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서울 남서부 지역 남자 노인 인구에서 음주 , 흡연과 혈압 및 혈중 지질 농도와의 연관성
최경묵(Kyung Mook Choi),김경오(Kyung Oh Kim),조영직(Young Jik Cho),김동림(Dong Rim Kim),김난희(Nan Hee Kim),박이병(Ie Byung Park),백세현(Sei Hyun Baik),최동섭(Dong Seop Choi) 대한내과학회 2001 대한내과학회지 Vol.60 No.6
N/A Background : It is known that the effects of cigarette smoking and alcohol consumption on cardiovascular disease are very diverse. We investigated the effects of cigarette smoking and alcohol consumption on cardiovascular risk factors such as hypertension and dyslipidemia in male elderly living in Seoul, Korea. Methods : We examined the relationship of smoking and alcohol consumption to cardiovascular risk factors in 236 Korean men aged over 60 years in the community-based cross-sectional study from August 1999 to October 1999. Results : Alcohol users had higher systolic blood pressure, HDL cholesterol and lower LDL cholesterol, total cholesterol compared with non-users. After adjustment with age, body mass index and amount of smoking, partial correlation analysis showed that amount of alcohol consumption positively correlated with systolic blood pressure (r=0.1479, p<0.05) and negatively correlated with LDL cholesterol (r=0.2704, p<0.01) and total cholesterol (r=0.1800, p<0.05). But smokers didn't show any difference of body mass index, blood pressure, and lipid profile compared with non-smokers. Conclusion : In Korean male elderly, alcohol consumption was associated with increased systolic blood pressure. Also alcohol consumption was confirmed to be associated with decreased LDL cholesterol and total cholesterol, which might have a protective effect on coronary heart disease. We couldn't find the correlation between blood pressure, lipid profile and cigarette smoking.(Korean J Med 60:521-528, 2001)
서울 서남부지역 노인인구에서 공복혈당 및 경구 당부하검사(ADA 및 WHO 당뇨병진단기준)에 의한 당뇨병의 유병률
김난희,최동섭,백세현,최경묵,신동현,박이병,김신곤,김동림,조영직,김경오 대한당뇨병학회 2001 Diabetes and Metabolism Journal Vol.25 No.2
Background: The prevalence of diabetes in Korea is increasing rapidly, however we do not have much reliable data to prove it. Thus, the Southwest Seoul Study (SWS Study) designed to investigate the prevalence of diabetes (Clinical impact of new diagnostic criteria of ADA compare to the one of WHO), other metabolic diseases, and the proportion of diabetes related mortalities in the elderly Korean southwest Seoul population in prospectively. However, in this report we summarized the prevalence of diabetes only. Methods: Randomly selected 1,737 elderly subjects over 60 years who lived in southwest area of Seoul were recruited in this study. Subjects underwent 75 g OGTT, interviewed using the standardized questionnaire, and careful physical examinations during the evaluation. Biochemical data were collected from 1,652 subjects and were analysed for this report. Of 1,652 subjects, we identified 196 pre-diabetics. However, these subjects were included in this analysis. ADA criteria (FBS≥ 126 mg/dL (7.0 mmol/L)) and WHO criteria (75 gOGTT, pp2h≥ 200 mg/dL (11.1 mmol/L)) were used as the criteria for diagnosis of diabetes. ADA and WHO criteria for impaired glucose tolerance (IGT, WHO: FBS$lt;7.0 mmol/L, 7.8 mmol/L ≤ pp2h $lt; 11.1 mol/L), and impaired fasting glucose (IFG, ADA:6.1 mmol/L ≤ FBS $lt; 7.0 mmol/L, pp2h $lt; 7.8 mmol/L) were also used. Results: The prevalence of Diabetes mellitus was 20.5% (previous diagnosed 196 people (11.9%), newly diagnosed 142 people (8.6%); total 338 people). Among 142 newly diagnosed people, 50 people diagnosed by new ADA criteria and 129 people were diagnosed by WHO criteria, thirty seven people were diagnosed by the both criteria. The number of IGT and IFG were 337 (20.4%) and 85 (5.1%) people, respectively. Conclusion: The prevalence of diabetes in Korean elderly who lived in southwest area of Seoul was 20.4%. The prevalence of IGT and IFG were 20.4%, 5.1 %, respectively. Furthermore, this study suggest that using the ADA fasting criteria only for screening of diabetes might cause . under diagnose of diabetes in elderly Korean.