• 농촌의학ㆍ지역보건
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• 제42권2호
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• pp.79-86
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• 2017

우울증과 대사증후군은 상호 연관성이 있으며, 영양소 섭취 상태가 두 질환의 발생과 예방에 영향을 미침에도 불구하고 대사증후군 환자를 대상으로 한 우울증 환자의 영양소 섭취 상태에 대한 연구가 국내는 물론 국외에서도 적은 편이다. 이에 본 연구는 국민건강영양조사에 참여한 대사증후군 환자를 대상으로 우울증과 영양소 섭취 상태의 연관성을 알아보고자 하였다. 본 연구는 국민건강영양조사 자료 중 제 6기 2차 (2014년) 자료를 분석하였으며, 만 20세에서 60세 사이의 대사증후군 환자 1.471명 중 의사에 의한 우울증 진단여부가 확인이 되는 1,334명을 최종 대상자로 하여 이들의 영양소 섭취 상태와 우울증과의 연관성을 분석하였다. 대사증후군 환자를 남녀로 구분하여 우울증 군과 정상 군의 영양소 섭취 상태를 비교하였을 때, 니아신 섭취량이 남성에서 각각 $14.5{\pm}6.7mg$과 $17.8{\pm}9.7mg$으로 우울증 군이 유의하게(P=0.047) 낮았고, 여성에서도 각각 $11.4{\pm}5.4mg$과 $13.1{\pm}8.0mg$으로 우울증 군이 유의하게(P=0.025) 낮았다. 결론적으로 본 연구에서는 대사증후군이 있는 성인에서 우울증이 니아신 섭취량과 관련이 있음을 확인할 수 있었다. 이는 대사증후군 환자에서 우울증에 대한 영양소 섭취 상태 평가가 의미가 있음을 시사하며, 또한 영양학적 중재가 대사증후군 환자의 우울증 유병을 감소시킬 수 있을 것으로 생각된다.

• 한국융합학회논문지
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• 제6권6호
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• pp.153-162
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• 2015

본 논문은 지역사회 재가 노인(65세 이상)의 인지수준에 영향하는 신체적 요인을 파악하기 위하여 수행되었다. 분석에 사용된 자료는 2010~2012년도 서울시 보건소 방문건강관리사업의 대상자 중 352명의 노인을 대상으로 하였다. 노인의 인지수준은 한국어판 하세가와 치매척도(HDS-K)를 사용하였으며, t-test, ANOVA, 다변량 회귀분석을 사용하여 노인의 인지수준에 영향하는 요인을 파악하였다. 연구대상자 중 13.6%에서 경도인지장애가 나타났다. 지역사회 재가 노인은 연령, 체중변화량, 체질량 지수 변화량, 걷기운동, 유연성 운동에 따라 인지수준의 차이가 나타났다. 특히 정상 체질량 지수를 보이는 노인들은 최근 2년간 체질량 지수가 3이상 감소된 그룹에서 인지수준이 가장 낮았다. 정상 체질량 지수를 보이는 노인의 인지수준에 영향하는 요인에는 연령, 최근 2년간 체중변화, 최근 2년간 체질량 지수 변화, 걷기 운동 등이 있었으며, 이들 변수들은 노인의 인지수준을 12.2% 설명하고 있었다. 그러므로, 최근 갑작스런 체질량 지수 변화가 있는 노인들의 인지 장애 예방을 위하여 이들에 대한 영양관리 및 걷기 운동 프로그램의 적용이 필요하다.

• 대한가정학회지
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• 제8권1호
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• pp.181-197
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• 1970

Farm households consumption pattern from 1960 to 1968 was analized as follows. First, the influence of the price on the consumption pattern was observed by year for 9 years. Second, the influence of farm households and by size of the consmption pattern was analized by year for whole household and by size of the arable land. Third, the present status and problems of farm families consumption pattern was attempted to be found out compared with the pattern of all families of Seoul. Forth, the pattern of food expenditure which has the largest proportion in the living expenditure was analized. Following results and conclusions are obtained from the above analysis.1. The average nominal increase rate of all farm households has been increased gradually for 9 years, mostly due to the rise in household goods prices paid by farmers. 2. The living expenditure varies with the price and the disposal income, The influence of the latter is greater than that of the former. 3. The Engel's Coefficient of farmers. the average of which was 54.9%, recently tends to decrease gradually. The larger is the size of arable land, the lower is the Coefficient of farm households. But the Coefficient of farm households is higher than that of city families. 4. In general the proportion of food expenditure has a great influence on the consumption pattern, The average percentage of miscellaneous expenditure is 23.9% and it is next to food expenditure. The relationship between them is going reversely. Housing expenditure has usually the constant proportion. But the difference of the proportion between farm households (4.0%) and city families (17.1%) is considerable. Clothing expenditure and fuel and light expenditure have small variations. The former tends to increase with the income, and the latter tends to decrease with it or is constant. 5. Considering the food expenditure pattern, the average percentage (78.4%)of staple food of farm household is remarkably high compared with Seoul (48.3%) and other cities (54.0%). The decrease of the percentage of staple food expenditure in farm households is not so much as cities. 6. The propertion of the staple food expenditure of Farm families don't have so much differences by the size of arable land. But the rice proportion of staple foods has the tendency to increase with the income level. Subsidery food expenditure doesn't increase by year and by size of the land, while the consumption of meat and manufactured foods tends to increase with size of the land. But even big farm households don't reach to the level of cities in consumption of them. 7. Food consumption pattern may be influenced by the factors such as the knowledge of wife about nutrition, customs, consumption habits, and so on. The difference between farm households and city families in food consumption pattern is inferred from the above factors. Presently, the increasing income of the people promote the consumption of all items of living expenditure both in cities and farm households. But the Engel's Coeffcient and the proportion of the staple food expenditure is expected to decrease in farm households more than in cities.

• 한국산업보건학회지
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• 제20권1호
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• pp.19-28
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• 2010

This study was designed to investigate the effect of increased blood and tibia lead on the change of bone mineral density in retired male lead workers. One hundred nine retired male lead workers who worked in 4 different lead industries and 51 nonoccupationally lead exposed male subjects were recruited from March 2004 to October 2004. Bone mineral density(BMD) was measured by broadband ultrasound attenuation(BUA) at left calcaneous bone area with broadband ultrasound attenuation method of QUS-2(Metra Biosystems Inc, USA). Tibia bone lead was measured for skeletal bone lead with K-xray fluorescence(K-XRF) and blood lead was analyzed with flameless atomic spectrophotometer. Hemoglobin, hematocrit, serum calcium and iron were also analyzed. In addition, information for smoking and drinking status and basic personal data such as age and lead exposure were also collected using questionnaire inquiry. Blood lead was correlated with tibia lead (r=0.711) and these two variables were negatively correlated with BUA in bivariate analysis. BUA and tibia lead showed significant main effects on the change of blood lead after adjusting covariates. The effect modification by the level of BMD (low: lower than the median of BUA and high: higher than the median of BUA) was observed between the association of tibia lead and blood lead after adjustment of covariates. The subjects who had higher BMD seemed to have lower blood lead by the increase of tibia lead than those of lower BMD. In the multiple regression analysis of blood lead and tibia lead on BUA after adjustment of covariates, only blood lead showed statistically significant effect on BUA. This study confirmed that BMD and blood lead were significantly associated. To verify the causal association of BMD on blood lead and vice versa, further longitudinal studies are needed.

• 한국조리학회지
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• 제17권4호
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• pp.121-139
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• 2011

본 연구는 초등학생들의 학교우유급식 실태를 조사하기 위하여 서울특별시에 거주하는 518명의 남여 어린이들을 대상으로 설문지 조사법으로 실시하였다. 조사 대상자의 88.2%가 학교우유급식에 참여하였으며, 남학생이 여학생에 비하여 학교우유급식 참여율이 유의적으로(p<0.05) 높았다. 학교우유급식에 참여하는 어린이들 중 81.8%가 급식으로 제공되는 우유를 매일 마셨으며, 제공된 우유에 대하여 47.9%의 어 린이들이 만족하였다. 학교우유급식에 참여하지 않는 이유로는 '우유의 맛이 없어서'와 '우유를 마시면 배가 아파서'가 주요 장애 요인으로 나타났다. 초등학생들의 30.7%만이 학교우유급식을 반드시 해야 한다고 생각하고 있었으며, 남학생이 여학생보다 유의적으로(p<0.05) 높았다. 학교우유급식에 대한 요구 사항은 흰우유 대신 가공우유와 요구르트가 제공되기를 원하였다. 따라서 우유 소비를 촉진시키고 학교우유급식의 참여도를 높이기 위해서는 어린이들의 요구에 맞는 다양한 종류의 우유와 유제품을 급식에 제공하고, 어린이들이 원하는 세심한 사항을 고려하여 개선해 나가야 할 것이다. 또한 어린이들을 위한 적절한 식품 가이드와 우유 교육 프로그램을 개발하여야 지속적으로 확대 실시해야 할 것으로 사료되었다.

• 여성건강간호학회지
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• 제5권1호
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• pp.133-145
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• 1999

The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.

• 동아시아식생활학회지
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• 제5권1호
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• pp.41-51
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• 1995

Bone mass accretion during puberty appears to be critical in the development of peak bone mass. Although bone density of females in Korea has been studied, only a few studies have related bone mass with anthropometric patterns or puberty in the pubescent girls. This study was conducted as part of a study of major determinants of bone development during puberty. Subjects were aged 14∼16 yr(mean 14.97), and had no history of disorders or dedication use likely to influence bone or calcium metabolism. Bone mineral density and content were measured by dual energy X-ray absorptiometry using a Lunar DPX+Scanner (Lunar Madison, WI). Also, total body fat, and total lean body mass were assessed using a Lunar DPX dual-energy X-ray absorptiometer, Pubertal status was assessed according to the Marshall and Tanner guidelines. Serum levels of osteocalcin was measured by RIA using a commercial kit assay. Skinfold measurements were taken with a skinfold caliper(Lange Caliper, USA). Data were analyzed using the regression and GLM procedure of the statistical package SAS. The results indicated that the observed means for lumbar spine BMD and femoral BMD correspond to approximately 91% and 96% of the means for young adult females, respec tively. All subjects were menarchal, with the majority being in the middle to end stages of pubertal development. Total body BMD was positively related to fat mass(P<0.001), lean body mass and time since menarche, and negatively related to urine pyridinoline, serum alkaline phosphatase and osteocalcin. The data indicate that girls who reported lower age for menarche had significantly higher bone densities than girls who reported higher age for menarche. Attaining peak skeletal bone mass during puberty may reduce the incidence of osteoporosis in later life. this finding suggests that early menarche may augment peak bone mass, influencing the extent of bone loss later in adulthood. The results suggest that good nutrition in childhood appears to be needed not for growth and development, but possibly also to assure an optimal peak of bone mass and thus greater latitude for the maintenance or skeletal integrity in the face of bone losses. Troeps skinfold thickness was a better predictor of total BMD and total BMC than was any other skinfold thickness. The study did not find a relationship between total BMD and body fat %, but total fat was significantly positively related to total BMD(r=0.49) and total BMC(r=0.60). It supports earlier report that there was a significant correlation between TBMD and body weight. Conclusively, total fat, lean body mass and pubertal development could influence BMD in pubescent girls. Clearly, longitudinal studies are required to assess the effect of puberty on peak bone mass, and to define further the potential determinants of peak bone mass.

• 동아시아식생활학회지
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• 제19권5호
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• pp.713-722
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• 2009

Vitamin D levels have been reported to be associated with diabetes, obesity and metabolic syndrome. There have been studies on the nutritional status of vitamin D in postmenopausal women at Seoul and premenopausal women at Busan, and these studies showed that nearly no relationship between serum vitamin D levels and the obesity index existed. However, there have been no studies that examined about the relationship between serum vitamin D levels and insulin resistance in Korea. In this study, we investigated serum vitamin D levels and the relationship between serum vitamin D levels and insulin resistance (homeostasis model assessment of insulin resistance), obesity index (body mass index, percentage of body fat and waist circumference) in 180 premenopausal women (non-obese women 87.8%, obese women 12.2%) in spring (March~April), fall (September~October) and winter (January~February) at Daejeon. Serum vitamin D levels were lower in winter than in spring-fall, after adjusting for age and the obesity index. The frequency of vitamin D inadequacy (serum vitamin D levels were $\leq$ 20 ng/mL) was 45.5% in winter and, 23.5% in spring-fall, and which showed that vitamin D inadequacy was higher in winter than in spring-fall. Multiple regression analysis showed that serum vitamin D levels had no relationship with the obesity index or insulin resistance. There was no difference in the obesity index or insulin resistance between the vitamin D inadequacy and normal group, and there was no relationship between serum vitamin D levels and the obesity index or insulin resistance in non-obese and obese premenopausal women, respectively. In conclusion, serum vitamin D levels in premenopausal women at Daejeon were lower in winter than in spring-fall, and the frequency of vitamin D inadequacy was higher in winter than in spring-fall. Serum vitamin D levels had no relationship with the obesity index or insulin resistance in premenopausal women, most of whom were not obese.

• Journal of Dairy Science and Biotechnology
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• 제38권2호
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• pp.70-88
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• 2020

대부분의 스타터 배양균은 유산균(LAB)군(group)에 속하며 미국 식품의약국(FDA)과 유럽식품안전청(EFSA)에 의해 안전하다고 인정받고 있다. 그러나, LAB는 항생제 내성(antibiotic resistance) 유전자를 위한 내적 또는 외적 저장소로 작용할 수 있다. 하지만 저항 유전자 전달이 수직이기 때문에 이 사실은 그 자체가 안전상의 문제가 아닐 수도 있다. 그럼에도 불구하고 외부 유전적 요소는 심각한 안전 문제를 나타내는 인체 장내 미생물뿐만 아니라 병원균의 저항성 수평 전달에 유리한 변화를 유도할 수 있다. 항생제 내성을 가진 유산균의 일부 속(genus)에는 발효육 및 유제품에서 분리된 Enterococcus, Lactobacillus, Lactococcus, Leuconostoc, Pediococcus, Streptococcus 등이 포함된다. 현재 WHO는 식품산업에서 사용되는 LAB는 저항이 없어야 한다고 권고하고 있다. 다행히도 한국의 식품의약품안전처가 인정한 프로바이오틱스 균주 중 Enterococcus에 해당되는 균주는 E. faecium과 E. faecalis인데, 2019년 4월 1일부터 E. faecium과 E. faecalis의 독성인자와 항생제 내성전달인자 모두 없다고 인정된 경우에면 사용이 허가된다. 따라서 LAB의 산업적 중요성을 고려할 때 앞으로 인체와 동물장관 유래의 LAB은 체계적인 탐색 및 동정, 병원성 및 항생제 내성 유전자의 확인, 식품 및 가축사료 첨가제로의 활용, 안전성 평가연구는 계속 필요하다고 사료된다.

• 한국융합학회논문지
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• 제9권9호
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• pp.123-133
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• 2018

본 연구는 전반적인 장애인의 건강수준과 구강보건행태를 평가하여 우식경험영구치지수와의 관련성을 파악하고자 하였다. 2013년 제 6기 1차년도 국민건강영양조사를 바탕으로 만 19세 이상 성인 장애인을 대상으로 하였다. 자료 분석은 성별에 따른 일반적 특성, 장애요인, 사회경제요인, 건강요인, 구강건강행태요인은 복합표본 교차분석을 하였고, 장애인의 우식경험영구치 지수에 영향을 미치는 요인을 파악하기 위해 복합표본 일반선형모형 분석을 하였다. 분석 결과, 우식경험영구치 지수는 여자에 비해 남자가, 연령이 높을수록, 교육수준이 낮을수록, 전신건강상태(EQ-5D)가 나쁠수록, 저작기능이 불편 할수록, 주관적 구강건강상태가 좋지 않을수록 더 높았다. 따라서 본 연구는 한국 성인 장애인의 전반적 구강건강상태를 객관적으로 파악할 수 있었으며, 이를 통해 장애인의 구강보건을 증진시킬 수 있는 포괄구강보건교육프로그램이 개발과 장애인의 구강건강 예방 및 관리에 대한 정책적 방안이 마련되어야 할 것이다.