내당능장애와 초기당뇨에 있어 신체활동 수준이 인슐린 감수성과 췌장 β세포의 인슐린 분비능에 미치는 영향

강현주 한국운동과학회 2002 운동과학 Vol.11 No.1

강현주. 내당능장애와 초기당뇨에 있어 신체활동 수준이 인슐린 감수성과 췌장 β세포의 인슐린 분비능에 미치는 영향. 운동과학, 제11권 제1호, 67-75, 2002. 본 연구의 목적은 12주간의 신체활동 수준이 인슐린 감수성과 췌장의 β세포 인슐린 분비능에 미치는 영향을 규명하는데 있다. 이를 위하여 본 연구에서는 내당능장애와 초기당뇨인을 대상으로 신체활동 수준에 따라 두 집단으로 나누어 한 집단은 12주 동안 유산소성 운동과 근력 운동을 주당 3회 실시하고, 다른 집단은 운동 프로그램 전에 운동의 중요성을 설명하고 자발적으로 운동에 참여하도록 하였다. 두 집단간 운동 전·후 변인들의 측정치를 반복측정에 의한 이원변량으로 분석한 결과, 최대산소섭취량(VO_2 max) 변화에 있어서 12주 운동후에 집중신체활동군은 26.30±6.79 ㎖/㎏/min에서 37.08±7.90 ㎖/㎏/min로, 비집중신체활동군은 24.72±9.54 ㎖/㎏/min에서 23.68±5.98 ㎖/㎏/min로 두 집단간의 유의한 차이를 보였다(p<0.05). 또한 급성 인슐린반응(AlRg)에서 집중신체활동군은 58.48±11.79 uU^(-1)·dℓ^(-1)·min^(-1)에서 60.57±30.88 uU^(-1)·dℓ^(-1)·min^(-1)로, 비집중신체활동군은 135.18±36.15 uU^(-1)·dℓ^(-1)·min^(-1)에서 199.37±12.87 uU^(-1)·dℓ^(-1)·min^(-1)로, 인슐린 감수성(Si)의 변화는 집중신체활동군이 1.59±0.73×10 exp (-4)·min^(-1)·uU^(-1)·dℓ^(-1)에서 3.33±1.14 ×10 exp (-4)·min^(-1)·uU^(-1)·dℓ^(-1)로, 비집중신체활동군이 2.27±0.19 ×10 exp (-4)·min^(-1)·uU^(-1)·dℓ^(-1)에서 2.68±0.84 ×10 exp (-4)·min^(-1)·uU^(-1)·dℓ^(-1)로 증가를 보였으며, 췌장 β세포 분비능에 대한 지표(AlRg×Si)는 집중신체활동군이 92.98±15.34에서 201.87±1.59로, 비집중활동군이 306.72±49.13에서 533.60±94.26로 두 집단모두 증가하는 경향을 나타내었으나 통계적으로 유의성은 없었다. 이상에서 살펴본 바와 같이 주당 3회 빈도의 운동은 심폐능력에 긍정적인 효과를 미치지만 인슐린 감수성과 췌장 β세포에 인슐린 분비능의 향상을 위해서는 여러 원인들을 고려하여 최소한 주당 3회 이상의 운동과 다른 운동 형태가 필요할 것으로 사료되며, 그에 따르는 장기적인 예방프로그램을 설정할 수 있을 것으로 사료된다. Kang, H.J. The Effect of Physical Activity Level on β-cell Insulin Secretory Function and Sensitivity in Impaired Glucose Tolerance and Newly-diagnosed Type Ⅱ Diabetes Mellitus. Exercise Science, 11(1): 67-75, 2002. The aims of this study were to investigate the effect of physical activity level on β-cell insulin secretory function and sensitivity in impaired glucose tolerance and newly-diagnosed type 2 diabetes mellitus. In this study, patients with impaired glucose tolerance and newly-diagnosed type 2 diabetes were randomized to either a intentive physical activity group(IG) or a non intensive physical activity group(NIG) and the intensive physical activity program consisted of three times a week, aiming at 60-70 % of maxiaml heart rate, 60minutes a day. the intensive group was supervised and the non intensive group was non supervised for 12weeks. Multivariate analysis of variance, with repeated measures design, was used to test deferences between groups. VO_2max was significant higher in the IG than in the NIG both after 12weeks[26.30±6.79 ㎖/㎏/min, 37.08±7.90 ㎖/㎏/min(IG), 24.72±9.54 ㎖/㎏/min, 23.68±5.98 ㎖/㎏/min(NIG)](p<0.05). AIRg and Si increased in the IG and in the NIG both after 12weeks[58.48±1l.79 uU^(-1)·dℓ^(-1)·min^(-1), 60.57±30.88 uU^(-1)·dℓ^(-1)·min^(-1)(IG), 135.18±36.15 uU^(-1)·dℓ^(-1)·min^(-1), 199.37±12.87 uU^(-1)·dℓ^(-1)·min^(-1)(NIG)], [1.59±0.73×10 exp (-4)·min^(-1)·uU^(-1)·dℓ^(-1), 3.33±1.14 ×10 exp (-4)·min^(-1)·uU^(-1)·dℓ^(-1)(IG), 2.27±0.19 ×10 exp (-4)·min^(-1)·uU^(-1)·dℓ^(-1), 2.68±0.84 ×10 exp (-4)·min^(-1)·uU^(-1)·dℓ^(-1)(NIG)]. Also, β-cell secretory function adjusted for Insulin Sensitivity did not differ significantly in the two groups after 12weeks[92.98±15.34, 201.87±1.59(IG), 306.72±49.13, 533.60±94.26(NIG)]. These results suggest that regular physical activity(3days/week) may improve cardiorespiratory function and β-cell insulin seaetory function, however Insulin resonse does not associated with VO_2max in patients with impaired glucose tolerance and newly-diagnosed type 2 diabetes mellitus both after 12weeks.

학교사회복지에서의 사례관리 실천방안 연구

강현주 한국학교사회복지학회 2008 학교사회복지 Vol.- No.14

1970년대부터 1980년대까지 황부용 디자인 활동의 배경과 특징

강현주 한국디자인학회 2024 디자인학연구 Vol.37 No.2

연구배경 황부용(1951년생)은 33년간(1975~2008) 디자인계에서 활동한 그래픽 디자이너이다. 2009년에전업 화가가 된 후 잊혔지만 ‘디자인계 문맹퇴치운동’이라는 문제의식을 갖고 활동하며 한국 그래픽 디자인이현대화하고 전문화되는 데 기여했기에 그의 활동을 한국디자인사 맥락에서 재조명하고자 한다. 연구방법 황부용의 디자인 작업과 저술을 검토하고 인터뷰를 진행했다. 상공미전과 한국시각디자인협회(KSVD) 관련 자료를 살펴보고 20세기 중반 한국 디자인 상황을 파악하기 위해 신문 및 잡지 기사와 서적 등을참고하였다. 본 연구에서는 그가 상공미전 추천작가가 된 1975년부터 서울올림픽대회조직위원회(SLOOC)를 떠난 1987년까지의 시기를 중점적으로 다루었다. 연구결과 해방 이후 응용미술과 상업미술 차원에서 인식되던 한국 그래픽 디자인은 1970, 80년대에 시각 커뮤니케이션에 기반을 둔 전문 분야가 되었다. 이러한 시기에서 전개된 황부용의 디자인 활동은 다음과 같은 특징을 보였다. 첫째는 해외 디자인에 대한 지속적인 관심과 탐구다. 둘째는 디자인 창작과 글쓰기의 병행이고, 셋째는 새로운 디자인 분야에 대한 도전과 개척이다. 넷째는 디자인 커뮤니티에서의 교류와 소통이다. 결론 디자인 실무 경험과 이론적 지식을 겸비한 황부용은 앞선 시대의식과 소명감으로 디자인 분야에 신선한 자극과 지적 활력을 불어넣었다. 그의 디자인 활동은 한국 그래픽 디자인이 디자인 리터러시의 중요성을 이해하고 현대적인 시각 커뮤니케이션 디자인으로서 정체성을 구축하는 데 도움이 되었다. Background Hwang Buyong (born 1951) is a graphic designer who dedicated 33 years to the field from 1975 to 2008. Despite being somewhat forgotten after transitioning to painting in 2009, he was active during the 1970s and 1980s, contributing to the enhancement of design literacy. Recognized for his role in the modernization and professionalization of South Korean graphic design, the aim of this research is to study his design activities in the context of Korean design history. Methods Hwang Buyong’s design works and writings were reviewed, and several interviews were conducted with him. Reference materials for The Korean Commercial & Industrial Art Exhibition and the Korean Society of Visual Design (KSVD) were searched. Furthermore, newspaper articles, magazine pieces, and books were examined to comprehend the state of Korean design in the mid-20th century. This study focused on the period during which he was active from 1975, when he became a Recommended Artist, to 1987, when he left the Seoul Olympic Organizing Committee. Results Until the 1960s, graphic design was seen as applied art and commercial art, but it modernized into visual communication design in the 1970s and 1980s. Hwang Buyong's design activities in this period can be summarized by his interest in foreign designs, the synergy of design practice and writing, exploration of new design fields, and active networking in the design community. Conclusions Hwang Buyong, with practical design experience and theoretical knowledge, emerged as a leading figure among his generation of designers, infusing the field of design with fresh stimulation and intellectual vitality. His design activities contributed to Korean graphic design and improving design literacy.

낙상체력과 통증반응을 위한 복합운동의 효과에 관한 연구

강현주 한국디지털정책학회 2013 디지털융복합연구 Vol.11 No.1

여대생 웨이트 트레이닝 초보자의 벤치 프레스와 스쿼트 인지강도와 실측강도의 차이 및 인지강도와 체중을 이용한 1-RM 추정

강현주,이병근,김효중 대한운동학회 2014 아시아 운동학 학술지 Vol.16 No.2

[INTRODUCTION] The purposes of this study were to compare the differences between the cognition and measured intensities in bench press and squat for weight training in college women beginner, to develop an estimated equation for 1-RM using the cognition intensity and cognition-body weight, and to verify the validity of the developed model. [METHODS] The subject groups were consisted of 29 college untrained women. Each subject selected the cognition intensity of 60%, 75% and 90% of 1-RM without knowing the actualload that applied to the subject. The measured intensities were calculated 60%, 75% and 90% of 1-RM after 1-RM measurement. The t-test was run to analyze the significant differences between the cognition and measured intensities, and the regression analysis was applied to estimate 1-RM using the cognition intensities and body weight. [RESULTS] There was a significant difference between the cognition and the measured intensity of 60%, 75% and 90% 1-RM on both bench press and squat in the college untrained women (p<.01). The cognition intensities of bench press and squat were 3.3~6.6kg(6.6~15.4%) and 9.6~15.1kg(12.1~22.9%) lower than the measured intensity, respectively. Based on the regression analysis, the r of prediction for the bench press 1-RM by cognition 1-RM was ranged from 0.63 to 0.81(p<.01), and the r of prediction for the squat 1-RM by cognition 1-RM was ranged from 0.67 to 0.80(p<.01) in college untrained women. The r of prediction for the bench press 1-RM by cognition-body weight 1-RM was ranged from 0.76 to 0.83(p<.01), and the r of prediction for the squat 1-RM by cognition-body weight 1-RM was ranged from 0.73 to 0.83(p<.01). [CONCLUSION] In college untrained women, the cognition intensities were 6.6~22.9% lower than the measured intensities. The cognition intensities of bench press and squat were 6.6~15.4% and 12.1~22.9%, respectively, lower than those of measured intensities. The significant estimation models for 1-RM were developed both cognition and cognition-body weight model. Bench press 1-RM = -18.136 + 0.928 * cognition 90% 1-RM(kg) + 0.470 * body weight(kg). Squat 1-RM = - 36.527 + 0.811 * cognition 90% 1-RM(kg) + 1.029 * body weight(kg). This study suggests that the estimation model for various age groups should be developed based on multiple motions for the future study. [서론] 본 연구의 목적은 여대생 웨이트 트레이닝 초보자의 벤치 프레스와 스쿼트의 60%, 75% 및 90% 인지강도와 실측강도 차이를 비교하고, 인지강도와 체중을 이용하여 1-RM 추정식을 개발하고 설명력을 검증하는 데 있다. [방법] 본 연구에서는 여대생 웨이트 트레이닝 초보자 29명을 연구대상으로 선정하였다. 인지강도는 피검자가 수행하는 강도의 부하를 알지 못하도록 한 상태에서 자신의 1-RM의 60%, 75% 및 90%의 무게를 선택하도록 하였다. 실측강도는 1-RM을 직접 측정하고, 1-RM의 60%, 75% 및 90%에 해당하는 강도를 산출하였고, 측정은 무선으로 배당하였다. 인지강도와 실측강도 차이를 비교하기 위하여 t-test를 실시하였고, 인지강도와 체중을 이용하여 1-RM을 추정하기 위하여 회귀분석을 실시하였다. [결과] 여대생 초보자의 경우 벤치 프레스와 스쿼트의 60%, 75% 및 90% 모두 인지강도와 실측강도간에 유의한 차이가 나타났다(p<.01). 벤치 프레스의 인지강도가 실측강도보다 3.4~6.6kg과 6.6~15.4% 낮았고, 스쿼트는 9.6~15.1kg과 12.1~22.9% 정도 낮게 나타났다. 벤치 프레스와 스쿼트의 인지강도 % 1-RM의 차이의 경우 60%, 75% 및 90% 모두에서 유의한 차이가 나타나지 않았다. 벤치 프레스 인지강도 추정모형의 r은 0.63~0.81이고(p<.01), 스쿼트 추정모형의 r은 0.67~0.80(p<.01)로 나타났다. 벤치 프레스 인지강도-체중 통합모형의 r은 0.76~ 0.83이고(p<.01), 스쿼트 통합모형의 r은 0.73~0.83으로 나타났다(p<.01). [결론] 여대생 초보자는 인지강도가 실측강도보다 6.6~22.9% 정도 낮게 나타났다. 인지강도의 경우 벤치 프레스는 6.6~15.4%, 스쿼트는 12.1~22.9% 정도 실측강도보다 낮게 나타났다. Bench press 1-RM = -18.136 + 0.928 * 인지강도 90% 1-RM(kg) + 0.470 * 체중(kg). Squat 1-RM = - 36.527 + 0.811 * 인지강도 90% 1-RM(kg) + 1.029 * 체중(kg). 향후에는 더 많은 동작을 대상으로 다양한 변인을 이용하여 다양한 연령층에 적합한 추정모형을 산출할 필요가 있겠다.

중학생의 건강요인·식습관과 구강증상과의 융합적 관련성

강현주 한국융합학회 2018 한국융합학회논문지 Vol.9 No.12

The purpose of this study was to analyze the effects of middle school students’ health factors and eating behaviors on their oral symptoms using the data from 30,885 students in the 13th Korea Youth Risk Behavior Web-Based Survey in 2017. The logistic regression for the effects of the health factors and eating behaviors on the oral symptoms were analyzed using a logistic regression method. The results showed that the groups of higher levels of achievement, and stress, lower daily frequency of tooth-brushing, and no intake of processing meat led to significantly higher levels for toothache and gingival pain recognition. Also, the higher halitosis recognizers had significantly higher levels of stress and the lower daily frequency of tooth-brushing. In conclusion, adolescents’ health factors and eating behaviors affected their oral symptoms. This study is expected to help development of a oral health education program that can prevent these oral symptoms. 본 연구목적은 중학생의 건강요인· 식습관이 구강증상에 미치는 영향을 분석하고자 제13차(2017년) 청소년건강행태온라인조사자료를 이용하여 30,885명을 대상으로 분석하였다. 건강요인·식습관이 구강증상에 미치는 영향요인을 로지스틱 회귀분석한 결과 치아통증 증상과 잇몸통증 증상에서는 학업성적, 스트레스가 높은 경우, 일일잇솔질횟수, 가공육류의 미섭취에서 통증 인지가 높았고 통계적으로 유의하였다. 구취증상에서는 스트레스가 높은 경우와 일일잇솔질횟수가 적을수록 구취증상을 높게 인지하였고 통계적으로 유의하였다. 본 연구로 중학생의 건강요인·식습관은 구강증상에 영향을 주는 것을 알 수 있었고, 이러한 구강증상을 예방할 수 있는 구강보건교육프로그램 개발에 도움을 주고자 한다.

[토론] 체육지도자(건강운동관리사)의 전문성 제고를 위한 방안

강현주 대한운동사협회 2015 대한운동사협회 운동사대회자료집 Vol.2015 No.-

병원 전 심정지로 응급실에 내원한 환자에서 소생술 중단 기준 결정을 위한 분석

강현주,정진희,배현아,어은경 대한응급의학회 2010 대한응급의학회지 Vol.21 No.5

Purpose: As public awareness of medical futility increases,more studies on pronouncement of death and related protocols in the field have been conducted overseas. However, it appears to be hard to declare death in the field in Korea due to a lack of proper treatment procedures for patients with out-of-hospital cardiac arrest (OHCA) under the current emergency medical service (EMS) system. As such, the objective of this study was to establish criteria to determine whether to perform cardiopulmonary resuscitation (CPR) for a patient who visits the ED with OHCA. Methods: CPR results over an 8-year period, from January 2001 to December 2008, from patients with OHCA at Ewha Womans University, Mokdong Hospital were analyzed. The main factors affecting patients that survived for 24 hours after return of spontaneous circulation (ROSC) were identified retrospectively. Results: A total of 782 patients visited the hospital due to OHCA during the study period. Of these, 752 met the inclusion criteria for our study. Of the 752, 162 (21.5%) survived over 24 hours after ROSC. Of the 752, 38 (5.1%) survived to hospital discharge and 18 (2.4%) survived to hospital discharge with good neurologic function. Among patients who survived over 24 hours after ROSC, factors that predicted survival included the presence of a witness (p<0.001), the implementation of CPR by a bystander (p=0.012), a short time from being found to time of arrival at the hospital (p<0.001) and younger age (p=0.042). Factors that predicted non-survival included no witness at the time of cardiac arrest, a prehospital time longer than 20 minutes, bystander CPR but the initial rhythm was asystole. The positive predict value was 95.6%. Conclusion: When an individual has an out-of-hospital cardiac arrest, termination of resuscitation should be considered when there are no witnesses, when there was no bystander to administer CPR, when the initial rhythm was asystole, and when prehospital time was longer than 20 minutes.

결혼이민자를 위한 입국 전 한국어 능력 시험 개발 연구: 세종학당 학습자를 중심으로

강현주,이경,유선숙 한국언어문화교육학회 2020 언어와 문화 Vol.16 No.2

This study aims to raise the needs for assessment tools that reflect the characteristics of marriage immigrants and to design a proficiency-oriented achievement test that can be used in the King Sejong Institute, which disseminates Korean language and culture and one of the official Korean language center for Korean immigrant visa. To this end, the language assessment tools for immigrants were reviewed, and advisory opinions were converged from experts. Based on this, test structure and test task specification is completed and piolt tests were administrated at King Sejong Institute in Vietnam and Philippine to prove validity and usefulness of this test. As a result, it was designed with two levels: beginner 1A and beginner 1B, and the test areas were set to listening, reading, and speaking with five types of test items. Each item evenly distributed in upper, middle and lower difficulty. Speaking test items consist of a short answer type and a narrative type, and it was conducted in two performance tests during one semester .

Astaxanthin and β-carotene in Helicobacter pylori-induced Gastric Inflammation: A Mini-review on Action Mechanisms

강현주,김혜영 대한암예방학회 2017 Journal of cancer prevention Vol.22 No.2

Helicobacter pylori is a dominant bacterium living in the human gastric tissues. In H. pylori-infected tissues, the infiltrated inflammatory cells produce reactive oxygen species (ROS), leading to gastric inflammation with production of various mediators. According to numerous epidemiological studies, dietary carotenoids may prevent gastric inflammation due to their antioxidant properties. Recent studies showed that antioxidant and anti-inflammatory effects of astaxanthin and -carotene may contribute to inhibition of H. pylori-induced gastric inflammation. Astaxanthin changes H. pylori-induced activation of T helper cell type 1 response towards T helper cell type 2 response in the infected tissues. Astaxanthin inhibits the growth of H. pylori. Even though astaxanthin reduces H. pylori-induced gastric inflammation, it does not reduce cytokine levels in the infected tissues. β-Carotene suppresses ROS-mediated inflammatory signaling, including mitogen-activated protein kinases and redox-sensitive transcription factors, and reduces expression of inflammatory mediators, including interleukin-8, inducible nitric oxide synthase, and cyclooxygenase-2 in the infected tissues. Therefore, consumption of astaxanthin- and β-carotene-rich foods may be beneficial to prevent H. pylori-induced gastric inflammation. This review will summarize anti-inflammatory mechanisms of astaxanthin and -carotene in H. pylori-mediated gastric inflammation.