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The Prevalence and the Related Factors of Metabolic Syndrome in Urban and Rural Community (도시와 농촌 지역의 대사증후군 유병률과 관련 요인)

  • Kim, Moon Jeong;Park, Eunok
    • Korean Journal of Adult Nursing
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    • v.26 no.1
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    • pp.67-77
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    • 2014
  • Purpose: The purpose of this study is to investigate the prevalence of metabolic syndrome and its components and to examine the related factors in urban and rural community, South Korea. Methods: The data from the 5th Korea National Health and Nutrition Examination Survey (KNHANES-V) conducted in 2010 were utilized in this study. The subjects were 5,760 adults 20 years or over. The data were consisted with health survey questionnaire and health examination. $x^2$-test and logistic regression was used for the analysis SAS 9.3 applying sampling weights. Results: The prevalence of metabolic syndrome based on the latest definition proposed the joint scientific meeting was 23.4% and 29.0% respectively in urban and rural community. Rural community showed higher prevalence of abdominal obesity (29.9% vs 38.5%), elevated blood pressure (31.3% vs 38.5%), elevated blood glucose (24.3% vs 28.4%) than urban community. The related factors were age, marital status, high risk drinking, obesity in urban community and age, marital status high risk drinking, severe physical activity, obesity in rural community. Conclusion: This study showed there was difference in prevalence and the related factors of metabolic syndrome and these findings have important implications to prevent and manage metabolic syndrome in public health field.

Prevalence of the Vibration Syndrome among Rock-drillers in the Anthracite Mining Area (일부지역 탄광 착암 근로자의 진동증후군 유병율)

  • Roh, Jae-Hoon
    • Journal of Preventive Medicine and Public Health
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    • v.14 no.1
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    • pp.75-80
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    • 1981
  • Due to rapid industrialization and economic development, the occupational diseases have appeared as one of the social problems in Korea. Up until now little has been known about the prevalence rate, predisposing factors and symptomatology of the occupational disease due to localized vibration in Korea. The researcher intends to investigate the prevalence rate and affecting factors of the occupational disease due to localized vibration among rock-drillers in the anthracite mines. A total of 135 rock-drillers were interviewed and examined from May 15th to 31th, 1980. The results were revealed as follows; 1. The prevalence rate of the vibration syndrome among rock-drillers was 12.6%. 2. The latent period of the vibration syndrome was 6.8 years. 3. The prevalence rate of the vibration syndrome was not significantly different between smokers and non-smokers. 4. With the increase of total vibration exposure time, the prevalence rate of the vibration syndrome increased also. 5. The average vibration sensation threshold was high (6.4dB) in stage 1 of the vibration syndrome and low (-0.6dB) in stage 0. 6. The average pain sensation threshold was high (4.4g) in stage 1 of the vibration syndrome and low (2.5g) in stage 0.

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Health-Related Characteristics that Affect the Prevalence of Osteoporosis in Elderly Women

  • Yim, Eun-Sil;Lee, Kwang-Ok;Kim, Kyung-Ha
    • Journal of East-West Nursing Research
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    • v.16 no.2
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    • pp.172-178
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    • 2010
  • Purpose: We examined the relationship between the health-related issues of elderly women and bone density and identified specific factors that affect the prevalence of osteoporosis to provide basic data for developing a health care program on osteoporosis prevention. Methods: This study is a secondary data analysis of 118,903 66-yr-old women who received a health examination conducted by the National Health Insurance Corporation in 2008. Multiple logistic regression analysis was used to identify factors affecting the prevalence of osteoporosis. Results: The prevalence of osteoporosis was 46.8%, whereas the prevalence of osteopenia was 38.4% among elderly women in this study. Statistically significant differences were observed between the osteoporosis and non-osteoporosis group in terms of smoking (p<.001), exercise (p<.001), obesity (p<.001), waist circumference (p<.001), depression (p<.001), falling experience (p<.05), and the cognitive function risk (p<.05). Based on the multiple logistic regression results, the risk for osteoporosis was high in those who were under-weight, smoked, or were depressed. In contrast, moderate or high level obesity showed a negative relationship with osteoporosis. Conclusion: The prevalence of osteopenia and osteoporosis was 85.2%. Therefore, there is a need to develop health care programs pertaining to osteoporosis intervention and prevention for elderly women. Because smoking, non-exercise, and obesity are main osteoporosis risk factors, it is highly recommended that some sound practical life programs and psychological support programs be considered for this population.

Obesity prevalence in children and adolescence by newly developed 2007 Korean National Growth Chart (2007년 제정된 표준 성장도표에 의한 소아 및 청소년 비만 유병율)

  • Shin, Hye-Jung
    • Journal of the Korean Society of School Health
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    • v.22 no.1
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    • pp.61-65
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    • 2009
  • AIMS: Korean National Growth Chart was newly developed at 2007. Prevalence of obesity is expected to be changed according to reference data. This study was performed to compare the prevalence of obesity based on the newly developed growth curve with that of previous data. We also investigate the incidence of obesity, overweight, and normal criteria by two kinds of growth curves. Method: We obtained weight, height from 438 middle school students and 1786 high school students. We divided enrolled students into four groups (middle school boys, middle school girls, high school boys, high school girls). The obese, over weight group was defined as BMI(body mass index) more than 95th, 85th${\sim}$94th percentile respectively for age and sex. Obesity by relative weight was defined more than 20% of ideal body weight. We compare the prevalence of obesity in each group by the newly developed Korean National Growth Chart in 2007 and that in 1998. Result: Prevalence of obesity by BMI based on 2007 Korean National Growth Chart and that in 1998 were 8.2-12.9% and 9.0-20.4% respectively. The concordance rate were 99.0%-100% in obese group and 45.0%-91.9% in overweight group according to two kinds of reference data. Prevalence of obesity by relative weight was 11.7-23.0% that was same between 2007 Korean National Growth Chart and that in 1998 except middle school boys group. Conclusion: We found that there is a decrease in prevalence of Obesity by BMI based on 2007 Korean National Growth Chart. It is necessary to evaluate correlation between criteria for obesity and obesity related comorbid conditions for finding proper BMI or relative weight cut off value to prevent obesity and obesity related complications effectively.

Prevalence Rate for Low Back Pain and Related Factors in Senior High School Teachers (일부지역 고등학교 교사들의 요통 유병률 및 관련요인)

  • Nam, Tae-Ho;Yi, Seung-Ju;Bae, Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.14 no.1
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    • pp.39-53
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    • 2002
  • Objectives: The objective of this study was to investigate the prevalence rate and factors related with low back pain(LBP) in senior high school teachers. Methods: Questionnaires were completed by 405 teachers at 13 high school in Andong city in July 2-14, 2001. The information was used to estimate odds ratio(OR) and 95% confidence intervals(CI) for factors relation to LBP prevalence. A cross-section study design was used in this study. Results: The pointprevalence rate for LBP was 26.4%, prevalence rate for 6 months was 36.0%, prevalence rate for 1 year was 36.5%, and experience rate during life time was 55.1%, The factors associated with LBP by Chi-square test were marital status(p=0.014), An angle for back rest of car seat(p=0.014), and vibration of seat (p=0.003), 12.2% for patients with LBP was a higher than 6.0% for without in singles, Patients(29.0%) were higher than no patients(17.8%) in above $100^{\circ}$. 14% for patients who exposed to a high vibration. Vibration significantly associated with point prevalence rate for LBP were marital status and lecture time in logistic analysis. The married teachers had a higher LBP experience than singles(OR=2.6, 95% CI 1.13-6.03). The teachers who have a lot of lecture time in a day had a higher experience than those for less time(OR=1.6, 95% CI 1.42-2.51). Conclusions: Results from this study indicate that a statistical significant factors relation to LBP were marital status and lecture time in a day.

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Type-specific Prevalence of Human Papillomavirus by Cervical Cytology among Women in Brasov, Romania

  • Moga, Marius Alexandru;Irimie, Marius;Oanta, Alexandru;Pascu, Alina;Burtea, Victoria
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.16
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    • pp.6887-6892
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    • 2014
  • The oncogenic role of human papillomavirus (HPV) in triggering cervical cancer, the second most common cancer in women worldwide, is well established. Romania ranks in first place in Europe in terms of the incidence of cervical cancer. Geographical widespread data on HPV type-distribution are essential for estimating the impact of HPV vaccines and cervical cancer screening programmes. In this study we aimed to identify the prevalence of HPV genotypes and to establish correlations with abnormal cervical cytology among the female population of Brasov County, Romania. A total of 1,000 women aged 17.3-57 years, attending routine cervical examination in the Obstetrics and Gynecology Hospital of Brasov, Romania, and undergoing both cytological examination and HPV genotyping were screened. Infection with 35 different HPV genotypes was detected in 39.6% of cytological specimens. Overall HPV infections were highest in young women under 25 years (p<0.0001), in which cervical cytological abnormalities also reached the highest prevalence. Patients infected by HPV-16 or HPV-18 showed the highest prevalence of cervical cytological abnormalities. Some 48.2% of women with abnormal cytology were infected with high-risk HPV types whereas less than 3% of them were infected only with low-risk HPV types. Our study showed that the prevalence of high-risk HPV infection among Romanian women is higher compared to other studies in other geographic areas. Thus, we consider that in areas where there is an increased prevalence of high-risk HPV infections, HPV genotyping should be performed in all women aged between 18 and 45 years, and Pap test should be performed every 6 months in women with high-risk HPV infection, even those with previous normal cervical cytology.

Relationship of Adolescent Obesity and Cardiovascular Risk Factor and Childhood Obesity in High School Student in Jeju Island (제주도 고등학교 학생들의 비만 정도, 심혈관 위험인자, 소아시 비만과의 관련성)

  • 홍성철;황승욱;현인숙
    • Korean Journal of Health Education and Promotion
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    • v.20 no.2
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    • pp.113-125
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    • 2003
  • Background: Recently, adolescent obesity was increased and tended to become obese adults, facing increased risk for diabetes, cardiovascular disease. Even before reaching adulthood, adolescent obesity already was experiencing hypertension, dyslipidemia, and diabetes mellitus. The purpose of this study was to find prevalence of obesity of high school students in Jeju island and association between obesity and cardiovascular risk factors and association between childhood obesity and adolescent obesity. Method: The study subjects were 6,064 students of twenty-two high school in Jeju island and health survey data was gathered from high school health examination data and hospital health examination data from Aug. 1999 to Dec. 1999. Adolescent obesity was evaluated by ideal body weight method in 1998 and body mass index. Cardiovascular risk factors were checked total cholesterol, systolic and diastolic blood pressure, fasting blood sugar. In 1,534 students, obesity at primary school is checked by primary and middle school health record. Results: Prevalence of obesity in Jeju island high school students is 12.6% in male students, 13.3% in female students by ideal body weight method and 8.7% in male students, 8.5% in female students by body mass index. Prevalence of obesity of male students in city area and district area of Jeju island were each 12.9%, 10.3% and that of male students in city area was significantly higher. Prevalence of obesity of female students in city area and district area of Jeju island were each 12.9%, 14.2% and not significantly different. Prevalence of obesity of male students in general and commercial school group were each 13.9%, 10.1% and that of general school group was significantly higher. In female students, Prevalence of obesity general and commercial school group was not significantly different. Total cholesterol, systolic and diastolic blood pressure were significantly associated with degree of obesity in male and female students(p<0.05) and fasting blood sugar was only significantly associated with degree of obesity in male students(p<0.05). In 1,514 students checked by health record, Odds ratio of obesity at primary and middle school that at high school were 12.96∼22.77 and was significantly associated. Conclusion: Prevalence of obesity of high school students in Jeju island is very high and adolescent obesity was significantly associated with cardiovascular risk factors. Mostly childhood obesity tended to become adolescent obesity and program of control of obesity at childhood and adolescence is required.

Prevalence Status and Risk Factors for Back Pain among High School Students (서울시 일부지역 고등학생의 요통 유병 실태 및 관련요인에 관한 조사)

  • 박혜숙;정최경희;이보은
    • Korean Journal of Health Education and Promotion
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    • v.19 no.1
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    • pp.17-30
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    • 2002
  • BACKGROUND: Back pain is a popular disease in general population as well as in workers. School students handle heavy bag and keep awkward postures during class long time. However, the prevalence of back pain among students and the risk factors associated with back pain are not well known. METHODS: In this study, we assess the frequency of risk factors for back pain among 2,717 high school students. From April 2001 to May 2001, using a self-reported questionnaire, we collected data on occurrence of back pain and potential risk factors for back pain. RESULTS: Fifteen percent of high school students reported having daily back pain for a week or more during the past 12 months. Female students had a higher prevalence of back pain than males(OR=2.22, 95% CI 1.69-2.91). Using a multiple logistic regression model, we found six factors associated with back pain for females; alcohol(OR=1.75, 95% CI 1.26-2.45), depression(OR=1.75, 95% CI 1.84-2.28), poor physical health(OR=2.57, 95% CI 1.84-8.58), obesity(OR=0.29, 95% CI 0.12-0.68), exercise(OR=l.50, 95% CI=1.07-2.16), and good performance(OR=l.50, 95% CI 1.05-2.18). Only alcohol, however, associated with back pain for males(OR=1.70, 95% CI 1.05-2.77) CONCLUSIONS: High school students had a relatively high prevalence of back pain. Students with alcohol consumption had the higher risk for back pain.

Analysis on Developmental Factors of the Liver Diseases in Ultrasound Diagnosis of Healthcare (종합검진 초음파검사에서 나타난 간질환과 건강관련 요인분석)

  • Lee, Mi-Yeon;Jung, Hong-Ryang;Lim, Chang-Hwan
    • Journal of radiological science and technology
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    • v.32 no.1
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    • pp.79-86
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    • 2009
  • The study found out developmental factors of the liver diseases in 29, 531 cases of the healthy adults who were diagnosed by using ultrasound at domestic healthcare centers in 6 cities. The results are as follows. Based on the result of the study, the liver diseases diagnosed by using ultrasound was revealed to show 43.1% of prevalence, and the occurrence was significantly higher in male (23.3%) than in female (19.8%). The prevalence of hepatic diseases related to the BMI was revealed to show highest prevalence of the fatty liver in obese group (BMI $\geqq$ 25) by recording 44.3%. Smoking contributed to the high prevalence of all liver diseases. Although the fatty liver was the most frequently occurred form of liver diseases by recording the prevalence of 49.1% (22.2% in male, 26.9% in female), the significant difference was found only in female (p < 0.05), but male group did not show significant difference (p > 0.05). The prevalence of hepatic diseases related to the hypertension was revealed to show highest prevalence of the fatty liver in hypertension group by recording 67.7%. The prevalence of hepatic diseases related to the diabetes was revealed to show highest prevalence of the fatty liver in diabetes group by recording 66.2%. The high prevalence of all hepatic diseases was related to diabetes mellitus with statistical significance (p < 0.001). The multiple regression analysis for the related factors which affect the prevalence of the liver diseases showed the higher prevalence by age. Sex, obesity and diabetes mellitus were positively related to the prevalence (p < 0.05) while hypertension and smoking showed no significant relationship to the prevalence of the disease (p > 0.05).

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Prevalence, Pathophysiology, Screening and Management of Osteoporosis in Gastric Cancer Patients

  • Lim, Jung-Sub;Lee, Jong-Inn
    • Journal of Gastric Cancer
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    • v.11 no.1
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    • pp.7-15
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    • 2011
  • Osteoporosis in gastric cancer patients is often overlooked or even neglected despite its high prevalence in these patients. Considering that old age, malnutrition, chronic disease, chemotherapy, decreased body mass index and gastrectomy are independent risk factors for osteoporosis, it is reasonable that the prevalence of osteoporosis in gastric cancer patients would be high. Many surviving patients suffer from back pain and pathological fractures, which are related to osteoporosis. Fractures have obvious associated morbidities, negative impact on quality of life, and impose both direct and indirect costs. In the era of a >55.6% 5-year survival rate of gastric cancer and increased longevity in gastric cancer patients, it is very important to eliminate common sequelae such as osteoporosis. Fortunately, the diagnosis of osteoporosis is well established and many therapeutic agents have been shown to be effective and safe not only in postmenopausal females but also in elderly males. Recently, effective treatments of gastric cancer patients with osteoporosis using bisphosphonates, which are commonly used in postmenopausal woman, were reported.