http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Sarcopenia Is Associated with Cognitive Impairment and Depression in Elderly Korean Women
LEE, Inhwan,CHO, Jinkyung,HONG, Haeryun,JIN, Youngyun,KIM, Donghyun,KANG, Hyunsik Tehran University of Medical Sciences 2018 Iranian journal of public health Vol.47 No.3
<P><B>Background:</B></P><P>Sarcopenia has been implicated in the increased risk for cognitive impairment and depression associated with aging. In this cross-sectional study, we investigated the relationship of sarcopenia with cognitive impairment (MCI) and depression in a sample of 201 community-dwelling Korean women (mean age of 74.0±6.8 yr) between 2014 and 2015.</P><P><B>Methods:</B></P><P>The Korean version of mini-mental state examination and the center for epidemiologic studies depression scale was used to assess cognitive performance and depression, respectively. Grp strength was measured with a dynamometer. Demographics, body composition, education, alcohol consumption, and history of cardiovascular diseases were assessed as covariates.</P><P><B>Results:</B></P><P>Odds ratio (OR) and 95% confidence interval (95% CI) of MCI and depression were calculated according to sarcopenia status. Compared to non-sarcopenic, pre-sarcopenic and sarcopenic women had the ORs of 2.160 (95% CI of 0.840 – 5.554, <I>P</I>=0.030) and of 5.493 (95% CI of 1.854 – 16.270, <I>P</I>=0.002) for MCI. The OR of pre-sarcopenia for MCI remained significant (<I>P</I>=0.030) even after adjustments for age, body mass index (BMI), lean body mass, and education, while the OR of sarcopenia for MCI was no longer significant (<I>P</I>=0.084) when adjusted for the covariates. Compared to non-sarcopenic, pre-sarcopenic and sarcopenic women had the ORs of 3.750 (95% CI of 1.137 – 12.370, <I>P</I>=0.030) and of 4.687 (95% CI of 1.127–19.505, <I>P</I>=0.034) for depression. The ORs of pre-sarcopenia and sarcopenia for depression remained statistically significant (<I>P</I>=0.020 and <I>P</I>=0.042, respectively) even after adjusted for the covariates</P><P><B>Conclusion:</B></P><P>Sarcopenia was significantly associated with MCI and depression in otherwise healthy community dwelling elderly Korean women.</P>
Development of a Transition Process Scale for High-risk Infant’s Caregiver
Tehran University of Medical Sciences 2016 Iranian journal of public health Vol.45 No.2
<P><B>Background:</B></P><P>Transition into parenthood is a major developmental life event and is very significant because development in infanthood is affected by the transition process of mothers parenting an infant. This study aimed to develop the assessment tool for transition process of high risk infant’s caregiver in Korea.</P><P><B>Methods:</B></P><P>The participants were 246 mothers of premature infant born with gestational age (< 37 weeks) or low birth weight (< 2500 gm), of less than 24 months of age. Preliminary items were derived from transition process scale for parent of children with autism. Factor analysis was performed to test construct validity of the scale, the correlation between transition processes and parenting efficacy was used for testing predictive validity.</P><P><B>Results:</B></P><P> The final scale was composed of 23 items divided into 5 factors: wandering (7 items), devotion (5 items), acceptance (4 items), denial (4 items), frustration (3 items). The total variance for validity described by the 5 factors was 60.8% and the reliability of the scale was total Cronbach’s α 0.90 and wandering 0.85, devotion 0.78, acceptance 0.72, denial 0.72, and frustration 0.71. Correlation between transition process and parenting efficacy was statistically significant; wandering(r=−0.61, <I>P</I> <.001), devotion (r=−0.60, <I>P</I><.001), acceptance (r=0.30, <I>P</I> <.001), denial (r=−0.31, <I>P</I> <.001) and frustration (r= −0.27, <I>P</I> <.001).</P><P><B>Conclusion:</B></P><P>This final assessment scale will be used to investigate high-risk infant caregiver’s transition process and provide basic data for program development to provide differentiated support and care at each process.</P>
ZAHRA, Aqeela,LEE, Eun-Whan,SUN, Li-Yuan,PARK, Jae-Hyun Tehran University of Medical Sciences 2015 Iranian journal of public health Vol.44 No.12
<P><B>Background:</B></P><P>This study aimed to evaluate the perception of lay people regarding determinants of health at global level and factors affecting it.</P><P><B>Methods:</B></P><P>Data was collected from International Social Survey Program (ISSP) and World Bank website. Multilevel regression analysis was done and lay people’s perception regarding health behavior, environment, poverty and genes as health determinants was assessed. Various socio demographic factors were used as independent variables.</P><P><B>Results:</B></P><P>The highest percentage of people agreed environment as determinant of health. An inverse relationship was observed between GNI quartiles and an individual’s agreement with poverty, health behavior, and environment as health determinant. There was a significant negative association of females with health damaging behavior (<I>P</I><0.05) and positive association with environment and genes (<I>P</I><0.05) as health determinants. Elderly people agreed with poverty as determinant of health (<I>P</I><0.05). GNI was negatively related to environment (<I>P</I><0.05) and poverty (<I>P</I><0.05) as health determinant.</P><P><B>Conclusion:</B></P><P>The common public is now becoming aware of a broadened concept of health and people belonging to different backgrounds have different perceptions regarding determinants of health. Our results show that highest percentage of people agreed with environment as determinant of health, which is consistent with scientific view of increased burden of disease, caused by environmental factors. Thus, tailored health programs and policies that address an individual’s specific problems are likely to induce a change in behavior and attitude, hence decreasing the disease burden.</P>
A Comparative Study on Acceptance and Distribution of Modern Medical Care in Japanese Colonies
KIM, Do-Hyung,PARK, Eun-Young Tehran University of Medical Sciences 2018 Iranian journal of public health Vol.47 No.1
<P><B>Background:</B></P><P>The propagation of modern medicine in the colonies has often been described in terms of modernism and nationalism, focusing on the action-reaction conflict with colonial power, but the propagation of modem medical care and hygiene in colonial Chosun seems not to be explained by this perspective. So how can we explain this aspect? Answering this question could provide new implications for the many controversies surrounding the “colonial modern” acceptance.</P><P><B>Methods:</B></P><P>In order to examine the pattern of colonial acceptance of modern medicine, three cases of Britain and India, Japan and Taiwan, Japan and Chosun were set and compared, and the characteristics of colony Chosun were examined in-depth.</P><P><B>Results:</B></P><P>The existence of the ‘traditional medicine doctors’ who played an important role in the dissemination of public health in colonial Chosun can be explained from the understanding of the identity of Confucian intellectuals who played a role in the traditional Chosun society.</P><P><B>Conclusion:</B></P><P>The proliferation of modern medicine in the colonies has often been explained in terms of modernism and nationalism; however, the acceptance of a modern sanitary system in colony Chosun has been influenced by the traditional elements of the society. When considering these factors, the relationship between colonialists and the colonized society can be examined from a more interrelated perspective.</P>
KIM, Jisu,PARK, Hun-Young,LIM, Kiwon Tehran University of Medical Sciences 2018 Iranian journal of public health Vol.47 No.1
<P><B>Background:</B></P><P>We investigated whether a combination of aerobic and resistance exercise administered over a period of 12 weeks enhanced heart rate variability (HRV) and dynamic pulmonary function (DPF) in obese and elderly Korean women.</P><P><B>Methods:</B></P><P>The study was conducted in 2016 in the Konkuk University (Seoul, Korea). The study participants included 20 older obese women [aged 66.4±0.8years; >30 BMI and >30% in percent body fat]. The subjects were divided into a non-exercise group (n=10, control group; CON) and a combined exercise group (n=10, experimental group; EXP). Total power (TP), low frequency (LF), high frequency (HF), and LH/HF ratio were measured as frequency-domain methods. Salivary cortisol levels were analyzed by ELISA. The participants underwent dynamic pulmonary function (DPF) test.</P><P><B>Results:</B></P><P>The EXP group showed a significantly decrease in body weight (<I>P</I>=0.002) and % body fat (<I>P</I><0.001) following 12 weeks of combined exercise training. The CON group revealed a significant increase in LF (<I>P</I>=0.011), LF/HF ratio (<I>P</I><0.001), salivary cortisol (<I>P</I>=0.015) and decrease in HF (<I>P</I>=0.003). However, the EXP presented a significant decrease in LF (<I>P</I>=0.006) and salivary cortisol (<I>P</I>=0.046), and a significantly increase in MVV (<I>P</I><0.001).</P><P><B>Conclusion:</B></P><P>Twelve wk of combined aerobic and resistance exercise improves heart rate variability, reducing mental stress in obese older women. In addition, the exercise program was found to be effective in reducing body fat and improving lung function in obese elderly women in East Asian countries with similar body composition and cultural patterns. Therefore, further collaborative research is needed to investigate obese older women in East Asian countries.</P>