• Title/Summary/Keyword: risk weight

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The association of blood pressure with body mass index and waist circumference in normal weight and overweight adolescents

  • Song, Young-Hwan
    • Clinical and Experimental Pediatrics
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    • v.57 no.2
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    • pp.79-84
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    • 2014
  • Purpose: Overweight can be defined by the body mass index (BMI) and is likely associated with an increased cardiovascular disease risk. However, waist circumference (WC), a central adiposity index, may be a better indicator of cardiovascular disease risk. Studies comparing the effects of BMI and WC on cardiovascular risk factors, such as high blood pressure (BP), are rare in adolescents. Methods: We analyzed the correlations of BMI and WC with BP in 3,363 Korean adolescents (aged 10-19 years), using data from the Korean National Health and Nutrition Examination Surveys (2009-2011). Results: Systolic BP (SBP) in both sexes and diastolic BP (DBP) in boys were higher in the high BMI (>85th percentile) and high WC (>90th percentile) groups. High BMI and high WC were positively correlated with high SBP (>90th percentile) in both sexes, and high DBP (>90th percentile), in boys. BMI maintained its positive associations with SBP, DBP, high SBP, and high DBP in the normal weight ($BMI{\leq}85th$ percentile) and overweight (BMI>85th percentile) groups in both boys and girls, as well as in all subjects of both sexes, even after adjustment for WC. However, WC did not correlate with SBP, DBP, high SBP, or high DBP after adjustment for BMI in any group in either sex. Conclusion: In Korean adolescents, BMI correlated better with BP and high BP levels than WC. Further, BMI was positively associated with BP and high BP in the normal weight group as well as in the overweight group.

Field Application and Evaluation of the ACGIH Lifting TLV® (모 선박용 디젤 엔진 제조업체를 대상으로 ACGIH Lifting TLV®의 현장 적용 및 평가)

  • Kim, Sun Ja;Shin, Yong Chul;Kang, Dong Mug
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.15 no.3
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    • pp.176-182
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    • 2005
  • American Conference of Governmental Industrial Hygienists (ACGIH) adopted the Lifting Threshold Limit Values ($TLVs^{(R)}$) in 2005 as a guideline for protecting the workers from work-related low back and shoulder disorders associated with repetitive lifting tasks. The TLVs consist of three tables with recommended weight limits for lifting tasks and their determination procedures are simple. The TLVs sans the material weight/the recommended values (LITLVs) were obtained from 45 lifting tasks in ship engine manufacturing factories. These values were compared and correlated with the Recommended Weight Limits (RWLs) and lifting indices (LIs) determined by the Revised Lifting Equation (LE) of the National Institute for Occupational Safety and Health (NIOSH). The average ratio, LITLVs/LIs, was 0.8 (LITLVs: $1.3{\pm}0.8$, LIs: $1.6{\pm}0.7$). Thus, the TLVs underestimated the risk than the LE. The LITLVs were highly correlated with LIs (r=0.82). The predicted value of LITLVs when LIs=1 wa 0.76. Using the predicted TLVs the higher risk ones of a large number of tasks can be screened to be further investigated.

Eating Habits, Self Perception of Body Image, and Weight Control Behavior by Gender in Korean Adolescents -Using Data from a 2010 Korea Youth Risk Behavior Web-based Survey- (한국 청소년의 성별에 따른 식습관, 주관적 체형 인지 및 체중 조절 행동 조사 연구 - 제 6차 청소년건강행태온라인조사를 중심으로 -)

  • Kim, Mi-Hyun
    • Journal of the East Asian Society of Dietary Life
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    • v.22 no.6
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    • pp.720-733
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    • 2012
  • This study was conducted to investigate the eating habits, self-perception of body image, and weight control behavior in Korean adolescents by gender. Data pertaining to 70,809 subjects(male 37,090, female 33,719) were obtained from the sixth Korea Youth Risk Behavior Web-based Survey(2010). The rate of skipping breakfast was 42.5% in male, and 45.8% in female students. The intake frequency of vegetable, milk, soda, fast food, and instant noddles was higher in male than female students. Moreover, 33% of male and 31.9% of female students considered themselves to be somewhat or very obese. Notably, 2.3% of underweight students considered themselves to be obese. Weight control measures were practiced in 44.6% of male, and 54.6% of female students. Meal restrictions were used more frequently to control weight by females, while exercise was used more by males. The perceived stress level was higher in female than male students, especially that due to appearance. Therefore, integrated and personalized high school nutrition programs according to gender should be implemented to establish proper body image perception and eating habits, as well as to develop selfesteem.

Weight Gain Due to Abdominal Mass Misdiagnosed as Obesity: Case Report (복부종괴로 인한 체중증가를 비만으로 오인한 2개의 증례)

  • Sun-Hyun Kim
    • Archives of Obesity and Metabolism
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    • v.2 no.1
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    • pp.25-28
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    • 2023
  • Early evaluation of obesity is important. Obesity is defined as an excessive accumulation of fat that causes harm to health. Among patients who visit a hospital for weight-related issues, diseases other than body fat gain may be present; however, people often cannot distinguish between these issues and concerns. Therefore, among patients who visit the hospital with weight gain concerns, it is necessary to determine whether the weight gain is actually the result of excessive fat accumulation. After being diagnosed with obesity, the cause and degree of obesity, the amount and distribution of body fat, and the degree of risk should be evaluated. Additionally, obesity-related complications should be identified and, even if there are no complications, all related risk factors should be evaluated and managed. In all these processes, diagnostic methods such as history taking, physical examination, body fat measurement, blood tests, and imaging tests are necessary, but history taking and physical examination, which can provide a lot of information from the beginning, should not be overlooked.

Pharmacological Therapies of Obesity: A Review of Current Treatment Options

  • Bacher, H.Peter;Shepherd, Gillian M.;Legler, Udo F.
    • Biomolecules & Therapeutics
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    • v.17 no.4
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    • pp.348-352
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    • 2009
  • Over the last decade, the incidence of overweight and obesity has nearly doubled in many countries and is considered a pandemic. Obesity was identified as a major risk factor for cardiovascular disease as the same level as smoking and diabetes. Visceral fat is considered one of the key contributors to outcome and certain ethnic groups such as Asians seem to be more affected than others. Weight reduction through lifestyle changes was found to be impactful to improve overall health, but weight loss and maintenance thereof is limited and difficult to sustain. Surgical intervention demonstrated a greater weight loss in the severely obese and was associated with improved all-cause mortality. Despite numerous pharmacological targets and a high medical need, only few drugs have been successfully developed. Earlier studies with amphetamine-derived compounds showed significant weight loss but their critical safety profiles led to market withdrawals and disappointment. More recent compounds; orlistat - a lipase inhibitor, rimonabant - a cannaboid-1-receptor antagonist, and sibutramine - a combined serotonin/norepinephrine re-uptake inhibitor, all demonstrated similar significant efficacy; however, they carry specific safety profiles making them unsuitable for every patient. The main limitation of pharmacotherapy is the absence of clear benefit-risk assessments through outcome studies. Such a study - the SCOUT trial - was designed to compare sibutramine versus placebo and the effect on morbidity and mortality in nearly 10,000 obese patients with additional risk factors. Such studies could provide new scientific evidence for obesity treatment and may support future pharmacological approaches.

Air Pollution Exposure and Low Birth Weight of Firstborn Fetus -A Birth Cohort Study in Seoul, 1999-2003- (대기오염 노출이 첫 출산아 저체중에 미치는 영향에 관한 연구 -서울지역 1999년~2003년 출생코호트를 중심으로-)

  • Cho, Yong-Sung;Son, Ji-Young;Lee, Jong-Tae
    • Journal of Environmental Health Sciences
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    • v.33 no.4
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    • pp.227-234
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    • 2007
  • Recent epidemiologic studies show that gestational exposure to air pollution adversely affects pregnancy outcomes including low birth weight in preform birth. In this study, we evaluated the effect of air pollutants on LBW (low birth weight) on firstborn fetus throughout the gestational period using the birth cohort between 1999 and 2003 in Seoul. Using birth cohort data from the National Statistics Office of Korea we identified 288,346 firstborn births (excluded missing data on lack of information for birth weight and discordance between residential and certificated address from a total of 316,451) during 1999 to 2003 with complete covariate (gender, parity, date of birth, gestational age, parental age and educational level, maternal occupation etc.) and maternal residential history data. Our subjects were defined as more than 37 weeks and less than 44 weeks of completed gestation and we identified 5,457 persons (1.89%) by low birth weight (<2.5 kg) in this study. Using logistic regression, we estimated the risk of mean (entire pregnancy and trimester period) air pollution concentrations for CO, $O_3,\;PM_{10},\;NO_2\;and\;SO_2$. In terms of trimester-specific exposure, we found that some air pollutants exposure in each trimester would increase the risk for LBW. Results also showed that the effect size of air pollutants exposure during the first and third trimester is higher than during the second trimester. In all trimester, the estimated risk of LBW was 1.831 (95% CI=1.573-2.132) with unit increase for CO, 1.139 (95% CI=1.107-1.172) for 50, and 1.009 (95% CI=1.001-1.017) for $O_3$. Our results suggest that exposure during the gestation period to relatively low levels of some air pollutants may be associated with a reduction in birth weight on first-born fetus. These findings implicate the effective risk management strategies should be applied to minimize the public health impacts for pregnant women.

Risk Evaluation of Oxidizing Substances by Burning Test Method (연소시험법에 의한 산화성물질의 위험성 평가)

  • 정국삼
    • Journal of the Korean Society of Safety
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    • v.7 no.3
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    • pp.73-82
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    • 1992
  • This paper was concerned with the risk evaluation of oxidizing substances by burning test method. The samples were prepared the heaped cone-shaped mixtures of solid oxidizing sub-stance with sawdust, and ignition of the sample was made on contact with heating wire inside the combution chamber that the temperature and humidity of atmosphere can be kept at $25^{\circ}C$ and 60% respectively. Accordingly, it were measured the combustivity effect of mixing ratio and amount of sample weight on the burning rate. As a result of burning test of these samples, it could be noticed that the case when the sawdust has so and 30 wt.% in the mixing ratio shows effective combustivity, and as the amount of sample weight was increasing, It showed more rapid burning time. So the average burning time could be obtained by considering the weighting factors to the parameters of the mixing ratio and the amount of sample weight. Finally, it was compared with the effects of cation and anion of oxidizing substances and also applied analytically to the classification and evaluation of oxidizing sub-stances as dangerous goods.

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Elicitation Project Management Factors and Evaluation of its Weight to Ensure LNG Plant Success (LNG 플랜트 사업관리 요소 도출 및 중요도 평가)

  • Han, Jae-Goo;Chin, Kyung-Ho;Park, Hwan-Pyo
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2010.05b
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    • pp.85-89
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    • 2010
  • The propose of this research is derive project management factors and evaluate its decision weight in LNG plant EPC phases. In order to research, we studied the demestic and international research trend and analysed expert opinions. Initially we derived nine project management factors in each phase of EPC. Elicited factors in research are project management, design management, cost management, time management, contract and craim management, safety management, environment management, and risk management. Then, we evaluated the weight of project management factors with expert survey method and elicitated. Finally, The remarkable points in the result are that key management factors of EPC project are project management and risk management.

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Benefits and Limitations of Low-Carbohydrate Diets: Healthy Carbohydrate Control (저탄수화물식의 효과와 한계: 건강한 탄수화물 조절)

  • Minjung Kim
    • Archives of Obesity and Metabolism
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    • v.3 no.1
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    • pp.9-13
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    • 2024
  • The prevalence of obesity has been increasing worldwide. Several dietary treatments have been suggested to control weight, and recent guidelines recommend individualizing the composition of macronutrients. Carbohydrates are the most important nutrients in meals, and carbohydrate restriction is a dietary strategy that promotes weight loss. A low-carbohydrate diet is effective for short-term weight loss and can help improve glycated hemoglobin, systolic blood pressure, diastolic blood pressure, and triglyceride levels; however, the long-term effects and safety of this diet remains doubtful. In the short term, there is a risk of gastrointestinal symptoms such as vomiting, diarrhea, constipation, and gastroesophageal reflux, and type 1 diabetes patients are at risk of severe hypoglycemia, while in the long term, it can lead to malnutrition and decreased exercise capacity. Thus, rather than limiting the intake of carbohydrates, it is important to limit the intake of refined grains, sugar, honey, syrup, and sweetened beverages while maintaining the planned carbohydrate intake rate and improving meal quality.