Although vulnerable population such as cancer survivors, terminal patients, caregivers and immigrants have greater health needs, they don't receive enough health care services in our health care system. Continuous advances in cancer treatment have led to a marked improvement in cure rates and thus, an increased population of long-term cancer survivors. Due to both original and treatment-related risk factors, survivors are at increased risk for second primary cancers. In addition, pre-diagnosis smoking, alcohol, obesity and insulin resistance, which are well-known risk factors for cancer development, also appear to affect cancer outcome. To improve the health promotion of cancer survivors, developing shared care model between oncologist and primary care physician is needed. Chronic disease has not only a great effect on the affected patients but also on their caregivers. Caregiving burden was associated with impaired physical function and increased emotional distress. Caregiving burden also increase the risk of cardiovascular disease incidence among caregivers. More attention should be focused on these caregivers to improve their health. Recently, as increasing social needs to develop the health care system for terminal patients, Korean Government began to support palliative care units with implementing the National Cancer Control Program for Terminal Cancer Care. With these social movements, the needs for human resources in the area of palliative care are continuosly increasing, and active participation of primary care physician is needed. Due to rapid changes of population structure in South Korea, the number of multi-cultures family has continuously increased. Especially, more than 15,000 North Korean defectors settled in South Korea in 2008. North Korean defectors are more likely to have unhealthy behaviors, poor quality of life and comorbidities, while they have poor primary care accessibility. Good primary health requires a population perspective, and there has been great change of population structure in South Korea. As prevalence of vulnerable population is seemed to continuously increasing, the planning and development of tailored primary care program for this population to reflect their actual unmet needs is essentially required.
Citations
Citations to this article as recorded by
The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional study Jihyun Lee, Yui Park, Dong-Hun Han, Ji Won Yoo, Wenlian Zhou, Pearl Kim, Jay J. Shen BMC Public Health.2021;[Epub] CrossRef
Risks of cancer in the Rohingya community of Bangladesh: An issue still remains unaddressed Fahad Jubayer, Shahidullah Kayshar, Tariqul Islam Limon Public Health in Practice.2020; 1: 100040. CrossRef
Social Accountability of Medical Schools: Concept and Implementation Yoon Min Gil, Woo Taek Jeon Korean Medical Education Review.2019; 21(3): 127. CrossRef
Health literacy and use of preventive health services among North Korean defectors in the Republic of Korea In Gyu Song, Haewon Lee, Jinseon Yi, Min Sun Kim, Ichiro Kawachi, Sang Min Park, Markus M. Bachschmid PLOS ONE.2018; 13(6): e0195964. CrossRef
Influenza Vaccination Coverage and Its Associated Factors among North Korean Defectors Living in the Republic of Korea In Gyu Song, Haewon Lee, Jinseon Yi, Min Sun Kim, Sang Min Park Journal of Korean Medical Science.2015; 30(9): 1226. CrossRef
Factors associated with the frequency of physician visits among North Korean defectors residing in South Korea: a cross-sectional study Bo-Ram Wang, Young Dae Kwon, Wootack Jeon, Jin-Won Noh BMC Health Services Research.2015;[Epub] CrossRef
Preference and Awareness of Telemedicine in Primary Care Patients Sung-Gwon Jung, Hyuk-Jung Kweon, Eun-Tae Kim, Seun-Ah Kim, Jae-Kyung Choi, Dong-Yung Cho Korean Journal of Family Medicine.2012; 33(1): 25. CrossRef
Background Metabolic syndrome (MetS), characterized by abdominal obesity, hypertriglyceridemia, low high-density lipoprotein (HDL) cholesterol, high blood pressure, and high fasting glucose level, is a common risk factor for cardiovascular disease and associated complication. We examined the relationshipbetween the metabolic syndrome and risk of chronic kidney disease (CKD) in Korean women. Methods: We used data from 10,170 women, aged 30-89 years, who had visited the health examination center at a tertiary care hospital in 2006. The data were studied cross-sectionally. MetS was identified using the modified criteria of the National Cholesterol Education Program Adult Treatment Panel Ⅲ (NCEP-ATPⅢ). CKD was defined as an estimated GFR< 60 ml/min per 1.73 m2. The multivariable-adjusted(adjustment for age, a high school education, body mass index (BMI),alcohol drinking, current and former smoking, previous coronary heart disease, menopause and physical inactivity) odds ratio of CKD (95% CI) associated with each component of the metabolic syndrome, was calculated using logistic regression models. Result: 1,039 participants developed MetS. The multivariable-adjusted odds ratios (OR) of CKD in participants with MetS, hypertriglyceridemia and high blood pressure compared with participants without those factors were 2.68 (95% CI, 1.77-4.06), 1.96 (95% CI, 1.34-2.88), 2.00(95% CI, 1.38-2.89). Compared with participants with no MetS traits, those with one, two, equal to or more than three traits of MetShad OR of CKD of 1.24 (95% CI, 0.75-2.06), 1.56 (95% CI, 0.89-2.75), 2.18 (95% CI, 1.21-3.93), respectively. Conclusion: We found that Korean women with MetS had an increased risk for developing CKD. Finally, earlier identification and management of MetS might improve patient health and prevent the progression of CKD.
Background Colorectal cancer has the fourth prevalence of carcinoma and the fourth cause of death from malignant neoplasm, which has been increasing in Korea. In this study, we tried to investigate the association of dietary intake of calcium anddistal colorectal adenomatous polyps known as precursors of colorectal cancer. Methods: 2,456subjects who visited Health Promotion Center in one university Hospital in Seoul Korea from June 2003 to June 2006 got sigmoidoscopy and completed 24-hour dietary recall. Results: Among the selected 2,408 subjects, the prevalence of distal colorectal adenoma found in sigmoidoscopy was 12.54%. After adjusting for age, and total serum cholesterol by multiple logistic regression, the odds ratio of the male subjects who have the highest quintile of dietary intake of calcium was 0.512 (95% CI: 0.305-0.859 P = 0.011) compared with the lowest. Conclusion: In male subjects, highest quintile of dietary calcium density was associated with the low risk of distal colorectal adenomatous polyps.
Background Whole body vibration exercise is currently being researched for potential therapeutic and exercise performance benefits. Little is known about the physiological effects of whole body vibration on humans. The aim of this study is that to examine the effects of whole body vibration on body weight and body compositions. Methods:One hundred twelve healthy college students were separated into two groups, one was whole body vibration exercise group, the other control group. The exercise program was more than 10 minutes of whole body vibration exercise and the frequency was more than 3 times per week during three months. Body weight and body composition were checked at the beginning and the end point of this study. Results: Total 91 students finished this study (56 males, 35 females). No significant difference was found in body weight, body mass index, muscle mass, fat mass, body fat ratio, visceral fat area between study and control groups. In female, slight increase were found in body weight (exercise vs.control; 1.1 ± 1.1 kg vs. 0.3 ± 1.9 kg, P = 0.03), body mass index (0.5 ± 0.4 kg/m2, 0.0 ± 0.5 kg/m2, P = 0.002), fat mass (0.8 ± 0.9 kg, -0.3 ± 1.4 kg, P = 0.008), and fat ratio (1.0 ± 1.5%, -0.6 ± 2.4%, P = 0.03) in study group compared with control group, although whether these increase are clinically significant or not. The increase mainly occurred in normal body mass index group in female study group (P < 0.05). Conclusions: Theresults of this study suggest that whole body vibration exercise has no significant effect on reducing body weight and fat mass, visceral fat area and on increasing muscle mass.
Citations
Citations to this article as recorded by
Alterations of Body Composition, Blood Morphology and Fibrinogen Concentration after Vibration Therapy in Older Adult Women: A Randomized Controlled Trial Anna Kabata-Piżuch, Agnieszka Suder, Paulina Handzlik-Waszkiewicz, Aneta Teległów, Anna Marchewka Journal of Clinical Medicine.2023; 12(20): 6620. CrossRef
Effects of whole‐body vibration training on calf muscle function during maximal isometric voluntary contractions Jacobo Á. Rubio‐Arias, Domingo Jesús Ramos‐Campo, Pedro E. Alcaraz, José Fernando Jiménez Díaz, Anthony J. Blazevich Scandinavian Journal of Medicine & Science in Sports.2021; 31(6): 1268. CrossRef
WHOLE-BODY VIBRATION TRAINING PROTOCOLS IN OBESE INDIVIDUALS: A SYSTEMATIC REVIEW Fábio Antônio Tenório de Melo, Gislane Ferreira de Melo, Severino Leão de Albuquerque Neto, Rogério Wagner da Silva, Nanci Maria de França, Amanda Alves da Silva, Carlos Ernesto Santos Ferreira Revista Brasileira de Medicina do Esporte.2019; 25(6): 527. CrossRef
Effect of 12 Weeks of Whole-Body Vibration Versus Multi-Component Training in Post-Menopausal Women Elena Marín-Cascales, Jacobo A. Rubio-Arias, Salvador Romero-Arenas, Pedro E. Alcaraz Rejuvenation Research.2015; 18(6): 508. CrossRef
A Study of Body Composition, Dietary Behavior, and Exercise among Students at Women's Colleges Ji-Yon Eom, Duk-Yoo Jung Journal of Korean Public Health Nursing.2012; 26(1): 28. CrossRef
Whole Body Vibration Effects on Body Composition in the Postmenopausal Korean Obese Women: Pilot Study Go-Eun Song, Kwangmin Kim, Duck-Joo Lee, Nam-Seok Joo Korean Journal of Family Medicine.2011; 32(7): 399. CrossRef
Medical Literature and Media Soo Young Kim Korean Journal of Family Medicine.2009; 30(3): 221. CrossRef
Background Life style has been shown to improve risk factor comprising the metabolic syndrome. Metabolic syndrome is prime candidate for lifestyle modification utilizing the tools of exercise, nutritional therapy so on. Therefore, we examined the prevalence of metabolic syndrome according to health behaviors. Methods: The 1,240 adults were recruited into this cross-sectional study. Subjects examined body mass index, waist circumference, blood pressure, lipid profile. Medical history was reviewed and daily calorie intake examined by food frequency questionnaire. Six healthy behavior-sleeping hours, smoking, drinking, exercise, calorie intake and boey weight of subjects were examined. Each heathy behaviors were categorized as a three groups. Metabolic syndrome were diagnosed by ATP III criteria. Results: The study subjects were consisted of 57.1% men and 42.9% women. The prevalence of metabolic syndrome was 14.3%. The prevalence of metabolic syndrome was lower in group with good healthy behaviors. Subjects with more good healthy behaviors had lower prevalence of metabolic syndrome than with less good healthy behaviors(0, 50.0%; 1, 41.0%; 2, 30.6%; 3, 13.8%; 4, 8.5%; 5, 5.3%; and 6, 4.3%). Relative to subjects with high good health behavior score, those with low good health behavior score were at significantly increased risk of metabolic syndrome (odds ratio=4.25, 95% CI 2.97-6.08). Conclusion: Subjects with greater good healthy behaviors had a substantially lower risk of being diagnosed with the metabolic syndrome compared those with lower good healthy behaviors. This finding suggests that lifestyle modification may be appropriate as a first-line intervention to metabolic syndrome.
Citations
Citations to this article as recorded by
Metabolic Syndrome Prevalence Change Before and After the COVID-19 Epidemic: Using Data from the National Health and Nutrition Examination Survey 2018-2021 Jung-Hwa Kim, Kyung-Hee Kim, Gyu Bin Park, Won Kee Lee Journal of Health Informatics and Statistics.2024; 49(4): 315. CrossRef
Health Behavior Profiles Among Midlife Women: Identifying At-Risk Subgroups for Metabolic Syndrome Using Latent Class Analysis Se Hee Min, Sharron L Docherty, Eun-Ok Im, Qing Yang Annals of Behavioral Medicine.2022; 56(9): 946. CrossRef
Does Metabolic Syndrome Affect the Incidence and Prognosis of Sudden Sensorineural Hearing Loss? Joong Su Park, Seung Ho Kim, Ikhee Kim, Hantai Kim, Ji Hyun Kim, Jong Bin Lee Life.2022; 12(7): 930. CrossRef
Fruit Intake to Prevent and Control Hypertension and Diabetes Hyun Ah Park Korean Journal of Family Medicine.2021; 42(1): 9. CrossRef
Difference in health status of Korean farmers according to gender Ho Lee, Seong-yong Cho, Jin-seok Kim, Seong-yong Yoon, Bu-il Kim, Jong-min An, Ki-beom Kim Annals of Occupational and Environmental Medicine.2019;[Epub] CrossRef
Analysis of the association between health-related and work-related factors among workers and metabolic syndrome using data from the Korean National Health and Nutrition Examination Survey (2016) Kyoung Yun Kim, Jung-Mi Yun Nutrition Research and Practice.2019; 13(5): 444. CrossRef
Infuence of Metabolic Syndrome on Hearing Outcome in Sudden Sensorineural Hearing Loss Jong Joong Choi, Myeong Hee Kim, Jong Won Lee, Do Young Jung, Jong Bin Lee Korean Journal of Otorhinolaryngology-Head and Neck Surgery.2018; 61(10): 514. CrossRef
Field Application and Evaluation of Health Status Assessment Tool based on Dietary Patterns for Middle-Aged Women Hye-Jin Lee, Kyung-Hea Lee Korean Journal of Community Nutrition.2018; 23(4): 277. CrossRef
Effectiveness of lifestyle interventions to prevent diabetes and cardiovascular diseases in a health promoting hospital Hyekyeong Kim, Eunhee Nah Korean Journal of Health Education and Promotion.2015; 32(4): 37. CrossRef
Relationship between Physical Activity Level, Amount of Alcohol Consumption and Metabolic Syndrome in Korean Male Drinkers Byung-Sung Kim, Myeong-Jin Kim, Hyun-Rim Choi, Cahng-Won Won, Sun-Young Kim The Korean Journal of Sports Medicine.2014; 32(2): 97. CrossRef
An Investigation on the Metabolic Syndromes and Health-Related Risk Factors among Male Workers Sun-Young Choi, Na-Eun Kang, Sung-Hee Kim The Korean Journal of Food And Nutrition.2013; 26(4): 975. CrossRef
Relation of Health Promotion Behaviors and Metabolic Syndrome in Daytime Workers Dae-Sik Ko, Bu-Yeon Park, Gyeong-Hyu Seok The Journal of the Korea institute of electronic communication sciences.2013; 8(12): 1941. CrossRef
The Association between Helicobacter Pylori Infection and Metabolic Syndrome in Korean Men and Women Tae-Heum Chung, Moon-Chan Kim, Chung-Hun Choi, Chang-Sup Kim Korean Journal of Family Medicine.2010; 31(2): 124. CrossRef
High Risk Groups in Health Behavior Defined by Clustering of Smoking, Alcohol, and Exercise Habits: National Heath and Nutrition Examination Survey Kiwon Kang, Joohon Sung, Chang-yup Kim Journal of Preventive Medicine and Public Health.2010; 43(1): 73. CrossRef
Lifestyle and Metabolic Syndrome among Male Workers in an Electronics Research and Development Company Jun Pyo Myong, Hyoung Ryoul Kim, Yong Kyu Kim, Jung-Wan Koo, Chung Yill Park Journal of Preventive Medicine and Public Health.2009; 42(5): 331. CrossRef
Background Since the Korean Journal of Family Medicine (KJFM) started publishing from 1980, randomized cotrolled trials (RCTs) and non-randomized controlled studies (NRSs) consistently have increased in quality and quantity. Although there have been several studies about the quality assessment of RCTs in Korea, there has been no study about quality assessment of NRS. Thus, this study scrutinies NRS in the KJFM to assess the quantity and quality. Methods: Upon extracting NRSs for assessing a intervention effects from all the articles published in the KJFM from 1980 to 2006, assessments were made on methodological index for non-randomized studies (MINORS). Also the analysis were made upon the proportion of NRSs within original articles according to two categories (comparative study, non-comparative study). The mean scores by research methods and years, and total scores and mean scores of yearly research methods were analyzed. Results: 34 trials on NRSs were selected. In 1980s, 0.65% of the total selected original articles, in 1990s, 1.54%, and in 2000s 5.11% were NRSs. According to the research designs, the mean scores of MINORS were before and after study 8.5, interrupted Time Series 9.7 (out of 16), controlled before and after 13.5, quasi randomized trial 12.6, and non randomized trial 13 (out of 24). Before and after design was the most frequent used (55.9%). Conclusion: Although NRSs consistently increased in quantity, the assessed mean scores were low and most articles used before and after design. Thus, there should be studies using appropriate research methods in the future.
Citations
Citations to this article as recorded by
An Integrative Review of Depression Related to Intervention Studies for Women in Korea Journals Eun Young Choi, Eun Hee Lee, Hye Jin Hyun, Mi Kyeong Byeon Korean Journal of Women Health Nursing.2015; 21(4): 284. CrossRef
Research Trends of Pattern Identification of Korean Medicine Using the Network Analysis Hee-Jeong Jin, JaeChul Lee, Eunsu Jang The Journal of the Korea Contents Association.2014; 14(12): 1037. CrossRef
Quality Assessment of Non-Randomized Studies in the Journal of Korean Fundamentals of Nursing Jongsoon Won, YunHee Shin, HyoungSook Park, Hyojung Park, Se Hyun Lim, Mee-Kyung Shin, Young-Ok Yang, Young-Ju Kim, Sung Ok Chang, Seung Kyo Chaung, Jung-Hee Kim Journal of Korean Academy of Fundamentals of Nursing.2014; 21(3): 311. CrossRef
Domestic Trends of Research and Patent for Sleep Disorder Younghwa Baek, Jonghyang Yoo, Si-Woo Lee, Hee-Jeong Jin The Journal of the Korea Contents Association.2013; 13(6): 309. CrossRef
The Quality of Reporting of Intervention Studies in the Korean Journal of Women Health Nursing (KJWHN): Based on the TREND Guidelines Myounghee Kim, Suk-Hee Cheon, Eun-Mi Jun, Sue Kim, Ju-Eun Song, Sukhee Ahn, Hyun-Ei Oh, Eun-Joo Lee Korean Journal of Women Health Nursing.2013; 19(4): 306. CrossRef
Research Trends of Randomized Clinical Trial for Insomnia Using the Network Analysis Younghwa Baek, Hee-Jeong Jin The Journal of the Korea Contents Association.2013; 13(12): 1036. CrossRef
Quality Assessment Tools and Reporting Standards in Nursing Research Kyunghee Kim, Joo Hyun Kim, Kyung-Choon Lim, Kyung-Sook Lee, Jae-Sim Jeong, Myoung-Ae Choe, Young Ran Chae Journal of Korean Biological Nursing Science.2012; 14(3): 221. CrossRef
First
Prev
