• 대한영양사협회학술지
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• 제13권1호
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• pp.30-37
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• 2007

The purpose of this study was to compare the nutrient intakes, blood pressure, and blood lipids in Korean adults according to BMI. Subjects were recruited and divided into three groups according to BMI, which included normal group (18.5$\leq$BMI<23), overweight group (23$\leq$BMI<25), obese group (25$\leq$BMI). The average age, height, weight, BMI of the subjects were 53.1years, 159.2cm, 54.5kg, 21.4kg/$m^2$ for normal group, 52.3years, 159.4cm, 61.4kg, 24.1kg/$m^2$ for overweight group, 55.9years, 158.7cm, 68.5kg, 27.2kg/$m^2$ for obese group, respectively. There were not significant differences in energy and food intakes by BMI groups. The blood pressure, serum cholesterol, serum triglyceride, serum LDL-cholesterol, and AI were significantly increased and serum HDL-cholesterol decreased with increment of BMI. The age and BMI were significantly positively correlated with blood pressure and serum lipids except HDL-cholesterol. There was significantly negative correlation between percentage of protein energy intake and AI. To summarize these results, energy, nutrient, and food intakes were not significantly correlated with BMI, and blood pressure and blood lipids increased with increment of BMI. Further systematic study of relation among nutrient intakes including various life factors, BMI, blood pressure, and blood lipid profile is needed.

• 대한방사선기술학회지:방사선기술과학
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• 제36권1호
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• pp.39-47
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• 2013

본 연구의 목적은 방사선 조사 용적 내 포함되는 소장의 용적 감소를 위해 복부판(Belly board, 벨리보드)과 소장변위도구(Small Bowel Displacement Device, SBDD)를 사용한 직장암 환자에서 방사선 치료 영역 내 포함되는 소장의 용적과 비만도 와의 상관성을 보고, 비만지표의 적용을 통해 SBDD의 사용지표를 삼고자 한다. 실험은 2012년 1월부터 4월까지 수술 전 혹은 수술 후 벨리보드와 SBDD를 사용해 골반부위에 방사선치료를 받은 29명의 직장암 환자를 대상으로 분석하였다. 방사선 치료는 3문 조사로 시행하였으며 1.8 Gy의 분할선량으로 중심점에 45 Gy를 조사한 계획만을 분석하였다. 환자의 키, 몸무게, 체질량지수(body mass index, BMI), 허리 엉덩이 둘레비(waist hip ratio, WHR)를 측정하여 비만도를 조사하였다. 조사되는 선량의 90%이상 들어가는 소장의 용적(high dose volume of small bowel, $HDV_{sb}$)과 33%이상 들어가는 소장의 용적(low dose volume of small bowel, $LDV_{sb}$)을 방광의 총 용적(total volume of bladder, $TV_{bladder}$) 및 비만도에 따라 비교하여 그 상관관계를 통계학적으로 분석하였다. 분석결과 수술여부 및 성별 WHR은 $HDV_{sb}$, $LDV_{sb}$에 크게 미치는 영향이 없었고 $HDV_{sb}$, $LDV_{sb}$와 BMI(p=0.031/0.083), $TV_{bladder}$ (p<0.05)는 통계적으로 유의하였다. BMI가 $HDV_{sb}$와는 유의 하지만 $LDV_{sb}$와는 크게 유의하지 않았다. (p=0.031, p>0.05) BMI는 $HDV_{sb}$와 음의 상관관계(${\beta}$=-0.402)가 있었으며 $TV_{bladder}$는 $HDV_{sb}$, $LDV_{sb}$와 음의 상관관계(${\beta}$=-0.497/-0.522)가 있었다. 특히 BMI 23 미만인 경우(BMI Group2)보다 그 이상인 경우 $HDV_{sb}$에 영향을 미치며 음의 상관성(${\beta}$=-0.525)이 있었다.($LDV_{sb}$, $HDV_{sb}$와 유의확률 각각 p=0.059, p=0.027) BMI가 23 이상인 집단(BMI Group1)에서는 $TV_{bladder}$와 $HDV_{sb}$, $LDV_{sb}$가 통계학적으로 유의하였고(p<0.04) 음의 상관성을 보였다. 비만지표인 BMI가 23 이상인 과체중 및 비만군의 직장암 방사선 치료 시 벨리보드와 SBDD를 동시에 사용하는 경우 조사용적 내 포함되는 소장의 용적을 감소시키는데 더 효과적이었다. 그러므로 벨리보드를 사용하는 직장암의 방사선 치료 시 BMI 23 이상인 한국인 환자에게는 소장변위도구를 동시에 사용 할 것을 권장한다.

• 한국융합학회논문지
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• 제9권1호
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• pp.233-240
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• 2018

이 연구는 체질량지수(Body mass index, BMI)가 정상이고 허리둘레(Waist circumference; WC)가 높은 여성과 WC가 정상이고 BMI가 비만인 성인여성들의 순환대사위험요인을 검토하는 것이었다. 대상자는 여성 1,447명(30-60세)이었으며 BMI와 WC에 따라 4 그룹, 즉 그룹 1 (BMI<$25kg/m^2$, WC<85cm) 그룹 2 (BMI<$25kg/m^2$, WC>85cm) 그룹 3(BMI>$25kg/m^2$, WC<85cm) 그룹 4 (BMI>$25kg/m^2$, WC>85cm)로 구분하였다. 그룹 2는 그룹 1에 비해 위험요인을 1개 이상 가지고 있을 확률이 1.89배 높았으며, 2개 이상인 경우도 1.75배 높았다(p<0.05). 결론적으로 정상체중이지만 허리둘레가 높은 복부비만자들을 초기에 조사하여 더 악화되기 이전에 적절한 개인별 운동 및 식사 처방을 제공함으로써 이들이 건강하지 못한 형태로 악화되는 것을 예방할 수 있을 것이다. 또한 이들을 위한 적절한 운동내용에 대한 연구도 추후 이루어져야 할 것이다.

• 보건행정학회지
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• 제30권4호
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• pp.493-504
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• 2020

Background: There have been many studies on the associations between body mass index (BMI) and cognitive function. However, no study has ever compared the associations across the methods of categorizing BMI. In this study, we aimed to fill the gap in the previous studies and examine whether the obesity paradox is valid in the risk of cognitive function. Methods: Of the 10,254 people aged 45 and older from the Korean Longitudinal Study of Ageing from 2006 to 2016, 8,970 people were finalized as the study population. The dependent variable was whether a person has a normal cognitive function or not, and the independent variables of interest were BMI categorized by the World Health Organization Western Pacific Regional Office (WHO-WPRO) method, the WHO method, and a 10-group method. Covariates included sociodemographic factors, health behavior factors, and health status factors. A generalized linear mixed model analysis with a logit link was used. Results: In the adjusted model with all covariates, first, in the case of BMI categories of the WHO-WPRO method, underweight (odds ratio [OR], 1.16; 95% confidence interval [CI], 1.15-1.17), overweight (OR, 1.36; 95% CI, 1.35-1.36), and obese (OR, 1.34; 95% CI, 1.33-1.34) groups were more likely to have a normal cognitive function than a normal-weight group. Next, in the case of BMI categories of the WHO method, compared to a normal-weight group, underweight (OR, 1.15; 95% CI, 1.14-1.16) and overweight (OR, 1.06; 95% CI, 1.06-1.07) groups were more likely to have a normal cognitive function; however, obese (OR, 0.62; 95% CI, 0.61-0.63) group was less likely to have it. Lastly, in the case of the 10-group method, as BMI increased, the likelihood to have a normal cognitive function changed like a wave, reaching a global top at group-7 (26.5 kg/㎡ ≤ BMI <28.0 kg/㎡). Conclusion: The associations between BMI and cognitive function differed according to how BMI was categorized among people aged 45 and older in Korea, which suggests that cognitive function may be positively associated with BMI in some categories of BMI but negatively in its other categories. Health policies to reduce cognitive impairment need to consider this association between BMI and cognitive function.

• BMB Reports
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• 제41권7호
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• pp.523-528
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• 2008

BMI-1026 is a synthetic aminopyrimidine compound that targets cyclin dependent kinases (cdks) and was initially designed as a potential anticancer drug. Even though it has been well documented that BMI-1026 is a potent cdk inhibitor, little is known about the cellular effects of this compound. In this study, we examined the effects of BMI-1026 treatment on inducing premature senescence and then evaluated the biochemical features of BMI-1026-induced premature senescence. From these experiments we determined that BMI-1026 treatment produced several biochemical features of premature senescence and also stimulated expression of mitogen activated protein kinase (MAPK) family proteins. BMI-1026 treatment caused nuclear translocation of activated Erk1/2 and the formation of senescence associated heterochromatin foci in 5 days. The heterochromatin foci formation was perturbed by inhibition of Erk1/2 activation.

• Nutritional Sciences
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• 제1권1호
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• pp.70-76
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• 1998

This study was designed to investigate the relationship between body mass index (BMI) and dietary intake, and the relationship between BMI and plasma lipid levels in Korean adults. This study was conducted from January 1 to December 31 of 1997. It consisted of 3781 subjects (men 2402, women : 1379) with the majority between the ages of 40 and 59. The dietary assessment was based upon a twenty-four-hour food record. Subjects were classified into one of four reference BMI groups : underweight ($\leq 20 kg/m^2$), normal (20.1-25.0 kg/$m^2$), overweight (25.1-30.0 kg/$m^2$), and obese (>30 kg/$m^2$). The biochemical assessment included measurements of plasma total cholesterol (TC), HDL-cholesterol (HDL-C), LDL-cholesterol (LDL-C), triglyceride (TG), lipoprotein (a), and plasminogen activator inhibitor-1 (PAI-1). The BMI study showed that 60.5% of the men measured were normal and 32.6% of the men were overweight and/or obese subjects. Sixty-four percent of the women were normal and 20.3% of the women measured were overweight and/o. obese subjects. With respect to the daily energy intake of the men and women subjects, the levels of daily energy intake appeared to increase as values of BMI increased. Men of the overweight group had significantly higher protein, fat and cholesterol intake than those of the normal or the underweight groups. The alcohol intake of the men in the overweight group was also significantly higher than that of the men in the underweight group. With respect to percent energy intake of macronutrients, there was no significant difference between the four BMI groups and percent energy intake for all the subjects in the study. The ratio of percent energy intake of carbohydrates : protein : fat : alcohol of the normal women group was 62 : 17 : 20 : 1, respectively. Women apparently had a higher intake of carbohydrates than men (52 : 17 : 19 : 10). With respect to the levels of plasma TC, LDL-C, TG, and HDL-C, the levels of plasma TC, LDL-C and TC appeared to increase as the values of BMI increased, while the level of HDL-C appeared to decrease as values of BMI increased. Levels of lipoprotein (a) appeared to be inversely related to the values of BMI, and levels of PAI-1 appeared to increase as values of BMI increased. The results of this study demonstrate that there is a relationship between dietary intake and BMI, and that there is a relationship between BMI and blood lipids levels.

• Journal of Gastric Cancer
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• 제18권3호
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• pp.274-286
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• 2018

Purpose: The aim of this study was to investigate the impact of preoperative low body mass index (BMI) on both the short- and long-term outcomes in patients with gastric cancer. Materials and Methods: A total of 510 patients with gastric cancer were divided into the following 3 groups: low BMI group (${\leq}18.5kg/m^2$, n=51), normal BMI group ($18.6-24.9kg/m^2$, n=308), and high BMI group (${\geq}25.0kg/m^2$, n=151). Results: There were significantly more stage III/IV patients in the low BMI group than in the other groups (P=0.001). Severe postoperative complications were more frequent (P=0.010) and the survival was worse (P<0.001) in the low BMI group. The subgroup analysis indicated that survival was worse in the low BMI group of the stage I/II subgroup (P=0.008). The severe postoperative complication rate was higher in the low BMI group of the stage III/IV subgroup (P=0.001), although the recurrence rate and survival did not differ in the stage III/IV subgroup among all the BMI groups. Low BMI was an independent poor prognostic factor in the stage I/II subgroup (disease-free survival: hazard ratio [HR], 13.521; 95% confidence interval [CI], 1.186-154.197; P=0.036 and overall survival: HR, 5.130; 95% CI, 1.644-16.010; P=0.005), whereas low BMI was an independent risk factor for severe postoperative complications in the stage III/IV subgroup (HR, 17.158; 95% CI, 1.383-212.940; P=0.027). Conclusions: Preoperative low BMI in patients with gastric cancer adversely affects survival among those with stage I/II disease and increases the severe postoperative complication rate among those with stage III/IV disease.

• 한국산학기술학회논문지
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• 제12권7호
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• pp.3072-3081
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• 2011

본 연구는 일부 종합검진 수검자들을 대상으로 BMI와 혈압, 혈액학적 및 혈액생화학적 지표와의 관련성을 검토하고자 2007년 1월부터 2009년 12월까지의 기간에 한국건강관리협회 대전지부 건강검진센터에서 종합건강검진을 받았던 20세 이상의 지역주민 3,731명(남자 2,312명, 여자 1,419명)을 분석대상으로 하였다. 연구 결과 남녀 모두 BMI가 증가할수록 SBP, DBP, TG, TC, LDL-C, AST, GGT, ALP의 평균치는 유의하게 증가하였으며, HDL-C는 유의하게 감소하였다. BMI는 SBP, DBP, TG, TC, LDL-C 및 GGT와 유의한 양의 상관관계가 인정되었고, HDL-C와는 유의한 음의 상관관계가 인정되었다. 순서형 다변량 로지스틱 회귀분석 결과 BMI가 증가함에 따라 SBP, DBP, TG, ALT, GGT의 비정상치에 대한 위험비가 유의하게 증가하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권7호
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• pp.3075-3079
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• 2014

Background: The relationship between body mass index(BMI) and outcomes after chemoradiotherapy(CRT) has not been systematically addressed. The purpose of this study was to evaluate the effect of BMI on survival in patients with esophageal squamous cell carcinoma (ESCC). Materials and Methods: Sixty ESCC cases were retrospectively reviewed in this study. Patient overall survival(OS) and disease-free survival (DFS) were compared between two groups (BMI< $24.00kg/m^2$ and $BMI{\geq}24.00kg/m^2$). Results: There were 41 patients in the low/normal BMI group (BMI< $24.00kg/m^2$) and 19 in the high BMI group ($BMI{\geq}24.00kg/m^2$). No significant differences were observed in patient characteristics between these. We found no difference in 2-year OS and DFS associated with BMI (p=0.763 for OS; p=0.818 for DFS) using the Kaplan-Meier method. Univariate analysis revealed that higher clinical stage was prognostic for worse 2-year OS and DFS, metastasis for 2-year OS, lymph node status for 2-year DFS, while age, gender, smoking, drinking, tumor location and BMI were not prognostic. There were no differences in the 2-year OS (hazard ratio=1.117; p=0.789) and DFS(hazard ratio=1.161; p=0.708) between BMI groups in multivariate analysis, whereas we found statistical differences in the 2-year OS and DFS associated with clinical stage, gender and tumor infiltration (p<0.04), independent of age, smoking, drinking, tumor location, the status of lymph node metastases and BMI. Conclusions: BMI was not associated with survival in patients with ESCC treated with CRT as primary therapy. BMI should not be considered a prognostic factor for patients undergoing CRT for ESCC.

• 비파괴검사학회지
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• 제33권1호
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• pp.26-33
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• 2013

원자로 BMI 노즐은 원자력발전 설비의 운영을 위한 핵심요소 중 하나이며 하부헤드에 설치되어 있다. 상부헤드에 비해 비교적 저온영역에 있지만 최근 외국사례에 비추어 볼 때 PWSCC의 발생 가능성이 크기 때문에 가동중 비파괴검사가 반드시 필요하다. 그러나 BMI 노즐은 원자로 하부에 있기 때문에 고방사선 구역이며 원자로 내부는 붕산수로 채워져 있기 때문에 접근이 매우 어렵다. 본 연구에서 BMI 노즐 검사를 위하여 TOFD를 이용한 탐촉자를 개발하였고, 자동화검사를 위해 내방수 기능을 가진 스캐너를 개발하였다. 또한, BMI 노즐과 동일한 재질 및 형상으로 인공결함시험편을 제작하여 자동화 비파괴검사 시스템의 성능검증을 수행하였다.