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중년 여성의 혈당수준에 따른 영양상태 및 식이염증지수의 융합적 관련성 평가: 2013-2018 국민건강영양조사 자료 이용
박필숙,안토니키됴,박미연,Park, Pil-Sook,Kityo, Anthony,Park, Mi-Yeon 한국융합학회 2021 한국융합학회논문지 Vol.12 No.7
본 연구는 국민건강영양조사 원시자료를 활용하여 혈당수준에 따른 영양상태와 식이염증지수와의 관련성을 확인하기 위해 중년여성 4,572명을 대상으로 이루어진 연구이다. 데이터는 SPSS Win 25.0 프로그램의 복합표본분석 기능의 교차분석, 일반선형모형, 로지스틱 회귀모형 등으로 분석하였으며, 결과는 다음과 같다. 혈당이 높은군(정상혈당군→당뇨군)의 대상자일수록 비만율과 혈중 TG/HDL-콜레스테롤 비율이 높게 나타난 반면 평균영양소 적정섭취비(10 종)와 두류, 종실류, 버섯류, 과일류 등의 항염증식이의 섭취량은 낮았다. 또한 식이염증지수에 대한 혈당과의 관련성 결과는, 당뇨경계 및 당뇨병의 위험도가 항염증식이 Q1에 비해 친염증식이 Q5에서 유의하게 높았다. 따라서 중년여성의 혈당 개선을 위해서는 다양한 식품의 섭취를 강조하는 교육이 효과적으로 이루어져야 함을 제안한다. This study targeted 4,572 middle-aged women to examine the relationship between nutritional status and dietary inflammatory index according to blood glucose level using data from the Korean National Health and Nutrition Examination Survey (KNHANES). Data were analyzed using complex survey chi-square, General Linear Model and logisitc regression in SPSS Win 25.0 program. Women with high blood glucose (normal blood sugar→diabetes) had high rates of obesity and blood TG/HDL-cholesterol ratio. On the other hand, the Mean Adequacy Ratio (10 nutrients) and the intake of anti-inflammatory foods: beans, seeds, mushrooms, and fruits, were lower in the diabetic category. When we analysed the association between blood glucose and the Dietary Inflammatory Index, the risk of pre-diabetes and diabetes was significantly higher in the most pro-inflammatory diet category (Q5) compared to the most anti-inflammatory diet category (Q1). These findings suggest that nutritional education emphasizing the intake of various foods should be effectively conducted effectively in order to improve blood glucose among middle-aged women.
한국 성인의 대사 위험인자 패턴 및 영양상태와 심뇌혈관질환 또는 지방간 발생 위험률: 전향적 코호트 연구
박필숙 ( Pil Sook Park ),이미성 ( Mei Sheng Li ),딩총위 ( Chong Yu Ding ),박미연 ( Mi Yeon Park ) 한국보건정보통계학회 2023 보건정보통계학회지 Vol.48 No.2
Objectives: To determine the nutrient intake according to patterns of metabolic risk factors, and examine the relationship between patterns of metabolic risk factors and incidence of cardiocerebrovascular disease or fatty liver in Korean adults. Methods: Data from the Korean Genome and Epidemiology Study were used to analyze 7,019 adults aged 50-64 years old. Depending on patterns of metabolic risk factors, participants were classified into four categories: ‘normal, NOR’, ‘obesity risk factors, ORF’ , ‘vascular risk factors, VRF’, ‘cluster risk factors, CRF’. Cox regression analysis was used to evaluate the incidence of cardiocerebrovascular disease or fatty liver. Results: The mean adequacy ratio (MAR) of VRF pattern women was significantly lower than that of the normal women. In Model 3, the incidence of cardiovascular disease or fatty liver decreased by 64.4% (hazard ratio (HR), 0.36; 95% confidence interval (CI), 0.15-0.84) in MAR Q3 women compared to MAR Q1 women. In Model 2 adjusted for age and energy intake, the incidence of cardiovascular disease or fatty liver increased by 87.6% (HR, 1.88; 95% CI, 1.01-3.48) in CRF pattern women compared to NOR women, but there was no significant difference in Model 3. Conclusions: The study showed that among women, VRF patterns were associated with poor nutrient intake. There was an association between nutrient intake levels and metabolic risk factor patterns in women. Therefore, these findings can be used a basis to emphasize the need to establish nutrition management strategies tailored to individual’s metabolic risk status, for the prevention and management of metabolic syndrome complications.
한국 완경 여성의 대사증후군 위험인자와 관련된 식이요인 연구: 2016 ~ 2017 국민건강영양조사 자료 이용
박필숙(Pil-Sook Park),이미성(Mei-Sheng Li),박미연(Mi-Yeon Park) 대한지역사회영양학회 2021 대한지역사회영양학회지 Vol.26 No.6
Objectives: This study evaluated dietary behavior and nutritional status according to the metabolic syndrome status in Korean menopausal women. Methods: The subjects were 1,392 menopausal women aged 50 to 64 who took part in the Korea National Health and Nutrition Examination Survey of 2016 and 2017. Subjects were classified into normal (NOR) group, pre-metabolic syndrome (Pre-MetS) group, and metabolic syndrome (MetS) groups according to the number of metabolic syndrome risk factors present. Results: The overall prevalence of metabolic syndrome was 33.7%. Using the NOR group as a reference, the odds of belonging to the MetS group in Model 1 adjusted for age were higher at 53% (OR = 1.53, 95% CI:1.011-2.307) for ‘not used’ subjects compared to ‘used’ subjects of the nutrition labeling system. Using the NOR group as a reference, every 1g increase in the intake of monounsaturated fatty acids (MUFA) and polyunsaturated fatty acids (PUFA) decreased the odds of belonging to the MetS group in Model 1 adjusted for age by 3% (MUFA, OR = 0.97, 95% CI:0.946-0.991; PUFA, OR = 0.97, 95% CI:0.942-0.993). Conclusions: These results suggest that to reduce the number of risk factors of metabolic syndrome in menopausal women, nutritional education should emphasize the adequate intake of riboflavin, unsaturated fatty acids, protein, and calcium, and also encourage the recognition and use of nutritional labeling. Results of this study are expected to be utilized as basic data for the health management of menopausal women.
박미연(Park, Mi Yeon),박필숙(Park, Pil Sook) 한국영양학회 2017 Journal of Nutrition and Health Vol.50 No.4
Purpose: The purpose of this study was to investigate the nutritional status of 3~5 year old children attending kindergarten and childcare facilities in 2010 and 2014. Methods: Data were obtained from the 2010 and 2014 Korea National Health and Nutrition Examination Surveys (KNHANES) and included 509 subjects aged 3~5 years old attending kindergarten and childcare facilities. Results: In 2014, rate of skipping meals by children was 16.2%, an increase of 5.5% compared with the rate of skipping meals by children in 2010. Calcium intake in 2014 was 397.41 mg at 3 years old, 419.27 mg at 4 years old, and 414.01 mg at 5 years old. For the mean nutrient adequacy ratio (MAR) of subjects in 2010 and 2014, MAR at 3 years old (0.86) was significantly lower than those at 4 and 5 years old (0.90, 0.91) (p < 0.01). In 2010 and 2014, EAR intake at 3 years old (2.72) was significantly higher than those at 4 years old (2.14) and 5 years olds (1.92) (p < 0.01). Conclusion: As a result, compared with 2010 before establishment of the Children"s foodservice management center, there was no improvement in the polarization of nutrient intake of children in 2014. Therefore, researchers believe that a continuous monitoring system developed by nutrition experts and children"s foodservice management center are needed to improve the nutritional status of children. Of children between the ages of 3~5 years old, those with intakes under EAR were mostly 3 years old. Therefore, researchers suggest that the infant age group of KDRIs, which is classified as 1~2 years old and 3~5 years old, needs to be reestablished considering the growth and development of infants.
유아의 체질량지수에 영향을 미치는 어머니의 식생활태도 및 영양상태 관련 인자
박미연(Miyeon Park),박필숙(Pilsook Park) 대한지역사회영양학회 2016 대한지역사회영양학회지 Vol.21 No.1
Objectives: The intention of this study was to find out the impact of mother"s body mass index, eating habits, nutrition status and sociodemographic factors on the body mass index of the children. Methods: The study used original data of Korea National Health and Nutrition Examination Survey (2010-2011) and had 957 children in the ages of 1-5 years and 957 mothers of these children, a total 1,914 as subjects. The weights (body mass indexes) of the children, subjects under 5th percentile were classified into a underweight group, 5~84th percentile into a normal weight group, 85-94th percentile into an overweight group and more than 95th percentile into an obesity group based on the 2007 Korean children and adolescents growth chart. Results: We observed that when the body mass index of a mother increased by 1, the possibility that her child would belong to the overweight group increased by 6.5% (95% confidence interval: 1.01~1.13), and the possibility that the child would belong to the obesity group increased by 95% (confidence interval: 1.01~1.18). With regard to the number of deficient nutrients which were ingested according to estimated average requirements (EAR) amid nutrients ingested by the mother increased by 1, the possibility that the child would belong to the obesity group increased by 16.6% (95% confidence interval: 1.01~1.35). In case the birth weight of child increased by 1kg, the odds ratio that the child would belong to the obesity group was 2.022 (95% confidence interval: 1.08~3.77). Conclusions: We conclude that the body mass index, eating habits and nutrition status of the mother had significant effects on the body mass index of the child. Therefore, it is critical to recognize the importance of this observation and provide practical training for eating habits and nutrient intakes in order to achieve healthy growth and prevention of obesity among children.