• 대한지역사회영양학회지
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• 제16권1호
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• pp.126-135
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• 2011

Obesity is characterized by increased storage of fatty acids in an adipose tissue and closely associated with the development of insulin resistance and cardiovascular diseases (CVD) through secretion of adipokines. This study was done to compare serum insulin, leptin, adiponectin and high sensitivity C-reactive protein (hs-CRP) levels according to body masss index (BMI) in Korean adult women aged 19 to 50. In addition, we examined the association of BMI, serum lipids and Homa-IR with serum adiponectin, leptin and hs-CRP levels. The subjects were divided into 3 groups by their BMI, normal weight (BMI ${\leq}$ 22.9, n = 30), overweight (23.0 ${\leq}$ BMI ${\leq}$ 24.9, n = 71) and obese group (25.0 ${\leq}$ BMI, n = 59). Serum levels of total-cholesterol, TG, and LDL-cholesterol were significantly higher in obese group than in normal weight group. LDL/HDL ratio and AI were significantly higher in obese group than in normal or overweight group. Fasting serum levels of glucose and insulin and Homa-IR as a marker of insulin resistance were significantly higher in obese group than in overweight group. Serum leptin level was significantly higher in obese group while serum adiponectin level was significantly lower in obese group compared to other two groups. hs-CRP was significantly increased in obese group. Correlation data show that serum adiponectin level was positively correlated with serum HDLcholesterol level and was negatively correlated with BMI, WC, TG, LDL-cholesterol, Homa-IR, hs-CRP and leptin. In addition, serum leptin level was positively correlated with BMI, WC, glucose, insulin, Homa-IR and hs-CRP. These results might imply that the regulation of key adipokines such as adiponectin might be a strategy for the prevention or treatment of obesity-associated diseases such as diabetes and CVD.

• 기본간호학회지
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• 제13권3호
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• pp.485-492
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• 2006

Purpose: The purpose of this study was to identify body satisfaction and weight loss experience according to individual's discrepancy between obesity by BMI (body mass index) and self-assessment. Method: The data were obtained by measuring height, weight and using a questionnaire to obtain data on self-assessment of obesity, body satisfaction and weight loss experience. The participants were 286 women college students in J city, Chungbuk. Results: The mean BMI of the women college student was $21.4{\pm}2.93kg/m^2$ which is within the normal range. The concordance rates between obesity by BMI and self-assessment were 54.1%, 39.9%, 61.5%, 78.6% (Kappa=.29) in underweight, normal, overweight, obese students respectively. Forty seven percent of students who were not obese (BMI $<23kg/m^2$) assessed themselves as obese. The mean body satisfaction of college students was very low and 64.3% of the students had a weight loss experience. The students who perceived themselves to be 'obese' even when their BMI was under $23kg/m^2$ reported lower body satisfaction and higher weight loss experience than other students. Conclusion: There were significant discrepancies between obesity by BMI and self-assessment in women college students. The self-assessment of obesity had a greater effect on body satisfaction and weight loss experience than actual BMI in women college students.

• Asian Pacific Journal of Cancer Prevention
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• 제15권1호
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• pp.195-198
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• 2014

Aim: To evaluate precancerous lesions such as hyperplasia and endometrial polyps in obese postmenopausal women. Materials and Methods: Women who were referred with abnormal uterine bleeding in postmenopausal period or the presence of endometrial cells on cervical cytology in our department were investigated. Anthropometric measurements such as height, weight, body mass index, waist/hip ratio and endometrial thickness were compared between a precancerous lesion (hyperplasia and endometrial polyp) group and a pathologically normal group. Results: We detected statistically significant thickening of endometrium in patients with precancerous lesions. Moreover patients with precancerous lesions had higher body mass index than the pathologically normal group. Conclusions: We found elevated precancerous lesion rates in overweight and obese women in the postmenopausal period, of interest given that the prevalence of obesity is increasing in most parts of the world. Although screening for endometrial cancer is not recommended for the general population, in high-risk populations like obese postmenopausal women, it may be very important.

• 한방재활의학과학회지
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• 제18권4호
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• pp.189-201
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• 2008

Objectives : This study was performed to find out the relationships between abdominal fat and eating attitude in obese climacteric women. Methods : 42 obese climacteric women were recruited in August 2007. Anthropometry has been done and abdominal fat distribution had been assessed by CT scan at the level of L4-5 and eating attitude was measured using Korean Eating Attitude Test-26. Results : There were significant correlations between body mass index, percent of body fat and eating attitude. Total abdominal fat and visceral fat also increased with KEAT-26. Conclusions : There were relationships among eating attitude total fat, abdominal fat and visceral fat in obese climacteric women.

• 산업융합연구
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• 제18권5호
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• pp.108-117
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• 2020

본 연구는 비만중년여성을 대상으로 12주간 필라테스 매트 운동 프로그램을 통하여 신체구성과 지질대사에 미치는 영향을 비교 분석하여 심혈관질환 및 관상동맥질환 등 각종 만성질환에 관심을 두고 있는 비만중년여성의 건강유지 및 증진에 기초자료를 제공하고자 한다. 비만중년여성들을 대상으로 필라테스 매트 운동프로그램군과 통제군으로 구분하여 12주간 주당 3회 60분간 실시하였다. 측정변인으로는 신체구성과 지질대사의 변화를 분석하였으며 통계처리는 이원 반복측정 분산분석을 실시하였다. 분석결과 신체구성에서 운동군은 체중, 골격근량, 체지방량, 체지방율 및 신체질량지수에서 긍정적인 영향을 미쳤으며 통제군에서는 유의한 영향을 미치지 않았다. 지질대사에서 운동군은 총콜레스테롤, 중성지방, 고밀도 지단백 콜레스테롤, 저밀도 지단백 콜레스테롤, 유리지방산에서 긍정적인 영향을 미쳤으며 통제군에서는 유의한 영향을 미치지 않았다. 이와 같은 결과는 본 연구에서 실시한 12주간 필라테스 매트 운동 프로그램이 비만 중년여성들의 심혈관계 및 만성질환을 예방 할 수 있는 운동 프로그램이라고 생각된다.

• PNF and Movement
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• 제19권3호
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• pp.331-340
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• 2021

Purpose: The purpose of this study was to investigate the differences in body composition, upper and lower limb muscle strength, and functional physical ability in urban-dwelling elderly women with or without obesity. Methods: All study participants were assigned to the normal weight group (n=8, BMI<25) and the obesity group (n=7, BMI>25) based on their obesity rate. Anthropometric measurement was conducted and body composition was measured. For the upper and lower limb strength, grip strength and maximal isometric knee extension and flexion were evaluated by a dynamometer. The senior fitness test was performed to measure functional ability. Data analysis was conducted by the independent t-test and the alpha level was set at 0.05. Results: The waist, hips, and thighs of obese elderly women were thicker than those of normal-weight elderly women. This physical difference resulted from body fat mass, not muscle mass. Despite a similar level of limb muscle mass between the two groups, the upper limb grip strength was higher (24.00% for left, 19.95% for right) in the normal-weight women than the obese women (p<0.05), but otherwise there was no difference in maximal knee flexion or extension isometric strength. Functional physical ability showed no difference in a 30-second chair sit and stand test and a six-minute walk test, but a 30-second arm-curl (11.00% for left, 14.81% for right), back stretch (8.54cm for left, 8.99cm for right), chair sit and reach (9.22cm for left, 6.24cm for right), and 2.44 meter round trip walk (0.62 sec, 9.39%) were faster in performance for normal-weight elderly women than obese elderly women (p<0.05). Conclusion: Taken together, despite similar levels of upper and lower extremity muscle mass, normal-weight elderly women showed higher performance in upper limb strength, flexibility, and agility than obese elderly women, but there was no difference in lower extremity functional muscle strength and cardiopulmonary endurance.

• 대한지역사회영양학회지
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• 제12권5호
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• pp.583-591
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• 2007

The purpose of this study was to assess the diet diversity, food habit and nutrient intake of obese adults who were visiting the health promotion center. This study was accomplished with the 138 obese adults (men = 103, women= 35) aged over 20 years old whose BMI were above $25 kg/m^2$. Nutrient adequacy ratio (NAR), the number of foods (Dietary Variety Score DVS), and food group consumed (Dietary Diversity Score, DDS) by using the data from the three days record were analyzed and the food habit and lifestyle were assessed by self reporting questionnaire. The average enemy intake of men was 2150.2 kcal which was significantly higher than that of women (p < 0.05). The intake ratio of carbohydrate, protein and fat over total energy was 54.8% : 19.3% : 25.8% in men, 59.5% : 17.8% : 22.6% in women respectively. Frequency of the breakfast in a week above 4, $2{\sim}3$ time and under one time was 75.7% 10.7% and 9.7% in men 77.1%, 5.7% and 14.3% in women respectively. frequency of eating between meals in a day under one time was 73.8% in men, 57.1% in women (p < 0.05). The average DDS and DVS was $3.63{\pm}0.07$ and $14.10 {\pm}3.45$, respectively which was significantly correlated with MAR (r=0.40 in DDS, r=0.64 in DVS, p < 0.01). The most frequent style of food pattern was DMGFV = 01101 in 35% of men, and DMGFV= 01111 in 37.1% of women. Our results show that dietary diversity and variety are useful parameters far evaluating nutrient intakes in obese adults. These findings suggest that nutritional education based on obese persons' eating behavior and eating diversity may be required to increase educational efficiency of weight control programs.

• 한국식생활문화학회지
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• 제24권6호
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• pp.784-792
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• 2009

This study was conducted to investigate the effects of weight control programs on BMI, serum profiles, nutrition knowledge and eating behaviors of adult obese women. The subjects of this study were 33 adult obese women aged 30-65 years residing in Seoul. The weight control program for obese women included nutritional education, cognitive behavioral therapy and exercise for 12 weeks. The weight control experience of the subjects was 60.6%. They preferred physical exercise and diet restriction to weight control and 72.7% of subjects answered that the reasons for wanting to control their weight was health. The BMI of test subjects significantly decreased (p<0.001) from 28.3 to 27.1 after the 12 weeks of the weight control program. In addition, the % body fat significantly decreased (p<0.001) from 36.4% to 34.5% after completion of the weight control program. SGPT levels in the serum were also significantly decreased (p<0.05) after the program. Triglyceride levels significantly decreased from 194.9 mg/dL to 98.1 mg/dL (p<0.01) and the HDL cholesterol level significantly increased (p<0.01) from 55.8 mg/dL to 60.0 mg/dL after completion of the weight control program. Nutritional knowledge and eating behavior scores were significantly increased (p<0.001). In addition, the eating self-efficacy of the subjects was significantly increased (p<0.01); however, the food diversity scores were not changed after the program. These results suggest that the weight control program for adult obese women may be effectively used to promote weight reduction and improve nutritional knowledge and eating behavior.

• Journal of Nutrition and Health
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• 제26권9호
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• pp.1071-1084
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• 1993

This study was performed to investigate the relationships between obese index and major risk factors of cardiovascular disease in CVD patients. Anthropometry, food intake patterns, blood pressure, serum lipids and hematological values were analyzed in 550 patients from June, 1991 to August, 1992. The results are as follows: Total food intakes, especially total vegetable food and alcohol intakes were significantly related with obese index, so that the heavier patients tended to consume more carbohydrate and less fat. The blood pressure were observed to have positive correlation with obese index in man but not in women. However, both in men and women, blood levels of TG, TC, and VLDL tended to be related to obese index positively, while HDL and HDL-C were shown to be oppositive. So, it seems that as the degree of obesity is higher the blood pressure and blood lipids patterns worse. Therefore, these results suggest that obesity is one of the major risk factors of CVD, and for prevention & treatment of the disease, controlling body weight by nutritionally adequate diet along with alcohol restriction is necessary.

• 한국의류학회지
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• 제33권12호
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• pp.1979-1990
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• 2009

본 연구는 20세 이상 비만여성을 위한 의류치수체계를 제안하기 위한 것으로, 2003~2004년 한국인 인체치수조사사업의 원시자료 중 선행연구에 의해 의류학 분야에서 주로 사용되는 비만판정지수 및 비만판정용 측정치 7개 항목(Rohrer지수, Vervaeck지수, BMI, 상대체중, 허리둘레, WHR, 젖가슴둘레) 중 5개 이상의 비만판정도구에서 비만으로 판정된 499명을 대상으로 하였다. 연구의 결과는 다음과 같다. 치수체계 제안에 앞서 2,212명의 성인여성 전체의 인체치수와 499명의 비만여성의 기초통계치수를 제시한 결과, 키 등의 높이항목 전체와 키와 상관관계가 높은 몇몇 길이항목을 제외한 대부분의 치수항목 즉, 둘레항 목, 두께 및 너비항목 등에서의 인체측정치가 크고, 비만판정지수도 높은 것으로 나타났다. 상의류의 치수체계 제안을 위해 젖가슴둘레, 엉덩이둘레, 키가 기본신체부위로 선정되었으며, 하의류의 치수체계 제안을 위해 허리둘레와 엉덩이둘레가 기본신체부위로 선정되었다. 치수체계 제안을 위한 교차분석표에서 젖가슴둘레, 허리둘레, 엉덩이둘레 등 둘레항목은 3cm 간격과 5cm 간격을 비교하여 제시하였으나 키는 5cm 간격으로만 한정하였다. 두 치수간격 중 보다 높은 커버율과 커버효율을 보이는 치수간격을 선택하고, 사용자의 분포율도 전체 비만여성의 1% 이상, 2% 이상 및 3% 이상으로 나누어 각각의 분포율별로 커버율과 커버효율이 높은 치수구간을 선정하였다. 상의류와 하의류 치수체계 모두에서 3% 이상의 사용자 분포율을 보이는 5cm 치수간격이 가장 높은 커버효율을 나타냈으므로, 이 결과를 바탕으로 상의류를 위한 치수호칭으로 10개, 하의류를 위한 치수호칭으로 9개를 제안하였으며, 각 호칭별로 기본신체부위의 평균 인체측정치와 참고신체부위의 평균 인체측정치를 제공하여 호칭별 의류제품의 설계에 기초자료로 활용할 수 있도록 하였다.