• 사상체질의학회지
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• 제29권3호
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• pp.271-279
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• 2017

Objectives The purpose of this study is to investigate the efficacy of Sasang constitutional herb medicine for the treatment in postmenopausal women having various complaints. Methods From December 2016 to July 2017, four cases of women having climacteric complaints were extracted. Results Their main symptoms were hot flush, insomnia, sweating, cold sensation, and excitation. Their Sasang constitutional types were 2 Soyangin and 2 Taeeumin. Main symptomology of Soyangin was Chest-heat congested symptomology and that of Taeeumin was Esophagus-cold symptomology or Esophagus-cold Lung-dry Symptomology. Conclusions Their symptomolgies of Soyangin and Taeeumin lied in the Interior disease rather than Exterior disease, in the Advanced disease rather than Mild disease. It could show that Sasang constitutional medicine and management is possible to be indicated in climacteric disorders.

• 대한의생명과학회지
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• 제14권4호
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• pp.225-231
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• 2008

Non-alcoholic fatty liver disease (NAFLD) is associated with various metabolic abnormalities, including central obesity, type 2 diabetes, dyslipidemia, and high blood pressure. This suggests that NAFLD may represent the hepatic manifestation of the metabolic syndrome. In this study, we investigated unfavorable effects NAFLD on components of metabolic syndrome in post-menopause women. Eight hundred sixty-nine postmenopausal women were recruited for this study. The diagnosis of fatty liver was based on the results of abdominal ultrasonography. Serum levels of fasting glucose, total cholesterol, triglyceride, and HDL-cholesterol were measured. The prevalence of component of metabolic syndrome such as hypertension, hyperglycemia, hypertriglyceridemia, and low-HDL-cholesterol was significantly higher in subjects with NAFLD as compared with those without NAFLD. The moderate to severe grade of NAFLD presented higher levels of serum fasting glucose, fasting insulin, HOMA-IR, total cholesterol, and triglycerides than the mild NAFLD and the normal group. In conclusion, metabolic syndrome risk was increased in post-menopause women with NAFLD as compared with those without NAFLD. The severity of NAFLD affected metabolic syndrome risk factors. The optimal strategy for the treatment of NAFLD is likely to include lifestyle modifications and therapy to improve insulin resistance.

• 여성건강간호학회지
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• 제7권4호
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• pp.473-485
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• 2001

This cross-sectional design was to identify the age at menopause of Korean women and the levels of bothersome menopausal symptoms. In addition, examining relationships between the levels of bothersome menopausal symptoms and sociodemographic factors, body mass index, menopause-related factors, and life-style behavior factors including smoking, alcohol use, physical activity, and diet was done. Two thousand eight hundred seven naturally postmenopausal women aged between 41-65 years were recruited by self-selection from 7 metropolitans and 6 provinces in Korea from Dec. 20, 1998 to April 30, 1999. The age at menopause of Korean women was 49.2 years(mean) and 50.0 years (median). The menopausal age of Korean women has slightly increased compared to a previous study. Based on the demographic factors, residential area and socioeconomic status were associated with the bothersome levels of climacteric symptoms. In the case of the life-style behaviors analysis, only alcohol use and a preference for wheat were associated with the bothersome levels of climacteric symptoms, especially physical symptoms.

• Journal of Nutrition and Health
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• 제41권7호
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• pp.634-664
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• 2008

본 연구에서는 6개월간 폐경 여성을 대상으로 영양교육과 파워 워킹 프로그램을 실시한 영양교육군, 영양 교육 없이 파워 워킹 프로그램만 실시한 대조군으로 나눠 체중조절 프로그램을 실시 하였다. 그 결과, 두 군 모두 체중과 체질량 지수, 체지방량과 내장지방이 유의적으로 감소하였으나, 영양교육을 실시한 영양교육군에서 체중 감소율이 더 크게 나타났으며, 특히 폐경 여성들에게 문제 시 되고 있는 내장지방의 변화율이 더 유의적으로 감소하는 긍정적인 결과를 보였다. 또한 본 연구에서는 영양교육군 내에서 내장지방변화율에 따라 내장지방 감소율이 큰 군 (HVL group)과 내장지방 감소율이 적은 그룹 (LVL group)으로 나누어 체중조절 프로그램의 효과와 관련된 요인을 분석하였다. 그 결과 내장지방 감소율이 컸던 군에서 체중, BMI, 체지방, 복부지방, 내장지방 등의 체성분들의 변화율이 더 크게 나타났다. 혈압 및 혈액 성분에서는 수축기, 이완기 혈압과 총콜레스테롤, LDL 콜레스테롤, 중성지방, 동맥 경화 지수의 개선 정도가 더 큰 결과를 보였다. 또한 내장지방 감소율이 컸던 군이 내장지방 감소율이 적은 군에 비해 단백질, 칼슘, 비타민C의 INQ와 칼슘, 비타민 $B_1$, 비타민 $B_2$, 비타민 C의 MAR도 유의적으로 증가하여 식사의 질이 더 개선되었음을 알 수 있었다. 또한 단백질의 영양밀도 변화율은 체지방 분포의 변화율과 음의 상관관계를 나타낸 반면, 탄수화물 영양밀도의 변화율은 양의 상관관계를 나타내었고, 비타민 A 영양밀도 변화율은 총 콜레스테롤, LDL-콜레스테롤, 동맥경화 지수 변화율과 음의 상관관계를 보여, 영양교육에 따른 신체계측치 및 체성분의 변화가 영양소 섭취 변화와 관련이 있음을 보여주었다. 이는 영양 교육 및 중재에 있어 실천의 중요성을 강조하는 것으로 이를 위해서는 폐경 여성들의 대사적 특성과 더불어 생활 습관을 이해하고 만성 질병을 예방하고 올바른 식습관을 통해 건강한 삶을 유지할 수 있도록 식사의 균형성, 다양성을 포함한 권장 식사 지침을 제시하고, 적당한 식품 섭취량을 포함한 종합적인 프로그램을 개발하여야 할 것이다. 또한 이러한 페경 여성을 위한 전문적이며 체계적인 프로그램을 통해 폐경 이후 체중 및 체지방 증가를 예방하고, 나아가 만성질병을 예방, 관리할 수 있을 것으로 사료된다.

• Journal of Nutrition and Health
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• 제40권8호
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• pp.719-727
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• 2007

영양소 섭취수준과 골밀도 및 골대사 지표와의 관련성을 알아보고자 폐경 후 여성 225명을 대상으로 이들의 영양소 섭취량을 한국영양섭취기준의 권장섭취량 대비 75% 미만을 섭취하는 군과 $75{\sim}125%$ 섭취군, 125% 이상을 섭취하는 군으로 구분하여 영양소 섭취수준에 따른 골밀도, 골대사 지표물질인 소변의 디옥시피리디놀린, 칼슘의 배설량을 비교분석한 결과를 요약하면 다음과 같다. 1) 본 연구대상자의 골밀도 측정결과, 요추($L2{\sim}L4$)는 $0.86g/cm^2$이었으며, 대퇴경부가 $0.61g/cm^2$, 대퇴전자부는 $0.48g/cm^2$, 와드삼각부는 $0.42g/cm^2$를 나타났다. 본 연구대상자를 정상군(T값${\geq}-1$), 골감소증(-2.5${\leq}-2.5$)으로 구분한 결과, 와드삼각부는 전체 대상자중 79.1%, 대퇴경부는 전체의 67.6%가 골다공증인 것으로 나타났다. 2) 영양소섭취수준에 따른 골밀도를 비교한 결과, 단백질을 권장섭취량의 75% 미만 섭취하는 연구대상자의 대퇴경부 골밀도가 권장섭취량의 $75{\sim}125%$와 125% 이상을 섭취하는 군에 비해 유의적으로 낮았다(p<0.05). 3) 소변 디옥시피리디놀린 배설량은 단백질을 권장섭취량의 $75{\sim}125%$ 섭취하는 군에서 75% 미만과 125% 이상 섭취하는 군 보다 유의적으로 낮게 배설하는 것으로 나타났으며(p<0.05), 또한 칼슘을 75% 미만 섭취한 군과 125% 이상 섭취한 군보다 $75{\sim}125%$ 섭취한 군에서 소변의 디옥시피리디놀린의 배설이 유의적으로 낮게 나타났다(p<0.05). 4) 소변 칼슘배설량은 단백질 섭취수준이 권장섭취량의 75% 미만 섭취 군과 125% 이상 섭취 군보다 $75{\sim}125%$ 섭취 군에서 유의적으로 낮았고(p<0.05), 비타민 C의 경우도 권장섭취량의 75% 미만과 125% 이상 섭취군보다 $75{\sim}125%$ 섭취 군에서 유의적으로 낮았다(p<0.05). 5) 연령 보정 후 단백질, 칼슘의 권장섭취량에 대한 비율은 대퇴경부 골밀도(각 p<0.05, p<0.01)와 유의적인 양의 상관관계를 보였다. 또한 단백질(p<0.01)과 비타민 C(p<0.01), 나이아신(p<0.05)의 섭취량은 소변 중 칼슘 배설량과 유의적인 양의 상관관계를 나타내었다. 이와 같이 폐경 후 여성에게서 영양소 섭취수준에 따라 골대사 지표물질의 농도에도 차이를 보였으며, 특히 단백질의 섭취수준과 칼슘, 비타민 C의 섭취량이 유의적으로 영향을 미쳐 부족하거나, 과잉되지 않는 적정 섭취 범위 내에서 골용출이 감소하는 것으로 나타났다. 따라서 폐경 이후 여성의 골격건강을 위하여 영양소의 적정섭취가 중요하며 부족뿐만 아니라 건강을 염려한 특정영양소의 과잉 섭취도 바람직하지 않은 요인임을 확인할 수 있었다.

• 여성건강간호학회지
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• 제16권3호
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• pp.224-233
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• 2010

Purpose: This study explored the relationships among obesity, bone mineral density, and cardiovascular risks in post-menopausal women. Methods: One hundred post-menopausal women were recruited via convenience sampling from osteoporosis prevention program participants who were living in a metropolitan city in September 2006. Obesity was evaluated by body mass index, bone mineral density measured by DEXA scan, and cardiovascular risk factors assessed by a guideline of American Heart Association. Results: Seventy-two percent of women were either in the osteopenia or osteoporosis group, while 28% were in normal range in lumbar vertebrae. Obese women had greater bone mineral density in lumbar (F=3.31, p=.040) and femur (F=4.72, p=.011). Variables for cardiovascular risks were significantly different for high density lipoprotein (F=7.51, p=.001), systolic blood pressure (F=5.21, p=.007), and in percent of 10-year cardiovascular disease risk according to obesity. Conclusion: Post-menopausal women are at risk for obesity, osteoporosis, and cardiovascular disease. In order to prevent these conditions, nursing interventions such as resistance and aerobic exercise that reduces body weight and bone loss, increases high density lipoprotein, and reduces systolic blood pressure, should be proposed continually through health promotion programs for postmenopausal women.

• 한방비만학회지
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• 제8권1호
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• pp.81-88
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• 2008

Objectives To investigate the relationship between Heart Rate Variability and menopause among obese middle-aged women in Korea. Subjects and Methods Forty middle-aged women (age 49.05 $\pm$ 2.64 years) with BMI > $23kg/m^2$ were recruited by local advertisement. Blood profiles of estrogen, FSH, LH, glucose, total cholesterol, HDL-cholesterol, and triglyceride were measured. Autonomic Nervous System (ANS) was estimated by short-term spectral analysis of heart rate variability (HRV). Visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) were accessed using Computerized Tomography (CT), Bioimpedance Analysis (BIA), and anthropometry. To scrutinize the influence of ANS on obesity-related factors, we divided the subjects into pre- and post-menopausal women. Results The total cholesterol, FSH and LH were significantly higher in post-menopausal obese women group. The estradiol and standard deviation of all normal R-R intervals (SDNN), high-frequency components (HF) of the HRV were significantly lower in postmenopausal obese women group (P<0.05). Adipose tissue distribution and blood profiles were not significantly different between two groups. Conclusion Menopause induced a decrease in SDNN and HF values and increase in total cholesterol level in obese women although the VAT itself was not related with ANS in obese women.

• 대한지역사회영양학회지
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• 제5권1호
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• pp.109-119
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• 2000

The purpose of this study was to measure serum lipids concentrations by gender and age, and to investigated the relation of serum lipids levels to cigarette smoking alcohol intake exercise and menopausal status in Korean adults. The subjects consisted of 463 healthy adult(29- men and 173 women) volunteers who were visiting the health Promotion Center in the Asan Medical Center from July 1, 1994 to July 22, 1994 Subjects were ambulatory free-living people and aged 20- 80 years, Anthropometric measurement was performed and serum triglyceride(TG), HDL-cholesterol and total cholesterol(TChol) concentrations were measure by automatic system(Hitachi 736-40). Data on life styles were obtained using structured questionnaires issued by a trained interviewer, All data were statistically analyzed by PC-SAS(Version 6.04) Serum concentrations of triglyceride and total cholesterol was higher(p<0.05) in men than in women, and serum HDL-cholesterol was lower(p<0.05) in men than in women. The prevalence of hyperlipidemia(TG>170 mg/dL and TChol>220 mg /dL) was 12.5% in men and 4.1% in women. The levels of serum triglyceride, total cholesterol and BMI increased with age in women. The distribution curves of serum triglyceride, total cholesterol and LDL-cholesterol of women were located in lower increased more rapidly with aging than in men, The distribution curves of BMI of women increased with aging after the thirties, The BMI of women was located in higher levels than of men in their sixties. The serum concentration of triglyceride and total cholesterol of male current-smokers and non- smokers were significantly(p<0.05) higher than those of ex-smokers. The concentrations triglyceride the male current0drinkers were higher(p<0.05) than those of male non-drinkers. In non-smokers and non- drinkers, serum TG concentration were lower (p<0.05) than those of current-smokers and current-drinkers. In exercisers, the serum triglyceride concentration was significantly(p<0.05) lower than in non- exercisers. In postmenopausal woman BMI and serum concentrations of TChol, TG and LDL-Chol were significantly by age and gender and smoking alcohol drinking, exercise and menopausal staus might be a better indicator to predict serum lipids in both genders.

• 생명과학회지
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• 제16권7호
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• pp.1219-1224
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• 2006

여성의 폐경에 의한 estrogen의 감소는 골다공증을 유발시킨다고 알려져 있다. 최근 새로운 식품으로 각광받고 있는 매생이 추출물을 인위적 갱년기 장애를 유발시킨 흰쥐에 투여하여 혈 중 ALP활성 변화와 골 중의 collagen의 함량 및 collagen 가교물질 pyridinoline과 deoxypyridinoline 함량 변화를 측정하여 그 효과를 검토해 보았다. 매생이 추출물을 갱년기를 유도한 흰쥐에 투여하여 혈 중 ALP활성 변화에 미치는 영향을 검토한 결과 난소절제에 의하여 ALP활성이 증가하였으나, 매생이 추출물 투여한 군에서 ALP활성이 억제되는 것을 확인할 수 있었다. 또한 난소절제에 의해 연골의 collagen 함량이 감소되었는데, 이는 매생이 추출물을 투여함으로써 정상적인 수치로 증가하는 경향을 나타내어 매생이 추출물이 골 대사와 관련된 골 대사질환에 유효한 효과를 나타낼 것으로 추측된다. 또한 collagen 가교물질로써 골대사의 biomaker인 pyridinoline 및 deoxypyridinoline의 연골 중의 함량은 난소절제에 의해 감소하였고, 매생이 추출물 투여에 의해 증가하여 estrogen부족으로 인한 골 손실에 매생이 추출물이 유익한 효과를 가지는 것으로 보이며, 이는 매생이 중에 함유되어 있는 phytoestrogen에 의한 것으로 추측되어 앞으로 구체적인 검토가 필요한 것으로 사료된다.

• 대한지역사회영양학회지
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• 제16권5호
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• pp.569-579
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• 2011

The purpose of this study was to determine the urinary Ca, P, Mg, Zn, Cu, and Mn levels and bone mineral density (BMD) in sixty-two postmenopausal women. The study was conducted through anthropometric checkup, 24-hour recall, 24-hour urine and bone mineral density using DEXA. Average age, height, weight and body fat of the subjects were respectively 65.39 years, 150.19 cm, 58.03 kg and 37.22%. The average spine and femoral neck BMD of subjects were -2.19, -3.13. The mean intakes of Ca, P and Mg were 524.7 mg, 993.10 mg, and 254.6 mg and those of Zn, Cu and Mn were 8.6 mg, 1.5 mg, and 3.5 mg. The average 24-hour urinary excretion of Ca (UCa), P (UP) and Mg (UMg) were 161.07 mg, 673.68 mg, and 99.87 mg. The average 24-hour urinary excretion of Zn (UZn), Cu (UCu) and Mn (UMn) were 366.50 ${\mu}g$, 22.57 ${\mu}g$, and 1.55 ${\mu}g$. Ca intake showed significantly positive correlations with urinary UCa (p < 0.05), UMg (p < 0.01) and spine BMD (p < 0.05). P intake showed significantly positive correlations with UCa (p < 0.05), UMg (p < 0.05) and UZn (p < 0.05). Mg intake showed significantly positive correlations with UZn (p < 0.05) and Mn intake showed significantly positive correlations with UCa (p < 0.05). Multiple regression analysis indicates that Ca intake and UMg is the most important factor to increase spine BMD. On the other hand, UCa is the most important factor to decrease spine BMD. Higher femoral neck BMD was related to UP, while lower femoral neck BMD was related to UCa. In conclusion, Dietary intake of Ca showed positive effect of spine BMD, while excessive P intake showed negative effect on BMD due to increases in UCa, UMg and UZn. Further studies are required to investigate the relationship between bone metabolism and mineral excretion.