악성 점막하 종양과의 구별이 어려웠던 Gastritis Cystica Profunda 1예

선제형,박진석,한민석,김수항,김우진,박인형,이숭,유종선,박찬국 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.3

Gastritis cystica profunda (GCP) is a rare disease characterized by gastric foveolae elongation along with hyperplasia and cystic dilatation of the gastric glands extending into the tissue beneath the submucosa. GCP mainly develops at the gastroenterostomy stoma but can arise in a stomach that has not undergone surgery. The proposed pathogenesis is related to chronic inflammation, ischemia and the presence of a foreign body. GCP may present as a submucosal tumor, Polyp or a giant gastric mucosal fold. Endoscopic ultrasonography (EUS) is an effective diagnostic method for differentiating GCP from protruding and elevated gastric lesions. We report a case of GCP along with the endoscopic and EUS findings that were indistinguishable from a malignant submucosal tumor.

폐경기전후 한국 여성의 비타민 - D 수용체 유전자의 Restriction Fragment Length Polymorphisms 과 골밀도 및 골표지자와의 관계에 대한 고찰

김극배,한인권,서교일,변동원,김상우,유명희,문인걸 대한내분비학회 1995 Endocrinology and metabolism Vol.10 No.3

Osteoporosis is now a major health problem because of the increasing elderly population and related osteoporosis fractures. Recently, it has been suggested that lower bone mass with/and high bone turnover rate is considered to be important in the developing of osteoporosis, and so there has been many efforts to identify the risk factors which is considered to cause lower bone mass and high bone turnover. Osteocalcin, the most abundant noncollagenous protein in bone, is a marker of bone turnover and its synthesis is induced by calcitriol(the active form of vitamine-D) through the vitamine-D receptor(VDR) and a specific vitamine D-responsive element in the osteocalcin gene promoter. Serum concentrations of osteocalcin are under the strong genetic influences and may reflect allelic variation in VDR gene. Therefore, the present study were designed to find the relationships among the polymorphisms of Vitamine-D receptor gene, bone mineral density and bone markers. We analysed the restriction fragment length polymorphisms of VDR gene with Bsm I endonuclease enzyme in relation to bone mineral density by using DEXA(dual energy X-ray absorptiometry, QDR-2000) and bone markers, especially serum osteocalcin concentrations in 356 pre- and postmenopausal Korean women. The frequence of RFLPs of VDR gene is 3.3% in BB type, 10.1% in Bb type, 86.6% in bb type. The concentrations of osteocalcin, alkaline phosphatase, procollagen-C and urinary deoxypyridinoline/creatinine were found to be higher in postmenopausal than premenopausal women and the levels of BMD were lower in postmenopausal than premenopausal women. The BB type, which is known to have a strong genetic determinant, is less frequently encountered in Korean women and does not correlate with levels of bone markers and bone mineral density. Even though the number of women with BB type is small, we noted the mean serum level of each bone marker was greater in postmenopausal women with BB type than in premenopausal women with the same genotype. In conclusion, this may suggest a partial agreement of our data with that of Australlian group and that we have to try to find out another genotype specifically related with lower bone density in Korean women(J Kor Soc Endocrinol 10: 249-261, 1995)

셀레늄함유 청보리 사일리지급여가 육성기 거세한우의 생산성 및 혈액성상에 미치는 영향

김국원(Guk Won Kim),조익환(Ik Hwan Jo),황보순(Soon Hwangbo),이성훈(Sung Hoon Lee),한옥규(Ouk Kyu Han),박태일(Tae Il Park),최인배(In Bae Choi) 한국초지조사료학회 2012 한국초지조사료학회지 Vol.32 No.2

본 연구는 다양한 수준의 셀레늄함유 청보리사일리지를 육성기 거세한우에 급여 시 성장특성 및 혈액성상에 미치는 영향을 조사하였다. 시험은 육성기 거세한우 20두 (개시체중 208.8 ± 17.9 ㎏)를 공시하였고, 처리구는 셀레늄수준과 형태에 따라 4처리구 (셀레늄시비 및 비시비 청보리 사일리지이용 0.1 ㎎/㎏ 셀레늄 (대조구), 0.3 ㎎/㎏ 셀레늄 (T1), 0.9 ㎎/㎏ 셀레늄(T2) 및 무기셀레늄 0.9 ㎎/㎏ 셀레늄 (T3)로 나누어 처리구당 5두씩 배치하여, 90일간 사양시험을 실시하였다. 각 시험사료는 셀레늄함유 및 일반 청보리를 조합하여 배합비의 30%를 대체하였고, 무기셀레늄구 (T3)는 대조구사료에 0.9 ㎎/㎏의 셀레늄수준에 상응하는 양의 sodium selenite를 첨가하였다. 사료내 조단백질 및 에너지함량은 처리구간 동일하였다. 사료 내 셀레늄의 수준 및 급여형태에 따라 사료섭취량과증체에는 영향을 미치지 않았고, 혈중 포도당 농도는 대조구가 T1과 T2구 보다 유의하게 낮았다 (p<0.05). 혈중 총지질농도는 셀레늄수준이 증가할수록 유의하게 낮아져, T2구와 T3구가 대조구 보다 유의하게 낮았다 (p<0.05). LDL-콜레스테롤은 셀레늄급여구가 대조구보다 유의하게 낮았다 (p<0.05). 혈중 중성지방 또한 T2구가 대조구보다 유의하게 낮았다 (p<0.05). 혈중 면역글로불린농도는 셀레늄의 급여로 전반적으로 상승하는 경향을 보였고, 사료 내 같은 셀레늄수준에서 T3구보다는 T2구가 높은 양상을 나타내었다. 혈중 셀레늄농도는 셀레늄함유 청보리 급여수준이 높아짐에 따라 유의하게 증가였으나 (p<0.05), T3구는 대조구와 유의한 차이가 나타나지 않았다. 이상의 결과에서 육성한우에 대한 셀레늄함유 청보리급여는 육성우의당 및 지질대사에 관여하는 것으로 나타났고, 특히 혈중 총지질 및 LDL-콜레스테롤의 농도를 감소시켰다. 또한 무기셀레늄보다는 청보리내 존재하는 셀레늄이 장관내에서 더 잘 흡수되는 것으로 나타났고, 이는 육성기 및 어린성장단계에 있는 거세한우의 면역력을 향상시키는데 도움이 될 수 있을 것으로 판단된다. This study was conducted to investigate effects of feeding seleniferous whole crop barley silage (WCBS) on growth performance and blood characteristics in growing Hanwoo steers. A total of 20 growing Hanwoo steers, initially weighing on average 208.8 kg of body weight, were used and treatments were consisted of 1) controls : 0.1 ㎎/㎏ Se, 2) T1 : 0.3 ㎎/㎏ Se, 3) T2 : 0.9 ㎎/㎏ Se by combining seleniferous and/or non-seleniferous WCBS, and 4) T3 : 0.9 ㎎/㎏ Se of inorganic Se treatment. Five steers were allocated to each treatment, and the trial was lasted for 90 days. All experimental diets were included to 30% of combination of seleniferous and/or non-seleniferous WCBS, and in T3 diet, sodium selenite that corresponds to 0.9 ㎎/㎏ Se was added to control diets. Also, the diets were isonitrogenous and isocaloric among treatments. Dietary level and type of selenium did not affect feed intakes and daily gain, and blood glucose concentration was significantly (p<0.05) lower for controls than T1 and T2 treatments. Blood total lipid concentration was significantly (p<0.05) decreased with increasing levels of dietary selenium, and also that of T2 and T3 was significantly (p<0.05) lower than controls. LDL-cholesterol concentration was significantly (p<0.05) lower for treatments including dietary selenium than controls, and also blood triglyceride concentration was significantly (p<0.05) lower for T2 than controls. Overall, it was tended that feeding seleniferous WCBS or inorganic Se increased blood IgG concentration, and in the same dietary selenium levels, T2 treatment was higher for IgG than T3 group (p>0.05). Blood selenium concentration was significantly (p<0.05) increased by feeding increasing levels of seleniferous WCBS, but there was no significant difference between controls and T3 group. These results showed that feeding seleniferous WCBS to growing Hanwoo steers was responsible for saccharide and lipid metabolism, and in particular, it reduced their total lipid and blood LDL-cholesterol concentrations. Furthermore, selenium present in seleniferous WCBS rather than inorganic selenium was better available in intestinal absorption, and it might help to enhance immunity in growing and younger stages of Hanwoo steers.

Cerulein 유도 급성췌장염에서의 활성산소라다칼의 역할

김정원,임창영,이명인,이종화,조정희,송일한,김정택,박동국,노임환,양미라,손소희,진영주 대한소화기학회 1997 대한소화기학회지 Vol.30 No.6

Backgroung/Aims: Oxygen radicals are suggested to be an imponant role in the pathogenesis of acute pancreatitis in experimental animals. Cerulein is closely related to the cholecystokinin and it is a potent stimulant of pancreatic exocrine secretion. The purpose of this study was to evaluate the effect of free oxygen radicals in the cerulein induced acute pancreatitis. Methods: Two groups of male Sprague Dawley rats weighing 380-420gm were studied: control group(n=12), fasted for 12 hours the animals with intraperitoneal injection twice of 0,9% saline with a l-hour interval, and cerulein group(n=20), animals who fasted for 12 hour received two intraperitoneal injections of cerulein at hourly intervals(40 microgram/kg). After 4 hours of observation time, serum-amylase and the tissue content of malondialdehyde, glutathione and histology was studied. Results: Serum amylase in the cerulein group was significantly high(p$lt;0.001), compared with the control group. Also glutathione level of pancreatic tissue was decreased significantly(p$lt;0.01) and pancreatic malondialdehyde level was increased significantly(p$lt;0.01) in the cerulein treated group. In pancreatic histology, pancreatic ederna including acinar cell atrophy, periductal intlammation, and periductal fibrosis were observed in all cases of cerulein treated group. Conclusions: We concluded that the profound depletion of the activity of glutathione and increase of malondialdehyde occuring after cerulein induced pancreatitis seemed to be important in tissue injury and oxygen radicals might be responsible for an important step in the initation of acute pancreatitis.

Impact of urgently initiated tele-prescription due to COVID-19 on glycemic control in patients with type 2 diabetes

( Sung-don Park ),( Na-young Kim ),( Jae-han Jeon ),( Jung-guk Kim ),( In-kyu Lee ),( Keun-gyu Park ),( Yeon-kyung Choi ) 대한내과학회 2021 The Korean Journal of Internal Medicine Vol.36 No.4

Background/Aims: Coronavirus disease 2019 (COVID-19) is a global pandemic that had affected more than 13,000 people in South Korea by July 2020. To prevent spread of COVID-19, tele-prescription was permitted temporarily. This study investigated the impact of tele-prescription on glycemic control in patients with type 2 diabetes. Methods: Glycated hemoglobin (HbA1c) concentrations were retrospectively analyzed in patients with type 2 diabetes who were treated with tele-prescription because of COVID-19 and those who were treated by face-to-face care (non-tele-prescription group) enrolled at the same period of time. Mean HbA1c concentrations and mean change in HbA1c concentration (ΔHbA1c) were compared in these two groups. Results: The mean HbA1c levels of patients were significantly higher after than before the tele-prescription period (7.46% ± 1.24% vs. 7.27% ± 1.13%, p < 0.05). Mean ΔHbA1c was significantly higher in the tele-prescription than in the non-tele-prescription group (0.19% ± 0.68% vs. 0.04% ± 0.95%, p < 0.05). HbA1c was significantly greater in patients taking fewer oral hypoglycemic agents, no insulin, fewer comorbidities (e.g., coronary artery disease, cerebrovascular accident, and diabetic neuropathy), and higher baseline HbA1c. Conclusions: Tele-prescription may worsen glycemic control in patients with type 2 diabetes during public health crises.

초음파 진단장치를 이용한 축우의 번식효율증진에 관한 연구 II. 무발정 젖소에서 초음파검사 및 progesterone 농도측정에 의한 난소 구조물의 비교평가

손창호,강병규,최한선,강현구,백인석,서국현,Son, Chang-ho,Kang, Byong-kyu,Choi, Han-sun,Kang, Hyun-gu,Paik, In-seok,Suh, Guk-hyun 대한수의학회 1998 大韓獸醫學會誌 Vol.38 No.3

The accuracy of ultrasonography for determining the presence of a functional corpus luteum in subestrous dairy cows was investigated, using a radioimmunoassay for progesterone in plasma. Luteal status (high or low progesterone concentrations) was diagnosed in 534 cows, using B-mode transrectal ultrasonography. Accuracy of ultrasonography was 96.3% and 88.8% in the cows with and without functional corpus luteum, respectively. In 362 cows diagnosed with functional corpus luteum by ultrasonographic examination, 20 cows were diagnosed with the non-functional corpus luteum by analysis of plasma progesterone concentrations (false positive). In 172 cows with non-functional corpus luteum by ultrasonographic examination, 13 cows were diagnosed with the functional corpus luteum based on plasma progesterone assay (false negative). Most of the corpus luteum with well-defined border and homogeneous echotexture were diagnosed with functional corpus luteum. All cows that were not detected a corpus luteum by ultrasonographic examination were diagnosed as non-functional corpus luteum. The corpus luteum of cows that were diagnosed with false positive appeared homogeneous echotexture and above 15 mm in diameter, but the corpus luteum was the non-functional corpus luteum within Day 5 (Day 0 is ovulation day) or after Day 19. The corpus luteum of cows that were diagnosed with false negative appeared heterogeneous echogenicity and below 15 mm in diameter, but the corpus luteum was the functional corpus luteum after Day 5 or around Day 17. It was concluded that accuracy of ultrasonography was excellent for determining the presence of a functional corpus luteum in subestrous dairy cows. The corpus luteum that was diagnosed with false positive or false negative was the developing or regressing states. Thus, ultrasonography was required a serial examination of two or three times accurately diagnosing these corpus luteum.

Association of urinary sodium/creatinine ratio with bone mineral density in postmenopausal women: KNHANES 2008-2011.

Kim, Sung-Woo,Jeon, Jae-Han,Choi, Yeon-Kyung,Lee, Won-Kee,Hwang, In-Ryang,Kim, Jung-Guk,Lee, In-Kyu,Park, Keun-Gyu Macmillan Press 2015 Endocrine Vol.49 No.3

<P>Accumulating evidence shows that high sodium chloride intake increases urinary calcium excretion and may be a risk factor for osteoporosis. However, the effect of oral sodium chloride intake on bone mineral density (BMD) and risk of osteoporosis has been inadequately researched. The aim of the present study was to determine whether urinary sodium excretion (reflecting oral sodium chloride intake) associates with BMD and prevalence of osteoporosis in postmenopausal women. This cross-sectional study involved a nationally representative sample consisting of 2,779 postmenopausal women who participated in the Korea National Health and Nutritional Examination Surveys in 2008-2011. The association of urinary sodium/creatinine ratio with BMD and other osteoporosis risk factors was assessed. In addition, the prevalence of osteoporosis was assessed in four groups with different urinary sodium/creatinine ratios. Participants with osteoporosis had significantly higher urinary sodium/creatinine ratios than the participants without osteoporosis. After adjusting for multiple confounding factors, urinary sodium/creatinine ratio correlated inversely with lumbar spine BMD (P?=?0.001). Similarly, when participants were divided into quartile groups according to urinary sodium/creatinine ratio, the average BMD dropped as the urinary sodium/creatinine ratio increased. Multiple logistic regression analysis revealed that compared to quartile 1, quartile 4 had a significantly increased prevalence of lumbar spine osteoporosis (odds ratios 1.346, P for trend?=?0.044). High urinary sodium excretion was significantly associated with low BMD and high prevalence of osteoporosis in lumbar spine. These results suggest that high sodium chloride intake decreases lumbar spine BMD and increases the risk of osteoporosis in postmenopausal women.</P>

당뇨병 백서의 대동맥에서 열 자극이 혈관 운동성에 미치는 영향

구성모,이순희,한정훈,정기영,김인겸,김정국,하승우,김보완 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.25 No.5

연구배경:열자극은 열자극 단백질의 생성을 유도하여 유해한 자극에 대한 세포내 반응을 유도하는 것으로 알려져 있다. 열자극 단백질은 여러 조직에서 발현되며 일부 열자극 단백질은 산화 스트레스에 대해 세포를 보호하는 기능을 나타내기도 한다. 최근 보고에 의하면, 일부 열자극 단백질은 혈관운동성과 관련이 있다고 한다. 당뇨병은 수축물질에 대한 과다한 수축과 이완물질에 대한 이완능의 저하를 특징으로 하는 혈관 운동성의 장애를 초래하는 대표적인 질환이다. 이런 혈관운동성의 장애는 당뇨병성 혈관병증의 병인에 중요한 요소이다. 그러나 고혈당의 조건에서 혈관 운동성에 대한 열자극의 효과에 대해서는 잘 알려져 있지 않으며 그 기전에 대해서도 밝혀진 것이 없다. 이에 스트렙토조토신으로 당뇨병을 유발한 백서 대동맥에서 열자극이 혈과운동성에 미치는 영향에 대하여 연구하였다. 방법:당뇨병 백서 대동맥을 적출하여 대동맥환을 준비하고 장치한 후 42도에서 45분간 열자극을 가한군과 열자극을 가하지 않은 군사이의 혈관 수축물질에 대한 수축반응과 이와물질에 대한 이완반응을 측정하였다. 혈관반응을 측정한 후 대동맥환을 얼리고 열자극단백질 HSP 70의 발현을 조사하였다. 결과:당뇨병 백서와 정상 대조군 백서의 대동맥에서 KCI과 phenyephrine에 대한 혈관 수축반등은 열자극을 준 군에서 주지 않은 군에 비해 현저하게 증가하였다. 열자극은 당뇨병과 정상 대조군의 대동맥에서 혈관수축반응의 증가 뿐만 아니라 HSP 70의 발현을 의미있게 증가시켰다. 정상 대조군의 대동맥에서 아세틸콜린에 대한 이완반응은 열자극을 준 군과 주지 않은 군사이에 통계학적 유의한 차이는 없었다. 반면에 당뇨병 백서의 대동맥에서는 열자극을 준 군이 주지않은 군에 비해 아세틸콜린에 대한 이완반응이 유의하게 감소하였다. 결론:이상의 결과는 당뇨병과 정상쥐에서 열자극에 대한 혈관 수축반응의 증가는 HSP 70의 발현을 유도하여 일어날 수 있음을 시사하여 당뇨병군에서 정상 대조군에 비해 열자극에 대한 이완반응이 감소하는 기전은 많은 연구가 되어야 할 것으로 생각된다. Background: Heat shock has been known to change cellular response to noxious stimuli by inducing heat shock proteins(HSP). HSP are expressed in many tissues, and increased expression of some HSP enhances the survival of cells exposed to oxidative stress. Recently, Some HSP are known to associate with vascular reactivity. Under diabetic conditions, there is a abnormal vascular reactivity to relaxing or contracting factors. Abnormal vascular response to some stimuli is an important role in the development of diabetic complications. However, the effects of heat shock on the vascular reactivity in diabetic condition is unclear. Therefore, we investigated effects of heat shock on the vascular reactivity in isolated aorta of streptozotocin-induced diabetic rats. Methods: After mounced in organ bath, aortic ring preparations were exposed to 42℃ for 45 minutes followed by being subjected to contraction and relaxation in 4 hours. Tissues were frozen for measurement of HSP 70 and phosphorylation of myosin light chain after functional study. Results: Heat shock not only increased expression of HSP70 in rat aorta but also augmented contraction to KCI and phenylephrine in the aorta of control and diabetic rats(p<0.05). Relaxation responses to acetylcholine (Ach) were not changed in the aorta of control rats with and without heat shock for 45 minutes. However, heat shock for 45 minutes decreased relaxative responses to Ach in the aorta of diabetic rats compared to those in the aorta of control rats. Conclusion: This result suggests that heat shock increases vascular contractility in the aorta of diabetic and control rats through the induction of HSP70 while heat shock seems to decrease relaxative response in the aorta of diabetic rats compared to control rats(p<0.05). Whether heat shock impaired relaxative response in the aorta of diabetic rats deserves additional studies (J Kor Diabetes Asso 25:343~353, 2001).

시설 및 노지 재배한 오디의 숙기별 이화학적 품질 및 항산화 활성

이지영(Ji Young Lee),황인국(In Guk Hwang),박보람(Bo Ram Park),한혜민(Hye Min Han),유선미(Seon Mi Yoo),한귀정(Gui Jung Han),박종태(Jong Tae Park),김하윤(Ha Yun Kim) 한국식품영양과학회 2015 한국식품영양과학회지 Vol.44 No.10

본 연구에서는 고품질 오디 생산과 기능성 제품 개발을 위한 기초자료 제공을 목적으로 작성하였다. 시설 및 노지 재배한 오디의 숙기별 pH, 적정산도, 유리당, 유기산, 총 폴리페놀, 총 플라보노이드, 총 안토시아닌, 항산화 활성 및 항산화력을 비교 분석하였다. pH와 적정산도는 시설의 경우 각각 3.52~4.91 및 0.47~2.63% 범위였고, 노지의 경우 각각 3.52~4.70 및 0.43~2.19% 범위로 숙도 단계에 따라 유의적인(P<0.05) 차이를 보였다. 숙도별로 pH는 점차 높아졌고, 적정산도는 반대의 경향을 보였다. 재배 방법별로는 후기 단계로 갈수록 시설 재배가 유의적으로(P<0.01) pH와 적정산도 모두 높아졌다. 주요 유리당으로는 fructose와 glucose가 검출되었고 함량은 각각 0.44~4.85% 및 0.43~4.79% 범위 수준으로 나타났으며, 숙도에 따라 유의적으로(P<0.05) 증가하였다. 재배 방법별로는 유의적으로(P<0.01) 시설 재배의 유리당 함량이 높았다. 주요 유기산으로는 citric acid, D-malic acid, succinic acid, acetic acid가 검출 되었고, 각각의 함량은 0.47~2.50 g/100 g, 0.22~0.53 g/100 g, 0.23~0.49 g/100 g, 0.29~ 1.04 g/100 g의 범위 수준으로 나타났다. 숙도가 증가함에 따라 점차 감소하였는데, 주로 citric acid의 급격한 감소의 영향으로 보인다. 총 폴리페놀 함량은 노지 재배 오디는 171.74~482.98 mg/100 g, 시설 재배 오디는 126.21~471.41 mg/100 g의 범위 수준을 나타내었고, 숙도에 따라 유의적으로(P<0.05) 증가하였다. 유의적인 차이가 없는 마지막 단계를 제외하고, 나머지 단계에서 유의적인(P<0.05) 차이로 노지 재배 오디의 함량이 시설 재배 오디에 비하여 높게 나타났다. 총 플라보노이드 함량은 각각 62.72~174.60 mg/100 g, 94.34~197.53 mg/100 g의 범위 수준을 나타내었다. 숙도가 진행됨에 따라 노지 및 시설 재배의 경우 모두 함량은 유의적으로(P<0.05) 감소하였다가 증가하였다. 노지 재배 오디의 함량이 시설 재배에 비하여 모든 숙도 단계에서 유의적으로(P<0.05) 높게 나타났다. 총 안토니시아닌 함량은 각각 0.00~337.43 mg/100 g, 0.00~349.85 mg/100 g의 범위로 나타났고, 숙도별로 유의적인(P<0.05) 차이를 보였다. DPPH 항산화 활성은 각각 62.15~337.76 mg AA eq./g, 81.57~313.23 mg AA eq./g 범위를 나타내었다. 숙도가 진행됨에 따라 항산화력은 증가하였고, 숙도 말기에 급격히 증가하였다. ABTS 항산화력은 각각 61.10~663.03 mg AA eq./100 g, 77.02~784.43 mg AA eq./100 g 범위를 나타내었다. 숙도가 진행됨에 따라 총 항산화력은 증가하였고 숙도 말기에 급격히 증가하였다. 이 결과로 보아 오디의 경우는 충분히 숙성된 후 수확하여 이용하는 것이 좋은 것으로 판단된다. 또한 품질 상 차이가 없고 장마철 수확기인 오디의 특성상 수확량이 많고 오염의 가능성이 적은 시설재배가 바람직한 것으로 보인다. This study was conducted in order to compare changes in the quality characteristics and antioxidant activity of mulberries depending on the degree of ripeness between greenhouse (GH) and open field (OF) cultivation. The mulberries were divided into five degrees of ripeness. Quality characteristics such as pH, acidity, antioxidant activity, and contents of free sugar, organic acid, polyphenols, flavonoids, and anthocyanins were investigated. pH level increased slightly while acidity decreased depending on the degree of ripeness. Fructose and glucose were detected in mulberries as the major free sugar. Fructose and glucose increased rapidly during ripening. Citric acid was major acid and decreased considerably during ripening. Contents of total polyphenols, flavonoids, and anthocyanins increased considerably in the last stage of ripening. Contents of polyphenols, and flavonoids in mulberry from OF were higher than from GH. DPPH and ABTS radical scavenging activities increased rapidly in mulberries of the last degree. Contents of functional components were not greatly different between GH and OF, whereas content of free sugar in GH was higher than that in OF.

Association between household size, residential area, and osteoporosis: analysis of 2008 to 2011 Korea National Health and Nutrition Examination Survey

( Sung Woo Kim ),( Kwi Hyun Bae ),( Jung Beom Seo ),( Jae Han Jeon ),( Won Kee Lee ),( In Kyu Lee ),( Jung Guk Kim ),( Keun Gyu Park ) 대한내과학회 2016 The Korean Journal of Internal Medicine Vol.31 No.4

Background/Aims: The prevalence of single-person households has rapidly increased in Korea. Individuals living alone and in rural areas may have a higher risk of various metabolic diseases due to differences in lifestyle. However, few studies have investigated the association of household size and residential area with health-related problems. This study aimed to evaluate the association of household size and residential area with risk of osteoporosis in postmenopausal women. Methods: This cross-sectional study enrolled 3,058 postmenopausal women from the 2008 to 2011 Korea National Health and Nutrition Examination Survey (KNHANES). We examined the association between bone mineral density (BMD) and household size and residential area. Results: Individuals living in rural areas had significantly lower BMD of the lumbar spine than those living in an urban area. Subsequently, we divided the participants into four groups according to household size and residential areas. Lumbar spine BMD was significantly lower in individuals living in rural singleperson households than those in urban households with two or more individuals, even after adjustment for multiple confounding factors. In addition, individuals in rural single-person households had significantly greater odds of osteoporosis in the lumbar spine than those in urban households with two or more residents. Conclusions: Individuals in rural single-person households had significantly lower BMD and greater odds of osteoporosis in lumbar spine than urban households with two or more individuals. The results of this study suggest that individuals living in rural single-person households may benefit from more careful screening for osteoporosis.