• 대한간호학회지
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• 제28권1호
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• pp.184-192
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• 1998

This study was done to examine the correlations between weight, BMI and risk factors of coronary heart disease in men and women in their forties and fifties. The subjects were 412 adults. who had regular health examinations between January and December of 1996 at S-Hospital in Seoul. The data were analyzed using ANOVA, Scheffe test, and Pearson correlation coefficient. The results are as follows : 1. The men between 50 and 59 years of age had higher levels for BMI, weight, systolic blood pressure, diastolic blood pressure, total cholesterol. LDL-cholesterol, triglyceride, fasting blood sugar, plasminogen activator-1, and hemoglobin A,C than the group of women in their forties. Yet. HDL-cholesterol was lower than in the former group. 2. In the group of men in their forties, weight was significantly correlated to diastolic blood pressure(r=.22), LDL-cholesterol(r=.20), plasminogen activator-inhibitor-1(r=.35) HDL-cholesterol(r=-.19). Their BMI was significantly correlted to systolic blood pressure(r=.27), diastolic blood pressure (r=.33), total cholesterol(r=.23), LDL-cholesterol (r=.26), plasminogen activator-1(r=.36) and HDL-cholesterol(r=-.25). 3. As for the group of women in their forties weight was significantly correlated to systolic blood pressure(r=.20), diastolic blood pressure(r=.22), triglyceride(r=.32) , plasminogen activator inhibitor-1 (r=.30) and HDL-cholesterol(r= -.37). Their BMI was significantly correlated to diastolic blood pressure (r=.25) triglyceride(r=.47), plasminogen activator-1 (r=.35), fibrinogen(r=.27) and HDL-cholesterol(r=-.47). 4. In the group of men in their fifties. weight was significantly correlated to total cholesterol (r=32), LDL-cholesterol(r=.29). plasminogen activator inhibitor-1(r=.26). Their BMI was significantly correlated to systolic blood pressure(r=.24), diastolic blood pressure (r=.22), total cholesterol (r=.34), LDL-cholesterol (r=.32), and plasminogen activator-1(r=.25). 5. In the group of women in their fifties, weight was significantly correlated to diastolic blood pressure(r=.33), total cholesterol(r=.21), LDL-cholesterol(r=.20), plasminogen activator inhibitor-1 (r=.43) and HDL-cholesterol(r=-.21). Their BMI was significantly correlated to systolic blood pressure(r=.25), diastolic blood pressure(r=.40), total cholesterol(r=.24), LDL-cholesterol(r=.24), triglyceride(r=22), and HDL-cholesterol (r=-.30). The above findings indicate that the BMI was more predictive than weight as a risk factor for coronary artery disease for men and women in their forties and fifties.

• 한국산학기술학회논문지
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• 제18권4호
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• pp.285-292
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• 2017

본 연구는 제조업 근로자들의 공복 시 혈당과 혈청지질치(TC, TG, HDL-C, LDL-C) 및 비만지표(BMI, 체지방률, 허리둘레, 허리둘레와 엉덩이둘레의 비)와의 관련성을 검토할 목적으로 시도하였다. 연구는 2015년 1월부터 12월까지의 기간에 한 대학병원 건강검진센터에서 종합건강검진을 받았던 30~59세의 근로자 1,473명을 대상으로 하였다. 자료의 분석은 조사대상자의 공복 시 혈당을 정상군과 비정상군으로 구분하여 혈청지질치 및 비만지표의 평균치를 비교하였고, 성과 연령을 조정한 다중 회귀분석을 통해 공복시 혈당에 영향을 미치는 관련요인을 검토하였다. 연구결과, 조사대상자의 TC, TG, LDL-C, BMI 및 허리둘레는 공복 시 혈당이 정상인 군보다 비정상인 군에서 유의하게 높았고, HDL-C는 공복 시 혈당이 정상군보다 비정상군에서 유의하게 낮았다. 조사대상자의 공복시 혈당치는 TC, TG, LDL-C, BMI 및 허리둘레와 유의한 양의 상관관계를 보였다. 공복 시 혈당에 영향을 미치는 요인으로는 TC, TG, BMI 및 체지방률이 유의한 변수로 선정되었다. 이상과 같은 결과는 제조업 근로자들의 공복시 혈당은 TC, TG, LDL-C와 같은 혈청지질치 및 BMI, 체지방률과 같은 비만지표와 유의한 관련성이 있음을 시사한다.

• Journal of Yeungnam Medical Science
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• 제22권2호
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• pp.199-210
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• 2005

전 세계적으로 비만 인구의 급격한 증가와 이로 인한 다양한 만성질환의 증가가 중요한 건강 문제로 대두되고 있으며, 최근 여러 종류의 암들도 비만과 연관성이 있을 것이라는 연구들이 많이 이루어지고 있다. 비만과 암과의 연관성에 대한 정확한 기전은 아직 밝혀지지 않았으나 다양한 스테로이드와 펩타이드 호르몬 그리고 성장인자가 중요한 역할을 할 것으로 생각되어지며, 전립선암 역시 호르몬 의존성의 종양이므로 남성 비만 환자에서의 증가된 혈청 에스트로겐 농도와 교감 신경계의 활성화 등 비만과 관련된 호르몬의 변화는 전립선암과도 상당한 연관이 있을 것으로 추정된다. 그러나, 지금까지의 비만과 전립선암과의 연관성에 대한 임상연구들은 대부분 서구인을 대상으로 시행되었으며 그 결과 또한 서로 상반되게 발표되고 있어 명확한 연관성을 밝히지 못하고 있는 실정이다. 이에 본 저자들은 한국인을 대상으로 비만과 전립선암과의 연관성을 알아보고자 2000년 1월부터 2005년 6월까지 영남대학교 의과대학 부속병원 비뇨기과에서 임상적으로 전립선암이 의심되어 경직장초음파유도하 전립선생검(transrectal ultrasound guided prostate biopsy)을 시행한 286명을 대상으로 환자들의 의무기록을 후향적으로 분석하여, 환자의 나이, 키, 몸무게, BMI, PSA, DRE, TRUS, 경직장초음파유도하 전립선생검, Gleason 점수, 임상적 병기 등을 비교, 분석하였다. 본 연구 결과에서는 BMI와 전립선암 발병률과는 연관성을 확인 할 수 없었으며, BMI와 임상적 병기와는 다소 연관성이 있는 것으로 나타났으나 통계적 유의성은 없었다. 이러한 비만 환자를 대상으로 한 연구에서는 비만의 기준에 따라서 큰 차이가 유발될 수 있으며, 비만 환자의 경우 전립선암 진단 및 치료 방법 등에 있어서 다양한 편견 및 오류가 작용할 수 있을 것으로 생각된다. 따라서, 비만과 전립선암과의 명확한 연관성을 확인하기 위해서는 향후 비만에 영향을 미칠 수 있는 다양한 인자와 호르몬 측정 및 BMI 이외의 여러 가지 비만 지수 등의 측정을 포함한 대규모 임상연구가 필요하리라 생각된다.

• 대한한방부인과학회지
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• 제34권3호
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• pp.65-78
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• 2021

Objectives: This study was aimed to investigate the weight change of the high-risk group and the general maternal group and weight-relating factors in the early postpartum period. Methods: We retrospectively reviewed the medical records of those who received postpartum care from January 1, 2020, to December 31, 2020, in the postpartum care center affiliated with one Korean Medicine hospital. A total of 257 postpartum women's medical charts were included and divided into the high-risk group and the general maternal group. We investigated the weight changes and Body mass index (BMI) of the postpartum women and compared the difference between the two groups after taking the postpartum care. Finally, we used a Pearson correlation analysis to identify the weight-relating factors in the early postpartum period. Results: All the postpartum women showed the following results; 33.81±4.03 years old as the mean age; 22.23±3.28 as pre-pregnancy BMI; 58.21±9.18 kg of pre-pregnancy weight increased into 70.75±9.70 kg in the last month of pregnancy. Of the total 257 patients, 149 (58.0%) of high-risk pregnancy experience and 108 (42.0%) of general pregnancy were included. The edema index right after childbirth was significantly higher in the high-risk group than in the general maternal group (p<0.001), but there was no significant difference in BMI. After treatment with Korean medicine treatments, body weight, BMI, and edema index decreased significantly in both groups (p<0.01). As a result of correlation analysis, weight gain during pregnancy had a significant negative correlation with pre-pregnancy weight and pre-pregnancy BMI and a significant positive correlation with weight and BMI of the last month of pregnancy. In particular, pre-pregnancy BMI and body weight showed a significant negative correlation only in the high-risk group. Postpartum weight loss was significantly positively correlated with pre-pregnancy weight, pre-pregnancy BMI, weight & BMI of the pregnancy last month, weight gain during pregnancy, and decrease in edema (p<0.01) Conclusions: The weight during pregnancy of the high-risk group increased in inverse proportion to the pre-pregnancy BMI. The level of edema right after childbirth was significantly higher than that of the general maternal group, but showed a significant decrease after 2 weeks of Korean medicine treatments. Although it implicates the need for active Korean medicine treatments in the early postpartum period, further studies with controlled groups are needed.

• 대한보건연구
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• 제44권4호
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• pp.35-49
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• 2018

연구목적: 본 연구의 목적은 종합건강검진 수검자의 신체측정과 혈액검사를 통해 탈수 위험요인에 대해 조사하는 것이다. 연구방법: 연구 분석을 위해 Sodium ($Na^+$), BUN (Blood Urea Nitrogen) 및 FBS (Fasting Blood Sugar)의 데이터가 유효한 5,391개의 샘플을 선택하여 혈장삼투압 탈수지표를 계산하였다. 조사 데이터는 2014.01.01과 2015.12.31사이에 삼육서울의료원 종합건강검진센터를 방문한 검진 수검자로부터 수집되었다. 탈수와 연령, 체질량지수(BMI), 질병노출(고혈압, 당뇨병, 이상지질혈증, 신장장애)의 관계를 성별로 구분하여 분석하였다. 연구결과: 탈수 교차비는 남성과 여성 모두 50대 이상 연령부터 통계적 유의성이 나타났다. 비만여성은 탈수에 취약했으나 남성은 BMI 차이에 통계적 유의성이 나타나지 않았다. 질병에 노출된 그룹(고혈압, 당뇨병, 이상 지질 혈증, 신장 장애)은 탈수에 취약하였다. 또한 질병노출 수가 많을수록 교차비가 높아 탈수 위험도가 높은 것으로 나타났다. 결론: 노화, BMI증가, 질병노출은 탈수에 취약하게 하는 위험요인으로 나타났다. 50세 이후 연령대는 탈수예방을 위해 BMI와 만성질환 조절에 특별한 주의가 요구된다. 질병발생에 잠재적인 자극 메커니즘으로 혈장 삼투압 증가에 영향을 끼치는 탈수 위험요인에 대한 추가 연구를 제안한다.

• 한국노년학
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• 제29권4호
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• pp.1479-1500
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• 2009

노인들의 체질량지수는 노후 삶의 질을 결정할 수 있는 중요한 변수임에도 불구하고 어떤 요인 들이 이와 관련되어 있는가에 대한 연구는 상대적으로 부족하다. 따라서 본 연구는 미국, 일본, 한국 노인들의 체질량 지수의 분포가 어떻게 다른지 고찰하는데 일차적인 목적을 두었다. 더 나아가, 세 국가 노인들의 체질량지수에 영향을 미치는 요인들이 무엇인지 살펴보고 그 관계가 세 국가에서 어떻게 다르게 나타나는지 살펴보고자 한다. 자료는 미국 (LSOA II, N=8,589), 일본 (NUJLSOA, N=2,888), 그리고 한국의 고령화연구패널 (KLoSA, N=2,397)을 사용하였으며, 기술적인 분석과 체질량지수를 종속변수로 하는 다중회귀분석을 사용하였다. 일본과 한국 노인들의 체질량지수 분포는 매우 유사했지만, 일본 노인들의 체질량지수가 한국 노인들의 그것에 비교하여 좀 더 가벼웠으며 분포의 오른쪽 상단인 비만에 해당하는 부분에서 더 낮은 비율을 보였다. 한국과 일본의 체질량 지수 분포는 미국에 비해서 상대적으로 좌측에 위치하고 있으며, 최빈값에서 덜 퍼져있음이 밝혀졌다. 체질량지수와 사회경제적인 변인의 관계는 한국 노인들에 비해서 미국과 일본 노인들에게서 더 강하게 나타났으며, 한국의 경우 기존연구와 달리 교육 수준이 높을수록 체질량지수가 높은 것으로 나타났다. 한국은 사회경제적 변인이나 건강행태보다 인구학적 변수들이 체질량지수에 좀 더 유의미한 영향을 미쳤으며 일본의 경우 세 가지 건강행태가 모두 체질량지수를 예측할 수 있는 중요한 요인인 것으로 밝혀졌다. 따라서 미국, 일본, 한국에서 노인의 체질량지수에 영향을 미치는 요인들과 그 관계의 방향성은 다르다고 결론지을 수 있다. 본 연구 결과는 상이한 국가에서 노인들과 현장에서 마주하게 되는 노인병 의사, 간호사, 양로원의 책임자, 사회복지사 등이 노인들로 하여금 적절하게 몸무게를 조절하게 하기 위해서는 어떤 요인이 중요한지 파악할 수 있게 해주고 구체적으로 도움을 줄 수 있다는데 그 정책적인 함의가 있다.

• Nutritional Sciences
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• 제8권1호
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• pp.50-55
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• 2005

This study was conducted to determine the relationship between the body fat percent (BF%) and body mass index (BMI) of Koreans and the differences with Caucasians. Complete data were collected from 3297 subjects (2441females and 856 males) between the ages of 18 and 79. Data were collected between September 2001 and November 2001 in Seoul and Pusan. For the statistical analysis, only the data on subjects between the ages of 18 and 65(3200) were used Body weight and height were measured BMI (kg/$m^2$) was computed From BMI, BF (%) was calculated using age- and sex-specific prediction formulas. BF% was assessed using an INBODY 2.0 body fat analyser. Data analysis showed that the females were significantly younger than the males, were smaller, lighter and had a lower body mass index. Body fat percent of the females was higher than that of the males. 1he differences between actual measured BF% and BF% as predicted from prediction equations from the literature, based on BMI, age and sex, were correlated with level of body fat and age. There is a significant age-related decrease in body fat in Koreans for any given BMI and sex, which is remarkably different compared to age-related increases in body fat in the European reference group. For the same age and BF%, Korean females have a slightly lower BMI than their European counterparts. Korean males have, for the same age and BF%, a higher BMI than their European counterparts. The differences between females and males were not significant. It was concluded that, assuming that the data on body fat percent was correct, that the relationship between BF% and BMI is quite different in Koreans than in European Caucasians. Thus, for younger Koreans cut-off values for obesity should be slightly lower than those for Caucasians whereas for older Koreans the cut-off points for obesity should be higher than those for Caucasians.

• Preventive Nutrition and Food Science
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• 제10권1호
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• pp.64-67
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• 2005

Leptin is a small polypeptide hormone secreted primarily by adipocytes. Leptin regulates energy balance by decreasing food intake and increasing energy expenditure. This study investigated the relationships between serum leptin levels and BMI (body mass index) in 49 adults in Pohang, Korea. The subjects were 25 males and 24 females, aged 21 to 64 years attending an outpatient clinic at Handong University Sunlin Presbyterian Hospital. Values are given +/- the standard error of the mean. Our study shows that the serum leptin levels in these subjects were positively correlated with BMI. The leptin levels were higher in females (2.39+/-1.82 ng/mL) than in males (0.43+/-0.455ng/mL), although lower than previously reported. We therefore compared the serum leptin levels from the male Korean subjects (BMI 24.3+/-0.74㎏/㎡) with serum from six British males with a similar BMI (23.4+/-1.48㎏/㎡). The serum leptin concentrations (1.76+/-0.76 ng/mL) were lower than that of plasma (4.28+/-1.66 ng/mL) in the British subjects. The serum leptin in the British subjects (1.76+/-0.76ng/mL) was higher than that in the Koreans. There was no correlation between leptin levels and BMI in either male (slope 0.018 ± 0.036, p=0.624) or female (slope 0.382±0.433, p=0.417) type 2 diabetic patients in Pohang, Korea. Taken together, our study shows that the serum leptin level in Koreans varies with the BMI, but is lower than that of BMI-matched British subjects.

• 한국치위생학회지
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• 제10권1호
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• pp.141-156
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• 2010

Objective : This study was conducted to examine the relationships among health & oral health promotion behavior according to BMI. The subjects in this study were 704 high school students. Methods : A survey was conducted, and Chi-square, T-test, ANOVA, and Pearson's correlation coefficient were used for data analysis. The findings of the study were as follows; Results : Man is normal weight group accounted for 65.9%, and women is 69.7%(p<0.001). Health & oral health promotion behavior of nutrition(p<0.01) and exercise(p<0.001) that men were higher than women. But health responsibility was higher to women(p<0.001). As to the relationship for the BMI to health promotion behavior, nutrition is over weight group accounted for 3.45, obesity group 3.43, normal weight group 3.26 and under weight group 3.16(p<0.05). Exercise is over weight group accounted for 2.70(p<0.05), and nutrition for oral health is obesity group accounted for 3.47(p<0.05). As for correlation among the BMI, stronger social support, more exercise, better nutrition for oral health, there was a statistically significant relationship between BMI. As the factors significantly affecting BMI, their satisfaction level with exercise, nutrition for oral health, life appreciation, stress management for oral health. Conclusions : This study suggested that health & oral health promotion behavior of high school students in an effort to help improve policy setting on health projects and determine how to teach teens to promote their health throughout their lives.

• 대한지역사회영양학회지
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• 제10권1호
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• pp.22-35
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• 2005

Proper nutrient intakes and physical fitness focus one's attention on health promotion. This study was conducted to investigate nutrient intakes and physical fitness by BMI in middle school students. Health-related questionnaire, dietary intakes, food frequency questionnaire and physical fitness were studied. There were no significant differences in health-related questionnaire, food frequency questionnaire and physical fitness by BMI, but several nutrition intakes, preference of salty tastes and the proportion of iron deficiency of female students were significantly different by BMI. Although the female obese group (BMI 85 - 100 percentile) had decreased the proportion of iron deficiency and increased fish intake frequency than other groups, obese females did not show better physical fitmess than other groups. And the average Ca intake was below $75\%$ of Korean RDA in both male and female students. Significantly positive correlation was found between calorie intake and push-up of normal (BMI 15 - 84 percentile) male students (r = 0.29), also significantly negative correlation was found between protein intake and 50m dash of normal female students (r = 0.22). And significantly positive correlation was found between beans and bent knee sit-up of normal male students (r = 0.25), and significantly positive correlations were found between beans, meat, eggs, green & yellow vegetable and sit and reach (r = 0.20, r = 0.28, r = 0.21, r = 0.19) and significantly negative correlation was found between beans and long distance race of normal female students. Therefore, this study suggests that proper nutrition and non-obese states should be achieved for health promotion in middle school students.