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Original Article
Association of weight and dietary habits with high blood mercury levels in Korean adolescents: data from the KoNEHS cycle 4, 2018-2020
Ji Hoon Kim, Minju Jung, Jaewon Mun, Dong-Jae Seo, Jong-Han Leem, Shin-Goo Park, Dong-Wook Lee, Hyung Doo Kim, Hwan-Cheol Kim
Ann Occup Environ Med 2025;37:e5.   Published online February 21, 2025
DOI: https://doi.org/10.35371/aoem.2025.37.e5
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReader
Background
Humans are exposed to mercury primarily in its highly toxic form, methyl mercury, which is known to have adverse effects on various organs and systems. The negative impact of mercury exposure on the growth, development, and mental health of children, from infancy to adolescence, is well-documented. However, there are no internationally standardized safe limits for mercury exposure. This study investigated the impact of dietary habits and higher body mass index (BMI) on blood mercury levels in adolescents.
Methods
This study analyzed the data from the 4th Korean National Environmental Health Survey (KoNEHS) 2018–2020. The focus was on 825 middle and high school students aged 13–18 years, whose blood mercury levels were measured. A survey on dietary and lifestyle habits was also conducted. Blood mercury levels were categorized by geometric median values, and associations with overweight status and seafood consumption were examined using a generalized linear model.
Results
The geometric mean blood mercury level for the entire sample was 1.37 μg/L, with levels of 1.31 μg/L in normal-weight individuals and 1.43 μg/L in overweight individuals, showing a statistically significant difference between the two groups. After adjusting for other variables, blood mercury levels were significantly associated with overweight status (estimate: 0.084; p = 0.018; 95% confidence interval [CI]: 0.015–0.153), consumption of large fish and tuna more than once a week (estimate: 0.18; p = 0.001; 95% CI: 0.077–0.284), and consumption of fish once a week or more (estimate: 0.147; p = 0.004; 95% CI: 0.043–0.250).
Conclusions
In adolescents, a higher BMI and an increased consumption of large fish, tuna, and fish were associated with higher blood mercury levels. Notably, a stronger association was found between large fish consumption and blood mercury levels in the overweight group. These findings suggest the need to moderate seafood consumption and establish more proactive mercury exposure standards for adolescents.
한국 청소년에서 체중 및 식습관과 높은 혈중 수은 농도의 연관: KNHANES 제4기 데이터, 2018-2020
목적
수은은 독성이 강한 형태인 메틸 수은의 상태로 인간에게 주로 노출된다. 메틸 수은은 발달 및 정신건강측면을 포함한 인체 전반에 독성 영향이 있지만 현재 국제적으로 표준화된 수은 노출 기준이 없다. 특히나 영유아나 청소년은 발달이 아직 이루어지지 않아 성인에 비해 더 수은 노출의 위험도가 높다. 본 연구에서는 청소년의 식습관이나 과체중 여부가 혈중 수은 노출에 미치는 영향을 조사하였다.
방법
본 연구는 국립환경과학원에서 발간하는 제4기 국민환경보건 기초조사(2018-2020)를 활용하였다. 제4기 대상 중 혈중 수은 농도가 측정된 13-18세의 중, 고등학생 825명을 대상으로 하였고 식습관이나 생활 습관에 대한 개인 설문을 활용하였다. 혈중 수은 농도 중위값을 기준으로 구분하여 과체중 여부를 구분하여 각종 해산물 식습관과 혈중 수은 농도와의 연관성을 로지스틱 회귀 모델을 사용하여 조사였고 이 후 전체 연구 대상자를 대상으로 연관성을 조사하였다.
결과
전체 표본의 기하평균 혈중 수은 농도는 1.37 µg/L로, 정상체중 군은 1.31 µg/L, 과체중 군은 1.43 µg/L로 나타났으며, 두 군 간에 통계적으로 유의미한 차이가 있었습니다. 다른 변수들을 조정한 후, 혈중 수은 농도는 과체중 상태(추정값: 0.084; p-value: 0.018; 95% 신뢰구간[CI]: 0.015-0.153), 주 1회 이상 대형어류와 참치 섭취(추정값: 0.18; p-value: 0.001; 95% CI: 0.077-0.284), 주 1회 이상 어류 섭취(추정값: 0.147; p-value: 0.004; 95% CI: 0.043-0.250)와 유의미한 관계가 있었습니다.
결론
청소년에서 높은 BMI와 대형어류, 참치, 어류 섭취가 높은 혈중 수은 농도와 관련이 있었습니다. 특히, 과체중 그룹에서는 대형어류 섭취와 혈중 수은 농도 간의 강한 연관성이 발견되었습니다. 이 결과는 청소년을 위한 해산물 섭취 절제와 더 적극적인 수은 노출 기준 설정이 필요함을 시사합니다.
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Original Article
Association between exposure to particulate matter and school absences in Korean asthmatic adolescents
Seongmin Jo, Kiook Baek, Joon Sakong, Chulyong Park
Ann Occup Environ Med 2022;34:e21.   Published online August 22, 2022
DOI: https://doi.org/10.35371/aoem.2022.34.e21
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
Background

Because particulate matter (PM) and asthma are closely related, the prevalence of school absence among adolescents with asthma can be affected by the concentration of PM. We aimed to investigate the relationship between school absences due to asthma and the total number of days that the PM concentration exceeded the standard.

Methods

We used the data from the 16th Korea Youth Risk Behavior Survey and the PM levels of 17 metropolitan cities and provinces gathered from the AirKorea. Information on the characteristics of asthmatic adolescents and the prevalence of school absence was obtained using a questionnaire, while the PM levels based on the total number of days with poor and very poor PM grades were collected from the AirKorea website. Both χ2 test and logistic regression analysis were performed using the weights presented in the original dataset.

Results

In the case of particulate matter of 10 microns in diameter or smaller (PM10), the odds ratio (OR) after adjusting for confounders (sex, school year, body mass index, smoking history, diagnosis of allergic rhinitis, diagnosis of atopic dermatitis and city size) was 1.07 (95% confidence interval [CI]: 1.01–1.13) for absents due to asthma when the total days of poor and very poor grades of PM10 (81 μg/m3 or higher) increased by 1 day. In the analysis of particulate matter of 2.5 microns in diameter or smaller (PM2.5), the OR after adjusting for confounders was 1.01 (95% CI: 1.00–1.03) for absents due to asthma when the total number of days with poor and very poor PM2.5 grades (36 μg/m3 or higher) increased by 1 day.

Conclusions

A significant association was observed between the total number of days of poor and very poor PM10 and PM2.5 grades and school absence due to asthma; PM can cause asthma exacerbation and affect the academic life.

한국 천식 청소년의 미세먼지 노출과 학교 결석과의 상관관계
목적
미세먼지와 천식은 밀접한 관련이 있기 때문에 천식을 앓고 있는 청소년들의 천식악화로 인한 결석률은 미세먼지 농도에 영향을 받을 수 있다. 이번 연구는 일정 기준의 미세먼지 농도를 초과하는 총 일수와 천식 악화로 인한 학교 결석의 관계를 조사했다.
방법
제16차 청소년건강행태조사의 설문결과 중 천식을 진단받은 청소년들을 대상으로 ‘천식으로 인한 학교 결석 여부’를 결과변수로, 에어코리아에서 제공하는 광역시·도의 미세먼지 측정 자료 중 연간 나쁨 및 매우나쁨 등급을 받은 날짜를 미세먼지의 노출 지표로 사용하여 분석하였다. 분석 시 복합표본설계에 따른 가중치를 적용한 카이-제곱 검정과 로지스틱 회귀 분석을 사용하였다.
결과
교란 변수를 보정 후, 1년간 대기 중 PM10 나쁨 및 매우나쁨 등급을 합산한 총 일수가 1일 증가할 때 천식 증상 악화로 인한 학교 결석에 대한 오즈비는 1.06 (95% 신뢰 구간: 1.01–1.13)이었다. PM2.5는 1년간 대기 중 나쁨 및 매우나쁨 등급을 합산한 총 일수가 1일 증가할 때, 천식 증상 악화로 인한 학교 결석에 대한 오즈비는 1.01 (95% 신뢰구간: 1.00–1.02)이었다.
결론
PM10과 PM10의 나쁨 및 매우나쁨 등급을 합산한 총 일수와 천식으로 인한 학교 결석 사이에 유의한 연관성이 관찰되었다.

Citations

Citations to this article as recorded by  
  • The odds of developing asthma and wheeze among children and adolescents exposed to particulate matter: asystematic review and meta-analysis
    Awoke Keleb, Eyob Tilahun Abeje, Chala Daba, Abel Endawkie, Yawkal Tsega, Giziew Abere, Yimer Mamaye, Anmut Endalkachew Bezie
    BMC Public Health.2025;[Epub]     CrossRef
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  • 1 Crossref
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Original Article
Maternal working hours and smoking and drinking in adolescent children: based on the Korean National Health and Nutrition Examination Survey VI and VII
Tae-Hwi Park, Yong-Duk Ahn, Jeong-Bae Rhie
Ann Occup Environ Med 2021;33:e25.   Published online August 12, 2021
DOI: https://doi.org/10.35371/aoem.2021.33.e25
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
Background

Adolescent smoking and drinking are influenced by parental supervision. This study aimed to investigate the gap in adolescent smoking and drinking experience rates and age at initiation according to maternal working hours.

Methods

Data from 1,580 adolescents aged 12–18 years and 1,172 working mothers of double-parent or single-mother households were selected from the Korean National Health and Nutrition Examination Survey (KNHANES) VI & VII data. Figures on adolescents' smoking and drinking rates and their ages at imitation were used. Maternal working hours were divided into < 40 hours, 40–52 hours, and > 52 hours to analyze whether smoking and drinking experience rates and age at initiation differ according to maternal working hours and by the child's sex. Maternal age, education level, household income, occupation, shift work, current smoking status, monthly drinking frequency and child's obesity, stress recognition and depressive mood were adjusted for in the statistical analyses.

Results

The odds for adolescents' smoking behavior were significantly higher with increasing maternal working hours in boys but not in girls. The odds for adolescents' drinking behavior were not significantly higher in both boys and girls. Regardless of the child's sex, there were no significant differences in the age of smoking and drinking initiation according to maternal working hours.

Conclusions

Adolescents of mothers who work long hours are at a higher risk of being exposed to smoking. Thus, our society needs to share the burden of raising children, which is concentrated on women, and employers and governments should support policies that can help prevent long working hours.

어머니의 근로시간에 따른 청소년 자녀의 음주 및 흡연 경험율과 시작 연령 차이 : 제 6, 7기(2013-2018) 국민건강영양조사(Korean National Health and Nutrition Examination Survey) 자료를 바탕으로
목적
청소년의 흡연이나 음주는 부모의 감독에 영향을 받는다고 알려져 있다. 이 연구는 어머니의 근로시간에 따라서 청소년의 흡연 및 음주 경험율과 시작 연령에 차이가 있는지 알아보기 위해 수행되었다.
방법
국민건강영양조사 제6, 7기(KNHANES VI & VII)의 자료에서 만 12-18세의 청소년이고, 어머니가 직업이 있으며, 가족 구성이 ‘부부의 자녀’ 혹은 ‘편모의 자녀’ 인 경우를 선별하여 총 1,580명의 자녀와 1,172명의 어머니를 대상자로 선정하였다. 설문 문항을 통해 청소년 자녀의 흡연, 음주 경험과 첫 시작 연령을 조사하였다. 어머니의 근로시간은 40시간 미만, 40-52시간, 52시간 초과로 구분하여 자녀의 성별에 따라 흡연 및 음주 경험율, 시작 연령에 차이가 있는지를 알아보았다. 통계분석시 어머니의 연령, 학력, 가구소득, 교대근무 여부, 현재 흡연 여부, 월간 음주율, 자녀의 비만, 우울감, 스트레스 여부를 보정하였다.
결과
어머니의 근로시간이 증가할수록 자녀가 흡연을 경험할 오즈비가 아들은 유의미하게 높았고, 딸은 유의한 차이가 없었다. 음주를 경험할 오즈비는 아들과 딸 모두에서 유의한 차이가 없었다. 성별에 관계없이 어머니의 근로시간에 따른 자녀의 흡연, 음주 시작연령은 유의미한 차이가 없었다.
결론
장시간 근로를 하는 어머니를 둔 아들은 흡연을 경험할 위험성이 더 높다. 따라서 우리 사회는 여성에게 집중된 자녀 양육의 부담을 분담해야 하며, 고용주와 정부는 장시간 노동을 방지할 수 있는 정책을 지원해야 한다.

Citations

Citations to this article as recorded by  
  • Children’s health affected by parent’s behavioral characteristics: a review
    Sung Eun Kim, Jongin Lee
    Clinical and Experimental Pediatrics.2024; 67(5): 232.     CrossRef
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Research Article
Mothers’ Working Hours and Children’s Obesity: Data from the Korean National Health and Nutrition Examination Survey, 2008–2010
Goeun Lee, Hyoung-Ryoul Kim
Ann Occup Environ Med 2013;25:28.   Published online October 25, 2013
DOI: https://doi.org/10.1186/2052-4374-25-28
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study is to find the association between mothers’ working hours and obesity of their children according to children’s age and gender.

Methods

This study used data from the second and third year of KNHANES IV and the first year in KNHANES V (2008–2010). We calculate odds ratio (OR) and 95% confidence interval (CI) by using survey logistic regression to assess association of mother’s working hours with overweight or obesity of her children. The model was adjusted with household income, mothers’ education and obesity and mothers’ job characteristics.

Results

13–18 aged boys whose mothers worked under 40 hours per week were higher risk for obesity and overweight (including obesity) than 13–18 aged boys whose mothers worked 40–48 hours. 6–12 aged girls whose mothers worked 49–60 hours per week were more overweight (including obesity) than girls whose mothers worked 40–48 hours per week. 13–18 aged girls whose mothers worked over 60 hours were more overweight (including obesity) than the reference.

Conclusion

This study showed that girls’ obesity was associated with mothers’ long working hours. Long working hours can influence health of workers’ family.


Citations

Citations to this article as recorded by  
  • Association between Mothers’ Working Hours and Metabolic Syndrome in Children and Adolescents: Data from the Korea National Health and Nutrition Examination Survey, 2016–2020
    Myoung-hye Lee, Joo-Eun Jeong, Hoon-Ki Park, Hwan-Sik Hwang, Kye-Yeung Park
    Korean Journal of Family Medicine.2025; 46(2): 84.     CrossRef
  • Children’s health affected by parent’s behavioral characteristics: a review
    Sung Eun Kim, Jongin Lee
    Clinical and Experimental Pediatrics.2024; 67(5): 232.     CrossRef
  • Dietary Diversity Score and Adolescent Obesity Among West Sumaterans Girl
    Susmiati SUSMIATI, Nur INDRAWATY LIPOETO, Ilfa KHAIRINA
    Nutrición Clínica y Dietética Hospitalaria.2024;[Epub]     CrossRef
  • Prevalence of obesity and hypertension in children and determination of associated factors by CHAID analysis
    Ayse Meydanlioglu, Arzu Akcan, Selma Oncel, Derya Adibelli, Ecem Cicek Gumus, Sureyya Sarvan, Ilkay Kavla
    Archives de Pédiatrie.2022; 29(1): 30.     CrossRef
  • The Association Between Long Working Hours of Parents and Dyslipidemia in Their Children
    Joonho Ahn, Dong-Wook Lee, Mo-Yeol Kang, Jun-Pyo Myong, Mi Hae Chung, Hyoung-Ryoul Kim, Jongin Lee
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Maternal working hours and smoking and drinking in adolescent children: based on the Korean National Health and Nutrition Examination Survey VI and VII
    Tae-Hwi Park, Yong-Duk Ahn, Jeong-Bae Rhie
    Annals of Occupational and Environmental Medicine.2021;[Epub]     CrossRef
  • Dietary intake and nutritional status of Korean children and adolescents: a review of national survey data
    Minji Kang, So Yoon Choi, Minyoung Jung
    Clinical and Experimental Pediatrics.2021; 64(9): 443.     CrossRef
  • Are Mothers’ Working Hours Associated with General and Abdominal Obesity in Children and Adolescents? The Korean National Health and Nutrition Examination Survey (2008–2012)
    Juyeong Kim, Eun-Cheol Park, Young Choi, Sohee Park
    Maternal and Child Health Journal.2018; 22(4): 474.     CrossRef
  • Association between socioeconomic status and obesity among 12-year-old Malaysian adolescents
    Aryati Ahmad, Nurzaime Zulaily, Mohd Razif Shahril, Engku Fadzli Hasan Syed Abdullah, Amran Ahmed, Madhavi Bhargava
    PLOS ONE.2018; 13(7): e0200577.     CrossRef
  • The impact of occupation according to income on depressive symptoms in South Korean individuals: Findings from the Korean Welfare Panel Study
    Woorim Kim, Eun-Cheol Park, Tae-Hoon Lee, Yeong Jun Ju, Jaeyong Shin, Sang Gyu Lee
    International Journal of Social Psychiatry.2016; 62(3): 227.     CrossRef
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    김정은, Do, Young Kyung
    Studies on Korean Youth.2016; 27(1): 125.     CrossRef
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  • 13 Web of Science
  • 11 Crossref
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