• Title/Summary/Keyword: Total health index

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A Analysis on Serum Total Cholesterol, Atherogenic Index of Medical Check-up Subjects in One University Hospital by Age and Sex (종합 건강검진자에서의 성별.연령별 혈청 총콜레스테롤, 동맥경화지수의 상호연관성 분석)

  • Suk, Sung-Ja;Yoo, Wang-Keun
    • Journal of Society of Preventive Korean Medicine
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    • v.10 no.1
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    • pp.67-74
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    • 2006
  • Objectives: This study was carried out to establish the normal values of Serum Total Cholesterol, HDL-cholesterol by age and sex for healthy adult and the frequency of dyslipidemia as a risk factor of coronary atherosclerosis. Methods: Total cholesterol, and HDL-cholesterol measured among 14,485 in general growing people (8,712 males and 5,773 females) aged 20 to 69 years and analyzed to use the auto-analyzer Hitach 7600 in enzyme method. Result: 1. The levels of total cholesterol, HDL-cholesterol and atherogenic index were slightly positively correlated with age in both sexes. The mean values of serum lipid profiles were $190{\pm}32.9mg/dl$ in men and $181{\pm}32.8mg/dl$ in women for cholesterol, $50.1{\pm}11.4mg/dl$ in men and $54.5{\pm}12.0mg/dl$ in women for HDL-cholesterol, $3.9{\pm}1.0$ in men and $3.4{\pm}0.8$ in women for atherogenic index. 2. Mean values of total cholesterol and atherogenic index higher in men than in women at the age 20-40 years but significantly higher in women than in men at the age group 60 years.(p<0.001) 3. The frequency of hypercholesterolemia(${\geq}200mg/dl$) and low HDL-cholesterol(<35mg/dl) were increased with age in both sexs, significantly higher in women at the age group 60 years. The frequency of hypercholesterolemia(${\geq}200mg/dl$) and low HDL-cholesterol(<35mg/dl) in men and women was 37.5%, 25.3%, and 5.5%, 2.8%. Their requencies were higher in men than in women. Conclusion: Theses findings suggest that the mean concentrations of total cholesterol and HDL-cholesterol in men and women vary with age. The frequency of hypercholesterolemia(${\geq}200mg/dl$) in men and women was about 31.4% and increased with age.

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Job Stress and Health Status of Circulation Enterprise Workers (일 유통업체 근로자의 직무스트레스와 건강상태)

  • Han, Young-Ran;Park, Hyun-Ju;Yoon, Hee-Sang
    • Research in Community and Public Health Nursing
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    • v.19 no.4
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    • pp.622-635
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    • 2008
  • Purpose: The purpose of this study was to measure the level of job stress and health status and find out factors affecting the health status among circulation enterprise workers. Method: This study was a cross-sectional descriptive study. The subjects were 128 workers whose mean age was 33.2 years. Korean occupational stress questionnaire Short Form was used to measure job stress. Todai Heath Index that was made by Aoki in 1977 and translated by Kim(1997) was used to measure the health status. Results: The total job stress scores of men and woman fell in the lower 50% of Korean workers. Job autonomy and interpersonal conflicts as a subcategories fell in upper level 50% in both men and women and job insecurity fell in the upper level 50% in women. The mean score of health status was 51.47, indicating slightly higher frequency of complains of health symptoms. There was no significant correlation between total job stress and total health status. Finally, factors influencing the health status were organizational system and age. Conclusion: Based on the results of this study, it is necessary to develop comprehensive stress management programs including interventions of personal and organizational levels for promoting workers' health.

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Association of Anthropometric and Biochemical Factors with Bone Mineral Density in Korean Adult Women Data from the Fourth (2008~2009) and Fifth (2010~2011) Korea National Health and Nutrition Examination Surveys (KNHANES IV & V) (한국 여성의 신체계측치 및 생화학 인자와 골밀도 관련성: 제4기(2008~2009)와 제5기(2010~2011) 국민건강영양조사 자료 분석)

  • Choi, Soon-Nam;Jho, Kwang-Hyun;Chung, Nam-Yong
    • Journal of the Korean Dietetic Association
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    • v.20 no.3
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    • pp.157-173
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    • 2014
  • The main purpose of this study was to investigate factors that affect bone mineral density (BMD) in Korean adult women ($20{\sim}80{\leq}yr$). Data on BMD, anthropometric (height, weight, body mass index, waist circumference, and body fat), and biochemical (total cholesterol, vitamin D, and alkaline phosphatase) measurements were obtained from the Fourth and Fifth Korea National Health and Nutrition Examination Surveys (KNHANES, 2008~2011). Overall, the BMD of subjects had decreased from year to year: the T-scores decreased from 0.657 (2008~2009) to 0.295 (2010~2011) in 40~49 yr group and from 0.076 to -0.081 in 50~59 yr group. Age was negatively associated with BMD (T-scores of 0.388 in 20~29 yr group and -1.952 in ${\geq}80yr$ group for total femoral). BMD continuously increased with increased weight and body mass index (BMI). High values of total cholesterol (T-scores of -0.005 in 201~229 mg/dL group and -0.094 in ${\geq}230mg/dL$ group for total femoral) and alkaline phosphatase (T-scores of 0.481 in ${\geq}102IU/L$ group and -0.674 in ${\geq}336IU/L$ group for total femoral) were associated with lower BMD. Overall height, weight, and BMI were positively associated with BMD, whereas total cholesterol and alkaline phosphatase (ALP) were negatively associated with BMD. Findings of the present study show that bone loss may be associated with various factors such as age, weight, BMI, total cholesterol, and ALP et al., and that much attention should be paid to bone health of adult women. Therefore, practical and systematic programs are required to improve the BMD of adult women as well as to maintain healthy bone levels.

A systematic review of domestic oral health care programs for elementary school children (초등학생 대상의 국내 구강건강관리 프로그램에 대한 체계적 문헌고찰)

  • Yeo, An-Na;Lee, Su-Young
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.3
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    • pp.257-268
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    • 2020
  • Objectives: This purpose of this study was to examine the trends in interventional research and analyze the contents and results of intervention through a systematic literature review of the domestic research literature, suggesting the effect of an oral care program on elementary school students. Methods: A total of 262 articles were retrieved initially, and the duplicate articles were then removed, excluded after screening titles, abstracts, and full-text articles. Finally, a total of 16 papers were used in the review. Results: The study included 9 articles with the nonequivalent control group pretest-posttest design and 7 with the one-group pretest-posttest design. All articles were of non-randomized studies. The most common index of the interventional effect was dental plaque. Further, oral health behaviors and knowledge, perception, self-efficacy, and DMFT index were common indices. In the quality assessment, in the "blinding of outcome assessment" among six items of ROBANS, 12 studies showed a high risk of bias. Conclusions: In order to develop an interventional oral health care program for elementary school students and evaluate the effectiveness, a strict research design and qualitative improvement of research reports are required, and continuous research should be conducted to develop a systematic protocol.

Effect of Nurse-led Community Comprehensive Exercise Program for Elderly with Chronic Osteoarthritis (만성 골관절염 노인을 위한 지역사회 간호사 주도 복합운동 프로그램의 효과)

  • Baek, Hee Chong;Lim, WonJi
    • Journal of Home Health Care Nursing
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    • v.26 no.1
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    • pp.102-110
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    • 2019
  • Purpose: This study aimed to investigate the effects of a nurse-led community comprehensive exercise program on the body composition, physical function, and health-related quality of life in elderly patients with osteoporosis. Method: The study was conducted with one group pretest-posttest design. A total of 57 elderly patients participated in 8 weeks of intervention. Data was analyzed with the SPSS ver. 23.0 using descriptive statistics and paired t-test. Results: At the end of the intervention, body mass index was significantly increased (t=2.93, p=.005), but right leg balance (t=2.40, p=.02) was significantly improved. In addition, the total Korean-Western Ontario and McMaster Universities Osteoarthritis Index (K-WOMAC) (t=3.48, p=.001), knee pain (t=2.61, p=.012), stiffness (t=2.53, p=.014), and physical function (t=3.51, p=.001) were significantly decreased. EuroQoL Visual Analogue Scale (EQ-VAS) scores (t=4.25, p<.001) were significantly improved. Conclusion: The nurse-led eight-week community comprehensive exercise program did not show desirable change in the body composition but was effective on the physical function and health-related quality of life for older people with osteoartritis.

Health Test for Searching of Correlation and the Index of the Cold-heat Patternization Comparison of the Questionnaires for the Cold-heat Patternization and the Ordinary (한열변증 설문지와 일반적 건강 검진 결과와의 상호 연관성에 관한 비교 연구)

  • Baek, Tae-Seon;Park, Young-Jae;Park, Young-Bae;Park, Jae-Hyung;Im, Jae-Joong
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.9 no.2
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    • pp.145-151
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    • 2005
  • Background and purpose: The cold-heat patternization is one of the most frequently use for diagnostic method in oriental medicine. But it is still an unclear scientific mechanism and the objective index. the aim of this study is to search the objective index of the cold-heat patternization, comparing with ordinary health test. Method: The study group comprised 101 Korean, male:female ratio 51:50, with a mean age of 49.74 years. The results of the questionnaires for cold-heat patternization were compared with the western health test that it consist of height, weight, muscle mass, body fat, WBC, Hb, ALT, AST, TG, Total cholesterol, glucose, HDL-cholesterol, free-T4 and TSH, measured in the health promotion center of the hospital of Chungnam university Result: The cold patternization were significantly higher in the women than the man. The somothing of the questionmaires for the heat patternization were positive correlated with TG, TSH, glucose, Hb, free T4, weight, musle mass(p<0.05). But there were no correlation in the gross. The somothing of the questionnaires for the cold patternization were negative correlated with the weight, musle mass, body fat, glucose, Hb and ALT(p<0.05), Especially there were strong negative correlation with the weight and muscle mass(p<0,01). Conclusion: The present study shows there is no definitive index for the cold-heat patternization in the ordinary health test. But the weight and muscle mass can be useful index of the cold patternization.

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Factors affecting In-hospital Complication and Length of Stay in Elderly Patients with Total Knee Arthroplasty (슬관절전치환술 노인 환자의 원내합병증과 재원일수 영향 요인)

  • Kim, Sang Mi;Lee, Hyun Sook
    • Korea Journal of Hospital Management
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    • v.23 no.3
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    • pp.52-62
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    • 2018
  • This study aims to analyze the factors affecting in-hospital complication and length of stay in elderly patients with total knee arthroplasty. A total of 8,224 inpatients over 65 years old were selected from the national old inpatient sample data which was produced by Health Insurance Review and Assessment Service in 2016. STATA 12.0 was performed using frequency, chi-square test, t-test, ANOVA and multiple linear and logistic regression analysis. Analysis results show that ages(over 85), Charlson Comorbidity Index, district(metropolitan) for general hospitals and gender, district, beds(100-199) for hospitals are significantly influenced in-hospital complication. Statistically significant factors affecting the length of stay are gender, insurance type, depression, district, bed(300 over) for general hospitals and gender, type of insurance, Charlson Comorbidity Index, depression, district, beds(200-299) for hospitals. Based on these findings, the factors affecting in-hospital complication and length of stay were different depending on the type of medical institution. Accordingly, policymakers should analyze the differences in care behavior depending on the type of medical institution and expand policy and financial support to resolve them.

A Study on the Health Condition according to Sasang Constitution (THI에 의한 사상체질별 건강상태에 관한 연구)

  • Jang, Eun-Su;Baek, Young-Hwa;Kim, Ho-Seok;Lee, Si-Woo
    • Korean Journal of Oriental Medicine
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    • v.13 no.3
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    • pp.133-141
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    • 2007
  • Objectives: We intended to know the total health state and suggest basic result for good health management of oriental medical university student by examining Sasang constitution and health degree(THI: Todai Health Index). Methods: We diagnosed Sasang constitution using QSCC II and also estimated health degree using THI. We recruited the student of 9 universities and analyzed. Results 1. The score of psychiatric health was higher than physical one. 2. Degree of health state of Soeumin was worse than Taeumin in category of Digestive(p=0.015) and Irregular life (p=0.002) and worse than Taeumin and Soyangin in Nervousness(p=0.000), Mental Irritability(p=0.000) and Depression(p=0.007). 3. Soyangin was worse than Soeumin and Taeumin in Fiction(p=0.000). 4. Aggressiveness showed a tendence of increase in order Taeumin, Soyangin, and Soeumin. Conclusions : The oriental medical student of university needed health management focusing on psychiatric health aspect rather than physical one. And there exist the difference of health problem according to Sasang constitution. So the student should have deal with health management efficiently according to that.

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A Study on the Hand Washing Awareness and Practices of Food-service Employees and the Load of Index Microorganisms on the Hands (조리종사자의 손 씻기 의식과 실천 및 손의 지표미생물 오염도에 관한 연구)

  • Park, Jeong-Yeong;Kim, Joong-Soon;Kim, Jong-Gyu
    • Journal of Environmental Health Sciences
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    • v.36 no.2
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    • pp.95-107
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    • 2010
  • Hand-washing is one of the major factors in personal hygiene and public health. This study was undertaken to investigate the hygienic behavior of food-service employees, focusing on awareness of hand washing, hand washing practices, and the load of index microorganisms (aerobic plate count, total and fecal coliforms, Escherichia coli, and Staphylococcus aureus) on the hands of food-service employees. A questionnaire survey completed by direct interview, direct observation of restrooms by the researcher and trained observers, and microbiological examination according to the Food Code of Korea were carried out. In the survey, a positive attitude toward hand washing compliance was reported; however, improper hand washing and poor hand hygiene of the food-service employees were seen under direct observation. Significant differences (p<0.05) were found between the questionnaire survey and the direct observations in hand washing compliance after using the toilet, duration of hand washing, use of hand washing agents, use of hand washing tools, washing of different parts of the hands, hand-drying method, temperature of water, and method of turning off the water. Samples taken from employees' hands before washing showed higher levels of bacteria than those taken during work and/or after washing (p<0.05). Poor hand washing practices were indicated by the positive results for total and fecal coliforms, E. coli, and S. aureus on the hands of some food-service employees. This study showed that there is a marked difference between the food-service employees' awareness of hand-washing and their actual hand-washing practices. The poor hand hygiene of and improper hand washing by the food-service employees should be addressed for improved food safety.

Evaluation of customized oral health promotion program for North Korean defector (북한이탈주민 맞춤형 구강건강증진 프로그램의 효과)

  • Jeon, Kiha;Lee, Suyoung
    • Journal of Korean Academy of Oral Health
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    • v.42 no.4
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    • pp.109-117
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    • 2018
  • Objectives: The purpose of this study was to evaluate the customized oral health promotion program for North Korean defectors (NKDs). Methods: Using a pre-survey comprising phases 1-5 of the PRECEDE-PROCEED model, a customized oral health promotion program was created. The participants, a total of 129 NKDs, were allocated to the experimental group (n=64; 43 females and 21 males) or the control group (n=65; 46 females and 19 males). After the interventions, phases 7 to 9 of the PRECEDE-PROCEED model were executed to determine the effect of the program. Results: The results for phase 7 revealed high satisfaction with the program, with an average of 2.89 out of 3 points. In phase 8, concerning the impact evaluation, it was found that oral health beliefs and oral health knowledge were improved, with statistically significance differences before and after the experiment. Phase 9, concerning the outcome evaluation, showed that there were statistically significant differences in the average within groups before and after education in oral health beliefs (OHB), O'Leary index scores, and CPI. In terms of the difference between the groups, there were statistically significant improvement in OHB, O'Leary index scores, and CPI after the education program. Conclusions: The oral health promotion program developed in this study has made a positive contribution to improve the oral health status of NKDs.