• 대한영양사협회학술지
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• 제11권3호
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• pp.365-374
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• 2005

This study was conducted to compare the validity of obese index among body mass index(BMI), waist to hip ratio(WHR), and waist circumference(WC) and to determine which is the best in relation to cardiovascular risk factors of middle aged Korean(40-64yr).Data from the 1998 Korean Health and Nutrition Survey were used(N=3380). Anthropometric indices and cardiovascular risk factors were measured. Chi-square test, analysis of variance following duncan's multiple range test, partial correlation analysis, and Receiver Operator characteristic(ROC) curves were used in the analysis. There was a significant increasing trend in WHR, systolic blood pressure(SBP), high density lipoprotein cholesterol(HDL), and fasting blood sugar(FBS) with age categories of male and in BMI, WC, WHR, diastolic blood pressure(DBP), SBP, total cholesterol(TC), low density lipoprotein cholesterol(LDL), triglycerol(TG), and FBS with those of female. Specially female had the characteristics of upper body fat and systolic blood pressure risk(p<0.05). Proportions of subjects with lifestyle factors related to cardiovascular risk in overweight or upper body fat group were higher than that of normal group. Higher proportions of subjects were practiced exercise in upper body fat group of male than in other groups. Among 7 cardiovascular risk factors in partial correlation analysis, BMI had the highest correlation coefficient in 6 risk factors in male, whereas WC in 4 risk factors in female. Mean of each obese index according to cardiovascular risk groups except smoker was higher than that of normal(p<0.05). These trends were shown in upper body fat group and female. In ROC analysis of 12 risk factors and health conditions, the largest area under curve among obese indices for risk factors were BMI in male and WHR in female. The optimal cutoff values of each index(BMI: WHR: WC) for one or more cardiovascular risk factors were 23.13: 0.89: 85.35 in male and 23.57: 0.84: 78.35 in female. The results showed that cardiovascular risk factors were prevalent in middle aged Koreans within normal limits of obese indices like another Asians. For the identification of cardiovascular risk factors of middle aged Koreans, BMI for men and WHR for women are appropriate indices. But it is recommended that BMI, WHR, and WC, all three indices should be considered, when using these indices.

• Clinical and Experimental Reproductive Medicine
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• 제32권2호
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• pp.155-164
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• 2005

Objective: This study was performed to investigate the effects of pioglitazone, an insulin sensitizing agent, on insulin resistance, ovarian function and intraovarian stromal blood flow in patients with polycystic ovarian syndrome (PCOS). Material and Methods: Thirty patients with PCOS, aged 18~34 years, were recruited. Criteria for diagnosis of PCOS were as defined in 2003 Rotterdam consensus. They were treated for 6 months with pioglitazone at a dose of 30 mg/day orally. The hormonal blood profile, fasting serum glucose levels, a glycemic response to 75 g oral glucose tolerance test (OGTT), and an ovarian stromal artery (OSA) blood flow were assessed at baseline and after 6 months of treatment. Results: Eighteen (60.0%) of 30 patients treated with pioglitazone demonstrated a spontaneous ovulation After pioglitazone treatment, fasting insulin concentrations, serum glucose levels after 75 g OGTT significantly decreased (p=0.001, p=0.04, respectively), and fasting glucose to insulin (G/I) ratio significantly increased (p<0.001). The pioglitazone treatment induced a significant reduction in serum LH, testosterone (T) and free T levels (p<0.001, p=0.02, p=0.002, respectively). The resistance index (RI) values of OSA significantly increased after treatment (p<0.001). In analyzing pioglitazone-treated patients according to their body mass index (BMI), nonobese group as well as obese group showed a significant improvement in fasting G/I ratio (p<0.01). The pioglitazone treatment induced a significant reduction in serum LH and free T levels in nonobese group (p<0.001, p<0.05, respectively) as well as obese group (p=0.001, p<0.05, respectively). The RI values of OSA significantly increased in both nonobese and obese groups after pioglitazone treatment (p<0.001, p=0.003, respectively). Conclusions: Pioglitazone could ameliorate the glycoinsulinemic metabolism, and this beneficial effects of this drug could improve the endocrine-reproductive condition associated with the decrease of ovarian stromal artery blood flow, in both nonobese and obese patients with PCOS.

• Perspectives in Nursing Science
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• 제13권2호
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• pp.88-95
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• 2016

Purpose: Gestational weight gain and prepregnancy body weight are important factors of childbirth outcomes, which further cause obesity, metabolic diseases, or psychological problems later in women's lives. Changes in diet, westernized lifestyle, traditional postpartum care, and childbirth at older age are thought to be threats to proper weight management in Korean women of reproductive age. Public health and antenatal care need to focus on the proper body weight management of women by carefully planning pregnancy to postpartum periods. Purpose: This study explored the body weight changes from pregnancy to postpartum and the related characteristics in women within 12 months after childbirth. Methods: A cross-sectional, retrospective study was conducted with 102 Korean women within 12 months after childbirth. Data were collected using an online survey system, and a structured questionnaire available for electronic self-administration was modified to include demographics, obstetrical history, and body weight at 6 time points. The International Physical Activity Questionnaire and Eating Habit Measurement instruments were also used in data collection. A professional survey agency recruited the participants, and data were automatically saved and then analyzed. Results: The average age of the participants was 33.8 years, 48% were housewives and were well-educated. Seventy-two percent of the participants were primiparas and 82% had breastfed their babies. The body mass index (BMI) ranged from 17.3 to 27.8, indicating that 21.5% of the participants were overweight or obese. The mean gestational weight gain was 11.8 kg, and weight loss was apparent during the first 3 months postpartum. The mean decline in weight was 3.4 kg at one year after childbirth. Women wanted to lose 5.6 kg (range: 3~20 kg), however 44% of them reported that they had not engaged in any weight control efforts. Further, 72% of them reported having engaged in a low level of physical activity. Body weight was not associated with women's characteristics, physical activity score, and diet. Conclusion: Women's awareness of gestational weight gain, lifestyle modification, and the risk of prolonged weight retention should be promoted through the antenatal and women's healthcare systems. As pregnancy and childbirth are critical events that affect women's health, integrative education to ensure healthy transition to life after delivery is required.

• 한국식품영양과학회지
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• 제40권10호
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• pp.1417-1422
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• 2011

본 연구는 비만중년여성 34명을 대상으로 벨리댄스와 영양교육 실시가 신체조성과 혈청지질 및 인슐린 저항성에 미치는 요인을 구명하기 위하여 벨리댄스와 영양교육을 12주간 실시한 후 운동전과 후의 신체조성, 혈청지질, 인슐린 저항성, leptin 및 adiponectin 호르몬, 그리고 항산화능을 측정하여 비교분석하였다. 벨리댄스 프로그램은 1회 1시간씩 주3회 실시하였으며, 운동 강도는 60~85% HRmax로 실시하였다. 영양교육프로그램은 영양 교육과 개별 상담으로 나누어 총 4회 실하였다. 신체조성중 체중 5.53%, 체지방률 9.51%, BMI 5.61% 유의적으로 감소하였으며, 골격근량은 0.81% 증가하였다. 혈청지질의 변화는 TG 13.50%, TC 9.51%, LDL-C 10.43% 유의적으로 감소하였으며, HDL-C는 3.24% 증가하였다. 인슐린 농도는 19.76% HOMA-IR 지수는 18.22% 유의적으로 감소였다. Leptin 호르몬의 분비는 32.35% 유의적으로 감소하였으나 adiponectin 농도는 변화가 없었다. 그러나 총 유리기 농도는 증가하는 경향을 보였고, 혈중 총 항산화능의 변화는 없었다. 본 연구의 결과를 살펴보면 보건소에서 실시하는 비만클리닉 프로그램은 비만중년 여성의 체지방률을 낮추어 혈청지질 및 인슐린 저항성을 개선함으로써 건강을 증진시키는 긍정적인 효과가 있을 것으로 사료된다.

• 대한지역사회영양학회지
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• 제6권1호
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• pp.51-68
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• 2001

This investigation studied the relationship between Body Mass Index(BMI) and dietary intake, levels of serum lipid, lipoprotein(a) and plasminogen activator inhibitor-1(PAI-1) of 28.449 Korean adults(16.937 men, 11.542 women) from 1995 to 1999. The dietary assessment was conducted using 24-hour dietary records and food frequency questionnaires. During this five year study, the BMI normal-weight group, as a percentage of the annual test population, decreased from 68.0% to 60.2%, while the BMI overweight and obese groups collectively increased from 25.0% to 29.7%. The levels of serum total cholesterol (TC), LDL-cholesterol(LDL-C), Triacylglycerol(TG) and PAI-1 increased as the values of BMI increased, while the levels of HDL-cholesterol(HDL-C) and lipoprotein(a)(men only) appeared to decrease as values of BMI increased. The levels of daily energy intake also increased as values of BMI increased in both men and women. The obese group had significantly higher levels of carbohydrate, protein, fat(men only), and cholesterol intake than those of the normal-weight, underweight, and overweight groups. In men, BMI positively correlated with the levels of macronutrients and cholesterol intake(p＜0.001), % energy of protein, fat, and alcohol intake(p＜0.001), and the levels of serum TC, LDL-C, TG and PAI-1(p＜0.001), while BMI negatively correlated with % energy of carbohydrate intake, and the levels of Lp(a) and HDL-C(p＜0.001). In women, BMI negatively correlated with level of cholesterol(p＜0.01), fat(p＜0.001), alcohol intake(p＜0.05),% energy of fat (p＜0.001), % energy of alcohol intake and level of and HDL-C(p＜0.001). Subjects who had serum TC, LDL-C, HDL-C, and TG levels greater than the standard reference values(TC＞240mg/㎗, LDL-C＞130mg/㎗, HDL-C＞35, TG＞200mg/㎗) exhibited a higher intake of the three macronutrients, iron, calcium, meat, milk and fatty foods than those subjects who had serum lipid concentrations less-than-or-equal-to the standard reference values. Overall, there was positive correlation between the high risk factors of vascular disease variables, dietary intake, and BMI. Prevalence of hypertension and high blood sugar were increased as BMI increased, but the prevalence of hypertension is decreased as the year goes by. These findings showed that dietary intake, level of serum lipids and other vascular disease risk factors increased as BIM increased. Therefore, middle or upper class Korean adults who have high BMI should improve their eating habits. This involve reducing alcohol, animal fat, high carbohydrate foods, and overall food intake, and balancing intake in order to lower vascular disease risk factors, including obesity.

• 한국임상약학회지
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• 제9권1호
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• pp.19-26
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• 1999

Adequate nutrition is important in maintaining optimal health. Malnutrition can expose individual to increased risks of morbidity and mortality. The purposes of this study were to determine the basal energy expenditure (BEE) of Korean healthy subjects and TPN patients using Bioelectrical Impedance Analysis (BIA) method and to compare these values with those predicted by Harris-Benedict equation (H-B). BEE values measured by BIA were compared with predicted BEE values by the H-B formula in 59 clinically stable TPN patients and 65 healthy volunteers. In healthy volunteers and TPN patients, statistically significant differences were not shown between the BEE values measured by BIA (1392.5 Kcal and 1325.9 Kcal) and those predicted by H-B formula (1384.1 Kcal and 1270.1 Kcal). In male volunteers, statistically significant differences were not shown between BEE values measured by BIA (1670.7 Kcal) and the H-B formula (1550.9 Kcal), but in female volunteers, statistically significant differences were shown between BEE values measured by BIA (1194.8 Kcal) and the H-B formula (1265.6 Kcal). In male TPN patients, statistically significant differences were shown between BEE values measured by BIA (1453.5 Kcal) and the H-B formula (1335.9 Kcal), but in female TPN patients, statistically significant differences were not shown between BEE values measured by BIA (1126.4 Kcal) and the H-B formula (1167.2 Kcal). In normal healthy volunteers, $90.8\%$ of BEE values measured by BIA and in TPN patients $89.8\%$ of BEE values measured by BIA were within $15\%$ of BEE values predicted by the H-B formula in non-obese subjects. In conclusion, BEE values predicted by H-B formula or measured by BIA can be applied to non-obese Koreans. However, these values should be confirmed with Indirect calorimetry for Koreans.

• 생명과학회지
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• 제18권6호
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• pp.865-870
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• 2008

운동과 식이요법을 병행한 체중감량 프로그램에 참여한 여성 비만인의 체지방량, 안정시대사량, 그리고 갑상선 호르몬 차이를 비교할 목적으로 실험한 결과, 체지방량, 체지방율, 체표면적이 유의하게 감소되었고, 안정시대사량 예측치와 실측치 모두 유의하게 감소되었지만, 갑상선 호르몬의 변화는 나타나지 않았다. 안정시대사량과 신체요인들과의 상관분석 결과, 제지방 체충이 가장 밀접한 관계를 보였으며, 안정시대사량과 갑상선 호르몬들과의 관계에서는 TSH와 가장 밀접한 관계를 나타내었다. 결론적으로 8주간 체중감량 프로그램 참여로 체지방은 효과적으로 감소되었으나, 갑상선 호르몬 차이는 없었고 체중감소에 비해 제지방이 유지됨으로써 안정시대사량의 감소는 최소화되어, 에너지 대사작용에 긍정적인 영향을 준 것으로 사료된다.

• Journal of Preventive Medicine and Public Health
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• 제33권2호
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• pp.193-198
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• 2000

일부 농촌지역 주민을 대상으로 혈청 leptin농도와 비만지표의 관련성을 파악하고자 하였다. 역학조사에 참여한 주민 1036명 중 단순무작위표본추출하여 혈청 leptin 농도를 측정한 209명을 연구대상으로 하였다. 체질량지수, 체지방량 등의 비만지수는 신체계측, 생체전기저항분석법으로 측정하였으며 혈청 leptin농도는 면역 방사계수측정 법으로 측정하였다. 혈청 leptin농도는 비만지표인 체질량 지수, 체지방률, 체지방량, 허리둘레, 엉덩이둘레와 유의한 양의 상관관계가 있었다. 혈청 leptin농도는 과체중 또는 비만인에서 저체중 또는 정상인보다 유의하게 더 높았다. 혈청 leptin농도는 남자보다 여자에서 더 높았는데 체질량지수를 보정한 상태에서도 남자보다 여자에서 더 높았다. 혈청 leptin 농도는 남자에서는 허리둘레, 여자에서는 엉덩이둘레와 더 관련이 있어 높은 혈청 leptin농도는 남자에서는 복부형 비만, 여자에서는 둔부형 비만과 관련이 있는 것으로 나타났다. 본 연구에서 혈청 leptin 농도는 비만지표들과 양의 상관관계가 있었고, 정상인보다 비만인, 남자보다 여자에서 더 높았으며, 복부형 비만보다 둔부형 비만과 더 관련이 있었다. 이러한 결과는 비만이 leptin결핍보다는 leptin 저항성과 더 관련이 있다는 가설을 지지하는 것이다.

• 한국콘텐츠학회논문지
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• 제12권9호
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• pp.136-145
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• 2012

다양한 체형을 지니고 있는 소비자들에게 만족스러운 착용감을 주는 기성복 생산을 위해서는 체형 특성이 반영된 원형 제작이 필요하다. 인체는 체형에 따라 곡면의 형태가 달라지므로, 인체의 곡면 형태를 세분화하여 그 특성을 원형 설계에 반영할 필요가 있다. 그러나 기성복에서는 개인의 체형별 특징을 일일이 반영하기 힘드므로, 기성복 원형 제작에 활용 가능한 체형별 인대 모형이 요구되고 있다. 따라서 본 연구에서는 삼차원 인체스캔 데이터를 활용하여 체형을 분석하고 각 체형에 따른 인대모형 개발 방법을 제시하였다. 30대 성인 여성의 상반신 삼차원 인체 형상 자료를 분석한 결과, 체형 특성은 보통체형, 비만체형, 마른체형으로 분류되었다. 상반신을 기준선을 두어 나누어 계측한 결과, 체형에 따라 유의적인 차이가 나타났다. 계측된 각 부위별 삼차원 인체 치수를 기본 원형 설계 시 허리다트 위치 및 분량 설정에 반영하여 체형별 상반신 기본 원형을 제작하였으며, 이를 바탕으로 입체모형을 제작하여 스캔, 모델링 작업을 거쳐 체형에 맞는 원형 인대 모형을 제시하였다. 인대 모형은 인체의 입체 형상을 만들기 위한 다트선을 포함하고 있어 기본 원형 제작 및 원형 활용에 도움이 될 것으로 사료된다.

• 한방비만학회지
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• 제4권1호
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• pp.45-54
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• 2004

Objective: To evaluate the effect of Ephedra Sinica and Evodia Rutaecarpa on resting metabolic rate(RMR), weight and body composition in obese women during low-calorie diet. Methods: We recruited 90 healthy premenopausal women$(body\;mass\;index{\geq}25kg/m^2)$ and randomly assigned to three groups(ephedra group, evodia group and placebo group). Subjects were administered Ephedra Sinica(6g twice a day) or Evodia Rutaecarpa(6g twice a day) or placebo in a double-blind fashion and participated in low-calorie diet for 8 weeks. Resting metabolic rate and body composition were measured at baseline, 4 and 8 weeks. Results: RMR change for 4 weeks was significantly higher in the ephedra group compared with the placebo group(p<.05). But the change for 8 weeks was not significant and the Evodia group showed no significant RMR change. Weight and percent body fat changes for 4 weeks and 8 weeks were significantly higher than the placebo group in the ephedra group(p<.05), but the Evodia group didn't show significant level. Conclusions: This study supports and emphasizes the benefits of herbal medicine in maintaining or increasing RMR during low-calorie diet. Especially Ephedra treatment was effective on significant maintainment of RMR, loss of weight and percent body fat(P<.05).