• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제25권2호
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• pp.138-146
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• 2022

Purpose: Children with celiac disease (CD) are at an increased risk of low bone mineral density (BMD) owing to malabsorption of fat-soluble vitamins, inflammation, and malnutrition. This study aimed to determine the prevalence and risk factors for low BMD in Iranian children with CD. Methods: This prospective cohort study examined 149 Iranian children with CD between 2011 and 2018 at Zabol University of Medical Sciences. BMD was measured using dual-energy X-ray absorptiometry. Demographic, clinical, and laboratory data were collected from patients' medical records. Logistic regression analysis was performed to identify the factors associated with low areal BMD (BMD-Z <-2) in the lumbar spine and femoral neck. Descriptive data were analyzed using the mean, standard deviation, and relative frequency. Data were analyzed using the chi-square test, t-test, and analysis of variance. Results: Of the 149 children with CD, 27.5% had osteoporosis. The mean body mass index (BMI) Z score was -1.28±1.2. Lower BMI was associated with a higher likelihood of BMD-Z (odds ratio 2.17; p≤0.05). Conclusion: Overall, the findings of this study showed that there was no correlation among Marsh classification, presence of specific human leukocyte antigens, and low BMD in Iranian children with CD. BMI can be a predictor of bone density in children with CD and may be applied clinically in early screenings to evaluate the bone health status in these children.

• Journal of Korean Biological Nursing Science
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• 제12권1호
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• pp.1-7
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• 2010

Purpose: This research is to promote an walking exercise program for the subjects to continue exercise by mitigating stresses with increase in increase their physiological index. Methods: The research design was a non-equivalent control group, quasiexperimental study. The research has been executed from August 1st to September 30th 2008 by operating walking exercise program to 50 subjects. Only 24 patients who continued this program to the last were could be investigated. Results: Among the subjects who participated in the program had shown significant differences in weight and BMI. Despite of an insignificant change in skeletal muscle mass, fat mass, body fat ratio and WHR, average value for skeletal muscle mass showed an increasing tendency, while the average values for fat mass, body fat ratio and WHR showed a decreasing tendency. Conclusion: In conclusion, walking exercise program was design for the subjects to be able to exercise without an extra cost for a special tool to exercise with an positive effect on increasing health problem.

• 통합자연과학논문집
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• 제8권4호
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• pp.305-312
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• 2015

The present study showed WHtR to be significantly better than BMI and WC for prediction of metabolic-related diseases in the middle-aged and older people in Korea, based on Bayesian ordered probit model analysis. The variations of WC, BMI and WHtR were compared according to the number of metabolic-related diseases such as hypertension, dyslipidemia, stroke, myocardial infarction, angina pectoris and diabetes. It was found that the three measures showed the similar variation except a very few extreme cases for age less than 40. For subjects over the age of 40, WC was not significant and WHtR gave more influence in greater variability than BMI on the number of metabolic diseases. Also, the rate of change for WHtR was higher than for BMI as the number of metabolic-related diseases increased. Specifically, the difference of the marginal effect of WHtR between no disease and only one disease was 1.81 times higher than that of BMI. Moreover, it was pointed out that the threshold value of WHtR for obesity should be considered differently by age.

• 한방비만학회지
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• 제17권1호
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• pp.10-19
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• 2017

Objectives: The aim of study was to investigate the effect of herbal medicine on obesity and to define which seasonal factor could be utilized to make an obesity treatment program more effective. Methods: Three hundred and forty-four subjects were recruited and data were analyzed for weight, body fat, muscular volume, body fat ratio, body mass index (BMI) change and treatment duration. At first, age classification was performed for the comparisons. Moreover, starting season of treatment was categorized to determine it's influence over the treatment. Results: It was found the administration of herbal medicine could diminish every analyzed fields of entire patients. Compared among age groups, there were no significant differences of all fields. However, the categorization of start season showed significant differences of weight, BMI change and treatment duration. In addition, the analysis of assumed 10% weight loss elicited patients started treatment in spring and winter should spend 12 and 13 weeks and summer would be 9.5 weeks. Conclusions: It was found herbal medicine would be effective for female obesity and expected patients could achieve 5.91 kg weight loss for 65.88 days treatment. Summer group had significant shorter treatment duration and it was presumed summer group had more concentration for achievement. Days required for assumed 10% weight loss was calculated to be 84 days in spring, 67 days in summer, 96 days in winter. Hereafter, further controlled study with more numbers of patients should be needed to determine the goal of medical treatment for obesity.

• 한국식품영양학회지
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• 제27권3호
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• pp.470-477
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• 2014

The purpose of this study was to investigate the association of homocysteine and antioxidant nutrients with obesity in Korean middle aged women. The study subjects included were middle-aged obese women (n=36) whose body mass index (BMI) was greater than $25kg/m^2$. A total of 36 participants were randomly divided into two groups. They were assigned to either the Nutritional Management and Exercise (NME) program or the Exercise Management (EM) program, which were both conducted for 3 months. We measured serum homocysteine, total cholesterol and HDL cholesterol levels of the participant. We also measured the dietary intakes of antioxidant nutrient, cholesterol, body weight, body mass index, blood pressure, and $VO_2$. At the end of both programs, please confirm this change. It was unclear when these measurements were shown to have decreased. The body weight and BMI of NME group were decreased compared to those of EM group. The serum total cholesterol levels of the participants in NME group were significantly decreased, in contrast to EM group. Also, serum homocysteine levels of NME group participants were decreased compared to EM group, but the difference was not statistically significant. In the NME group, there were significant differences in the change of dietary cholesterol and vitamin C intake. These results showed that participating NME program will continuously promote the healthy status of the middle aged obese women, compared to participating only in the EM program.

• 한방비만학회지
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• 제21권2호
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• pp.105-111
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• 2021

This study is reporting the clinical effect of herbal medicine for Class III obesity. A 34-year-old man with body mass index (BMI) 44.1 kg/m² was diagnosed to Class III obesity. We prescribed herbal medicine (Gambi-hwan) for 60 days. Self controlled low calorie diet and slight aerobic exercise were concomitantly performed during the treatment period. Body weight decreased from 152.4 kg to 128.1 kg. BMI decreased from 44.1 kg/m² to 37.0 kg/m². Visceral fat area decreased from 276 cm² to 195 cm². Percent of excess weight loss was 58.40% after treatment. A Class III obesity patient showed significant weight loss with herbal medicine as single Korean medicine treatment.

• Journal of Korean Biological Nursing Science
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• 제13권3호
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• pp.291-297
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• 2011

Purpose: The research was to investigate the effect of stepbox exercise program on both male and female elderly' physiological index such as cardiovascular and to improve exercise efficacy. Methods: The research design was a non-equivalent control group, quasiexperimental study. From 2011-05-10 to 2011-07-26, 3 times a week for 12 weeks, the 43 elderly of health center of D district in G city who participated in the program and pre and post test at the same time were investigated. Results: Statistical significant differences had not been detected in systolic blood pressure and diastolic blood pressure, pulse showed a statistical significant differences. After test of physiological index, weights of participants showed decreasing tendency. body fat mass, skeletal muscle mass, BMI, body fat rate and waist-hip-ratio had also showed statistically significant differences. Conclusion: In conclusion, stepbox exercise program has positive effects on physiological index, blood pressure and pulse. Therefore, dynamic stepbox exercise program is considered to be a helpful intervention to improve comprehensive health conditions by giving the elderly both easy and less-pain exercise and the opportunity to manage their own health.

• 한국식품영양학회지
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• 제26권3호
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• pp.535-546
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• 2013

This study was carried out to analyze the relationship between body mass index (BMI) and general characteristics, psychological factors, eating habits, dietary behaviors, and health related quality of life using survey of 335 women aged 20 to 29 years in the Seoul and Kyungin areas. The 335 study subjects were divided into 4 groups by BMI ($kg/m^2$) levels; normal group($18.5{\leq}BMI{\leq}22.9$), overweight group($23.0{\leq}BMI{\leq}24.9$), mild obesity group($25.0{\leq}BMI{\leq}29.9$), and heavy obesity group ($BMI{\geq}30$) by Asian-Pacific obesity index criteria. The family income of the heavy obesity group was significantly (p<0.05) less than that of the normal weight group. Psychological factors, such as stress and depression of the normal weight group tended to be higher than those of overweight and obesity groups. The higher BMI level had the lower self-efficacy(p<0.05) among all subjects. As the BMI level increased, the preference for sweet, salty, and hot taste was significantly high. We found that normal weight women had healthier eating habits and dietary behaviors and a higher level of health-related quality of life than did those who were overweight, mildly obese, and heavily obese women. Overweight and mildly and heavily obese women were strongly associated with decreased physical and mental health related quality of life. Therefore, weight loss is desirable, and is likely to be beneficial for health-related quality of life in obese adult women. In conclusion, this study contains evidence to suggest that obesity management programs including different strategies according to obesity are required to determine the types of programs that are suitable for adult women, prior to their initiation of a program. The findings are helpful to inform researchers and practitioners who are seeking to implement appropriate strategies to create positive changes in the health behaviors of obese adult women.

• Journal of Preventive Medicine and Public Health
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• 제32권4호
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• pp.435-442
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• 1999

Objectives: The purpose of this study was to examine the twelve-year incidence of hypertension, and to find risk factors for the incidence in adult population in Kangwha County, Korea. Methods: In 1986, 413 males(mean age 37 years) and 434 females(mean age 33 years) were examined in the Kangwha Study, Among 764 non-hypertensive participants, 164 males and 214 females were reexamined in 1998. Blood pressure(BP) was measured with standard mercury sphygmomanometers. Multiple logistic regression analysis was used to estimate the relative risk of risk factors on the incidence of hypertension. Results: During the 12-year period, 68 of 164 males and 53 of 2f4 females developed hypertension. In a multiple logistic model adjusted for age and pulse rate, baseline BP, baseline body mass index(BMI) and BMI change during the follow-up period were significantly related to the incidence of hyperiension. Adjusted relative risk(RR)s of baseline high-normal BP were 3.90(95% CI: 1.81-7.84) in males, and 12.72(95% CI: 3.70-30.73) in females. Compared with lower baseline BMI group, adjusted RRs of middle baseline BMI group were 2.66(95% CI: 1.19-5.70) in males, and 2.33(95% CI: 0.95-5.55) in females. Adjusted RRs of upper baseline BMI group were 3.52(95% CI: 1.53-7.67) in males and 3.63(95% CI: 1.50-8.43) in females. Increase of BMI was positively related to the incidence in males(adjusted RR=2.71, 95% CI: 1.00-6.71) and females(adjusted RR=3.05, 95% CI: 1.29-6.88). Conclusions: The twelve-year incidence of hypertension was 41.5% in males, and 25.8% in females. Baseline BP, baseline BMI, and BMI change were strongly related to the incidence of hypertension.

• 대한방사선기술학회지:방사선기술과학
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• 제40권3호
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• pp.377-383
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• 2017

건강검진의 증가와 함께 검진 차량을 이용한 건강검진의 수효 또한 증가하는 추세로, 검진 차량에서의 흉부 방사선검사 시 피폭선량에 대해서도 간과할 수 없다. 실제 피사체가 있을 때 피사체의 체질량지수(BMI), 관전류량(mAs)과의 비교를 통해 산란선 발생량을 측정하여 불필요한 피폭을 최소화할 수 있는 방법을 찾고자 한다. 본 연구의 결과 대상자 BMI 전체 평균은 $23.31{\pm}3.12$으로 남자가 여자보다 BMI 값이 높게 나타났다. 전체 평균 mAs값은 $2.92{\pm}1.19$으로 남자가 여자에 비하여 높게 나타났다. 검사실 내부 위치 1의 산란선 전체 평균값은 $771.81{\pm}151.15{\mu}Sv/hr$로 나타났다. 검사실 출입문 외부 위치 2의 산란선 전체 평균값은 $53.86{\pm}25.66{\mu}Sv/hr$로 측정되었다. 이에 BMI나 mAs가 증가할수록 검사실 내부 위치 1과 외부 위치 2에서의 공간산란선량은 증가하는 것으로 나타났다. 건강검진 차량에서의 피폭선량은 거리역자승법칙을 적용하기에 매우 좁은 공간으로 공간산란선의 피폭을 최대한 줄이기 위해 방사선 관계종사자는 영상의 품질을 저해하지 않는 범위 내에서 가능한 낮은 조사조건으로 검사하고, 검사실 출입문 근처에 검사자가 대기하지 않도록 하는 노력이 필요할 것으로 생각된다.