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PHRP : Osong Public Health and Research Perspectives

OPEN ACCESS. pISSN: 2210-9099. eISSN: 2233-6052

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"Hyun-Young Park"

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"Hyun-Young Park"

Original Articles
Insufficient weight management in pregnant women with gestational diabetes mellitus
Kyunghee Han, Dong Wook Kwak, Hyun Mee Ryu, Hyun-Young Park
Osong Public Health Res Perspect 2022;13(4):242-251.
Published online August 31, 2022
DOI: https://doi.org/10.24171/j.phrp.2022.0182
Insufficient weight management in pregnant women with gestational diabetes mellitus
Objectives
This study investigated whether weight was managed appropriately in pregnant women with gestational diabetes mellitus (GDM) and examined the association between insufficient gestational weight gain (GWG) and adverse pregnancy outcomes.
Methods
The study included 235 pregnant women with GDM from the Korean Pregnancy Outcome Study. GWG from the second to the third trimester (kg/wk) and total GWG (kg) were classified as insufficient, appropriate, or excessive according to the 2009 Institute of Medicine guidelines. Adverse pregnancy outcomes included maternal (hypertensive disorders of pregnancy, preterm birth, cesarean delivery, and delivery complications) and infant (low birth weight, high birth weight, neonatal intensive care unit admission, and congenital anomalies) outcomes.
Results
The proportion of pregnant women with GDM who had insufficient GWG from the second to the third trimester was 52.3%, and that of participants with total insufficient GWG was 48.1%. There were no significant associations between insufficient GWG from the second to the third trimester and adverse pregnancy outcomes. Participants with total insufficient GWG had a significantly lower risk of preterm birth (odds ratio [OR], 0.17; 95% confidence interval [CI], 0.05–0.60) and high birth weight (OR, 0.23; 95% CI, 0.07–0.80).
Conclusion
Our findings suggest the importance of appropriate weight management and the need for GWG guidelines for pregnant women with GDM.

Citations

Citations to this article as recorded by  Crossref logo
  • Impact of gestational weight gain on adverse pregnancy outcomes in women with gestational diabetes: a retrospective cohort study
    Amin Moradi, Mehdi Norouzi, Ehsan Mosa Farkhani
    BMC Pediatrics.2026;[Epub]     CrossRef
  • Risk factors and prediction model for low-birth-weight infants born to women with gestational diabetes mellitus
    Yu-qing Pan, Xin-xin Huang, Xiu-min Jiang
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • 6,396 View
  • 128 Download
  • 2 Web of Science
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Use of Menstrual Sanitary Products in Women of Reproductive Age: Korea Nurses’ Health Study
Hansol Choi, Nam-Kyoo Lim, Heeja Jung, Oksoo Kim, Hyun-Young Park
Osong Public Health Res Perspect 2021;12(1):20-28.
Published online February 1, 2021
DOI: https://doi.org/10.24171/j.phrp.2021.12.1.04
<sec> <title>Objectives</title> <p>The use of menstrual hygiene products and its effect on women’s health remains under studied. Patterns of menstrual hygiene product use and the rationale behind choices among Korean women aged 18–45 years were examined.</p></sec> <sec> <title>Methods</title> <p>This cross-sectional study was a part of the Korea Nurses’ Health Study. A total of 20,613 nurses participated, and 8,658 nurses participated in Module 7 which included a menstrual hygiene products-related survey. The data were collected through the mobile survey using a self-reported questionnaire. Participants’ use of menstrual hygiene products and related characteristics were analyzed using frequency (percentage) or mean (SD).</p></sec> <sec> <title>Results</title> <p>The most common types of menstrual hygiene products across all age groups were disposable menstrual pads (89.0%), followed by cloth menstrual pads (4.5%), tampons (4.2%), and only 1.6% used a menstrual cup. Disposable menstrual pads were the most common across all age groups, but in those aged under 30 years this was followed by tampon use (6%). The most important criteria when choosing a menstrual hygiene product was comfort for disposable menstrual pads (31.3%) and tampons (41.5%), natural ingredients or organic products for cloth menstrual pads (51.4%), and custom fit for the menstrual cup (50.7%). However, for all menstrual hygiene products (except cloth menstrual pads), there was a higher proportion of anxiety than perception of safety, and low awareness of toxic shock syndrome.</p></sec> <sec> <title>Conclusion</title> <p>It is important for women to use menstrual hygiene products with confidence. More research is needed to better understand potential health effects of menstrual hygiene products.</p></sec>

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Objectives
High-density lipoprotein cholesterol (HDL-C) is an independent risk factor for cardiovascular diseases that has shown a remarkable increase, but little is known about the prevalence of low HDL-C in Korea. This study aimed to evaluate changing trends of low HDL-C prevalence, and indicate other risk factors associated with low HDL-C.
Methods
We selected subjects aged ≥20 years from the Korean National Health and Nutrition Examination Survey (KNHANES) 1998, 2001, and 2005 (<i>n</i> = 7962, 6436, and 6412). The mean level of HDL-C and the prevalence of low HDL-C was calculated, and cardiovascular risk factors associated with low HDL-C, as well as demographic, anthropometric, lifestyle, and nutrition factors, were assessed using the KNHANES 2005 data.
Results
Mean HDL-C levels in men and women between KNHANES 1998 and 2005 decreased significantly, from 48.1 to 42.3 and from 51.6 to 47.1 mg/dL, respectively (both <i>p</i> < 0.001). The decrease was slightly less for women compared with men for the same period, and women had higher HDL-C levels at all periods. Covariate-adjusted OR revealed that body mass index, waist circumference, and non-alcohol drinker in both men and women were associated with low HDL-C levels by KNHANES 2005, as were employed and light physical activity in men and low fat intake in women.
Conclusion
The prevalence of low HDL-C increased significantly from KNHANES 1998 to 2001 and 2005 (<i>p</i> < 0.001) in both men and women. body mass index, waist circumference, and non-alcohol drinker were identified as associated with low HDL-C in Korean adults.

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