비만 여성의 체중조절 실시를 통한 효과 측정

The Effect of Weight Control on Obese Women

  • 문수재 (연세대학교 생활과학대학 식품영양학과)
  • 발행 : 1995.09.01

초록

This study was conducted to investigate the effect of weight control by use of commercial formula diet and nutrition education on 36 obese women over a period of 6 months. During the study it motivated ways for women to control their weight and improve their health, thus analyzing variables that influence weight control. To help weight control, for the first 3 weeks, along with 1 regular mea, 2-3 liquid formula diets of 135㎉ per pack a day were provided within the 1,200-800㎉ range. For 6 months since then, all 3 meals were taken regularly and it was recommended that energy which is 500㎉ less than energy requirement be taken. To evaluate the effect of weight change by the weight control program, anthropometric measurements, biochemicl parameter, and food behavior are measured. The mean body mass index(BMI) was 30.1$\pm$3.8(25.0-43.6) and it was in the upper 5 percentile of the mean BMI of Korean women. The percent of body fat was significantly reduced from 29.1$\pm$2.4 to 26.4$\pm$2.3, showing that the weight control program induced not only a change in weight but also a change in body composition. The body circumference such as waist and hip circumference and skinfold thickness measurements of biceps, triceps, subscapular and surprailiac were reduced significantly, but the mean waist-to-hip ratio didn't change. Singnificantly improved food behavior score measured by the questionnaire indicated that the weight-contorl program induced the change of the food behavior, as well. Weight loss also induced biochemical parameters of the subject, thus total cholesterol, LDL-Cholesterol, and triglycerol which were in the high range of the normal values were reduced to 20.2%(p<0.01), 22.2%(p<0.01), 25.8%(p<0.01), repectively. HDL-cholesterol didn't change significantly, but the ratio of HDL to total cholesterol increased(p<0.01).

키워드

참고문헌

  1. 영양생태학-세계인의 식생활과 영양 小石秀夫;鈴木繼美;문수재(역)
  2. 한국영양학회지 v.21 no.3 최근 우리나라에서의 질병 변천 최강원
  3. 한국영양학회지 v.23 no.3 영양과 관련된 질환의 현황과 대책 허갑범
  4. 대한의학협회지 v.36 no.3 우리나라 사망원인의 변천과 현황 김정순
  5. Am J Clin Nutr v.55 Prevalence of overweight and weight gain in the United States Kuczmarski J. Robert
  6. Food Tech Obesity : The American disease Van Italie, B.T.
  7. 국민영양조사 보고서 보건사회부
  8. Amm Intern Med v.103 Health implications of obesity National Institutes of Health Consensus Development Conference Statement
  9. Am J Clin Nutr v.56 Effects of weight reduction on blood lipids and lipoprotein : A meta analysis Dattilo M, Anne;P.M.Kris-Etherton
  10. Am J Clin Nutr v.52 Reducing-diet and exercise training effects on serum lipids and lipoproteins in midly obese women Nieman,C.D.;Haig,J.L.;Fairchild,K.S.;Guia,E.D.;Dizon,G.P.;Register,U.D.
  11. 대한내과학회잡지 v.44 비만인에서 체중감소가 당질 및 지질대사에 미치는 영향 허갑범;정윤석;박석원;이현철;임승길;이영해;이종호;백인경;박유경;이양자
  12. Nutr Today July/August Methods for voluntary weight loss and control-Technology Assessment Conference Statement National Institutes of Health
  13. J of ADA v.88 Weight control approaches : A Review by the California Dietetic Association Rock L. Cheryl;Ann M. Coulston
  14. 대한영양사회 1993년도 병원분과 워크샵 비만치료를 위한 식사요법 이종호
  15. Med Clin North Am v.73 no.1 Low and very low calorie diets Atkinson L. Richard
  16. 한국영양학회지 v.23 no.5 비만증의 치료 이종호
  17. J ADA v.90 Position of the American Dietetic Association : Very-low-calorie weight loss diets Report ADA
  18. Med Clin North Am v.73 no.1 Behavioral management of obesity Brownell D. Kelly;Krammer F. Mathew
  19. J of ADA v.88 Using behavior modification in nutrition counselling Holli B. Betsy
  20. Medcine and Science in Sports and Exercise v.23 no.12 Normalization of the metabolic profile in obese women by exercise and a low fat diet Tremblay,A.;Desfres,J.P.;Maheux,J.;Pouliot,M.C.;Nadeau,A.;Moorjani,S.;Lupien,P.J.;Bouchard,C.
  21. 대한영양사회 1993년도 병원분과 워크샵 비만의 운동요법 황수관
  22. J of Consuiting and Clinical Psychology v.60 no.4 Etiology and treatment of obesity : understanding a serious prevalent, and refractory disorder Brownell D. Kelly;Thomas A. Wadden
  23. Application of clinical nutrition Zeman J. Frances;Denise M. Ney
  24. Nutrition and physical fitness(9th eds.) Bogert J. Lydia;George M. Briggs; Doris Howes Calloway
  25. Nutrition counselling skill Assessment, treatment, and evaluation(2nd eds.) Snetselaar G. Linda
  26. Therapeutic psychology-Fun-damentals of counseling and psychotherapy(5th eds.) Brammer M. Lawrance;Everett L. Shostrom;Philip J. Abrego
  27. 상담과 심리 치료의 원리와 실제 Corey;Gerold(著);김충기(共譯);김현옥(共譯)
  28. Am J Clin Nutr v.40 A new approach for the estimation of body composition : infarred interaction Conway M. Joan;Karl H. Norris;C.E.Bodwell
  29. 食の科學 v.61 食事の健全な自己點檢 足立己幸;磯田厚子
  30. 박사학위논문,연세대학교 대학원 도시 청소년의 식생활 행동과 식품에 대한 가치 평가에 관한 연구 이영미
  31. Appl Psy Meas v.1 The CES-D : A self-report depression scale for research in the general population Radloff,L.S.
  32. 대한의학협회지 v.34 한국인의 우울에 관한 역학적 조사 유계준;신승철(등)
  33. SAS라는 통계상자 김충련
  34. 대한비만학회지 v.1 비만증의 진단과 평가 이광우
  35. Clin Chem v.18 Estimation of the concentration of low density lipoprotein : cholesterol without use of preoperative ultracentrifuge Friedwald,T.W.;Revy,R.I.;Fredrickson,D.S.
  36. N Engl J Med v.319 Changes in plasma lipids and lipoproteins in overweight men during weight loss through dieting as compared with exercise Wood,D.;Stefanick,W.L.;Dreon,D.M.
  37. 한국영양학회지 v.26 no.1 활동강도에 따른 체지방 분포 및 혈청 지질 농도에 관한 연구 문수재;이은경;전형주;고병교
  38. J Chronic Dis v.27 Relationship of weight changes to changes in athrogenic traits : The Framingham study Ashley,F.W.Jr.;Kannel,W.B.
  39. 석사학위논문, 연세대학교 대학원 인슐린비의존형 당뇨병 환자에서 인슐린 분비 능력과 체중감소가 당질 및 지질대사에 미치는 영향 박유경