• 한국치위생학회지
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• 제20권3호
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• pp.313-324
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• 2020

Objectives: The aim of this study was to confirm the association among the health status, health behaviors, and periodontitis according to total, age and sex in cases of adult metabolic syndrome(MetS). Methods: This cross-sectional study used collected data from the 7^th Korea National Health and Nutrition Examination Survey (KNHANES) conducted from 2016 to 2018 with 3,394 adults with MetS aged 19-79 years. The complex samples logistic regression analysis confirmed the relevant factors for periodontitis. Results:Periodontitis was diagnosed in 43.6% of all MetS cases. Diabetes (Odds Ratio [OR]=1.554), abdominal obesity (OR=1.336), current smoking (OR=2.465), past smoking (OR=1.379), and not-using oral care products (OR=1.414) were associated with periodontitis in MetS. In the age of 19-39 years with MetS group, diabetes (OR=5.379), elevated blood pressure (OR=3.975), current smoking (OR=7.430), and not using oral care products (OR=3.356) were associated with periodontitis. In the 40-79 age group, diabetes (OR=1.398), abdominal obesity (OR=1.360), current smoking (OR=2.022), and not using oral care products (OR=1.416) were associated with periodontitis. In the male MetS group, current smoking (OR=3.119), past smoking (OR=1.625), and brushing teeth more than three times (OR=0.743) were associated with periodontitis. In the female MetS group, diabetes (OR=1.733), impaired fasting glucose (OR=1.434), abdominal obesity (OR=1.479), and not using oral care products (OR=1.992) were associated with periodontitis. Conclusions: Improvement in blood sugar control, obesity, smoking cessation, and oral health education, including how to use oral care products in all individuals with MetS may result in improved oral health. In addition, improvement in elevated blood pressure in the MetS group aged under 40 years, and brushing teeth more than three times a day in the male MetS group can reduce the risk of periodontitis. Therefore, public and oral health professionals should emphasize on the relationship between age and sex during the metabolic syndrome management program and share relevant information with patients.

• 한국정보통신학회논문지
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• 제19권11호
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• pp.2590-2596
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• 2015

메타분석은 여러 실증연구의 정량적인 결과를 통합과 분석을 통해 전체 결과를 조망할 기회를 제공하는 통계적 통합 방법이다. 우리나라 학술지에 게재된 대사증후군 위험요인에 관한 연구들을 계량적으로 통합하고 검토해보기 위해 진행하였다. 본 연구는 대사증후군에 대한 문헌적 고찰을 통해 선행연구를 살펴보고 열거된 요인에 관한 실증 분석된 연구들을 메타분석 하기 위해 2000년-2015년 국내 학술지에 게재된 36편 논문을 연구대상으로 하였다. 메타분석 결과 허리둘레 사전 사후 경로에서 가장 큰 효과 크기(r = .420)인 것으로 나타났다. 두 번째 큰 효과 크기는 고밀도지단백콜레스테롤 사전 사후 경로(r = -.402)인 것으로 나타났다. 그런데 이완기 혈압 사전 사후 경로가 가장 작은효과 크기(r = .234)인 값을 확인할 수 있었다. 따라서 연구결과를 바탕으로 학문적 실무적 의의를 논의하였다.

• 예술인문사회 융합 멀티미디어 논문지
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• 제7권9호
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• pp.429-442
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• 2017

본 연구는 대학생의 대사증후군 인지 및 건강행위 실천 증진을 위한 모바일 헬스 기반의 대사증후군 예방 및 중재 프로그램 개발의 기초자료로서 활용하고자 사용자의 요구도와 선호도를 조사, 분석하였다. D광역시 소재 2개의 간호대학 학생 200명을 대상으로 설문조사를 실시하였다. 자료 분석은 SPSS version 20.0을 이용하여 기술통계, t-test, chi-square test를 하였다. 연구 결과, 대상자는 건강 앱에서 사용자에게 맞는 처방과 정확한 측정을 원하였고, 건강관리를 하는 사람들과 의견, 정보교환에 대해 긍정적이었다. 알맞은 운동법에 대한 콘텐츠 선호도가 가장 높았고 게임화 요소 선호도는 목표, 보상, 경쟁 순이었다. 웨어러블 기기의 적정 가격은 1~5만원이 가장 많았고, 대상자들은 '칼로리 소모량 확인' 기능을 선호하였다. 웨어러블 기기 및 앱 사용 경험이 있는 대상자는 대사증후군 지식정도 점수가 높았으나, 집단에 따른 유의한 점수 차이는 없었다. 생활습관 관련 건강행위에 있어서는 웨어러블 기기 및 앱을 사용한 경험이 없는 대상자 집단의 건강행위 점수가 유의하게 낮은 것으로 나타났다. 본 연구는 성인초기의 대상자를 위한 웨어러블 기기를 활용한 효과적인 모바일 헬스 기반의 대사증후군 예방 및 중재 프로그램 개발을 위해 사용자가 필요로 하는 콘텐츠를 조사, 분석하였으며, 이는 모바일 헬스 기반의 예방 및 중재 프로그램 개발에 있어 중요한 기초자료로서 의의가 있다. 향후 웨어러블 기기 사용경험이 있는 대상자를 충분히 모집하여 사용자 유형별 수요와 특성에 대한 보다 풍부하고 구체적인 후속연구와 사용자 유형에 따라 차별화된 모바일 헬스 기반의 대사증후군 예방 및 중재프로그램의 개발을 제언한다.

• 한국엔터테인먼트산업학회논문지
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• 제13권8호
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• pp.435-446
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• 2019

본 논문은 노인요양시설에서 생활하는 고령자를 대상으로 12주간 실시한 근력운동 프로그램(주 3회, 회당 60분)이 노인들의 건강관련 체력 및 대사증후군 요인에 미치는 영향을 살펴보기 위하여 실시되었다. 총 27명의 대상자(운동군 15명, 대조군 12명)가 참여하였으며 연구의 결과는 다음과 같다. 12주간의 근력운동 프로그램은 노인의 건강관련 체력요인을 유의하게 증가시켰으며, 특히 근력 및 평형성, 그리고 유연성의 증가가 보행능력을 크게 향상시켜 낙상을 예방하는데 도움이 될 수 있을 것으로 생각된다. 그리고 노인요양시설에서 근력운동이 노인들의 혈압과 혈당을 유의하게 감소시켜 대사증후군의 위험인자를 긍정적으로 개선시킴으로써 건강수준을 증가시키는 것으로 나타났다.

• 대한의생명과학회지
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• 제18권3호
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• pp.260-267
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• 2012

Obesity is associated with cardiovascular risk factors, such as dyslipidemia, hypertension and diabetes. However the presence of the obesity related deranged metabolic profiles varies widely among obese individuals. These individuals, known as 'metabolically healthy obese phenotype (MHO)', despite having excessive body fatness, display favorable metabolic profiles characterized by insulin sensitivity, no hypertension, as well as less dyslipidemia, less inflammation. The purpose of this study was to compare cardiac characterization and clinical profile of MHO and Non-MHO (nonmetabolically healthy obese) subjects in men. We measured treadmill exercise capacity (METs) and maximum blood pressure (BP) in 210 subjects through a medical checkup at J General Hospital. Metabolic syndrome was defined according to the modified Adult Treatment Panel III definition criteria. Both MHO and Non-MHO subjects showed statistically significant changes in the left ventricular mass index (P<.001, P<.01, respectively), A-velocity (P<.01, P<.001, respectively), E/A ratio (P<.01, P<.001, respectively), E'-velocity (P<.001, P<.001, respectively), HOMA-IR (P<.01, P<.001, respectively) and maximum systolic BP (P<.01, respectively) compared with the MH-NO (metabolically healthy non obese) subjects. In conclusion, MHO participants were at increased risk of cardiovascular disease and partly metabolic disorder.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제23권1호
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• pp.89-97
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• 2020

Purpose: Obese children may often present with advanced bone age. We aimed to evaluate the correlation between factors associated with childhood obesity and advanced bone age. Methods: We enrolled 232 overweight or obese children. Anthropometric and laboratory data, and the degree of nonalcoholic fatty liver disease (NAFLD) were measured. We analyzed factors associated with advanced bone age by measuring the differences between bone and chronological ages. Results: The normal and advanced bone age groups were comprised of 183 (78.9%) and 49 (21.1%) children, respectively. The prevalence of advanced bone age significantly increased as the percentiles of height, weight, waist circumference, and body mass index (BMI) increased. BMI z-score was higher in the advanced bone age group than in the normal bone age group (2.43±0.52 vs. 2.10±0.46; p<0.001). The levels of insulin (27.80±26.13 μU/mL vs. 18.65±12.33 μU/mL; p=0.034) and homeostatic model assessment-insulin resistance (6.56±6.18 vs. 4.43±2.93; p=0.037) were significantly higher, while high density lipoprotein-cholesterol levels were lower (43.88±9.98 mg/dL vs. 48.95±10.50 mg/dL; p=0.005) in the advanced bone age group compared to those in the normal bone age group, respectively. The prevalence of advanced bone age was higher in obese children with metabolic syndrome than in those without (28.2% vs. 14.7%; p=0.016). The prevalence of advanced bone age was higher in obese children with a more severe degree of NAFLD. Conclusion: Advanced bone age is associated with a severe degree of obesity and its complications.

• 대한지역사회영양학회지
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• 제16권6호
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• pp.762-770
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• 2011

Osteoprotegerin (OPG) plays a core role in bone reformation by antagonizing the effect of receptor activator of nuclear factor ${\kappa}$-B ligand (RANKL), and mediates vascular calcification in cardiovascular disease patients. Thus, we aimed to examine the relationship between serum OPG levels and cardiovascular factors and inflammatory markers in metabolic syndrome patients (MS). This cross-sectional study included 96 men who visited the diet clinic between May and July 2011. Patients were classified into 2 groups based on NCEP-ATP guidelines: normal and with MS (n = 50 and 46, respectively). Physical measurements, biochemical assay were measured. Serum OPG and IL-6, diponectin and hs-CRP were assessed. MS were aged $50.02{\pm}10.85$ years, and normal patients $52.07{\pm}9.56$ years, with no significant differences. Significant differences were not observed in BMI between the 2 groups. Moreover, significant differences were not observed in serum OPG, however, the serum OPG level ($4.41{\pm}1.86pmol/L$) differed significantly between an overweight MS (BMI > 25) and normal patients. OPG was correlated to age (r = 0.410, p = 0.000), HDL-cholesterol (r = 0.209, p = 0.015), and log adiponectin (r = 0.175, p = 0.042). Multiple regression analyses using the enter method showed that age (${\beta}$ = 0.412, p = 0.000) and BMI (${\beta}$ = 0.265, p = 0.000) considerably affected OPG. In conclusion, out study showed that serum OPG levels are correlated with cardiovascular risk factors, such as BMI, HDL-cholesterol and adiponectin in MS and adiponectin, suggesting that serum OPG has potential as a cardiovascular disease indicator and predictor.

• Nutrition Research and Practice
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• 제16권6호
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• pp.755-764
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• 2022

BACKGROUND/OBJECTIVES: Cardiovascular diseases (CVDs) are the leading cause of death in Koreans, and eating habits, including diet quality, are among the etiologies of these diseases. Recently, various studies on regional health disparities have been conducted. However, there are limited studies on their relationship with nutritional factors. This study aimed to identify the magnitude of regional disparities in diet quality and prevalence of CVD in Korean adults. SUBJECTS/METHODS: This study included 17,646 participants aged ≥ 20 years from the 7^th (2013-2016) Korean National Health and Nutrition Examination Survey. Participants were classified into four groups based on their residential areas: City 1, City 2, City 3, and non-city. Demographic characteristics, health-related factors, body mass index (BMI), metabolic syndrome index, diet quality, and CVD prevalence were evaluated. RESULTS: In terms of demographic characteristics, age (P < 0.001), marital status (P < 0.001), educational level (P < 0.001), and income (P < 0.001) were lower in the non-city category. Health-related factors such as monthly drinking rate (P < 0.01) and mental stress (P < 0.05) were the highest in City 1 and lowest in the non-city group. Conversely, the current smoking rate (P < 0.05), BMI (P < 0.05), and prevalence of metabolic syndrome (P < 0.001) were the highest in the non-city group (P < 0.05). The non-city group also had the highest prevalence of CVDs (35.6%). This group had the lowest diet quality index (68.36 ± 0.22, P < 0.01), caused by low intake of fruit and calcium, a lack of sodium moderation, and an overall imbalance in the macronutrient and fatty acid ratio. When the diet quality index was increased by 1, the odds ratio for the prevalence of CVDs was reduced by 0.991 (P < 0.001), but this was not the case in all regions. CONCLUSIONS: This study provides useful information and data in identifying and resolving the regional health disparities related to CVD prevalence and implementation of public health nutrition systems.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2005년도 제57차 추계 학술대회 연제집
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• pp.428-428
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• 2005

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2002년도 제54차 추계 학술대회 연제집
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• pp.464-465
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• 2002