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Original Articles
The impact of long working hours on daily sodium intake
Kyungho Ju, Yangwoo Kim, Seung Hee Woo, Juhyeong Kim, Inah Kim, Jaechul Song, Soo-Jin Lee, Jeehee Min
Ann Occup Environ Med 2024;36:e9.   Published online April 1, 2024
DOI: https://doi.org/10.35371/aoem.2024.36.e9
AbstractAbstract AbstractAbstract in Korean PDFPubReaderePub
Background

Long working hours are associated with an increased risk of cardiovascular disease, yet the underlying mechanism(s) remain unclear. The study examines how occupational factors like working hours, shift work, and employment status correlate with dietary choices and sodium intake, impacting hypertension risk.

Methods

This study used data from the Korea National Health and Nutrition Examination Survey conducted between 2013 and 2020. The dataset included 8,471 respondents, all of whom were wage workers aged 20 or older and reported working at least 36 hours per week. Individuals who have been previously diagnosed with or are currently diagnosed with hypertension, diabetes, or dyslipidemia were excluded. The average daily sodium intake was assessed via a 24-hour dietary recall method. Average weekly working hours were categorized into 3 groups: 36–40 hours, 41–52 hours, and over 52 hours. Multiple logistic regression models were used.

Results

Study findings revealed that 83.7% of participants exceeded the recommended daily sodium intake of 2 g set by the World Health Organization. After adjusting for confounding factors, a positive correlation was observed between average working hours and daily sodium intake. Among males, statistical significance was found in the group with average weekly working hours of 41–52 hours (prevalence ratio [PR]: 1.17; 95% confidence interval [CI]: 1.05–1.30) and the group exceeding 52 hours (PR: 1.22; 95% CI: 1.09–1.38) when comparing the fourth quartile of daily sodium intake to the combined quartiles of Q1, Q2, and Q3. Among females, no significance was noted.

Conclusions

Long working hours were associated with increased sodium intake, primarily among male workers. This connection is likely attributed to having less time for home-cooked meals, resulting in higher fast food consumption and dining out. A workplace intervention promoting healthy eating and reducing stress is essential to lower sodium consumption and mitigate hypertension risk.

장시간 근무가 일일 소듐 섭취량에 미치는 영향
목적
장시간 근무는 심혈관 질환의 증가와 관련이 있다고 알려져 있지만, 그 메커니즘은 명확히 알려져 있지 않다. 본 연구는 주당 평균 근로시간, 교대근무 및 고용 형태 등의 직업적 요인과 식습관 변화 간의 관계를 확인하고, 특히 고혈압의 알려진 위험 요인인 과다한 소듐 섭취와의 관련성을 조사하였다.
방법
본 연구는 2013년부터 2020년까지 실시된 대한민국 국민건강영양조사의 데이터를 사용하였다. 연구대상자는 20세 이상의 임금 근로자, 주당 최소 36시간 이상 근무하는 자로 선정하였다. 이 외에도 다양한 인구학적, 직업 변수가 설문 조사를 통해 수집되었으며, 평균 일일 소듐 섭취량은 24시간 회상법을 통해 조사되었다. 주당 평균 근무 시간은 36-40시간, 41-52시간 및 52시간 이상의 세 집단으로 분류되었다. 다중 로지스틱 회귀 모델이 분석에 사용되었다.
결과
연구대상자 중 83.7%가 세계보건기구(WHO)에서 권장한 일일 나트륨 섭취량인 2g을 초과한 것이 확인되었다. 교란변수 보정 후에도 주당 평균 근로시간과 일일 소듐 섭취 간의 통계적 유의성이 확인되었다. 남성에 대하여, 주당 평균 근무 시간이 41-52시간인 그룹 (PR: 1.17, 95% CI: 1.05-1.30)과 52시간을 초과한 그룹 (PR: 1.22, 95% CI: 1.09-1.38)이 일일 소듐 섭취량 4분위에서 1, 2, 3분위를 포함한 그룹과와 비교하여 통계적으로 유의미한 관련이 있었다. 여성에 대하여는 통계적으로 유의미하지 않았다.
결론
장시간 근무는 주로 남성 근로자에서 소듐 섭취 증가와 관련이 있었다. 이는 가정에서 조리하는 시간이 줄어들어 패스트 푸드 및 외식 소비가 증가하는 것에 기인한 것으로 생각된다. 과량의 소듐 섭취는 고혈압의 알려진 위험 요인이므로, 직장에서의 적극적인 개입을 통해, 더 건강한 식습관과 개선된 근무 환경을 통해 소듐 섭취를 줄이는 것이 필요하다.

Citations

Citations to this article as recorded by  
  • Temporary Employment Is Associated with Poor Dietary Quality in Middle-Aged Workers in Korea: A Nationwide Study Based on the Korean Healthy Eating Index, 2013–2021
    Seong-Uk Baek, Myeong-Hun Lim, Yu-Min Lee, Jong-Uk Won, Jin-Ha Yoon
    Nutrients.2024; 16(10): 1482.     CrossRef
  • 104 View
  • 7 Download
  • 1 Web of Science
  • 1 Crossref
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Differences of nutritional intake habits and Dietary Inflammatory Index score between occupational classifications in the Korean working population
Seung Hee Woo, Yangwoo Kim, Kyungho Ju, Juhyeong Kim, Jaechul Song, Soo-Jin Lee, Jeehee Min
Ann Occup Environ Med 2024;36:e5.   Published online March 18, 2024
DOI: https://doi.org/10.35371/aoem.2024.36.e5
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
Background

Human nutrient intake is closely related to the conditions of their workplace.

Methods

This study used data from the Korean National Health and Nutritional Examination Survey (KNHANES) conducted between 2016 and 2020. The study population comprised individuals aged 19 to 65 years who were engaged in paid work, excluding soldiers (total = 12,201, male = 5,872, female = 6,329). The primary outcome of interest was the Dietary Inflammatory Index (DII) score, which was calculated using dietary intake data. Generalized linear models were used for statistical analyses.

Results

Pink-collar workers had higher DII scores, indicating a potentially higher inflammatory diet than white-collar workers (mean: 2.18 vs. 1.89, p < 0.001). Green and blue-collar workers displayed lower levels of dietary inflammation (green: 1.64 vs. 1.89, p = 0.019, blue: 1.79 vs. 1.89, p = 0.022). After adjusting for sex, age, income, education, and energy intake, the sole trend that persisted was the comparison between white-collar and pink-collar workers.

Conclusions

DII scores and dietary patterns differed among occupational groups and genders.

한국 직장 인구의 직업 분류별 영양 섭취 습관과 식이 염증 지수 차이
목적
직장인의 영양 섭취는 그들의 직장 환경과 밀접한 관련이 있다.
방법
본 연구는 2016년부터 2020년까지 실시된 대한민국 국립건강영양조사(KNHANES) 자료를 사용하였다. 연구 대상은 19세에서 65세까지의 직장인으로, 군인은 제외되었다.(전체 = 12,201명, 남성 = 5,872명, 여성 = 6,329명) 주요 관심 대상은 식이 염증 지수(DII)로, 식품 섭취 정보를 사용하여 계산하였다. 통계 분석에는 일반화된 선형 모델을 사용하였다.
결과
핑크 칼라 직종 근로자들은 DII 점수가 더 높았으며, 이는 화이트 칼라 직종 근로자들보다 잠재적으로 염증성 식습관이 높을 수 있음을 나타낸다.(평균: 2.18 대 1.89, p < 0.001) 그린과 블루 칼라 직종 근로자들은 DII 점수가 낮았다.(그린: 1.64 대 1.89, p = 0.019, 블루: 1.79 대 1.89, p = 0.022) 핑크 칼라와 화이트 칼라 직종 근로자에서 DII 점수의 차이는 성별, 연령, 소득, 교육 및 에너지 섭취량에 대한 보정 후에도 지속되었다.
결론
DII 점수와 식습관은 직업군과 성별에 따라 다르게 나타났다.

Citations

Citations to this article as recorded by  
  • Temporary Employment Is Associated with Poor Dietary Quality in Middle-Aged Workers in Korea: A Nationwide Study Based on the Korean Healthy Eating Index, 2013–2021
    Seong-Uk Baek, Myeong-Hun Lim, Yu-Min Lee, Jong-Uk Won, Jin-Ha Yoon
    Nutrients.2024; 16(10): 1482.     CrossRef
  • 81 View
  • 8 Download
  • 1 Web of Science
  • 1 Crossref
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Case Report
Parkinson's disease in a worker exposed to insecticides at a greenhouse
Yangwoo Kim, Inah Kim, Jung-Min Sung, Jaechul Song
Ann Occup Environ Med 2021;33:e6.   Published online February 5, 2021
DOI: https://doi.org/10.35371/aoem.2021.33.e6
AbstractAbstract PDFPubReaderePub
Background

Parkinson's disease (PD) is a rare, neurodegenerative disease with various occupational and environmental risk factors. Exposure to specific pesticides contributes significantly to the incidence of PD. However, it is difficult to measure the level of pesticide exposure in workers. This study presents the first case recognized the work-relatedness between PD and pesticide exposure.

Case presentation

A 68-year-old male was diagnosed with PD after working with pesticides at a tomato greenhouse for 12 years and 5 months. From the results of a field study, it was reasonable to assume that the patient had been exposed to a significant level of various insecticides. In the present report, we described the first accepted case of work-relatedness between PD and exposure to pesticides. The evaluation was conducted using the following steps: we ruled out other possible risk factors including additional occupational history and personal risk factors, we assessed the work environment, surveyed possible exposures, found proper epidemiological evidence, and calculated the probability of causation. The work-relatedness was determined through the review of epidemiological evidence and estimation of exposure situation and level, and biological plausibility. We also decided work-relatedness based on the exposure of PD related pesticides with identified biologically plausible and the presumption that the exposure level would be high due to the working process.

Conclusions

In this case, the field study and epidemiological results supported the work-relatedness of PD and exposure to pesticides. Moreover, the results of previous studies have confirmed a causal relationship between exposure to pesticides and PD.


Citations

Citations to this article as recorded by  
  • Rotenone-Induced Model of Parkinson’s Disease: Beyond Mitochondrial Complex I Inhibition
    María Teresa Ibarra-Gutiérrez, Norma Serrano-García, Marisol Orozco-Ibarra
    Molecular Neurobiology.2023; 60(4): 1929.     CrossRef
  • Food Contamination: An Unexplored Possible Link between Dietary Habits and Parkinson’s Disease
    Giulia Caioni, Annamaria Cimini, Elisabetta Benedetti
    Nutrients.2022; 14(7): 1467.     CrossRef
  • 58 View
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  • 3 Web of Science
  • 2 Crossref
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Research Articles
Association between the prevalence of allergic reactions to skin prick tests and workplace types among agricultural workers in South Korea
Jiyoung Han, Yangwoo Kim, Sooyeon Lee, Soo-Jin Lee
Ann Occup Environ Med 2020;32:e36.   Published online November 11, 2020
DOI: https://doi.org/10.35371/aoem.2020.32.e36
AbstractAbstract PDFPubReaderePub
Background

Farmers are often exposed to dust, molds, pollen, animal products, insects, and chemicals. Accordingly, they have a high prevalence of respiratory and allergic diseases. Some studies have shown that farmers have a high prevalence of respiratory diseases and symptoms depending on where farmers work. The objective of the present study was to investigate whether certain types of agricultural workplaces are associated with the prevalence of allergic reactions in skin prick tests (SPTs) in South Korea.

Method

A total of 149 farmers, grouped according to their workplaces in greenhouses, poultry houses, or outdoors, answered a self-reported questionnaire about the prevalence of respiratory diseases and symptoms. They were skin-tested using 12 allergens. The questionnaire and the prevalence of positive skin tests were determined for each of the participant groups, and the results were analyzed by multivariate logistic regression.

Results

There were significant differences in the prevalence of allergic reactions to the SPT, chronic obstructive pulmonary diseases (COPDs) and asthma symptoms (wheezing) among the subgroups. The allergic reaction to SPT was the highest in greenhouse workers (30.9%), followed by poultry house workers (15.9%), and outdoor workers (8.1%). The prevalence of COPD was 6.8% in poultry house workers alone and not in other groups. The prevalence of wheezing was the highest at 9.1% in poultry house workers. According to the results of the logistic analysis, the prevalence of allergic reactions to SPT had positive correlations with the types of workplaces. Greenhouse workers had higher risk of SPT sensitization compared to outdoor workers (adjusted odds ratio [OR]: 5.55, 95% confidence interval [CI]: 1.32–32.24). The prevalence of SPT positivity also had an association with the symptoms of sneezing, rhinorrhea, or nasal congestion (adjusted OR: 6.64, 95% CI: 2.06–23.63).

Conclusions

These data demonstrate that the types of workplaces were associated with the prevalence of allergic sensitization. This could be explained by the difference in the type or level of airborne exposures in each workplace. It is also likely that this was caused by differences between groups of individual factors such as age and BMI that influence SPT sensitization.


Citations

Citations to this article as recorded by  
  • New Developments in Climate Change, Air Pollution, Pollen Allergy, and Interaction with SARS-CoV-2
    Gennaro D’Amato, Isabella Annesi-Maesano, Benedetta Biagioni, Andrea Lancia, Lorenzo Cecchi, Maria Concetta D’Ovidio, Maria D’Amato
    Atmosphere.2023; 14(5): 848.     CrossRef
  • Comparison of Overall Immunity Levels among Workers at Grape Orchard, Rose Greenhouse, and Open-Field Onion Farm
    Anju Maharjan, Ravi Gautam, JiHun Jo, Manju Acharya, DaEun Lee, Pramod Bahadur K C, Jin Gim, Sojung Sin, Hyocher Kim, ChangYul Kim, SooYeon Lee, SooJin Lee, Yong Heo, HyoungAh Kim
    Safety and Health at Work.2022; 13(2): 248.     CrossRef
  • 46 View
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  • 3 Web of Science
  • 2 Crossref
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Descriptive analysis of prevalence and medical expenses of cancer, cardio-cerebrovascular disease, psychiatric disease, and musculoskeletal disease in Korean firefighters
Jeehee Min, Yangwoo Kim, Hye Sim Kim, Jiyoung Han, Inah Kim, Jaechul Song, Sang-Baek Koh, Tae-Won Jang
Ann Occup Environ Med 2020;32:e7.   Published online January 30, 2020
DOI: https://doi.org/10.35371/aoem.2020.32.e7
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background

Firefighters are exposed to many dangerous working conditions. Many studies have identified the risk of disease for firefighters, but only a few studies have addressed the medical expenses of firefighters, which represents a concrete scale of disease. Our purpose in this study was to determine the medical expenditures of firefighters to assess the overall scale of disease in Korea. We focused on cancer, mental disorders, cardio-cerebrovascular disease, and musculoskeletal disease, the prevalence of which was expected to be high in firefighters.

Methods

This study utilized National Health Insurance Service data. We targeted firefighters, police officers, and government officials. We classified disease based on the 10th revision of the International Statistical Classification of Diseases and Related Health Problems codes. We compared prevalence by the age-standardized prevalence rate, considering standard distribution of the population. Medical expenditure of disease was defined as outpatient fees, hospitalization fees, and drug costs. Total medical expenditures were calculated by the sum of those 3 categories.

Results

The age-standardized prevalence of cancer, mental disorders, and cardiovascular disease in firefighters was slightly higher than or similar to that of government officials and police officers (no significant difference). However, medical expenditures for stomach cancer, mental disorders, and most cardio-cerebrovascular diseases were higher in firefighters than in others. In particular, firefighters spent 12 times more money for ischemic heart disease than did government officials. Of musculoskeletal diseases, lumbar disc disorder had the highest expenditures among firefighters.

Conclusions

The age-standardized prevalence of most of diseases of firefighters was not as high as in the other groups, but the medical expenses of firefighters were much higher than those of government officials and police officers.


Citations

Citations to this article as recorded by  
  • The global prevalence of musculoskeletal disorders among firefighters: a systematic review and meta-analysis
    Amir Hossein Khoshakhlagh, Saeid Yazdanirad, Saleh Al Sulaie, Abdollah Mohammadian-Hafshejani, Robin Marc Orr
    International Journal of Occupational Safety and Ergonomics.2024; 30(1): 272.     CrossRef
  • Risk of Cerebro-Cardiovascular Diseases among Police Officers and Firefighters: A Nationwide Retrospective Cohort Study
    Jongin Lee, Woo-Ri Lee, Ki-Bong Yoo, Jaelim Cho, Jinha Yoon
    Yonsei Medical Journal.2022; 63(6): 585.     CrossRef
  • Non-cancer health risks in firefighters: a systematic review
    Jeong Ah Kim, Soo Yeon Song, Wonjeong Jeong, Jae Kwan Jun
    Epidemiology and Health.2022; 44: e2022109.     CrossRef
  • 56 View
  • 0 Download
  • 3 Web of Science
  • 3 Crossref
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