• 제목/요약/키워드: Healthy Lifestyle

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Anxiety and Depression among Breast Cancer Patients in an Urban Setting in Malaysia

  • Hassan, Mohd Rohaizat;Shah, Shamsul Azhar;Ghazi, Hasanain Faisal;Mujar, Noor Mastura Mohd;Samsuri, Mohd Fadhli;Baharom, Nizam
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권9호
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    • pp.4031-4035
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    • 2015
  • Background: Breast cancer is one of the most feared diseases among women and it could induce the development of psychological disorders like anxiety and depression. An assessment was here performed of the status and to determine contributory factors. Materials and Methods: A cross-sectional study was conducted among breast cancer patients at University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur. A total of 205 patients who were diagnosed between 2007 until 2010 were interviewed using the questionnaires of Hospital Anxiety and Depression (HADS). The associated factors investigated concerned socio-demographics, socio economic background and the cancer status. Descriptive analysis, chi-squared tests and logistic regression were used for the statistical test analysis. Results: The prevalence of anxiety was 31.7% (n=65) and of depression was 22.0% (n=45) among the breast cancer patients. Age group (p= 0.032), monthly income (p=0.015) and number of visits per month (p=0.007) were significantly associated with anxiety. For depression, marital status (p=0.012), accompanying person (p=0.041), financial support (p-0.007) and felt burden (p=0.038) were significantly associated. In binary logistic regression, those in the younger age group were low monthly income were 2 times more likely to be associated with anxiety. Having less financial support and being single were 3 and 4 times more likely to be associated with depression. Conclusions: In management of breast cancer patients, more care or support should be given to the young and low socio economic status as they are at high risk of anxiety and depression.

흡연이 건강한 젊은 남자의 항산화 비타민과 항산화 효소에 미치는 영향 (Effect of Smoking on the Levels of Antioxidant Vitamins and Enzymes in Healthy and Young Men)

  • 박선민;류정길;안승희
    • 대한영양사협회학술지
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    • 제4권2호
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    • pp.168-177
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    • 1998
  • It has been reported that cigarette smoking increases free radical generation, which can also increase lipid peroxides and deplete antioxidants. The purpose of this study was to determine whether cigarette smoking and other lifestyle choices may affect serum lipid peroxide concentrations, serum antioxidant concentrations such as tocopherol and vitamin C, and serum antioxidant enzyme activity such as glutathione peroxidase and superoxide dismutase. Dietary intakes were assessed by 24-hour recall and survey questionnaires from 48 male non-smokers and 52 male smokers. Overnight fasting blood was collected and measured for individual antioxidant status. The daily vitamin C intakes of smokers tended to be lower than those of non-smokers, and the intakes of both groups were under the Recommended Daily Allowance (RDA). Vitamin E intake was sufficient for smokers and non-smokers. Serum lipid peroxide concentrations were no difference among all subjects. The serum $\alpha$-tocopherol concentrations of all subjects were in a normal range, and they were highest in mild smokers (p<0.05). Mean serum vitamin C levels were lowest in heavy smokers (p<0.05). The activities of serum glutathione peroxidase and superoxide dismutase were not significantly different in smokes and non-smokers. In conclusion, smoking did not increase oxidative stress in heathy young men. However, it is desirable for heavy smokers to consume more vitamin C than the RDA sine their serum vitamin C concentrations are relatively low.

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운동실천 수준에 따른 한국인의 식품 및 영양소 섭취양상에 관한 연구 (Identification of the Dietary Intake Patterns of Korean Adults according to Their Exercise Levels)

  • 김영옥
    • 대한지역사회영양학회지
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    • 제7권6호
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    • pp.769-780
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    • 2002
  • The purpose of this study was to identify the differences in dietary consumption patterns according to the exercise level of Korean adults. The study subjects were the 7,370 Koreans aged 20 years and older of the 1998 Korean Health and Nutrition Survey. The dietary assessment was conducted by means of the 24 hour recall method. Data for individual exercise behavior were collected by interviews as part of the National Health Behavior Survey. Following the analysis of variances the Duncan's Multiple Range Test was used to test the differences in food and nutrient intakes among groups with different levels of exercise. Current exercise practices were reported by 22% of the male subjects and 15% of the female subjects. Unlike observations from the American and European studies, a greater amount of meat intake was observed more frequently among high exercises group than among middle and low exercisers in the case of the male subjects. This was reflected in the increasing levels of protein and fat intake in proportion to the exercise levels. However, the food and nutrient intake patterns of female exercisers were quite different from those of the males. The least intake of fatty foods was observed among the high exercisers. Energy intake from fat was the lowest among the high exercisers. These results may imply that the motivation to exercise was quite different between male and female Koreans. This dietary pattern may have a risk of undernution. Summerizing the results, whatever the motivation of the exercise, the Korean exercisers of both sexes had unhealthy dietary pattern. Therefore, nutritional education should be conducted to encourage the eating of a balanced diet along with exercise, among Koreans of both sexes, in order to promote a healthy lifestyle.

여성 노인의 사회적지지 및 도구적 지지요구과 우울에 관한 연구 (Perceived social support, Instrumental support Needs, and Depression of Elderly women)

  • 탁영란;김순애;이봉숙
    • 여성건강간호학회지
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    • 제9권4호
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    • pp.449-456
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    • 2003
  • Purpose: The purpose of this study was investigate the relationships among perceived social support, instrumental support needs, and depression of healthy, community dwelling elderly women. Method: This study was designed to examine whether the perceived social support and instrumental support were correlated with depression in elderly women. Data were cross-sectional and community-dwelling elderly individuals. The subject was 98 elderly women recruited from Elderly Welfare Center and Community center for Elderly. The instruments for this study were Personal Resource Questionnaire-part II, Geriatric Depression Scale (Short Form), and Instrumental Support Activities Checklist. Data were gathered by means of structured personal interviews. The internal consistency of the instruments was relatively good. Result: The participants' perceived social support was moderately high and instrumental support needs was low. Depression was mild and moderate relatively. The correlation analysis showed that the perceived social support was negatively related to depression and negatively related with instrumental support needs. Conclusion: The findings suggested that more perceived social support, less their depressive symptom in elderly women. It also revealed that the age, marital status, and socioeconomic status of elderly women also are important indicator of the elderly depression. Therefore nursing assessment and the design of intervention that incorporate the determinants supported in this study, such as perceived social support of the elderly women are needed in adopting and maintain health promoting lifestyle for the mental health and effective functioning in later life in women.

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Pioneering Annual Colorectal Cancer Screening and Treatment Targeting Low Income Communities in Malaysia (2010-2015)

  • Tze, Christina Ng Van;Fitzgerald, Henry;Qureshi, Akhtar;Tan, Huck Joo;Low, May Lee
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권7호
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    • pp.3179-3183
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    • 2016
  • The aim of this study was to assess the rate of uptake of a customised annual Colorectal Cancer Awareness, Screening and Treatment Project (CCASTP) using faecal immunohistochemical test (FIT) kits in low income communities in Malaysia. The immediate objectives were (1) to evaluate the level of adherence of CRC screening among low-income groups, (2) to assess the knowledge and awareness of the screened population and (3) to assess the accuracy of FIT kits. A total of 1,581 FIT kits were distributed between years 2010 to 2015 to healthy asymptomatic participants of the annual CCASTP organized by Empowered - the Cancer Advocacy Society of Malaysia. Data for socio-demographic characteristics, critical health and lifestyle information of the registered subjects were collected. Findings for use of the FIT kits were collected when they were returned for stool analyses. Those testingd positive were invited to undergo a colonoscopy examination. A total of 1,436 (90.8%) of the subjects retuned the FIT-kits, showing high compliance. Among the 129 subjects with positive FIT results, 92 (71.3%) underwent colonoscopy. Six cases (6.5%) of CRC were found. Based on the data collected, the level of awareness of stool examination and knowledge about CRC was poor amongst the participants. Gender, age group, ethnicity and risk factors (i.e. smoking, lack of exercise and low consumption of fresh fruits) were associated with positive FIT-kit results. In conclusion, CRC screening can be performed in the community with a single FIT-kit. Although CRC knowledge and awareness is poor in low-income communities, the average return rate of the FIT kits and rate of colonoscopy examination were 91.2% and 70.3%, respectively.

경기 도시 지역 보건소 성인 방문자의 식생활과 건강 관련 라이프스타일 조사 (A Study on Dietary Behaviors, Health-Related Lifestyle of Adult Visitors at Public Health Centers in Gyeonggi Urban Area)

  • 권종숙;김경민;서현창;이윤나;임승건;최영숙
    • 대한지역사회영양학회지
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    • 제18권6호
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    • pp.611-625
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    • 2013
  • The purpose of this study was to investigate dietary behaviors and health-related lifestyles of adult visitors at a public health center in Gyeonggi urban area. A survey using questionnaire was conducted with 949 visitors at Seongnam public health centers from June to August, 2012. The data from 905 respondents were analyzed by gender, consisting of 322 males and 583 females, and age group, consisting of 243 low-age group (LA), 312 middle-age group (MA), 350 high-age group (HA), aged 20 to 30 years, 31 to 50 years, and 51 to 69 years, respectively. Average Body Mass Index was 23.0, which increased with age, and education level was high in LA. 59.0 percent of the subjects had various diseases, and the incidence of hypertension was the highest, followed by allergy, hyperlipidemia, diabetes mellitus, joint rheumatism. Incidence rates of chronic disease increased with age, which were lower than those from 2011 Korea National Health and Nutrition Examination Survey (KNHANES). Weekly drinking frequency rate and smoking rate decreased with age, and exercise performing rate was high at male and HA, which showed the same tendency as KNHANES. Female and HA showed more healthy dietary behaviors such as restricting salt, sugar, oily foods, foods containing food additives, calorie, caring for balanced diet, and referring to nutrition label. Subjects chose stress as the first factor, followed by diet, exercise, etc., among 13 suggested factors which strongly influence on human's life-span. In general, public health center visitors, especially female and HA, showed better dietary behaviors and health-related lifestyles compared with KNHANES.

건강검진 수검의 결정요인 및 건강증진행위 변화 효과 (Determinants of health screening and its effects on health behaviors)

  • 여지영;정형선
    • 보건행정학회지
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    • 제22권1호
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    • pp.49-64
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    • 2012
  • With the burden of chronic diseases mounting among the population as a result of its aging, the importance of health examination is being stressed in order to identify and manage diseases in the early stage. Health examination in Korea is divided largely into periodic health examination provided as a national health screening program and individual physical checkups. The advantages of the former include little economic burden on the examined and those of the latter include the freedom of the individual to select various examination headings depending on the individual's characteristics and preferences. With both examinations now being expanded, empirical analyses from various standpoints are needed. This study proposes to analyze traits of the examined and non-examined as shown in the facts and figures of the 1st and 2nd Korean Longitudinal Study of Ageing (KLoSA), thereby make the determinant factors clear leading to the acceptance of the examinations, and analyze the effects of the examinations upon maintaining or moving to healthy lifestyle. It was confirmed that demographic features such as gender and age, socioeconomic features such as the level of education, place of residence and household income, physical and mental state of health such as chronic disease and dementia, and daily living habits are significantly related with whether to accept physical examination. It is also confirmed that physical examination leads to non-smoking, regular physical exercises and regular dietary habits. It is suggested that, to enhance effects of health examinations, follow-up management programs making use of results of health examinations be further expanded, and the national health screening program be more actively put into operation for the bracket lying in the blind spot of the program.

고위험군 의료급여 수급권자에 대한 의료급여 사례관리 효과 (The Effect of Case Management Services for High-risk Medicaid Beneficiaries)

  • 안영진;최윤경
    • 한국산학기술학회논문지
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    • 제16권8호
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    • pp.5430-5441
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    • 2015
  • 본 연구의 목적은 의료급여관리사가 수행한 의료급여 사례관리가 고위험군 의료급여 수급권자의 건강관리 및 전반적 의료이용에 미치는 영향을 파악하기 위함이다. 2012년 10월 1일부터 2013년 3월 31일까지 Y구에서 의료급여 사례관리를 제공받은 대상자 중 113명의 조사 자료를 연구대상으로 하였다. 의료급여 사례관리 제공 전과 제공 후 자신의 질병상태 이해, 의료급여제도 이해, 약물복용과 생활습관관리에서 통계적으로 유의한 차이가 있었다. 또한 전반적 의료이용의 적정성, 이용 기관수, 사회적 고립도 및 건강상태도 통계적으로 유의한 차이가 있었다. 실급여일수, 외래내원일수와 기관부담금도 통계적으로 유의한 차이를 보여 고위험군 의료급여 사례관리 대상자의 전반적 의료이용에 긍정적인 효과를 나타냈다. 향후 의료급여 사례관리 사업의 다양화, 사후관리 및 모니터링 프로그램의 강화가 필요하다.

일부대학생의 성의식 및 성행동에 관한 연구 (A Study on Sexual Behavior and Attitudes among College Students in Seoul)

  • 문인옥
    • 보건교육건강증진학회지
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    • 제14권2호
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    • pp.95-112
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    • 1997
  • This study examines knowledge, attitudes and behaviors toward sexual activity among 412 college students in Seoul. An 127-item questionnaire is used in order to understand and consider alcircumstances involved in decisions about sexual activity, and to reflect to the course on healthy sexuality. The major findings are as follows: 1. ‘Books/media’ and ‘friends’ are the primary source of sexual knowledge. 2. Despite the increased number of sxeducation programs, peers apparently remain the major source of information and the counsellor of the sexual problems(71.6%). 3. About ninety percent of males and 14.2 percent of females masurbate. Although mastubation is anormal response to pleasurable bodily feelings, students feel ‘unnatural’, ‘bad’ or ‘guilty’. 4. For some students, sexual intercourse is perceived as the natural outgrowth of love. More than thirty oercent of males and 8. 1 percent of females are engaged in inter -course. 5. Asking parents or teachers to be specific in talking about sex makes it uncomfortable to discuss sex. 6. Sex education should begin in the family and in school in early childhood and continue throughout life. 7. Sexual feelings and emotions are stirred up differently between male and female by sexual sensations. 8. Half of the intimate relationship with opposite sex shows a love relationship with sexual closeness and pleasure. Unguided reading or peers remain the primary source of information about topics like masurbation and sexual technique. Thus, schools should be responsible for the more value-laden subjects (such as birth control, homosexuality, and sexual techniques). And inclusionof a peer education componebt that modified college students' perceived peer norms may be the intervention method of choice. The prevention of health problems is far more desirable than treatment. The earlier the knowledge and skill to make healthful decisions are instilled, the greater the chance a healthful lifestyle will be adopted. School is the logical place in our society to provide the college students learning opportunities essential to developing the knowledge and skills to choose a healthful life course.

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저소득층 학령기 아동·청소년 대상 건강관련 중재에 관한 체계적 문헌고찰 (A Systematic Review of Interventions with Low-Income School-Age Children and Adolescents)

  • 황지혜;최현지;정효진;김초롱;우윤정
    • Perspectives in Nursing Science
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    • 제15권2호
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    • pp.92-106
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    • 2018
  • Purpose: The purpose of this study was to review health-related interventions in nursing studies for low-income school-age children and adolescents. Methods: Searches among CINAHL, MEDLINE, PubMed, EMBASE, DBpia, and RISS identified 27 intervention studies published from January 2000 to April 2018. Results: Twenty-seven intervention studies were identified: 12 included psychosocial adaptations and 15 included the healthy lifestyle promotion and disease prevention. The settings were mainly schools and community welfare centers. Many studies were based on social cognitive theory and interventions were provided in a group format. Depression, self-esteem, resilience, self-efficacy for vegetable and fruit consumption, physical activity, and health-related knowledge improved significantly after the health-related interventions. However, the findings were inconsistent with regard to anxiety, peer relationships, body mass index (BMI), blood pressure, cholesterol, and glucose. Conclusion: There is potential for enhancing outcomes for psychosocial, physical health, and health-related knowledge among low-income school-age children and adolescents. Integrated interventions addressing the physical as well as psychological health of low-income children and adolescents should be conducted. It would be prudent to consider the ethnicity and family background of the child or adolescent. However, rigorous study designs and scientific validation are needed for further evidence.