| Kyung Ae Kim | 4 Articles |
PURPOSE
This study was conducted to identify the predictive factors for pre-diabetes in middle-aged Korean women based on the Korean National Health and Nutrition Examination Survey (KNHANES). METHODS In this cross-sectional study, data were extracted from the second year of the 6th KNHANES (2013~2015), conducted at 129 sites from January to December 2014. The 1,275 subjects were middle-aged women between 40 and 64 years of age characterized as “pre-diabetic†(n=618) or “normal†(n=657) according to the American Diabetes Association (ADA) standard. Multivariate binary logistic regression was used to determine factors influencing pre-diabetes in middle-aged women. RESULTS The significant factors for pre-diabetes were a Waist-to-Height Ratio (WHtR) > 0.53 (Odds Ratio [OR]=1.71, 95% Confidence Interval [CI]=1.27~2.29), increasing prevalence of hypercholesterolemia (OR=2.02, 95% CI=1.42~2.86), and low level of High-Density Lipoprotein (HDL) cholesterol (OR=1.89, 95% CI=1.18~3.02). In addition, as age increased after 50 years, the proportion of WHtR > 0.53 decreased in the normal group, but increased with age in the pre-diabetes group. CONCLUSION Education to raise awareness about diabetes including pre-diabetes is needed for effective management of hyperlipidemia and central obesity to ensure a healthy middle age. Citations Citations to this article as recorded by
PURPOSE
This study was a secondary data analysis using the 6th Korea National Health and Nutritional Examination Survey 2014. The purpose of the study was to identify and compare the impacts of Physical Activity (PA), central obesity and depression on health-related quality of life (HRQoL). The study sample was postmenopausal women aged 45~65 years of aged with or without cardiovascular risk factors. Specifically, the sample consisted of 472 women who had cardiovascular risk factors (risk group) and 374 women with no reported risk factors (no risk group). METHODS The degree of PA (MET-min/week) was estimated based on the International PA Questionnaire and depression was measured by the Patient Health Questionnaire-9. RESULTS The scores from the PA were lower than the recommended PA scores among both groups, and muscle strengthening was significantly lower within the risk group compared to those in the no risk group (p < .001). Multiple linear regression analyses showed that depression, PA and WHtR accounted for 32.8% of the HRQoL in the risk group (R²=.328, F=64.49, p < .001), while depression and WHtR accounted for 28.5% of the HRQoL in the no risk group (R²=.256, F=35.18, p < .001). CONCLUSION It is essential to correct low PA, central obesity, and depression in order to improve the HRQoL of middle-aged women with cardiovascular risk factors. For those who have cardiovascular risk factors, the PA intervention program including muscle strengthening exercise might be needed. Citations Citations to this article as recorded by
PURPOSE
This study examined knowledge about cardio-cerebrovascular disease (CVD) and its relationship to health behaviors among middle-aged postmenopausal women with CVD risk factors. METHODS The study was a cross-sectional descriptive study. One hundred and thirty-six postmenopausal women were recruited from outpatient departments of four hospitals. The women were 60.69±6.5 years old. Self-reported questionnaires were administered, and waist-hip ratios (WHR) were measured. RESULTS Among the women, 72.8% reported hypertension, 19.1% reported diabetes, 33.8% reported hypercholesterolemia, and 24.2% reported angina pectoris. Moreover, 73.9% of the women reported not knowing of CVD prevention, and only 26.1% reported exercising regularly. A majority of the women (80.9%) had a WHR > 0.85. Multiple linear regression analysis after adjusting for age and marital status indicated that the risk of myocardial infarction and stroke increased (p<.001). Waist-hip ratio≤0.85 (p=.022) and living with family members (p=.006) were significant predictors of healthier behaviors (R²=0.21, p<.001). Knowledge of CVD and health behaviors were not correlated. CONCLUSION Obese women and women who live alone are no more likely to practice health behaviors aimed at CVD prevention than their counterparts in the sample. Education and exercise interventions are needed, especially for obese women, to promote healthy behaviors among middle-aged postmenopausal women with CVD risk factors. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to examine lifestyle, BMI, BP, and lipids profiles in male subjects and to explore the relationships among variables. METHODS A total of 148 male subjects were recruited from one life insurance company from December 1, 2005 to February 28, 2006. Data collection methods were structured questionnaire, anthropometry and serum analysis. The relationships among lifestyle, BMI, BP, and serum lipid profiles were assessed by descriptive analysis, t-test, ANOVA, and partial Pearson's correlation coefficient of variables after controlling for age, educational level, and economic status. RESULTS The mean BMI of the participants was relatively high as 25.38(range: 18.38 - 32.83). The differences of serum lipid profiles according to age, educational level, and economic status were significant. 'Use of caffeine and drugs'(r = -.187, p < .05) and 'consciousness of safety'( r= -.200, p < .05) was negatively related to BMI. Higher score of 'type of personality' domain was correlated with lower systolic BP(r = -.221, p < .01) and lower diastolic BP(r = -.195, p < .05) and was positively correlated with HDL(r = .191, p < .05). CONCLUSION 'Use of caffeine and drugs', 'consciousness of safety' and 'type of personality' of lifestyle as well as 'dietary habit' and 'exercise' played a key role in circulatory disease.
|
|
E-SUBMISSION
