• Journal of the Korean Society of Food Science and Nutrition
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• v.25 no.3
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• pp.433-440
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• 1996

To assess the relationship between serum cholesterol level and dietary intake in obese children, 50 subjects were selected as an obese group and 50 subjects as a normal group depending upon body mass index. Fasting blood samples were obtained and analyzed for serum total cholesterol(TC), high density lipoprotein cholesterol(HDLC), low density lipoprotein cholesterol(LDLC) and triglyceride(TG). The dietary intake and information on dietary behavior and family environment were obtained by questionaire using 24 hour dietary recall method for 2-consecutive days. The concentrations of TC, LDLC, HDLC and TG of obese group were estimated to be 193.3mg/dl, 122.5mg/dl, 53.7mg/dl and 86.0mg/dl, respectively. The obese group showed higher TC, LDLC, TG level(p<0.001) and lower HDLC level(p<0.001) than normal group. Food intakes in obese group were similar to those of normal group except meats & fishes(P<0.01), milk & dairy products, fruits(p<0.05), and green & yellow vegetables(p<0.001). Nutrient intakes in obese group exceeded Korean recommended dietary allowance for the corresponding ages. Saturated fatty acid(p<0.05) and cholesterol(p<0.001) intakes in obese group were higher than those of normal group. In correlation analysis, meats & fishes, eggs and milk & dairy products intakes were positively related to serum TC, LDLC and TG ; on the contrary, green & yellow vegetables and fruits intakes were negatively related to serum TC, LDLC and TG ; but positively to HDLC. Obesity index, serum cholesterol level, cholesterol and saturated fatty acid intake were positively correlated with parent's obesity index, frequency of snack per day, eating rate and late snack.

• Journal of Life Science
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• v.12 no.2
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• pp.226-232
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• 2002

In this study, the researcher classified primary school boys with obesity into light(% fat : 20∼24.9%), moderate(25∼29.9%) and heavy(30% or more) obese group and then analyzed and evaluated their own levels of insulin, leptin and lipids in blood. The level of insulin was significantly high in primary school students with heavy obese rather than in the other two groups. While that of leptin, significantly high in those children with moderate and heavy obese rather than in the other group of light obese. The level of T-C was significantly high in primary school students with light obese rather than in those students with heavy obese. HDL-C tended to increase as %fat went up, but there was no significant difference. The level of TG was significantly high in the group of heavy obese compared to the other groups. LDL-C tended to increase gradually as %fat became high. Thus, depending on %fat, primary school students with obesity were significantly different with each other in insulin, leptin T-C and TG levels. This suggests the urgent necessity of developing systematic and separate programs to treat such obese children.

• Journal of the East Asian Society of Dietary Life
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• v.18 no.1
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• pp.127-134
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• 2008

This study was designed to evaluate the nutritional status and dietary problems of obese elementary students consuming unbalanced diets. Blood parameters, body-image perceptions, taste preferences, and nutrient intakes of 40 obese elementary students with unbalanced diets were compared to those of 40 additional obese elementary students as a control. The averages for age, height, weight, and obesity index were 11.5 years, 142.0 cm, 51.0 kg, and 35.4% in the study group and 11.8 years, 144.0 cm, 53.5 kg, and 36.3% in the control group, respectively. The major disliked foods by the students in the study group were vegetables (65%) particularly Kimchi (15%), as well as fish(15%), and pulses (10%). Mean serum cholesterol, blood glucose, GOT/GPT, and hemoglobin levels were 175.1 mg/dL, 89.2 mg/dL, 24.1/18.9 IU/L, and 14.3 g/dL in the study group and 182.8 mg/dL, 91.3 mg/dL, 28.3/33.9 IU/L, and 14.7 g/dL, in the control group, respectively. Approximately 60${\sim}$80% of the subjects responded that they eat a meal everyday, and the remainder skipped at least one meal. The preference for salty tasting foods was significantly lower in the study group, but the preference for hot tasting food was higher as compared to the obese control group(p<0.05, p<0.05). The daily energy intakes of the study and control groups were 1,768.3 kcal and 1,572.7 kcal, respectively, but there was no significant differences between them. Daily intakes of animal protein, fat, animal fat, and vitamin $B_2$ were significantly higher in the study group than in the control group. In conclusion, this study found that obese children consuming unbalanced diets strongly disliked vegetables, particularly Kimchi, as well as hot tasting foods; however, they preferred salty foods. Daily intakes of animal protein and fat were higher in the study group as compared to obese children not consuming unbalanced diets.

• The Research Journal of the Costume Culture
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• v.17 no.6
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• pp.1141-1154
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• 2009

As a preliminary research of body characteristics analysis of Korean obese woman, this study aims to select optimal obesity judgment tools for reliable sampling of obese subjects from 2,425 female measurement data out of 2004 Size Korea project's raw data. From previous researches related to obesity, 7 obesity judgment tools were chosen. 2007 obesity rate(26.3%) of Korean female adults was refered in selecting optimal obesity judgment criteria in the study. The results are as follows. Firstly, it was verified that BMI was the most suitable in judging and sampling the obese subjects by the percentile analysis. R$\ddot{o}$hrer index was also reliable in grouping the obese subjects from a population. Secondly, it was concluded that the obesity ratios of relative weight 120 and higher group, R$\ddot{o}$hrer index 1.6 and higher group and waist girth 80cm and higher group were the most similar to obesity rate of Korean female adults by 2007 National Health & Nutrition Survey. Thirdly, 30 direct measurements, age, 2 drop values and 6 ratios of 7 groups by the obesity judgment tools showed the significance each other at p<0.001 level. On the other hand, "bust point to bust point" and "waist to hip length" measurements didn't show the significant differences among 7 groups. Conclusively, 4 to 5 satisfactions out of 7 obesity judgment criteria were adequate and sufficient in sampling the obese subjects. If it is needed the strict criteria for judging the obesity, 5 satisfactions and higher group will be the best choice as the obese subjects. However 4 satisfactions and higher group generally, will be adequate for sampling of the obese subjects.

• Journal of the East Asian Society of Dietary Life
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• v.8 no.3
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• pp.261-270
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• 1998

This study was conducted in order to investigate the effect of diet therapy on over weight and obese humans in Korea Subseng Research Institute from January 1, 1994 to August 31, 1997. The constitutions of subjects were classified mild negative, strong negative, mild positive and strong positive respectively by ecology and O-ring test. These results were obtained from the subjects who practiced at least 75% diet therapy recommended for over weight and obese human for 14~400days. The constitutions of over weight and obese human by Relative Body Weight (RBW$\geq$110%) were 89 mild negative humans, 62 strong negative humans, 56 mild positive humans and 30 strong positive humans. The constitutions of over weight and obese human by Body Mass Index(BMI$\geq$25) were 77 mild negative humans, 50 strong negative humans 46 mild positive humans and 23 strong positive humans. The negative subjects were higher than the positive subjects on over weight and obese humans. The diet therapy related to constitiution on over weight and obese humans showed RBW reduction of 6.73$\pm$0.53 on mild negative human, 7.78$\pm$1.69 on strong negative human, 6.94$\pm$0.76 on mild positive human, and 7.80$\pm$1.15 on strong positive human at p<0.001 by student paired t-test. The diet therapy related to constitution on over weight and obese humans showed BMI reduction of 1.47$\pm$0.12 on mild negative humans, 1.24$\pm$0.11 on strong negative humans, 1.59$\pm$0.17 on mild positive humans, and 1.66$\pm$0.30 on strong positive humans at p<0.001 by student paired t-test.

• Journal of the East Asian Society of Dietary Life
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• v.17 no.2
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• pp.183-191
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• 2007

The purpose of this study was to investigate the relationship between serum leptin, lipids, bone metabolism markers and nutrient intakes of obese middle-school girls compared to those of normal subjects. Each subject was assigned to either the normal(n=22) or obese groups(n=25) according to their BMI. The subjects were asked for their general characteristics and nutrient intakes using a questionnaire and 24-hr recall method. The serum leptin, lipids and osteocalcin(bone metabolism marker) were measured using blood analyses. The average ages of the subjects in the normal and obese groups were 13.9 and 14.0 years, respectively. The average weight(p<0.001) and BMI(p<0.001) of normal group were significantly lower than those of the obese group. The plant protein intake of the girls in the obese group was lower than that of the normal group(p<0.01). The levels of serum leptin in the obese and normal groups were 18.0 and 10.0 ng/mL, respectively(p<0.001). The serum LDL-cholesterol(p<0.01) and triacylgeride(p<0.05) of the obese girls were higher than those in the normal group. Also, the serum osteocalcin(bone formation marker) in the obese group was lower than that in the normal group(p<0.001). The BMI was negatively correlated to osteocalcin(p<0.001), but positively correlated to the serum leptin(p<0.001). The serum osteocalcin was also positively correlated to the plant protein intake(p<0.05). In conclusion, the excessive increase in weight and % body fat in middle-school students appeared to have a negative impact on bone health. Based on these results, further studies will be needed on the effects of bone metabolism markers, obesity and nutrient intakes for proper bone health.

• Journal of Korean Medical Science
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• v.33 no.48
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• pp.312.1-312.10
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• 2018

Background: Obesity is related to several comorbidities and mortality, but its relationship with acute kidney injury (AKI) and long-term mortality remain undetermined in patients undergoing coronary artery bypass grafting. Methods: Data from 3,018 patients (age ${\geq}18$ years) who underwent coronary artery bypass graft surgery from two tertiary referral centers were retrospectively reviewed between 2004 and 2015. Obesity was defined using the body mass index, according to the World Health Organization's recommendation. The odds and hazard ratios in post-surgical, AKI, and all-cause mortality were calculated after adjustment for multiple covariates. Patients were followed for $90{\pm}40.9$ months (maximum: 13 years). Results: Among the cohort, 37.4%, 2.4%, 21.1%, 35.1%, and 4.0% of patients were classified as normal weight, underweight, overweight-at-risk, obese I, and obese II, respectively. Post-surgical AKI developed in 799 patients (26.5%). Patients in the obese groups (overweight-at-risk to obese II) had a higher risk of AKI than did those in the normal-weight group. During the follow-up period, 787 patients (26.1%) died. Underweight patients had a higher risk of mortality than did normal-weight patients, whereas overweight-at-risk, obese I, and obese II patients showed better survival rates. Conclusion: After coronary artery bypass graft surgery, obese patients encountered a high risk of AKI, and underweight patients exhibited a low chance of survival. Awareness of both obese and underweight statuses should be raised in these patients.

• Nutrition Research and Practice
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• v.13 no.6
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• pp.488-497
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• 2019

BACKGROUND/OBJECTIVES: There are various factors that affect metabolic abnormalities related to obesity. The purpose of this study is to analyze the differences in dietary intakes and body compositions of obese women according to metabolic risks and to classify them as metabolically healthy obese (MHO) or metabolically abnormal obese (MAO). SUBJECTS/METHODS: This study was conducted on 59 obese Korean women aged 19 to 60 years. NCEP-ATPIII criteria were applied and the women classified as MHO (n = 45) or MAO (n = 14). Body composition of each subject was measured by using dual-energy x-ray absorptiometry (DEXA). Three-day food records were used to analyze dietary intake. Eating habits and health-related behaviors were determined through questionnaires. Indirect calorimetry was used to measure resting metabolic rate and respiratory rate. RESULTS: The average age of the subjects was 43.7 years. The analysis of body composition according to phenotype revealed significantly higher body fat mass (P < 0.05), arm fat mass (P < 0.05), and android fat mass (P < 0.05), as measured by DEXA, in the MAO group than in the MHO group. There was no significant difference in the dietary intake of the two groups. However, eating behaviors differed. Compared to the MHO group, the MAO women had a shorter meal time (less than 10 minutes), a preference of oily foods, and a tendency to eat until full. Therefore, the eating habits of MHO women were more positive than those of MAO women. CONCLUSIONS: The results suggest that fat distribution in each body region affects various metabolic abnormalities. A high level of arm fat mass in obese Korean women may increase metabolic risk. In addition, eating habits of obese Korean women are considered to be environmental factors affecting the metabolic phenotype of obese Korean women.

• Journal of Korean Medicine for Obesity Research
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• v.13 no.1
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• pp.10-16
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• 2013

Objectives: This work aimed to investigate differentiations of Korean medicine's pathological symptoms and SF-12 sub scales among normal, overweight and obese subjects from multi-center case report. Methods: From 2009 to 2011 survey were carried out to 1,589 subjects who took treatment or were hospitalized in 7 Korean medicine hospitals and 3 Korean medicine clinic. Survey include Korean medicine's pathological symptoms and SF-12. Whole survey were obtained from subjects with interviewers. Obesity degree was divided into three groups by body mass index: Normal group is from 18.5 below 23, overweight from 23 below 25 and obese group is over 25. Chi-square test was performed to reveal differentiation response rate of pathologic symptoms among obesity groups. ANOVA test was carried out for compare each group's SF-12 sub scales. Results: Patients of overweight or obesity have more symptoms such as skin itching, swelling, weakness in lower legs, and feverish with swollen joints. Contrary, normal weight group responded symptoms of dry skin more than those of obese group. As a fatigue, obese group have more fatigue feeling at afternoon and evening, compared to high frequency response of normal weight groups' morning fatigue. Obese groups shows low physical scores of health related quality of life, in contrast, high mental scores of that. Conclusions: This is first work of pathologic symptoms shown by obese groups. This would contribute to standardization of Korean medicine's pattern identification as suggestion of classification point for obese groups.

• Korean Journal of Veterinary Research
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• v.55 no.3
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• pp.205-208
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• 2015

Ten dogs were enrolled in this study: two healthy dogs, two obese dogs without other medical issues and six obese dogs with underlying diseases including pemphigus, chronic active hepatitis, hyperadrenocorticism, narcolepsy, otitis media and heartworm infection. Pyrosequencing of the 16S rRNA gene to explore the gut bacterial diversity revealed that distal gut bacterial communities of samples from patients with pemphigus, otitis media and narcolepsy consisted primarily of Firmicutes, while the major phylum of the distal gut bacterial communities in patients with chronic active hepatitis and hyperadrenocorticism was Fusobacteria. Proteobacteria were the dominant phylum in heartworm infected obese patients.