Journal of Nutrition and Health

  • 제38권9호
  • /
  • Pages.739-749
  • /
  • 2005
  • /
  • 2288-3886(pISSN)
  • /
  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
권호 표지

식사대용식을 이용한 초저열량 식사요법이 성인 비만 여성들의 체중감량과 건강에 미치는 효과

Effects of Very Low Calorie Diet using Meal Replacements on Weight Reduction and Health in the Obese Adult Women

  • 발행 : 2005.11.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

This study was performed to investigate the effects of very low calorie diet (VLCD) using newly meal replacements that contain the wild grass extracts based on Samul-tang ingredients on weight reduction and health in the obese adult women ($BMI{\geq}25\;kg/^2$) for four weeks. Seventy five women participated in this experiment. Subjects were randomly classified three groups: 1) General Diet group (GD group, n=25) consumed 3 regular meals within 600 kcal/day, 2) Meal replacements group (MR group, n=25) consumed 1 regular meal and 2 meal replacements within 600 kcal/day, 3) Herbal Meal replacements group (HMR group, n=25) consumed 1 regular meal and 2 meal replacements within 600 kcal/day. Anthropometric measurements, body composition, biochemical measurements and body symptoms were assessed before (the initial) and after (the 4th week) the study. Anthropometry measurements such as weight, waist and hip circumference, and BMI and body composition such as body fat percent, fat mass significantly decreased in all groups after diet intervention. Anthropometric measurements and body composition of the ]lim group significantly decreased more than those of GD and MR groups. Serum Total cholesterol was significantly decreased in all groups. However, there was no significant difference among three groups during the experimental period. HMR group had significantly less felt a pain than GD and MR groups in body symptoms such as anemia, powerlessness, vomiting, constipation and dryness of skin during the experimental period. Therefore, very low calorie diet (VLCD) using meal replacements that contain the wild grass extracts based on Samul-tang ingredients was very effective on weight reduction and health in the obese adult women.

키워드

참고문헌

  1. Schutz Y. Micronutrient and energy balance in obesity. Metabolism 44(9): 711, 1995
  2. Westerterp-Plantenga MS. Fat intake and energy balance effects. Physiology Behav 83: 579-585, 2004 https://doi.org/10.1016/j.physbeh.2004.07.027
  3. Huh KB. Symposium: Recent progress in obesity. Korean J Nutrition 23 (5): 333-336, 1990
  4. Bramlage P, Pittrow D, Wittchen HU, Kirch W, Boehler S, Lehnert H, Horfler M, Unger T, Sharma AM. Hypertension in Overweight and Obese Primary Care Patients is highly prevalent and poorly controlled. Am J Hypertension 17: 904-910, 2004 https://doi.org/10.1016/j.amjhyper.2004.05.017
  5. Livingston EH, Ko CY. Effect of diabetes and hypertension on obesity related mortality. Surgery 137: 16-25, 2005 https://doi.org/10.1016/j.surg.2004.05.049
  6. Wadden TA, Stunkard AJ. Controlled Trial of Very Low Calorie Diet, Behavior Therapy, and Their Combination in the Treatment of Obesity. J Consulting Clin Psychology 54(4): 482-488, 1986 https://doi.org/10.1037/0022-006X.54.4.482
  7. Chang KJ. Tratment of obese women with low calorie diet, aerobic exercise and behavior modificarion. J Kor Soc Food Nutr 23(4): 510-516, 1995
  8. Weinstock RS, Huiliang D, Wadden TA. Diet and Exercise in the Treatment of Obesity. Arch Intern Med 158: 2477-2483, 1998 https://doi.org/10.1001/archinte.158.22.2477
  9. Mustajoki P, Pekkarinen T. Very Low Energy Diets in the Treatment of Obesity. Obes Rev 2: 61-72, 2001 https://doi.org/10.1046/j.1467-789x.2001.00026.x
  10. Heber D, Ashley JM, Wang HJ, Elashoff RM. Clinical evaluation of minimal intervention meal replacement regimen for weight reduction. J Am Coll Nutr 13 (6): 608-614, 1994
  11. Rothacker DQ. Five-year self-management of weight using meal replacement: comparison with matched controls in rural Wisconsin. J Nutr 16: 344-348, 2000 https://doi.org/10.1016/S0899-9007(99)00280-4
  12. Lee BG, Lee KR, Park MH. Sort-term weight management using meal replacement (meal replacement trial in Korean obese women) . J Korean Soc Study Obes 11(2): 131-141, 2002
  13. Heymsfield SB, van Mierlo CA, van der Knaap HC, Heo M, Frier HI. Weight management using a meal replacement strategy: meta and pooling analysis from six studies. Int J Obes Relat Metab Disord 27 (5): 537-549, 2003 https://doi.org/10.1038/sj.ijo.0802258
  14. Noakes M, Foster PR, Keogh JB, Clifton PM. Meal replacements are as effective as structured weight-loss diets for treating obesity in adults with features of metabolic syndrome. J Nutr 134: 1894-1899, 2004
  15. Lee JH, Huh GB. Very-Low-Calorie Diet. J Kor Soc Study Obes 4(1): 15-21, 1994
  16. Kim SS. Popular diet-fact and fiction. J Kor Soc Study Obes 11(1): 11-18, 2002
  17. Hwang SW, Kim KJ. The Effects of Boiungikaitang, Samooltang and Variants on the starvation. J Kor Oriental Study Obes 4(1): 55-67, 1989
  18. Kang JS, Sung RK. Effects of Sagoonjatang, Samooltang and Palmooltang and the Hormone. J Korean Oriental Assoc Study Obesity 9 (2): 35-60, 1994
  19. Jebb SA, Goldberg GR. Efficacy of very-low-energy diets and meal replacements in the treatment of obesity. J Hum Nutr Dietet 11 (3): 219-226, 1998 https://doi.org/10.1046/j.1365-277X.1998.00101.x
  20. Nam MS. Editorial: Effect of a traditional Korean very-low-calorie diet on obese patients. J Kor Assoc Inter Med 62 (3): 241-243, 2002
  21. Ann JO, Yoo GY. Statistical Analysis of medical science. SPSS acdemy, Korea, 2002
  22. Kim H. Hurjoon's Dongebogam. Iljisa, 2000
  23. Frost J, Harvey P, Bower L, Taylor P, Belka I. Five year results of a prospective very low calorie diet or conventional weight loss programme in type 2 diabetes. J Hum Nutr Dietet 15: 121-127, 2002 https://doi.org/10.1046/j.1365-277X.2002.00342.x
  24. Park WI, Lee JH, Jo SH, Paik BL, Choi CK, Lee SG, Moon HK, Choi YM, Jung YS, Lee KW, Kim HM, Kim MK, Lee JH, Choi SJ. Original Articles: Effect of a traditional Korean very-low-calorie diet on obese patients. J Kor Assoc Inter Med 62(3): 250-257, 2002
  25. Pekkarinen T, Takala I, Mustajoki P. Weight loss with very low calorie diet and cardiovascular risk factors in moderately obese women: One-year follow-up study including ambulatory blood pressure monitoring. Inter J Obes 22: 1-6, 1998 https://doi.org/10.1038/sj.ijo.0800536
  26. Saria WHM. Very-Low-Calorie Diets and Sustained Weight Loss. Obes Res 9 (4): 295-301, 2001 https://doi.org/10.1038/oby.2001.134
  27. Rothacker DQ, Staniszewski BA, Ellis PK. Liquid meal replacements vs traditional food: A potential model for women who cannot maintain eating habit change. J Am Dietet Assoc 101 (3): 345-347, 2001 https://doi.org/10.1016/S0002-8223(01)00089-X
  28. Forbes GD. Lean body mass-body fat interrelationship in human Nutr Rev 45: 225-231, 1987 https://doi.org/10.1111/j.1753-4887.1987.tb02684.x
  29. Moon SJ, Kim HS, Kim JH, Park GS, You YH. The Effect of Weight Control on Obese Women. Korean J Nutrition 28 (8): 757-770, 1995
  30. Ha TY, Kim NY. The Effects of Uncooked Grains and Vegetables with Mainly Brown Rice on Weight Control and Serum Components in Korean Overweight/Obese. Korean J Nutrition 36 (2): 183-190, 2003
  31. Holme I. An analysis of randomized trials evaluating the effect cholesterol reduction on total mortality and coronary heart disease incidence. Circulation 82(6): 1916-1924, 1990
  32. Martins LJ, Redgrave TG. Obesity and post-prandial lipid metabolism Feast or famine? J Nutr Bioche 15: 130-141, 2004 https://doi.org/10.1016/j.jnutbio.2003.10.006
  33. Gu SY. Analysis of the Effect of a Self Help and a Commercial Weight Loss Program on Obesity and Ecological Factors in the Obese Adult Woman in Seoul, Korea. Hanyang University master's (degree) paper, 2004