This study examined the effects of group exercise program on health conditions and quality of life in cerebral palsy. Adults with cerebral palsy in their 20’s who participated in the evaluation of measurement tools prior to and following the experiment. The control group was engaged in manual exercise for the range of joint movement and extension exercise for arms, legs and trunk, and experimental group performed group exercise program including boccia exercise. The health condition and quality of life of the experimental group were significantly increased after intervention (.05<). There was a slight increase in the control group, however it was not statistically significant. As a result of comparing the health condition and quality of life of the two groups, the value of the experimental group was significantly higher than that of the control group. The results of this study suggest that exercise programs for patients with cerebral palsy in the twenties are considered as beneficial interventions to improve health conditions and quality of life.

Childhood obesity causes a higher risk of obesity, premature death and disability in adulthood. In addition, obese children experience an increased risk of respiratory problems, hypertension, cardiovascular disease, insulin resistance and psychological effects. This study aimed to investigate how an exercise intervention affects health-related physical fitness and inflammatory-related blood factors in obese children after. We hypothesized that there would be positive effects on serum levels of insulin-like growth factor-1 (IGF-1), connecting peptide(C-peptide) and resistin, as well as in muscle and cardiovascular-related physical capacities, after an exercise intervention in obese children. Thirty-seven obese children haveperformed health-related fitness tests and provided blood samples for the analysis of changes in circulating biomarkers, both before and after an 8-week exercise intervention, which includes stretching, aerobic exercise, resistance exercise and sports games. The results indicate that exercise training beneficially affects body compositions, especially percentage body fat and muscle mass, without influencing to body weight and height. The results of the physical fitness tests show that muscle and cardiovascular capacity were increased in obese children in response to exercise training. Simultaneously, the exercise training decreased circulating levels of C-peptide, which equated to a “large” effect size. Although there were no significant effects on the levels of IGF-1 and resistin, they show a “small” effect size. Therefore, our findings suggest that the exercise intervention have beneficial effects on body composition and physical fitness levels in obese children, whichmight be associated with the decline in circulating C-peptide.

목적 : 안경사의 감정노동의 표면행동, 감정자각 및 표현과 관련된 정서명료성과 정서표현성을 조사하여 분석하고 안경사의 감정노동과 정서적 건강의 상호연관성을 알아보고자 한다. 방법 : 2018년 4월부터 5월까지 안경사 343명을 대상으로 감정노동을 내면행위와 표면행위로 분류한 감정 노동 척도와 정서명료성, 정서표현성을 설문으로 측정하였다. 결과 : 안경사의 감정노동은 16.39점, 정서명료성은 33.80점, 정서표현성은 50.56점이었다. 정서명료성과 정서표현성은 여성이 남성보다 높아, 여성이 정서를 명료하게 인식하고 표현을 잘하는 것으로 평가되었다. 감정노동 표면행위는 연령이 높을수록 낮았고, 교육수준이 높을수록 증가하였다. 감정노동 표면행위는 정서명료성 및 정서표현성과 음의 상관관계를 나타내었다. 안경사의 정서명료성과 정서표현성은 감정노동 표면행위에 따라 차이가 있었다. 결론 : 본 연구는 실제로 느끼지 않은 감정을 가장하여 표현하거나 조직에서 요구하는 감정을 실제로 느끼기 위해 더 노력하는 사람일수록 정서를 명료하게 인식하거나 정서표현성이 낮아진다는 안경사의 감정노동과 정서적 건강의 관계를 규명하였다. 추후, 전국적인 조사를 통해 안경사의 감정노동으로 인한 정서 인식과 표현을 위한 정신건강프로그램을 도입하여 안경사가 인격적으로 존중을 받는다고 느끼며 높은 성취감을 느낄 수 있도록 후속 연구가 필요하겠다.

본 연구의 목적은 치과종사자의 손씻기에 대한 건강신념과 손씻기 수행도 간의 관련성을 파악하여 평가하는 것이다. 본 연구는 치과의원, 치과대학병원에서 근무하는 140명의 치과종사자를 대상으로 구조화된 설문지를 사용하여 자가보고식으로 작성하도록 하였다. 모든 자료는 통계분석은 t검정, 일원분산 분석, Pearson 상관계수분석으로 통계처리 하였다. 손씻기 수행도는 손씻기에 대한 건강신념과 r=0.285로 양의 상관관계를 보였다(p<0.01). 치과의원, 치과대학병원에서 근무하는 치과종사자의 병원감염 예방을 실천하기 위해서는 감염관리 교육 시 지각된 민감성, 지각된 심각성, 지각된 유익성, 지각된 장애성, 수행을 위한 동기로 구성된 손씻기에 대한 건강신념을 고려하고, 지속적인 손씻기 교육을 시행한다면 치과종사자의 손씻기 수행도도 증가할 것으로 사료된다.

This study was conducted to investigate the effects of health lifestyle on high protein snack selection attributes and purchase behaviors among individuals aged 20-30 with high protein snack intake. In addition, the relationship between perception, attitude, satisfaction and recommendation of high protein snacks was invested. Finally, this study aims to provide basic information for marketing high-protein snacks and customized high protein snacks. Analysis of the selection attributes most important for healthy lifestyle, revealed significant differences among all groups excluding the external seeking group (p<0.001). The free living group regarded trust as one of the most important attributes of high protein snack selection, and both the tempered control group and the low-interest group found sensation and price factor to be important. Therefore, when developing high-protein snacks, it is important to determine which attributes of the snack will be highlighted by segmenting the consumer into health lifestyles. Focusing on what ingredients are used to develop high-protein snacks and nutritional ingredients is also important when targeting a free lifestyle group as the main customer. In addition, developing snacks that do not offer depending on the protein content is important when targeting a temperate management group or a low-interest group.

본 연구는 건강기능식품의 복합제품 개발 및 일반식품 형태의 제품개발 확대에 따라 옥타코사놀의 특이성 및 감도 등이 개선된 분석법을 마련하여 향후 공정시험법에 활용할 수 있도록 하였다. 건강기능식품 중 옥타코사놀의 함량분석을 위해 GC-MS를 이용한 분석법을 확립하고 유통중인 제품을 대상으로 적용성을 검토하였다. 분석법 검증은 특이성, 직선성, 검출한계 및 정량한계, 정확성, 정밀성에 대해 수행하였다. 12.5~200.0 μg/L의 농도범위에서 r2 = 0.999 이상의 우수한 직선성을 확인할 수 있었으며, 검 출한계와 정량한계는 각각 4.5, 13.8 μg/L이었다. 공시료에 표준물질 첨가법을 이용하여 정확성을 검토하였으며 50, 100, 150 μg/L의 농도에서 각각 94, 93, 109%의 회수율을 확인할 수 있었다. 정밀성 결과에서는 시료 채취량을 80 mg, 120 mg, 220 mg으로 각기 달라하여 측정한 결과 상대표준편차는 1.8~2.4%로 확인되었다. 실험실간재현성은 1.0~2.3%로 나타났다. 본 연구에서 확립된 분석법을 적용하여 유통제품 9건에 대해 적용성 검토를 실시한 결과 전체 시료에서 분석이 용이하였으며, 모두 표시기준에 적합함을 확인하였다. 본 연구를 통하여 확립된 GC-MS를 이용한 건강기능식품 중 옥타코사놀 분석법은 향후 공정시험법으로 활용할 수 있으며 국내 건강기능식품의 관리 기반을 강화하는데 기여할 것으로 사료된다.

가정에서 가족의 식생활을 책임지고 있는 주부들은 식품안전과 관련된 정보에 매우 민감하여 주부들에게 어떤 정보를 제공했을 때 안심하고 식품을 구매하는지를 알아보는 것은 매우 중요하다. 이 연구는 건강신념모형에서 건강행동을 촉진한다고 알려진 지각된 위협, 행동평가, 자기효능감 같은 요인들이 주부들의 실제 식품안전 인식과 행동에 얼마나 영향을 미치는지를 알아보기 위해 이루어졌 다. 본 연구는 191명의 가정주부를 대상으로 이루어졌으며, 건강신념모형의 주요변수인 지각된 이익과 지각된 장애, 자기효능감, 지각된 심각성과 지각된 개연성 그리고 식품안전 행동에 영향을 미친다고 알려진 건강지향성과 지식수준을 측정하기 위한 설문지가 사용되었다. 일반적 특성을 분석한 결과를 보면 교육수준이 높을수록 그리고 대도시에 살수록 식품안전에 대한 위협을 더 많이 느끼고 안전한 식품을 구매하려는 경향이 더 높았다. 또한 연구 변수간의 상관관계를 분석한 결과를 보면 안전한 식품에 대한 지식이 더 많을수록 그리고 건강에 대한 관심이 높을수록 상대적 이익이나 자기효능감도 높으며 그에 따라 안전한 식품을 구매하려는 경향이 높은 경향을 보였다. 한편 건강신념모형에 근거한 식품안전 행동에 대한 개념모형을 구조방정식분석으로 검증한 결과 적합한 모형 적합도를 보였으며 구매행동에 지각된 위협보다 지식수준과 상대적 이익이 큰 영향을 미치는 것으로 나타났다. 이러한 결과를 볼 때 주부가 안전한 식품을 구매하도록 돕기 위해서는 방송이나 신문 같은 공적 경로를 적극 활용하는 식품안전에 대한 정보의 지속적인 제공으로 지식수준을 높여주고 위해성 정보보다는 예방이 가능한 정보 제공으로 안전한 식품을 구매하려는 노력이 실제로 가정의 건강을 지키는데 도움이 된다는 점을 홍보해야 한다는 것을 시사한다.

본 연구는 한방기공운동에 참여하는 여성노인들의 재미요인이 건강관련 삶의 질에 미치는 영향력을 검증하기 위하여 수행되었다. 구체적으로는 한방기공운동에 참여하는 여성노인들의 인구통계학적인 내용에 따라 연령, 학력, 운동경력에 따른 두 변인과의 영향력을 분석하였고, 준거변인인 건강관련 삶의 질과 예언변인인 재미요인에 관계는 어떠한 관계로 형성되어 있는가를 알아보았다. 분석 결과는 한방기공운동의 재미요인이 건강관련 삶의 질에 영향을 미치고 있다는 실질적인 효과를 규명하였으며, 한방기공운동이 여성노인운동의 긍정적인 프로그램으로 활용될 수 있다는 근거를 제공하였다.

한국선원통계연보에 따르면 2016년 기준 선원의 직무상 재해율 6.02%는 고용노동부에서 발행한 2016년 산업재해 현황분석에 따른 육상노동자 평균재해율 0.49%보다 12.3배 높은 것으로 나타나 선내 안전·보건과 관련한 사고율이 심각한 수준이다. 2006년 해사노동협약에는 규정 제4.3조, 제3.1조 및 제1.1조에 선원의 재해와 관련하여 선내 안전·보건 관련 규정을 두고 회원국에서 이행하도록 하고 있으며, 우리나라 선원법에서도 제78조부터 제83조까지 동 협약 제4.3조, 제3.1조 및 제1.1조 수용을 위한 법적 근거를 마련하였다. 특히, 선원법 제79조에서는 협약의 요구사항인 선내 안전·보건 및 사고예방 기준을 해양수산부장관이 정하여 고시하도록 되어 있다. 그러나 협약의 요구사항을 선원법 개정을 통해 법으로는 수용하였으나 선내 안전·보건 및 사고예방 기준의 제정과 같이 실제 이행이 되지 않고 있어 선원의 재해율이 협약이 이행되기 전과 비교하여 개선이 되지 않고 있다. 따라서 이 논문은 선원의 재해율 감소를 위한 하나의 방안으로 해사노동협약 규정 제4.3조에서 요구하는 선내안전보건기준의 법적 성질을 선박소유자의 안전배려의무를 중심으로 살펴보고 그 이행 및 집행을 위한 제도적 개선사항을 제안하였다.

Introduction There is ample evidence in the medical research literature to show that the harmful effects of smoking are real. As a result, most governmental agencies around the world attempt to discourage smoking among smokers and nonsmokers alike by requiring cigarette companies to print health-warning messages on their product packages as a means to deter smoking. Little, however, is known about the credibility of these cigarette-warning messages perceived by both smokers and non-smokers alike on the effectiveness of these messages. Other studies have also examined socio-psychological factors other than health warning messages such as peer pressure, bad breadth, et al., (Pechmann, et al, 2003) which can also influence consumer desires whether or not to smoke. No study to our knowledge has incorporated this factor other than just health warning messages in the same model to study this phenomenon. Furthermore, most research on this topic has focused on consumers in western industrialized countries, even though the issues related to smoking can be just as severe in developing countries and warrants more research attention. In this research, we propose to study the credibility of cigarette warning messages on the effectiveness of these messages on deterring smoking behavior and the mediating effects of the perceived health and social risks in an integrated structural equation model (SEM) framework in an emerging country- Turkey. The study should provide insights into how these factors may influence smokers and nonsmokers differently and enable public policy makers to institute programs or strategies targeting the two different segments of consumers. Literature Background and Hypotheses Copious research has reported on the efficacy of Health Warning Message (HWM) in the Health Communications and Marketing literature (for reviews see Hammond, 2011; Noar, et al, 2015; 2016). In the USA, current rules only require health warnings be printed with tiny fonts on cigarette packages. The effectiveness of this format to deter smoking has come into serious questions. Other countries including countries in the EU have long required pictorial depiction of health hazards resulting from smoking be printed on cigarette packages that must occupy a substantial portion (50% or more) of the surface area on the cigarette package. The assumption is that “a picture is worth a thousand words”. However, the results are equivocal at best (Sabbane, et al., 2009). The real impact of HWM continues to be a point for debate as there are other tobacco consumption reduction methods such as increased taxes and smoking bans (Ruiter & Kok, 2005) various governments can and have imposed. Previous research has shown that when consumers believe that smoking behavior leads to unhealthy consequences and is unwise and unattractive, they generally would refrain from engaging in this behavior (Azjen & Fishbein, 1980). However, consumers who think that they are invincible and that these health hazards will never affect them but only other people, may have engaged in the process of rationalization and may actually discount the credibility of these claims. If so, the HWM may become less effective (Kees, et al., 2006). We therefore formulate the following hypothesis: H1: Perceived credibility of HWMs increases the effectiveness of HWMs. On the other hand, the extent to which consumers may perceive that cigarette HWMs to be credible can better persuade them about the health and social risks such as yellow teeth, bad breath, bad smell, et al., leading to social rejection associated with smoking (Pechmann, et al., 2003). Hammond’s review article (2011) provided some evidence that size and the presentation format can enhance the believability of HWMs. We should expect then that a greater perceived credibility will lead to better persuasion. Similarly, Kowitt, et al. (2016) also show in their study that the believability of HWMs vary among the adolescents regarding cigar smoking. Again, the assumption is that if they perceive the messages to be more credible, they will be more effective in persuading them about the harmful effects of smoking. We thus formulate the following two hypotheses: H2: Perceived credibility of HWMs increases negative social risk perception of smoking H3: Perceived credibility of HWMs increase negative health risk perception of smoking Past research has revealed that knowledge about the negative consequences of a behavior can lead to behavior change even though this may be contingent upon how difficult it is to quit a behavior such as smoking (Nourjah, et al., 1994). Consumer behavior literature has confirmed that due to various factors, attitude may not correlate with behavior even in the context of smoking (Ruiter &Kok, 2005; Solomon, 2018). Extant literature suggests that HWMs may be more successful in influencing attitude (Cameron & Williams, 2015). This research focuses on the health risk perception’s potential impact on intention to quit smoking rather than the act of actually quitting smoking. Furthermore, as mentioned earlier, other factors such as smoking ban and price increases, et al. may cause smoking behavior change. Hence we present the following hypothesis: H4: Perceived health risks associated with smoking influence the effectiveness of HWMs. Smoking has become less socially acceptable in western industrialized countries in recent years. Many nations and states have now banned smoking in public places such as colleges, restaurants and airports including second hand smokes. This creates a social stigma for many smokers. Smokers, as a result, has to bear greater social risks these days. This may also cause them to develop a negative attitude toward smoking as well as reducing their intention to smoke (Chuang & Huang, 2012). As Turkey is a country whose citizens care more about social acceptance, we postulate the following hypothesis: H5: Perceived social risks of smoking affect the effectiveness of HWMs. As mentioned earlier, the effectiveness of HWMs may vary according to subjects’ responses to such messages. They may discount the message veracity by a process of rationalization or even by the extent to which they may have been addicted to the habit. This is so particularly for smokers who may have engaged in such behavior for a long time. Hence, one should expect these messages to be more persuasive and thus more effective in dissuading non-smokers from starting the habit. Smokers, on the other hand, are likely to remain unconvinced and view these messages as exaggerations and therefore less affected by these messages (Hammond, 2009; Hahn & Renner, 1998; Pechmann & Knight, 2002). Based on this discussion, we postulate that the impacts of HWMs’ credibility on perceived health and social risks, as well as the messages’ effectiveness will vary depending on the smoking status of the subjects. We expect greater impacts for non-smokers. Therefore, we tested the SEM for smokers and the same model for nonsmokers in this study. The model is shown in Figure 1 in the Appendix. MethodologyWe designed a four parts questionnaire to measure the constructs in the model we used in this study. In the first part of the questionnaire, we first presented the 14 HWMs currently required by law in Turkey to be displayed on cigarette packages. Furthermore, each of these messages is to be rotated on the packages. We then used the semantic differential scale items comprising of five bipolar adjectives derived from previous literature (Beltramini, 1988; Renee & Cameron, 2015) to measure the perceived credibility of HWMs: (1) believable- unbelievable, (2) convincing- unconvincing, (3) reasonable- unreasonable, (4) easy to understand- hard to understand, (5) informativeuninformative. In the second part of the questionnaire, we operationalized the effectiveness construct by asking the respondents to indicate the extent to which they perceived these HWMs as effective on a 1 item semantic differential scale: “HWMs motivate me to quit or not quit smoking” for smokers and “HWMs reduce my curiosity and desire to try smoking” for nonsmokers. In the third part of the questionnaire, we measured health and social risks perceptions by using 4 statements. Respondents were asked to indicate their agreement/disagreement with each of the 5- point Likert scales culled from Kim (2006): Smoking makes me “contract various diseases and become addicted (health risks); Smoking makes me look “stupid, filthy (social risks). The last part of the questionnaire asked respondents about their smoking status and demographics including age, gender and the level of education. We collected the data by posting a copy of the questionnaire online on a website dedicated to discussing higher education issues in Turkey (www.akademikpersonel.org). We obtained an effective sample size of 432 after removing those with incomplete answers. Male and female respondents constituted 50 % of the sample each. The largest percentage of respondents was in the age group of 17 to 22 (35 %). Respondents (249) who have achieved the level of a college undergraduate degree or equivalent on education constituted 58 % of the sample. We conducted Chi-sqaure analyses to test significance of demographic differences between the two groups of smokers and nonsmokers. The results revealed no significant differences on age (χ2/3df=4.83; p=0.185), gender (χ2/1df=2.70; p=0.123) and the level of education (χ2/2df= 0.873; p= 0.646) between the smoking and nonsmoking subsamples. ResultsWe used WarpPLS 5.0 to conduct the structural model analyses as this analysis tool does not require the data set to be normally distributed (Kock & Lynn, 2012). We first tested the measurement scales with respect to their convergent and discriminant validities through standardized factor loadings. We conducted an Exploratory Factor Analysis (EFA). We eliminated two items on the credibility scale, which did not reach at least 0.5 on factor loadings for both subsamples. The two remaining items are “believable” and “convincing”. We then evaluated reliabilities of the scales for both subsamples, results for both subsamples showed that both credibility and health risk scales achieved Cronbach’s α scores higher than 0.7. Even though the Cronbach α score for the two items scale to measure social risk only reached a value of 0.6 for each of the subsample, this is considered adequate due to the smaller number of items used (Field, 2013). We assessed the assumptions of PLS-SEM. Variance inflation factors (VIFs) are well below the recommended 3.30. Hence, both vertical and lateral collinearity assumptions were met, thus deemed to be free from the common method bias (Kock & Lynn, 2012). We then evaluated convergent and discriminant validities of the latent construct. Discriminant validity was achieved as the square roots of AVE (average variance extracted) scores were higher than and correlation of the factor with another measure (Fornell & Larcker, 1981). For each subsample, composite reliabilities of all factors were higher than 0.8 and indicators’ loadings higher than 0.5 on the latent constructs. Thus, all scales used in the model achieved convergent validities for each subsample. We then proceeded to test the structural model for each of the subsamples. The results showed that for nonsmokers, the model explained 12% of total variance in the effectiveness of HWMs and for smokers 33%. All path coefficients were significant for nonsmokers except the health risks → HWMs effectiveness (β= 0.05, p= 0.23). Other path coefficients all showed significance as follows: perceived credibility of HWMs → perceived health risks (β= 0.154, p= 0.01), perceived credibility → perceived social risks (β= 0.148, p= 0.014), perceived credibility of HWMs → perceived effectiveness (β= 0.285, p < 0.01) and perceived social risk → perceived effectiveness (β= 0.148, p < 0.014). For the smokers’ subsample, the path coefficient between the perceived health risks and effectiveness was also shown to be non-significant (β= 0.06, p= 0.19). All other path coefficients all showed significance as follows: perceived credibility of HWMs → perceived health risks (β= 0.197, p < 0.01), perceived credibility → perceived social risks (β= 0.247, p< 0.001), perceived credibility of HWMs → perceived effectiveness (β= 0.503, p < 0.001) and perceived social risk → perceived effectiveness (β= 0.213, p < 0.001). These results confirmed H1, H2, H3 and H5 but not H4 for both smokers and nonsmokers. Discussion and Conclusion This study reveals some useful insights about how HWMs on cigarette packages may influence smokers and nonsmokers differently in an emerging country- Turkey, which can be used by public policy makers to formulate effective anti-smoking campaigns to target the two groups. The effect sizes appeared to be greater for smokers than nonsmokers. This suggests that if these HWMs can be crafted to be perceived as more credible, the smokers can be more persuaded to quit smoking than for nonsmokers to start smoking. These results appear to be consistent across the board whether we are considering the direct effect or indirect effects through the mediating variables. This is perhaps somewhat consistent with what we would expect based on our earlier discussions. Smokers may be more resistant to HWMs due to the fact they are already engaged in such behavior and therefore more likely to discount the messages as well as the associated health and social risk perceptions. For nonsmokers, on the other hand, it may not take as much to convince them about the harmful effects of smoking and therefore greater perceived credibility of HWMs may be less critical in persuading them not to start smoking. It is important then when designing such HWMs to consider carefully whether these messages are perceived to be credible. Some of the US cigarette warning messages printed in tiny scripts are ambiguous such as smoking can be harmful to your health clearly can not be expected to be highly credible. Research has also shown that pictorial messages can be more persuasive. However, research has also shown that the results are far from being conclusive (Sabbane, et al., 2009). More research is warranted, especially in emerging countries. It is also interesting to note that social risks perceptions are more persuasive than health risks perceptions. Future communications strategies should place a greater emphasis on this factor and not just on health risks. Limitations and Suggestions for Further Research Although our study is able to provide some useful insights into how perceived credibility of HWMs can influence the effectiveness in deterring smoking among nonsmokers and smokers alike either directly or indirectly through perceived health and social risks, we would like to point out several limitations of this study. First, we collected our data online using a web portal in Turkey that focuses on discussing higher education issues in general and therefore the respondents’ level of education is higher than the general population as well as the age group being younger. Future study should collect data from other age groups and education levels to produce results that are more generalizable. We conducted our study in one emerging country- Turkey. In future studies, more countries should be included. As the results revealed the prominence of social risks over health risks in influencing the effectiveness of anti-smoking campaigns, the issue about how to promote the social wellbeing of not smoking (promotional) versus the health risks aspects of the campaign warrants further research.

This research investigated how neuromarketing can improve and determine the effectiveness of action-based public health and social cause marketing communications with social amplification platforms. Action-based advertisements (Ferrier, Ward, & Palermo, 2012) aim to encourage consumers to ‘act’, ‘share’, make a ‘pledge’ or complete a ‘challenge’ for a public health or social cause. Public health messages as non-commercial advertisements attempt to change public behaviour (Vecchiato, Cherubino, Trettel, & Babiloni, 2013). Research was conducted using a 64 channel EEG wet cap with electrodes placed according to the international 10/20 system (Gountas et al., 2014; Treleaven-Hassard et al., 2010). The study applied an exploratory design which involved 4 tasks where participants viewed 7 advertisements (6 action-based, 1 control) and their logos while EEG was recorded. Preliminary LORETA results from the first five seconds of the most effective advertisement indicated approach responses due to left prefrontal and right parietal cortex activation (Davidson & Irwin, 1999; Vecchiato et al., 2013). Results suggest that consumer’s decision making about an advertisement occurs within the first five seconds of viewing an advertisement.

Introduction Despite the rise of digital media, TV remains the number one place children spend their media time (Moses, 2014). Past research has shown that less healthy food and beverages such as those containing high fat, sugar, and salt (HFSS) are prominent in TV commercials (e.g., Carter, Patterson, Donovan, Ewing, & Roberts, 2011). In these commercials, various persuasive techniques (e.g., taste/smell, convenience), which promote the purchase of the products, have been used (Hebden, King, & Kelly, 2011). Extensive studies have found that exposure to advertising for HFSS products, including confectionery, soft drinks, crisps or savory snacks, fast food, pre-sugared breakfast cereals, is associated with children‟s cognition, food consumption, and obesity (e.g., Harris, Bargh, & Brownell, 2009; Macklin, 1994; see also Moore, Wilkie, & Desrochers, 2017). Since younger children, especially those in the “perceptual stage” of development, may not understand the persuasive or selling intent of commercials (e.g., John, 1999), they may be vulnerable to this advertising. As a result, several countries such as UK and Ireland (Hawkes, Lobstein, & For the Polmark Consortium, 2011) have introduced restrictions or regulations for broadcasting food and beverage commercials for children. The commercials of HFSS food and beverage have sometimes introduced these products with healthier images and words / phrases like health and nutrition claims. Health claims refer to any representation that states, suggests, or implies that a relationship exists between a food (/beverage) or a constituent of that food (/beverage) and health. Nutrition claims mean any representation which states, suggests or implies that a food (/beverage) has particular nutritional properties including but not limited to the energy value and to the content of protein, fat and carbohydrates, as well as the content of vitamins and minerals (Food and Agriculture Organization of the United States & World Health Organization, 2013). Using health messages for HFSS food presents the risk of a biased image of the products (i.e., they are „healthy‟), which may result in unhealthy life styles and conditions. In recent years, there has been regulatory pressure on food advertisers to market their products responsibly (e.g., WHO regulations; Kraak et al., 2016). At the same time, the Children‟s Food and Beverage Advertising Initiative (CFBAI) emerged, in which several leading companies pledged to market their products to children responsibly (see editorial by Boyland & Harris, 2017). Therefore, we were interested in seeing if food and beverage advertising had changed in 2017. Specifically, the purpose of this study was to examine the relative frequency of food and beverage commercials targeting children with a focus on healthy aspects of the products, their health and nutrition claims, as well as other persuasive techniques. Method A total of twenty hours of programming targeting children was recorded on Nickelodeon and Cartoon Networks in the United States during the hours of 5 p.m. to 10 p.m. on two weekdays in September 2017. The advertisements were coded for product type (“food”, “beverage”, fast-food restaurant (“Restaurant: Quick-service/fast food restaurant”), and sit-down restaurant (“Restaurant: Sit-down restaurant”), food type (e.g., “confectionary”, “savory snacks”, “pre-prepared convenience foods”, “bread”, “fruits”, and “vegetables”) (Food and Agriculture Organization of the United Nations & World Health Organization, 2016; Suzuki, 2018), and persuasive techniques (e.g., “health claims”, “nutrition claims”, “taste/smell/flavor”, “convenience”, “scientific information”, “celebrities/a well-known person”, and “eating /drinking behavior”) (e.g., Hebden et. al., 2011; Jenkin, Madhvani, Signal & Bowers, 2014; Kraak & Story, 2015; Warren, Wicks, Wicks, Fosu, & Chung, 2008). Food type can be classified into two categories; Less healthy (“confectionary”, “savory snacks”, “sweet bakery wares”, “other sweets/desserts”, “Sugared breakfast cereals”, “pre-prepared convenience foods”) or healthier categories related to other food categories (Ofcom, 2004; Nutrition Australia, 2013; Suzuki, 2018). Seven coders independently evaluated the advertisements, with two coders assigned to every programming block. They were trained for about three weeks to read the coding manual, practice coding and discuss the coding scheme, and revise their coding after receiving feedback of the trial coding. To check coding reliability, two independent coders evaluated the same programs. 94.3% agreement was achieved for product type. Results and discussion A total of 856 commercials appeared. Food and beverage advertisements represented 29.0% (N=248). On average, children were exposed to 12.4 food and beverage advertisements per hour. Of all the food, beverage and restaurant advertisements, “food” and fast-food commercials were frequently broadcasted; 40.7% (N=101) were for “food” commercials, and fast-food restaurant commercials accounted for 43.5% (N=108). 12.1% (N=30) “beverage” commercials and 3.6% (N=9) sit-down restaurant commercials were included. Food, beverage and restaurant commercials were more likely to appear on Nickelodeon (36.2%, N=129) than on the Cartoon network (28.4%, N=419) (χ2=5.43, df=1, p<.05). As for the appearances of product type, “food” advertisements frequently appeared on Nickelodeon (54.6%, N=65), whereas the programs of Cartoon network included a lot of fast food commercials (61.2%, N=79). In examining the appearances of “beverage”, “food”, “fast food”, and “others (except food, beverage, and restaurant)” between the channels, the results showed that the programs of Cartoon network were more likely to broadcast “fast food” commercials than those of Nickelodeon, whereas the programs of Nickelodeon were more likely to broadcast “food” commercials (χ2=38.23, df=3, p<.01)1. The majority of food types were “confectionary” (25.7%, N=26), “savory snacks” (16.8%, N=17), “breakfast cereals” (14.9%, N=15), and “pre-prepared convenience foods” (13.9%, N=14). In classifying various kinds of foods into two big categories related to health (healthier or less healthy) as above-mentioned, less healthy food accounted for 88.1% (N=89). No commercials were categorized into three of the healthier categories (bread, fruits, and vegetables). As persuasive techniques for consumers, “health claims”, and “nutrition claims” were low (8.9%). For example, grape juice produced by Welch‟s used the appeal “sugar free”. In the commercials with nutrition claims, there was no significant difference in the appearance between the “beverage” and “food” commercials (χ2=1.70, df=1, n.s.). The other persuasive techniques like “convenience” (75.8%, N=188), “taste/smell/flavor” (51.2%, N=127), and “eating/drinking behavior” (49.2%, N=122) were frequently used. In contrast, the rates of some techniques (e.g., “celebrities/a well-known person”, “scientific information”) were very low. As for the persuasive technique of “celebrities/a well-known person”, the category of product type was classified in only the “beverage” category. Thus, this study indicated that there were not many less-healthy food commercials that appealed to health and nutrition aspects of the products by using health and nutrition claims, or scientific information. In previous studies, the rate of health and nutrition claims varied between less than 10% to more than 30% (Jenkin et al., 2014). This may be due to the differences in the definitions of health and nutrition claims. Our study referred to the international standard definitions. Therefore, the findings regarding the rate of health and nutrition claims in this study can contribute to overall knowledge about the current spread of health and nutrition claims in “less healthy” food commercials of children‟s television programs. It may also be the case that food companies are acting more responsibly by limiting their persuasion techniques to those that relate to taste or convenience and not by misrepresenting the products as healthy. However, overall, the proportion of less healthy food commercials was high, and various persuasive techniques were used. At the same time, there were no commercials for fruits or vegetables presented during this time frame despite governmental regulations for eating these healthier foods. These findings suggest that more attention should be paid to the ways that certain foods are promoted (or are not promoted) among parents and policy-makers. As the sample used in this study was recorded only on weekdays and through the two kids' channels. It would be expected that the future study develop the analysis for the recorded commercials on weekends and on the other local channels. The sample used in this study was analyzed only on weekdays and through two children‟s channels. Future research might examine food and beverage advertising across different time frames and channels.

This study aimed to determine the effect of depression between the healthrelated quality of life and pain in elderly persons with physical disabilities. A total of 111 patients who were treated at hospital B (Seoul, Daejeon, Daegu, Gwangju, and Busan) participated in the Survey. The SF-36 Health Assessment was used to determine the quality of life of subjects, the Korean version of the Geriatric Depression Scale-Short form to assess the level of depression, and Numeric Rating Scale to determine the level of pain. To determine the moderating effect of depression on the relationship between quality of life and pain, simple regression analysis, and the Sobel test were performed. There was a significant negative correlation between health-related quality of life and pain (r<-.3, p<.05), and a significant positive correlation between depression and pain (r=.251, p<.05). Thus, health-related quality of life had a simple regression relationship with depression and pain. Depression also showed a mediating effect between health-related quality of life and pain. The results of this study suggest that depression mediates between pain and quality of life.

목적: 제 5기 국민건강영양조사(2011년, 2012년) 자료를 기반으로 우리나라 나이관련황반변성(age-related macular degeneration)과 비타민과 무기질의 섭취의 상관성을 분석하였다. 방법: 국민건강영양조사 제 5기 과정 중 2011, 2012년도 조사대상자 중 건강 검진, 안과 검진과 영양검진 조사를 받은 45세 이상 성인을 대상으로 나이관련황반변성과 비타민, 무기질섭취량의 상관성을 분석하였다. 나이관련황반변성의 연관성은 교차분석과 카이제곱 검정으로 분석하고, 위험비(odds ratio)는 로지스틱 회귀분석으로 구하고 유의수준은 0.05 이하로 하였다. 결과: 국민건강영양조사를 받은 45세 이상의 한국인 6,219명 중 나이관련황반변성 유병률은 9.6%로 나타 났다. 초기 나이관련황반변성은 비타민 A, B1, B2, B3 및 C와 칼슘, 인, 철, 나트륨, 칼륨의 섭취와 상관성이 있었으며, 비타민 B3 섭취량이 평균 미만인 경우는 평균이상인 경우보다 초기 나이관련황반변성의 발생 위험이 1.35배(95% 신뢰구간:1.03~1.78) 높았다. 나이관련황반변성 말기 환자 군에서는 칼륨과 비타민 B2 섭취량이 평균보다 적으면 유병률이 높았으며, 칼륨 섭취량이 평균 미만인 경우는 발병 위험이 4.3배(95% 신뢰구간:1.76~10.59) 높았다. 결론: 비타민과 무기질의 섭취는 나이관련황반변성의 발병 위험과 병의 진행을 억제하는 것으로 사료된다.

Based on documentary research, this study intends to provide information relevant to the effect of flavonoids over women’s health. In general, flavonoids act on cell regulation to cancer proliferation and possess antioxidant, anti-inflammation and anti-metastatic effects. This study focuses on the therapeutic effect of flavonoids in women. Using recent researches published from 2000 to 2017 relevant to women’s health and flavonoids, data acquired from searches such as RISS and Google were analyzed, compared and arranged. Flavonoids are classified with various phenolic compounds, and it activates upon various conditions in women’s body. According to several outcomes that involve the relation of flavonoids in women’s health; it brings out significant implications in bone density, muscle, nerve, breast cancer, uterus cervical cancer and obesity. Hoping this literature review supports women patients and helps in the wellness of women, we sincerely look forward to disseminate this instructive and proper information to exploit flavonoids for enhancing health promotion.