Korean Journal of Family Medicine最新文献_第3页

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

Korean Journal of Family Medicine Pub Date : 2024-09-01 Epub Date: 2024-09-19 DOI: 10.4082/kjfm.45.5E

Su-Min Jeong

引用次数: 0

Reducing Population Mortality through Primary Care Physicians. 通过初级保健医生降低人口死亡率。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-09-01 Epub Date: 2024-09-19 DOI: 10.4082/kjfm.24.0105

John Patrick Cruz Toledo

引用次数: 0

Sedentarism and Chronic Health Problems. 久坐不动与慢性健康问题。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-09-01 Epub Date: 2024-09-19 DOI: 10.4082/kjfm.24.0099

Jyoti Goyal, Gurseen Rakhra

{"title":"Sedentarism and Chronic Health Problems.","authors":"Jyoti Goyal, Gurseen Rakhra","doi":"10.4082/kjfm.24.0099","DOIUrl":"https://doi.org/10.4082/kjfm.24.0099","url":null,"abstract":"Increased mechanization and technological advances have simplified our lives on the one hand and increased sedentary behaviors on the other hand, paving the way for emerging global health concerns, i.e., sedentarism, which could be the leading cause of all major chronic health problems worldwide. Sedentarism is a habitual behavior of choosing and indulging in low-energy expenditure activities (≤1.5 metabolic equivalents), such as chairtype (sitting, studying, traveling) or screen-type activities (TV, computers, mobile). With technological advancements, there is a significant transition in the lifestyles of people from being active (walking) to being more deskbound (sitting). Prolonged sitting can have unintended consequences for health with sitting time >7 h/d, leading to a 5% increase in all-cause mortality with each additional hour spent sitting (i.e., +7 h/d), while considering physical activity levels. This review will highlight how sedentarism is emerging as a major risk factor for the rising incidence of non-communicable diseases, especially among young adults and adults. Chronic diseases, such as obesity, diabetes, coronary heart disease, and cancer, are the leading causes of death worldwide. Hence, there is an urgent need for collective action to mitigate the burgeoning public health crisis posed by sedentarism in the 21st century. This paper intends to set in motion a call for all policymakers and public health professionals placed nationally or internationally to reach a consensus on ending sedentarism and provide viable resolutions for effective management of excessive sedentary behaviors and healthy adoption and maintenance of active lifestyles among individuals of all age groups.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":"45 5","pages":"239-257"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349347","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

Enhancing the Discussion on Gender-Based Health Disparities. 加强对基于性别的健康差异的讨论。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-09-01 Epub Date: 2024-07-10 DOI: 10.4082/kjfm.24.0062

Nageen Waseem, Muhammad Saad Farooq

引用次数: 0

Barriers, Facilitators of Iron and Folic Acid Supplementation, and Deworming Program among School-Going Adolescents of Deoghar, Jharkhand, India: A Mixed-Methods Study. 印度恰尔肯德邦迪奥加尔市在校青少年补充铁和叶酸以及驱虫计划的障碍和促进因素：混合方法研究》。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-09-01 Epub Date: 2024-02-28 DOI: 10.4082/kjfm.23.0100

Bijit Biswas, Anuradha Gautam, G Jahnavi, Richa, Pratima Gupta, Saurabh Varshney

{"title":"Barriers, Facilitators of Iron and Folic Acid Supplementation, and Deworming Program among School-Going Adolescents of Deoghar, Jharkhand, India: A Mixed-Methods Study.","authors":"Bijit Biswas, Anuradha Gautam, G Jahnavi, Richa, Pratima Gupta, Saurabh Varshney","doi":"10.4082/kjfm.23.0100","DOIUrl":"10.4082/kjfm.23.0100","url":null,"abstract":"Background: This study aimed to identify barriers and facilitators of iron and folic acid supplementation and deworming programs among school-going adolescents.Methods: A mixed-method observational study was conducted among adolescents in the 8th to 10th standards and their teachers across four schools in Deoghar, Jharkhand, India, using simple random sampling. The study included a questionnaire on socio-demographics, knowledge (34 items) (α=0.894), attitudes (2 items) (α=0.711) toward iron deficiency anemia, awareness of the Weekly Iron and Folic Acid Supplementation (WIFS) program and deworming (20 items) (α=0.783), and practices related to iron folic acid supplementation (IFS) and deworming, along with qualitative components. Data were analyzed using jamovi.Results: Compliance rates for IFS and deworming were 27.5% and 67.9%, respectively. The multivariable logistic regression analysis showed that sex, religion, caste, father's educational status, per capita monthly family income (PCMI), diet type, adequate knowledge, and positive attitude toward anemia influenced IFS compliance. Religion, PCMI, and prior information on the importance of deworming facilitate compliance. Implementation barriers included irregular medication supply and a lack of student awareness.Conclusion: Periodic evaluation, regular sensitization, and a consistent drug supply are necessary to effectively implement WIFS and deworming programs in the study area.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"274-282"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139983262","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

Effects of the COVID-19 Pandemic on the Medical Use of Elderly Patients with Hypertension: A Nationwide Cohort Study in Korea. COVID-19 大流行对老年高血压患者用药的影响：韩国全国队列研究》。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-09-01 Epub Date: 2024-03-04 DOI: 10.4082/kjfm.23.0129

Eunbyul Cho, Sujeong Han, Jae-Ryun Lee, Hyejin Lee, Bumjo Oh

{"title":"Effects of the COVID-19 Pandemic on the Medical Use of Elderly Patients with Hypertension: A Nationwide Cohort Study in Korea.","authors":"Eunbyul Cho, Sujeong Han, Jae-Ryun Lee, Hyejin Lee, Bumjo Oh","doi":"10.4082/kjfm.23.0129","DOIUrl":"10.4082/kjfm.23.0129","url":null,"abstract":"Background: The coronavirus disease 2019 (COVID-19) pandemic has disrupted healthcare services, including chronic disease management, for vulnerable groups, such as older individuals with hypertension. This study aimed to evaluate hypertension management in South Korea's elderly population during the pandemic using treatment consistency indices such as the continuity of care (COC), modified, modified continuity index (MMCI), and most frequent provider continuity (MFPC).Methods: This study used the Korea Disease Control and Prevention Agency-COVID-19-National Health Insurance Service cohort (K-COV-N cohort) from the National Health Insurance Service between 2017 and 2021. The research included a total of 4,097,299 hypertensive patients aged 65 years or older. We defined 2018 and 2019 as the baseline period before the COVID-19 pandemic and 2020 and 2021 as the COVID-19 period and calculated the indices of medical continuity (number of visits, COC, MMCI, and MFPC) on a yearly basis.Results: The number of visits decreased during the COVID-19 period compared to the baseline period (59.64±52.75 vs. 50.49±50.33, P<0.001). However, COC, MMCI, and MFPC were not decreased in the baseline period compared to the COVID-19 period (0.71±0.21 vs. 0.71±0.22, P<0.001; 0.97±0.05 vs. 0.96±0.05, P<0.001; 0.8±0.17 vs. 0.8±0.17, P<0.001, respectively).Conclusion: COVID-19 had no significant impact on the continuity of care but affected the frequency of outpatient visits for older patients with hypertension. However, this study highlights the importance of addressing healthcare inequalities, especially in older patients with hypertension, during pandemics and advocates for policy changes to ensure continued care for vulnerable populations.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"283-289"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140028362","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

Rethinking about Metformin: Promising Potentials. 反思二甲双胍：大有可为。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-09-01 Epub Date: 2024-08-23 DOI: 10.4082/kjfm.24.0156

Kyunam Kim

{"title":"Rethinking about Metformin: Promising Potentials.","authors":"Kyunam Kim","doi":"10.4082/kjfm.24.0156","DOIUrl":"10.4082/kjfm.24.0156","url":null,"abstract":"Metformin is widely used drugs in the treatment of type 2 diabetes mellitus. However, the mechanisms of action are complex and are still not fully understood yet. Metformin has a dose-dependent blood sugar-lowering effect. The most common adverse reactions of metformin are gastrointestinal symptoms, and women tend to be more experienced than men. A positive correlation between the administration of duration and the daily dose of metformin and the risk of vitamin B12 deficiency is confirmed. Novel glucose-lowering mechanism through the activation of AMP-activated protein kinase and alteration of gut microbiota composition is identified. In addition, metformin has immunomodulatory properties in various mechanisms, including anti-inflammatory actions, and so forth. Metformin improves insulin sensitivity, which may reduce the risk of tumor growth in certain cancers. The antiviral effects of metformin may occur through several mechanisms, including blocking angiotensin converting enzyme 2 receptor, and so forth. These potential mechanisms of metformin are promising in various clinical settings, such as inflammatory diseases, autoimmune diseases, cancer, and coronavirus disease 2019.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"258-267"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142055929","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

Correction: Gender-Based Violence and Women Reproductive Health in War Affected Area. 更正：受战争影响地区基于性别的暴力与妇女生殖健康。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-09-01 Epub Date: 2024-08-02 DOI: 10.4082/kjfm.23.0169.R

Manar Shalak, Favour Ekerete Markson, Manoj Nepal

引用次数: 0

Aquatic versus Land-Based Exercise for Knee Osteoarthritis: A Randomized Controlled Trial. 水上运动与陆上运动治疗膝骨关节炎：随机对照试验

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-08-22 DOI: 10.4082/kjfm.23.0102

Maroua Slouma, Maissa Abbes, Lobna Kharrat, Rim Dhahri, Rim Maaoui, Najla Mouhli, Meriem Hfaidh, Sonia Zrida, Imen Ksibi, Hajer Rahali, Bellali Hedia, Imen Gharsallah

{"title":"Aquatic versus Land-Based Exercise for Knee Osteoarthritis: A Randomized Controlled Trial.","authors":"Maroua Slouma, Maissa Abbes, Lobna Kharrat, Rim Dhahri, Rim Maaoui, Najla Mouhli, Meriem Hfaidh, Sonia Zrida, Imen Ksibi, Hajer Rahali, Bellali Hedia, Imen Gharsallah","doi":"10.4082/kjfm.23.0102","DOIUrl":"https://doi.org/10.4082/kjfm.23.0102","url":null,"abstract":"Background: Whether land- or aquatic-based rehabilitation is more effective in improving knee osteoarthritis (OA) is still unclear. This study assessed the effectiveness of aquatic-based treatments in patients with knee OA.Methods: The participants were divided into a land-based exercise group (G1, n=30) and a water-based exercise group (G2, n=30). The exercises were performed for 8 weeks. The primary endpoint was a response to physical therapy, defined as a 20% decrease in the summed score for the Western Ontario and McMaster Universities-Osteoarthritis Index (WOMAC) pain subscale from T1 (before the start of the rehabilitation program) to T2 (8 weeks later). The secondary endpoints included the Visual Analog Scale (VAS) for pain, WOMAC functional and stiffness subscales, Lequesne Index, and Medical Outcome Study Short Form (SF-12) for physical and mental health.Results: A 20% decrease in the summed WOMAC pain subscale score was noted in 33% of patients in G1 (n=10) and 93% in G2 (n=28) (P<0.001). VAS scores at walking decreased by 14% in G1 vs. 37% in G2 (P<0.001), WOMAC stiffness subscale decreased by 18% in G1 vs. 53% in G2 (P<0.001), and the Lequesne index decreased by 10% in G1 vs. 33% in G2 (P<0.001). Quality of life improvement was greater in G2 than in G1; SF-12 (physical) increased by 2.3 in G1 vs. 5.4 in G2 (P=0.023), and SF-12 (mental) increased by 6.3 in G1 vs. 10.9 in G2 (P=0.022).Conclusion: Both aquatic and land-based exercises improved pain intensity, functional impairment, degree of handicap, and quality of life impairment caused by OA. However, the improvement was more significant in the aquatic-based exercises group.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142017943","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 Liver Function Markers and Menstrual Cycle Irregularity in Korean Female Population. 韩国女性群体中肝功能指标与月经周期不规律之间的关系

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-08-21 DOI: 10.4082/kjfm.23.0181

Hye-In Kim, Joo-Hyun Park, Do-Hoon Kim, Hyun-Jin Kim, An-Na Lee, Jung-Hwa Shin, Chae-Won Baek, Min-Hae Lee

{"title":"Association between Liver Function Markers and Menstrual Cycle Irregularity in Korean Female Population.","authors":"Hye-In Kim, Joo-Hyun Park, Do-Hoon Kim, Hyun-Jin Kim, An-Na Lee, Jung-Hwa Shin, Chae-Won Baek, Min-Hae Lee","doi":"10.4082/kjfm.23.0181","DOIUrl":"https://doi.org/10.4082/kjfm.23.0181","url":null,"abstract":"Background: The liver plays an important role in gonadal steroid hormone metabolism, which can affect reproductive health, including the menstrual cycle. However, evidence from large population-based studies is limited. Therefore, this study aimed to investigate the association between liver function markers and menstrual cycle irregularities in premenopausal Korean women using nationwide data.Methods: This study analyzed Data from the Korea National Health and Nutrition Examination Survey 2010-2011. We investigated 3,045 premenopausal women aged 19-59 years. Liver function markers including serum alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyl transferase, and fatty liver index were analyzed. Multivariable logistic regression analysis was performed to investigate the association between liver function markers and menstrual cycle irregularity while adjusting for confounding factors. Values were presented as odds ratios (ORs) with 95% confidence intervals (CIs). Subgroup analysis was also performed.Results: Baseline characteristic analysis showed that approximately 14.4% of the study population experienced menstrual cycle irregularity. The mean age was 34.5±0.7 years. The highest quartile of serum ALT and AST levels showed significantly higher ORs for menstrual cycle irregularity (adjusted OR, 1.83; 95% CI, 1.26-2.64 and adjusted OR, 1.67; 95% CI, 1.17-2.39, respectively). A similar result was observed in the subgroup analysis.Conclusion: Liver function markers were positively associated with menstrual cycle irregularities. In clinical settings, women of reproductive age with relatively decreased liver function should be considered for regular followup of their reproductive health status.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009025","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