• Title/Summary/Keyword: Evaluation of obesity

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Nutritional Intervention for a Patient With Sleeve Gastrectomy

  • Seonhye Park;Sohye Kim;Soyoun Kim;Ah-Reum Shin;Youngmi Park
    • Clinical Nutrition Research
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    • v.12 no.3
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    • pp.177-183
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    • 2023
  • Bariatric surgery is the most effective treatment for sustained weight reduction, and it can result in substantial improvements in the severity of type 2 diabetes, metabolic syndrome, nonalcoholic fatty liver disease, and quality of life. However, sleeve gastrectomy, a weight loss surgery that removes two-thirds of the stomach, reduces appetite and nutrient absorption, impairing digestion and the absorption of nutrients like iron, vitamin B12, and protein-bound nutrients. This case study aims to demonstrate that patients undergoing sleeve gastrectomy require long-term and periodic monitoring of biochemical data, weight changes, and caloric and protein intake by a professional nutritionist to prevent malnutrition and nutritional deficiencies. In this case study, a 48-year-old woman was diagnosed with morbid obesity, hypertension, sleep apnea syndrome, and chronic gastritis. At initial evaluation, she was 160 cm tall and weighed 89 kg, with a body mass index of 34.8 kg/m2. At 1 postoperative year, she consumed 650 kcal and 25 g of protein per day, the percentage of excess weight loss was 141.1%, and body mass index was 21 kg/m2. Compared to preoperative levels, calcium and folic acid levels did not decrease after 1 postoperative year, but hemoglobin, ferritin, and vitamin B12 levels decreased. In conclusion, when patients experience rapid weight loss after sleeve gastrectomy, follow-up should be frequent and long. Dietary education should be conducted according to digestive symptoms, and oral nutritional supplements, including vitamins and minerals.

Correlation between Clinical Characteristics and Apnea-Hypopnea Index with Obstructive Sleep Apnea Syndrome (폐쇄성수면무호흡증후군 환자의 무호흡-저호흡지수와 임상양상간의 상관성)

  • Jin, Bok-Hee;Park, Sun-Young;Chang, Kyung-Soon
    • Korean Journal of Clinical Laboratory Science
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    • v.38 no.3
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    • pp.212-217
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    • 2006
  • Obstructive sleep apena syndrome (OSAS) is accompanied by the following symptoms: apnea caused by upper respiratory tract obstruction while sleeping, repetitive lowering of $SpO_2$, severely affected excessive daytime sleepiness (EDS), suffocation/frequent awakeness while sleeping, daytime lethargy, and lack of concentration. OSAS was investigated with sex, age, body weight, body mass index (BMI), neck circumference and snoring sound as clinical characteristics and the anticipating factors of OSAS were studied in relation with the apnea-hypopnea index (AHI). The subjects were 42 people (male 34/female 8) who visited the clinic due to snoring and had polysomnography evaluation. AHI was differenciated into normal (less than 0~5/hr), mild (5~15/hr), moderate (15~30/hr) and severe (more than 30/hr). As the apnea-hypopnea index (AHI) gets higher, the snoring sound was louder (p<0.01), neck circumference was thicker (p<0.05) and also there were relative correlations with body weight (p<0.01), body mass index (p<0.05), snoring sound (p<0.01) and neck circumference (p<0.01). Since the snoring sound and neck circumference explained 32.8% of the AHI distribution, if the patient was severely snoring or had a thick neck circumference due to obesity, the apnea-hypopnea index showed a predisposition to the obstructive sleep apnea syndrome.

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Personalized Nutrition Intervention for Weight Control With Korean Foods via Internet Service System

  • Oh, Hyun-In;Chung, Myung-Il;Yi, Jae-Hyuk;Jang, Dai-Ja
    • International Journal of Contents
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    • v.7 no.2
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    • pp.26-31
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    • 2011
  • People with obesity or over-weight need nutritional intervention to reduce their weight, because weight loss reduces the incidence rate of chronic diseases such as hypertension, type II diabetes, cardiovascular diseases and cancer in obese people. This study was to develop a system for individualized weight control program available both for wired and wireless internet users. This system is especially useful to users carrying wireless internet mobile device. If they input their physical information (height, weight and waist circumference) and mineral levels measured by hair tissue mineral analysis, the system provides evaluation of their health status and metabolic related functions such as endocrine and carbohydrate tolerance. Based on these evaluations, food menus are then offered to them to manage their health status and to improve their metabolic related physiological functions in a personalized way. The system also provides more information for recommended foods, such as nutritional information, food ingredients, recipes, and videos related to cooking. Bibimbap was selected as an example dish for customized contents for mobile web. Bibimbap is one of the most well-known Korean traditional dishes prepared with various kinds of ingredients including several different kinds of vegetables, meat, and egg so that it is a low calorie dish as well as a well-balanced diet. Therefore, this system developed in this study allows the mobile users to access web site through wired wireless internet everywhere and provides a customized content to the users to manage their weight and finally to achieve a desirable weight.

A Comparison study on the relationship between the Self-reported Voice Problem and Body Mass Index (자가 음성평가와 체질량지수의 특성 비교)

  • Lee, Inae;Hwang, Young-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1330-1334
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    • 2013
  • The purpose of this study was to analyze the association between self-reported voice problem and body mass index. Data were collected from the 5th Korea National Health and Nutritional Examination Survey (2010) from 5,811 subjects(2,503 men and 3,308 women) aged 19 years and olders. chi-square, t-test and multi-nominal logistic regression analysis were used that to compare self-reported voice problem and variable(age, sex, hight, weight, waist measurement, body mass index). body mass index(OR=1.028, 95% CI: 1.003-1.056) was independently associated with self-reported voice problem(p<0.031). also over weight-two step obesity (OR=1.765, 95% CI: 1.036-3.006) were independently associated with self-reported voice problem(p<0.036). The results of comparison verified that body mass index are valuable self-reported voice problem of risk factor. when the evaluation were conducted, what was considered body mass index is needed.

Factors Affecting Health Promotion Behaviors in Patients with Reflux Esophagitis (역류성 식도염 환자의 건강증진행위에 미치는 영향요인)

  • Yeo, Jae-Heon;Han, Suk-Jung
    • Journal of the Korea Convergence Society
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    • v.12 no.5
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    • pp.255-266
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    • 2021
  • This descriptive survey aimed to investigate the health promotion behaviors of patients with reflux esophagitis and identify the factors influencing it using the health promotion model. The survey was conducted with 178 outpatients diagnosed with reflux esophagitis at C university hospital. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation, and multiple regression using SPSS win ver 20. We found that alcohol consumption, BMI, perceived benefit, internal control level, and perceived health status of the patients are significant factors influencing health promotion behavior. The explanatory power was 49%. Therefore, this study is consistent with previous studies that elucidated that changing lifestyle behaviors and obesity control are necessary to alleviate reflux esophagitis. Based on these findings, we propose to develop and apply an educational program for evaluation.

Evaluation the Effects of Short Term Intake Avena sativa Extracts on Blood Glucose and Cholesterol Level (단기간 귀리 추출물 섭취의 혈당 및 콜레스테롤 저하 효과 평가)

  • Kim, Hana;Lee, Insoo;Shin, Kyungsook;Yoon, Soonkyu;Lee, Buhyung;Yoon, Seungkyu;Choi, Jinwoo;Suh, In Bum
    • The Journal of the Korea Contents Association
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    • v.15 no.3
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    • pp.272-279
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    • 2015
  • Recently, studies about various natural extracts to help control blood glucose has been in progress. Avena sativa is well known to have various physilogical effects. Especially, ${\beta}$-glucan has effect about lowering blood glucose level and prevent cardiovascular dz and adult dz related to obesity. In this study we evaluated the effect of Down and control (BM pharmaceutical) which is consist of commercialized Avena sativa fextracts on blood glucose and cholesterol, 6weeks, randomized, double-blind, placebo-controlled trials. The results show not significantly different in all blood index test group from control group, but in glycated albumin decreased 50.33% for test group, decreased 37.91% for control group, in triglyceride decreased 7.51% for test group, increased 3.98 for control group and we can observed Avena sativa has blood glucose and triglyceride lowering effect in some.

Evaluation of Drug Information for Acquisition Methods and Risk of Drug Misuse in Korean Students (한국 초.중.고.대학생들에서 약물정보습득의 방법 및 약물오남용의 위험성에 대한 평가)

  • Kim, Jin Sik;Lee, Ok Sang;Lim, Sung Cil
    • YAKHAK HOEJI
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    • v.57 no.1
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    • pp.55-62
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    • 2013
  • Objective: This study aims to assess the following issues - acquisition level in terms of the information on frequently used drugs of youth, access paths for the information, actual status of the use of drugs frequently used by youth, types of the used drugs, drug abuse among youth, and the consequent drawbacks. This study also takes aims at suggestion of correct role of pharmacists in consideration of drug abuse among youth. Methods: During the period from August 1, 2011 to October 31, 2012, a research design and a question development have been conducted. To the students of the schools that were randomly selected (elementary school's N=99, middle school's N=106, high school's N=115 and university's N=115), it was asked to complete given questionnaire from August 1, 2012 to August 31, 2012. During the period from September 1, 2012 to October 30, 2012, the questionnaires were collected back and the analysis and evaluation of them were carried out. Results: Drugs known to the respondents were a total of 115 different medicines and most of the drugs belonged to over-the-counter drugs. The most well known drug was pain reliever and the second most familiar drug was wound ointment. Most of the respondents found the drugs through direct use and advertisement. In everyday life, more than half of the respondents were using over-the-counter drugs as well as health supplements. The most commonly used drug was analgesic drug. It was showed that the respondents also frequently used the drugs for improving their grades and appearances. It was shown that among the cases of drug use, there were also the cases of misuse and abuse of drugs for the respondents or people around them. Reliability of pharmacists was shown to be high and many students were also satisfied with the pharmacists' guidance for medication. Conclusion: Currently many students are using different kinds of drug in daily life, and there is a possibility that the risk of misuse and abuse of drugs will be increased. Those age groups can easily engage in bad habit of drug use. Thus, promotion on accurate drug information has to be strengthened, and pharmacists are required to conduct correct guidance for drug user's medication in terms of use amount, usage, interactions among different drugs, and potential risks.

Comparison of peripheral vascular compliance between normal and diabetic groups using the second derivative of photoplethysmogram (PPG 2차 미분을 이용한 정상인과 당뇨병 환자의 말초혈관 탄성도 비교)

  • Kim, Sung-Woo;Lee, Ju-Hyung;Nam, Ki-Chang;Kim, Su-Chan;Cha, Eun-Jong;Kim, Deok-Won
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.44 no.4 s.316
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    • pp.15-20
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    • 2007
  • Recently the prevalence rate of diabetes in Korea has been increasing rapidly due to high growth of economy and changes in dietary lifestyle. Vascular complication is one of diabetic complications which have frequently occurred by obesity, hyperglycemia and impaired glucose metabolism. Photoplethysmogram(PPG) measured from finger and toe is very useful for evaluation of vascular aging and sclerosis level since the PPG signal represents characteristics of peripheral vascular Several researchers have reported that second derivative of the finger PPG waveform was useful to evaluate vascular compliance and developed various analysis methods for vascular compliance. However, peripheral vascular compliance study for diabetic patient was never evaluated by using second derivative of PPG. Therefore, we aimed to objectively compare and to assess normal(n=850) and diabetic(n=50) groups vascular compliance using the second derivative of PPG waveform in this study. The evaluated factors of the second derivative of PPG are 'a', 'b', 'c', 'd', 'e' and b/a rapresents vascular compliance. This study found out that when vascular compliance is decreased, the absolute value of b/a is decreased. The average vascular compliance of 50 diabetic patients with neuropathy, $-1.09{\pm}0.14$ is statistically lower than the normal group, $-0.81{\pm}0.09$ (p<0.05). In conclusion, we suggest an objective evaluation of peripheral vascular compliance for diabetic patients and prevention of vascular complication.

The Study on Stress Evaluation with Sasang Constitution and Lifestyle for Labors in Workplace (사업장(事業場) 근로자(勤勞者)의 사상체질(四象體質)과 생활습관(生活習慣)에 따른 스트레스의 평가(評價))

  • Seo Byeong-Yun;Kwon So-Hee;Kim Sam-Tae;Seo Ji-Yeon;Jung Hae-Kyoung;Kim Yoo-Chul;Jahng Doo-Sub;Wang Myoung-Ja;Song Yung-Sun;Lee Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.7 no.1
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    • pp.1-15
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    • 2003
  • This study tried to evaluate the difference of stress degree by Sasang constitution and lifestyle for workplace labors, and suggested the preventive oriental medicine approaches in occupational health area. 479 data for research were collected through the process of oriental health examination with questionnaire in workplace, and collected data were analyzed with frequency, crosstab, and Two-Way ANOVA. The results were as follows: 1) All subjects, total 479 were men, and constitutional distributions were 39.2% of Taeumin, 32.4% of Soumin, and 28.4% of Soyangin. The distributions of stress score were 13.2% of normal group, 13.4% of high risk group, and 73.5% of potential risk group. 2) There were no statistically significant differences for stress by constitution(p=0.085). By the results of optimal scaling and homogeneity analysis, Soyangin was close to potential risk group compared to other constitution, and Soumin and Taeumin were close to high risk and normal group, respectively. 3) For the difference of stress score by Sasang constitution and lifestyle, Soumin who exercised nearly everyday had the highest stress score with interaction in Factor 4 area(p<0.05), and there was no interaction in other area. 4) For the difference of PWI score by lifestyle, there were statistically significant differences for drinking(p<0.01), smoking(p<0.01), and obesity index(p<0.01)

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Quality Characteristics of Nokdumook using Yangha(Zingiber mioga R.) Powder (양하분말을 이용한 녹두묵 제조 및 품질 평가)

  • Kim, Hyun-Soon;Kim, Min-Jeong;Lee, Myoung-Sook;Lee, Gun-Soon;Kim, Ae-Jung
    • The Korean Journal of Food And Nutrition
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    • v.25 no.3
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    • pp.521-528
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    • 2012
  • This study was performed to develop a therapeutic diet against aging and obesity, using Yangha(Zingiber mioga R.). Before development of a therapeutic diet, we performed cell viability assay, analysis of general composition, macrominerals and antioxidantive activities of Yangha. Based on the findings from analyzing the results, mook using Yangha powder(0~20%) was processed, and tested for quality characteristics such as color values, sensory evaluation and mechanical properties. The result of cell viability assay of myoga, using liver cells, revealed that within the concentration range from 500 ${\mu}g/m{\ell}$ to 10,000 ${\mu}g/m{\ell}$, cell survivability increased in line with the concentration rate. Therefore, it will not be harmful to consume it as food. Regarding the normal substance of myoga, the water substance of myoga was 94%, which exceeds that of ginger and tumeric with 89% and 83%, respectively. As for crude protein, fat, carbon hydrates and ash, myoga contained less than the other two, which I think is due to the high water substance. Regarding the minerals, potassium had the highest contents among macrominerals of 234.74 mg%. As for the antioxidant test, hydroxy radical scavenging activity and superoxide radical scavenging activity were shown. As for the production of Yangha mook(Yangha powder levels were 0~20%) for quality characteristics, the more of the powder, the less the L, but the greater the a and b values. Also, for the material property, an increased amount of the powder, resulted in chewiness and springiness, but less gumminess in a correlated manner. However, there were no significant differences in the springiness and cohesiveness in relation to the powder. For the sensory test, jelly type ZM5 with 5% powder showed highest overall preference. According to the sensory test, based on the powder substance, the jelly with 5% powder showed the highest overall score, including preference.