• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.25 no.3
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• pp.97-112
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• 2012

Objectives : The purpose of this study were to evaluate the effects of oriental medical therapy on obesity and different effects according to Body Mass Index(BMI), menopause, obesity treatment experience, age, treatment period in patients. Methods : 46 patients were treated from November 2011 to April 2012 in Oriental Obesity Center, Dong-eui Medical Center. They were measured change of body compositions by bioelectrical impedance analysis every 2~3 weeks and 27 patients out of 46 were checked body compositions every 2 weeks. 46 and 27 patients were divided into two or three groups according to BMI, menopause, obesity treatment experience, age, treatment period. We compared before and after treatment body compositions. Results : Body compositions, except edema index were significantly reduced. Abdominal Visceral Fat(AVF) was significantly reduced in Obese group. Body Weight(BW), BMI, Body Fat(BF), Body Fat Percetage(BFP), Abdominal Visceral Fat Level(AVFL), Abdominal Visceral Fat(AVF), Abdominal Subcutaneous Fat(ASF) were significantly reduced in non-menopause group(43 female patients). But in 26 female patients out of 27, there were no significantly differences between groups in menopause. There were no significantly differences between groups in obesity treatment experience. But in 27 patients, BMI and AVF were significantly reduced in non-experience group and AVFL was significantly reduced in experience group. BW, BMI, BF, BFP, VAF, ASF were significantly reduced in younger age group. But in 27 patients, BW and Muscle were significantly reduced in younger age group. BMI, BF, BFP, Edema, AFVL, Abdominal Visceral Fat Area(AVFA), AVF, ASF were significantly reduced in longer treatment period group. Conclusion : The BF, BMI, BF, BFP, Muscle, AVFL, AVFA, AVF, ASF were almost decreased significantly. It resulted that the effects of oriental medical therapy in obesity was positive. And it was meaningful study to know about different effects between groups.

• Journal of Korean Medical Science
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• v.33 no.53
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• pp.345.1-345.14
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• 2018

Background: This study aimed to investigate associations between self-reported sleep duration and general and abdominal obesity in Korean adults stratified according to gender and age. Methods: Data from 41,805 adults, 18-110 years of age, collected by the Korea National Health and Nutrition Examination Survey (KNHANES) in 2007 and 2015, were analyzed. Multivariable logistic regression was used to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) for obesity and abdominal obesity by sleep duration after controlling for sociodemographic and lifestyle variables. Results: Among individuals 30-49 years of age, there was an increased AOR for obesity only for sleep duration ${\leq}5hour/day$ compared with sleep duration 6 to 8 hour/day, both in men (OR, 1.25; 95% CI, 1.02-1.54) and women (OR, 1.56; 95% CI, 1.29-1.90), after controlling for covariates. Regarding women, there was increased AOR for abdominal obesity for sleep duration ${\leq}5hour/day$ (OR, 1.45; 95% CI, 1.18-1.78) and ${\geq}9hour/day$ (OR, 1.38; 95% CI, 1.09-1.76) compared with sleep duration 6 to 8 hour/day. However, for elderly individuals (${\geq}65years$), there was a negative association between sleep duration ${\leq}5hour/day$ and obesity, but not with abdominal obesity, in both men and women. Conclusion: This study demonstrated a significant association between sleep duration and obesity, which varied according to gender and age.

• Journal of Korea Entertainment Industry Association
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• v.13 no.4
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• pp.363-368
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• 2019

The aim of this study was to assess gender difference in the association of obesity and abdominal obesity and chronic kidney disease(CKD). The study subjects were Korean adults 20 years or older(n=9,409) who participated in the Korea National Health and Nutrition Examination Survey 2013-2014. In men, after adjusting for relevant variables, the Odds ratio(OR) of CKD[estimated glomerular filtration rate(eGFR) < 60ml/min/1.73m²] with a normal weight group[body mass index(BMI) < 23.0kg/m²], as a reference were significant for the obesity[BMI ≥ 25.0kg/m², 1.83(95% CI, 1.20-2.80)], but abdominal obesity[waist measurement(WM) ≥ 90cm, 1.30(95% CI, 0.89-1.89)] group compared to the normal group(WM < 90cm) was not significant. However, in women, the OR of CKD with a normal group(WM < 80cm) as a reference were significant for the abdominal obesity[WM ≥ 80cm, 1.52(95% CI, 1.52-2.28)] group, but obesity group[1.37(95% CI, 0.89-2.11)] compared to the normal weight group was not significant. In conclusion, the obesity in Korean men and abdominal obesity in women were positively associated with CKD.

• Journal of Korean Medicine for Obesity Research
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• v.16 no.1
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• pp.64-69
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• 2016

This study was conducted to investigate the effects of Ganoderma lucidum pharmacopuncture and moxibustion on abdominal obesity. Five women with abdominal obesity were treated 6 times in 2 weeks with Ganoderma lucidum pharmacopuncture on abdominal fat followed by 30 minutes of moxibustion on abdominal area. Before treatment and after 6 treatments were finished, body weight, body mass index, body fat mass, waist circumference, hip circumference and waist-hip ratio were measured. After all treatments, all average measured values were reduced. Body weight and body mass index were reduced by 0.34 kg and $0.46kg/m^2$ respectively. Also, waist circumference and waist-hip ratio were reduced by 4.52 cm and 0.04 respectively. We suppose combined therapy of Ganoderma lucidum pharmacopuncture and moxibustion might be a time-effective treatment for abdominal obesity.

• Journal of Korean Public Health Nursing
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• v.15 no.2
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• pp.363-375
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• 2001

The purpose of this study is to analyse the effects of obesity management program in food attitude and food habit, body composition(body fat ratio, body fat weight, lean body mass, total body water), abdominal girth(waist, hip, thigh), and serum lipid level(cholesterol, low density lipoprotein, triglyceride, phospholipid, NE fatty acid, high density lipoprotein) of middle aged women. Data for the study were collected from July 4 to August 25, 2000. The study objects were 20 middle aged women(10 controls and 10 experimental objects) from 40 to 50 years old who had body fat ratio more than $30\%$ and waist girth more than 80cm. The results were as follows: 1. Similarity test between experimental group and control group processed by serum HDL level showed the significant difference(t=3.25, p=0.004), but that processed by age, body weight, body fat ratio, body fat weight, lean body mass, total body water, waist girth, hip girth, thigh girth, cholesterol level, LDL level, triglyceride level, NE fatty acid level, food attitude and food habit score showed no significant difference(p>0.05). These findings imply that the two groups are similar in the sample distribution. 2. The effects of the abdominal obesity management program The obtained results indicate that the abdominal obesity management program in middle aged women changes the food attitude & the food habit. decreases the body fat ratio & the body fat weight and increases the lean body mass, and decreases the girth of waist & hip and the serum level of cholesterol & LDL. Therefore, it is concluded that the abdominal obesity management program can be applied for nursing intervention to decrease the body fat weight and abdominal obesity.

• The Journal of Internal Korean Medicine
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• v.30 no.4
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• pp.799-805
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• 2009

Objectives : This study was aimed to assess characteristics in acute stroke patients according to abdominal obesity. Method : 1,506 subjects were included from the patients admitted to the Internal Medical Department at Kyunghee University Oriental Medical Center, Kyunghee University East-West Neo Medical Center, Kyungwon University Songpa Oriental Medical Center, Kyungwon University Incheon Oriental Medical Center, and D ongguk University Ilsan Oriental Medical Center from April 2007 to August 2009. Results : 1. Considering the demographic variables of the patients, the gender, older age, diabetes, hyperlipidemia and multiple infarction were significantly higher in the abdominal obesity group than in the control group. 2. Sasang constitution and oriental medical diagnosis showed significant difference in the abdominal obesity group. By oriental medical diagnosis, the D amp ness-Phlegm group was significantly higher in abdominal obesity group than in the control group. According to this analysis, we observed the general disposition of various characteristic distributions according to abdominal obesity in acute stoke patients These results can be utilized in the future as a basis material.

• Journal of Korean Biological Nursing Science
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• v.22 no.1
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• pp.36-44
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• 2020

Purpose: The purpose of this study was to predict measuring site suited for abdominal skin fold thickness (ASFT) by measuring the distribution of abdominal subcutaneous fat thickness (AScFT) and ascertain the correlations among obesity indicators. Methods: The size of analysis materials was 124 secondary data measured by ultrasonic device, bioelectrical impedance analyzer and caliper. Data were analyzed using t-test, and Pearson's correlation. Results: The average of AScFT was 10.63± 6.79mm with its range 1.39-36.16 mm, and AScFT of female and of central parts were thicker than those of male and outer parts in the abdomen. The average of ASFT was 29.26±12.59 mm. Site 5 on Figure 1 was most similar to the average of AScFT in both sexes. Body mass index (BMI) and waist hip ratio (WHR) were 23.65±3.98 and 0.88±0.05 respectively. The body weight, BMI, WHR, visceral fat, ASFT vs AScFT revealed in significant correlation (r= .29, r= .55, r= .39, r= .33. r= .29). Conclusion: BMI and WHR seem more useful than other obesity indicators, when obesity control is necessary for Type 2 diabetes patients. Site 5 on Figure 1 is most suitable site to measure ASFT.

• Korean Journal of Clinical Laboratory Science
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• v.45 no.3
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• pp.96-101
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• 2013

Increased waist circumference has shown to be more strongly associated with cardiovascular disease risk factors. The purpose of this study is to investigate the association between exercise capacity and cardiovascular risk factors among obese types in adult men. The subjects of this study were a total fifty-four obese persons and obesity criteria is body mass index $(BMI){\geq}25kg/m^2$. Diagnostic criteria for obesity was defined as a waist circumference of ${\geq}90cm$. The BMI in the obese subjects, as judged by the presence or absence of abdominal obesity, were classified into two groups (non-AO: without abdominal obesity group, AO: with abdominal obesity group). AO presented lower total exercise time, metabolic equivalents (METs) than Non-AO. AO showed slow HRR (heart rate recovery) response. HRR was negative correlated with BMI, body fat mass, waist circumference. AO had a high heart rate and a low cardiac output in submaximal exercise stage 1~2. In conclusion, AO's (with abdominal obesity groups) total exercise time, METs and HRR are lower than Non-AO. HRR is related with BMI, body fat mass and waist circumference.

• Clinical and Experimental Pediatrics
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• v.62 no.7
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• pp.261-268
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• 2019

Purpose: This study aimed to evaluate the time trends of waist circumference (WC) and waist-height ratio (WHR), and to present WC and WHR distributions with optimal WHR cutoff for abdominal obesity in Korean children and adolescents. Methods: We performed a retrospective cross-sectional analysis of data from 13,257 children and adolescents (6,987 boys and 6,270 girls) aged 6-18 years who were included in the third to sixth Korea National Health and Nutrition Examination Survey (KNHANES, 2005-2015). Linear regression analyses were used to identify secular changes in WC and WHR by age, sex, and KNHANES waves. A receiver operating characteristic curve analysis was used to determine the optimal WHR cutoff values for abdominal obesity and cardiometabolic risk factors. Results: The mean WC and WHR distributions from 2005 to 2015 showed no significant secular changes between the KNHANES 4 waves (P for trend ${\geq}0.05$ in all ages and both sexes). The mean WCs in the present study were lower than those in the 2007 Korean National Growth Charts. The mean WHR at ages <13 years was statistically higher in the boys than in the girls, but did not significantly differ between the sexes among those aged 13 to 18 years. The optimal WHR cutoff for abdominal obesity was 0.48 (area under the curve, 0.985; 95% confidence interval, 0.985-0.985) in the 13- to 18-year-old adolescents. Conclusion: WC and WHR showed no secular changes over 10 years. The optimal WHR cutoff for abdominal obesity of 0.48 is useful for diagnosing and managing obesity and thus preventing obesity-related cardiometabolic complications in 13- to 18-year-old Korean adolescents.

• The Journal of Korean Medicine
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• v.34 no.2
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• pp.1-9
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• 2013

Objectives: Considering that homeothermy is a major component of metabolic rate, body temperature might play a role in the pathophysiology of obesity. This study aimed to determine the relationship between abdominal fat distribution and abdominal temperature in Korean, premenopausal, obese women. Methods: Weight and height were measured in 26 premenopausal, obese women to calculate body mass index (BMI). Obesity was defined as a $BMI{\geq}25kg/m^2$. Waist circumference (WC) was also measured as well as abdominal fat by computed tomography (CT) and abdominal temperature by digital infrared thermographic imaging (DITI). Results: Visceral abdominal fat area was found to have a significant negative correlation with the temperature of Guanyuan (CV4, lower abdomen acupoint). We also found the visceral-subcutaneous fat ratio had a significant negative correlation with the temperature of CV4 and Right Tianshu (RST25, lateral navel acupoint). Only visceral fat and its ratio to subcutaneous fat had a significant correlation with abdominal temperature. Subcutaneous fat area and total fat area were not correlated with abdominal temperature. Conclusions: This study suggests that abdominal visceral fat has a significant negative correlation with abdominal temperature. Further study is needed to uncover the relationship between abdominal fat distribution and temperature regulation in obese individuals and to define the role of body temperature in the pathogenesis of obesity.