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The purpose of this study was to investigate the effects of obesity management program for people with intellectual disabilities through meta-analysis. For that purpose, the investigator selected researches that applied an obesity management program to individuals with intellectual disabilities with a one group pretest-posttest design or experiment-control group pretest-posttest design. The analysis results by the subelements were as follows: first, the study measured effect sizes according to dependent variables and found that the body fat percentage, cardiovascular endurance, and LDL-C recorded the biggest effect size in body composition, physical strength, and blood lipid, respectively. Second, the measurements of effect size according to research designs indicate that there were significant effect sizes according to random experimental researches in terms of sampling methods and control group experimental researches in terms of research designs. Third, there were no significant effect sizes in case of anaerobic exercise and also a combination of anaerobic exercise and aerobic exercise. Significant effect sizes were found in case of aerobic exercise. Finally, the effect size was the biggest when the intervention period was 21 weeks or more, the intervention duration was 41~50 minutes in terms of intervention environment and when the school class was for adults. The present study holds its significance in that it conducted total analysis of obesity management programs for people with intellectual disabilities in content and effect sizes according to dependent variables through meta-analysis, thus confirming the actual usefulness of obesity management programs.
Purpose: To identify the potential risk factors for preterm birth (PTB) in women with advanced maternal age in the Korean population. Methods: We selected the data of 531 pregnant women and singletons in the Korean Preterm Collaborate Network Study. Among the data, we analyzed variables related to demographic characteristics, lifestyle factors, and delivery information. Maternal age was divided into two groups: younger (<35 years) and advanced (≥35 years). Multiple logistic regression analysis was performed to identify the potential risk factors for PTB in advanced maternal age. Results: In advanced maternal age, education level, occupation, passive smoking, iron intake, and parity showed significant differences between term birth and PTB. In particular, women who were exposed to passive smoking (odds ratio [OR]=2.83, confidence interval [CI]=1.14~7.04) and had folic acid intake during pregnancy (OR=2.67, CI=1.11~6.43) were at a significantly increased risk of PTB, after adjusting for all variables. Conclusion: This study indicates that smoking and lifestyle factors are the potential risk factors for PTB in advanced maternal age.