목 적: 본 연구는 제5기 국민건강영양조사(2012) 자료를 이용하여 한국 성인의 건성안 유병률과 위험요 인을 알아보고자 하였다. 방 법: 19세 이상 성인 중 안과의사에게 건성안 검진을 받은 5,698명(남자 2,368명, 여자 3,330명)을 대 상으로 인구사회학적 특성, 전신질환 특성, 건강관련행위 특성에 따른 건성안의 유병률과 위험요인을 분석 하였다. 결 과: 전체 연구대상자의 건성안 유병률은 13.5%이었다. 인구사회학적 특성별 건성안 유병률은 남성보 다 여성이, 50세 미만군보다 50세 이상군이, 농촌지역보다 도시지역에서 통계적으로 유의하게 높았으며, 전 신질환별 건성안 유병률은 고혈압, 이상지혈증, 골관절염, 류마티스 관절염, 우울증, 신부전증이 있는 경우 에 유의하게 높았다. 건강관련행위별 건성안 유병률은 비흡연자, 비음주자, 수면시간이 짧은 군이 높았다. 건성안 빈도는 여성에서(OR 2.29, CI 1.89-2.77)와 50세 이상군에서(OR 1.21, CI 1.01-1.46), 농촌지역에 서(OR 1.96, CI 1.56-2.47)에서 더 높았다. 유의한 모든 변수를 보정한 후에 건성안의 위험인자는 신부전 (OR 2.82, CI 1.48-5.69), 갑상선(OR 1.62, CI 1.16-2.26), 류마티스 관절염(OR 1.54, CI 1.01-2.33), 이상 지혈증(OR 1.42, CI 1.13-1.78), 우울증(OR 1.36, CI 1.11-1.66), 골관절염(OR 1.27, CI 1.02-1.57)이었다. 결 론: 우리나라 19세 이상 성인의 건성안 유병률은 13.5%으로 높은 수준이며, 50세 이상, 도시지역 거 주자, 여성과 신부전증, 갑상선, 류마티스 관절염, 이상지혈증, 우울증, 골관절염 환자에서 건성안의 위험이 높으므로 해당 위험요인을 가진 사람들을 대상으로 한 교육과 홍보를 통해 건성안증상을 조기 발견하여 적 절하게 대처하도록 할 필요가 있다

In this study, we analyzed the factors affecting the concentration of airborne asbestos fiber in the indoor and outdoor environment of a slate roofing house, and performed a health risk assessment of residents living in houses with slate roofs. Sampling was conducted at ten houses with slate roofs on 3 different days under different weather conditions. A high flow rate pump was used for sampling. The specimen was assessed using a phase-contrast microscope. The degree of risk of exposure to asbestos was assessed using EPA’s carcinogen risk assessment method. Asbestos fiber concentrations for slate roofing houses were 2.43 fiber/L inside and 2.46 fiber/L outside, respectively. The correlation between the indoor and outdoor asbestos fiber concentration was 0.486. But on both sides, the asbestos fiber concentrations did not exceed the standard (10 fiber/L) for ambient air in Korea. The factors affecting the concentration of asbestos fiber were year of construction (p<0.05), total roof area (p<0.05) and average wind velocity (p<0.01). According to EPA’s ELCR (Excess Lifetime Cancer Risk) on air pollution substances, a level of 1.0E-04~1.0E-06 should be maintained. However, the ELCR level of 6 out of 10 houses was over 1.0E-04. Therefore, a risk management plan for residents of slate roofing houses must be prepared immediately.

This study was conducted to evaluate the risk of overweight and obesity in adolescents consuming snacks frequently from 2007~2009, Korean National Health and Nutrition Examination Survey (KNHANES). The subjects (12~14 years: n=523; 15~18 years: n=614) were presented with food frequency questionnaires, and they were classified according to their gender and frequency of snack consumption. In the age group of 12~14 years, boys and girls (boys OR: 1.11, 95% CI: 0.52~2.39, girls OR: 12.45, 95% CI: 2.26~68.51) who consumed yogurt frequently had a higher risk of overweight and obesity at the highest quartile frequency compared with the lowest quartile after adjustments for multiple confounding factors, including age, physical activity, frequency of eating out and snack consumption, and energy intake. In the age group of 15~18 years, girls (OR: 1.01, 95% CI: 0.34~2.99) consuming fried foods had a higher risk of overweight and obesity at the highest quartile frequency compared with the lowest quartile after adjustments for multiple confounding factors, including age, physical activity, frequency of eating out and snack consumption, and energy intake. Thus, we conclude that frequent consumption of yogurt and fried foods increases the risk of overweight and obesity in adolescents. These findings suggest that the risk of overweight and obesity is associated with the frequency of snack consumption.

This study aimed to compare energy nutrient intake, health related factors, physical characteristics, blood biochemical indices, prevalence of metabolic syndrome and odds ratio (OR) of metabolic syndrome based on dietary fat energy ratio. Subjects were 1,205 men aged 40~64 years. The average fat intake was 52.8 g. Subjects were divided into three groups (deficient, normal, excess) based on dietary fat energy ratio. The dietary fat energy rations of the three groups were 36.9%, 42.9% and 20.2%, respectively. Energy and protein intake were increased significantly with dietary fat energy ratio (p<0.001), whereas carbohydrate intake decreased (p<0.001). In health related factors, amount of smoking alone showed increase based on dietary fat energy ratio (p<0.001). In comparing physical characteristics, blood pressure and blood biochemical indices, excepting diastolic blood pressure, increased significantly based on dietary fat energy ratio (p<0.01~p<0.001). The rate that exceeded criteria in risk factors for metabolic syndrome was higher in the serum triglyceride (41.2%) and was lower in the waist circumference (22.2%). Prevalence of metabolic syndrome was 37.9%, and showed significant correlation to dietary fat energy ratio (p<0.05). The OR of metabolic syndrome was higher in deficient and excess group than in normal group, but it had no relationship between fat energy ratio and metabolic syndrome. The results of this study provide basic data to establish fat intake guidelines for prevention of metabolic syndrome in middle-aged men.

This study was conducted to investigate the risk of chronic disease as predicted by abdominal obesity in Korean adult females. Data on 2,738 adult females aged 40~64 yrs was obtained from the 2013~2014 Korean National Health Nutrition Examination Survey. The subjects were divided into normal (n=1,835), abdominal obesity (AO, n=73), and BMI-diagnosed abdominal obesity (BMI-AO, n=505) groups based on the NCEP-ATP III guidelines and by applying the KSSO definition regarding waist circumference. Triglyceride blood levels, fasting blood sugar levels, systolic blood pressure, and diastolic blood pressure were higher in the AO and BMI-AO groups than in the normal group. The HDL-cholesterol levels of subjects in the two abdominal groups were lower as compared to those of subjects in the normal group. The mean adequacy ratio was lower among subjects in the AO and BMI-AO groups than among those in the normal group. Moreover, the NAR and INQ scores of some micro-nutrients in both of the abdominal obesity groups were lower than those in the normal group. Both the AO and BMI-AO groups showed significantly higher risks of hypertriglycemia, hyperglycemia, hypertension, hypoHDL-cholesterolemia, and metabolic syndrome than were shown by the normal group. Notably, as compared to the normal group, the AO group showed higher risk of hypercholesterolemia, hyperLDL-cholesterolemia, hypertriglycemia, and metabolic syndrome than did the BMI-AO group. This finding suggests that it is essential to develop prevention programs including programs for those with abdominal obesity despite their having a BMI within the normal range.

This study measured and analyzed the heavy metal (Cd, As) content of fine dust in the city of Gwangyang, Jeonnam from September 19 to September 22, 2016. For cadmium, the arithmetic average was 0.21 ng/m3 (0.12~0.49 ng/ m3), which did not exceed the WHO's recommended level. The average of arsenic was 2.41 ng/m3 (0.30~142.08 ng/ m3) and the geometric mean was 11.18 ng/m3, which exceeded the WHO's recommended standard in 16 out of 24 measurements. In the case of cadmium, the CTE of male was 9.22 × 10−8 RME 1.91 × 10−7 and the female CTE was 9.44 × 10−8 RME 1.92 × 10−7, which did not exceed the EPA limit of CTE 2.18 × 10−5 RME 1.51 × 10−4 for men and CTE 2.23 × 10−5 RME 1.51 × 10−4 For women, CTE 2.23 × 10−5 RME 1.51 × 10−4 results were obtained, which exceeded the EPA's recommended limit and also exceeded the maximum allowable limit of 10-4.

목 적: 2011, 2012년도 국민건강영양조사 내용을 기반으로 우리나라 나이관련황반변성(Age-related macular degeneration, AMD)의 위험요인을 분석하고자 하였다. 방 법: 국민건강영양조사 제5기 과정 중 2011년, 2012년도 조사대상자의 건강 검진과 안과 검진을 받은 45세 이상의 성인을 대상으로 AMD와 상관성이 있는 위험요인인 성별과 연령 통제 전과 후로 구분하여 로지 스틱 회귀분석으로 통계처리를 하였으며 유의수준은 0.05 이하로 하였다. 결 과: 인구·보건학적인 요인에서는 성별과 연령을 통제하기 전에는 여성, 연령이 많을수록, 교육정도 가 낮을수록, 읍/면 거주자에서 발병률이 높게 나타났으나, 성별과 연령을 통제한 경우에는 거주지는 상관 성이 없고 여성과 연령이 많을수록, 교육정도가 낮을수록 발병률이 높게 나타났다. 신체·질병학적인 요인 에서는 성별과 연령 통제하기 전에는 고혈압, 중성지방 및 가족력이 위험요인이었으나 성별과 연령 통제 후 에는 모든 요인들이 AMD와 상관성이 없었다. 성별과 연령을 통제하기 전에는 난시, 근시, 원시, 백내장 및 안질환 가족력이 AMD와 상관성이 있었으나, 성별과 연령을 통제 후에는 원시안과 백내장이 AMD 위험요인 으로 나타났고 근시안은 AMD 위험요인이 낮은 것으로 나타났다. 건강·행태학적인 요인에서는 성별과 연령 을 통제하기 전에는 햇볕 노출 5시간 이상만 상관성이 있었으나, 성별과 연령을 통제한 후에는 흡연, 햇볕 노출 5시간 이상이 AMD 발병을 높이는 위험요인으로 분석되었다. 결 론: AMD 발병은 나이와 성별에 연관이 있고, 성별과 연령을 통제한 경우에는 원시, 백내장, 흡연 및 햇볕 노출 시간이 상관성이 있음을 확인하였다.

The purpose of this study was to investigate the relations between HbA1c level and health risk factor. For analysis, 330 elderly women aged 65 years and over were recruited in Jeonla province, Korea. The subjects were classified into two groups according to their HbA1c level; the diabetic group (HbA1c level≥6.5%, n=68, 20.6%) and control group (HbA1c level< 6.5%, n=262, 79.4%). Demographic characteristics were collected, as well as information on physical measurements, blood tests for biochemical indicators, a health status and health-related life style, dietary behavior, favorite food groups, consumption frequency of food groups and nutrient intake. Educational level of the diabetic group was significantly lower than that of the control group. The height of the diabetic group was shorter, and percentage fat of the diabetic group was higher than those of the control group. In the diabetic group, the higher concentrations of creatinine and activity of alkaline phosphatase were found to be significantly unfavorable factors. Therefore, the diabetic group was assumed to be at risk of decreased liver and renal function. The self-rated health level of the diabetic group has a declining tendency, while the medicine intake was significantly higher than that of the control group, but there are no significant differences in visiting frequency of hospital and community health center. The distribution of physical activity showed a significant difference between the groups. Although there are no significant differences in nutrient intake, the diabetic group had relatively inferior nutrient intake of diet, especially vitamin C, as contrasted with the control group. In conclusion, the weight control and increasing physical activity may be effective in the prevention of the diabetes and continuous education and intervention by specialized nutritionists will be needed for diabetic patients. These results could be useful to plan effective strategies to increase the health-life expectancy and the prevention of the diabetes of Korean elderly people living in rural areas.

기존의 많은 흡연 연구는 담배 소비 경험을 흡연자의 인지적 측면을 중심으로 이해하고자 하였다. 그러나 흡연자는 담배 소비를 통해서 쾌락적 동기나 사회적 동기를 충족하는 과정에서 자신과 타인에 대한 죄책감이라는 부정적인 정서를 경험할 수 있다. 구체적으로, 흡연자의 담배소비 행동이 흡연자의 이상적 자기개념이나 사회적 자기개념이라 는 기준에 부합하지 않을 때 죄책감이 발생할 수 있다. 이와 관련해서 본 연구는 담배를 소비하는 과정에서 발생하는 죄책감이라는 부정적 정서 경험을 중심으로 흡연자의 심리적 기제를 이해하고자 하였다. 연구 결과, 흡연자는 담배 소비가 제공하는 쾌락적 혜택보다 신체적 피해를 더 크게 지각할수록 자신에 대한 죄책감과 타인에 대한 죄책감을 더 강하게 경험하는 것으로 나타났다. 한편, 흡연자에 대한 사회적 이미지를 부정적으로 지각할수록 타인에 대한 죄책감을 더 강하게 경험하였다. 또한 자신에 대한 죄책감과 타인에 대한 죄책감은 금연 의향을 높이는 것으로 밝혀 졌다. 이와 같은 연구 결과는 흡연자 자신에 대한 죄책감(예. 담배가격 인상)과 타인에 대한 죄책감(예. 간접흡연이 가족의 건강에 미치는 피해를 보여주는 금연 광고)을 유발하는 금연 캠페인이 흡연자의 금연 의향을 높일 수 있다는 점을 제안한다.

The purpose of this research was to investigate the relationship between white rice consumption and dietary intake, the risk of metabolic syndrome in Korean based on 1st (1998), 4th (2007~2009), 6th (2013) KNHANES. This study included 25,799 subjects who were age 10 or over. Three groups(low, medium, high) were divided according to white rice consumption (per day). In the low group, the meat and oil intake were significantly higher than the high group. In the 1st survey year, the BMI, waist circumstances, hypertriglyceridemia and fasting blood glucose in the high group were higher than other groups, however the 4th and 6th survey year showed no significant results. In the 1st survey year the risk of waist circumstances was higher in the high white rice consumption group and also had high risk with hypertriglyceridemia. Since the lower white rice consumption in 4th than 1st survey year we found no significant results. But in the 6th survey year with the lowest white rice consumption the risk of high diastolic pressure was reduced in high group. Because continuously reduced white rice consumption meantime showed more intake of meat and oil, it can be concluded that defensive effects with the Korean health.

Recently, the Ministry of Labour, published clause 2 of Article 41 (Risk Assessment) of the Act "Industrial Safety and Health" dated 12 June 2013 in connection with continuous increase of accidents at construction sites in order to prevent accidents in industrial safety and health in new construction in accordance with the risk assessment on construction projects are realized after March 13, 2014. In this paper, positive method of calculating risk discussed by performing research the awareness of general contractors and sub-contractors with presenting risky situation is considered. The purpose will be a positive method of calculating risk and would be a sufficient basе and give a positive direction in the development of new systems currently working in the construction and risk assessment which consider the characteristics of sufficient risk assessment system for future research.

Volatile organic compounds(VOCs) detected frequently in the indoor air of child-care centers causes neurological disorders, lung, eyes, and bronchial irritation, and acute and chronic toxicity. In this study, the distributions of carcinogenic VOCs detected in child-care centers were characterized and a health risk assessment of the VOCs was performed, which can provide the necessary information for drawing up safety plans with respect to the concerned materials. The sampling of sites in day-care centers was undertaken two times: in the morning (10:00~12:00), and afternoon(16:00~20:00)-at 23 daycare centers located in Seoul, Korea from April, 2012 to July, 2012. The overall average concentrations of individual VOCs were benzene(1.61 μg/m3) > carbon tetrachloride (0.78 μg/m3) > chloroform(0.67 μg/m3) in order. Indoor/outdoor(I/O) ratios of benzene, carbon tetrachloride, chloroform were 1.33, 1.09, 1.72, respectively. Benzene and carbon tetrachloride are thought to be more strongly associated with outdoor sources as compared to chloroform. Spearman correlation of benzene, carbon tetrachloride between indoor and outdoor concentration showed statistically significant levels(p < 0.05). The linear correlations for benzene, styrene, and carbon tetrachloride were tested. A significant correlation was observed only for carbon tetrachloride, accounting for 83 % of the variance. The risk assessment of the carcinogenic VOCs for teachers, infants, and children showed that none of the targeted VOCs posed a serious risk.

The occupational health and safety accidents were continuously increased during handling, usage and manufacturing the chemical materials according to increase of small and medium sized enterprises in domestic industries. These accidents mainly resulted from insufficient occupational health and safety management and deteriorative facilities and focused on corresponding operation to minimize the damage of accidents after occurrence. But, it was required that we grasped the occurrence causes of occupational health and safety risk in handling, usage and manufacturing the chemical materials and develop the adequate corresponding operation and system according to the possible occurrence of occupational health and safety risk. This study deals with the development of risk assessment model to derive the risk and important risk of occupational health and safety and then help to construct the self-controlled occupational health and safety system for small and medium sized enterprises handling the chemical materials.

The purpose of this report is to discuss the obtained findings gathered from ultrasound screenings of the liver. After running diagnostic tests health, screens were then conducted to analyze and compare the gained results. This data was then charted and used to strengthen our theorized hypothesis. From January 2013 to June 2013 a recorded 2906 people over the age of 20 visited Health Promotion Centers in various areas throughout Daejeon. Of those 2906 participants 1789 underwent screenings for abdominal ultrasonography; these participants as well as their ultrasound results were used as the bases of our study. For the establishment of our baseline and the comparison of our results, we gathered case-controlled studies from various reputable sources. Both the control and the experimental groups were tested to measure the following liver enzymes (AST, ALT, r-GTP, ALP, and etc.). Kidney functions were measured as well enzymes such as BUN, Creatinine, and Uric Acids levels were analyzed and recorded to see if any relationships existed between the levels documented in the liver and those in the kidneys. It was shown that the two primary causes of fat build up within the liver were significantly connected to obesity BMI(OR=4.14) and waist circumference(OR=3.88).

The objective of this study is to examine the relationship between tomato consumption and the risk of metabolicsyndrome (MetS) in Korean middle aged women. Data from the combined 2009-2011 Korean National Health andNutrition Examination Survey (KNHANES) was analyzed. Tomato intake was assessed using the algorithms devel-oped to analyze the demographic data of intakes of different tomato based food commodities such as “tomato, raw”,“tomato, tomato juice”, “tomato, tomato canned”, “tomato sauce”, and “tomato ketchup”. Korean women(n=11,251) were subgrouped according to the number of the MetS risk factor (RF 0, RF 1-2, RF 3). Anthropo-metric parameters, lipid profiles, fasting glucose, and tomato intake were analyzed. Corresponding to the number ofthe MetS RF, there was a decrease in tomato intake (18.90±1.78, 16.67±1.23 and 12.84±1.23; P<0.001). Tomatointake showed a negative correlation with systosolic blood pressure, BMI, waist, and triglyceride. HDL cholesterolalso showed a significant correlation with tomato intake (r=0.023, P<0.05). In summary, the results show a rela-tionship between tomato intake and MetS in Korean middle aged women.

This study was conducted to evaluate the health risk of workers exposed to phenyl glycidyl ether to prevent themfrom developing occupational diseases. The workplaces that coat floor with epoxy were selected and the sampleswere collected and analyzed with NIOSH 1619 Method. Unit risk was calculated according to the animalcarcinogenicity study. Excess cancer risk was also calculated by multiplying unit risk by exposure concentration.Monte Carlo simulation was performed to calculate the median, cumulative 90%, and cumulative 95% value.Phenyl glycidyl ether is a skin, eye irritator and can result in allergic reaction, nausea, intoxication. Unit risk wascalculated as 0.04 (mg/m³)-¹ based on the tumor incidence in rats. Geometric mean and geometric standarddeviation was also calculated as 0.112 ppm and 0.223, respectively by the workplace environment measurements.The median, cumulative 90%, and cumulative 95% value of excess cancer risk were calculated as 0.0244, 0.1328,0.1596, respectively. Not only cumulative 90% and cumulative 95% value but also the median of excess cancerrisk is much higher than 1×10-⁴ by the risk characterization, so there is a possibility of carcinogenesis to workers.Therefore, supervisors or managers of each workplace have to keep doing the risk management of their workplacesfor workers to reduce exposure to phenyl glycidyl ether.

This study was performed to investigate the distribution of indoor air pollutants in medical facility in Gyeonggi-do area from February to November, 2012, and to conduct the health risk assessment from obtained data. PM10, CO₂, formaldehyde, CO, and total bacteria count(TBC) did not exceed the maintained standards, but mean concentration of TVOC was 402.3 ㎍/㎥ and thirteen of them exceeded the recommended standard. In the concentration distribution of pollutants for the monthly samples, CO₂, formaldehyde, TVOC, TBC were the highest level in August. From the factor analysis of indoor air pollution provided three factors; the first factor was seasonal factor (indoor temperature and humidity, TBC and formaldehyde), the second factor was ventilation factor (CO₂, PM10 and CO), and the third factor was building(or interior) factor (TVOCs). In the health risk assessment results, the excess carcinogenesis of formaldehyde for resonable maximum exposure worker was 1.21×10-⁴ which means exceeding the cancer criteria(1.0×10-⁴). We confirmed the probability of health effect caused by TVOC. The lifetime excess cancer risk of carcinogens(benzene, formaldehyde) and hazard quotient of non-carcinogens(toluene, ethylbenzene, xylene, styrene), and risk of regulation substances(PM10, CO₂) were safety level for inpatients and out patients.

According to Department of labor guideline “2012-104 (2012.9.26.)” This study is to suggest the basic information and the improvement for the application of risk assessment on a construction site by group interview & survey of construction worker who is the practice of the subject and then numerical analysis about awareness and action plan of Safety and health. The result of group interview and survey of construction worker, most of construction worker feel the danger during the work. Then construction worker analysis results that risk assessment helps to change & raise awareness of safety and reduce an industrial disaster. Easy Safety management activity such as TBM & safety education active will be necessary for safe worksite and then I suggest the TBT(tool box talk) active which combines TBM & safety education.