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Original Articles
Association between Falls and Nutritional Status of Community-Dwelling Elderly People in Korea
Ah-Ra Jo, Mi-Jeong Park, Byung-Gue Lee, Young-Gyun Seo, Hong-Ji Song, Yu-Jin Paek, Kyung-Hee Park, Hye-Mi Noh
Korean J Fam Med 2020;41(2):111-118.   Published online March 19, 2020
DOI: https://doi.org/10.4082/kjfm.18.0112
Background
Malnutrition is a well-known risk factor of falls, although studies examining the association between nutritional status and falls are rare. We aimed to investigate the association between nutritional status and falls according to gender among Korean older adults.
Methods
The study included 10,675 participants (4,605 men and 6,070 women) aged 65 years and older and used data from the 2011 Survey of Living Conditions and Welfare Needs of Korean Older Persons. Nutritional status of the participants was assessed using the Nutritional Screening Initiative checklist, and the participants were categorized into the following groups: “good,” “moderate nutritional risk,” and “high nutritional risk.” Odds ratios (OR) of fall risk in the above groups based on gender were evaluated using multivariate logistic regression analyses.
Results
Fallers in both genders showed significant association with older age, lower household income, inadequate exercise, and poor nutritional status compared with non-fallers. Considering the good nutritional status group as the reference group, the high nutritional risk group showed a higher risk of falls in men (OR, 1.59; 95% confidence interval [CI], 1.26–1.99); both moderate and high nutritional risk groups showed a higher risk of falls after adjusting for confounding factors in women (OR, 1.39; 95% CI, 1.19–1.62 and OR, 1.90; 95% CI, 1.61–2.24, respectively).
Conclusion
The risk of falls was associated with poor nutritional status, and statistical significance of the association between nutritional status and falls was stronger in women than in men.

Citations

Citations to this article as recorded by  
  • Mapping sex and gender differences in falls among older adults: A scoping review
    Crista Sebastiani, Jamie Yee Xin Wong, Amandeep Litt, Julia Loewen, Karly Reece, Nicole Conlin, Tessa Dunand, Manuel Montero Odasso, Cassandra D'Amore, Stephanie Saunders, Marla Beauchamp
    Journal of the American Geriatrics Society.2024; 72(3): 903.     CrossRef
  • Temporal trends and the association between self-rated oral health and falls in community-dwelling older adults in South Korea: a secondary analysis of survey data
    Hyun-Ju Seo, Soon-Ki Ahn, Min-Jung Choi
    BMJ Open.2024; 14(4): e081549.     CrossRef
  • Age and Gender Differences in Fall-Related Factors Affecting Community-Dwelling Older Adults
    Minhee SUH, Da Hye KIM, Insook CHO, Ok Kyung HAM
    Journal of Nursing Research.2023; 31(2): e270.     CrossRef
  • Development of a protein energy malnutrition screening tool for older Thais in public residential homes
    Thitima Phodhichai, Warapone Satheannoppakao, Mathuros Tipayamongkholgul, Carol Hutchinson, Siriphan Sasat
    Public Health Nutrition.2022; 25(3): 565.     CrossRef
  • Current status of nutrient intake in Korea: focused on macronutrients
    Seung-Won Oh
    Journal of the Korean Medical Association.2022; 65(12): 801.     CrossRef
  • 7,142 View
  • 117 Download
  • 5 Web of Science
  • 5 Crossref
Association between Alcohol Consumption and Metabolic Syndrome Determined by Facial Flushing in Korean Women
Yu Ri Seo, Jong Sung Kim, Sung Soo Kim, Jin Gyu Jung, Seok Jun Yoon
Korean J Fam Med 2021;42(1):24-30.   Published online February 14, 2020
DOI: https://doi.org/10.4082/kjfm.19.0141
Background
This study aimed to examine the relationship between alcohol consumption and metabolic syndrome in Korean women as determined by facial flushing.
Methods
Of the female patients aged <65 years who visited the health promotion center at Chungnam National University Hospital from January 2016 to March 2017, 1,344 women were included. After adjusting for confounding factors such as age, body mass index, smoking, exercise, and menopausal status, multiple logistic regression analysis was performed to assess the association between alcohol consumption and the risk of metabolic syndrome in the facial flushing and non-facial flushing groups compared with the non-drinkers.
Results
Even after adjusting for confounding factors, the risk of metabolic syndrome was significantly high in all drinking subgroups (≤2 standard drinks: odds ratio [OR], 1.68; 95% confidence interval [CI], 1.10–2.68; 2<, ≤4 standard drinks: OR, 2.48; 95% CI, 1.29–4.74; and >4 standard drinks: OR, 4.16; 95% CI, 2.03–8.30) of the facial flushing group. The risk of metabolic syndrome was significantly high only in the subgroup of weekly alcohol consumption >4 standard drinks (OR, 2.20; 95% CI, 1.07–4.52) in the non-facial flushing group.
Conclusion
This study suggests that Korean women experiencing facial flushing when drinking have a higher risk of developing metabolic syndrome even with a low weekly drinking amount than those who do not experience face flushing.

Citations

Citations to this article as recorded by  
  • Microbiota for production of wine with enhanced functional components
    Armachius James, Ting Yao, Hengming Ke, Yousheng Wang
    Food Science and Human Wellness.2023; 12(5): 1481.     CrossRef
  • Current Status of Korean Alcohol Drinking in Accordance with the Korean Alcohol Guidelines for Moderate Drinking Based on Facial Flushing
    Sami Lee, Jihan Kim, Jong Sung Kim
    Korean Journal of Family Medicine.2023; 44(3): 129.     CrossRef
  • Association between Alcohol Consumption and Metabolic Dysfunction-Associated Steatotic Liver Disease Based on Alcohol Flushing Response in Men: The Korea National Health and Nutrition Examination Survey 2019–2021
    Dae Eon Kang, Si Nae Oh
    Nutrients.2023; 15(18): 3901.     CrossRef
  • Alcohol and Testosterone Deficiency in People Who Experience Facial Flushes
    Jungun Lee
    Korean Journal of Family Medicine.2022; 43(6): 345.     CrossRef
  • Relationship between Alcohol Consumption and Testosterone Deficiency according to Facial Flushes among Middle-Aged and Older Korean Men
    Kyungmi Koh, Sung Soo Kim, Jong-Sung Kim, Jin-Gyu Jung, Seok-Joon Yoon, Won Yoon Suh, Hyun Gu Kim, Namhee Kim
    Korean Journal of Family Medicine.2022; 43(6): 381.     CrossRef
  • Does the Risk for Diabetes Related with Alcohol Drinking Depend on Facial Flushing?
    Soo Young Kim
    Korean Journal of Family Medicine.2020; 41(3): 137.     CrossRef
  • National Health Examination Metabolic Syndrome Item and Health Behavior Analysis
    Hyung-yeol Choi, Chang-hyun Jang, Soo-yeon Kim
    The Asian Journal of Kinesiology.2020; 22(4): 1.     CrossRef
  • 7,707 View
  • 161 Download
  • 6 Web of Science
  • 7 Crossref
Shift Work Is Associated with Metabolic Syndrome in Young Female Korean Workers
Kyoung Hwa Yu, Yu Hyeon Yi, Yun Jin Kim, Byung Mann Cho, Sang Yeoup Lee, Jeong Gyu Lee, Dong Wook Jeong, So Yeon Ji
Korean J Fam Med 2017;38(2):51-56.   Published online March 22, 2017
DOI: https://doi.org/10.4082/kjfm.2017.38.2.51
Background

Shift work is associated with health problems, including metabolic syndrome. This study investigated the association between shift work and metabolic syndrome in young workers.

Methods

A total of 3,317 subjects aged 20–40 years enrolled in the 2011–2012 Korean National Health and Nutrition Examination Survey were divided into shift and day workers. We conducted a cross-sectional study and calculated odds ratios using multivariate logistic regression analysis in order to examine the association between shift work and metabolic syndrome.

Results

The prevalence of metabolic syndrome was 14.3% and 7.1% among male and female shift workers, respectively. After adjusting for confounding factors, shift work was associated with metabolic syndrome in female workers (odds ratio, 2.53; 95% confidence interval, 1.12 to 5.70).

Conclusion

Shift work was associated with metabolic syndrome in young women. Timely efforts are necessary to manage metabolic syndrome in the workplace.

Citations

Citations to this article as recorded by  
  • Association between circadian rhythm-disturbing factors and metabolic syndrome in Korean adults: Korea National Health and Nutrition Examination Survey (2016–2020)
    Sujin Lee, Junhee Park, Hyunjin Cho, Jun Hyun Yoo
    Korean Journal of Family Medicine.2025; 46(3): 162.     CrossRef
  • Cumulative circadian disruption factors and metabolic syndrome
    Jungun Lee
    Korean Journal of Family Medicine.2025; 46(3): 125.     CrossRef
  • Association between metabolic risk, oxidative stress and psychological parameters amongst sample of nurses working in Doha, Qatar
    Kirti S. Prabhu, Ummu Habeeba, Mohammad Usman Asad Rahman, Maria Salvador Perez, Salam AlMoghrabi Ramirez, Bilal Uddin Khan, Shilpa Kuttikrishnan, John Paul Ben Tabar Silang, Noora Ahmed Kh A. Al Kaabi, Abdul Quaiyoom Khan, Afsheen Raza, Mohamed Izham Moh
    Clinical Epidemiology and Global Health.2025; 34: 102088.     CrossRef
  • Night-shift work and its association with metabolic syndrome
    Shih-Chieh Lin, Wei-Chung Yeh, Zhu-Xuan Liu, Hui-Fang Hsu, Jau-Yuan Chen
    Medicine.2025; 104(31): e43598.     CrossRef
  • AGE, HEAT STRESS, AND SHIFT WORK AS DETERMINANTS OF METABOLIC SYNDROME IN INDUSTRIAL WORKERS: A CROSS-SECTIONAL STUDY
    S. MOHAMMADI, Y. LABBAFINEJAD, E.I. BAGHERI, M. ALAEI JANAT-MAKAN, M. AKBARI, M. CHINICHIAN, N. KASSIRI
    AVICENNA BULLETIN.2025; 27(3): 593.     CrossRef
  • Multimorbidity and its Associated Factors in Korean Shift Workers: Population-Based Cross-Sectional Study
    Hye Chong Hong, Young Man Kim
    JMIR Public Health and Surveillance.2024; 10: e55014.     CrossRef
  • Association between Sleep Duration, Social Jetlag, and the Metabolic Syndrome by Shift Works
    Minjung Kyung, Sungwon Park, Chang Gi Park, OiSaeng Hong
    International Journal of Environmental Research and Public Health.2024; 21(6): 668.     CrossRef
  • Association between Shift Work and Metabolic Syndrome: A 4-Year Retrospective Cohort Study
    Byeong-Jin Ye
    Healthcare.2023; 11(6): 802.     CrossRef
  • Sexual dimorphism in the response to chronic circadian misalignment on a high-fat diet
    Seán T. Anderson, Hu Meng, Thomas G. Brooks, Soon Yew Tang, Ronan Lordan, Arjun Sengupta, Soumyashant Nayak, Antonijo Mřela, Dimitra Sarantopoulou, Nicholas F. Lahens, Aalim Weljie, Gregory R. Grant, Frederic D. Bushman, Garret A. FitzGerald
    Science Translational Medicine.2023;[Epub]     CrossRef
  • Relationship between rotating shift work and white blood cell count, white blood cell differential count, obesity, and metabolic syndrome of nurses
    Wen-Pei Chang, Yen-Kuang Lin
    Chronobiology International.2022; 39(2): 159.     CrossRef
  • Metabolic syndrome and its relationship with shift work in petrochemical workers
    Payam Rashnuodi, Davood Afshari, Gholam Abbas Shirali, Arman Amiri, Marziye Raesi Zadeh, Ali Sahraneshin Samani
    Work.2022; 71(4): 1175.     CrossRef
  • The association between long-term night shift work and metabolic syndrome: a cross-sectional study of male railway workers in southwest China
    Chaohui Dong, Honglian Zeng, Bo Yang, Yi Zhang, Zhitao Li
    BMC Cardiovascular Disorders.2022;[Epub]     CrossRef
  • A systematic review and meta-analysis of the association between shift work and metabolic syndrome: The roles of sleep, gender, and type of shift work
    Masoud Khosravipour, Payam Khanlari, Sepideh Khazaie, Hadis Khosravipour, Habibolah Khazaie
    Sleep Medicine Reviews.2021; 57: 101427.     CrossRef
  • Association between shift work or long working hours with metabolic syndrome: a systematic review and dose–response meta-analysis of observational studies
    Yihui Wang, Li Yu, Yinyan Gao, Lili Jiang, Lin Yuan, Pengju Wang, Yanwen Cao, Xuping Song, Long Ge, Guowu Ding
    Chronobiology International.2021; 38(3): 318.     CrossRef
  • Association between shift work and risk of metabolic syndrome: A systematic review and meta-analysis
    Xingjin Yang, Wencheng Di, Yunhong Zeng, Dechen Liu, Minghui Han, Ranran Qie, Shengbing Huang, Yang Zhao, Yifei Feng, Dongsheng Hu, Liang Sun
    Nutrition, Metabolism and Cardiovascular Diseases.2021; 31(10): 2792.     CrossRef
  • Association between metabolic syndrome and shift work in chemical plant workers
    Seong-Ryol Chai, Soon-Chan Kwon, Yong-Jin Lee, Eun-Chul Jang, Young-Sun Min, Su-yeon Lee
    Annals of Occupational and Environmental Medicine.2021;[Epub]     CrossRef
  • Is Shift Work Sleep Disorder a Risk Factor for Metabolic Syndrome and Its Components? A Systematic Review of Cross-Sectional Studies
    Arpita Shah, Arifa Turkistani, Kanita Luenam, Sayma Yaqub, Patricia Ananias, Arunima Mariya Jose, Joao Pedro Melo, Lubna Mohammed
    Metabolic Syndrome and Related Disorders.2021;[Epub]     CrossRef
  • Metabolic syndrome: Association between prevalence and risk at worksites
    Michiru Kakinuma, Hiroo Ide, Kyoko Nakao, Daisuke Ichikawa, Ryozo Nagai, Yuji Furui
    Archives of Environmental & Occupational Health.2020; 75(4): 226.     CrossRef
  • Association between Dietary Habits, Shift Work, and the Metabolic Syndrome: The Korea Nurses’ Health Study
    Heeja Jung, Hyunju Dan, Yanghee Pang, Bohye Kim, Hyunseon Jeong, Jung Eun Lee, Oksoo Kim
    International Journal of Environmental Research and Public Health.2020; 17(20): 7697.     CrossRef
  • Shift work and metabolic syndrome: A multi‑center cross‑sectional study on females of reproductive age
    Maryam Nikpour, Aram Tirgar, Mahmod Hajiahmadi, Akram Hosseini, Behzad Heidari, Fatemeh Ghaffari, Abbas Ebadi, Fatemh Nasiri, Mojgan Firouzbakht
    Biomedical Reports.2019;[Epub]     CrossRef
  • Association between Metabolic Syndrome and Job Rank
    Ramin Mehrdad, Gholamreza Pouryaghoub, Mahboubeh Moradi
    The International Journal of Occupational and Environmental Medicine.2018; 9(1): 45.     CrossRef
  • The Relationship between Workplace Environment and Metabolic Syndrome
    Hwee-Soo Jeong
    The International Journal of Occupational and Environmental Medicine.2018; 9(4): 176.     CrossRef
  • Circadian and Metabolic Effects of Light: Implications in Weight Homeostasis and Health
    Santiago A. Plano, Leandro P. Casiraghi, Paula García Moro, Natalia Paladino, Diego A. Golombek, Juan J. Chiesa
    Frontiers in Neurology.2017;[Epub]     CrossRef
  • Shift Work and Health Problems
    Jungun Lee
    Korean Journal of Family Medicine.2017; 38(2): 49.     CrossRef
  • 7,308 View
  • 74 Download
  • 24 Web of Science
  • 24 Crossref
Prevalence and Predictive Factors of Sexual Dysfunction in Iranian Women: Univariate and Multivariate Logistic Regression Analyses
Ashraf Direkvand-Moghadam, Zainab Suhrabi, Malihe Akbari, Azadeh Direkvand-Moghadam
Korean J Fam Med 2016;37(5):293-298.   Published online September 21, 2016
DOI: https://doi.org/10.4082/kjfm.2016.37.5.293
Background

Female sexual dysfunction, which can occur during any stage of a normal sexual activity, is a serious condition for individuals and couples. The present study aimed to determine the prevalence and predictive factors of female sexual dysfunction in women referred to health centers in Ilam, the Western Iran, in 2014.

Methods

In the present cross-sectional study, 444 women who attended health centers in Ilam were enrolled from May to September 2014. Participants were selected according to the simple random sampling method. Univariate and multivariate logistic regression analyses were used to predict the risk factors of female sexual dysfunction. Diffe rences with an alpha error of 0.05 were regarded as statistically significant.

Results

Overall, 75.9% of the study population exhibited sexual dysfunction. Univariate logistic regression analysis demonstrated that there was a significant association between female sexual dysfunction and age, menarche age, gravidity, parity, and education (P<0.05). Multivariate logistic regression analysis indicated that, menarche age (odds ratio, 1.26), education level (odds ratio, 1.71), and gravida (odds ratio, 1.59) were independent predictive variables for female sexual dysfunction.

Conclusion

The majority of Iranian women suffer from sexual dysfunction. A lack of awareness of Iranian women's sexual pleasure and formal training on sexual function and its influencing factors, such as menarche age, gravida, and level of education, may lead to a high prevalence of female sexual dysfunction.

Citations

Citations to this article as recorded by  
  • Translation and investigation of the psychometric properties of the revised female sexual distress scale among Iranian couples
    Roghieh Bayrami, Hamid Sharif-Nia, Roksana Janghorban, Daniz Montakhabi Oskuii, Esmaeil Hoseinzadeh
    Scientific Reports.2025;[Epub]     CrossRef
  • Machine learning driven biomarker selection for medical diagnosis
    Divyagna Bavikadi, Ayushi Agarwal, Shashank Ganta, Yunro Chung, Lusheng Song, Ji Qiu, Paulo Shakarian, John Adeoye
    PLOS One.2025; 20(6): e0322620.     CrossRef
  • Função sexual durante o período gestacional: um estudo transversal
    Jamile Monteiro De Andrade, Elisa Helena Borges Filgueira, Amannda Gabrielle da Cruz Silva, Bárbara Gabrielle Morais Maciel, Hayandra Ferreira Dias Mota, Mariana Cecchi Salata
    Health Residencies Journal.2025;[Epub]     CrossRef
  • Predicting 28-day all-cause unplanned hospital re-admission of patients with alcohol use disorders: a machine learning approach
    Jingxiang Zhang, Siyu Qian, Guoxin Su, Chao Deng, David Reid, Barbara Sinclair, Ping Yu
    Alcohol and Alcoholism.2025;[Epub]     CrossRef
  • Sexual dysfunction, marital relationship, and subjective quality of life among women with schizophrenia: Analytical case-control study
    Puja Kumari, Rajesh Kumar, Jitendra Rohilla
    Indian Journal of Psychiatry.2024; 66(3): 280.     CrossRef
  • The effect of rose damascene extract on anxiety and sexual function of breastfeeding women: a randomized controlled trial
    Gohar Akbarzadeh, Parvin Abedi, Shayesteh Jahanfar, Hossein Sadeghi Mansurkhani, Ahmad Fakhri, Elham Maraghi
    Frontiers in Medicine.2024;[Epub]     CrossRef
  • Sexual myths during pregnancy: a comparative study
    Hüsniye Dinç Kaya, Tülay Yılmaz, Sevil Günaydın, Emine Nur Çalımlı, Elham Sadeghi
    Journal of Obstetrics and Gynaecology.2022; 42(4): 587.     CrossRef
  • Impact of pelvic floor muscle strength on female sexual function: retrospective multicentric cross-sectional study
    Luísa Pasqualotto, Cássio Riccetto, Ana Flávia Biella, Joseane Marques, Larissa Carvalho Pereira, Fabíola Kênia Alves, Anna Lygia Barbosa Lunardi, Délcia Barbosa de Vasconcelos Adami, Anita Nagib, Natalia Martinho, Adriana Piccini, Tirza Sathler, Valeria
    International Urogynecology Journal.2022; 33(6): 1591.     CrossRef
  • The Effect of the PLISSIT Model on Sexual Functions: A Systematic Review
    Serap KIRICI, Emel EGE
    Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi.2021; 3(3): 199.     CrossRef
  • Sexual functions in pregnancy: different situations in near geography:a case study on Turkey, Iran and Greece
    Mahide Demireloz Akyuz, Esin Ceber Turfan, Serap Cetintas Oner, Tugce Sakar, Dilek Mamik Aktay
    The Journal of Maternal-Fetal & Neonatal Medicine.2020; 33(2): 222.     CrossRef
  • Effects ofWithania somniferaon Reproductive System: A Systematic Review of the Available Evidence
    Ramin Nasimi Doost Azgomi, Afshar Zomorrodi, Hossein Nazemyieh, Seyed Mohammad Bagher Fazljou, Homayoun Sadeghi Bazargani, Fatemeh Nejatbakhsh, Arezoo Moini Jazani, Yadollah Ahmadi AsrBadr
    BioMed Research International.2018; 2018: 1.     CrossRef
  • 5,660 View
  • 38 Download
  • 10 Web of Science
  • 11 Crossref
Development of a Simple Tool for Identifying Alcohol Use Disorder in Female Korean Drinkers from Previous Questionnaires
Yu Ri Seo, Jong Sung Kim, Sung Soo Kim, Seok Joon Yoon, Won Yoon Suh, Kwangmi Youn
Korean J Fam Med 2016;37(1):18-24.   Published online January 27, 2016
DOI: https://doi.org/10.4082/kjfm.2016.37.1.18
Background

This study aimed to develop a simple tool for identifying alcohol use disorders in female Korean drinkers from previous questionnaires.

Methods

This research was conducted on 400 women who consumed at least one alcoholic drink during the past month and visited the health promotion center at Chungnam National University Hospital between June 2013 to May 2014. Drinking habits and alcohol use disorders were assessed by structured interviews using the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition diagnostic criteria. The subjects were also asked to answer the Alcohol Use Disorders Identification Test (AUDIT), AUDIT-Consumption, CAGE (Cut down, Annoyed, Guilty, Eye-opener), TWEAK (Tolerance, Worried, Eye-opener, Amnesia, Kut down), TACE (Tolerance, Annoyed, Cut down, Eye-opener), and NET (Normal drinker, Eye-opener, Tolerance) questionnaires. The area under receiver operating characteristic (AUROC) of each question of the questionnaires on alcohol use disorders was assessed. After combining two questions with the largest AUROC, it was compared to other previous questionnaires.

Results

Among the 400 subjects, 58 (14.5%) were identified as having an alcohol use disorder. Two questions with the largest AUROC were question no. 7 in AUDIT, "How often during the last year have you had a feeling of guilt or remorse after drinking?" and question no. 5 in AUDIT, "How often during the past year have you failed to do what was normally expected from you because of drinking?" with an AUROC (95% confidence interval [CI]) of 0.886 (0.850–0.915) and 0.862 (0.824–0.894), respectively. The AUROC (95% CI) of the combination of the two questions was 0.958 (0.934–0.976) with no significant difference as compared to the existing AUDIT with the largest AUROC.

Conclusion

The above results suggest that the simple tool consisting of questions no. 5 and no. 7 in AUDIT is useful in identifying alcohol use disorders in Korean female drinkers.

Citations

Citations to this article as recorded by  
  • Screening for Alcohol Use in Pregnancy: a Review of Current Practices and Perspectives
    Danijela Dozet, Larry Burd, Svetlana Popova
    International Journal of Mental Health and Addiction.2023; 21(2): 1220.     CrossRef
  • 5,630 View
  • 28 Download
  • 1 Web of Science
  • 1 Crossref
Usefulness of Biomarkers to Screen Heavy Drinking in Korean Females.
Sang Wook Choi, Jong Sung Kim, Jin Gyu Jung, Sung Soo Kim, Seong Min Kim, Chul Sun Lim, Sun Hee Lee
J Korean Acad Fam Med 2008;29(6):412-417.   Published online June 10, 2008
Background
The present study purposed to evaluate the clinical usefulness of biological indicators in identifying Korean female heavy drinkers. Methods: Fifty five drinking women were selected among those who visited the Department of Family Medicine of Chungnam National University Hospital during the period from January to December 2006. We surveyed the alcohol intake during the recent one month. The correlation of alcohol intake with %CDT (carbohydrate- deficient transferrin), mean corpuscular volume (MCV), gamma glutamyl transferase (ՃGT), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) was examined. The sensitivity, specificity, positive predictive value, negative predictive value and ROC (receiver operating characteristic) curve of the biomarkers for heavy drinking (more than 7 drinks per week, one drink= 14 g of alcohol) were also investigated. Results: The mean weekly alcohol intake showed a significant positive correlation with %CDT (r=0.583, P< 0.01), MCV (r=0.290, P<0.05) and AST (r=0.423, P<0.01). The sensitivity of %CDT, MCV, ՃGT, AST and ALT to heavy drinking were 66.7%, 13.3%, 40.0%, 26.7% and 26.7%, respectively, and the specificity 80.0%, 97.4%, 71.1%, 90.0% and 85.0%, respectively, and positive predictive values 55.6%, 66.6%, 35.3%, 50.0% and 40.0%, respectively, and negative predictive values 86.5%, 74.5%, 75.0%, 76.6% and 75.6%, respectively. The areas under the ROC curve (95% confidence interval) of %CDT, MCV, ՃGT, AST and ALT were 0.873 (0.780∼0.966), 0.806 (0.668∼0.944), 0.549 (0.372∼0.725), 0.519 (0.328∼0.710) and 0.479 (0.293∼0.666), respectively. Conclusion: %CDT is considered as the most useful marker for identifying Korean female heavy drinkers.(J Korean Acad Fam Med 2008;29:412-417)
  • 1,585 View
  • 10 Download
The Relationship between Waist Circumference/Height Ratio and Risk Factors of Cardiovascular Disease in Obese Females.
Seok Won Kim, Jae Hyeon Kwon, Jung Geum Yoon, Hyuck Ki Lee, Keun Mi Lee, Seung Pil Jung
J Korean Acad Fam Med 2004;25(10):740-745.   Published online October 10, 2004
Background
: In this study we estimated the prevalence of cardiovascular (CV) risk factors according to waist-to- height ratio (W/Ht ratio) in adult obese women to ensure the importance of abdominal obesity and determined the usefulness of W/Ht ratio as a index of abdominal obesity in adult obese women.

Methods : The study subjects were 190 adult obese women who visited an obesity clinic from August, 2001 to January, 2003. They were divided into 4 groups: Group 1; BMI<30, W/Ht<0.6, Group 2; BMI<30, W/Ht≥0.6, Group 3; BMI≥30, W/Ht<0.6, and Group 4; BMI≥30, W/Ht≥0.6. In each group, we compared the prevalence and odds ratio for CV risk factors.

Results : In obese group, the prevalence of high blood glucose (P<0.01), hypertriglyceridemia (P<0.01) were significantly higher in group 2 than group 1. In high obese group, the prevalence of systolic hypertension (P<0.01), high blood glucose (P<0.01), hypercholesterolemia (P<0.01), hypertriglyceridemia (P<0.05), and high LDL-cholesterol were significantly higher in group 4 than group 3. When odds ratio for each group with reference to group 1 were compared after adjusting for age, high blood glucose (4.48), and hypertriglyceridemia (6.10) in group 2, and systolic hypertension (2.69), high blood glucose (3.02), and hypertriglyceridemia (4.00) in group 4 were significantly higher.

Conclusion : The prevalence of CV risk factors were likely to be increased in higher W/Ht group independently to BMI. W/Ht ratio can be a simple, useful index for abdominal obesity and its related risk factors not only in adult males but also in adult obese women.
  • 1,601 View
  • 26 Download
Identification of Related Factors of Female Sexual Function in Family Medicine Outpatients.
Sang Yeon Suh, Taek Soo Shin, Taiwoo Yoo, Bong Yul Huh
J Korean Acad Fam Med 2003;24(8):721-730.   Published online August 10, 2003
Background
: Female sexual function is influenced by much more factors than that of male and has a close relationship with psychosocial factors. A satisfying sex life has a high correlation to a happy married life. A questionnaire provides easy access to private matters and in a multidimensional manner. The objective of this study was to identify the factors related to female sexual function to help sexual adjustment in marriage.

Methods : A hundred married women living with their spouses, who visited an outpatient clinic of family medicine department of a university hospital in Seoul were studied. After filling out the self-administered questionnaire, a face-to-face interview was done on all study subjects. For multivariate analysis of the related factors, the outcome variables were a binary response of the normal female sexual cycle ?drive, lubrication, orgasm, and satisfaction.

Results : The multivariate analysis showed that the household income was a significant factor related to Drive (Odds Ratio: OR=0.6, 95% Confidence Interval: CI 0.4∼0.9). Age was a significant factor related to Insufficient Lubrication (OR=1.1, 95% CI 1.0∼1.3). Insufficient foreplay was a risk factor for Insufficient Lubrication (OR= 2.4, P=0.052). In multivariate analysis of the Orgasm related factors, the perceived health status showed an OR of 7.1 (95% CI 1.5∼32.6) and both marital satisfaction and open communication showed an OR of 6.0 (95% CI 1.3∼26.8) and an OR of 5.8 (95% CI 1.2∼28.2), respectively. The significant related factors to Satisfaction were in order of importance of sex life, education, and open communication, with an OR of 3.6 (95% CI 1.7∼7.6), 2.5 (95% CI 1.1∼5.9), and 2.0 (95% CI 1.0∼3.8), respectively.

Conclusion : The positively related factors to female sexual function were good perceived health status, high marital satisfaction, placing importance in sex life, and open communication regarding sexual matters. Increasing age and household income were found to be factors adverse to female sexual function.
  • 1,406 View
  • 16 Download
Influence of HMG-CoA Reductase Inhibitors on Bone Mass in Postmenopausal Women.
Sang Yeoup Lee, Yun Jin Kim
J Korean Acad Fam Med 2003;24(5):451-455.   Published online May 10, 2003
Background
: It is controversial whether the use of HMG CoA reductase inhibitors (statins) is associated with an increased bone mineral density (BMD) in humans. The purpose of this study was to assess the influence of statins on BMD in Korean postmenopausal women.

Methods : Forty-four postmenopausal women (aged 54.3±5.8 years) were included. The statin users (n=24) were administered either simvastain, atorvastatin, pravastatin, or lovastatin. The control group (n=20) did not take statins. BMD of the spine were measured by dual-energy X-ray absorptiometry. Alkaline phosphatase (ALP) was tested as a bone marker. The data were analysed with two-sample t test and paired t-test.

Results : The mean annual spinal BMD changes of the study groups were -1.5±5.6% for statin users and -0.2±4.2% for control group. There was no statistically significant difference in mean annual spinal BMD changes (P=0.696). The mean annual ALP changes of the study groups were -5.6±18.1% for the statin users and -0.4±13.9% for the control group. There was no statistically significant difference in mean annual ALP changes (P=0.246). In each group, the spinal BMD significantly was not changed after 1 year (P>0.05).

Conclusion : This study suggest that statins do not protect from bone loss in Korean postmenopausal women.
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The Development of Female Sexual Function Questionnaire in Family Medicine Outpatients.
Sang Yeon Suh, Tai Woo Yoo, Bong Yul Huh
J Korean Acad Fam Med 2003;24(2):172-182.   Published online February 10, 2003
Background
: Currently, the high quality of life associated with women's rights is strongly supported and has become an important social issue. As a result, there is an increasing need for studies concerning female sexual function. The objectives of this study was to develop a questionnaire to evaluate sexual function evaluation in Korean women.

Methods : A total of 100 married women, who visited an outpatient clinic of family medicine department of a university hospital in Seoul, were studied. After filling out the self-administered questionnaire, a face-to- face interview was done on all study subjects. The items of this questionnaire were adopted from questionnaires with proven validity and reliability. Factor analysis was done and Crohnbach's alpha was calculated.

Results : The items of this questionnaire were classified into 5 parts: Drive, Excitement, Sexual activity, Satisfaction, and Spouse. The total variance was 51.5%. The total Crohnbach's alpha was 0.82. The internal consistency was high. Study subjects were able to complete this questionnaire within 10 minutes.

Conclusion : The validity and reliability of this female sexual function questionnaire was found to be acceptable. This questionnaire can be utilized as a diagnostic adjunctive tool and feedback for treatment through further studies.
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The relationship between physical fitness and fatigue among female employees in general hospitals.
Chan Hee Song, Jin Hee Shin, Kyoo In Chung, Keun Sang Yeum, Kyung Soo Kim
J Korean Acad Fam Med 2002;23(3):353-364.   Published online March 1, 2002
Background
: Physiological fatigue due to excessive physical activities and lack of proper rest is commonly observed among workers. Previous studies suggested that physiological fatigue can be related to individual physical fitness. This study was conducted to investigate the relationship between physical fitness and the degree of fatigue in 95 female employees in general hospitals.

Methods : Subjects were healthy adults female volunteers who were employed by two general hospitals located in Seoul and Kyunggido. The degree of fatigue using fatigue severity scale and physical fitness including % body fat, waist-hip ratio, maximal oxygen uptake, both grip strengths, back muscle strength, sit ups, flexibility, and broad jump were assessed. Data were strengths, back muscle strength, sit ups, flexibility, and broad jump were assessed. Data were analysed to examine the relationship between the degree of fatigue and each physical fitness.

Results : 1. Fatigue severity scale was significantly increased with increasing age and commuting time. Drinking alcohol was significantly related to increased fatigue severity scale.
2. Fatigue severity scale was significantly decreased with increasing number of family members and length of service.
3. Fatigue severity scale was significantly decreased with increasing both grip strengths, maximal O₂uptake, and sit ups.

Conclusion : The physical fitness factors including both grip strengths, maximal O₂uptake, and sit ups were considered to be important predictors in the evaluation of the degree of physiological fatigue.
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