목적 : 본 연구는 대한작업치료학회지에 게재된 논문을 중심으로 한국 작업치료의 연구 동향을 파악하고자 하였다. 연구방법 : 대한작업치료학회지에 2016년부터 2020년까지 게재된 213편의 논문을 대상으로 연구 유형, 근거수준, 연구 분야, 1 저자 정보, 연구 대상자, 연구 변인의 유형을 분석하였다. 결과 : 분석 결과로 연구 유형은 기술적 연구가 33.80%로 가장 많았고, 근거수준 중 수준 4가 47.89%로 가장 높았으며, 2016년에 비해 수준 1과 수준 4의 연구 수가 증가한 것으로 나타났다. 연구 분야는 작업 치료일반이 28.64%로 높게 나타났으며, 게재된 논문의 1 저자 직위는 대학원생이 33.64%로 가장 높았 다. 실제 연구 대상자가 포함된 연구 중 성인을 대상으로 한 연구가 54.95%로 가장 많았으며, 연구 대상 자 진단명은 뇌졸중이 가장 높았다. 연구 변인은 기술적 연구에서 작업/활동 기반 작업치료가 15.28%였 고, 실험연구의 독립변인은 작업/활동 기반 작업치료가 28.30%, 종속변인은 운동기능이 26.36%로 높게 나타났다. 결론 : 본 연구를 통해 한국 작업치료의 연구의 근거수준의 향상과 연구분야의 다양성을 확인할 수 있었 다. 이에 본 연구 결과가 향후 연구 방향의 설정에 신뢰할 만한 자료로 활용되길 기대한다.

목적 : 한국실명예방재단에서 발표한 사업보고서를 기초로 약시의 진단 및 원인, 치료 그리고 치료 결과에 대한 데이터를 분석하고자 한다. 방법 : 눈 건강증진 사업인 ‘취학 전 어린이 실명예방사업 보고서’ 중 2016년에서 2020년 최근 5년간의 보고서 내용 중 약시와 관련된 결과들을 분석하였다. 결과 : 약시 진단 및 원인으로 평균 50.87±3.97%로 절반 이상이 병원에서 약시를 확인하였으며, 평균 51.50±2.48%로 국내 약시안의 절반 이상이 굴절이상으로 인한 약시가 가장 큰 원인으로 나타났다. 약시 치료 기간은 1년 이하가 평균 54.42±9.27% 약시안의 절반 이상이 1년 이내에 치료가 완료된 것으로 나타났으며, 안 경 착용과 차폐를 병행한 방법이 평균 51.05±3.85%로 나타나 가장 많이 사용되고 있는 치료법이였다. 평균 68.86±13.13%가 시력이 향상되었으며, 치료 종결된 약시안은 31.98±23.53%를 보였다. 치료에 방해가 되는 원인에서는 아이의 치료거부가 42.34±3.76%로 가장 큰 이유로 나타났다. 결론 : 약시의 치료에 있어 가장 기본이 되는 것으로 시력이 가장 중요한 요소이며, 시력 향상을 유지하기 위해 서는 정확한 굴절검사를 바탕으로 한 안경교정 함께 정상적인 양안시를 유지하도록 하는 것이다. 국내 약시의 상 황을 정확하게 분석하기 위해서 본 연구를 기초로 앞으로 국내 약시의 지속적인 연구가 필요할 것으로 보인다.

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.

The stochastic method is applied to simulate strong ground motions at seismic stations of seven metropolises in South Korea, creating an earthquake scenario based on the causative fault of the 2016 Gyeongju earthquake. Input parameters are established according to what has been revealed so far for the causative fault of the Gyeongju earthquake, while the ratio of differences in response spectra between observed and simulated strong ground motions is assumed to be an adjustment factor. The calculations confirm the applicability and reproducibility of strong ground motion simulations based on the relatively small bias in response spectra between observed and simulated strong ground motions. Based on this result, strong ground motions by a scenario earthquake on the causative fault of the Gyeongju earthquake with moment magnitude 6.5 are simulated, assuming that the ratios of its fault length to width are 2:1, 3:1, and 4:1. The results are similar to those of the empirical Green’s function method. Although actual site response factors of seismic stations should be supplemented later, the simulated strong ground motions can be used as input data for developing ground motion prediction equations and input data for calculating the design response spectra of major facilities in South Korea.

In this study, data from the 7th (2016~2018) and 8th (2019) Korea National Health and Nutrition Examination Surveys were used, which included 5,325 subjects. Health behavior, dietary and nutrient intake status, physical measurement and biochemical characteristics, and risk factors for elderly related chronic diseases were classified and analyzed according to the changing composition of single households and other households in the current society. As a result, the ratio of current smokers and drinkers in young adult single households, walking less than 30 minutes per day, subjective health status was poor, breakfast rate less than three times per week, eating out frequency more than once a day, lipid intake ratio to total calories, saturation fatty acid intake were significantly higher. In addition, waist circumference, and diastolic blood pressure were significantly higher. However, dietary fiber intake level was significantly lower. The results for hypertension, which is the representative chronic disease that causes old age-related chronic diseases, were significantly higher in single households (ORs=1.400 (95% CI: 1.095, 1.791), p=0.007). Although young adults may not have showed particularly serious health problems yet, education is believed as important to recognize and prevent age-related disease risk factors.

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.

In this study, the Korea National Health and Nutrition Examination Survey in 2016 examined the nutrient and food intake of women in their 20s and 30s according to the number of meals a day, and the results were as follows: The study included 256 women in their 20s and 474 women in their 30s. Women in their 20s and 30s ate two meals a day, indicating that the notion of three meals a day was gradually changing to two to three meals a day. Those in their 20s and 30s who eat one, two or three meals a day were consuming less than the estimated energy requirement of the DRI for Koreans 2015. The vitamin A and C were eating less than the recommended intake in all meals. In the case of minerals, calcium was taken less than the recommended intake in all meals, but sodium was taken above the goal intake in all groups. Women in their 20s and 30s must reduce their intake of saturated fatty acids and sodium, and increase their intake of vitamins A, C, calcium, and potassium. Women in their 20s and 30s drank a lot of coffee, ate baechu-kimchi and rice frequently per week.

본 연구에서는 한국의 동해, 서해 및 남해안에서 하계 수온의 단기적인 변화에 영향을 주는 환경 요인을 파악하기 위해 국립해 양조사원에서 제공하는 2016년 하계 조위관측소의 수온, 기온, 조위 및 바람자료를 이용하여 스펙트럼 분석을 실시하였다. Power spectrum 분석 결과, 평균조차가 100 cm 이상인 서해안(인천, 평택, 군산 및 목포)과 남해안(완도, 고흥, 여수, 통영 및 마산)에서는 수온, 조위가 동일 한 주기에서 peak가 나타났다. 반면에 서해안과 남해안에 비해 평균조차가 상대적으로 작은 동해안(묵호, 포항 및 울산)과 부산에서는 수온의 주기성이 나타나지 않았다. Coherence 분석에서 서해안과 남해안의 3개 정점(완도, 고흥, 통영)은 수온과 조위의 상관성이 높게 나타났다. 특히 완도와 통영에서 수온과 조위의 상관성은 반일주기에서 0.96으로 높았다. 여수는 조석과 담수의 유입이 수온에 영향을 주는 것으로 보인다. 한편 마산의 수온은 남풍의 바람 영향이 가장 크지만 조석과 담수의 영향도 받는 것으로 판단된다. 그리고 동해안은 조차가 작고 해류의 영향이 크기 때문에 수온에 대한 조석의 영향이 작은 것으로 사료된다. 환경 요인의 시계열그래프를 비교한 결과, 수온과 조위가 상관성이 높게 나타난 정점은 창조 시 비교적 저수온의 외해수가 유입되고 낙조 시 빠져나가는 것으로 판단된다. 일주기의 수온 변화는 조석의 영향이 크지만 전체적인 수온의 상승과 하강은 기온의 영향이 큰 것으로 보인다.

The empirical Green’s function method is applied to the foreshock and the mainshock of the 2016 Gyeongju earthquake to simulate strong ground motions of the mainshock and scenario earthquake at seismic stations of seven metropolises in South Korea, respectively. To identify the applicability of the method in advance, the mainshock is simulated, assuming the foreshock as the empirical Green’s function. As a result of the simulation, the overall shape, the amplitude of PGA, and the duration and response spectra of the simulated seismic waveforms are similar with those of the observed seismic waveforms. Based on this result, a scenario earthquake on the causative fault of Gyeongju earthquake with a moment magnitude 6.5 is simulated, assuming that the mainshock serves as the empirical Green’s function. As a result, the amplitude of PGA and the duration of simulated seismic waveforms are significantly increased and extended, and the spectral amplitude of the low frequency band is relatively increased compared with that of the high frequency band. If the empirical Green’s function method is applied to several recent well-recorded moderate earthquakes, the simulated seismic waveforms can be used as not only input data for developing ground motion prediction equations, but also input data for creating the design response spectra of major facilities in South Korea.

There is only limited evidence for the association between fruit and vegetable consumption and mental health in Korea. This study examined the relationship between fruit and vegetable consumption and mental health according to physical activity among Korean adult women. Based on data of the Korean National Health and Nutrition Examination Survey (2014-2016), a total of 5,332 participants were included in this analysis. With increasing fruits and vegetables consumption, the prevalence of depressive mood was significantly decreased (p for trend=0.0248). The prevalence of stress perception (p for trend=0.0422) and the prevalence of depressive mood (p for trend=0.0300) were decreased with increasing fruit consumption. The prevalence of depressive mood was significantly decreased when fruit and vegetable consumption (p for trend=0.0370) and fruit consumption (p for trend=0.0356) were increased for those Korean women with low intensity of physical activity. For the obesity group (Body mass index 25 kg/m2), the prevalence of depressive mood was decreased with increasing fruit and vegetable consumption (p for trend=0.0111) and increasing fruit consumption (p for trend=0.0165). In conclusion, fruit and vegetable consumption were associated with mental health according to physical activity among Korean adult women. Further prospective studies are warranted to explore the association between fruit and vegetable consumption and mental health among Korean adult women.

This study examined the difference of dietary intake behavior between groups of adults aged >20 years with or without dyslipidemia, and comparing the various types of dyslipidemia, based on the Seventh (2016) KNHANES. Men showed higher rate for triglyceridemia and LDL-cholesterolemia than women and subjects in the age group 50-59 years exhibited the highest incidence of triglyceridemia, total cholesterolemia and HDL-cholesterolemia. The ratio of obese people was higher in most types of dyslipidemias. The top five foods in each group of cereal & grain, meat, vegetable, and fruit were selected for analysis, based on the food frequency. The dyslipidemia group showed higher intake frequencies for mixed grains, cabbage kimchi and leafy vegetable than the no-dyslipidemia group, and the group with high blood total cholesterol for mixed grains, apple, and cutlassfish-croaker. Group with high blood triglyceride showed higher intake frequencies of rice and mackerel-mackerel pike than the other groups of high blood triglyceride. No food showed significant difference in the frequencies between groups of LDL-cholesterol. Group with high blood HDL-cholesterol showed higher intake frequency of bibim-fried rice, deep fried chicken, stir fried chicken, apple, tangerine, banana and butter-margarine. These results indicate that people with high levels of blood total cholesterol are more concerned with food having health benefits than those with abnormal levels of other blood lipid. More information on dietary benefits need to be provided to patients having high levels of triglyceride, LDL-cholesterol and HDL-cholesterol.

This study examined the actual condition of middle school students’ dining out based on the data of the 2016 youth food behavior inquiry data of the Korea Rural Economic Institute. The eating out behavior of 278 middle school students’ according to gender, average eating-out cost per person, average monthly eating out cost per person, weekly frequency of breakfast, and dietary information source were calculated into a chi-square value by cross analysis. The main results of this study are as follows. First, in middle school students’ eating-out status, most students answered ‘eating out’, and the highest frequency of eating out was 1~3 times a week. The reason for eating out was ‘to enjoy delicious food’, and ‘costly price’ was the most common reason for not eating out. Food taste was the most common standard for selecting eating out, and a restaurant was the most common place to eat out. The main restaurant was the ‘snack bar (kimbap specialized store)’. Second, there was no significant difference in all items of eating-out status according to the gender. A significant difference in eating out frequency was observed according to average eating-out cost per once (p< .001), standard for selecting eating out (p< .001), main eating out places (p< .001), and main restaurants (p< .01). There was a significant difference in the frequency of eating out (p< .001) in the eating-out status according to average eating out cost per month. Third, the eatingout status according to the breakfast frequency of middle school students had a significant difference in the reason for eating out (p< .001). The eating-out status according to the dietary information source of middle school students had a significant difference in eating out or not (p< .05) and the frequency of eating out (p< .05). These results highlight the importance of school diet education so that middle school students can achieve healthy eating habits and plan to increase their interest and utilization of school dietary education.

The purpose of this study was to examine the association nutrition education experience in regards to metabolic risk and nutrition intake in Korean adult male using the 2016~2017 Korea National Health and Nutrition Examination Survey as the reference. The study involved a total of 1,978 male subjects aged 40~64 who were classified into the 2 groups based on their nutrition education experience: Educated group (n=88) and non-educated group (n=1,890). The household income and education level of educated group were higher than those of the non-educated group. The two groups showed no significant difference in the level of fasting blood sugar, blood lipid profile including total cholesterol and triglyceride, LDL-cholesterol, and hypertension. Vitamin C intake of the educated group (127.5 mg) was higher compared to the non-educated group (88.2 mg) (p<0.05). The percentage of the subjects utilizing nutritional labels was higher in the educated group. The nutrition education experience was inversely proportional to lower Odds Ratio in hyperLDL-cholesterolemia (OR: 0.47, 95% CI: 0.36, 0.84) and HypoHDL-cholesterolemia (OR: 0.57, 95% CI: 0.37, 0.87). This result indicates that nutritional education can be used as an effective tool to avert chronic diseases and develop healthy eating habits.

The objective of this study was to compare nutrients intake, health indices, and prevalence of chronic diseases by occupation in middle-aged men, using results from National Health and Nutrition Examination Survey. The subjects were divided into two groups by their occupation (Office worker (OW) and Agri-fishery worker (AFW)) and their percentages were 75.5% and 24.5% respectively. In health-related factors, drinking rate was higher in OW (p<0.001), while smoking rate was higher in AFW (p<0.001). Walking and strength exercise were both higher in OW group. In dietary behavior, the rate of skipping breakfast and eating out was higher in OW (p<0.001). Food supplement usage were consumed by OW more than AFW (p<0.001). Daily energy intake was higher in AFW (p<0.05). There were significant differences in nutrient density per 1,000 kcal of minerals and vitamins between the two groups (p<0.05~p<0.001), except calcium, potassium, vitamin A and thiamin. In body weight, BMI, waist circumference and blood pressures, OW was higher than AFW (p<0.05~p<0.001). Whereas, HDL and LDL-cholesterol were higher in AFW (p<0.001). The prevalence of diabetes was higher in AFW (p<0.001). The results of this study can be used as data to establish nutrition and health strategies for occupation in middle-aged men.

To investigate the temporal-spatial distribution of picophytoplankton in relation to different water masses in the northern East China Sea (ECS), picophytoplankton abundance were investigated using flow cytometry with environmental factors in 2016–2017. The results from the analysis of flow cytometer data showed that Synechococcus appeared across all seasons, exhibiting its minimum abundance in winter and maximum abundance in summer. Furthermore, high abundance was detected in the surface mixed layer during spring and summer when vertical stratification occurs; in particular, Synechococcus exhibited maximum abundance in thermocline layer, indicating a close correlation to water temperature and thermocline formation. In addition, the abundance of Synechococcus indicated a decrease in the western seas in 2017 compared to 2016 under the strong influence of the Changjiang Diluted Water (CDW). This was determined by the significant influence of the CDW on the abundance of Synechococcus during summer in the northern waters of the ECS. In contrast, Prochlorococcus did not appear during winter and spring, and its distribution was limited during summer and autumn in the eastern seas under the influence of the Kuroshio current. The largest range of Prochlorococcus distribution was confirmed during autumn without the influence of the CDW. Thus, the distribution pattern of each picophytoplankton genus was found to be changing in accordance to the extension and reduction of sea current in different seasons and periods of time. This is anticipated to be a useful biological marker in understanding the distribution of sea currents and their influence in the northern waters of the ECS.

부산의 해운대 해수욕장은 양빈에도 불구하고 지속적인 침식이 일어나고 있으며, 지구온난화로 인한 파랑 에너지 증가와 간헐적인 태풍이 그 원인으로 알려져 있다. 2016년 10월 태풍 차바는 부산을 내습하였는데, 태풍이 해빈침식에 있어 어느 정도 영향을 미치는지 알아보기 위해 태풍 전과 후 VRS-GPS 시스템을 사용해 해빈 측량과 표층 시료를 채취하여 입도분석을 실시하였으며, 침식 후 복원이 어느 정도 되는지 주기적으로 해운대 해빈 지형을 측량하였다. 조사결과, 태풍 내습 직후 해운대 해빈은 평균 약 1.4m 침식되어 낮아졌고, 평균 고조위선은 약 12 m 후퇴했으며, 이에 따라 해빈 경사는 3.8o에서 1.7o로 완만해졌다. 퇴적물 평균입도는 평균 1.6Φ에서 2개월 후 1.2Φ로 조립해졌으며, 분급은 상대적으로 좋아졌다. 태풍 내습 2개월 만에 평균 고조위선은 약 85% 정도 회복되고 해빈 단면은 대부분 복원 되었다. 이러한 결과는 해운대 해빈 침식에 있어 태풍의 영향은 크지 않으며, 다른 해빈과 비교할 때 회복기간이 매우 짧다는 것을 시사한다.

본 연구에서는 3차원 순환 모델인 MOHID (MOdelo HIDrodinâmico) 모델을 적용하여 한반도를 포함한 동아시아 해역의 2016년 해황 변동을 재현하였다. 재현 결과는 객관 분석장(EN4, ARMOR3D, AVISO, SIO 자료)과 현장 관측 자료(정선 해양 자료, 부이 자료)를 사용하여 검증하였다. 검증 결과 MOHID로 재현된 수온, 해면 고도 편차, 표층 유속 및 혼합 층 깊이 등의 전반적인 해황 구조가 동아시아 해역의 객관 분석 자료들과 유사하게 나타났다. 특히 연안의 부이 자료와 비교하였을 때, 표층 수온 및 해면 고도 편차의 상관 계수는 모두 0.8 이상이며, 표준화된 표준편차는 0.85-1.15의 값을 보였다. 그러나 여름철 동해의 수온 약층의 구조 및 황해와 남해의 강한 성층 현상 재현에 관한 추가적인 개선이 필요할 것으로 분석되었다.

본 연구에서는 강풍에 의한 연안 용승 및 섬효과를 구체적으로 파악하기 위해서 춘계 강한 저기압 통과 전후를 대상으로 위성자료, 해양환경 및 물리적인 수직 구조와 함께 식물플랑크톤의 군집구조를 파악하였다. 5월 3일 강한 저기압이 통과하면서 남풍계열의 바람이 우점하였고, 10일 정도의 시간차를 둔 5월 12일에는 동한난류가 이동한 경로주 변해역에서 높은 엽록소값이 관찰되었다. 식물플랑크톤 수평적 군집조성은 동한난류의 영향을 강하게 받은 울진 연안과 울릉도 사이의 정점에서는 규조류가 극히 높은 밀도로 우점하였고, 상대적으로 외양인 울릉도와 독도 섬주변에서는 섬효과에 의하여 침편조류 H. akashiwo가 높은 개체수를 유지하였다. 엽록소의 수직적 분포는 울진에서 울릉도로 이어지는 정점에서 엽록소 아표층극대 (Sub-surface Chl-a Maximum)가 20 m 층에서 관찰되었고, 울릉도와 독도 섬주 변의 대부분 정점에서는 30~40 m 층까지 전 수층에 걸쳐 균일하게 높은 엽록소 형광값이 관찰되었다. 이는 섬효과에 의하여, 강한 수층혼합이 일어난 것을 의미하고, 그 결과 유광층 상부에 공급된 영양염류에 의하여 식물플랑톤이 대발생하였다. 결과적으로 춘계 한반도 남동해역 (울진-울릉도-독도) 에서는 남풍계열의 바람이 우점하면, 연안 용승이 발생할 수 있고, 이는 식물플랑크톤의 대발생에 중요한 역할을 하는 것 으로 관찰되었다. 아울러, 동해 연안해역에서 기인된 식물플 랑크톤은 동해 중앙 및 남서해역으로 공간이동하면서 울릉도-독도의 섬효과와 함께 동한난류의 사행, 소용돌이의 발달 등에 따라서 종조성이 다르게 나타날 가능성을 시사하였다.