• Journal of Preventive Medicine and Public Health
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• 제24권3호
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• pp.356-362
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• 1991

This study was performed to identify the maternal risk factors for the low birth weight. During the period from February to June in 1991, the medical record review and questionnaire interview were conducted upon the 465 pregnant women who were admitted to and delivered a baby in 3 general hospitals and an obstetric hospital in Kwangju area. The health and other related information from women who bore the low birth weight infant was compared with those from women who bore the normal birth weight infant. The results obtained were as follows : 1. Maternal age, low body weight at term, illegitimate birth, and maintaining work activity during pregnancy were positively associated with low birth weight. 2. The positive association was revealed between low birth weight and the previous abortion, short gestational weeks, anemia, low maternal weight gain during pregnancy, the obstetric present illness and hypertension. 3. Some maternal working conditions were associated with low birth weight although statistically not significant. 4. In multivariate logistic regression analysis, gestational weeks and maternal weight gain during pregnancy were related with low birth weight.

• Journal of Nutrition and Health
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• 제32권4호
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• pp.401-406
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• 1999

The purpose of this study was to identify some anthropometric characteristics related to the incidence of diabetes mellitus in Korea. The subjects were 165 male and female patients aged 30 to 70 years who had been diagnosed with diabetes mellitus for less than five year, recruied from eight different hospitals in Seoul, Korea. Weight, height, waist circumference, hip circumference and triceps skinfold thickness were measured. Weight before diagnosis of diabetes was also surveyed. The body mass index(BMI) of diabetic patients before diabetic diagnosis was significantly higher than that of reference values. Fifty percent of patients had BMI values greater than 25kg/$m^2$, and female patients were somewhat fatter than male patients. Since many subjects were overweight before diagnosis, obestty could be regarded as a risk factor for the incidence of diabetes mellitus. However, waist-hip ratios(WHR) fell within the normal range, so WHR may not be regarded as an important risk factor for NIDDM in Korea. This study suggests that the risk factors of onset of diabetes in Western populations may not be applicable to the Korea population. More study is needed to clarify the risk factors of Korean diabetes.

• 대한간호학회지
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• 제35권5호
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• pp.787-797
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• 2005

Purpose: The purpose of this study was to examine the effects of problem solving nursing counseling and walking exerciseon weight loss, cardiovascular risk factors, and self-efficacy of diabetic control among obese diabetic patients. The Polar heart rate monitor was used for walking exercise to utilize the Biofeedback mechanism. Method: Fifty nine diabetic patients were conveniently placed into experimental (n=35) and control groups (n=24). The experimental group participated inweekly nursing counseling for 12 weeks and was encouraged to do walking exercise using a Polar monitor. The control group remained in the same treatment as before. The data wascollected from November 2003 to August 2004 and analyzed using t-tests and ANCOVAs. Results: After 12 weeks, the participants in the experimental group reported significantly decreased body weight (p=.004) and total scores on the Parma scale (p=.00l). While the participants in the control group reported significantly increased levels of blood triglyceride (p=.046) and HDL (p=.018). Conclusion: Based on the findings, we concluded that problem focused nursing counseling with intensified walking exercise could reduce the risk of cardiovascular complications and body weight among obese diabetic patients. Future research to explore the long-term effects of nursing counseling on diabetic complications is warranted.

• 대한간호학회지
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• 제42권4호
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• pp.477-485
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• 2012

Purpose: This study was done to evaluate the effects of antenatal depression on birth outcomes. Methods: The participants were 255 pregnant women who were followed in a prospective study. Of these, 197 cases were examined included birth weight, Apgar scores at 5 minute, premature contraction, complication of labor, delivery types and laboratory data. Descriptive statistics, ANOVA, Chi square test of linear by linear association, Kruskal Wallis test, Relative Risk, univariate and adjusted multiple logistic regression were used for data analysis with SPSS/Win. Results: Level of antenatal depression was associated with low birth weight ($x^2$=7.69, p=.010). High risk pregnancy was a predictor of low birth weight (OR=6.98 [1.21-40.30]) and baby's weight (OR=2.12, [1.05-4.28]). Prepregnancy body mass index (BMI) was a predictor of complications in labor (OR=3.59, [1.03-12.48]). But there were no significant effects of antenatal depression on other birth outcomes. Conclusion: The results of this study indicate that women with antenatal depression, high risk pregnancy, prepregnancy $BMI{\geq}23kg/M^2$ should be monitored and managed to ensure favorable birth outcomes.

• 대한간호학회지
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• 제21권2호
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• pp.195-203
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• 1991

Correlations among body weight and sociodemographic factors, including life - style were tested as social determinants of health in a sample of 5,201 adults in Korea. The aim of this study was to determine the extent to which sociodemographic variables and life-style associated health behaviors explain body weight distribution. A second aim was to explain the relation of body weight and health status to stress the importance of body weight as an early risk indicator of health status. The canonical correlation between the weight distribution(underweight and overweight) and the independent variables was 0.29, 17% of the total variance was explained. Perceived health level represented the highest contribution(canonical coefficient 0.82) to body weight. Sociodemographic factors such as sex, economic status, and life-style factors such as smoking, exercise, regular meais and sleep showed comparatively high contributions to body weight. The relevance of body weight for health status including the rate of chronic disease and the rate of medical utilization was significant. Especially, underweight was clarified as being mere important than overweight to morbidity level and medical utilization. These findings suggest that perceived body weight is an important indicator of health status and is thus a valuable variable to be considered for nursing intervention and health education related to the promotion of health.

• 지역사회간호학회지
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• 제29권4호
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• pp.476-487
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• 2018

Purpose: The present study is focused on understanding weight perception related with individual- and school-level multifactorial origins, underestimated and overestimated respectively, in normal body weight adolescents. Methods: Using the 2017 Korea Youth Risk Behavior Web-based Survey data of 45,902 students from 799 secondary schools, a multilevel multinomial logistic regression analysis was performed where adolescents (level1) were nested within schools (level 2). Results: At the school level, the average school body mass index (BMI, $kg/m^2$) and physical education were associated with weight perception among both boys and girls. In boys, geographic areas were associated with weight underestimation. At the individual level, perceived economic status, weekly allowance, BMI ($kg/m^2$), smartphone usage time (hrs/day) and perceived stress were associated with weight perception among both boys and girls. Age, paternal education, academic achievement and alcohol use were associated with weight perception among girls, while part-time job and physical activity were associated with weight perception among boys. Conclusion: Our findings underscore the importance of individual- and school-level environments in developing correct weight perception and have implications for school health education to establish healthy lifestyle behaviors for all adolescents.

• 한국조사연구학회지:조사연구
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• 제12권3호
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• pp.143-172
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• 2011

The relationship between body weight and body image, an objective and subjective measure of body shape, respectively, has long been a recurrent concern in the area of medical sociology and health-related studies. This concern stems from the argument and findings in the literature indicating that the two are not necessarily likely to be strongly correlated due mostly to the fact that one's own idea or conception about his/her body shape could be pretty different from one's actual shape. This study tries to empirically address the two issues based on the analysis of a national sample survey data in Korea: to what extent body weight and body image are correlated with or deviated from each other, on the one hand, and what factors help to account for the relationship between the two, on the other. The latest(2010) national sample data of KGSS(Korean General Social Survey) is used to evaluate the issues. Results of data analysis demonstrate that body weight and image have a moderate amount of correlation, and that the correlation tends to vary to a large extent depending on a few major socio-demographic and socio-economic characteristics. Most important, the risk factor analysis attempted in this study could identify several salient risk factors, which include gender, age, chronic diseases, smoking, physical exercises, and medical checkup. To be precise, those who may be best characterized as particularly risky to weight gains are females, who are in their 20's, who have chronic diseases, non-smokers, who exercise regularly, and who conduct medical checkups on a regular basis. To extrapolate, the findings suggest that the most typically risky kinds of individuals in Korea are "young women who care very much for their health." The findings are interpreted and discussed with suggesting a recommendation for further studies.

• 대한교통학회지
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• 제27권3호
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• pp.17-28
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• 2009

초보운전자와 일반운전자의 교통사고 유형별 위험도를 비교분석 하기 위해 우리나라에서 2005년부터 2006년까지 2년간의 발생한 교통사고 자료를 바탕으로 초보운전자에 의한 사고와 일반운전자에 의한 사고로 구분하여 분석하였다. 이를 위해 초보운전자와 일반운전자의 구분을 신규운전면허 취득 후 경과연도가 1년 이하인 운전자를 초보운전자 그룹으로, 1년이 초과한 운전자를 일반운전자 그룹으로 구분하였다. 두 그룹간의 위험도 비교는 사고발생 빈도와 심각도를 함께 반영할 수 있는 위험도 모형을 설정하여 비교분석 하였으며, 이 때 사고건수와 사망사고 건수의 적절한 적용비율 산정을 위해 가중치를 설정했으며, 가중치는 두 그룹간의 $x^2$값이 가장 작을 때의 값으로 도출하여 적용하였다.($\omega=0.6$) 교통사고 유형별 위험도 분석결과, 사고위험도가 높은 사고유형은 측면직각 충돌사고, 횡단 중 보행자와의 사고, 주정차 중 추돌사고로 분석되었고, 일반운전자 그룹에 비해 상대적으로 초보운전자 그룹의 위험도가 높은 사고유형은 공작물 충돌사고와 측면직각 충돌사고 등으로 분석되었다.

• 기본간호학회지
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• 제5권2호
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• pp.280-292
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• 1998

Pressure sores are a serious concerns in that respect to increasing risk of medical complications and medical costs. Prevention and care of pressure sores is an essential area of nursing practice. The nurse at ICU should be more careful of maintaining the skin integrity of patients especially than at any other place. This study was conducted to determine if the risk facotrs of pressure sores and nutritional status of the patients at risk for pressure sores is related the occurance of pressure sore. The risk group refers the patients having the below 14 scores of the braden scale. The 100 subjects were recruited from the ICU ward at an university hospital in Choongnam. The parameters for nutritional status are the blood chemistry including plasma protein, albumin, hemoglobin and the anthropometric measurements consisting of weight, BMI, LBM, the proportion of body fat, body fluid and triceps skin fold using bioimpedence analizer and caliper. The results are as follows : 1. The subjects were 55 years and stayed 8 days on average. Of the 100 subjects, males were 61%, neurologic/neurosurgical diseases were 68% and the incidence of pressure sores was 17% mainly occuring within 3days after the admission. 2. The present paralysis(or paraplegia) and edema(arm, leg, trunk) were showed more significantly the subjects with pressure sores than those without pressure sores. 3. Regarding with the nutritional status, the subjects with pressure sores had significantly lower the weight, BMI, LBM, body fluid, albumin than the ones without pressure sores. This results were supported the reports of previous studies that the decreased weight and albumin could be the important predictors of pressure sores. Thereafter we should encourage these factors to be utilized in predicting pressure sores for a comprehensive assessment. Nurse should identify patients at risk of the development of pressure sores, assess their nutritional status and dietary intake at regular intervals.

• 한국건설관리학회논문집
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• 제5권2호
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• pp.115-122
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• 2004

이 논문은 건설공사 과정에서 불확실성과 위험성이 비교적 높은 토공사, 지정공사 및 기초공사에서 발생할 수 있는 리스크인자의 중요도 산정에 관한 것이다. 이 연구는 리스크 $식별\cdot분석\cdot대응$으로 이루어지는 리스크관리 3단계 중 리스크 식별과 분석단계를 중심으로 연구를 진행하였다. 리스크 식별은 기존의 건설공사 작업분류체계를 참고하여 대상 공종을 $공통\cdot토공사\cdot지정$ 및 기초공사로 구분하여 초기 건설공사의 리스크 분류체계를 제시하였다. 리스크 분석은 리스크분류체계를 바탕으로 퍼지이론에 기반하여 실시하였다. 리스크인자의 중요도는 AHP기법에 의한 상대적 중요도와 퍼지척도로부터 구한 리스크인자들 사이의 절대적 중요도를 고려하여 산정하였으며 리스크 인자의 최종적인 중요도는 Sugeno $\lambda$-퍼지척도를 사용하여 구하였다.