서울시 암 발생률의 10년간 추이: 1993-2002

신명희,오현경,안윤옥,Shin, Myung-Hee,Oh, Hyun-Kyung,Ahn, Yoon-Ok 대한예방의학회 2008 예방의학회지 Vol.41 No.2

Objectives : Effective cancer prevention and control measures can only be done when dependable data on the cancer incidence is available. The Seoul Cancer Registry (SCR) was founded to provide valid, comparable and representative cancer incidence data for Koreans. We aimed to compare the cancer incidence in the first (1993-1997) and second term (1998-2002) of the SCR, and we analyzed the annual incidence trend during that 10 years. Methods : The SCR detects potential cancer cases through the Korean Central Cancer Registry (KCCR) data, the health insurance claims, the individual hospital's discharge records and the death certificates. About 87% of the SCR data is registered through the KCCR. The rest of the data is registered by SCR registrars who visit about $70{\sim}80$ mid-sized hospitals in Seoul to review and abstract the medical records of the potential cancer patients. Results: The total number of new cancer cases was higher in $1998{\sim}2002$ than in $1993{\sim}1997$ by 20.6% for men and 18.4% for women, respectively. The age-standardized rate (ASR) of total cancer per 100,000 increased 1% (from 295.4 to 298.3) for men and 5.1% (from 181.5 to 190.7) for women, between the two periods. The commonest cancer sites during 1998-2002 for men were stomach, liver, bronchus/lung, colorectum, bladder and prostate, and the commonest cancer sites for women were breast, stomach, colorectum, cervix uteri, thyroid and bronchus/lung. Compared with the ASRs in 1993, the ASRs in 2002 increased for colorectum (58.4% for men, 27.1% for women), prostate (81.5%), breast (58.3% for women), thyroid (141% for women), and bronchus/lung (15.4% for women). The ASRs for stomach (-18.7% for men, -20.7% for women) and uterine cervix cancer (-39.7%) had decreased. Conclusions : The cancer incidence is increasing in Seoul, Korea, especially for the colorectum and prostate for men, and for the breast, colorectum, bronchus/lung and thyroid for women.

성인여성에서 열량공급원과 비만도의 관련성 -4회 실시한 3일간의 식이기록 평균을 토대로-

신명희,윤미옥,남석진,송윤미,Shin, Myung-Hee,Yoon, Mi-Ock,Nam, Seok-Jin,Song, Yun-Mi 대한예방의학회 2007 예방의학회지 Vol.40 No.1

Objectives : The aim of this study was to investigate the relationship between the contributions of macronutrients to the total energy intakes and Body Mass Indices (BMI, $kg/m^2$) of Korean women. Methods : We used dietary records data from 115 healthy Korean women, ages 20 and over, who completed four 3-day dietary records between February 2003 and March 2004. For the calculation of nutrients we used a dietary assessment program developed by the Korean Nutritional Society. Macronutrient intakes were estimated by averaging individual total daily intakes in four 3-day dietary records. Subjects were categorized into three Body Mass Index (BMI) groups : underweight (BMI < 20), normal (20 $\leq$ BMI < 25), and overweight (BMI $\geq$ 25) group. Results : The total energy intakes were not different among the three BMI groups. Similarly, other macronutrient intakes such as protein, fat, carbohydrate, vegetable protein, animal protein, saturated fatty acids, monounsaturated fatty acids, and polyunsaturated fatty acids were not different. From the multivariate nutrient density model, substituting polyunsaturated fatty acid for carbohydrate was positively associated with BMI in women aged 20 to 49 ($\beta=2.31$, p<0.01). In women aged 50 and over, substituting animal protein for carbohydrate was positively associated with BMI ($\beta=0.549$, p=0.04). Conclusions : No single macronutrient was associated with BMI when all subjects were combined. However, when stratified by age, polyunsaturated fatty acid intake in younger women, and animal protein intake in older women, were positively associated with BMI. In the future, we recommend a larger study to confirm these results.

서울시 지역암등록사업 추진연구의 암등록 충실도 및 타당도 평가

신명희,안윤옥,Shin, Myung-Hee,Ahn, Yoon-Ok 대한예방의학회 1994 Journal of Preventive Medicine and Public Health Vol.27 No.4

The incidence data (1991. 7. 1$\sim$1992. 6. 30) from the Implementation Study of Seoul Cancer Registry (ISSCR) were evaluated in terms of its completeness and validity. Two indicators for the completeness, Mortality/Incidence ratio (M/I ratio) and Age-specific Incidence Curve, showed fairy good registration throughout the age-sex specific strata, except the strata aged over 75 years old. The strata had very high M/I ratio (over 100%) and decreasing pattern of incidence, which suggested incomplete registration of cancer in this group. The active surveillance by a ISSCR staff improved the registration rate especially among elderlies. From the site specific M/I ratio, we found that liver cancer had oddly high M/I ratio. Since this high M/I ratio of liver cancer appears consistently in other reliable cancer registries, it is more like to be due to the high fatality of it rather than incomplete registration. The validity of the incidence data was assessed by three indicators; Histological Verification (HV%), Primary Site Unknown (PSU%), and Age Unknown (Age UNK%). The average HV% were 77% for men and 85% for women, which were slightly lower than those of other reliable cancer registries. This low HV% might be due to the considerable size of relative frequency of liver cancer in Korea, regarding the fact that the diagnosis of liver cancer is made mostly by non-biopsical radiologic methods (CT, Ultrasono, Angiography, MRI etc.). The level of PSU% and Age UNK% were in acceptable range, but not low enough, especially in terms of Age UNK%. Although ISSCR data had acceptable quality in general, it is needed to have more hospitals participate in the registry surveillance, to make registery data merged with death certificate data regulary, and educate the registration stans to be more competent and dedicated.

건강한 중년 남성에서 커피 음용 습관이 혈중 총 콜레스테롤 값에 미치는 영향

신명희,김동현,배종면,이형기,이무송,노준양,안윤옥,Shin, Myung-Hee,Kim, Dong-Hyun,Bae, Jong-Myun,Lee, Hyung-Ki,Lee, Moo-Song,Noh, Joon-Yang,Ahn, Yoon-Ok 대한예방의학회 1994 예방의학회지 Vol.27 No.2

In present study, the authors investigated the possible effect of coffee consumption on serum cholesterol level in 1017 men between the ages of 40 and 59 years, who were randomly selected from the members of Seoul Cohort Study. Serum total cholesterol data was collected with other serologic indices (e.g. systolic blood pressure, diastolic blood pressure, hight, weight, etc.) through the program of biennial health check-up offered by Korean Medical Insurance Corporation (KMIC). The amount of coffee consumption was assessed by a self-administered questionnaire through mailing. Other confounding factors, such as age, body mass index, cigarette smoking, alcohol consumption, physical activity, and other dietary intake pattern were also determined by the questionnaire. The differences in means of serum total cholesterol in compared to non consumers were $-0.4{\pm}3.56mg/dl$ for those drinking less than 1 cup a day, $-0.6{\pm}3.60mg/dl$ for those drinking 1 cup a day, and $7.1{\pm}3.41mg/dl$ for those drinking more than 2 cups a day. Since smoking interacted the relationship between coffee consumption and serum total choleaterol, we re-analyzed those relationship in smokers and non-smokers separately Other atherogenic behaviors were well correlated with total cholesterol, so we adjusted the mean values of serum total cholesterol through multivariate model selection with age(r=0.12), total cigarette index (cigarette-years; r=0.10), Quetelet's index ($Kg/m^2$, r=0.16), daily calory expenditure (kcal/day, r=0.06), weekly meat and poultry consumption(g/week, r=0.05), weekly fish consumption (g/week, r=0.08), other caffeinated beverage intake (cups/week), and the amount of sugar and prim added to the coffee. Among those variables only age, Quetelet's index, fish consumption, and total cigarette index (in smokers) were remained in the models. After adjustment, the corresponing differences of total cholesterol in smokers were changed to $0.4{\pm}5.24mg/dl,\;-0.5{\pm}4.97mg/dl,\;and\;8.9{\pm}4.78mg/dl$, which were significantly different among themselves (P=0.011). In non-smokers, however, the differences were not statistically significant (P=0.76). Adjusted mean values of systolic blood pressure and diastolic blood pressure were also determined to evaluate the direct effect of coffee to cardiovascular system, but their means were not significantly different by coffee consumption(p=0.18 for SBP, p=0.48 for DBP). Asuming instant coffee in the most popular type of coffee in Korea, the association observed in our study between coffee and serum total cholesterol, especially in smokers, is very interesting finding for the connection between coffee and serum total cholesterol, because only 'boiled coffee' tend to show significant lipid raising effect rather than to other types of coffee, like filtered or espresso, in most of the western countries. We concluded that people who drink coffee more than 2 cups a day have significantly higher serum total cholesterol level than those who never drink coffee, especially in smokers.

새우젓 첨가 수준에 따른 김치의 저장중 특성 변화

신명희,김광옥 ( Myung Hee Shin,Kwang Ok Kim ) 대한가정학회 1993 Human Ecology Research(HER) Vol.31 No.4

영어교육에 있어서 문화교육의 중요성 연구: 토익 L. C. 에 나타난 한미 문화차이 고찰

신명희 ( Myung Hee Shin ) 한국현대언어학회 2009 언어연구 Vol.25 No.1

The Journal of Studies in Language 25.1, 103-122. This study aims to explore whether cultural understanding can generally help students` English competence. In this rapidly changing world today, the reasons for learning English vary. English is no longer simply a required subject. The main purpose of studying English for most of the people is to acquire communicative competence. The language learner needs not only linguistic competence, but also the ability to use the English language in a socially acceptable manner. As a result, understanding English is not only acquiring language form, but also understanding its given contexts. This paper focuses on cultural context because adequate communication is impossible without understanding the cultural context of a target language. This is true because language is connected with social and cultural context. (Konyang University)

자연과학분야 : 실온요가와 핫 요가수행이 CLBP 중년여성의 혈중지질과 요통자각도 및 스트레스호르몬의 개선에 미치는 영향

신명희 ( Myung Hee Shin ),윤신중 ( Shin Jung Yun ),백승현 ( Seung Hyen Pack ) 한국무용과학회 2015 한국무용과학회지 Vol.32 No.3

본 연구는 CLBP(chronic low back pain) 중년여성을 대상으로 실온요가와 핫 요가수행이 혈중지질과 요통자각도 및 스트레스호르몬의 개선 등에 미치는 영향을 분석하여, 요가수행의 비만개선과 통증완화 및 스트레스감소 운동으로서의 가치를 규명하는데 목적을 두고 실시하였다. 통제집단(CG) 10명, 실온요가집단(YG) 10명, 핫 요가집단(HYG) 10명 등 3개 집단으로 분류하여 YG는 실내온도 25±1℃및 습도 50%를 유지한 상태에서, 또한 HYG는 실내온도 38±1°C, 습도 60%를 유지한 상태에서 1주일에 5회 빈도로, 1회 60분간, 12주에 걸쳐서 60회의 요가프로그램을 실시하였다. 실온요가와 핫 요가수행 전·후 CLBP 중년여성의 혈중지질과 요통자각도 및 스트레스호르몬을 측정하여 통계적으로 분석하여 다음과 같은 결과를 얻었다. 1. 혈중지질의 경우 YG와 HYG 모두 실험 후 HDL-C는 유의한 증가가 있었다. 기타 요인은 유의한 감소가 있었다(YG : TC, p<.05, LDL-C, p<.01, HDL-C, p<.05 ; HYG : TC, p<.05, LDL-C, p<.01, HDL-C, p<.01). 2. 요통자각도의 변화에 있어서는 YG와 HYG 모두 실험 후 유의한 감소가 있었다(p<.001). 3. 스트레스호르몬의 변화에 있어서는 YG와 HYG 모두 실험 후 유의한 감소가 있었다(YG : 코티졸, 에피네프린, 노르에피네프린, p<.01 ; HYG : 코티졸, 에피네프린, 노르에피네프린, p<.05). CG는 사전, 사후 거의 변화가 없었다. 결론적으로 요가수행은 CLBP 중년여성에게 있어서 비만개선과 통증완화 및 스트레스감소 운동 등의 가치를 제공할 것으로 사료된다. This study was done at the target of CLBP middle-aged women for the purpose of presenting the value of room temperature and high temperature environments of obesity improvement exercise, pain relief exercise and stress reduction exercise. 30 CLBP middle-aged women were chosen as experimental subjects. These subjects were classified into 3 groups(control group, room temperature yoga group, and hot yoga group). In the yoga group, yoga activity was performed for 60 minutes, 5 times a week, for 12 weeks at the condition of maintaining the room temperature of 25±1°C and the humidity of 50%. In the hot yoga group, the experiment was done in the same way at the condition of maintaining the room temperature of 38±1°C and the humidity of 60%. The results of this study were presented as follows: Both the yoga group and the hot yoga group had significant changes in the level of 0.1% the index of lumbar pain. There were significant changes in the level of 1% in LDL-C, cortisol, epinephrine and norepinephrine in the yoga group and LDL-C and HDL-C in the hot yoga group. There were significant changes in the level of 5% in TC and HDL-C in the yoga group and TC, cortisol, epinephrine and norepinephrine in the hot yoga group. In conclusion compared with the control group, both in the yoga group and the hot yoga group, there are significant and positive changes.

자연과학분야 : 온도환경을 달리한 요가수행이 CLBP 중년여성의 척추주위근육과 골반 비대칭에 미치는 영향

신명희 ( Myung Hee Shin ),윤신중 ( Shin Jung Yun ),백승현 ( Seung Hyen Pack ) 한국무용과학회 2015 한국무용과학회지 Vol.32 No.1

본 연구는 CLBP 중년여성을 대상으로 온도를 달리한 요가수행 프로그램이 척추주위근육의 크기, 골반 비대칭 등에 미치는 영향을 분석하여, 척추 안정화 근육운동, 골반 교정운동으로서의 가치를 규명하는데 목적을 두고 실시하였다. 통제 집단(CG) 10명, 실온요가집단(YG) 10명, 고온요가집단(HYG) 10명 등 3개 집단으로 분류하여 실온요가는 실내온도 25± 1℃및 습도 50%를 유지한 상태에서, 또한 고온요가집단은 실내온도 38±1°C, 습도 60%를 유지한 상태에서 1주일에 5회 빈도로, 1회 60분간, 12주에 걸쳐서 60회의 요가 프로그램을 실시하였다. 실온요가와 고온에서의 요가 수행 전.후 CLBP 중년여성의 척추주위근육의 크기, 골반 비대칭을 측정하여 통계적으로 분석한 결과, 실온요가집단과 고온요가집 단은 배가로근, 뭇갈래근, 배바깥빗근 배속빗근 모두 실험 후 유의한 차이가 있게(***p<.001) 크기가 증가가 있었다. 또 한 실온요가집단과 고온요가집단은 좌.우 엉덩뼈의 넓이 차이 및 좌.우 엉덩뼈의 높이 차이 모두 실험 후 유의한 감 소(***p<.001)가 있었다. 통제군은 사전, 사후 거의 변화가 없었다. 결론적으로 요가수행은 신체적, 정신적 노화현상과 더 불어서 근력의 급격한 감소와 체형의 변화로 요통을 호소하는 CLBP 중년여성에게 있어서 척추 안정화 근육운동, 골반 교정운동 등의 가치를 제공할 것으로 사료된다. This study was done at the target of CLBP middle-aged women for the purpose of presenting the value of yoga activities program in different temperature environments as a method of spinal stabilization exercise and correction exercise. To attain these purposes, there were investigated the effects on the changes in the size of spine muscles and pelvic bone asymmetry. 30 CLBP middle-aged women were chosen as experimental subjects. These subjects were classified into 3 groups(control group, yoga group, and hot yoga group). In the yoga group, yoga activity was performed for 60 minutes, 5 times a week, for 12 weeks at the condition of maintaining the room temperature of 25±1°C and the humidity of 50%. In the hot yoga group, the experiment was done in the same way at the condition of maintaining the room temperature of 38±1°C and the humidity of 60%. The results of this study were presented as follows: Both the yoga group and the hot yoga group had significant changes(***p<.001) in the level of 0.1% in the size of transversus abdominis, multifidus, external oblique abdominis and internal oblique abdominis and the difference of width and height between right and left ilium. In conclusion compared with the control group, both in the yoga group and the hot yoga group, there are significant and positive changes.

자연과학분야 : 요가수행이 비만중년여성의 신체조성성분과 혈중지질 및 혈중염증지표에 미치는 영향

윤신중 ( Shin Jung Yun ),신명희 ( Myung Hee Shin ),백승현 ( Seung Hyen Pack ) 한국무용과학회 2015 한국무용과학회지 Vol.32 No.3

본 연구는 비만중년여성을 대상으로 요가수행이 신체조성성분의 변화와 이에 따른 혈중지질 및 혈중염증지표에 미치는 운동생리학적 효과를 분석하고자 실시하였다. 비만중년여성 20명을 통제집단(CG) 10명, 요가집단(YG) 10명으로 나누어 요가수행은 1주일에 3회, 1회 60분, 12주 동안 총 36회에 걸쳐 실시하였다. 요가수행 전, 후 신체조성성분과 혈중지질 및 혈중염증지표의 변화를 측정하여 얻은 결과는 다음과 같다. YG의 경우 요가수행 후 BMI(**p<.01), 체지방률(**p<.01), TG(**p<.01), LDL-C(**p<.01), CRP(*p<.05), TNF-α(*p<.05)은 유의한 차이가 있게 감소하였으며, HDL-C는 유의한 차이(*p<.05)가 있게 증가하였다. 반면에 CG의 경우 거의 변화가 없었다. 결론적으로 요가수행은 신체조성성분과 혈중지질 및 혈중염증지표변화에 긍정적으로 작용하여 비만중년여성의 건강관리를 위한 유산소운동으로써 효용성이 있을 것으로 사료된다. The purpose of this study is reviewing the effect of yoga training on the changes of body composition and serum lipids and blood inflammatory markers of obese middle-aged women between training and non-training groups. Yoga training were performed for 60minutes at a time, 3 times a week for 12 weeks. The result of the training is as follows. After the training, HDL-C in the experimental group significantly increased(*p<.05). while BMI (**p<.01), Body fat percentage(**p<.01), TG(**p<.01), LDL-C(**p<.01), CRP(*p<.05) and TNF-α(*p<.05) decreased significantly. There is little change in the control group. On the whole, yoga training has a positive effect on body composition and serum lipids and blood inflammatory markers of obese middle-aged women. Therefore, It is considered that yoga training plays a critical role in the improvement of body composition as well as the management of serum lipids and blood inflammatory markers for obese middle-aged women.

경락마사지가 중년여성의 요통자각도, 스트레스 지수 및 코티졸 변화에 미치는 영향

윤신중 ( Shin Jung Yun ),백승현 ( Seung Hyen Pack ),신명희 ( Myung Hee Shin ) 한국미용학회 2013 한국미용학회지 Vol.19 No.4

The purpose of this study is reviewing the effect of meridian massage on the changes of low back pain RPE (Rating of perceived exertion) and stress index and serum cortisol of middle aged women with chronic low back pain between treatment and non-treatment groups. Meridian Massage Group was targeting ten middle-aged women in their 40`s and 50`s who have chronic backache without anatomical malposition. Control Group was targeting ten middle-aged women who have chronic backache but don`t have any special treatments. Meridian massage treatments were performed for 60 minutes at a time, twice a week, and for 10 weeks. The result of the treatment is as follows. After the treatments, low back pain RPE (p<.01), stress index (p<.05), and serum cortisol (p<.05) decreased significantly. There is little change in the control group. On the whole, meridian massage has a positive effect on the decrease of low back pain and stress management of middle aged women with chronic low back pain.