• Title/Summary/Keyword: Obese

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Analysis of Dose Reduction Rate with Dose Modulation Technic Depending on BMI (PET/CT검사에서 Dose Modulation Technic 적용시 BMI에 따른 선량 감소율 분석)

  • Kim, Jung Wook;Park, Se Yun;Jo, Young Jun;Park, Jong Yeop
    • The Korean Journal of Nuclear Medicine Technology
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    • v.16 no.2
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    • pp.25-28
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    • 2012
  • Purpose : It is important to reduce radiation dose associated with computed tomography (CT) scanning to as low as reasonably achievable (ALARA). With Dose Modulation Technic, user select a desired image quality and the system adapts tube current to obtain the desired image quality with greater radiation dose efficiency. In this paper, we presents a comprehensive description of fundamentals, clinical applications and radiation dose benefits of Dose Modulation Technic depending on Body Mass Index(BMI). Materials and Methods : In this study, 149 patients were examined(The mean age : $58{\pm}12.4$ years old). Biograph True Point 40 (Siemens, USA) and Gemini TF 64 (Philips. Cleveland) were used for equipment. When we used Care Dose 4D (Siemens, USA) and D-dom (Philips, Cleveland), we measured dose reduction and Computed Tomography Dose Index (CTDI) depending on BMI. Then we analyze data using SPSS Ver.18. Results : When we used Care Dose 4D, p-value is considered statistically significant by groups with the result that we compared Care Dose 4D with D-dom. On the other hand, p-value isn't considered statistically significant by groups using D-dom. Conclusion : Dose modulation based on the projection angle didn't affect degree of obesity. And When using Care Dose 4D, dose reduction rate in the normal patients were higher than the obese. In this study, there are errors on somato type. So I think more research have to be done. Then application of Dose Modulation technic can help in maintaining acceptable image quality while reducing radiation dose by 20-60% in most instances.

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Serum Lipid Profile and Nutritional Status in 6~7 Year Old Obese Children (6~7세 비만아에서 혈청 지질과 영양 상태에 관한 연구)

  • Rim, Jee-Yeon;Moon, Ji-Young;Lee, Chul-Gab;Moon, Kyung-Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.11 no.2
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    • pp.160-168
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    • 2008
  • Purpose: This study was designed to characterize the nutritional status and assess obesity to determine the relationship between obesity and serum lipid profiles in 6~7 year old children. Methods: In 2007, we surveyed 483 children (233 boys and 250 girls) aged 6~7 years. The total cholesterol, triglyceride levels and HDL-cholesterol were measured in the fasting state. Dietary information was obtained by a questionnaire. Results: The prevalence of obesity was 9.9%. There was no significant difference between genders. The mean caloric intake was 1,781 kcal in boys and 1,640 kcal in girls. The prevalence of excessive calories was 33% in boys and 30% in girls. The prevalence of a total cholesterol ${\geq}$200 mg/dL was 8.4%, TG ${\geq}$130 mg/dL was 5.0%, LDL-cholesterol ${\geq}$130 mg/dL was 3.1%, and HDL-cholesterol <35 mg/dL was 4.4%. The prevalence of hypertension was 2.1%. There was no significant difference between genders. The systolic blood pressure, triglyceride levels and LDL-cholesterol were significantly related to an increased obesity index (p<0.05). The mean caloric intake and nutritive component were not related to the obesity index. The obesity group was compared to the control group: for triglycerides ${\geq}$130 mg/dL the odds ratio was 4.08; for LDL-cholesterol ${\geq}$130 mg the odds ratio was 2.85; for a TC/HDL-cholesterol ${\geq}$4.0 the odds ratio was 1.16. The BMI and triglyceride levels in the group with hypertension were higher than control group (p<0.05). There were significant positive correlations between the BMI and blood pressure as well as the LDL-cholesterol and triglycerides (p<0.05). The BMI was not correlated with the mean caloric intake or nutrition. Conclusion: The prevalence of hypertension and hyperlipidemia in 6~7 year old children was significantly related to an increased obesity index. The management of obesity in 6~7 year old children should include a reduction in the risk for hyperlipidemia and hypertension.

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Study on the Health-related Behaviors in Residents from Rural Areas (일부 농촌지역 주민의 건강관련 행태에 관한 연구)

  • Won, Dal-Ho;Lim, Hyun-Sul;Bang, Mi-Ran
    • Journal of agricultural medicine and community health
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    • v.28 no.2
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    • pp.31-48
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    • 2003
  • Objectives: This study evaluated the status of Health-related Behavior in residents from rural areas. A self-administered questionnaire was given to 1,754 people (men; 633 persons, women; 1,121 persons) in rural areas aged over 30 years and under 80 years in Buk-myeon, Uljin-gun and Gigye-myeon, Pohang-si, Gyeongsangbuk-do in 2001 and 2002. Methods: The collected data was analyzed using a chi-square test after an age-adjusted and a chi-square trend test. The data was analyzed using a SPSS/win ver. 10.0. Results: The age-adjusted prevalence of the individual unhealthy behavior according to sex was 56.1% in men and 6.8% in women with regard to smoking; 65.4% and 21.6% with regard to drinking; 72.6% and 76.6% with regard to non-exercise on a regular basis; 23.3% and 28.2 with regard to an obese body mass index; 61.5% and 71.1% with regard to non-scaling in the dental service. The rate of alcohol and tobacco consumption increased with increasing age in both men and women (p<0.01). The age-adjusted proportion in the non-screening examination for stomach cancer according to sex was 49.3% in men and 51.4% in women; 64.0% and 70.7% in liver cancer; 88.9% and 87.5% in colon cancer; 58.3% and 59.1% in undergoing a medical health screening. Conclusions: It is essential for health educators to promote Health-related Behavior in residents in rural areas. In addition, it is expected that the health status of residents in rural areas will improve through efforts to encourage them to take more interest in a healthier lifestyle.

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Effects of Small Colored Potato Extracts by High-Pressure Extraction on Serum Lipid Levels in High Fat Diet Fed Rats (꼬마색깔감자 초고압 추출물이 고지방식이를 섭취한 흰쥐의 혈청지질농도개선 미치는 영향)

  • Rha, Young-Ah;Choi, Mi-Sook;Kwon, Min-Soo;Hwang, Young-Jeong;Park, Sung-Jin
    • Culinary science and hospitality research
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    • v.20 no.4
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    • pp.157-168
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    • 2014
  • We investigated the anti-obesity effects of small colored potato extracts by high pressure water extraction process on body weight, plasma lipid levels in high-fat diet-induced obese mice. Experimental groups were divided into basal diet only (Normal), high fat diet control (HFD), small colored potato water extracts (CP), and high-fat diet and small colored potato water high pressure extracts (HCP) groups. The levels of hematological variables were not significantly different among the four groups. Compared with the HFD group's serum total cholesterol level of $86.01{\pm}1.16mg/dL$, the levels of the CP and HCP groups were significantly lowered to $80.29{\pm}1.28$ and $77.21{\pm}4.21mg/dL$, respectively. Compared with the HFD group's LDL-cholesterol level of $18.92{\pm}2.44mg/dL$, the LDL-cholesterol levels of the CP and HCP groups were significantly lowered to $13.52{\pm}1.26$ and $12.93{\pm}1.26mg/dL$, respectively. Also, compared to the HFD group's serum triglyceride level of $82.71{\pm}3.94mg/dL$, the level of the HCP group was significantly lowered to $63.24{\pm}6.32mg/dL$. These results suggested that dietary supplementation of small colored potato extracts using high pressure water extraction does not have any adverse effects on the hematological variables, while improving the lipid content and reducing hepatic damage of the high-fat fed rats.

Excessive Daytime Sleepiness Case Confounding with Thyrotoxicosis (과도한 주간 졸림과 탈력발작을 주소로 내원한 환자에서 발견된 갑상선 중독증)

  • Chung, Jae-Kyung;Kim, Eui-Joong
    • Sleep Medicine and Psychophysiology
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    • v.18 no.1
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    • pp.40-44
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    • 2011
  • Narcolepsy is a sleep disorder, which is characterized by excessive daytime sleepiness (EDS) that is typically associated with cataplexy, sleep fragmentation and other REM sleep-related phenomenon such as sleep paralysis and hypnagogic hallucination. Narcoleptic symptoms can be developed from various medical or neurological disorders. A 17-year-old male patient admitted for the evaluation of EDS which started three-month ago. He slept more than 18 hours a day with cataplexy and hypnagogic hallucination. He was obese with body mass index (BMI) of 30.4 kg/$m^2$. After admission he was newly diagnosed to the thyrotoxicosis. T3 391.2 ng/dL (60-181), free T4 4.38 ng/dL (0.89-1.76), TSH <0.01 ${\mu}IU$/mL (0.35-5.5) were measured. His pulse rate ranged 70-90 beats per minute and blood pressure ranged 150/100-120/70 mmHg. Polysomnography revealed many fragmentations in sleep with many positional changes (81 times/h). Sleep onset latency was 33.5 min, sleep efficiency was 47.9%, and REM latency from sleep onset was delayed to 153.6 min. REM sleep percent was increased to 27.1%. Periodic limb movement index was 13.4/h. In the multiple sleep latency test (MSLT), average sleep latency was 0.4 min and there were noted 3 SOREMPs (Sleep Onset REM sleep period) on 5 trials. We couldn't discriminate the obvious sleep-wake pattern in the actigraph and his HLA DQB1 $^*0602$ type was negative. His thyroid function improved following treatment with methimazole and propranolol. Vital sign maintained within normal range. Cataplexy was controlled with venlafaxine 75 mg. Subjective night sleep continuity and PLMS were improved with clonazepam 0.5 mg, but the EDS were partially improved with modafinil 200-400 mg. Thyrotoxicosis might give confounding role when we were evaluating the EDS, though sleep fragmentation was one of the major symptoms of narcolepsy, but enormous amount of it made us think of the influence of thyroid hormone. The loss of sleep-wake cycle, limited improvement of EDS to the stimulant treatmen, and the cataplexy not supported by HLA DQB1 $^*0602$ should be answered further. We still should rule out idiopathic hypersomnia and measuring CSF hypocretin level would be helpful.

Antioxidative Activities of the Codonopsis lanceolata Extract in vitro and in vivo (더덕(Codonopsis lanceolata) 추출물의 in vitro 및 in vivo 항산화 효과)

  • Kim, Soo-Hyun;Chung, Mi-Ja;Jang, Hae-Dong;Ham, Seung-Shi
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.2
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    • pp.193-202
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    • 2010
  • In vitro activities of Codonopsis lanceolata (CL) 70% ethanol extract and its fractions (hexane, chloroform, ethyl acetate, butanol and water) were examined by total polyphenol content, reducing power, 2,2'-azino-bis(3-ethylbenzothiazoline-6-sulfonate) (ABTS), 2,2-diphenyl-$\beta$-picrylhydrazyl (DPPH), and oxygen radical absorbance capacity (ORAC) assays. The ethyl acetate fraction from CL ethanol extract (CLEA) showed the highest total polyphenol content (22.7 mg/g) among five fractions, and also exhibited an excellent reducing power (0.42~1.27 at $250\sim1,000\;{\mu}g/mL$). CLEA at $100\sim400\;{\mu}g/mL$ concentrations had 27.7~70.3% of ABTS radical scavenging activity and the highest DPPH radical scavenging activity (81.6% at $400\;{\mu}g/mL$). CLEA had dominantly higher $ORAC_{{ROO}{\cdot}}$activity compared to other fractions. CLEA and butanol fraction had significantly higher $ORAC_{{OH}{\cdot}}$ activities than 70% ethanol extract, hexane, chloroform and water fractions. The CLEA exhibited the highest antioxidant activity in CL 70% ethanol extract and its fractions. Thus, effect of CLEA treatment on antioxidant gene expression under the oxidative stress conditions by a high fat diet in animal model was studied by microarray and RT-PCR methods. The 31 antioxidant genes were expressed but the genes were not up-regulated at least a two-fold by CLEA treatment. We concluded that CLEA does not have an indirect antioxidant effect but a direct antioxidant effect by up-regulation of antioxidant genes in high fat diet-induced obese mice.

Cholesterol-lowering and Anti-obesity Effects of Polymnia Sonchifolia Poepp. & Endl. Powder in Rats Fed a High Fat-High Cholesterol Diet (야콘 분말이 고지방-고콜레스테롤 식이를 급여한 흰쥐의 콜레스테롤 저하 및 비만 억제효과에 미치는 영향)

  • Kim, Ah-Ra;Lee, Jae-Joon;Lee, Yu-Mi;Jung, Hae-Ok;Lee, Myung-Yul
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.2
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    • pp.210-218
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    • 2010
  • This study was carried out to investigate the effect of Yacon (Polymnia sonchifolia Poepp. & Endl.) powder on cholesterol-lowering and anti-obesity effects in rats fed a high fat-high cholesterol diet for 4 weeks to induce hyperlipidemic and obese rat model. Weight-matched male Sprague-Dawley rats were assigned to four groups according to dietary fat, cholesterol levels and Yacon powder levels. Experimental groups were normal diet group (N), high fat-high cholesterol diet group (HFC), high fat-high cholesterol diet with 5% Yacon powder group (HFC-PSL) and high fat-high cholesterol diet with 10% Yacon powder group (HFC-PSH). The body weight gain and FER were increased by a high fat-high cholesterol diet, but gradually decreased in the Yacon powder fed groups compared with the HFC group. Food intake was lower in HFC groups compared with N group. The liver and adipose tissue weights of HFC group were heavier than those of N group, whereas those of groups administered Yacon powder were gradually decreased. The serum ALT, AST, ALP and LDH activities elevated by a high fat-high cholesterol diet were significantly decreased by Yacon powder administration. Levels of serum total cholesterol, LDL-cholesterol, atherogenic index and cardiac risk factor showed a decreasing tendency in the Yacon powder fed groups compared with HFC group. The serum HDL-cholesterol level decreased in the HFC group and markedly increased in the Yacon powder fed groups. Levels of total cholesterol and triglyceride in liver and adipose tissues were lower in Yacon powder administered groups than those in HFC group. These results suggest that Yacon powder may improve lipid metabolism of serum, liver, and adipose tissue and potentially reduce lipid storage.

A Study on the Body Fat Content and Serum Lipids in Collegs Students (대학생의 체지방량과 혈청지질에 관한 연구)

  • 이영주;송경희
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.25 no.1
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    • pp.11-20
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    • 1996
  • 본 조사는 경기도 용인에 위치한 명지대학교의 남녀 대학생 202명의 대상으로 일반 환경과 혈철지질, 혈압, 체지방량 측정 검사를 중심으로 이루어졌으며, 조사 분석한 결과를 요약하면 다음과 같다. 1. 조사 대상자의 신체발달 상황을 보면 남자의 평균 신장과 체중 및 비체중치는 173.1cm, 65.9kg, 38.03이였고, 여자는 16.7cm, 52.4kg, 32.6로 한국인 성인의 표준치와 매우 유사한 수치였다. 체지방량 비율은 남자 16.4, 여자 24.0으로 나타 설별에 따른 차이가 뚜렸하였다. 2, 조사 대상자들의 수축기와 이완기의 혈압은 평균 $125\pm123mmHg,$ $77.2\pm11.1mmHg이고,$ 남자와 여자의 수축기 혈압은 각각 $132.3\pm1.9mmHg,$ $118.1\pm1.6mmhg로$ 정상 범위였다.확장기 혈압은 남녀 각각 $80.5\pm11.0mmHgm$ $73.9\pm102.m,Hg였으며$ 역시 정상범위에 포함되었다. 3. 혈청 지질의 검사 결과는 Tc는 남자 175.2mg/dl, 여자 183.6mg/dl로 나타났고 TG는 남자 108.4mg/dl, 여자 72.0mg/dl로 나타나 통RP적으로 유의한 차이가 있었다. (p<0.05). 또한 HDL-C는 남자 59.6mg/dl , 여자 64.3mg/dl 로 성별에 다른 유의적인 차이를 보였고 (p<0.05), LDL-C도 역시 남자 93.9mg/dl, 여자 104.8mg/dl로 나타나 통계적으로 성별에 다른 차이가 뚜렷하였다. (p<0.01). 조사결과 다른 연령층의 성인과는 달리 TG를 제외한 TC, H이-C, L이-C에 있어서 남자가 여자 보다 더 낮은 수치를 보였다. 4. 혈압에 따라 세 그룹으로 분류한 후 혈청 지질과의 관계를 보면, 수축기 혈아이 증가함에 따라 TC, TG, LDL-C은 증가하는 경향을 보였으며, HDL-C은 감소되었으나 통계적으인 유의성은 없었다. 이완기혈압의 겨우 89mmHg 이하 보다 90~94mmHg의 경우에 유의적으로 증가되었으며 (p<0.05) HDL-C은 감소하였으나 유의성은 없었다. 5. 혈정 지질과 비만도의 관계는 남녀 모두 양의 상관관계를 나타냈으나 여자보다 남자에서 뚜fut이 나타났다. 남자의 겨우 TC의 수치가 KI에 따라 110% 미만일 때 $169.7\pm31.5mg/dl,$ 110~120%일 때 $193.8\pm36.8mg/dl,$ 120% 이상 일 때 $202.2\pm29.3mg/dl로$ 비만도에 따른 유의적인 증가를 (p<0.05)보여주었으나 여자의 경우는 유의적인 차이가 없었다. TG의 수치는 남자의 경우 KI가 110%미만인 그룹은 $102.9\pm108.2mg/dl,$ 120% 이상인 그룹은 $112.2\pm40.0mg/dl로$ 비만도가 증가함에 따라 TG가 증가되었으나 유의적인 차이는 없었으며, 여자의 경우 유의적인 차이가 없었다. 남자의 경우 HDL-C은 비만도가 증가함에 따라 유의적으로 감소하는 경향을 보였으나(p<0.05) 여자의 경우는 유의적인 차이가 없었다. 6. 조사 대상자의 체지방량 측정결과 체기방률은 남자의 겨우 16.4% 여자의 겨우 24.0%로 나타나 여자의 체지방률이 남자보다 높았다. 7. 신체계측치, 혈압, 혈청 지질간의 상관관계를 살펴보면 TC, TG는 KI, BMI와 유의적인 양의 상관관계를 보였고 (p<0.01), HCL-C은 비체중, BMI, LBM, TBM와 유의적인 음의 상관관계를 보였으며, (p<0.01), KI, SBP와도 음의 상관관계를 보였다. (p<0.05), LCL-C는 KI와 유의적이인 양의 상관관계를 나타내었으며 (p<0.01) BF%, TBF, BMI와도 양의 상관관계를 나타냈었다. (p<0.05). 또한 LPH, Al는 모두 나이, 비체중, BMI, KI와 유의적인 양의 상관관계를 나타내었다. (p<0.01). 이상을 종합해 보면 본 조사 대상자들은 비만도가 높아질수록 혈청 지질 수준이 놓았으며, 이완기 혈압도 형철 지질과 상관관계를 나타났다. 대학생의 혈청 지질과 체지방에 대한 자료가 부족함을 고려할 때, 본 조사자료가 학생의 혈청지질의 체지방에 대한 기초 자료로서 이용될 것을 기대하며 보다 다각적인 연구가 이루어지기를 바라는 바이다.

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Effect of 5 Week Long High-Fat Diet on Energy Metabolic Substrate Utilization and Energy Content Evaluation of Dietary Fat (5주간의 고지방식이 섭취시 흰쥐의 에너지 대사 기질 이용과 식이지방에너지 평가에 관한 연구)

  • Hwang, Hye-Jung;Kim, Ji-Su;Suh, Hea-Jung;Lim, Ki-Won
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.41 no.8
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    • pp.1094-1099
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    • 2012
  • This study investigated the effect of a long-term high-fat diet on energy metabolic substrate utilization in resting rats in order to revalue source fat energy efficiency during a high-fat diet and its effect on energy expenditure and body fat accumulation. Sprague-Dawley male rats at 4 weeks of age were bought from Orient Bio Con. The rats were divided into a control (CON) group and a high-fat diet (HF) group. Rats ate a high-fat diet (w/w 40%, kcal/kcal 64.9%) ad libitum for 5 weeks. Food intake and body weight were measured every day at 09:00 throughout the experimental period. Energy expenditure was measured using an animal energy metabolism chamber after 4 weeks. The final body weight did not change between the CON and HF groups, but caloric intake was significantly higher in the HF group than in the CON group (p<0.05). There was no difference between the groups in oxygen uptake, however carbon dioxide production was significantly higher in the HF group. Also, the respiratory exchange ratio was higher in the HF group. Carbohydrate oxidation was lower in the HF group than in the CON group, but fat oxidation in the HF group was greater. These results mean that energy substrate oxidation at rest is affected by diet composition, especially dietary fat content. Abdominal fat fad weights were significantly higher by 33% in the HF group than in the CON group even though the calorie intake in the HF group was higher by 6%. These results suggested that the dietary fat calorie value might have a higher Atwater value of 9 kcal/g, which mean that dietary fat calorie values could be reconsidered in body weight control scenarios such as which the obese or weight class athletes.

Effect of Diets with Job's Tears and Cudrania tricuspidata Leaf Mixed-powder Supplements on Body Fat and Serum Lipid Levels in Rats Fed a High-Fat Diet (율무와 꾸지뽕잎 혼합물이 고지방식이를 급여한 흰쥐의 체지방 및 혈청 지질농도에 미치는 영향)

  • Park, Ju-Hun;Lee, Kyoung-Won;Sung, Ki-Seung;Kim, Sung-Soo;Cho, Kyung-Dong;Lee, Bog-Hieu;Han, Chan-Kyu
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.41 no.7
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    • pp.943-949
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    • 2012
  • This study investigated the effects of diets with a supplement of Job's tears (JT) and Cudrania tricuspidata leaf (CTL) powder as a functional food ingredient on obesity and lipid profiles in diet-induced obese rats. Male Sprague-Dawley rats were fed a high-fat diet (D12492, 45 kcal fat) for 5 weeks during the first phase. In the second phase, which lasted 5 weeks, the rats were divided into four experimental groups. The groups were a high-fat diet group as a control (HFD), a high-fat diet with 10% JT powder supplement group (JT-10), a 10% CTL powder supplement group (CTL-10), and a 20% JT and CTL 1:1 mixed-powder supplement group (MIX-20). The adipose tissue (RFP, EFP) weights were significantly decreased in the CTL-10 and MIX-20 groups than in the HFD group (p<0.05). The fecal weight produced by the MIX-20 group was highest among all experimental groups (p<0.05), and it was significantly increased during the second phase compared to the first phase (p<0.05). The serum total cholesterol content was significantly decreased in the CTL-10 and MIX-20 groups, and the LDL-cholesterol content was significantly low in the JT-10 and MIX-20 groups than in the HFD group (p<0.05). The blood glucose levels were significantly decreased in all experimental diet supplement groups than in the HFD group (p<0.05). The findings show that a diet of mixed JT and CTL could improve lipid metabolism.