• Nutrition Research and Practice
• /
• 제12권2호
• /
• pp.166-172
• /
• 2018

BACKGROUND/OBJECTIVES: Obesity and alcohol drinking are associated with metabolic syndrome. However, few studies show the relationship between alcohol drinking and metabolic syndrome according to varying degrees of obesity. This study aimed to determine the association between alcohol drinking and metabolic syndrome in obese and non-obese Korean male adults. SUBJECTS/METHODS: This cross-sectional study included 5,867 males aged ${\geq}20$ years who were examined at the Soonchunhyang University health promotion center during June 2008-December 2010. The subjects were divided into non-obese (body mass index [BMI] < $25kg/m^2$) and obese (BMI ${\geq}25kg/m^2$) groups and further divided according to weekly alcohol consumption into nondrinking (0 drinks/week), moderate drinking (${\leq}14$ drinks/week), and heavy drinking (> 14 drinks/week) groups. The subjects were also categorized into binge drinking and non-binge drinking groups. To obtain odds ratios (ORs) for metabolic syndrome, binary logistic regression analysis was performed. RESULTS: The overall metabolic syndrome prevalence was 27.3% (12.8%, non-obese group; 50.4%, obese group). After adjusting for age, physical activity, and smoking, in the non-obese group, the OR for heavy drinking with binge drinking (reference: nondrinking) was 1.56 (95% confidence interval [CI] = 1.12-2.18), with a significant increase in metabolic syndrome prevalence. In the obese group, the OR for heavy drinking with binge drinking was 1.42 (95% CI = 1.07-1.88), showing a significant increase in metabolic syndrome prevalence (P < 0.05). CONCLUSIONS: In both non-obese and obese Korean males, heavy drinking with binge drinking was associated with increased risk of metabolic syndrome. Thus, both non-obese and obese males should restrict their alcohol intake and not indulge in binge drinking.

• Journal of Preventive Medicine and Public Health
• /
• 제44권2호
• /
• pp.74-83
• /
• 2011

Objectives: This study aimed to identify and assess the factors related to the awareness, treatment, and control of hypertension based on jurisdictional areas of primary health care posts in a rural community of Korea. Methods: This study was performed on 4598 adults aged over 30 years in a rural community and we measured their blood pressure (BP) from October. 2007 to August. 2009. Hypertension is defined as a condition characterized by a systolic BP ${\geq}$ 140 mmHg, a diastolic BP ${\geq}$ 90 mmHg or reported treatment with antihypertensive medications. We analyzed the factors related with the prevalence, awareness, treatment and control of hypertension using chi-square test and multivariate logistic regression analysis. Results: The age-adjusted prevalence of hypertension was 34.7%. The age-adjusted rates of hypertension awareness, treatment and control were 50.6%, 93.9% and 64.1%, respectively. Awareness of hypertension was related with increasing age. Higher awareness was found among men who were felt more stress, were obese and had hypercholesterolemia, and among women who were regulary taking medicine for hypertension, were obese and had diabetes mellitus. In women, the hypertension treatment was related a Medical aid and education for hypertension management. Controlled hypertension was more common among men who were educated about the management of hypertension and among women who had hypercholesterolemia. Conclusions: The awareness of hypertension was low and the control of hypertension was high compared with the nationwide data (KNHANES 2005). The results suggest that understanding the characteristics of hypertension in a community is important to perform a community based hypertension control program.

• 치위생과학회지
• /
• 제13권4호
• /
• pp.393-402
• /
• 2013

본 연구는 국민건강영양조사 제5기 1차년도(2010) 원시 자료를 활용하여 비타민 D와 치주질환의 관계를 파악하고자 하였다. 주요변수의 결측 및 당뇨와 골다공증 유병자를 제외하고 최종 1,327명을 연구대상자로 PASW Statistics 18.0 프로그램을 이용하여 분석하였으며, 다음과 같은 결론을 얻었다. 1. 전체(50세 이상) 대상자에서, 비타민 D와 치주질환의 관계는 유의하지 않은 것으로 나타났다. 2. 폐경(양측난소절제술 포함) 여성에서, 비타민 D 결핍 그룹1 (<10)은 충분 그룹(${\geq}30$)에 비해서 치주질환에 걸릴 가능성이 6.66배 높게 나타났다(OR, 6.66; 95% CI, 1.004~44.19). 이상의 결과로 보아 비타민 D와 치주질환은 폐경여성(양측난소절제술 받은 여성 포함)에서 유의미한 음의 상관관계를 갖는 것으로 확인된 바, 치주질환 예방 및 관리 시 이러한 점이 고려되어야 할 것으로 생각된다.

• 대한간호학회지
• /
• 제37권4호
• /
• pp.453-458
• /
• 2007

Purpose: The purpose of this study was to compare metabolic syndrome (MS) risk factor prevalence by obesity and age in middle-aged women. Method: Two hundred and fifty-one subjects were recruited from the health promotion center of a tertiary care hospital in an urban city. MS was defined by the third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults(Adult Treatment Panel III)(ATP III), and obesity was determined by body mass $index(BMI){\geq}25kg/m^2$. Results: The mean blood pressure, fasting glucose, total cholesterol, and triglyceride were significantly higher in the obese group than in the non-obese group. The prevalence of MS, hypertension, and impaired fasting glucose were significantly higher in the obese group than in the non-obese group. In the forties, blood pressure was significantly higher in the obese group than in the non-obese group. In the fifties, body fat, systolic blood pressure, fasting glucose, total cholesterol, and triglyceride were significantly higher in the obese group than in the non-obese group. Conclusions: These results show that the nurse should focus on the obese fifty year old female patients for improvement of the MS risk factors.

• Journal of Nutrition and Health
• /
• 제39권7호
• /
• pp.649-660
• /
• 2006

This study was performed to estimate serum 2S-hydroxyvitamin D (25-OHD) level in wintertime and to evaluate the relationship between serum 25-OHD level and associated factors in 50 premenopausal working women aged 30-49 y in Busan. The serum 25-OHD level was measured by radioimmunoassay. Data for physiological characteristics, lifestyle factors, physical activity and nutrient intake was assessed by questionnaire including information about outdoor activity time, daily activity diary and 24hr recall method. The mean vitamin D intake was $4.24{\mu}g$, which corresponded to 84.9% of the Korean RDA. The mean level of serum 25-OHD was 25.7 ng/mL. Vitamin D deficiency (25-OHD < 7nmol/L) and toxicity $(25-OHD{\geq}75\;nmol/L)$ were not found in the subjects. However, the prevalence of vitamin D insufficiency (25-OHD < 15 nmol/L) and hypovitaminosis D (25-OHD < 30 nmol/L) were 12% and 60% respectively. The serum 25-OHD level showed positive significant correlations with the duration of outdoor activity per weekdays (p < 0.05). Our findings suggest that hypovitaminosis D was common in the subjects in wintertime. So nutritional education for increasing outdoor activities is needed for premenopausal working women to increase vitamin D status in wintertime.

• 동아시아식생활학회지
• /
• 제27권2호
• /
• pp.104-113
• /
• 2017

The purpose of this study was to analyze and consumption patterns diet/low-calorie food. Ubjects were 353 adult women aged 20s~50s. Ubjects were divided into three groups according to body mass index (BMI): Normal group (BMI>23.0), overweight group (23.0${\leq}$BMI<25.0), and obesity group (BMI${\geq}$25.0). This study collected all information by self-administrated questionnaires. The SPSS version 21.0 was used for analysis of data. The obesity group lower education level (p<0.001), higher age (p<0.001) and higher income (p<0.001) than normal group. However, score of health status was highest in normal group (p<0.001). Proportion of obesity group pill type diet/low-calorie (p<0.034), drug (diuretic, appetite suppressant and riental medicine) (p<0.001), and cosmetic surgery (p<0.001). The main reason for consumption of diet/low-calorie was control without starving (28.0%). Obese group emphasized manufacturer, ingredient and reputation, whereas the normal group emphasized price and expected effectiveness (p<0.001).

• 보건교육건강증진학회지
• /
• 제28권1호
• /
• pp.69-80
• /
• 2011

Objectives: This study aims to identify the factors associated with colorectal cancer screening behaviors. Methods: The nation-wide representative samples of 2,928 adults aged ${\geq}50$ years for colorectal cancer screening were derived from the fourth Korea National Health and Nutrition Examination Survey (KNHANES IV). This study investigated socio-demographic, health behavioral and contextual factors associated with colorectal cancer screening using descriptive statistics and multivariate logistic regression analysis. Results: In terms of socio-demographic factors, gender, age, marital status, occupation, monthly income, and resident region were significantly different between screening group and non-screening group. Among health behavioral and contextual factors, regular physical checkup, weight control, physical activity, smoking, drinking and having other cancers were significantly different. From the multivariate logistic regression analysis, marital status, education level, regular physical checkup and weight control were associated with colorectal cancer screening behavior. Conclusions: It is necessary to understand the importance of early detection and cancer screening. Appropriate health education and active promotion about the cancer screening should be developed based on the study findings in order to motivate people to have cancer screening. Also, these findings should be reflected in the health policy.

• 여성건강간호학회지
• /
• 제9권4호
• /
• pp.432-438
• /
• 2003

Purpose: The purpose of this study was to investigate the depression and, the frequency of blood glucose testing in women type2 diabetic patients. Method: 114 Participants were recruited from the endocrinology outpatient department of a tertiary care hospital in an urban city. Depression was measured by visual analogue scale. Blood glucose testing was measured the frequency during past 1 week. Result: Depression was higher in hyperglycemia patient (fasting blood glucose$\geq$110mg/dl) than in normoglycemia patient(fasting blood glucose <110mg/dl). The blood glucose testing frequency as lower in 50-59 years old than in less than 39 years old. And it was lower in middle school graduate than in college graduate. The blood glucose testing was negatively correlated with patient's age. Conclusion: The depression program should be developed for hyperglycemia diabetic patients. And the blood glucose testing education program should be developed for aged and low educational level patients.

• 농촌의학ㆍ지역보건
• /
• 제37권1호
• /
• pp.23-35
• /
• 2012

지역사회 성인을 대상으로 알코올 섭취량과 동맥경직도의 관련성을 파악하였으며, 아울러 폭음과 동맥경직도의 관련성을 살펴보았다. 지역사회기반 코호트 연구에 참여한 50세 이상 성인 5944명을 대상으로 하루 평균 알코올 소비량(g/day)과 월 폭음 빈도를 조사하였다. 상완-발목동맥 맥파전도속도(baPWV)를 측정한 후 남녀 각각에서 baPWV 4사분위에 해당하는 집단을 'high baPWV'로 정의하였다. 남성 알코올 섭취군의 교차비는 비음주군과 비교해서 유의한 차이가 없었지만, >40.0 g/d 알코올 섭취군의 교차비는 유의하게 증가하였다. 모든 여성 알코올 섭취군의 교차비는 비음주군에 비해서 유의한 차이가 없었다. 남성에서는 비폭음군에 비해 주 1회 미만 폭음군 및 주 1회 이상 폭음군의 high baPWV에 대한 교차비가 유의하게 증가하였다. 여성에서는 비폭음군에 비해 주 1회 이상 폭음군의 교차비가 유의하게 증가하였다. 남녀 모두에서 적당한 음주는 동맥경직도의 위험성이 낮은 반면, 과도한 음주는 동맥경직도의 위험성이 증가하였으며, 전반적으로 알코올 섭취량과 baPWV로 측정한 동맥경직도 사이에는 J자 형태의 관련성이 있었다. 또한 알코올 섭취량을 포함한 기존의 심혈관 위험요인과는 독립적으로 남녀 모두에서 폭음이 동맥경직도와 유의한 관련성이 있었다.

• Journal of Preventive Medicine and Public Health
• /
• 제47권1호
• /
• pp.36-46
• /
• 2014

Objectives: To evaluate the association between fracture risk and levothyroxine use in elderly women with hypothyroidism, according to previous osteoporosis history. Methods: We conducted a cohort study from the Korean Health Insurance Review and Assessment Service claims database from January 2005 to June 2006. The study population comprised women aged ${\geq}65$ years who had been diagnosed with hypothyroidism and prescribed levothyroxine monotherapy. We excluded patients who met any of the following criteria: previous fracture history, hyperthyroidism, thyroid cancer, or pituitary disorder; low levothyroxine adherence; or a follow-up period <90 days. We categorized the daily levothyroxine doses into 4 groups: ${\leq}50{\mu}g/d$, 51 to $100{\mu}g/d$, 101 to $150{\mu}g/d$, and > $150{\mu}g/d$. The hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated with the Cox proportional hazard model, and subgroup analyses were performed according to the osteoporosis history and osteoporosis-specific drug prescription status. Results: Among 11 155 cohort participants, 35.6% had previous histories of osteoporosis. The adjusted HR of fracture for the > $150{\mu}g/d$ group, compared with the 51 to $100{\mu}g/d$ group, was 1.56 (95% CI, 1.03 to 2.37) in osteoporosis subgroup. In the highly probable osteoporosis subgroup, restricted to patients who were concurrently prescribed osteoporosis-specific drugs, the adjusted HR of fracture for the > $150{\mu}g/d$ group, compared with the 51 to 100 ${\mu}g/d$ group, was 1.93 (95% CI, 1.14 to 3.26). Conclusions: While further studies are needed, physicians should be concerned about potential levothyroxine overtreatment in elderly osteoporosis patients.