• 한국치위생학회지
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• 제3권1호
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• pp.25-43
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• 2003

In Korea, changes in children's diet patterns accelerate their physical growth and development: frequent snacking has been presumed to be a major cause of increasing dental caries. The present study attempts to clarify the relationship between the physical development of growing children and their tooth decay. For this purpose, 632 six-grade children in 4 elementary school located in Urban(Seoul) and Rural(Po-gok, Yang-In) were classified into three groups based on the Weight Length Index(WLI), known to reflect the nutritional conditions of school-age children, and the relationship was analyzed between each group and the variables considered to be related with dental caries. The result is as follows: The average weight and height of the male is $44.88{\pm}10.89$ kg, $148.49{\pm}7.33$ cm and female is $43.35{\pm}9.60$ kg, $149.23{\pm}6.73$ cm, respectively, which are in the similar level with the Korean Physical Standard. The classification of the children by the WLI reveals a relatively high distribution of over-weighted child ren - 212 persons, 335% of the entire population. The DMFT Index was a little high in the rural area(3.15 teeth in urban and 3.31, in rural). Among the groups of children classified by the WLI, the over-weight group have the highest DMFT index(3.69 teeth). The relationship between the frequency of taking in basic nutrients and the DMFT index is also found: the relationship is not evident in case of the foods containing rich calcium, protein, as well as fruits and vegetables. But, in the protein-rich food, higher frequency of its intake means significantly lower DMFT index in the normal-weight group of the urban children. In case of carbohydrate, higher frequency of its intake means significantly higher DMFT index in all the groups of the rural children. The DMFT index has some correlations with the relevant variables: the index has a positive correlation with the frequency of snacking, and a negative correlation with the economic status. That is, the higher the frequency of snacking is, and the lower the economic status is, the higher the DMFT index may be. In the logistic multiple regression analysis conducted with the presence of DMFT as a dependent variable, only the frequency of tooth brushing is turned to be a variable affecting the presence of either decayed, missing, or filled teeth. Based on the above result, the variables affecting the DMFT index are a time spent on eating, frequency of intake of protein and carbohydrate for a week, frequency of snacking, regular dental check-ups, preventive behaviors for oral health(fluoride gargling, tooth brusing after each meal, proper tooth brushing method). These variables have a relationship with the DMFT index, but the degree is somewhat different between the groups classified either by the region or by the WLI. Therefore, appropriate nutrition management should be conducted according to the individual's nutritional conditions when the services like nutritional education are provided based on the closely-examined characteristics of each target group. And, at the same time, oral health education should be strengthened, and its importance should also be emphasized so that people can pay attention to their own oral health.

• Journal of Nutrition and Health
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• 제51권3호
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• pp.254-263
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• 2018

본 연구는 유아의 점심 식사장소에 따라 영양소와 식품섭취량에 차이가 있는지를 조사하였다. 제5기 (2010 ~ 2012년) 국민건강영양조사 원시자료를 이용하여 개인별 24시간 회상에 의한 식품섭취조사 항목 중에서 점심 식사장소가 유아원/유치원일 경우 보육기관 점심식사군으로, 점심 식사장소가 가정과 이웃집/친척집일 경우 가정 점심식사군으로 나누어 복합표본설계 요소를 반영한 통계분석을 실시하였다. 대상자수는 1~2세에서 보육기관 점심식사군 179명, 가정 점심식사군 367명이었고, 3 ~ 5세에서 보육기관 점심식사군 549명, 가정 점심식사군 225명이었다. 연령군별 하루 총에너지섭취량, 점심과 저녁 식사로부터 에너지 섭취량은 두 집단 간 차이가 없었으나, 아침 에너지섭취비율이 보육기관 점심식사군에서 낮은 반면에 간식 에너지섭취비율은 더 높았다. 3 ~ 5세 유아에서는 나트륨, 칼륨 및 비타민 C 섭취량이 보육기관 점심식사군에서 많았으며, 리보플라빈 섭취량은 가정 점심식사군에서 유의하게 많았다. 점심으로부터 섭취한 식품군을 비교한 결과 1~2세 보육기관 점심식사군에서 채소류 섭취량이 유의하게 많은 반면에 과일류, 난류, 우유류 섭취량은 가정 점심식사군에서 많았다. 3 ~ 5세 보육기관 점심식사군의 점심으로부터 채소류, 두류, 어패류 섭취량이 유의하게 많은 반면에 우유류 섭취량은 가정 점심식사군에서 많았다. 3~5세 유아들이 보육기관 점심으로부터 채소류, 두류, 어패류를 더 많이 섭취하고 칼륨과 비타민 C를 많이 섭취하여 보육기관 점심이 영양소 균형과 식품 다양성 측면에서 가정 점심보다 나은 것으로 판단된다. 결론적으로 유아의 성장 발육을 위한 적절한 영양 공급은 물론, 올바른 식습관 형성을 위해서 보육기관 급식은 물론, 가정 식사에서도 채소류, 생선류 등 다양한 식재료를 활용하는 노력이 요구된다.

• Nutrition Research and Practice
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• 제11권5호
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• pp.402-411
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• 2017

BACKGROUND/OBJECTIVES: The role of a school's nutrition environment in explaining students' eating behaviors and weight status has not been examined in an Asian setting. The purpose of this study was to create a school nutrition environment index and to pilot test the index in elementary and middle schools in urban South Korea. SUBJECTS/METHODS: This study used a mixed-methods approach. Environment assessment tools were developed based on formative research, which comprised literature reviews, in-depth interviews, and focus group discussions. Key elements from the formative research were included in the assessment tool, which consisted of a structured survey questionnaire for school dietitians. Fifteen school dietitians from 7 elementary and 8 middle schools in Seoul completed the questionnaire. RESULTS: The formative research revealed four main sections that guided a summary index to assess a school's nutrition environment: resource availability, education and programs, dietitians' perceptions and characteristics, and school lunch menu. Based on the literature reviews and interviews, an index scoring system was developed. The total possible score from the combined four index sections was 40 points. From the 15 schools participating in the pilot survey, the mean school nutrition-environment index was 22.5 (standard deviation ${\pm}3.2$; range 17-28). The majority of the schools did not offer classroom-based nutrition education or nutrition counseling for students and parents. The popular modes of nutrition education were school websites, posters, and newsletters. CONCLUSIONS: This paper illustrates the process used to develop an instrument to assess a school's nutrition environment. Moreover, it presents the steps used to develop a scoring system for creation of a school nutrition environment index. As pilot testing indicated the total index score has some variation across schools, we suggest applying this instrument in future studies involving a larger number of schools. Future studies with larger samples will allow investigation of the validity and reliability of this newly developed tool.

• 한국콘텐츠학회논문지
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• 제16권5호
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• pp.477-487
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• 2016

본 연구에 의료급여수급권자와 건강보험가입자의 인구사회학적 특성, 건강행태, 질병이환, 의료이용, 건강 관련 삶의 질 등에 대한 포괄적인 평가를 해 보고자 하였다. 연구 대상은 2013년도 지역사회건강조사 자료를 분석하였다. 연구결과 사회경제적 특성, 건강행태, 질병이환, 의료이용 등 다양한 요인들이 건강관련 삶의 질에 영향을 미치는 것으로 나타났다. 의료급여수급권자가 건강보험가입자보다 사회경제적 특성, 건강행태, 의료이용이 좋지 않아 건강관련 삶의 질이 낮은 것을 확인을 할 수 있었고 사회경제적 특성을 통제하고도 비교 해본 결과에서도 건강행태, 질병이환, 의료이용이 좋지 않아 건강관련 삶의 질이 떨어지는 결과를 보였다. 따라서 의료급여수급권자들의 건강관련 삶의 질을 효과적으로 향상시키기 위해서는 만성질환 관리, 스트레스와 우울감 관리 등의 정신 건강과 일상 활동 능력의 향상이 무엇보다도 중요하며 적당한 음주습관과 규칙적인 운동, 식습관 등 건강 증진 행위를 촉진하는 데 중점을 둔 체계적인 프로그램 개발과 정책을 위해 국가적 관심이 요구 된다.

• 한국콘텐츠학회논문지
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• 제18권3호
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• pp.256-264
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• 2018

본 연구는 구강건강행위와 구강병 발생요인검사결과와의 관련성을 확인하고자 경기도와 충청남도에 소재한 대학의 치위생과 학생을 대상으로 진행되었다. 자기기입식 설문지 작성과 구강병 발생요인검사로 진행되었으며 다음과 같은 결론을 얻었다. 칫솔질 횟수는 1일 3회가 60.2%, 1일 간식 횟수는 1회 이하가 49.7%, 간식의 종류는 점착성이 없는 가당 간식이 66.5%, 음료수의 종류는 유가당 음료수가 49.7%로 가장 높게 나타났다. 자극성 타액 분비율은 평균 9.41ml, 타액 완충능력은 평균 9.52점, 포도당 잔류시간은 평균 12.02분으로 조사되었다. Streptococcus mutans colony count 검사에서 저위험군인 <$10^5$은 80.1%, Lactobacillus는 저위험군인 <$10^5$은 82.6%로 조사되었다. 자극성 타액 분비율과 비자극성 타액 및 타액 완충능은 양의 상관관계를 보였으며, 불소도포 경험이 있는 경우 포도당 잔류시간이 10.66분, 불소도포 경험이 없는 경우 13.33분으로 나타나 통계적으로 유의한 차이를 보였다(p=.008). 전신건강과 직결되어 있는 구강건강을 위해서는 대중들이 쉽게 접할 수 있는 구강보건교육의 기회를 마련하고, 평생구강건강관리 프로그램을 지속적으로 개발 및 제공해야 할 것으로 사료된다.

• 대한치과기공학회지
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• 제31권3호
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• pp.67-85
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• 2009

This study aims to provide the research for dental technician's stress prevention and management with basic materials by understanding dental technician's psychosocial stress level and examining relevant factors. The subject of this study is 255 dental technologists who work mainly in Seoul Gyeonggi district for a month of April of 2009 and I conducted cross-sectional study through self administered survey. The contents of survey include general feature, occupational feature, health behavior feature. I used Karasek's Job Content Questionnaire, JCQ and Psychosocial well-being index, PWI-SF as means of measurement. To compare the level of dental technician's psychosocial stress, I conducted t-test and ANOVA and I measured the factors that are related with psychosocial stress symptom with step by step multiple regressive analysis. According to the result of Cronbach's a value which is yielded to verify the reliability of means of measurement, the reliability of concept is sufficient. The detailed result of this study is as follows. 1. According to the result of analyzing the stress symptom in accordance with general feature and occupational feature, those dental technologists who are older and not married, graduate from junior college, have lower position, work at university hospital or general hospital show lower stress(p<0.05). There is no difference in the level of psychosocial stress with regard to duty related feature, period of service, daily average working hours, monthly average pay. 2. With regard to health behavior feature, those dental technologists who control weight better and have meal more regularly show lower stress(p<0.05). Those dental technicians who smoke, drink liquid and take a suitable sleep show low stress but the difference does not have significance statistically. 3. With regard to the factors of stress in the workplace, those dental technicians who have lower duty related requirement, have higher duty related control ability, have higher social support, have less instability of employment and have less workload and physical burden show lower stress(p<0.05). 4. According to the result of analyzing the factors that influence dental technologist's stress symptom, social support has the most enormous influence on stress symptom. Unstable employment, regular exercise, regular eating, daily average sleeping hours and technological capacity are also important in this order. According to the result of this study, those dental technicians who have higher social support, less instability of employment, do exercise more regularly, take enough sleep more soundly and have higher technological capacity show lower psychosocial stress symptom. Therefore, to adjust appropriately the dental technician's stress and properly maintain and improve the dental technician's mental health, effective management plan that enables dental technicians to maintain smooth human relationships for dental technicians should be sought. In addition, heath education and health management for dental technicians should be given more thoroughly so that they can establish desirable health behavior in daily life.

• 한국보건간호학회지
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• 제12권2호
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• pp.221-235
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• 1998

This study is a descriptive survey to explore the health lifestyle of adults. The study subjects are teachers of elementary. middle and high school. and staffs of research institutes located in Chungchung Province and Daejon city. The data was collected from Jan. to march 1997 through self reporte for structured questionnaire. Fantastic check list of Wilson and Ciliska for Health Lifestyle Assessment and DSM-III-R for somatic symptom were used as tools. Data was analysed by frequency, $X^2_test$, t-test and Anova using SAS program. The results are as follows: 1. There were statistically significant differences In drinking(t=7.75, P=.000), exercise(t=-2.99, P=.003)and interpersonal relationship(t=2.22, P=.027) among 10 health lifestyle between smoking group and non-smoking group, in drinking(t=17.98, P=.000), exercise(-4.71. P=.000), and job satisfaction(t=2.22, P=.027) between drinking group and non-drinking group, and in eating habit(t=-2.00, P=.045), drinking (t=4.47, P=000), exercise (t= -16.49, P=000), keeping traffic law(t= -2.68, P=.007), personality (t= -2.05, P=.040) and anxiety/depression(t=-3.47, P=.000) between exercise group and non-exercise group. 2. There was statistically significant difference in cardiovascular symptom(F=4.22, P=.0l) among somatic symptoms of subjects according to exercise level. 3. There was statistically significance difference in lifestyle according to smoking level(F=, 3.33, P=.011), drinking level(F=9.17, P=.0001) and exercise level(F=11.93, P=.000l), and in somatic symptom according to sex(t=-3.93, P=.0001), weight(F=3.83, P=.022), exercise level (F=3.29, P=.03) among general characteristics. 4. There was statistically significant difference between sex in general (t= -3.64, P=.0001), gastrointestinal(t=-2.21, P=.02), musculoskeletal(t=-3.92, P=.001), and total symptom (t= -3.92, P=.0001). 5. There was statistically very highly signigicant difference In weight according to smoking($x^2=25.18,\; P=.001)$ and exercise$(x^2=16.46,\; P=001)$. 6. There was statistically significant difference in frequency between smoking group, drinking group and exercise group$(x^2=24.52,\;P=.001)$. Among a number of habit, smoking, drinking and exercise are important factors of human health to prevent related disease morbidity and death. It is essential for industrial health nurse to committ in this subject considering the influence of those factors and lifestyle on health. There is also a relationship of weight with smoking and exercise, the frequency of overweight/obesiy in smoking/ no-exercise group were high. It is quite necessary for the people having cardiovascular symptom to exercise to lower morbidity and mortality. The industrial health nurse has to keep In mind on this point and consider of time and facilities of fitness of employee. It needs to explore the cause by further research on somatic symptom of women. This research shows that concerning the relationship between smoking, drinking, and exercise, health care provider must take not only management of disease, but health behaviors and lifestyle into consideration.

• 한국융합학회논문지
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• 제9권6호
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• pp.329-337
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• 2018

본 연구는 대사증후군의 진단에 포함된 고혈압, 당뇨병을 가진 65세 이상 독거노인을 대상으로 의료인이 행한 질병관리교육이 대사증후군 발생을 예방할 수 있는 건강행태에 미치는 영향을 밝히기 위한 조사연구이다. 2014년 지역사회건강 조사 자료로부터 10분이상의 질병관리 교육 경험에 대한 문항이 있는 고혈압과 당뇨병을 가진 독거노인 9,042명을 자료로 이용하였다. 자료의 분석은 ${\chi}^2-test$, 다중 로지스틱 회귀분석을 실시하였다. 연구의 결과는 질병관리교육 경험이 있는 독거노인의 경우, 심혈관 건강관련 인자의 수치에 대한 인지율이 높았으며(p<.001), 주당 3일 이상 걷기를 시행할 확률은 1.145배(p=.002), 현재 음주를 하지 않을 확률은 1.212배(p<.001), 싱겁게 먹을 확률은 1.184배(p=.002)로 나타났다. 본 연구결과로부터 독거노인에게 건강정보 제공시 의료인에 의한 교육의 중요성과 이를 반영한 건강증진정책의 개발이 요구된다.

• 한국조리학회지
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• 제18권3호
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• pp.266-285
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• 2012

본 연구에서는 춘천 지역 초등학교 5, 6학년 아동들을 대상으로 식습관 및 영양지식 정도를 조사하고, 같은 초등학교의 교사들을 대상으로 식생활교육 실태 및 인식 정도를 조사하였다. 아침과 저녁 식사를 매일 먹는다고 응답한 학생들은 각각 54.1%와 80.3%였으며, '빵 및 과자류'(42.6%)와 '과일이나 주스'(39.3%)를 간식으로 주로 섭취하였다. 학생들의 57.4%만이 균형 잡힌 식사를 한다고 응답하였으며, 영양지식 측정에서 정답율은 59%, 식태도 측정에서 좋은 식태도를 보인 학생은 75%에 불과하였다. 교사들의 78%가 식생활 교육 경험이 있었으며, 교과 수업시간(38.9%)과 학교 급식 시간(35.2%)에 주로 식생활교육을 하였다. 교사들이 인식하는 초등학생들의 식생활 문제는 잘못된 식습관(37.7%)과 가공식품 및 인스턴트식품의 잦은 섭취(36.2%)였다. 교사들은 식생활교육이 필요하며(79.7%) 더 일찍 실시되어야 한다(87.0%)고 응답하였다. 한편 학교에서의 식생활교육의 주요 담당자에 대한 질문에는 영양교사(49.3%), 담임교사(34.8%)라고 응답하였고, 40세 이상의 교사들은 학교에서의 식생활교육의 주요 담당자로 교사인 본인 보다는 영양교사나 학부모의 역할이 더 중요하다고 생각하였다. 교과지도 뿐만 아니라 생활지도 측면에서 식생활 교육을 행하는데 있어서 적임자는 담임교사이므로 초등학교에서의 식생활 교육의 특성과 교사의 역할에 대한 재교육이 필요하다고 생각된다.

• 한국치위생학회지
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• 제9권4호
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• pp.715-725
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• 2009

Objectives : The purpose of this study was to analyze the influence which the professional dental hygiene education has on the knowledge and behavioral change for oral health to the students in the departments of dental hygiene. Methods : 771 students in the first grade and 646 students in the third grade who were attending the departments of dental hygiene from 12 colleges in Korea were surveyed. The self-administered questionnaires were distributed to the students in the colleges during May and asked them to answer the questions and then recovered them on the spot. The collected questionnaires were analyzed by using a SPSS/PC program and the difference of significance depending on the group of the students was tested by Chi-square test or Fisher's exact probability test. Results : In the number of eating snacks by the students during one day, 2-3 times was the highest, irrespectively of the grade. The rate of the students brushing their teeth after snack was higher in the third-grade students(34.8%) than in the first-grade students(20.8%). As the path of acquiring oral health knowledge, all of the first-grade and third-grade students replied that their school classes had impacted them the most. The rate of toothache experience was a higher tendency in third-grade students compared to the first-grade students(p=0.116). The rate of gingival bleeding experience was lower in the third-grade students than in the first-grade students. The rate of oral prophylaxis experience was higher in the third-grade students than in the first-grade students. In the smoking rate, there was lower in the third-grade students than in the first-grade students. The rate of acknowledging smoking hazard to the periodontal health was higher in the third-grade students than in the first-grade students. Conclusions : This study revealed that the third-grade students of dental hygiene departments who were majoring in dental hygiene had a higher perception of oral health than the first-grade students whose the dental hygiene education period was short.