• Title/Summary/Keyword: middle-aged

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The Changing Epidemiology of Gastroesophageal Reflux Disease: Are Patients Getting Younger?

  • Yamasaki, Takahisa;Hemond, Colin;Eisa, Mohamed;Ganocy, Stephen;Fass, Ronnie
    • Journal of Neurogastroenterology and Motility
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    • v.24 no.4
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    • pp.559-569
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    • 2018
  • Background/Aims Gastroesophageal reflux disease (GERD) is a common disease globally with increasing prevalence and consequently greater burden on the Healthcare system. Traditionally, GERD has been considered a disease of middle-aged and older people. Since risk factors for GERD affect a growing number of the adult population, concerns have been raised that increasingly younger people may develop GERD. We aim to determine if the proportion of younger patients has increased among the GERD population. Methods The incidence of GERD as well as several variables were evaluated during an 11-year period. Explorys was used to evaluate datasets at a "Universal" and Healthcare system in northern Ohio to determine if trends at a local level reflected those at a universal level. GERD patients were classified into 7 age groups (15-19, 20-29, 30-39, 40-49, 50-59, 60-69, and ${\geq}70$ years). Results The proportion of patients with GERD increased in all age groups, except for those who were ${\geq}70$ years in the universal dataset (P < 0.001) and those who were ${\geq}60$ years in the Healthcare system (P < 0.001). The greatest rise was seen in 30-39 years in both datasets (P < 0.001). Similarly, the proportion of GERD patients who were using proton pump inhibitors increased in all age groups except for those who were ${\geq}70$ years in both datasets (P < 0.001), with the greatest increase being the group 30-39 years (P < 0.001). Conclusion Over the last decade, there has been a significant increase in the proportion of younger patients with GERD, especially those within the age range of 30-39 years.

Noodle consumption is positively associated with incident hypertension in middle-aged and older Korean women

  • Kim, Jiwon;Kim, Jihye;Kang, Yunhee
    • Nutrition Research and Practice
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    • v.13 no.2
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    • pp.141-149
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    • 2019
  • BACKGROUND/OBJECTIVES: This study examined the association between refined grain consumption by subtype and the incidence of hypertension from the Korean Genome and Epidemiology Study data. SUBJECTS/METHODS: In total, 5,018 participants (2,439 men and 2,579 women) from 40 to 69 years without hypertension were recruited at the beginning (2001-2002). Blood pressure and antihypertensive medication use were assessed biennially for the incidence of hypertension during the 8-year follow-up period (2009-2010). Hypertension was diagnosed as systolic blood pressure ${\geq}140mmHg$ or diastolic blood pressure ${\geq}90mmHg$ or antihypertensive medication use. Dietary intake including refined grains was assessed by a food frequency questionnaire at baseline and the follow-up (2005-2006). A multivariate Cox proportional hazard model was used to examine hazard ratios (HRs) and 95% confidence intervals (CIs) for incident hypertension according to refined-grain consumption. RESULTS: A total of 1,377 cases of hypertension (710 men and 667 women) were newly ascertained. Frequent noodle consumers (${\geq}5servings/week$) among the women had a 2.3-fold higher risk of hypertension than infrequent noodle consumers after adjustment for potential confounders (HR = 2.31, 95% CI = 1.33-4.01, P for trend = 0.0001). However, no significant association was found among the men. The intake of other refined grain products such as white rice and breads was not associated with the incidence of hypertension. CONCLUSION: Frequent noodle consumption was positively associated with a risk of incident hypertension in South Korean women.

A study on relationship between Physical activity, Diet pattern and Mental health of Korean elderly (한국노인의 신체활동 및 식생활과 정신건강 관련성에 대한 연구)

  • Yun, Haesun
    • Journal of the Korea Convergence Society
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    • v.9 no.12
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    • pp.313-319
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    • 2018
  • The purpose of this study was to investigate the relationship between physical activity, diet and mental health of elderly and to use the study as basic data for a program development for elderly. This was a secondary data analysis study using the 2015 National Health and Nutrition Survey and the study subjects included 1,484 individuals aged 65 and over. The results showed that depression and stress perception in young-old were higher than old-old's and the suicidal ideation rate of old-old was higher than young-old's. In case of eating patterns, 'poor eating' in old-old was higher than young old's. Regression analysis showed that middle-intensity physical activity and eating patterns were associated with mental health of the elderly. Based on the results, it is necessary to develop a differentiated nursing intervention program suitable for the elderly by age.

Sense of Community Affecting Center Service Experience of Adolescents in Community Child Center: Mediating Effect of School Adjustment (지역아동센터 청소년의 서비스 이용 경험이 공동체의식에 미치는 영향 : 학교적응의 매개효과)

  • Yang, Sim Young
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.4
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    • pp.241-247
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    • 2018
  • This study investigated sense of community influencing satisfaction with center teacher and service use evaluation and mediating effects of school adjustment involving sense of community, satisfaction with center teacher and service use evaluation among adolescents in community child center. Secondary data analysis from the 2nd Panel Survey on Service Satisfaction with Community Child Center was performed using data of 438 the first grade middle school aged student in 2017. Correlation coefficient and step-wise Regression using SPSS 18 program 18.0. and Sobel test showed that the higher of satisfaction with center teacher and center service use evaluation influenced the more enhanced sense of community, and school adjustment had partial mediating effect among them. Therefore, to promote low income adolescents' sense of community, this study suggested the need to persist the sustainable relationship between satisfaction with center teacher and adolescents and to improve quality of service and to develop and apply the community action program connecting community child care center and school system.

Factors Affecting the Control of HbA1c in Type 2 Diabetic Patients (제2형 당뇨환자의 당화혈색소(HbA1c) 수치 조절에 미치는 영향요인)

  • Kim, Hee Yeon;Kim, Hye Sook
    • Journal of Convergence for Information Technology
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    • v.8 no.6
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    • pp.75-84
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    • 2018
  • Objects: This study is a descriptive study to identify the factors influencing the glycated hemoglobin control in type 2 diabetes patients. Methods: This study used raw data from the third year of the National Health and Nutrition Examination Survey performed from 2015. The subjects were 285 people who were classified as type 2 diabetes patients among the 7,380 participants of the National Health and Nutrition Examination Survey. Findings: The factors influencing the glycated hemoglobin control in type 2 diabetes patients were found to be age, education level, prevalence period and sleeping time. Improvements: In type 2 diabetes patients, it is very important to have appropriate education on diabetes when they discovered the disease morbidity in the middle age rather than in the aged period and to have enough sleeping time. A practical program to help this education and training should be developed.

The Effects of Trunk Stabilization Training Emphasizing Transverse Abdominis Contraction on Static Balance and Game Records for Archers (배가로근 수축을 강조한 체간 안정화 훈련이 양궁선수들의 정적 균형 및 경기기록에 미치는 영향)

  • Lee, So-Young;Seo, Tae-Hwa;Jeong, Yeon-Woo
    • PNF and Movement
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    • v.17 no.2
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    • pp.283-291
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    • 2019
  • Purpose: The purpose of this study was to investigate the effects of trunk stability training on static balance and game records among archers. Methods: The subjects comprised 24 voluntary archers in middle and high school (aged 14-19 years). All the subjects received trunk stability training for an hour per day 3 days a week for 4 weeks. The Tetrax balance system was used to measure the stability index of the subjects' static balance. The subjects' game records were scored using a single FITA round system. All the subjects were measured before the intervention, 2 weeks into the intervention, and 4 weeks after the intervention, with a follow-up measurement 2 weeks later. Results: The results of this study showed that the stability index was significantly different across all the measuring positions after the intervention (p<0.05). Furthermore, the results of the measurements of the standing position with eyes open and closed were significantly different before the intervention compared to 4 weeks after the intervention (p<0.05). The archery position with the head turned to the left and eyes closed was also significantly different pre-intervention compared to 2 weeks after the start of the intervention (p<0.05). Additionally, the archery records were significantly different after the intervention (p<0.05), as well as before the intervention and 4 weeks after the intervention (p<0.05). Conclusion: Trunk stability training can improve static balance in archers. It may also be helpful in improving athletic performance and maintaining the life of the athlete. Accordingly, trunk stability training may prevent and resolve injuries through careful management when playing one-side sports.

A literature review on burning mouth syndrome (구강작열감 증후군에 대한 논문 고찰)

  • Choi, Sung-Hyeon;Lee, Bin-Na;Lim, Hae-Soon;Oh, Won-Mann;Kim, Jae-Hyung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.3
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    • pp.123-131
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    • 2019
  • Burning mouth syndrome (BMS) is defined as the xerostomia, burning sensation and various discomfort of tongue and oral mucosa. BMS can occur in both men and women, but is more frequent in middle-aged menopausal women. Because exact cause can't be identified clearly and it is hard to make diagnosis in clinic, the purpose of the treatment have been to relieve symptoms. Etiology of BMS is divided into local, systemic, and psychological factors. ${\alpha}$-lipoic acid, clonazepam, supplemental therapy and cognitive behavior therapy can be prescribed for BMS. Nowdays, many experts focus attention on effect of combination therapy. It is necessary to solve the symptoms of the patients by combination of pharmacological approach and psychotherapy with cognitive behavior therapy considering the factors in various aspects.

Assessment of the Thickness of the Roof of the Glenoid Fossa Using Cone Beam Computed Tomography in Asymptomatic Korean Adult Patients

  • Park, Hyun-Jeong;Seo, Yo-Seob;Yoon, A-Hyang;Kim, Ji Hoo;Ryu, Ji-Won
    • Journal of Oral Medicine and Pain
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    • v.44 no.3
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    • pp.112-117
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    • 2019
  • Purpose: The aim of this study was to assess the thickness of the roof of the glenoid fossa (RGF) in Korean adult population without symptoms of temporomandibular disorder (TMD) using cone-beam computed tomography (CBCT). Methods: CBCT Data from 111 Korean adult patients aged ${\geq}25years$ (55 males and 56 females) without signs and symptoms of TMD were analyzed retrospectively in this study. The thickness of the RGF was determined as the perpendicular distance between the 'glenoid fossa line' and 'middle cranial fossa line' on parasagittal and paracoronal reconstructions, respectively. The thickness of the RGF according to sex and age was analyzed using t-tests (p<0.05). Differences were also examined between the right and left sides, and between the paracoronal and parasagittal sides. Results: The mean thickness of the RGF in all subjects was $0.75{\pm}0.39mm$; there was no significant difference in thickness between male ($0.78{\pm}0.36mm$) and female ($0.72{\pm}0.30mm$). We found no correlation between age and the mean thickness of the RGF, when age was grouped by decade. However, when subjects were divided into >40 years and ${\leq}40years$ age groups, the thickness of the RGF was significantly different between the groups. Conclusions: We found that the thickness of the RGF did not differ by sex, but might be affected by aging. Further studies with larger numbers of subjects are needed to confirm the results of this study.

A Study on the Comparison of Flatfish and Salmon Consumption Patterns in Twenties -Focus Group Study- (20대 소비자의 광어·연어 소비성향 비교에 관한 연구 -표적집단면접(FGI)을 중심으로-)

  • Kim, Ji-Ung;Park, Ji-Hyun;Kang, Hyo-Seul
    • The Journal of Fisheries Business Administration
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    • v.50 no.3
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    • pp.1-15
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    • 2019
  • The purpose of this study is to analyze the differences by comparing consumption tendency of the Flatfish and Salmon using focus group interview (FGI). The FGI was conducted on university students in their 20s, with a total of 38 respondents surveyed in seven focus groups. Flatfish was recognized as a food in the form of popular sliced raw fish and had customer image that fit for middle-aged men in their 40s and 50s while eating with alcohol. 20s were perceived to be out of date with their age group as flatfish was considered old fish that did not match their age. In addition, they felt low accessibility to flatfish. Salmon was perceived by 20s as a food with a higher appeal than flatfish. Salmon has been creating a brand identity in their 20s and 30s for fashionable and trendy food that appealed to younger generations. They considered characteristics of salmon high in intangible value, such as something sophisticated, trendy, and beautiful. 20s consumed various forms of salmon including salmon sushi, salmon bowl, and salmon fillet, and they perceived it as a psychologically close food that can be easily accessible. In this study, the color of species (orange color of salmon), accessibility, restaurant image, and social media exposure were found to influence the consumption patterns of two species.

Factors Related to Efforts to Enhance Health Behavior Among Patients With Metabolic Disease (대사성 질환자의 건강행위증진 노력관련 융합연구)

  • Kim, Sun Kyung;Kim, Sun Ae;Kim, Yu Mi
    • Journal of the Korea Convergence Society
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    • v.10 no.10
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    • pp.337-346
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    • 2019
  • The purpose of this study was to investigate the convergence factors affecting disease management efforts of the middle-aged population who have comorbidities of all three metabolic diseases: type 2 diabetes, hypertension, and dyslipidemia. This study used raw data from the 2015 community health survey(CHS). A multiple hierarchical regression analysis was performed that the included variables explained 20.1% of the variance in weight-loss efforts, 6.8% of exercise efforts and 5.3% diet efforts respectively. This study revealed associations among gender, socioeconomic status, and behavioral habits of smoking and drinking with disease-management efforts. It is important to design a health service or supportive intervention with consideration of multiple factors for patients with multiple metabolic disease.