Osong Public Health and Research Perspectives

Original Articles

Composition of Metabolic Syndrome Among Korean Adults in a Lifestyle Modification Intervention: Nan-He Yoon, Seunghyun Yoo, Hyekyeong Kim; Osong Public Health Res Perspect. 2014;5(6):370-377. Published online December 31, 2014; DOI: https://doi.org/10.1016/j.phrp.2014.10.005

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Objectives
The aim of this study was to examine the composition of metabolic syndrome (MetS) components among middle-aged and older Koreans.
Methods
A total of 263 participants (age 40 + years) in a lifestyle modification intervention program who met the MetS definition of National Cholesterol Education Program (NCEP) – Adult Treatment Panel (ATP) III criteria were included in the study. The frequent patterns and clustering of MetS components were investigated. Clustering of changes in individual components, through a lifestyle modification intervention, was also identified. All characteristics were stratified by and compared between sexes.
Results
Approximately 80% of the participants had three of five MetS risk factors at baseline. The prevalence of each risk differed by sex. MetS composition patterns that do not include low high-density lipoprotein (HDL) cholesterol were more noticeable in men because of the low prevalence of low HDL cholesterol. In women, with higher prevalence of low HDL cholesterol, more patterns that include low HDL cholesterol were observed. The most common combination was “elevated blood pressure + abdominal obesity + impaired fasting glucose” in both sexes. Clustering of MetS risks was also found with most of the frequent combinations of MetS components. Through the lifestyle intervention, the greatest change was observed in HDL cholesterol among men and blood pressure among women. Triglycerides and HDL cholesterol were likely to be improved with blood pressure in men and abdominal obesity in women.
Conclusion
Differences in the prevalent patterns of MetS compositions were observed prior to and after the intervention, along with during-intervention changes. It is recommended that intervention strategies and guidelines for MetS management consider the MetS composition patterns for effectiveness.

Citations

Citations to this article as recorded by

Development and Evaluation of a Blended Self-Management Program for Metabolic Syndrome in Patients With Rheumatic Diseases
BoAe Im, HyunSoo Oh, SooHyun Kim, HyeSun Jeong, WhaSook Seo
Health Education & Behavior.2023;[Epub] CrossRef
Gender Differences of Health Behaviors in the Risk of Metabolic Syndrome for Middle-Aged Adults: A National Cross-Sectional Study in South Korea
Jaehee Yoon, Jeewuan Kim, Heesook Son
International Journal of Environmental Research an.2021; 18(7): 3699. CrossRef
Evaluation of the physical activity level, nutrition quality, and depression in patients with metabolic syndrome
İsmet Kazaz, Ender Angin, Seray Kabaran, Gözde İyigün, Berkiye Kirmizigil, Mehtap Malkoç
Medicine.2018; 97(18): e0485. CrossRef
Effects of prolonged exercise versus multiple short exercise sessions on risk for metabolic syndrome and the atherogenic index in middle-aged obese women: a randomised controlled trial
JinWook Chung, KwangJun Kim, Jeeyoung Hong, Hyoun-Joong Kong
BMC Women's Health.2017;[Epub] CrossRef
Health related behavior patterns and associated factors among marriage immigrant women using latent class analysis
Wonsup Cho, Seunghyun Yoo, Hyekyeong Kim
Korean Journal of Health Education and Promotion.2015; 32(5): 17. CrossRef
Depression among Korean Adults with Type 2 Diabetes Mellitus: Ansan-Community-Based Epidemiological Study
Chan Young Park, So Young Kim, Jong Won Gil, Min Hee Park, Jong-Hyock Park, Yeonjung Kim
Osong Public Health and Research Perspectives.2015; 6(4): 224. CrossRef

Suicidal Ideation and its Correlates among Juvenile Delinquents in South Korea: Suyoung Kim, Hyekyeong Kim, Dong-Chul Seo, Dong Hwan Lee, Han-Ik Cho; Osong Public Health Res Perspect. 2014;5(5):258-265. Published online October 31, 2014; DOI: https://doi.org/10.1016/j.phrp.2014.08.007

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Abstract PDF

Objectives
This study investigated suicidal ideation and its correlates among juvenile delinquents in South Korea.
Methods
Suicidal ideation, psychological health status, and health-related behaviors were assessed using a self-administered questionnaire in 1682 juvenile offenders aged between 15 and 18 years in 2012.
Results
The prevalence of suicidal ideation in juvenile delinquents was 15.2%. Girls were more likely to report suicidal thoughts than boys (30.3% vs. 12.7%). Suicidal ideation was more common among adolescents who were not living with their family prior to entering detention centers (22.6% vs. 13.2%) than their counterparts. The likelihood of suicidal ideation was significantly associated with problem drinking [odds ratio (OR) = 1.84], psychedelic drug use (OR = 2.04), feeling unhappy (OR = 3.05), feeling sad or depressed (OR = 13.37) after controlling for sociodemographic factors, other health behaviors and perceptions.
Conclusion
The present study provides evidence for an association between suicidal ideation and psychological health and health risk behaviors among juvenile delinquents. It also highlights the importance of mental health and behavioral interventions for this population to prevent suicidality.

Citations

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Spectrum and predictors of suicidal risk among incarcerated youth in a correctional facility in Kaduna, Northern Nigeria
Marufah Dupe Lasisi, Folorunsho Tajudeen Nuhu, Femi Adebayo, Edwin Ehi Eseigbe, Taiwo Lateef Sheikh
Vulnerable Children and Youth Studies.2022; 17(2): 147. CrossRef
Association between sleep insufficient type and suicidal ideation among Korean middle and high school student
Soojeong Kim, Jin A Han, Eun-Ji Kim, Soon Young Lee
Korean Journal of Health Education and Promotion.2021; 38(2): 15. CrossRef
Factors affecting health risk behaviors, suicidal ideation, suicidal plans and suicidal attempts in adolescents
Min Kyung Kim, Kyoung Won Cho
Korean Journal of Health Education and Promotion.2019; 36(3): 61. CrossRef
Psychiatric Disorders and Recidivism among Korean Adolescents on Probation or Parole
Yooli Lim, Eun-Jin Park, Bongseog Kim
Psychiatry Investigation.2018; 15(6): 561. CrossRef
Biopsychosocial Causes of Suicide and Suicide Prevention Outcome Studies in Juvenile Detention Facilities: A Review
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Psychiatric Quarterly.2017; 88(1): 141. CrossRef

Article

Improvements in the Metabolic Syndrome and Stages of Change for Lifestyle Behaviors in Korean Older Adults: Seunghyun Yoo, Hyekyeong Kim, Han-Ik Cho; Osong Public Health Res Perspect. 2012;3(2):85-93. Published online June 30, 2012; DOI: https://doi.org/10.1016/j.phrp.2012.04.007

2,985 View
15 Download
18 Crossref

Abstract PDF

Objectives
This study aims to examine the effectiveness of a 6-month lifestyle modification program on the improvement in metabolic syndrome (MetS) status and in stages of change for lifestyle behaviors associated with MetS among Korean older adults.
Methods
A lifestyle modification program was developed based on the transtheoretical model. The program consisted of health counseling, education classes, a self-management handbook, newsletters and a health diary. Older adults aged ≥60 (n = 480) with MetS were randomly assigned to the intervention group (IG) or the comparison group (CG). The IG received a comprehensive 6-month lifestyle modification intervention, while the CG received minimal information on MetS and lifestyle modification. Health examination and selfadministered survey were conducted before and after the intervention to determine the effectiveness of the program.
Results
After the intervention, the prevalence of MetS decreased to 38.1% in the IG and 52.4% in the CG (p = 0.046). The IG improved abdominal obesity (p = 0.016), blood pressure (p = 0.030), and triglyceride (p = 0.005) more than the CG did. The IG demonstrated significant improvements in the behavioral stages for portion control (p = 0.021), balanced diet (p < 0.001) and adequate intake of fruits and vegetables (p = 0.012). The IG reduced the prevalence of abdominal obesity (OR = 2.34) and improved MetS status (OR = 1.79) better than the CG. The IG were more likely to advance from preaction stages at baseline to action stage at post-intervention for portion control (OR = 3.29) and adequate intake of fruits and vegetables (OR = 2.06).
Conclusion
Lifestyle modification can improve the MetS status and behavioral stages in older adults.

Citations

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Depression among Korean Adults with Type 2 Diabetes Mellitus: Ansan-Community-Based Epidemiological Study
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Composition of Metabolic Syndrome Among Korean Adults in a Lifestyle Modification Intervention
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