학령전기 아동의 과체중 및 비만 관련 위험요인: 생태학적 모델을 바탕으로

라진숙,정연희 한국보건간호학회 2019 韓國保健看護學會誌 Vol.33 No.2

Purpose: The purpose of this study was to identify the potential risk factors - children’s factors, parental factors, and familial-environmental factors - with respect to overweight and obesity in Korean preschool children. Methods: This study used a descriptive cross-sectional design and involved 264 pairs of mothers and preschool children aged 3–5 years (121 boys, 143 girls) attending daycare centers in C city. Multiple logistic regression analyses were used to identify significant risk factors for overweight and obesity in preschool children. Results: According to the multivariate logistic regression, family history of diabetes mellitus as children’s factors, overweight or obesity of both parents as parental factors were significantly associated with an increased likelihood of overweight and obesity in preschool children. In addition, lack of community space for physical activity as familial-environmental factors was significantly associated with increased likelihood of overweight and obesity. Conclusions: Health care providers should concerned with the risk of overweight and obesity in children with high risk familial factors, such as family history of obesity and diabetes mellitus. Moreover, policies should be set in place

고등학생의 고카페인 에너지 음료 섭취에 대한 관련 요인

라진숙,윤희경,김혜선,류정림 한국학교보건학회 2017 韓國學校保健學會誌 Vol.30 No.1

Purpose: The purpose of this study was to identify the factors associated with energy drink consumption in Korean high school students. Methods: This cross sectional study used the secondary data from the 2015 Adolescent Health Behavior Online Survey. A total of 33,744 high school students were included in the study. Energy drink consumption was measured by asking how often they consumed energy drink during the previous week. Associated factors were categorized into socio-demographic characteristics, psychological characteristics, and health related behavioral characteristics. Complex samples logistic regression was used to analyze the influence of associated factors on energy drink consumption. Results: For socio-demographic characteristics, adolescent boys were likely to consume more energy drink than adolescent girls (Adjusted Odds Ratio [AOR]: 1.351, 95% Confidence Interval [CI]: 1.209~1.510). For psychological characteristics, depressed adolescents were likely to consume more energy drink than their counterparts (AOR: 1.697, 95% CI: 1.537~1.874). For health related behavioral characteristics, cigarette smoking (AOR: 1.336, 95% CI: 1.168~1.528), alcohol drinking (AOR: 1.126, 95% CI: 1.012~1.254), soda drink consumption (AOR: 1.800, 95% CI: 1.565~2.071), sweet drink consumption (AOR: 1.715, 95% CI: 1.431~2.054), and insufficient sleep time a day (AOR: 1.307, 95% CI: 1.197~1.427) were associated with energy drink consumption. Conclusions: In conclusion, energy drink consumption in Korean high school students were associated with such factors as psychological factors (depression) and health related behavioral characteristics (smoking, alcohol, sleep, soda and sweet drink). Thus, intervention programs in schools and communities should focus on these psychological and health related behavioral characteristics.

고등학생의 우울과 불안에 대한 가당음료와 패스트푸드의 결합효과

라진숙 한국간호과학회 2022 한국간호과학회 학술대회 Vol.2022 No.10

40세 이상 성인 남녀의 대사증후군 관련 심리사회적 요인

라진숙,김혜선 한국보건간호학회 2019 韓國保健看護學會誌 Vol.33 No.1

Objectives: This study identified biopsychosocial factors associated with metabolic syndrome among Korean men and women aged over 40 years. Methods: Secondary data from the 2010-2016 Korean National Health and Nutrition Examination Survey were used for this study. Based on the biopsychosocial model, psychosocial factors (stress, depression, smoking, binge alcohol consumption, physical activity) were assessed with control of biomedical (age, body mass index, family history of hypertension, dyslipidemia, type 2 diabetes mellitus, and cardiovascular disease) and biosocial factors (educational level and economic status). Data from 8,624 men and 7,321 women were analyzed by logistic regression analysis using a complex sample procedure. Results: Among men, current or past smoking habits (Adjusted Odds Ratio [AOR]: 1.349; 95% Confidence Interval [CI]: 1.155–1.575, p<.001) and binge alcohol consumption (AOR: 1.570, CI: 1.389–1.774, p<.001) were associated with metabolic syndrome. In addition, moderate (AOR: 1.205, CI: 1.038–1.400, p=.014) and low levels of physical activity (AOR: 1.296, CI: 1.109–1.514, p=.001) were associated with metabolic syndrome. Among women, low level of physical activity (AOR: 1.276, CI: 1.017–1.602, p=.036) was associated with metabolic syndrome. Conclusion: Gender specific interventions such as encouraging physical activity and prevention of smoking and excessive alcohol drinking are important to prevention of metabolic syndrome.

초기 여자 청소년의 체중편견내재화 관련 요인

라진숙,김순옥 한국지역사회간호학회 2021 지역사회간호학회지 Vol.32 No.2

Purpose: This study aimed to identify factors (biological, psychological, interpersonal, and contextual factors) associated with the weight bias internalization of the Korean girls in early adolescence. Methods: This study used a cross-sectional design. Data was collected from 233 girls aged 12~14 years with a self-reported questionnaire. With multiple regression analysis, the factors associated with the weight bias internalization of the girls in early adolescence were analyzed. Results: Of psychosocial factors, fear to fat (anti-fat attitude) (β=.43, p<.001) was associated with the weight bias internalization of the girls in early adolescence. In addition, attachment with teachers (β=-.11, p=.029) of an interpersonal factor and perceived socio-cultural pressure regarding weight control (β=.34, p<.001) of a contextual factor were associated with the weight bias internalization of the girls in early adolescence. Conclusion: For releasing the weight bias internalization of the girls in early adolescence, decreasing anti-fat attitude and socio-cultural pressure regarding weight control should be primarily required through social efforts including community and school based interventions.

Factors Associated with Metabolic Abnormalities in None-Obese and Obese Postmenopausal Women

라진숙 대한산업경영학회 2024 산업융합연구 Vol.22 No.6

This study aimed to identify factors associated with metabolic abnormalities in non-obese and obese postmenopausal women based on biopsychosocial model. Secondary data analysis was conducted using data from 5,335 postmenopausal women who participated in the Korean National Health and Nutrition Examination Survey (2015–2021). According to logistic analysis with applying a complex simple analysis in SPSS 26.0, biomedical (increased age; a family history of hypertension, type 2 diabetes, dyslipidemia, and cardiovascular diseases) and biosocial factors (low educational level) were associated with 1-2 metabolic abnormalities and metabolic syndrome, regardless of adiposity. Additionally, low familial socioeconomic status and prolonged sedentary behaviors were the biosocial and psychosocial factors associated with metabolic syndrome regardless of adiposity. Finally, insufficient physical activity was associated with metabolic syndrome in obese postmenopausal women. Based on these results, tailored strategies should be developed considering the significant factors associated with metabolic abnormalities and adiposity in postmenopausal women.

영아 어머니의 과도한 수유 관련 요인

라진숙,정연희,김순옥 한국아동간호학회 2020 Child Health Nursing Research Vol.26 No.2

Purpose: This study aimed to identify factors-both infant-related and maternal-associated with pressure to eat as a feeding practice among mothers with infants. Methods: This study used a cross-sectional design and included 163 mothers of infants aged 2~12 months. Of the 180 self-reported questionnaires that were distributed, 163 (91%) were included in the data analysis. Multiple regression analysis was used to identify the factors associated with pressure to eat as a feeding practice among the mothers. Results: Infant’s temperament (β=-.17, p=.035), mother’s body mass index (β=-.16, p=.048), and concern about the infant being underweight (β=.30, p=.001) were associated with pressure to eat as a feeding practice among mothers. The explanatory power of these variables in the predictive model was 19.2%. Conclusion: Educational programs should be developed for improving mother’s awareness of cues from infants with difficult temperament. In addition, educational interventions regarding the correct evaluation of infant’s weight are needed to relieve mother’s concern about their infant’s being underweight. These interventions might be helpful to reduce the prevalence of pressure to eat as a feeding practice among mothers with infants.

저소득층 학령기 아동의 신체활동과 대사증후군 영향요인

라진숙,강문희 한국모자보건학회 2015 한국모자보건학회지 Vol.19 No.1

Purpose: The purpose of this study was to explore physical activity and metabolic syndromerelated factors on low income school aged children. Methods: Cross-sectional descriptive design was conducted to recruit a convenience sample of102 participants from income school age (10~12 years) children attending at community childcenters in D metropolitan city and C province. The collected data were analyzed using t-test, χ2-test and multiple regression with the SPSS/WIN 21.0. Results: Low income children showed low level of physical activity measured by pedometer. Theoverall prevalence of Mets for low income children (10~12 years) was 10.8% by Ohzeki et al. (2011) definition, which was significantly difference by BMI (%). The highest proportion of lowincome children with the metabolic abnormalities was waist circumstance. Metabolic syndrome wascorrelated with physical activity of low income children. In multiple regression analysis, influencingfactors on metabolic syndrome were BMI (%) and physical activity and they accounted for 54.4%of variance in metabolic syndrome. Conclusion: This study shows that obesity and physical activity are important predictors of metabolicsyndrome of low income school aged children. Therefore, there is a need for the developmentof strategy and intervention program to manage obese and physical activity for this population.

초기 여자 청소년의 체중 관련 사회적 압력과 신체 이미지 사이 청소년-교사의 애착관계가 미치는 조절효과

라진숙 한국모자보건학회 2020 한국모자보건학회 학술대회 연제집 Vol.2020 No.-

Purpose: 부정적인 신체이미지는 사춘기로 인한 체형의 변화와 체중증가를 경험하고 사회적인 평가에 민감하게 반응하는 초기 여자 청소년에게서 나타나기 쉽다. 부정적인 신체 이미지는 체형이나 체중에 대한 왜곡된 인식으로 인해 발생하며, 이는 적정 체중 유지에 대한 사회적 압력 인식과 관련성이 높다. 그리나 일부 선행연구에서 체중 유지에 대한 부담감이 높아도 의미 있는 관계에 있는 사람들과 애착이 높은 경우 왜곡된 체중 인식 및 부정적인 신체상의 수준이 감소하는 것으로 나타났다. 우리나라의 경우, 청소년이 학교에 머무르는 시간이 길고 교사는 학습 및 생활 지도 전반에 관여 하므로, 청소년과 교사간 애착관계가 높은 경우 체중 관련 사회적 압력에 대한 인식이 높아도 체중 편향 내재화가 유의하게 증가하지 않을 것이라 여겨진다. 본 연구의 목적은 초기 여자 청소년의 체중 관련 사회적 압력과 체중편향 내재화 사이에서 청소년-교사 애착관계의 조절효과를 확인하는 것이다. Methods: 연구 디자인을 위하여 서술적 상관 관계 연구방법을 이용하였다. 연구대상자는 광역도시와 중소 도시 소재2개 중학교에서 편의 표집한 11~14세 여자 중학생 468명이다. 자가기입 설문지 방법을 사용하여 신체상, 체중관련 사회적 압력, 및 청소-교사의 애착을 조사하였다. 조절효과 확인을 위하여 다중회귀분석과 simple slope analysis를 수행하였다. Results: 체중 편견 내재화는 체형 관련 사회적 압력이 증가할수록 유의하게 증가한 반면 (t = 2.62, p = .0092), 청소년-교사의 애착이 강할수록 감소하였다(t = 4.42, p < .001). 또한 체중 관련 사회적 압력과 청소년 교사의 애착은 유의한 상호작용 효과 (interaction effect)를 보였다(t = -2.38, p = .0177). 즉, 청소년-교사의 애착이 평균보다 높을 때 체형 관련사회적 압력이 증가하여도 체중편견 내재화는 유의하게 증가하지 않았다 (b = 0.02, t = 0.44, p = .6635). 반대로 청소년-교사의 애착이 평균보다 낮을 때는 체형관련 압력이 증가하면 체중 편견 내재화도 유의하게 증가하였다(b = 0.13, t= 3.43, p = .0007). Conclusion: 청소년-교사와의 긍정적인 관계 개선과 나아가 애착형성은 초기 야자 청소년의 긍정적 신체상 수립에 도움을 줄 수 있을 것이다.

Factors associated with the combination of general and abdominal obesity in middle-aged and older Korean women: a cross-sectional study

라진숙 질병관리본부 2023 Osong Public Health and Research Persptectives Vol.14 No.5

Objectives: To identify factors associated with general and abdominal obesity in middle-aged and older Korean women based on the biopsychosocial model. Methods: Data from 4,076 women aged ≥45 years who participated in the Korea National Health and Nutrition Examination Survey from 2015 to 2020 were analyzed. Complex sampling analysis was performed using IBM SPSS ver. 26.0. Results: The combination of general and abdominal obesity was positively associated with age ≥65 years, postmenopausal status, and without breastfeeding experience among biomedical factors; depressive symptoms and prolonged (≥8 hours a day) sedentary behavior among psychosocial factors; and an educational level lower than middle or high school graduation and the first and second income quantiles among biosocial factors. Conclusion: Healthcare providers in communities and public societies should screen for risk factors for the combination of general and abdominal obesity while considering non-modifiable biomedical (e.g., age) and biosocial factors (e.g., educational level). In addition, intervention strategies should be developed by considering modifiable psychosocial factors such as sedentary behavior.