• 대한소아치과학회지
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• 제37권2호
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• pp.193-201
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• 2010

유아기 우식증은 유아와 어린이에 생긴 우유병 우식증 및 다발성 우식증을 포함한 좀 더 포괄적인 명칭으로, 이전 연구들에서 유아기 우식증이 어린이의 신체 성장에 영향을 미친다고 보고된 바 있다. 이번 연구의 목적은 유아기 우식증이 어린이의 신체 성장에 미치는 영향을 연령대 별 및 우식 이환 정도에 따라 평가하는 것으로, 신체 성장 평가 지표로 신장과 체중을 사용 하였다. 연세대학교 치과대학병원 소아치과에 내원한 환자를 유아기 우식증에 이완된 실험군과 이완되지 않은 대조군으로 나누어 평가하였다. 환자의 연령을 12개월 단위로 나누고, 각 연령대 별로 유아기 우식증이 어린이 신장과 체중에 미치는 영향을 평가하였다. 대조군과 실험군의 연령별 성장 백분위 분포도를 비교하기 위해 2007년 대한민국 질병관리본부에서 공포한 표준성장도표를 사용하였다. 대조군과 실험군 간의 표준 신장 및 체중을 비교하기 위해 two-sample T test를 사용하였고, 두 그룹 간의 성장 백분위 분포도를 비교하기 위해 Likelihood Ratio Chi-square test를 사용하였다. 대조군과 ECC군 사이의 평균 신장 및 체중의 차이를 비교해본 결과 남자와 여자 어린이에서 공통적으로 나타나는 경향으로 통계학적 유의성이 항상 있진 않았으나 만 3-4세를 기준으로 연령이 어릴수록 ECC군의 평균 신장 및 체중이 대조군에 비해 증가하며, 그 이후에는 ECC군의 평균 신장 및 체중이 오히려 대조군에 비해 감소하는 경향을 관찰할 수 있었다. 이러한 경향은 남자 어린이의 평균 체중을 제외한 다른 모든 경우에서 공통적으로 나타났다. 평균 신장과 체중의 유의할만한 차이를 가진 만 3-4세 이상의 군에서 성장 부전으로 정의되는 3 percentile 이하가 차지한 비율은 대조군에 비해 ECC군에서 더 높았다. 이상의 결과를 토대로 유아기 우식증이 어린이의 신체 성장에 부정적인 영향을 미칠 수 있으며, 연령에 따라 유아기 우식증에 의한 영향이 다른 형태로 나타남을 추측할 수 있었다.

• Clinical and Experimental Pediatrics
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• 제51권1호
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• pp.26-32
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• 2008

목 적 : 1998년과 2005년 신체발육표준 제정사업 자료를 이용하여 2007년 소아청소년 성장곡선의 개발과정에서에 이용된 성장곡선 및 혈압분포 개발 방법론을 제시하고자 하였다. 방 법 : 성장곡선은 1998년과 2005년 자료를 이용해서 각 백분위수의 성장곡선 모형을 추정하고 LMS를 방법을 이용하여 최종 성장곡선을 생산하였다. 연령과 신장별 혈압 성장곡선은 2005년 자료를 이용하여 남녀별로 고정효과 회귀모형을 적용하여 산출하였다. 결 과 : 2007 소아청소년 성장곡선 및 혈압분포 표를 제시할 수 있었다. 결 론 : 2007년 성장곡선과 혈압분포 표는 현재 가용한 자료와 최신의 통계적 방법을 최대한 활용한 국내 최초의 결과로서 향후 지속적인 발전을 위한 논의와 연구가 필요하다.

• 대한지역사회영양학회지
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• 제13권1호
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• pp.13-23
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• 2008

This study investigated the association between the weight status of middle school students and the various weight-related characteristics including desired weight, weight perception, weight-related practice, physical activity, and overeating behavior. Questionnaires were administered to 473 middle school students (178 boys and 295 girls) in Daejeon. Boys and girls were divided into three groups respectively; (1) underweight (BMI<$5^{th}$ percentile) (2) normal weight ($5^{th}$ percentile$\leq$BMI<$85^{th}$ percentile) (3) overweight (BMI$\leq85^{th}$ percentile). Using BMI calculated from measured height and weight, 14.0% of boys and 6.8% of girls were underweight, and 16.3% of boys and 14.2% of girls were overweight. However, among this sample of students, 38.4% of boys and 13.6% of girls perceived themselves as underweight and 29.4% of boys and 44.9% of girls perceived themselves as overweight. We found that overweight students reported their body weights lower and their heights higher compared to non-overweight students, resulting in an underestimation of BMI. Based on desired BMI, 79.9% of the girls desired to be underweight and 73.0% of the boys desired to be normal weight. Overweight or normal weight students were less satisfied with their body weights than underweight students. Girls had more weight control experience and concern compared to boys. Overweight girls spent longer times in watching TV compared to non-overweight girls (p < 0.001) and had more overeating behaviors (p < 0.05). Overweight students reported that they ate snacks less frequently than non-overweight students, which may be due to their tendency to report less eating. In conclusion, significant gender differences and weight status differences existed in weight perception, weight satisfaction, and weight control experience and concern. Because perception of overweight is likely to lead to unhealthy eating behaviors and weight control, efforts for adolescents to improve accuracy of weight perceptions and to understand the benefits of being healthier are needed.

• 대한한방소아과학회지
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• 제27권2호
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• pp.20-30
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• 2013

Objectives Sleep is closely related to children's and adolescent's growth. The purpose of this cross-sectional study is to examine the frequency of symptoms associated with sleep in childhood and adolescence and the impact in their growth. Methods This study had used questionnaire targeting 1001 children and adolescents. 532 of them were visited the Department of Pediatrics, the Oriental Medicine Hospital of ${\bigcirc}{\bigcirc}$University located in Dongdaemun-gu, Seoul, during the period between May and September in 2012. 469 of them were students in the lower grades at ${\bigcirc}{\bigcirc}$Elementary School located in Gangnam-gu, Seoul, during June, 2012. We used PASW Statistics 18.0 to analyze the relation between growth and symptoms associated with sleep by using Independent samples t-test, one-way ANOVA, and ANCOVA. Results As the result of this research, snoring(54.9%), sleep bruxism(34.2%), sleep talking(31.5%), sleep terror(17.1%) were most frequently seen as symptoms associated with sleep. Group of habitual snoring($p=0.008^{**}$) and sleep terror($p=0.016^*$) had lower height percentile than other groups. Groups with sleep talking($p=0.022^*$) had lower weight percentile than group without sleep talking. Groups with sleep talking($p=0.018^*$) or sleep walking($p=0.045^*$) had lower BMI percentile, and group with habitual sleep apnea($p=0.039^*$) had higher BMI percentile. Conclusions Symptoms during sleep such as snoring, sleep bruxism, sleep talking, and sleep terror occur frequently among children and adolescents. More importantly, snoring, sleep terror, and sleep talking may be associated with growth of children and adolescents.

• 대한한방소아과학회지
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• 제36권3호
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• pp.49-62
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• 2022

Objectives This study aimed to provide evidence for the use of Korean medicine in underweight patients by analyzing the medical records of underweight children and adolescents. Methods Children and adolescents who visited Korean pediatrics at Kyung Hee University Hospital from June 1, 2019 to May 31, 2022, who had an age-specific weight percentile which was less than 5 and diagnosed with E639.005 or R628.001 were selected for the study. A retrospective chart review was conducted by examining the medical records of subjects who received Korean medical treatment. The treatment effect was analyzed in all subjects and subgroups by comparing changes in height, weight, and body mass index (BMI) percentiles before and after Korean medicine treatment. Results A total of 55 underweight subjects were included in the study. General characteristics such as distribution by sex, age, number of visits, and weight percentile, and clinical characteristics such as diagnosis, past history, family history, drug history, current or past symptoms, and symptom differentiation were collected. The composition of herbal medicines and the contents of other Korean medical treatments were analyzed. In the case of treatment effect, the weight and BMI percentile of all subjects increased significantly. Conclusions This study was conducted to suggest Korean medicine as a method of proper weight management in children and adolescents. In the future, follow-up studies with a large number of subjects and controlled variables, such as the period of taking herbal medicine, are needed.

• Journal of Genetic Medicine
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• 제13권1호
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• pp.41-45
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• 2016

Marfan syndrome (MFS) is an inherited connective tissue disorder with a mutation in the fibrillin-1 (FBN1) gene. Fibrillin is a major building block of microfibrils, which constitute the structural component of the connective tissues. A 10-year-old girl visited our hospital with the chief complaint of precocious puberty. According to her medical history, she had a pulmonary wedge resection for a pneumothorax at 9 years of age. There was no family history of MFS. Mid parental height was 161.5 cm. The patient's height was 162 cm (>97th percentile), and her weight was 40 kg (75th-90th percentile). At the time of initial presentation, her bone age was approximately 11 years. From the ophthalmologic examination, there were no abnormal findings except myopia. There was no wrist sign. At the age of 14 years, she revisited the hospital with the chief complaint of scoliosis. Her height and weight were 170 cm and 50 kg, respectively, and she had arachnodactyly and wrist sign. We performed an echocardiograph and a test for the FBN1 gene mutation with direct sequencing of 65 coding exons, suspecting MFS. There were no cardiac abnormalities including mitral valve prolapse. A cytosine residue deletion in exon 7 (c.660delC) was detected. This is a novel mutation causing a frameshift in protein synthesis and predicted to create a premature stop codon. We report the case of a patient with MFS with a novel FBN1 gene missense mutation and a history of pneumothorax at a young age without cardiac abnormalities during her teenage years.

• 한국운동역학회지
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• 제32권3호
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• pp.87-93
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• 2022

Objective: The purpose of this research was to investigate the age-related changes in whole-body motor variability during sit-to-stand (STS) task. It has been reported that children perform motor tasks less accurately with greater variability as compared to adults. However, it is still unknown how they utilize the abundant degrees of freedom and accomplish voluntary actions. Uncontrolled manifold (UCM) analysis has been used to partition motor variabilities into two independent variability components, task-relevant variability (V_ORT) and task-irrelevant variability (V_UCM). We investigated what differences exist between children and adults with respect to these two motor variability components in relation to motor development stages. Method: Ten 6-year-old children (height: 116.2 ± 4.3 cm, weight: 23.1 ± 3.9 kg, motor development assessment percentile score: 77.5 ± 18.6%), ten 10-year-old children (height: 138.7 ± 7.2 cm, weight: 35.8 ± 10.3 kg, motor development assessment percentile score: 73.9 ± 12.7%), and ten young adults (age: 23 ± 1.6 year-old, height: 164.3 ± 11.4 cm, weight: 60.8 ± 12.0 kg) participated in this study. Each participant performed STS ten times, and a motion capture system was used to capture the whole-body kinematics. Each segment centers of mass and the whole-body center of mass were calculated, and UCM analysis was used to quantify motor variabilities, V_ORT and V_UCM. One-way ANOVA was used for statistical analysis. Results: We found that children produced more motor variabilities in V_ORT and V_UCM in all three dimensions, anterior-posterior, medial-lateral, and vertical. As age increased, both, V_ORT and V_UCM significantly decreased (p<.05). Conclusion: The greater V_ORT found in children compared to adults indicates that the repeatability over repetitions improves through development, while the greater V_UCM found in children suggests that children better utilize the abundant degrees of freedom during STS compared to adults.

• 대한한방소아과학회지
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• 제37권3호
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• pp.35-48
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• 2023

Objectives We aimed to analyze changes in growth indicators before and after Korean medicine treatment in patients treated at the pediatric department of a hospital. Methods We analyzed the medical records of children and adolescents under 18 years of age who underwent growth assessment between January 1, 2017 and December 31, 2022. Results A total of 21 patients were selected for this study. After treatment, there was a significant increase in the height percentile, whereas bone age-chronological age (BA-CA) and predicted adult height (PAH) did not show significant changes. No major adverse reactions were observed during the treatment. Growth reassessment was conducted twice for 10 participants. When comparing the growth indicators between the assessment sessions, the height percentile showed an increasing trend between the initial and the first growth reassessment. However, there were no significant differences between BA-CA and PAH across the different assessment periods. Conclusions There is a need to establish evidence for the efficacy and safety of continuous Korean medicine growth treatment through the long-term observation of growth indicators in patients undergoing treatment for two or more periods, as well as observational studies on liver and renal function indicators.

• 대한영양사협회학술지
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• 제2권2호
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• pp.168-180
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• 1996

This study was accomplished to investigate the prevalence of obesity among the 229 elementary school children(boys; 115 persons, girls; 114 persons) during 4 years by retrospective study. The results were as follows; 1. The mean height and weight of 229 subjects were 143.2cm(boys;143.4cm, girls; 142.7cm), 38.8kg(boys;40.4kg, girls;36.9kg), respectively. And other anthropometric body index such as the mean BMI, Rohrer Index, WLI and Obesity Index of subjects were 18.8(boys;19.5, girls; 18.0), 1.31(boys;1.36, girls; 1.26), 115.5(boys;121.4, girls; 108.9) and 110.6(boys;114.5, girls; 106.7), respectively. 2. The mean percentile values of height and weight of subjects were higher than the '85 Korean Children's Growth Standard, respectively. In the case of boys, the 75th percentile value of weights was larger than that's 97th's. And in the case of girls, the 75th percentile value of weights was equalled to the that's 90th's. 3. When the subjects were classified into 4 groups such as obese, overweight, normal, and lean groups according to Obesity Index, their percentages were 28.8%(boys; 38.3%, girls; 19.3%), ll.8%(boys; 9.6%, girls; 14.0%), 50.7%(boys; 47.0%, girls; 54.4%) and 8.7%(boys; 5.2%, girls; 12.3%), respectively. And only I person(3.3%) is classified into normal group and 2 persons(6.7%) are classified into overweight group when they become 5 grade among 30 persons(13.1%) who were classified into obese group when they were I grade. 4. Changes in percentage of subjects differentiated by 3 indices during 4 years(from I grade to 5 grade) were as follows; In the case of BMI were 5.2%, 5.2%, 11.8%, 21.0%, 27.5%. In the case of Roher index were 13.1%, 11.8%, 14.4%, 14.8%, 17.8%. And in the case of WLI were 15.7%, 21.6%, 29.5%, 32.2%, 36.7%. 5. There was no significant difference among 4 groups on the skip rate of breakfast(obese;48.5%, overweight;55. mean meal time of subjects took about 10 minutes which was short, and the eating rate of obese group was significantly shorter than that of other groups(p<0.05). There was a tendency that the rate of the obese or overweight group eating together in breakfast and dinner was lower than that of normal or lean group. The mean T.V. watching time and the rate of eating out of subjects were 1-2 hours/day and 1 or 2 times/week. In conclusion, the subjects have been grown remarkably compared to the '85 Korean Children's Growth Standard, especially boy's weight. In order to the elementary school children to be grew as healthful citizen they should recognize the importance of meals of everyday, the balanced meals, and desirable eating habits. In addition to these, we should educate the ways of meal-life to them. We also are in need to develope the methods of education for the students themselves and their parents so that could prevent the increase rate of obesity.

• Journal of Nutrition and Health
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• 제38권7호
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• pp.570-577
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• 2005

The purpose of this study was to investigate the effect of bone mineral density on life styles, dietary habits and nutrient intakes among the male college students. The subjects were divided into four groups; $Q_1$ (calcaneus BMD < 25 percentile, n = 117), $Q_2$ (25 percentile $\le$ calcaneus BMD < 50 percentile, n = 118), $Q_3$ (50 percentile $\le$ calcaneus BMD < 75 percentile, n = 118) $Q_4$ (calcaneus BMD $\ge$ 75 percentile, n = 116). And they were asked about general characteristics, life style, dietary habit, and nutrient intake using questionnaire and 24-hr recall method. They were measured the bone mineral density of calcaneus using quantitative ultrasound. The average age of the subjects of the study was 23.0 yews and the average height, weight, and BMI were 174.7 cm, 69.0 kg, $22.5 kg/m^2$. The bone mineral density in calcaneus was $0.43 g/cm^2$ in $Q_1,\;0.50 g/cm^2$ in $Q_2,\;0.56 g/cm^2$ in $Q_3$, and $0.69 g/cm^2$ in $Q_4$ (p < 0.001). The results showed that $Q_1$ tended to have irregular exercise compared to the other three groups. Compared with $Q_1$ and $Q_2$, the frequency of skipping breakfast was lower in $Q_3$ and $Q_4$. Also the results showed that the $Q_4$ was significantly more often to drink coffee compared with the other three groups (p < 0.01). The mean daily energy intake was 2210.6 kcal ($88.4\%$ of RDA). The intake of energy, vitamin $B_2$, calcium, and zinc did not meet the Korean RDA. Also the $Q_2$consumed significantly lower intakes of protein (p < 0.05) and plant protein (p < 0.05) compared to the $Q_3$ and $Q_4$. The $Q_1$ and $Q_2$ consumed significantly lower intakes of vitamin $B_2$ (p < 0.01) compared to the $Q_3$ and $Q_4$. In conclusion, male student in lower bone mineral density appeared to have unhealthy life styles and dietary habits in terms of irregular exercise, high frequency of skipping breakfast and lower intakes of protein, vitamin $B_2$ showing a strong need proper education on meal practices and exercise habits for the bone health.