• Journal of Preventive Medicine and Public Health
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• 제39권6호
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• pp.477-484
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• 2006

Objectives : This study was conducted to examine the association between the carotid artery intima-media thickness (IMT), plaque and cardiovascular risk factors according to gender and age. Methods : The data used for this study were obtained from 1,507 subjects (691 men, 816 women), aged 20-74 years, who participated in 'Prevalence study of thyroid diseases' in two counties of Jeollanam-do Province during July and August of 2004. The body mass index (BMI) and waist hip ratio (WHR) were calculated by anthropometry The blood pressure, pulse rate, pulse pressure, total cholesterol, triglyceride, HDL cholesterol and fasting blood sugar level were also measured. Ultrasonography was used to measure the carotid artery IMT and plaque. IMT measurements were performed at 6 sites, including both common carotid arteries, and the bulb and internal carotid arteries. The definition of the 'mean IMT' was mean value obtained from these 6 sites. Results : The ${\pm}$ standard deviation IMT values were $0.65{\pm}0.14\;and\;0.60{\pm}0.13mm$ in men and women (p<0.001), respectively. The data were analyzed according to gender and the 50 year age groups. In a multiple linear regression analysis, age and hypertension were positively associated with the mean IMT in both men and women, aged<50 years. Age, total cholesterol and smoking (current) were positively associated with the mean IMT in men $(\geq50\;years)$. Age was positively associated with the mean IMT in women $(\geq50\;years)$, but the HDL cholesterol level was negatively associated. The prevalence of plaques was 44.2%(196/443) in men and 19.4%(89/459) in women, for those greater than 50 years of age. In a multiple logistic regression analysis, age (OR=1.090, 95%CI=1.053-1.129), HDL cholesterol (OR=0.964, 95%CI=0.944-0.984), total cholesterol (OR=1.009, 95%CI=1.002-1.017)and BMI (OH=0.896, 95%CI=0.818-0.983) were independently associated with plaques in men; whereas, age (OR=1.057, 95%CI=1.012-1.103), HDL cholesterol (OR=0.959, 95%CI=0.932-0.986), pulse pressure (OR=1.029, 95%CI=1.007-1.050) and triglycerides (OR=0.531, 95%CI=0.300-0.941) were independently associated with plaques in women. Conclusions: There were significant gender and aging differences in the association between the IMT, plaque and cardiovascular risk factors. Therefore, for the prevention of atherosclerosis, selective approaches should be considered with regard to gender and age factors.

• 농촌의학ㆍ지역보건
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• 제10권1호
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• pp.16-25
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• 1985

To evaluate the health status of the aged in rural area, 476 men and women of 65 years old and older among the residents of Gunwee County in Kyungpook were examined at the county health center between 4th and 22nd of June, 1984. Physical examination included measuring height, weight, chest circumference and blood pressure and chest x-ray. Laboratory tests were done for serum cholesterol, glucose and GOT, and urine glucose and protein. The mean heights of male and female were 160${\pm}$7.0cm and 147.7${\pm}$6.9cm, respectively. The height decreased as the age increased. The mean body weight of male was 53.5${\pm}$7.8kg and 46.7${\pm}$7.5kg for female and the older, the eighter. The mean chest circumference of male was 85.4${\pm}$7.5cm and 79.5${\pm}$79cm for female and it had no remarkable differences by age group. The average height, body weight, chest circumference, and serum cholesterol level of the age 65 years and older in rural area were lower than the standard this may be due to undernutrition of the aged. The mean diastolic and systolic blood pressure of male were 75.9${\pm}$13.5 mmHg/126.3${\pm}$24.1 mmHg and those for female were 73.1${\pm}$13.9 mmHg/125.8${\pm}$32.4 mmHg. Both male an d female in the age group of 65-69 years showed the lowest mean blood pressure. Among the study population 18.3% the borderlin hypertension and 14.3% had hypertension. Average hemoglobin level of the male(12.5${\pm}$0.8 g/dl) was higher than that of the female(11.6${\pm}$0.8 g/dl) (p < 0.01). Mean serum G.O.T. level was 25.2${\pm}$8.7 IU for male and 23.6${\pm}$7.5 IU for female and all of the study population were within the normal range. Mean serum glucose level was 110.4${\pm}$16.0 mg/dl for the male and 110.5${\pm}$15.7 mg /dl for the female and 41.4% of the study population were above the normal limit of serum glucose level. However, there was only one person she had glycosuria. Hyperglycemia could be due to non-fasting before the test. Two of the study population had proteinuria and five persons (1.05%) were diagnosed as pulmonary tuberculosis by the chest x-ray.

• 한국의류산업학회지
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• 제13권4호
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• pp.600-613
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• 2011

The purpose of this study is to provide Torso pattern for Korean middle-aged women using 3D human body scan data. 155 women in their 40's or 50's were measured by Martin's anthropometry. Merging the data of 914 middle aged women provided by Korean agency for technology and standards, total of 1,069 subjects' data were analyzed. For data analysis, ANOVA, factor analysis and cluster analysis were done using SPSS PC+. And representative subject of each cluster was selected and they participated in 3D scanning and Torso pattern suggested for middle-aged women Torso pattern which investing the amount of ease according to each group for diffuse front interscye 30%, armscye circumference 30%, back interscye 40% using 3D human body scan data. The results of this study are as follows. Firstly, as a result of the factor analysis, the first factor was 'obesity index of body', The second factor was 'verticality size of body', The third factor was 'verticality length of upper bodice', The fourth factor was 'drop value to represent silhouette', and the fifth factor was 'physique of upper bodice'. And, middle-aged women type were classified 3 types according to the cluster analysis. Type 1(Y-type) was the long upper Torso with wide shoulder. Type 2(H-type) was flat-body type with comparatively thin upper bodice and thin lower bodice. And type 3(A-type) was the obese type with comparatively thin upper bodice and fat lower bodice. Secondly, using CAD program, point filtering was performed and approximated surface model was made. It used that generated surface smoothing corrected for abnormally extruded points and scattered points based on the curvature information. And 3D surfaces were flatted onto the plane by the internal tools of CAD program. Difference ratios of outline length and area between 3D curves and 2D plane were 0.42% and 0.54%, respectively. Third, wearing test by the sensory evaluation showed that distinct difference almost every category. The movement functionality test shows that, in all the tests which reveal significant differences, especially, 'comparison pattern A' experienced inconvenience to neck width and neck depth.

• 한국식품영양과학회지
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• 제24권6호
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• pp.829-836
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• 1995

우리나라 농촌 성인 남녀의 납 섭취량, 혈중 농도, 소변 중 배설량과 혈압, 혈청 지질수준과의 관계를 알아보기 위하여 농촌에 거주하고 신체 건강한 성인 남녀 30명을 대상으로 신체계측, 3일간의 식이섭취조사 및 식이와 소변수거, 혈액체쥐를 통해 납의 섭취량, 혈중농도, 소변 중 배설량과 혈압 및 혈청 지질 함량을 측정하고 이들간의 관계를 살펴본 결과는 다음과 같다. 연구 대상자들의 평균 납 섭취량, 혈중 수준 및 뇨중 배설량은 각각 $226.1{\pm}263.8\mu\textrm{g}/day,\;10.8{\pm}3.6\mu\textrm{g}/dl\;및\;36.5{\pm}9.5\mu\textrm{g}$이었다. 수축기와 이완기 혈압은 $113.0{\pm}16.9mmHg와\;76.7{\pm}12.1mmHg$였고, 혈청 총콜레스테롤, 중성지질, HDL-콜레스테롤, LDL-콜레스테롤 및 ${\beta}-lipoprotein$ 함량은 각각 $158.8{\pm}32.9mg/dl,\;104.6{\pm}48.8mg/dl,\;45.7{\pm{9.9mg/dl,\;92.2{\pm}28.5mg/dl\;및\;426.4{\pm}141.5\;mg/dl$인 것으로 나타났다. 납의 섭취량, 혈중 수준 및 뇨중 배설량과 혈압간에는 유의한 상관성이 나타나지 않았으나 납 섭취량과 에너지 및 당질 섭취량간에 유이한 정의 상관성이 있었다. 납과 혈청 지질수준과의 관계에서 납 섭취량과 HDL-콜레스테롤 함량간에 유의한 부의 상관성이 나타난 납의 섭취로 동맥경화 발생의 가능성이 높았으며 납과 그밖의 지질간에는 유의한 상관성이 없었다. 본 연구는 조사 지역과 규모면에서 많은 제한점이 있지만 앞으로 본 연구를 기본으로 다양한 지역과 납의 노출수준이 다른 많은 대상자 및 다양한 중금속을 비교 분석할 수 있는 다각적인 연구가 필요하다고 생각한다.

• 대한간호학회지
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• 제30권3호
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• pp.720-730
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• 2000

Malnutrition is a common problem in cancer patients. In addition anticancer drugs used in chemotherapy as a major therapeutic mode are famous as the side effect like nausea, vomiting, which lead the patients to malnourished state. This study was to determine the relationship of anorexia, nausea, vomiting and oral intake and identify the influence these side effects on the nutritional status in patients receiving chemotherapy. To assess the nutritional status, anthropometry such as weight, height, body mass index(BMI), body fat proportion, and triceps skinfold thickness, and biochemistry test such as hemoglobin and lymphocyte were measured at the pre- and post- chemotherapy and the readmission time, all three times. During chemotherapy, anorexia, nausea, and vomiting using a VAS or 5-point scale and 24 hour oral intake using a food record were measured daily. Forty-nine patients knowing their diagnosis and receiving chemotherapy were recruited from an oncological ward in a general hospital for 5 months and they were reduced 31 at readmission time for a next chemotherapy. The results were as follows. Most subjects (93.6%) were in the 4th stage of cancer and 57.1% of subjects were in the first or the second chemotherapy. In most subjects(82.6%), their weight was decreased 10.7% than as usual. The degree of anorexia, nausea, and vomiting was significantly higher and the amount of oral intake was significantly less during the chemotherapy than at the pre-chemotherapy. Weight, BMI, triceps skinfold were reduced more at the post- chemotherapy than the pre-chemotherapy and were recovered the nearly same but less level at the readmission time. Body fat proportion was increased at the post chemotherapy and then decreased at the readmission phase. Hemoglobin and the number of lymphocyte were below normal at the pre-chemotherapy and more reduced at the readmission time. Anorexia, nausea, and vomiting were related positively and oral intake was negatively related with nausea and vomiting. The nutritional status at the post- chemotherapy and the readmission time was explained 20% over by the side effect like anorexia, nausea, vomiting and oral intake during the chemotherapy. The significant nutrition predictors at the post- chemotherapy were vomiting and the significant predictors at the readmission time were anorexia, vomiting, and oral intake. These results indicated the patients receiving chemotherapy were continued to deteriorate the nutritional status. Therefore nurse should have knowledge how much the nutritional status can be affected and assess the nutritional status periodically and try to find out the intervention for side effects from the series of chemotherapies.

• 복식
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• 제53권6호
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• pp.145-159
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• 2003

The purpose of this study was to classify body type for ready-to-wear sizes. The subjects were 300 women ages of 18-24. they were measured direct anthropometry. The body types for sizing system were divided by Rohrer Index. KS drop value and ISO drop value. The results of this study were as follows. 1. By adapting the Rohrer Index. we classify 3 types from anthropometric measurements. The thin type covered 39.3%, the standard type 51.0% and the obesity type 18.7%. The characteristics of clusters were as follows. Thin type was characterized by tall. slender type and slim. The standard type was characterized by middle sized. The obesity type was characterized by short. fat type. and large bust. 2. By adapting the KS system drop value. we classify 3 types from anthropometric measurements. The H type(drop 0) covered 25.6%. the N type(drop 6) 65.2% and the A type(drop 12) 9.2%. Type H was slightly tall large bust. and curved from waist to hip. Type A was slightly thin. large hip and smaller bust than type N. Principal factor components were bust size. The height could be divided into three groups. The Petite(l50cm) covered 5.5%. the Regular(l60cm) 64.7% and the Tall(l70cm) 29.8%. Through the crosstab of height and body type. we extracted regular height by N type 46.2% the largest cell. The body type was the higher order of N type. H type and A type. The tall was the higher order of Regular. Tall and Petite. 3. By adapting the ISO system drop value. we classify 3 types from anthropometric measurements. The H type(drop 0) covered 15.0%. the M type(drop 6) 41.0% and the A type(drop 12) 44.0%. Type H was slightly short. slightly fat and large bust. Type A was slightly tall. slight thin than type M. The height could be divided into three groups. We adjust the height section after allow for height distribution. The Short(152cm) covered 12.8%. the Regular(160cm) 66.9% and the Long(168cm) 20.3%. Through the crosstab of height and body type, we extracted regular height by M type 29.3% the largest cell. The body type was the higher order of M type, A type and H type. The tall was the higher order of Regular, Long and short.

• 대한지역사회영양학회지
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• 제21권3호
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• pp.284-292
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• 2016

Objectives: This study compared the differences of postmenopausal women's bone mineral density in relation to the degree of obesity, metabolism index and dietary factors that affect bone mineral density. Methods: The subjects included in the study are 39 postmenopausal women of normal weight with body mass index less than $25kg/m^2$ and 32 postmenopausal who are obese. Anthropometry and biochemical analysis were performed and nutrient intakes and DQI-I were assessed. Results: Normal weight women were $56.03{\pm}3.76years$ old and obese women were $58.09{\pm}5.13years$ old and there was no significant difference in age between the two groups. The T-score of bone mineral density was $0.03{\pm}1.06$ in normal weight women and $-0.60{\pm}1.47$ in obese women and this was significantly different between the two groups (p<0.05). Blood Leptin concentration was significantly lower in normal weight women ($6.09{\pm}3.37ng/mL$) compared to obese women in ($9.01{\pm}4.99ng/mL$) (p<0.05). The total score of diet quality index-international was $70.41{\pm}9.34$ in normal weight women and $64.93{\pm}7.82$ in obese women (p<0.05). T-score of bone mineral density showed negative correlations with percentage of body fat (r = -0.233, p=0.05), BMI (r = -0.197, p=0.017), triglyceride (r = -0.281, p=0.020) and leptin (r = -0.308, p=0.011). The results of multiple regression analysis performed as the method of entry showed that with 22.0% of explanation power, percentage of body fat (${\beta}=-0.048$, p<0.05), triglyceride (${\beta}=-0.005$, p<0.05) and HDL-cholesterol (${\beta}=0.034$, p<0.01), moderation of DQI-I (${\beta}=-0.231$, p<0.05) affected T-score significantly. Conclusions: The results of the study showed that obese women have less bone density than those with normal weight women. In addition, the factor analysis result that affect bone mineral density showed that intake of fat is a very important factor. Therefore, postmenopausal women need to maintain normal weight and manage blood lipid levels within normal range. They also need to take various sources of protein and reduce consumption of empty calorie foods that have high calories, fat, cholesterol and sodium.

• 대한지역사회영양학회지
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• 제18권6호
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• pp.644-651
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• 2013

Although there has been a significant increase in breast-feeding (BF) rate in Korea, it is plateaued since 2008 and still low compared with that of other countries. Because BF has been related to lower obesity prevalence in many studies and the increase in childhood obesity became evident in Korea, we wondered if a relatively lower BF rate has anything to do with this increase. Therefore, we looked into the relationship between mode & duration of BF during infancy and weight status of toddlers using the data from Korea National Health and Nutrition Examination Survey 2008 through 2011. Number of 2-3 year old toddlers with complete information on BF, anthropometry and normal birth weight was 674. While 87% of them were ever-breastfed, 6.2% each of them were either obese or overweight based on the Standard Growth Chart for Korean Children. Not only the obesity prevalence was different among groups of different mode of feeding, but also the mean duration of BF was significantly longer in normal weight group (9.2 mo.) compared with obese group (5.5 mo.). Accordingly, overweight and obesity prevalence of the toddlers breast-fed for 12 months or longer was significantly lower than that of the toddlers breast-fed for less than 12 months (OR 0.53, 95% CI 0.32-0.87). This study revealed that both BF and duration of BF affect the childhood obesity and, BF for 12 months or longer should be encouraged more aggressively as one of the main strategies to prevent and/or decrease childhood obesity in Korea.

• Journal of Nutrition and Health
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• 제43권3호
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• pp.273-284
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• 2010

본 연구에서는 12주간 중년 비만여성을 대상으로 체중조절 프로그램 (영양교육 및 상담, 운동요법)을 실시하여 식습관, 혈액성분, 체성분의 변화를 살펴보고자 하였다. 영양 교육실시 후 식습관에서는 식사의 규칙성, 간식섭취횟수, 외식횟수 및 식사속도 등이 긍정적으로 개선되었다. 혈액지질 성분과 혈압에서는 총콜레스테롤, 중성지방, LDL-콜레스테롤, 수축기 혈압이 유의적으로 감소하였으며, 동맥경화지수와 이완기 혈압도 유의적인 차이는 없었지만 감소하였다. 비만지표인 BMI와 WHR (허리-엉덩이 둘레비)이 유의적으로 감소되어 체중이 감량됨을 알 수 있었고 체지방률, 지방량도 유의적으로 감소되었으며, 근육량은 유의적인 차이는 없었지만 약간의 증가를 가져와서 장기적으로 체성분의 긍정적인 변화를 기대할 수 있었다. 이상의 결과를 미루어 효율적인 비만관리를 위해서는 획일적인 방법보다는 대상자들의 특성을 고려하여 식행동 개선에 초점을 맞춘 영양교육 및 상담과 아울러 운동요법을 병행하여관리가 이루어져야 할 것으로 생각된다. 그러기 위해서는 각 영역의 전문가들의 긴밀한 협조와 노력으로 실질적인 건강향상을 위한 체계적인 비만관리 프로그램이 이루어져 비만을 예방하고 건강지표 향상을 가져와 국민건강 증진에 도움이 될 것으로 본다.

• Journal of Preventive Medicine and Public Health
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• 제33권2호
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• pp.193-198
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• 2000

일부 농촌지역 주민을 대상으로 혈청 leptin농도와 비만지표의 관련성을 파악하고자 하였다. 역학조사에 참여한 주민 1036명 중 단순무작위표본추출하여 혈청 leptin 농도를 측정한 209명을 연구대상으로 하였다. 체질량지수, 체지방량 등의 비만지수는 신체계측, 생체전기저항분석법으로 측정하였으며 혈청 leptin농도는 면역 방사계수측정 법으로 측정하였다. 혈청 leptin농도는 비만지표인 체질량 지수, 체지방률, 체지방량, 허리둘레, 엉덩이둘레와 유의한 양의 상관관계가 있었다. 혈청 leptin농도는 과체중 또는 비만인에서 저체중 또는 정상인보다 유의하게 더 높았다. 혈청 leptin농도는 남자보다 여자에서 더 높았는데 체질량지수를 보정한 상태에서도 남자보다 여자에서 더 높았다. 혈청 leptin 농도는 남자에서는 허리둘레, 여자에서는 엉덩이둘레와 더 관련이 있어 높은 혈청 leptin농도는 남자에서는 복부형 비만, 여자에서는 둔부형 비만과 관련이 있는 것으로 나타났다. 본 연구에서 혈청 leptin 농도는 비만지표들과 양의 상관관계가 있었고, 정상인보다 비만인, 남자보다 여자에서 더 높았으며, 복부형 비만보다 둔부형 비만과 더 관련이 있었다. 이러한 결과는 비만이 leptin결핍보다는 leptin 저항성과 더 관련이 있다는 가설을 지지하는 것이다.