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경기 일부지역 초등학생의 채소와 과일 섭취 및 관련 인식, 자아효능감, 영양지식과 식행동
나수영(Soo Young Na),고서연(Seo Yeon Ko),엄순희(Sun Hee Eom),김경원(Kyung Won Kim) 대한지역사회영양학회 2010 대한지역사회영양학회지 Vol.15 No.3
The purpose of this study was to examine vegetable & fruit (V/F) intakes, beliefs and self-efficacy regarding V/F consumption, nutrition knowledge and eating behavior of elementary students. A survey was conducted to the 4th graders (n=234) at two elementary schools in Guri, Kyunggi-do. About one-fourth of subjects were overweight or obese. Subjects had 4.2 servings of V/F a day, consuming 340.2 g of V/F. Girls consumed significantly more amounts of vegetables than boys (p<0.05). Girls were more favorable regarding V/F consumption (p<0.01), and believed more strongly on advantages of having V/F such as “good for skin”, constipation prevention (p<0.001) and cancer prevention (p<0.05). Boys felt more strongly in disadvantages or barriers of eating V/F, including mother`s cooking time constraints (p<0.01), lack of past experience of eating V/F, and family members` disliking of V/F (p<0.05). Girls felt more confident in eating V/F (p<0.05) than boys; they also felt more confident in specific items of “eating fruits/salads instead of cookies/chips for snack” and “eating fruit juice/vegetable juice instead of soda” (p<0.01). Subjects showed low level of nutrition knowledge, especially in items such as balanced meals, recommended servings of V/F and vitamin deficiency. Compared to boys, girls had more desirable eating behavior such as eating adequate amount of meals (p<0.001), having a variety of foods, eating fruits daily, and having fatty foods less frequently (p<0.05). Intakes of Ca and K were quite below the recommended level, while the intakes of protein, Na and vitamin A intake were much above the Dietary Reference Intakes (DRI) for 9-11 old children. Nutrient intakes expressed as %DRI was higher in girls for vitamin A (p<0.01), energy and riboflavin (p<0.05). High V/F consumption group (≥ 5 servings of V/F a day) compared to the counterparts showed higher self-efficacy and had better eating behaviors. Nutrition education for children should focus on increasing consumption of V/F, by helping them to increase selfefficacy for eating V/F and to recognize the benefits and reduce the barriers of eating V/F, especially in boys. It is also needed to provide nutrition information for balanced meals or increasing V/F consumption, and help the children to adopt desirable eating behavior. (Korean J Community Nutrition 15(3): 329~341, 2010)
고령에서 염증성 장질환의 치료 - 무엇이 다르고 무엇을 알아야 하는가?
나수영 ( Soo-young Na ) 대한소화기학회 2021 대한소화기학회지 Vol.77 No.5
As the incidence of inflammatory bowel disease (IBD) are increasing with an ageing population, the incidence and prevalence of IBD in the elderly continue to increase. Older IBD patients can be classified into two groups; elderly-onset IBD patients and elderly IBD patients who were diagnosed at a young age and transitioning into advanced age. Clinicians must consider elderly-onset specific phenotypes or prognosis and age-related concerns in the treatment of elderly IBD patients. There is a paucity of evidence whether there is a different disease process when IBD occurs in older age yet. Clinicians may expect similar therapeutic effects in older and younger patients in drug selection, but since older patients are often excluded from clinical trials, evidence to support this assumption is currently lacking. Also, the risk of side effects may be higher in elderly patients. Therefore, when making management decisions in the elderly, clinicians should assess an individual’s frailty rather than only considering an individual’s chronological and biological age. Knowing specific requirements for managing older IBD patients may help to make an appropriate therapeutic strategy for this patient group. (Korean J Gastroenterol 2021;77:231-240)
나수영 ( Soo Young Na ),명승재 ( Seung Jae Myung ) 대한소화기학회 2012 대한소화기학회지 Vol.59 No.1
Obesity worldwide is constantly increasing. Obesity acts as an independent significant risk factor for malignant tumors of various organs including colorectal cancer. Visceral adipose tissue is physiologically more important than subcutaneous adipose tissue. The relative risk of colorectal cancer of obese patients is about 1.5 times higher than the normal-weight individuals, and obesity is also associated with premalignant colorectal adenoma. The colorectal cancer incidence of obese patients has gender-specific and site-specific characteristics that it is higher in men than women and in the colon than rectum. Obesity acts as a risk factor of colorectal carcinogenesis by several mechanisms. Isulin, insulin-like growth factor, leptin, adiponectin, microbiome, and cytokines of chronic inflammation etc. have been understood as its potential mechanisms. In addition, obesity in patients with colorectal cancer negatively affects the disease progression and response of chemotherapy. Although the evidence is not clear yet, there are some reports that weight loss as well as life-modification such as dietary change and physical activity can reduce the risk of colorectal cancer. It is very important knowledge in the point that obesity is a potentially modifiable risk factor that can alter the incidence and outcome of the colorectal cancer. (Korean J Gastroenterol 2012;59:16-26).
호산구증다증이 동반된 맥관부종 환자에서 혈전성 미세혈관병증이 병발한
최준석 ( Jun Seok Choi ),나수영 ( Soo Young Na ),박경선 ( Kyung Sun Park ),배윤정 ( Yoon Jung Bae ),김태범 ( Tae Bum Kim ),문희범 ( Hee Bom Moon ),조유숙 ( You Sook Cho ) 대한천식알레르기학회 2010 천식 및 알레르기 Vol.30 No.1
Episodic angioedema with eosinophilia (EAE) is characterized by recurrent angioedema, fever, weight gain and eosinophilia in peripheral blood. It has been considered as a distinct clinical entity which is different from the idiopathic hypereosinophilic syndrome. In general, EAE has been known to show a good prognosis and have no internal organ involvement. A couple of recent reports show that EAE could be accompanied by serious complications such as thrombotic microangiopathy (TMA). Here, we report a complicated case of EAE which is believed to be associated with TMA for the first time in Korea. A 38-year-old Korean man initially presented with angioedema, fever, eosinophilia and weight gain which were compatible with EAE. After administration of high-dose glucocorticoids, angioedema and eosinophilia improved; however, severe hemolytic anemia caused by TMA developed suddenly on the 12th day after the medication. Therapeutic plasmapheresis was performed which led to the improvement of all his clinical manifestations. He completely recovered from EAE and hemolytic anemia associated with TMA. The patient has been periodically follow up at our outpatient clinic. (Korean J Asthma Allergy Clin Immunol 2010
박태선 ( Tai Sun Park ),김대영 ( Dae Young Kim ),박서진 ( Seo Jin Park ),김이랑 ( Yi Rang Kim ),나수영 ( Soo Young Na ),박진욱 ( Jin Wook Park ),오동욱 ( Dong Wook Oh ),최준석 ( Jun Seok Choi ),조정민 ( Jung Min Jo ),장유진 ( You 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.67 No.6
Sarcoidosis is a granulomatous disease that can involve any organ, although it primarily involves the lungs, intrathoracic lymph nodes, skin, and eyes. We present a case of sarcoidosis with pancytopenia, resulting from bone marrow involvement. A 35-year-old man was admitted to hospital for chronic cough and blurred vision. On chest computed tomography, there were multiple pulmonary nodules and mediastinal lymph nodes enlargement. As the patient also showed pancytopenia, we performed a bone marrow biopsy, as well as a transbronchial lung biopsy. Both biopsies showed non-caseating granulomas. We diagnosed the patient with sarcoidosis with pulmonary, bone marrow, uvea, liver and spleen involvement. After oral steroid therapy, the patient`s symptoms as well as his pancytopenia improved. We present this case to demonstrate the significance of bone marrow biopsy in cases of sarcoidosis with pancytopenia, as well the possibility of clinical improvement with steroid treatment.