韓國人 靑少年 身長의 最大 發育年齡에 關한 硏究

최중명,박순영,유동준,김형석,구도서,박양원 慶熙大學校 醫科大學 1984 慶熙 醫大 論文集 Vol.9 No.1

의료정보의 보호와 관리방안

최중명,오인환,오창모 대한의사협회 의료정책연구소 2012 대한의사협회 의료정책연구소 연구보고서 Vol.- No.-

한국부인의 임신.분만 및 신생아에 대한 통계적 연구

최중명,Choi, Joong-Myung 대한예방의학회 1984 예방의학회지 Vol.17 No.1

1982년 1월 1일부터 동년 12월 31일까지 만 1년간 경희대학교 의과대학 부속병원 산부인과에 입윈한 산모 1,930명과 신생아실에 입원된 신생아 1,961명을 대상으로 임상 통계적 관찰을 시행하여 얻은 결과를 요약하면 다음과 같다. 1) 산모의 연령은 $25{\sim}29$세군이 51.30%로 제일 높은 분포를 보였으며, $20{\sim}29$세 사이가 전체의 82.4%를 보였다. 2) 산과력에 의한 산모의 분포에서 분만 및 유산의 경험이 전혀 없는 군이 45.5%로 제일 높았다. 3) 산모의 유산경험에서는 전체 산모의 36.1%에서 경험이 있으며, 평균 유산횟수는 1.8회였다. 4) 분만형에는 자연분만이 58.1%로 제일 높았으며, 다음이 흡인분만으로 22.4%, 제왕절개술이 18.81%의 순이었다. 5) 재태기간의 분포는 미숙아가 7.1%, 만삭아가 87.2%, 과숙아가 5.7%를 보였다. 6) 남아 대 여아의 출생비는 1.03:1이었다. 7) 출생시 체중별 분포에서는 저체중아가 9.0%, 정상체중아가 85.5%, 과체중아가 5.5%를 보였다. 8) 신생아의 평균 신체 계측치는 체중이 남아가 3.28k 여아가 3.18kg였으며, 신장은 남아가 50.40cm, 여아가 49.77cm였고, 흉위는 남아가 32.54cm, 여아가 32.17cm, 그리고 두위는 남아가 33.49cm, 여아가 33.11cm로 계측되었다. 9) 1분 Apgar평점은 남아가 평균 7.70, 여아가 7.63을 나타냈다. 10) 신생아 황달은 전체 신생아의 50.0%에서 볼 수 있었고, 성별에 대한 차이는 볼 수 없었으나 미숙아군이 만삭아나 과숙아군보다 조금 높았다. 11) 신생아 질환의 발생율은 8.9%였으며, 역시 미숙아군에서 높게 발병되었고, 질병별로는 신생아 감염이 35.6%로 제일 높았다. 12) 쌍태아의 비율은 전체 신생아 중 3.1%를 차지하였으며, 단태아에 대한 비는 64.3출산 중 1예였다. 쌍태아의 남여비는 1:1.03이었다. 13) 선천성 기형의 발생 빈도는 2.4%였으며, 성 별 발생빈도는 3.18 : 1이었다. 선천성 기형을 기관별로 보면, 소화기계의 기형이 30.9%로 제일 높았으며, 다음이 비뇨생식기계로 25.9%였다. 14) 신생아 사망율은 11.73이었으며, 출생시 체중별 신생아 사망은 저체중아군이 전체 사망의 78.3%를 차지하였고, 재태기간별로 보면 역시 미숙아군에서 78.3%를 차지하였다. 사인별로 보면 비정상폐환기로 인한 사망이 39.1%로 제일 높았으며, 다음이 미숙아로 30.4%, 그리고 선천성 기형의 13.0%순이었다. Clinical and statistical observations were performed on 1,930 cases of pregnant women who were admitted for delivery in the Department of Obstetrics, Kyung Hee University Hospital during 1 year (1982) and on 1,961 cases of neonates who were born to the former. The results were obtained as follows: 1. Concerning maternal age distribution, the commonest age group was that of $25{\sim}29$ and the proportion of the age group $20{\sim}29$ was 82.4% of all. 2. Concerning obstetrical history, the proportion of the women who had no prior experience of delivery nor abortion was the highest, 45.5%. 3. Concerning abortion history, 36.1% of the women had experienced it and the mean number was 1.8. 4. Type of delivery was as follows: Spontaneous delivery; 58.1%, Vacuum extracted delivery; 22.4%, Cesarean section; 18:8%, Breech delivery; 0.7%. 5. Gestational period distribution of the neonates was as follows: Under 37 weeks (Preterm); 7.1%, Between 38 and 42 weeks (Term); 87.2%, More than 43 weeks (Postterm); 5.7%. 6. Sex ratio of male to female of the neonates was 1.03:1. 7. Birth weight distribution was as follows: Under 2,500gm.; 9.0%, Between 2,501 and 4,000 gm.; 85.5%, More than 4,001gm.; 5.5%. 8. The measured growth data of neonates were as follows: Body weight; 3.28kg. for male, 3.18kg. for female, Body height; 50.40cm for male, 49.77cm for female, Chest circumference; 32.54cm for male. 32.17cm for female, Head circumference; 33.49cm for male, 33.11cm for female. 9. The mean values of Apgar score per 1 minute were 7.70 for male and 7.63 for female. 10. The incidence rate of neonatal jaundice was 50.0% and no difference in sex respectively, but more prevalent in preform baby. 11. The incidence rate of neonatal diseases was 8.9% and the commonest disease was neonatal infection (35.6%). 12. Concerning multiple pregnancy, ratio to single births was 1 : 64.3 and the sex ratio of male to female was 1 : 1.03. 13. The incidence rate of congenital anomaly was 2.4% and the commonest anomaly was digestive system anomaly (30.9%). 14. The neonatal mortality rate was 11.73 per 1,000 neonates, and the majority of neonatal deaths were in low birth weight and preform neonates (78.3%). 15. The causes of neonatal deaths in decreasing order of frequency were abnormal ventilation (39.1%), prematurity (30.4%), congenital anomaly (13.0%) and etc.

성별연령별 체위 표준치 분석 및 신체계측자료의 표준화연구

최중명 한국지질학회 2001 韓國脂質學會誌 Vol.11 No.3

의원에 적합한 건강관리서비스 모형 연구

최중명,손락성,오인환,이종근,진미란,이상호,최경식,김해성,이병호 대한의사협회 의료정책연구소 2013 대한의사협회 의료정책연구소 연구보고서 Vol.- No.-

한국인 비만의 역학적 특성 - 1998 년 국민건강 영양조사 자료를 중심으로 -

최중명 대한비만학회 2001 대한비만학회 학술대회 Vol.10 No.3

비만관리와 과학적 근거

최중명,김춘배 대한의사협회 2011 대한의사협회지 Vol.54 No.3

Obesity is now recognized as a critical target for public health intervention in many parts of the world, affecting virtually all age and socio-economic groups within both developed and developing countries. This study’s objective is to provide an overview of the full range of methods and models available for weight loss, including some methods used by overweight and obese people without medical supervision. Many diverse approaches for achieving weight loss and weight maintenance have been evaluated. According to some evidence-based guidelines, in order to achieve the best treatment outcomes, it is recommended that a combination of dietary therapy with low-calorie diet, increased physical activity, and behavioral therapy be incorporated. Advances in treatment and innovative policy initiatives focusing on prevention could reverse the global problem of obesity and overweight. The most effective forms of treatment require collaboration among health care providers in primary care settings, including nurses, dietitians,psychologists, physicians, and psychiatrists. Effective strategies for weight loss require management strategies that combine dietary therapy and physical activity by using behavioral interventions. Thus, in the near future, the Korean government must develop evidence-based (clinical or community) guidelines for obesity management. Also, due to the lack of high quality primary studies on obesity management in Korea, future randomized clinical or community trials are recommended in this area.

Dual Energy X-ray Absorptiometry 방법을 이용한 일부 환자들의 체구성에 관한 연구

최중명,윤태영,박순영,유동준,김광원 慶熙大學校 醫科大學 1992 慶熙 醫大 論文集 Vol.17 No.1

韓國人 靑少年의 身長과 體重의 成長過程에 따른 形態的 變化에 關한 硏究

崔重明,朴良元,朴淳永 慶熙大學校 1989 論文集 Vol.18 No.-

The purpose of this study is to identify the physical growth in Korean. The subjects of this study include both of male and female, who are attending elementary school, middle school, high school, college in middle and large cities and rural areas. The total number of subjects was 144, 583 persons, including 76,402 persons of male and 68,181 persons of female. The researcher measured the physical status of the male and female - in terms of body height and body weight - through cross - sectional method. On the basis of the results, calculated the standard values of each body structure, the physical and nutritional indices, fatness and estimate the standard body weight, under - and over - weight, the weight of malnutrion and obesity in accordance with age, sex and body height for decision of health level. These surveys and measurements took for 18 months from 1 May, 1988 to 30 April, 1989, and the data from these surveys were analyzed through computer. The results are as follows. 1. Body Measurements 1) Body height (㎝) In the growth condition of body height, rapid growth has been observed among male in the ages 7-15 and among female 7-13. Growth in terms of body height turned out to be slower among higher ages by both sexes, and the average body height of full-grown Korean youth (20-24 age group) was 170.6±7.1㎝ for male and 159.9±6.3㎝ for female. The maximum growth age and annual increment of body height were 10-11 years old and 6.73㎝ per year for female and 11-12 years old and 6.8㎝ for male. These data show a fact thai the female starts to grow earlier than the male by about one year. The age of crossover between the sexes come around 9.5-11.5 years of age, where upon female outgrows male. 2) Body weight(㎏) Rapid growth. in terms of body weight, which was represented by a straight line on a growth curve was observed among the both sexes of 7-15 years of ages and growth turned out to be slower among higher ages by both sexed. The average body weight of full - grown Korean youth (20 - 24 age group) was 63.8±6.8㎏ for male and 52.95±6.0㎏ for female. The maximum growth age and annual increment of body weight were 12 - 13 years old and 6.0㎏ per year for male and 10-11 years old and 5.6㎏ for female. Those data show a fact that the female starts to grow earlier than the male by about two year. The age of crossover between the sexes come around 9.5-12.5 years of age, whereupon outgrows male. 2. Physical and Nutritional Indices 1) Relative body weight Rapid growth, in terms of relative body weight, which was represented by a straight line on a growth curve was observed among the both sexes of 7 - 16 years of age and the age of crossover between the sexes come around 7 - 12.5 years of age. 2) Rohrer index Rohrer index displayed more rich value in case of female than male and in the adolescent period, the level of fullness in lower than after the completion of development. 3) Kaup index In both sexes, Kaup index increased in accordance with advancing ages. The index comes to under 2.02 from 7 to 14 years old in case of male and from 7 to 13 years old in case of female. So the growth of longitudinal axis seemed to be more poor than the one of vertical axis. The index increases beyond 2.0 in case of male of after 15 years old for female. 3. The Fat Amount Through the Method of Measurement of Physical Body In 7 years of age group, the amount of body fat of male was 3.77±1.25 ㎏ and that of female was 9.49±2.24㎏. The amount in creased with age to reach for male in 20-24 age group an average 11.3±2.81㎏ and for female 14.81±2.12㎏. In 7 years of age group, the body fat ( % ) of male was 15.35±5.14% and that of female was 18.01±2.87%. The body fat ( % ) increased with age to reach for male in 20-24 age group an average 17.63±2.67 % and 24.85±4.47 % for female. In cases of male, the body fat ( % ) of 8-13 age group indicated normal range but the other age group indicated higher range. In cases of female, the body fat (%) of below 10 age group indicated lower range and over 11 age group indicates normal range. 4. The Standard Body Weight of the Koreans 1) The standard body weight of Korean youth In case of 7 years age group, correlation coefficient of r=+0.572(p 0.001) between body height and body weight was found in a male group of 2,358 subjects and r=+0. 353(p 0.001) was found in female group of 2,461 subjects, from which respective linear regression equation of body weight and body height was established for male and female as follow : For male ; Y ( B. W, ㎏ )=0.4059×( B. H, ㎝ )-26.1, ( Sy. x =±3.7) female ; Y ( B. W, ㎏ )=0.1471×( B. H, ㎝)+6.3, (Sy. x=±5.4) Similar regression equations of body weight and height were found all age groups from 7 to 19 years old and listed in table 12. 2) Standard body weight of Koreans A correlation coefficient of r=+0.320( p<0. 001 ) between body height and body wight was found in a 20-24 age male group of 7,659 subjects and r=+0.301( p<0.001) in a 20 - 24 female group of 6,693 subjects, from which respective linear regression equation of body weight and height was established for male and female as follows : For male ; Y ( B. W. ㎏ )=0.306×( B. H. ㎝ )+11.6, ( Sy. x =±6.4) female ; Y ( B. W. ㎏ )=0.2856×( B. H, ㎝)+7.3, (Sy. x=±5.7) The standard body weight, under - and over - weight, weight of malnutrition and obestiy of Koreans calculated and listed in table 13-a and 13-b.

韓國, 自由中國, 日本人 初中高校生의 體格과 營養狀態 比較에 關한 硏究

崔重明,朴良元,朴淳永 慶熙大學校 1989 論文集 Vol.18 No.-

On the basis of the presented data which look boy and girl students as their subjects in Korea. Japan and Republic of China in 1987, the author intended to compare and analyze the physique-growth status by age and sex. For that proposal, I had investigated the physical growths(body height, body weight, chest-girth and sitting height) of the three nations students from Aug. 26 in 1987 to Aug. 31. 1988 with the application of the medians of Korea. Republic of China and Japan. The results are as follows. A. Physical growth and development 1. Body height (㎝) In case of male students, Korean students ate superior in their body heights to Japanese students when they are before the year 14, but from 14 to 20 both of nations students are same. And then student of Republic of China are all inferior lo these of Korea and Japan through all these ages. In case of girl students, Koreans are taller than Japanese and Republic of China through all these ages. Chinese arc inferior in their heights to Koreans and Japanese until before the year 15. but same after that age. The interchange ages of the body height occured in the both sexes of 9.5-11.5 in Korean, 95-12.5 in Republic of China and 9.5-12.5 in Japan. During this period, girls are latter than boys, but after this period boys are taller than girls. Maximum growth age per year for male in Korea are the age 11-12(6.3㎝) and those for female are the age 10-11(6.73㎝): of Korean students, MGA appears one and two year earlier than that of Chinese and Japan. 2. Body weight (Kg) In case of male, Korean students show similar growing degrees through all the ages, and the students of Chinese and Japan indicate a little lower degree than Korean, In case of female, the similar phenomena are showed. The interchange ages of the body weight occured in the both sexes of 9.5-12.5 in Korean. 10.5-13.5 in Republic of China, and 10.0-13.5 in Japan. The MGA per year for male is the ages 12-13(5.45㎏) in Korea, 13-14 (5.46㎏) in Republic of China, and 13-14(6.5㎏) in Japan, while for female is the ages 10-11(5.07㎏) in Korea. 10-11 and 11-12(4.39㎏) in Republic of China, and 12-13(5.3㎏) in Japan, respectively. 3. Chest-girth (㎝) In case of both sexes, Korean students are superior of the chest-grith than Republic of China and Japan. The interchange ages of the chest-girth occured in the both sexes of 9.5-13.5 in Korea, 11.5-14.5 in Republic China and 10.5-13.5 in Japan. The MGA per year for male is the ages of 12-13(4.06㎝) in Korea, 13-14(4.7㎝) in Republic of China, and 13-14(3.77㎝) in Japan. While for female is the ages 10-11(4.58㎝), 12-13(3.92㎝), and 12-13(3.6㎝), respectively. The MGA of Korean male students appers one yeat earlier than thai of Chinese and Japanese, while for Korean female two years earlier than that of Chinese and Japanese. 4. Sitting height (㎝) Korean students are superior in their sitting height to Japanese student when they are before the year 15 in male and 16 in female; but after the year, Japanese students are superior. The interchange ages of the sitting height occured in the both sexes of 9.5-12.5 in Korean and 9.5-13.5 in Japan. B. Maximum growth age (M. G. A) Comparison growth age of Korean, Republic n| China and Japanese students are as follows.