• Annals of Geriatric Medicine and Research
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• v.20 no.3
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• pp.114-117
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• 2016

A research project, the "Construction of Frailty Cohort for Elderly and Intervention Study," funded by the Ministry of Health and Welfare, has been ongoing since December 2015. The Korean Frailty and Aging Cohort Study (KFACS) aims to identify risk factors for adverse outcomes associated with frailty in community-dwelling older adults, as well as means of prevention. KFACS is a multicenter, longitudinal study, with the baseline survey being conducted in 2016-2017. The sample (n=3,000) consists of those aged 70-84 years, stratified by age and gender, recruited from urban and rural regions nationwide. An in-person interview and health examination are performed every 2 years. This project is also conducting many intervention studies. Project interventions focus on nutrition and exercise. The nutritional intervention study compares the effects of 1.2 g/kg versus 1.5 g/kg daily protein intake on sarcopenia and frailty in older Koreans. The exercise trial examines the effectiveness of an information and communication technology-based program in preventing or reducing frailty.

• Journal of Preventive Medicine and Public Health
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• v.51 no.6
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• pp.289-297
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• 2018

Objectives: Obesity is a considerable and growing public health concern worldwide. The present study aimed to quantify socioeconomic inequalities in adult obesity in western Iran. Methods: A total of 10 086 participants, aged 35-65 years, from the Ravansar Non-communicable Disease Cohort Study (2014-2016) were included in the study to examine socioeconomic inequalities in obesity. We defined obesity as a body mass index ${\geq}30kg/m^2$. The concentration index and concentration curve were used to illustrate and measure wealth-related inequality in obesity. Additionally, we decomposed the concentration index to identify factors that explained wealth-related inequality in obesity. Results: Overall, the prevalence of obesity in the total sample was 26.7%. The concentration index of obesity was 0.04; indicating that obesity was more concentrated among the rich (p<0.001). Decomposition analysis indicated that wealth, place of residence, and marital status were the main contributors to the observed inequality in obesity. Conclusions: Socioeconomic-related inequalities in obesity among adults warrant more attention. Policies should be designed to reduce both the prevalence of obesity and inequalities in obesity by focusing on those with higher socioeconomic status, urban residents, and married individuals.

• Women's Health Nursing
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• v.27 no.4
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• pp.368-378
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• 2021

Purpose: The purpose of this study was to explore the association between breastfeeding and the prevalence of breast, thyroid, and cervical cancer among Korean adult women. Methods: The study was a secondary analysis of data from the Korea Genome and Epidemiology Study. The final samples were 113,944 Korean women among 173,205 urban-based cohort participants collected between 2004 and 2013 for adults aged forty and over. To determine the association between female cancers and breastfeeding experience, the number of childbirth, and total breastfeeding duration, logistic regression analysis was done. The demographic characteristics, health behavior, and female history were adjusted. Results: The prevalence of breast cancer was 1.37 times higher in the non-breastfeeding group than in the breastfeeding group. Compared to having breastfed for more than 36 months, the prevalence of thyroid cancer was 1.68 times higher at breastfeeding for 13 to 36 months, 1.67 times higher at breastfeeding for 6 to 12 months, and 2.06 times higher at breastfeeding less than 6 months. Also, the prevalence of cervical cancer was 1.54 times higher at breastfeeding for 13 to 36 months, compared to breastfeeding for more than 36 months. Conclusion: The study found that breastfeeding experience and a longer breastfeeding duration are associated with reduced risk of breast, thyroid, and cervical cancer in Korean women. It can be used as a basis for encouraging breastfeeding, and suggests further research on modifiable factors that reduce cancer risks.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.25 no.3
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• pp.83-95
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• 2022

This study aims to present primary data for habitat restoration and artificial breeding conditions of L. unmunsana by identifying the habitat conditions and the larvae's food sources. In order to investigate the habitat characteristics of the adult L. unmunsana and land snails, which are the primary food sources for the larvae, field surveys were conducted on a total of 10 habitats in south-central parts of Korea including Sanseongcheon, Jeonju. The results revealed that the L. unmunsana habitat in the Sanseongcheon area had a broadleaf forest with a multi-layered vegetation structure, adjacent water features, and the north/northeast/northwest slopes with little effect of artificial lighting. The adult L. unmunsana in the Sanseongcheon area appeared from the end of May to the end of June, and was especially intensively observed around the middle of June. The most active time was from 23:30 to 00:30 with a temperature range of 19~22℃ and higher than 80% humidity. The peak count of the observed adults L. unmunsana was a total of 774 on June 11, 2021. In the case of land snails, 11 families and 23 species were observed in 10 habitats of L. unmunsana, and Euphaedusa fusaniana was the most extensive and the most observed in the five survey areas. The land snails of L. unmunsana habitats are mostly found under the organic layers of leaves and a fallen tree branch in broadleaf forests, where a thick organic material layer buffers temperature changes and provides high humidity for various snails. These habitat conditions are suitable for the larva of L. unmunsana and land snails to inhabit, feed, hide and hibernate.

• Journal of Nutrition and Health
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• v.48 no.1
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• pp.46-57
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• 2015

Purpose: The aim of this study was to determine an appropriate energy level of breakfast with less risk of chronic disease for Korean adults. Methods: Using data from the 2007~2009 Korean National Health & Nutrition Examination Survey, from a total of 12,238 adults aged 19~64, the final 7,769 subjects were analyzed except subjects who were undergoing treatment for cancer or metabolic disorder. According to the percent of breakfast energy intake versus their estimated energy requirement (EER), the subjects were divided into four groups: < 10% (very low, VL), 10~20% (low, L), 20~30% (moderate, M), ${\geq}30%$ (sufficient, S). All data were analyzed on the metabolic risk and nutritional state after application of weighted value and adjustment of sex, age, residential area, income, education, job or jobless, and energy intake using a general linear model or logistic regression. Results: The subjects of group S were 16.9% of total subjects, group M 39.2%, group L 37.6%, and group VL 6.3%. The VL group included more male subjects, younger-aged (19 to 40 years), urban residents, higher income, higher education, and fewer breakfasts eaters together with family members. Among the 4 groups, the VL group showed the highest waist circumference, while the S group showed the lowest waist circumference, body mass index, and serum total cholesterol. The groups of VL and L with lower intake of breakfast energy showed high percent of energy from protein and fat, and low percent of energy from carbohydrate. With the increase of breakfast energy level, intake of energy, most nutrients and food groups increased, and the percentage of subjects consuming nutrients below EAR decreased. The VL group showed relatively higher intake of snacks, sugar, meat and eggs, oil, and seasonings, and the lowest intake of vegetable. Risk of obesity by waist circumference was highest in the VL group by 1.90 times of the S group and the same trend was shown in obesity by BMI. Risk of dyslipidemia by serum total cholesterol was 1.84 times higher in the VL group compared to the S group. Risk of diabetes by Glu-FBS (fasting blood sugar) was 1.57 times higher in the VL group compared to the S group. Conclusion: The results indicate that higher breakfast energy level is positively related to lower metabolic risk and more desirable nutritional state in Korean adults. Therefore, breakfast energy intake more than 30% of their own EER would be highly recommended for Korean adults.

• Korean Journal of Environmental Biology
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• v.21 no.2
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• pp.149-157
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• 2003

This study focused on relationships between Pb and Cd concentrations and the difference of success reproductive progress in urban (Seoul) and industrial complex (Ansan) areas. Results of the Pb analysis for the feral pigeons from Seoul (egg contents:1.64 $\mu\textrm{g}$ wet $g^{-1}$, adults in bones: 29.5 $\mu\textrm{g}$ wet $g^{-1}$ and the Ansan industrial complex (egg contents: 1.13 $\mu\textrm{g}$ wet $g^{-1}$, adults in bones: 10.5 $\mu\textrm{g}$ wet g-1) showed that the Pb level of eggs and adults is significantly different between the two colonies (p<0.05). Cd concentrations in liver and kidneys of adult pigeons were also significantly different between Seoul(liver: 0.24 ${\mu}g$ wet $g^{-1}$, kidney: 1.05 $\mu\textrm{g}$ wet $g^{-1}$ and the Ansan (liver: 0.14 $\mu\textrm{g}$ wet $g^{-1}$, kidney: 0.43 $\mu\textrm{g}$ wet $g^{-1}$ colonies (P<0.05). Clutch size of Feral Pigeons living in Seoul was similar between the two colonies, 1.9$\pm$0.3 in Seoul and 2.0$\pm$0.0 in Ansan. The length, breadth, and thickness of eggs were not significantly different between the two colonies (p>0.05). Incubation period in Seoul (17.8 days) did not differ from the Ansan (17.4 days). No difference in growth rate (body weight, wing length, and tarsus length) was found between the two test groups (p>0.05). In Seoul, 65.2% were hatching, and 42.1% fledging. The Proportion of hatching and fledging in the Ansan was 60.7% and 45.0%, respectively. The significant differences between the two colonies for reproductive sucess were not found (p>0.05). With regard to the reproductive effects to the heavy metals, the Pb and Cd concentrations feund in the two colonies were not as high as those considered in results of toxic effects in other species.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.11
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• pp.5317-5325
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• 2012

The purpose of this study was to estimate the prevalence of metabolic syndrome and determine the distribution of the clustering of the metabolic risk factors, and we wanted to evaluated the related factors in urban areas. 1,388 adults of 30 years and over, not recognized as taking medicines for or having cardiovascular diseases, who underwent health package check-up at the health promotion center of a university hospital. All subjects were measured by height, weight, waist circumference, blood pressure and blood chemistry(lipid profile). As a results, the prevalence rates of metabolic syndrome of study subjects were 21.7%, and the rates of metabolic risk factors were HDL-C, blood pressure, TG, abdominal obesity and FBS in that order. And the factors such influencing on metabolic syndrome as age, BMI, smoking habits, vegetable consumption and family history of the diabetes. Consequently, it is suggested that the evaluation and intervention for lifestyle factors may be needed in order to the risk management of metabolic syndrome.

• Journal of Korean Academy of Nursing
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• v.28 no.2
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• pp.369-379
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• 1998

Despite acknowledgment that pain is likely to be a major problem for many older adults, it is difficult to estimate the frequency of pain problems for this population. The main purpose of this study was to identify the various characteristics of chronic pain in the elderly by gender. It examines by gender, pain frequency, pain intensity, number of chronic pain sites, localization of pain, impact on activities, methods of pain management, and effects of chronic pain management. The subjects were 189 elderly people(65 years and older) living in an urban area. They were surveyed at their homes. They were surveyed by interview using a closed-ended questionnaire. The survey was done from Nov. 6th. to Dec. 6th. 1997. Descriptive statistics were used to determine all of the reported pain variables. Chi-square tests were used to determine crude differences between pain intensity and gender. T-test was used to determine differences in number of pain sites between men and women. The findings are as follows ; Of the 189 subjects, 83.6% reported experiencing pain, and men reported a lower prevalence (69.5%) than women(89.2%). Women had significantly more severe pain than did men(p=.001). Lower back pain(20.2%) and leg pain(20.2%) were the most prevalent, followed by knee pain(17.4%), arm pain(13.3%), neck and shoulder pain(11.6%), and headache(9.9%). Women experienced more multiple localizations of pain(p=.0001), the greatest impact was on movement (83.5%) , followed by usual activities(60.8%), sleep(49.4%), visiting(29.1%), and hobbies and recreations(50.0%). No differences were observed between men and women in the proportion of subjects reporting a negative impact on each of these activities. The methods of pain management were hospital visit(70.9%), drug store medication(46.7%), oriental medicine clinic(32.9%), endurance(13.3%), self-management(6.3%). Drug therapy was the most effective pain management strategy(94%), followed by physical therapy(63%) and accupuncture.byssocausis(55%). The conclusion : Pain is a symptom of great clinical importance that is often associated with disability, loss of independence, and reduced quality of life. In this study chronic pain symptoms were common but unevenly distributed in men and women. The results further advance understanding of the experience and impact of pain by gender. Future studies should incorporate questions that gather systemic and more detailed information on the characteristics of pain, especially by gender and by age.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.16
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• pp.6883-6888
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• 2015

Background: Tobacco smoking is a major cause of preventable disease and death worldwide. Kreteks are clove-flavored cigarettes made from a combination of tobacco and ground-clove mixed with a sauce, smoked widely in Indonesia. Because health and social consequences of kretek smoking are potentially as great as those of traditional cigarettes, this study examines the prevalence of kretek smoking in Indonesia and associated risk factors. Materials and Methods: The study used nationally representative Indonesia Global Adult Tobacco Survey data. Multiple logistic regression analysis was employed to identify correlates of kretek smoking. Results: One-third of Indonesian adults smoked tobacco of which about 90.0% smoked kreteks. Prevalence of kretek smoking among men (60.9%) was more than 25 times the rate among women (2.3%). Overall, the highest prevalence of kretek use was in the age group 45-54 years (36.5%), followed by 34-44 (35.1%), 25-34 (34.2 %), and 55-64 years (32.8%). By wealth index, prevalence of kreteks smoking among those in the middle index was almost 50% above the rate for the wealthiest group (36.4% vs 24.8% respectively). Logistic regression results showed that being male, being older, having less education, and being less wealthy were significant predictors of kretek smoking, while urban vs rural residence was not. Conclusions: Kretek smoking is common in Indonesia and is entrenched in the sociocultural fabric of the country. However, potential consequences of kretek smoking, particularly as risks for noncommunicable diseases, underscore the importance of a comprehensive approach to tobacco control as outlined in the World Health Organization's MPOWER strategies.

• Korean Journal of Health Education and Promotion
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• v.9 no.1
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• pp.14-29
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• 1992

의학이 발달하고 수명이 연장되고, 그리고 식사가 보다 서양화되는 등 생활양식이 변화됨에 따라 성인병이 1970년대부터 한국에 보다 늘어나게 되었다. 본 연구는 면접 및 설문지법을 이용하여 성인병, 특히 고혈압, 당뇨병 및 암에 관하여 도시 및 시골 거주자들의 지식, 태도 및 실천을 비교 연구하였다. 연구기간은 1990년 1월 부터 12월까지 1년동안이었고 대상은 전체 716명으로 그중 360명은 부산시 거주자였고 356명은 부산 근교의 시골거주자였다. 고혈압, 당뇨병 및 암에 대해 알고 있다고 응답한 대상자는 각각 92.6%, 92.0% 및 74.7%였다. 고혈압, 당뇨병 및 암의 지식도에 있어서 도시 거주자들이 시골 거주자보다 유의하게 더 많이 알고 있었다(각각 p<0.001). 그러나 성인병에 관한 태도와 지식에 있어서는 도시 거주자와 시골 거주자 사이에 유의한 차이가 없었다(p<0.05). 고혈압의 지식도는 거주지(r=0.2159, p<0.01) 및 수입 (r=0.1882, p<0.01)과 유의한 상관관계가 있었고, 당뇨병에 관한 지식도는 거주지(r=0.3952, p<0.001), 수입(r=0.3663, p<0.001) 및 직업(r=0.2576, p<0.001), 수입(r=0.4138, p<0.001), 직업(r=0.3044, p<0.001) 및 성별(r=-0.1887, p<0.01)과 유의한 상관관계가 있었다. 성인병에 관한 태도는 성별(r=0.4748, p<0.001), 경제상태(r=0.2209, p<0.01) 및 고혈압 지식도(r=0.1844, p<0.01)와 유의한 상관관계를 나타내었다. 성인병에 관한 실천은 본 연구에서 어떤 변수와도 상관관계가 없는 것으로 나타났다. 성인병이 이전보다 더 많아짐에 따라 연령이 증가하는 나라와 개발국가에서 성인병이 주요한 대상질환이 될 것이고, 질병예방과 건강증진의 차원에서 성인병을 예방하기 위해 보건교육에 보다 중점을 두어야 할 것이다.