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도시 성인 여성의 연령 및 건강지각에 따른 비만과 심폐기능 정도
정승교,김춘길 여성건강간호학회 2000 여성건강간호학회지 Vol.6 No.4
The purpose of this study is to collect fundamental data for adult female health improvement based on urban adult female obesity and cardiopulmonary function. Surveyed were 859 adult females who visited a health improvement center in D district in Seoul between April, 1999, and December, 1999, and the resulting data are as follows: 1. The adult female mean BMI was 23.97±3.11㎏/㎡, which comes within the range of overweight. Among them, BMI of the females aged 41-60, and over 60, were significantly higher. Mean percentage of body fat was 32.07±4.63, and it significantly increased in accordance with age, recording the highest among those aged over 60. 2. The systolic blood pressure significantly increased in accordance with age, recording highest among those aged over 60. Those aged 41-60 and over 60 showed significantly higher diastolic blood pressure than those in their 20s and 30s; however, they had a significantly lower heart rate. Vital capacity and maximum oxygen intake significantly decreased in accordance with age, and those aged over 60 were lowest. 3. As to health perception, 20.6% of the subjects perceived themselves as healthy, and those who perceived themselves as unhealthy showed significantly higher BMI than those who perceived themselves to be of moderate health. 4. There were no significant differences in blood pressure, heart rate and maximum oxygen intake in accordance with health perception, but those who perceived themselves as healthy showed significantly higher vital capacity than those who didn't. 5. As to cardiopulmonary function in accordance with obesity, the obese group showed significantly higher systolic blood pressure than those whose weight was normal to overweight. The diastolic blood pressure of the normal weight group was the lowest, while the obese group showed significantly lower vital capacity and maximum oxygen intake. These findings indicate that the women's health promotion program must include an effective strategy for preventing obesity, and strengthening cardiopulmonary function.
정승교,백경신 지역사회간호학회 2005 지역사회간호학회지 Vol.16 No.4
The Comparison of Waist Circumference, Waist to Hop Ratio and Body Mass Index in Female College Students urpose: The purpose of this study was to validata waist circumference (WC) and waist to hip ratio (WHR) corresponding to body mass index (BM) of 25kg/㎡ and to survey the prevalence of hypertension according to obesity in female college students. Method: Weight, height, waist and hip circumferences and blood pressure were measured for each of 286 female college students in J city, Chungbuk, Results: The subjects' mean BM was 21.4kg/㎡ and the estimated prevalence of obesity was 11.2%. The subjects, the 80th-90th percentile of whom had BM exceeding 25kg/㎡ were found to have WC of 75-78.1 cm and WHR of 0.79-0.80, respectively. Of the subjects with obesity(BM≥ 25kg/㎡), 53.1% exhibited abdominal obesity (WC≥80cm) and 40.6% had WHR over 0.80 Systolic and diastolic blood pressure were correlated with BM, WC, and WHR. The prevalence rate of hypertension in subjects with obesity(BM≥25kg/㎡) was 25%. Additionally, the prevalence rate of hypertension in subjects with abdominal obesity (WC≥80cm) was 39.1%. Conclusions: Our study indicates that WC corresponding to BM of 25kg/㎡ in femalesubjects in their twenties is different from that of adult women. We also found that the prevalence rate of hypertension in subjects with abdominal obesity was high. Therefore, we suggest further studies to determine the cutoff value of WC for evaluating abdominal obesity and to investigate the long-term effects of obesity on women in their twenties. 전세계적으로 급격한 증가 추세에 있는 비만은 체지방이 과다하게 축적된상태를 의미하며심혈관 질환 (Hubert, Feinleib, McNamara & Castelli 1983) 뿐 아니라 여성의 경우 유방암 난소암, 자궁암 등의 발생빈도도 증가시킨다. 비만을 평가하는 방법에는 여러 가지가 있지만 체지방의 양과 분포를 정확하게 측정하기 위해서는 수중 체밀도 법, 생체전기 저항 분석법, 초음파 CT,MRI 등이 이용되고 (Kang et al., 2004). 일반적으로는 측정상의 간편성과 체지방을 간접적으로 잘 반영하는 것으로 나타난 체질량지수와 허리둘레 허리/둔부 둘레비가 많이 이용되고 있다. 체질량 지수는 신장에 대한 체중의 지표로 체지방율과 강한 상관관계를 나타내지만 근육과 지방의 양을 정확히 구별할수 없어 과체중 이지만 지방의 축적이 과도하지 않은 경우와 그반대의 경우를 잘못 판단할수 있다는 제한점이 있다. 그러나 체질량 지수는 심혈관질환,암및 다른 질환의 발생뿐 아니라 조기 사망과도 관련성이 입증 되었을 뿐아니라 대단위 집단의 비만정도를 간편하게 평가할수 있으므로 전세계적으로 널리 이용되고 있다.