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Integrating Machine Learning for Personalized Fracture Risk Assessment: A Multimodal Approach. 整合机器学习,实现个性化骨折风险评估:多模式方法
IF 1.4 Q4 PRIMARY HEALTH CARE Pub Date : 2024-11-01 Epub Date: 2024-11-20 DOI: 10.4082/kjfm.24.0134
Sheikh Mohd Saleem, Shah Sumaya Jan
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引用次数: 0
The Effect of Psychological Resilience on Cognitive Decline in Community-Dwelling Older Adults: The Korean Frailty and Aging Cohort Study. 心理复原力对社区老年人认知能力下降的影响:韩国虚弱与老龄化队列研究》(Korean Frailty and Aging Cohort Study)。
IF 1.4 Q4 PRIMARY HEALTH CARE Pub Date : 2024-11-01 Epub Date: 2024-03-25 DOI: 10.4082/kjfm.23.0145
Sunwoo Kim, Chang Won Won, Sunyoung Kim, Jung Ha Park, Miji Kim, Byungsung Kim, Jihae Ryu

Background: Chronic stress is associated with an increased risk of cognitive impairment and Alzheimer's disease. This study aimed to assess whether better coping with stress, as assessed using the Brief Resilience Scale (BRS), is associated with slower cognitive decline in community-dwelling older adults.

Methods: This study used 2018/2019 data and 2-year follow-up data from the Korean Frailty and Aging Cohort Study. Of the 3,014 total participants, we included 1,826 participants (mean age, 77.6±3.7 years, 51.9% female) who completed BRS and Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Battery and the Korean version of the Frontal Assessment Battery (FAB).

Results: Higher BRS score at baseline was associated with a lesser decline in the Mini-Mental State Examination score over 2 years after adjusting for age, sex, years of education, smoking status, hypertension, diabetes, and depression (B, 0.175; 95% confidence interval, 0.025-0.325) for 2 years, which represents global cognitive function. Other cognitive function measurements (Word List Memory, Word List Recall, Word List Recognition, Digit Span, Trail Making Test-A, and FAB) did not change significantly with the BRS score at baseline.

Conclusion: These findings suggest that better stress-coping ability, meaning faster termination of the stress response, may limit the decline in cognitive function.

背景:慢性压力与认知障碍和阿尔茨海默病的风险增加有关。本研究旨在评估使用简易复原力量表(BRS)评估的更好地应对压力是否与社区老年人认知能力下降速度减慢有关:本研究使用了韩国虚弱与老龄化队列研究的2018/2019年数据和2年随访数据。在3014名参与者中,我们纳入了1826名参与者(平均年龄为77.6±3.7岁,51.9%为女性),他们完成了BRS和韩文版阿尔茨海默病评估电池和韩文版额叶评估电池(FAB):在对年龄、性别、受教育年限、吸烟状况、高血压、糖尿病和抑郁等因素进行调整后,基线BRS得分越高,2年后的迷你精神状态检查得分下降幅度越小(B,0.175;95%置信区间,0.025-0.325),而迷你精神状态检查得分代表的是整体认知功能。其他认知功能测量(单词表记忆、单词表回忆、单词表识别、数字跨度、寻迹测试-A和FAB)与基线时的BRS得分没有显著变化:这些研究结果表明,更好的压力应对能力,即更快地终止压力反应,可能会限制认知功能的下降。
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引用次数: 0
Comprehensive Health Strategies for the Post-pandemic Era: Integrating Physical Health, Psychological Resilience, Lifestyle Choices, and Occupational Well-being. 后流行病时代的综合健康战略:整合身体健康、心理复原力、生活方式选择和职业福祉。
IF 1.4 Q4 PRIMARY HEALTH CARE Pub Date : 2024-11-01 Epub Date: 2024-11-20 DOI: 10.4082/kjfm.45.6E
Su Hwan Cho
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引用次数: 0
Long COVID: A Comprehensive Overview of the Signs and Symptoms across Multiple Organ Systems. Long COVID:多器官系统体征和症状综合概述。
IF 1.4 Q4 PRIMARY HEALTH CARE Pub Date : 2024-11-01 Epub Date: 2024-11-20 DOI: 10.4082/kjfm.24.0085
Zachary Isaac Merhavy, Tiana Junor, Aranice Gonzalez, Samantha Michelle De Filippis, Sarah Oveisitork, Eliu Rivera, Ifeanyi Ndukwu, Kanika Bhatara

Long coronavirus disease (COVID), also known as the post-acute sequelae of coronavirus disease 2019 (COVID-19) (PASC), is a significant concern since the end of the COVID-19 pandemic, as it still manifests in individuals with persistent symptoms and complications beyond the acute phase of infection. Defining this disease is challenging, as it manifests as a spectrum of symptoms varying in severity among individuals who have previously tested positive for COVID-19. Long COVID is more prevalent in hospitalized COVID-19 patients and presents in various ways, ranging from pulmonary to extrapulmonary symptoms. This literature review examines the current body of research on long COVID with a focus on its effects on the cardiovascular, hematological, respiratory, renal, and neurological systems with systematically analyzed, peer-reviewed articles retrieved from the PubMed database. There have been several proposed pathophysiological mechanisms by which severe acute respiratory syndrome coronavirus 2 affects the aforementioned organ systems; however, research on the definite mechanisms is lacking, especially when considering the management of long COVID in the perioperative setting. The impact of post-COVID sequelae necessitates individualized management strategies tailored to each symptomatic profile, particularly in patients with comorbidities. The COVID-19 pandemic affected millions of people and had a profound impact on those who developed PASC, lowering their quality of life and increasing potential surgical risks. However, there is still uncertainty regarding the specific risk factors for long COVID and who is most susceptible to it. Further research is required to fill these gaps and explore potential avenues for preventing PASC.

长冠状病毒病(COVID),又称 2019 年冠状病毒病(COVID-19)急性后遗症(PASC),是 COVID-19 大流行结束后的一个重大问题,因为它在感染急性期过后仍表现为持续性症状和并发症。对这种疾病进行定义具有挑战性,因为它在 COVID-19 检测呈阳性的患者中表现为严重程度不同的一系列症状。长COVID在住院的COVID-19患者中更为常见,表现形式多种多样,包括肺部症状和肺外症状。本文献综述通过从 PubMed 数据库中检索到的同行评审文章,系统分析了长 COVID 对心血管系统、血液系统、呼吸系统、肾脏系统和神经系统的影响,重点研究了长 COVID 目前的研究进展。严重急性呼吸系统综合征冠状病毒 2 对上述器官系统的影响有多种病理生理机制,但目前还缺乏对明确机制的研究,尤其是在考虑围手术期长 COVID 的管理时。由于 COVID 后遗症的影响,有必要根据不同症状制定个性化的管理策略,尤其是对有合并症的患者。COVID-19 大流行影响了数百万人,对出现 PASC 的患者产生了深远的影响,降低了他们的生活质量,增加了潜在的手术风险。然而,目前仍不确定长效 COVID 的具体风险因素以及哪些人最容易感染 COVID。要填补这些空白并探索预防 PASC 的潜在途径,还需要进一步的研究。
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引用次数: 0
Implementation of Precision Medicine in Primary Care: A Struggle to Improve Disease Prevention. 在初级保健中实施精准医疗:为改善疾病预防而奋斗。
IF 1.4 Q4 PRIMARY HEALTH CARE Pub Date : 2024-11-01 Epub Date: 2024-11-20 DOI: 10.4082/kjfm.24.0165
Erlina Wijayanti, Zwasta Pribadi Mahardhika
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引用次数: 0
"Doing Housework with a Walker? No Way!": Exploring the Perceptions of Community-Dwelling Frail Older Adults and Their Informal Caregivers on "Informal Caregiver-Induced Forced Immobility". "用助步器做家务?没门!":探索居住在社区的体弱老年人及其非正规护理人员对 "非正规护理人员导致的被迫行动不便 "的看法。
IF 1.4 Q4 PRIMARY HEALTH CARE Pub Date : 2024-09-24 DOI: 10.4082/kjfm.24.0050
Parvaneh Ghahremaninasab, Haidar Nadrian, Nafiseh Ghassab-Abdollahi, Parvin Sarbakhsh, Fatemeh Zarghami

Background: Family caregivers should focus on maintaining independence when assisting older adults with mobility. This may, however, bring about a counterproductive effect, namely Informal Caregiver-induced Forced Immobility (ICFI). This study explored the perceptions and experiences of older adults and their informal caregivers regarding ICFI.

Methods: This qualitative study used a conventional content analysis approach and was conducted from January to September 2023 in Tabriz, Iran. Twenty older adults (aged 60 years and above) who had used a mobility aid, such as a cane or walker, and 14 informal caregivers were purposefully (purposive sampling) selected to participate in the study. Individual semi-structured interviews were conducted until data saturation was achieved. MAXQDA ver. 20.0 software (VERBI Software, Germany) was used to manage and analyze the data.

Results: Based on the participants' perceptions, ICFI means that for an older adult, "social interaction/social participation is limited," "performing activities of daily living is disallowed," and "engaging in physical activities and exercising is prohibited."

Conclusion: Our findings revealed the concept of ICFI from various perspectives in Iranian families with older adults, leading to a clearer understanding of this phenomenon. This aspect should be considered when developing intervention strategies for the care of older adults in home and residential care settings by, health practitioners, gerontologists, and policymakers. This research can serve as a foundation for future studies to develop pertinent indicators and tools for measuring ICFI in the hope of providing sufficient evidence to support interventions that aim to prevent or stop ICFI.

背景:家庭照顾者在帮助老年人行动时应注重保持其独立性。然而,这可能会带来适得其反的效果,即非正规照护者引起的被迫行动不便(ICFI)。本研究探讨了老年人及其非正规护理者对 ICFI 的看法和经验:这项定性研究采用传统的内容分析方法,于 2023 年 1 月至 9 月在伊朗大不里士进行。有目的地(目的性抽样)挑选了 20 名使用拐杖或助行器等助行器具的老年人(60 岁及以上)和 14 名非正规护理人员参与研究。研究人员进行了个人半结构式访谈,直到数据达到饱和为止。MAXQDA ver.20.0 版软件(德国 VERBI 软件公司)来管理和分析数据:根据参与者的看法,ICFI 意味着老年人 "社会交往/社会参与受到限制"、"不允许进行日常生活活动 "以及 "禁止进行体育活动和锻炼":我们的研究结果从不同角度揭示了伊朗老年人家庭中的 ICFI 概念,使我们对这一现象有了更清晰的认识。卫生从业人员、老年学专家和政策制定者在制定家庭和寄宿护理环境中的老年人护理干预策略时,应考虑到这一方面。这项研究可以作为未来研究的基础,以制定相关的指标和工具来衡量伊斯兰家庭综合症,希望能够提供足够的证据来支持旨在预防或阻止伊斯兰家庭综合症的干预措施。
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引用次数: 0
Presence of Anxiety or Depression Feelings and Its Associated Risk Factors among Immigrants in Korea: A Nationwide Cross-Sectional Study. 韩国移民的焦虑或抑郁情绪及其相关风险因素:一项全国性横断面研究。
IF 1.4 Q4 PRIMARY HEALTH CARE Pub Date : 2024-09-12 DOI: 10.4082/kjfm.23.0257
Thi Thanh Lan Nguyen, Van Cuong Nguyen

Background: The influx of immigrants into Korea has increased in recent years, affecting Korean society and the healthcare system. This study analyzed the frequency of anxiety and depression in immigrants, which negatively affects their quality of life.

Methods: We analyzed data from a 2020 survey on the Health Rights of Migrants and the Improvement of the Medical Security System. Bivariate analyses and a multiple logistic regression model were used to identify the risk factors associated with the presence of anxiety or depression among immigrants.

Results: We included 746 immigrants, 55.9% of whom were female. The overall rate of anxiety or depression was 31.77%, with 38.3% in females, which was significantly higher than the 26.62% in males. The frequency of anxiety and depression was also strongly associated with certain immigrant groups, including immigrants of African or Western Asian origin (over 64%); those with student visas (60.53%); those who self-reported poor health (52%), physical or mental disabilities (69.23%), or chronic diseases (58.43%); and those facing difficulties accessing medical services (59.47%).

Conclusion: This study showed the frequency of feelings of anxiety or depression and associated risk factors among immigrants. These findings may have implications for policymakers in reducing the likelihood of developing anxiety or depression in the future and improving the quality of life of immigrants in Korea.

背景:近年来,涌入韩国的移民人数不断增加,对韩国社会和医疗系统造成了影响。本研究分析了移民患焦虑症和抑郁症的频率,这对他们的生活质量造成了负面影响:我们分析了 2020 年关于移民健康权利和医疗保障制度改善的调查数据。方法:我们分析了 2020 年移民健康权利和完善医疗保障制度调查的数据,并使用二元分析和多元逻辑回归模型来确定与移民焦虑或抑郁相关的风险因素:我们纳入了 746 名移民,其中 55.9% 为女性。焦虑或抑郁的总比例为 31.77%,其中女性为 38.3%,明显高于男性的 26.62%。焦虑和抑郁的发生率还与某些移民群体密切相关,包括非洲或西亚裔移民(超过 64%);持有学生签证的移民(60.53%);自称健康状况不佳(52%)、身体或精神残疾(69.23%)或患有慢性疾病(58.43%)的移民;以及在获得医疗服务方面面临困难的移民(59.47%):本研究显示了移民中焦虑或抑郁情绪的频率及相关风险因素。这些研究结果可能对政策制定者减少未来患焦虑症或抑郁症的可能性以及改善在韩移民的生活质量有一定的意义。
{"title":"Presence of Anxiety or Depression Feelings and Its Associated Risk Factors among Immigrants in Korea: A Nationwide Cross-Sectional Study.","authors":"Thi Thanh Lan Nguyen, Van Cuong Nguyen","doi":"10.4082/kjfm.23.0257","DOIUrl":"https://doi.org/10.4082/kjfm.23.0257","url":null,"abstract":"<p><strong>Background: </strong>The influx of immigrants into Korea has increased in recent years, affecting Korean society and the healthcare system. This study analyzed the frequency of anxiety and depression in immigrants, which negatively affects their quality of life.</p><p><strong>Methods: </strong>We analyzed data from a 2020 survey on the Health Rights of Migrants and the Improvement of the Medical Security System. Bivariate analyses and a multiple logistic regression model were used to identify the risk factors associated with the presence of anxiety or depression among immigrants.</p><p><strong>Results: </strong>We included 746 immigrants, 55.9% of whom were female. The overall rate of anxiety or depression was 31.77%, with 38.3% in females, which was significantly higher than the 26.62% in males. The frequency of anxiety and depression was also strongly associated with certain immigrant groups, including immigrants of African or Western Asian origin (over 64%); those with student visas (60.53%); those who self-reported poor health (52%), physical or mental disabilities (69.23%), or chronic diseases (58.43%); and those facing difficulties accessing medical services (59.47%).</p><p><strong>Conclusion: </strong>This study showed the frequency of feelings of anxiety or depression and associated risk factors among immigrants. These findings may have implications for policymakers in reducing the likelihood of developing anxiety or depression in the future and improving the quality of life of immigrants in Korea.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142290298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between Use of Combustible Cigarettes and Noncombustible Nicotine or Tobacco Products and Health-Related Quality of Life in Korean Men: A Nationwide Population-Based Study. 韩国男性使用可燃卷烟和不可燃尼古丁或烟草制品与健康相关生活质量之间的关系:一项基于全国人口的研究。
IF 1.4 Q4 PRIMARY HEALTH CARE Pub Date : 2024-09-11 DOI: 10.4082/kjfm.23.0179
Chae-Won Baek, Joo-Hyun Park, Do-Hoon Kim, Hyun-Jin Kim, An-Na Lee, Jung-Hwa Shin, Sung-Kwon Cho, Hye-In Kim, Ye-Ram Choi

Background: Although the association between smoking and health-related quality of life (HRQoL) has been established, the effects of tobacco products, including combustible cigarettes (CCs) and non-combustible nicotine or tobacco products (NNTPs), on HRQoL remain unclear. This study examined the association between tobacco use and HRQoL in Korean men.

Methods: Data from the Korea National Health and Nutrition Examination Survey conducted between 2013 and 2020 were analyzed. A total of 16,429 male participants aged ≥19 years completed the European Quality of Life-5 Dimensions (EQ-5D). Impaired HRQoL was defined as scoring in the lowest 20% of the EQ-5D index and having some or extreme problems in the following five domains of the EQ-5D: mobility, self-care, usual activities, pain/ discomfort, and anxiety/depression. Multiple logistic regression was conducted to evaluate the risk of impaired HRQoL in current tobacco users.

Results: Current tobacco users exhibited a significantly higher risk of impaired HRQoL compared with never users (odds ratio [OR], 1.42; 95% confidence interval [CI], 1.05-1.92). Compared to never users, current tobacco users reported more problems with mobility and pain/discomfort (all P<0.05). Moreover, compared with former tobacco users, current tobacco users had a higher risk of impaired HRQoL (OR, 1.60; 95% CI, 1.18-2.17). Compared to former tobacco users, current tobacco users reported more problems with mobility and pain/discomfort (all P<0.05).

Conclusion: Use of CCs and NNTPs is associated with impaired HRQoL in Korean men. Therefore, further interventions for lifestyle modification and smoking cessation treatments are required to reduce the risk of impaired HRQoL among current tobacco users.

背景:尽管吸烟与健康相关生活质量(HRQoL)之间的关系已经确定,但烟草制品(包括可燃卷烟(CC)和非可燃尼古丁或烟草制品(NNTP))对HRQoL的影响仍不清楚。本研究调查了韩国男性吸烟与 HRQoL 之间的关系:分析了 2013 年至 2020 年间进行的韩国国民健康与营养调查的数据。共有16429名年龄≥19岁的男性参与者完成了欧洲生活质量-5维度(EQ-5D)。受损的 HRQoL 被定义为 EQ-5D 指数得分处于最低的 20%,并且在 EQ-5D 的以下五个领域存在一些问题或极端问题:行动能力、自理能力、日常活动、疼痛/不适以及焦虑/抑郁。我们采用多元逻辑回归法来评估吸烟者的 HRQoL 受损风险:结果:与从不吸烟者相比,目前吸烟者的 HRQoL 受损风险明显更高(几率比 [OR],1.42;95% 置信区间 [CI],1.05-1.92)。与从不吸烟者相比,目前吸烟者报告的行动不便和疼痛/不适问题较多(均为PC结论:吸烟者的HRQoL受损风险明显高于从不吸烟者:韩国男性使用CC和NNTPs与HRQoL受损有关。因此,需要对改变生活方式和戒烟治疗进行进一步干预,以降低当前烟草使用者的 HRQoL 受损风险。
{"title":"Association between Use of Combustible Cigarettes and Noncombustible Nicotine or Tobacco Products and Health-Related Quality of Life in Korean Men: A Nationwide Population-Based Study.","authors":"Chae-Won Baek, Joo-Hyun Park, Do-Hoon Kim, Hyun-Jin Kim, An-Na Lee, Jung-Hwa Shin, Sung-Kwon Cho, Hye-In Kim, Ye-Ram Choi","doi":"10.4082/kjfm.23.0179","DOIUrl":"https://doi.org/10.4082/kjfm.23.0179","url":null,"abstract":"<p><strong>Background: </strong>Although the association between smoking and health-related quality of life (HRQoL) has been established, the effects of tobacco products, including combustible cigarettes (CCs) and non-combustible nicotine or tobacco products (NNTPs), on HRQoL remain unclear. This study examined the association between tobacco use and HRQoL in Korean men.</p><p><strong>Methods: </strong>Data from the Korea National Health and Nutrition Examination Survey conducted between 2013 and 2020 were analyzed. A total of 16,429 male participants aged ≥19 years completed the European Quality of Life-5 Dimensions (EQ-5D). Impaired HRQoL was defined as scoring in the lowest 20% of the EQ-5D index and having some or extreme problems in the following five domains of the EQ-5D: mobility, self-care, usual activities, pain/ discomfort, and anxiety/depression. Multiple logistic regression was conducted to evaluate the risk of impaired HRQoL in current tobacco users.</p><p><strong>Results: </strong>Current tobacco users exhibited a significantly higher risk of impaired HRQoL compared with never users (odds ratio [OR], 1.42; 95% confidence interval [CI], 1.05-1.92). Compared to never users, current tobacco users reported more problems with mobility and pain/discomfort (all P<0.05). Moreover, compared with former tobacco users, current tobacco users had a higher risk of impaired HRQoL (OR, 1.60; 95% CI, 1.18-2.17). Compared to former tobacco users, current tobacco users reported more problems with mobility and pain/discomfort (all P<0.05).</p><p><strong>Conclusion: </strong>Use of CCs and NNTPs is associated with impaired HRQoL in Korean men. Therefore, further interventions for lifestyle modification and smoking cessation treatments are required to reduce the risk of impaired HRQoL among current tobacco users.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142290297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between Processed Meat Protein Consumption and Incident Osteoporosis in Adults Aged 50 Years and Older: A Prospective Cohort Study Based on Korean Genome and Epidemiology Study Data (2005-2020). 加工肉类蛋白摄入量与 50 岁及以上成年人骨质疏松症发病率之间的关系:基于韩国基因组与流行病学研究数据的前瞻性队列研究(2005-2020 年)》。
IF 1.4 Q4 PRIMARY HEALTH CARE Pub Date : 2024-09-01 Epub Date: 2024-01-24 DOI: 10.4082/kjfm.23.0183
Dohee Lee, Soo Hyoung Lee, Ki Hyun Park, Kunhee Han, Eunjin Jeong

Background: Osteoporosis is one of the inevitable diseases affecting an aging society, substantially impacting the quality of life of its population. Protein intake has been shown to be beneficial in reducing the incidence of osteoporosis, and the effects of both animal and vegetable proteins have been studied. However, the relationship between processed meat consumption and osteoporosis has not been studied in Korea. Therefore, we aimed to analyze the correlation between processed meat consumption and incident osteoporosis in adults.

Methods: Our analysis included 1,260 adults aged 50 years and older from the Korean Genome and Epidemiology Study (KoGES), recruited between 2005 and 2020. Participants were categorized into two groups according to their processed meat intake, assessed using a semi-quantitative 103-food item food frequency questionnaire. Diagnosis of osteoporosis was based on questionnaire answers. Multiple Cox hazard regression analyses were conducted to examine the association between processed meat intake and incident osteoporosis.

Results: During an average follow-up period of 8.8 years, 230 participants developed osteoporosis. According to the Cox proportional regression models, the hazard ratio (95% confidence interval) of incident osteoporosis in the high intake group was 0.62 (0.41-0.94), compared to the low intake group after adjusting for confounding variables.

Conclusion: These findings reveal that processed meat protein intake is inversely related to the incidence of osteoporosis in adults aged 50 years and older. This in turn suggests that processed meat intake can be proposed as an additional strategy to prevent osteoporosis.

背景:骨质疏松症是影响老龄化社会的不可避免的疾病之一,严重影响人口的生活质量。蛋白质摄入量已被证明有利于降低骨质疏松症的发病率,动物蛋白质和植物蛋白质的影响也已被研究。然而,韩国尚未研究过加工肉类消费与骨质疏松症之间的关系。因此,我们旨在分析成人食用加工肉类与骨质疏松症之间的相关性:我们的分析对象包括韩国基因组与流行病学研究(KoGES)中的 1,260 名 50 岁及以上的成年人,他们是在 2005 年至 2020 年期间招募的。根据加工肉类的摄入量将参与者分为两组,采用半定量 103 种食物的食物频率问卷进行评估。骨质疏松症的诊断以问卷答案为依据。对加工肉类的摄入量与骨质疏松症的发生之间的关系进行了多重考克斯危险回归分析:结果:在平均 8.8 年的随访期间,230 名参与者患上了骨质疏松症。根据 Cox 比例回归模型,在调整混杂变量后,高摄入量组与低摄入量组相比,发生骨质疏松症的危险比(95% 置信区间)为 0.62(0.41-0.94):这些研究结果表明,在 50 岁及以上的成年人中,加工肉类蛋白质的摄入量与骨质疏松症的发病率成反比。结论:这些研究结果表明,加工肉类蛋白质的摄入量与 50 岁及以上成年人骨质疏松症的发病率成反比,这表明加工肉类的摄入量可作为预防骨质疏松症的另一种策略。
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引用次数: 0
Primary Care Physicians' Important Role: Lifestyle Modification for Chronic Disease Management. 初级保健医生的重要作用:改变生活方式,控制慢性病。
IF 1.4 Q4 PRIMARY HEALTH CARE Pub Date : 2024-09-01 Epub Date: 2024-09-19 DOI: 10.4082/kjfm.45.5E
Su-Min Jeong
{"title":"Primary Care Physicians' Important Role: Lifestyle Modification for Chronic Disease Management.","authors":"Su-Min Jeong","doi":"10.4082/kjfm.45.5E","DOIUrl":"https://doi.org/10.4082/kjfm.45.5E","url":null,"abstract":"","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":"45 5","pages":"237-238"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Korean Journal of Family Medicine
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