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Obesity, Diet and Physical Inactivity and Risk of Breast Cancer in Thai Women

  • Sangrajrang, Suleeporn;Chaiwerawattana, Arkom;Ploysawang, Pattama;Nooklang, Kanjamad;Jamsri, Paphawin;Somharnwong, Sopittra
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권11호
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    • pp.7023-7027
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    • 2013
  • To evaluate the relationship between obesity, diet, physical activity and breast cancer in Thai women, we conducted a case control study with 1,130 cases and 1,142 controls. Informed consent was obtained from all participants and a structured questionnaire was performed by trained interviewers to collect information on demographic and anthropometric data, reproductive and medical history, residential history, physical activity and occupation as well as dietary habits. A significant positive association with an increased risk of breast cancer was observed in women body mass index (BMI) of ${\geq}25mg/m^2$ (OR=1.33, 95%CI 1.07-1.65), the risk being higher in postmenopausal women (OR=1.67, 95%CI 1.24-2.25). In addition, underweight BMI at ages 10 and 20 years showed an inverse association in all women (OR=0.70, 95%CI 0.56-0.88 and OR=0.74, 95%CI 0.59-0.93, respectively) and in those with a premenopausal status (OR=0.69, 95%CI 0.51-0.93 and OR=0.76, 95%CI 0.56-0.99, respectively). Regular exercise was associated with a decreased risk of breast cancer (OR=0.78, 95%CI 0.68-0.98). Interestingly, analysis by type of activity revealed significant protective effects for women who reported the highest levels of walking for shopping (OR=0.58, 95%CI 0.38-0.88). High consumption of vegetables and fruit were associated with a decreased risk of breast cancer, while high consumption of animal fat showed an increased risk in postmenopausal women. In conclusion, our results indicate that obesity and high consumption of animal fat are associated with breast cancer risk, particularly in postmenopausal women, while recreational physical activity has protective effects. It seems that primary prevention of breast cancer should be promoted in an integrated manner. Effective strategies need to be identified to engage women in healthy lifestyles.

Ecophysiology of Seed Germination in Chinese Milk Vetch (Astragalus sinicus L.)

  • Shim, Sang-In;Kang, Byeung-Hoa
    • 한국작물학회지
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    • 제49권1호
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    • pp.19-24
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    • 2004
  • Germination and emergence habits of Chinese milk vetch (CMV) were examined to obtain the basic information for the effect of environmental conditions and cultural practices on the seedling density. Seed germination tests with different water potentials, temperatures, and soil and water depths showed the environmental effects on the characters related to seed germination in CMV. Imbibition under different temperatures reflects that initial velocity was rapid at higher temperature, however, the times to full imbibition were not different between 15 and $25^{\circ}$. The optimal germination temperature for CMV germination was ranged from 15 to 20 and the germination was highly affected by water potential of media at relatively high temperature above $20^{\circ}$. When the seeds were sown in flooded condition the germination was not proportionally affected by water depth. In addition, there was no correlation between water depth and oxygen concentration. The germination of seeds flooded by 2cm water depth were poorly germinated compared to other depths. Results indicated that the germination of submerged seeds was more highly influenced by flooding depth than the temperature, it was also affected more strongly at 10 than $20^{\circ}$. Emergence of CMV depending on the thickness of covered soil was poor when the soil layer was greater than 5cm. In the experiment with seeds collected between 22 days after flowering (OAF) and 52 DAF, the highest germination ability of CMV seeds was observed at 39 DAF and germinability was decreased subsequently as seeds became mature. The lower germinability may be due to the enhanced seed dormancy.

시흥시 만 5세 유아들의 영양지식·식태도·식행동 및 신체·기본운동능력 실태조사 (A Study on the Actual State of Nutrition Knowledge, Dietary Attitude, Eating Behavior, Physical Ability and Locomotion of Children Aged 5 Years in Siheung-city)

  • 표세희;강현주
    • 한국식품영양학회지
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    • 제27권5호
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    • pp.760-770
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    • 2014
  • The purpose of this study was to measure the nutrition knowledge, dietary attitude, eating behavior, physical ability and locomotion of 5-year-old-children, and thereby to provide the fundamental information necessary to develop a nutritionrelated physical education program. A survey was performed on 143 5-years-old boys and 113 girls. The results were as follows. The average score in the nutrition knowledge item, was 7.22 out of a possible 10 points; in the dietary attitude item, 32.46 out of 50 points; in the eating behavior item, 26.67 out of 40 points. According to body measurement, there was a significant difference in height by gender (p<0.05), Significant differences in muscle mass and basal metabolic rate were also observed by gender (p<0.001). Gender also influenced the flexibility and reflexibility (p<0.001), with significant difference in balance of the right side (p<0.01). Although this study was limited by its cross-sectional study design, the body muscle (p<0.05) and basal metabolic rate (p<0.05) were observed to have a positive relation with nutritional knowledge. In addition, there was a significant positive correlation between nutritional knowledge and dietary attitude (p<0.01). According to the results, it is necessary to develop a long-term and systematic program with the combination of nutrition and physical education to develop correct dietary habits and for the balanced growth of children.

만성질환 증상을 두 가지 이상 보유한 성인에 있어서 개인 단위의 영양교육 효과 (The Effect of Individualized Nutritional Education on Adults having two or more Symptoms of Chronic Degenerative Disease)

  • 윤진숙;정영혜;박정아;오현미
    • 대한지역사회영양학회지
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    • 제7권6호
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    • pp.794-802
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    • 2002
  • This study was intended to evaluate the overall effects of nutritional education on adults having two or more symptoms of chronic degenerative disease. A nine week nutritional education program was provided for 65 adults with chronic diseases. We assessed the changes in dietary knowledge, eating behavior and socio-psychological factors. When we evaluated the nutrient intakes of the subjects, their energy intake was 79.4% of the Korean Recommended Dietary Allowances (RDA). Their dietary intake of other nutrients was also below the RDA level except for Vitamin C. Their knowledge of dietary therapy was slightly improved after the implementing of nutritional education. The dietary behavior of ‘night snacks before sleep’was significantly improved. While the overall fear due to disease was significantly increased, self-efficacy was not improved. Self-efficacy for eating “three regular meals” and “choosing fruit, vegetable and grain” were significantly decreased. Family support for “buying food which is good for my health” was also significantly increased, whereas “advises me to eat appropriate foods for health” was decreased. Biochemical analysis indicated that blood levels of triglyceride, cholesterol and blood pressure improved after nutrition education. Therefore, we concluded that nutritional education program for people with chronic degenerative diseases could change the diet therapy knowledge, dietary behavior, and the fear due to disease, support from family and behavior intention toward the direction to improve the chronic disease condition. However, it did not improve self-efficacy. Our study also indicated that nutritional education strategies to improve self-efficacy should be an important aspect in a long term education plan for patients to establish desirable eating habits.

간이 영양상태 평가법에 의한 급식서비스 이용 노인의 영양 위험도와 관련 요인 (Nutritional Risk and its Related Factors Evaluated by the Mini Nutritional Assessment for the Elderly who are Meal Service Participants)

  • 한경희;최미숙;박정숙
    • Journal of Nutrition and Health
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    • 제37권8호
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    • pp.675-687
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    • 2004
  • This study is designed to assess the prevalence at risk of malnutrition according to the Mini Nutritional Assessment (MNA) and evaluate the factors influencing on the nutritional risk of the elderly. Three hundred and nine elderly (110 men and 199 women: mean age =74.1) who participated in meal service in the Chung-buk province were investigated. Mean MNA total score was 21.9 and women had significantly lower MNA scores than men (respectively, 21.5 and 22.8). In the mean time mean MNA-SF (Short Form) score was 10.7, respectively 10.6 for the women and 11.0 for the men, with the difference being statistically significant. The MNA classified 33% of the elderly as well-nourished, 61.7% as at risk of malnutrition and 5.3% as overt malnourished. However, MNA-SF categorized the examinees 40.2% as good and 59.8% at nutritional risk. Those who identified as malnourished elderly had significantly lower mean BMI, mid-arm and calf circumference, poorer functional abilities (ADL, IADL) , lower MAR and food habits scores, and higher number of nutrient $\leq$ 75% of RDA than those with at risk of malnutrition and well nourished. Also socioeconomic status such as educational level, self-rated economic status, poverty level, and marital status significantly influenced nutritional status. Similar effect was observed in self-rated nutritional status and health status, dental status, appetite change according to MNA score. Stepwise multiple regression analysis indicated that weight loss was the most predictive item in the total MNA and MNA-SF score. It was found that items such as mobility, living status (home vs institution) , mode of feeding, and pressure sores were inappropriate for assessment of the elderly who are able to participate meal service program. Also, some modifications of items in MNA are needed in order to apply to Korean elderly. Even though the MNA seems to be an useful tool to screen those old people at risk of malnourished, a lot of work is still to be done with this assessment tool to secure its reliability.

저소득 모자가족 아동방임 개입 프로그램 개발 및 효과성 연구 (Intervention Program on the Child Neglect of Low-income Female-headed Families)

  • 박영희;신혜섭
    • 한국사회복지학
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    • 제44권
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    • pp.146-177
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    • 2001
  • One of the difficulties of female-headed families face is economic hardship. Low-income single mothers work long hours, become isolated and feel burdened for dual roles. And many of them don't have relatives to share parenting roles. As a result, children of low-income female-headed families are easy to be neglected and left to form a delinquency-prone group in neighborhood. Traditionally, it has been viewed that children in female-headed families have problems due to the loss of father role. However, study indicates that these children can adjust well if the relationship between mothers and children is consistent and adequate. An Intervention program for low-income female-headed elementary children was developed and delivered in two community social welfare centers. The purpose of the program is to raise self-esteem. Two goals were 1) management of daily living habits and 2) improvement of family relations. Social workers maintained contact with mothers to talk about children's behaviors and to prompt hugging and touching. In addition, workers helped children to form good relationships with peers and school teachers. Children were satisfied with the program. Their family relations were improved statistically significantly after the program(wilcoxon signed rant test z=-2.934 p<.05). However, their self esteem were not improved significantly (wilcoxon signed test z=-1.173 p>.05). Qualitative analysis of each children were also discussed. The implications of the study are the followings: Intervention programs need to be delivered separately for low-grade and high grade elementary children because they have different developmental needs. The program also need to include education on sex and marriage as well as aggression reduction. Society needs to provide more support to single mothers for their personal and parenting needs.

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관광객의 스마트폰 이용 행위 요인: 모바일 뱅킹 서비스 중심 (Behavioral Factors Affecting Tourists' Smartphone Usage: Focus on Mobile Banking Service)

  • 구효천;김민철
    • 디지털융복합연구
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    • 제17권2호
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    • pp.127-134
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    • 2019
  • 본 연구에서는 관광객을 대상으로 스마트폰 모바일뱅킹 서비스에 대한 행동 의도에 미치는 영향 요인들을 탐색하고자 한다. 모바일 인터넷 기술의 발전과 스마트 폰의 보급으로 인해 스마트폰 기반의 모바일뱅킹에 대한 관심과 보급이 대중화되고 있다. 이러한 상황에서 본 연구에서는 독립변수로서 기대 성과, 사회적 영향, 촉진 조건, 인지된 재정적 비용, 습관, 인지된 보안 수준을, 그리고 종속변수로서 사용자의 이용행동의도 사이의 관계를 분석하였다. 본 연구에서는 제주국제공항에서 중국 관광객을 대상으로 203명의 응답자를 대상으로 분석을 실시하였고, Smartpls 3.0으로 독립변수들의 영향 정도를 파악하였다. 분석 결과 인지된 보안 수준 및 습관이 행동 의도에 긍정적인 영향을 미침을 알 수 있었다. 특히 인지된 보안을 최근에 스마트폰 기반 모바일뱅킹의 중요한 이슈라는 점에서 본 연구 결과에 부합된다. 본 연구는 관광객 대상으로 스마트폰 기반 모바일 뱅킹 서비스의 행위 요인에 대한 분석이라는 점에서 의의를 가진다.

한국 성인에서 안질환과 영양소 섭취와의 관련성에 관한 연구: 2015, 2016년 국민건강영양조사 자료를 이용하여 (A Study on the Relationship between Eye Disease and Nutrient Intake in Korean Adults: Data from Korean National Health and Nutrition Examination Survey 2015, 2016)

  • 황효정;신경옥;신승주
    • 대한영양사협회학술지
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    • 제27권2호
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    • pp.77-91
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    • 2021
  • This study was conducted to investigate the effect of the differences in nutrient intakes on the onset of eye disease in the ophthalmic disease group vs. the normal group. The analysis method of this study was performed by adjusting age and gender. The daily caloric intake was 1,672.1±26.4 kcal in the ophthalmic disease group which was significantly lower than the 2,041.5±13.6 kcal intake in the normal group (P=0.006). The intake of proteins (P=0.015) and carbohydrates (P=0.000) was significantly lower in the ophthalmic disease group than in the normal group. The incidence of eye diseases was found to decrease by about 0.79 (95% CI: 0.74~0.83) times as the NAR index of protein was increased, followed by 0.79 (95% CI: 0.64~0.98) times with an increase in niacin consumption. In this study, income, BMI, smoking, alcohol consumption, and quality of life were considered as the confounding variables related to eye disease, along with age and gender, but did not lead to show significant results. It was found that the ophthalmic disease group had an unbalanced nutritional intake compared to the normal group. Therefore, we conclude that nutrition education is necessary to ensurebalanced eating habits for management and prevention of degeneration after the onset of eye diseases.

영양교육이 이상지혈증 산업체 근로자의 영양지식 및 건강개선에 미치는 효과 (The Effect of Nutrition Education on Nutrition Knowledge and Health Improvement in Dyslipidemic Industrial Employees)

  • 심경순;이경혜
    • 대한영양사협회학술지
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    • 제18권1호
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    • pp.43-58
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    • 2012
  • This study was designed to investigate the impact of a 12-week nutrition education program on 32 male industrial workers (average age: $44.5{\pm}3.8$ yrs, work duration period: $20.1{\pm}5.6$ yrs) diagnosed as having dyslipidemia in a medical checkup at their workplace. This program was implemented with a conceptual framework on strengthening self-efficacy for the improvement of the health conditions of the workers. Most of all, the study exhibited benefits in the industrial workers by ameliorating the risk factors associated with dyslipidemia via changes in dietary behaviors, nutritional knowledge, and attitudes, as well as anthropometric and biochemical parameters. After the nutrition education, overall lifestyle, including the ratios of smoking (P<0.05) and drinking (P<0.01), significantly improved. Exactly 65.6% of the subjects reported that their dietary habits changed. Body weight, BMI, percentage of body fat, and waist circumference all significantly decreased (P<0.001). The systolic (P<0.01) as well as diastolic blood pressures (P<0.001) decreased. Moreover, the degree of increase in serum HDL-cholesterol was appreciable (P<0.001), and the atherogenic index also decreased (P<0.01). Further, risk factors related to metabolic syndrome in subjects significantly decreased (P<0.001). The average scores for nutrition knowledge increased from 9.3 to 17.7 points (P<0.001). All of the participants agreed on the need for a nutrition education program at their workplace. Further, it should be pointed out that the participants strongly indicated the need for continuing nutrition intervention.

간호대학생의 COVID-19 감염 예방을 위한 사회적 거리두기 영향요인 (Factors Influencing Nursing Students' Social Distancing for COVID-19 Prevention)

  • 조은비;황초롱;유재옥;신현진;김유진;최아론;이한나
    • 동서간호학연구지
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    • 제26권2호
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    • pp.167-175
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    • 2020
  • Purpose: This study aims to understand the effect of attitudes toward COVID-19, subjective norms, and intentions toward social distancing as a preventative measure for COVID-19 in nursing university students, and to provide basic data for COVID-19 prevention. Methods: A cross-sectional study design was used in this study. The participants included 169 nursing students at a university in G city. Data were collected from 22 May 2020 to 1 June 2020. A self-report questionnaire was used. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression analyses with the IBM/SPSS 26.0 for Window Program. Results: Intention was the most influential factor on social distancing (β=.29, p=.002), followed by the number of breakfasts per week (β=.18, p=.005), school grade (β=-.16, p<.001), and smoking status (β=-.13, p=.046). These variables explained 35.0% of factors influencing social distancing (F=12.24, p<.001). Conclusion: The results of this study are meaningful and present a direction for nursing students and future medical personnel to effectively perform social distancing. It is necessary to educate nursing students so that they can practice proper health care habits and intentions for social distancing.