• International journal of advanced smart convergence
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• 제7권3호
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• pp.44-60
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• 2018

This study is to identify the effects of hypertension management program at a community health center on the disease-related knowledge, self-efficacy, anthropometric measurements and blood pressure of a hypertensive patient in local community. This study is a quasi-experimental study using nonequivalence control group no-synchronized design in order to verify the effects of the hypertension management program at a community health center on the hypertension-related knowledge, self-efficacy, anthropometric measurements and blood pressure of a hypertensive patient in local community. The result indicated a significant difference between the experimental group and control group in the scores of hypertension-related knowledge (t=-4.25, p<.001), self-efficacy (t=-4.20, p<.001), systolic blood pressure (t=7.70, p<.001) and diastolic blood(t=5.91, p<.001), body weight(t=2.32, p=.026) and abdominal circumference(t=2.17, p=.036). The hypertensive patients' knowledge and self-efficacy were improved, and their weight and abdominal circumference as well as systolic blood pressure and diastolic blood pressure were reduced. Therefore, it was confirmed that multilateral approaches in terms of physical and psychosocial aspects only targeting hypertensive patients were required for managing hypertensive patients in local community.

• 전기학회논문지
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• 제57권1호
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• pp.142-147
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• 2008

Abdominal circumference changes due to breathing by the respiratory muscle activity such as diaphragm, which would partially represent the lung volume variation. The present study introduced conductive rubber molded in a cord shape incorporated with a patient's pants. The conductive rubber cord operated as a displacement transducer to measure the lung or abdominal volume changes. Signal extraction circuitry was developed to obtain the volume and its derivative(or the flow) signals followed by wireless transmission based on the Zigbee communication protocol in a size of $65mm{\times}105mm$ easily put in pocket. Breathing frequency was accurately evaluated and breath pattern analysis seemed feasible, since respiratory behaviours such as maximal inspiration and cough were well identified. Remote wireless receiver module also enabled to monitor both volume and flow signals during resting breathing on a PC terminal.

• Nutrition Research and Practice
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• 제12권3호
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• pp.251-257
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• 2018

BACKGROUND/OBJECTIVES: There are few studies that forecast the future prevalence of obesity based on the predicted prevalence model including contributing factors. The present study aimed to identify factors associated with obesity and construct forecasting models including significant contributing factors to estimate the 2020 and 2030 prevalence of obesity and abdominal obesity. SUBJECTS/METHODS: Panel data from the Korea National Health and Nutrition Examination Survey and national statistics from the Korean Statistical Information Service were used for the analysis. The study subjects were 17,685 male and 24,899 female adults aged 19 years or older. The outcome variables were the prevalence of obesity (body mass index ${\geq}25kg/m^2$) and abdominal obesity (waist circumference ${\geq}90cm$ for men and ${\geq}85cm$ for women). Stepwise logistic regression analysis was used to select significant variables from potential exposures. RESULTS: The survey year, age, marital status, job status, income status, smoking, alcohol consumption, sleep duration, psychological factors, dietary intake, and fertility rate were found to contribute to the prevalence of obesity and abdominal obesity. Based on the forecasting models including these variables, the 2020 and 2030 estimates for obesity prevalence were 47% and 62% for men and 32% and 37% for women, respectively. CONCLUSIONS: The present study suggested an increased prevalence of obesity and abdominal obesity in 2020 and 2030. Lifestyle factors were found to be significantly associated with the increasing trend in obesity prevalence and, therefore, they may require modification to prevent the rising trend.

• 한방비만학회지
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• 제13권1호
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• pp.46-50
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• 2013

5명의 복부비만 환자에게 산삼비만약침과 매선요법을 병행하여 주 2회, 총 4회 치료를 실시한 결과 체지방 1.36 kg, 허리둘레 3.98 cm 감소하였다. 산삼비만약침과 매선은 부분비만에 대한 치료효과가 분명히 있는 것으로 판단되나 향후 개별 치료효과에 대한 판정, 혈액검사를 통한 치료효과의 확인, 안전한 치료용량에 대한 탐색이 필요할 것으로 생각한다.

• 한국산학기술학회논문지
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• 제20권6호
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• pp.410-420
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• 2019

본 연구는 수면 대장내시경 검진자에게 복부마사지를 시행하여 장운동 회복과 복부팽만감에 미치는 효과를 파악하기 위하여 시도된 비동등성 대조군 전후 시차설계연구이다. 연구대상자는 C시, G병원에서 외래를 통해 수면 대장내시경 검진을 받는 실험군 22명, 대조군 22명으로 자료 수집 기간은 2018년 6월 1일부터 8월 25일까지였으며, 실험의 확산효과를 막기 위하여 대조군을 먼저 자료수집 한 후 시차를 두고 실험을 실시하였다. 자료분석은 IBM SPSS 24.0을 이용하여 자료를 분석하였으며, 대상자의 일반적 특성의 동질성을 검증하기 위하여 독립표본 t-test, $x^2-test$ 와 Fisher's exact probability test, 실험군, 대조군의 복부둘레 변화량에 대한 정규성을 검증하기 위하여 Shapiro-Wilk로 검증, 복부둘레의 사전 동질성을 검증하기 위하여 Mann-Whitney U test를 실시하였다. 실험처치 효과 검증은 Fisher's exact probability test, Friedman test와 Mann-Whitney U test로 검증하였다. 연구 결과, 복부마사지가 대장내시경 검진자의 가스배출 시간($x^2=19.75$, p<.001)과 복부팽만감($x^2=29.93$, p<.001)을 감소시켜, 수면 대장내시경 검진자의 가스팽만으로 인한 불편감을 완화하는 간호중재로 활용할 수 있을 것으로 생각된다.

• 대한통합의학회지
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• 제8권1호
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• pp.125-135
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• 2020

Purpose : Obesity indices are major predictive markers for coronary artery stenosis, but there are few studies about the relationship between obesity indices and coronary artery stenosis in the Korean population. Therefore, we analyzed the association between obesity indices and coronary artery stenosis among health-screen examinees. Methods : This study included 99 males and females who visited a health-examination center. The obesity indices included body mass index (BMI), waist circumference (WC), visceral adipose tissue (VAT), visceral adipose tissue/subcutaneous adipose tissue ratio (V/S ratio). All subjects had their degree of coronary artery stenosis measured using coronary computed tomography angiography (CCTA). A multiple logistic regression test was conducted to analyze the association between obesity indices and coronary artery stenosis. Results : This study was taken by multiple logistic regression test adjusted by age, sex, smoking status, frequency of alcohol drinking/week and frequency of exercise/week. The adjusted odds ratio for the presence of coronary artery stenosis for subjects with abdominal obesity (abdominal obesity defined as a waist circumference ≥ 90 cm in males; ≥ 85 cm in females) was 6.263 (95 % confidence interval (CI) 1.974-19.869), for subjects with visceral obesity by visceral adipose tissue (visceral obesity defined as a visceral adipose tissue ≥ 100) was 11.430 (95 % CI 3.044-42.928). Conclusion : In this study of adults, WC and VAT were independent predictors of coronary artery stenosis. These results suggest that WC and VAT may be useful markers of coronary artery stenosis.

• 대한영양사협회학술지
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• 제10권2호
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• pp.174-183
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• 2004

This analysis was performed to investigate the relationship between nutrition and anthropometric indices using the data from a cross-sectional survey of a large national sample, '98 Korean national health and nutrition examination survey. Subjects were selected by stratified multistage probability sampling design and completed dietary questionnares including food intakes for one day by 24-hour recall method. For this analysis, 6566 subjects were selected by age(over 20 years old). For anthropometry, height, weight, and waist- and hip- circumference were measured. They were classified by body mass index(BMI, weight(Kg)/$height^2 $($m^2 $)) and waist-hip ratio(WHR, waist circumference(Cm)/hip circumference(Cm)). The nutrients intake of subjects were compared with the recommended daily allowances(RDA). Mean adequacy ratio(MAR) was calculated. Mean heights, weights, BMIs were higher in the groups with nutrient intake over 125% of RDA than the lower intake groups for most nutrients. However, Mean WHR was the highest in the groups with nutrient intake under 75% of RDA for most nutrients excluding iron intake of women aged 20-64 years. Among women aged 20-64 years, means of MAR were 0.71 for obese individuals(BMI>30), 0.72 for subjects with underweight(BMI<18.5), and 0.76 for subjects with normal weight(18.5$\leq$BMI<25). Normal subjects has statistically significantly higher MAR than those of other groups. However, among elderly people aged over 65 years, obese group had the highest MAR, 0.68. Women with abdominal obesity(WHR>0.9) had lower MAR, 0.71 than those with normal weight(MAR=0.76). From these results, obesity and abdominal obesity seems to be the results of malnutrition including both undernutrition and overnutrition rather than simple problem of excess energy intake. Obesity in elderly people needs to be handled differently from adults.

• Toxicological Research
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• 제30권1호
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• pp.39-44
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• 2014

Bisphenol A (BPA) is widely used in the production of polycarbonate plastics, epoxy resins, and food and beverage containers. In the present study, we aimed to investigate the relationship between urinary concentrations of BPA and waist circumference in Korean adults. A total of 1,030 Korean adults (mean age, $44.3{\pm}14.6$ years) were enrolled in the study on the integrated exposure to hazardous materials for safety control, conducted by the Ministry of Food and Drug Safety from 2010 to 2012. Abdominal obesity was defined as having a waist circumference of at least 90 cm and 85 cm for men and women, respectively. The participants were divided into 4 groups according to the urinary BPA concentration quartile. Waist circumference was significantly higher among subjects with a urinary BPA concentration in the highest quartile relative to those in the lowest quartile (p = 0.0071). Linear regression analysis revealed a significant positive association between urinary BPA concentrations and body mass index, body fat, after adjusting for potential confounders. Moreover, subjects with urinary BPA concentrations in the fourth quartile were more likely to be obese compared to those with urinary BPA concentrations in the first quartile (odds ratio, 1.938; 95% CI: 1.314~2.857; p for trend = 0.0106). These findings provide evidence for a positive association between urinary BPA concentration and waist circumference in Korean adults.

• 패션비즈니스
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• 제22권2호
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• pp.27-39
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• 2018

This study analyzed the body shape of women over 70 years and classified their body shapes in order to provide basic data for the development of pants patterns that can complement the weakness of the body shape of elderly women. It were analyzed using SPSS Ver. 20.0. Five factors were extracted from the lower body: obesity and thigh thickness, lower body length, under knee thickness, ankle height, and hip sag. In type 1, the lower body was obese and the legs were thick, but the hips were not sagging. It was named 'high-hip obesity figure'. Type 2's abdomen, hip, and waist were obese, but the legs were thin and the hip were not sagging. Thus, 'bird-leg middle obesity figure' was the name. Type 3 had a long and slender lower body, but legs were thick and the hips were saggy, it was named 'strong-leg low-hip slender figure'. The elderly women showed less difference in waist, abdomen, and hip circumference. The abdominal circumference was 2-3cm more than the waist and hip circumference; hence there is a need to differentiate the shape and number of darts in the production of bottom-wear patterns for older women. In addition, the leg circumference is gradually reduced by aging compared to the size of the lower body. Therefore, it would be necessary to search for a method that can effectively design the difference between the hip circumference and the leg circumference in relation to the body shape and the aesthetics of older women.

• 한방비만학회지
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• 제2권1호
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• pp.13-23
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• 2002

Background & Methods: In order to study the effect of electro-lipolysis-acupuncture, 57 outpatients who have had herbal medication in Kirin Oriental Hospital were devided to two groups; acupuncture-treated group(46) vs non-acupuncture-treated group(11) Acupuncture-treated group was given electro-lipolysis-acupuncture at least two times a week and administered with herbal diet medication, whereas non-acupuncture-treated group was administered only with herbal diet medication. Results: Mean age, body weight and BMI of these two group at the start point of the treatment were $27.22({\pm}7.64)\;vs \;29.09({\pm}8.73),\;67.76({\pm}9.34)\;vs\;67.00({\pm}10.69),\;and\;26.20({\pm}3.02)\;vs\;26.14({\pm}4.10)$ in the order of acupuncture-treated and non-acupuncture groups. After one month of treatment, change rate of body weight, BMI, total fat, percentage of fat was significantly higher in acupuncture-treated group. Also the change rate of arm circumference, hip circumference and thigh circumference was significantly higher in acupuncture-treated group. The change rate of abdominal circumference and WHR of acupuncture-treated group was higher than that of non-acupuncture-treated group with no statistical significance. The circumference reduction rate according to herbal dieting program was higher in this order, abdomen, arms, chest, thighs and hips. On the other hand, chest circumference change rate over weight loss rate, which is the portion no acupuncture treatment was given to, and AMC change rate was higher in non-acupuncture-treated group. Conclusion: These results imply that herbal dieting program combined with electro-lipolysis-acupuncture is more effective on reducing body fat, size reduction of localized obesity and preservation of muscle than herbal prescription only dieting program.