Purpose: The purpose of this study is to understand the nature of the health promotion behavior of the high-risk group of cardiovascular disease among large-scale industrial manufacturing workers. Method: The subjects of this study were 11 workers at high-risk of cardiovascular disease with a Framingham Risk Score (FRS) score of 10% or more among workers at large-scale workplace in Gyeongsangbukdo area, and the data collection period is from July 1 to September 11, 2022. The interview data were inductively analyzed using the qualitative content analysis method used by Elo and Kyngas (2008). Result: Participants' awareness of their own health status and knowledge of cardiovascular disease were low, and there were more obstacles than benefits to health behavior. The process and method of realizing and practicing health care were also different. As a result of qualitative content analysis, 42 semantic units, 12 subcategories, and 3 upper categories were derived. The health promotion behavior of workers at high-risk for cardiovascular disease was categorized into ‘Awareness of health conditions’, ‘Obstacles to health care behavior’, ‘Health care practice process’. Conclusion: Since most of the workers spend a lot of time at work, it is necessary to understand the health care of high-risk workers with cardiovascular disease, so a qualitative study using participatory observation methods to observe workers’ work sites is recommended.

This study investigated the association between dietary intake and 10-year risk for CHD predicted from Framingham risk score in Korean adults using the Korea National Health and Nutrition Examination Survey 2019-2020. Eight thousand subjects (3,382 men and 4,618 women) aged 30 years or older were classified into three groups according to the 10-year CHD risk (%). The sociodemographics, anthropometrics indices, blood profiles, and dietary intake were collected. After adjusting for confounding variables, the mean adequacy ratio (MAR) decreased for both men and women as the disease risk increased. The high–risk group was below the MAR criteria, indicating that the overall quality of the meal was not good. The highest consumers of legumes (OR 0.56, 95% CI 0.37-0.84), fruits (OR 0.67, 95% CI 0.48-0.93), and fish (OR 0.60, 95% CI 0.42-0.87) had a 44%, 33%, and 40% lower 10-year CHD risk than lowest consumers in men, respectively. In women, there is no significant relationship between food groups and disease risk. Therefore, improving lifestyle habits such as weight control, increased activity, and adequate food intake, especially legumes, fruits, and fish rich in antioxidant nutrients and bioactive substances, appears to have a potential association with preventing coronary heart disease in Korean adults.

목적: 국민건강영양조사 제7기(2016-2018) 원시자료를 이용하여 황반변성에 영향을 줄 수 있는 만성질환을 파악 하고자 수행되었다. 방법 : 국민건강영양조사 제7기(2016-2018) 자료 중 40세 이상의 성인 중에 황반변성 진단여부에 응답한 4,356명의 대상으로 만성질환과의 관계를 분석하였으며, p<0.05인 경우 유의한 것으로 판단하였다. 결과 : 황반변성은 연령에 따라 유병률이 높아졌는데, 연령과 관계된 만성질환 중 심근경색증에서만 유의한 결 과를 얻을 수 있었다. 또한, 심근경색증의 위험요인인 이상지질혈증과 이상지질혈증을 일으키는 고콜레스테롤혈증 도 황반변성과 관계가 있는 것으로 나타났다. 결론 : 황반변성은 연령과 관련된 만성질환 중 심근경색증, 이상지질혈증, 고콜레스테롤혈증과 관련이 있음을 확인하였다.

Periodontal disease is a chronic but treatable condition which often does not cause pain during the initial stages of the illness. Lack of awareness of symptoms can delay initiation of treatment and worsen health. The aim of this study was to develop and compare different risk prediction models for periodontal disease using machine learning algorithms. We obtained information on risk factors for periodontal disease from the Korea National Health and Nutrition Examination Survey (KNHANES) dataset. Principal component analysis and an auto-encoder were used to extract data on risk factors for periodontal disease. A synthetic minority oversampling technique algorithm was used to solve the problem of data imbalance. We used a combination of logistic regression analysis, support vector machine (SVM) learning, random forest, and AdaBoost to classify and compare risk prediction models for periodontal disease. In cases where we used principal component analysis (PCA) to extract risk factors, the recall was higher than the feature selection method in the logistic regression and support-vector machine learning models. AdaBoost’s recall was 0.98, showing the highest performance of both feature selection and PCA. The F1 score showed relatively high performance in Ada- Boost, logistic regression, and SVM learning models. By using the risk factors extracted from the research results and the predictive model based on machine learning, it will be able to help in the prevention and diagnosis of periodontal disease, and it will be used to study the relationship with various diseases related to periodontal disease.

본 연구는 머신러닝 기법을 토대로 15개 환경 변수를 활용하여 소나무재선충병의 위험지역 분포를 예측하였다. 연구는 최대 엔트로피 모델을 머신러닝 기법으로 활용하였고, 연구 지역은 경주이며 연구 기간은 2018∼2020년이다. 모델의 평가에는 AUC(area under the curve)를 이용하였다. 연구 지역에서 소나무재선충병의 감염목 핵심 분포 지역은 2018년 대비 2019년과 2020년에 각각 2.5배와 4.7배 확대되었다. 소나무재선충병의 감염목 분포 추정 모델의 AUC는 모든 해에 최소 0.86 이상이었다. 모델에서 가장 중요한 변수는 직전 해의 감염목 근접도 이었다. 지형과 도로와의 인접성, 목조건물 인접성, 5월 평균 기온도 중요한 변수이었다. 인간 활동과 매개충의 생장 환경이 소나무재선충병의 공간적 분포에 중요한 역할을 한다는 것을 의미한다. 나아가 연구의 결과는 감염목 분포 정보의 지속적인 구축과 공유가 소나무재선충병 예방을 위한 정책과 연구에 중요하다는 것을 시사한다.

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 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.

Dietary components can modulate stress, inflammatory indicators, and health risk. This study examined the relationship among diet, metabolic disease risk, and perceived stress in Korean adult females using the 2017-2018 Korea National Health and Nutrition Examination Survey. A total of 4,353 adult women aged 19-64 years were classified into four groups according to perceived stress level: very high stress group (VHSG, n=225), high stress group (HSG, n=1,079), moderate stress group (MSG, n=2,532), and low stress group (LSG, n=517). Data collection included the sociodemographics, anthropometrics, blood profile, and dietary survey. After adjusting for covariates, those in the VHSG had a higher body mass index (p=0.013) and obesity rate (p=0.053) with a shorter sleep time than the LSG group. The VHSG also tended to have a higher plasma LDL-cholesterol, hsC-reactive protein and lower levels of HDL-cholesterol, vitamin A, and vitamin E than the low stress group. High stress subjects demonstrated increased breakfast skipping frequency (p<0.0001), decreased fiber intake (p=0.001), potassium (p=0.041), and vitamin A (p=0.011) than the low stress ones. Therefore the perceived stress level was associated with the inflammatory indicators, obesity, and lack of anti-inflammatory or antioxidant nutrients. The dietary components may be an important mediator of stress and metabolic disease.

본 연구는 심뇌혈관질환 예방프로그램이 지역사회 노인의 심혈관 위험요인과 삶의 질에 미치는 효과를 확인하고자 실시하였다. 유사실험설계의 비동등성 대조군 전후설계를 이용하였다. 연구대상자는 지역사회 노인으로 실험군 22명, 대조군 22명 총 44명을 편의표집하였고, 심뇌혈관질환 예방프로그램을 제 공하고 심혈관 위험요인과 삶의 질을 측정하였다. 심뇌혈관 예방프로그램에 참여한 실험군은 대조군에 비해 심혈관 위험요인인 수축기 혈압(t=-2.419, p= .020), 이완기 혈압(t=-2.226, p= .031), 혈당(t=-2.071, p= .045)이 유의하게 감소하였고 삶의 질은 향상되었다(t=2.511, p= .016). 그러나 총콜레스테롤과 고밀도 지단백콜레스테롤은 유의한 변화가 없었다. 이에 심뇌혈관질환 예방프로그램이 지역사회 노인의 심혈관 위험요인 감소와 삶의 질 향상에 효과적임을 확인할 수 있었다.

목적 : 전면진입착석 화장실을 구현하고 실제 사용자에게 적용한 후 평가해봄으로써 휠체어 사용자들에게 신체적인 부담이 적으며 사용상 만족도가 높은 화장실로서의 적용 가능성을 타진해 보는 것이 본 연구의 목적이다. 연구방법 : 휠체어 사용자 40명에게 일반적 특성과 현재 사용하고 있는 휠체어에 관한 정보에 대한 설문조사를 실시한 후 기존에 사용하고 있는 화장실과 전면진입착석 화장실에서 화장실 용무를 시연하는 과제를 수행하도록 하였다. Rapid Entire Body Assessment(REBA)를 적용한 근골격계질환 위험성 평가, Quebec Evaluation of Satisfaction with assistive Technology 2.0(QUEST 2.0)을 활용한 사용자 만족도 조사, 사용 후 주관적 의견을 평가하였다. 결과 : REBA 평가 결과 기존의 화장실을 이용했을 때 점수(6.53±1.15)와 전면진입착석 화장실을 이용한 후 점수(3.18±.38)는 통계학적으로 유의한 차이(z=-5.930, p<.001)를 보였다. 사용자 만족도 조사 결과 내구성(4.48±.62)이 가장 좋은 점수로 평가되었고 안전성(4.38±.63), 필요성(4.33±.73), 범용성(4.3±.61) 순서로 점수가 높았고 크기 적절성(3.93±.67)이 가장 낮은 점수를 받았다. 사용 후 주관적 의견 조사에서 ‘몸을 회전하지 않아도 되니 편하다(30.8%)’가 가장 많았다. 결론 : 본 연구결과 전면진입착석 화장실이 근골격계질환의 위험성을 낮출 수 있다는 가능성과 사용자들의 만족도가 높다는 것을 확인하였다. 본 연구를 통해 작업치료사가 환경수정 중재 방법을 고려할 경우 응용할 수 있는 참고자료로 활용하길 바라며 추후 연구에서 개인적 화장실 뿐만아니라 공공화장실에서도 활용할 수 있는 작업치료학의 발전에 기초자료로 활용되길 기대한다.

The aim of this study was to examine the association between egg consumption and the risk of chronic disease in Korean adult females using the 2013 Korea National Health and Nutrition Examination Survey. A total of 1,230 subjects aged 40~64 were classified into the 4 groups according to the number of egg consumed per week: <1, 1~2.9, 3~5, ≥5.1 As egg consumption increased, the intake of energy, protein, fiber, cholesterol, calcium, potassium, riboflavin, and vitamin C increased. The percentage of the subjects with lower intake of energy, protein, calcium, iron, vitamin A, riboflavin, niacin, and vitamin C than the estimated average requirement in the <1 group were the highest among the groups. The blood lipid profile including total cholesterol and LDL-cholesterol was not significantly different among the 4 egg groups. The higher egg consumption was inversely related to a lower odds ratio of metabolic syndrome, hypertriglycemia, hyperglycemia, hypoHDL-cholesterolemia, and hypertension. This result indicates that egg consumption does not elevate the plasma cholesterol level and has a beneficial effect of decreasing the risk of chronic disease. (175)

In this study, we used a choropleth map to explore the spatial variation of the risk of cattle herds being bovine tuberculosis (BTB) positive in Gangwon-do in 2015. The map shows that the risk of being BTB-positive was lower in provinces located in the middle of Gangwon-do (Wonju, Youngwol, Peongchang, and Kangneung) than in other provinces. In addition, one province located in the north (Goseong) had a low risk of BTB. The estimate for the intercept of the spatial lag model was 0.66, and the spatial autocorrelation coefficient (lambda) was 0.20 (Table 1). The Moran’s I was 0.33 with p-value of 0.02. In 2015, provinces located in the North West (Hwacheon) and East (Donghae) of Gangwon-do had a higher BTB risk. We identified some specific provinces at low BTB-positive risk, information that may prove useful for control of BTB in the study area.

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.

In this study, we found that the glycoprotein (18 kDa) isolated from Lactobacillus plantarum L67 (L67 protein) inhibits allergy-related inflammatory mediators in BPA treated rat basophilic leukemia 2H3 (RBL-2H3) cells and primary cultured splenocytes. First, we measured the levels of ERK, p38, and AP-1 by Western blotting and we evaluated the expression of IL-1β, IL-6, and IL-10 cytokines by real-time quantitative PCR. Finally, we evaluated the applicability of L. plantarum L67 as a yogurt starter culture by measuring pH, enumeration of bacteria, and sensory scores. The results of this study shows that L67 protein inhibits the phosphorylation of ERK and p38 MAPK, as well as the activation of AP-1 (c-Fos and c-Jun). With inflammationrelated factors (Th2-related cytokines), L67 protein inhibits BPA-induced IL-1β, IL-6, and IL-10 activity. Bisphenol A stimulates MAPK signaling, which induces increased GATA-3 expression, and GATA-3 induces the differentiation of Th2 cells and secretion of Th2-related cytokines. Our findings showed that L67 protein may regulate the activation of GATA3 and T-bet through the induction of MAPK signaling, and it relieves the Th1/Th2 cytokine profile imbalance. Taken together, these findings demonstrate that the L. plantarum L67 strain is a potential food supplement and starter culture, that could help in the prevention of Th2-related immune disorders.

구제역 바이러스는 소나 돼지 등의 우제류 가축에 경구 또는 흡입 노출 등의 다양한 노출 경로를 통해 심각한 감염성을 유발하는 생물학적 유해인자로 국내 축산업 운영에 있어 막대한 경제적 손실을 초래하는 병원균들 중 하나다. 구제역 발병에 대한 사전적 예방 관리를 도모할 수 있는 조치 방안 중 하나는 공기를 통해 전파되는 구제역 바이러스 확산에 대해 수학적 모델 적용을 통해 예측된 분석 결과에 따라 설정될 수 있다. 대기 확산 모델들은 일반적으로 구제역 바이러스의 주요 전파 경로인 경구 및 접촉 감염의 노출 시나리오를 예측할 수는 없으나, 상대적으로 예측도가 높은 대기 확산 모델의 경우 공기 전파에 대한 구제역 바이러스의 위해성 관리 방안을 결정하는 데 주요 역할을 담당할 수 있는 유용가능한 수단으로 여러 나라에서 활용되어 왔다. 구제역 바이러스 전파를 억제하기 위한 엄격한 관리 방안 중 다량의 가축 살처분 방법은 축산 농가들에게 심각한 경제적 손실을 초래하여 심각한 경우 새로운 자립의 여건마저도 상실시킬 수도 있다. 반면 낮은 수준의 대응 방안은 향후 구제역 발생에 따른 추가적 피해를 근원적으로 억제할 수 없는 역학적 한계에 봉착할 수 있다. 본 연구는 구제역 바이러스의 기본 특성 및 발생 모델 적용에 따른 공기 중 전파의 감염 위험성 평가 관련 선행 문헌들을 고찰하였다. 또한 1970년대 이후 구제역 바이러스의 공기 전파 경로를 예측하기 위해 여러 나라에서 실제 활용된 다양한 대기 확산 모델들의 적용 사례 및 장/단점을 비교 분석하였다.

Lactose is a disaccharide consisting of a glucose and a galactose. Milk is a sole source of lactose in natural food. Lactase hydrolyzes lactose into glucose and galactose, which are absorbed in the intestine and utilized by the body. After weaning, lactase activity declines. Therefore, the majority of adults have hypolactasia. The prevalence is above 50% in South America, Africa, and Asia. A significant amount of lactose is consumed as cow milk-based food products. However, it has no special nutritional importance for adults, and it is suspected as a dietary risk factor for coronary heart disease (CHD) and ovarian cancer. The aim of this study is to review the evidence and to propose possible mechanisms regarding the relations between lactose intake and CHD and ovarian cancer. Epidemiological studies support the connection of lactose and CHD. Although several mechanisms for elucidation of this connection have been suggested, calcium theory is the most plausible. Galactose is known to be toxic to ovary. Galactose has been suggested to induce ovarian cancer through hypergonadotropic hypogonadism. Some epidemiological data support this but others do not. Consumption of lactose or galactose can induce CHD and ovarian cancer; however, more research will be needed in order to determine the relation between lactose and these diseases.

The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. As a result, as for body part(neck), (waist) and (arms) the degree of risk of work posture measured with the use of job stress(KOSS), psycho-social stress(PWI-SF) and REBA is significantly more affected by fatigue than muscular skeletal disease related consciousness symptom. However, regarding bod(wrist), the degree of risk of work posture measured with the use of job stress(KOSS) and REBA is directly affected by muscular skeletal disease related consciousness symptom. This study is meaningful in that the study clarified the causal relations of the degree of risk of work posture, degree of fatigue, and muscular skeletal disease related consciousness symptoms by each body part measured with the use of work stress(KOSS), psycho-social stress(PWI-SF) and REBA.

The purpose of this study is to compare the correlation of clinical characteristics and patterns of disease. Subjects of the study were the adults(207) living in Geoje City, the diabetes mellitus and the hypertension patients(166) and the normal people(41). In the diabetes mellitus group and the hypertension group, blood pressure, blood glucose, total cholestero LDL-cholesterol and atherogenic index(AI) were significantly high. As the obesity index was getting higher, the blood pressure of the diabetes mellitus group was high, and the HDL-cholesterol of the hypertension group was low, but AI of it was significantly high. The AI was significantly high as serum lipid index were getting higher in both groups. The rate of the prevalence was very high in the diabetes mellitus group(74.3%) and the hypertension group(73.7%). The pattern in the diabetes mellitus group was in order of the hypertension, the hyperlipidemia, and the obesity but, in the hypertension group was the hyperlipidemia, and the obesity. The obesity index and serum lipid index of complex patient group were higher than single patient group.

본 연구는 건강검진 목적으로 시행된 관상동맥 CT에서의 성별, 연령에 따른 관상동맥질환 발견율에 대 한 유용성과 글루코스, 총 콜레스테롤, 내장지방, 체질량지수, 중성지방, 고밀도지단백질(HDL), 저밀도지단백질(LDL) 각각의 인자들과 관상동맥질환과의 관련성에 대해 알아보았다. 총 299명의 수검자를 대상으로 후향적 분석을 실시한 결과 관상동맥질환 발견율에 대해서는 남성, 50세 이상에서의 유병율이 높은 것으로 나타났으며, 통계적으로 유의성을 보였다. 특히 남성의 유병율(37.9％)은 여성의 유병율(17.0%) 보다 약 ２배가 높은 것으로 확인되었다. 또한 관상동맥질환과 관계되는 혈액학적 요인으로는 글루코스와 고밀도 지단백질(HDL)이 통계적으로 유의성을 보였다. 관상동맥질환의 예방 및 관리를 위해서는 글루코스와 고밀도지단백질(HDL)의 조절이 필요할 것으로 보이며, 다른 혈액학적 인자들과는 통계적으로 유의성은 낮았지만, 관상동맥질환에 대한 관리의 필요성이 확인되었다. 주요 결과로서 선별검사 목적으로 관상동맥 CT의 사용은 방사선 피폭 등의 문제점으로 인해 수검자의 성별, 나이를 고려하여 시행하는 것이 좋을 것으로 생각되며, 관상동맥 CT 시행 이전에 비침습적인 방법들의 선행검사를 통한 관상동맥 질환 검사가 필요함을 제안한다．