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조영규 ( Young Gyu Cho ),강재헌 ( Jae Heon Kang ),전정윤 ( Jung Yoon Chun ),김경아 ( Kyung A Kim ),김옥현 ( Ok Hyun Kim ),송지현 ( Ji Hyun Song ),정명호 ( Myeong Ho Jung ) 대한비만학회 2007 The Korean journal of obesity Vol.16 No.1
연구배경: 최근 우리나라에서도 소아비만의 위험성을 인식하여 소아비만관리 프로그램을 시작하여 진행하고 있지만, 비만아의 비만도 개선과 관련된 요인에 대한 연구는 거의 없는 실정이다. 본 연구는 우리나라 도시지역의 비만아를 대상으로 비만도 개선과 관련된 요인을 알아보고자 하였다. 방법: 과천에서 진행되고 있는 소아 코호트의 1차년도와 2차년도 조사에 모두 참여했던 소아 421명 중 1차년도에 과체중이나 비만으로 진단받은 80명 (과체중: 58명, 비만 22명)을 연구 대상으로 하였다. 연구 대상자들을 남아 과체중군, 남아 비만군, 여아군으로 세 군으로 층화한 후, 각 군을 계산한 비만개선도에 따라 삼분위수로 나누고, 각 군의 최상위 삼분위군을 비만개선군으로 정의하였다. 비만아들에서 비만개선도에 영향을 주는 인자를 알아보기 위하여 카이제곱검정과 로지스틱 회귀 분석 등을 시행하였다. 결과: 가족인자 중 부모의 교육수준이 비만아의 비만도 개선과 관련이 있었다. 아버지의 학력이 대학 졸업 미만이라고 보고한 소아는 한 명도 비만개선군에 포함되지 않았고, 어머니의 학력이 대학 졸업 이상인 소아는 그렇지 못한 소아에 비해 비만개선군에 포함될 가능성이 높았다 (adjusted OR: 4.18) 생활습관 요인 중에서는 채소 섭취 빈도와, 걷는 시간이 비만아의 비만도 개선과 관련이 있었다. 채소를 매일 섭취한 소아 (adjusted OR: 2.88)와 매일 1시간 이상 걷는 소아 (adjusted OR: 3.37)가 그렇지 못한 소아에 비해 비만개선군에 포함될 가능성이 높았다. 결론: 비만아에서 비만도 개선은 부모의 학력, 채소 섭취빈도 걷는 시간과 관련이 있었다. 채소섭취를 증가시키는 것과 걷는 시간을 증가시키는 것은 비만아를 대상으로 하는 소아비만관리 프로그램의 중요한 전략이 될 수 있으며, 부모의 학력이 낮은 가정의 소아는 비만관리 프로그램 시행 시 관심과 이해가 필요한 취약계층이므로 프로그램 진행 시 이에 대한 고려가 필요하다. Background: The increasing prevalence of childhood obesity is one of important public health problems in Korea. Childhood obesity management programs have recently developed and progressed. However, it is not clear which factors are related to improvement of childhood obesity. This study was conducted to investigate the factors related to improving obesity in Korean obese children. Methods: First grade students from elementary schools in Gwacheon City were enrolled in the study in 2005. The study subjects (total 80 students; 52 boys and 28 girls) participated in the investigation of both 2005 and 2006 and were diagnosed as either overweight or obese in 2005, The degree of obesity improvement among the study subjects was estimated for a year. After stratifying study subjects into groups of overweight-boys, obesity-boys and girls, the improvement group was defined as the highest tertile of degree of obesity improvement of each group. Factors related to obesity improvement were analysed. Results: Children of college graduate parents manifested a greater improvement of obesity than children whose parents did not graduate from college. Daily intake of fresh vegetables and daily walking for over an hour were related to improvement of obesity. Adjusted odds ratio of consuming fresh vegetable daily was 2.88 (P-value <0.10) and adjusted odds ratio of walking over 1 hour daily was 3.37 (P-value <0.05). Conclusion: Parental education level, consumption frequency of fresh vegetable and walking hours were related to improvement of obesity in Korean obese children. These results should be considered in practicing childhood obesity management programs in Korea.
서울 및 경기 일부지역 초등학교 5학년의 건강상태 및 영양섭취실태
김옥현(Ok Hyun Kim),박현아(Hyun Ah Park),조영규(Young Gyu Cho),김경우(Kyoung Woo Kim),허양임(Yan Gim Hur),송지현(Ji Hyun Song),강재헌(Jae Heon Kang) 대한지역사회영양학회 2010 대한지역사회영양학회지 Vol.15 No.6
This study was conducted to investigate health status and nutrient intakes among 5th grade elementary students at Korea Centers for Disease Control and Prevention 2010. This study was cross-sectional study on 1,384 children (687 boys, 697 girls) from nine elementary schools located in Seoul and Gyeonggi province. The average height, weight and BMI were 145 cm, 40.6 kg 19.2 kg/m2 for boys and 145.4 cm, 38.2 kg, 18.0 kg/m2 for girls. The prevalence of overweight and obesity were 11.3%, 5.2%, respectively. Serum AST, ALT, glucose, HDL-Cholesterol and RBC levels were significantly higher, while TG levels was significantly lower for boys than for girls. The average energy intake was 1772.4 kcal, which was 98.7% of Estimated Energy Requirement (EER). The boys consumed more energy intake (1800.4 kcal) than the girls (1744.7 kcal). Also, they took insufficient calcium and folate (69.1% and 83.3% of Recommended Intake (RI)) and excess sodium (297.6% of Adequate Intake (AI)) and 85.1% of the subjects had breakfast everyday. In general, the proportion of the children who consumed fruits and vegetables at least once or more a day was low. There was a higher proportion of children in boys who had ramyun and milk with sufficient physical activity than those in girls. As a result of this study, we can find risk factors on obesity and metabolic disorders, and the results can be used for an evidence of nutrition education program and the intervention program. (Korean J Community Nutr 15(6): 717~726, 2010)
B 세포에서 Protein Kinase C-β와 Protein Kinase C-δ에 의해 매개된 세포막 CD27 발현 감소
이선영 ( Seon Yeong Lee ),민준기 ( Jun Ki Min ),조미라 ( Mi La Cho ),문영미 ( Young Mee Moon ),김경운 ( Kyoung Woon Kim ),민소연 ( So Youn Min ),조영규 ( Young Gyu Cho ),윤종현 ( Chong Hyeon Yoon ),박성환 ( Sung Hwan Park ),김호연 대한류마티스학회 2006 대한류마티스학회지 Vol.13 No.1
Objective: CD27 is a member of the tumor necrosis factor receptor (TNFR) superfamily and is expressed on T, B, and NK cells. The signaling via CD27 plays pivotal roles in T-T and T-B interaction. CD27 is a useful marker in assessing the number of circulation B cells and B cell subsets because it permits one step identification of the major B cell compartments, CD27- naive and CD27+ memory B cells as well as CD27high plasma cells. We have analyzed the mechanisms underlying the regulation of CD27 expression. Methods: Isolation B cells and Raji cells were cultured with PMA. The levels of cell surface CD27 and CD 27 mRNA were analyzed by FACs staining and RT-PCR. Raji cells were cultured with phorbol 12-myristate 13-acetate (PMA), with or without pretreated shedding inhibitor BB3103 and TAPI-1. sCD27 was measured in culture supernatant by ELISA. Cell lysates were analyzed for PKC isotype activation by Western blot. We used PKC inhibitor Ly379196 and rottlen. Results: Membrane expression of CD27 was down-regulated after PMA stimulation without cytotoxic effect in B cells. Furthermore, PMA treatment could directly reduce CD27 mRNA without intermediate protein synthesis in B cells. In contrast, PMA treatment induced soluble form of CD27 (sCD27), which was shed from the cell surface and was found in PMA treatment B cell culture supernatant. PMA-induced sCD27 proteins were decreased with shedding inhibitor BB3103 and TAPI-1. PMA-induced down regulation of CD27 expressions were quenched with protein kinase C (PKC) inhibitor Staurosporin, PKC-β inhibitor rottlerin and PKC-δinhibitor Ly379196. Conclusion: These data suggest that PMA-induced activation of PKC plays a crucial role in down-regulation of the expression of the CD27 and up-regulation of the shedding of the CD27 in human B cells.
성인의 고혈압, 당뇨병, 이상지질혈증으로 인한 총 진료비 중 과체중 및 비만의 기여분
강재헌(Jae Heon Kang),정백근(Baek Geun Jeong),조영규(Young Gyu Cho),송혜령(Hye Ryoung Song),김경아(Kyung A Kim) 한국농촌의학 지역보건학회 2010 농촌의학·지역보건 Vol.35 No.1
이 연구는 고혈압, 당뇨병, 이상지질혈증으로 지출된 진료비 중 과체중 및 비만의 기여분을 추계하기 위한 질병비용연구로서 국민건강보험공단의 건강검진 및 건강보험급여 자료를 활용한 연구이다. 연구결과 2005년 현재 고혈압, 당뇨병, 이상지질혈증 때문에 지출된 총 진료비 중 과체중 및 비만의 기여분은 각각 4,561억원(4,328억원-4,805억원), 2,823억원(2,487억원-3,176억원), 165억원(147억원-183억원)이었고, 이를 모두 합하면 7,549억원(6,961억원-8,164억원)이었다. 이는 해당연도의 고혈압 총 진료비의 34.6%(32.9%-36.5%), 당뇨병 총 진료비의 32.5%(28.6%-36.6%), 이상지질혈증 총 진료비의 19.4%(17.3%-21.6%)를 차지한다. 또한 이 세 가지 질병의 총 진료비를 기준으로 했을 때 과체중 및 비만이 기여한 금액은 33.3%(30.7%-36.0%)에 해당하였다. 이는 과체중과 비만을 예방한다면 고혈압, 당뇨병, 이상지질혈증으로 지출되는 총 진료비의 33.3%를 감소시킬 수 있다는 의미이며, 향후 만성질환 예방과 관련하여 과체중 및 비만의 예방관리사업이 얼마나 중요한가를 시사해 주는 것이다. Objectives: This study was conducted to estimate medical expenditure attributable to overweight and obesity in adults with hypertension, diabetes and dyslipidemia using Korea National Health and Nutrition Examination survey data and Korea National Health Corporation data. Methods: The medical expenditure of hypertension, diabetes and dyslipidemia related to overweight and obesity were composed of inpatient care costs, outpatient care costs and medication costs. The population attributable risk (PAR) of overweight and obesity was calculated from national representative data of Korea such as the National Health Insurance Corporation cohort data and 2005 Korea National Health and Nutrition Examination survey data. Results: The medical expenditure attributable to overweight and obesity of hypertension were 456 billion won(men : 215 billion won, women : 241 billion won). Those of diabetes were 282 billion won (men : 148 billion won, women : 135 billion won), and of dyslipidemia were 17 billion won (men : 9 billion won, women : 8 billion won). Consequently, these costs corresponded to 33.3% of total medical expenditure due to hypertension, diabetes and dyslipidemia. Conclusions: We found a substantial medical expenditure due to overweight and obesity of hypertension, diabetes and dyslipidemia were very high. In order to reduce these costs, effective national strategies for prevention and management of overweight and obesity should be established and implemented.
우리나라 성인의 허혈성 심장질환, 뇌졸중으로 인한 총 진료비 중 과체중 및 비만의 기여분
강재헌(Jae Heon Kang),정백근(Baek Geun Jeong),조영규(Young Gyu Cho),송혜령(Hye Ryoung Song),김경아(Kyung A Kim) 한국보건교육건강증진학회 2010 보건교육건강증진학회지 Vol.27 No.4
objectives: This study was conducted to estimate medical expenditure attributable to overweight and obesity in adults with ischemic heart disease and stroke using Korea National Health and Nutrition Examination survey data and Korea National Health Corporation data. methods : The medical expenditure of ischemic heart disease and stroke related to overweight and obesity were composed of inpatient care costs, outpatient care costs and medication costs. The population attributable risk (PAR) of overweight and obesity was calculated from national representative data of Korea such as the National Health Insurance Corporation cohort data and 2005 Korea National Health and Nutrition Examination survey data. results: The medical expenditure attributable to overweight and obesity of ischemic heart disease were 97.4 billion won(74.1-122 billion won). and stroke were 64.6 billion won(33.1-98.1 billion won). Consequently, these costs corresponded to 11.4% of total medical expenditure due to ischemic heart disease and stroke. conclusion: We conclude that overweight and obesity have increased medical expenditure from ischemic heart disease and stroke in Korea. These findings provide important support for implementing overweight and obesity management strategies in Korea.