| Jung Un Lee | 6 Articles |
Background
Attention deficit hyperactivity disorder (ADHD) is caused by multiple risk factors and accompany many problems. This study aimed to analyze the association of childhood obesity with ADHD and to know the related factors of ADHD.Methods: In 2006, 427 students in fourth grade were recruited from two elementary schools in Gwangmyeong city. Height and weight were measured and children's weight status was classified as normal weight, overweight and obese using the age and gender-specific BMI established by Korean Academy of Pediatrics. The Korean abbreviated Conners' parent rating scale (ACRS) was used to measure the ADHD state.Results: The obesity rate was higher in ADHD group than in non-ADHD group (P = 0.005). The Kovacs' children's depression inventory score (CDI score) of ADHD group was higher than that of non-ADHD group (P = 0.003). In ADHD group, there were many cases where students were looked after by members of the family other than the parents after school (P = 0.01). ADHD group had a tendency to have breakfast heavily (P = 0.01). The average monthly income of the parents of ADHD group was relatively higher than that of the non-ADHD group (P = 0.03), and the fathers of ADHD group tend to have night eating syndrome (P = 0.003).Conclusion: The ADHD was significantly associated with childhood obesity, and was likely to be more depressive and had different life styles than non-ADHD group. Citations Citations to this article as recorded by
Usual interstitial pneumonia (UIP) is one type of idiopathic interstitial pneumonia, characterized by its poor prognosis and gradual deterioration of clinical course. So it is important to distinguish UIP from other interstitial pneumonia. Defi nitive histological diagnosis of UIP requires lung biopsy. The criteria for diagnosis of UIP in the absence of a surgical lung biopsy were recently defi ned. We report a case of 75-year-old man who was diagnosed as bronchopneumonia with chief complaint of fever, dyspnea on fi rst visit, then fi nally diagnosed as UIP through the remaining of chest abnormality after treatment.
Medical research should be reported transparently so that readers can follow what was planned, what was done, what was found, and what conclusion was drawn. The credibility of research depends on a critical assessment by others of the strengths and weaknesses in study design, conduct, and analysis. Despite several decades of educational efforts, many researches still are not reported adequately. Therefore someinvestigators have suggested guidelines for reporting of various research results. After the initiative to improve the quality of reporting of randomized controlled trials (RCT), many other consensus across discipline for reporting guideline of meta-analysis of RCT, meta-analysis of observationstudy, case-control study, cohort study was developed. So we want to introduce family physicians various reporting guidelines that hope this report will contribute to assessing and improving the quality of reporting of medical researches.
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Background
Many clinical measures have been used to assess fall risk in elderly adults. The purpose of this study was to assess the interrelationship of maximal step length (MSL) measurement as protective strategies and risk factors of falls. Methods: The study population consisted of 149 community-dwelling people (≥60 yrs). Demographic data, depression degree (GDS-short form), fatigue degree (revised Chalder's fatigue scale) were reviewed by self-recorded questionnaire. K-MMSE, MSL, US and TUG were done when they visited our clinic. We examined whether MSL was correlated with the six leg-directions and was related to other measures to evaluate fall risk. To examine the association between MSL and other variables, we analyzed data by T-test, ANOVA and multiple regressions. Results: The MSLmean correlated highly with each leg- direction MSL (correlation coefficient, r=0.771∼0.941, P＜0.01), US (r=0.392, P＜0.01) and TUG (r=0.608, P＜0.01). The MSLmean/L (MSLmean, leg length adjusted) correlated strongly with frequent fall (P=0.005). Also, the MSLmean/L had a tendency to be low in the elderly, females, in those with regular exercise, widowed or divorced, DM, stroke, dementia suspicion, inclination toward depression, arthritis and frequent falls, but higher score on fatigue groups. Age (P＜.001), sex (P=0.001), DM (P＜.001), frequent falls (P= 0.017), dementia suspicion (P=0.016), and arthritis (P= 0.024) variables were related with MSLmean/L when we examined these variables by multiple regression analysis. Conclusion: MSL was correlated highly with other functional performance test and DM, age, sex, frequent fall, dementia suspicion, and arthritis variables for fall risk. (J Korean Acad Fam Med 2007;28:263-270)
Background
: Ideal Body Weight(IBW) is commonly used to determine obesity levels because of its usefulness as target weight. This study was attempted to evaluate the comparative consistency between standards of determining obesity levels using the BMI and IBW. And the authors here provide a definition of IBW and attempt to suggest a new classification of obesity by IBW. Methods : The test subjects for the research were 24,816 patients who received treatment at the such Health Promotion Center between May 1, 1996 and December 31, 1999. The comparative consistency between standards of determining obesity levels using the BMI and IBW were analyzed calculating the kappa value. Results : The IBW from the Broca methods produced a kappa value of 0.668(p<0.001), while the calculation method for IBW recommended by the Japan Obesity Institute produced a kappa value of 0.664(p<0.001). On the other hand, an IBW calculated as 21(kg/m2)X[height(m)]2 (kg) produced the highest value of consistency at a kappa value of 0.911(p<0.001). After calculating IBW as 21(kg/m2)X[height(m)]2 (kg) and comparing the kappa values while adjusting the boundary zone standards, it was found that defining underweight as below 88% IBW and obesity as above 145% produced the highest value of concurrence at a kappa value of 0.935(p<0.001). Conclusion : The validity and confidence with respect to the definition of IBW and the determination method for obesity as proposed by the authors may be confirmed through the methods high level of consistency [kappa value = 0.935(p<0.001)] with determination methods using the BMI.
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