• 치위생과학회지
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• 제17권3호
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• pp.233-241
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• 2017

This study identified an effective control method for periodontitis by investigating the association between blood levels of vitamin D and periodontitis in Korean elderly based on raw data from the fifth Korea National Health & Nutrition Examination Survey of 2010 (KNHANES). In this study, 1,021 adults over 65 years of age were evaluated based on data from the KNHANES. Periodontal disease was assessed using community periodontal index (CPI), with CPI codes ${\geq}3$ defined as periodontitis. Blood levels of vitamin D were measured from blood samples and divided into four groups (first quartile: ${\leq}13.23ng/ml$, second quartile: 13.24~16.95 ng/ml, third quartile: 16.96~21.58 ng/ml), and fourth quartile >21.59 ng/ml). Using multiple logistic regression analyses, the variables were adjusted for general characteristics, oral health-related characteristics, health-related characteristics, and bone mineral density. The statistical analysis was performed using the SAS (ver. 9.2). The results of this study are as follows: the prevalence of periodontitis was 42.6% in Korean elderly. After adjusting for general, oral health-related, and health-related, the risk of periodontitis in the first quartile group was 1.74 times (95% confidence interval [CI], 1.02~2.98) higher than that of the fourth quartile group (p=0.041). After adjusting for general, oral health-related, and health-related characteristics as well as bone mineral density, the risk of periodontitis in the first quartile group was 1.73 times (95% CI, 1.02~2.96) higher than that of the four quartile group (p=0.042). There was a significant relationship between blood vitamin D level and periodontitis in Korean elderly. For the prevention of periodontitis, factors related to vitamin D should be considered along with other risk factors.

• 국제물리치료학회지
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• 제9권1호
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• pp.1413-1419
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• 2018

The purpose of this study was to examine the effects of hemispheric damage in body composition of male adults with stroke experiences. The Fourth and Fifth Korea National Health and Nutrition Examination Surveys (KNHANES) with body composition results obtained from the DXA (dual-energy X-ray absorptiometry) assessments were used for this study. Survey data of 18 post-stroke men and 28 healthy controls were obtained. Both the lean and fat masses of the upper and lower limbs were utilized to compare for the compositions between the limbs in post-stroke subjects. In addition, the effect of exercise habit was also observed for the influence of physical activity in body composition. Mixed results in left and right limb compositions were shown between the groups. When the subjects were further divided based on walking days per week, sedentary (walk ${\leq}2d/wk$) post-stroke group showed significantly greater fat mass and less lean mass than the physically active people (walk ${\geq}3d/wk$). In comparison to the healthy sedentary and physically active controls, two post-stroke groups showed greater variations. The results indicate that physical activity maintains or improve the quality of both the upper and lower limb composition in patients with post-stroke men.

• Journal of the Korean Data and Information Science Society
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• 제25권4호
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• pp.829-846
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• 2014

본 연구는 국민건강영양조사 제5기 (2010-2012) 자료를 이용하여 성별과 연령대에 따른 정신건강, 신체활동, 유병여부 및 음주흡연의 차이 분석과 사회경제적 상태, 음주흡연, 신체활동 및 정신건강이 현재의 건강 상태를 묻는 5개의 문항 (운동능력, 자기관리, 일상생활, 통증/불편감, 불안/우울)에서 계산된 건강관련 삶의 질 지표인 EQ-5D에 미치는 영향을 복합표본 설계를 이용하여 분석하였다. 분석결과 성별과 연령별로 정신건강, 신체활동, 유병여부 및 흡연음주에 통계적으로 유의한 차이가 있으며, 삶의 질에는 연령대, 교육수준, 결혼상태, 당뇨병 유병여부, 스트레스 인지, 자살생각 변수가 통계적으로 유의한 영향을 미치는 것으로 나타났다.

• 디지털융복합연구
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• 제11권12호
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• pp.523-535
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• 2013

본 연구의 목적은 노인의 건강관련 삶의 질에 대한 인구사회학적 및 건강관련 요인의 영향력을 성별에 따라 확인하기 위한 것이다. 이를 위해 제5기 2차년도 국민건강영양조사 자료를 이용하여 65세 이상 노인 1,598명의 자료를 SPSS 통계 프로그램을 이용하여 분석하였다. 연구결과 남자노인의 경우 교육수준과 월 소득, 활동제한, 주관적 건강상태, 만성질환 수가 영향요인이었고, 여자노인의 경우에는 연령, 활동제한, 주관적 건강상태, 우울, 스트레스가 영향요인이었다. 남녀노인 모두에서 활동제한과 주관적 건강상태가 건강관련 삶의 질의 강력한 영향요인이었고, 특히 남자노인과 달리 여자노인에서는 우울, 스트레스와 같은 정신 건강특성이 건강관련 삶의 질에 유의한 영향을 미쳤다. 따라서 향후 노인을 대상으로 건강관련 삶의 질 향상을 위한 프로그램을 기획할 때 이러한 노인의 성별 특성을 고려하여야 할 것이다.

• 대한간호학회지
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• 제45권3호
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• pp.420-428
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• 2015

Purpose: Purpose was to explore associations between sleep duration and metabolic syndrome (MS) risks, and to determine factors associated with self-rated health (SRH) of adults with MS compared to other adults. Methods: This is a secondary data analysis based on the Fifth Korea National Health and Nutrition Examination Survey KNHANES V (N=12662). Study instruments included sleep duration, MS risk factors, SRH and health-related quality of life (HRQoL). Results: Mean age of participants was $43.68{\pm}12.26years$. Fifty-eight percent were women, and 18.3% were identified as having MS. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and SRH were significantly different according to sleep duration (p <.05) among all participants. In the non MS group, male gender, younger age (19~30 and 41~50 age brackets) upper income level, sufficient sleep duration, and high density lipoprotein (HDL) were positively associated with SRH, whereas, lower education levels (${\leq}$ middle school), glucose level, and waist circumference were negatively associated with SRH (p <.05). In the MS group, lower income, lower education levels (${\leq}$ middle school), glucose level, and waist circumference were negatively associated with SRH, whereas, having an occupation was positively associated with SRH (p <.05). Conclusion: Results suggest that tailored approaches are required for prevention and control of MS and sleep duration of each individual should be considered rather than applying standardized guidelines. However, as sleep quality was not included in the analysis, further investigations regarding influence of sleep quality on MS and SRH and controlling for other lifestyle and health behavior factors are required.

• 보건교육건강증진학회지
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• 제33권2호
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• pp.57-66
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• 2016

Objectives: This study investigated the relationship between smoking status and depressive symptoms among Korean adults. Methods: We used the data of 17,871 adults aged 19 years or older from the fifth Korea National Health and Nutrition Examination Survey(2010-2012). The subjects were classified as nonsmokers, former smokers, and current smokers by gender. Logistic regression analysis was used to calculate the odds ratios(ORs) and the 95% confidence intervals(CIs) for the effects of smoking status on depressive symptoms, and depression diagnosed by a doctor. Results: Compared to nonsmokers, the ORs of depressive symptoms for current smokers were 1.11(95% CI, 1.11-1.12) among males, and 1.64(95% CI, 1.63-1.64) among females. Compared to former smokers, the ORs of depressive symptoms for current smokers were 1.05(95% CI, 1.05-1.05) among males, and 1.89(95% CI 1.88-1.90) among females. Compared to nonsmokers, the ORs of depression for current smokers were 0.94(95% CI, 0.94-0.95) among males, and 1.40(95% CI, 1.39-1.41) among females. Compared to former smokers, the ORs of depression for current smokers were 1.09(95% CI, 1.09-1.10) among males, and 0.99(95% CI, 0.99-1.00) among females. Conclusions: Smoking is associated with depressive symptoms among Korean adults. Therefore, it is necessary to consider depressive symptoms with the management of tobacco control policies.

• 보건행정학회지
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• 제28권2호
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• pp.107-118
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• 2018

Background: The purpose of this study was to investigate the estimated proportion for influenza vaccination and to identify factors associated with influenza vaccination in Korean diabetic patients. Methods: Data from the fourth, fifth, and sixth (except for 2013) Korea National Health and Nutrition Examination Survey (n=3,726) was used. A chi-square test was performed to investigate the estimated proportion for influenza vaccination, and a multiple logistic regression analysis was used to identify the factors associated with self-reported influenza vaccination. Results: In men, 28.8% of diabetes patients 30-64 years of age, and 76.1% of elderly (over 65 years of age) diabetes patients received influenza vaccination. In women, 37.7% of diabetes patients 30-64 years of age, and 78.4% of elderly diabetes patients received influenza vaccination (p<0.0001). The determinants of influenza vaccination were marriage, hypertension (odds ratio [OR], 1.55; 95% confidence interval [CI], 1.07-2.24), residence within a mega city, unemployment (OR, 3.94; 95% CI, 1.24-12.54), and exercise via (weekly) walking for diabetic men; and hypertension (OR, 1.71; 95% CI, 1.16-2.52), chronic disease (OR, 1.81; 95% CI, 1.08-3.02), and exercise via walking (OR, 2.65; 95% CI, 1.49-4.73) for diabetic women. Conclusion: Influenza vaccination remains relatively low in young diabetic patients. It is necessary to recommend vaccination to young diabetic patients, and to devise other strategies to improve vaccination.

• Journal of the Korean Data and Information Science Society
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• 제26권6호
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• pp.1453-1463
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• 2015

본 연구의 목적은 여성노인과 남성노인의 골관절염 관련 건강행태를 비교분석하여 그 차이를 파악함으로서 골관절염 관리를 위한 효과적인 중재방안을 모색하는 기초자료를 제공하기 위함이다. 본 연구에서는 건강행태로 골관절염 관리를 위한 방안으로 제시된 운동, 비만관리, 영양, 약물관리를 분석하였다. 본 연구는 제5기 국민건강영양조사 원시자료중 65세 이상 1,654명의 자료를 사용하여 분석하였으며, 모수를 추정하기 위해 SPSS version 20.0의 복합표본설계 분석모듈을 이용하였다. 본 연구결과 골관절염의 위험요인에 있어 성별 차이가 있으므로 특히 남성노인을 대상으로 골관절염 교육을 계획함에 있어서 금주 및 체중관리에 대한 교육이 포함되어야 하며, 여성노인은 우울을 경감시키기 위한 활동을 계획하고 근력 운동 방법에 대해 교육하고 실천을 강조하는 교육계획을 수립해야 할 것으로 판단된다. 특히 노인의 골관절염 관리에 있어 비만은 운동과 식이요법을 통하여 관리해야 하므로 남성노인에게는 식이요법에 대한 교육이 체계적으로 시행되어야 하며, 남성노인과 여성노인 모두에게 골관절염 관리를 위한 공공기관을 비롯한 노인관련 기관에서의 교육이 활성화되어 교육기회가 확대되어야 함을 제언하는 바이다.

• 한국콘텐츠학회논문지
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• 제12권12호
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• pp.261-268
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• 2012

본 연구는 남녀 청소년의 자살생각을 파악하고 여기에 영향을 미치는 건강행위 및 건강상태 요인을 확인하여 청소년 자살을 예방할 수 있는 효율적인 방안을 모색하고자 한다. 이를 위해 제5기 1차년도 국민건강영양조사를 이용하여 만 11-18세 청소년 931명의 자료를 분석하였다. 연구결과 여자 청소년이 남자 청소년에 비해 자살생각을 더 많이 가지고 있었고, 청소년의 자살생각에 영향을 주는 요인으로는 활동 제한, 우울감, 신체 활동의 정도 등으로 확인되었다. 남자 청소년의 경우, 중학생에 비교해 고등학생인 경우가 자살생각 위험성이 감소하는 것으로 나타났고 우울감이 있는 경우에 자살생각 위험성이 높았다. 여자 청소년에서는 활동 제한이 있는 경우와 흡연 경험이 있는 경우, 우울감이 있는 경우, 그리고 1주일 간 신체활동을 전혀 하지 않는 경우가 자살생각 위험 요인으로 나타났다. 본 연구를 통해 남녀 청소년의 자살생각에 영향을 주는 건강행위 및 건강상태 변수들에 차이가 있는 것을 확인하였다. 따라서 청소년 자살예방 프로그램은 성별에 따라 다르게 접근할 필요가 있을 것을 제안한다.

• Safety and Health at Work
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• 제4권4호
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• pp.197-200
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• 2013

Background: A variety of sociodemographic factors, such as gender, age, household income, and educational level, influence individuals' likelihood of smoking.Work-related factors may also be linked to smoking behavior.We sought to investigate the relationship between smoking and work environment in South Korea. Methods: We analyzed data from the Fifth Korean National Health and Nutrition Examination Survey to determine whether there was an association between smoking and occupation type (e.g., manual, nonmanual, or service work), night-shift work, and hours worked/week (e.g., <40, 40-48, 49-60, or >60 hours) for 4,685 workers. Regression models were adjusted for sociodemographic variables such as age, recent alcohol consumption, hours slept, educational level, and household income. Results: The prevalence of smoking was 50.1% in men and 7.2% in women. For women, manual workers had 2.34 times [95% confidence interval (CI): 1.02-5.36] greater odds of smoking compared with nonmanual workers, whereas service workers had 2.37 times greater odds (95% CI: 1.28-4.40). Furthermore, women who worked 49-60 hours had 2.21 times greater odds of smoking (95% CI: 1.10-3.75) as compared with women who worked 40-48 hours. Conclusion: Women who work long hours or who are employed in service or manual positions are more likely to smoke. These results indicate a need in South Korea to target these specific groups when creating nonsmoking policies.