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The effect of applying u-health system on metabolic syndrome management of elderly (U-health system 활용이 남녀노인의 대사증후군 관리에 미치는 영향)

  • Chung, Jin-Wook;Sung, Soon-Chang
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.553-560
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    • 2013
  • The purpose of this study was to examine the effect of u-health system on metabolic syndrome risk factor, body composition, and fitness in male and female elderly. Subjects were 46 elderly(24 men and 22 women) with metabolic syndrome. They were divided into u-health group and home exercise group. Blood pressure, blood profile, body composition, and fitness were measured before and after the intervention. As a results, blood glucose and waist circumference showed significant interaction in both men and women, respectively. In body composition, weight, muscle mass, fat mass, %body fat, BMI showed significant interaction whereas only muscle mass showed significant differences in women. In fitness, there were interaction shown in 3m up and go, functional reach, and gait speed in men. In women sit to stand, 6min walk, and grip strength showed significant interaction. In conclusion, u-health system seems to be the effective method in terms of checking regularly. However, easier and more simple system for elderly and specific direction for exercise should be added.

비만 중학생에서 캠프 프로그램을 이용한 영양교육 효과

  • 승정자;성미경;최미경;김미현;이윤신;조혜경;김경희
    • Proceedings of the KSCN Conference
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    • 2003.11a
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    • pp.1061-1062
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    • 2003
  • 현대사회에서 청소년기에 발생하는 영양문제 중 가장 빈번히 나타나는 청소년기 비만은 성인 비만으로 이행되기 쉬우며, 당뇨병, 지방간, 고혈압과 같은 각종 성인병의 발생과도 관련이 있다. 또한 체형에 대한 관심이 증가하고 있는 현대사회에서 편견의 대상이 됨으로 인한 심리적 장애를 발생시키기도 한다. 이에 따라 비만인의 체중조절을 위한 다양한 교육프로그램들이 실시되고 있는데, 현재까지의 실시되고 있는 프로그램들은 강의식교육이 주류를 이루고 있어 적극적인 교육효과를 이끌어 내는데 많은 한계점을 가지고 있었다. 이에 본 연구자들은 지역보건소를 중심으로 2박 3일간의 청소년 캠프 프로그램을 통하여 VTR감상, CAN-Pro를 이용한 섭취 식단의 평가 및 영양상담, 영양뷔페, 역할극, 다양한 영양지식 응용게임, 일상생활에서 활용가능 한 운동교육, 비만의 원인과 건강과의 관련성 및 식사요법 등에 대한 강의를 실시하였다. 캠프 참가자들은 부천시에 거주하는 중학생으로 사전에 신장과 체중에 대한 조사를 바탕으로 비만으로 판정된 총 42명(남 28명, 여 14명)으로 하였다. 캠프 시작전과 후에 설문조사를 통하여 영양지식, 영양태도, 자아만족도에 관한 조사를 실시하여 프로그램 직후의 효과를 판정하였고, 일상적인 영양소섭취상태를 평가하기 위해 24시간 회상법을 통하여 캠프참가 전날의 식이섭취 조사를 실시하였다. 대상자의 평균 연령은 13.9세로 남녀학생 간에 유의적인 차이가 없었으며, 신장은 남학생이 160.7cm, 여학생이 156.8cm였다. 체중, 체질량지수, 비만지수, 허리엉덩이둘레비 및 체지방 함량은 남학생이 각각 75.5kg, 29.1kg/$m^2$, 30.1, 0.89, 33.3%이었고, 여학생이 각각 67.8kg, 27.5kg/$m^2$, 25.3, 0.81, 34.6%였다. 영양소 섭취량에 대한 분석결과 열량의 경우 남학생이 2137.7㎉, 여학생이 2059.7㎉ 섭취수준을 보였으며, 총열량에 대한 당질, 단백질, 지질의 섭취 비율은 남학생 57:14:29, 여학생 60:13:26으로 남여학생 모두 총열량에 대한 지질의 섭취 비율이 높았다. 프로그램의 효과 평가를 위하여 남녀중학생을 모두 합하여 비교하였을 때 프로그램 실시 후 영양태도가 유의적으로 향상되었으며(p<0.001), 자아만족도 및 영양지식에 있어서는 유의적인 변화가 나타나지 않았다. 그러나, 성별로 분류하여 비교 시 남학생은 영양태도(p<0.01)와 영양지식(p<0.05)이 유의적으로 향상되었고, 여학생의 경우에는 영양태도(p <0.01)에서만 유의적인 향상을 나타내었다. 이상의 결과에서 2박 3일간의 청소년 캠프는 남녀 비만중학생에 있어 영양태도의 향상을 가지고 왔으며, 남학생의 경우에는 영양지식에도 유의적인 향상이 나타났다. 그러나 영양교육의 효과가 실제적인 영양소섭취 및 비만도의 변화에 영향을 미치는지를 알아보기 위해서는 지속적인 추적 관리를 통한 효과판정이 필요한 것으로 보여진다.

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Cut-off Values of Waist Circumference and Body Mass Index for Metabolic Syndrome according to Sasang Constitution (대사증후군에 대한 사상체질별 허리둘레 및 체질량지수의 절단값에 대한 연구)

  • Choi, Jae-Wan;Yu, Jun-Sang
    • Journal of Sasang Constitutional Medicine
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    • v.26 no.4
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    • pp.365-378
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    • 2014
  • Objectives This study was performed to investigate the cut-off values of abdominal circumference and Body Mass Index(BMI) according to Sasang Constitution. Methods A total of 1,773 persons, namely 440 male people and 1,333 female people, in ages from 40 to 69 years old, participated in this research. They are all included in the community based Genomic cohort in Wonju in years from 2006 to 2013. The diagnostic criteria of metabolic syndrome was used followed by the National Cholesterol Education Program in Adult Treatment Panel III (NCEP ATP III) and Asian pacific guideline for only abdominal obesity. Results The prevalence of metabolic syndrome was 34.8% for men and 37.6% for women in this research. Taeeumin was the highly significant risk type for the metabolic syndrome in both sexes. Cut-off values of abdominal circumference were 88.3 cm in men, 80.3 cm in women, and cut-off values of BMI were $24.2kg/m^2$ in men and $25.3kg/m^2$ in women. For men, cut-off values of abdominal circumference were 79.5cm in Soyangin, 88.8 cm in Taeeumin and 79.5 cm in Soeumin, and cut-off values of BMI were $23.2kg/m^2$ in Soyangin, $25.6kg/m^2$ in Taeeumin and $20.6kg/m^2$ in Soeumin. For women, cut-off values of abdominal circumference were 76.3 cm in Soyangin, 80.3 cm in Taeeumin and 76.8 cm in Soeumin, and cut-off values of BMI were $22.4kg/m^2$ in Soyangin, $24.9kg/m^2$ in Taeeumin and $21.3kg/m^2$ in Soeumin. Conclusions Although 90 cm in men, 80 cm in women as an Asian pacific guideline were regarded as quite approximate to the mean value of abdominal circumference and $25kg/m^2$ to BMI. But if the results could be allocated in terms of the Sasang constitutional method, the cut-off values for Soyangin and Soeumin should be lowered than now.

Effect of Electro-acupuncture on Regional Fat by Measuring Thigh Circumference (저주파 전침자극이 허벅지 둘레에 미치는 영향에 대한 연구)

  • Ahn, Soo-Jeong;Kim, Jeung-Shin;Shin, Hyun-Taeg;Kim, Yong-Suk;Lee, Kyung-Sub;Hwang, Deok-Sang
    • Journal of Korean Medicine for Obesity Research
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    • v.5 no.1
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    • pp.1-8
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    • 2005
  • Objectives: Although electro-acupuncture is being utilized to reduce weight in Korea, its usefulness in obesity management has not been fully evaluated yet. The objective of this study is to evaluate the effect of Electro-acupuncture on thigh circumference. Methods: 12 healthy volunteers participated in this study. We measured the circumference of both thighs, and treated the thicker one with transcutaneous electro-acupuncture at 8 acupoints, 10 times in total. The electrical parameters were : 1st step frequency set was at 15Hz and the treatment proceeded for 50 minutes, 2nd step at 50Hz for 10 minutes and at 3rd step the acupunctures were removed and electrodes were attached on the lower limb at 166Hz for 15 minutes. In order to evaluate the effect of the treatment, total body weight, percentage of body fat and thigh circumference were measured 4 times. Before the treatment, after 5th and 10th treatment and 1 month after completion of the whole treating procedure. Statistical significance(P<0.05) was determined using the Wilcoxon signed rank test. We did not control diet, exercise and lifestyle of the volunteers. Results: No significant change was shown in body weight after 10 times of treatment. Yet the thigh circumference of effect group significantly decreased after 5th treatment and 10th treatment. The circumference of control group that was not treated by electro-acupuncture significantly decreased too. At first, difference between the two thighs in circumference was obvious, but no difference was left after 10 times of treatments on the thicker thigh. Percentage of body fat was significantly decreased. 1 month after having completed the treatment, there was no significant difference of body weight, thigh circumferences and percentage of body fat. Conclusion: These results suggest that electro-acupuncture effectively regulates regional fat, body fat percentage and body shape.

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Treatment of Obese Women with Low Calorie Diet, Aerobic Exercise and Behavior Modificaiton (저열량균형식, 운동 및 행동수정에 의한 비만여성의 치료에 관한 연구)

  • 장경자
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.24 no.4
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    • pp.510-516
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    • 1995
  • A multidisciplinary weight control program was conducted for obese women. The major components of the program included low calorie diet therapy, exercise, behavior modification and nutritional education and counseling. Sixteen healthy volunteers in excess of body fat, above 30%, were enrolled in the group support program. But 5 person were dropped out in the 2nd week of treatment. During the 1st week of group orientation, individual cause of obesity was assessed through a computer program including survey of dietary intake, activity, eating habits and life styles. During the 5 weeks of treatment, 4.8kg of average weight loss was accomplished using a following program ; low calorie diet(1200kcal/day with all essential nutrients), low impact aerobic exercise(50~60% of $VO_{2max}$, 1 hour/day in a group, 3~5 days/week), behavior modification of individual life styles and eating habits causing obesity and nutritional education concerning nutrition, role of exercise such as brisk walking, importance of slow eating in regular meal pattern and internal motivation for weight reduction, health risk of obesity and rapid weight loss, weight recycling and yo-yo syndrome, etc. Nutritional conseling was conducted 3 times per week with checking self-records of foods, activity, emotional state and tiredness. Before and immediately after 5 weeks of treatment, blood pressure, fasting blood glucose, cholesterol and triglyceride were measured and comparied with paired t-test. After 5 weeks of treatment, body weight, body mass index, body fat and circumferences of waist, upper arm and hip were significantly decreased. Also LDL-cholesterol was significantly decreased after obesity treatment.

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The effects of the 16-weeks' combined exercise program on metabolic syndrome and autonomic nerve system of low-level physical strength group (16주 복합운동프로그램을 통한 저체력군 고등학생의 대사증후군 지표와 자율신경계의 변화)

  • Han, Jin-Man;Lee, Kyeong-Jun;Yang, Jeong-Ok
    • Journal of the Korean Data and Information Science Society
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    • v.23 no.4
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    • pp.787-796
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    • 2012
  • The aim of this study is to closely examine the changes in their metabolic syndrome index and autonomic nerve systems after the 16-weeks's combined exercise program is carried out on low-level physical strength group (PAPS 4-5 level students). They were divided into two groups; exercise training group (15) and control group (15). This program consisted of five-times-a-week's warm-ups, main activities and warm-downs and it takes 50 minutes per trial. Through SPSS 19.0, all averages and standard deviations of dependent variables were calculated. We first performed Shapiro-Wilk's normality test of the variables. Before verifying the effect of combined exercise program, we tested the equality of means of the variables between combined-exercise-programmed-group and control group through a two-sample t-test and carried out a paired t-test to check if the changes in the variables of two groups before and after 16 weeks are statistically significant. Every statistical test is performed at a significance level of ${\alpha}$=.05. The results are as follows. When it came to metabolic syndrome index, there were statistically meaningful changes in waist measurement, triglyceride, glucose with empty stomach and HDL-C. Also, when it came to autonomic nerve system, there were meaningful changes in all variables. Consequently, it seems that the 16-weeks combined exercise program has positive effects on low level physical strength students.

Approximation of π by financial historical data (금융시계열자료를 이용한 원주율값 π의 추정)

  • Jang, Dae-Heung;Uhm, TaeWoong;Yi, Seongbaek
    • Journal of the Korean Data and Information Science Society
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    • v.28 no.4
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    • pp.831-841
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    • 2017
  • The irrational number ${\pi}$ is defined as the ratio of circumference of a circle to its radius and always becomes constant. This article does Monte Carlo approximation of its value using the famous Buffon's needle experiment and shows that its convergence is not always proportional to the sample size. We also do Monte Carlo simulations to see the convergence of the computed ${\pi}$ values from the random walk series with independent normal increment. Finally we apply the theoretical derivation to various financial time series data such as KOSPI, stock prices of Korean big firms, global stock indices and major foreign exchange rates. The historical data shows that log transformed data random walk process but most of their first lagged data don't follow a normal distribution. More importantly the computed value from the ratio of the regression coefficient ${\pi}$ tend to converge a constant, unfortunately not ${\pi}$. Using this result we could doubt on the efficient market hypothesis, and relate the degree of the hypothesis with the amount of deviation of the estimated ${\pi}$ values.

Correlation between Visceral Adipose Tissue and Stagnation of the Liver Qi (gan-yu, 肝鬱) in Korean Perimenopausal Women (한국 갱년기 여성의 간울과 내장비만의 상관성)

  • Hwang, Mi-Ja;Chung, Seok-Hee;Hwang, Deok-Sang;Song, Mi-Yeon
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.2
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    • pp.143-156
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    • 2008
  • 목적 : 갱년기 여성은 내장비만의 위험이 높으며 또한 심리적 변화를 겪는 시기이다. 갱년기 여성의 복부지방, 내장지방, 피하지방 및 이와 관련된 단순비만지표, 간울증, 스트레스, 우울, 자존감 등을 조사하여 갱년기 건강의 위협이 되는 신체 심리 인자를 알아보고자 이 연구를 시행하였다. 방법 : 병원공고를 통해 체질량지수 $23kg/m^2$ 이상 비흡연자인 만 45세 이상 55세 이하의 폐경 전후의 갱년기 여성 환자를 모집하여 2007년 8월 20일부터 24일까지 47명이 모집되었으며 이중 체질량지수 $25kg/m^2$ 이상이면서 복부 전산화 단층촬영 상 내장지방이 $100cm^2$ 이상인 20명의 단순비만지표, 체성분검사, 혈액검사, 복부 전산화 단층촬영 및 한방비만변증 (간울) 및 스트레스, 우울, 자존감 설문검사 결과의 상관성을 분석하였다. 본 연구는 경희대학교 동서신의학병원의 임상연구심사위원회의 승인을 받았다. 결과 : 1. 갱년기 비만여성에서 복부지방 면적, 피하지방 면적은 체질량지수, 체지방률, 허리둘레/신장비 등의 단순비만지표와 유의한 상관성을 보인 반면 (p < 0.01), 내장지방 면적은 단순비만지표와 상관성을 보이지 않았다. 2. 내장지방 면적은 사회 재적응 평가척도 (${\gamma}=0.577$, p < 0.01)와 유의한 상관성이 있었고, 선형회귀분석에서 유의한 결과를 나타냈다. $VAT(cm^2)=116.1+0.101{\times}(SRRS\;score)$ (${\gamma}^2=0.332$) 3. 피하지방은 식이태도 점수와, 총복부지방은 식이태도 점수 및 갱년기지수 중 혈관운동증상과 상관성이 있었다. 4. 간울증은 스트레스 반응척도, 우울지수, 갱년기지수 및 그 하부항목 중 혈관운동, 정신, 운동, 소화, 전신증상과 양의 상관성을, 자존감척도와는 음의 상관성을 나타냈으며, 내장지방과 직접적인 상관성을 보이지 않았다. 결론 : 간울증은 높은 스트레스, 우울, 갱년기 증상 및 낮은 자존감과 관련되는 것으로 나타났다. 폐경전후 비만여성에서 내장지방 면적은 간울증과 유의한 상관성을 보이지 않았으나, 생활 스트레스 사건이 많을수록 높아지는 것으로 나타나 갱년기 여성 내장비만에서 스트레스에 대한 대처가 중요할 것으로 사료된다. 추후 임상적 연계성 및 설문 보완에 대한 연구가 필요하리라 생각된다.

A study on the Prevention of Deep Vein Thrombosis and Skin Response of Patients after Intracranial Surgery : By Boots and Calf Intermittent Pneumatic Compression Device (뇌수술 환자의 심부정맥혈전증 예방과 피부반응에 미치는 실험연구 : 부츠형과 무릎형의 간헐적 공기 압박기 적용에 따라)

  • Cho, Moo-Yong;Kim, Boon-Han;Kim, Ki-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.203-212
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    • 2016
  • This study examined the prevention of deep vein thrombosis and skin response after the application of boots or calf intermittent pneumatic compression (IPC) devices in immobile patients with intracranial surgery. The subjects of this study included 60 patients in a surgical intensive care unit after receiving intracranial surgery from May to November in 2015. The blood flow velocity was measured daily to assess the deep vein thrombosis for 7 days, and the skin response of the legs was observed regularly. As a result, the boots IPC group showed an increased blood flow velocity over time compared to the calf IPC group. A significant statistical difference was observed in both the boots IPC group and calf IPC group over time (Right side; F=64.41, p<.001, Left side; F=58.21, p<.001). The dorsum circumference over time and the correlations between two groups (Right side; F=9.13, p <.001, left side; F=9.29, p<.001) also showed a significant difference. In addition, the boots IPC group showed no skin complications. In conclusion, the boots type IPC is a more effective method for preventing deep vein thrombosis for immobile patients with intracranial surgery.

Investigation of Blood Pressure, Serum Lipids, and Obesity Indices according to Smoking Status in Middle-Aged Males (중년기 남성 근로자의 흡연상태에 따른 혈압, 혈청지질 및 비만지표의 검토)

  • Shin, Eun-Sook;Kwon, In-Sun;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1359-1366
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    • 2013
  • The purpose of this study was to examine the blood pressure, serum lipid levels and obesity indices according to smoking status, and the effects of smoking cessation on blood pressure, serum lipid and obesity indices. The 2,230 male workers aged 30-59 years were observed the age, smoking status, SBP, DBP, TC, TG, HDL-C, LDL-C, AI, BMI, body fat rate and waist circumference, from April to July, 2011. As a results, the mean score of SBP, DBP, TC, TG and BMI were significantly higher in smoking group than non-smoking group, but HDL-C were significantly lower in smoking group than non-smoking group, the distribution of hypertension was significantly higher in smoking group than non-smoking group. The abnormal levels of TC, TG and HDL-C were significantly higher in smoking group than non-smoking group, and the distribution of obesity was significantly higher in smoking group than non-smoking group. Age adjusted odds ratio(ORs) was significantly increase in smoking group than non-smoking group: hypertension(3.59 times), hypercholesteremia (1.49 times), hyperlipidemia(1.81 times), low HDL-cholesteremia(1.58 times), high level of atherogenic index(1.27 times). Above results suggested that the smoking related with blood pressure and serum lipid levels.