일개 사업장 간장질환 유소견자 보건교육의 효과
Effects of Providing Health Education to Workers for the Management of Liver Disease Screened by Periodic Health Surveys
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Purpose: This study was conducted to compare the changes in the levels of liver enzymes after providing health education to workers. Methods: Among 909 electronics-manufacturing workers, 96 (10.6%) workers had abnormal liver functions. Of these, male workers were randomly assigned into either the health education experimental group (48 [52.2%]) or the control group (44 [47.8%]). Depending on the level of participation in the health education,workers in the experimental group were classified into the participation (32 [34.8%]) and non-participation groups (16 [17.4%]). Changes in the levels of liver enzymes were compared among three groups. Results: The changes in the levels of gamma-glutamyltransferase (r-GTP) in the participation, non-participation, and control groups were -25.3±54.5 IU/L, -4.4±24.1 IU/L, and -5.3±38.8 IU/L, respectively (p=.036). Aspartate transaminase, alanine transaminase,waist circumference, body mass index, daily alcohol consumption, weekly exercise, and changes in smoking habits in the 3 groups did not differ significantly. In the multiple linear regression analysis, the variable of education participation revealed a significant regression coefficient of -25.10 when the change in r-GTP levels was the dependent variable. Conclusion: A brief health education targeted towards the management of liver disease among workers improved r-GTP levels.
Abstract
Purpose: This study was conducted to compare the changes in the levels of liver enzymes after providing health education to workers. Methods: Among 909 electronics-manufacturing workers, 96 (10.6%) workers had abnormal liver functions. Of these, male workers were randomly assigned into either the health education experimental group (48 [52.2%]) or the control group (44 [47.8%]). Depending on the level of participation in the health education,workers in the experimental group were classified into the participation (32 [34.8%]) and non-participation groups (16 [17.4%]). Changes in the levels of liver enzymes were compared among three groups. Results: The changes in the levels of gamma-glutamyltransferase (r-GTP) in the participation, non-participation, and control groups were -25.3±54.5 IU/L, -4.4±24.1 IU/L, and -5.3±38.8 IU/L, respectively (p=.036). Aspartate transaminase, alanine transaminase,waist circumference, body mass index, daily alcohol consumption, weekly exercise, and changes in smoking habits in the 3 groups did not differ significantly. In the multiple linear regression analysis, the variable of education participation revealed a significant regression coefficient of -25.10 when the change in r-GTP levels was the dependent variable. Conclusion: A brief health education targeted towards the management of liver disease among workers improved r-GTP levels.
참고문헌 (25)
- 장혜경, "청각장애학생의 건강증진행위를 위한 교육 프로그램의 효과", Child Health Nursing Research, 14(4), pp.352~360 (2008), 아동간호학회
- 장현숙, "서울지역 일부 노인집단에 대한 만성질환관리 교육의 효과", 보건행정학회지, 20(3), pp.157~172 (2010), 한국보건행정학회[DOI]
- Glanz, K., "Health behavior and health education" (2008), Jossey-Bass
- 강지연, "온라인 건강교육프로그램이 남성근로자의 대사증후군 위험요인 및 영양소 섭취에 미치는 영향", Journal of Nutrition and Health, 43(1), pp.57~68 (2010), 한국영양학회[DOI]
- 김진석, "남자 근로자들의 3년간 추적조사를 통한 지방간 발생률 및 관련요인", Annals of Occupational and Environmental Medicine, 15(3), pp.310~322 (2003), 대한직업환경의학회
- 김건엽, "일부 남성근로자에서 r-GTP와 관련된 요인에 대한 단면연구", 예방의학회지, 35(2), pp.13~174 (2002), 대한예방의학회
- Kim, S. S., "Fatty liver", Journal of Korean Medical Association, 44(5), pp.543~548 (2001)
- Lee, D. H., "Is serum gamma glutamyltransferase a marker of oxidative stress?", Free Radical Research, 38(6), pp.535~539 (2004)
- 이은희, "생활습관 중재프로그램이 성인의 건강생활습관실천과 대사증후군 개선에 미치는 효과 분석", 보건교육건강증진학회지, 24(2), pp.1~19 (2007), 한국보건교육건강증진학회
- 이현정, "여대생 대상 체중조절 프로그램의 영양 교육 효과 평가", 한국식생활문화학회지, 24(5), pp.570~580 (2009), 한국식생활문화학회
- 이미선, "직장인 남성을 대상으로 한 12주간의 영양교육이 대사증후군 관련 인자에 미치는 영향", 대한지역사회영양학회지, 13(1), pp.46~61 (2008), 대한지역사회영양학회
- Lee, M. S., "A cohort study on risk factors for chronic liver disease : Analytic strategies excluding potentially incident subjects", Korean Journal of Preventive Medicine, 32(4), pp.452~458 (1999)
- 문제혁, "일개 철강 사업장에서 대사증후군의 위험요인과 γ -GTP와의 관련성", Annals of Occupational and Environmental Medicine, 19(1), pp.17~25 (2007), 대한직업환경의학회
- 남은우, "<특집 종설> 보건교육과 건강증진의 국제적인 동향: 우선순위 사업에 대한 검토", 보건교육건강증진학회지, 25(1), pp.105~116 (2008), 한국보건교육건강증진학회
- "Health risk assessment logic" (2011)[URL]
- National Health Insurance Agency., "2011 National health screening statistical yearbook" (2013), National Health Insurance Agency
- "Health examination implementation guidelines: No. 2013-16" (2013)[URL]
- Ohm, S. H., "A cross-sectional study on the risk factors related to fatty liver", Korean Journal of Preventive Medicine, 26(2), pp.179~190 (1993)
- Park, J. W., "Pathogenesis of nonalcoholic steatohepatitis : Role of lipid peroxidation, mitochondrial dysfunction and cytokines", The Korean Journal of Gastroenterology, 38(1), pp.1~8 (2001)
- Rosalki, S. B., "Serum-glutamyl transpeptidase activity in alcoholism", Clinica Chimica Acta, 39(1), pp.41~47 (1972)
- Sim, J. H., "The effects of diet health education program for prehypertension group on the diet habit and blood pressure", Journal of Korean Society for Health Education and Promotion, 23(4), pp.1~12 (2006)
- Song, Y. M., "Factors related with the elevated hepatic aminotransferase level clinically suspected of fatty liver", Journal of Korean Academy of Family Medicine, 22(2), pp.184~191 (2001)
- "Mortality statistics 2011" (2012)[URL]
- Teschke, R., "Induction of hepatic microsomal gamma-glutamyltransferase activity following chronic alcohol consumption", Biochemical and Biophysical Research Communications, 75(3), pp.718~724 (1977)
- Yoon, K., "Factors related to patients with fatty liver", Journal of Korean Academy of Family Medicine, 18(12), pp.1426~1434 (1997)