoul Area)

  • 정남용;최순남
    • 동아시아식생활학회지
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    • 제13권5호
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    • pp.391-407
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    • 2003
  • 본 연구에서는 식품영양전공$.$ 비전공 남$.$여대학생을 대상으로 골밀도를 측정하고 신체계측, 식습관, 운동 등의 요인이 골밀도에 미치는 영향을 조사하였다. 연구결과를 요약하면 다음과 같다. 1. 조사대상자들의 평균연령은 전공남학생 22.2세, 비전공남학생 22.4세, 전공여학생 21.2세, 비전공여학생 21.9세이었고, BMI는 전공남학생 21.96, 비전공남학생 21.69, 전공여학생 21.07, 비전공여학생 20.84이었다. 2. 조사대상자들의 골밀도는 전공남학생군과 비전공남학생군에서 평균 BQI 값은 각각 l08.07, 110.47, 전공여학생과 비전공여학생의 평균 BQI는 89.13, 88.18이었다. 전공, 비전공남학생의 평균 Z-score는 각각 0.139, 0.295, 평균 T-score는 각각 0.049, 0.185이었다. 여학생의 경우 평균 Z-score는 전공여학생 -0.786, 비전공여학생은0.842이었으며, 평균 T-score는 전공여학생 0.786, 비전공여학생은 -0.839로 나타났다. 3. 조사대상자의 골밀도 상태를 정상, 골감소증, 골다공증 3군으로 분류하였을 때 골밀도가 정상인 경우는 전공남학생 78.0%, 비전공남학생 88.2%로 비전공군에서 다소 높았고, 전공여학생은 60.0%, 비전공여학생 59.1%로 유사하였다. 골감소증은 전공남학생 22.0%, 비전공남학생 11.8%, 전공, 비전공여학생 각각 40.0, 40.2%로 여학생군이 남학생군과 비교하였을 때 골감소증의 경향이 높게 나타났다. 4. 조사대상자의 식습관을 조사한 결과 규칙적으로 식사를 하는 경우는 전공남학생 26.8%, 비전공남학생 68.8%, 전공여학생은 45%, 비전공여학생 32.6% 이었다. 육식 위주 식사는 전공남학생 19.5%, 비천공여학생 l0.6%이었고 채식 위주 식사는 비전공남학생 57.0%, 전공 여학생은 47.5%로 나타났다. 아침을 매일 먹는 전공남학생은 19.5%, 비전공남학생은 61.3%, 전공여학생은 33.8%, 비전공여학생 25.7%로 나타났다. 과식한다는 응답이 전공남학생 34.2%, 비전공남학생 25.8%이었고, 전공여학생은 25.0%, 비전공여학생 35.6%이었다. 5. 조사대상자의 식품의 섭취빈도를 나타낸 결과는 두부 및 콩제품을 매일 섭취하는 경우는 전공남학생 19.5%, 비전공남학생 37.6%, 전공여학생은 41.3 %, 비전공여학생이 17.4%이었다. 우유 및 유제품 섭취는 매일 섭취한다고 하는 경우가 전공남학생 34.2%, 비전공남학생 4.5%가, 전공여학생은 l0.0%, 비전공여학생은 34.8%이었다. 육류 및 육가공품 섭취는 거의 섭취하지 않는 경우가 전공남학생 4.9%, 비전공남학생은 44.1%로, 전공여학생 36.2%, 비전공여학생 6.1%로 나타났다. 해조류 섭취는 일주일에 0∼2회 섭취에 대한 응답율은 전공남학생 56.1%, 비전공남학생 50.5%이었고, 전공여학생 65.0%, 비전공여학생 55.3%로 대체적으로 섭취율이 낮은 경향이었다. 전공에 관계없이 전반적으로 콩식품, 우유 및 해조류 등의 섭취 정도가 낮았다. 6. 조사대상자의 운동 빈도를 보면 항상 운동을 하는 경우는 전공남학생 14.6%, 비전공남학생 23.7%로 비전공남학생의 운동빈도가 높게 나타났으며 여학생의 경우 남학생에 비하여 운동량과 운동시간이 짧게 나타났다. 체중에 대한 만족도를 보면 전공남학생 19.5%, 비전공남학생 34.4%로, 전공여학생은 13.7%, 비전공여학생은 9.1% 가 만족한다고 하였다. 체중조절의 방법에 있어서는 운동을 한다는 응답이 전공남학생은 65.9%, 비전공남학생은 54.8%, 전공여학생은 35.0%, 비전공여학생은 31.8%로 나타났다. 7. 조사대상자의 골밀도와 제요인의 상관관계를 BQI 값으로 살펴볼 때, 전공남학생은 운동시간 및 식사량 그리고 콩식품, 해조류 섭취빈도와 약한 양의 상관관계를 보였으며, 편식 및 인스턴트 식품 섭취와는 음의 상관관계를 나타내었다. 비전공남학생의 경우 운동시간과 해조류 섭취와 약한 양의 관계를 나타내었고 콩식품, 우유, 육류, 인스턴트 식품 섭취와는 음의 상관관계를 나타내었다. 전공여학생은 운동시간, 콩식품에서 양의 상관관계를, 육류, 차, 인스턴트 식품에서는 약한 음의 상관관계를 나타내었다. 또한 비전공여학생의 경우 콩 식품과 해조류, 육류에서는 약한 양의 상관관계를, 우유 및 차 섭취에서 음의 상관관계를 나타내었다. 이상의 결과 골밀도에 영향을 미치는 요소는 군마다 다양하였으며 남학생의 경우 평균 골밀도 수치가 표준치보다 높게 나왔으나 최대, 최소범위가 넓은 경향이었고, 전공남학생의 경우 골감소증의 비율이 비전공남학생보다 높아 이를 개선시키기 위한 여러 가지 방안이 필요할 것으로 사료된다. 특히 여학생의 골밀도는 전공ㆍ비전공군에 상관없이 낮게 나타나 여성이 남성에 비해 골격건강이 취약한 집단임이 알 수 있었다. 그러나 대학생의 시기는 여전히 골질량의 형성이 가능한 시기이며, 따라서 건강한 골격을 형성하고 유지하기 위해서 식품의 섭취, 균형된 식사, 적정 체중의 유지 및 골격 에 하중을 가하는 운동을 지속적으로 하는 개개인의 다각적 노력과 관심이 중요하다 하겠다. 그리고 전공대학생의 경우 전공지식에 대한 실생활 적용 및 반영의 정도가 다소 높을 것으로 기대하였으나 미흡하게 나타난 결과를 볼 때, 전공지식에 대한실천의지 함양을 위한 교육프로그램 마련이 절실히 필요한 것으로 사료된다.

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중풍(中風)환자의 습담변증(濕痰辨證) 대사증후군과의 관련성 연구 (The Relation of Dampness-Phlegm and Metabolic Syndrome in Acute Stroke Patients)

  • 민인규;김창현;황재웅;박주영;이승엽;최원우;나병조;박성욱;정우상;문상관;박정미;고창남;조기호;김영석;배형섭
    • 대한한의학회지
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    • 제30권1호
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    • pp.109-119
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    • 2009
  • Objectives: This study was aimed to clarity the relationship between the pattern of dampness-phlegm and metabolic syndrome in acute stroke patients. Methods: Three hundred fifty-nine subjects were recruited from the patients admitted to the Internal Medical Department at Kyunghee University Oriental Medical Center, Donggnk University Ilsan Oriental Medical Center, Kyungwon University Songpa Oriental Medical Center and Kyungwon University Incheon Oriental Medical Center from April 2007 to March 2008. We diagnosed dampness-phlegm by Oriental medical diagnosis and analyzed their characteristics with type of stroke, blood test result, Sasang constitution, lifestyle and metabolic syndrome. Results: I. On the demographic variables of the patients, the weight and body mass index, the rate of hypertension, diabetes mellitus, hyperlipidemia, silent infarction were significantly higher in dampness-phlegm group than in the control. 2. There was no significant difference of stroke type between the dampness-phlegm group and the control. 3. According to the blood test, the dampness-phlegm group showed higher total cholesterol, triglyceride, fasting blood sugar and lower high density lipoprotein cholesterol than the control group with statistical significance. 4. According to the Sasang constitution distribution, the rate of Tae-Eum was significantly higher in dampness-phlegm group than in the control. 5. According to lifestyle, smoking and drinking were significantly lower in the dampness-phlegm group than in the control. Otherwise, exercise and dietary habits showed no significant difference between the two groups. 6. There were much more patients diagnosed with metabolic syndrome in the dampness-phlegm group than in the control. 7. Metabolic syndrome, silent infarction and obesity showed close relationship with dampness-phlegm pattern in multivariate analysis. Conclusions: According to the analysis, the relationship between the patterns of dampness-phlegm and metabolic syndrome in acute stroke patients were clarified. These results can be utilized in the future as a basis material.

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초등학교 여학생의 초경시기와 관련된 결정요인 분석 (Determinants of age at menarche in Korean elementary school girls)

  • 권미경;서은민;박경
    • Journal of Nutrition and Health
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    • 제48권4호
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    • pp.344-351
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    • 2015
  • 본 연구는 초경시기의 결정요인을 규명하기 위하여 대구 3개 지역 초등학교 5, 6학년 여학생 190명을 대상으로 개별 짝짓기 환자-대조군 연구를 실시하였고, 본 연구 결과를 요약하면 다음과 같다. 첫째, 비초경군에 비하여 초경군의 평균 수면시간이 더 적었다. 둘째, 어머니의 초경 나이가 빠를 수록 같은 또래에 비해 더 이른 초경 경험을 할 확률이 높았다. 셋째, 초경시기와 관련된 요인 중 비만이 가장 강한 연관성을 보였다. 전 세계적으로 초경 나이가 낮아지는 경향을 보이고 있으며, 우리나라 여성의 초경 나이도 현저하게 낮아지는 상황에서 본 연구의 결과는 중요한 기초자료로 활용될 것이다.

Profile of Non-Communicable Disease Risk Factors Among Employees at a Saudi University

  • Amin, Tarek Tawfik;Al Sultan, Ali Ibrahim;Mostafa, Ola Abdelmoniem;Darwish, Amr Ahmed;Al-Naboli, Mohamed Rashad
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권18호
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    • pp.7897-7907
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    • 2014
  • Background: There is paucity of studies defining the prevalence of non-communicable disease (NCD) risk factors in Saudi Arabia despite the surging epidemic of obesity, change in dietary habits and sedentary lifestyle. Objectives: This cross-sectional study aimed to assess the prevalence of NCDs risk factors among employees at King Faisal University in Al Hassa, Saudi Arabia and to determine the possible correlates for clustering of NCDs risk factors among them. Materials and Methods: All employees were invited to participate; the World Health Organization STEPwise approach was used for data collection which consisted of a personal interview to collect socio-demographic characteristics, NCD history, tobacco use, vegetables and fruit consumption, and physical activity (PA), followed by anthropometric measurements namely weight, height and waist circumference and blood pressure measurements, subjects were finally subjected to biochemical tests with determination of fasting plasma glucose, serum triglycerides, cholesterol and high density lipoproteins. Results: Of the surveyed employees (n=691), daily current smokers accounted for 22.7%. 94.9%, 95.1% and 86% consumed < 5 servings per day of vegetables, fruits and both fruits and vegetables respectively, 73% were physically inactive, 64% were overweight or obese, 22.1% had hypertension, and 21.5% were diabetics. Elevated cholesterol levels were found in 36.6%, low high density lipoproteins in 36.8%, and elevated triglycerides in 36.1%. Only 3% had no NCD risk factors, and 57.6% had ${\geq}3$ factors. Multivariate logistic regression showed that gender (being male, adjusted odds ratio 'aOR'=1.51), aged ${\geq}50$ years (aOR=3.06), < college education (aOR=1.75), current smokers (aOR=2.37), being obese (aOR=6.96) and having a low PA level (aOR=4.59) were the significant positive predictors for clustering of NCD risk factors. Conclusions: Over fifty percent of the studied university's employees had multiple (${\geq}3$) NCD risk factors. Screening and health promotion initiatives should be launched at least targeting the modifiable factors to avert the excessive risk for cardiovascular disease, diabetes mellitus and several types of cancers.

Calpain-10 SNP43 and SNP19 Polymorphisms and Colorectal Cancer: a Matched Case-control Study

  • Hu, Xiao-Qin;Yuan, Ping;Luan, Rong-Sheng;Li, Xiao-Ling;Liu, Wen-Hui;Feng, Fei;Yan, Jin;Yang, Yan-Fang
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권11호
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    • pp.6673-6680
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    • 2013
  • Objective: Insulin resistance (IR) is an established risk factor for colorectal cancer (CRC). Given that CRC and IR physiologically overlap and the calpain-10 gene (CAPN10) is a candidate for IR, we explored the association between CAPN10 and CRC risk. Methods: Blood samples of 400 case-control pairs were genotyped, and the lifestyle and dietary habits of these pairs were recorded and collected. Unconditional logistic regression (LR) was used to assess the effects of CAPN10 SNP43 and SNP19, and environmental factors. Both generalized multifactor dimensionality reduction (GMDR) and the classification and regression tree (CART) were used to test gene-environment interactions for CRC risk. Results: The GA+AA genotype of SNP43 and the Del/Ins+Ins/Ins genotype of SNP19 were marginally related to CRC risk (GA+AA: OR = 1.35, 95% CI = 0.92-1.99; Del/Ins+Ins/Ins: OR = 1.31, 95% CI = 0.84-2.04). Notably, a high-order interaction was consistently identified by GMDR and CART analyses. In GMDR, the four-factor interaction model of SNP43, SNP19, red meat consumption, and smoked meat consumption was the best model, with a maximum cross-validation consistency of 10/10 and testing balance accuracy of 0.61 (P < 0.01). In LR, subjects with high red and smoked meat consumption and two risk genotypes had a 6.17-fold CRC risk (95% CI = 2.44-15.6) relative to that of subjects with low red and smoked meat consumption and null risk genotypes. In CART, individuals with high smoked and red meat consumption, SNP19 Del/Ins+Ins/Ins, and SNP43 GA+AA had higher CRC risk (OR = 4.56, 95%CI = 1.94-10.75) than those with low smoked and red meat consumption. Conclusions: Though the single loci of CAPN10 SNP43 and SNP19 are not enough to significantly increase the CRC susceptibility, the combination of SNP43, SNP19, red meat consumption, and smoked meat consumption is associated with elevated risk.

Niacin의 상한섭취량 제안 및 식품과 복합비타민제 섭취를 통한 인체 노출평가 (Niacin Upper Level Recommendation and Exposure Assessment of Foods and Multivitamin drugs)

  • 박신희;이효민;윤은경;민충식;김현정;전은아;제금련
    • 한국식품위생안전성학회지
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    • 제20권2호
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    • pp.77-82
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    • 2005
  • 본 연구에서는 식품 단일섭취 또는 식품과 일반의약품으로서의 복합비타민제의 병용섭취를 통해 niacin을 섭취한다는 노출시나리오를 설정하여 우리나라 성인의 niacin 1일 평균섭취량을 산출하였으며, 인체독성자료를 근거로 niacin의 상한섭취량(UL)을 제안하였고 그 값을 비교하여 niacin에 대한 위해지수를 산출하였다. 그 결과 식품 단일섭취 시 위해지수는 0.53,식품과 복합비타민제의 병용섭취 시 위해지수는 0.81-6.24라는 값이 얻어졌다. 일반적으로 위해지수가 1이상이면 건강한 인구집단에서 부작용 발생이 우려됨을 나타낸다 그러므로, 복합비타민제를 병용섭취 하는 일부경우에서는 악영향이 발생할 가능성이 있다고 할 수 있다. 식품을 통한 자연적인 niacin의 섭취로는 악영향이 보고되고 있지 않으나$^{3), 12),}$ 복합비타민제 또는 최근 소비량이 급증하고 있는 비타민 강화 건강기능식품 및 영양보조제 등의 섭취를 통해 niacin으로 인한 악영향의 발생이 우려되므로 지속적이고 세심한 위해성평가와 함께 민감그룹 및 임산부, 수유부 등 특정그룹에 대한 UL설정연구가 이루어져야 할 것으로 생각된다.

AED의 보급 확대 방안에 관한 연구 (A study on Supply Extension Device of AED)

  • 고재문;김영호;한상학
    • 한국응급구조학회지
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    • 제9권2호
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    • pp.147-168
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    • 2005
  • It examined the doubt point which AED motive relates until now, the AED should have bought a life how, present address of our country site pre-hospital care, comparison it tried to observe the advanced nation instance back. Gist of this research the AED important cold region once compared to informed to how many cardiac arrest patient, against him the what kind of preparation wanted informing the necessary cold region. It soaks simultaneously but the AED motive is widely supplied distant in future and it is generality and it is feeble but it wanted doing one morning. The habit difference of an American who does of course meat diet mainly and a Korean is many and it compares in the United States and the cardiac arrest patient comparison occurs holds a point few. To become Western anger but and be caused by with thin dietary life, stanching bleeding cung, with the fact that the heart attack is increasing rapidly with the hyperextension. It is a talk which anyone it knows all. The major league most Choi huy Sub in condition will catch the ball which floats and the multi co-player and to collide when falling down, the medical device which is committed with emergency aid is AED motive. From the United States subway station and the shopping which are a public place on the baseball field outside the jar which it will drive, the museum and the school, easily there is it will be able to discover the AED from the court of justice back. The Pittsburg university the students per the individual $30 the core phyey were receiving the smallness lifestyle alcoholic beverage and a AED motive actual training with mercy of degree. From the United States distant in future the AED motive is sold even from the retail store and. From our country like this plan government offices temporary disposal education from from 119 fire fighters emergency structure company in fire fighting government employee and nursing must magnify a former enterprise rainy spell in summer multi temporary disposal education with the head which it will burn with the head. This plan in early rising will be able to become fixed in Korea it forecasts with the fact that. The research which it sees it leads and like the United States to some day become fixed even from our country to believe and suspicion it is not and in the people in approach ease one AED supply plan fire fighting government employees stand in the first and feed with the fact that must be positive at this enterprise they become.

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Correlation of Breast Cancer Incidence with the Number of Motor Vehicles and Consumption of Gasoline in Korea

  • Park, Boyoung;Shin, Aesun;Jung-Choi, Kyunghee;Ha, Eunhee;Cheong, Hae-Kwan;Kim, Hyun Jeong;Park, Kyung Hwa;Jang, Sungmi;Moon, Byung-In;Ha, Mina
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권7호
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    • pp.2959-2964
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    • 2014
  • While several reproductive and lifestyle-related factors are already well-known as established risk factors for breast cancer, environmental factors have attracted attention only recently. The objective of the current study was to assess the association between the breast cancer incidences in females, the mortality rate and the number of motor vehicles on the one side and the consumption of gasoline which could work as a major source of air pollution at the other side. The breast cancer incidences and the mortality trends were compared with various indices of westernization like dietary patterns or industrialization with 10 years lag of time. Geographical variations with 10, 15 and 20 years lag of time were assessed between the breast cancer incidence in 2010 and the number of motor vehicles as well as the consumption of gasoline. The upward trend of motor vehicle numbers proved to be comparable to those of breast cancer incidence and mortality. However, the consumption of gasoline started to decrease since the mid-1990s. The geographic distribution of motor vehicle numbers and gasoline consumption in 1990 is in a positive correlation with the breast cancer incidence rates in 2010 and the 20-year lag time ($R^2$ 0.379 with the number of motor vehicles and 0.345 with consumption of gasoline). In a linear relationship between the breast cancer incidences in 2010 and the log transformed number of motor vehicles, the log transformed consumption of gasoline in 2000 also showed a positive relationship ($R^2$ 0.367 with the number of motor vehicles and 0.329 with consumption of gasoline). The results of the current study indicate that there may be a positive relation between the number of vehicles, gasoline consumption and the incidence of breast cancer from the aspects of long-term trends and geographical variation.

Colorectal Cancer Risk Factors among the Population of South-East Siberia: A Case-Control Study

  • Zhivotovskiy, Alexey S.;Kutikhin, Anton G.;Azanov, Artur Z.;Yuzhalin, Arseniy E.;Magarill, Yuri A.;Brusina, Elena B.
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권10호
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    • pp.5183-5188
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    • 2012
  • Colorectal cancer remains one of the most widespread malignancies in the world. However, there is a lack of comprehensive studies considering colorectal cancer risk factors among Russian populations, particularly in Siberia. The aim of this investigation was to determine the impact of various lifestyle, dietary, family, and socioeconomical factors on colorectal cancer risk in South-East Siberia. We recruited 185 Russian colorectal cancer cases and 210 gender-, age-, and ethnicity-matched asymptomatic controls with no history of any malignant tumor, using a specially designed questionnaire to obtain relevant information. After the statistical analysis, we defined several significant factors affecting colorectal cancer risk. Among these were smoking (OR=2.13, 95%CI=1.4-3.24, P=0.0004), being overweight (BMI between 25-30, OR=2.45, 95%CI=1.49-4.03, P=0.0004), alcohol drinking (OR=8.73, 95%CI=5.49-13.87, P<0.0001), beer drinking (OR=9.24, 95%CI=5.14-16.61, P<0.0001), consumption of hard liquor (OR=9.37, 95%CI=5.92-14.82, P<0.0001), excessive red meat consumption (P<0.0001), excessive intake of red meat products (P<0.0001), excessive intake of dairy products (P<0.0001), excessive sour cream and cheese consumption (P<0.0001 and 0.0002, respectively), spicy food consumption (OR=2.87, 95%CI=1.9-4.33, P<0.0001), family history of gastrointestinal malignant tumors (OR=3.99, 95%CI=2.09-7.59, P<0.0001), and income exceeding twice the subsistence minimum (OR=5.34, 95%CI=3.35-8.53, P<0.0001). Certain factors, such as high concentration of salt in the food and precancerous colonic lesions, demonstrated borderline significance (OR=3.45, 95%CI=1.68-7.1, P=0.0008, and OR=5.25, 95%CI=1.94-14.22, P=0.001, respectively). Some factors were established as protective, like consumption of rye bread and both rye and wheat bread (OR=0.32, 95%CI=0.21-0.5, P<0,0001, and OR=0.07, 95%CI=0.02-0.21, P<0.0001, respectively), and also low concentration of salt in the food, although this was of borderline significance (OR=0.43, 95%CI=0.26-0.69, P=0.0006). ABO and Rhesus blood antigens were not associated with increased colorectal cancer risk. These results should be definitely applied for elaboration of programs of colorectal cancer prevention in Russia, particularly in Siberia.

Risk Factors for Gallbladder Cancer in Nepal - a Case Control Study

  • Tamrakar, D;Paudel, IS;Adhikary, S;Rauniyar, B;Pokharel, PK
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권7호
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    • pp.3447-3453
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    • 2016
  • Background: Gall bladder cancer (GBC) is highly fatal disease with poor prognosis, with a 5 year survival rate of <10%. It is relatively rare cancer worldwide; however it is the sixth cancer and second most common gastrointestinal tract cancer in Nepalese women. The study focused on associations of certain demographic, lifestyle, dietary, and reproductive factors with gall bladder cancer. Materials and Methods: We conducted a hospital-based matched case control study on newly diagnosed cases of primary GBC at BP Koirala Institute of Health Sciences and BP Koirala Memorial Cancer Hospital. Controls were healthy non-GBC relatives of cancer patients, matched for age, sex and marital status (in case of females) with cases at a ratio of 1:2. Data were collected between April 2012-April 2013 by semi structured interview from both cases and controls. Analyses were carried out with SPSS. Conditional logistic regression was used to find odds ratios and 95% confidence intervals for bivariate and multivariate analysis. Results: A total of 50 cases and 100 controls were enrolled in this study. On bivariate analysis, factors found to be significantly associated with gallbladder cancer were illiteracy (OR=3.29, CI=1.06-10.2), history of gallstone disease (OR=27.6, CI=6.57, 115.6), current smoker (OR=2.42, CI=1.005-5.86), early menarche <13 years (OR=2.64, CI=1.09-6.44), high parity more than 3 (OR=3.12, CI=1.25,7.72), and use of mustard oil (OR=3.63, CI=1.40, 9.40). A significant protective effect was seen with high consumption of fruits at least once a week (OR=0.101, CI=0.03-0.35). On multivariate analysis, history of gallstone disease, early menarche, current smoker and high consumption of fruits persisted as significant factors. Conclusions: History of gallstone disease, cigarette smoking and early menarche were associated with increased risk of gallbladder cancer while high consumption of fruits was found to have a protective effect.