pISSN : 2383-6415   eISSN : 2383-6423

Risk Factors of Colon Polyps in Colonoscopy Examinee


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INFORMATION : page. 33~40 / 2014 Vol.16 No.1


ABSTRACT

사회경제적 수준의 향상과 함께 의료기술의 발달로 예방의학 및 건강에 관한 관심이 높아지고 있어, 건강검진에 의해 발견되는 질병률이 증가하고 있다. 악성신생물에 의한 사망률은 인구 10만 명당 96.3명으로, 33.3명으로 2위인 뇌혈관 질환보다 높은 비율로 1위를 차지하고 있다(Korea National Statistical Office, 2012). 그 중 대장암은 우리나라에서 발생하는 매우 흔한 암으로 전체 암 발생 중 14.2%로 갑상샘암, 위암에 이어 3위이고, 대장암으로 인한 연도별 사망률은 계속 증가하고 있는 추세이다(Jung et al., 2013). 최근에 대장암의 발생기전은 대장선종에서 대장암으로 전환된다는 “선종-암종 전환”으로 생각되면서(Morimoto et al., 2002), 대장암 예방을 위해서 대장암 전구 병변인 대장용종을 조기 발견하는 것과 대장용종 발생에 영향을 줄 수 있는 생활 환경적 위험인자를 분석하는 데 관심이 증가하고 있다.

Purpose: The purpose of this study was to identify the prevalence and risk factors of colon polyps. Methods: The subjects were 180 adults enrolled from examinees who underwent colonoscopy at the health promotion center and OPD in Ulsan University Hospital. The risk factors were collected by a self-reporting standardized questionnaire and medical records. Data analysis involved chi-square test, and multiple logistic regression. Results: The prevalence of colon polyps was 41.6%. The risk factors for colon polyps were significantly increased by the cases of subjects more than 50 years old (OR, 9.213; CI, 3.291-25.789), subjects who didn’t have any regular high-intensity exercise (OR, 4.762; CI, 1.387-16.351), subjects whose intake of fruits was less than once per a week (OR, 5.938; CI, 1.069-32.985) and subjects who showed irregular defecation (OR, 3.066; CI, 1.178-7.980). Conclusion: This study suggests that eating habits and proper exercise, which promote a normal habit of defecation so as to be helpful in preventing colon polyps.

Keyword :

Colonic polyps,Risk factors,대장용종,위험요인


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