• Journal of Korean Biological Nursing Science
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• 제10권1호
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• pp.62-68
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• 2008

Purpose: This study was conducted to test the effect of the 12 weeks brisk walking exercise program on body composition, blood pressure, blood glucose and blood lipid for middle-aged woman with obesity. Method: The subject were 25 obese women in 40-64 yr old who were composed of over 30% body fat. For the analysis, descriptive statistics, paired t-test were used for statical analysis with SPSS 15.0. Result: The results were summarized as follows: first, the body weight, body mass index (BMI), % body fat of the obese woman were significantly decreased after implementing the 12 weeks brisk walking exercise program (p<.5). Second, the systolic blood pressure, diastolic blood pressure and blood glucose were significantly decreased after the 12 weeks brisk walking exercise program (p<.5). Third, the serum cholesterol was significantly decreased (p<.05) but serum triglyceride was not significantly decreased the after 12 weeks brisk walking exercise program. Conclusion: These results suggest that the brisk walking exercise program has an effect on decreasing body weight, BMI, percent body fat, blood pressure and serum cholesterol in middle-aged woman with obesity to reduce obesity and prevent chronic disease.

• 대한기계학회논문집A
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• 제32권5호
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• pp.444-450
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• 2008

The conventional studies of the aging effect on cardio-vascular system are mostly obtained from human experiences and can only provide local information. In this study, the effect of fatigue fracture of arterial wall on the blood pressure was investigated by hemodynamic analysis. The aging process was simulated with three stages. The pulse wave velocity increased with age. The systolic blood pressure increases consistently but diastolic blood pressure decreases with age. The simulated results show in good accordance with the clinical ones.

• Journal of Nutrition and Health
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• 제46권2호
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• pp.126-136
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• 2013

This study was conducted in order to investigate the association between hypertension and oxidative stress-related parameters and to evaluate these parameters in subclinical hypertensive patients and normotensive subjects living in Korea. We attempted to determine whether oxidative stress-related parameters would differ between two groups of 227 newly-diagnosed, untreated (systolic blood pressure (BP) ${\geq}$ 130 mmHg and diastolic BP ${\geq}$ 85 mmHg) and 130 normotensive subjects (systolic BP < 120 mmHg and diastolic BP < 80 mmHg). General characteristics of the subjects were collected using a simple questionnaire. From subjects' blood, degree of DNA damage in lymphocytes, the activities of erythrocyte superoxide dismutase, catalase, and glutathione peroxidase, level of plasma total radical-trapping antioxidant potential (TRAP), glutathione, and anti-oxidative vitamins, as well as plasma lipid profiles and conjugated diene (CD) were analyzed. Evaluation of the associations of oxidative stress-related parameters with blood pressure of the subjects was performed using Pearson partial correlation and multivariate logistic regression analysis after adjusting for confounding factors. Several oxidative stress-related parameters were higher in subclinical hypertensive patients than in normotensive subjects. Plasma levels of ${\alpha}$-tocopherol, ${\beta}$-carotene, TRAP, and activity of GSH-px were significantly lower in subclinical hypertensive patients than in normotensive subjects. Increased levels of DNA damage, lipid peroxidation, triglyceride, total cholesterol, and LDL-cholesterol were observed in subclinical hypertensive patients. These results confirm an association between blood pressure and oxidative stress-related parameters and suggest that the pathogenic role of oxidative stress in hypertension might be significant.

• 보건의료생명과학 논문지
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• 제9권2호
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• pp.309-316
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• 2021

본 연구는 폐경기 여성의 신체활동 여부에 따른 심혈관대사 및 정신건강의 차이를 비교하고, 추후 폐경기 여성의 건강증진을 위한 기초자료를 제공하기 위해 실시하였다. 국민건강영양조사 제7기(2016년~2018) 원시자료 중 폐경기 여성 4,453명을 최종분석에 사용하였다. 심혈관대사는 허리둘레, 수축기혈압, 이완기혈압, HDL 콜레스테롤, 공복혈당과 중성지방을 측정하였고 정신건강은 우울여부와 스트레스 인지를 측정하였다. 연구결과 우리나라 폐경기 여성의 신체활동은 허리둘레가 작을수록, 수축기 혈압이 낮을수록, 이완기 혈압과 HDL-콜레스테롤이 높을수록 신체활동을 잘 실천하고 있었으나 우울과 스트레스 인지는 차이가 없는 것으로 나타났다. 결론적으로 폐경기 여성의 심혈관과 대사기능을 향상시키기 위해서는 허리둘레, 혈압, HDL-콜레스테롤 관리가 필요하다고 사료된다.

• Journal of Community Nutrition
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• 제7권3호
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• pp.130-134
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• 2005

This study was conducted by surveying 616 male workers living in Ulsan City regarding their health status based on lifestyles such as alcohol consumption, smoking and exercising as well as physical measurements and biochemical tests. The average height, weight and BMI(body mass index, $kg/m^2$) of the subjects was 170.9cm, 70.2kg and 24.2, respectively. The rate of drinking was $80.9\%$ and the rate of smoking was $53.4\%$. Seventy four percent of subjects responded that they exercise regularly. The results of the blood biochemical tests revealed that the average hemoglobin concentration was 14.7g/dl, and the levels of GPT(glutamic pyruvic transaminase) and GOT (glutamic oxaloacetic transaminase) were 32.74unit/l, 26.99 unit/l, respectively. The average hemoglobin concentration for the subjects aged in the 50s was 14.39g/dl, which was significantly lower than those in the 20s(14.81g/dl), 30s(14.69g/dl) and 40s(14.73g/dl). The blood glucose level and the cholesterol level also increased with age. Also investigated was the blood pressure of the subjects increased with age,. and there was a significant increase(p < 0.05) for the subjects in the 50s compared to those in the 20s. The frequency of alcoholic beverages was significantly correlated with systolic/ diastolic blood pressure(p < 0.05) and $\gamma-GTP(gamma\;glutamyl\; transpeptidase)$(p<0.01). The duration of smoking showed a negative correlation(p < 0.05) with the hemoglobin and positive correlations with diastolic blood pressure, cholesterol and $\gamma-GTP(p<0.01)$. The study shows that blood pressure, blood glucose level, cholesterol level, GOT, GPT and $\gamma­GTP$ level, increase with age, which indicates higher possibility of degenerative diseases, calling for nutritional education in terms of advisable lifestyles regarding eating habits, alcohol consumption, smoking and regular exercise.

• 대한간호학회지
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• 제29권1호
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• pp.97-106
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• 1999

This study was designed to investigate the effect of a hand massage program on anxiety and immune function in patients during cataract surgery. The hand massage program, in this study, consisted of hand massage and hand-holding. The subjects were sixty-three patients, thirty for the experimental and thirty-three for the control group, who were admitted at Kang Nam St. Mary's Hospital for cataract surgery. This study was carried out from December 10, 1997 to February 26, 1998. The level of anxiety as measured by the Visual Analogue Scale, systolic blood pressure, diastolic blood pressure, and pulse rate were measured before, after hand massage, and after hand-holding. Epinephrine, norepinephrine, cortisol, blood sugar levels, neutrophil, lymphocyte, and natural killer cell percentages also were measured before hand massage and five minutes before the end of the operation. Data were analyzed by t-tests, ANCOVA, repeated measures ANOVA, and Bonferroni multiple comparisons. The results were as follows : 1) After hand massage, psychological anxiety levels decreased significantly compared with before hand massage in the experimental group, not in the control group. After hand holding, there were significant decrease in both groups. 2) There were not significant differences on systolic blood pressure, diastolic blood pressure, and pulse rates in both groups. 3) The hand massage program decreased epinephrine, norepinephrine, and cortisol significantly in the experimental group, and increased epinephrine, norepinephrine, and cortisol in the control group. 4) There were no differences in blood sugar levels, neutrophil and lymphocyte percentages in white blood cells after the hand massage program. However, natural killer cells in lymphocytes were significantly increased in the experimental group. These findings indicate that a hand massage program could be a effective nursing intervention in decreasing the psychological and physiological anxiety levels and improving immune function in clients having cataract surgery under local anesthesia.

• 농촌의학ㆍ지역보건
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• 제26권1호
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• pp.1-17
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• 2001

본 연구는 1996년부터 대구광역시 달성군 보건소와 협동을 수행한 달성군 노인추적 조사(Dalsung Elderly Follow-up Study)의 일부 결과로 달성군내 거주하는 반 60~64세 남자노인 416명(44.1%), 여자노인 528명(55.9%)으로 총 944명을 대상으로 농촌 사회의 노인에서의 음주 양상과 고혈압과의 관계를 알아봄으로써 고혈압을 비롯한 심혈관계질환의 선행요인이 되는 음주의 건강 유해를 간접적으로 평가하고자하는 것으로 알콜소비양상과 혈압과의 관련성에서 음주의 양상이 혈압에 미치는 영향을 규명하고자한 것이다. 조사는 보건진료소의 간호사 및 간호조무사 자격취득 공무원이 직접 면담으로 일대일 면담형식으로 1996년 4월부터 9월 사이에 조사되었다. 분석결과를 식사 전 공복에 해장술을 먹는 사람의 분포, 일일 평균 음주량, 월 음주빈도, 1회 음주시 음주량, 선호하는 술의 종류, 음주기간 등 모두 유의한 차이가 있었으며, 성별, 연령별 수축기 및 확장기 혈압의 평균치를 살펴보면, 성별로 혈압의 차이는 없었다. 각 연령대별로 성별로 혈압을 64세에서, 확장기 혈압은 60세에서 유의한 차이가 64세에서, 확장기 혈압은 60세에서 유의한 차이가 있었다. 같은 성에서 연령군별로 비료를 하였을 때, 남자에서는 수축기 혈압에서 유의한 차이가 있었으며, 여자에서는 수축기 혈압에서 유의한 차이가 있었다. 음주자에서 음주양상에 따른 일평균 음주량 분포를 살펴보면 먼저 아침식사전 음주자 즉, 공복시 해장술 유무와 월 음주빈도, 일회음주량의 분포에 따라 유의한 차이가 있었다. 또한 선호하는 술의 종류, 음주기간 간에 일평균 음주량 분포도 유익한 차이가 있었다. 음주 행태에 따른 수축기 혈압 및 다른 공변수를 통제한 조정된 수축기 혈압을 비교하면 공변수 조정 선에서는 음주유무, 아침식사전 음주유무, 선호하는 음주의 종류, 등에서 유의한 차이를 보였으나(p<0.05) 공변수 조정후에는 음주유무, 아침식사전 음주에서만 유의한 차이가 있었으며(p<0.05), 음주 행태에 따른 공변수 조정전후 확장기 혈압을 살펴보면 조정전에서는 선호하는 음주 종류에서 유의한 차이는 있었으나(p<0.05), 공변수를 조정한 후에는 유의한 차이는 없었다. 회귀분석 결과, 모형 1에서 수축기 혈압을 종속변수로 하였을 때 유의한 변수로 선택된 것은 연령, 교육수준 및 순환기계질환을 의미하는 과거 병력 등이었으며, 확장기 혈압에서는 교육수준, 체질량지수, 과거병력 등이었다. 모형 2에서 수축기 혈압을 종속변수로 하였을때 과거병력이 유의한 기여변수로 선택되었고, 확장기 혈압에서는 체질량지수와 과거병력이 유의한 변수로 도출되어 음주양상 변수는 선택되지 않았다. 선행연구에서 밝혀진 일일 음주량과 혈압과의 정의 관련성이 본 연구에서는 도출되지 않았다. 이러한 연구결과들은 지금까지 연구된 음주와 고혈압의 보건 및 임상적 관련성과는 다소 거리가 있는 결과를 보임으로 음주양상이 건강에 미치는 중요한 영향를 더욱 모호하게 한다. 따라서 추후 이러한 소견은 재검정되어야 할 필요가 있으므로 음주로 인한 혈압의 변화에 미치는 다양한 변수를 고려하고, 음주양상을 측정하고 분석하는 방법들을 도입한 연구들이 뒤따라야 할 것으로 판단된다.

• Archives of Plastic Surgery
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• 제44권4호
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• pp.276-282
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• 2017

Perioperative hypertension is a phenomenon in which a surgical patient's blood pressure temporarily increases throughout the preoperative and postoperative periods and remains high until the patient's condition stabilizes. This phenomenon requires immediate treatment not only because it is observed in a majority of patients who are not diagnosed with high blood pressure, but also because occurs in patients with underlying essential hypertension who show a sharp increase in their blood pressure. The most common complication following facelift surgery is hematoma, and the most critical risk factor that causes hematoma is elevated systolic blood pressure. In general, a systolic blood pressure goal of <150 mm Hg and a diastolic blood pressure goal of >65 mm Hg are recommended. This article discusses the causes of increased blood pressure and the treatment methods for perioperative hypertension during the preoperative, intraoperative, and postoperative periods, in order to find ways to maintain normal blood pressure in patients during surgery. Further, in this paper, we review the causes of perioperative hypertension, such as anxiety, epinephrine, pain, and postoperative nausea and vomiting. The treatment methods for perioperative hypertension are analyzed according to the following 3 operative periods, with a review of the characteristics and interactions of each drug: preoperative antihypertensive medicine (atenolol, clonidine, and nifedipine), intraoperative intravenous (IV) hypnotics (propofol, midazolam, ketamine, and dexmedetomidine), and postoperative antiemetic medicine (metoclopramide and ondansetron). This article focuses on the knowledge necessary to safely apply local anesthesia with IV hypnotics during facelift surgery without the assistance of an anesthesiologist.

• 대한물리의학회지
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• 제8권2호
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• pp.239-243
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• 2013

PURPOSE: The purpose of present study was to investigate effects of obesity, blood pressure and life style on lipid indices and blood pressure in men of age 40s. METHODS: One hundred forty five subjects in men of age 40s were participated in this study. All participants were taken physical examination, lifestyle survey and laboratory test. According to examination, participants were divided into two group in four categories ; obesity and normal group, hypertension and normal group, smokers and non-smokers, and drinkers and non-drinkers. The low density lipoprotein cholesterol (LDL), high density lipoprotein cholesterol (HDL), total cholesterol (TC), triglyceride (TG), systolic blood pressure (SBP), diastolic blood pressure (DBP) were analyzed by independent t-test for comparison between two groups. RESULTS: The values of LDL, TC, SBP, DBP were higher and HDL was lower in obesity than in normal group (p<.05). The values of LDL, TC, SBP, DBP were higher in hypertension group than in normal group (p<.05). The values of TG was higher and HDL was lower in smokers than in non-smokers (p<.05). There's no significant differences between drinkers and non-drinkers (p>.05). CONCLUSION: It can be seen that obesity and blood pressure were more relative risk factors than smoking and alcohol indices in cardiovascular diseases.

• 한국보건간호학회지
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• 제3권1호
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• pp.61-66
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• 1989

The purpose of this study was to investigate blood pressure and its related factors of middle-aged women in Korea. For the collection of data, 410 women aged between 45-54 were selected through stratified sampling techniques at urban and rural areas in Korea. They were interviewed from Oct. 15 through Nov. 14 by use of questionare. Descriptive statistical methods, multiple stepwise regression methods and multiple discriminant analysis by S.P.S.S. were used to analyze the data. The obtained result are summarized as follows. 1. Systolic B.P was 119.2 mmHg. mean pressure, Diastolic B.P. was 77.7 mmHg. mean pressure. 2. Systolic B.P. was related with the area and the ownership of house; it was accepted (P<05) 3. The most important factor affecting the B.P of middle-aged women were weight It was related with systolic pressure(0.176) and diastolic pressure(0.157) That is, this study showed that for the middle-aged women(45-54 yrs.), health education about weight control which can prevent ascending B.P should be demanded.