• Journal of Preventive Medicine and Public Health
• /
• 제45권5호
• /
• pp.301-308
• /
• 2012

Objectives: To examine the association between alcohol consumption habit, types of beverages, alcohol consumption quantity, and overall and cancer-specific mortality among Korean adults. Methods: The alcohol consumption information of a total of 16 320 participants who were 20 years or older from the Korean Multicenter Cancer Cohort were analyzed to examine the association between alcohol consumption habit and mortality (median follow-up of 9.3 years). The Cox proportional hazard model was used to estimate the hazard ratio (HR) of alcohol consumption to mortality adjusting for age, sex, geographic areas, education, smoking status, and body mass index. Results: Alcohol drinkers showed an increased risk for total mortality compared with never drinkers (HR, 1.72; 95% confidence interval [CI], 1.38 to 2.14 for past drinkers; HR, 1.21; 95% CI, 1.06 to 1.39 for current drinkers), while past drinkers only were associated with higher risk for cancer deaths (HR, 1.84; 95% CI, 1.34 to 2.53). The quantity of alcohol consumed per week showed a J-shaped association with risk of mortality. Relative to light drinkers (0.01 to 90 g/wk), never drinkers and heavy drinkers (>504 g/wk) had an increased risk for all-cause and cancer deaths: (HR, 1.18; 95% CI, 0.96 to 1.45) and (HR, 1.39; 95% CI, 1.05 to 1.83) for all-cause mortality; and (HR, 1.55; 95% CI, 1.15 to 2.11) and (HR, 2.07; 95% CI, 1.39 to 3.09) for all cancer mortality, respectively. Heavy drinkers (>504 g/wk) showed an elevated risk for death from stomach and liver cancers. Conclusions: The present study supports the existence of a J-shaped association between alcohol consumption quantity and the risk of all-cause and cancer deaths. Heavy drinkers had an increased risk of death from cancer overall and liver and stomach cancer.

• 정신신체의학
• /
• 제3권1호
• /
• pp.39-48
• /
• 1995

This study was designed to investigate the role of weight control in the formation of underlying pathology in eating disorder or eating related problems. The subjects were 304 college athletes(Male : 187. Female: 121) and they were divided into two groups according to need for weight control(Weght control group: 110, Weght non control group: 194). The authors used self report questionnaire which was composed of epidemiologic data, food habit scale, eating attitude test, scale for locus of control for weight, scale for food preference and eating behavior. And we also used Eysenck Personality Questionnaire of Korean standardized edition for assessment of personality characteristics, Beck depression inventory, and the scale of hypochondriasis. The results were as follows: 1) Body mass index and the amount of cigarrette smoking and alcohol drinking showed significant differences by sex but not by need for weight control. 2) Eating habit of female athletes was the worst in all athletes. The score of eating attitude test of female athletes was higher than that of male athletes but there was no significant difference by need for weight control. Food preference and eating related behavior was also different by sex. 3) There were no significant differences in all subscales of Eysenck Personality Questionnaire, Beck depression inventory, and the scale of hypochondriasis between two groups which were divided by need for weight control. Neuroticism score was higher in female atheletes and psychoticism score was the highest in weight control male atheletes. 4) There was no significant difference in number of population with abnormal EAT score(to-tal score$\geq$26) between two groups which were divided by need for weight control. 5) The score of eating attitude test had positive correlation with the score of psychoticism and the tendency of depression in weight control male athletes but not in non-weight control male athletes. In non-weight control male athletes, the score of eating attitude test had positive correlation with the score of lie scale. so its correlation is different from those of weight control male athletes. But in female athletes, the score of eating attitude test had significant positive correlation with the score of psychoticism in both groups. In conclusion, these results suggest that the differences of eating traits in athletes are depend upon the sex difference, not upon the need for weight control. and that the role of weight control in eating disorder or abnormal eating attitude differs according to sex.

• 대한지역사회영양학회지
• /
• 제15권2호
• /
• pp.227-239
• /
• 2010

The purpose of this study was to compare weight control behaviour, eating habits and health-related life habits according to the obesity degree by body fat percentage (%Fat) among middle-aged women. The subjects were 170 middle-aged women who lived Gunsan City, and they were assigned to one of the following groups based on their %Fat; normal weight group (18% - < 28%), overweight group (28% - < 33%) and obesity group (over 33%). The height, body weight, %Fat, the circumference of waist and hip of them were measured. Eating habits and health-related life habits were evaluated based on questionnaires. The results were as follows. Their weight, %Fat, body mass index (BMI), relative body weight (RBW), waist, hip, and waist-hip ratio (WHR) were significantly higher in the obesity subjects when compared to the normal and overweight subjects. Self-perception for weight (p < 0.001), desire for weight control (p < 0.01), and reasons of weight control (p < 0.05) were different among three groups. The main skipped meal was breakfast (67.9%), reasons of skipping meals were different among three groups (p < 0.05), and main reasons were "lose one's appetite" and "have not enough time". Food habits score for each food was not significantly different among three groups, but eating the meal on thinking with food combination in normal group was higher than overweight and obesity group (p < 0.01). Correlation coefficients of food habits score and anthropometric measurements were that salty of food was negative and food habits scores were positive correlation for anthropometric measurements and obesity index (p < 0.05 - p < 0.001). Frequency of exercise and fitting exercise for body were different among three groups (p < 0.05). Obesity group was lower frequency of exercise than the other groups. Regular diet was positive correlation with food combination (p < 0.01), taking fish (p < 0.05), taking vegetables (p < 0.01), taking bean products (p < 0.01) and food habits score (p < 0.01), frequency of eating out and snacks were negative correlation with taking fruits and fishes. Therefore, proper nutritional education for middle-aged women in obesity group is recommended regular diet, good food habits and exercise. The middle-aged women must decrease the frequency of eating out, snack and the salty foods, and increase the fruits and vegetables. They must have healthy life styles for exercise, smoking, and drinking.

• Environmental Analysis Health and Toxicology
• /
• 제21권2호
• /
• pp.153-163
• /
• 2006

Essential metals have been known to interact with non-essential toxic metals in the aspects of absorption, transport and deposition in the body. Iron deficiency has been reported to increase lead and/or cadmium absorption. The relation between iron and lead has been understood well in children but not in adults. Two hundred seventy adults (118 males and 152 females) were recruited from 3 different residental areas (rural, coastal and urban) to investigate the effects of environmental lead exposure on body iron status. The subjects were interviewed for life-style and diet of the last 24 hours, and measured for blood lead and body iron. The lead concentration in the whole blood was determined by a flameless method using an atomic absorption spectrophotometry. The body iron was evaluated with values of hemoglobin, hematocrit, RBCs, serum total iron, unsaturated iron binding capacity, total iron binding capacity and ferritin. The mean concentration of blood lead in adult was $3.31{\mu}g/dL$. The concentration was higher in male ($3.97{\mu}g/dL$) than in female ($2.86{\mu}g/dL$). The blood lead was influenced by residental area, life-style, smoking and drinking, occupation and diet habit of subjects, but not by age. A positive correlation was observed between the blood lead level and the serum iron or ferritin. These results suggest that environmental lead exposure in Korean adult may not be higher than other developed and developing countries. It is further indicated that blood lead in adult could be influenced by life-style, and environmental and genetic factors but no inverse relation with body iron as shown in children.

• Journal of Preventive Medicine and Public Health
• /
• 제29권1호
• /
• pp.43-50
• /
• 1996

We experienced a case of nephropathy in chronic lead poisoning. The patient was 43-year-old male who has been working in secondary lead smelting plant for 14 years. On admission, blood pressure was 160/90 mmHg and the others were non-specific. In past history, he received chelating agent administration for lead poisoning irregularly and medicated for gout, and the blood lead concentration was $180.0{\mu}g/dl$ on 2 months before admission. Smoking habit has been 1 pack per day for 15 years and drinking habit has been 1 bottle of Soju per day but less flow. In liver function test, AST/ALT were 27/28 IU/l and $\gamma-GT$ was 456 IU/l. In blood test, Hb : 11.5 g/dl, Hct : 34.0% and basophilic stipplings were found in peripheral blood smear. Chest PA was normal and abdominal ultrasonographic finding was non-specific except fatty liver. In the test of lead exposure indices, $PbB:83.0{\mu}g/dl,\;PbU:28.3{\mu}g/l$, and blood ZPP was $300.0{\mu}g/dl$. And in renal function test, BUN : 31.4 mg/dl, blood creatinine : 2.7mg/dl, blood uric acid. 9.1 mg/dl, urinary albumin : 100.0 mg/g creatinine, urinary $\alpha_1-microglobulin$ : 120.5 mg/g creatinine, urinary $\beta_2-microglobulin$ : $183.8{\mu}g/g$ creatinine, and 24 hours urinary creatinine clearance was 31.9 ml/min. The ultrasonoguided renal biopsy showed the global sclerosis of glomerulus, moderate atrophy and loss of tubule, and interstitial fibrosis in light microscopy. There were diffuse losses of brush border of proximal tubule in electronmicroscopy.

• 한국치위생학회지
• /
• 제15권1호
• /
• pp.63-71
• /
• 2015

Objectives: The purpose of the study is to investigate the relationship between bone mineral density and remaining teeth in Korean adults. Methods: Using National Health and Nutrition Examination Survey(KNHANES) 5th Year 1(2010), 1,985 adults over 50 years old having bone mineral density test were selected. Male adults were 883, and female adults were 1,102. The raw data consisted of general characteristics of the subjects, bone density data, and oral examination data. The questionnaire consisted of general health survey, laboratory examination study, and nutrition study. Data were analyzed using SPSS 18.0 program for multiple regression analysis, ANOVA, t-test. The variables included general characteristics of the subjects, health behavior, diet habit, and oral health behavior. General characteristics consisted of gender, age, residence area, education level, marital status, monthly income, and vocation. Health behavior consisted of smoking, alcohol drinking, body mass index(BMI), physical activity, and mental health. Diet habit consisted of frequency of meal, milk, coffee, and calcium ingestion. Oral health behavior consisted of frequency of tooth brushing, use of oral health care devices, and oral examination. Systemic diseases were measured by the questionnaire for hypertension, diabetes mellitus, and hyperlipidemia. Bone density was measured in T-score of femoral bone, neck of femur, and lumbar vertebrae. Bone density was classified into normal($T-score{\geq}-1.0$), osteopenia(-2.5 < T-score < -1.0), and osteoporosis ($T-score{\leq}-2.5$). The remaining teeth were measured by the differences between normal teeth and missing teeth. Results: Smoking and age are the most influencing factors on the number of remaining teeth and bone density(p<0.01)(p<0.05). Those who had higher bone density, younger age, and nonsmoker significantly had more remaining teeth. Those who were men, diabetic, lowly educated women, and low birth weighted persons tended to have less number of teeth(p<0.01). Conclusions: The study suggested that there were significant differences between men and women according to the oral health management behavior and systemic disease control. Proper management of the oral health and good quality of bone mineral density can reserve the remaining teeth through the whole life.

• 보건교육건강증진학회지
• /
• 제24권5호
• /
• pp.55-68
• /
• 2007

이 연구의 목적은 한국의 백세인(100세 이상), 팔순인(80$\sim$89), 환갑인(60$\sim$69)의 3개 집단간의 수명요인의 차이를 규명하고자 시도되었다. 조사대상은 백세인의 109명을 포함하여 총 한국노인 389명이다. 수명요인은 건강행태와 심리적인 요인을 선정하여 분석하였다. 자료처리는 백세인과 2집단간의 차이를 로지스틱 회귀분석(logistic regression analysis)을 통하여 이루어졌다. 분석결과, 백세인과 팔순인의 여성들은 같은 남성에 비해 음주를 9배정도 억제하는 것으로 조사되었다. 백세인은 팔순인 보다 병원이용률의 경우 11배정도 낮은 것으로 분석되었다 (OR=11.48, CI=5.56, 23.70). 또한 하루에 2회 이상 웃는 백세인은 팔순인 보다 10배, 환갑인보다 12배 정도 많았다 (OR=11.59, CI=5.04, 26.63). 그밖에 백세인은 환갑인보다 미래에 대한 근심 걱정이 없으며, 오락에도 관심이 없는 것으로 분석되었다 (OR=12.49, CI=6.42, 24.32). 이와 같은 연구결과를 볼 때, 건강행태와 심리적인 반응이 장수요인으로 작용한 것으로 판단된다. 그러므로 노인건강은 절주, 금연, 정신건강을 중심으로 보건교육을 강구해야 할 것으로 사료된다.

• 한국식품영양과학회지
• /
• 제31권5호
• /
• pp.856-861
• /
• 2002

본 연구는 녹차의 섭취기간에 따른 질병 발현 정도를 조사하기 위하여 경상남도 하동군에 거주하는 주민 92명을 대상으로 설문조사를 통하여 이루어졌다. 조사대상자들의 녹차 섭취기간에 따라 녹차를 마시지 않는 대조군과 10년 미만 녹차 섭취군 및 10년 이상 녹차 섭취군의 3분위로 나누어 녹차의 장기간 섭취가 건강관련 변인과 식습관에 미치는 영향을 분석하였다. 그 결과는 다음과 같다. 조사대상자의 일반적 특성은 전체 대상자 중 남자가 41명, 여자가 51명이었으며, 평균연령은 대조군이 62.0세, 2분위 60.1세, 3분위 57.2세로 나타났다. 건강관련 생활습관으로 음주여부는 1분위에서 45.5%, 2분위 36.1%, 3분위 37.5%가 음주를 하는 것으로 나타나, 녹차를 마시는 집단에서의 음주비율이 낮게 나타났다. 마시는 술의 종류로는 소주가 가장 많은 비중을 차지하였으며, 음주의 빈도는 1, 3분위에서 주 5～6회 마신다가 50%이상, 2분위는 주 1～2회가 53.8%로 가장 많이 차지하였다. 흡연여부는 80%정도가 거의 담배를 피우지 않는 것으로 조사되어 바람직한 흡연행동을 나타내었다. 신체활동정도는 모든 집단이 농사일에 직접 참여함으로써 왕성한 활동정도를 보였으며, 건강보조식품은 잘 섭취하지 않는 것으로 조사되었다. 질병유병률을 조사한 결과, 충치는 1분위 9%, 2분위 27%, 3분위 36%가 충치가 없다고하여 녹차의 장기간 섭취가 충치 예방에 다소간의 영향을 미쳤음을 알 수 있었다. 감기는 각 분위에서 77%, 87%, 76%로 감기를 잘 앓지 않는 것으로 조사되었으나 유의성은 없었다. 골다공증에 관한 문진 결과 29%, 64%, 100%순으로 정상이라고 응답하였다. 그러나 골다공증 검사율이 저조하여 녹차의 효과를 비교하기는 힘들었다. 식습관 점수는 녹차를 장기간 섭취할수록 유의적으로 좋은 점수를 나타내었다. 본 연구의 대상자들은 녹차를 접할 기회가 많고 주로 질병의 예방 및 개선을 목적으로 마시고 있었기에 녹차의 기능성에 대해서 많은 관심과 기대를 보여주고 있었다. 게다가 본 조사의 결과, 녹차의 장기간 음용이 충치, 골다공증과 같은 질병의 예방 및 식습관 향상에 영향을 미침을 알 수 있었고 나아가 녹차의 섭취를 증가시키기 위해서는 차 이외의 다양한 음식과 생활용품으로의 개발이 필요함을 알 수 있었다.

• 대한영양사협회학술지
• /
• 제13권1호
• /
• pp.73-83
• /
• 2007

In order to investigate the ecological factors affecting milk intake frequency of adolescents, the questionnaire survey was conducted with 929 middle and high school students living in Chungnam urban area through October and November 2004. The subjects consumed milk 8.6$\pm$6.7 times per week, other beverages 4.4$\pm$4.1 times per week and drinking water 3.7$\pm$2.1 cups per day. Of the students 77.3% took balanced meals, 72.8% ate regularly and 36.2% ate adequate amount. About 61% had breakfast everyday and nearly a half students snacked once a day. Nutritional knowledge scores about milk was 7.2$\pm$1.7 and milk attitude scores was 28.1$\pm$6.5. The subjects spent daily 1.8$\pm$1.1, 1.9$\pm$1.1, and 1.0$\pm$0.5 hours for computer use, TV watching and exercise, respectively. Milk intake frequencies were positively correlated with excercise, snack frequency, meal balance and regularity, breakfast frequency, food attitude score and milk preference, while showed negative correlationships with TV watching and computer use. Intake frequency of fruit-tasted and chocolate milk showed inverse correlation with nutritional knowledge. Subjects without either school store or vending machine took milk more frequently than those with one or both did. Of the correlated variables, milk preference was the most important influencing factor to milk intake frequency according to the stepwise linear regression analysis, which presented other 5 important influencing factors as food attitude, school vending facilities, excercise, snacking frequency and watching TV. In conclusion, the improvement of milk preference is the most important and effective way to promote milk consumption in adolescents. The favorite ways of drinking milk, nutritional benefit of milk, healthy beverage and good snacking should be taught in nutrition education. Also physical activities should be recommended to students rather than watching TV, computer use and vending facilities selling soft drinks should be limited to be established inside school.

• 한국산학기술학회논문지
• /
• 제15권2호
• /
• pp.923-933
• /
• 2014

일부 건강검진 수진자들의 4대질환(고혈압, 당뇨병, 간질환, 고지혈증)에 대한 경계군과 유질환군 및 건강행태의 변화를 분석하고자 2009년과 2011년 2회에 걸쳐 일개 건강검진센터에서 정기 건강검진을 받았던 13,828명을 조사대상으로 하였다. 조사내용은 대상자의 일반적 특성으로 음주와 흡연습관을 조사하였고, 건강검진 항목으로는 SBP, DBP, AST, ALT, GGT, Glucose, T-Cholesterol, Triglyceride 이었으며 주요 결과는 다음과 같다. 연구시작년도에 비하여 종료년도 음주율 및 흡연율은 1.6%, 1.4% 각각 감소하였고. 검진항목별 경계군은 조사시작년도에 비하여 종료년도 고혈압은 62.0%에서 59.8%로 2.2%, 식전혈당은 17.1%, 고지혈증은 6.6%, 간기능은 2.0% 감소하였고, 유질환군은 고혈압은 6.7%에서 6.1%로 0.6%, 식전혈당은 1.9%, 고지혈증은 4.2%, 간기능은 1.3% 감소하였다. 이상의 결과에서 4대질환 모든 항목에서 경계군이 유질환군에 비해 유소견율이 더 많이 감소하는 경향을 보여 향후 유질환군이 감소할 것으로 예측할 수 있으나, 지속적인 관리 및 추적관찰을 통하여 미래의 변화에 대해 연구해야 할 필요성이 있겠다.