• 제목/요약/키워드: health determinants

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The Effect of Eating Behavior on Being Overweight or Obese During Preadolescence

  • Lee, Hye-Ah;Lee, Won-Kyung;Kong, Kyoung-Ae;Chang, Nam-Soo;Ha, Eun-Hee;Hong, Young-Sun;Park, Hye-Sook
    • Journal of Preventive Medicine and Public Health
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    • v.44 no.5
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    • pp.226-233
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    • 2011
  • Objectives: Being overweight or obese is central to metabolic syndrome, and these characteristics constitute dominant risk factors for chronic diseases. Although behavioral factors, including eating habits and sedentary lifestyles, are considered to be determinants of obesity, the specific childhood factors that contribute to this condition have not been clearly defined. Methods: The subjects consisted of 261 children aged 7- 9 years who were recruited from an elementary school during October 2003. Information was obtained from their parents using a questionnaire focused on eating behaviors and lifestyle factors, additional data were also collected via anthropometric measurements and biochemical examinations, including blood tests. Results: A total of 48 (18.4%) of the 261 children were overweight, and 34 (70.8%) had at least one other component of metabolic syndrome. Eating behaviors emerged as significant lifestyle-related risk factors for being overweight or obese. Those who engaged in overeating more than twice per week had three times the risk of being overweight (odds ratio [OR], 3.10, 95% confidence interval [CI], 1.39 to 6.92), and those who ate rapidly had three times the risk of being overweight (OR, 3.28; 95% CI, 1.68 to 6.41). Those who had fewer family meals (fewer than 2?3/month) had a nine times higher risk of being overweight than those who had family meals more frequently (at least 1/day) (OR, 9.51; 95% CI, 1.21 to 74.82). Conclusions: This study showed that being overweight or obese during preadolescence is associated with a higher risk of metabolic syndrome and is related to unhealthy eating behaviors. Thus, weight-control strategies and healthy eating behaviors should be developed early in life to reduce the risk for metabolic syndrome.

Study on the Relationship between Childhood Obesity and Various Determinants, including Socioeconomic Factors, in an Urban Area (도시지역 초등학생 비만 수준 및 관련 요인에 대한 연구 -사회경제적 요인을 중심으로-)

  • Kang, Hee-Tae;Park, Kyung-Hee;Kwon, Young-Jun;Im, Hyoung-June;Paek, Do-Myung;Lee, Hyun-Joo;Ju, Young-Su
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.5
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    • pp.371-378
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    • 2006
  • Objectives: This study was conducted to investigate the prevalence of childhood obesity, the association between the undesirable lifestyles and socioeconomic factors, the association between childhood obesity and various risk factors, including socioeconomic factors, and the agreement between the body mass index (BMI) classification and the body fat percentage. Methods: The study subjects were all the 5th grade students from all the elementary schools in Gunpo City, Kyunggi Province, South Korea (4043 children at 22 schools). The subjects were measured for their height, weight and percent body fat etc. and they were also surveyed by questionnaire from March 18th to April 25th, 2005. To determine whether the children were within normal limits or not, standardized BMIs for each age group were used. The data was analyzed by logistic regression analysis using SAS 9.0 version. Results: The prevalence of childhood obesity prevalence was 25.1 %. Boys had a higher prevalence of obesity (27.5%) than did the girls (22.5%). Children had tendencies of having undesirable lifestyles and getting obese if they had a lower socioeconomic status. The risk factors for childhood obesity were low paternal education (OR: 1.17, 95% CI : 0.97-1.42) and non-parental caregivers (OR: 1.34, 95% CI : 0.98-1.82). Other risk factors for childhood obesity were a high birth-weight, longer TV/computer-using time, a lower fruit-eating frequency, short sleeping hours and parental obesity. The agreement rate between the BMI classification and the body fat percentage was 93.1 %. Conclusions: This study showed the children had a higher prevalence of obesity: further, not only individual lifestyles, but also socioeconomic factors could influence childhood obesity. Childhood obesity was especially more problematic for children with a low socioeconomic status.

Apolipopretein A-I and B Distribution among the Employees and their Partners in Korea (한국인 직장성인과 그 배우자의 Aplipoprotein A-I & B 분포)

  • Kim, Won-Sool;Kim, Dong-Il;Suh, Byung-Sung
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.1
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    • pp.71-76
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    • 2007
  • Objectives : This study was performed to investigate the distribution of apolipoproteins A-I and B among Korean employees and their partners. Methods : The study population consisted of 7,633 men and women (4,578 men and 3,054 women) residing in Seoul and Kyung-gee Do, with an average age of $43.5{\pm}8.3$ years. Blood samples were collected following at least 12 hours of fasting. Apolipoproteins A-I and B were measured using a Behring Nephelometer analyzer. The body mass index (BMI) for each participant was calculated as weight (kg) divided by height squared $(m^2)$. Information on health-related behaviors such as exercise, alcohol intake, and smoking habits was collected through self-administrated questionnaires. Results : The mean concentrations of Apo A-I were $132.6{\pm}22.3mg/dL$ and $142.9{\pm}24.8mg/dL$ in the men and women, respectively. The concentration of Apo A-I increased significantly across all age categories of men. The mean concentrations of Apo B were $101.7{\pm}23.2mg/dL$ and $87.8{\pm}23.5mg/dL$ in the men and women, respectively, and Apo B increased significantly across all age categories for both the men and women. Exercise and BMI were major determinants for Apo A-I and B levels. The 10th percentile of Apo A-I concentration was 109 mg/dL in the men and 113 mg/dL in the women, and the 90th percentile of Apo B concentration was 131 mg/dL in the men and 118 mg/dL women. Conclusions : For the prevention of coronary artery disease, we recommend that for individuals in the 10th percentile of concentration for Apo A-I and the 90th percentile of concentration for Apo B, active preventive interventions such as weight loss and exercise should be taken. This study, within its limitations, may be useful for evaluating apolipoprotein A-I and B concentrations in Korean adults.

Product Development and Market Testing of Ready-to-Eat Mandu with Pond-Snail as a Health Food (건강기능성 우렁이 만두제품의 마켓 테스트)

  • Chang, Hye-Ja;Hwang, Yoon-Kyung
    • Korean Journal of Community Nutrition
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    • v.11 no.5
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    • pp.650-660
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    • 2006
  • Recently, according to increase in production of pond snails resulting from the widespread organic farming, organic farmers are showing a lot of interests in the promotion of consumption and extending the market of pond snails. This study was performed to suggest the process of product development of the ready-to-eat pond-snail Mandu as a health food, to show the results of market test of the pilot product, and to investigate the change of the sensory characteristics during storage periods. For the market test of pond-snail Mandu, the survey was developed and delivered to consumers. The questionnaire consisted of 3 parts such as respondents demographic characteristics, customer's perception of pond-snail Mandu before tasting, and customer's perception of that after tasting. And the market test was carried out with university students, welfare institution residents and apartment residents in the Seoul and Gyeonggi areas. As a result of the test, the most important purchasing factors were determined in the order of taste (49.5%), hygienic quality (12.5%), nutritional value (10%) and price (9%). And only 4.2% of respondents selected brand name as an important purchasing factor. After tasting pond-snail Mandu, consumers had suggested the better taste (t=6.986, p<0.000) and price (t=2.082, p<0.05) than those of before tasting. In response to favorable impression of pond-snail Mandu, 54.5% of total respondents evaluated positively. The favorable impressions came from iron-rich Mandu (27.6%), high protein and nutritious Mandu (24.4%), calcium-rich Mandu (17.9%), diet Mandu (13.3%), and delicious Mandu (12.5%) respectively. Sensory characteristics of pond-snail Mandu were evaluated by professional panels in terms of the softness of Mandu skin, chewiness, moistness, toothpacking, color, aroma, saltiness, and degree of plain, taste, and aftertaste. The evaluation of sensory characteristics on a 7-point scale, showed that softness of mandu skin (4.44) and aftertaste (4.11) got a low scores. The statistical difference of the tastes (p>0.05) was not founded by storage period of 7, 14, 21 and 28 days. Based on the result, the improvement of these characteristics are desired in developing the pond-snail Mandu. Research method applied to this study can be useful for developing a new product.

Relationship Among Parents' Quality of Life, Functional Level, Performance in the Activities of Daily Living, and the Quality of Life in School-aged Children With Spastic Cerebral Palsy (학령기 경직성 뇌성마비 아동 부모의 삶의 질과 아동의 삶의 질 및 기능과 일상생활활동 수행 수준의 관련성)

  • Lee, Ye-seul;Oh, Duck-won
    • Physical Therapy Korea
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    • v.24 no.1
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    • pp.51-60
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    • 2017
  • Background: In cerebral palsy (CP), parents' quality of life and rearing attitude are considered possible factors that influence patients' quality of life, function level, and performance in daily activities. Despite these facts, little attention has been given to demonstrate a relation between these factors. Objects: This study aimed to demonstrate the relationship between parents' quality of life, functional level, and performance in daily activities, the quality of life of school-aged children with spastic CP. Methods: This study included 24 parents of school-aged children with spastic CP. The KIDSCREEN-52 and World Health Organization quality of life (WHOQOL)-BREF questionnaires (including physical, psychological, social, and environmental domains) were used as research tools to assess the quality-of-life profiles of the children with spastic CP and those of their parents, respectively. In addition, the function levels and performance in daily activities of the children with CP were assessed by using the gross motor function measure (GMFM) and modified Barthel index (MBI). Correlation and multiple regression analyses were performed to clarify the determinants of the quality of life of the children with CP. Results: The KIDSCREEN-52 score correlated with the total score (r=.735, p<.01) and all domains of the WHOQOL-BREF questionnaire (physical: r=.542, p<.01; psychological: r=.690, p<.01; social: r=.568, p<.01; and environmental: r=.783, p<.01). In addition, significant correlation was found between the KIDSCREEN-52 and MBI scores (r=.411, p<.05), and between the MBI and GMFM scores (r=.427, p<.05). After controlling for age, gender, paralytic type, GMFM, and MBI, the WHOQOL-BREF score ($R^2=.621$), particularly in the environmental domain ($R^2=.699$), remained independently related to the quality of life of the children. Conclusion: These findings suggest that the quality of life of school-aged children with spastic CP can be influenced by the quality of life of their parents. This study provides useful information for future studies to investigate the quality of life of children with CP.

Modelling protection behaviour towards micronutrient deficiencies: Case of iodine biofortified vegetable legumes as health intervention for school-going children

  • Mogendi, Joseph Birundu;De Steur, Hans;Gellynck, Xavier;Makokha, Anselimo
    • Nutrition Research and Practice
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    • v.10 no.1
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    • pp.56-66
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    • 2016
  • BACKGROUND/OBJECTIVES: Despite successes recorded in combating iodine deficiency, more than 2 billion people are still at risk of iodine deficiency disorders. Rural landlocked and mountainous areas of developing countries are the hardest hit, hence the need to explore and advance novel strategies such as biofortification. SUBJECTS/METHODS: We evaluated adoption, purchase, and consumption of iodine biofortified vegetable legumes (IBVL) using the theory of protection motivations (PMT) integrated with an economic valuation technique. A total of 1,200 participants from three land-locked locations in East Africa were recruited via multi-stage cluster sampling, and data were collected using two, slightly distinct, questionnaires incorporating PMT constructs. The survey also elicited preferences for iodine biofortified foods when offered at a premium or discount. Determinants of protection motivations and preferences for iodine biofortified foods were assessed using path analysis modelling and two-limit Tobit regression, respectively. RESULTS: Knowledge of iodine, iodine-health link, salt iodization, and biofortification was very low, albeit lower at the household level. Iodine and biofortification were not recognized as nutrient and novel approaches, respectively. On the other hand, severity, fear, occupation, knowledge, iodine status, household composition, and self-efficacy predicted the intention to consume biofortified foods at the household level; only vulnerability, self-efficacy, and location were the most crucial elements at the school level. In addition, results demonstrated a positive willingness-to-pay a premium or acceptance of a lesser discount for biofortification. Furthermore, preference towards iodine biofortified foods was a function of protection motivations, severity, vulnerability, fear, response efficacy, response cost, knowledge, iodine status, gender, age. and household head. CONCLUSIONS: Results lend support for prevention of iodine deficiency in unprotected populations through biofortification; however 'threat' appraisal and socio-economic predictors are decisive in designing nutrition interventions and stimulating uptake of biofortification. In principle, the contribution is threefold: 1) Successful application of the integrated model to guide policy formulation; 2) Offer guidance to stakeholders to identify and tap niche markets; 3) stimulation of rural economic growth around school feeding programmes.

Qualitative Research on Mothers' Stress Level of Meal Preparation and Change of Food Consumption Pattern in Context of COVID-19 (코로나19 이후 가정 내 어머니의 식사준비 스트레스와 먹거리 소비패턴 변화에 관한 질적연구)

  • Lee, Yoonsun;Ryu, Sihyun
    • The Journal of the Korea Contents Association
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    • v.22 no.2
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    • pp.695-709
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    • 2022
  • This study examined the mothers' stress level as it related to meal preparation and a change in food consumption during the Covid-19 pandemic. I asked mothers about the difficulties related to meal preparation, changes in food consumption, and their interest in food and health information using in-depth research methods. As a result, food delivery and online food consumption have markedly expanded as eating out has decreased. Mothers tried to serve fresh food at home because they perceived delivery food as unhealthy. They stick to it more vigorously with their younger children. As the result of analysis on determinants of food consumption, their interest in organic food is higher when mothers' ages are younger with higher income. However, mothers with a low level of education tend to be uninterested in it. Therefore, the ages of the children and mothers, household income, and education levels all had an effect on food consumption behaviors.

Determination of Survival of Gastric Cancer Patients With Distant Lymph Node Metastasis Using Prealbumin Level and Prothrombin Time: Contour Plots Based on Random Survival Forest Algorithm on High-Dimensionality Clinical and Laboratory Datasets

  • Zhang, Cheng;Xie, Minmin;Zhang, Yi;Zhang, Xiaopeng;Feng, Chong;Wu, Zhijun;Feng, Ying;Yang, Yahui;Xu, Hui;Ma, Tai
    • Journal of Gastric Cancer
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    • v.22 no.2
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    • pp.120-134
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    • 2022
  • Purpose: This study aimed to identify prognostic factors for patients with distant lymph node-involved gastric cancer (GC) using a machine learning algorithm, a method that offers considerable advantages and new prospects for high-dimensional biomedical data exploration. Materials and Methods: This study employed 79 features of clinical pathology, laboratory tests, and therapeutic details from 289 GC patients whose distant lymphadenopathy was presented as the first episode of recurrence or metastasis. Outcomes were measured as any-cause death events and survival months after distant lymph node metastasis. A prediction model was built based on possible outcome predictors using a random survival forest algorithm and confirmed by 5×5 nested cross-validation. The effects of single variables were interpreted using partial dependence plots. A contour plot was used to visually represent survival prediction based on 2 predictive features. Results: The median survival time of patients with GC with distant nodal metastasis was 9.2 months. The optimal model incorporated the prealbumin level and the prothrombin time (PT), and yielded a prediction error of 0.353. The inclusion of other variables resulted in poorer model performance. Patients with higher serum prealbumin levels or shorter PTs had a significantly better prognosis. The predicted one-year survival rate was stratified and illustrated as a contour plot based on the combined effect the prealbumin level and the PT. Conclusions: Machine learning is useful for identifying the important determinants of cancer survival using high-dimensional datasets. The prealbumin level and the PT on distant lymph node metastasis are the 2 most crucial factors in predicting the subsequent survival time of advanced GC.

Estimating the Willingness-To-Accept for Cash Benefit of Long-Term Care Insurance (노인장기요양보험제도의 현금급여 도입 필요성 - WTA를 통한 적정 현금급여액 추정 -)

  • Shin, Hye Jeong
    • 한국노년학
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    • v.29 no.1
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    • pp.177-194
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    • 2009
  • Korea government has launched long-term care insurance from 2008. However, one of the most important issues, whether or not providing cash benefit, is still unresolved. In this paper, in order to provide policy guidelines for the long-term care insurance, I attempt to estimate the Willingness-To-Accept (WTA) of the cash subsidy for informal care by using Double Bounded Dichotomous Choice method, a branch of Contingent Valuation Method (CVM). In doing so, I also estimated the determinants of the preference for cash benefit. Data were obtained from face-to-face survey interviews with 300 informal care-givers at three major general hospitals in Seoul, Korea. The questionnaire was constructed with two scenarios (mild/severe symptom). The results from logistic regression analyses and the estimation of WTA indicate that informal care-givers are willing to accept the cash benefit as low as 628 thousands won for mild fragile elderly and 1,072 thousands won for severe fragile elderly. The strength of this paper is that I estimated the WTA of the cash benefit by reflecting the changes in preferences of informal care-givers. The analytic results from the this paper suggest that the cash benefit in long-term care insurance is indispensible in achieving the goal of the long-term care system.

An Analysis of Determinants of Smoking and Drinking of Community people in Rural area (농촌주민의 흡연 및 음주 실태와 이에 영향을 미치는 요인분석)

  • 남철현
    • Korean Journal of Health Education and Promotion
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    • v.6 no.1
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    • pp.48-59
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    • 1989
  • The study was designed. to analyse the factors effecting to smoking and drinking of community people in rural area. The study has been surveyed through interviews by trained college students for 1,846 residents who live in rural area(Eup or Myun office is located)for 20days(from 3rd. to 22M. in August, 1988) The summary and conclusions are as follows. 1. The number of answers on the questionaires was 1846. And the percent of man was 55.7 %(woman 44.3 %). Among age group 20-29 years group with 30.4 % was larger than any other group. Anaverage age of answers was 38.6 years. 2.In the period of residence, 21.5 % of the residents lived within 5 years(This group was larger than any other group). In occupations, workers in agriculture and fishing was more than other job occupants. In education, the percent of high school graduates was 44.0 %(higher than any other group) 3.The smoking rate of rural residents was 41.8 %and man's smoking rate was 76.0 % (woman's smoking rate was 7.6 %). These rates were higher than the rates in 1985 (The smoking rate of nation was 32.0 %). First of all, woman's smoking rate increased rapidly 4.As for smoking amount, in male 52.8% of smokers smoked a cigarette case (20 cigarettes) in a day, and 16.9 % of smokers smoked more than one cigarette case. In female 42.5 % of woman smokers smoked a half case in a day and the rate of non-smokers diminished to 77.8 % 5.The rate of non-smokers in 21-29 years group was higher than any other group and a smoking rate increased as an age increased. However, a smoking amount decreased as an age increased. This suggests that people are more concerning about their health as their ages increase.. 6.The smoking rate of college graduates was 58.8 %(higher than any other group) and in a smoking amount 36.4 % of college graduates, 29.8 % of high school graduates smoked more than a cigarette case in a day. This shows that people in a higher education group smoke more than those in other groups. 7.As for non-smoking rate, students, service job workers, company employees, and teachers was 54.1%, 43.4%. 40.1% and 39.5%. respectively. As for smoking rate, workers in agriculture and fishing was the highest level of all job employees. Public officers smoked less than the workers in agriculture and the smoking rate of teachers was less than that of public officers. with regard to smoking amount. above one cigarette case in a day was 39.9 % in public officers, 39.2 % workers in agriculture and fishing, 37.9 % in businessmen, 34.2 % in teachers, 31.9 % in service job employees and 31.6 % in a company employees. 8.The variables which had an effect on smoking were sex (B=.1701), job(B=.1688), education(B=.1671), age(B=.1125). These variables were significant in P<0.05 statistically. Explanatory variance level was 19% 9.The drinking rate of community residents was 61.8% and man's drinking rate was 81.7%(woman's drinking rate was 38.9%). As drinking rate 18.0%(the highest rate) of man drinkers drank 3 bottles of beer in a general drinking and 12.1% of them drank more than 10 bottles. 12.1% (the highest rate)of woman drinkers drank 2 cups of beer. The rising rate of woman's drinking of alcohol was remarkable. 10.Each non-drinking rate of age groups was 27.6% (in 20-30 years group), 28.0% (in 30-39 years group), 28.9%(in 40-49 years group) and 32,6%(in 50-59 years group), 10,7%(the highest rate) of 20-29 and 30-39 years groups drank above 3 bottles. 7.5% of 20-29 years group and 7.7% of 30-39 years group drank above 10 bottles. In 40-49 years group, 14.4 % of them drank a bottle and 8.1% of them drank above 10 bottles. In 50-59years group, 14,2% of them drank 2 bottles and 5.3 % of them drank above 10 bottles. This shows that a drinking rate decresed as an age increased. 11.Non-drinking rate was higher as an education level was lower. Each non-drinking rate of non-educated group, elementary school group, middle school group and high school group was 41.0 % of high school graduates and 14.5 % of college graduates drank 3 bottles of beer. 9.7 %(the highest rate) of college graduates drank above 10 bottles, in general drinking. 12.Each non-drinking rate of businessmen, farmers, service job workers, and students was 31.3%, 28.2%, 26.8% and 25.9%. However, Each drinking rate of public officers, company employees and teachers was 73.3 %, 72.2 % and 68.4 %. This tells us that the drinking rate of mental workers is higher than that of physical workers. 14.9 % of farmers and 14.4 % of public officers drank 3 bottles at a time. 10.5 % of teachers and 9.9 % of public officers drank above 10 bottles. 13.The variables which affect on drinking were sex(B=.1545), education(B=.1476), job(B=.1064), and age(B=.1052). These variables were significant in the level of 0.05 % and explanatory variance level was 18 %. 14.Government have to educate people and demonstrate the health hazards caused by smoking and over-drinking. Especially, No-smoking campaign for woman and education not to over drink for professional job workers are necessary.

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