대학생들의 스트레스 지각 정도와 경동맥 내막-중막 두께의 관계 연구 The Relationship between Perceived Stress Scale and Carotid Intima-Media Thickness Using Ultrasonography in University Students원문보기
경동맥 내막-중막 두께(CIMT) 검사는 심장 질환의 증상이 없는 환자에서도 안전하고 비 침습적으로 죽상경화증을 검사하고 모니터 할 수 있는 표준화 된 초음파 절차이다. 본 연구의 목적은 초음파로 측정 한 경동맥 내막-중막 두께와 환자의 스트레스 정도를 측정하는 것이었다. 연구 대상자는 경기도 수원시에 있는 기타 질환이 없는 대학생 168 명(남자 46 명, 여자 122 명)이었다. 이 연구에서 참가자들의 연구 참여는 문서를 통하여 개인적으로 동의를 받았다. 경동맥 내막-중막 두께는 비 침습성 고 해상도 Medison Accuvix V20 초음파 장비를 사용하여 분기점 아래 1 cm의 좌우 총경동맥에서 측정되었고, 스트레스 인지정도는 10 가지 항목의 PSS (Perceived Stress Scale)설문지를 이용하였다. 이 연구는 PSS가 인지된 스트레스 수준과 체중을 추정하는데 적절함을 나타냈다. 스트레스 유무에 따라 좌측 CIMT와 체중 간에 통계적으로 유의 한 차이가 있었다(p<0.05). 이 연구의 결과는 체중 측정이 부분적으로는 일반화 된 스트레스에 영향을 받는다는 것을 시사합니다. CIMT에 대한 인지된 스트레스와 일반화 된 불안의 영향을 테스트하기 위해서는 다양한 연구가 지속적으로 이루어져야 할 것으로 사료된다.
경동맥 내막-중막 두께(CIMT) 검사는 심장 질환의 증상이 없는 환자에서도 안전하고 비 침습적으로 죽상경화증을 검사하고 모니터 할 수 있는 표준화 된 초음파 절차이다. 본 연구의 목적은 초음파로 측정 한 경동맥 내막-중막 두께와 환자의 스트레스 정도를 측정하는 것이었다. 연구 대상자는 경기도 수원시에 있는 기타 질환이 없는 대학생 168 명(남자 46 명, 여자 122 명)이었다. 이 연구에서 참가자들의 연구 참여는 문서를 통하여 개인적으로 동의를 받았다. 경동맥 내막-중막 두께는 비 침습성 고 해상도 Medison Accuvix V20 초음파 장비를 사용하여 분기점 아래 1 cm의 좌우 총경동맥에서 측정되었고, 스트레스 인지정도는 10 가지 항목의 PSS (Perceived Stress Scale)설문지를 이용하였다. 이 연구는 PSS가 인지된 스트레스 수준과 체중을 추정하는데 적절함을 나타냈다. 스트레스 유무에 따라 좌측 CIMT와 체중 간에 통계적으로 유의 한 차이가 있었다(p<0.05). 이 연구의 결과는 체중 측정이 부분적으로는 일반화 된 스트레스에 영향을 받는다는 것을 시사합니다. CIMT에 대한 인지된 스트레스와 일반화 된 불안의 영향을 테스트하기 위해서는 다양한 연구가 지속적으로 이루어져야 할 것으로 사료된다.
Carotid artery intima-media thickness (CIMT) test is a standardized ultrasound procedure that screens for and monitors atherosclerosis in a safe and non-invasive manner, even in individuals with no symptoms of heart disease. The purpose of this study was to research the relationship between CIMT, as...
Carotid artery intima-media thickness (CIMT) test is a standardized ultrasound procedure that screens for and monitors atherosclerosis in a safe and non-invasive manner, even in individuals with no symptoms of heart disease. The purpose of this study was to research the relationship between CIMT, as measured by ultrasonography, and the degree of individual perceived stress. There was a total of 168 (male: 46, female: 122) university students in Suwon-si, Gyeonggi-do, Korea, without other diseases. Written informed consent was obtained from all participants. CIMT was measured in the right and left common carotid arteries 1 cm below the bifurcation, and internal carotid artery, using non-invasive high-resolution Medison Accuvix V20 prestige ultrasound equipment and perceived stress, was measured with the 10-item PSS (Perceived Stress Scale) questionnaire. This study indicates that PSS may be appropriate to estimate perceived stress levels and weight. Failure to control stress anxiety could lead to weight and CIMT soaring to dangerous levels, resulting in a myocardial infarction or cerebrovascular accident. There was a statistically significant difference between left CIMT (p<0.05) and weight (p<0.05) according to each stress classification. The results of this study suggest that the weight measurement is influenced in part by one's generalized stress levels. Future continuous studies should be conducted to test the influences of perceived stress and generalized anxiety on CIMT when these are many continuous variables.
Carotid artery intima-media thickness (CIMT) test is a standardized ultrasound procedure that screens for and monitors atherosclerosis in a safe and non-invasive manner, even in individuals with no symptoms of heart disease. The purpose of this study was to research the relationship between CIMT, as measured by ultrasonography, and the degree of individual perceived stress. There was a total of 168 (male: 46, female: 122) university students in Suwon-si, Gyeonggi-do, Korea, without other diseases. Written informed consent was obtained from all participants. CIMT was measured in the right and left common carotid arteries 1 cm below the bifurcation, and internal carotid artery, using non-invasive high-resolution Medison Accuvix V20 prestige ultrasound equipment and perceived stress, was measured with the 10-item PSS (Perceived Stress Scale) questionnaire. This study indicates that PSS may be appropriate to estimate perceived stress levels and weight. Failure to control stress anxiety could lead to weight and CIMT soaring to dangerous levels, resulting in a myocardial infarction or cerebrovascular accident. There was a statistically significant difference between left CIMT (p<0.05) and weight (p<0.05) according to each stress classification. The results of this study suggest that the weight measurement is influenced in part by one's generalized stress levels. Future continuous studies should be conducted to test the influences of perceived stress and generalized anxiety on CIMT when these are many continuous variables.
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문제 정의
However, there have been a limited number of studies focusing on the association between stress and CIMT. The goal of this study was to explore the association between perceived stress and CIMT in a university student. The subjects' age, height and body weight showed an irregular distribution (p＜0.
The principal finding of our study is that CIMT findings correlate with the complexity of weight and BMI. Many previous studies have demonstrated the relationship between CIMT findings and the weight or BMI of obesity.
This study examined differences in CIMT (as measured by ultrasonography) and degree of individual perceived stress (as measured by PSS) based on general characterizes by university students.
In fact, in developed countries, the most common cardio-vascular disease is CAD, which is also the leading. This study indicates that the PSS is appropriate for estimating the perceived stress levels. Failure to control anxiety could lead to CIMT soaring to dangerous levels resulting in a myocardial infarction and/or cerebrovascular accident.
They are also a major problem, not only as far as coronary artery disease (CAD) is concerned but also in terms of stroke, the incidence of which is among the highest in the world. This study is based on the need to find a perceived stress and CIMT for assessing relation the obesity in students and examined differences in obesity and CIMT as measured by ultrasonography based on degree of individual perceived stress by university students. The prevalence of obesity and associated cardiometabolic disease (CMD) is increasing among world population and requires urgent attention in the form of preventive strategies.
경동맥 내막-중막 두께(CIMT) 검사는 심장 질환의 증상이 없는 환자에서도 안전하고 비 침습적으로 죽상경화증을 검사하고 모니터 할 수 있는 표준화 된 초음파 절차이다. 본 연구의 목적은 초음파로 측정 한 경동맥 내막-중막 두께와 환자의 스트레스 정도를 측정하는 것이었다. 연구 대상자는 경기도 수원시에 있는 기타 질환이 없는 대학생 168 명(남자 46 명, 여자 122 명)이었다.
가설 설정
In this study, the results of the left CIMT were generalized to weight, but the results of the PSS were reversed. The limitation of this study was that the age and the number of samples with low stress were the problem. Conclusion, the results of this study suggest that the weight measurement is influenced in part by one’s generalized.
제안 방법
Scores ranging from 0∼13 would be considered low stress (2 stage), scores ranging from 14∼26 would be considered moderate stress (3 stage), and scores ranging from 27∼40 would be considered high perceived stress (4 stage). In addition, the present study analyzed the differences in general characteristics and CIMT according to the stressed and stress free groups. In addition, the present study analyzed the differences in general characteristics and CIMT according to the stressed and stress free groups.
In addition, the present study analyzed the differences in general characteristics and CIMT according to the stressed and stress free groups.
The final IMT considered was the average of the IMT values at the 12 sites examined. Study subjects were facing the left side and laid down comfortably to set the probe around the central part of the sternocleidomastoid, which is below the thyroid cartilage. The probe was manipulated vertically to show the cross section of the vein (internal jugular) and artery (common carotid) on the screen of Accuvix V20 and horizontally for the longitudinal side of the vein and artery.
However, there have been a limited number of studies focusing on the association between stress and CIMT. Therefore, a study was conducted to measure CIMT in stressor from these conditions (control group), who were classified according to gender, BMI and stress. The results suggest caution in the management of stress with obesity as stress-induced cardiovascular diseases together with therapeutic doses may lead to coronary artery disease.
이 연구에서 참가자들의 연구 참여는 문서를 통하여 개인적으로 동의를 받았다. 경동맥 내막-중막 두께는 비 침습성 고 해상도 Medison Accuvix V20 초음파 장비를 사용하여 분기점 아래 1 cm의 좌우 총경동맥에서 측정되었고, 스트레스 인지 정도는 10 가지 항목의 PSS (Perceived Stress Scale)설문지를 이용하였다. 이 연구는 PSS가 인지된 스트레스 수준과 체중을 추정하는데 적절함을 나타냈다.
대상 데이터
In this paper, by using the survey data were completed from 2015 to December 2016. The participants in this study were 168 (male: 46, female: 122) university students without the other disease. Forty-six of the subjects were male and a hundred twenty two were female.
본 연구의 목적은 초음파로 측정 한 경동맥 내막-중막 두께와 환자의 스트레스 정도를 측정하는 것이었다. 연구 대상자는 경기도 수원시에 있는 기타 질환이 없는 대학생 168 명(남자 46 명, 여자 122 명)이었다. 이 연구에서 참가자들의 연구 참여는 문서를 통하여 개인적으로 동의를 받았다.
데이터처리
A cross tabulation with Kolmo-gorov-Smirnov, Mann-Whitney were used to measure differences in two categorical variables between two groups for stressed group and stress free groups. Differences in baseline characteristics between general characteristics and personal variables were tested for significance using the t-test, ANOVA, Mann-Whitney and Wilcoxon test. In addition, the Spearman correlation analysis was performed according to the correlation.
Differences in baseline characteristics between general characteristics and personal variables were tested for significance using the t-test, ANOVA, Mann-Whitney and Wilcoxon test. In addition, the Spearman correlation analysis was performed according to the correlation. All statistical significance level was presented as proportions and mean with 95% confidence intervals (set as p＜0.
Note: No statistically significant difference by Kruskal–Wallis one-way analysis of variance and ANOVA.
01. † p-values were calculated by Kolmogorov-Smirnov, Mann-Whitney, Wilcoxon test. † † p-values were calculated by t-test.
이론/모형
The questionnaire for the study was designed by Taylor JM, in precedent research on "Psychometric analysis of the Ten-Item Perceived Stress Scale" [7].
We used the Kolmogorov–Smirnov test to evaluate normal distribution.
성능/효과
The stress classification according to the score was described in Table 2B. As a result of stress classification, 35 (20.8%) were stress free, 27 (16.1%) were low stress, 23 (13.7%) were moderate stress and 83 (49.4) were high perceived stress. There was no statistically significant difference between weight and BMI results according to stress classification (Table 2B).
In each case, respondents are asked how often they felt a certain way. Because levels of appraised stress should be influenced by daily hassles, major events, and changes in coping resources, predictive validity of the PSS is expected to fall off rapidly after four to eight weeks. Roberti et al (2006) reported reliability estimates of 0.
Conclusion, the results of this study suggest that the weight measurement is influenced in part by one’s generalized.
It is recommended that those in high-stress job group increase physical activity and reduce job insecurity to improve health [24]. In this study, the results of the left CIMT were generalized to weight, but the results of the PSS were reversed. The limitation of this study was that the age and the number of samples with low stress were the problem.
경동맥 내막-중막 두께는 비 침습성 고 해상도 Medison Accuvix V20 초음파 장비를 사용하여 분기점 아래 1 cm의 좌우 총경동맥에서 측정되었고, 스트레스 인지 정도는 10 가지 항목의 PSS (Perceived Stress Scale)설문지를 이용하였다. 이 연구는 PSS가 인지된 스트레스 수준과 체중을 추정하는데 적절함을 나타냈다. 스트레스 유무에 따라 좌측 CIMT와 체중 간에 통계적으로 유의 한 차이가 있었다(p＜0.
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