담뱃값 인상에 따른 고혈압 환자의 흡연감소 및 관련요인

주미현 ( Mi Hyun Joo ),한미아 ( Mi Ah Han ),박종 ( Jong Park ),최성우 ( Seong Woo Choi ),류소연 ( So Yeon Ryu ),신준호 ( Jun Ho Shin ) 한국보건정보통계학회(구 한국보건통계학회) 2019 보건정보통계학회지 Vol.44 No.1

Objectives: The price of tobacco is an important factor affecting the smoking behavior. The Korean government raised the price of tobacco by 80% from 2,500 won to 4,500 won in 2015. This study investigated the change of smoking behavior after the price raise of tobacco in hypertension patients. Methods: The analysis used the data from the third year of the National Health and Nutrition Examination Survey (2015), which examined the changes in smoking habits after cigarette price hikes. Of the adults aged 19 years and older, 958 were currently smokers and 79 of the former smokers who quit smoking less than one year, excluding those who quit smoking before the cigarette price increase, total 1,037. In 193 hypertensive patients, 193 non-hypertensive patients were selected by 1:1 age group, and a total of 386 patients were analyzed. Data were analyzed using SAS 9.3 statistical program and chi-square and multiple logistic regression analysis. Results: The smoking reduction rate was 46.6% in the hypertensive group and 44.6% in the non-hypertensive group. There was no significant difference between the two groups (p=0.683). Multivariate logistic regression analysis showed that factors affecting smoking cessation in hypertensive group were stress level, smoking prevention and smoking cessation education. In the hypertensive group, the odds ratio was 3.16 (95% CI, 1.39-7.18) in the normal range, If you receive less than the no-smoking education, the statistical significance is 4.17 (95% CI, 1.15-15.12). Conclusions: In the future, there will be a variety of measures such as the government’s continuous cigarette price increase policy, active support for stress management in hypertensive patients, and the introduction of practical policies through socio-economic approaches would be effective in reducing smoking rates in hypertensive patients.

한국 20대의 비타민 D 결핍 관련요인 분석

주미현(Mi-Hyun Joo),이산휘(San-Hui Lee),이윤경(Yun-Kyung Lee),류소연(So-Yeon Ryu) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.5

본 연구의 목적은 ‘국민건강영양조사 제 5기(2010-2012)’ 자료를 이용하여 만 20-29세 연령의 한국인에서의 비타민 D 수준과 비타민 D 결핍관련요인을 알아보고자 하였다. ‘국민건강영양조사 제 5기(2010년-2012년) 완료자중에서 비타민 D 결측치가 없는 만 20세 이상 만 29세 미만 1,837명을 대상으로 분석하였다. 사용된 데이터는 가중치가 적용된 복합표본분석을 이용하여 카이제곱검정 및 다중로지스틱 회귀분석으로 분석하였다. 20대의 84.2%가 비타민 D 결핍으로 조사되었으며 여성이 88.6%로 남성 79.4%보다 높은 결핍률을 보였다. 다중 로지스틱 회귀분석 결과, 비타민 D 결핍에 대한 위험도가 여성인 경우(OR 1.84; 95% CI 1.31-2.56), 미혼인 경우(OR 2.12; 95% CI 1.41-3.19), 주관적 건강상태가 나쁨인 경우(OR 1.94; 95% CI 1.16-3.25) 그리고 중등도 이상 신체활동을 하지 않는 경우(OR 3.38; 95% CI 1.85-6.16)에 높았다. 불확실한 미래를 위해 다양한 노력과 활동을 하는 20대의 비타민 D 결핍은 개인적으로나 사회적으로 매우 중요한 건강문제로 영향을 주기때문에 이 시기의 비타민 D 수준에 대한 지속적인 연구가 필요할 것이다. 또한 비타민 D는 햇빛에 노출되는 시간과 신체활동여부와 밀접한 관련이 있는 것으로 나타나 20대의 야외활동 및 중등도 이상의 신체활동을 할 수 있는 학교 및 직장 내 기반시설을 조성하는 등 국가차원에서의 장기적이고 계획적인 노력이 필요하리라고 생각된다. The aim of this study was to investigate vitamin D status and factors associated with vitamin D deficiency among Koreans in their using Korean National Health and Nutrition Examination Survey (KNHANES) V. The subjects were 1,837 people who were 20-29 years old. The data were analyzed by χ² test and multiple logistic regression analysis using weighted composite sample analysis. Vitamin D deficiency was reveled in 84.2% of subjects; 88.6% of women and 79.4% of men showed deficiency. In the multiple logistic regression analysis, the risk for vitamin D deficiency was higher in women (OR 1.84; 95% CI 1.31-2.56), non-married (OR 2.12; 95% CI 1.41-3.19), poor subjective health status (OR 1.94; 95% CI 1.16-3.25), and in the absence of moderate to vigorous physical activity (OR 3.38; 95% CI 1.85-6.16). Continued research on vitamin D levels at this time is needed since vitamin D deficiency among Koreans in their twenties will exacerbate health problems, both individually and socially. In addition, vitamin D has been shown to be closely related to time of exposure to sunlight and physical activity. Therefore, it is thought that long-term and planned efforts should be made at the national level, such as establishing schools and workplaces in which those in their twenties can perform outdoor activities and moderate to vigorous physical activity.

복합운동프로그램이 마른비만 여자대학생들의 신체조성, 혈중 지질, 체력 및 심리적 요인에 미치는 영향

주미현(Mi-Hyun Joo) 한국생활환경학회 2012 한국생활환경학회지 Vol.19 No.5

The purpose of this study was to investigate the effect of multicomponent exercise program on body composition, physical fitness, blood cholesterol, physical self-efficacy and health-related quality of life in thin-obesity college women. Thirty female students were assigned to an exercise group(n = 15) and a control group(n = 15). Exercise group participated in multicomponent exercise program for 70minutes/day and 3day/week for 12 weeks, whereas control group was asked to maintain normal lifestyle during the same intervention period. Variables related to body composition, physical fitness, blood cholesterol, physical self-efficacy and health-related quality of life(SF-36 questionnaire is used) were measured before and after multicomponent exercise program. The results of this study were as follows: Weight, %body fat, BMI and WHR decreased significantly and HDL-C increased significantly in exercise group. VO2max, grip strength, sit-up, side step, sit and reach and standing long jump increased significantly in exercise group. Physical functioning, Mental health and General health in the SF-36 questionnaire increased significantly in exercise group. The 12 weeks multicomponent exercise program indicated beneficial effects such as a decrease of weight, %body fat, BMI and WHR, and an increase of HDL-C, physical fitness and health-related quality of life in exercise group. Therefore, this multicomponent exercise program is considered to be good for the health care of thin-obesity college women.

유산소운동이 여자대학생의 신체구성, 심폐지구력 및 혈중 산화스트레스 지표에 미치는 영향

주미현(Mi-Hyun Joo),유인영(In-Young Yoo) 한국생활환경학회 2011 한국생활환경학회지 Vol.18 No.1

The purpose of this study was to investigate the effects of aerobic exercise program on body composition, cardiorespiratory fitness, and blood oxidative stress markers of university female students. Twenty-one female students were assigned to an aerobic walking training group (n = 11) and a control group (n = 10). Exercise group participated in walking exercise program for 60 minutes/day and 3 dayweek for 12 weeks, whereas control group was asked to maintain normal lifestyle during the same intervention period. Variables related to body composition, blood pressure, heart rate, VO₂max and blood oxidative stress markers (serum MDA, BAP) were measured before and after walking exercise program. The results of this study were as follows: No significant changes were found in variables regarding the body composition, blood pressure and heart rate in exercise group and control group. VO₂max increased significantly in exercise group (P<.001). MDA decreased significantly (P<.05) and BAP increased significantly (P<.05) in exercise group. The 12 weeks aerobic walking program indicated beneficial effects such as increase cardiorespiratory fitness and decrease oxidative stress in exercise group. The 12 weeks aerobic walking program indicated beneficial effects such as increase cardiorespiratory fitness and decrease oxidative stress in exercise group.

건강도시사업 실행단계의 국제간 비교

주미현(Mi Hyun Joo),김한중(Han Joong Kim) 한국간호행정학회 1999 간호행정학회지 Vol.5 No.3

장기간의 유산소성 운동이 총 콜레스테를, 중성지방, 혈당 및 폐환기 기능에 미치는 효과

주미현(Mi-Hyun Joo),최희남(Hee-Nam Choi) 한국체육과학회 1994 한국체육과학회지 Vol.3 No.2

체코의 근대 국민 국가 형성과 체조 운동 -소콜을 중심으로-

이현정 ( Hyun Jung Lee ),주미현 ( Mi Hyun Joo ) 한국체육사학회 2007 체육사학회지 Vol.19 No.-

과천시민의 고혈압 인지, 치료, 조절과의 관련요인

최연희,남정모,주미현,문기태,심지선,김현창,서일,Choi, Youn-Hee,Nam, Chung-Mo,Joo, Mi-Hyun,Moon, Ki-Tae,Shim, Jee-Seon,Kim, Hyeon-Chang,Suh, Il 대한예방의학회 2003 예방의학회지 Vol.36 No.3

Objectives : To identify the factors related to awareness, treatment, and control of hypertension in a Gwacheen population. Methods : This study surveyed 1,176 Gwacheon residents older than 40 years, and measured blood pressure using a standardized guideline in 1999. The study subjects were 473 adults (175 males, 295 females) with hypertension defined as a systolic blood pressure $\geq$140 mmHg, diastolic blood pressure $\geq$90 mmHg or reported treatment with antihypertensive medication. Information on awareness, treatment, and control of hypertension, and sociodemographic and health-related factors .was collected through person-to-person interviews with a structured questionnaire. Results : Overall, 252 (53.3%) of hypertensive subjects were aware of their condition, of whom as many as 193 (76.6%) were being treated, and 81 (42.0%) had their blood pressure controlled at the recommended level (<140/90 mmHg). However, of the 473 subjects found to have hypertension, only 40.8% were being treated, and 17.1% were under control. There were no significant differences in the proportions of awareness, treatment, and control of hypertension. In multiple logistic regression models, awareness of hypertension was positively associated with age and family history of hypertension in females. Control of hypertension was also positively associated with haying a partner and marital status in females.. Conclusion : These findings demonstrate that much greater efforts on improving awareness, treatment, and control of hypertension are needed, even in urban community settings, considering related factors such as a9e, family history, and marital status. However, these factors should be further investigated for their causal relationship.

건강증진 프로그램이 체지방율 비만 대학생의 대사증후군 위험요인, 건강 효능감과 내적 건강통제위에 미치는 효과

유인영(In-Young Yoo),주미현(Mi-Hyun Joo) 한국생활환경학회 2010 한국생활환경학회지 Vol.17 No.6

This study was performed to investigate the effects of health promotion program on the metabolic syndrome risk factors, health efficacy and internal locus of control in university students with body fat obesity. A quasi-experimental research was carried out with a nonequivalent control group pretest-posttest design. Participants in this study were 14 university students for the experimental group (EG), and 16 university students in the control group (CG). The intervention program consists of walking training (55-65% HRmax for 1-6weeks, 66-75% HRmax for 7-12 weeks, 1hr per day, 3 days per week) and nutrition education (4 session). Compared with baseline for each of the 12 weeks in EG subjects, the health efficacy and internal locus of control were was significant increased. The waist circumference and waist-to-hip ratio were significant reduced in EG The results showed that 12-weeks health promotion program was effective in improving internal locus of control and health efficacy and reducing WC, WHR. Furthermore, this program should be extended to university settings for healthy campus life.

한국 성인에서 비타민 D 수준과 대사증후군과의 관련성

신환호 ( Hwan Ho Shin ),한미아 ( Mi Ah Han ),박선미 ( Sun Mi Park ),주미현 ( Mi Hyun Joo ) 대한보건협회 2017 대한보건연구 Vol.43 No.2

연구목적 : 최근 심혈관질환, 암 등의 비골격계질환의 위험과 비타민 D의 연관성이 보고되고 있다. 본 연구는 한국 성인들의 비타민 D 수준에 따른 대사증후군과의 관련성을 분석하였다. 연구방법 : 국민건강영양조사 원시자료를 이용하여 19세 이상 성인 총 16,997명을 최종 연구대상으로 하였다. 비타민 D는 결핍(≤20ng/mL)과 정상(>20ng/mL)으로 분류하였고, 대사증후군은 높은 허리둘레, 높은 혈압, 높은 혈중 중성지방, 낮은 혈중 고밀도콜레스테롤, 높은 공복혈당 중 3개 이상인 경우로 정의하였다. 대사증후군과 비타민 D의 관련성은 다중로지스틱회귀분석을 이용하여 교차비와 신뢰구간을 계산하였다. 연구결과 : 비타민 D 결핍률은 남자 66.3%, 여자 77.9%였고, 대사증후군의 유병률은 남자 24.8%, 여자 24.1%였다. 비타민 D 결핍상태에서 대사증후군 관련요소에 대한 교차비는 남자의 경우 높은 중성지방(1.23, 95% CI=1.08-1.40), 낮은 고밀도 콜레스테롤(1.34, 95% CI=1.13-1.59)이 유의하게 높았고, 여자의 경우 높은 중성지방(1.23, 95% CI=1.06-1.43), 낮은 고밀도 콜레스테롤(1.17, 95% CI=1.04-1.33), 대사증후군(1.19, 95% CI=1.04-1.37)이 유의하게 높았다. 결론 : 비타민 D 결핍은 대사증후군과 관련이 있었고, 향후 전향적인 연구를 통해 이를 확인할 필요가 있으며, 근골격계 질환뿐 아니라 대사증후군의 예방과 관리를 위해서 비타민 D 수준의 향상을 위한 노력이 필요하리라 판단된다. Objective: Recently, the association between vitamin D and the risk of nonskeletal disease such as cardiovascular, cancer were reported. This study analyzed the relationship between vitamin D level and metabolic syndrome in Korean adults. Methods: The study subjects were 16,997 adults aged over 19 who participated in the 5th Korea National Health and Nutrition Examination Survey (2010-2012). Vitamin D level were classified into deficiency (≤20ng/mL) and normal (>20ng/mL). Metabolic syndrome was defined using National Cholesterol Education Program-Adults Treatment Panel Ⅲ guidelines. The odds ratios (OR) and 95% confidence interval (CI) for metabolic syndrome by vitamin D level were calculated using multiple logistic regression analysis. Results: The prevalence of vitamin D deficiency were 66.3% and 77.9% in men and women, respectively. The prevalence of metabolic syndrome were 24.8% and 24.1% in men and women, respectively. In case of men, the OR for high triglyceride (1.23, 95% CI=1.08-1.40) and low HDL-cholesterol (1.34, 95% CI=1.13-1.59) were significantly high in vitamin D deficiency group. In case of women, the OR for high triglyceride (1.23, 95% CI=1.06-1.43), low HDL-cholesterol (1.17, 95% CI=1.04-1.33) and metabolic syndrome (1.19, 95% CI=1.04-1.37) were significantly high in vitamin D deficiency group. Conclusion: Vitamin D deficiency was related to metabolic syndrome and its components. Further prospective research will need to be conducted to prove it. In order to prevent and control metabolic syndrome, it is necessary to make efforts to improve vitamin D level.