• 디지털융복합연구
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• 제13권10호
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• pp.425-436
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• 2015

본 연구는 우리나라의 고혈압 의료비의 지역별 변이와 지역의 사회학적, 의료공급, 건강행태 등의 변이 요인을 규명함으로써 이를 기반으로 지역별 고혈압 관리 사업 방안 마련에 기초자료를 제시하는 것이다. 이를 위해 전국 시 군 구 247개 지역을 대상으로, 2012년 지역별 의료이용 통계자료(국민건강보험공단), 지역사회건강조사(질병관리본부) 및 국토해양부 자료를 이용 분석하였다. 연구결과 전국 247개 시 군 구의 고혈압 건강보험진료비는 평균 6만2천원이었고 변동계수는 30.0으로 지역 간 높은 고혈압 의료비 변이를 보였다. 주요 변이 요인으로는 인구밀도, 유배우자율, 평균가구원수입, 인구십만명당병원수, 관외의료비비율, 월간음주율, 중증도이상신체활동실천율, 평생의사진단율 등으로 나타났다. 의사결정나무를 이용한 분석 결과 평생의사진단율, 평균가구원수입, 유배우자율, 인구십만명당병원수, 비만율, 월간음주율에서 유의한 차이가 있었다. 본 연구의 결과 고혈압 의료비의 지역 간 변이요인으로는 의료공급이나 인구사회학적 특성뿐만 아니라 건강행태에 있음을 확인하였고 이는 고혈압의료비 절감을 위한 지역보건사업 정책 결정에 참고가 될 수 있을 것이다.

• 대한한방내과학회지
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• 제30권3호
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• pp.510-524
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• 2009

Objective : This study was designed to find the correlation between Sasang Constitution and heart rate variability(HRV). Method : There were 665 subjects (280 men and 385 women), between 39 and 72 years old. in a rural community. Sasang Constitution was diagnosed by a Sasang constitutional specialist using PSSC (Phonetic System for Sasang Constitution), face and tongue photo and checkup-list. A structured-questionnaire was used to assess the general characteristics. HRV was recorded using SA-2000 (medi-core). HRV was assessed by time domain and by frequency domain analysis. Metabolic syndrome was defined on the basis of clustering of risk factors, when three or more of the following cardiovascular risk factors were included : blood pressure, fasting blood sugar, triglyceride HDL-cholesterol, and abdominal obesity (waist). Because of the skewness of the data, logarithmic transformation was performed on the absolute units of the spectral components of HRV, and the resulting logarithmic values and normalized units were compared between the groups by a logistic regression. The 95% confidence interval (CI) of the odds ratio was used and calculated from the data laid out for a cross sectional study. Results : 1. Odds ratios of Taeeumin and Soeumin in female adults below 60 years old were significantly lower than that of Soyangin in LF norm and LF/HF ratio. Odds ratios of Taeeumin and Soeumin in female adults below 60 years old were significantly higher than that of Soyangin in HF norm. 2. There was no significant correlation between HRV and Sasang Constitution in female adults from 60 years old and over. 3. There was no significant correlation between HRV and Sasang Constitution in male adults. Conclusion : There is a statistically significant correlation between the HRV and Sasang Constitution. There is a tendency of increase in the sympathetic activity in Soyangin. There is a tendency of decrease in the parasympathetic activity in Taeeumin and Soeumin.

• 한국가정과교육학회지
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• 제23권3호
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• pp.121-138
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• 2011

1962년 한국인 영양권장량의 제정부터 7차 개정을 거쳐 한국인 영양섭취기준으로 전환되고, 한국인 영양섭취기준이 개정되기까지 에너지를 중심으로 섭취권장량의 양적 변화 및 산출 방법 변화를 살펴보았다. 이에 근거하여 한국인의 에너지 섭취권장량의 개정 방향 및 설정 방법 등에 대하여 검토하고, 설정의 새로운 기법 마련을 위한 기초자료로 활용될 수 있기를 기대한다. 에너지 섭취권장량은 기초대사량(또는 휴식대사량), 활동대사량, 식이성 발열효과의 3가지 요인을 합한 양이다. 1962년 체중을 대입하여 산출하는 공식으로 시작하여 95년에는 휴식대사량(체중 대입 산출)에 평균활동계수를 적용하는 공식으로 전환되었다. 그리고 2005년 연령, 체격(신장, 체중)과 함께 4단계 활동단계를 구분, 대입하여 산출하는 에너지필요추정량이라는 새로운 에너지 섭취권장량이 소개되었다. 1962년 제정 이후 50년이 조금 안 되는 기간 동안 다소의 차이는 있으나 모든 연령대에서 에너지 섭취권장량이 감소하였으며, 이는 생활환경의 변화 즉 활동(노동)량의 감소가 원인으로 생각된다. 비만 인구의 증가와 이에 따른 만성 질환 이환율이 증가함에 따라 에너지 섭취권장량만은 다른 영양소와 달리 개인별 산출 및 적용이 권고되고 있으며, 현재 개인별 산출이 가능하다. 에너지 섭취권장량의 보다 정확한 추정을 위하여 우리 국민 대상의 에너지 소비량 연구 결과를 적용한 우리 국민의 공식이 마련될 수 있기를 기대한다.

• 한국산학기술학회논문지
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• 제21권11호
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• pp.543-553
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• 2020

본 연구는 2018년 제7기 국민건강영양조사 결과를 이용한 2차 자료 분석이었다. 본 연구의 목적은 65세 이상 여성노인의 신체활동, 체질량지수, 우울이 건강관련 삶의 질에 미치는 영향을 파악하고 비교하기 위함이다. 구체적으로 연구대상자는 고혈압 진단을 받은 여성노인 550명, 고혈압 진단을 받지 않은 여성노인 375명으로 구성되었다. SPSS/WIN 22.0 프로그램을 이용하여 기술통계, chi-square test, t-test, multiple linear regression으로 분석하였다. 다중 선형 회귀 분석결과, 고혈압군에서 나이, 교육, 신체활동, 체질량 지수, 우울이 건강관련 삶의 질에 유의한 예측인자로 확인되었고 설명력은 26.9%였다(F=14.30, p<.001). 즉 신체활동량이 많을수록(t=3.02, p=.003), 체질량 지수가 낮을수록(t=-3.12, p=.002), 우울이 낮을수록(t=-7.69, p<.001) 건강관련 삶의 질이 높았다. 반면, 비고혈압군에서 교육과 우울이 건강관련 삶의 질에 유의한 영향인자로 확인되었고 설명력은 31.7%였다(F=5.37, p<.001). 즉, 우울이 낮을수록 (t=-5.53, p<.001) 건강관련 삶의 질이 높았다. 이러한 결과를 바탕으로 향후 고혈압 질환을 갖고 있는 여성노인을 대상으로 다른 구체적 신체활동의 특성을 비교하는 연구와 여성노인의 우울 및 비만 감소를 위한 신체활동 중재 프로그램의 개발이 필요하다.

• Journal of Nutrition and Health
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• 제45권1호
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• pp.80-93
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• 2012

Recent studies have reported that the glycemic index (GI) has an effect on developing the risk for metabolic abnormalities such as diabetes, dyslipidemia, and obesity. As there are no reliable GI values for common Korean foods, only a few studies have been carried out using the dietary GI for Korean adults. The aim of this study was to establish a table of GI values for common Korean foods and evaluate dietary glycemic index (DGI) and dietary glycemic load (DGL) among the Korean adult population. International tables of GI values and other published values were used to tabulate GI values for common Korean foods. Among 653 food items, 149 (22.8%) were adapted from published data, 60 (9.2%) were imputed from similar foods, and 444 (68.0%) were assigned a zero. Data from 7,940 subjects aged 20 years and older in the 2007-2008 Korea National Health and Nutrition Examination Survey were obtained, and DGI and DGL were calculated. The average DGI was 60.0 and the average DGL was 182.5 when the reference food GI value was glucose. After adjusting for potential confounding variables, DGI and DGL increased significantly according to age group (p for trend < 0.001). The food group that contributed most to DGL was grain and its products supplying 85.3% of total DGL, whereas the mean GI value in grain and its products was 72.6. Fruits and potatoes also contributed to DGL (5.8 and 2.9%, respectively), and their GIs were high (67.7 for potatoes and 45.8 for fruits). For individual food items, white rice supplied 66.7% of total GI followed by glutinous rice (2.3%) and steamed white rice cakes (2.0%). In conclusion, a table of GI values for 653 common food items was established in which white rice was the most contributing item to DGL. Our results will be useful to examine the relationships between DGI, DGL, and metabolic abnormalities in the Korean population.

• 한국산학기술학회논문지
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• 제19권4호
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• pp.342-352
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• 2018

이 연구는 중년여성의 심뇌혈관질환 예방관련 지식, 신체활동 실천율이 건강행위에 미치는 영향요인을 확인하기 위한 연구이다. 자료수집은 경북 북부지역 24개 읍면동지역에 거주하는 중년여성 142명을 대상으로 구조화된 설문지를 이용하여 시행되었다. 연구기간은 2017년 10월부터 11월까지 2개월간 시행되었다. 수집한 자료는 기술통계와 t-test, ANOVA, Pearson 상관분석, 위계적 다중회귀분석으로 분석하였다. 연구결과 건강행위에 영향을 미치는 요인은 심뇌혈관질환 예방관련지식의 음주(${\beta}=0.15$, p=.009), 식이(${\beta}=0.16$, p=.003), 고강도의 신체활동 실천율(${\beta}=0.14$, p=.011), 일반적 특성의 결혼상태(${\beta}=0.19$, p<.001), 본인건강관심도(${\beta}=0.23$, p<.001), 자신의 건강을 나쁘게 인식하는 경우 (${\beta}=0.31$, p<.001)이었다. 이러한 변수들은 건강행위와 유의한 변수를 보정변수로 추가하여 분석한 것으로 회귀식의 적합도는 통계적으로 유의한 것으로 나타났다(F=16.46, p<.001). 주요 변수 간의 관계에서 건강증진행위는 심뇌혈관질환 예방관련 지식(r=.41, p<.001)과 신체활동 실천율(r=.44, p<.001)과 유의한 양적 상관관계를 나타내었다. 따라서 연구결과를 바탕으로 추후 중년 여성의 건강행위 증진을 위하여 질환 예방 지식과 신체활동 실천율 지지를 반영한 실천적인 중재프로그램의 개발과 적용이 필요하겠다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8391-8396
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• 2016

Thailand is becoming an aging society, this presenting as a serious problem situation especially regarding health. Chronic diseases found frequently in the elderly may be related to dietary intake and life style. Surin province has been reported as a risk area for liver fluke with a high incidence of cholangiocarcinma especially in the elderly. Therefore, this study aimed to determine the nutritional status and associated factors among elderly in Surin province, northeast of Thailand. A community-based cross-sectional study was conducted among 405 people aged 60 years and above, between September 2012 and July 2014. The participants were selected through a randomized systematic sampling method and completed a pre-designed questionnaire with general information, food recorded, weight, height, waist circumference, and behavior regarding to food consume related to liver fluke infection. The data were analyzed using descriptive statistics and Spearman's rank correlation coefficients. The majority of participants was female (63.5%), age between 60-70 years old (75.6%), with elementary school education (96.6%), living with their (78.9%), and having underlying diseases (38.3%). Carbohydrate (95.3%) was need to improve the consumption. The participants demonstrated under-nutrition (24.4%), over-nutrition (16.4%), and obesity (15.4%). Elderly had a waist circumference as the higher than normal level (34.0%). Gender, female, age 71-80 years old, elementary school and underlying diseases were significantly associated with poor nutritional status. The majority of them had a high knowledge (43.0%), moderate attitude (44.4%), and moderate practice (46.2%) regarding food consumption related to liver fluke infection. In conclusion, these findings data indicated that elderly age group often have an under- or over-nutritional status. Carbohydrate consumption needs to be improved. Some elderly show behavior regarding food consumption that is related to liver fluke infection hat needs to be improved, so that health education pertaining good nutrition is required.

• 지역사회간호학회지
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• 제8권2호
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• pp.277-288
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• 1997

The purpose of this study is to identify the behavioral subsystems of the obese adult and contribute to the utility of Johnson's Behavioral System Model. The subjects were 167 obese adults in out-patients clinics of 2 hospitals and health clinics for 4 companies. These data were collected by a structured questionnaire with 52 items from July 1 to Sep. 30, 1995. The instrument used for this study was modified from the DBSM -self reporting instrument (1983) and Grubbs(1980)'s. The reliability of this method was cronbach's ${\alpha}$=.8476 and the construct validity of it was accepted by using a factor analysis. These data were analyzed by frequency, percentage, mean, standard deviation, factor analysis, pearson's correlation coefficient, Kruskal-Wallis with an SPSS PC+ Program. The results of this study were as follows: 1. The 9 behavioral subsystems of the obese were indentified : sex-related, attachment-affiliative I(social), dependency, ingestive, eliminative, restorative, aggressive-protective, attachment-affiliative and II (familial), an achievement behavioral subsystem. 2. Out of 9 subsystems, the highest significant positive correlation between dependency and acheivement subsystem was found(r=.5357, p<.01), The next, attachment-affiliative I and attachment-affiliative II subsystem was correlated significantly (r=.4526, p<.01). Significant positive correlations among sex-related, achivement, attachment-affiliative I, II, dependency, restorative, and aggressive-protective subsystems were found. But, ingestive and eliminative subsystems were not correlated with the above seven subsystems significantly, only the positive correlation between the ingestive and eliminative subsystems was found. 3. The explained variance of the 9 subsystems was explained as 56.1% out of a total of one. The sex-related subsystem was the first factor explaining 16.3% of the total variance and then the next 8 factors which resulted in 39.8%. According to the results of this study, the suggestions were as follows: 1. In the nursing practice, nursing assessmentand intervention of the obese should be in cluded not only in ingestive and eliminative subsystems but also in sex-related, attachment-affiliative I, dependency, restorative, aggressive-protective, attachment -affiliative II, and achievement behavioral subsystem. 2. Concerning instruments, some items to measure the eliminative, dependency, and aggressive-protective behavioral subsystems with relatively reliability are needed. 3. Johnson's concept of a dependency subsystem should be clarified. 4. Correlation among the 7 subsystems, and the ingestive and eliminative subsystems should be clarified.

• 대한간호학회지
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• 제27권3호
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• pp.563-576
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• 1997

This study was carried out to identify basic data for more efficient operation of comprehensive health check-up centers in the national health care system. The researcher reviewed and analyzed the main symptoms of the subjects according to sex, age, occupation and positive rate in the screening tests of a comprehensive health check-up, performed at one comprehensive health check-up center in located in a hospital. The subjects were 512 persons who had a check-up at the comprehensive health check-up, center in K university hospital in Seoul from October 2, 1996 to March 30, 1997. A questionaire developed by the researcher to obtain subject's general characteristics, main symptoms, medical examination, diagnosed disease was used as the tool for the study. The researcher analyzed the data with SPSS PC/sup +/ program. : the distribution of the subject's general characteristics and main symptoms was described with percentages and the difference between main symptoms and screening tests analyzed with X²-test, t-test, ANOVA. The result of this study are as follows : 1. For the distribution of diagnosis in males. liver disease was most frequent and hypertension was second : in females, hypertention and liver disease were not common in that order. 2. The most common complaints were indigestion in the digestive system, sputum in the respiratory system, irregular heart beat in the cardiovascular system, frequent urine in the urinary system vertigo in the hematologic system. 3. The main symptoms according to sex were for females, a statistically siguificant higher rate of complaints in the digestive system, cardiovascular system, urinary system, hematologic system, musculoskeletal, mental & nervous system as compared to males. 4. The main symptoms according to age were that in the the second decade there wara higher rate of complaints in the digestive system, and cardiovascular system than in the older age groups : and in the fifth decade more in the musculoskeletal system. 5. The main symptoms according to occupation were that formers and fishers had a higher rate of complaints in the mental and nervous system as compared to other occupation groups : and office workers, in gynecology. 6. The main symptoms according to diagnosis, were symptoms of the digestive system, frequent in liver disease : symptoms of the cardiovascular system in allergic disease. 7. The screening tests which showed the highest rates were UGI /FGS, PFT : In males a higher rate of abnormality was seen in abdominal ultrasono- graphy and in, females, in mammography. 8. In screening tests according to sex, males showed a higher positive rate for chest X-rays, and LFT, and females, in mammography, pap smear, CBC. 9. In screening tests according to age, higher positive rates of obesity, high blood pressure, chest X-ray, mammography, pap smear, FBS, CBC, urine test were seen in the fifth decade : PFT and abdominal ultrasonography in the third decade. The subjects who wanted comprehensive health check-up were not asymptomatic but had an illness with several symptoms. It is found that the most frequent diagnosed diseases were hypertention and liver disease. So proper observations must be done for them. Comprehensive health check-ups should be changed to a comprehensive examination including treatment beyond examination for those subjects with positive results.

• 대한예방한의학회지
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• 제7권1호
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• pp.1-15
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• 2003

This study tried to evaluate the difference of stress degree by Sasang constitution and lifestyle for workplace labors, and suggested the preventive oriental medicine approaches in occupational health area. 479 data for research were collected through the process of oriental health examination with questionnaire in workplace, and collected data were analyzed with frequency, crosstab, and Two-Way ANOVA. The results were as follows: 1) All subjects, total 479 were men, and constitutional distributions were 39.2% of Taeumin, 32.4% of Soumin, and 28.4% of Soyangin. The distributions of stress score were 13.2% of normal group, 13.4% of high risk group, and 73.5% of potential risk group. 2) There were no statistically significant differences for stress by constitution(p=0.085). By the results of optimal scaling and homogeneity analysis, Soyangin was close to potential risk group compared to other constitution, and Soumin and Taeumin were close to high risk and normal group, respectively. 3) For the difference of stress score by Sasang constitution and lifestyle, Soumin who exercised nearly everyday had the highest stress score with interaction in Factor 4 area(p<0.05), and there was no interaction in other area. 4) For the difference of PWI score by lifestyle, there were statistically significant differences for drinking(p<0.01), smoking(p<0.01), and obesity index(p<0.01)