• 제목/요약/키워드: Chronic Stress

검색결과 809건 처리시간 0.026초

의사를 대상으로한 비만양상과 그 관련요인에 관한 연구 (A study on obesity pattern and related factors of the doctors)

  • 김영실;박혜숙;조봉수;김영욱;고광욱;강수용;차애리;이철호;황인경;조병만;이수일;김돈균
    • Journal of Preventive Medicine and Public Health
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    • 제30권4호
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    • pp.708-718
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    • 1997
  • The author surveyed overall obesity indicies and factors concerned with obesity such as dietary intake, physical activity, stress and life style with the subject of doctors. The number of subjects was total 508 with 396 men and 112 women. They were subgrouped into surgical part, medical part and service and basic part by speciality. And also subgrouped into intern and resident, pay doctor, and practitioner by working type. The results were as follows. 1) Obesity indices: BMI of total doctor was $23.1{\pm}2.8$, and WHR was $0.87{\pm}0.08$ and overweight prevalence(BMI>25.0) was 23.6%. It was within normal limit but slightly over the Korean standard. The degree of obesity indices of subgroups by speciality was 'surgical part > medical part > service and basic part', and by working type was 'practitioner > pay doctor > intern and resident'. 2) Dietary intake and Physical activity: Average dietary intake was $2148{\pm}451kcal/day$. The degree of dietary intake by speciality was 'surgical part > medical part > service and basic part'. By working type it was 'practitioner > pay doctor > intern and resident'. Average physical activity was $29{\pm}5$ METs/day. The degree of physical activity also showed similiar pattern. But there was no significant difference among each groups. 3) Comparision between over-weight and non-over-weight group: The items that showed significant difference between two groups were dietary intake, skip breakfast, regular exercise, smoking, heavy drinking, chronic disease etc.

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미세먼지의 질병에 미치는 유해성 (Harmfulness of Particulate Matter in Disease Progression)

  • 최종규;최인순;조광근;이승호
    • 생명과학회지
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    • 제30권2호
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    • pp.191-201
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    • 2020
  • 사회의 급속한 발전과 함께 수반되는 환경오염이 인간의 건강을 위협하는 커다란 위험인자로 인식되기 시작하면서 공기오염을 억제하기 위한 노력과 공기오염에 의해 유발되는 여러 질환을 억제 및 치료하기 위한 연구개발이 급속히 증가하고 있다. 인간 건강에 나쁜 영향을 주는 공기오염의 주된 원인중의 하나인 미세먼지는 (particulate matter, PM) 크기에 따라 일반미세먼지와(PM10) 초미세먼지(PM2.5)로 나누어 질 수 있으며, 호흡기, 소화기, 및 피부에 흡수 및 부착되어 이상 면역반응을 유발하여 만성호흡기질환, 당뇨병 및 면역질환등을 촉진하는 것으로 알려져 있다. 그동안 인류의 건강을 위해 미세먼지의 발생을 억제하기 위한 범 국가적 노력과 함께 미세먼지의 유해성을 증명하기 위한 많은 연구가 진행되어 왔다. 본 총설에서는 여러 인체질환에 있어서 미세먼지가 미치는 유해성을 중심으로 소개하고 미세먼지의 생물학적 위험성을 평가하는 세포 및 동물실험법에 대해 요약하였다.

자조그룹에 대한 개념 분석 (Concept Analysis of Self-help Groups)

  • 이은남;엄애용;은영;조경숙;이경숙;송라윤;김종임;신계영;임난영;이명숙;박원숙;오두남;최미경;최희권
    • 근관절건강학회지
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    • 제21권1호
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    • pp.1-10
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    • 2014
  • Purpose: The purpose of the study was to identify the attributes of self-help groups, their antecedents and consequences relating to self-help groups. Methods: We used the Walker and Avant (2010) method using the key word "self-help groups" the Korea Education and Research Information Service (www.riss4u.net), Pubmed, CINAHL and ProQuest for articles on this topic published between January 2000 and March 2013 were searched. Ultimately, 64 domestic and 21 foreign papers were selected for in-depth analysis. Results: The attributes of self-help groups are as follows: 1) members share common experiences and are supportive of each other; 2) members set goals for individual change; 3) groups are self-monitoring; 4) groups learn problem-solving processes through voluntary and active participation; and 5) groups are small and meet regularly. The antecedents of self-help groups are as follows: 1) an intervention by an expert; 2) a diagnosis of their illness; 3) motivation to change individuals' state; and 4) educational desire. The consequences of self-help groups are the relief of symptoms, the improvement of physiological parameters and quality of life, the decrease in depression, stress, and anxiety, the improvement of illness-related knowledge and self-help activity, and a change in beliefs. Conclusion: Self-help groups can be used as an intervention strategy to help people with chronic illness manage their own problems.

랫드에서 담도폐쇄에 의한 지질과산화와 간섬유화(경화) 촉진에 관한 연구 (Bile Duct Obstruction Stimulates Lipid Peroxidation and Liver Fibrosis (Cirrhosis) in Rat)

  • 김기영;서의석;임진아
    • Toxicological Research
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    • 제17권3호
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    • pp.187-194
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    • 2001
  • The oxidative stress causes the cell damage and death and thereby, stimulates membrane lipid peroxidation. In this study, the correlation between the lipid peroxidation product and the parameter of liver fibrosis (cirrhosis) was investigated in cholestasis induced rats. The Sprague-Dawley rats were divided into 3 groups (sham: sham operation, BDL/S-I and BDL/S-II : bile duct ligation/scission) and were observed for 2 or 4 weeks. After observation period, the organs were weighed and the ratio of organ weight/body weight was calculated. Sera and liver tissue were used for the measurement of malondealdehyde (MDA), parameter of clinical biochemistry, total collagen content and the staining. The ratio of organ weight/body weight in BDL/S-I and BDL/S-II was significantly increased compared to sham operated group. Serological parameters (Alanine transaminase, Aspartate transaminase, Alkaline phosphatase and Total bilirubin) in BDL/S-I and BDL/S-II group were significantly higher than those in sham operated group. Concentration of MDA in BDL/S-I (261%) and BDL/S-II(790%) was significantly increased compared to MDA in sham operated group. And the content of hydroxyproline (hyp) in BDL/S-I and BDL/S-II group was significantly increased 2~4 times than in sham operated group. The good correlations between hyp in liver tissue and MDA in sera of sham operated group and all operated group were found (r=0.825). The significantly higher value of MDA, hyp and serological parameters in BDL/S-I and BDL/S-II group suggests the stimulation of lipid peroxidation and chronic liver damage. Especially the activation of lipid peroxidation and the stimulation of liver fibrosis was stronger in BDL/S-II group than in BDL/S-I group. The stronger fibrosis, portal-portal septum formation, the more massive bile duct proliferation in portal triads and stroma, and hepatocytes swelling were observed in liver tissue of and BDL/S-II group compared to BDL/S-I group. Conclusively, a good correlation between MDA as a lipid peroxidation marker and hyp as a liver fibrotic parameter could be connected with the process of liver fibrosis. Moreover, cholestasis condition may cause jaundice, activation of lipid peroxidation, and collagen accumulation in liver. Additionally, optimal observation period of bile duct obstruction for the screening of antioxidant and antifibrotic effect in rats would be four weeks.

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내과(內科) 영역(領域)의 요통(腰痛)에 대(對)한 문헌적(文獻的) 고찰(考察) (A Bibliographical study on Lumbago in Oriental Internal Medicine)

  • 윤철호;정지천
    • 대한한방내과학회지
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    • 제15권2호
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    • pp.318-346
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    • 1994
  • A Bibliographical study was done about lumbago in oriental internal Medicine. The results are as follows. 1. Shenxu,sexual active, senile, Feng, Han, Shi, shiji, Tanyin and Qi lumbago are applicable to internal medical lumbago in oriental medicine, and Shenxu is essential pathogenesis. 2. Shenxu lumbago is characterized by continous pain, improved after chiropsia, deep pulse in Chi pulse, and used QingeWan, LiuweiDihuangWan and AnshenWan in herb-medicine. and Cortex Eucommiae, Radix Rehmanniae Praeparata and Fructus Psoraleae in drugs for the purpose of ZishenYijing, and related to lumbago caused by chronic prostatitis, calculus or tumor in kidney and diabetes mellitus. 3. Sexual active lumbago is dim-aching and weak pain in or after sexual life at low back and knee joint, and classified to Shenyang Buzu, ShenjingKuisun. GanshenYinxu and XinshenBujiao ; Liuwei Dihuang Wan, ZuoguiWan In herb-medicine. Cornu Cervi Pantotrichum, Fructus Lycii and Fructus Corni in drug were used for treatment. 4. Senile Lumbago is a kind of consumptive disease due to exhaused essential energy and caused by lack of Shenjing, Yangqi ; and described as repeated mild dim pain and ErzhiWan, QingeWan and MoyaoGao were used frequently, supposed to connected with osteoporosis, osteomalacia and osteoarthropathy deformons caused by aging. 5. Feng lumbago is attacked by Liuyin, and characterized by chilling and fever. stabbing pain from thoracic and lumbar vertebrae to pedes, and used WujiXan, XiaoxumingTang for treatment. Han lumbago is caused by cold's attacking Shenjing, distinguished for chilling,icing sense improved by heat on low back, and used WujiXan, JiangfuTang. Shi lumbago is caused by damp's inflowing Shenjing, described as stone-like lumbago which was subsided low back pain growing worse by gloomy rain, and used ShenshiTang. ShenzhuTang for the purpose of ZaoshiXingqi. And it is supposed that lumbago occured in the initial of urinary track infection was belong to those of Feng,Han and Sill's. 6. Sillji lumbago is caused by pathogen being in the spleen and the stomach, and used ChenxiangJiangqiTang, PingweiSan for treatment. And it is supposed that it belong to lumbago caused by gastrointerstinal disease such as peptic ulcer. gastroduodenal tumor and colonic inflammatory disease. 7. Tanyin lumbago is caused by Tanyin's flowing meridian, characterized by thoracolumbar verterber's heaviness, covered sense with something on low back and painless massage. Kuaiqi-drug are added to ErchenTang, DaotanTang for treatment, and it supposed that Tanyin lumbago's belong to that accompanied with metabolic disease such as obesity and gout. 8. Qi lumbago is caused by excessive stress such as melancholy and fury, described as multiple stabbing pain, an unexpected on and improvement, ranging back pain until flank and abdomine. Tiaoqi-drugs were added to RenshenShunqiSan, WuyaoShunqiSan for treatment, and it supposed to connecting with emotional lumbago such as hysteria, feigned illness and anxiety psychosis.

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마늘유(diallyl disulfide)와 비타민 A(retinol acetate)가 카드뮴 투여 랫드에 미치는영향 (Effect of Garlic Oil (diallyl disulfide)/ Vitamin A( retinol acetate on Heat Shock Protein Induction in Cadmium Treated Rats.)

  • 김판기
    • 한국식품위생안전성학회지
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    • 제13권2호
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    • pp.171-187
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    • 1998
  • Garlic occupies a special position among the many foods of vegetable origin because it is the sole food for Koreans during the their lives. And vitamin A has been ingested by forms of food or additives. Cadmium has been described as one of the most dangerous trace elements in the food and environment of man and livestocks. Since the de novo synthesis of stress proteins can be detected early after exposure to some agents, analysis of cadmium-induced changes in gene expression , ie. alterations in patterns of protein synthesis, may be useful to develop as biomarkers of exposure and damage for food hygiene. He acute and chronic combine effects of cadmium (Cd, CdCl2 20mg/kg), garlic oil(Dds: diallyl disulfide 50mg/kg, 3 times a week) and vitamin A(Ra: retinol acetate 50,000 IU/kg, 3 times a week) on Wistar male rats were evaluated concerning cadmium contents, tissues enzyme activity, HSP expression histopathological and electron microscopical examinations. The results of the study are as follows ; 1. Less cadmium was absorbed through the digestive tracts, but the ratio of contents in tissue were not changed by the simultaneous adminstration of diallyl disufide or retinol acetate. 2. ALT(alanine aminotransferase) , AST(aspartate aminotransferase), glucose, BUN (blood urea nitrogen), creatinine, the key indices of the clinical changes in hepatic and renal function were significantly hanged by the cadmium treatment after 1 week in liver, after 4 weeks in kidney. 3. Histopathological changes in cadmium treated rats were appeared at 8 weeks age treatment in kidneys. Homogenous eosinophilic material was accumulated in cortical and collecting tubular lumens at 16 weeks. Degenerated or necrotized tubular cells were observed in cortex and medulla. Degenerated seminiferous tubules and homogeneous eosinophilic material was seen in interstitial tissue of rat treated with cadmium for 16 weeks. Calcium deposits were seen in degenerated seminiferous tubules and the tubules showed severe calcification of rat treated with cadmium for 16 weeks. Electron microscope changes in kidney were observed in rats treated with CdCl2 20 mg/kg. Proximal convoluted tubule cells showed selling of cytoplasm and narrow lumen. Capillary endothelial cells showed cytoplasmic vacuoles and swelling. Degenerated epithelial cells were accumulated in tubular lumen of kidney. 4. Enhanced synthesis of 70 KDa relateve molecular mass proteins were detected in 2 hours after cadmium, exposure, with maximum activity occurring at 8~48 hours. Induction of HSP 70 was evident at proximal tubules and glomeruli in kidney. Testicular cells produced enough HSP to be detected normally. From the above results, it could be concluded that HSP70 induction by the cadmium treatment was a rapid reaction to indicated the exposure of xenobiotics, and retinol acetate reduced the cadmium induced nephrotoxicity.

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울산지역 노인의 생활습관에 따른 항산화 영양소 섭취실태 및 혈액내 항산화 영양 상태 비교 (The Effects of Smoking, Drinking and Exercise on Autioxidant Vitamin Intakes and Plasma Antioxidant Status in Elderly People Living in Ulsan)

  • 김미정;김옥현;김정희
    • 대한지역사회영양학회지
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    • 제7권4호
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    • pp.527-538
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    • 2002
  • Body antioxidant status is an important factor in the prevention of many chronic diseases caused by oxidative stress, especially in the elderly and is affected by health-related habits, such as smoking, drinking and regular physical activity. The aim of this study was to investigate the relationship between these health-related habits and plasma antioxidant status in the elderly. Plasma antioxidant status was examined by determining plasma levels of antioxidant vitamins (vitamin C, A, E, $\beta$ -carotene), total antioxidant status (TAS) and thiobarbituric acid-reactive substance (TBARS) . The subjects included 225 elderly persons aged over 60 yews (63 males, 162 females) living in the Ulsan area. They were interviewed to collect data on their general characteristics and health behaviors such as smoking, exercise and alcohol consumption by means of questionnaires. Their dietary intakes were obtained by means of semi-quantitative food frequency questionnaires (FFQ) The study population was divided into two or three groups according to their smoking, drinking, and exercise status. The ratio of smoker, drinker and exerciser was 16.7%, 31.0% and 44.2% respectively. The dietary antioxidant vitamin intakes were not significantly different among groups of smoking and drinking status, but tended to be higher in non-smokers and non-drinkers than in smokers and drinkers. Plasma vitamin C and $\beta$ -carotene levels were significantly higher in non-smokers, but Plasma vitamin A and TBARS levels were significantly lower in non-smokers than in smokers. Plasma TAS was not significantly different among the smoking groups, but showed a tendency to decrease with an increase in the number of packyear. Plasma vitamin C and $\beta$ -carotene levels of the non-drinkers were higher than those of drinkers and past-drinkers, but plasma vitamin A, C, E, TAS and TBARS showed no difference among the groups of drinker. All vitamin intakes of the exercisers were slightly higher than those of the non-exercisers, but vitamin C intake was significantly higher in female exercisers than in non-exercisers. Plasma $\beta$ -carotene levels were significantly higher in male exercisers and plasma vitamin A, C, E, TAS and TBARS levels tended to be higher in exercisers than in non-exercisers. These results suggested that change to non-smoker, modulation of alcohol consumption and regular exercise could enhance antioxidant defences against reactive oxygen species and might increase the likelihood of a healthier life span.

알코올중독 아버지와 사는 자녀의 경험에 관한 연구 (The Lived Experience of Children of Alcohol Dependent Fathers)

  • 김명아
    • 한국보건간호학회:학술대회논문집
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    • 한국보건간호학회 2002년도 제27회 보건종합학술대회
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    • pp.224-227
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    • 2002
  • Alcoholism affects not only the individuals who depend on it, but also their families. Children who have an alcohol dependent parent have various problems and need help, but little attention has been given to them. Many references report only negative characteristics of these children. In order to help the children of alcohol dependent parents, health professionals need more information. A wholistic understanding and analysis of these children is needed as a basis for the development of suitable programs of help them. A phenomenological methodology was used to identify the experience of children whose fathers were addicted to alcohol. The findings portray the essence of the lived experience of children of alcohol dependent fathers. Nine adolescents participated in in-depth inverviews and observation with the researcher, done between October and December 2001. The data were recorded on audio tape and transcribed. Sampling was continued until the data were theorectically saturated. The Colaizzi's method was used for data analysis. The results of this study are as follows. Three themes and twenty six meanings were identified. The first theme is Living Alone: living abusively as partner to an alcohol dependent father, living dangerously like an explosive fury, living as an object that ha no self, living with rejection of fatherly being, living with felt responsibility but having no power to help mother who suffers patiently with pain and abuse, living along with no shoulder to lean on, and living with the prejudice of sex discrimination. The second theme is Paradoxical Coping in Life. The meanings are obsessive behavior as a way to control father's behavior, always on the defensive due to anxiety and tension, being afraid of life alone due to paranoid thoughts, contradictory expectation about father's drinking behavior due to life with chronic tension, stress becoming familiar and life being boring and tendious without stimulation, life that is fake and filled with misinterpretations about reality, affection sought from others due to loneliness, compensatory life within peer group, negative expectation about the future due to negative experiences, controling others to protect ego, denial of real emotion to protect self from hurt, life of regretting self, and strong need for approval from others. The third theme is sustaining life. The meanings are ambivalence between revenge on father and pity, struggle for desirable self against fear of gather-like image, understanding father through self reflection, hope to find fatherly being through father's recovery, being able to stand through emotional control and cognitive restructuring, nurturing the seed of hope for the future while in a situation of desperation. The contribution of this study is to give a wholistic understanding of the empirical reality of children of alcohol dependent parents and to develop substantive theory in nursing knowledge. In nursing practice, the results of this study can provide a foundation for the development of programs for children of alcohol dependent parents.

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시트-도막 복합방수공법의 접합부 2면 접착을 통한 분리거동 유도 기술에 관한 기초적 연구 (A Fundamental Study on Induction Technology of Separation Behavior Using Two-sided Adhesion of Joint of Composites Waterproofing System)

  • 박진상;이태양;김동범;박완구;허능회;오상근
    • 한국건설순환자원학회논문집
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    • 제3권3호
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    • pp.212-219
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    • 2015
  • 본 연구는 시트-도막 복합방수공법에서의 고질적인 접합부 파단 하자를 해결하기 위한 목적으로 고안한 접합부 2면 접착을 통한 분리거동 유도 기술의 적용에 있어 기술의 유효성 및 성능검증을 목적으로 진행하였다. 이를 위해 비교 시험군으로서 3면 접착 기술이 적용된 I형 접합부를 선정 및 제작하여 연구 대상 기술과 인장성능 및 신장률 평가를 진행하였다. 평가 결과, 3면 접착방식의 비교 시험군 접합부의 인장강도의 경우 14.2N/mm 신장률 335%로 확인되었고, 본 연구 대상인 분리 거동형 접합부의 경우 인장강도는 13.8N/mm 신장률 587%로 확인되었다. 이러한 결과는 3면 접착방식의 경우, 모든 재료가 구속되어있는 형태로 구성되어 있음에 따라 강도적 측면에서 본 연구 대상에 비해 높은 결과가 나온 것으로 판단하였다. 또한 본 연구대상인 분리 거동형 접합부의 경우, 인장응력 및 변위가 발생하였을 때 무절점 인장응력(Zero-span tension)이 발생하지 않음에 따라 하부 시트층과 상부 도막층이 동시에 파단되지 않고, 하부 시트층과 상부 도막층이 분리거동 신축부재에 의해 분리되면서 하부 시트층 부터 순차적으로 1차 파단되고, 변위 허용 구간에 들어서면서 상부 도막층이 본연의 신축성을 나타내며, 지속적인 변위를 나타내다가 일정 변위 구간에서 2차적으로 파단되는 특성을 나타내는 것을 확인할 수 있었다.

(-)-Epigallocatechin-3-Gallate의 3T3-L1 세포에서 항산화 효소 활성 및 지방세포 분화 억제 효과 (Antioxidant Enzyme Activity and Anti-Adipogenic Effects of (-)-Epigallocatechin-3-Gallate in 3T3-L1 Cells)

  • 김영화
    • 한국식품영양과학회지
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    • 제46권11호
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    • pp.1293-1299
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    • 2017
  • Epigallocatechin-3-gallate(EGCG)는 녹차에 함유된 flavonoid 계열 화합물로, 녹차의 대표적인 유효성분으로 알려져 있다. 본 연구는 3T3-L1 세포에서 EGCG의 항비만 작용 및 항산화 효소 활성을 평가하였다. EGCG는 지방세포 분화를 유의적으로 억제하였으며, 지방세포 분화와 관련된 단백질인 $C/EBP{\alpha}$와 aP2의 발현을 감소시켰다. 동시에 EGCG는 GSH의 활성을 유도하였으며, 항산화 효소인 SOD, CAT, GPx 및 GR의 활성을 증가시켰다. EGCG는 지방세포 분화 동안 활성산소종의 형성을 감소시켰다. 체내 phase II 효소인 HO-1과 GCLC는 EGCG에 의해 발현이 유도되었다. 따라서 EGCG는 3T3-L1 세포에서 항산화 효소의 활성화를 유도하며 동시에 지방세포로의 분화를 억제하는 것으로 나타났다. 또한, EGCG는 활성산소종의 생성을 억제하였으며, 이는 EGCG의 항산화 작용에 의한 지방세포 분화 억제 작용이 관련이 있는 것으로 판단된다. EGCG에 의한 항비만 효과와 항산화 작용을 연구한 본 연구는 녹차를 활용한 체지방 감소 효능을 지닌 식품 개발에 기초 자료로 활용될 수 있을 것으로 생각된다.