• 제목/요약/키워드: Glucose measurement

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대한민국 성인에서 대사증후군, 비타민 D 및 뇨 중 미세알부민의 관련성 (The Association of Metabolic Syndrome and Vitamin D and Urine Microalbumin in Korean Adults)

  • 윤현;이건우;고재성;김광욱
    • 한국콘텐츠학회논문지
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    • 제17권1호
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    • pp.378-386
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    • 2017
  • 본 연구는 대한민국 20세 이상 성인(n=4,948)에서 대사증후군과 비타민 D 및 뇨 중 미세알부민(microalbumin, MA)의 관련성을 연구하는 것을 목표로 하였다. 비타민 D의 수준(비타민 D 결핍, 비타민 D 불충분, 비타민 D 충분)에 따른 뇨 중 미세알부민에서, 비 대사증후군에서는 연령, 성별, 흡연습관, 음주 습관, 운동습관, 허리둘레, 체질량지수, 총콜레스테롤, 중성지방, 고밀도 콜레스테롤, 혈당 및 신사구체 여과율 등을 보정한 후에 비타민 D의 수준이 증가함에 따라 뇨 중 미세알부민은 유의하게 감소하였지만(p<0.001), 대사증후군에서는 관련변수를 보정한 후의 결과에서 비타민 D의 수준이 증가함에 따라 뇨 중 미세알부민은 유의한 차이가 없었다(p=0.892). 결론적으로, 비 대사증후군에서는 비타민 D의 수준이 증가함에 따라 뇨 중 미세알부민은 유의하게 감소하였지만, 대사증후군에서는 유의한 관련성이 없었다.

Evaluation of Waist Circumference Cut-off Values as a Marker for Fatty Liver among Japanese Workers

  • Abe, Naomi;Honda, Sumihisa;Jahng, Doosub
    • Safety and Health at Work
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    • 제3권4호
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    • pp.287-293
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    • 2012
  • Objectives: Metabolic syndrome has received attention as a risk factor for cardiovascular disease, with particular importance attached to visceral fat accumulation, which is associated with lifestyle-related diseases and is strongly correlated with waist circumference. In this study, our aim is to propose waist circumference cut-off values that can be used as a marker for fatty liver based on a sample of workers receiving health checkups in Japan. Methods: This study was conducted in a total of 21,866 workers who underwent periodic health checkups between January 2007 and December 2007. The mean age of the subjects was 47.4 years for men (standard deviation [SD]: 8.0) and 44.7 years for women (SD: 6.9). Evaluation included abdominal ultrasound and measurement of waist circumference, body mass index, fasting blood glucose, triglycerides, high-density lipoprotein cholesterol, and blood pressure. Results: Based on receiver operating characteristic curve analysis, the optimal waist circumference cut-off values were shown as 85.0 cm (sensitivity 0.72, specificity 0.69) for men and 80.0 cm (sensitivity 0.75, specificity 0.78) for women. Conclusion: Abdominal ultrasound is the most efficient means of diagnosing fatty liver, but this examination seldom occurs because the test is not routinely performed at workers' health checkups. In people found to have a high risk of fatty liver, recommendations can be made for abdominal ultrasound based on the waist circumference cut-off values obtained in this study. That is, waist circumference can be used in high risk individuals as an effective marker for early detection of fatty liver.

우리나라 65세 이상 노인의 고혈압 유병률과 관련요인: 제4기 국민건강영양조사자료 분석(2007~2009) (Prevalence of Hypertension and Related Risk Factors in the Elderly: Data from the 4th Korean National Health & Nutrition Examination Survey, 2007~2009)

  • 이혜상
    • 대한영양사협회학술지
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    • 제19권1호
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    • pp.14-24
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    • 2013
  • The purpose of this study was to estimate the prevalence of hypertension, and to assess the risk factors associated with hypertension in elderly (over 65 years old) Koreans, using data from the 4th Korean National Health & Nutrition Examination Survey (the 4th KNHANES), 2007~2009. A total of 1,887 participants were analyzed for assessing the risk factors after excluding those who took hypertension medicines or underwent diet therapy (hypertension perceivers). On the other hand, in analyzing prevalence, a total of 3,526 people were analyzed, including hypertension perceivers. Hypertension was more frequently found in female (64.1%) and urban (62.0%) groups compared to male (55.6%) and rural (57.4%) groups. The mean age of the hypertensive group was significantly higher than that of normal group. The mean values of total cholesterol levels were also significantly higher in the hypertensive group, while body weight, waist circumference, fasting blood glucose, hemoglobin, hematocrit, LDL-cholesterol, and HDL-cholesterol were not. Multiple logistic regression showed that smoking was significantly related to the prevalence of hypertension, but alcohol drinking, stress, obesity, hypercholesterolemia, hypertriglyceridemia, diabetes, anemia, and nutrient intakes were not. The results of this study does not support clear relations of hypertension with chronic diseases including obesity, hyperlipidemia, anemia, and diabetes as well as nutrient intakes among a Korean elderly population. A prospective long-term research study is needed to establish the effects of these factors on hypertension.

추출법에 따른 당귀수산과 작약감초탕의 성분과 활성의 비교 (Comparison of Ingredients and Activities of Danggwisoo-san and Jakyakgamcho-tang by Extraction Method)

  • 이대연;이호성;조주휘;이영우;김성진;강경래;권태욱;양승구;이인희
    • 한방재활의학과학회지
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    • 제30권4호
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    • pp.31-39
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    • 2020
  • Objectives Danggwisoo-san and Jakyakgamcho-tang are frequently prescribed for traffic accident patients in Korea. The aim of this study was to examine index compound analysis, antioxidant activity and amount of starch measurement by extraction method. Methods Danggwisoo-san and Jakyakgamcho-tang were extracted with water and 70% ethanol. Antioxidant activity was measured by 2,2-Diphenyl-1-picrylhydrazyl, 2,2-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) and ferric reducing antioxidant power according to the standard protocol. The contents of the indicator components nodakenin, paeoniflorin, and glycyrrhizin were measured by high-performance liquid chromatography, respectively. All starches were hydrolyzed and then total D-glucose was measured and compared. Results Antioxidant activity was excellent in 70% ethanol in all assays. The index component was jagged because its solubility was different depending on the extraction solvent. Starch content was significantly lower in 70% alcohol extract than water extract. Conclusions The results of this study showed that physiological activities and components are different according to extraction conditions. Each herbal medicine has a suitable extraction solvent. Also, the difference in starch content is an object to be considered as it may affect digestion and absorption.

조기 난소기능 부전증 환자에서 자가면역 질환과의 상관관계 (Association with Autoimmune Disease in Patients with Premature Ovarian Failure)

  • 박준철;김종인;이정호
    • Clinical and Experimental Reproductive Medicine
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    • 제31권3호
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    • pp.149-154
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    • 2004
  • Objective: To assess the association with autoimmune endocrine diseases and detection rate of autoimmune antibodies and its clinical significance in patients with premature ovarian failure. Methods: Twenty eight patients with primary or secondary amenorrhea manifesting hormonal and clinical features of premature ovarian failure (primary POF: 7, secondary POF: 21) were investigated. We tested them TFT, 75 g OGTT, ACTH and S-cortisol for thyroiditis, IDDM, Addison's disease, and antithyoglobulin antibody, antimicrosomal antibody, antinuclear antibody, rheumatic factor, anti-smooth muscle antibody, anti-acetylcholine receptor antibody for non-organ specific autoimmune disorders. Results: Only one patient was diagnosed as IDDM and no patients had abnormal TFT or adrenal function test. More than one kind of autoantibody was detected in 11 patients of all (39.2%): 5 patients (71.4%) of primary POF group and 6 patients (21.4%) of secondary POF group. Eleven patients (39.3%) had antithyroglobulin antibody, 4 (14.3%) had antimicrosomal antibody, 2 (7.1%) had antinuclear antibody, 2 (7.1%) had rheumatic factor, 1 (3.6%) had anti-smooth muscle antibody, 1 (3.6%) had anti-acetylcholine receptor antibody. Conclusions: Premature ovarian failure may occur as a component of an autoimmune polyglandular syndrome, so patients should be measured with free thyroxine, thyroid-stimulating hormone, fasting glucose and electrolytes. Measurement of thyroid autoantibodies in POF patients may be important in identifying patients at risk of developing overt hypothyoidism, but other autoantibodies may not be suitable for screening test.

실리콘-탄소나노튜브-탄소 복합체 제조 및 리튬이온전지 응용 (Synthesis of Si-CNT-C Composites and Their Application to Lithium Ion Battery)

  • 김찬미;김선경;장한권;길대섭;장희동
    • Korean Chemical Engineering Research
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    • 제56권1호
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    • pp.42-48
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    • 2018
  • 리튬이온전지의 음극재로 높은 이론적인 용량과 낮은 방전 전위 및 무독성을 가진 실리콘이 높은 관심을 받고 있다. 본 연구에서는 리튬이온전지의 고효율 음극재로 활용을 위한 실리콘-탄소나노튜브-탄소(Si-CNT-C) 복합체를 제조하였다. 복합체 제조를 위해서는 에어로졸 자기조립과 후 열처리 공정을 사용하였다. 제조된 Si-CNT-C 복합체는 구형이었으며 평균 입자크기는 $2.72{\mu}m$이었다. 복합체의 크기는 실리콘 및 탄소나노튜브의 농도가 증가할수록 커지는 것을 확인하였다. Si-CNT-C 복합체는 탄소나노튜브와 글루코스에서 탄화된 탄소가 실리콘 입자들을 중심으로 표면에 부착된 형태이었다. 제조된 Si-CNT-C 복합체는 전기화학 분석을 통해 순수한 실리콘보다 우수한 사이클 성능을 보여주고 있음을 확인하였다.

Lactococcus lactis subsp. cremoris ATCC 11602-A1의 세포벽 구성분과 Phage 내성과의 관련성에 관한 연구 (The Relationship between the Cell Wall Components of Lactococcus lactis subsp.cremoris ATCC 11602-A1 and Its Bacteriophage Resistance)

  • 이춘화;배인휴;강국희
    • 한국미생물·생명공학회지
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    • 제22권3호
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    • pp.240-245
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    • 1994
  • Relation the phage defense mechanism of phage resistant Lactococcus lactis subsp. cremoris ATCC 11602-A1 to its cell wall components was investigated. To determine whether teichoic acid which is known to be one of the phage receptor site present on the cell wall, phage adsorption was examined after treatment 5% TCA(60%$\CIRC $C) and concanavalin A to the cell wall of A1 and parent strain. However, the adsorption rate of two strains did not change. Total amount of phosphate after TCA treatment did not change in both strains, but a difference between the two strains was observed. Ribitol and glycerol, components of teichoic acid, could not be detected in the cell walls of two strains by GC analysis. These results suggest that although teichoic acid was not present in the cell walls of both strains, the composition of cell wall of two strains was not identical. Measurement of amount of protein and SDS-polyacryamide gel electrophoresis were carried out to examine the involvement of cell wall protein in phage resistance, showing that protein is nothing to do with phage adsorption of parent strain, but phage resistance of A1 is related to protein. Cell wall carbohydrates of A1 contained rhamnose, glucose, and galactose. Total amount of carbohydrate of 1% SDS-treated A1 cell wall was reduced to the level of parent strain. The results suggest that phage resistance of A1 was due to the presence of a higher level of carbohydrates then parent strain, and to interaction of carbohydrate and protein.

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단일화 스트립지 교환기 개발 (Unification of examination paper switchboard)

  • 한현지;김민영;이기영;이상식
    • 한국정보전자통신기술학회논문지
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    • 제5권3호
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    • pp.138-143
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    • 2012
  • 본 연구에서는 기존의 사용되고 있던 혈당 측정에 대한 번거로움을 줄이기 위해 단일화 스트립지 교환기 개발에 대한 연구를 진행하였다. 스트립지 케이스는 탄창식으로 제작하여 기존 제품 사용시 발생했던 손 오염이나 분실률을 최소화하였으며, 또한 스트립지의 정량을 실시간으로 확인 가능하게 하여 환자의 편리성을 추구하였다. 연구에선 특정 제품의 스트립지를 사용하였으나 이는 단순 연구에 대한 예시로 타 스트립지마다 제작이 가능하다. 제안한 단일화 스트립지 교환기는 설문지를 작성을 통해 평가 및 만족도를 조사하여 데이터를 구축하였고, 구매의사에 대한 문항에 67%로 좋은 평가를 받았다. 연구는 흔히 발병하는 당뇨병 환자의 자가 검사 시 겪는 불편함을 최소화하려하였으며, 나아가 실용성을 추구한 디자인을 통해 기능성과 실용성을 개선하여 다양한 질병의 스트립지에 대한 응용 가능성을 제시하였다.

Removing Lipemia in Serum/Plasma Samples: A Multicenter Study

  • Castro-Castro, Maria-Jose;Candas-Estebanez, Beatriz;Esteban-Salan, Margarita;Calmarza, Pilar;Arrobas-Velilla, Teresa;Romero-Roman, Carlos;Pocovi-Mieras, Miguel;Aguilar-Doreste, Jose-Angel;Commission on Lipoprotein and Vascular Diseases, Sociedad Espanola de Quimica Clinica
    • Annals of Laboratory Medicine
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    • 제38권6호
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    • pp.518-523
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    • 2018
  • Background: Lipemia, a significant source of analytical errors in clinical laboratory settings, should be removed prior to measuring biochemical parameters. We investigated whether lipemia in serum/plasma samples can be removed using a method that is easier and more practicable than ultracentrifugation, the current reference method. Methods: Seven hospital laboratories in Spain participated in this study. We first compared the effectiveness of ultracentrifugation ($108,200{\times}g$) and high-speed centrifugation ($10,000{\times}g$ for 15 minutes) in removing lipemia. Second, we compared high-speed centrifugation with two liquid-liquid extraction methods-LipoClear (StatSpin, Norwood, USA), and 1,1,2-trichlorotrifluoroethane (Merck, Darmstadt, Germany). We assessed 14 biochemical parameters: serum/plasma concentrations of sodium ion, potassium ion, chloride ion, glucose, total protein, albumin, creatinine, urea, alkaline phosphatase, gamma-glutamyl transferase, alanine aminotransferase, aspartate-aminotransferase, calcium, and bilirubin. We analyzed whether the differences between lipemia removal methods exceeded the limit for clinically significant interference (LCSI). Results: When ultracentrifugation and high-speed centrifugation were compared, no parameter had a difference that exceeded the LCSI. When high-speed centrifugation was compared with the two liquid-liquid extraction methods, we found differences exceeding the LCSI in protein, calcium, and aspartate aminotransferase in the comparison with 1,1,2-trichlorotrifluoroethane, and in protein, albumin, and calcium in the comparison with LipoClear. Differences in other parameters did not exceed the LCSI. Conclusions: High-speed centrifugation ($10,000{\times}g$ for 15 minutes) can be used instead of ultracentrifugation to remove lipemia in serum/plasma samples. LipoClear and 1,1,2-trichlorotrifluoroethane are unsuitable as they interfere with the measurement of certain parameters.

Relationship between Quantitative Sonographic Measurements and Serum Biochemical Parameters in Childhood Obesity

  • Damar, Cagri;ISik, Emregul;Gungor, Sukru
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제24권5호
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    • pp.470-482
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    • 2021
  • Purpose: We investigated the relationship between sonographic measurements of fatty liver and body mass index standard deviation score (BMI-Z score), abdominal wall fat thickness (AWFT), and serum biochemical parameters in childhood obesity. Methods: Anthropometric, laboratory, and ultrasonography data were obtained from 174 children with BMI-Z score >1. After the qualitative grading of hepatosteatosis (grades 0-3), the quantitative liver-kidney echogenicity ratio (LKER) was calculated using a software tool. Groups according to sex, age (AG-I to AG-III), BMI-Z score (BMG-I to BMG-III), and hepatosteatosis degree (HS-I and HS-II) were formed. The differences and distributions of the variables were statistically analyzed and compared among the groups. Results: Serum transaminase and glucose levels showed a positive correlation with LKER, whereas the HDL level showed a negative correlation. BMI-Z score and AWFT showed a positive correlation with fasting insulin level and HOMA-IR value. LKER was significantly higher in girls than in boys (p=0.008). In the AG-I group (age 3-8.9 years), the BMI-Z score was significantly higher, whereas AWFT was significantly lower than in the other age groups (p<0.001). The cutoff point of LKER for predicting grade 2 or higher steatosis (HS-II group) was determined to be 1.83. Cardiovascular disease risk was significantly higher in the HS-II group (p=0.035). Conclusion: As a valuable quantitative measurement tool, LKER can be used for the sonographic screening of fatty liver. AWFT, on the basis of its correlation with fasting insulin level and HOMA-IR value, may be a useful sonographic parameter in the management of childhood obesity.