• 대한통합의학회지
• /
• 제10권4호
• /
• pp.165-173
• /
• 2022

Purpose : This study was conducted to apply a 12-week resistance exercise program to obese elderly people with sarcopenia and verify the risk factors of sarcopenia and metabolic syndrome as well as the effects of this program on improving muscle function, and thus to serve as basic data for preventing and improving sarcopenia. Methods : Forty elderly people aged 65 or older were recruited and underwent dual energy x-ray absorptiometry. Based on the criteria of appendicular skeletal muscle mass (ASM/Height²: less than 5.4 kg/m²) and body fat percentage (at least 30 % for women and 25 % for men), 18 obese elderly people with sarcopenia were finally selected after excluding 22 elderly people who did not meet the criteria. Variables related to sarcopenia, metabolic syndrome, and muscle function were measured before the 12-week resistance exercise program. Results : The 12-week resistance exercise program significantly increased the bone density and muscle mass and decreased the fat mass and fat percentage in obese elderly with sarcopenia. The 12-week resistance exercise program significantly increased the HDL-C and decreased the LDL-C and waist circumference in obese elderly people with sarcopenia (p<.05). The 12-week resistance exercise program significantly increase grip strength, static balance, and 6-minute walking in obese elderly people with sarcopenia (p<.05). Conclusion : Accordingly, resistance exercise is considered a way to reduce the exorbitant medical expenses of patients who are bedridden for long and improve the lowered quality of individuals in a super-aged society.

• 대한지역사회영양학회지
• /
• 제9권6호
• /
• pp.683-694
• /
• 2004

The objective of this study is to improve the health related quality of life through the efficient weight reduction by analyzing the ecological factors related to completion of weight reduction program in the obese premenopausal women aged 20-29 years. The factors influencing completion of obesity management programs in the obese women were the preferences of sweet and salt taste, health related quality of life (general health, role emotional), eating attitude scores, and regularity of mealtime scores. The finding that the completion of obese management programme were improved if the health-related quality of life was high and the physiological status related symptoms of stress, depress, and eating disorder were good has implications for the treatment of obesity. The questionnaire used this study can be available to develop the obesity assessment sheets which is required the exploration of the characteristics of obese women and the tailored multi-disciplinary obesity management program. Moreover, the obesity assessment sheets will make a contribution to determine types of the programs that is suitable for obesity women before starting an obesity management program.

• 성인간호학회지
• /
• 제19권3호
• /
• pp.339-352
• /
• 2007

Purpose: The purpose of this study was to investigate the effect of weight control program on body composition(body mass index and waist-hip ratio), blood pressure, serum lipids(total cholesterol, triglyceride, high density lipoprotein and low density lipoprotein) and self-regulation behavior in obese college women. Methods: Forty seven obese subjects were divided into experimental(22) and control(25) groups. The weight control program lasting 12 weeks consisted of a traffic-light diet, jumping-rope exercises, and behavior modification methods with e-mail counseling. The data were collected from 29 March to 17 September of 2004. The variables were assessed before and after intervention for 12 weeks in two groups. Then, those were repeated after a 12 week suspension of intervention in the experimental group. The data were analysed by the SPSS computer program. Results: BMI, HDL, LDL and self-regulation behavior levels showed significant differences between the experimental and control groups. While there were no significant differences in waist-hip ratio, blood pressure, total cholesterol and triglyceride. Conclusion: The weight control program had a positive effect on obese college women, and can be used to control obesity.

• 한국식생활문화학회지
• /
• 제22권4호
• /
• pp.482-491
• /
• 2007

This study was carried out to find out differences about meal conditions and food preference between non-obese and obese elementary school children. Ten children(non-obese 5 and obese 5) from each of the nationwide 192 schools were surveyed by self-developed questionnaire. Total of 1,767 questionnaires(815 from non-obese and 952 from obese children) were collected and data were analyzed using SPSS 12.0 program. The results of the comparative analysis were summarized as follows. There was not significantly different in height between non-obese $group(151.0{\pm}12.5cm)$ and obese $group(151.2{\pm}12.3cm)$. But BMI was significant difference between non-obese $group(18.0{\pm}2.2cm)$ and obese $group(27.3{\pm}3.2cm)$. Economical status was not significantly different between 2 groups. But educational level of parents and mother’ job were significant differences between 2 groups. Only 2/3 of the subjects reported to have breakfast at regular basas, regularity of having breakfast was not significantly different between 2 groups. Also regularity of having lunch during vacation was not significantly different between 2 groups. But Reasons of skipping breakfast and lunch were significantly different between 2 groups. Regularity of having dinner, reasons of skipping dinner, intake amount in dinner, and frequency of having snacks were significantly different between 2 groups. But the time required for lunch and dinner were under 20 minutes of 60-80% of the subjects, and were not significantly different between 2 groups. Non-obese group have liked fast foods, fruits & juices, sweets, and cakes & cookies than obese group. Obese group have liked meat & meat products and ramyeon, but they have not eaten those foods frequently because of anxiety about being more fatty. These findings suggested that nutrition education programs include different strategy according to obesity and obese prevention program is needed for non-obese school children.

• 성인간호학회지
• /
• 제17권3호
• /
• pp.425-434
• /
• 2005

Purpose: To examine the effects of the aerobic exercise program on changing the body composition, blood lipids and self-esteem of the obese elderly women. Method: A total of 26 obese elderly women(%body fat: over 30%) have been selected for this research[Experimental Group(EG):13, Control Group(CG):13). Walking at a 50% intensity was administered 4 days a week for 14 weeks. The data was analyzed using the SPSS program. Result: The level of % body fat, TC, LDL-C, and %TC/HDL-C in EG was significantly lower than those of the CG after 14 weeks. In addition, the level of HDL-C and self-esteem in EG was significantly higher than those of the CG after 14 weeks. However, TG, body weight between groups didn't appear significant at the end of 14 weeks. Conclusion: The results showed that the aerobic exercise program was effective in changing body composition, blood lipids and self-esteem of the obese elderly women.

• Journal of Korean Biological Nursing Science
• /
• 제22권4호
• /
• pp.232-248
• /
• 2020

Purpose: The purpose of this study was to develop and apply a motivation-strengthening obesity management program for obese subjects with visual impairment and evaluate its effects. Methods: The program development and evaluation periods were from March to August 2018. The study design was an experimental study of non-equality, control repeat design. 25 subjects in the experimental group participated in the 12-week obesity management program and the 26 people in the control group did not. Results: The motivation-strengthening obesity management program included stretching exercises for 30 minutes in the morning five times a week. In addition, counseling, education, and group discussions were continued once a week for motivational strengthening. Special custom exercises for blind patients were also completed once a week simultaneously. Both of these activities were continued for 50 minutes a week for a total of 12 weeks. Measurements were recorded periodically to identify the sustained effects of the program. The obese subjects with visual impairment improved their knowledge of obesity, perceived disability, self-efficacy of exercise, and quality of life related to obesity through the motivational obesity management program. Waist circumference, systolic blood pressure, diastolic blood pressure, and fasting blood sugar were also improved in obese subjects. Conclusion: The study findings indicate that this program could be an active intervention for the control of weight gain in participants with visual impairment. Therefore, the motivation-strengthening program based on the ADDIE (Analysis, Design, Development, Implementation& Evaluation) model could be an effective strategy for better health outcomes of obese subjects with visual impairment.

• 한국농촌간호학회지
• /
• 제11권1호
• /
• pp.15-22
• /
• 2016

Purpose: The purpose of this study was to analyze changes in body weight (kg) and body mass index (BMI) in middle-aged women following a 12 week exercise program. Methods: The obesity management program for primary health care posts, which consists of exercise therapy and dietary counseling, was provided for obese women aged 40 to 64 (N=15). General characteristics of the women and differences in body weight and BMI before and after the program were analyzed using SPSS 22.0. Results: The major findings of this study are as follows; Average body weight before the program was 65.7 kg, and it was significantly reduced to 63.9 kg after the program (z = -3.41, p = .001). The average level of BMI decreased considerably from 27.9 kg/m2 to 27.2 kg/m2 (z = -3.41, p = .001). Conclusion: The findings from this study show a significant decrease in body weight and BMI after the program. Continuous study is needed to develop a variety of obesity management programs for middle-aged obese women. When developing programs regional characteristics need to be considered and there is a need to confirm the effectiveness of the programs.

• Child Health Nursing Research
• /
• 제27권1호
• /
• pp.13-23
• /
• 2021

Purpose: This study aimed to develop a mobile-based self-management health alarm (MSHA) program for modifying obese children's lifestyle based on the information-motivation-behavioral skills (IMB) model and to test its feasibility. Methods: A methodological study for the development of the MSHA program and pilot study with a one-group pretest-posttest design for feasibility testing was conducted. The MSHA program was designed to provide obesity-related information (I), monitor daily diet and exercise, provide motivational text messages (M), and enhance healthy diet and exercise skills (B) via a mobile-based web platform. In the feasibility test, six obese children participated in the 4-week program, and the number of days per week that they achieved their goals and differences in metabolic components were assessed. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: Participants successfully achieved their diet and exercise goals≥5 days per week. Body mass index (z=-1.99, p=.046), waist circumference (z=-2.20, p=.028), and triglyceride levels (z=-2.21, p=.027) significantly decreased. Conclusion: The MSHA program showed positive effects on health behaviors and metabolic syndrome risk. The program may be effective in improving metabolic syndrome in obese children by promoting self-health management behaviors.

• 한국의류학회지
• /
• 제30권3호
• /
• pp.407-411
• /
• 2006

본 연구에서는 비만아동의 온도적응능력을 향상시키기 위해 초등학교 4학년$\∼$6학년에 재학 중인 비만아동 13명(남자 6명, 여자 7명)을 대상으로 하여, 10주간의 단기 의복착용훈련 프로그램을 시행한 후 프로그램의 효과를 알아보았다. 프로그램 시행기간 중 아동이 매일 직접 측정한 주택 내 실내온도는 평균 25.1$^{circ}C$였고, 아동이 착용한 체표면적당 의복의 무게(착의량)는 평균 300g/$m^{2}$였으며, 실내온도와 착의량 간에는 유의한 상관이 있었다(p < .01). 프로그램의 시행효과를 구체적으로 알아보기 위해, 23.0$\pm$0.5$^{circ}C$, 50$\pm$5$\%$RH로 조절된 인공기후실에서 실험을 실시하여, 반소매 면 티셔츠(0.13clo)와 T/C 반바지(0.09c1o)를 착용하고 안정상태에 있는 아동의 체온, 피부온, 혈압 및 맥박 등의 생리반응과 쾌적감 및 온랭감의 주관적 감각반응을 프로그램 시행 전후에 측정한 후 얻은 주요 결과는 다음과 같다. 평균피부온은 프로그램 시행전후에 유의한 차이가 없었으나, 전반적으로 체온과 평균혈압은 프로그램 시행 후에 내려갔다(p < .01). 주관적 감각반응에서는 프로그램 시행 후에 여아가 남아에 비해 약간 더 따뜻하게 느꼈고(p < .05), 이에 따라 아동자신이 선택한 쾌적온도는 더 낮은 경향을 나타내었다(p < .1). 이와 같은 연구결과는 비만아동의 행동성 및 자율성 체온조절연구에 유익할 것이나, 보다 명확한 자료를 얻기 위해서는 종합적이고 장기적인 훈련프로그램의 시행이 요구된다.

• 한국보건간호학회지
• /
• 제26권3호
• /
• pp.417-427
• /
• 2012

Purpose: The purpose of this study was to examine the effect of a 12-week combined exercise training program on the body composition, physical fitness levels, and metabolic syndrome profiles of obese women. Methods: Twelve obese women were assigned to the combined exercise training program group. The women underwent training for 70-90 min/d, three times per week for a period of 12 weeks. Paired samples t-tests were performed using SPSS ver. 17.0 for analysis of the results. Results: The results of this study showed that body-composition parameters such as weight, fat-free mass, body fat mass, body-mass index, body fat, waist-hip ratio, basal metabolic rate, and intra-abdominal fat, physical fitness parameters such as muscle strength, muscle endurance, flexibility, and cardiac endurance, and metabolic syndrome biomarkers such as triglyceride levels, high-density lipoprotein cholesterol levels, glucose levels, systolic blood pressure, and waist circumference before participation the training program differed significantly from those after participation in the training program (p<0.05). However, diastolic blood pressure before participation in the training program did not differ significantly from that after participation in the training program (p>0.05). Conclusion: We concluded that a 12-week combined exercise training program could be a good exercise program for improvement of the body composition, physical fitness levels, and metabolic syndrome profiles of obese women.