• Korean journal of health promotion
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• v.18 no.4
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• pp.159-168
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• 2018

Background: Strategically improving health-related quality of life (HRQOL) should be discussed among overweight middle-aged women who are vulnerable to low HRQOL. We examined firstly if overweight middle-aged women would have significantly lower levels of HRQOL and health-promoting behaviors than normal-weight middle-aged women, and to examine secondly if health-promoting behaviors would be significantly associated with generic and obesity-specific HRQOLs within the overweight middle-aged women. Methods: We conducted a cross-sectional, comparative study. Participants were 119 women aged 30-49 years who were recruited from a community in Seoul, South Korea; 63 women for the overweight group who were recruited from a baseline sample of the Community-Based Heart and Weight Management Trial, while 56 for the normal-weight group who were recruited separetely. Health Promoting Lifestyle Profile II (HPLP II), World Health Organization Quality of Life-brief version (WHOQOL-BREF) of a generic HRQOL measure, and Impact of Weight on Quality of Life-Lite (IWQOL-Lite) of an obesity-specific HRQOL measure were used. Results: Compared to the normal-weight group, the overweight group showed significantly lower scores of total WHOQOL-BREF as well as some HPLP II subscales including stress management (P=0.029). Among the HPLP II subscales, stress management was significantly and positively associated with total WHOQOL-BREF (${\beta}=1.58$, P=0.003) and self-esteem IWQOL-Lite (${\beta}=11.58$, P=0.034) among the overweight group. Conclusions: Among middle-aged overweight women, low levels of health-promoting behavior for stress management were shown, which should be strategically increased for improving their generic and obesity-specific HRQOLs.

• Proceedings of the KSCN Conference
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• 2003.11a
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• pp.1076-1076
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• 2003

최근 소득수준의 향상 및 식생활 습관의 서구화로 비만 유병율이 증가하면서 체중조절에 대한 관심이 급증하였다. 그러나 신체적 매력 중에서 날씬함을 너무 강조하는 사회적 분위기 등의 영향으로 자신의 체형을 왜곡되게 인식함으로써 이에 따른 신체에 대한 불만족은 무분별한 체중조절을 시도하도록 자극하는 요인이 되고 있으며 이러한 무리한 체중조절은 신체적·심리적 장애를 초래하는 것으로 알려지고 있다. 그러나 체형인식 및 체중조절에 대한 연구는 주로 젊은 여성들을 대상으로 한 것이 대부분으로 중년여성을 대상으로 한 연구는 거의 없는 실정이다. 따라서 본 연구에서는 자기체형에 대한 관심이 점차 높아지고 있는 중년여성들을 대상으로 비만도에 따른 체형인식 경향을 파악하고 체중조절에 영향을 미치는 요인들을 알아보고자 하였다. 조사대상은 도시지역에 거주하는 40세 이상 중년여성 249명으로 일반사항, 체형인식 및 체중조절태도, 이상식행동 등에 대하여 설문조사를 실시하였다. 모든 자료는 SAS program을 이용하여 분석하였다. 조사대상자의 평균 연령은 48.5세였으며 평균 비만도(BMI)는 22.7로서 정상범위에 속하였다. 비만도에 따른 체중군별 분포는 정상체중군이 72.9%로 가장 많았으며, 저체중군이 6.7%, 과체중군이 20.4%이었다. 자기 체형에 대한 인식도를 체중군별로 비교해본 결과, 정상체중군의 40.1%만이 자신의 체형을 ‘표준체형’으로 올바르게 인식하고 있을 뿐, 8.1%는 ‘마른 체형’으로, 51.7%는 ‘살찐 체형’으로 잘못 인식하고 있는 것으로 나타났다. 특히, 저체중군의 37.5%는 자신의 체형이 ‘표준체형’이라고 인식하고 있었다. 이상적으로 생각하는 체형에 대하여 조사대상자의 80.9%가 ‘표준체형’이라고 응답하였으며, 8.7%는 ‘마른 체형’을, 10.4%는 ‘살찐 체형’을 선호하는 것으로 나타났다. 자기 체형에 대해 조사대상자의 55.8%가 ‘불만족하다’ 고 응답한 반면 ‘만족하다’ 고 응답한 경우는 11.1%에 불과하였다. 그러나 체중조절에 대한 관심도는 체중군별로 비교해 보았을 때, 과체중군이 저체중이나 정상체중군에 비해 유의하게 높았다. 지난 1년 동안의 체중 감량 경험 여부를 조사해본 결과, 과체중군의 77.1%, 정상체중군의 65.3%, 저체중군의 62.5%가 체중감량 경험이 있는 것으로 나타났다. 체중감량 이유를 묻는 문항에 과체중군과 정상체중군의 경우 ‘건강을 위해서’라고 응답한 경우가 가장 많은 반면 저체중군의 경우 ‘체중이 증가되었기 때문에’라고 응답한 경우가 가장 많아 체중군별로 유의적인 차이를 나타냈다. 조사대상자의 53.8%가 체중감량을 하는 중 부작용을 경험한 적이 있는 것으로 나타났으며, 유의적인 차이는 없었으나 저체중군이 과체중이나 정상체중군에 비해 체중감량에 따른 부작용 경험자의 비율이 높았다. 이상식행동을 측정한 결과, 과체중이나 저체중군이 정상체중군에 비해 이상식행동 점수가 유의적으로 높았다. 세부요인별로 비교해 보았을 때, 체중조절에 대한 집착과 식이조절점수는 과체중군이 가장 높았으나, 섭식통제 관련 식행동 점수는 저체중군이 가장 높았다. 이상의 결과를 종합해 볼 때, 중년여성들의 경우 대부분이 자신의 실제 체형에 대하여 그릇된 인식을 갖고 있었으며, 체중을 감량하기 위해 지속적으로 노력하는 것으로 나타났다. 특히 저체중군의 경우 건강보다는 외모 때문에 무리한 체중감량을 시도하고 있었으며 이상식습관과 관련된 식행동 점수가 높은 경향을 보여 영양 및 건강 상태에 문제가 발생될 수 있을 것으로 생각된다. 따라서 중년여성들에게 자신의 체형과 이상체형에 대한 올바른 인식을 갖고 표준 체중을 유지할 수 있도록 지속적인 영양교육이 이루어져야 할 것으로 생각된다.

• Journal of Nutrition and Health
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• v.49 no.2
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• pp.99-110
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• 2016

Purpose: The current study was conducted in order to identify health and nutritional status of Korean underweight women in their twenties by comparing with normal, overweight, and obese women. Methods: Data from the 2010~2012 Korea National Health and Nutrition Examination Survey were used in this study. Subjects were 897 women aged 20~29 years. Subjects were classified according to underweight, normal weight, overweight, and obese groups based on body mass index. Health status was assessed using data from the health questionnaire and examination. Nutritional status was assessed using data from 24-hour dietary recall and a food frequency questionnaire. Results: The underweight group had higher education and exercised less than the obese group. Means of blood chemistry and blood pressure of the underweight group did not differ from those of the normal weight group. Means of fasting glucose, insulin, lipid profiles, blood cell counts, and blood pressure in the underweight group were different from those of the overweight or obese group. Proportions of delivery, breast feeding, and irregular menstruation in the underweight group were lower compared with the other groups. Except retinol intake, means of nutrient intake did not differ among four groups. There were significant differences among four groups in the intakes of cereals and eggs and frequency of consumption of dairy products. Conclusion: The current findings showed that health and nutritional status of underweight women in their twenties did not differ from those of normal weight women. In particular, health status of underweight women in their twenties was better than that of obese women of the same ages. Further study on health and nutritional status of extremely underweight women is necessary.

• Journal of Korea Association of Health Promotion
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• v.2 no.2
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• pp.127-136
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• 2004

본 연구에서는 2003년 6월~2003년 12월 사이에 탈북적응훈련 교육원에 입소한 854명의 북한 이탈주민들의 신체 계측치를 이용하여 북한 이탈주민들의 체질량지수(BMI)를 파악함으로써 북한 주민들의 건강상태를 간접적으로 유추하였다. 연구결과 신장은 전 연령에서 남한이 북한보다 컸으며, 남한주민의 체중이 북한보다 많았다. 또한, 20세 이상 남북한 주민의 BMI 분포를 연령별로 보면 북한 이탈 남성의 경우 55세 이상 연령집단에서과체중 현상을 보였으나, 남한의 남성은거의 모든 연령집단에서 과체중인 것으로 나타났다. 북한 이탈 여성의 경우 45-54세와 70-74세에서 과체중 및 1단계 비만을 보였지만, 남한 여성의 경우 40-44세, 50-74세는 과체중, 45-49세는 1단계비만으로 나타났다. 최근의 북한 이탈주민들일수록 신장, 체중 모두 작았다. 본 연구결과에 따르면 북한 이탈주민들은 식량부족사태가 있기 이전부터 이미 남한과 신체 계측치에서 차이를 보였으며,1980년 말부터 시작된 식량난과 1990년대 중반에 지속적으로 일어난 자연재해 등으로 인해 북한 주민들은 더 왜소화되고 만성적 영양결핍상태가 더욱 만연해지고 있음을 알 수 있다.

• Journal of Nutrition and Health
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• v.46 no.5
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• pp.461-469
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• 2013

This study was conducted in order to investigate body awareness and dietary life according to gender. Subjects of the study were 120 men and 127 women aged 20 to 30 years, who exercise regularly at a fitness center in Seoul. The subjects were asked to fill out a questionnaire on body awareness, reason for regular exercise, dietary behaviors, and nutrition knowledge. The percentage of overweight and obesity was 69.2% in men, and 25.2% in women. The percentage of subjects who considered themselves as overweight was 38.3% in men and 59.8% in women. Intake of protein in men was higher than the recommended nutrient intake (RNI). Intake of energy in women was lower than the estimated energy requirement (EER). Men who considered themselves as overweight showed lower energy intake than men who considered their body weight as under and normal, whereas no difference in energy intake was observed between women who considered themselves as overweight and women who considered their body weight as under and normal.

• Korean Journal of Health Education and Promotion
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• v.24 no.5
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• pp.119-135
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• 2007

Objectives: The efficacy, feasibility, and safety of bench-step aerobics (BSA) program in overweight or obese Korean adult women have been implied. However, there has been almost no evidence for its psychological benefits. As such, the purpose of this study was to investigate the psychological benefits of BSA program in overweight or obese (body mass index ${\geq}\;23\;kg/m^2$) Korean adult women. Method: Anger, exercise self-efficacy, exercise-related affect, and body image of overweight or obese women who participated in a 12-week BSA program (n=15) were compared with those of their counterparts in the control group (n=13). Subjects were selected among public health center visitors and those recruited by putting an advertisement in local newspapers and the public health center homepage. Data from the exercise and control groups were collected before and after the 12-week BSA program (from August to November in 2006) at the public health centers. The exercise program consisted of 45 to 60 min moderate-intensity (40/50 to 50/60% of their hear rate reserve) BSA performed for 3 days a week. Results: After the BSA program, body image of the subjects in the exercise group was significantly improved and there was a significant difference between the exercise and control groups. Anger, exercise self-efficacy, and exercise-related affect were improved after the BSA program but the changes did not reach the level of statistical significance and there were no significant differences between the exercise and control groups. Conclusions: In conclusion, BSA appears to significantly enhance body image in overweight or obese Korean adult women but its effects on anger, exercise self-efficacy, and exercise-related affect do not appear to be statistically significant. Further studies involving different subjects, particularly whose levels of anger are high or whose levels of exercise-related affect are low to exclude the influence of the ceiling or floor effect, are warranted in a randomized controlled design.

• Journal of the Korean Society of Radiology
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• v.5 no.6
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• pp.363-367
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• 2011

Generally, the osteoporosis of a middle-aged women have been reported that was a high risk in underweight, but the obese women have feasible osteoporosis. Therefor, the subjects were 120 middle-aged women that were diagnosed with osteoporosis in the bone mineral densitometer (BMD), this study was done for the purpose of analyzing the relationship between osteoporosis and body mass index (BMI) of the middle-aged women. We were determined BMI which was less than 18.5 underweight, 18.5 to 22.9 normal, 23.0 to 24.9 overweight, 25.0 to 29.9 obesity and extremely obesity were more than 30. When we examined the BMI distribution of the subjects, it was 2 women (1.7%) for underweight, 18 women (15.0%) for normal, 19 women (15.8%) for overweight, 75 women (62.5%) for obesity and 6 women (5.0%) for extremely obesity. Also, the relationship between osteoporosis and BMI of the subjects, it was the osteoporosis in 13 cases out of 18 (72.2%) with normal, in 14 case out of 19 (73.7%) with overweight, in 63 case out of 75 (84%) with obesity, in 5 case out of 6 (83.3%) with extremely obesity, besides, the osteoporosis usually marks the highest in a BMI with obesity. In conclusion, the result of analyzing the relationship between osteoporosis and BMI, we found out that the osteoporosis of the middle-aged women was high risk with obesity, and that was mostly higher the osteopenia rather than osteoporosis.

• Journal of Nutrition and Health
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• v.42 no.4
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• pp.358-365
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• 2009

The study was performed for investigation with 257 female adults to find out the factors affecting health control behavior and obesity stress by personality type. First of all, BMIs of the respondents showed 30 low weight (11.7%), 170 normal weight (66.1%), 33 overweight (12.8%) and 24 obese respondents (9.4%). Comparing with low weight or normal weight, overweight or obesity could be seen as strong with diet control behaviors, from which obesity stress showed the tendency to be high accordingly. Second, the result of the investigation showed that for the open personality, which was featured as strongly desired to accomplish, very sincere and sensitive, they were more eager to control through health or diet. Third, the result of the investigation showed that for the more nervous, which is featured as emotionally unstable, bad at self control of impetus and clumsy to handle stress, the obesity stress was escalating.

• Journal of the Korean Applied Science and Technology
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• v.41 no.2
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• pp.219-232
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• 2024

The aim of this study was to explore the impact of body mass index (BMI) and drumming exercise on autonomic nervous system function in adult women. Ten adult women (aged 30-50) were divided into two groups based on their BMI: a normal BMI group (Low BMI, LBMI < 23 kg/m²) and an overweight BMI group (High BMI, HBMI > 23 kg/m²). Both groups participated in a drumming exercise program, consisting of 50-minute sessions, three times a week, for a duration of 8 weeks. Body composition and heart rate variability were assessed before and after the 8-week exercise period. Heart rate variability was evaluated using linear analysis in the time domain and frequency domain. Additionally, non-linear analysis was conducted using a Poincaré plot. The autonomic nervous system index was determined by measuring parasympathetic nervous system index and sympathetic nervous system index. Following the 8-week intervention, the HBMI group exhibited a significant decrease in weight (p=0.034), BMI (p=0.044), body fat mass (p=0.032), and waist circumference (p=0.013) compared to the LBMI group. Furthermore, the HBMI group demonstrated significant increases in RMSSD (p=0.018) and TP (p=0.033) in linear analysis, as well as SD1 (p=0.018) in non-linear analysis and PNS Index (p=0.040) compared to the LBMI group. RMSSD, SD1, and PNS Index serve as indicators of parasympathetic nervous system activity in linear and non-linear analyses, respectively. These findings indicate that drumming exercise significantly enhances autonomic nervous system function in overweight women.

• Proceedings of the KSCN Conference
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• 2007.10a
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• pp.257-257
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• 2007