原著 : 노인건강진단 수검자의 건강위험요인과 위장질환의 상관성 연구 = Study on the health risk factors in the health examinee of the aged and the correlation of stomach disease
Human`s most fundamental desire is a natural urge and in the present aging society it is to leave long and healthy, it is necessary to take a medical examination to live healthy. By doing so, disease can be detected and treated at an early stage. Hence, a medical examination organized by National Health Insurance Corporation every 12 years is recognized as a basic medical examination by the public and as a result, health risk factors are being issued. The study is designed to analyze the results of medical examination of the examinees by gender; the by characteristics of health risk factors and by the levels of health signal factors. The study also defines the difference in stomach disease by the characteristics of health risk factors, and gives basic information on the cause of stomach diseases, in particular, stomach cancer, and the improvement of living condition in order to improve health of the elderly. The target of study were the 478 old people over 65 years of age living in Daegu, Gyeongbuk, who took medical examination organized by National Health Insurance Corporation at small and large hospitals in Daegu from June to December, 2010. Research used SPSS 12.0 Version, performed frequency and correlation analysis and observed in 0.05, 0.01, 0.001 level of significance. Data collection was based on the standards of National Health Insurance Corporation, and each disease (obesity, hypertension, anemia, diabetics, dislipoproteinemia, liver disease, renal disease, chest disease) was classified into Normal, Alert, and Disease, and the health signals according to the health risk factors (obesity test, drinking, smoking, exercise, blood pressure, blood sugar level, LDL cholesterol) were classified into Safe, Alert and Danger, and the data was recorded respectively. In the study, candidates were composed of 42.7% male and 57.3% female, and the age group was composed of two ; 73% of age group between 65 75 years old; and 27% of age group over 75 years old; the data was input and analyzed in the two groups. 1) According to the medical examination, the distribution of diseases showed 33.1% in obesity, 54% in hypertension, 21.1% in chest disease and 91.6% in hyperlipoproteinemia, and the result is exceptional in 99.0%. 2) By observing the distribution of symptoms of health risk factors, obesity was 46.2% in Alert group; exercise was 48.5% in Alert, 48.1% in Danger; hypertension was 51.3% in Alert, 48.1% in Danger; LDL cholesterol was 20.7% in Alert group. In the distribution of stomach disease, gastritis was highest with 67.2%; helicobacter pylon infection 20.7%; abnormal esophagi 18.6%; gastric reflux 14%; and stomach ulcer was 12.8%; and abnormal duodenum was 9.2% respectively. 3) Health risk factors and correlation between stomach disease and gender In health risk factors and correlation between stomach disease and gender, obesity (p<0.00l), drinking (p<0.001), smoking (p<0.00l), exercise (p<0.001), LDL cholesterol (p<0.001) all showed similar differences statistically ; and in obesity female was higher than male ; smoking and drinking were higher in male; in exercise in Danger group female was higher than male and in Alert group male was higher than female; and in LDL cholesterol female was higher than male. In gastroscopy results by gender, stomach disease (p<0.00l) and esophagi disease (p<0001) showed a similar difference statistically. In stomach disease, male had gastritis, gastric ulcer and stomach reflux in order; female had gastritis, stomach reflux, and gastric ulcer in order. In esophagi disease, male showed 24.5% abnormality and female showed 14.2% abnormality respectively. 4) Correlation between the health risk factors and stomach disease Among health risk factors, blood sugar level and esophagi disease (p<O.O6) showed similar difference statistically; drinking and esophagi disease did not show similar difference but presented a higher correlation. In smoking and duodenum disease (p<0.05) a similar difference was seen; and helicobacter pylon infection presented a similar correlation with smoking (p<O.O5), hypertension (p<0.05) and LDL cholesterol (p<O.05). By summarizing the results above, in health risk factor blood sugar level, drinking, smoking, hypertension and LDL cholesterols showed a similar correlation with stomach disease, in particular, blood sugar level seems to be a risk factor of esophagi disease ; smoking and duodenum disease; hypertension and smoking ; and LDL cholesterol with helicobacter pylon infection respectively. Therefore, by undergoing medical examination by National Health Insurance Corporation, it is important to manage the health of the public, maintain and improve their health, and particularly understand the health condition of the aged, and detect and treat the disease at an early stage; but more importantly, by understanding individual risk factors, and by effective improvement of lifestyle, health risk factor can be detected and removed at an early stage. To promote the improvement in quality of the public health, and to reduce the public medical expenses, I wish to suggest as below. It is considered that additional study on the health risk factors of people over 40 years of age, who are more exposed to health risk factors, and the cause of stomach disease is needed. 1`o improve the health of the elderly, various programs and a continuous systematic management as a measure are suggested.더보기
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