• 보건교육건강증진학회지
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• 제22권1호
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• pp.41-54
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• 2005

Purpose : This study was undertaken in order to find out the actual condition and barriers of health education in elementary school after introduction of 7th curriculum modification. Method: A questionaire was sent by mail on November 1, 2003, and received a total of 230 till November 30, 2003. Among them, 198 were included in fmal analysis. The collected data was analyzed through frequency, percentage, mean and standard deviation. Results : The results of this study were as follows: Among of the school health task, the most time spending task was emergency treatment and medication. The health education content which now being taught was sex education and prevention of drug abuse in the 6th grade, prevention of obesity in the 5th grade, emergency treatment, safety education in the 4th grade and prevention of disease of teeth in the 3rd grade. The most difficult problem in health education was pointed to no subject, no hour about health education by policy. Conclusion : It was necessary to formalize the health education subject, to ensure of health education hour by policy and to establish of extra health education room to improve health education at elementary school.

• Preventive Nutrition and Food Science
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• 제20권4호
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• pp.253-259
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• 2015

Chronic low-grade inflammation is associated with obesity. This study investigated effect of high hydrostatic pressure extract of red ginseng (HRG) on inflammation in rats with high-fat (HF) diet induced obesity. Male, Sprague-Dawley rats (80~110 g) were randomly divided into two groups, and fed a 45% HF diet (HF) and a 45% HF diet containing 1.5% HRG (HF+HRG) for 14 weeks. At the end of the experiment, the serum leptin level was reduced by the HRG supplementation. The mRNA expression of genes related to adipogenesis including peroxisome proliferator-activated receptor-gamma and adipocyte protein 2 was down-regulated in the white adipose tissue (WAT). The mRNA levels of major inflammatory cytokines such as tumor necrosis factor-${\alpha}$, monocyte chemoattractant protein 1, and interleukin-6 were remarkably down-regulated by the HRG in WAT. These results suggest that HRG might be beneficial in ameliorating the inflammation-associated health complications by suppressing adipogenic and pro-inflammatory gene expression.

• 대한지역사회영양학회지
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• 제6권1호
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• pp.16-27
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• 2001

The purpose of this study is to determine the prevalence of obesity and to examine the eating habits of elementary school students in Iksan dity. The study was carried out on 292 students(male: 151, female : 141)in May of 1997. The average height and weight of the subjects were 141 cm and 37kg in males and 142 cm and 36kg in females, which were similar to the average of Chonbuk. A Weight/Length Index(WLI), Broca Index, Rohrer Index(RI), Body Mass Index(BMI) and Waist Hip Ratio(WHR) were used as an obesity index to classify degree of obesity. WLI, Broca Index and RI were proper for judging child obesity and strict judgments were conducted in the order of RI, WLI and Brcoa Index. The subjects were classified as 30.8% underweight, 43.5% normal, 8.2% overweight and 17.5% obese by WLI and there were significant differences between height(p＜0.05) and weight(p＜0.01) according to obesity degree among the four groups. 50.3% of the boys and 55.3% of the girls are regularly, and the main reason they didn＇t ate regularly, and the maim reason they didn＇t eat breakfast(78.4%) was due to lack of time. The frequency of snacks were 1-2 times a week(40.4%), fruits(40.4%) from market and supermarket(68.2%). According to the survey 84.6%, 77.45, 78.1%, 69.9%, 59.9% and 86.6% of subjects didn＇t eat meat, fish, soysauce, instant food, sugar and seaweed respectively. Seaweed, meat, and soysauce showed low preferences. 69.5% and 74.75 of the subjects drink milk and ate kimchi respectively. By analyzing eating habits according to the degree of obesity, the rate of skipping breakfast(p＜0.01), and eating meat or fish(p＜0.05) were high in the overweight and obese groups of girls. In the boys case, the rate of not eating food in sugar(p＜0.05) was high in the obese group. Obese children need to correct their eating habit. This reasserts the importance of nutrition education in children though teachers, parents, and dietitions. The findings of this study may be applied to nutrition education to ensure better physical fitness for children.

• 한국응용과학기술학회지
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• 제34권4호
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• pp.737-745
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• 2017

본 연구는 학령기 비만아동을 위한 지역사회 참여형 비만관리 프로그램을 개발하여 비만지수와 운동습관, 식습관, 생활습관에 미치는 영향을 검정한 비동등성 대조군 사전 사후설계이다. 연구대상자는 초등학교 4학년 학생 중 체질량지수가 2007년 소아 및 청소년 표준 성장 도표를 이용하여 85백분위수 이상인 아동으로 실험군 24명과 대조군 27명이었다. 비만관리 프로그램은 실내활동과 실외활동으로 이루어졌으며, 10주간 진행되었다. 실외활동은 줄넘기와 걷기운동을 매주 2회, 전래놀이를 매주 1회 실시하였다. 수집된 자료의 분석은 Kolmogorov-Smirnov test, chi-square test, independent t-test, repeated measure ANOVA를 사용하였다. 연구결과 실험군에서 체질량지수는 $23.64kg/m^2$에서 $22.96kg/m^2$로 감소하였고(p<.001) 복부지방률은 0.889에서 0.887로 유의하게 감소하였다(p<.036). 그러나 체지방률은 유의한 변화가 없었다. 중재 후 운동습관(p=.004), 식습관(p=.003), 생활습관(p=.001)은 모두 향상되었다. 이러한 결과를 통해 본 연구에서 개발된 지역사회 참여형 비만관리 프로그램은 학령기 비만아동들의 비만지수와 비만을 감소시키는 생활습관의 개선에 효과적인 간호 중재임이 확인되었다.

• 대한지역사회영양학회지
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• 제15권6호
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• pp.717-726
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• 2010

This study was conducted to investigate health status and nutrient intakes among 5th grade elementary students at Korea Centers for Disease Control and Prevention 2010. This study was cross-sectional study on 1,384 children (687 boys, 697 girls) from nine elementary schools located in Seoul and Gyeonggi province. The average height, weight and BMI were 145 cm, 40.6 kg $19.2\;kg/m^2$ for boys and 145.4 cm, 38.2 kg, $18.0\;kg/m^2$ for girls. The prevalence of overweight and obesity were 11.3%, 5.2%, respectively. Serum AST, ALT, glucose, HDL-Cholesterol and RBC levels were significantly higher, while TG levels was significantly lower for boys than for girls. The average energy intake was 1772.4 kcal, which was 98.7% of Estimated Energy Requirement (EER). The boys consumed more energy intake (1800.4 kcal) than the girls (1744.7 kcal). Also, they took insufficient calcium and folate (69.1% and 83.3% of Recommended Intake (RI)) and excess sodium (297.6% of Adequate Intake (AI)) and 85.1% of the subjects had breakfast everyday. In general, the proportion of the children who consumed fruits and vegetables at least once or more a day was low. There was a higher proportion of children in boys who had ramyun and milk with sufficient physical activity than those in girls. As a result of this study, we can find risk factors on obesity and metabolic disorders, and the results can be used for an evidence of nutrition education program and the intervention program.

• 한국응용과학기술학회지
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• 제35권1호
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• pp.223-234
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• 2018

본 연구에서는 초등학교 아동과 부모를 대상으로 학령기 아동의 비만에 영향을 미치는 부모관련 요인을 분석하였다. 연구대상은 초등학교 4~6학년 학생 408명과 부모로 아동과 부모의 비만정도, 비만관련 특성, 식습관, 운동습관을 조사하였다. 수집된 자료의 분석은 $x^2-test$, t-test, ANOVA 및 다중로지스틱 회귀분석을 사용하였다. 연구결과 아동의 비만에 영향을 미치는 변수는 아버지 체질량지수 OR=1.265(95% CI: 1.133-1.412, p< .001), 어머니의 체질량지수 OR=1.214(95% CI: 1.077-1.368, p= .001), 아동의 식습관 OR=0.953(95% CI: .909- .998, p= .042), TV 시청시간 OR=1.385(95% CI: 1.113-1.725, p= .004), 경제상태 OR=0.132(95% CI: .026- .676, p= .015)로 나타났다. 아동의 비만은 부모의 유전적 요인, 식습관 및 생활 환경적인 요인이 복합적으로 영향을 미치고 있었다. 그러므로 아동의 비만관리를 위해서는 아동은 물론 가족의 동기부여와 프로그램의 적극적인 참여유도가 중요하다고 볼 수 있다.

• 한방재활의학과학회지
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• 제20권4호
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• pp.185-195
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• 2010

Objectives : The purpose of this study is to examine the relation between the obesity, life style and low back pain(LBP) in high school students and provide informations for developing the prevention of the low back pain. Methods : Participants were the 2nd grade students from one high school in An-san(268 students). Using a self-reported questionnaire, we collected data. And the data were analyzed by t-test, chi-square in SPSS Win 12.0 program. Results : 1. The experience rate of LBP for 268 high school students was 56.7%. 2. The experience rate of female students(61%) was significantly higher than the male students(50%). 3. Computer using time of males LBP group was significantly higher than the none-LBP group. 4. Body mass index(BMI) of females LBP group was significantly higher than the non-LBP group. Conclusions : This study showed that the experience rate of LBP among high school students was related to obesity and life style. Therefore, educational programs and policy for preventing low back pain are necessary.

• 한국보건간호학회지
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• 제26권2호
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• pp.227-238
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• 2012

Purpose: The purpose of this study was to examine physical activities and health belief in order to provide basic data on obesity prevention and management among elementary school students based on the health belief model. Methods: Participants included 194 fifth grade students in an elementary school located in Seoul. Data were collected by questionnaires and physical measurement, including weight and height. The SPSS Win 17.0 program using descriptive statistics, ANOVA with Scheff$\acute{e}$ post hoc tests, and Cronbach's alpha coefficients was used in data analysis. Results: Significant differences were observed in physical activity according to perceived severity (F=3.444, p=.034), perceived benefit (F=7.674, p=.001), perceived barrier (F=21.014, p<.001), and self-efficacy (F=22.098, p<.001). A significant difference in physical activity (t=4.502, p<.001) and perceived severity (t=-2.278, p=.024) was observed according to gender. Significant differences in physical activity (t=7.633, p=.006), perceived barrier (t=10.826, p=.001), and self-efficacy (t=5.928, p=.016) were observed according to obesity status. Significant differences were observed in physical activity (F=7.503, p=.001), perceived susceptibility (F=37.904, p<.001), and perceived barrier (F=3.425, p=.035) depending on level of satisfaction with body image. Conclusions: In order to promote physical activity among children with low physical activity, development of program with an emphasis on the benefits of physical activity and physical activity self-efficacy, and to decrease the barriers to physical activity is needed.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권5호
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• pp.470-482
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• 2021

Purpose: We investigated the relationship between sonographic measurements of fatty liver and body mass index standard deviation score (BMI-Z score), abdominal wall fat thickness (AWFT), and serum biochemical parameters in childhood obesity. Methods: Anthropometric, laboratory, and ultrasonography data were obtained from 174 children with BMI-Z score >1. After the qualitative grading of hepatosteatosis (grades 0-3), the quantitative liver-kidney echogenicity ratio (LKER) was calculated using a software tool. Groups according to sex, age (AG-I to AG-III), BMI-Z score (BMG-I to BMG-III), and hepatosteatosis degree (HS-I and HS-II) were formed. The differences and distributions of the variables were statistically analyzed and compared among the groups. Results: Serum transaminase and glucose levels showed a positive correlation with LKER, whereas the HDL level showed a negative correlation. BMI-Z score and AWFT showed a positive correlation with fasting insulin level and HOMA-IR value. LKER was significantly higher in girls than in boys (p=0.008). In the AG-I group (age 3-8.9 years), the BMI-Z score was significantly higher, whereas AWFT was significantly lower than in the other age groups (p<0.001). The cutoff point of LKER for predicting grade 2 or higher steatosis (HS-II group) was determined to be 1.83. Cardiovascular disease risk was significantly higher in the HS-II group (p=0.035). Conclusion: As a valuable quantitative measurement tool, LKER can be used for the sonographic screening of fatty liver. AWFT, on the basis of its correlation with fasting insulin level and HOMA-IR value, may be a useful sonographic parameter in the management of childhood obesity.

• 비만대사연구학술지
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• 제1권2호
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• pp.78-82
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• 2022

Liraglutide (Saxenda^R) is prescribed to induce and sustain weight loss in obese patients. The starting dose of liraglutide is 0.6 mg/day for 1 week, which is increased by 0.6 mg/day every week until the full maintenance dose of 3 mg/day is achieved. Such dose titration is needed to prevent side effects, which primarily include gastrointestinal problems such as nausea, diarrhea, constipation, vomiting, dyspepsia, and abdominal pain. A 35-year-old, reportedly healthy obese man receiving liraglutide treatment for obesity visited the emergency room complaining of generalized weakness and dizziness accompanied by repeated diarrhea and vomiting. He reported over 20 episodes of diarrhea starting the day after liraglutide dose escalation from 1.2 mg/day to 1.8 mg/day. Laboratory findings suggested pre-renal acute kidney injury, including serum creatinine 4.77 mg/dl, blood urea nitrogen (BUN) 37 mg/dl, estimated glomerular filtration rate (eGFR) 15 ml/min/1.73 m², and Fractional excretion of sodium 0.08. After volume repletion therapy, his renal function recovered to a normal range with laboratory values of creatinine 1.08 mg/dl, BUN 14 mg/dl, and eGFR 88 ml/min/1.73 m². This case emphasizes the need for caution when prescribing glucagon-like peptide-1 receptor agonists, including liraglutide, given the risk of serious renal impairments induced by volume depletion and dehydration through severe-grade diarrhea and vomiting.