• 제목/요약/키워드: risk management behavior

검색결과 536건 처리시간 0.048초

한국청소년의 자살생각 및 우울감의 위험요인으로서의 외로움, 2020-2021년 (Loneliness as a Risk Factor for Suicidal Ideation and Depressive Mood Among Korean Adolescents in 2020-2021)

  • 송인명
    • 산업융합연구
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    • 제21권5호
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    • pp.77-85
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    • 2023
  • 자살은 한국 청소년의 주요 사망 원인입니다. 자살 생각과 우울 증상의 위험 요인으로서 외로움의 역할에 대한 관심이 높아지고 있다. 그러나 한국 상황에 대해서는 알려진 바가 거의 없다. 본 연구는 2020년과 2021년 한국청소년건강행태조사에 참가한 총 109,796명의 응답자를 분석하였다. 외로움과 자살 생각 및 우울감 사이의 연관성을 시험하기 위해 다중 로지스틱 회귀 모델을 이용하였다. 공변량으로는 인구학적 특성, 학교, 가계 소득, 생활 방식, 자가 평가 건강, 및 폭력으로 인한 치료 횟수가 포함되었다. 보정 오즈비(OR) 및 95% 신뢰 구간(CI)을 산출하였다. 청소년의 12.0%는 자주, 3.0%는 항상 외로움을 느낀다고 보고하였다. 자살생각과 우울감의 유병률은 각각 11.8%과 26.0%이었다. 자살생각의 유병률은 자주 외로운 청소년(35.1%)보다 항상 외로운 청소년(52.6%)에서 더 높았다. 전혀 외로움을 느끼지 않은 청소년에 비해서 항상 외로운 청소년은 자살 생각(OR=30.7; 95% CI, 27.1 - 34.8)과 우울함(OR=32.5; 95% CI, 29.2 - 36.4)을 가질 위험이 훨씬 더 높았다. 결론적으로 외로움은 한국 청소년의 자살생각과 우울감의 주요 위험요인이다. 외로움의 상태를 모니터링하고 해결하는 것이 자살생각과 우울감을 줄이는데 도움이 될 수도 있다.

경기지역 노인의 건강과 식생활관리 II - 75세 미만의 젊은 노인과 75세 이상 고령 노인 비교 - (The Elderly Health and Dietary Management in Gyeonggi Province II - Comparison with Younger Old and Older Old -)

  • 이승교;최미용;원향례
    • 한국지역사회생활과학회지
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    • 제17권1호
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    • pp.141-154
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    • 2006
  • The purpose of this study is to provide the information of the aged olds for which basic data are almost no available. The subjects were divided on the base of age 75. The elderly under 75 were named 'the young olds' and over 75 were 'the aged olds'. The aim of this research is to promote health and to improve nutrition, and the survey was made for health promotion behaviors, habits against health risk, dietary management status and diet intake. And it was conducted by 24 hr-recall method and analyzed by nutrients intake. 242 subjects were collected in 12 cities or counties in Gyeonggi Province and 20 elderly people (10 male and 10 female) were selected out of 1 village in each district. Questionnaire about health behavior and dietary management was carried out by interview method through regional home extension workers. Statistical analyses were made by SAS (version 8.1) and Chi-square tests and General Linear Models were used. Out of the subjects the aged olds over 75 was 31.9%, elementary school educated (93.5%), with spouse (40.3%), with adult children(28.6%), monthly living cost of 500-1,000 thousand won(40.3%). Mean age was 78.82 years compared with 69.75 years of the young olds. 46.8% of the aged olds used monthly pocket money over 1000 won and it was lower than 63.3% of the young olds. Only half of the aged olds had regular exercise of walking (77.8%) or with athletic equipment (17.8%). However, the young olds did more frequent walking (82.1 %) and less exercise with athletic equipment (4.8 %), which was significantly different. Kinds of disease were different with the young or the aged olds, as more proportion of cardiovascular disease(37.9%) for the young olds and joint lumbago neuralgia(41.6%) for the aged olds. Dietary management was good (3 meals per day: 93.4%, fixed mealtime: 72.4%, and regular amount: 79.9%). But there was significant difference in side dish varieties and kinds of snacks; for the aged olds only 8% had over 5 sorts (compared with 18.8% of the young olds) and the kinds of snacks were cookie, candy, juice, carbonated beverage for the aged olds (compared with noodle, milk, soybean-milk for young olds). The ratio of nutrients intake (energy, riboflavin and niacin) with RDA was significantly higher for the aged olds than that of the young olds. The surveyed subjects had no difficulties in Activities of Daily Living (ADL), but some of the aged olds had difficulties in Instrumental Activities of Daily Living (IADL) like housekeeping, using transportation, going shopping and making phone calls. These results suggest that low quality of life is linked with low economic status of the rural elderly and congregate meal at village hall would be required because of the lack of side dishes variety for the aged olds. And nutrition education program about good snacks and exercise practice would be needed for the aged olds. By operating nutrition education program the aged olds would enjoy better quality life maintaining or ameliorating IADL abilities.

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경기지역 노인의 건강과 식생활관리 I - 노인의 성별 비교 - (The Elderly Health and Dietary Management in Gyeonggi Province - Comparison with Gender Difference -)

  • 원향례;이승교;최미용
    • 한국지역사회생활과학회지
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    • 제17권1호
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    • pp.123-139
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    • 2006
  • The purpose of this study is to search how to promote health and improve nutrition and health care of the elderly people in rural area. Behaviors for health promotion and habits against health risk were surveyed. Dietary management was analyzed for surveyed nutrient intake by 24 hr -recall method. 242 subjects were collected in 12 cities or counties in Gyeonggi Province and 20 elderly people (10 male and 10 female) were selected out of 1 village in each district. Questionnaire for health behavior and dietary management was carried out by trained interviewers. Statistical analyses were made by SAS (version 8.1) and Chi-square tests and General Linear Models were used. Characteristics of the elderly people were 61-74 year-olds (68.2%), elementary school educated (78.4%), with spouse (51.7%), monthly living cost of 500-1,000 thousand won(43.4%), and monthly pocket money of 50-100 or 100-200 thousand won(33.5%, 26.5%). 41.4% of the subjects checked up medical examination regularly. The alcohol drinking status was significantly different according to gender: high no-drink rate of female (52.5%) and low no-drink rate of male (25.6%). Kinds of disease were different according to gender: higher proportion of cardiovascular disease(46.3%) and diabetes mellitus(8.1 %) in male and joint lumbago neuralgia(44.4%) and osteoporosis(8.6%) in female. Gastrointestinal complaints were nausea (69.0%) and chronic indigestion (17.8%). Constipation (12.0%) and vomiting (4.3%) were more frequent in female. Dietary management was good (3 meals per day: 93.4%., dining with family: 72.4%, regular mealtime: 72.4%, and 3-4 times of snacks per week: 44.9%) except side dish taking of 3-4 kinds only. However, almost one-third of the female elderly ate alone (30.6%) which was well compared with one-fifth of the male (19.7%). And food and nutrients intake were not significantly different according to gender except that male elderly's intake of energy and protein was lower than that of female's. The surveyed subjects had no difficulties in Activities of Daily Living (ADL), but some female elderly had some difficulties with Instrumental Activities of Daily Living (IADL) like working at home, using transport, and going shopping. These results suggest that low quality of life linked with low economic status of the rural elderly and that congregate meal at village hall would be required for the female elderly eating alone. For the undernourished male elderly, it would be needed to provide snacks and to establish nutrition and health surveillance system.

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택배 서비스 이용자의 프라이버시 침해 경험이 심리와 행동에 미치는 영향에 대한 이해: 태도이론 측면 (Understanding Privacy Infringement Experiences in Courier Services and its Influence on User Psychology and Protective Action From Attitude Theory Perspective)

  • 임세헌;김단종;유현미
    • 경영정보학연구
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    • 제25권3호
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    • pp.99-120
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    • 2023
  • 본 연구는 택배 이용자의 프라이버시 침해 경험이 프라이버시 심리와 행동에 미치는 영향을 조사하였다. 택배 이용자가 프라이버시 침해 경험을 가지고 있는가에 따라, 프라이버시 침해 사건에 대해 학습이 이루어지고, 인지가 형성되고, 감정이 형성되고, 행동이 나타난다. 이러한 택배 이용자의 프라이버시 심리의 변화 과정은 프라이버시 보호 행동 반응을 예측하는데 중요하다. 본 연구에서는 태도이론을 응용해 택배 이용자의 프라이버시 심리를 설명하기 위한 연구의 이론적 프레임워크를 개발하였다. 이 프레임워크에 기반해, 택배서비스 이용자의 프라이버시 침해 경험, 인지된 프라이버시 위험, 프라이버시 염려 (즉, 개인정보 오류에 따른 염려, 비인가된 이차 이용에 따른 염려, 개인정보 수집에 따른 염려, 부적절한 개인정보에 대한 접근 염려), 프라이버시 보호 행동의 관계를 분석하였다. 본 연구에서는 제안된 연구모델에 대해 택배서비스 이용 경험이 있는 사람들을 대상으로 설문조사를 하였고, SMART-PLS 구조방정식 소프트웨어를 이용해 실증분석을 하였다. 본 연구의 실증분석 결과는 택배 이용과정에서의 프라이버시 침해 경험, 프라이버시 위험, 프라이버시 염려, 그리고 프라이버시 보호 행동 사이에는 인과관계가 존재하는 것으로 나타났다. 본 연구결과는 안전한 택배 서비스를 위한 프리이버시 보호 행동 연구에 유용한 이론적 시사점을 제공해 주었고, 더불어 보다 안전한 택배 비즈니스 모델 개발에 유용한 실무적 시사점을 제공해 주었다.

관상동맥질환자에게 제공한 의료인의 식이 및 운동권고, 운동자기효능감이 규칙적인 운동이행에 미치는 영향 (Effect of Diet and Exercise Recommendations Provided by Medical Staff to Patients, and Exercise Self Efficacy with Coronary Artery Disease on Adherence to Regular Exercise)

  • 권미수;이숙정;김두리
    • 산업융합연구
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    • 제22권3호
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    • pp.91-100
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    • 2024
  • 허혈성 심장질환은 재발의 위험이 높고, 재발 시 사망률이 더욱 증가하므로, 재발 예방을 위해서 운동과 식이요법 등 건강행위의 실천이 중요하다. 관상동맥질환자의 규칙적인 운동에 대한 동기를 유발하기 위해서는 의료인의 건강행위 권고가 필요하다고 알려져 있으나, 의료인의 권고가 대상자들의 운동이행에 어떠한 영향을 미치는 지에 대한 연구는 드물다. 이에 의료인의 식이 및 운동 권고가 규칙적인 운동이행에 미치는 영향을 파악하고자, 2018년 7월 4일부터 2019년 7월 30일까지 서울 소재 2개 대학병원 순환기내과에 관상동맥조영술을 위해 입원한 환자 219명을 대상으로 서술적 조사 연구를 실시하였다. 연구 결과, 의료인으로부터 운동이행 권고를 받은 경우(OR 3.52, p=.036), 식이이행 권고를 받은 경우(OR 6.48, p=.022), 운동자기효능감이 높은 경우(OR 1.36, p=.001), 경제 상태가 좋은 경우(OR 7.59, p=.007), 주관적인 건강 상태가 좋은 경우(OR 0.31, p=.047), 규칙적인 운동이행에 긍정적인 영향을 주었다. 따라서 의료인은 규칙적인 운동과 건강한 식이에 대해 환자 맞춤형 권고를 강화할 필요가 있고, 운동자기효능감 증진 프로그램을 개발하여 참여를 유도할 필요가 있다. 향후 의료인 권고의 정도나 방법에 따라 관상동맥질환자들의 자기 관리 실천에 미치는 영향을 파악하는 연구를 제언한다.

빅데이터 시대의 개인정보 과잉이 사용자 저항에 미치는 영향 (Personal Information Overload and User Resistance in the Big Data Age)

  • 이환수;임동원;조항정
    • 지능정보연구
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    • 제19권1호
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    • pp.125-139
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    • 2013
  • 최근 주목 받기 시작한 빅데이터 기술은 대량의 개인 정보에 대한 접근, 수집, 저장을 용이하게 할 뿐만 아니라 개인의 원하지 않는 민감한 정보까지 분석할 수 있게 한다. 이러한 기술이나 서비스를 이용하는 사람들은 어느 정도의 프라이버시 염려를 가지고 있으며, 이것은 해당 기술의 사용을 저해하는 요인으로 작용할 수 있다. 대표적 예로 소셜 네트워크 서비스의 경우, 다양한 이점이 존재하는 서비스이지만, 사용자들은 자신이 올린 수많은 개인 정보로 인해 오히려 프라이버시 침해 위험에 노출될 수 있다. 온라인 상에서 자신이 생성하거나 공개한 정보일 경우에도 이러한 정보가 의도하지 않은 방향으로 활용되거나 제3자를 의해 악용되면서 프라이버시 문제를 일으킬 수 있다. 따라서 본 연구는 사용자들이 이러한 환경에서 인지할 수 있는 개인정보의 과잉이 프라이버시 위험과 염려에 어떠한 영향을 주는지를 살펴보고, 사용자 저항과 어떠한 관계가 있는지 분석한다. 데이터 분석을 위해 설문과 구조방정식 방법론을 활용했다. 연구결과는 소셜 네트워크 상의 개인정보 과잉 현상은 사용자들의 프라이버시 위험 인식에 영향을 주어 개인의 프라이버시 염려 수준을 증가 시키는 요인으로 작용할 수 있음을 보여준다.

Hexachlorobenzene Dechlorination Ability of Microbes from Canal and Estuary Sediments

  • Anotai, Jin;Voranisarakul, J.;Wantichapichat, W.;Chen, I.M.
    • 한국습지학회지
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    • 제9권1호
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    • pp.107-114
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    • 2007
  • This study aimed to investigate the hexachlorobenzene (HCB) dechlorinating ability of sediment microbes collected from a natural canal receiving secondary effluents from an industrial estate and nearby factories. Nine sites along the stream and one in the estuary in the Gulf of Thailand into which the canal spills were specified and sampling for sediment and water. Preliminary analysis of the sediments showed that the first four sites nearest to the discharging location were contaminated by HCB within the range of 0.18 to 1.25 ppm. Apart from that, 1,3,5-trichlorobenzene which has never been commercially produced or used in any manufacturing processes except for the transformation from higher chlorinated benzene was also identified in the range of 0.16 to 0.24 ppm. This suggested a possibility of sporadically HCB contamination in this stream. Of more important, people in the community along this canal earn their living by coastal fishery; hence, posing a risk of spreading HCB and its less chlorinated congeners via food chain from caught marine creatures to human. As a result, there is an urgent need to understand the behavior of HCB dechlorination in this stream sediment which can lead to a clean-up action in the future. Serum bottles with sediment slurries (sediment to water ratio of 1:1 (v/v) and filtered to remove particles larger than 0.7 mm) from each site were inoculated with 2 mg/l of HCB, kept anaerobically in the dark at room temperature without any nourishment, and analyzed for HCB and its less-chlorinated congeners every 6 days. Total chemical oxygen demand, suspended solids, and volatile suspended solids were in the range of 21,492-73,584, 158,100-518,100 and 6,000-32,700 mg/l, respectively. It was found that all sediment slurries began to dechlorinate HCB in 12 to 30 days and the HCB was completely removed within 42 to 60 days or so. On the other hand, there was no HCB dechlorination occurred in the controlled set which was sterilized by autoclaving prior to the addition of HCB. This implies that the HCB transformation was solely due to microorganisms' activities. HCB was dechlorinated principally via pentachlolobenzene to 1,2,3,5-tetrachlorobenzene and terminated at 1,3,5-trichlorobenzene which is the major pathway as reported by many researchers. Dichlorobenzene has not been detected in any samples within the dechlorination period of 60 days. The results indicate that the microbial matrix in the sediment of this stream has an outstanding capability to dechlorinate HCB. Existing substrates and nutrients which mainly sorbed onto the solid phase and the typical temperature in Thailand were sufficient and suitable to promote the activities of these HCB-dechlorinating microbes.

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청소년 알레르기성 질환의 복합성과 중증도가 자살 생각에 미치는 영향 (Effect of Allergy Related Disease on Suicide Ideation among Adolescents in Korea)

  • 왕진우;김은영;박수진;이준협;임국환
    • 한국학교ㆍ지역보건교육학회지
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    • 제17권3호
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    • pp.11-25
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    • 2016
  • Background & Objectives: There were increasing evidence about the relationship between allergy related disease such as asthma, atopic dermatitis and allergic rhinitis and suicide ideation. However little was known about the concrete relatedness between severity and comorbidity of allergy related disease with suicide ideation. The objective of this study was to investigate the cases of the prevalence of suicide ideation among adolescents with allergy related disease such as asthma, atopic dermatitis and allergic rhinitis, and examine the association between allergy related disease and suicidal ideation among adolescents in South Korea. Methods: Data was based on Korean Youth Risk Behavior Web-based Survey(2014) which was a cross-sectional study containing 34,874 Korean middle and high school students who diagnosed with allergy related disease. We used the weights, strata and primary sampling unit information provided by the public use dataset to compute descriptive statistics and logistic regressions. Computations were done with SPSS version 20.0. Results: 19.9%, 15.6%, 13.8% of adolescents who suffered from one, two and three of allergy related diseases respectively reported having been thought of suicide ideation. Socio-demographic factors were adjusted as control variables. Students with greater severity of disease were more likely to have suicide ideation. Odds ratio for students who were absent one to three days from school because of allergies was 1.96(95% CI 1.51-2.46), and odds ratio for those who were absent more than four days from school was 3.60(95% CI 2.46-5.28). Conclusions: Given that adolescents' severity and comorbidity of allergy related disease were clearly associated with suicide ideation, suicide prevention programs for adolescents with allergy related disease should be improved by strategic approaches towards the severity and comorbidity of disease.

우리나라 성인남녀의 비만 및 주관적 체형인식과 불안·우울과의 관련성: 국민건강영양조사(2010-2014년) 분석 (Association of a Combination between Actual Body Mass Index Status and Perceived Body Image with Anxiety and Depressive Condition in Korean Men and Women: The Fifth and Sixth Korea National Health and Nutrition Examination Survey (2010-2014))

  • 이효민;정우진;임승지;한은아
    • 보건행정학회지
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    • 제28권1호
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    • pp.3-14
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    • 2018
  • Background: Both objective body shape and perceived body image have been known to influence the mental health. The purpose of this study was to explore the relationship of a combination between actual body mass index (BMI) status and perceived body image with anxiety depressive condition (ADC) in Korean men and women. Methods: This cross-sectional study analyzed data of 26,239 subjects ${\geq}20$ years old from the National Health and Nutrition Examination Survey (2010-2014). This study performed a Rao-Scott chi-square and multivariate logistic regression analyses reflecting survey characteristics and used a variety of independent variables such as socio-demographics and health behavior factors. Results: With all independent variables considered, people with normal weight who perceived themselves as overweight were more likely associated with ADC than a referent group with normal weight who perceived themselves as normal weight, as shown for both men (odds ratio [OR], 1.52; confidence interval [CI], 1.07-2.15) and women (OR, 1.25; CI, 1.06-1.48). Meanwhile, compared to the referent group, men with underweight who perceived themselves as underweight showed a lower association with ADC (OR, 0.63; CI, 0.41-0.97), whereas women with underweight who perceived themselves as underweight showed its higher association (OR, 1.47; CI, 1.10-1.96). Conclusion: A certain group of people categorized as a combination between actual BMI status and perceived body image showed a relatively high likelihood of having ADC, and the gender difference in the likelihood of having the condition for a group was clear. Therefore, this study suggests the need to identify the group at a high risk of ADC on the basis of actual BMI status and perceived body image and to develop an appropriate mental health management program for the group.

인지기능에 비만 역설은 존재하는가?: 고령화연구패널자료(2006-2016)를 이용하여 (Does the Obesity Paradox Exist in Cognitive Function?: Evidence from the Korean Longitudinal Study of Ageing, 2006-2016)

  • 강경식;이용재;박소희;김희진;정우진
    • 보건행정학회지
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    • 제30권4호
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    • pp.493-504
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    • 2020
  • Background: There have been many studies on the associations between body mass index (BMI) and cognitive function. However, no study has ever compared the associations across the methods of categorizing BMI. In this study, we aimed to fill the gap in the previous studies and examine whether the obesity paradox is valid in the risk of cognitive function. Methods: Of the 10,254 people aged 45 and older from the Korean Longitudinal Study of Ageing from 2006 to 2016, 8,970 people were finalized as the study population. The dependent variable was whether a person has a normal cognitive function or not, and the independent variables of interest were BMI categorized by the World Health Organization Western Pacific Regional Office (WHO-WPRO) method, the WHO method, and a 10-group method. Covariates included sociodemographic factors, health behavior factors, and health status factors. A generalized linear mixed model analysis with a logit link was used. Results: In the adjusted model with all covariates, first, in the case of BMI categories of the WHO-WPRO method, underweight (odds ratio [OR], 1.16; 95% confidence interval [CI], 1.15-1.17), overweight (OR, 1.36; 95% CI, 1.35-1.36), and obese (OR, 1.34; 95% CI, 1.33-1.34) groups were more likely to have a normal cognitive function than a normal-weight group. Next, in the case of BMI categories of the WHO method, compared to a normal-weight group, underweight (OR, 1.15; 95% CI, 1.14-1.16) and overweight (OR, 1.06; 95% CI, 1.06-1.07) groups were more likely to have a normal cognitive function; however, obese (OR, 0.62; 95% CI, 0.61-0.63) group was less likely to have it. Lastly, in the case of the 10-group method, as BMI increased, the likelihood to have a normal cognitive function changed like a wave, reaching a global top at group-7 (26.5 kg/㎡ ≤ BMI <28.0 kg/㎡). Conclusion: The associations between BMI and cognitive function differed according to how BMI was categorized among people aged 45 and older in Korea, which suggests that cognitive function may be positively associated with BMI in some categories of BMI but negatively in its other categories. Health policies to reduce cognitive impairment need to consider this association between BMI and cognitive function.