• Journal of Nutrition and Health
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• 제47권3호
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• pp.157-166
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• 2014

본 연구는 고서당식이에 첨가된 안정화미강이 혈당조절에 미치는 영향에 대하여 조사하여 향후 안정화미강 첨가 식품을 인체실험에 적용하는데 기초자료로서 이용되고자 하였다. 4주령의 수컷 C57BL/6 mice를 정상식이 대조군 (ND), 고서당식이 대조군 (HSD), 안정화미강 첨가 식이군 (HSD-SRB)으로 배정하였다. 안정화미강 첨가 식이는 선행연구에 근거하여 식이 중량의 20%로 설정하였다. 12주 동안 식이 섭취 후 혈당, 혈청 인슐린, 간 조직의 글리코겐, 혈청 아디포넥틴, 혈청 및 간 조직의 중성지방을 측정하였다. 그 결과 HSD군에 비해 HSD-SRB군에서 체중 및 부고환지방 무게를 감소하는 경향이 있었고 공복혈당과 혈당반응곡선면적을 감소하였다. 또한 안정화미강 첨가 식이를 섭취하였을 때 혈청 및 간의 중성지방 농도가 감소됨에 따라 인슐린 저항성과 췌장의 베타세포 기능을 개선한 것으로 제안한다. 이로써 고서당식이에 안정화미강을 20% 첨가하였을 때 혈당조절 개선효과 가능성을 확인할 수 있었으며, 향후 안정화미강을 첨가한 건강 지향적인 제품 개발과 이 제품을 인체에 적용하기 위한 기초자료로 활용 가능할 것으로 사료된다.

• Journal of Nutrition and Health
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• 제51권1호
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• pp.31-39
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• 2018

본 연구에서는 동일한 끼니에 섭취한 각 식품 및 음식의 영양성분 중 에너지에 기여하는 다량영양소인 탄수화물, 지방, 단백질과 식이섬유소가 혈당 반응에 어떠한 영향을 주는지를 알아보고자 하였다. 20대 성인 남녀를 대상으로 총 62가지의 단일 또는 여러 가지 단일 식품으로 구성된 혼합 식사 섭취 후 2시간 동안의 혈당을 측정하여 혈당곡 선하면적을 계산하였다. 그 결과 일반적으로 탄수화물 함량이 증가하면 혈당곡선하면적이 증가하였다. 그러나 탄수화물 이외에 식품 및 음식에 함유된 지방, 식이섬유소 등의 함량도 혈당곡선하면적에 영향을 준 것을 확인할 수 있었다. 탄수화물, 단백질, 지방, 식이섬유소의 영양성분이 혈당곡선하면적에 미치는 영향을 분석한 결과 탄수화물(${\beta}=37.18$, p < 0.0001)은 혈당곡선하면적을 유의적으로 증가시켰고, 지방 (${\beta}=-32.70$, p = 0.0054), 식이섬유소 (${\beta}=-32.01$, p = 0.0486)는 유의적으로 감소시켰으며, 단백질 (${\beta}=-12.93$, p = 0.1657)은 혈당 반응에 유의적인 영향을 미치지 않았다. 본 연구는 식품 및 음식의 영양성분 중 탄수화물 함량만이 아닌 지방, 식이섬유소가 서로 상호작용하여 혈당 반응에 영향을 미치는 것을 확인하여 의미가 크다.

• 한국식품영양과학회지
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• 제33권6호
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• pp.981-986
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• 2004

Streptozotocin으로 유발된 당뇨쥐에 있어서 장생도라지로부터 분기된 생리활성물질(이눌린,사포닌, 올리고당) 및 열수추출물을 5주동안 투여한 결과는 다음과 같다. 실험동물의 체중은 이눌린(IN)과 올리고당(OS) 투여군에서는 다소 유의적인 증가를 보였으며, 혈당은 시료투여군에서는 다소 감소하는 경향을 보였는데, 특히 장생도라지 이눌린 투여군(IN)과 총추출물 투여군(WE)에서는 각각 21.3%, 21.2%로 유의적인 감소효과를 보였다. 시료투여군의 혈청 총콜레스테롤은 당뇨대조군에 비해 감소하였는데, 특히 이눌린 투여군(IN)은 정상군 수준을 나타내었고, HDL 콜레스테롤은 당뇨유발군이 정상군보다 높은 수준이었으며, 시료투여군 간의 유의적인 차이는 보이지 않았다. 중성지방의 함량은 장생도라지의 이눌린 및 이눌린$.$사포닌 혼합 투여군에서 감소효과가 가장 높게 나타났다. 간, 신장, 심장, 비장 및 고환의 평균무게를 측정한 결과, 시료투여군에서 전반적으로 간장 및 심장의 무게가 낮아지는 경향을 보였으며, 신장은 당뇨유발군 모두에서 무게가 증가하였다. 혈청 단백질과 알부민 농도는 정상군에 비하여 당뇨대조군 및 시료투여군 모두에서 유의하게 감소되었으며, 당뇨유발군의 혈청 인슐린 농도는 이눌린 투여군(IN)에서 다소 높은 경향을 보였다. 뇨중 에너지 대사물의 조성을 관찰한 결과, 뇨단백은 이눌린(IN) 및 총추출물(WE) 투여군에서 정상군 수준으로 감소되었고, 당뇨유발군에서는 비교적 높은 뇨당이 검출되었으나 이눌린 투여군(IN)에서 검출되지 않았다.

• 한국임상약학회지
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• 제9권1호
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• pp.49-54
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• 1999

This study was carried out to compare the bioavailability of Hanmi clarithromycin (250 mg/tablet) with that of $Klaricid^{(R)}$ The bioavailability was examined on 20 volunteers who received a single dose (500 mg) of each drug in the fasting state in a randomized balanced 2-way crossover design. After dosing, blood samples were collected for a period of 12 hours. Plasma samples were analyzed for clarithromycin and roxithromycin(internal standard) by HPLC/Coulometric BCD. The pharmaco-kinetic parameters ($AUC_{0-l2hr}$, Cmax, Tmax, $AUC_{inf}$, Ka, Kel, $t_{1/2}$, Vd/F and Cl/F) were calculated from the plasma clarithromycin concentration-time data of each volunteer. The computer program 'WinNonlin' was used for compartmental analysis. One compartment model with first-order input, from order output with lag time, weighting factor $l/y^2$ was chosen as the appropriate pharmacokinetic model. The major pharmacokinetic parameters ($AUC_{0-l2hr},\;AUC_{inf}$, Cmax and Tmax) of Hanmi clarithromycin were $10.7\pm0.5\;{\mu}g{\cdot}hr{\cdot}ml^{-1},\;12.7\pm0.7\;{\mu}g{\cdot}hr{\cdot}ml^{-1},\;1.7\pm0.1\;{\mu}g/ml\;and\;2.0\pm0.2\;hr$, respectively, and those of $Klaricid^{(R)}\;were\;9.8\pm0.5\;{\mu}g{\cdot}hr{\cdot}ml^{-1},\;11.7\pm0.6\;{\mu}g{\cdot}hr{\cdot}ml^{-1},\;1.6\pm0.1\;{\mu}g/ml\;and\;2.1\pm0.1\;hr$, respectively. The differences in mean values of $AUC_{0-l2hr},\;AUC_{inf}$ and Cmax between two products were $9.88\%,\;8.94%\;and\;6.59\%$, respectively. The least significant differences at $\alpha=0.05$ for $AUC_{0-l2hr},\;AUC_{inf}$ and Cmax were $16.08\%,\;17.81\%\;and\;18.94\%$, respectively. Though the plasma clarithromycin concentrations of Hanmi clarithromycin were higher than those of $Klaricid^{(R)}$ at all observed times, the bioavailability of Hanmi clarithromycin appeared to be bioequivalent with that of $Klaricid^{(R)}$. The Ka, Kel, $t_{1/2}$, Vd/F and Cl/F of the Hanmi clarithromycin were $2.69\pm0.53\;hr^{-1},\;0.18\pm0.01 hr^{-1},\;3.9\;hr,\;248.8\pm11.4\;L\;and\;43.7\pm2.6\;L/hr$, respectively, and those of $Klaricid^{(R)} were 2.19\pm0.51\;hr^{-1},\;0.18\pm0.02\;hr^{-1},\;3.7\;hr,\;266.7\pm22.4\;L\;and\;45.3\pm2.8L/hr$, respectively. There were no statistically significant differences between two drugs in all pharmacokinetic parameters.

• Journal of Yeungnam Medical Science
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• 제18권1호
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• pp.94-100
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• 2001

연령에 따른 내당능의 감소 발생여부를 Sprague-Dawley종 흰쥐 수컷을 실험동물로 하여 연구한 결과는 다음과 같다. 연령에 따른 몸무게 변화는 1개월에서 2개월 사이에는 급격한 증가를 보였으며 2개월에서 4개월까지는 완만한 증가를 그 후 8개월까지는 미미하였다. 절식상태에서 혈당량(mg/dl)은 성장기군에서 $92{\pm}8.9$였으며 성숙기군에서는 $106{\pm}13.6$으로 성장기군에 비해 높았으며 인슐린 농도 또한 성숙기군에서 높았다. 체중 100mg당 180mg의 당을 부하한 내당능 검사에서도 성숙기군에서는 성장기군에 비해 당내성의 감소현상을 나타내었다. 당부하 검사시 동시에 측정한 혈장 인슐린 농도는 첫 30분에는 성장기군에서 높았으나, 120분에는 성숙기군에서 높은 값을 나타내었다. Soleus근의 당 섭취능은 성숙기군에서 성장기군보다 낮았으나 통계적으로 유의한 차이는 없었다. 인슐린 첨가에 의한 당 섭취능의 변화양상은 성숙기군과 성장기군 사이에 특별한 차이를 발견할 수 없었다.

• Journal of Yeungnam Medical Science
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• 제6권1호
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• pp.109-119
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• 1989

1988년 9월부터 1989년 4월 까지 문경병원에서 탄광부 진폐증으로 진단받고 입원 중인 환자 75명과 정상대조군 100명을 대상으로 영남대학병원 임상병리과에서 실시하고 있는 $ACEcolor^{(R)}$ 법에 의한 혈중 ACE치를 분석하여 다음과 같은 결론을 얻었다. 1. 정상대조군의 혈중 ACE치(평균${\pm}$표준편차)는 남녀 각각 $13.6{\pm}3.3U/L$. $13.2{\pm}4.3U/L$이었으며, 성별 및 연령별 차이는 없었으며, 정상대조군 전체의 결과는 $13.4{\pm}3.9U/L$로 나타나 참고범위는 4.6-21.8U/L로 나타났다. 2. 용수법으로 시행한 $ACEcolor^{(R)}$ 법의 일내변이는 5.6% 이하, 일간변이는 6.5% 이하로 나타나 비교적 안정된 분석치를 나타냈다. 3. 탄광부 진폐증 환자군의 혈중 ACE치 (평균${\pm}$표준편차)는 $20.3{\pm}5.7U/L$로서 정상 대조군보다 유의한 상승을 나타냈다(P<0.01). 혈중 ACE치의 분석은 탄광부 진폐증 환자의 경과 관찰이나 진단방법의 일환으로 이용될 수 있을 것으로 사료되는 바, 향후 이 방면의 추적 연구가 필요할 것으로 사료된다.

• Kidney Research and Clinical Practice
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• 제37권4호
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• pp.373-383
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• 2018

Background: Several epidemiologic studies have suggested that the urine sodium excretion (USE) can be estimated in lieu of performing 24-hour urine collection. However, this method has not been verified in patients with chronic kidney disease (CKD) or in an interventional study. The purpose of this study was to evaluate the usefulness of estimating USE in a prospective low-salt diet education cohort (ESPECIAL). Methods: A new formula was developed on the basis of morning fasting urine samples from 228 CKD patients in the ESPECIAL cohort. This formula was compared to the previous four formulas in the prediction of 24-hour USE after treatment with olmesartan and low-salt diet education. Results: Most previously reported formulas had low predictability of the measured USE based on the ESPECIAL cohort. Only the Tanaka formula showed a small but significant bias (9.8 mEq/day, P < 0.05) with a low correlation (r = 0.34). In contrast, a new formula showed improved bias (-0.1 mEq/day) and correlation (r = 0.569) at baseline. This formula demonstrated no significant bias (-1.2 mEq/day) with the same correlation (r = 0.571) after 8 weeks of treatment with olmesartan. Intensive low-salt diet education elicited a significant decrease in the measured USE. However, none of the formulas predicted this change in the measured urine sodium after diet adjustment. Conclusion: We developed a more reliable formula for estimating the USE in CKD patients. Although estimating USE is applicable in an interventional study, it may be unsuitable for estimating the change of individual sodium intake in a low-salt intervention study.

• Journal of health informatics and statistics
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• 제43권4호
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• pp.344-351
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• 2018

Objectives: The purpose of this study is to investigate the impact of health behaviors of male workers without diabetes such as smoking, drinking and physical activities on HbA1c using 2015 and 2016 data from Korea National Health and Nutrition Examination Survey (KNHANES). Methods: The final study subjects of KNHANES were a total of 1,703 male workers in their 30s-50s who had normal levels of fasting blood sugar level, HbA1c, and hemoglobin. For the study variables, age, household income, educational level and occupation were included as socio-demographic characteristics; smoking behavior, drinking behavior, and physical activity behavior as characteristics of health behavior; and waist circumference, body mass index, systolic and diastolic blood pressures, total cholesterol, triglyceride and HDL cholesterol as medical examination characteristics were included. The analysis was conducted using independent variables t-test, one-way ANOVA, Pearson's correlation analysis and multiple regression analysis. Results: Socio-demographic factors that affect HbA1c were age, educational level, and occupation. As for HbA1c according to the status of current smoking, it was higher in order of the present, past and nonsmoking and HbA1c according to smoking amount pack-year increased linearly in between less than 1 pack-year and over 30 pack-year (p<0.001). Muscular exercises affected the reduction of HbA1c (p<0.05). In the multiple regression analysis with independent variables of the socio-demographic characteristics and health behavior, factors affecting HbA1c were age, occupation and smoking amount pack-year (p<0.05). In the multiple regression analysis where the characteristics of physical examination were added, factors affecting HbA1c were age, occupation, smoking amount pack-year, waist circumference and total cholesterol (p<0.001). Conclusions: As a result, the health behavior that had the most effect on HbA1c management for male workers without diabetes was the total lifetime smoking amount. Therefore, it is essential to prevent smoking as well as control, cholesterol to prevent diabetes for male workers.

• 한방비만학회지
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• 제3권1호
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• pp.7-16
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• 2003

Objectives : The lipolytic effects of catecholamines in adipose tissue are mediated by members of adrenergic receptors. This study was conducted to examine the effects of ${\beta}2-AR$ Gln27Glu (Q27E) polymorphism on obesity indices and risk among obesity clinic patients. Methods : 532 subjects, 38 men and 494 women, who attended a weight loss program in a local obesity clinic were analyzed. Height, weight, BMI, WHR and obesity index were measured or calculated. Body composition was measured by bio-impedance analysis. Genotype of ${\beta}2-AR$ polymorphism in codon 27 was analyzed by PCR-RFLP method. Serum concentrations of fasting glucose, total and HDL cholesterol, and triglyceride were determined by autobiochemical analyzer. Results: The Genotype distributions of ${\beta}2-AR$ gene were QQ type 81.3%, QE type 17.9% and EE type 8%. Therefore, the frequency of E allele of ${\beta}2-AR$ gene was 0.170 in the total subjects. The frequency of the ${\beta}2-AR$ variant genotype(QE+EE) was significantly higher in obese group($BMI{\geqq}25$) compared with non-obese group(p=0.027). Weight was significantly higher in variant(QE+EE) type compared with normal(QQ) type in total subjects(p=0.001), male(p=0.022) and female(p=0.013). BMI, obesity index and WHR were also significantly higher in QE+EE type. Body fat man was significantly higher in QE+EE type in total subjects(p=0.005) and female(p=0.027). When forward stepwise regression analysis was used to create a model of risk predictors of obesity($BMI{\geqq}25$), QE+EE type of ${\beta}2-AR$ gene was found to be a significant risk factor for obesity (p=0.042, ORs 1.597). Conclusions: QE+EE genotype of ${\beta}2-AR$ was associated with increased obesity indices and might be a significant risk factor for obesity.

• 한방비만학회지
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• 제13권1호
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• pp.33-45
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• 2013

Objectives: This study was aimed to find out the characteristics of ordinary symptoms between the control and patient groups, diagnosed as overweight or obesity, in Soyang, Taeeum, and Soeum Constitutions and among those 3 groups. Methods: As a prospective cross-sectional study based on medical records, 9213 patients, who visited Kyung Hee University Medical Center from May in 2007 to June in 2010, were included. To diagnose the constitution, Revised Questionnaire for the Sasang Constitution Classification II and examinations by oriental medical doctors who majored in Sasang Constitution Medicine were performed. Based on the World Health Organization criteria for Asian obesity assessment, body mass index (BMI) was classified into 3 groups; more than 25 as obesity, 23 to 25 as overweight, and less than 23 as normal. Ordinary symptoms questionnaire, which consists of 46 questions in 8 categories, were given to the subjects. One-way ANOVA test in continuous variables and chi-square test in categorical variables were carried out to analyze statistical significance. Results and Conclusions: 1) In general characteristics, we could find out the significant differences in age, sex, height, weight, BMI, waist circumference, blood pressure, total cholesterol, triglyceride, low density lipoprotein cholesterol, high density lipoprotein cholesterol, fasting blood sugar, and hemoglobin A1c among the 3 Constitutional groups. 2) Soyang Constitution of overweight and obesity has tendency to have higher appetite, like cool or cold water, defecate more, swear more, dislike heat, and have warmer or hotter extremities in the ordinary symptoms, compared with the control group. 3) Taeeum Constitution of overweight and obesity has tendency to have higher appetite, like cool or cold water, defecate more, swear more, dislike heat, and have warmer or hotter extremities in the ordinary symptoms, compared with the control group. 4) Soeum Constitution of overweight and obesity has tendency to have higher appetite and less fatigue in the ordinary symptoms, compared with the control group. 5) Soeum Constitution showed the slightest increase in appetite, preference about room temperature water, less number of feces, and feeling of chill and warmer extremities in ordinary symptoms, compared with Soyang and Taeeum Constitutions. Taeeum Constitution showed the distinct increase in appetite and sweating in ordinary symptoms, compared with Soyang and Soeum Constitutions.