• 근관절건강학회지
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• 제28권2호
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• pp.91-101
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• 2021

Purpose: This study was conducted to identify factors related to osteoporosis prevalence in postmenopausal women. Methods: This study was a secondary analysis research using data from the Eighth Korea National Health and Nutrition Examination Survey (KNHANES VIII-1), 2019, which were downloaded from the KNHANES website. The subjects of this study were 1,791 postmenopausal women who participated in the KNHANES VIII-1, 2019. Data analysis was performed using the IBM SPSS 21.0 program and complex sample design analysis was performed considering factors such as weight, cluster, and strata. Results: Osteoporosis prevalence of in postmenopausal women was 17.5%. Factors related to osteoporosis prevalence were age (65~74 years old, ≥75 years old), house income (low), household type (one-person household), postmenopausal period (10~19 years), drinking (non-drinking). Conclusion: Interventions for osteoporosis prevention and management in postmenopausal women need to focus on women less than 10 years after menopause and one-person household women. Furthermore, it is necessary to expand bone density testing for the early detection of osteoporosis in postmenopausal women.

• 디지털융복합연구
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• 제12권4호
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• pp.437-442
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• 2014

목적: 본 연구는 영성프로그램이 갱년기 여성의 불안과 우울에 주는 영향을 파악하여 정서적 안위제공에 도움이 될 기초적인 자료를 제공하고자 시도되었다. 방법: 대상자는 갱년기 여성 20명이었으며 자료 수집은 중재 전, 후와 6개월 후 구조화된 설문지를 이용하여 이루어졌다. 수집된 자료는 SPSS 21.1 프로그램의 기술통계, t-test, ANOVA를 이용하여 분석하였다. 결과: 본 연구 결과 영성프로그램 전, 후와 6개월 후에 불안(F=8.55, p=.009)과 우울(F=8.76, p=.001)에 유의한 차이가 나타났다. 또한 일반적 변수 중 신앙경력((F=10.57, p=.001)과 교육수준(F=4.13, p=.034)의 차이에 따라 불안에 유의한 차이가 나타났다. 결론: 영성프로그램은 불안과 우울 등의 불안정한 정서에 효과적임을 알 수 있으며 이를 정서적 안정 도모에 적극적으로 활용할 필요가 있다. 또한 개인적 특성에 따른 적합한 영성프로그램 프로그램이 마련되어야 할 것이다.

• 대한한방부인과학회지
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• 제25권1호
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• pp.79-92
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• 2012

Purpose: Obesity affects dysfunction of Hypothalamus-Pituitary-Ovary(H-P-O) axis. Dysfunction of H-P-O axis could be related to Skin Resistance Variability (SRV). This study investigated the impacts of obesity which related to female age on SRV. Methods: We randomly selected 400 women who had taken CP-6000A test and InBody test on the same day at Oriental Hospital of Sangji University from Jan. 2008 to Jun. 2011. In this study, the Body Mass Index(BMI) range of normal group is 18.5~24.9, obesity group is over 25, the age range of childbearing age group is 24~34 years, post-menopause group is 50~65 years. 139 women that met the criteria of this study were assorted by their BMI and age. After detection of SRV, SPSS 19.0 has conjugated for data analysis and the independent samples t-test and paired samples t-test were used to verify the results. Results: At 1st and 2nd trial, the height of 3 area of childbearing age obesity group was significantly higher than that of childbearing age normal group. At 1st and 2nd trial, the height of 1, 2 area of childbearing age obesity group was higher than that of childbearing age normal group, but there were no significant difference. At 1st and 2nd trial, the height of 1, 2, 3 area of post-menopause obesity group was mostly higher than that of post-menopause normal group, but there were no significant difference. Conclusions: This study showed the SRV of obesity group was higher than that of normal group in most of 1, 2, 3 area. Further study will be needed.

• 여성건강간호학회지
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• 제5권1호
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• pp.111-132
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• 1999

This correlational descriptive study sought to define the relationship between the experience of Sanhujori, Korean tradition non-professional postpartal care after delivery and abortion and present physical symptom distress of arthritis female who visited to outpatient clinic of rheumatic internal medicine at three hospital located in Seoul, Pusan, Chongju, Korea. Data from a convenience sample of 98 women who orally agreed to be respondent were collected from September 1, 1998 to October 31, 1998 for two months by way of interview with semi-structured questionnaire. Data analysis consisted of frequency, percentage, mean, S. D., Pearson Correlation Coefficient, t-test, ANOVA and Scheffe test as a post hoc by SPSS. The results of the study were as follows ; Mean age of participants as 52.8 years and mean number of children 3.3. Mean frequency of child birth was 3.1 times per woman, 67.4% of respondents had menopause, 57.0% did not have Sunhujori after abortion. The health status implies the subjective health status women perceived, which came from the three points of view of the present, comparative with other of same age and changed after delivery. The respondents of 76.1% perceived them as unhealthy and the main sites of physical symptom distress were upper & lower extremities including knee and hand 34.8%, shoulder 26.5%, waist 22.4%. Women perceived the etiology of the arthritis as 'did Sanhujori wrongly' 36.7%, 'aging process' 24.5%, 'stress' 16.3%, 'overwork' 15.3%, 'Immunocompromize' & 'physical constitution' 7.1% respectively, 'character' 3.1%, 'genetic' 2.0%, 'malnutrition' 1.0%. The mean period of Sanhujori after delivery was 20.4 at the first child and 18.1 at the second child. The higher frequency of child birth, the shorter period of Sanhujori. For the subjective evaluation of whether the women did Sanhujori well or not, the rate of 'did Sanhujori well' was the highest rank in the first child and the rate of 'did not particularly Sanhujori well' was the highest rank in the last child. There was a significant positive correlation between physical function disability and rheumatoid arthritis symptom at the level of 1% of significance statistically(r=.406). And a positive correlation between physical function disability and Sanhubyung symptom at the level of 5% of significance statistically(r=.224). There was a significant positive correlation among rheumatoid arthritis symptom, Sanhubyung symptom and menopause symptom at the level of 1%-5% of significance statistically. Most of all, the correlation between Sanhubyung symptom and menopause symptom was the higher than others. There was a negative correlation between the present physical symptom distress and experience of Sanhujori(r=.-130), however it was not significant statistically. However, there was a positive correlation between subjective health status and experience of Sanhujori at the level of 1% of significance statistically(r=.328). In conclusion, this finding reconfirmed the positive relationship between the perceived health status and experience of Sanhujori after delivery among women of arthritis. It provides a challenge to the professional care givers to study further on the effects of Sanhuiori after abortion or delivery on the physical symptom distress from the variouis aspects through the cross-sectional and longitudinal research. The strategy for the development of the appropriate intervention for primary prevention of sequele after childbirth and quality of care for desirable health outcomes for postpartal women with considering deeply on the relationship between women's health and postapartal care.

• 지역사회간호학회지
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• 제14권2호
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• pp.253-262
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• 2003

Purpose: This study was carried out to identify factors influencing osteoporosis in women at pre- and post-menopausal state. Methods: The subjects of this study were 52 pre-menopausal and 125 post-menopausal women who were assessed of bone density in one general hospital. The data were collected through review of clinical records and telephone interviews using a questionnaire. Results: In the pre-menopausal women, the factors influencing osteoporosis were regular exercise (protective factor) and age (risk factor). Regression analysis showed that the factors attributable to osteoporosis included educational level, weight, age and number of pregnancy, accounted for 41.89% of the total variance. In the post-menopausal women. the factors influencing osteoporosis were age (risk factor), low educational level (risk factor), low economical state (risk factor), high parity (risk factor), and intake of coffee (protective factor). Regression analysis also showed that factors attributable to their osteoporosis included age, educational level, number of delivery, intake of the coffee, regular exercise, number of pregnancy and duration of oral pill intake, accounted for 37.41 % of the total variance. Conclusion: In pre-menopausal women, regular exercise was one of the most powerful determinant of their bone mass. Therefore, it is necessary to participate in a regular exercise program to maintain peak bone mass density prior to the onset of menopause. In post-menopausal women, increased age was the most influencing factor of their bone mass. Therefore, it is essential to establish early diagnosis and management of osteoporosis after menopause.

• 동아시아식생활학회지
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• 제20권2호
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• pp.218-230
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• 2010

본 연구는 성인 여성을 대상으로 하여 대사증후군 및 골다공증 등의 질병이 증가하는 폐경을 기준으로 구분하여 이소플라본 섭취 수준을 조사하고, 이소플라본 섭취 수준에 따른 각종 만성질환과 관련된 건강지표와의 관련성을 분석하였다. 1. 본 연구 대상자의 평균 연령은 49.97세이며, 폐경 전 대상자는 45.14세, 폐경 후 대상자는 55.99세였다. 폐경 전 대상자에 비해 폐경 후 대상자는 평균 체질량지수(p<0.01), 허리-엉덩이둘레 비율(p<0.001), 체지방율(p<0.001), 수축기 혈압(p<0.001), 혈당 및 혈중 지질 수준(p<0.05)이 유의적인 차이로 높았고, 골반 및 척추의 골밀도는 유의적언 차이로 낮게 나타났다. 또한 폐경 후 대상자의 경우 폐경 전 대상자와 비교할 때 빈혈 위험 집단으로 분류된 비율은 낮았으나, 비만 고혈압 고지혈증 골다공증 등 각종 만성질환과 관련된 건강 위험자 비율이 더 높은 것으로 나타났다. 2. 폐경 전 후 조사 대상자의 각 대두식품/음식의 섭취 빈도는 유사한 양상을 나타냈다. 폐경 전 대상자는 47.1%, 폐경 후 대상자는 42.7%가 매일 조림 볶음 콩밥 등의 형태로 콩을 섭취하는 것으로 나타났으며, 두부와 된장의 경우 1주일에 1회, 2회, 3~4회 섭취 빈도가 모두 20% 이상으로 나타나 콩, 두부, 된장이 이소플라본의 주요 공급원임을 알 수 있다. 3. 조사 대상자의 하루 이소플라본 평균 섭취 수준은 28.48 mg이었으며, 폐경 전 대상자는 25.48 mg, 폐경 후 대상자는 32.25 mg으로 폐경 후 대상자의 하루 이소플라본 섭취 수준이 더 높은 것으로 나타났다. 이소플라본 섭취 수준의 분포는 폐경 전 대상자는 3.29~78.36 mg(중간값 24.19 mg), 폐경 후 대상자는 3.18~116.59 mg(중간값 25.94 mg)으로 개인 간의 섭취 수준의 차이가 큰 것으로 나타났다. 4. 폐경 전 대상자의 이소플라본 평균 섭취 수준은 low, middle, high 집단이 각각 8.2 mg, 24.8 mg, 47.5 mg이었다. 이소플라본 섭취 수준이 높을수록 체질량지수와 수축기 혈압이 낮은 것으로 나타났으나, 집단별 유의적인 차이는 없었다. 헤마토크리트는 이소플라본이 가장 낮은 섭취군과 가장 높은 섭취군이 유의적인 차이를 보이며, 이소플라본 섭취 수준이 높을수록 수치가 낮아지는 것으로 조사되었다. 폐경 후 대상자는 low, middle, high 집단 각각의 이소플라본 평균 섭취 수준이 8.6 mg, 24.6 mg, 63.6 mg 이었으며, 이소플라본 섭취 수준이 높을수록 초경 연령은 낮고, 폐경 연령은 높은 경향을 보여 주었으나 유의적인 차이는 없었다. 체질량지수와 허리-엉덩이 비율은 섭취 수준이 가장 낮은 집단이 중간 섭취 집단과 유의적인 차이를 보이며 더 높은 것으로 분석되었다(p<0.05). 체지방율은 유의적인 차이는 없었으나 이소플라본 섭취 수준이 낮은 집단에서 더 높은 것으로 분석되었다. 이외에도 통계적으로 유의적인 차이를 보이지는 않았으나 이소플라본 섭취 수준이 가장 낮은 집단에 비해 중간 이상 섭취하는 집단에서 수축기 혈압, 총 콜레스테롤과 LDL-콜레스테롤, 그리고 중성지방 모두 더 낮은 경향을 보였다. 본 연구는 횡단적 관찰 연구이므로 각종 만성질환의 위험을 나타내는 건강지표들과 태두 이소플라본의 섭취 간에 인과관계를 밝힐 수는 없었으나, 대사증후군 및 골다공증 등의 질병이 증가하는 폐경 후 여성에서 대두 이소플라본 섭취와 비만 고지혈증 고혈압 등 건강문제와의 관련 가능성을 미약하게나마 보여준 것으로 사료된다. 본 연구 결과만으로 대두 이소플라본의 적정 섭취 기준을 제시할 수 없으나 조사대상자의 이소플라본 섭취 분포에 따라 4분위로 나누었을 때 최하위군에 속하는 하루 15 mg 이하를 섭취하는 경우 그 이상 섭취하는 사람들에 비해 여러 질병 위험도가 상대적으로 높은 것으로 나타났다. 또한 본 연구 및 선행 연구 결과들에서 나타난 한국인의 일상적인 식생활을 통한 이소플라본 하루 평균 섭취 수준은 20~35 mg 수준으로 나타난 바 있으므로, 다양한 대두식품을 통해 하루 15~35 mg 이상의 이소플라본 섭취는 이루어지는 것이 바람직할 것으로 사료된다. 앞으로 종단적 영양 역학 연구와 설험 연구를 통해 대두 이소플라본 섭취와 만성질환 간의 인과 관계를 규명하고, 만성질환 예방과 치료를 위해, 폐경 여성에서 호르몬 대체 요법을 위해 대두식품 및 이소플라본의 적정 섭취 수준을 제시할 수 있는 연구가 다각도로 진행되어야 할 것이다.

• 대한간호
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• 제36권5호
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• pp.74-90
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• 1998

This descriptive study sought to define the relationship between women's health status and the experience of Sanhujori, Korean traditional non-professional postpartal care after delivery and abortion. A convenience sample of 308 women in 7 provinces in Korea including Seoul were studied from December, 1994 to December, 1996 for two years. Mean age of respondents was 50.5 years and mean number of children was 3. The rate of abortion was 91.5% and mean frequency was 2.2 times per woman. 82% of respondents did not have Sanhujori after abortion. The period and subjective evaluation of experience of Sanhujori after delivery were decreased according to the increment of the number of childbirth. The health status implies both subjective health status women perceived and physical symptom distress women are experiencing presently, The respondents expressed the physical symptom distress as painful one. 56.7% of respondents perceived unhealthy, such as sick and 99.6% complained more than one symptom. The factors related to health status were the first and third experience of Sanhujori after delivery, such as the period and subjective evaluation whether she did Sanhujori well or not; whether or not of Sanhujori after abortion and menopause: the number of child: and age. at the level of 1% or 5% of significance statistically. The factors related to the rate of physical sumptom distress were only two: the first experience of Sanhujori after delivery, especially the subjective evaluation and whether women did Sanhujori after abortion or not. at the level of 1% or 5% of significance statistically. In conclusion. this finding reconfirmed the possible relationship between women's health status and the experience of Sanhujori after delivery & abortion. It provides a challenge to the professional care givers .to research further on the effects of Sanhujori on the health status. health recovery after abortion or delivery from the various aspects through the cross-sectional and longitudinal research for the refinement of the reality of Sanhujori not only as cultural phenomenon but as conceptual model for the appropriateness of intervention and qualty of care for desirable health outcomes. Besides, it is indispensable to refine and reestablish postpartal caring system by finding universal law through international & cross-cultural research on postpartal traditional care for women's life long health toward the 21C

• Journal of Korean Neurosurgical Society
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• 제54권6호
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• pp.496-500
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• 2013

Objective : To evaluate the successful fusion rate in postmenopausal women with single-level anterior cervical discectomy and successful fusion (ACDF) and identify the significant factors related to bone successful fusion in pre- and postmenopausal women. Methods : From July 2004 to December 2010, 108 consecutive patients who underwent single-level ACDF were prospectively selected as candidates. Among these, the charts and radiological data of 39 women were reviewed retrospectively. These 39 women were divided into two groups : a premenopausal group (n=11) and a postmenopausal group (n=28). To evaluate the significant factors affecting the successful fusion rate, the following were analyzed : the presence of successful fusion, successful fusion type, age, operated level, bone mineral density, graft materials, stand-alone cage or plating with autologous iliac bone, subsidence, adjacent segment degeneration, smoking, diabetes mellitus, and renal disease. Results : The successful fusion rates of the pre- and postmenopausal groups were 90.9% and 89.2%, respectively. There was no significant difference in the successful fusion rate or successful fusion type between the two groups. In the postmenopausal group, three patients (10.8%) had successful fusion failure. In the postmenopausal group, age and subsidence significantly affected the successful fusion rate (p=0.016 and 0.011, respectively), and the incidence of subsidence in patients with a cage was higher than that in patients with a plate (p=0.030). Conclusion : Menopausal status did not significantly affect bone successful fusion in patients with single-level ACDF. However, in older women with single-level ACDF, the combination of use of a cage and subsidence may unfavorably affect successful fusion.

• 혜화의학회지
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• 제18권1호
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• pp.129-138
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• 2009

purpose : The purpose of this paper is to report that the fasting treatment was quick and effective against the menopausal depression. So that the further study on the fasting treatment for the menopausal depression is expected. methods : This fasting treatment included three periods. The first was to reduce the food intake and the sodium intake as well. The second was for fasting for two weeks. During this period, the patient drank 250cc of the fermented herbal juice and 2500cc of water a day and had the lactobacillus supplement twice a day. Then, the third was for rebuilding. During the rebuilding period, the patient followed the limited sodium diet for two weeks. results : After the fasting treatment done, the symptoms that patient complained before went away. The BDI score went down from 19 to 3. And, of course, the patient lost her body weight and the fat. conclusions : The 49-year-old female patient in the menopause period was suffering from the lack of energy, depression, sleeping disorder, constipation, and weight gain. She took the fasting treatment along with the acupuncture at the holistic medical clinic, 'The Seasons' from Jan 16th 2009 to Feb 27th(the main fasting period was for 14 days). The BDI score indicated that she had the depression as her score was 19 at the first examination. After the treatment was completed, the BDI score dropped to 3. Therefore, I report the immediate effect of the fasting treatment again the depression. Women are twice as likely to get the depression as men. Especially, the women in menopause period tend to get the depression as they are facing the physical, mental, and social changes which can act as the stressors. Besides, women tend to get depressed when they gain weights. Thus, I suggest the further study on the fasting treatment should be carried on so to apply it more positively to various problems in the field of the psychiatry.

• Journal of Nutrition and Health
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• 제32권5호
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• pp.561-569
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• 1999

In the atherosclerotic subjects, arterial endothelial cell injury and plaque formation are suspected to be strong causable factors in developing acute coronary syndrome, and it was revealed that platelets have a very important role in this case. Women are exposed to atherosclerosis at a different degree after menopause or oral contraception. The purpose of this study was to determine the effects of endogenous and exogenous estrogen on the degree of platelet aggregation in platelet rich plasma(PRP) in twenty nonsmoking healthy Korean women for 12 weeks. The subjects were assigned to three groups: (1) eight women aged 49 to 60(yr) for the postmenopausel(Pst) group, (2) eight, aged 22 to 30(yr) for the premenopausa(Pre) group, (3) four, aged 23 to 30(yr) for the oral contraceptive (OC) group which used triphasic OC formulation. Fasting blood sample were obtained from the subjects, (1) once per 6 weeks in the Pst group, (2) every phase of the menstrual cycle in the Pre group, (3) each once during and after OC administration in the OC group. ADP, collagen and epinephrine were used as aggregating reagents, and platelet aggregation and time(Δt: time reaching to the maximum point of aggregation) in PRP were measured at the maximum point of aggregation in five minutes. All the data were adjusted for dietary effects, personality type and body mass index(BMI) by using analysis of covariation(ANCOVA). Platelet aggregation to ADP and collagen(MADP and MCOLL) were not significantly different among the three groups, and Δt to ADP and collagen(TADP and TCOLL) were not either. But maximum platelet aggregability and Δt to epinephrine(MEPIN and TEPIN) were significantly different among the three groups, and the OC group showed the lowest value (p<0.01). Maxtimum platelet aggregability and Δt during the menstrual cycle were not significantly different in the Pre group. Any other significant differences in the maximum platelet aggregability and Δt were found between oral contraception phase and washing out phase(menstruation) in the OC group. In results, maximum platelet aggregability and aggregation time to ADP and collagen seemed not to be affected by endogenous and exogenous estrogen, even though MEPIN and TEPIN showed significantly low in the OC group among the three groups.