중학생의 식행동에 영향을 미치는 가정환경요인

남행미 ( Hang Me Nam ),김건엽 ( Keon Yeop Kim ),김경나 ( Kyeong Na Kim ) 한국보건정보통계학회 2015 보건정보통계학회지 Vol.40 No.3

Objectives: This study examines the effects of family environment, food parenting practice, nutrient knowledge and home food environment on the dietary behavior of middle school students. Methods: A structured questionnaire was conducted on 1,006 middle school students, of which 469 were male and 537 were female students. Structural equation modeling was used by setting food parenting practice and family environment as the exogenous variable, and nutrient knowledge, home food environment and dietary behavior as the endogenous variable. Results: As food parenting practice had direct effects on nutrient knowledge and home food environment, nutrient knowledge and home food environment also had direct effects on dietary behavior. Food parenting practice indirectly affects dietary behavior by having the home food environment as a parameter. Conclusions: Positive parenting practices and a healthy home food environment are necessary in constructing a desirable dietary behavior for adolescents. Therefore, it is suggested that education and support targeted for parents could be provided.

심뇌혈관질환 고위험군의 교육정보센터 영양실습 교육프로그램 효과

남행미(Hang Me Nam),우승희(Seung Hee Woo),조영지(Young Ji Cho),최윤정(Yun Jung Choi),백수연(Su Yeon Back),윤소연(So Yeon Yoon),이진영(Jin Young Lee),이중정(Jung Jeung Lee),이혜진(Hye Jin Lee) 대한지역사회영양학회 2011 대한지역사회영양학회지 Vol.16 No.5

This research was performed to investigate the effects of NEP (Nutritional Education Practice) program developed by KHyDDI (Korea Hypertension Diabetes Daegu Initiative) for hypertension and diabetes patients. The subjects were 116 patients (hypertension 70, diabetes 46) who had completed basic education program at the education information center and four-session program was implemented for them. Nutrient intake was analyzed and compared before and after the program by 24-hr recall method and evaluate weight, waist circumference, body fat, blood pressure and eating habits in terms of nutrition knowledge, eating behavior, salty taste assessment. The improved results after the program were observed in weight, waist circumference, body fat ratio, blood pressure, slightly salty taste in salty taste assessment, nutrition knowledge, eating behavior, sodium, energy, carbohydrate and protein intake ratio to total energy (p < 0.001). Therefore, this program is effective in the improvement of weight, waist circumference and eating behavior, and the continued management would lead to the prevention of cardio-cerebrovascular diseases in the community. (Korean J Community Nutr 16(5) : 580~591, 2011)

아동·청소년의 대사증후군 및 대사이상 지표의 분포와 영양소 섭취

남행미(Hang Me Nam),최미자(Mi Ja Choi) 대한지역사회영양학회 2014 대한지역사회영양학회지 Vol.19 No.2

The purpose of this study was to estimate the prevalence of metabolic syndrome (MS), metabolic abnormalities, and nutrient intakes in Korea children and adolescents using the Korea National Health and Nutrition Examination Survey from 2008. Methods: A sample of 838 children and adolescent males (n = 442) and females (n = 396) aged 10-18 was used from the 2008 Korea National Health and Nutrition Examination survey. The diagnosis of the metabolic syndrome subjects was adapted from modified National Cholesterol Education Program-Adult Treatment Panel III by Ford. To compare nutrient intakes, we used a judgment sampling. The first group was composed of all children and adolescents (n = 46) with MS. The second one along with the first group had children and adolescents with the same age, sex, and body mass index (BMI) but without MS (n = 46). The control group like the first two had children and adolescents with same sex and same age but with normal BMI and without MS (n = 46). Results: In this randomized controlled controlled trial, the prevalence of the metabolic syndrome was 5.8%. The risk factors was associated with the MS were abdominal obesity 9.4%, hypertriglyceridemia 25.0%, low HDL-cholesterol 10.3%, hypertension 23.4%, and hyperglycemia 7.1%. Among metabolic abnormalities, blood pressure was significantly affected by sex, age and obesity. On the other hand, HDL-cholesterol, triglycerides, and waist circumference were directly linked to obesity. There were no significant differences in nutrient intakes among the three groups. Conclusions: The prevalence of MS was higher in children (10-11 years old) than in adolescents (12-18 years old). There was a difference in hypertension among risk factors by gender, and there were no significant differences in nutrient intakes.

한국 중년 직장인의 나트륨 과다섭취 특성과 영향요인

김명관(Kim, Myoung-Kwan),김건엽(Kim, Keon-Yeop),남행미(Nam, Hang-Me),홍남수(Hong, Nam-Soo),이유미(Lee, Yu-Mi) 한국산학기술학회 2014 한국산학기술학회논문지 Vol.15 No.5

본 연구는 국내 중년 직장인을 대상으로 나트륨 과다섭취 특성과 영향요인을 파악하여 심뇌혈관질환을 예방하고 관리하는데 도움을 주고자 실시하였다.연구 대상은 2010년 국민건강영양조사 자료 중 40~59세의 직장인 인구 1,438명으로 하였다.연구방법은 대상자를 나트륨 4,000mg이상 섭취군과 나트륨 4,000mg미만 섭취군으로 나누고,일반적 특성,나트륨 관련 질환,건강행태 및 외식빈도를 조사하였다.연구결과 여성보다 남성이,교육수준이 높을수록,흡연자와 음주자에서 나트 륨 4000mg이상 섭취군이 높게 나타났다.또한 외식빈도가 높을수록 나트륨 4000mg이상 섭취군이 높게 나타났다.따라서 심뇌혈관질환 예방과 관리를 위해 중년 남성 직장인을 대상으로 한 나트륨 감소 교육 및 정책이 필요하며,외식환경을 변화 시켜 나트륨 섭취 감소를 유도해야 한다. This research was conducted to grasp the characteristics of excessive sodium intake and its related factors in Korean middle-aged workers to help prevent and manage cardio-cerebrovascular disease. Study subjects were 40-59-year-old workers (n=1,438) who took part in the 2010 Korean National Health and Nutrition Examination Survey (KNHANES). Subjects were divided into: 1) a group that ingested more than 4,000 mg of sodium per day and 2) a group that ingested less than 4,000mg of sodium/day. We analyzed the relationship between general characteristics, sodium-related disease, health behaviors, and frequency of eating out with excessive sodium intake. The proportion of subjects with sodium intake of more than 4,000 mg/day was high in men, smokers, and drinkers. As educational level and frequency of eating out went up, so did the proportion of subjects with sodium intake more than 4,000 mg/day. It's necessary to educate the public and create policies regarding sodium reduction in middle-aged men for the prevention and management of cardio-cerebrovascular disease, and various approaches are necessary to reduce overall sodium intake in the restaurant environment.

75세 이상 후기노인의 주관적 건강상태와 관련 요인

김은석(Kim, Eun-Seok),이성국(Lee, Sung-Kook),윤희정(Youn, Hee-Jung),남행미(Nam, Hang-Me),김경희(Kim, Kyung-Hee),권기홍(Kwon, Gi-Hong) 한국산학기술학회 2014 한국산학기술학회논문지 Vol.15 No.7

75세 이상 후기노인들의 주관적 건강상태와 관련 요인을 알아보고자 2011년 국민건강영양조사 자료에서 75세 이상 후기노인 468명에 대해 연구하였다. 75세 이상 후기노인의 주관적 건강상태에 영향을 미치는 요인을 알아보기 위하여 순서형 로지스틱 회귀분석을 한 결과, 성별(OR=0.456, 95%CI=0.257-0.805), 직업(OR=1.437, 95%CI=0.963-2.149), 배우자(OR=0.673, 95%CI=0.443 -1.022), 스트레스정도(OR=0.476, 95% CI=0.309-0.730), 우울증상(OR=0.410, 95% CI=0.238-0.704), 주관적 구강 상태(OR=1.874, 95% CI=1.332-2.643), 흡연(OR=0.738, 95% CI= 0.523-1.039), 음주(OR=1.251, 95% CI=1.017-1.540), 걷기실천 (OR=1.698, 95% CI=1.188 -2.431)이 주관적 건강상태에 영향을 미치는 것으로 나타났다. 여자노인에 비해 남자노인이, 직업 이 있을 경우, 배우자가 없을 경우, 스트레스정도가 낮을 경우, 우울증상이 없을 경우, 음주를 하고 있을 경우, 걷기를 실천할 경우에서 주관적 건강상태가 좋은 것으로 나타났다. 앞으로 이러한 특성들을 충분히 고려한 건강관리지원이 필요할 것이라 여겨진다. This study examined the health status and relative factors of 468 people of the latter stage of more than 75-year-old in 2011 the Korean National Health and Nutritional Examination Survey. The subjective health status were influenced significantly by sex(OR=0.456, 95%CI=0.257-0.805), occupation(OR=1.437, 95%CI=0.963-2.149), spouse(OR=0.673, 95%CI=0.443 -1.022), degree of stress(OR=0.476, 95% CI=0.309-0.730), depression(OR=0.410, 95% CI=0.238-0.704), subjective oral status(OR=1.874, 95% CI=1.332-2.643), smoking(OR=0.738, 95% CI= 0.523-1.039), drinking(OR=1.251, 95% CI=1.017-1.540), and waking practice(OR=1.698, 95% CI=1.188 -2.431). The results suggest that health education of active participations and publicity policies should be established and help improve the subjective health status in the latter stage of a 75-year-old.

당뇨병이 없는 성인의 비만 여부에 따른 공복혈당장애 관련 요인

이수정(Su-Jeong Lee),김건엽(Keon-Yeop Kim),김명관(Myung-Gwan Kim),남행미(Hang-Me Nam),배상근(Sang-Geun Bae) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.6

본 연구는 정상 성인을 대상으로 공복혈당 장애 정도와 공복혈당 장애율과 관련된 요인을 파악하여 향후 당뇨병으로 진행하는 것을 예방하는데 도움을 주고자 실시 하였다. 연구 대상은 2014년 국민건강영양조사 자료 대상자인 7,550명 중 당뇨병이 있거나 무응답자를 제외한 20∼59세의 당뇨병이 없는 정상 성인 1,341명으로 하였다. 연구 방법은 대상자를 비만군과 정상 체중군으로 나누고, 인구학적 특성(성, 연령, 가구 소득, 교육 수준, 직업 등), 건강행태 특성(음주, 흡연, 걷기, 과일섭취 빈도 등), 비만도 및 공복혈당 장애 정도를 조사하였다. 연구결과 비만군 및 정상 체중군 모두 연령이 높은 경우 공복혈당 장애율이 유의하게 높았다 (p<0.001). 비만군에서는 과일섭취 빈도가 적은 경우와 음주를 많이 하는 경우 공복혈당 장애율이 유의하게 높았다 (p<0.05). 따라서 당뇨병이 없는 성인들의 경우 당뇨병으로 진행하는 것을 예방하기 위해 비만군과 정상체중군에 따른 접근 전략을 달리해야 하며, 특히 비만 성인을 대상으로 적절한 과일 섭취와 절주를 위한 교육 프로그램과 보건의료 서비스 정책이 필요하다. This study examined the prevalence of an impaired fasting glucose and related factors in normal non-diabetic adults. This study used the raw data (general characteristics, health behavior, obesity, impaired fasting glucose etc.) from the 6th Korea National Health & Nutrition Examination Survey (NHANES) in the second year (2014), and out of all 7,550 survey participants, 1,341 were selected as the final research subjects. After stratifying according to obesity, a logistic regression model was used to analyze the factors related to an impaired fasting glucose level. The older subjects were more likely to have an impaired fasting glucose in both the obesity group and normal weight group (p<.001). The obesity group showed a higher impaired fasting glucose rate when they drank more alcohol (p<.05) and consumed less fruit (p<.05). Therefore, balanced nutrients and control of the blood sugar level through proper education and public health policies offruit intake and alcohol are needed.