• 대한감각통합치료학회지
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• 제9권2호
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• pp.41-49
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• 2011

목적 : 전반적발달장애아동과 일반아동의 감각처리능력과 섭식특성에 어떤 차이가 있는지 알아보고 전반적발달장애아동의 감각처리능력과 섭식특성의 상관관계를 알아보기 위한 것이다. 연구방법 : 본 연구의 대상은 만 4세에서 6세의 전반적발달장애로 진단받은 아동과 만 4세에서 6세 사이의 일반적 아동이다. 연구도구는 자폐아동의 섭식행동 체크리스트(Brief Autism Mealtime Behavior Inventory: BAMBI), The Sensory Checklist의 Food 영역, 감각에 대한 아동의 반응 질문지(Short Sensory Profile: SSP)이다. 전반적 발달장애아동과 일반아동의 부모를 대상으로 하는 설문조사를 기관을 통해 실시하였다. 전반적발달장애아동의 설문지 45부와 일반아동의 설문지 109부를 분석하여 감각처리, 섭식행동, 구강섭식의 차이와 상관관계를 알아보았다. 결과 : 전반적발달장애아동과 일반아동의 감각처리능력은 차이가 있었다. 감각처리능력의 모든 하위 영역에서도 차이가 있었다. 전반적발달장애아동과 일반아동의 섭식특성인 섭식행동과 구강섭식에서는 차이가 없었다. 전반적발달장애아동은 감각처리능력에 어려움이 많을수록 섭식행동의 문제가 많이 나타났다. 전반적발달장애아동의 감각처리능력의 하위 영역 중 맛/냄새민감성, 청각여과하기에 어려움이 많을수록 섭식행동의 문제가 많이 나타났다. 그리고 감각처리능력의 하위 영역 중 과소반응/자극추구행동, 청각여과하기와 구강섭식은 상관관계가 있었다. 결론 :본 연구를 통해 전반적발달장애아동과 일반아동의 감각처리능력과 섭식특성을 비교하고 감각처리능력과 섭식 특성의 상관관계를 파악할 수 있었다. 본 연구의 결과를 전반적발달장애아동의 섭식행동 중재를 위한 프로그램 제공시에 활용할 수 있을 것이다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제25권5호
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• pp.432-440
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• 2022

Purpose: Eating disorders often result in somatic complications, including cardiac abnormalities. Cardiac abnormalities may involve any part of the heart, including the cardiac conduction system, and can lead to sudden cardiac death. The current study aimed to evaluate the incidence of cardiac complications in pediatric patients with eating disorders and their associated factors. Methods: We retrospectively analyzed patients aged 10-18 years who were diagnosed with DSM-V (Diagnostic and Statistical Manual of Mental Disorder-V) eating disorders and underwent electrocardiography (ECG) and/or echocardiography between January 2015 and May 2020. Results: In total, 127 patients were included, of whom 113 (89.0%) were female. The median body mass index (BMI) was 15.05±3.69 kg/m². Overall, 74 patients (58.3%) had ECG abnormalities, with sinus bradycardia being the most common abnormality (91.9%). Patients with ECG abnormalities had significantly lower BMI (14.35±2.78 kg/m² vs. 16.06± 4.55 kg/m², p<0.001) than patients without ECG abnormalities, as well as lower phosphorus and higher cholesterol levels. Among the 46 patients who underwent echocardiographic evaluation, 23 (50.0%) had echocardiographic abnormalities, with pericardial effusion being the most common (60.9%). The median left ventricular mass (LVM) and ejection fraction were 67.97±21.25 g and 66.91±28.76%, respectively. LVM and BMI showed a positive correlation (r=0.604, p<0.001). After weight gain, the amount of pericardial effusion was reduced in 3 patients, and 30 patients presented with normal ECG findings. Conclusion: Cardiac abnormalities are relatively frequent in patients with eating disorders. Physicians should focus on this somatic complication and careful monitoring is required.

• Nutrition Research and Practice
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• 제8권6호
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• pp.713-718
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• 2014

BACKGROUND/OBJECTIVES: Studies have indicated that university students majoring in nutrition and dietetics or sport sciences may have more obsessions associated with eating attitudes and body shape perception compared to other disciplines i.e. social sciences. Therefore, this study aimed to assess and compare the risk of eating disorders and body shape perception. MATERIALS/METHODS: Data was collected from 773 undergraduate students at the Departments of Nutrition and Dietetics (NDD) (n = 254), Physical Education and Sports (PESD) (n = 263), and Social Sciences (SOC) (n = 256).A socio-demographic and personal information questionnaire, Eating Attitudes Test (EAT-40), Body Shape Questionnaire (BSQ-34), Perceived Figure Rating Scale (FRS) were applied; and body weights and heights were measured. RESULTS: Mean EAT-40 scores showed that, both male and female students of PESD had the highest scores ($7.4{\pm}11.6$) compared with NDD ($14.3{\pm}8.3$) and SOC ($13.0{\pm}6.2$) (P < 0.05). According to EAT-40 classification, high risk in abnormal eating behavior was more in PESD (10.7%) compared to NDD (2.9%) and SOC (0.4%) students (P < 0.05). Students of PESD, who skipped meal, had higher tendency to the risk of eating disorders (P < 0.05). In parallel, body shape perception was found to be marked with higher scores in NDD ($72.0{\pm}28.7$) and PESD ($71.5{\pm}32.8$) compared with SOC ($64.2{\pm}27.5$) students (P < 0.05). Considering BSQ-34 classification, high concern (moderate and marked) for body shape were more in PESD (7.4 %) compared to NDD (5.2%) and SOC (1.9%) students (P < 0.05). The body size judgement via obtained by the FRS scale were generally correlated with BMI. The Body Mass Index levels were in normal range (Mean BMI: $21.9{\pm}2.8kg/m^2$) and generally consistent with FRS data. CONCLUSIONS: Tendency to the abnormal eating behavior and substantial body shape perception were higher in PESD students who have more concern on body shape and were not well-educated about nutrition. In conclusion, substantial concern on physical appearance might affect eating behavior disorders in PESD students.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제35권1호
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• pp.2-3
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• 2024

• 대한간호
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• 제23권5호통권128호
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• pp.75-77
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• 1984

• 한국학교보건학회지
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• 제30권1호
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• pp.40-47
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• 2017

Purpose: The purpose of this study was to identify the factors related to eating attitudes of female high school students. Methods: Data were collected from 299 high school girls in 2016. The collected data were analyzed by SPSS/WIN 21.0. Results: There was a positive correlation between eating attitudes and anger thoughts, anger expression, perfectionism, depression, and problem behaviors. There was a negative correlation between eating attitudes and body esteem. The predictors of eating attitudes were perfectionism, body esteem, depression, and problem behaviors, which explained 23.7% of the participants' eating attitudes. Conclusion: The findings of this study suggest that it is necessary to recognize and measure the predictors of eating attitudes in advance and develop school-based health interventions to prevent eating disorders and improve eating attitudes among female high school students.

• 생물정신의학
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• 제19권1호
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• pp.38-44
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• 2012

Objectives : QT interval prolongation and dispersion known as indicators of an increased risk for ventricular arrhythmias and sudden death have been reported to be prolonged in patients with anorexia nervosa. The aims of this study were to compare conduction abnormalities in Korean patients with anorexia nervosa and bulimia nervosa, and to examine its relation with clinical and laboratory factors. Methods : We retrospectively examined 45 women with anorexia nervosa and 75 women with bulimia nervosa who were assessed by 12-lead electrocardiogram at baseline. QT interval and corrected QT interval, QT dispersion of the difference between the longest and shortest QT intervals, and abnormal U wave were measured for conduction abnormalities. Results : QT interval was significantly longer in patients with anorexia nervosa compared with those with bulimia nervosa. There were no differences in QTc (Corrected QT), QTd (QT dispersion) and abnormal U wave between patients with anorexia nervosa and those with bulimia nervosa. QTd was significantly correlated with the lowest ever lifetime body mass index ($kg/m^2$) as well as the serum amylase level in patients with anorexia nervosa. Conclusions : These results suggest some conduction abnormalities reported in patients with anorexia nervosa are also found in patients with bulimia nervosa. It appears that severity of weight loss and purging behavior could affect the cardiac arrhythmia in patients with eating disorders. Appropriate attention should be paid to cardiac involvement in patients with eating disorders.

• 여성건강간호학회지
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• 제16권1호
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• pp.78-86
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• 2010

Purpose: This study was to examine the fitness of a path model based on the objectification theory and to expand it by including the new variables to explain eating disorder symptomatology (EDS). Methods: The subjects consisted of 444 college women. Data was collected through self-report questionnaires that measured self-objectification (SO), social physique anxiety (SPA) and EDS as the original variables in the objectification theory, and influence of mass media (IMM) and sex-role attitude (SRA) as the new variables. Data was analyzed by SPSS/WIN 12.0 and Amos 5.0 programs. Results: IMM and SRA showed direct effect on SO. IMM had direct and indirect effect on SPA and EDS. SRA had direct and indirect effect on EDS, but only indirect effect on SPA. SO and SPA influenced EDS directly, and SO influenced indirectly EDS. Conclusion: Path analyses indicated support for the original theory and the expanded theory. It is necessary for repeated studies including various age groups of women to clarify the applicability of the objectification theory to Korean women's eating disorders. And it were recommended that we should promote womens' criticism of the image and message about the perfect female body presented in the mass media, and to highlight the relationship of gender equality to women's eating disorders in health education.

• 대한감각통합치료학회지
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• 제21권3호
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• pp.79-102
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• 2023

목적 : 자폐 스펙트럼 장애(Autistic Spectrum Disorders, 이하 ASD)는 비전형적 감각 적응, 의사소통 문제, 상동 행동 등이 특징인 발달 장애로 섭식장애가 흔하게 동반된다. ASD 아동의 섭식장애는 감각, 구강운동, 행동, 인지, 사회성 등 다양한 원인으로 발생하며 주요 증상으로는 까다로운 먹기, 선택적 먹기, 음식 거부, 새로운 음식 거부, 음식 다양성 제한, 음식 혐오 등 다양하다. 또한 건강 및 영양 섭취 문제, 섭식 발달, 섭식 관련 사회성, 가족과 보호자의 스트레스 등 다양한 문제가 동반되기도 한다. ASD 아동의 섭식장애는 출생 후부터 나타날 수 있으며 일반적으로 진단이 이루어지는 3세 이전에 발생하기 때문에 적절한 중재 제공 전 공백이 발생할 수 있다. 보통 섭식장애 증상은 연령이 증가할수록 감소되는 경향이 있으나 증상 자체는 남아 있는 경우가 많아서 조기 평가 및 중재, 지속적인 확인이 필요하다. 본 연구에서는 ASD 아동의 섭식장애 특성과 영향을 주는 요인, 중재법에 대한 일반적인 내용을 문헌 고찰을 통해 확인하였다. 결론 : ASD 아동의 섭식장애 중재로는 감각 기반 중재와 행동 기반 중재가 일반적이다. 감각 기반 중재는 음식 민감성, 행동 기반 중재는 음식 선택성에 효과적인 방법이다. 또한 ASD 아동의 섭식장애 증상이 다양한 만큼 감각 및 행동 기반 중재를 기본으로 놀이와 참여, 구강운동, 식이와 일상생활까지 포함된 종합적인 접근이 필요하다. 그러나 아직 ASD 아동의 섭식장애 중재를 위한 적절한 평가와 중재 프로토콜 및 가이드라인이 부족한 상황으로 보다 체계적인 이해를 바탕으로 한 복합적인 접근이 필요하다. 작업치료사 등 연하재활 전문가는 종합적인 이해를 바탕으로 ASD 아동의 섭식장애 해결을 위한 적절한 평가 및 중재를 제공해야 할 것이다.

• 여성건강간호학회지
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• 제15권4호
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• pp.328-335
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• 2009

Purpose: The purpose of this study is to investigate the relationship between eating disorders, body image, and self-esteem of female university students. Methods: A total 123 university female students were recruited in April 2009. Data was collected by using questionnaires. The collected data was analysed by SPSS/WIN using frequency, percentage, mean, standard deviation, ANOVA, & Pearson correlation coefficient. Results: As defined by body mass index (BMI), the obese subjects were rare (8.9%) and the rest (91.1%) was under weight or normal. More than 51.2% of the subjects perceived their weight as overweight, while 8.9% of the women were obese as defined by BMI. Eighty-eight percent of the subjects were not satisfied with their body shape. The total mean score of anorexia nervosa was higher than bulimia nervosa. The scores of eating disorders did not differ significantly by the BMI score. The score of body image was highest in the group of the overweight. There was high positive correlation between self-esteem and body image. Conclusion: To ensure resonable body image and weight control behaviors in female university students, education should be reinforsed. Therefore, nursing intervention programs for cognitive changes correcting the understanding about body image need to be developed.