운동선수들을 위한 예방접종 근거와 추천

오범조,이영구,정부윤,이경태,하철원 대한스포츠의학회 2019 대한스포츠의학회지 Vol.37 No.1

As interest in sports rapidly grows in Korea, fostering of elite athletes and preservation of the athletic ability no longer became the task of advanced countries only. In that aspect, health of athletes and their associated coaches, athlete trainers, team members such as team doctors, and even their families is certainly a matter of concern. Especially when it comes to the inoculation of infectious disease prevention, it needs to be considered as one of the most economical and effective ways to promote health in sports people as well as elite athletes. The purpose of this article is to go over the specific circumstances of the athletes and related literatures on vaccination. In addition, we provide recommendations on the vaccination of athletes regarding the actual situation of sports in Korea.

종합병원 직원들의 건강증진 프로그램 참여 후의 건강지표들의 개선

박인혁,오범조,이가혜,박재석,이상형 대한임상건강증진학회 2018 Korean Journal of Health Promotion Vol.18 No.1

Background: An 8-week health program is achieved for health providers in a general hospital in Seoul to verify whether health parameters are enhanced by improving life habits. We want to examine the effect of this program with measuring health parameters and exercise ability. This study is performed as a pilot study, and the goal is to introduce the outcome of health program with experimental methods. Methods:Participants of this research consist of 42 health providers who were overweight, and they enrolled an 8-week health program in 2015. They took a class about improving eating habits and recorded daily diet. Moreover, they implemented exercise program with encouraging active participation by rewarding members who attended the program frequently. Results: The result is analyzed with 31 participants who finished the program. There are 4 men whose physical indices correspond with the criteria of metabolic syndrome. Otherwise, 27 women have physical indices below the criteria. The result indicates that physical indices would not reveal meaningful changes. However, basal fitness comprised of flexibility, sit-up, and back muscle strength implies meaningful improvement. Conclusions:Even though there were some problems to revise in exercise intervention, it was accomplished systematically while nutrition intervention was not controlled strictly. In addition, factors including inspiring the enrollment of men and extending the period of program should be considered to improve the next program. The final goal of the health promoting hospital is to improve the health of health providers by sustaining this program with developing exercise and nutrition intervention in detail. 연구배경: 생활습관의 개선을 통해 건강 지표가 호전되는것을 확인하기 위해 서울의 한 종합병원 근무자를 대상으로 8주간의 건강프로그램을 시행하였다. 참여 전후의 건강지표와 운동능력을 측정하여 프로그램의 효과를 알아보고자 하였다. 본 연구는 pilot study로써 실험적으로 시행된원내 직원 건강관리 프로그램의 성과를 소개하는 것을 목적으로 하였다. 방법: 연구 대상자는 2015년 10월부터 11월까지 서울의한 종합병원에서 실시한 직원 건강 프로그램에 참여한 과체중 이상의 42명의 직원이다. 프로그램을 시작하기 전 신체지표를 측정하고 기초체력을 평가하였다. 사전 평가 이후 참여자들은 8주간 영양 및 운동에 관련된 프로그램을진행하였다. 식습관 개선에 대한 교육을 수강하고 식단을기록하였고 그룹 및 개별운동 프로그램을 실시하되 우수참여자에게 포상함으로써 적극적인 참여를 유도하였다. 결과: 프로그램 참여를 완료한 31명의 참여자에 대해서 결과 분석을 시행하였다. 참여자 중 남성은 4명, 여성은 27명이었으며 사전 신체계측에서 남성은 대사증후군에 부합되었고, 여성은 대사증후군은 아닌 과체중임을 확인하였다. 8주간의 프로그램 전후 변화를 확인한 결과 BMI, 허리둘레를포함한 신체지표들에서는 유의미한 변화가 나타나지 않았다. 하지만 기초체력평가에서는 유연성, 윗몸일으키기, 배근력 운동에 있어서 유의미한 개선이 나타난 것을 확인할 수있었다. 결론: 운동 능력에서는 유의미한 변화가 나타난 반면 신체계측상에서 유의미한 변화가 나타나지 않은 원인으로 운동 관리는 체계적으로 이루어졌지만 영양관리는 상대적으로 엄격하게 관리되지 못한 점을 생각해 볼 수 있다. 그 밖에도 추후 개선해야 할 점으로 프로그램 참가자의 지속적참여, 남성의 참여 독려, 프로그램의 지속기간 연장 등을고려해 볼 수 있다. 본 연구에서 운동 및 영양 측면에서 보완해야 할 점을 고찰해보고, 이러한 병원내 직원건강 프로그램이 지속되도록 하여 젊은 직원들의 건강을 증진시키고만성 질환을 예방할 수 있는 것이 건강증진병원의 궁극적인 목표이다.

Perceptions, Attitudes, Behaviors, and Barriers to Effective Obesity Care in South Korea: Results from the ACTION-IO Study

임수,오범조,이승환,김양현,하유선,강재헌 대한비만학회 2020 The Korean journal of obesity Vol.29 No.2

Background: The prevalence of obesity is increasing in South Korea. We aimed to identify the perceptions, attitudes, behaviors, and barriers to effective obesity care in South Korea. Methods: The Awareness, Care, and Treatment In Obesity maNagement–an International Observation (ACTION-IO) study was a cross-sectional survey conducted in 11 countries. Respondents were people with obesity (PwO; body mass index ≥25 kg/m2 in South Korea from self-reported height/weight) and healthcare professionals (HCPs) primarily involved in direct care with PwO. Results: The survey was completed by 1,500 PwO and 200 HCPs in South Korea. PwO (78%) and HCPs (81%) agreed that obesity is a chronic disease, but more PwO (84%) believed that obesity has an extreme impact on their overall health compared with HCPs (65%). Most PwO felt completely responsible for their own weight loss (81%), and 78% reported at least one serious weight loss attempt in the past. In contrast, HCPs reported that, on average, only 35% of their patients with obesity had made a serious attempt at losing weight. Only 31% of PwO had discussed weight with their HCP in the past 5 years; of those, 78% appreciated that HCPs initiated these conversations. Short appointment times restricted weight loss discussions for 70% of HCPs, and 29% of HCPs expressed complete comfort with such conversations. Conclusion: South Korean PwO are motivated to lose weight and have expressed interest in HCPs being more active in their weight management. Further nationwide efforts may be required to lower the barriers to education about obesity and effective weight loss discussion and management.

남성갱년기의 운동

최호천,조비룡,오범조,김현수 대한남성과학회 2011 The World Journal of Men's Health Vol.29 No.3

Late onset hypogonadism (LOH, also referred to as age-associated testosterone deficiency syndrome, TDS) is a clinical and biochemical syndrome associated with advancing age and characterized by symptoms and a deficiency in serum testosterone levels. It may result in a significantly reduced quality of life and adversely affect the function of multiple organ systems. Although the treatment of LOH is primarily based on hormone replacement, other treatment modalities (medical or non-medical treatment) can also be considered for various accompanying symptoms. The efficacy of exercise in the treatment of LOH has already been evaluated in several studies, and many of them show beneficial effects for some specific symptoms and diseases. This study was designed to evaluate the relationship between exercise and plasma testosterone levels, and the potential beneficial effects of exercise for each specific symptom of LOH, and finally to consider the appropriate exercise treatment for LOH.

한국 성인 여성 음주자에서 알코올 홍조가 우울감 및 자살사고에 미치는 영향: 2019 국민건강영양조사

백수아,황주삼,오범조,박형준 대한가정의학회 2023 Korean Journal of Family Practice Vol.13 No.2

Background: As the disease burden of depression has increased, it is important to identify and manage risk factors for depression prevention and care. Among the known risk factors, alcohol flushing is also reported to increase the risk of depression. This study aimed to investigate the relationship between the alcohol flushing reaction and depressive mood, as well as suicidal ideation, in female drinkers. Methods: Data from the 2019 Korea National Health and Nutrition Examination Survey were used to calculate the risk of depressive mood and suicidal ideation based on alcohol flushing reactions among female drinkers aged 20 to 65 through multivariate logistic regression analysis, adjusting for other risk factors for depression. Subgroup analysis was also performed based on alcohol consumption status. Results: The study found that alcohol flushing reactions are associated with an increased risk of depressive mood (adjusted odds ratio [aOR], 1.31; 95% confidence interval [CI], 1.07–1.61) and suicidal ideation (aOR, 2.12; 95% CI, 1.29–3.49) in female drinkers. In the subgroup analysis, the alcohol flushing reaction in the moderate drinking group was also associated with an increased risk of depressive mood (aOR, 1.32; 95% CI, 1.06–1.63) and suicidal ideation (aOR, 2.10; 95% CI, 1.15–3.82). Conclusion: These findings suggest that alcohol flushing in female drinkers should be considered a risk stratification factor for depression management and screening.

한국형 외래 노인건강평가도구의 개발 및 타당도, 신뢰도 조사

조비룡,손기영,오범조,김석중,권인순,박병주,선우덕,윤종률,원장원,황환식,가혁 대한노인병학회 2013 Annals of geriatric medicine and research Vol.17 No.1

Background: The purpose of this study was to develop and to evaluate the applicability of the Korean comprehensive geriatric assessment tools through reliability and validity testing. Methods: We developed standard and short-form assessment tools comprised of questionnaires on medical, functional, mental, socioeconomic status and lifestyle information and functional tests. The tools were administered as test-retest on 111 elderly outpatients at four university hospitals and two welfare centers in Seoul. Weighted kappa value, kappa value, Pearson’s correlation coefficients and overall percent agreement were calculated to evaluate reliability. Validity coefficient was estimated by using the reliability coefficient. Results: Reliability and validity coefficients were higher than 0.50 (fair or good) for 29 of 36 items. For test-retest reliability, the median was 0.66 (range, 0.29 to 1.00) for the kappa value and 0.83 (range, 0.53 to 1.00) for the Pearson’s correlation coefficients. Compared to the standard form, the short-form assessment questionnaires showed to be reliable and valid. Conclusion: The Korean Comprehensive Assessment Tools, both the standard form and the short form, were shown to be a reliable and valid screening medium for assessing the health status of the elderly in the ambulatory care setting. These instruments can be used conveniently for comprehensive outpatient geriatric assessment.

한국 노인에서 체질량지수에 따른 좌식시간과 건강 관련 삶의 질 간의 연관성

오윤환,문지현,공미희,오범조,김현주 대한임상건강증진학회 2017 Korean Journal of Health Promotion Vol.17 No.4

Background:Although obesity and health-related quality of life (HRQOL) in elderly are well known to be associated with obesity and sitting time, it is unclear whether effect of sedentary lifestyle on HRQOL is affected by body mass index (BMI) or not. So we analyzed the relationship between sitting time and HRQOL according to BMI groups in elderly Korean. Methods:Participants aged over 60 from the 6th Korea National Health and Nutrition Examination Survey(2014 and 2015) were included. Participants were classified as normal weight and overweight/obese groups. Mean sitting times were compared between groups according to the EuroQol 5 dimension (EQ-5D) And logistic regression analyses were performed. Results:Men with mobility, usual activity, or pain/discomfort domain problem had longer sitting time. Women with a problem in every domain had longer sitting time. Overweight/obese women with problem showed longer sitting time. Odds ratios (ORs) of mobility, usual activity, pain or discomfort, and low EQ-5D score domain were increased regardless of BMI groups in men. But, ORs of all domains were increased only in overweight/obese group in women. Conclusions:In elderly Korean, prolonged sitting time associated with decreased HRQOL. Impaired HRQOL is associated with increased sitting time regardless of BMI in men. But only overweight/obese group showed association between prolonged sitting time and impaired HRQOL in women. These results represents that decrease in quality of life according to the increase of the sitting time differs according to the BMI in elderly Korean women 연구배경: 노인에서 비만과 삶의 질 저하, 비만과 좌식 시간이 연관 관계가 있는 것으로 알려져 있지만 좌식 시간과삶의 질 간의 연관성이 체질량지수에 따라 차이가 있는지는 잘 알려져 있지 않다. 본 연구에서는 노인에서 좌식 시간이 삶의 질에 미치는 영향이 체질량지수 수준에 따라 차이가 있는지 알아보고자 한다. 방법: 제6기 국민건강영양조사(2014년과 2015년)에 참여한 만 60세 이상 노인을 대상으로 하여 대상자는 정상 체중군과, 과체중/비만군으로 분류하였다. 삶의 질 문제 여부에따른 평균 좌식 시간을 비교하였고, 삶의 질 저하 상태를종속변수로 로지스틱회귀분석을 시행하였다. 결과: 남자는 이동성, 일상활동능력, 통증/불편 영역에 문제가 있는 경우 평균 좌식 시간이 길었다. 여자는 모든 영역에서 문제가 있으면 좌식 시간이 길었다. 과체중/비만군여자에서는 문제가 있는 경우 좌식 시간이 길었으나, 정상군에서는 이동성 영역에 문제가 있는 경우만 좌식 시간이길었다. 남자는 정상군과 과체중/비만군 모두 좌식 시간이길어질수록 이동성, 일상활동능력, 통증/불편 영역, 낮은EQ-5D score에서 교차비가 증가하였다. 여자는 과체중/비만군에서는 좌식 시간이 길어지면 모든 영역에서 교차비가증가하였으나 정상군에서는 두드러진 교차비 증가가 확인되지 않았다. 결론: 한국 노인에서 좌식 시간의 증가는 삶의 질 저하와연관되어 있고, 남자에서는 체질량지수 수준과 상관없이좌식 시간의 증가가 삶의 질 저하와 연관된 반면, 여자의경우 과체중, 비만에 해당하는 경우 좌식 시간 증가에 의한삶의 질 저하가 더 두드러진다. 본 결과는 한국 노인 여자에서 좌식 시간 증가에 따른 삶의 질 저하가 체질량지수에따라 차이가 있다는 점을 시사한다.

도시빈민의 무료 진료소 방문 경험

김주현,허연정,곽재복,안소희,오범조,이정식,이호영 대한질적연구학회 2023 대한질적연구학회지 Vol.8 No.2

Purpose: This study aims to not only understand the meaning and essence of patients’experiences visiting the Raphael Nanum Homeless Clinic but also explore what kind of healthcare programs they would like to have in the future by appraising patients’experiences in depth. Methods: This study employed a qualitative content analysis method. The data were collected from June 11, 2023, to June 25, 2023. A total of 17 patients who could provide detailed experiences of their visit to the Raphael Nanum homeless clinic participated in this study. We conducted a focus group interview with 6 patients and in-depth one-on-one interviews with the remaining 11 patients. Results: The qualitative content analysis result revealed five themes: “visiting a free clinic for various paths,” “positive experiences at the free clinic,” “negative experiences at the free clinic,” “dissatisfaction with the clinic site,” and “anticipation for the future of the free clinic.” Conclusion: To ensure the right to health and survival of marginalized populations in the future, it is necessary to establish comprehensive healthcare support measures, which include enhancing the facilities of the free clinic and expanding the range of available medical specialties.

A Twenty-Minute Nap Boosts the Planning Domain of Executive Function in Sleep Deprived Late Adolescents

강경모,최주헌,황희진,구대림,김종성,오범조 대한수면연구학회 2017 Journal of sleep medicine Vol.14 No.1

Objectives: The positive effects of nap on cognitive function and memory have been researched intensively among children and adults. However, the relationship between afternoon nap and executive function among sleep deprived late adolescents has not been studied as much. Methods: Ten sleep deprived, otherwise healthy Korean high school students were recruited, and asked to fill out Pittsburgh Sleep Quality Index questionnaire. They were put to nap for 5 min on three days during the first week, then for 10, 20, and 30 min in the same protocol during the consecutive weeks. After a 1-h class, both the students themselves and their corresponding teachers evaluated the participation level of the participants. They were then divided into two groups, and were instructed to play iPad game ‘Free Flow’. One group took a nap while the other group was prohibited from taking a nap. Both groups were instructed to play the game again. This was repeated once every afternoon for three days. Results: The experiment showed that 20-min nap was superior in subjective evaluations to the other nap duration, and the mean game score differences before and after were significantly higher in the nap taking group after the 20-min nap when analyzed using non-parametric statistical method (p-value 0.04). Conclusions: Therefore, 20-min nap is likely to boost planning domain of executive function on sleep deprived late adolescents.

Cut-Off Values for Visceral Fat Area Identifying Korean Adults at Risk for Metabolic Syndrome

이아랑,김예지,오승원,이철민,최호준,조희경,오범조,황승식,김승재,권오덕 대한가정의학회 2018 Korean Journal of Family Medicine Vol.39 No.4

Background: Cut-off values for visceral fat area (VFA) measured by computed tomography (CT) for identifying individualsat risk of metabolic syndrome (MetS) have not been clearly established in Korean adults, particularly forlarge populations. We aimed to identify optimal VFA and waist circumference (WC) cut-off values and compare theability of VFA and WC to predict the presence of ≥2 metabolic risk factors. Methods: We included 36,783 subjects aged 19–79 years undergoing abdominal fat CT during regular health checkupsbetween January 2007 and February 2015 in Seoul. The risk factors for MetS except WC were based on the InternationalDiabetes Federation criteria. Receiver operating characteristic curve analyses were used to determinethe appropriate VFA and WC cut-off values for MetS. Results: VFA was a more significant predictor of metabolic risk factors than WC and body mass index (BMI). Theoptimal cut-off values for VFA and WC were 134.6 cm2 and 88 cm for men and 91.1 cm2 and 81 cm for women, respectively. We estimated age-specific cut-off values for VFA, WC, and BMI. VFA cut-off values increased with age,particularly among women. Conclusion: This large population study proposed the cut-off values for VFA and WC for identifying subjects at riskof MetS among Korean adults. For more accurate diagnosis, different age-specific cut-off values for VFA and WCmay be considered.