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한국 소아청소년의 10년간(2006-2015년) 신장, 체중, 비만 추이 분석
권은주(Eunjoo Kwon),나은희(Eun-Hee Nah) 한국보건교육건강증진학회 2016 보건교육건강증진학회지 Vol.33 No.2
Objectives: This study was performed to investigate secular trends in height, weight, obesity among Korean children and adolescents in 2006-2015. Methods: The study participants were 1,249,698 children and adolescents 6-17 years in age who participated in health examinations for school students supervised by Korean Ministry of Education and conducted by the Korea Association of Health Promotion in 2006-2015. Height and weight were measured unified procedures at each period. Obesity was defined as being 95th percentile of sex-specific body mass index(BMI) for age in the 2007 Korean National Growth Charts or BMI 25. Results: Between 2006 and 2015, the median of height and weight, BMI of Korean children and adolescents has increased significantly. The overall prevalence of obesity was 10.7%(boys 12.6%, girls 8.7%). In 2012-2015, the prevalence of obesity 12.2%(boys 14.1%, girls 10.2%), compared to 9.1%(boys 10.9%, 7.2%) in 2006-2008. The increase in obesity prevalence was statistically significant(p<0.05). The prevalence was highest in Gyeonggi area, lowest in Chungcheong area when compared to other regions(p<0.001). Conclusions: During the period 2006-2015, growth trends, prevalence of obesity among Korean children and adolescents increased significantly. Health promotion and intervention programs promoting healthy growth and development of Korean children and adolescents were need consider the demographic and regional characteristics.
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한국 성인 남성에서 흡연과 대사증후군 및 동맥경화증과의 관계
김수영 ( Suyoung Kim ),나은희 ( Eun Hee Nah ),조한익 ( Han Ik Cho ) 한국보건정보통계학회 2016 보건정보통계학회지 Vol.41 No.1
Objectives: Smoking is an important risk factor for metabolic syndrome (Mets) and cardiovascular disease. This study has been designed to investigate the relationship between smoking, metabolic syndrome, and arteriosclerosis among men in South Korea. Methods: We have retrospectively enrolled data of 5,103 men aged over 20 years, who underwent a health check-up including carotid ultrasonography in 2014. Smoking status and amount were collected from self-reported questionnaires. The diagnosis of Mets was made using criteria modified NCEP-ATP III. Using multivariate logistic regression analysis, the risk of Mets and arteriosclerosis defined as abnormal carotid intima-media thickness (CIMT) and carotid plaque according to smoking amounts was examined. Results: Both former (29.7%) and current (27.8%) smokers had a higher prevalence of Mets than never (23.2%) smokers [OR (95% CI): former, 1.35 (1.14, 1.6); current, 1.63 (1.35, 1.98), respectively]. There had been a significant increase in the risk of Mets, low HDL-cholesterol and high fasting blood sugar among the former and current smokers who smoke ≥20 pack-years (PY) (p<0.001). And there had also been a significant increase in the risk of high triglyceride at all levels in smoking amount. There was a clear dose-dependent relationship between smoking amount and arteriosclerosis especially the risk of carotid plaque (all p<0.005). In individuals without Mets, smoking consumption in former or current smokers was positively associated with the risk of CIMT and carotid plaque by adjusted age, BMI, LDL-cholesterol. Conclusions: The former or current smoking status and high level of smoking amount were relation with Mets and arteriosclerosis in men. The smoking was risk factor for arteriosclerosis and that was explained by relationship with metabolic syndrome in part.
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김수영 ( Suyoung Kim ),나은희 ( Eun-hee Nah ),조선 ( Seon Cho ) 한국보건정보통계학회 2018 보건정보통계학회지 Vol.43 No.3
Objectives: The patients with diabetes often have one or more comorbidities. To make a clinical decision for the choice of medicine as well as to manage chronic diseases, understanding individual or combination of comorbidities is necessary. This study aimed to investigate the prevalence of comorbidities in diabetes patients. Methods: The comorbidities was defined to include obesity, hypertension (HTN), anemia, dyslipidemia, liver disease or kidney dis ease. This study included 212,608 adults with diabetes defined as fasting blood glucose≥126 mg/dL, hemoglobin A1c≥6.5% or individuals who have taken anti-diabetes medication, from 16 health promotion centers in Korea from January 2014 to Decemver 2015. Data was summarized by descriptive analyses on the combinations of comorbidity of condition by subgroups of age and sex. Results: Of the Korean adults with diabetes, 88% had one or more comorbidity. The highest prevalence of individual comorbidity was 50.5% in hypertension, followed 50% in obesity, 47.1% in dyslipidemia, 25.7% in liver disease and 14.8% in kidney disease. Comorbid conditions such as HTN, anemia and kidney disease tended to increase in older age group. Most of individual comorbidities were similaror higherin men except for hypertensionand anemia. In addition, 67.3% of the participants had at least two comorbidities with diabetes. The comorbidity burden of the diabetes patients with obesity and other disease was high; 28.8% in obesity and HTN, 26.0% in obesity and dyslipidemia. Conclusions: There is a high prevalence of comorbidity of two or more diseases including obesity or HTN among diabetes patients. To effectively treat and manage diabetes, there should be careful consideration about the presence of multi-morbidity and approach to health promotion including chronic disease management.
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추지은(Jieun Chu),권은주(Eunjoo Kwon),나은희(Eun-Hee Nah) 한국보건교육건강증진학회 2017 보건교육건강증진학회지 Vol.34 No.3
Objectives: This study was performed to determine the relationship between abnormal liver function and metabolic risk factors in obese children and adolescents. Methods: The participants were 118,830 obese children and adolescents who received health examinations for students supervised by Korean Ministry of Education and conducted by the Korea Association of Health Promotion in 2006-2015. Obesity were evaluated by relative weight, and the metabolic risk factors consisted of blood pressure, fasting blood sugar, and total cholesterol. ‘Abnormal liver function’ was defined by ALT and AST. The association of ‘Abnormal liver function’ with metabolic risk factors were explored after adjusting for sex and grade of school, by using multivariate logistic regression analysis. Results: The factors significantly associated with abnormal liver function were degrees of obesity, blood pressure, fasting blood sugar, and total cholesterol. Severe obesity had highest odds ratio of 4.92 (95% Confidence Intervals, 4.66-5.20; p<.001) among the metabolic risk factors. Conclusions: Metabolic risk factors had a significant impact on abnormal liver function. In order to prevent non-alcoholic fatty liver disease in obese children and adolescents, it is most important to lose weight and it is also necessary to manage risk factors through regular health examinations and lifestyle intervention.
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