• Title/Summary/Keyword: middle - aged women

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Korean Guidelines for Diagnosis and Management of Interstitial Lung Diseases: Part 3. Idiopathic Nonspecific Interstitial Pneumonia

  • Lee, Jongmin;Kim, Yong Hyun;Kang, Ji Young;Jegal, Yangjin;Park, So Young;Korean Interstitial Lung Diseases Study Group
    • Tuberculosis and Respiratory Diseases
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    • v.82 no.4
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    • pp.277-284
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    • 2019
  • Idiopathic nonspecific interstitial pneumonia (NSIP) is one of the varieties of idiopathic interstitial pneumonias. Diagnosis of idiopathic NSIP can be done via multidisciplinary approach in which the clinical, radiologic, and pathologic findings were discussed together and exclude other causes. Clinical manifestations include subacute or chronic dyspnea and cough that last an average of 6 months, most of which occur in non-smoking, middle-aged women. The common findings in thoracic high-resolution computed tomography in NSIP are bilateral reticular opacities, traction bronchiectasis, reduced volume of the lobes, and ground-glass opacity in the lower lungs. These lesions can involve diffuse bilateral lungs or subpleural area. Unlike usual interstitial pneumonia, honeycombing is sparse or absent. Pathology shows diffuse interstitial inflammation and fibrosis which are temporally homogeneous, namely NSIP pattern. Idiopathic NSIP is usually treated with steroid only or combination with immunosuppressive agents such as azathioprine, cyclophosphamide, cyclosporine, and mycophenolate mofetil. Prognosis of idiopathic NSIP is better than idiopathic pulmonary fibrosis. Many studies have reported a 5-year survival rate of more than 70%.

Predictors of Institution Level of Smoking Cessation Rate and Job Satisfaction of Counselors in Smoking Cessation Clinics of Community Health Centers (보건소 금연클리닉의 금연 성공률과 금연상담사의 직무만족도 영향요인)

  • Ahn, Young Mee;Lee, Hun Jae;Kim, Younhee;Lee, Sangmi;Cho, Jung Ae;Sohn, Min
    • Journal of Korean Public Health Nursing
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    • v.36 no.2
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    • pp.184-195
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    • 2022
  • The purposes of this study were to identify factors of institution-level 6-month quit rates and job satisfaction of counselors in smoking cessation clinics of community health centers. The study was a mixed-method study including descriptive study and secondary data analysis and the data collection period was April 3, 2020, to October 31, 2020. Data were collected using a self-report survey with counselor representatives in 267 smoking cessation clinics in the nation. Part of the data regarding institutional and community characteristics was obtained from the national database. Most survey respondents were middle-aged 42.4±9.2 years old women (96%). The institutional level of 6-month quit rates was 35.3±0.1%, and the job satisfaction of survey respondents was 7.4±1.7/10 on average. Work competency was the only statistically significant contributor of both institution-level 6 month quit rate (aOR=3.57, 95% CI=1.65, 7.74, p=.001) and job satisfaction of counselors (aOR=4.64, 95% CI=2.01 10.74, p<.001). More studies are needed on the work competency of smoking cessation counselors and the development of interventions to improve their competency.

Effects of an Agro-healing Program on Promoting Mental Health of the Middle-aged

  • Kim, Jae Soon;Yoo, Eunha;Jeong, Sun-Jin;Jang, Hye Sook
    • Journal of People, Plants, and Environment
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    • v.24 no.6
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    • pp.573-584
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    • 2021
  • Background and objective: This study was conducted with 10 men and women in their 50s-60s to investigate the effect of agro-healing activities on the improvement of mental health. Methods: The experimental group participated in total 8 sessions of agro-healing activities, once a week for 2 hours each, at a care farm in Wanju-gun. Physiological measurements were taken with an electroencephalogram (EEG), Salivettes samples, and blood pressure before and after the activities. Results: As a result of analyzing the changes in brainwaves of the experimental group before and after agro-healing activities, relative slow alpha (RSA), relative fast alpha (RFA), and ratio of alpha to high beta (RAHB), the indices of stability and relaxation, increased after the program with statistical significance. Also, the ratio of SMR to theta (RST) of the attention index increased on the right frontal lobes, temporal lobes, and left occipital lobes, and relative low beta (RLB) increasd on the frontal lobes, temporal lobes, and occipital lobes after the program with statistical significance. The sympathetic nervous system activity, which is a stress index, decreased after the program, whereas the parasympathetic nervous system activity, which is a relaxation index, increased, showing statistical significance (p < .05). As a result of analyzing the changes in blood pressure after the program, systolic blood pressure and diastolic blood pressure decreased from prehypertension to normal blood pressure, showing statistical significance. SThese results indicate that participating in agro-healing activities at a care farm for the 50-60s helps reduce stress and improve stability and relaxation as well as attention. Conclusion: Thus, developing and applying customized agro-healing programs for participants will have a positive effect on brain activity and psychophysiological improvement by relieving tension and stress. However, there are limitations in generalizing the results of this study since most of agro-healing farms have low accessibility that leads to a low level of participants.

The Effect of Family Cohabitating on Dental Examination Rate : Use of the 7th national health and nutrition survey (가족동거여부가 치과진료 수진률에 미치는 영향 : 제7기 국민건강영양조사 이용)

  • Ho-Jin Jeong;Kyung-Min Kim
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.4
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    • pp.291-298
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    • 2023
  • Purpose : Although Korea's health insurance system and access to medical care are well established compared to other countries, the rate of non-fulfillment of dental treatment is high. Medical use rates can be affected by economic characteristics, individual heatlh condtions, health concerns, and health behaviors. This study was implemented to investigate the effect of the middle-aged elderly people's family living together on the dental examination rate and to use it as basic data for program development, research, and poicies to promote oral health. Methods : Raw data from the 7th national health and nutrition survey conducted by the Korea centers for disease control and prevention (2016~2018) were used and analyzed using SPSS 21.0 Version (IBM, United States). Results : As a result of the study family types accroding to general characteristics, the more women are (p<.001), the higther the age (p<.001), the lower the hosehold income level (p<.001), the lower the educational background (p<.001), the more people who live in Eup-Myeon (p<.001) It was fouend that the rate of living alone was high. The dental examination rate according to general characteristics was related to age (p<.001), income (p<.001), and educational background (p<.001), and the higher the examination rate was in the same (p<.001), and the higher the family living together (p<.001). Factors influencing whether or not dental treatment was not performed were in the following order: household income (p<.001), age (p=.001), and family type (p=.017). Conclusion : The above results confirmed the relationship between family membership and dental examination rates, and measures such as the development and operation of participatory programs to improve public oral health by resolving medical inequality and enhancing health equity, and it is believed that the development of professional manpower and the operation of education and programs for professionals are necessary.

Food Habits and Health Food Consumption Patterns of Adults in the Ulsan Area (울산지역 중.장년층의 식생활 특성과 건강식품 섭취 실태)

  • 유수연;김혜경
    • Korean Journal of Community Nutrition
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    • v.8 no.6
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    • pp.889-900
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    • 2003
  • This study was carried out to obtain information regarding eating habits, including health related behavior and health food consumption patterns. The subjects of this study were 149 men and 152 women residing in the Ulsan area. We obtained results by means of a questionnaire and an interview, and these were analyzed using the SPSS package program. The results of this study are summarized as follows The average age of the men was 47.6 $\pm$ 7.3 years and of the women was 47.3 $\pm$ 7.6 years old. The average height and weight of the men were 169.4 $\pm$ 5.5 cm and 67.7 $\pm$ 8.2 kg, respectively. Those of the women were 157.6 $\pm$ 5.0 cm and 58.2 $\pm$ 7.5 kg, respectively. The BMI values of all the subjects ranged from 20.0 to 25.0, all within the normal levels. In the case of dietary patterns, 24.3% of the total population always skipped a meal. In particular, 15.9% of the total population skipped breakfast. No time to eat, no appetite, having no taste, and having poor health were themain reasons for skipping meals. With regard to health care, there was a significant difference between the men and the women with respect to smoking and drinking (p<0.001). Of the total population, 40.5% hardly exercised (less than once a week), 26.2% exercised occasionally, 13.6% frequently exercised, and 19.6% exercised almost every day. A total of 60.7% responded that they were not interested in their health. The mean eating habit score of the subjects was 65.6 $\pm$ 9.9. The women had a higher eating habit score than the men (64.0 $\pm$ 9.6 for the men and 67.2 $\pm$ 9.9 for the women). Except for one group above 60 years, the older group had a higher eating habit score than the younger one. The group having a higher income and a more specialized career had a higher eating habit score than the one having a lower income and a less specialized career. There was also a marital difference. The group of single subjects showed a lower eating habit score than the married group. The group having a higher eating habit score drank, smoked and went out for meals less, and exercised more than the group having lower scores. They also were more concerned about their health. In the older group, there were more diabetic and hypertensive individuals. The subjects who had a higher BMI index were more likely to be patients with hypertension, especially in the men's group. Those who had a higher BMI index and hypertension simultaneously took a variety of medicines and foods for promoting health. Those who worried a lot about their health and had health problems tended to take special foods for their health. Patients usually took tonics. Special foods for health included Chinese medicines, tonic foods, vitamin or mineral supplements and manufactured health food supplements. Preferences for them depended on the sex and age of the subject. In the case of tonic foods, the men liked them more than the women. Foods other than tonic foods were favorites with the women. This study may provide basic information on the eating habits and health related behaviors of middle-aged people. However, further studies are needed to improve the eating habits and to change the nutritional attitudes, so that people can make better choices of health foods.

A study model standardization by he body types of Jugori of Hanbok for middle-aged women (중년 여성을 위한 한복 저고리의 체형별 원형 연구)

  • 진현선;권미정
    • Journal of the Korea Fashion and Costume Design Association
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    • v.5 no.1
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    • pp.13-24
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    • 2003
  • The purpose of this study is to design Jugori model compatible with the body types of the middle-aged women especially from 40 to 59 years old. The result is as follows: We decided five items as the necessary items for designing jugori model : the bust girth (the breast & shoulder width), the B.P length, the neck width, the armhole circumference, and Hwa-jang. The breast & shoulder width are the size that comes out if the bust is divided by the breast & shoulder width on the basis of the side line, and Hwa-jang is a length measured with arms stretched out to 0° direction. With each person's physical characteristics considered, the application of the size of each body types and body parts is as follows: 1. The breast & shoulder width (1/4 portion) : We decided B/4+2cm as a standard size and, we adjusted the extra room on the basis of the discrepancy between the breast width and the shoulder width to make it fit well to the each body type. For the breast width (1/2 portion), we bisected the difference between the breast width and the shoulder width of the bust, and moved Gut-sup to the center of the Sup and Sup-sun for An-sup. According to the body type, the movement of the Sup for the people with big breasts gets bigger because there should be a big difference between the breast width and the shoulder width for them, and for the people with small breasts the movement will be relatively smaller. For the shoulder width (1/2 portion), we curved the back center line after we shortened as much as the difference between the amount of the shoulder width/2+1cm and of B/4+2cm. The movement of back center line will be bigger for a person with leaned-backward body type. 2. The front & back length: We made the front length to B.P length+2.5cm to have Jugori cover the breast point fully around the bust line, which is a vogue nowadays. For an upright body type, we decided the back length as (AH/2.2)+5cm. And for a bent-forward and a leaned-backward body type, we adjusted the calculation formulae differently taking the physical characteristics into account. We decided the back length (A) as (A.H/2.2)+5cm, and the front length (B) as the back length+5cm. So, (A+B) is the sum of the front length and the back length. Going back to the original formula, the front length is B.P+2.5cm. So, we can decide the back length if we subtract B.P+2.5cm from the sum of the front length and the back length. To make well-fit Jugoris, the front & back length are areas that we should pay attention to if we take each person's physical characteristics into consideration. 3. Go-dae (1/2 portion) : We decided Go-dae as the neck width/2+0.5cm. For an upright body type, because the base line which went down vertically from the tragion was straight, we generally decided Go-dae Dalim line as 1.0cm. But we decided Go-dae Dalim line down to 1.5cm for bent-forward type and up to 0.2cm for leaned-backward type because the upper half of the body of them was bent forward or leaned backward from the base line. 4. The armhole : We decided the armhole circumference as A.H/2+2cm with the whole extra room of 4cm. 5. The side line length : We can calculate the side line length to (the back length-the armhole)/2, and, in terms of the trend, 2.5cm will be appropriate.

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Effects of Mulberry-Leaf Powder Tofu Consumption on Serum Lipid Profiles, Ca, Ca/P Ratio and Pb Status in Middle-Aged Women (뽕잎분말 첨가두부 섭취가 비만 중년여성의 혈청 지질, 칼슘, 칼슘/인 비율 및 납 수준변화에 미친 영향)

  • Kim, A.J.;Kim, M.H.;Chung, Kun-Sub
    • Korean Journal of Food Science and Technology
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    • v.38 no.3
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    • pp.432-437
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    • 2006
  • This study was carried out to investigate the effects of mulberry-leaf powder Tofu (MPT) on serum lipids profiles, Ca levels, Ca/P ratio and Pb levels in 30 middle aged obese women living in the Choongnam area. 100 g/day MPT was consumed for 4 weeks. The nutrient contents per 100 g MPT were 86.71 kcal (energy), 8.98 g protein, 0.53 mg fiber, 211.33 mg Ca and 1.59 g fat. Anthropometric measurements, 24 h recall dietary intakes, serum levels of protein, albumin, glucose, Ca and Pb, lipid profiles (cholesterol, triglyceride, HDL-cholesterol, LDL-cholesterol), and the Ca/P ratio were analyzed before and after consumption of MPT. After consumption of MPT, there were no significant differences in anthropometric measurements, the levels of serum protein, albumin, glucose, total cholesterol, HDL-cholesterol, lipase activity, HTR (HDL-cholesterol/total cholesterol), CRF (cardiac risk factor), Ca, Ca/P ratio and Pb. There were decreases in the levels of serum triglyceride, LDL-cholesterol, AI (atherogenic index) and LHR (LDL-cholesterol/HDL-cholesterol). Significantly increased dietary intakes of plant protein, total Ca, and plant Ca were observed.

Effects of Low Intensity Resistance Training Speed on Body Composition, Muscle Activity and Muscle Strength in Obese Middle-aged Women (저강도 저항운동의 속도 차이가 비만중년여성의 신체조성, 근활성도 및 근력에 미치는 영향)

  • Lee, Woo-Jung;Seo, Sang-Won;Lee, Ho-Seong
    • 한국체육학회지인문사회과학편
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    • v.56 no.4
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    • pp.575-584
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    • 2017
  • The purpose of this study was to examine the effects of low intensity resistance training speed on body composition, muscle activity and muscle strength in obese middle-aged women. The subjects (n = 12) were randomly assigned to normal resistance training speed group (NSG, n = 6) and slow resistance training speed group (SSG, n = 6). NSG was performed the for 3 sets ${\times}$ 35 times and total 3-s per repetition (eccentric: 1-s, isometric: 1-s, concentric: 1-s), and SSG performed for 3 sets ${\times}$ 15 times and total 7-s per repetition (eccentric: 3-s, isometric: 1-s, concentric: 3-s). Both groups performed the low intensity resistance training at 30% of 1-RM for 105-s per set, rest for 1 min between sets, rest for 3 min between exercises, and 2~3 times per week, for 4 weeks. The body composition, muscle activity and muscle strength were measured before and 4 week after resistance training. WHR at NSG and body fat at SSG were significantly decreased after resistance training compared with before (P<.05). Muscle activity of biceps brachii, vastus medialis and vastus lateralis at both groups were significantly decreased after resistance training compared with before (P<.05, P<.01). Muscle strength of biceps curl and leg extension at both groups were significantly increased after resistance training compared with before (P<.01). However, body composition, muscle activity and muscle strength did not show statistically significant differences between the groups. Our results suggest that body composition, muscle activity and muscle strength should closely related to the performance time of resistance training (development time of muscle contraction), rather than resistance training speed (repetition frequency).

Astudy on the dietary intake and health of aged person I -Based on elderly person in Seoul- (노인의 식이섭취실태와 건강상태에 관한 연구 I -서울지역을 중심으로-)

  • Lee, Hyun-Ok;Yum, Cho-Ae;Jang, Myung-Sook
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.15 no.4
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    • pp.72-80
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    • 1986
  • The purpose of this study was to investigate the dietary-intake and that of health by mean of questionarie and interview for male and female old persons living in Seoul area. The contents of study included general aspects, physical status and health, nutrient intake, and food intake frequency. The results from the above survey are summarized as follows ; 1. The age group in the range of 60 to 79 years old was 71%, and the average number of family was 4.9. The educational level was 56% of elderly persons were elementary or middle school graduates . 42.8% of elderly persons had an average monthly income of \490,000 to 300,000. 2. The aged average height, weight, and physical index were 164.9cm, 55.8kg and 20.4 in male, 152.7cm, 46.0kg and 20.3 in female which were lower than the Korean average standard. (male; 167.0cm, 61.0kg, female; 156.0cm, 55.0kg) In the degree of health self-consciousness, percentage distribution of poor and very poor was 29% in male, 59% in female. Among the condition of disease, neuralgia was 23.8%, hypertension was 17.2%, diabetes was 5.4%. 3. Average daily calorie intake was $63.9{\sim}70.4%$ for male and $76.4{\sim}83.9%$ for female which were lower than the Recommended Dietary Allowances for Koreans. Protein intake was $42.9{\sim}57.3g$ (which was $72.8{\sim}82.6%$ RDA) for elderly person, the proportion of animal protein to total protein intake were $24.3{\sim}28.2%$($12.9{\sim}16.2g$). Iron, Vitamin $B_1$, $B_2$ Niacin intake exceeded the RDA, but the intake of Calcium, Vitamin C were far less than that of RDA. 4. In the correlations between nutritional intakes and environmental factors and health, economic living situations and educational level as the factors which might influence the condition of nutritional intake was significant(P<0.01). 5. Food intake frequency of meats, fishes, eggs, for average of $1{\sim}2$ days per week were $44.8{\sim}50.5%$, that of milk and milk products for scarecely week were 42.9.% Correlation of food intake frequency was divided three levels-good, fair, poor. Food intake frequency as the factors which might influence the condition of nutritional intake was significant(P<0.01). The results of the survey reveal that many of elderly show evidence of general nutrient intake deficiency, it requires first of all importance of nutrition to improve nutritional level through to promotion of elderly health.

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Influences on Health Behaviors Execution and Self Rated Health as Socioeconomic Class by the Age Bracket (연령층별 사회경제적 계층에 따른 건강행위 실천과 주관적 건강수준에 미치는 영향)

  • Lee, Jung-Min;Kim, Won-Joong;Sohn, Hae-Sook;Chun, Jin-Ho;Lee, Myeong-Jin;Park, Hyun-Suk
    • The Journal of the Korea Contents Association
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    • v.12 no.6
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    • pp.317-327
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    • 2012
  • The purpose of present study was to observe the path and influencing effects between socioeconomic class (SEC), health practices and self-rated health(SRH) by the age bracket. The subjects were 4,987 adults over 25 years old who participated in the 2008 Korean National Examination Health and Nutrition Survey and could be classified into SEC in terms of the three characteristics: education, income and occupation. Path analysis was conducted with the effects of health behaviors execution on the differences in SRH, and the complex samples analysis executed by chi-square test, t-test, ANOVA. As the result, lower SRH level paralleled with the lower SEC, and more health behaviors had differed by SEC in the younger and middle aged group. The lower SEC, the lower SRH: non-smoking and weight control for younger women and exercise for aged men had indirect effects as parameters. In conclusion, when planning a health promotion program, to select the correct target populations with consideration of the age bracket, gender and SEC and to establish tailored contents fit for each of the population would be important.