• The Korean Journal of Community Living Science
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• v.27 no.3
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• pp.495-508
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• 2016

This study was conducted to recognize the need for diet and nutrition education to correct body-shape and eating habits that lead to eating disorders in college students. The relationship between diet and obesity was confirmed. Approximately 405 (male 46.4%, female 53.6%) students were evaluated by questionnaire in September 2014. The statistical program SAS (ver. 4.3) was used to evaluate the Chi-squared, F and T-value. The correlation between eating disorder risk and eating habits was evaluated by Pearson's correlation. Body type recognition was classified into nine steps up the body fatty (9) to skinny (1) to show their body. Eating disorder risk (KEAT-26) was composed of F1 (attachment factors for weight loss), F2 (attachment factors for binge eating, and food), and F3 (adjustment factor to eating their will. The risk of eating disorders in male 73.4% of low risk, in female 61.3% (p<0.05). According to body mass index, underweight groups recognized in the normal weight (53.7%), normal weight group was in overweight (29.1%) (p<0.001). According to body-type, the overweight group had a higher risk of eating disorders (68.2%). The KEAT-26 showed that the overweight and obese group were high-risk in F1 & F2, while the underweight group was high-risk in F3 (p<0.001). Recognized overweight showed the dangers of eating disorders, proper recognition of body-type and body mass index required. Tendency to seek a balanced diet was associated with eating disorders, no-imposed adequate diet for nutritional education would be made. Proper nutrition education for males is needed depending on the increased incidence of male eating disorders.

• The Korean Journal of Community Living Science
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• v.17 no.2
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• pp.89-103
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• 2006

This study was performed to provide sources of nutrition education for female adolescents by identifying eating disorder patterns and their relationships with self-body image, weight control, and eating behavior. A total of 329 female middle school students were recruited and completed a general characteristics survey, the Eating Attitudes Test(EAT-26), a perception of self-body image survey, a concern for weight control survey, an eating behavior survey, and the Mini Dietary Assessment Index(MDA). Eating disorder patterns were identified to be obesity stress and weight control(OW), risk of binge eating(RB), and dietary restraint(DR) by factor analysis. OW pattern was related with stout body shape, body dissatisfaction, experience of weight control, skipping of dinner, and low MDA score. RB pattern was associated with lean body shape, body satisfaction, indiscreet snack behavior, and the eating time of snacks. The DR pattern was associated with normal body shape, regular meal times, desirable snack behavior, and high MDA scores. The results indicated that the eating patterns of adolescent were not identical to existing diagnostic categories. Furthermore, each eating pattern displayed different characteristics of perception on self-body image, concern for weight control, and eating behavior. In conclusion, nutrition education for female middle school students could reflect the different characteristics of each eating disorder pattern.

• Journal of Korean Medicine for Obesity Research
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• v.20 no.2
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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.

• Korean Journal of Culture and Social Issue
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• v.25 no.4
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• pp.325-351
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• 2019

The present study examined patterns of co-occurrence between DSM-5 posttraumatic stress disorder(PTSD) symptoms and posttraumatic growth(PTG) among Korean populations(n= 860). Latent profile analysis was used to identify subclasses and suggested that the 3-class model fit best: (1) Low PTSD/Mild PTG group (2) Low PTSD/High PTG group; (3) High PTSD/High PTG group. Class membership was predicted by demographic variables, social isolation, and frequency of traumatic experiences. Classes also differed with respect to self-destructive behaviors(binge eating, non-suicidal self-injury, and problem drinking). These findings contribute to future research about the coexisting patterns of PTSD and PTG, and to identify high-risk individuals who suffer from trauma-related problems in clinical practice.

• Journal of Korean Medicine for Obesity Research
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• v.5 no.1
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• pp.75-85
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• 2005

Objectives : This study examined the association between body mass index(BMI) and psychological factors; self-esteem, depression, restraint eating, disinhibition, and hunger. The difference of TFEQ(restraint eating, disinhibition and hunger) was analyzed in variety of current diet situations. Methods : The research was based on a sample of people who visited our website and submit the result of self test(self-esteem n=3183; TFEQ n=5167; BDI n=2457). Results : Self-esteem and BDI was slightly correlated with BMI. There is negative correlation between restraint eating and BMI and positive correlations were observed between hunger and BMI, and disinhibition and BMI. We studied diet situation and eating habits. We divided the sample into 4 groups in accordance with self-submitted result: non-diet group(n=2806), diet-failed group within 3 months group(n=371), maintaining group after successful-diet(n=233), on-going diet group(n=1757) As to restraint eating, non-diet group showed the lowest score in restraint eating and maintaining group after successful-diet showed the highest. The score in disinhibition and hunger was significantly lower in maintaining group after successful-diet group than one in diet-failed group. Conclusion : These results suggest that it would be essential to treat these psychological factors such as depression and self-esteem in weight loss program. Considering the result in diet-situation and TFEQ, we insist that restraint-eating and disinhibition should be controlled. If these psychological factors were not treated in place, even the successful diet might turn out to be a worse situation like binge-eating

• Nutritional Sciences
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• v.4 no.1
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• pp.39-46
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• 2001

The effects of a four-week weight control program including nutrition, exercise, behavior modification and meditation were studied in 15 obese children who resided in the Chuncheon area. There were no differences in anthropometric value, health perception, self-esteem and nutrition knowledge before and after the nutrition education program. Food behavior significantly improved after the program, especially in the area of binge eating (p〈0.05). Consumption of ramyon and fried chicken significantly decreased (p〈0.05). These results showed that short-term nutrition education programs did not do enough to change the anthroppometric value of study subject. These results suggest that it is necessary to include parents in nutrition education programs for greater effectiveness. And there is a need to develop an apply systematic nutrition education programs to reduce the weight of obese children.

• Journal of The Korean Society of Emergency Medicine
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• v.29 no.5
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• pp.551-556
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• 2018

Cases of repeated acute gastric dilatations after binge eating in one patient are rarely reported. We report here a case of repeated acute gastric dilatations in a 22-year-old woman with bulimia nervosa. Her repeated acute gastric dilatations seem to have been related to superior mesenteric artery syndrome. On her last visit due to acute gastric dilatation, she underwent emergency gastric decompression surgery because of abdominal compartment syndrome; however, she eventually died because of ischemia reperfusion injury. Emergency physicians should be aware of the need to manage acute gastric dilatation in patients with eating disorder and should pay attention to the signs and distinctive clinical features of abdominal compartment syndrome.

• Korean Journal of Psychosomatic Medicine
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• v.28 no.2
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• pp.185-193
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• 2020

Objectives : The aim of this study was to develop and to verify the Korean version of the Eating Disorder Diagnosis Scale DSM-5 (K-EDDS) as a web-based diagnostic system, which enables rapid diagnosis of patients for early intervention. Methods : A total of 119 persons participated in the study, including patients with eating disorders (n=38) and college students (n=81). Along with the paper-and-pencil SCOFF, all participants completed the web-based K-EDDS, the Eating Disorder Examination-Questionaire (EDE-Q), and the Clinical Impairment Assessment Questionnaire (CIA). The semi-structured interview using the Eating Disorder Examination Interview (EDE) was conducted for participants with two or more SCOFF scores. Within two weeks, the web-based K-EDDS, the EDE-Q, and the CIA were re-tested. Results : In the exploratory factor analysis, four factors were extracted : body dissatisfaction, binge behaviors, binge frequency and compensatory behaviors. The four subscales of the web-based K-EDDS had significant correlation with each of the four subscales of the EDE-Q. The internal consistency of the web-based K-EDDS was highly satisfactory (Cronbach's alpha=0.93). The diagnostic agreement between the web-based K-EDDS and the EDE was excellent (96.83%), and the web-based K-EDDS's test-retest diagnostic agreement was fairly good (92.86%). The web-based K-EDDS and the CIA also showed significant differences between patients and general population, supporting discriminant validity. Conclusions : This study suggested that the web-based K-EDDS is a valid tool for assisting diagnosis of eating disorders based on DSM-5 in clinical and research fields.

• Journal of the Korean Society of Food Culture
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• v.26 no.4
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• pp.354-363
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• 2011

This study aimed to find the differences in weight control status and eating behavior of satisfied and dissatisfied female high school students regarding their own body shape. The participants consisted of 238 students at two female high schools in Nonsan-si, Chungnam-do in May of 2008. Self-assessment evaluated present body shape and ideal body shape they would like to have by providing silhouette drawings. The subjects were divided into two groups, 'satisfied' and 'dissatisfied', according to the differences between present body shape and ideal body shape. In the distribution of subjects according to body mass index, 100% of overweight, 97.0% of normal weight and 48.7% of underweight belonged to the dissatisfied group. There were significant differences in weight control and eating behavior between dissatisfied and satisfied groups in terms of frequency and reasons of conducting weight control behavior, body weight return after weight reduction, skipping breakfast and consuming fast food. The satisfied group was two times more likely to not conduct weight control behaviors compared to the dissatisfied group. The main reason for trying to control weight differed according to the group; the reason was feeling fat in the dissatisfied group and desiring to be healthy in the satisfied group. The percentage of subjects that returned to their original weights after weight reduction was 5 times higher in the dissatisfied group. The percentages of subjects that regularly skip breakfast and consume fast food were both higher in the dissatisfied group than in the satisfied group. The dissatisfied group responded 'eating alone' more frequently among nine binge eating behaviors compared to the satisfied group. Both groups, however, did not show any difference in overeating of meals, eating speed, intake frequency of regular meals, food preference, preferred cooking method, carbonated beverage intake and snack eating behavior. In summary, the dissatisfied group tried more unnecessary body weight reduction and had poor eating behavior. Accordingly, to correct the biased perception of body shape by the majority of female high school students, the values of our society should change toward the pursuit of beauty of health.

• Journal of Korean Medicine for Obesity Research
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• v.19 no.2
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• pp.119-136
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• 2019

Objectives: People often fail to maintain their weight even though they have succeeded in weight loss. The purpose of this study was to review previously published study results with regards to the predictive factors associated with weight loss maintenance after successful weight loss. Methods: The authors searched for the articles related to weight loss maintenance after successful weight loss, published up until June 2019 on PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), Embase, Research Information Sharing Service (RISS), and Koreanstudies Information Service System (KISS). A total of 76 articles were finally selected. From the study results, changeable and unchangeable predictors were extracted, and these predictors were examined according to detailed categories. Results: The changeable predictors of weight loss maintenance included behavioral factors, psychological factors and treatment process-related factors, whereas the unchangeable predictors included genetic and physiological factors, demographic factors, history of treatment on obesity-related factors. The main factors of weight loss maintenance were changeable predictors such as healthy eating habits, dietary intake control, binge eating control, regular exercise and physical activity, depression and stress control, social supports, self-regulation, self-weighing and initial weight loss and unchangeable predictors such as low initial weight and maximum lifetime weight. Conclusions: The results of our review results suggest that changeable and unchangeable predictors of weight loss maintenance should be carefully examined during treatments of obesity.