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3 "Sex characteristics"
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Sex differences in factors associated with prediabetes in Korean adults
Jin Suk Ra
Osong Public Health Res Perspect. 2022;13(2):142-152.   Published online April 22, 2022
DOI: https://doi.org/10.24171/j.phrp.2022.0053
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AbstractAbstract PDF
Objectives
Identifying the factors associated with prediabetes is necessary for the early detection and management of high-risk individuals with prediabetes. The purpose of this study was to identify the factors associated with prediabetes according to sex in Korean adults. Methods: Using the Korean National Health and Nutrition Examination Survey from 2015 to 2019, a total of 13,595 adults (5,565 males and 8,030 females) aged ≥20 years were included in the data analysis. Logistic regression analysis was performed to identify the factors associated with prediabetes according to sex in Korean adults. Results: In both males and females, age and a family history of type 2 diabetes were associated with prediabetes. In males, current and past smoking habits were associated with increased prediabetes. In addition, low-intensity physical activity and prolonged sedentary behavior were associated with a higher prevalence of prediabetes. Females with a lower education level (less than middle school graduation) showed a higher risk of prediabetes. Conclusion: Sex-specific prevention strategies for prediabetes should be developed. In addition, older individuals and those with a family history of type 2 diabetes should be screened for prediabetes.
Sex differences in weight perception and weight gain among Black college students in the USA
Jounghee Lee, Jaesin Sa, Jean-Philippe Chaput, James Heimdal, Beatrice Nelson, Beom-Young Cho, Elizabeth Kwon
Osong Public Health Res Perspect. 2021;12(2):96-104.   Published online April 29, 2021
DOI: https://doi.org/10.24171/j.phrp.2021.12.2.07
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  • 100 Download
AbstractAbstract PDF
Objectives
The aims of this study were to examine the prevalence of overweight/obesity and to explore sex differences in body weight perceptions and correlates of weight gain among Black students at 2 historically Black colleges and universities (HBCUs) in the USA.
Methods
Participants completed a paper-based survey, and their height and weight were measured (67% completion rate).
Results
The overweight and obesity rates were 33.8% and 26.9%, respectively. More females than males accurately assessed their weight (p<0.05). Body weight underestimation was associated with male sex, excellent/very good perceived overall health, and not being informed by a doctor of having overweight or obesity (p<0.01). Higher odds of ≥5% weight gain were related to female sex, living on campus, and not being informed by a doctor of having overweight or obesity (p<0.05).
Conclusion
Given the high overweight and obesity rates among Black students, HBCUs in the USA should develop intervention strategies for the prevention and management of overweight and obesity. College health educators at HBCUs need to provide regular check-ups or health screenings that help male students perceive their weight accurately and prevent weight underestimation. It is important for HBCUs to monitor and address weight gain among Black students as early as possible.
Sex-based Association between Depression and Metabolic Syndrome in Korean Middle-aged and Older Adults
Jin Suk Ra, Hye Sun Kim
Osong Public Health Res Perspect. 2017;8(2):130-137.   Published online April 30, 2017
DOI: https://doi.org/10.24171/j.phrp.2017.8.2.05
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  • 9 Citations
AbstractAbstract PDF
Objectives

This study aimed to identify the sex-based association between depression and the development of metabolic syndrome (Mets) among middle-aged and older Korean adults.

Methods

A cross-sectional design was used for the secondary analysis of the 2010–2014 Korean National Health and Nutrition Examination Survey. Data from 1,938 men and 2,404 women were analyzed. Mets was defined in accordance with the criteria used for clinical diagnosis. Depression was assessed with a question about having clinical depression. The association between depression and the development of Mets with or without adjustment for covariates was identified by conducting logistic regression analysis on weighted data using a complex sample procedure.

Results

More women than men had depression. Before covariate adjustment, depression was significantly associated with the development of Mets among women (odds ratio [OR], 1.586; 95% confidence interval [CI], 1.152–2.183) and with a higher triglyceride level among men (OR, 1.679; 95% CI, 1.001–2.818). After covariate adjustment; depression was significantly associated with higher waist circumference among women (adjusted OR [AOR], 1.532; 95% CI, 1.046–2.245) and higher triglyceride level (AOR, 1.511; 95% CI, 1.029–2.219) than was Mets. Conversely, depression did not have significant effects on the development of Mets among men.

Conclusion

Depression was associated with the development of Mets among middle-aged and older Korean women. Healthcare providers in communities should assess women with depression for the presence of Mets components. Interventions for relieving depressive symptoms should also be provided to women at risk for Mets.


PHRP : Osong Public Health and Research Perspectives