• Annals of Occupational and Environmental Medicine
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• 제35권
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• pp.32.1-32.10
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• 2023

Background: Although many studies have been conducted on worker fatigue and sickness absence, the association between fatigue and sickness absence is unclear in Korean workers. This study was conducted to investigate the effect of worker fatigue on future sickness absence. Methods: The study was conducted on workers who received medical check-ups at a university hospital for two consecutive years (2014-2015). During check-ups in the first year, the Fatigue Severity Scale (FSS) was used to assess fatigue levels, and during check-ups in the second year, sickness absence was surveyed to determine whether they had been absent from work due to physical or mental illness during previous 12 months. The χ² test was used to analyze relationships between sociodemographic and occupational characteristics, fatigue levels, and sickness absence. Odds ratios (ORs) were calculated by logistic regression analysis controlled for confounding factors. Results: A total of 12,250 workers were included in the study, and 396 (3.2%) workers experienced more than one day of sickness absence during the study period. Adjusted ORs for sickness absence were 3.35 (95% confidence interval [CI]: 2.64-4.28) in the moderate-fatigue group and 6.87 (95% CI: 4.93-9.57) in the high-fatigue group versus the low-fatigue group. For men in the moderate- and high-fatigue groups, adjusted ORs for sickness absence were 3.40 (95% CI: 2.58-4.48) and 8.94 (95% CI: 6.12-13.07), and for women in the moderate- and high-fatigue groups, adjusted ORs for sickness absence were 2.93 (95% CI: 1.68-5.10) and 3.71 (95% CI: 1.84-7.49), respectively. Conclusions: Worker fatigue is associated with sickness absence during the following 12 months, and this association appears to be stronger for men than women. These results support the notion that sickness absence can be reduced by evaluating and managing work-related fatigue.

• 대한지역사회영양학회지
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• 제29권3호
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• pp.189-198
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• 2024

Objectives: The sodium index is an index that converts the estimated sodium intake calculated using a verified and reliable sodium estimation formula. This study aimed to determine the relationship between the sodium index and obesity indicators and the potential impact of excessive sodium consumption on obesity. Methods: Obesity indicators, such as body mass index (BMI), body fat percentage, waist-to-hip ratio (WHR), and visceral fat levels, were analyzed in 120 university students (60 men and 60 women). The sodium index was calculated by indexing the estimated sodium intake according to age, sex, BMI, salt-eating habits, and salt-eating behaviors. The relationship between sodium index and obesity indicators was analyzed using multiple logistic regression. Results: The estimated sodium intake was 3,907.1 mg, with 76.7% of the participants categorized under the "careful" level of sodium index and 10.8% under the "moderate" level. As the sodium index increased, the BMI, body fat percentage, WHR, and visceral fat levels significantly increased. All obesity indicators significantly increased in patients with a "severe" sodium index than in those with a "moderate" sodium index. In addition, a strong positive correlation was identified between obesity indicators and sodium index. When the "severe" sodium index was compared with the "moderate" sodium index, the risk of obesity based on body fat percentage increased by 2.181 times (95% confidence interval [CI], 1.526-3.118), while the risk of obesity based on visceral fat level increased by 4.073 times (95% CI, 2.097-7.911). Conclusions: Our findings suggest a correlation between excessive sodium intake and obesity. Moreover, the sodium index can be used to determine sodium intake.

• Annals of Occupational and Environmental Medicine
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• 제34권
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• pp.33.1-33.13
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• 2022

Background: Circadian rhythm disturbance caused by shift work has adverse effects on the metabolic homeostasis of the liver. Disruption of the metabolic homeostasis of the liver causes fat accumulation in the liver. The aim of this study was to investigate the correlation between shift work and non-alcoholic fatty liver disease (NAFLD) among male workers in the steel manufacturing industry of Korea. Methods: Based on medical examination data collected in June 2020, 2,511 male subjects from one steel manufacturing company in Korea were selected in total. NAFLD was evaluated using abdominal ultrasound, which was performed by two experienced radiologists. The multinomial logistic regression analysis was performed by adjusting for age, physical activity, smoking history, alcohol consumption, body mass index, waist circumference, blood pressure, blood glucose, lipidemia, liver function test, employment duration, and hepatotoxic materials exposure status. Results: Compared to daytime workers, the odds ratio (OR) of moderate-severe NAFLD in shift workers was 1.449 (95% confidence interval [CI], 1.028-2.043). Compared to daytime workers, the ORs of moderate-severe NAFLD were significantly higher for the group that engaged in total shift work for more than 20 years (OR, 2.285; 95% CI, 1.051-4.970), the group that was not allowed to sleep during night shift work (OR, 1.463; 95% CI, 1.030-2.078), and the group that consumed food during night shift work (OR, 1.580; 95% CI, 1.093-2.284). Conclusions: There was a correlation between shift work and moderate-severe NAFLD in male steel manufacturing workers. There will be a need for more research related to the correlation of shift work with steatohepatitis and cirrhosis in the future.

• 대한치위생과학회지
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• 제6권1호
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• pp.65-76
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• 2023

연구의 배경 및 목적: 본 연구의 목적은 한국인에서 신체활동과 치주염 사이의 연관성을 조사하는 것이다. 연구방법: 국민건강영양조사 2012년과 2013년 자료를 활용하여 우리나라 성인 9,191명에 대해 분석하였다. 치주 상태 조사는 지역사회치주요양필요지수(Community Periodontal Index, CPI)를 이용하여 CPI 3과 4를 치주염으로 정의하였다. 신체활동은 단축형 국제신체활동설문(International Physical Activity Questionnaire-Short Form, IPAQ-SF)을 이용하여 걷기 활동, 중등도 활동, 격렬한 활동으로 분류하여 분석하였다. 주요 변수간의 연관성은 로지스틱 회귀분석을 적용하였고, 비만 변수에 대해 층화분석을 적용하였다. 모든 분석은 성별에 따른 신체활동 수준의 차이가 있으므로 남녀를 나누어 분석하였다. 결과: 남성에서 치주염 유병률은 33.9%, 여성에서 치주염 유병률은 22.2%였다. 격렬한 신체활동과 중등도 신체활동을 하는 여성그룹에서 치주염 유병률이 각각 28% (OR=0.72, 95% CI=0.54-0.95), 34% ((OR=0.66, 95% CI=0.44-0.98) 낮았다. 반면 남성에서는 유의한 연관성을 보이지 않았다. 비만인 여성그룹에서는 중등도 활동을 한 그룹에서 65% (OR=0.35, 95% CI=0.18-0.67)의 더 높은 신체활동 감소와 연관성이 있었다. 결론: 본 연구조사 결과 중등도 신체활동은 치주염과 음의 연관성(inverse association)이 있다는 것을 보여주었다. 비만 여성에서는 중등도 신체활동이 치주염과 독립적으로 연관성이 있고 비만 변수가 효과변경인자(effect modifier)가 된다는 것을 확인하였다.

• Annals of Occupational and Environmental Medicine
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• 제35권
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• pp.51.1-51.15
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• 2023

Background: Recently, there has been increasing worldwide concern about outdoor air pollution, especially particulate matter (PM), which has been extensively researched for its harmful effects on the respiratory system. However, sufficient research on its effects on cardiovascular diseases, such as hypertension, remains lacking. In this study, we examine the associations between PM levels and hypertension and hypothesize that higher PM concentrations are associated with elevated blood pressure. Methods: A total of 133,935 adults aged ≥ 40 years who participated in the Korean Genome and Epidemiology Study were analyzed. Multiple linear regression analyses were conducted to investigate the short- (1-14 days), medium- (1 and 3 months), and long-term (1 and 2 years) impacts of PM on blood pressure. Logistic regression analyses were conducted to evaluate the medium- and long-term effects of PM on blood pressure elevation after adjusting for sex, age, body mass index, health-related lifestyle behaviors, and geographic areas. Results: Using multiple linear regression analyses, both crude and adjusted models generated positive estimates, indicating an association with increased blood pressure, with all results being statistically significant, with the exception of PM levels over the long-term period (1 and 2 years) in non-hypertensive participants. In the logistic regression analyses on non-hypertensive participants, moderate PM₁₀ (particulate matter with diameters < 10 ㎛) and PM_2.5 (particulate matter with diameters < 2.5 ㎛) levels over the long-term period and all high PM₁₀ and PM_2.5 levels were statistically significant after adjusting for various covariates. Notably, high PM_2.5 levels of the 1 year exhibited the highest odds ratio of 1.23 (95% confidence interval: 1.19-1.28) after adjustment. Conclusions: These findings suggest that both short- and long-term exposure to PM is associated with blood pressure elevation.

• 한국지구과학회지
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• 제38권4호
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• pp.269-282
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• 2017

이 연구에서는 Earth Observing System Terra 위성에 탑재된 Moderate Resolution Imaging Spectroradiometer (MODIS) 협대역 방출율(채널 29, 30, 31) 자료와 다중선형회귀모형을 이용하여 지표면 광대역 방출율을 추정하였다. 다중선형회귀모형 도출 및 검증을 위한 분광 방출율 자료는 MODIS University of California, Santa Barbara와 Advanced Spaceborne Thermal Emission and Reflection Radiometer spectral library의 307종(토양 123종, 식생 32종, 물 19종, 인위적 재료 43종, 바위 90종)을 사용하였다. 도출된 다중선형회귀모형의 결정계수($R^2$)는 0.95 (p<.001)로 높게 나타났고 또한 이 모형 결과와 이론적 광대역 방출율 값의 평균제곱근오차(Root Mean Square Error)는 0.0070이었다. 그리고 이 연구 결과에 따라 계산된 지표면 광대역 방출율을 선행 연구 Wang et al. (2005)의 결과와 비교하였다. 그 결과 아시아, 아프리카, 오세아니아 지역에서 이 연구와 Wang et al. (2005)의 결과에 대한 1월 평균 지표면 광대역방출율의 평균제곱근오차는 0.0054이었고 최소와 최대 편차는 각각 0.0027과 0.0067이었으며 이러한 통계 값은 8월에도 유사하였다. 이 연구에서 다중선형회귀모형에 의하여 계산한 지표면 광대역 방출율은 Wang et al. (2005)의 값과 큰 차이가 없이 비교적 정확하게 산출되었으나 산출 정확성 향상을 위해서는 토지피복특성에 따른 차별화된 회귀모형 적용 필요성이 제기된다.

• 대한임상검사과학회지
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• 제43권4호
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• pp.171-178
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• 2011

Glycated hemoglobin ($HbA_{1c}$) is a most preferably used baseline of diabetes, implicating average blood glucose levels over a 2-3 month period of time. Recently the American Diabetes Association has recommended the $HbA_{1c}$ assay as one of the criteria for diabetes. Although some studies provide data with "estimated average glucose", by converting the $HbA_{1c}$ results from simple linear regression, the results are not applicable to whole diabetes. We compared the relationship between $HbA_{1c}$ and estimated average glucose by anemia degree of diabetic patients in Korea. The data from the 2008~2009 Korean National Health and Nutrition Examination Survey were used. Analysis was done for 1,257 diabetes subjects with $HbA_{1c}$ results. The distribution of subjects was 34.1% in 60's, 25.9% in 70's, 21,6% in 50's, showing that there was more than 80% in over 50's. To take a close look of the differences depending on the anemic degree, we applied WHO criteria (hemoglobin<13.0 in men and hemoglobin<12.0 in women) and divided anemia degree. The regression equation for A1c and estimated average glucose was $eAG_{mg/dL}=24.3{\times}A1c-32.0$ ($R^2=0.54$, p<0.001) in all subjects, $eAG_{mg/dL}=33.1{\times}A1c-96.1$ ($R^2=0.52$, p<0.001) in slight anemia ($11.0{\leq}$Hb<13.0 in men, $10.0{\leq}$Hb<12.0 in women), and $eAG_{mg/dL}=13.5{\times}A1c+34.9$ ($R^2=0.12$, p =0.075) in moderate anemia (Hb<11.0 in men, Hb<10.0 in women). The regression was not significant in moderate anemia. The relationship between HbA1c and eAG was lower correlation than ADAG study, and eAG showed lower value in all ranges among $HbA_{1c}$ 5~13%. Such as a korea where, there are many diabetic patients among the old aged and higher prevalence rate of anemia, we should be extra careful when we reflect eAG using $HbA_{1c}$ and need to establish criteria which can be applicable to koreans.

• 한국콘텐츠학회논문지
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• 제18권10호
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• pp.584-595
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• 2018

본 연구의 목적은 초등학생의 체육수업 기본심리욕구 충족정도가 학교행복감과 신체적 라이프스타일에 미치는 영향을 살펴보는 것이다. 이를 위해 I 도시, 5개 초등학교 300명의 초등학생에게 설문지가 배부되었다. 불성실하게 응답한 설문지 22부를 제외한 총 278부의 설문지가 자료분석에 사용되었다. 자료분석을 위해 기술분석, 탐색적 요인분석, 상관관계분석, 다중회귀분석이 사용되었다. 상관관계분석 결과, 체육수업 기본심리욕구의 유능감과 관계성은 중 고강도 신체활동 및 학교행복감의 모든 하위변인들과 정적인 상관관계를 나타냈다. 다중회귀분석결과, 기본심리욕구의 유능감은 자기존중감과 교사관계 학교행복감에 정적인 영향을 미쳤으며, 중 고강도 신체활동에 정적인 영향을 미쳤다. 기본심리욕구의 관계성은 학교행복감의 모든 하위요인에 정적인 영향을 미쳤다. 본 연구의 결과에 따르면, 체육수업 기본심리욕구의 충족은 학교행복감의 중요한 요소이며, 신체적으로 적극적인 학생으로 이끄는 중요한 심리기전으로 밝혀졌다. 본 연구를 통해 초등학교 체육수업의 가치가 더욱 부각되기를 바란다.

• 대한간호학회지
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• 제38권2호
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• pp.321-331
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• 2008

Purpose: To examine the relationship between body fat percentage (BFP) and N-K cell activity (NKCA) in Korean breast and rectal cancer patients just after diagnosis. Methods: With 35 subjects enrolled between November 2002 and May 2003, Bioelectrical Impedance Analysis was used to estimate BFP. FACS Analysis was used to measure N-K cell activity. The relationships between BFP and NKCA were identified by using curve estimation, simple regression, and multiple regression, Results: The mean BFPs of the subjects and all the sub-groups were higher than acceptable BFPs. Both the mean NKCAs of male and female subjects were lower than that of healthy women. NKCA was explained by BFP with a 14.9% variance in the total subjects (p<.05). There were significant negative relationships between BFP and NKCA after controlling age, type of cancer, and stage of cancer while no significant relationship was found after controlling for gender. The relationships between BFP and NKCA in the sub-groups of female, breast cancer, and stage I, and II were significant. The relationships between male, rectal cancer, and the stage III, and VI sub-groups were not identified, but they revealed a mild to moderate steep in curve estimation. Conclusion: Weight reduction could prevent the risk and advancement of breast and rectal cancer in Koreans.

• 성인간호학회지
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• 제25권4호
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• pp.464-472
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• 2013

Purpose: The purpose of this study was to identify aging anxiety and influencing factors of middle-aged adults. Methods: Descriptive correlation design was used. Three hundred and three middle-aged adults participated in the study and completed the questionnaires in the period from September 11 to October 15 of 2011. The data was analyzed using independent t-test, one-way ANOVA, Scheff$\acute{e}$ test, Pearson correlation coefficients, and hierarchial multiple regression analysis. Results: Aging anxiety of middle-aged adults was higher than a moderate level. Socio-demographic variables such as age, religion, education, economic level, perceived health status and experience of living with older adults influenced significantly on aging anxiety. In contrast, general self-efficacy, aging knowledge and attitude toward older adults were negatively correlated with aging anxiety. Hierarchial multiple regression analysis incorporating these variables showed an explanation rate of aging anxiety at 21%. And religion, perceived health status, attitude toward older adults, and general self-efficacy were statistically significant among variables that influence on aging anxiety. Conclusion: The findings of this study suggest that senior preparation programs that can enhance self-efficacy, induce positive attitude on older adults and promote health should be implemented to reduce aging anxiety of middle-aged adults.