• 한국융합학회논문지
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• 제10권2호
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• pp.113-124
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• 2019

본 연구는 곡류 섭취수준과 식품과 영양소 섭취량간의 연관성을 확인하기 위해 40~65세 중국 중년여성 218명을 대상으로 조사한 융합연구이다. 데이터는 SPSS 22.0 프로그램을 이용하여 ${\chi}^2$ test, ANOVA, 상관분석과 Jonckheere-Terpstra 분석을 시행하였다. 연구결과, 대상자의 곡류군 섭취수준이 높을수록 아침결식(p for trend=0.000), 과식(p for trend=0.019) 및 외식(p for trend=0.003) 비율이 감소하였다. 대상자의 곡류군 섭취수준이 6~9단위인 경우, 에너지 1,000 kcal당 서류(p for trend=0.008), 육류(p for trend=0.043), 콩류(p for trend=0.020), 담색채소류(p for trend=0.015) 섭취량이 증가하였다. 따라서 중년여성들의 곡류군 섭취가 적절하게 이루어질 수 있도록 피드백을 통한 지속적인 교육과 개선방안을 위한 논의와 연구가 필요하다.

• International Journal of Advanced Culture Technology
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• 제4권3호
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• pp.24-38
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• 2016

The purpose of our study is to analyze the effect of socio-economic status on the diet pattern of Korean adults. Raw data from the fifth (2010-2012) Korea National Health and Nutrition Examination Survey (KNHANES) were used, and finally 11,700 adults were analyzed as subjects. Results in consideration of the socio-economic status of the subjects, a linear trend was observed in men in which the odds ratio of having lunch (p for trend=0.006) and dinner (p for trend=0.0317) decreased as the level of education went down. In diet frequency, a decreasing trend (p for trend=0.0328) was observed in which the odds ratio of having 3 meals a day reduced as the household income lowered. For women, a linear trend (p for trend=0.0012) was observed in which the frequency of dinner decreased as the level of education became lower. A falling trend in the rate of having 3 meals a day was also observed (p for trend=0.0135). Our study analyzed the characteristics of the diet patterns of individuals according to their socio-economic status with the purpose of suggesting guidelines for correcting. To prevent this, we will need education and awareness and public attention for the practice of correct eating habits.

• Nutrition Research and Practice
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• 제7권3호
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• pp.224-232
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• 2013

The objective of this study is to identify the dietary patterns associated with the risk of hypertensions among Korean adults using data from the Korean National Health and Nutrition Examination Survey (KNHANES, 2008-2010). This study analyzes data from 11,883 subjects who participated in the health and nutrition survey, aging from 20 to 64 years. We performed factor analysis based on the weekly mean intake frequencies of 36 food groups to identify major dietary patterns. We identified three major dietary patterns in both sexes, namely "traditional", "western" and "dairy and carbohydrate" patterns. Participants in the highest quartile of western pattern scores had significantly higher blood pressure, serum total cholesterol, and triglyceride levels than those in the lowest quartile. Although not statistically significant, a trend (P for trend = 0.0732) toward a positive association between the western dietary pattern and hypertension risk was observed after adjustments for age, sex, education, income, body mass index (BMI), smoking, physical activity, and energy intake. The dairy and carbohydrate pattern was inversely related with BMI and blood pressures and positively associated with serum high-density lipoprotein (HDL)-cholesterol. After adjusting the age, sex, education, income, BMI, smoking, physical activity and energy intake, the dairy and carbohydrate pattern showed inverse associations with hypertension prevalence (OR = 0.64, 95% CI = 0.55-0.75; P for trend < 0.0001). Intakes of fiber, sodium, and antioxidant vitamins were significantly higher in the top quartile for the traditional pattern than in the lowest quartile for the traditional pattern (P for trend < 0.0001). Intakes of fiber (P for trend < 0.0001), calcium (P for trend < 0.0001), retinol (P for trend = 0.0164), vitamin $B_1$ (P for trend = 0.001), vitamin $B_2$ (P for trend < 0.0001), niacin (P for trend = 0.0025), and vitamin C (P for trend < 0.0001) were significantly increased across quartiles for the dairy and carbohydrate pattern whereas sodium (P for trend < 0.0001) intake was decreased for this pattern. In conclusion, the dairy and carbohydrate pattern may be associated with a reduced risk of hypertension whereas the western pattern may be associated with an increased risk of hypertension among Korean adults.

• 한국가정과교육학회지
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• 제35권1호
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• pp.1-14
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• 2023

본 연구는 2007~2016 국민건강영양조사 자료를 이용하여 한국 여성의 탄수화물과 지방 섭취 수준에 따른 대사증후군 유병율에 대한 연관성을 파악하고자 실시하였다. 연구대상은 만 19~69세의 여성으로 임신 또는 수유중인 경우를 제외한 총 22,850명을 중심으로 분석하였다. 식이 섭취 조사는 24 시간 회상법을 이용하여 탄수화물과 지방의 섭취량에 따라 5가지 군으로 구분하였다. 교란 변수(연령, 가구소득, 흡연, 음주, 운동, 에너지 섭취량, 체질량 지수, 단백질 섭취량)을 통제한 후, 들을 통제한 후, 회귀분석과 일반 선형 모형으로 탄수화물 및 지방 섭취율에 따른 대사증후군 구성요소와의 관계를 분석하였다. 탄수화물을 가장 많이 섭취하는 군은 가장 적게 섭취하는 군에 비해 중성지방(p for trend=0.04), 허리둘레(p for trend<0.01), 그리고 수축기 혈압(p for trend<0.01) 이 유의하게 높았으며, HDL 콜레스테롤(p for trend<0.01)은 낮았다. 지방을 가장 많이 섭취하는 군은 적게 섭취하는 군에 비해 허리둘레(p for trend=0.02), 중성지방(p for trend<0.01), 그리고 수축기 혈압(p for trend<0.01)은 낮았던 반면, HDL 콜레스테롤(p for trend<0.01)은 더 높았다. 또한 탄수화물을 가장 많이 섭취하는 군에서 대사증후군 유병율이 나타났으며(5^th quintile vs. 1^st quintile, OR: 1.32; 95% CI: 1.11 to 1.57) 지방을 가장 많이 섭취한 군에서는 대사증후군 유병율이 더 적게(5^th quintile vs. 1^st quintile, OR: 0.73; 95% CI: 0.61 to 0.86) 나타났다. 연구 결과, 한국 여성에 있어서 과도한 탄수화물의 섭취와 적은 지방의 섭취는 대사증후군의 유병율과의 관계가 있음을 확인할 수 있었다.

• Parasites, Hosts and Diseases
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• 제60권5호
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• pp.327-338
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• 2022

This study determined the recent status and trend of Pneumocystis jirovecii pneumonia (PcP) in the non-human immunodeficiency virus (HIV) (non-HIV-PcP) and HIV (HIV-PcP) infected populations using data from the Health Insurance Review & Assessment Service (HIRA) and the Korea Disease Control and Prevention Agency (KDCA). SaTScan and Join-point were used for statistical analyses. Non-HIV-PcP cases showed an upward trend during the study period from 2010 to 2021, with the largest number in 2021 (551 cases). The upward trend was similar until 2020 after adjusting for the population. Seoul had the highest number of cases (1,597) in the non-HIV-PcP group, which was the same after adjusting for the population (162 cases/1,000,000). It was followed by Jeju-do (89 cases/1,000,000). The most likely cluster (MLC) for the non-HIV-PCP group was Seoul (Relative Risk (RR)=4.59, Log Likelihood Ratio (LLR)=825.531), followed by Jeju-do (RR=1.59, LLR=5.431). An upward trend was observed among the non-HIV-PcP group in the Jeju-do/Jeollanam-do/Jeollabuk-do/Gyeongsangnam-do/Busan/Daejeon/Daegu/Ulsan joint cluster (29.02%, LLR=11.638, P<0.001) located in the southern part of Korea. Both women and men in the non-HIV groups showed an overall upward trend of PcP during the study period. Men in the 60-69 age group had the highest annual percentage change (APC 41.8) during 2014-2019. In contrast, the HIV groups showed a falling trend of PcP recently. Men in the 60-69 age group had the most decrease (APC -17.6) during 2018-2021. This study provides an analytic basis for health measures and a nationwide epidemiological surveillance system for the management of PcP.

• 한국식생활문화학회지
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• 제35권1호
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• pp.107-116
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• 2020

There is only limited evidence for the association between fruit and vegetable consumption and mental health in Korea. This study examined the relationship between fruit and vegetable consumption and mental health according to physical activity among Korean adult women. Based on data of the Korean National Health and Nutrition Examination Survey (2014-2016), a total of 5,332 participants were included in this analysis. With increasing fruits and vegetables consumption, the prevalence of depressive mood was significantly decreased (p for trend=0.0248). The prevalence of stress perception (p for trend=0.0422) and the prevalence of depressive mood (p for trend=0.0300) were decreased with increasing fruit consumption. The prevalence of depressive mood was significantly decreased when fruit and vegetable consumption (p for trend=0.0370) and fruit consumption (p for trend=0.0356) were increased for those Korean women with low intensity of physical activity. For the obesity group (Body mass index 25 kg/㎡), the prevalence of depressive mood was decreased with increasing fruit and vegetable consumption (p for trend=0.0111) and increasing fruit consumption (p for trend=0.0165). In conclusion, fruit and vegetable consumption were associated with mental health according to physical activity among Korean adult women. Further prospective studies are warranted to explore the association between fruit and vegetable consumption and mental health among Korean adult women.

• 한국식생활문화학회지
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• 제36권6호
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• pp.571-582
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• 2021

This study investigates the relationship between vitamin C intake and obesity prevalence among Korean adults. Based on data of the Korean National Health and Nutrition Examination Survey (2016-2017), a total of 1,356 participants were included in this analysis. Increasing the dietary vitamin C intake resulted in a significantly decreased occurrence of BMI obesity prevalence (p for trend=0.0194) and WC obesity prevalence (p for trend=0.0452). Moreover, increasing the dietary vitamin C intake of Korean adults having a high frequency of eating breakfast resulted in significantly decreased BMI obesity prevalence (p for trend=0.0406) and WC obesity prevalence (p for trend=0.0432). Among the Korean adults who ate out frequently, decreased BMI obesity prevalence was determined with increased intakes of dietary vitamin C (p for trend=0.0193) and total vitamin C (food and dietary supplements) (p for trend=0.0429), whereas significant decrease in WC obesity prevalence was observed with increased dietary vitamin C intake (p for trend=0.0484). Our results provide conclusive evidence that consumption of dietary vitamin C is associated with obesity prevalence in Korean adults, according to their habits of eating breakfast and frequency of eating out.

• 대한치과교정학회지
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• 제42권1호
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• pp.11-16
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• 2012

Objective: This study aimed to evaluate the mean age of menarche, its secular trend in Korean women, and the relationship between malocclusion and the rate of skeletal maturation, as defined by menarcheal age. Methods: We retrospectively collected data on menarcheal age from 931 Korean women born during 1961 - 1997. Subjects were divided by the malocclusion type and birth-year decade into 3 and 4 groups, respectively. The mean menarcheal age for each group was determined, and one-way ANOVA was performed for intergroup comparison (p = 0.05). Two-way ANOVA was also performed to compare all the 12 subgroups (p = 0.05). Results: The mean age of menarche was 12.82 years for Korean women born during 1961 - 1997. A distinct downward secular trend of menarcheal age was noticed (p < 0.05). For the birth-year decade 1961 - 1970, the Class III malocclusion group showed earlier onset of menarche than the other malocclusion groups (p < 0.05), but the other birth-year groups did not show any significant difference in the type of malocclusion (p > 0.05). Conclusions: A positive secular trend towards earlier menarche exists among Korean women. Malocclusion does not show any significant relationship with the rate of skeletal maturation, as defined by menarcheal age.

• Tuberculosis and Respiratory Diseases
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• 제64권3호
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• pp.187-193
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• 2008

연구배경: 다제내성결핵과 광범위내성결핵은 전세계적으로 결핵 치료에 큰 위협으로 등장하고 있지만 이에 대한 국내의 정확한 실태 및 추이는 잘 알려져 있지 않다. 일개 결핵병원에서 다제내성결핵과 광범위내성결핵의 빈도 및 추이를 살펴봄으로써 국내 실태를 간접적으로 파악하고자 하였다. 방법: 2001년부터 2005년 사이에 국립마산병원에 입원하여 배양양성 결핵으로 진단된 환자를 대상으로 약제 감수성검사 결과와 의무기록을 후향적으로 분석하였다. 결과: 2001년부터 2005년 사이에, 다제내성결핵은 신환자에서 9.2%, 13.8%, 16.9%, 23%, 27.0%로 의미있게 증가하였고(p<0.001 for trend) 재치료환자에서 9.1%, 15.7%, 17.3%, 19.9%, 19.1%로 의미있게 증가하였다 (p=0.002 for trend). 광범위내성결핵은 신환자에서 0%, 2.3%, 3.1%, 2.5%, 6.3%로 의미있게 증가하였고(p=0.005 for trend) 재치료환자에서 9.1%, 15.7%, 17.3%, 19.9%, 19.1%로 의미있게 증가하였다(p<0.001 for trend). 결론: 다제내성결핵과 광범위내성결핵은 신환자와 재치료환자 모두에서 증가하는 추이를 보였다. 국내의 정확한 실태 파악을 위하여 공공 및 민간의료기관을 포괄하는 통합적인 약제내성실태 조사가 필요할 것으로 사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6561-6568
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• 2015

Background: Smokeless tobacco (SLT) has long been realized as an important component of the fight for global tobacco control. It still remains a major problem in countries like India, Bangladesh and Nepal. The objective of this study was to estimate the trends of SLT use in three countries of the SEARO WHO office. Materials and Methods: We used data from national surveys in three countries (Bangladesh, India and Nepal) to estimate trends in prevalence of current SLT use. All available nationally representative data sources were used. Estimates were weighted, age standardized and given along with 95% confidence intervals. Significance of linear trend in prevalence over time was tested using the Cochrane-Armitage test for trend. A p value of less than 0.05 was considered statistically significant. Results: We identified three surveys for Bangladesh, three for India and four for Nepal that met the selection criteria (such as Demographic and Health Surveys, WHO-STEPwise approach to Surveillance and Global Adult Tobacco Surveys). A significantly increasing trend was noticed in the prevalence of current SLT use among Bangladeshi men (20.2% to 23%, p=0.03). In India, a similar significantly increasing trend was seen among men (27.1% to 33.4%, p<0.001) and women (10.1% to 15.7%, p<0.001). In Nepal, there was a no significant trend among both men (39.1% to 31.6%, p=0.11) and women (5.6% to 4.7%, p=0.49). Conclusions: In the study countries SLT use has remained at alarmingly high levels. Usage trends do not show any signs of decline in spite of control efforts. Tobacco control measures should focus more on controlling SLT use.