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사춘기 혈압에 영향을 미치는 식이 인자 및 혈액과 뇨중 무기 이온 농도
이정원,나효숙,곽충실 대한지역사회영양학회 1996 대한지역사회영양학회지 Vol.1 No.1
Correlations of adolescents' blood pressure with dietary factors and blood or urinary electrolytes were investigated in this study. Through the screening for blood pressures of 960 middle school students aged 13-16 years, 30 students with the mean value of SBP and DBP above 96th percentile(high blood pressure group) and the other 30 with the mean blood pressure between 48th and 52th percentiles(normal blood pressure group) were selected as the subjects. SBP/DBP of the high and talc normal blood pressure groups were $141.8{\pm}9.0$ / $83.6{\pm}5.1$ mmHg and $116.4{\pm}3.5$ / $69.8{\pm}3.7 mmHg$, respectively. The average values of age, weight, height, BMI, degree of relative crude physical activity, and family income were not different between two groups. Among nutrients for which intakes were determined by 24 hour-recall and expressed as percent RDA, intakes of total and animal calcium were lower in the high blood pressure group compared to the normal, and were negatively correlated with both SBP and DBP even when the effects of related general and other dietary factors were excluded. Whereas energy, total, animal and vegetable protein, total and animal lipid, and riboflavin were higher in intake in the high blood pressure group than in fille normal, and they were in positive correlations with SBP and/or DBP. Vitamin A and ascorbic acid intakes were also negatively correlated with DBP, though ascorbic acid intake was not different between two groups. High blood pressure group preferred higher concentration of thin rice gruel than normal group and talc preferred salt concentrations was ill positive correlation with SBP. Serum and urinary levels of Ca, Mg, Ca/Mg ratio, Na, K and Na/K ratio did not show any differences between two groups. However serum Ca/Mg retio was in negative and se겨m Mg was ill positive correlations with SBP, and urinary Na excretion was negatively correlated with SBP. Calcium intake showed negative correlation with serum Ha and Na/K ratio. Our data indicated that dietary intake of Ca, energy, protein, lipid, vitamin A and C as well as salt preference were associated with blood pressure in adolescents. It might be assumed that Ca lowered blood pressure by increasing serum Ca/Mg ratio and decreasing serum Ca/K ratio though urinary excretion of Na.
대전지역 중학생의 혈압 분포와 비만지수 및 일부 환경인자와의 관계
이정원,나효숙 대한지역사회영양학회 1996 대한지역사회영양학회지 Vol.1 No.2
Blood pressure distribution of adolescents and its several related factors including obesity were investigated through blood pressure measuring by automated oscillometric method, anthropometry, and questionnaire. Subjects were 480 female and 480 male middle school students living in Taejon. Mean values of systolic(SBP)/diastolic(DNP) blood pressure of male and female students were 118.4$\pm$11.0/69.5$\pm$9.6 mmHg and 116.9$\pm$10.4/69.5$\pm$8.6 mmHg, respectively. Their blood pressures, particularly SBP, increased with age and showed higher value in the males than in the females. All frequency distributions of SBP and DBP, by sex and age, showed normal curves and their 50th, 90th, and 95th percentiles were presented. As obese index increased, both SBP and DBP were elevated and the prevalence of hypertension which was classified by Task Force Report(1987) increased, particularly in male students. Body weight and BMI were positively correlated with both SBP and DBP, and hight was also positively correlated with SBP or DBP. Our data inicated that blood pressure and hypertension prevalence of adolescents tended to increase and various internal and external environmental factors affected them. It was emphasized that blood pressure measurement should be done in every medical examination of adolescents and the nationwide Korean standard of blood pressure for adolescents have to be prepared. (Korean J Community Nutrition 1(2) : 178-188, 1996)
김정인,김진근,최태영,나효숙,전정석,김수진,유기운,강종오 대한안전경영과학회 2015 대한안전경영과학회 학술대회논문집 Vol.2015 No.11
The research purpose is to get implications through case analysis for prediction and response to Mega-complex disaster which have been growing concerned with vulnerabilities of city centered. To do this, we apply synectics model which have been used to analyze for policy agenda from a view point of society and people to 911 terror. In the strategy 「make strange to accustomed」of synectics model, Firstly clarify of case summary include response and results, secondly check direct analogy for responders and media with personal analogy who are qualified to investigation. Findings are different perspective and long term health effects, social indirect cost in comparison with analogies. Proposals of political inferred meaning are unified incident command system, regulation improvement and Research needs for longitudinal health effects evaluation approach to the phase of response to disaster in analysis with final re-search and analogy generalization.