• Communications for Statistical Applications and Methods
• /
• 제25권3호
• /
• pp.297-306
• /
• 2018

Cardiovascular disease (CVD) is the leading cause of death worldwide and has a high mortality rate after onset; therefore, the CVD management requires the development of treatment plans and the prediction of prevalence rates. In our study, age, income, education level, marriage status, diabetes, and obesity were identified as risk factors for CVD. Using these 6 factors, we proposed a nomogram based on a $na{\ddot{i}}ve$ Bayesian classifier model for CVD. The attributes for each factor were assigned point values between -100 and 100 by Bayes' theorem, and the negative or positive attributes for CVD were represented to the values. Additionally, the prevalence rate can be calculated even in cases with some missing attribute values. A receiver operation characteristic (ROC) curve and calibration plot verified the nomogram. Consequently, when the attribute values for these risk factors are known, the prevalence rate for CVD can be predicted using the proposed nomogram based on a $na{\ddot{i}}ve$ Bayesian classifier model.

• 식품보건융합연구
• /
• 제8권2호
• /
• pp.7-13
• /
• 2022

The purpose of this study was to compare the nutrient intake of elderly according to their cohabitation status and determine its effects on the prevalence of anemia. Data from the KNHANES were used for this study, including raw data on socioeconomic characteristics, nutrient intake, health status, and clinical laboratory findings. Study subjects aged 60 to 80 years were retrieved and analyzed. As a result, the prevalence of anemia was 12.0% (men, 11.6%; women, 12.3%). The prevalence rate increased with age, and odds ratio [OR] of anemia among those aged 75 to 80 years was 4.16 times higher in men (OR=4.16, 95% confidence interval [CI]=2.48-6.97) and 2.77 times higher in women (OR=2.77, 95% CI=1.86-4.14) compared to 60~64 years old. Socioeconomic factors (area of residence, education level, household income), including cohabitation Status (living alone VS living with other family members), and health behaviors (high-risk drinking, smoking, aerobic exercise) did not significantly effect on anemia. In addition, other than protein intake for men, nutrient intake did not have a significant effect on the prevalence rate of anemia. Hypertension, diabetes, and cancer significantly increased the risk of anemia. In Korea, the influencing factors of elderly anemia change over time, so periodic follow-up studies are needed.

• 한국식생활문화학회지
• /
• 제38권2호
• /
• pp.119-127
• /
• 2023

The labor environment in Korea has changed and problems related to employment types are treated as important issues. Especially, the ratio of irregular workers has not only increased relatively, but the labor conditions in Korea also have worsened in the current years. Studies have reported an association between temporary workers and the prevalence of diseases. However, there is insufficient research on chronic disease and employment types. Methods: The current study examines the prevalence rate of diseases and health behavior by categorizing employment types among Korean adults. Data were obtained from the 2016-2018 Korea National Health and Nutrition Examination Survey. Totally, the data of 2,366 workers (1,239 regular and 1,127 irregular) were analyzed in the study. The types of employment were classified by a questionnaire querying about working conditions. The results showed that irregular workers earned less than regular workers and had a significantly higher prevalence of diabetes mellitus and hypertension. We propose that if discrimination related to working conditions were relieved, irregular workers would be able to invest more time to exercise and doing check-ups regularly. In addition, individual nutrition consultations considering the knowledge and personal environmental factors of each individual are necessary for the improved health of all workers.

• 한국산학기술학회논문지
• /
• 제18권1호
• /
• pp.625-636
• /
• 2017

이상지질혈증, 고혈압, 그리고 당뇨병은 심뇌혈관질환의 주된 위험인자로서, 한국 성인의 이상지질혈증 유병률은 높지만 관리가 미흡하다는 문제점이 제기되어 왔다. 본 연구의 목적은 이상지질혈증에 초점을 두고 이러한 위험요인들의 유병률, 인지율, 치료율, 그리고 조절률을 조사하는 것이다. 이를 위해 한국건강관리협회 강원지부에서 2013년과 2014년에 국가건강검진을 받은 30세 이상의 성인 58,121명(남자 29,123명, 여자 28,998명)의 자료를 분석하였다. 이상지질혈증의 정의는 진단기준이 아닌, 이의 관리를 위한 치료기준을 따랐다. 즉 심뇌혈관질환 위험요인과 수준을 평가하여, 위험군에 따라 차등적인 LDL-콜레스테롤의 치료목표를 적용하였다. 연령 표준화된 유병률은 이상지질혈증이 32.5%로 가장 높았고, 그 다음으로 고혈압 25.1%, 당뇨병 9.4%의 순이었다. 유병자 기준 연령 표준화된 인지율은 고혈압 76.7%, 당뇨병 74.7%이었지만, 이상지질혈증은 10.6%에 불과했다. 유병자의 연령 표준화된 치료율은 고혈압 74.6%, 당뇨병 70.2%이었지만, 이상지질혈증은 9.4%로 가장 낮았다. 치료 받은 사람의 조절률은 고혈압이 75.8%로 가장 높았고, 그 다음으로 이상지질혈증 63.3%, 당뇨병 43.9%의 순이었다. 그리고 심뇌혈관질환 위험수준이 높은 집단일수록, 고LDL-콜레스테롤혈증의 조절률은 더 낮았다. 이상지질혈증의 유병률은 고혈압과 당뇨병보다 더 높았지만, 인지율과 치료율은 매우 낮은 수준이었다. 이러한 결과는 이상지질혈증 유병자들에 대한 관리 수준을 향상시키기 위한 효과적인 방안이 모색되어야 한다는 것을 제시한다. 이를 위해서는 이상지질혈증에 대한 현행 진단 위주의 국가건강검진체계를 치료 중심의 관리체계로 전환하고, 특히 심뇌혈관질환 고위험군에 대한 사후관리를 강화해야 한다.

• 대한지역사회영양학회지
• /
• 제15권4호
• /
• pp.445-459
• /
• 2010

This study was done to analyze the chronic diseases prevalence and dietary intake status according to the health related quality of life and to identify its significant properties. This study was conducted based on 2906 subjects ranging from 20~64 years old, out of 9704 total subjects from the 4th Korean National Health and Nutrition Survey in 2008. The average quality of life (QL) score was 0.915, where 983 subjects were below the average (low QL group) and 1923 subjects were above (high QL group). In the high QL group, there was more likely to be young, male, and with higher income and education. For high QL group, the self-related health score was high, and the subjective stress level was low. The prevalence of diabetes was significantly higher in the low QL group and anthropometric and biochemical measures were not shown differences between the two groups but waist circumference was significantly higher in the low QL group. The QL score was significantly negative correlated with the waist circumference and the body mass index. As for the recognition rate of Nutrition Guideline, there were no significant differences but high QL group had higher scores in "Eat a variety of foods", "Avoid too much Sodium", and "Enjoy meals and Eating a breakfast". Carbohydrate intake was significantly lower in the high QL group than in low QL group and the high QL group showed higher intake in legumes, meat and poultry, fruits, daily products and beverages. Overall results suggest that increased diabetes prevalence in people with low quality of life might be affected by the diets based on high carbohydrate, increased waist circumference, and lower rate of practice nutritional guideline.

• 사상체질의학회지
• /
• 제26권2호
• /
• pp.156-164
• /
• 2014

Objectives The purpose of this study was to analyze the Sasang constitution and psychological traits of amyotrophic lateral sclerosis (ALS) patients and to utilize the results in treatment and management. Methods The differences of Sasang Constitution distribution, psychological characteristics, comorbid disorders between ALS group of 26 patients and general group of 1132 persons were investigated and analyzed. Results There was no significant different distribution of Sasang Constitution between ALS group and general group but there was Yang-like personality tendency in ALS group than general group. In overall constitution, ALS group had the high prevalence rate of musculoskeletal disorders and diabetes than general group. In Soyangin constitution, ALS group had a high prevalence rate of musculoskeletal disorders than genral group. In Taeeumin constitution, ALS group had a high prevalence rate of diabetes and hypertension than general group. Conclusion ALS patients have the Yang-like personality. It is due to the adaptation of personality on the environmental change or coping strategy on diseases rather than the characteristics of congenital Sasang Constitution.

• Journal of Nutrition and Health
• /
• 제55권2호
• /
• pp.263-277
• /
• 2022

본 연구 결과 우리나라 40세 이상 성인에서 FBDI와 당뇨병 발생률 간의 상관성은 없었으나 당화혈색소 수준과 상관관계를 가지고, 이러한 경향은 여성이거나 운동을 하지 않는 사람, 그리고 비만인 경우 영향을 더 많이 받는다는 결과를 도출해냈다. 이는 앞으로 우리나라 당뇨병 관리 측면에서 염증을 고려한 다각화된 임상영양치료의 발판이 되리라 사료된다. 또한 추후 장기간의 추적 연구를 통해 식사염증지표와 당뇨병의 발생에 대한 추가적인 연구가 필요한 것으로 보이며, 당뇨병의 심각성에 관한 연구는 거의 없는 실정이기 때문에 추후 연구가 반드시 필요하다고 사료된다. 본 연구를 발판 삼아 추가적인 연구를 기반으로 임상현장에서 식사염증지표가 당뇨병 관리 도구로 활용될 수 있기를 기대하는 바이다.

• 한국치위생학회지
• /
• 제15권5호
• /
• pp.925-932
• /
• 2015

Objectives: The aim of this study is to investigate the relationship between diabetes mellitus and oral disease in the Korea adults by using the representative data of Korea National Health and Nutrition Examination Survey (KNHANES) V. Methods: Using data from a cross-sectional survey of Korea National Health and Nutrition Examination Survey V. The subjects were 5,602 adults over 19 years old. The survey data and the examination data are used for the independent variables. KNHANES included health status, nutrition survey, and oral examination. The health status was obtained by a self-reported questionnaire of the study subjects and direct interview was carried out on economic status, prevalence rate, and use of medical services. Results: The regular dental checkup of diabetes patients was significantly lower than the general population. Regular dental visits allow adults to receive early diagnosis and obtain restorative care at the first visit. The regular annual oral examination is very important to prevent and manage the chronic diseases including diabetes mellitus. Conclusions: Diabetes mellitus can be fully prevented and managed by the regular annual dental checkup. The establishment of the regular dental checkup system can prevent and manage the complication due to diabetes mellitus and other chronic diseases.

• 농촌의학ㆍ지역보건
• /
• 제23권2호
• /
• pp.269-274
• /
• 1998

The purpose of this study is to establish the basic consultation data for diabetes in adults and to demonstate the necessity of preventive regular medical examinations. The study was carried out at Chungyang County, Chungchungnam-Do from the first of January, 1996 to the end of December. Below is the statistical data of this study which concerns the distinction of sex, ages, and occupations from the 600 examinees. 1. According to the distinction of sex, there are 12 males and 11 females among the 300 examinees in each group. That means, the diabetic percentage is 4.0% versus 3.6% and male/female diabetic ratio is 1.1:1 2. According to the distinction of ages, there is one people 0.25% aged 20years old and 5 peoples 1.3% aged 30 years old among the 400 examinees. There are 6 peoples 1.0% aged 40 years old and 6 peoples 1.0% aged 50 years old among the 600 examinees. There are 4 peoples 2.0% aged 60 years old among the 200 examinees. 3. According to the distinction of occupations, there are 13 white collar workers 6.5% among the 200 examinees, and there are 8 blue collar workers(4%) among the 200 examinees. There are 2 government employees 1% among the 200 examinees. This show that there is less diabets in government employees than other occupational groups of the same number. 4. Among the white and blue collar workers, 7 diabetis's blood glucose levels are 140mg%--200 mg% and 6 are 200mg%. 5. Among the community medical insurance holders, 7 diabetic's blood glucose levels are 140 mg%--200mg% and 1 is 200mg%. 6. Among the government employees, 2 diabetic's bleed glucose levels are 140mg--200mg% and there is no 200mg%.

• Journal of Preventive Medicine and Public Health
• /
• 제27권3호
• /
• pp.425-436
• /
• 1994

This is to study the incidence of Diabetes and its risk factors in the impaired glucose tolerence group. 1084 subjects who had been examined 3 times for regular check-up in one human dock center under the university hospital were studied between $1986{\sim}1993$. The results are as follows; Prevalence rate of diabetes was 3.56%, and that of impaired glucose tolerence was 30.90% as of initial examination. The rate of diabetes was increasing with the age where 1.2% at age group $30{\sim}39$, 3.21% at age group $40{\sim}49$, 5.84% at age group $50{\sim}59$, 14.28% at age group 60 and over. And also the rate of impaired glucose tolerance was increasing with the age where 21.29% at age group $30{\sim}39$, 31.42% at age group $40{\sim}49$, 38.91% at age group $50{\sim}59$, 33.33% at age group 60 and over Of the examinees who were initially examined, total incidence rate of diabetes who developed to obvious diabetes at the 3rd follow-up examination from the initially impaired glucose tolerence group was 4.63% and it was 11.3 times higher than from the normal group (0.41%). After controlling for the effects of both age and obesity, the risk of subsequent diabetes for subjects with impaired glucose tolerance remained significantly higher than for normal subjects (Relative Risk, 10.48). Test for trends for developing to diabetes by the increasing level of fasting blood sugar and 1hr blood sugar at the initial examination were statistically significant in either normal and impaired glucose tolerence group. To determine the risk factor for developing to diabetes, logistic regression test was applied. Only fasting blood sugar and 1hr blood sugar were predictors for developing diabetes from the impaired glucose tolerence group at initial examination.