• 한국환경보건학회지
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• 제38권1호
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• pp.31-41
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• 2012

Objectives: Biomonitoring is used to assess human environmental exposures. Urinary biomonitoring data are typically adjusted to a constant creatinine concentration to correct for variable dilutions among spot samples. Our objective was to investigate urinary creatinine concentrations by region, gender, age and lifestyle. Methods: We studied urinary creatinine concentrations in 6,286 Koreans aged 20 years old and older who participated the fourth Korea National Health and Nutrition Survey (KNHANES IV) in 2009. Urinary creatinine concentration analysis used the Jaffe method. Results: The average urinary creatinine concentration of 6,286 Koreans was 158.99 mg/dl. The urinary creatinine concentration was significantly higher among men (184.97 mg/dl) than women (130.02 mg/dl). In both men and women, urinary creatinine concentrations were significantly different according to age group (p < 0.01). Whereas the urinary creatinine concentration of men significantly differed with smoking in adjusted comparison analysis, that of women significantly differed by education level. Ninety-two percent of urinary creatinine concentration was included within WHO guidelines effective range(30 mg/dl ${\leq}$ urinary creatinine concentration ${\leq}$ 300 mg/dl). In multiple regression analysis, creatinine was influenced by gender, age and body mass index (BMI). Conclusions: The urinary creatinine value obtained from representative samples of adult Koreans aged 20 year and older in KNHANES IV 2009 could be used as a reference value for other nationally studied surveys, such as abandoned metal mine surveys and surveys for industrial complexes.

• Childhood Kidney Diseases
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• 제4권1호
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• pp.6-10
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• 2000

목 적 : 출생 후 며칠간의 신생아의 creatinine수치는 모체의 영향을 받으므로 소변의 creatinine을 상수로 용질 배설 측정을 하는 것은 의미가 없을 수도 있다는 보고가 있어, 저자들은 신생아에서 일정한 간격으로 측정된 소변 creatinine이 차이가 있는가에 대하여 연구를 시행하게 되었다. 방 법 : 1998년 7월부터 8월까지 출생한 건강한 신생아를 대상으로 하여 두 번의 소변을 측정하였으며, 대조군으로는 그 기간 동안 입원한 소아과 병동의 환아를 대상으로 하였다. 신생아군은 49명이고 대조군은 33명이었으며, 신생아군의 첫 소변은 출생 첫날 시행하였고 비교군의 첫 소변시 나이는 $5.7{\pm}4.3$세였다. 신생아군과 대조군에서 처음과 두 번째 소변간의 간격은 2-3일이었다. 통계분석은 sigmastat 2.0을 사용하여 단순 선형 회귀 분석, t-test, paired t-test를 이용하였다. 결 과 : Creatinine mg/dL(Mean${\pm}$SD)은 첫 소변, 두 번째 소변에서 각각 신생아군은 $32.5{\pm}29,\;29.2{\pm}23$이고 대조군은 $57.7{\pm}51,\;58.8{\pm}51$으로 두 군 모두 첫 소변과 두 번째 소변의 소변 creatinine치는 차이가 없으며, 두 군간의 평균치의 비교분석은 유의한 차이를 보였다(P<0.01). 첫 소변과 두 번째 소변간의 creatinine평균치의 상관성에서 신생아군은 r=0.504(P<0.001)이고 대조군은 r=0.631(P<0.001)이었으며, creatinine/osmolality로 보정 후에도 각각 상관계수 0.506(P<0.001), 0.386(P<0.001)으로 유의한 상관관계를 보였다. 결 론 :신생아의 첫 소변과 두 번째 소변에서 creatinine의 비교분석에서는 유의한 차이가 없었으며 따라서 신생아에서도 용질배설 측정시 creatinine을 기준치로 사용할 수 있을 것으로 사료된다.

• Journal of Nutrition and Health
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• 제17권4호
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• pp.305-312
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• 1984

The effect of exercise on serum cholesterol and triglyceride concentration and on urinary creatinine and 3-methylhistidine excretion was studied in eight healthy women, aged 21 to 25yr. Subjects were tested before and after a 3-day experimental period, during which 1000 times rope-jumping a day were performed. Serum cholesterol and triglyceride levels decreased significantly after exercise. Urinary excretion of creatinine and 3-methylhistidine slightly increased after exorcise.

• Journal of Preventive Medicine and Public Health
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• 제34권2호
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• pp.166-174
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• 2001

Objectives : To obtain basic data on blood lead level and urinary level of arsenic and cadmium of children living near a petrochemical estate and a suburban area in Ulsan, Korea and to observe the trend of the changes. In the level of these metals in these children. Methods : The study subjects comprised 626 children living near a petrochemical estate and 299 children living in a suburban area of Ulsan. We analyzed the level of lead, arsenic and cadmium using atomic absorption spectrometer. Results : The mean levels of blood lead in children living near the petrochemical estate were $5.25{\mu}g/dl,\;5.24{\mu}g/dl,\;and\;7.24{\mu}g/dl$, and in the years 1997, 1999, and 2000, respectively, whereas those of children living in the suburban area were $3.81{\mu}g/dl,\;4.75{\mu}g/dl,\;and\;7.19{\mu}g/dl$ respectively. The mean levels of urinary arsenic in children living near the petrochemical estate were $4.57{\mu}g/g$ creatinine, $4.78{\mu}g/g$ creatinine, and $6.02{\mu}g/g$ creatinine in the year 1997, 1999, and 2000 respectively, whereas those of children living in suburban area were $2.35{\mu}g/g$ creatinine, $4.75{\mu}g/g$ creatinine, and $7.07{\mu}g/g$ creatinine, respectively. The mean levels of urinary cadmium in children living near the petrochemical estate were $1.15{\mu}g/g$ creatinine, $1.05{\mu}g/g$ creatinine, and $1.71{\mu}g/g$ creatinine in the year 1997, 1999, and 2000, respectively, whereas those of the children living in the suburban area were $0.74{\mu}g/g$ creatinine, $1.29{\mu}g/g$ creatinine, and $1.48{\mu}g/g$ creatinine, respectively. There were increasing trends in the level of blood lead, urinary arsenic and cadmium of children in Ulsan, and the differences in the level of these metals were disappearing between the children living in other areas year by year. Conclusions : These results suggest that the amount of exposure to lead, arsenic, and cadmium is increasing from year to year, and there is a need for periodic biological and atmospheric monitoring of these metals in Ulsan.

• 한국환경보건학회지
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• 제36권3호
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• pp.215-221
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• 2010

The purpose of this study was to investigate the relevance of gender, age, and BMI (Body Mass Index) to changes in the urinary creatinine concentration in Korean adults. We recruited and surveyed 2,156 persons $\geq$20 years of age from 98 districts across the country, and collected urine samples for analyzing the creatinine concentration. Participants were 41.6% men and 58.4% women. In terms of age, the percentage of the population in their 20's and $\geq$60 years of age was relatively similar, with 13.6% and 17.8%, respectively, while the percentages in their 30's, 40's and 50's were also relatively similar, with 22.0%, 24.0%, and 22.6%, respectively. The proportion of participants in their 20's and 30's who were underweight (according to the BMI) was 25% and 19.2%, respectively, but only 6.2~6.4% of those $\geq$40 years of age were underweight. This showed that the underweight proportion in elder generations was less than that in younger generations. Meanwhile, the proportion who were overweight was 13.7%, 18.8%, 28.6%, 27.9%, 32.0% when the participants were in their 20's, 30's, 40's, 50's and $\geq$60 years of age, respectively (p<0.000). This showed that the overweight proportion increased along with increasing age. The overall urinary creatinine concentration was 10 mg/dl (arithmetic mean: AM), and 92.2 mg/dl (geometric mean: GM). The urinary creatinine concentration in men (132.6 mg/dl, AM) was significantly higher than that in women (93.3 mg/dl, AM (p<0.000)). Showing a similar trend in men and women, urinary creatinine concentrations were highest when the participants were in their 20's (135.6 mg/dl, AM), and tended to decrease with increasing age. Urinary creatinine concentrations in overweight and obese subjects (AM of 117.9 mg/dl and 118.0 mg/dl, respectively) were significantly higher than in other groups, and this trend was similar in men and women. In conclusion, we found that urinary concentrations were significantly affected by gender, age, and BMI, and that care should therefore be exercised when correcting urinary metabolites according to the urinary creatinine concentration.

• Journal of Nutrition and Health
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• 제28권1호
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• pp.46-52
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• 1995

This study was conducted to assess thiamin nutritional status in Korean female college students on normal diet Weighed food records and 24-hour urine samples were collected from subjects for three days. Mean daily intake of thiamin was calculated from food records. Pooled urine samples were analyzed for thiamin and creatinine. Mean daily intake of thiamin was 0.72$\pm$0.22mg, 72% of Korean RDA for the group. Thiamin intake per 1000kca1 was 0.4997$\pm$0.09mg, which is close to the RDA. Mean daily urinary excretion of thiamin were 130.11$\pm$ 71.06$\mu\textrm{g}$/24hr and 180.59$\pm$129.79$\mu\textrm{g}$/g creatinine. Mean daily thiamin intake(mg/day), but not thiamin intake per 1000kca1 was showed by positive correlated with urinary excretion of thiamin(p<0.01). Thiamin nutritional status of the subjects based on 24-hour urinary excretion of thiamin was deficient in one subject(19%), low in nineteen subjects(36.5%), and acceptable in thirty two subjects(61.5%). Only six subjects were in low thiamin status based on thiamin excretion per gram creatinine. Therefore, total urinary excretion of thiamin seems to be more sensitive to marginal thiamin deficiency compared to urinary excretion per gram creatinine. From the results of the study, the prevalence of marginal thiamin deficiency seems to be high among young Korean adult women.

• 한국환경보건학회지
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• 제38권4호
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• pp.291-299
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• 2012

Creatinine-adjustment is an important process in the urinary monitoring of the environmental exposure of children and adolescents. The purpose of this study was to investigate the concentrations of urinary creatinine and factors associated with them among Korean children and adolescents. We recruited 1,025 persons from 128 extracted schools. They were from three to 18 years old and supplied urine samples for measuring creatinine. The concentrations of urinary creatinine were 98.18 mg/dl (SD, 67.67) in arithmetic mean and 72.05 mg/dl (GSD 2.49) in geometric mean, were significantly higher among male children/adolescents than females in all age groups, and higher values appeared following increasing ages, heights and BMIs. The rates of the number who were below the lowest limit recommended by WHO (<30 mg/dl) were 25.57% among three to four year olds, 21.77% among five to six year olds, 20.0% among seven to eight year olds and 14.69% among nine to ten year olds, respectively. The rates of those above the highest limit (>300 mg/dl) were 0.0% among three to twelve year olds. The coefficient of determination R-square of the fitted regression model for urinary creatinine was 27.4% with general characteristic variables of sex, age, BMI and height. The significant variables among these were height (standardized beta = 0.372) and age (standardized beta = 0.129). Another coefficient of determination R-square was 15.3% with dietary habit variables of smoking, drinking, dining area, number of meals and snacks, and intake of milk food, cup-noodles, canned foods, popcorn, nachos, and hamburgers. In conclusion, the concentration of urinary creatinine was significantly lower in children than in adults, and was very significantly associated with the height of children. Therefore, children need the recommended concentrations for urinary creatinine, as distinguished from adults.

• Journal of Preventive Medicine and Public Health
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• 제24권3호
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• pp.459-461
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• 1991

• 한국산업보건학회지
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• 제21권2호
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• pp.90-98
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• 2011

Objectives: The aim of this study was to evaluate the level of urinary mercury and analyze which factors would affect urinary mercury concentration among dental hygienists in dental clinics. Methods: This study conducted by questionnaire and detection of urinary mercury concentration of 268 dental hygienists working in dental clinics from July to August of 2009. Data collected from two hundred and thirty-five dental hygienists were analyzed by the geometric mean (GM). Analytical results of urine samples with less than 0.3 g creatinine/L and greater than 3g creatinine/L were excluded from statistical analysis. Results: Urinary mercury concentration of 235 dental hygienists showed the geometric distribution. The arithmetic and geometric means of urinary mercury concentration were $0.996{\mu}g/g$ creatinine and $0.755{\mu}g/g$ creatinine, respectively. From multiple regression analysis, the number of amalgam filling, the consumption frequency of raw fish and the number of amalgam handling in current workplace was revealed as increasing factors of urinary mercury concentration. Conclusions: The level of urinary mercury in dental hygienists was higher than in general Korean population. The number of amalgam filling, the consumption frequency of raw fish and the number of amalgam handling in current workplace was revealed as increasing factors of urinary mercury concentration. Therefore using resin materials instead of amalgam in dental clinics is highly desirable.

• Journal of Nutrition and Health
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• 제35권9호
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• pp.970-981
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• 2002

To assess riboflavin status by dietary intake and urinary excretion of preschool children in Busan and to evaluate the relationship of intakes of food and nutrient with urinary riboflavin excretion, riboflavin food frequencies of 40 common foods affecting intakes of riboflavin by food fequency method, nutrient intake by 24hr recall and 24hr urinary riboflavin excretion were measured with 97 preschool children. The mean riboflavin intake was 0.90 mg and above RDA. Dairy group was the primary source of riboflavin intake and provided 44.8% of the total daily riboflavin intake. The mean urinary riboflavin excretion and riboflavin excretion per gram of creatinine were 395.21$\mu\textrm{g}$ and 2110.41$\mu\textrm{g}$ respectively, The mean riboflavin intake (p<0.01, p<0.01), riboflavin density (p <0.001, p<0.001) and urinary riboflavin excretion per gram of creatinine (p<0.05, p<0.05) were significantly low with the two patterns of food group intake where dairy group was omitted (GMVFDS = 111101, consuming no dairy group and GMVFDS=l11001, consuming no fruit and dairy groups). On the basis of urinary riboflavin excretion per gram of creatinine, 14.3% of subjects in the group aged 1 to 3 and 18.2% of subjects in the group aged 4 to 6 were at risk of deficiency respectively. The urinary riboflavin excretion per gram of creatinine showed positive significant correlations with usual intakes of riboflavin from food groups of dairy (p<0.05), meat (p<0.05) and animal (p<0.05). So nutritional education is needed in order to consume dairy food group daily and to increase usual intake of animal food group including meat.(Korean J Nutrition 35(9) : 970~981, 2002)