• Journal of the Korean Society of Clothing and Textiles
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• v.30 no.12 s.159
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• pp.1690-1696
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• 2006

The purpose of this study is to provide the basic data useful in designing apparel patterns for aged abdominal obese women. The body measurements of 318 women were taken at random, whose ages were over 60 and fields of action were colleges, sports centers, or business sites in Seoul and the neighboring districts. A total of 33 features in the upper body and lower body were used fer the anthropometric measurement and analysis using anthropometry. The collected measurement data were processed statistically using the SPSS 12.0 program for technical statistical analysis, t-test, frequency analysis, correlation analysis. The results of the study are as follows. 1. Subjects were classified into two groups as a result of analysis for measurement data. It was revealed that 251(about 79 percent) women of total subjects(n=318) have a characteristic of abdominal obese body type and elderly women of these group usually had big abdomen rather than hip. The criteria of abdominal obesity based on waist-hip ratio, WHR(=0.85). 2. Aged abdominal obese women have shown much larger size in most body measurements except items of some vertical length, such as bust ponit-bust point, font interscye, back interscye with circumference and depth of armscye, bust, waist, abdomen and hip while showing no difference in height, biacrominal breadth, hip width, neck shoulder point to breast point, crotch length. 3. Vervaeck index(=100.1) and Rohrer index(=1.7) indicated that the abdominal obese women were fat in overall body. And aspect ratio of waist(=0.86), abdomen(=0.92) and hip(=0.75) also appeared high that the shape of cross sections in those regions was similar to a figure of circle 4. In view of the correlation coefficient between hip circumference and the rest measurement items, and between hip circumference inclusively of the abdomen protrusion and the rest measurement items, there were found some differences for each group. In case of Group (abdominal obese group), the former is smaller than the other. 5. In case of Abdominal obese women, hip circumference inclusively of the abdomen protrusion is more mutually related to the rest items related to make apparel pattern as waist circumference, depth of armscye and so on than what hip circumference is. This result indicated which must be considered hip circumference inclusively of the abdomen protrusion to make apparel patterns for abdominal obese women unlike women of common body types.

• Journal of the Korean Applied Science and Technology
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• v.36 no.4
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• pp.1268-1280
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• 2019

The purpose of this study was to investigate the effects of combined exercise on irisin, body composition and glucose metabolism in obese elderly women with type 2 diabetes mellitus. The subjects were thirty-six obese elderly women with type 2 diabetes volunteers, aged 65 to 85 years, composed of the combined exercise type 2 diabetes mellitus group (n=20) and non-exercise type 2 diabetes mellitus group (n=16). The 60 minute combined exercise program (outdoor walking exercise & elastic-band exercise) was performed 3 times per week for 12 weeks. Exercise intensity of outdoor walking exercise was performed as medium intensity (RPE 5~6) and elastic-band exercise was progressively increased every four weeks (1-4 weeks: OMNI-RES 3~4, 5-8 weeks: OMNI-RES 5~6, 9-12 weeks: OMNI-RES 7~8). The results of the study in the combined exercise type 2 diabetes mellitus group were as follows; Irisin and skeletal muscle mass had significantly increased (p<.001), percentage of body fat had significantly decreased (p<.001). Further, HbA1c (p=.020) and fasting glucose (p<.001) was significantly decreased, and HOMA-β was significantly increased (p<.001). Correlation results showed that change of irisin had a significant negative correlation between percentage of body fat mass (r=-.423, p=.010), HbA1c (r=-.351, p=.036) and fasting glucose (r=-.424, p=.010). Also, irisin changes showed a positive correlation with aerobic endurance (r=.355, p=.034) and HOMA-β (r=.411, p=.013). In conclusion, the practice of regular combined exercise was found to increase the level of irisin in elderly women with type 2 diabetes and have a positive effect on body composition changes. In addition, HbA1c, fasting glucose and insulin secretion was improved, which helped to regulate glucose metabolism. Walking exercise and elastic band exercise are recommended as effective exercise for the prevention and management of diabetes in obese elderly women with type 2 diabetes mellitus.

• Journal of the Korean Dietetic Association
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• v.10 no.2
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• pp.174-183
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• 2004

This analysis was performed to investigate the relationship between nutrition and anthropometric indices using the data from a cross-sectional survey of a large national sample, '98 Korean national health and nutrition examination survey. Subjects were selected by stratified multistage probability sampling design and completed dietary questionnares including food intakes for one day by 24-hour recall method. For this analysis, 6566 subjects were selected by age(over 20 years old). For anthropometry, height, weight, and waist- and hip- circumference were measured. They were classified by body mass index(BMI, weight(Kg)/$height^2 $($m^2 $)) and waist-hip ratio(WHR, waist circumference(Cm)/hip circumference(Cm)). The nutrients intake of subjects were compared with the recommended daily allowances(RDA). Mean adequacy ratio(MAR) was calculated. Mean heights, weights, BMIs were higher in the groups with nutrient intake over 125% of RDA than the lower intake groups for most nutrients. However, Mean WHR was the highest in the groups with nutrient intake under 75% of RDA for most nutrients excluding iron intake of women aged 20-64 years. Among women aged 20-64 years, means of MAR were 0.71 for obese individuals(BMI>30), 0.72 for subjects with underweight(BMI<18.5), and 0.76 for subjects with normal weight(18.5$\leq$BMI<25). Normal subjects has statistically significantly higher MAR than those of other groups. However, among elderly people aged over 65 years, obese group had the highest MAR, 0.68. Women with abdominal obesity(WHR>0.9) had lower MAR, 0.71 than those with normal weight(MAR=0.76). From these results, obesity and abdominal obesity seems to be the results of malnutrition including both undernutrition and overnutrition rather than simple problem of excess energy intake. Obesity in elderly people needs to be handled differently from adults.

• Korean Journal of Community Nutrition
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• v.11 no.2
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• pp.279-288
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• 2006

The role of free radicals in the progression of many diseases and aging has been given a great attention and total antioxidant status (TAS) has shown to be reduced with aging. The incidence of hypertension has shown to be relatively high in the aged population, and it is known to be associated with increased obesity and oxidative stress. The aim of this study was to examine the obesity indices and the total antioxidant status in hypertensive elderly (64y$\alpha$-tocopherol, $\beta$-carotene and ascorbic acid did not show their significant correlations with TAS. These results showed that the hypertensive elderly are prone to be obese and to have increased TAS. Due to unknown factors affecting TAS values, measurement of plasma TAS as a sole indicator of total antioxidant capacity is limited to fully understanding changes in the body's free radical trapping power. However, the results from the current study may suggest that hypertension and/or obesity might increase oxidative stress, followed by increased the body's total antioxidant defense system.

• Journal of the Korean Society of Food Culture
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• v.26 no.6
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• pp.727-733
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• 2011

This study was performed to examine the relationship between the body mass index (BMI), the body fat, and the serum lipids of post-menopausal women in rural areas. The subjects were 510 women aged 50 and over. As a result of this study, we found a trend of decreasing BMI as age increased, but body fat increased. In addition, there was a significant decreasing of the lean body mass than an increasing of the body mass index according to increasing age. Therefore, this study confirmed that a main cause of rural women being classified as obese is a decrease in lean body mass, rather than an increase in of body fat. Of all subjects, 36.3% ($18.5{\leq}BMI$ < 23) of all subjects were classified as having normal BMI, whereas only 21.4% were classified as having normal body fat. Out of 190 subjects who were body fat 30% and over, 38 subjects were classified as obese ($BMI{\geq}25$) and 113 subjects were classified as overweight ($23{\leq}BMI$ < 25). The percentile of those with a BMI of $25kg/m^2$ was 70, and they had 30.82% body fat. HDL cholesterol showed a negative correlation with anthropometric factors (height, weight, body mass index, waist circumference, waist hip ratio, body fat), and total cholesterol, LDL cholesterol, and triglycerides showed a positive correlation. Especially, total cholesterol, LDL cholesterol, and hip circumference showed significant correlations. Because of differences in the body fat and lean body mass by age group, it seems difficult to assess obesity via BMI only. The elderly especially should have a higher significance placed on body fat or abdominal fat than only BMI.

• Research in Community and Public Health Nursing
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• v.27 no.3
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• pp.231-241
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• 2016

Purpose: This study was conducted to examine effects of sarcopenic obesity on metabolic syndrome in Korean elders. Methods: This study is based on the analysis of the Korea National Health and Nutrition Examination Survey (KNHANES) with 1,155 subjects (524 men, and 631 women) aged 60 or older, from 2008 to 2011. Sarcopenia was defined as an appendicular skeletal muscle (ASM), divided by weight (%) of <1 SD (standard deviation) below the sex-specific mean for young adults. Obesity was defined as a total body fat percent (men${\geq}$25%, women${\geq}$35%). Results: The prevalence of SO (sarcopenic obesity) was 13.3% among men and 22.5% among women. Both sexes showed a higher total body fat percent, and the SMI (skeletal muscle index) was the lowest in the SO group. Metabolic syndrome was highly prevalent in the SO group (52.5% men, 60.4% women). The SO group showed a higher risk for metabolic syndrome (odds ratio men 6.57 [95% CI 5.19~7.27], women 3.89 [95% CI 2.41~6.29]) than the obese group (men 3.14 [95% CI 1.76~4.14], women 2.54 [95% CI 1.38~4.65]). Conclusion: SO is a major risk factor for metabolic syndrome in Korean elders. Therefore, a nursing program should be given to the Korean elderly SO group to prevent metabolic syndrome.

• Journal of the Korean Society of Clothing and Textiles
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• v.43 no.2
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• pp.184-203
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• 2019

This study examines the multilateral characteristics of elderly body shapes by applying body measurement items and obesity indices (BMI, WHR, WHtR, WC, and flatness). The subjects were 397 males, 378 females aged 70-85 from the $6^{th}$ Size Korea and 132 males, 212 females aged 60-69, 596 males, 650 females aged 20-29 from the $7^{th}$ Size Korea. In order to examine the body size differences among age groups, age was divided into 7 groups (20-24, 25-29, 60-64, 65-69, 70-74, 75-79, and 80-85). Both elderly males and females showed lower values of height and weight than those in their 20s. However, abdominal obesity indices (WHR and WHtR) showed higher values in the elderly than those of their 20s; in addition, they showed larger mean values as age increased. The chest and arm circumference tended to decrease in elderly males as age increased; however, elderly females tended to decrease in thigh and calf circumference size. There were gender differences in body changing due to aging. Obesity frequency was significantly higher in the elderly than in the 20s. The study represents basic data for product design for the elderly.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.6
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• pp.226-232
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• 2016

In the elderly, a lower muscle mass and higher body fat mass are induced by a lower level of physical activity. A negatively changed body composition with an advanced age can lead to a higher falling risk and rate of diseases. On the other hand, aerobic-type exercise positively influences the body composition and hyperlipidemia in the elderly. Therefore, this study examined the effects of aquarobic training for 12 weeks on the body composition and blood lipid levels in obese old women. The subjects (n = 31, body fat: 33.42%) completed a 12 week water based aerobic training at 12 - 13 of Borg Scale of intensity (three times per week, each session: an hour). The body composition was measured by bioelectrical impedance analysis (Inbody 770-Biospace, Seoul, Korea) and the concentrations of blood lipids (high-density lipids cholesterol (HDL), low-density lipids cholesterol (LDL), triglyceride (TG) total cholesterol (TC)) were determined at pre and post training. A paired t-test was used for data analysis with ${\alpha}=0.05$. In the results, the body composition (% body fat (p < 0.05) and waist circumference (p < 0.05)) were reduced significantly. The LDL (p < 0.05), TG (p < 0.001) and TC (p < 0.05) were reduced significantly. In conclusion, a 12 week aquarobic exercise program helps improve the body composition and concentrations of serum lipids. Therefore, aquarobic exercise can enhance lipolysis using fat as energy to induce an improvement of the body composition and induce hyperlipidemia.

• Journal of Nutrition and Health
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• v.35 no.1
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• pp.124-136
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• 2002

As the elderly population has increased in recent years in Korea chronic degenerative diseases prevalent in the aged have garnered attention in relation to food behavior. In general, dietary intakes of elderly Koreans were inadequate in quality as well as in quantity. Especially, intakes of Ca, vitamin A, and riboflavin along with total energy were insufficient. They tended to consume high carbohydrate and low fat energy rates which may be resulted from long standing vegetable-based flood patterns. Relationships between dietary intakes and indices of cardiovascular diseases revealed that blood pressures and serum lipids patterns tended to be poor in individuals having high abdominal fat accumulations which seemed to be related with dietary consumption of high carbohydrate and insufficient intake of many nutrients. These results suggested that a nutritionally balanced diet including animal sources floods is needed in order to prevent an abdominal obesity and cardiovascular diseases. The bone health status of the Korean elderly appeared poor. It was more serious in women recording a higher prevalence rate of osteopenia and osteoporosis than in men. There were strong associations between dietary factors and bone health status. Bone mineral density was found to be higher with higher intakes of protein energy rate, the total amount of feeds, and many nutrients including Ca and p, indicating that a good quality diet is essential in maintaining healthy bone status in later life. mental health condition of the elderly as measured by cognitive function and the degree of depression was also inadequate and had strong association with dietary consumption. The positive results were obtained in individuals having an adequate dict. Therefore, it could be summarized that the physical as well as mental health in elderly Koreans are highly related with their dietary patterns. Thus, the older adults need te consume nutritionally well balanced diet in sufficient amount, which contains various flood items including significant amounts of animal source floods in a daily diet in order to maintain healthy condition.

• Journal of Home Health Care Nursing
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• v.24 no.1
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• pp.34-43
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• 2017

Purpose: The purpose of this study was to provide basic data to develop a Fall Prevention Education Program by comparing and analyzing fall experiences and the factors that influence elderly people with dementia suffering falls. Methods: The participants were 302 patients with dementia aged 60 years or older with nursing records of hospitalization in three nursing homes located in a metropolitan area. The SPSS/Win 21.0 package was used to analyze the collected data. A logistic regression analysis was performed to identify the influence factors related to fall experiences. Results: For men, fall experiences were more frequent given the following factors: overweight; high fall risk tendency; aged 90 and above; married; dementia duration period of 5 to 9 years; and taking medication for dementia. For women, the factors included age range of 80 to 89; overweight; obese; both low and high fall risk tendency; separation by death; and having spent less than 1 year in nursing homes. Conclusion: We anticipate positive results in fall prevention education programs for the elderly with dementia if the results of this study are used as basic data, and interventions are customized to consider the sex and the relevant influence factors as to fall experiences.