• International Journal of Contents
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• 제13권2호
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• pp.14-20
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• 2017

The purpose of this study was to investigate the association of obesity with medical care use and costs according to overall diseases, cerebrovascular diseases (CVD), ischemic heart disease (IHD), hypertension (HTN) and diabetes mellitus (DM). The final sample was a group of persons who were free of diseases mentioned above and were not underweight. Their baseline screening program data and health insurance contribution data were connected with a 7-year medical claim database. The participants were classified according to their baseline BMI into normal, overweight, obese, and severely obese groups. Given the disease type, the total costs of DM showed the largest difference in each obesity group in both males and females. Also, the pharmacy costs for DM were more relevant than any other type of service to the obesity level. Considering the high prevalence of obesity and the relevantly increased medical care use and costs, there is a need for reduction in medical costs through obesity prevention efforts.

• 한방비만학회지
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• 제20권2호
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• pp.178-192
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• 2020

Objectives: The present study aimed to compare the impacts of cognitive behavioral therapy (CBT) and behavioral treatment (BT) on weight loss and psychological outcomes among patients with three different subtypes of obesity: simple obesity, obesity with binge eating disorder, and obesity with depression. Methods: Embase, PubMed, the Cochrane Central Register of Controlled Trials, Research Information Sharing Service, and Korean Studies Information Service System were systematically searched for randomized controlled trials conducted on or before May 2020, that used CBT to treat obesity. Methodological quality was assessed using Cochrane's risk of bias tool 2 and publication bias was evaluated through the funnel plot using the trim and fill method, Egger's test, and Begg and Mazumdar rank correlation test. A meta-analysis was conducted using a random-effects model and the standardized mean difference with 95% confidence interval (CI) was used to determine effect size. Results: Twenty-one randomized controlled trials with a total of 22 intervention arms and 2,590 patients were included. Our study results revealed that the effects of CBT, compared with BT, on weight loss distinctly differed across all patient subgroups. In the simple obesity group, CBT was more effective than BT (Hedges' g=0.138, CI=0.012~0.264); however, in the obesity with binge eating disorder group, BT was more effective than CBT (Hedges' g=-0.228, CI=-0.418~-0.038); in the obesity with depression group, the effect of CBT was not statistically different from that of BT (Hedges' g=0.276, CI=-0.307~0.859). Further studies with larger sample sizes are required to confirm the outcomes observed in this study. Conclusions: Our results indicated that the effects of CBT on obesity treatment vary based on patient subtype. Therefore, our findings suggest that CBT or BT should be selectively recommended as a treatment strategy for different obesity subtypes.

• 대한지역사회영양학회지
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• 제7권5호
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• pp.705-714
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• 2002

The purpose of this study was to examine the relative importance of everyday life stress, obesity stress, and social support on the BMIs of junior. high school students. Subjects in this study consisted of 229 adolescents from two junior high schools in Iksan-city and Hamyul-eup. For data analyses, the frequencies, percentages, means, 1-tests, Chi-squares, one-way ANOVAS, Pearson's correlation coefficients and regressions were conducted using SPSS WIN program. The mean BMI of the subjects was 20.18, and the ratio of students'BMIs less than 20 was 56.8%, that of students'BMIs greater than or equal to 25 was 8.3%. There were no statistical differences in BMIs by grade and sex. Statistically significant differences in the obesity of the junior high school students were detected according to demographic characteristics such as economic levels, areas of residence, TV watching time, and fathers'physiques. There were significant differences in everyday life stresses, obesity stresses, and social support by sex, but not by grade. Girls showed higher stress levels than boys, specially in family-related life stresses, social relationships, and self-related stresses. Also girls showed higher stress level related to obesity than boys. Girls got more support from their mothers, siblings and friends than boys. With respect to the type of social support, girls perceived more financial, informational, emotional, and judgemental support than boys. These results suggest that girls became more stressed, although on the other hand, they received more social support than boys. The higher the economic level, the longer the TV watching time, and the higher the stresses from everyday life and obesity, the higher the BHIs of the junior high school students were. In conclusion, everyday life stress and obesity stress were the important factors in relation to the junior high school students'obesity.

• 정신신체의학
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• 제5권2호
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• pp.168-175
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• 1997

본 연구에서는 부모의 체질량 지수로 알아보는 비만의 가족력, 출생시 체중, 모유 또는 분유 수유, 어린이의 식사습관 및 생활 습관, 부모의 학력 부모의 식이제한 태도 등의 변수들과 아동의 비만과의 상관관계를 검토하여 보았다. 1) 전체 대상 아동 110명중 20.1%인 23명이 OBI가 20%이상인 비만아였다. 두 군에서 평균체중과 OBI는 유의한 차이를 나타내었고(p<0.01), 남아에서 유의하게 비만이 많았으며(p<0.05), 출생시 체중이나 수유의 종류 및 출생 순위등은 유의한 차이가 없었다. 2) 식사 및 생활 습관을 비교해 보면, 비만아에서 음식 먹는 속도가 빠른 경우가 유의하게 많았다(p<0.01) 먹고 싶은 충동을 견디기 어렵다는 경우, 불규칙한 식사, 인스턴트 식품이나 패스트 푸드를 좋아한다는 답변, 간식을 많이 한다, 기름진 음식을 좋아한다는 답변 등은 두군간에 유의한 차이가 없었다. 텔레비젼 시청이나 전자오락을 좋아한다는 답변도 두군간에 차이가 없었다. 3) 비만군에서 아버지의 연령 (p<0.05) 및 교육수준(p<0.05)이 유의하게 높았으며, 부모의 BMI는 두군간에 유의한 차이가 없었다. 4) 비만아동의 어머니에서 인지적 제한 요소인 factor 1과 탈억제 요소인 factor 2가 유의하게 높았으며(p<0.05). 공복감 요소인 factor 3은 두군간에 유의한 차이를 보이지 않았다. 어머니의 교육수준과 TFEQ의 factor 1은 상관관계를 보였으며(r=0.39, p<0.05), factor 1(r=0.38, p<0.05)과 factor 2의 점수가 높을수록 아동의 비만도는 증가하였다(r=0.34, p<0.05). 5) 만 5세 아동의 비만은 부모의 체질량 지수와 같은 유전적 요인보다는 아동 자신의 식사 습관이나 어머니의 식이제한 태도에 더 많은 영향을 받는다고 볼 수 있다.

• 한국의류학회지
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• 제45권4호
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• pp.661-673
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• 2021

The purpose of this study is to analyze the perceptions of obesity among appearance-conscious women in their 20s. It is intended to provide data necessary to produce garments for obese body types by identifying adult women's subjective assessments of obese body types and characteristics. The data were analyzed using Q Methodology in the QUANL program for PC. Type 1 was recognized as uniformly fat in the abdomen, with almost the same width and thickness. Type 2 was perceived to have more fat in the upper body and back, broad shoulders, and an inverted body type. Type 3 was perceived as having a fat lower half of the body, hips wider than the chest, and large thighs. Type 4 was identified as having few curves and fat concentrated in the abdomen. Further research of other age groups and regions is needed to ascertain the difference between perceived and actual body types.

• 한국식생활문화학회지
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• 제15권5호
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• pp.349-360
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• 2000

This study was designed to evaluate food habits, anthropometry and obesity of 252 children(136 boys, 116 girls) aged $2{\sim}6$ years old. The anthropometric indices were measured and food habits were surveyed. Average food habit score was 11.7/20.0 in boys and 11.8/20.0 in girls. It was found that 60.3% of the subjects belonged to fair score group(7-13) in food habits, while subjects in poor (0-6) and in excellent (14-20) were 30.6% and 9.1% respectively. There was no significant difference in food habits score between boys and girls. The food habits score tended to be higher as the mother's education level, total family income, number of siblings were increased. The mean height, weight and chest circumference of the subjects were much higher than the Korean standards. Evaluating the obesity by weight for height, 77.8% subjects was normal, 4.0% was underweight and 18.3% was obese. Underweight children did not seem to enjoy their meals and ate too slowly compared to normal or obese children. Therefore they needed to promote food habits by good nutritional education.

• 한국식생활문화학회지
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• 제20권2호
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• pp.172-185
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• 2005

This study was carried out to investigate the information concerning dietary patterns and analysis of the various factors that influence obesity. The subjects of this study were 1,020 middle and high school students in Seoul. Subjects were classified into under weight, normal weight and over weight group by body mass index. We investigated eating habits, life habits, food behavior and food consumption. Data were collected by questionnair and analysed with the SAS program. The results of this study way are summarized and concluded as fellows; In the case of dietary pattern, over weight group showed significantly higher in skipping a meal than the other group. Also over weight group tend to eat fast. There were significant differences of food intake frequency score by body mass index. From the results of factor analysis of variable related to obesity, 4 factors were generated and the factors were named 'Food behavior related to obesity', 'Snack consumption pattern', 'Life habit', 'Family environment related to food habit'. These factors were associated with obesity. To maintain nutritional balance and health, we should implement to ensure good dietary patterns.

• Safety and Health at Work
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• 제5권3호
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• pp.161-164
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• 2014

Obesity is a significant problem affecting United States (US) firefighters. While body mass index (BMI) is widely used to diagnose obesity, its use for this occupational group has raised concerns about validity. We examined rates and types of misclassification of BMI-based obesity status compared to body fat percentage (BF%) and waist circumference (WC). Male career firefighters (N = 994) from 20 US departments completed all three body composition assessments. Mean BMI, BF%, and WC were $29kg/m^2$, 23%, and 97 cm, respectively. Approximately 33% and 15% of BF%- and WC-defined obese participants were misclassified as non-obese (false negatives) using BMI, while 8% and 9% of non-obese participants defined by BF% and WC standards were identified as obese (false positives) using BMI. When stratified by race/ethnicity, Pacific Islanders showed high rates of false positive misclassification. Precision in obesity classification would be improved by using WC along with BMI to determine firefighters' weight status.

• 대한가정학회지
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• 제44권8호
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• pp.13-21
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• 2006

The objective of this study was to investigate the fit preference for ready-to-wear clothes(jackets and slacks) of adult men and to determine the respective differences by the age range and obesity level. The study method was a questionnaire survey with 465 male subjects aged from 20 to 59 years old. The questionnaire was composed of fit preference tendency, physical measurements, age, and occupation. The findings were as follows. 1. Regarding the fit preferred for each part of jackets and slacks, among ready-to-wears, the 'thing with some extra width' in every part was most favored, followed by the 'thing fitting perfectly'. 2. Differences were found in the fit preference tendency by the age of adult men. The fit preference tendency was higher among those in their 20's than among those of the other age ranges. 3. Differences were also found in the fit preference tendency by the obesity level of adult men. The fit preference tendency was higher in the order of the emaciation, normalcy, and obesity types. 4. The fit preference tendency was more affected by age than by obesity level. Clothing companies should consider ease to offer the proper clothing desired by consumers.

• 대한지역사회영양학회지
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• 제9권6호
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• pp.683-694
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• 2004

The objective of this study is to improve the health related quality of life through the efficient weight reduction by analyzing the ecological factors related to completion of weight reduction program in the obese premenopausal women aged 20-29 years. The factors influencing completion of obesity management programs in the obese women were the preferences of sweet and salt taste, health related quality of life (general health, role emotional), eating attitude scores, and regularity of mealtime scores. The finding that the completion of obese management programme were improved if the health-related quality of life was high and the physiological status related symptoms of stress, depress, and eating disorder were good has implications for the treatment of obesity. The questionnaire used this study can be available to develop the obesity assessment sheets which is required the exploration of the characteristics of obese women and the tailored multi-disciplinary obesity management program. Moreover, the obesity assessment sheets will make a contribution to determine types of the programs that is suitable for obesity women before starting an obesity management program.