목적 : 본 연구는 40세 이상 한국 성인의 수면시간과 안구건조의 관련성을 알아보기 위해 시행하였다. 방법 : 국민건강영양조사 제7기에 참가한 성인 16,119명 중 성인 2,506명을 대상으로 하였다. 수집된 자료는 복합표본설계방법으로 평균, 표준 편차, t-검정을 분석하였다. 수면시간과 안구건조의 연관성은 카이제곱으로 분석하였다. 일반적 특성이 안구건조에 영향을 분석하기 위해 로지스틱 회귀 분석하였다. 성별, 연령, 학력, 가구소득, 직업, 근무시간대, 체질량지수, 흡연, 음주 등의 변수를 통제하였다. 결과 : 분석 결과 전체 수면시간은 7시간이었다. 수면시간과 안구건조는 관련이 있는 것으로 나타났다. 안구건조에 영향을 미치는 요인을 로지스틱 회귀분석 한 결과 안구건조는 7시간보다 5시간 이하에서 증가하였다(OR 1.93[95% CI: 1.38-2.71]). 안구건조는 남성보다 여성에서 증가하였다. 저체중보다 비만에서 증가하였으며(OR 1.89[95% CI: 1.11-3.19]), 음주에서 주 4회 이상이면 안구건조가 증가하였다(OR 2.43[95% CI: 1.42-4.16]). 결론 : 안구건조와 수면시간과의 연관성을 확인하였다. 그러므로 적절한 수면시간으로 안구건조를 예방해야 할 것이다.

목적: 안경사 직무를 분석하여 국가시험 교과목과의 연계성을 확인하고 대학의 시험과목 비율과 교육과정 개발에 기초자료를 제공한다. 방법 : 안경사 872명과 안경광학과 교수 99명을 대상으로 5개의 직무영역과 18개의 일로 구성된 설문을 조사하여 분석하였다. 결과 : 안경사 직무분석에서 작업의 중요도와 필요도가 모두 높은 영역에서 필요능력인 지식과 기술을 도출하여 안경조제가공(39.1%), 시력검사(27.5%) 및 콘택트렌즈(14.8%), 기타(18.6%)의 비중을 통해 안경사 1차 직무 분석(2000년)과 비교해 검안안경사 분야로 안경사의 직무가 이동된 것으로 나타났다. 결론: 안경사 직무에서의 변화는 안경사 국가시험과 대학의 교육과정에 적절히 반영되어야 할 것으로 생각된다.

Unhealthy dietary behavior such as insufficient calcium intake can be one of risk factors of osteoporosis and chronic diseases in older people. This study evaluated the recent trends in dietary calcium intake and the food source in Korean adults aged 50 years or older using the Korea National Health and Nutrition Examination Survey (KNHANES, 2015-2019) data. This study used 24-hour recall survey data to investigate the calcium intake, the major food groups and main dishes contributing to the calcium intake. The mean calcium intake was 479.55-506.81 mg/day. The major food groups that contribute to calcium intake were vegetables, milks and fishes. Dairy and frozen desserts and kimchi were the major dish groups that contributed to the calcium intake. Calcium intake from milk in dairy and frozen dessert group has been high in last 5 years (50-64 years old: 34.71-47.68 mg, 65-74 years old: 29.72-43.65 mg, over 75 years old: 22.91-42.93 mg). In addition, baechu-kimchi is the most contributed to the calcium intake in kimchi group (50-64 years old: 35.10-41.47 mg, 65-74 years old: 29.62-34.96 mg, over 75 years old: 23.79-29.13 mg). In conclusion, various source of calcium needs to be recommended to increase intake calcium in over 50 years, which may reduce chronic diseases and improve quality of life.

This study examined the nutrient intake of Korean adults by considering the lunch type, categorized as home meals (HM), eating out (EO), and institutional meals (IM). Data was obtained from the 2019 Korea National Health and Nutrition Examination Survey (KNHANES). Totally, 3,786 adults (1,643 men, and 2,143 women) aged between 19-64 years were included in the study. Subjects with daily energy intake of less than 500 kcal or over 5,000 kcal, and those who skipped lunch, were excluded. The percentage of subjects in the HM, EO, and IM were 31.9, 53.6, and 14.4%, respectively. The daily energy intakes of the HM, EO, and IM groups were determined to be 2,185, 2,360, and 2,339 kcal, respectively, in men, and 1,622, 1,731, and 1,741 kcal, respectively, in women. Among the three groups, men in the EO group had more intake of fat, saturated fat, cholesterol, sodium, and riboflavin, and less dietary fiber, and whereas women consumed more fat and less dietary fiber and potassium. In the IM group, the men consumed more dietary fiber, potassium, and thiamine, whereas consumption of carbohydrate, unsaturated fatty acid, sodium, potassium, and thiamine was more in women. Energy contributions of carbohydrate, protein, and fat were all within the AMDR (acceptable macronutrient distribution ranges) for all lunch types, except for the percent of energy provided from saturated fat in EO (7.4% in men, and 8.2% in women). Our results indicate that the dietary habit of frequently eating out increases the fat intake, thereby resulting in increased health risks for adults. Thus, implementation of a nutritional education program to encourage balanced dietary habits is required to improve the nutritional status of individuals eating out.

This study investigates the relationship between vitamin C intake and obesity prevalence among Korean adults. Based on data of the Korean National Health and Nutrition Examination Survey (2016-2017), a total of 1,356 participants were included in this analysis. Increasing the dietary vitamin C intake resulted in a significantly decreased occurrence of BMI obesity prevalence (p for trend=0.0194) and WC obesity prevalence (p for trend=0.0452). Moreover, increasing the dietary vitamin C intake of Korean adults having a high frequency of eating breakfast resulted in significantly decreased BMI obesity prevalence (p for trend=0.0406) and WC obesity prevalence (p for trend=0.0432). Among the Korean adults who ate out frequently, decreased BMI obesity prevalence was determined with increased intakes of dietary vitamin C (p for trend=0.0193) and total vitamin C (food and dietary supplements) (p for trend=0.0429), whereas significant decrease in WC obesity prevalence was observed with increased dietary vitamin C intake (p for trend=0.0484). Our results provide conclusive evidence that consumption of dietary vitamin C is associated with obesity prevalence in Korean adults, according to their habits of eating breakfast and frequency of eating out.

검여 유희강(1911-1976)은 북위 서풍으로 현대 한국서단에 새로운 패러다임을 주도한 서예가이다. 그는 전각에서도 두각을 나타냈지만 그의 전각작품을 심도있게 고찰한 논고는 전무한 상태이다. 따라서 본고에서는 검여의 유품 중에 전해지는 인장 실물과 그의 서화작품에서 확인되는 낙관의 인영을 총 정리하고 제작연대와 작 품성향을 분석해 다음과 같은 유의미한 내용을 도출해냈다. 첫째, 검여가 직접 새긴 인장은 33점 23세트로, 1952-1966년 사이에 집중되며, 1962년 검여서원 개설을 기점으로 전기와 후기로 나눌 수 있다. 본고에서는 검여 서화작품에서 20점 14세트의 인장을 새롭게 찾아내어 정리했다. 둘째, 전기는 등석여와 조지겸을 중심으로 청대 서가들의 전각을 두루 섭렵해 전각을 본격적으로 학습했으며, 후기는 오창석의 각풍에 주로 심취하면서도 금문과 한인의 자형 결구에 등 석여의 필세를 가미해 중후한 자신의 각풍을 구사하고 있다. 셋째, 검여의 전각돌은 대부분 한국 해남석을 사용했고, 전각기 법은 청대 서예가의 영향을 받아 충도법을 주로 사용했다. 특히 후기에는 오창석의 각풍을 구사하면서 한인과 육조 해서의 강인 한 필선을 전각에도 도입해 중후한 전각 기법을 구사했다. 넷째, 지인이 검여에게 새겨 준 인장은 21점 11세트로, 1964-1973년 사이에 집중된다. 또한 대부분 인장 실물이 현재까지도 보존되어 있어 1964년 이후 우수서와 좌수서 서화작품 에서 모두 확인된다. 다섯째, 검여의 작품에서 자신이 새긴 1-3번 인장과 여초가 새긴 24-26번 인장, 철농이 새긴 27번 인장이 검여의 우수기와 좌수기의 작품에서 낙관인으로 자주 사용됐고, 석봉이 새긴 32번 인장과 석불이 새긴 33번 인장이 두인으로 종종 사용됐다.

In this study, an improvement plan was derived by statistically analyzing the system and current status of tests in Korea and survey of seafarers perception in order to improve the expertise of the Korean fishing vessel officer examination. Recently, about 70% of marine accident occurs from fishing vessels. Therefore, it's necessary to improve the examination to reduce marine accidents. As a result, it was identified that an average of 29,265 applicants have applied over the past four years, and among them, 1,833 people have applied for fishing vessel licenses, accounting for 6.3% of the total. According to the result of explanation and response of 115 people, they responded that practical utilization was low, each operation waters has different requirements and it’s necessary to improve the contents of the questions for the specialty subject. In addition, inappropriate questions were found in previous exams. To reduce marine accidents caused by human error and to improve the professionalism of fishing vessel officers, it is necessary to adjust the test criteria and ratio with characteristics of fishing vessels and in the long run, institutional improvements such as the distinction between test subjects and licenses are needed.

The intake of processed foods containing high levels of sugar increases the incidence of chronic diseases, including obesity, diabetes, and metabolic syndrome. Limiting sugar intake is important for a healthy life at all ages. Therefore, this study analyzed food sources and sugar intake by the different age groups based on the 7th Korea National Health and Nutrition Examination Survey (KNHANES). We used 24-hour recall survey data to investigate the daily sugar intake and the major food groups and main dishes contributing to sugar intake. The mean sugar intake was 58.9-66.8 g/day. The three major food groups contributing to sugar intake were fruits (15.2-19.9 g/day), beverages (10.7-12.4 g/day), and milk and milk products (7.6-7.8 g/day). Teas and other non-alcoholic beverages (14.7-17.3 g/day), fruits (12.5-16.2 g/day), and dairy products (7.0-7.6 g/day) were the major food groups that contributed to the sugar intake. Carbonated drinks, apples, and milk were the top sources of sugar intake in each group. In conclusion, the sugar intake of Koreans is mainly from carbonated drinks, fruits, and milk. These results provided the basic data for nutrition education and nutrition program development according to the different age groups of the Korean population.

Although fine dust pollution in Korea is increasing, there is no information regarding nutritional standards for fine dustrelated disease patients. This study analyzed the food and nutrient intake status in adult men with disease associated with fine dust in the area with the increased level of fine dust pollution using the sixth and seventh Korea National Health and Nutrition Examination Survey (2013-2017). The daily intakes, and average nutrient adequacy ratio (NAR) and mean adequacy ratio (MAR) values of energy were significantly increased in the control group compared with patient groups. Compared with the control group, protein, fat and cholesterol intakes were significantly increased in the patient groups. Daily intakes of cereals and grain products in the control group were increased, whereas seasoning intake was decreased in the control group compared with patient groups. The patient groups had low daily water and vitamin B1 intakes, and the niacin intake of patient groups was significantly lower than that of the control group. Nutrition density and nutritional quality of vitamin C were significantly reduced in patient groups. This study can be used as basic data for nutrition education that emphasizes sufficient calorie, water and antioxidant vitamin intakes for patients related to fine dust pollution.

This study was conducted to examine the status of food consumption and nutrition intake of young adults according to food security using data from the Korea National Health and Nutrition Examination Survey (KNHANES) (2008~2018). A total of 10,655 young adults aged 19~34 years participated in the study. The subjects in the moderately/severely food insecure group consumed less fruits, vegetables, meat, nuts and seeds than those in food secure/mildly food insecure group after adjusting for confounding factors. The moderately/severely food insecure group significantly decreased mean adequacy ratio (MAR) and nutrient adequacy ratio (NAR) for protein, vitamin A, riboflavin, niacin, vitamin C, calcium, phosphorus and iron compared to the food secure/ mildly food insecure group. The percentages of the participants consuming a daily diet with carbohydrate, protein, vitamin A, thiamin, riboflavin, niacin, vitamin C, phosphorus and iron less than the estimated average requirement (EAR) increased in the moderately/severely food insecure group compared with the food secure group. This study suggested that the nutrition intake of young adults was related to food security status. These findings can be used as basic data for developing nutritional policies for young adults.

This study was conducted to investigate the intake status of beverages and water in Korean adults using data from the 8th National Health and Nutrition Examination Survey. The ‘total water’ intake was 2,250.6 g for men and 1,871.2 g for women. Men and women consumed an average of 314.9 g of ‘total beverages’, of which ‘coffee’ was the largest at 107.5 g, followed by ‘others’(65.4 g), ‘milk’ (44.8 g), ‘soda’ (44.1 g), ‘teas’ (20.9 g), and ‘fruits and vegetables’ (18.5 g). The intake of ’plain water’ was 1,059.9 g, and the intake of ’water from food’ consumed was 547.3 g. The ‘total water’ intake decreased with increasing age in males and females (p<0.001). Both men and women showed a tendency toward increased ‘total water’ intake as income levels increased. ‘Plain water’ intake accounted for 51.4% of the ‘total water’ intake in males and females. The intake of all nutrients significantly increased from the Q1 group to the Q4 group by quartile ranges of total water intake. The results of this study showed that the intake of healthy water should be considered, and care and educational programs are needed, especially for older people, to ensure adequate water intake.

Diet is important for muscle health and offers a protective effects against the loss of skeletal muscle mass and physical functions with advancing age. We analyzed the relationship between diet, metabolic disease risk, and sarcopenia in Korean female adults using the 2009-2011 Korea National Health and Nutrition Examination Survey (KNHANES). A total of 2038 adult women aged 50-64 years were classified into four groups based on the diagnosis of menopause and sarcopenia. The groups were the non-menopause and non-sarcopenia group (NMNS, n=249), the non-menopause and sarcopenia group (NMS, n=14), the menopause and non-sarcopenia group (MNS, n=1,653), and the menopause and sarcopenia group (MS, n=122). The socio-demographics, anthropometrics, blood profile, and dietary data of the subjects were collected. Those who were in both the sarcopenia groups were more obese (p<0.001), had greater waist circumferences (p<0.001), higher body mass index (p<0.001), and higher obesity rates (p<0.001) after adjustment for covariants. Both the sarcopenia groups also had higher plasma levels of total cholesterol (p<0.001), HbA1c (p=0.001), and vitamin D (p=0.020) than both the non-sarcopenia groups. Both the sarcopenia groups demonstrated a decreased intake of calcium (p=0.05), potassium (p=0.008), and niacin (p=0.008) than both the non-sarcopenia ones. Among the four groups, the NMS group showed the highest levels of total cholesterol, obesity, and lowest intake of micronutrients such as calcium, niacin, and potassium. Thus, muscle mass maintenance through weight control and adequate nutrient intake appears to demonstrate a potential association with preventing sarcopenia in Korean middle-aged women.

This study examined the effect of ultraviolet (UV) application on bacterial disinfection in a commercialized humidifier using ultrasonic wave (UW). To accurately examine disinfection kinetics in tap-water condition, tap-water was sterilized using a filter, and then inoculated with pure cultures of E. coli and P. putida with known viable counts. The disinfection kinetic characteristics were experimentally compared when UV alone, UW alone, and UW+UV together were applied in disinfecting the added bacteria in the commercialized humidifier. When UV alone was applied, bacterial disinfection kinetics followed a first-order decay reaction, and showed an approximately 10-time weaker disinfection compared to the typical UV disinfection in water treatment or wastewater treatment. When UW alone was applied, bacterial disinfection kinetics followed a second-order decay reaction with a low disinfection rate constant of 0.0002 min-1(CFU/mL)-1. When UV and UW were applied together, however and interestingly, the disinfection rate constant (0.0211 min-1(CFU/mL)-1) was approximately 100 times increased than that for the UW alone case. These results revealed that the co-use of UV and UW can provide synergistic effect on bacterial disinfection in a tap-water condition in household humidifiers.

『三國志演義』는 元代 建安 虞氏의 『三國志平話』를 시작으로 현전하는 통행본인 毛宗崗本에 이르기까지 약 350여 년의 발전 과정을 거쳤다. 이러한 발전 과정 안에서 상업성을 목적으로 한 福建地方과 江南地方의 출판 경쟁이 시작됐고, 江南地方에서 刊行된 演義系列 版本과 福建 建陽地方에서 刊行된 志傳系列 版本이 생겨났다. 그리고 이 두 系列의 版本은 回目과 內容 등에서 독자적인 특색을 갖고자 여러 가지 변화를 시도하였다. 두 系列의 版本들을 살펴보던 중 필자가 주목한 것은 『花關索傳』 과 『三國志演義』에 대한 영향 관계였다. 본 연구는 『三國志演義』에 『花關索傳』이 揷 入되면서 系列 분류 및 관련 版本에 어떠한 영향을 주었는지에 대하여 살펴보고, 시간이 지남에 따라 『三國志演義 내에서 『花關索傳』이 점차 사라지게 된 근본적 이유가 무엇인지에 대하여 毛宗崗을 비롯한 몇 가지 이유를 들어 살펴보고자 한다. 그리고 그럼에도 불구하고 현대까지도 잘 보존되어 이어지는 關索과 관련된 전설과 민간 고사 등을 통해 『花關索傳』이 갖는 의미와 가치에 대하여 살펴보고자 한다.

The purpose of this study was to compare the differences in the quality of dietary and life across age groups of Korean adults. According to life cycle, four age groups (20~29, 30~49, 50~64, ≥65) were created. Anthropometric indices showed significant differences according to age group (p<0.001). Energy intake significantly decreased according to age group as a result of decreased protein and fat intake (p<0.001). The intake levels of minerals, vitamins, and dietary fiber per 1,000 kcal were the lowest in the 20~29 age group (p<0.001). Whereas saturated fatty acids, MUFA, and PUFA intake levels were the highest for those in the 20~29 age group (p<0.001). The quality of dietary (DQI-I) increased with age group, but the quality of life (EQ-5D index) decreased (p<0.001). The quality of dietary showed 5.8% explanation power on the quality of life (p<0.001). Additionally, diet moderation was shown as having a negative effect, but the diversity and balance of diets had a positive effect on the quality of life. By age group, the relationship between quality of dietary and quality of life was the highest in ≥65 age group. These results suggest that practical dietary education is needed from the 20’s to ensure the quality of healthy life for the elderly.

There is little information on the nutrient intake according to the city size and small town in Korean elderly. This study analyzed the nutritional consumption of older people in metropolitan, middle and small cities, and rural areas according to four income levels. The recent data from the 2016~2018 Korean National Health and Nutrition Survey, Centers for Disease Control and Prevention were used. The final analysis included 4,325 individuals (Male: 1,856, Female: 2,469) over 65 years old. Multivariable regression with a complex sample design was conducted to compare the nutrient intake among the groups. In a comparison within regions, the nutrition status of the elderly in small towns was more vulnerable than metropolitan and middle & small cities. The energy intakes were similar between the groups. The carbohydrate intake of middle & small cities was significantly higher than the other regions. The intake of other nutrients in metropolitan and middle & small cities appeared to be higher than in rural areas. The number of nutrients with statistical significance between low and high-income levels were 19 in metropolitan, 11 in middle & small cities, and 5 in rural areas. Each contribution of carbohydrate, fat, and protein to the total energy intake was lower in the low-income level than the high-income level in metropolitan and middle & small cities. On the other hand, in rural areas, only the contribution of protein to energy intake was lower in the low-income level than the high-income level. Cities with higher levels of urbanization had more severe nutritional inequality in relation to the income level. There was also nutritional inequality present in rural areas but it was to a lesser extent. Moreover, the generally low level of nutrient intake was problematic in rural areas. These findings could be used as fundamental evidence for developing community nutritional policies for the elderly.

This study compared the lifestyle patterns, dietary patterns, and health care practices of Korean middle-aged people by household type, and ultimately analyzed their relationship with different risk factors for the prevalence and severity of metabolic syndrome. We analyzed the data from 4,755 subjects who were from 40 to 64 years old, and gathered our sample from participants of the Korea National Health and Nutrition Examination Survey from 2013 to 2015. Our results showed that single-person households had lower economic income levels, lower subjective health statuses, and higher levels of food instability than households with two or more individuals. The incidence of metabolic syndrome was 1.64 times higher in single-person households than in households with two or more individuals. After adjusting for potential confounding factors (sex, age, education, household income, smoking status, health status, and dietary factors), single-person households showed 1.75 times higher hypertriglyceridemia ORs than non-single-person households. In the conclusion of our study, we suggest that middle-aged people in single-person households may be at greater risk for metabolic syndrome and hypertriglyceridemia.