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- Age-period-cohort Analysis of Healthy Lifestyle Behaviors Using the National Health and Nutrition Survey in Japan
- Tasuku Okui
- J Prev Med Public Health. 2020;53(6):409-418. Published online August 13, 2020
- DOI: https://doi.org/10.3961/jpmph.20.159
- 8,314 View
- 213 Download
- 9 Crossref
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Abstract
PDF - Objectives
This study conducted an age-period-cohort (APC) analysis of trends in healthy lifestyle behaviors in Japan.
Methods
We used National Health and Nutrition Survey data on salt intake and prevalence of smoking, drinking, and physical activity between 1995 and 2018 in Japan. Age groups were defined from 20 years to 69 years old in 10-year increments. Cohorts were defined for each age group of each year with a 1-year shift, and cohorts born in 1926-1935 (first cohort) until 1989-1998 (last cohort) were examined. We conducted a Bayesian APC analysis, calculating estimated values for each behavior by age group, period, and cohort.
Results
Estimated salt intake decreased from cohorts born in the 1930s to the 1960s, but increased thereafter in both genders, and the magnitude of increase was larger for men. Estimated smoking prevalence increased in the cohorts starting from the 1930s for men and the 1940s for women, and then decreased starting in the cohorts born in the 1970s for both genders. Although estimated drinking prevalence decreased starting in the cohorts born in approximately 1960 for men, for women it increased until the cohorts born in approximately 1970. Estimated physical activity prevalence decreased starting in the cohorts born in the 1940s in both genders, but the magnitude of decrease was larger for women.
Conclusions
Trends in cohort effects differed by gender, which might be related to changes in the social environment for women. Improvements in dietary and exercise habits are required in more recently born cohorts of both genders. -
Summary
Citations
Citations to this article as recorded by
- Old story, new twist: reducing salt and increasing potassium intake as a social issue according to the INTERMAP Japan
Junichi Yatabe, Kazuya Ishida, Midori Sasaki Yatabe
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Tomoko Sawada, Tsutomu Yasukawa, Hiroko Imaizumi, Hisashi Matsubara, Kazuhiro Kimura, Hiroto Terasaki, Hiroto Ishikawa, Tomoya Murakami, Masaru Takeuchi, Yoshinori Mitamura, Yutaro Mizusawa, Yoshihiro Takamura, Toshinori Murata, Jiro Kogo, Masahito Ohji
Japanese Journal of Ophthalmology.2023; 67(2): 149. CrossRef - Age, Period, and Cohort Analysis of Smoking Intensity Among Current Smokers in Malaysia, 1996–2015
Chien Huey Teh, Sanjay Rampal, Kuang Hock Lim, Omar Azahadi, Aris Tahir
Nicotine and Tobacco Research.2023; 25(7): 1340. CrossRef - Comparison of Secular Trends in Esophageal Cancer Mortality in China and Japan during 1990–2019: An Age-Period-Cohort Analysis
Ruiqing Li, Jinyi Sun, Tong Wang, Lihong Huang, Shuwen Wang, Panglin Sun, Chuanhua Yu
International Journal of Environmental Research and Public Health.2022; 19(16): 10302. CrossRef - Estimation of the Effect of Salt-Intake Reduction on Cardiovascular Mortality Decline between 1950 and 2017 in Japan: A Retrospective Simulation Study
Takehiro Sugiyama, Nayu Ikeda, Kazuko Minowa, Nobuo Nishi
Nutrients.2022; 14(18): 3747. CrossRef - An analysis of predictors for heavy alcohol drinking using nationally representative survey data in Japan
Tasuku Okui
BMC Public Health.2021;[Epub] CrossRef - An Age-Period-Cohort Analysis of Prevalence and Consultation Rate for Dyslipidemia in Japan
Tasuku Okui
Asia Pacific Journal of Public Health.2021; 33(1): 46. CrossRef - An Age-Period-Cohort Analysis of Biomarkers of Lifestyle-Related Diseases Using the National Health and Nutrition Survey in Japan, 1973–2018
Tasuku Okui
International Journal of Environmental Research and Public Health.2020; 17(21): 8159. CrossRef - Socioeconomic Disparities in All-Cause and Cause-Specific Mortality Rates among Municipalities in Japan, 1999–2019
Tasuku Okui
International Journal of Environmental Research and Public Health.2020; 17(24): 9213. CrossRef
- Analysis of the Change of Health Status Among the Republic of Korea Air Force Soldiers During Military Service
- Seok-Ju Yoo, Won-Ju Park, Kwan Lee, Hyun-Sul Lim, Hyun-Jin Kim, Suk-Ho Lee
- J Prev Med Public Health. 2014;47(4):230-235. Published online July 31, 2014
- DOI: https://doi.org/10.3961/jpmph.2014.47.4.230
- 8,399 View
- 75 Download
- 2 Crossref
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Abstract
PDF
- Objectives
The aim of this study was to investigate whether the health status of Republic of Korea Air Force (ROKAF) soldiers changed after one year of military service. Methods: We selected 483 ROKAF soldiers from the 11 749 recruits who participated in the 2011 physical examination. The selected soldiers underwent another physical examination in 2012 for advancement to senior airman. Data from 2011 and 2012 were merged. To collect data on lifestyle, a questionnaire was sent to all included subjects via the military intranet e-mail service. Results: The percentage of recruits with an abnormal alanine transaminase level (normal range <40 IU/L) decreased from recruitment (13.7%) to the following year (2.7%). Moreover, the percentage of obese soldiers (body mass index ≥25 kg/m2) decreased from recruitment (20.5%) to the following year (10.4%). There was a significant change in mean duration of exercise carried out each day before (0.8±1.3 hours) and after (1.0±0.7 hours) joining the ROKAF service. Conclusions: These ROKAF soldiers were generally in good health before and after joining the armed service. After one year of military service, the health status of most soldiers improved, especially with respect to body mass index and alanine transaminase level. -
Summary
Citations
Citations to this article as recorded by- Behavioral impact of national health campaigns on healthy lifestyle practices among young adults in Singapore: a cross-sectional study
Yong Zhi Khow, Talia Li Yin Lim, Jarret Shoon Phing Ng, Jiaxuan Wu, Chuen Seng Tan, Kee Seng Chia, Nan Luo, Wei Jie Seow
BMC Public Health.2021;[Epub] CrossRef - Strategic Priorities to Improve Effectiveness of Anti-smoking Interventions for the Korean Military: An Application of the Analytic Hierarchy Process
Yun-Kyoung Song, Jae Hyun Kim, Boyoon Choi, Nayoung Han, Myeong Gyu Kim, Jeongsam Lee, Handuk Lee, Jieun Yoon, Beom-Jin Lee, Jung Mi Oh
Military Medicine.2018; 183(7-8): e223. CrossRef
- Associations Between Socio-demographic Characteristics and Healthy Lifestyles in Korean Adults: The Result of the 2010 Community Health Survey
- So Yeon Ryu, Jong Park, Seong Woo Choi, Mi Ah Han
- J Prev Med Public Health. 2014;47(2):113-123. Published online March 31, 2014
- DOI: https://doi.org/10.3961/jpmph.2014.47.2.113
- 11,801 View
- 120 Download
- 15 Crossref
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Abstract
PDF
Objectives Several previous studies have found that healthy behaviors substantially reduce non-communicable disease incidence and mortality. The present study was performed to estimate the prevalence of four modifiable healthy behaviors and a healthy lifestyle among Korean adults according to socio-demographic and regional factors.
Methods We analyzed data from 199 400 Korean adults aged 19 years and older who participated in the 2010 Korean Community Health Survey. We defined a healthy lifestyle as a combination of four modifiable healthy behaviors: non-smoking, moderate alcohol consumption, regular walking, and a healthy weight. We calculated the prevalence rates and odds ratios of each healthy behavior and healthy lifestyle according to socio-demographic and regional characteristics.
Results The prevalence rates were as follows: non-smoking, 75.0% (53.7% in men, 96.6% in women); moderate alcohol consumption, 88.2% (79.7% in men, 96.9% in women); regular walking, 45.0% (46.2% in men, 43.8% in women); healthy weight, 77.4% (71.3% in men, 73.6% in women); and a healthy lifestyle, 25.5% (16.4% in men, 34.6% in women). The characteristics associated with a low prevalence of healthy lifestyle were male gender, younger age (19 to 44 years of age), low educational attainment, married, living in a rural area, living in the Chungcheong, Youngnam, or Gwangwon-Jeju region, and poorer self-rated health.
Conclusions Further research should be implemented to explore the explainable factors of disparities for socio-demographic and regional characteristics to engage in the healthy lifestyle among adults.
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Summary
Citations
Citations to this article as recorded by- Determinants of unhealthy living by gender, age group, and chronic health conditions across districts in South Korea using the 2010-2017 Community Health Surveys
Thi Tra Bui, Thi Huyen Trang Nguyen, Jinhee Lee, Sun Young Kim, Jin-Kyoung Oh
Epidemiology and Health.2024; : e2024014. CrossRef - The influence of diet behavior on self-esteem according to the body image of workers in Republic of Korea: Mediating role of diet behavior
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- Cardiovascular Health Metrics and All-cause and Cardiovascular Disease Mortality Among Middle-aged Men in Korea: The Seoul Male Cohort Study
- Ji Young Kim, Young-Jin Ko, Chul Woo Rhee, Byung-Joo Park, Dong-Hyun Kim, Jong-Myon Bae, Myung-Hee Shin, Moo-Song Lee, Zhong Min Li, Yoon-Ok Ahn
- J Prev Med Public Health. 2013;46(6):319-328. Published online November 28, 2013
- DOI: https://doi.org/10.3961/jpmph.2013.46.6.319
- 14,796 View
- 158 Download
- 51 Crossref
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Abstract
PDF
Objectives This study estimated the association of cardiovascular health behaviors with the risk of all-cause and cardiovascular disease (CVD) mortality in middle-aged men in Korea.
Methods In total, 12 538 men aged 40 to 59 years were enrolled in 1993 and followed up through 2011. Cardiovascular health metrics defined the following lifestyle behaviors proposed by the American Heart Association: smoking, physical activity, body mass index, diet habit score, total cholesterol, blood pressure, and fasting blood glucose. The cardiovascular health metrics score was calculated as a single categorical variable, by assigning 1 point to each ideal healthy behavior. A Cox proportional hazards regression model was used to estimate the hazard ratio of cardiovascular health behavior. Population attributable risks (PARs) were calculated from the significant cardiovascular health metrics.
Results There were 1054 total and 171 CVD deaths over 230 690 person-years of follow-up. The prevalence of meeting all 7 cardiovascular health metrics was 0.67%. Current smoking, elevated blood pressure, and high fasting blood glucose were significantly associated with all-cause and CVD mortality. The adjusted PARs for the 3 significant metrics combined were 35.2% (95% confidence interval [CI], 21.7 to 47.4) and 52.8% (95% CI, 22.0 to 74.0) for all-cause and CVD mortality, respectively. The adjusted hazard ratios of the groups with a 6-7 vs. 0-2 cardiovascular health metrics score were 0.42 (95% CI, 0.31 to 0.59) for all-cause mortality and 0.10 (95% CI, 0.03 to 0.29) for CVD mortality.
Conclusions Among cardiovascular health behaviors, not smoking, normal blood pressure, and recommended fasting blood glucose levels were associated with reduced risks of all-cause and CVD mortality. Meeting a greater number of cardiovascular health metrics was associated with a lower risk of all-cause and CVD mortality.
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Summary
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Gustavo Velasquez-Melendez, Mariana Santos Felisbino-Mendes, Fernanda Penido Matozinhos, Rafael Claro, Crizian Saar Gomes, Deborah Carvalho Malta
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- Impact of Individual and Combined Health Behaviors on All Causes of Premature Mortality Among Middle Aged Men in Korea: The Seoul Male Cohort Study
- Chul Woo Rhee, Ji Young Kim, Byung Joo Park, Zhong Min Li, Yoon-Ok Ahn
- J Prev Med Public Health. 2012;45(1):14-20. Published online January 31, 2012
- DOI: https://doi.org/10.3961/jpmph.2012.45.1.14
- 9,528 View
- 109 Download
- 20 Crossref
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Abstract
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Objectives The aim of this study was to evaluate and quantify the risk of both individual and combined health behaviors on premature mortality in middle aged men in Korea.
Methods In total, 14 533 male subjects 40 to 59 years of age were recruited. At enrollment, subjects completed a baseline questionnaire, which included information about socio-demographic factors, past medical history, and life style. During the follow-up period from 1993 to 2008, we identified 990 all-cause premature deaths using national death certificates. A Cox proportional hazard regression model was used to estimate the hazard ratio (HR) of each health risk behavior, which included smoking, drinking, physical inactivity, and lack of sleep hours. Using the Cox model, each health behavior was assigned a risk score proportional to its regression coefficient value. Health risk scores were calculated for each patient and the HR of all-cause premature mortality was calculated according to risk score.
Results Current smoking and drinking, high body mass index, less sleep hours, and less education were significantly associated with all-cause premature mortality, while regular exercise was associated with a reduced risk. When combined by health risk score, there was a strong trend for increased mortality risk with increased score (
p -trend < 0.01). When compared with the 1-9 score group, HRs of the 10-19 and 20-28 score groups were 2.58 (95% confidence intervals [CIs], 2.19 to 3.03) and 7.09 (95% CIs, 5.21 to 9.66), respectively.Conclusions Modifiable risk factors, such as smoking, drinking, and regular exercise, have considerable impact on premature mortality and should be assessed in combination.
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Summary
Citations
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Yoon-Sun Jung, Seok-Jun Yoon
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Kadari Cissé, Sékou Samadoulougou, Yves Coppieters, Bruno Bonnechère, Patrice Zabsonré, Fati Kirakoya-Samadoulougou, Seni Kouanda
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English Abstracts- Lifestyle and Metabolic Syndrome among Male Workers in an Electronics Research and Development Company.
- Jun Pyo Myong, Hyoung Ryoul Kim, Yong Kyu Kim, Jung Wan Koo, Chung Yill Park
- J Prev Med Public Health. 2009;42(5):331-336.
- DOI: https://doi.org/10.3961/jpmph.2009.42.5.331
- 4,796 View
- 60 Download
- 6 Crossref
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Abstract
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- OBJECTIVES
The objectives of this study were to determine the relationship between lifestyle-implementation and metabolic syndrome in an electronics research and development company, and to provide a foundation for health providers of health management programs for setting priorities. METHODS: From July 1 to July 16, 2008 we carried out a descriptive cross-sectional survey. Consecutive workers of one R & D company in Seoul, Korea (N=2,079) were enrolled in study. A checklist for lifestyle (from the National Health Insurance Corporation) consisted of questions regarding diet, drinking, smoking and exercise. After the survey, researchers obtained data from health profiles for metabolic syndrome(waist-circumference, triglycerides, HDL cholesterol, blood pressure and fasting blood sugar level). Lifestyle was recorded as good or not good. Statistical analysis of metabolic syndrome and the lifestyle of subjects was done using multiple logistic regression analysis. RESULTS: The prevalence of metabolic syndrome in our study gropu was 13.3% (N=277). After adjustment for age, the adjusted odds ratios (odds ratio, 95% confidence intervals) for metabolic syndrome increased in proportion to the number of bad habits: two (1.72, 1.23-2.44), three (2.47, 1.73-3.56), and four (3.63, 2.03-6.34). Relative to subjects eating both vegetables and meat', the OR for 'meat' eaters was 1.66 (1.18-2.31). Compared with 'non-smokers and ever-smoker', the OR for 'current-smoker' was 1.62 (1.25-2.10). Compared with 'Healthy drinker', the OR for 'unhealthy drinker' was 1.38 (1.05-1.83). CONCLUSIONS: Poor lifestyle was associated with an increased likelihood of metabolic syndrome. These findings suggest that lifestyle-based occupational health interventions for young employees should include a specific diet, smoking cessation, and healthy-drinking programs. -
Summary
Citations
Citations to this article as recorded by- Metabolic Syndrome Among Human Immunodeficiency Virus Patients on Antiretroviral Therapy Attending Clinic at a District Hospital in Ghana
Prince Osei Akumiah, Kwabena Opoku-Addai, Adwoa Safowaa, Akosua Serwaa Akumiah
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Hosihn Ryu, Dal Lae Chin
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Dae-Sik Ko, Bu-Yeon Park, Gyeong-Hyu Seok
The Journal of the Korea institute of electronic communication sciences.2013; 8(12): 1941. CrossRef - Actual Cardiovascular Disease Risk and Related Factors: A Cross-sectional Study of Korean Blue Collar Workers Employed by Small Businesses
Jong Uk Won, Oi Saeng Hong, Won Ju Hwang
Workplace Health & Safety.2013; 61(4): 163. CrossRef - Actual Cardiovascular Disease Risk and Related Factors
Jong Uk Won, Oi Saeng Hong, Won Ju Hwang
Workplace Health & Safety.2013; 61(4): 163. CrossRef - Prevalence and Associated Risk Factors of the Metabolic Syndrome in the Korean Workforce
Dae Ryong KANG, Yeongmi HA, Won Ju HWANG
Industrial Health.2013; 51(3): 256. CrossRef
- Increased DNA Damage of Lymphocytes in Korean Male Smokers.
- Joohyun Lee, Eunil Lee, Eunha Oh, Juneyoung Lee, Donggeun Sul, Jooja Kim
- J Prev Med Public Health. 2007;40(1):16-22.
- DOI: https://doi.org/10.3961/jpmph.2007.40.1.16
- 4,248 View
- 34 Download
- 2 Crossref
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Abstract
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- OBJECTIVE
The purpose of this study was to evaluate the levels of DNA damage in human lymphocytes caused by smoking and other lifestyle factors. METHODS: The study population consisted of 173 normal healthy male adults from 21 to 59 years old. The demographic and lifestyle variables were obtained from administered questionnaires. The level of lymphocytic DNA damage in the peripheral blood was evaluated by the Comet assay. Statistical analyses were done by general linear model analysis and Dunnett's multiple comparison. RESULTS: The difference in DNA damage between smokers and non-smokers was statistically significant. The means for the Tail%DNA were found to be 10.48 in the current smokers and 9.60 in the non-smokers (p<0.05). The tail moment means were 1.58 and 1.45 (p<0.05) for the current smokers and non-smokers, respectively. The number of cigarettes smoked per day did not result in a significant difference in the level of DNA damage among the smokers. Other lifestyle factors such as age, and drinking and exercise habits were not related to DNA damage. CONCLUSIONS: The DNA damage in the lymphocytes of smokers was found to be significantly higher than that for non-smokers. However, the number of cigarettes smoked per day was not related to DNA damage. Further study is needed to evaluate the relationship between the amount of smoking and level of damage to DNA. In addition, the status of DNA repair activities should be assessed. -
Summary
Citations
Citations to this article as recorded by- DNA strand breaks in peripheral blood leucocytes of Polish blood donors
Małgorzata M Dobrzyńska, Krzysztof A Pachocki, Katarzyna Owczarska
Mutagenesis.2018; 33(1): 69. CrossRef - The effect of carrot juice, β-carotene supplementation on lymphocyte DNA damage, erythrocyte antioxidant enzymes and plasma lipid profiles in Korean smoker
Hye-Jin Lee, Yoo Kyoung Park, Myung-Hee Kang
Nutrition Research and Practice.2011; 5(6): 540. CrossRef
Original Articles- Serum Total Cholesterol Levels and Related Factors in a Rural Adult Population.
- Soon Ki Ahn, Byung Yeol Chun, Sin Kam, Dae Gu Jin, Jong Yeon Kim
- Korean J Prev Med. 2002;35(3):255-262.
- 2,083 View
- 27 Download
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Abstract
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- OBJECTIVES
To investigate the total cholesterol levels and related factors in a rural adult population. METHODS: 3,207 adults( 1,272 men and 1,935 women) were examined in 1997. Their heights, weights, and fasting serum total cholesterol levels were measured, and their body mass indices were calculated. A questionnaire interviewing method was used to collect risk factor data. RESULTS: The mean value of total cholesterol were 190.5 mg/dl, and 198.8 mg/dl, and the age-adjusted prevalence rates for hypercholesterolemia (above 240 mg/dl) were 13.7% and 10.2%, in men and women, respectively. From simple analyses, age, educational level, coffee intake, amount of meat and food intake, waist circumference, waist-hip circumference ratio(WHR), and body mass index(BMI) were significant risk factors in men (p<0.05) relating to serum total cholesterol levels. In women, age, educational level, hypertension history, diabetes history, herbal drug history, amount of food intake, alcohol consumption, waist circumference, WHR, BMI, and menopausal status were significant risk factors (p<0.05). In multiple linear regression analyses, waist circumference (p<0.01), BMI (p<0.01), and coffee intake (p<0.05) proved to be significant risk factors in men. Whereas, menopausal status (p<0.01), BMI (p<0.01), herbal drug history (p<0.01), amount of food intake (p<0.05), waist circumference (p<0.05), and alcohol consumption (p<0.05) were significant risk factors in women. Conclusions : The significant risk factors, for both men and women, relating to the serum total cholesterol were waist circumference and BMI. Thus, for the reduction of serum total cholesterol level, it is recommended that health education for the control of obesity should be implemented. -
Summary
- The Relationship between Treatment Intention and Compliance in Newly Detected Hypertensive Patients.
- Sok Goo Lee, Sang Soo Bae
- Korean J Prev Med. 2001;34(4):417-426.
- 2,222 View
- 32 Download
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Abstract
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- OBJECTIVES
To analyse the psychosocial factors associated with hypertension management(drug treatment and life style modification) of newly detected cases and to understand and assess their behavioral intention or behaviors. METHODS: The survey area was a combined urban and rural area in Chungnam province, Korea, and the sampling method was cluster sampling. Study subjects included 541 newly detected cases of hypertension rated above stage 2 by JNC-VI from a community survey. The first survey was applied to 383 of these patients in order to discern their psychosocial characteristics. A follow-up survey was given to 345 persons with an 11-month interval following monthly telephone counseling concerning medication and life style modification by trained nurses. The final study subjects for analysis comprised 271 persons after excluding cases of incomplete data and change of address. RESULTS: Among the 85(33.2%) new patients who had intended to undergo drug treatment, 30(35.3%) persons were treated with antihypertensive agent after 11- month interval, while among the patients with no intention to receive treatment, only 36(21.1%) persons were treated. Hypertensive patients with a high intention score revealed a high score in life style modification compliance as well. Seventy three percent of the variance of behavioral intention to undergo hypertension management was explained by the patients attitude toward performing the behavior and subjective norm associated with behaviors related to the theory of reasoned action in structural modeling. Actual behaviors related positively with behavioral intention. The coefficient of determination was 0.255. CONCLUSION: Improving the compliance level of hypertensive patients in respect to drug treatment or life style modification requires a build up of positive behavioral intention, and caregivers must pay more attention to eventually converting behavioral intention to actual behaviors. -
Summary
- Relationship of Level of Stress, Life Style, Subjective Symptoms and Clinical Diagnosis in Clients taken Multiphasic Screening Program.
- Jun Han Park, Jin Ho Chun, Jang Mi Kang, Byung Chul Son, Dae Hwan Kim, Chang Hee Lee, Kui Won Jeong, Sang Hwa Urm
- Korean J Prev Med. 1998;31(4):728-739.
- 2,051 View
- 25 Download
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Abstract
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- To improve wellness and quality of life by recognizing the health effects of stress, the author estimated the relationships between stress, subjective symptoms and clinical diagnosis through a questionnaire and a battery of specified laboratory tests - electrocardiography, blood pressure, cholesterol, aspartate aminotransferase(AST), alanine aminotransferase(ALT), gamma glutamyl transferase(gamma-GTP), fasting blood sugar, gastro-endoscopy or UGI, abdominal sonography, etc. The data was gathered from 337 clients who were undergoing multiphasic screening program at a University Hospital from January to March 1998. The mean age of subjects was 46.5+/-11.2 years and the mean of body mass index was 24.0+/-3.7kg/m2. The mean level of stress was 18.5+/-6.0 expressed as the score out of 40. By general characteristics and life style among male, mean level of stress was significantly higher in case of lower socioeconomic status, habitual drug use, longer daily working time(>10 hours), no regular exercise, drinkers, irregular meal, skipping breakfast(p<0.05). In case of female, that was significantly higher in case of lower education, lower socioeconomic status, longer daily working time(>10 hours), no regular exercise, drinkers, smokers, irregular meal, skipping breakfast(p<0.05). Significant correlations were observed between stress and subjective symptoms in all kinds of organ system(p<0.01). Correlation coefficients of stress among male were relatively high with neuro-psychiatric symptom(gamma=0.476) and cardio-vascular symptom(gamma=0.361) in order, and correlation coefficients of stress among female was highest with neuro-psychiatric symptom(gamma=0.371). The prevalence of the diagnosis through the battery of laboratory tests was high in upper gastrointestinal disorders and hypercholesterolemia in order in both sex group. Among male the mean score of stress was significantly high in ulcerative peptic disorder of upper gastrointestine and hepatopathy in order (p<0.05) . Among female that was significantly high in diabetes mellitus. In summary, it is likely that there are associations between stress, subjective symptoms and clinical diagnosis. To promote wellness and quality of life through, therefore, it would be of value that periodic stress evaluation program and stress management including appropriate control of smoking and drinking, regular exercise and meal.
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Summary
- Relationship between Life Style, the Level of Stress and Irritable Bowel Syndrome on 1498 Male White Collars.
- Jong Ryul Kim, Sang Hwa Urm, Jin Ho Chun, Soo Jin Jeong, Chang Hee Lee, Kui Won Jeong, Soon Seok Choi, Ki Taek Pee
- Korean J Prev Med. 1997;30(4):791-804.
- 2,254 View
- 37 Download
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- Irritable bowel syndrome(IBS) is one of the common health problem that has been considered as stress-induced. This study was conducted to investigate the relationship between life style and the level of stress and IBS by structured questionnaire which included questions on life style, the self-esteemed gastrointestinal symptoms, and Psychosocial Well-being Index(PWI). Subjects were 1,498 male white collars who get the regular health check and participated in survey at Inje University Health Promotion Center from January to December, 1996. The overall prevalence of IBS was 37.5%(561 cases), and the level of stress by PWI score was higher in IBS group(41.8+/-14.2) than symptom-free group(34.6+/-12.6). As the result of comparison between the two groups, heavier smoking (adjusted OR=2.48, 95% CI 1.81-3.41), longer daily working time (adjusted OR=5.19, 95% CI 3.59-7.56), stimulatory food materials-mainly hot or salty (adjusted OR=1.87, 95% CI 1.44-2.45), higher body mass index (adjusted OR=1.80, 95% CI 1.27-2.57), and higher level of stress (adjusted OR=2.81, 95% CI 1.80-4.43) were estimated as risk factors of IBS. On the contrary, 6-8 hours sleeping per day (adjusted OR=0.38 95% CI 0.21-0.70), 3-4 times exercise per week (adjusted OR=0.57 95% CI 0.39-0.83), and tenure more than 20 years (adjusted OR=0.25 95% CI 0.16-0.35) were considered as protective factors to IBS. In summary, the assessment of the stress level might be placed in the first priority to control IBS, at least by some degree, which suggested that IBS could be controlled by avoiding such risk factors and by encouraging such protective factors.
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Summary
- A Study on obesity pattern and related factors of the doctors.
- Young Sil Kim, Hye Sook Park, Bong Su Cho, Yeong Wook Kim, Kwang Wook Koh, Soo Yong Kang, Ae Ri Cha, Cheol Ho Yi, In Kyung Hwang, Byung Mann Cho, Su Ill Lee, Don Kyoun Kim
- Korean J Prev Med. 1997;30(4):708-718.
- 1,927 View
- 22 Download
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Abstract
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- The author surveyed overall obesity indicies and factors concerned with obesity such as dietary intake, physical activity, stress and life style with the subject of doctors. The number of subjects was total 508 with 396 men and 112 women. They were subgrouped into surgical part, medical part and service and basic part by speciality. And also subgrouped into intern and resident, pay doctor, and practitioner by working type. The results were as follows. 1) Obesity indices: BMI of total doctor was 23.1+/-2.8, and WHR was 0.87+/-0.08 and overweight prevalence(BMI>25.0) was 23.6 %. It was within normal limit but slightly over the Korean standard. The degree of obesity indices of subgroups by speciality was "surgical part > medical part > service and basic part", and by working type was "practitioner > pay doctor > intern and resident". 2) Dietary intake and Physical activity: Average dietary intake was 2148+/-451 kcal/day. The degree of dietary intake by speciality was "surgical part > medical part > service and basic part". By working type it was "practitioner > pay doctor > intern and resident". Average physical activity was 29+/-5 METs/day. The degree of physical activity also showed similar pattern. But there was no significant difference among each groups. 3) Comparison between over-weight and non-over-weight group: The items that showed significant difference between two groups were dietary intake, skip breakfast, regular exercise, smoking, heavy drinking, chronic disease etc.
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