• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제2권1호
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• pp.138-149
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• 1991

부모 설문을 통해 소아, 청소년의 정서 및 행동문제를 파악하기 위한 한국판 행동조사표(Child Behavior Checklist, CBCL)의 임상유용도를 검증하기 위해 정상군과 임상군을 변별하는 능력을 평가하였다. 양군의 전체점수와 척도별 점수를 비교하면 p<.001로 임상군 변별력이 매우 높으나 각 문항별로 점수를 비교할 경우, 사회능력척도에서 남자 1문항, 여자 5문항, 문제행동 척도에서 남자 10문항, 여자 14문항이 임상군 변별력이 다소 낮은 것으로 나타났다. 이에 대한 원인을 살펴보고 수정, 보완하기 위한 방법을 제시하였다.

• 보건교육건강증진학회지
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• 제18권3호
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• pp.163-175
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• 2001

The purpose of this study is to collect fundamental data for weight control education based on obesity, weight control practices and body image in female college students. Those surveyed were 364 female college students attending universities in Seoul, Kyoung-Gi and Chung Cheung Buk Do. The data were collected from June 1, 1999 to September 10, 1999. The resulting data are as follows: 1. The mean BMI of the female college students was 19.78:t1.87kg/$\textrm{m}^2$, which comes within the range of normal weight. Underweight, normal weight and overweight students were respectively 27.2%, 66.8% and 5.5%. As many as 7.1% of the underweight students and 42.8% of the normal weight students described themselves as being "fatty". 2. Of these subjects, 83.5% reported wanting to lose weight, and the primary reason of weight control was to improve their appearance. The mean weight that they wanted to lose was 5.2$\pm$2.7kg, and 68.7% of the respondents had tried to lose weight. Among them, the most frequently reported weight control behavior was dieting followed by exercise, 30% reported fasting, 3.6% reported using drugs, 4.4% reported smoking and 3.6% reported vomiting. As to the weight loss effect, 96.7% of the subjects used behavior modification, 82.5% of the students exercised, and 76.1% of the dieters reported they had lost weight. 3. As to body image, many female college students were dissatisfied with their body figures, especially thighs(70.3%), hips(60.4%), abdomens(60.2%), and weight(55.2%). The body image of the students that perceived themselves as "fatty" was the lowest. 4. There were significant differences in the mean weight that they wanted to lose and the weight control attempts according to weight perception. Those that perceived themselves as "fatty" wanted to lose more weight, and had more weight control experiences. In conclusion, attempts at weight control are common in the female college students and many students appear to be dissatisfied with their body shapes. It is important to educate about healthy weight control methods and raise their awareness of the positive body image.ss of the positive body image.

• 한국식생활문화학회지
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• 제24권5호
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• pp.570-580
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• 2009

The purpose of this study was to evaluate the multilateral weight control program provided by the university health care center for female college students. The program was 8weeks long and composed of nutrition consultation, exercise, and behavior modification. Nutrition education focused on a low calorie and balanced diet, increasing the intake of protein and micronutrients and reducing carbohydrate and fat consumption. Evaluations were made upon completion of an 8-week program and upon follow-up at 6 months after the end of program. A total of 92 women completed the 8-week program, while 20 completed the follow-up survey. Upon completion of the 8-week program, significant decreases in body weight, BMI, body fat (kg), and %body fat were observed, and muscle mass was also reduced. The total energy and carbohydrates intake were also significantly decreased in subjects with weight loss, while the percentage of subjects whose consumption of protein, calcium, iron, vitamin $B_1$, $B_6$, and niacin did not meet the EAR, were decreased. The blood values of glucose, total cholesterol and HDL-cholesterol were decreased. The follow-up survey revealed that the subjects continued to lose weight after completion of the program. In addition, a Mini nutrition assessment revealed that diet quality improved, especially with respect to reductions in the consumption frequency of fried, greasy and salty food. In conclusion, the multilateral weight control program with diet education for female college students was effective for long lasting weight control and improved dietary behavior. Nutrition education for weight reduction should focus on balanced nutrition as well as lowering the total caloric intake.

• 대한지역사회영양학회지
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• 제23권4호
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• pp.318-332
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• 2018

본 연구에서는 12주 동안 성인 여성 중 체지방률 40% 이상 또는 BMI 30 이상인 여성을 대상으로 37차시의 비만관리 프로그램일환으로 영양교육과 운동중재를 병행 실시하여 대상자의 식습관 및 운동 습관 조사, 신체성분과 식이섭취와 생화학적 지표에 미치는 효과를 살펴보고자 하였다. 1. 조사대상자의 평균 연령은 44.8세였으며 참여자의 55%가 폐경이었다. 2. 체중조절 관심도 변화에서 체중 조절 방법은 식사조절과 운동이 프로그램 참여 전 34.4%에서 프로그램 후 37.5%로 증가하였다(p<0.01). 3. 신체활동 변화에서 중등도 신체활동을 10분 이상 한날은 프로그램 참여 전 3.20일에서 프로그램 후 4.25일로 증가하고, 스트레칭 등 유연성 운동을 한 날은 프로그램 참여 전 2.60일에서 프로그램 참여 후 3.85일로 유의적으로 증가하였다(p<0.01). 4. 바른 식습관 점수 변화는 프로그램 참여 전 4.15점에서 프로그램 참여 후 7.10점으로 유의적(p<0.001)으로 증가하였다. 5. 에너지 및 다량 영양소 섭취는 프로그램 전후간 차이는 없었으나 식이섬유(p<0.01), 철, 칼륨, 비타민A, 비타민 $B_6$, 나이아신의 섭취는 프로그램 참여 전에 비해 프로그램 참여 후에 유의적으로 증가하였다(p<0.05). 6. 혈압과 혈액 생화학적 특성 지표인 TC, 공복혈당 및 TG는 프로그램 참여 전후 간 유의적인 차이는 없었다. 7. 영양교육과 운동 프로그램 종료 후 체중, 체지방률, 복부둘레 및 내방지방 수치는 유의적으로 감소하였으며, 근육양과 신체발달 점수는 유의적으로 증가하였다(p<0.001). 이상의 결과를 볼 때, 중등도 비만여성에서 12주간 영양교육과 운동 중재 프로그램 실시는 식사의 질을 향상시키고 바림직한 식습관의 변화를 유도하였으며 비만도는 감소하면서 근육양이 증가하여 요요현상이 없이 비만관리 프로그램 교육 내용이 긍정적인 영향을 미쳤으며, 향후 장기적인 비만의 지속관리와 체계적인 연구가 계속되어야 할 것으로 사료된다.

• 보건교육건강증진학회지
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• 제24권4호
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• pp.131-147
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• 2007

As overweight and obese people have increased, obesity management programs have generated much concern in Korea. Many types of obesity management programs were operated, aimed at reducing weight, BMI, body fat percentage and so on. This study was conducted to review the features of studies in obesity management programs and systematically assess the effects which were published from 1995 to 2006 in Korea. Databases were systematically searched for published data in Korea. It were KISS (Korean studies information services system) and KERIS (Korean Education research information system), which were major literature search systems for all academic fields in Korea. Total 114 studies were initially identified, of which 21 satisfied our inclusion data. The effects of obesity management programs were assessed on the results in weight, BMI (body mass index), HDL (high density lipids), body fat percentage, self-efficacy. Effect size estimated on the equation of M1 - M2 / Sp, where M1 was mean of the experimental group, M2 was the mean of control group, and Sp was the pooled standard deviation. Magnitude of effect size was interpreted by using Cohen's definition. Cohen described small, medium, and large effect sizes as 0.2, 0.5, and 0.8 respectively. The studies about obesity management programs were the most published in 2005(26.1%). Obesity management programs were popularly operated as the type of 12 weeks intervention, exercise intervention(52.4%), quasi-experimental study(85.7%). Ten studies reported significant effects on weight, and nine studies reported significant effects on BMI and HDL. Only five and three studies reported significant effects on body fat percentage and self-efficacy respectively. The effects of each outcome were generally significant when the studies included these elements, intervention over 10 weeks, evaluation over 3 times, a comprehensive program (exercise, nutrition education, behavior modification) and reinforcing factors (self-monitoring, group discussion, one's goal setting, and etc.). Effective obesity management programs should contain these essential elements and objectives of obesity management programs must be set out evident at the beginning. The participants should be registered, educated and evaluated by continuous obesity management programs.

• Nutrition Research and Practice
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• 제14권3호
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• pp.262-275
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• 2020

BACKGROUND/OBJECTIVES: Evidence-based customized nutritional interventions are required for effective treatment of moderate to severe obese children and adolescents. SUBJECTS/METHODS: Sixty six (64.1% of 103) of the eligible participants who joined the usual care or physical activity group in the clinic were involved in 16-week intervention. Customized nutritional intervention was implemented for each participant based on a nutrition care process (NCP) model. Sociodemographic assessment, anthropometrics data, health- and dietary-related behaviors, and dietary intake of the study subjects were assessed at baseline and follow-up. All participants engaged in 30-minute nutritional sessions on a monthly basis. RESULTS: After 16 weeks, there were significant improvements in body composition [BMI (-0.8 ± 0.9, P < 0.05), BMI z-score (-0.3 ± 0.2, P < 0.001), body fat (kg) (-1.3 ± 2.1, P < 0.05), and body fat (%)(-1.5 ± 1.9, P < 0.05)] as well as macronutrient intake [total energy intake (kcal) (-563.7 ± 656.8, P < 0.05), energy (%) (-26.5 ± 30.0, P < 0.05) and fat (g) (-28.3 ± 40.6, P < 0.05)] in the adherent group than the non-adherent group. The SOC was higher in both groups after the intervention (P < 0.001). CONCLUSIONS: Our results highlight the positive effects of an evidence-based approach as a multidisciplinary intervention for people-centered nutritional care and weight management.

• 대한영양사협회학술지
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• 제10권3호
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• pp.345-355
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• 2004

This study was conducted to investigate the dietary pattern of children with unbalanced diet in school feeding. Children who eat only what they like among elementary school students were selected for this survey. The general characteristics, nutrition knowledge, eating behavior, food intake frequencies and food preferences of the subjects were investigated compared with control group. The subjects were consisted of a total of 160 children : 92 male students(unbalanced-diet group, 46; control group, 46), and 68 female students(unbalanced-diet group, 34; control group, 34). There was no significant difference in nutrition knowledge between the unbalanced-diet group and the control group. Dietary behavior of control group turned out to be more desirable than that of the unbalanced-diet group. In addition, 68.7% of the unbalanced-diet group and 13.8% of the control group hated to eat vegetables. The result of food intake frequency indicates that the control group turned out to be higher in their intake of fish, cereals, vegetables, seaweeds, fats & oils and Kimchi compared with unbalanced-diet group. Intake frequency of minerals and vitamins of the control group was higher than that of the unbalanced-diet group. On the other hand, the unbalanced-diet group turned out to be higher in sugar intake. Children showed the greatest preference of fruits. The unbalanced group turned out to prefer sugar and beverages more than the control group. These results suggest that the desirable dietary habits of children should be formed with the help of nutrition education designed for behavior modification.

• Journal of Community Nutrition
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• 제3권1호
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• pp.21-29
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• 2001

This study was conducted to examine factors with attendance in hyperlipidemia nutrition eduction program among 101 hyperlipidemic outpatients (38 males 63 females) at Samsung Medical Center We employed the Health Belief Model (HBM) as the theoretical framework The individual nutrition education and counseling program was scheduled with 4- half hour session sin 2 to 4 weeks intervals. Upon initiation of the program a trained dietitian surveyed HBM constructs and psychosocial factors. The following were included perceived susceptibility to cardiovascular disease(CVD) perceived severity to CVD percieved benefits to diet modification perceived barriers to persistence in maintaining therapy and self efficicacy and social support from family Sociodemographic data health factors stress level nutrition knowledge, and 24-hour dietary recall behavior were also surveyed All these data was analyzed according to the number of nutrition sessions attended The subjects were 55.9$\pm$9.4 year old and 24.6$\pm$kg/㎡ Sociodemographic factors were not associated with the number of nutrition sessions attended HBM constructs and psychosocial factors were significantly associated with the number of nutrition sessions attended. According to Spearman correlation coefficients. From stepwis regression analyses using HBM constructs as independent variables perceive barriers to persistence in maintaining diet therapy (negative) proved to be the strongest predictors for the number of nutrition sessions attended (partial R$^2$= 72.3%) followed by perceived severity to CVD and self efficacy (model R$^2$=76.6% The findings indicate that HBM constructs and psychosocial factors were closely associated with patient attendance It suggests that information and guidance to minimize patients perceived barriers to diet therapy might help to improve patients to scheduled appointments in nutrition education programs.

• 동아시아식생활학회지
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• 제17권3호
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• pp.351-363
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• 2007

Previously, we analyzed for nutrition knowledge and the use of nutrition knowledge in the everyday lives of students in order to develop nutrition education programs that focus on desirable behavior change. From this, we found that female students desired to participate in nutrition education more than male students, and regarding their concerns for nutrition education, 73.2% of the females and 50.0% of the males displayed interest in 'obesity and the regulation of body weight'. Therefore, this study showed female students give more attention to the obesity and the regulation of body weight than male students(p=.000<.001). In addition, female students had higher interests($8.63{\pm}1.67$) than male students ($7.45{\pm}2.03$) in nutrition knowledge(p=.000<.001). By investigating the use of nutrition knowledge in everyday life, our research indicated that the actual use of nutrition knowledge was less. To encourage students to persue dietary lives addressing the concerns confirmed above, the following needed to occur. 1) Provide them nutrition information for the main processed foodstuffs encountered when dining out(breads, cakes, cookies, and carbonated beverage). 2) Teach them to read food nutrition labels. 3) Help them find a lifestyle connection through lasting self-management methods and the generation of social support. Accordingly, this required developing effective and practical nutrition education programs that considered regional characteristics and gender differences. The most important factors considered during nutrition education program development were the need for motivation and ongoing education by stage of change, rather than temporal education through specific problem analysis, in order that those being educated may bring about a change of behavior by themselves. Therefore, from this study, we have suggested the use of multilateral operating strategies for successful nutrition education. In addition the phase model of behavior change should be applied. Our programs were aimed at self owned nutritional management so that students could master their own methods for acquiring skills and enjoying dietary life. The research may be summed up as follows. First, the purpose of education at the recognition stage of change was to attempt motivation for nutrition improvement, by analyzing the problems such as food buying habit and the main purchasing viewpoints when dining out. Second, the purpose of education at the action stage of change was to help students acquire of concrete methods for behavior modification by linking the program to their home as well as to teachers with various activities that suited the situation at school. This was done by analyzing the processes and decisions pertaining to dining out the main processed foodstuffs and principal components, etc. through data and experimental practice. Third, the purpose of education for changing of habits and values, or the maintenance stage, was to investigate the various reasons that undesirable behaviors were induced, and then determine a lasting self-management method as well as how to generate social support. If the nutrition education program developed in this study is utilized on site, someone in the primary role as the nutrition educator and trained specifically in nutrition, can help induce the health promotion in the community as well as lasting dietary management, by executing a link with families in parallel with educating teaching staff and students' parents. In addition, this program can playa role in the government policies related to the health promotion for our youth who are the foundation of our nation and who can enhance our national competitive power.

• 성인간호학회지
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• 제23권2호
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• pp.146-159
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• 2011

Purpose: The purpose of this study was to investigate the effects of the internet based coaching program for obesity management on weight control related knowledge, self-efficacy, eating habits, physical activity and obesity related physiological indexes in hypertensive patients. Methods: The study design was non-equivalent control group pre-test-post-test design. A total of 43 subjects were overweight or obese hypertensive patients aged 30 or older, who were divided into experimental group (n=23) and control group (n=20). This program lasting 12 weeks consisted of a weight control related education, internet based individual coaching for diet, exercise and behavior modification, offering internet community and health counseling. The variables were measured three times (before the treatment, after 6 weeks, and after 12 weeks) and the collected data were analyzed by SPSS/WIN 17.0 program. Results: The experimental group had significantly improved weight control related knowledge, self efficacy, eating habits, body composition, and systolic blood pressure with time. Conclusion: The internet based coaching program was effective in improving obesity management, also this program will help to prevent cardiovascular disease of obese hypertensive patients.