Purpose: This study aimed to explore and understand the health promoting behaviors of low-income overweight and obese women in Korea. Methods: Data were collected from 10 low-income overweight and obese women working at a community self-sufficiency center through semi-structured in-depth interviews. Individual interviews were conducted and transcribed. Deductive content analysis was done, using the MAXQDA program. Results: The health promoting behaviors practiced by low-income overweight and obese women were affected by intrapersonal, interpersonal, and organizational/ community factors. Six categories were identified and two category clusters were derived that could best describe their health promoting experiences. As main category clusters, despite "feeling that the body and mind are not healthy" participants noted "difficulty maintaining a healthy lifestyle." Overall, the participants had poor nutritional status, lacked physical activity, experienced much stress in intrapersonal level, and faced intrapersonal-level barriers to health promoting behaviors. Moreover, participants had a lack of personal will, and lack of specific information to practice health promoting behaviors, a lack of time, and too many overall burdens to earn a living for their family while trying to maintain health promotion behaviors. Conclusion: Lifestyle interventions for nutrition management, encouragement of physical activity, and stress management are needed for overweight and obese low-income women. In addition, social support and policies are needed to improve their living environment.
The purpose of this paper is to determine the percentage of body fat by measurement of skin-fold thickness of the triceps and the subscapular area to investigate the relationship between the daily energy intake and expenditure among obese women and nonobese women based on the percentage of body fat and age. This survey included 422 females in Cheju. 1) The age distribution of the 422 females surveyed was : 26.8% were in their 20's, 20.6% in their 30's, 21.3% in their 40's, 19.0% in their 50's and 12.3% were above 60 years of age. The 422 females consisted consisted of 78% housewives, 12.8% college student and 9.2% single working women. 2) The average height and weight of the surveyed women were respecitively 159.0$\pm$4.2cm and 56.0$\pm$7.2kg, the percentage of body fat of the surveyed women was 24.8$\pm$9.8%, and the BMI of those surveyed was 22.7$\pm$2.7. If higher than 30% body fat was defined as being obese, 15.6% of the surveyed women were assessed to be obese. 3) Total daily food consumption and energy intake of the group of women aged 60 and older was significantly small. Food consumption and nutrient intake of obese women was greater than that of the nonobese group, but not significant. Carbohydrate intake of the obese group in their 40's was significantly higher than the nonobese group. Total food consumption, energy and carbohydrate intake of the obese group in their 50's was significantly higher than the nonobese group. Vegetable intake of the obese group in their 60's and older was significantly higher than the nonobese group. 4) The total time of physiological activity of women aged 60 and older was significantly higher than for the other age groups and the total work time was significantly lower. The total work time of women in their 20's was not lower than the other groups. Considering the low energy expenditure of physical activity for women in their 20's, they appeared to have light activity. However, there was not a significant difference in the physical activity time among middle aged women groups(from 30 to 50). The entire energy expenditure of the obese group was greater than the nonobese group. However, the energy expenditure per body weight in the obese group was significantly less than that of the nonobese group in terms of the basal metabolic rate in consideration of the fat free mass. 5) There was a positive correlation between the percentage of body fat and the factors of age, sleeping time, total time of physiological activity, housework time, time spent watching TV, energy expenditure, energy intake, carbohydrate and cereal consumption. On the other hand, the percentage of body fat was negatively correlated with energy expenditure per body weight based on the basal metabolic rate in consideration of the free mass.
Purpose: The purpose of this study was to verify the effect of aromatherapy program on lowering body mass index and serum estrogen in obese post-menopause women. Method: One group Pretest-posttest experimental design was used. All subjects received intervention of aromatherapy program. The participants used 3% grapefruit oil, cypress and three other kinds of oil. BMI and Serum estrogen level of the participants' were measured by ZEUS 9.9(Resource Medical, 2004) and PACKARD Gamma Counter-Cobra II RI Manual(USA, 1997) before and after interventions being applied at the P. hospital. Data were analyzed by paired t-test using the SPSS/PC+Win 12 Version. Result: The level of serum estrogen and BMI of the participants were significantly decreased after aromathetapy program. Conclusion: These results suggest that the effect of aromatheapy program could be utilized as an effective intervention to reduce BMI and serum estrogen level in obese post-menopause women.
This study was carried out on 91 obese women who satisfied both of the conditions for obesity: over 1.6 in Rohrer index and over 90cm in bust girth. The purpose of this study was to analyze and classify the lower body of obese women and find out their respective characteristics. Twenty seven measurement items(21 direct measurement items and 6 indirect measurement items) were used for factor-analysis and cluster-analysis. In the study of lower body type, 7 factors were as a result of factor analysis and those factors were comprise 75.9% of total variance. Lower bodyshape were classified 3 types according to the cluster analysis. Type 1 was protrude of the hip, type 2 was short leg and protrude of the abdominal region and type 3 was obese of hip and long leg.
The purpose of this study was improvement of the pants fit for obese women. The results were as follows; 5 obese women in their 20s and 30s were selected for the testing 3D body. They showed no significant differences in all items, comparing with the data of 5th Size Korea body dimensions. The average waist circumstance of the subjects' 3D body dimensions was 87.0 cm and hip circumstance was 102.4 cm, and their obese body types had similar mean values. Based on the survey results and the 3D body dimensions of 5th Size Korea body dimensions, a pants pattern to supplement their body type and improve a fit was designed with waist circumference(88 cm), hip circumference(103 cm), crotch length(27.1 cm), thigh circumference(62 cm), pants length(97 cm), pants hem line circumference(44 cm). Based on the detailed design of ready made pants and the study results of young obese women's preference for pants design, pants of straight silhouette and semi-tight fit which have waist line lowered by 3.5 cm from the waist circumference line, 3.5 cm belt width, no front dart and one back dart, were manufactured with 100% black cotton and cotton spandex mixed fabrics.
This study investigated the anthropometric characteristics of US women 26 to 45 years of age to classify their body shapes into different categories. Research data was obtained from 2950 women 26 to 45 years of age who participated in the SizeUSA study. A 26 to 35 years of age group and a 36 to 45 years of age group were selected from the data pool. A total of 26 measurements important for body shape classification and for apparel product development was used for the data analysis. Five factors accounted for the US women's body measurements. The body shapes of women were categorized into 4 types: Obese A-Shape, Overweight Y-Shape, Obese H-Shape, and Normal S-Shape. Normal S-Shape was the most common body shape type. More women in the 26 to 35 years of age group had Normal S-Shape type than women in the 36 to 45 years of age group. More women in the 36 to 45 years of age group had Obese A-Shape, Overweight Y-Shape, and Obese H-Shape than women in the 26 to 35 years of age group. Younger US women, 26 to 35 years of age had slimmer body sizes with more balanced body shapes; however, older US women, 36 to 45 years of age had larger body sizes with more various body shapes.
Objective: A number of candidate genes have been in implicated in the pathogenesis of obesity in humans. Tumor necrosis factor-alpha $(TNF-{\alpha})$ is expressed primarily in adipocytes, and elevated levels of this cytokine have been linked to obesity and insulin resistance. Recently, the A allele of a polymorphism at position 308 in the promoter region of $TNF-{\alpha}$ (G-308A) has been shown to increase transcription of the gene in adipocytes. Therefore, we designed this study to test whether obese and non-obese subjects differ in $TNF-{\alpha}$ genotype distribution, and how the genotypes affect anthropometric parameters, including degrees of body mass index (BMI). Methods : The study included 153 obese but otherwise healthy women ($BMI{\geq}kg/m^2$, range 25-54.7, age range 15-40 years) and 82 non-obese healthy women ($BMI, age range 15-40 years). Total fat mass and percent body fat were determined by dual-energy X-ray absorptiometry. Genomic DNA was extracted and used for Ncol restriction fragment length polymorphism (RFLP) based genotyping of $TNF-{\alpha}$. Results: No differences were observed for allelic and genotype frequencies between the obese ($BMI{\geq}25$) and non-obese women. Also, no association of TNF-(l polymorphism was observed with body mass index (BMI) for genotype in obese women. In addition, age, pertent body fat, BMI, and cholesterol levels did not differ by $TNF-{\alpha}$ genotype. However, waist-tohip ratio (WHR) was significantly lower in subjects with $TNF-{\alpha}$ GA or AA genotype (0.94 0.07 vs. 0.920.03, P<0.005). Conclusion: These results suggest that $TNF-{\alpha}$ promoter polymorphism at position-308 is not a significant factor for BMI, but affects the WHR in obese healthy women from Koreans.
The purpose of this paper is to find how to do the width of skirt and the girth of the waist in the adequate pattern making for the obese women's skirt. Appearance test of the five experimental skirts was evaluated by the four experts in clothing construction. At the same time, 3D clothing air volume was observed for the five types of experimental skirt with different size specifications. The results from the appearance test were as follows; when the width of skirt pattern is set for(the shell girth/2), it was suggested w/4+1(front), w/4(back) for girth of the waist. On one hand, in case of (the shell girth of front)/2+(the shell girth of back)/2, it was suggested(the waist girth of front)/2 and(waist girth of back)/2 for obese women's skirt with the best appearance. As results, it was found that the width of skirt pattern for the obese women should be the greatest shell girth instead of hip girth. In the case of the hip girth, the amount of ease on hip was suggested 6cm. It was found that pattern with the wrinkle of ease was full of the gaps between body and skirt in 3D clothing air volume. In spreading out to 2D flat pattern from 3D scan data, when the width of skirt pattern was set for(the shell girth of front)/2+(the shell girth of back)/2, it was suggested(the waist girth of front/2)+(the waist girth of back/2) than the shell girth/2 in girth of the waist for the best appearance. And the conversion of 3D scan data into 2D flat pattern in curve shape of crosswise had to spread out of the plane in straight line. The obese women's clothing should be manufactured with systematical consideration of the diversity and scarcity of the obese women's body shape.
Purpose: This study was done to examine the difference in cancer screening with mammography and Papanicolaou smear according to Body Mass Index (BMI). Methods: The participants in this study were 5,912 women ages 40 to 69 yr, selected from the Korean Genomic Regional Cohort in Kangwon province. Mammography and Papanicolaou smear were assessed by questionnaire and body weight (kg) and height (m) measured to calculate BMI. Results: The distribution of BMI was as follows: low weight (1.5%), normal weight (31.1%), over weight (24.6%), mildly obese (36.4%) and severely obese (6.3%). After adjusting for age, education and monthly income, compared with normal weight women, overweight women (odds ratio [OR]=1.283, 95% confidence interval [CI]=1.089-1.513) and mildly obese women (OR=1.214, 95% CI=1.048-1.406) were less likely to have had mammography. In contrast to mammography, cancer screening with Papanicolaou smear was not significantly different by BMI. Conclusion: Obese women in rural areas are less likely to screen for breast cancer by using mammography than non obese women. To ensure regular screening for breast cancer, health care providers need to give scrupulous care to obese women and remove barriers originated from obesity. Also, educational and clinical implications are considered to increase the Papanicolaou smear rate.
Objectives To investigate the relationship between Heart Rate Variability and menopause among obese middle-aged women in Korea. Subjects and Methods Forty middle-aged women (age 49.05 $\pm$ 2.64 years) with BMI > $23kg/m^2$ were recruited by local advertisement. Blood profiles of estrogen, FSH, LH, glucose, total cholesterol, HDL-cholesterol, and triglyceride were measured. Autonomic Nervous System (ANS) was estimated by short-term spectral analysis of heart rate variability (HRV). Visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) were accessed using Computerized Tomography (CT), Bioimpedance Analysis (BIA), and anthropometry. To scrutinize the influence of ANS on obesity-related factors, we divided the subjects into pre- and post-menopausal women. Results The total cholesterol, FSH and LH were significantly higher in post-menopausal obese women group. The estradiol and standard deviation of all normal R-R intervals (SDNN), high-frequency components (HF) of the HRV were significantly lower in postmenopausal obese women group (P<0.05). Adipose tissue distribution and blood profiles were not significantly different between two groups. Conclusion Menopause induced a decrease in SDNN and HF values and increase in total cholesterol level in obese women although the VAT itself was not related with ANS in obese women.
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