감각신경성 청력손실에 영향을 미치는 제 요인에 관한 연구

홍성철,배성욱,이종영,Hong, Seong-Chul,Bae, Seong-Wook,Lee, Jong-Young 대한예방의학회 1998 예방의학회지 Vol.31 No.2

감각신경성 난청은 성인에서 장애의 원인 중 큰 비중을 차지하고 있으며, 특히 소음성 난청은 흔한 직업병 중의 하나이며 산업보건사업의 주요 관심 중의 하나이다. 그러나 소음폭로와 노화를 제외하고는 대부분의 경우 그 원인이 규명되지 않고 있는 실정이다. 그러므로 난청에 대한 개인간의 감수성을 결정하는데 중요한 요인을 찾는 것은 중요하며 최근 청력손실의 측정치로서 소음 외 변수와의 상관성을 연구함으로써 청력손실에 대한 개인의 감수성의 차이를 밝히려는 많은 시도가 있었다. 특히 소음성 난청에 대한 많은 연구가 있어 왔지만 소음성 난청에 대한 감수성의 개인차에 대해서는 만족하게 설명하지 못하고 있다. 본 연구는 소음 비폭로자를 대상으로 소음폭로 이외 감각신경성 난청을 유발하는 잠재적 위험 인자들을 찾아내어 그 위험인자들의 역할을 평가하기 위해 주로 심혈관 위험인자와 지혈 및 혈액점도 요인이 청력손실에 미치는 영향에 대해 조사하였다. 대구시내 모 대학병원에서 91년에서 96년까지 종합검진을 받은 3050명을 대상으로 하여 청력검사와 혈액검사 및 생화학 검사 결과를 검진자료에 추출하여 위험인자들과 청력손실간의 관련성을 연구하였다. 그 결과 소음을 제외하고 감각신경성 청력손실에 미치는 영향으로 연령과 성별이 가장 크며, 성별 분포의 차이는 연구 변수에는 포함되지 않는 흡연력, 취미, 과거 소음폭로 등이 영향을 미친 것으로 보이며 본 연구에서는 확인할 수 없었다. 그리고 심혈관 위험인자인 체격지수, 혈압, 총콜레스테롤, 중성지방이 양의 영향을 알부민은 음의 영향을 어느 정도 미치는 것으로 보인다. 혈중점도 및 지혈인자와 관련하여 헤마토크릿, 백혈구, 혈소판 용적백분율, 적혈구침강속도가 어느 정도 양의 관련성이 있는 것으로 나타났다. 그리고 심혈관 위험인자와 혈액점도 및 지혈인자는 상호 관련성이 있으며, 이들과 소음노출 등이 서로 상호 작용하여 청력에 나쁜 영향을 미치는 것으로 보인다. Reports on a potential relationship between sensory neural hearing loss(SNHL) and cardiovascular or hematologic factor show that the results are controversial. A detailed analysis of risk factors in the development of SNHL was carried out in 3,050 non-noise exposed healthy worker. The mean hearing threshold of both ears at 500, 1000, 2000, 4000, 8000Hz was measured and the effect of age, possible cardiovascular risk factor and hematologic factor (blood viscosity and hemostatic factors) on SNHL were evaluated. first, each of these were associated with loss of hearing sensitivity when univariately and multivariatively analysed. In a multiple regression model, age, sex, body mass index, WBC and total cholesterol level were independently associated with the mean of hearing sensitivity decrease at 4000 and 8000Hz. Second, study subjects were divided into two group (normal vs SNHL) and we compare the possible risk between both groups, and analysed univariate and multivariative logistic model. In a multiple logistic regression model, age, sex, body mass index, WBC and total cholesterol level, total protein, platelet were independently associated with SNHL. Our results show that we have some reliable indices of susceptibility to SNHL using cardiovascular measures or biochemical factor, but future, more extensive studies are required.

폐경 전후 여성의 신체특성 및 산과력과 골 밀도간의 관련성

남철현 ( Chul-hyun Nam ),배성욱 ( Seong-wook Bae ),김복용 ( Bok-yong Kim ) 한국모자보건학회 2002 한국모자보건학회지 Vol.6 No.2

Objectives : This study was conducted to evaluate the prevalence rate of osteoporosis according to age and the effect of physical characteristics and obstetrical history on bone mineral density in pre- and postmenopausal women in Korea. Methods : The subjects were 961 premenopausal and 1.167 postmenopausal women who had been examined in health promotion center of Yeungnam University Hospital in Daegu city from January, 1999 to January, 2001. The test for bone mineral density, and body composition were conducted. Results : The results of this study were as follows; 1. The prevalence rates of reduced bone mineral density and osteoporosis in premenopausal women were 23.8% and 1.6%, respectively. However, these values were increased to 46.1% and 28.1% in postmenopausal women. 2. The age was most important predictive factor for bone mineral density in pre- and postmenopausal women. The bone mineral density was peaked at the thirties and declined sharply around fifty years old and declined slightly after the seventies, which revealed a typical cubic equation. The loss of bone mineral density was started at forty years old. 3. The body weight and height were important predictive factors for bone mineral density. The effects of age, body weight, and height on bone mineral density were 39%. The body weight was correlated statistically significantly with bone mineral density in pre- and postmenopausal women. The higher body mass index (BMI), the greater value of bone mineral density was revealed in pre- and postmenopausal women. 4. In multiple regression analysis, age, body weight, height showed statistically significant inverse correlation with bone mineral density. Conclusions : These results suggested that to prevent osteoporosis, the systemized program including physical condition for promoting anti-osteoporotic factor have to be developed and apply from the thirties whom have maximal bone mineral density.

폐경 전후 여성의 신체활동 및 생활습관과 골 밀도 수치와의 관련성

배성욱,남철현,홍성철,최연희,이정옥,양숙희 대한보건협회 2002 대한보건연구 Vol.28 No.3

To evaluate the degree of bone mineral density according to physical activity, lifestyle in pre- and postmenopausal women. The subjects were 951 premenopausal and 1,167 postmenopausal women who have examined in health promotion center of Yeungnam University Hospital in Daegu city from January, 1999 to Januaty, 2001. The test for bone mineral density. The physical activity and life style were evaluated by questionaire through interview. The results were summarized as follow. 1) The prevalence rates of reduced bone mineral density and osteoporosis in premenopausal women were 23.8% and 1.6%, respectively. However, these values were increased to 46.1% and 28.1% in postmenopausal women. 2) The regular exercise was revealed to have preventive effect for osteoporosis in pre- and postmenopausal women. Among the types of exercise, the most effective exercise was bowling and moderately effective exercise was swimming on prevention of osteoporosis, however, bare hand physical exercise was not significant effect on bone mineral density. 3) The risk for reducing bone mineral density was decreased in women who have higher educational background and income in pre- and postmenopausal. The bone mineral density was highest in white color worker and lowest in blue color worker. 4) The premenopausal women who favor meat were revealed higher bone mineral density than the women who favor vegetable. The women who have drunk none or small amount of alcohol were revealed increased bone mineral density and smoking was a risk factor for osteoporosis. These results suggested that to prevent osteoporosis, the systemized program for promoting anti-osteoporotic factor have to be developed and apply from the thirties whom have maximal bone mineral density.

체성분이 폐경 전후 여성의 골밀도에 미치는 여향

배성욱,남철현,신두만,차경미,서인선 慶山大學校 保健福祉硏究所 2002 保健福祉硏究 Vol.7 No.-

Objectives : To evaluate the degree of bone mineral density and prevalence rate of osteoporosis according to age and to search the preventive strategy for osteoporosis, the factors that affect on bone density were studied in Physical Characteristics of pre- and postmenopausal women in korea. Methods : The subjects were 961 premenopausal and 1,167 postmenopausal women who have examined in health promotion center of Yeungnam University Hospital in Daegu city from January, 1999 to January, 2001. The test for bone mineral density, biochemical factors, and body composition were done. Results : 1) The prevalence rates of reduced bone mineral density and osteoporosis in premenopausal women were 23.8% and 1.6%, respectively. However, these values were increased to 46.1% and 28.1% in postmenopausal women. 2) The body weight and height were important predictive factors for bone mineral density. The effects of age, body weight, and height on bone mineral density were 39%. The body weight was correlated statistically significantly with bone mineral density in pre- and postmenopausal women. The higher body mass index (BMI), the greater value of bone mineral density was revealed in pre- and postmenopausal women. 3) The correlation between body composition adjusted for body weight and bone mineral density revealed similar pattern between pre- and postmenopausal women. The height, lean body mass, muscle mass, mineral content, and mineral fraction were positively correlated with bone mineral density, however, body fat mass, percent body fat, waist/hip ratio, and BMI were correlated negatively with bone mineral density. 4) There was no direct correlation between cardiovascular risk factor and bone mineral density in this study, however, further study is needed because cardiovascular disease and osteoporosis have common risk factor and the prevention of osteoporosis can help to prevent cardiovascular disease. 5) In multiple regression analysis among bone mineral density as a dependent variable and independent variables (age, body weight, height, Ca/creatinine ratio, and alkaline phosphatase (ALP)), ALP revealed statistically significant inverse correlation with bone mineral density. Conclusions : These results suggested that to prevent osteoporosis, the systemized program including physical condition for promoting anti-osteoporotic factor have to be developed and apply from the thirties whom have maximal bone mineral density.

중년후기 여성의 폐경관리와 삶의 질에 영향을 미치는 요인 분석

차경미,남철현,배성욱,서인선,김기열 慶山大學校 保健福祉硏究所 2002 保健福祉硏究 Vol.7 No.-

This study was conducted to identify influencing factors to management of menopause and quality of life and also to develope the developing education program of HRT(hormone replacement therapy) for healthy aging women. The hypothetical model explaining health promoting behavior and quality of life was constructed on the basis of Pender's health promotion model, Nho's quality of life model. The empirical data for testing the hypothetical model consisted of 356 late-middle aged(45~64) women who visited from 5th september to 20th september, 1999, in Pohang city. The reliabilities of instruments were adequate(Cronbach's alpha=0.7941, -0.9098). SPSS PC+ program were utilized for descriptive statistics and covariance structure analysis. The summary of research results was as follows: 1) The influential factors to management of menopause showed: The directed factors were the influences of family(β=.29), economical status(β=-.12), experienced symptoms of menopause(β=.24), multidimensional health locus of control(β=.15), subjective health status of compared with to another person(β=-.18). The indirected factors were the influences of family(β=.04), age(β=.05), experience of HRT's information(β=.02), belonging to occupation(β=-.03), stop of menstruation(β=-.02). 2) The influential factors to quality of life showed: The directed factors were the influences of family(β=.39), self efficiency(β=.15), subjective health status(β=-.31). The indirected factors were the influences of family(β=.37), age(β=-.97), belonging to occupation(β=.01), educational status(β=.21), a monthly income(β=.26). In conclusion, the purpose for "Healthy aging" in late-middle aged women is increasing of the quality of life after menopause. All the health providers have to efforts and harder study for developing health maintenances and health aging in late-middle aged women. Consequently, we need many kinds of public health education programs. And farther more, the developing HRT's educational program is very important in late middle-aged women's healthy aging.

미용사의 요통 경험에 영향을 미치는 요인

백승룡,남철현,배성욱,김성우,권현숙,이정옥,전연숙 慶山大學校 保健福祉硏究所 2002 保健福祉硏究 Vol.7 No.-

The purpose of this study is to analyze and grasp the actual lumbaginous condition and relevant factors of 1,182 beauty artists of beauty shops in 5 metropolitan cities, small-to-medium cities, and fishing or agrarian villages for 3 months from June 20 to September 25, 2000 through questionnaires. 1) They showed 61.0 percents in her twenties, 66.4 percents of unmarried women from all the female objects, 70 percents in high school graduates as educational background, 52.4 percents in metropolitan city as service place, 25.4 percents in smoking rate, 71.6 percents in drinking rate, 48.1 percents in general bed as condition of bedroom, 17.9 percents in exercising rate, 53.6 percents in 'little eating', 39.6 percents in two or three centimeters of heel, and 89.5 percents in hair as beauty-related professional field. 2) The rate of lumgaginous experience of beauty artists was 83.5 percents. They showed higher rate of 91 percents in the thirties and forties, 92 percents of the married, 93.9 percents in junior college graduates, 97.2 percents in higher economic classes, 88.7 percents in smokers, 85 percents in general bed, 89.3 percents in sleeping on one's face, 85 percents in swimming, 92 percents in stretch, 86.7 percents in 56 to 60 kilograms of weight, 89.7 percents in group O blood, 90.5 percents in experienced women of abortion, 97 percents in heel over 8 centimeters, 58.3 percents in 'feel much fatigue', 93.6 percents in inconvenient chair of beauty shop, and 89.4 percents in a lack of recess than other group. 3) The more women who have been experienced in lumbago, the higher their social treatment(p<0.01), income(p<0.001), working time(p<0.05), job potentiality(p<0.05), inner affinity(p<0.05), and job satisfaction of environment(p<0.001) were. Women who suffered much stress related to job environment(p<0.001), client(p<0.01), and their duty(p<0.01) showed high rate of lumbaginous experience. 4) In degree of lumbago by characteristic, there was the significant difference in age over 50-years-old, unmarried women, college graduates, service of small-medium cities, higher economic classes, smokers or drinkers, hot-floored room, sleeping with ransack, stretch or swimming, group A blood, fat body, experience of abortion, 6 to 7 centimeters of heel, convenient chair of beauty shop, insufficient recess, lumbago continued for one to the three months in comparison of other group. 5) There were variables of posture such as to place materials under one foot(p<0.001), to lay arm on armrest and desk(p<0.001), to pull materials near body while lifting them (p<0.05), to sometimes use anodyne(p<0.01), not to lift also light materials(p<0.001), to be inconvenient in sleeping(p<0.001), to be absent at job for two or three days(p<0.01). The degree of depression(p<0.001), had the significant effect on the degree of lumbago(32.7%). The results are as follows : Beauty artists have faced upon dangerous job environment to cause lumbago. The more the industrial society will be developed, the more their burden of service will be increased. In addition, the occupational stress and posture of beauty artists who showed high job satisfaction and high economical level became major factors which have had an effect on their lumbago. In conclusion, it is desirable for beauty-related organizations and professionals to positively develop program of health education with much concern as well as to lessen stress of beauty artists through education of job posture and rightful life in order to prevent lumbago of those beaut.

노인군과 청장년군 간의 정상 검사치의 비교 분석

이근아,배성욱,이근미,정승필 영남대학교 의과대학 1997 Yeungnam University Journal of Medicine Vol.14 No.2

노인의 정상 검사치를 청장년층의 정상 검사치와 비교하고 성별 차이를 파악하며 검사치를 노인병 진료에서 임상적 활용이 가능한 자료로 사용할 목적으로 본 연구를 실시하였다. 영남의료원 종합검진센터에서 검진을 받았던 사람 중 만 60세 이상이며 검진 결과 건강하다고 판정된 617명의 피검자를 노인군으로 선정하였고, 동일한 시기 및 장소에서 검진을 받고 정상으로 판정된 20세 이상 35세 이하의 피검자 1,791명을 청장년군으로 선정하였다. 평균 연령은 노인균은 63.8세(60세·83세)였고 대조군은 31.1세였다. 대조군에 비해 평균적혈구용적, 평균적혈구혈색소량, 적혈구침강속도, C-반응성 단백, AST, ALT, уGTP, 알칼리성 포스파타제, BUN, 총 콜레스테롤, 중성지방 농도는 남녀 모두 노인군에서 유의하게 높았으며 임파구(%), 총 빌리루빈과 직접 빌리루빈, 총 단백질, 알부민, 삼요오드타이로닌 농도는 노인군에서 유의하게 낮았다(P<0.05). 혈색소량, 혈소판, 티록신 수치는 남자 노인군에서 유의하게 낮았으며, 호산구(%), 크레아티닌은 여자 노인군에서 유의하게 높았다. 고밀도 단백 농도는 남자 노인군에서 유의하게 높았으며 (P<0.01), 백혈구 수 , 호증구 수(%), 단핵 세포구(%), 갑상선 자극 호르몬 농도는 남녀 모두 노인군과 대조군 사이에 유의한 차이가 없었다. 노인에서의 임상병리검사의 정상치는 청장년의 정상치와 차이가 나는 항목이 많은 것으로 생각되며 성별에 따라서도 큰 차이를 보이는 검사가 있었다. 노인병의 진료시 혈액, 생화학적 검사의 해석에서 이러한 차이가 고려되어야 할 것으로 생각되며 앞으로 보다 많은 수의 대상 및 검사에 영향을 미치는 변수를 고려한 연구가 필요할 것으로 생각된다. Due to the lowering of biological functions resulted from old age, the elderly is known to have many different clinical laboratory data compared with the young adults. But, in korea, such study is lacking. This research is to find the differences between the elderly and the young adults, and also to know the sexual differences, by comparing the outcomes of the clinical laboratory data. Along with that, it is to help clinical usage of the data in the future. The age of the elderly was between 60 and 83(average age 63.8), and that of the young controls was between 20 and 35. In both sexes, MCV, MCH, ESR, CRP, AST, ALT, yGTP, ALP BUN, total cholesterol were significantly higher in the elderly than in the controls. And lymphocyte count(%), total bilirubin, direct bilirubin, total protein, albumin, T₃were significantly lower in the elderly than in the controls(p<0.05). Hemoglobin, Hct, platelet count, T₄ were significantly lower only in the male elderly, and eosinophil count(%), creatinine were significantly higher only in the female elderly(p<0.05). HDL cholesterol was significantly higher only in the male elderly(p<0.01). There were no significant difference between two groups regarding WBC count, segment neutrophil count(%), monocyte count(%), TSH. Many clinical laboratory data are different between the elderly and the young adults, and some clinical laboratory data also have sexual differences.