• 한국식생활문화학회지
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• 제24권6호
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• pp.793-804
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• 2009

This study was conducted to investigate the change in the anthropometric values, biochemical index, nutritional knowledge, food habits and nutrient intakes in obese children after a weight control program. The subjects of the study were 22 obese children with an obesity index over 120%. The children that participated in this study took nutritional education for weight control along with exercise once a week. The weight control program was conducted for 10 weeks. The BMI, WHR (Waist-Hip ratio), body fat (%) significantly decreased at the end of the weight control program. Total cholesterol and LDL cholesterol were also significantly decreased. The nutritional knowledge scores and knowledge score about obesity were slightly improved. Energy intake significantly decreased from 1768 to 1421 kcal. Intake of Ca, Na, K, vitamin A, vitamin $B_6$, vitamin C and folate increased, while intakes of P, Zn, vitamin $B_1$, vitamin $B_2$, vitamin E and niacin decreased. The distribution of energy intake was significantly changed for the better. The percent fat consumed decreased from 26.5 to 19.7%. In addition, the distribution of energy intake in the meals was changed, where the percent calories consumed during lunch significantly increased from 31.4 to 40.1% and the calorie percentage consumed from snacks significantly decreased from 17.6 to 10.7%. In conclusion, the nutritional education in the weight control program, which was conducted for 10 weeks, was effective in improving the anthropometric values, biochemical index and nutrient intake although nutrition knowledge and eating behaviors only changed slightly. Thus, nutritional weight control programs for obese children should be continuously provided under the proper cooperation of a nutritional teacher at elementary schools.

• 대한지역사회영양학회지
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• 제12권3호
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• pp.235-246
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• 2007

This study was performed to identify nutritional status and eating behaviors of underweight male adolescents aged 15 to 19 years. The subjects selected by using the data of KNHANS-2001 were 32 underweight boys and 135 normalweight ones. We found that weight, waist and hip circumference of the underweight group were significantly different to normal-wight group, but height and waist-hip ratio were not. Their serum indices belonged within normal ranges and showed no difference between the two groups. Their energy and nutrient intakes were mostly poor. The level and proportion of the subjects below EAR, NAR and INQ of each nutrient were not significantly different between the two groups. There were no difference of frequencies of skipping meals, snacking and eating-out between the two groups, either. When comparing frequencies of food intakes, the underweight group consumed significantly more of fermented fishes and less milk than the normal-weight group. And the former had significantly more rest/sleep, no-does and supplementation and less regular excercise than the latter. The underweight group perceived more correct self-images than the normal-weight group and they tried more to increase their body weight during weight control practice (p<0.001). It was concluded that the underweight group showed no different biochemical indices, nutrient intakes, and dietary behaviors to the normal-weight group, but they revealed significantly higher non-active activities like rest and supplementations.

• 대한간호학회지
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• 제54권2호
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• pp.250-265
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• 2024

Purpose: This study aimed to develop an app-based self-management program based on the transtheoretical model (TTM) for breast cancer survivors' exercise practice, as well as to investigate the program's effects on the stage of change for exercise, exercise self-efficacy, exercise decisional balance, exercise amount, and body composition. Methods: This non-randomized controlled study included 52 participants (26 in each of the experimental and control groups, respectively). An app-based self-management program based on the TTM was conducted with the experimental group for a 12-week period. The program comprised three components: individual coaching for each stage of change for exercise based on TTM, amount of exercise and body composition monitoring, and online self-help meetings. Results: Compared with the control group, the experimental group had significantly higher stages of change for exercise (p < .001), exercise self-efficacy (p < .001), exercise decisional balance (p = .002), exercise amount (p < .001), and body composition (body weight [p = .006], body mass index [p = .005], and body fat percentage [p = .010]) immediately and four weeks after the intervention. Conclusion: An app-based self-management program based on the TTM improves exercise behaviors in breast cancer survivors and provides physical benefits.

• 한국가정과교육학회지
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• 제18권3호
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• pp.23-40
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• 2006

본 연구는 속초시에 소재한 남녀공학 고등학교 1학년 405명(남학생 197명, 여학생 208명)을 대상으로 외모에 대한 관심과 체중조절에 대한 태도, 식생활 행동에 대한 조사를 실시하였다. 대부분의 학생들은 외모에 관심이 많았으며, 체형에 대한 인식은 남녀간에 유의한 차이가 있었다(P<.001). 자신의 체형에 대한 만족도는 남학생의 22.8%가 만족한다고 한 반면 여학생은 9.6%만이 만족하는 것으로 조사되었다. 체중조절에 대한 관심도는 남학생의 43.7%, 여학생은 79.8%가 관심을 갖고 있는 것으로 나타났으며, 체중조절 관심도와 체형에 대한 인식과의 관련성은 남녀 모두 체중조절에 관심 있는 집단, 보통집단, 관심 없는 집단간에 유의한 차이(p<.001)를 보였다. 전체적으로는 체중조절에 관심 있는 집단의 학생들 41.3%가 자신의 체형이 약간 살찐 편이라고 인식하고 있었으며, 남학생의 경우 자신이 마른편이라고 생각하는 학생들도 체중조절에 관심이 많은 것으로 나타난 반면 자신이 말랐다고 생각하는 대부분의 여학생들은 대체적으로 체중조절에 관심이 없었다. 체형에 대한 만족도는 남녀 모두 체중 조절에 관심이 있는 집단. 보통집단. 관심이 없는 집단간에 유의한 차이(p<.001)를 나타냈다. 또한 조사대상자들의 아침식사는 매우 불규칙했으며, 저녁은 밥을 먹는다는 학생이 85.9%로 비교적 규칙적으로 식사를 하고 있음을 알 수 있었다. 매 끼니의 결식률도 저녁이 가장 낮아서 한번도 거르지 않는다는 학생은 46.4%였다. 식사를 매일 거르는 경우가 가장 많은 식사는 아침으로 남학생 17.8%, 여학생 28.9%로 전체 23.5%의 학생이 매일 아침식사를 하지 않는 것으로 나타났다. 결식이유는 아침식사의 경우 65.1%의 학생이 시간이 없어서이고, 귀찮아서 식사를 거른다는 경우는 점심식사(39.8%)와 저녁식사(31.3elo)에서 큰 비중을 차지했다. 체중을 줄이기 위해 식사를 거른다는 경우는 아침(1.3%)보다는 점심(7.0%)이, 점심보다는 저녁(13.8%)이 높았다. 이와 같은 연구를 통해서 고등학생 대상의 체중조절 관련영양교육에서는 우선 체형에 대한 올바른 인식을 심어주고, 체형 만족도를 높여주어야 하겠다. 또한 체중조절과 하루 세끼 균형잡힌 식사를 하는 것에 대한 중요성이 강조되는 영양교육과 구체적인 방안을 제시해야 할 것으로 사료된다.

• 대한지역사회영양학회지
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• 제7권1호
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• pp.32-44
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• 2002

The objective of this study was to evaluate college students’dietary and health behaviors in relation to their Myers-Briggs Type Indicator (MBTI) personality preferences. Dietary and health behaviors were surveyed for 444 college students who performed the MBTI personality test. Only 6.1% of the subjects regularly had three meals a day, while 27.1% ate breakfast every day. Fifty-six point nine percent of the students took less than 15 minutes to eat a meal and had the habit of eating fast. The number of food groups they ate was, on average, 2.74 and was eaten mainly at dinner. This showed that college students did not eat a large variety of foods. Eighty-two percent of the subjects drank alcoholic beverages, 21.4% smoked, and 69.3% exercised. In addition, 73.9% of them were not satisfied with their body image, but they were not eager to try weight control. There were not many significant differences between Extraversion (E)-Introversion (I), Sensing (S)-iNtuition (N), and Thinking (T)-Feeling (F) in their dietary and heath behaviors, although some gender differences existed. Significantly better dietary and health behaviors were shown in subjects preferring Judging (J) rather than Perceiving (P). There behaviors included eating breakfast, regularly eating three meals a day, smoking less, exercising more and having a lower tendency to night-eating. The personality preference of J-P could be useful index for nutritional education and counseling or behavior modification programs for obese people.

• 대한지역사회영양학회지
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• 제11권5호
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• pp.562-574
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• 2006

The study compared eating and physical activity related behaviors and self-esteem between healthy weight and obese children by presenting 175 primary school students in Busan City and Gyeongsang province with a self-reported questionnaire and Coopersmith's self-esteem inventory. The questionnaire was composed of 25 items, weighted primarily by a Likert scale. The self-esteem inventory presented to the students comprised 25 'Yes' or 'No' response questions to different statements. The study found obese children were more likely to think they always had to control their weight (p=0.000), reportedly measuring their weights significantly more than the healthy weight children. Also the study found that obese children are significantly more likely than healthy weight children to go on a diet, however neither group were successful in losing weight as the duration of the diet in 79.5% of the total sample lasted no longer than one week. In comparison to healthy weight children, obese children reported that they consumed fewer snacks during the day, avoided snacking subsequent to an evening meal and exercised more frequently for as long as physically possible. Interestingly, we found no difference of reported self-esteem between groups, though the obese group were more likely to answer that their parents did not understand them (p=0.055) Based on these findings, we concluded that the obese children who participated in the study were more aware of their body weights than the healthy weights children. It may be necessary to investigate further the relationship between self-esteem and participants' weights while considering other variables such as personality and body image.

• 정신신체의학
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• 제18권1호
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• pp.40-47
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• 2010

연구목적 : 자기신체상은 자아존중감과 체중조절행위와 밀접한 연관이 있고 특히 여자 청소년에서는 중요한 관련이 있다고 알려져있다. 이 연구는 체질량지수로 측정한 신체이미지와 식이장애와 연관된 비정상식이행동이 우울증과 자살사고에 미치는 영향을 알아보고자 한다. 방 법 : 서울 한 지역의 고등학교 여학생 239명을 대상으로 체질량지수를 측정하고, 청소년을 위한 식이태도검사(Eating Attitude Test for Korean Adolescents), 자아존중감척도, 충동성척도, 벡 우울척도, 벡 자살사고 척도를 시행하였다. 결 과 : 연구대상에서 식이장애 위험군은 총 10%(24명)이었다. 대조군에 비해 우울증상을 강하게 경험하고 있었고 현재 체질량지수와 이상적 체질량지수의 차이가 클수록 우울감, 자살사고, 비정상적 식이행동의 정도가 커지고 자아존중감은 낮아졌다. 그중에서 체질량지수의 차이가 통계적으로 가장 의미있는 예측인자였다. 결 론 : 연구대상군이 전체적으로 정상체중 범위임에도 불구하고, 현재의 체형과 이상적 체형사이의 괴리가 클수록 우울과 자살사고가 컸다. 여자 청소년의 식이장애 발생과 우울, 자살사고의 예방을 위해 체중조절, 정상식이습관에 대한 교육적 접근이 필요하다는 것을 알 수 있었다.

• 비만대사연구학술지
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• 제3권1호
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• pp.27-34
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• 2024

The prevalence of obesity in children and adolescents is increasing worldwide. Obesity in children and adolescents not only increases the risk of transitioning to obesity in adulthood but also increases the risk of cardiometabolic diseases such as high blood glucose, high blood pressure, dyslipidemia, fatty liver, and hyperinsulinemia during childhood. The goal of treating obesity in children and adolescents is not to focus on weight loss but to help children reach a healthy weight while maintaining normal growth appropriate for their age and sex. To achieve this goal, regular physical activity and exercise, dietary modification, improvement of obesity-prone environmental factors, and behavioral changes are required for a healthy lifestyle. If appropriate weight control is not achieved through lifestyle modifications, pharmacotherapy may be considered for adolescents with severe obesity aged 12 and above. Recent clinical trials have reported the efficacy and safety of pharmacotherapy in severely obese adolescents. Currently, two medications can be prescribed in Korea for patients with obesity aged 12 and above: Orlistat and Liraglutide. However, despite effective weight control through drug treatment, body weight may increase again after treatment discontinuation. Therefore, it is crucial to evaluate adherence to health behaviors during visits and continue to educate on lifestyle modifications, even during pharmacotherapy, to minimize weight regain.

• 한국식생활문화학회지
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• 제16권3호
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• pp.215-224
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• 2001

The purpose of this study was to survey several aspects of health and food related behavior of college students in Wonju area. Questionnaires were delivered personally to 430 students. The 37.9% of subjects were self-boarded and 27.4% lived in their home in Wonju area. They spend 230,000 won in average per month. Male students spent money more than female students and self-boarding students spent money more than other residental type students. The 90% of subjects thought they were healthy and the 25% of subjects exercised regularly. The subjects self-recognized their body as fat were more concerning about their weight control and had more weight control experience. SeIf-boarding students tended to skip their meals and had unbalanced diet. Students who lived in dormitory tended to skip meal less. Female students showed higher scores at balanced diet, snack intake, and left meal than male students. Self recognized their body as medium showed lower scores at overeating and eating irregularly. The amount of consumption of carbonated beverage was the highest among several instant foods. The frequencies of intake of those instant foods were different by gender, residental types, and eating behaviors.

• 대한지역사회영양학회지
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• 제3권1호
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• pp.44-52
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• 1998

This study was designed to investigate the relationship between body mass index and food habits of college students. For this purpose, 358 students of Kangweon University were asked to fill out the questionnaires for food habits and weight control. The results are summarized as follows ; The rate of underweight, normal and obese was 16.5, 65.1, 18.4%, respectively. Food habits score of obese females were lower than normal or underweight females. Male subjects did not show significantly different scores among the three groups. Female obese subjects have lower scores than the other groups on the eating time, seaweed intake, protein intake and vegetable intake. Male obese subjects have nutritious meals and more eating time than normal and underweight males. College students are the early stage of adult life and their food habits, food behaviors and life style will continue in later life. Therefore, college students need more nutritional knowledge, positive dietary attitudes and modified life styles to prevent and treat obesity.