• 대한한방소아과학회지
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• 제20권2호
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• pp.35-44
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• 2006

Objective : As today obese children have increased rapidly in Korea, the interest has been much increased. And parents concern about the effect of Herbal Medication(HM) on gaining weight. Therefore we had a retrospective study HM and obesity for children. Method : We examined medical record of 38 patients who visited to Department of Pediatrics in 00 medical center from 2002 to 2006 and took HM. Their Hight, Weight, Obesity Index(OI) were estimated at two points: before and after HM treatment. And they were divided into two groups according to the HM type and analyzed for differences of OI. Result : There were no significant changes in 38 patients's OI before and after treatment. But only one case gained over weight(OI: 21.31). OI increased slightly after treatment but there were not statistically significance. OI according to the HM type had slightly difference but there were not statistically significance. There were no connections between HM type, the number of days taking HM and changes of OI. Conclusion : On the basis of this study, we thought there were no connections between HM and obesity for children. But this study's cases are small in number so more study is need.

• 대한한방소아과학회지
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• 제18권2호
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• pp.161-177
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• 2004

Objective : There have been many programs to treat childhood obesity, since childhood obesity has shown up as a social problem. The purpose of this study was to find out considerable matters to manage Childhood Obesity Treatment Program (COTP). Methods : This study was made with reference to clinical progress notes of children with obesity, visiting the oriental medicine center, to take COTP from July 30th, 2003 to August 25th, 2004. COTP was consist of abdominal aroma massage, abdominal low frequency acupuncture therapy, auricular acupuncture therapy and behavior modification. Results : 1. Seven children who taken COTP started fat from young age and three started from about ten-year-old ages. 2. Six children have fat fathers, a child has fat parents and three children have no fat family member. 3. The obesity levels of Obesity Index(OI), Body Mass Index(BMI) and Rohler Index(RI) were different, used for evaluating the result of treatment, though they are used for a child. The result of OI reflected more sensitive from changes of weight than those of BMI and RI. 4. We got the better results with numbers of treatment and exercise. Conclusions : More correct standard are needed to estimate degree childhood obesity. And it is necessary to carry out obesity treatment program with behavior modification, for children with obesity. to be healthy adults.

• Journal of Nutrition and Health
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• 제38권3호
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• pp.197-202
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• 2005

Resistin, adiponectin, and leptin are hormones secreted by adipose tissue and are known to play an important role in adipose tissue metabolism. The purpose of this study was to evaluate the levels of adipocyte-derived hormones (resistin, adiponectin, leptin) in obese children aged 10-12 years. The subjects were 102 obese children with obesity index (OI) over $120\%$ and 51 control children with obesity index less than $120\%$ were included for comparison. Anthropometric variables and serological parameters were assessed. Height, weight, OI, body mass index (BMI) were significantly higher in obese group than in control. Obese children showed significantly higher serum concentrations of triglyceride (TG), total cholesterol (TC), and LDL-cho1esterol and significantly lower HDL-cholesterol compared with control children, even though the values were within normal ranges for both groups. Concentrations of resistin and leptin were significantly higher in obese group than in control. Adiponectin and insulin levels were tended to lower in obese group even though the differences were not statistically significant. Resistin had significant positive correlation with OI and TG, and 1eptin with weight, OI, BMI, TG and TC. On the other hand, adiponectin showed significant negative correlations with height, OI and BMI. These finding showed that obese children had higher serum levels of resistin and leptin and lower adiponectin, and also these hormones had correlations with related factors of obesity, suggesting adipocyte-derived hormones has a role in child obesity.

• Nutrition Research and Practice
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• 제4권2호
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• pp.128-135
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• 2010

Obesity was characterized in Korean elementary students using different obesity assessment tests on 103 overweight elementary students from three schools of Jeonbuk Province. The body mass index (BMI) and obesity index (OI) were compared, and the data using DEXA and CT were compared with the data using BIA and a tape measure. The results of this study are as follows: first, 27 students who were classified as obese by OI were classified as overweight by BMI, and 3 students who were classified as standard weight by BMI were classified as overweight by OI. Secondly, by DEXA and BIA measurements, there was 1.51% difference in body fat percentage (boys 1.66%, girls 1.17%) and the difference in body fat mass between boys and girls was 0.77 kg (boys 0.85 kg, girls 0.59 kg), but those differences in body fat percentage and mass were not statistically significant. Thirdly, the average total abdominal fat (TAF) measured by CT scans of obese children was more significantly related with subcutaneous fat (r = 0.983, P < 0.01) than visceral fat (r = 0.640, P < 0.01). Also, TAF were highest significant with waist circumference by a tape measure (r = 0.744, P < 0.01). In summary, as there are some differences of assessment results between two obesity test methods (BMI, OI), we need more definite standards to determine the degree of obesity. The BIA seems to be the most simple and effective way to measure body fat mass, whereas waist/hip ratio (WHR) using a tape measurer is considered to be the most effective method for assessing abdominal fat in elementary students.

• 대한지역사회영양학회지
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• 제7권6호
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• pp.803-813
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• 2002

The purpose of this study was to investigate the anthropometric and blood biochemical characteristics, the dietary behaviors and health-related lifestyles of obese children in Incheon. A cross-sectional survey was conducted using anthropometric measurements, biochemical assessments and questionnaire analysis. The subjects included 7,055 obese children residing in the Incheon area (from 106 elementary schools). The degree of obesity was classified using the Obesity Index (OI) as light 20% ＜ OI ＜ 30% ; Medium 30% ＜ OI ＜ 50% ; Severe 50% ＞ OI. The statistical analysis was conducted using SPSS 10.0 program. Most subjects fell within the medium range of obesity. Most subjects had dietary problems such as overeating, unbalanced meals and skipping breakfast. The ratio of boy subjects eating green and yellow vegetables was lowe. when compared to that of the girl subjects. The boy subjects exercised more frequently and longer than the girls. As the Obesity Index increased, hypercholesterolemia significantly increased. The blood cholesterol levels of the subjects were positively correlated with body fat, waist/hip ratio and BMI; HDL cholesterol levels of the subjects were negatively correlated with the anthropometric data and the LDL cholesterol levels of the subjects were positively correlated with body fat. The blood triglycerides levels of the subjects were positively correlated with body weight, body fat, waist/hip ratio and BMI. Therefore, proper nutritional education and intervention are required for an improvement of obese children＇s dietary behavior, heath-related factors and blood lipid profiles.

• 한국가정과학회지
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• 제9권4호
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• pp.83-93
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• 2006

This study was done for finding out if eating habits, eating behaviors were different between non-obese and obese elementary school students in Jeonju Area. Total 2568 students of 1364 male and 1204 female of the 4th, 5th, and 6th year in 5 elementary schools were surveyed and the statistics of the result was analyzed by SPSS program. The results are summarized as follows: 1. Obesity was defined as Body Mass Index(BMI) that exceeded 85th and Obesity Index(OI) that exceeded 110. First, subjects were divided into 4 groups : lean, normal, overweight and obese. Second subjects were reclassified into non-obese(lean and normal) and obese(overweight and obese) groups. Average height of male and female students were 142.5cm, 143.1cm and weight of those were 36.4kg and 37.9kg respectively. 2. As results of obesity computation, obese male students were 19.6%(overweight 11.3%, obese 8.3%) in BMI and obese male students were 25.0%(overweight 12.5.%, obese 12.5%) in OI. Especially Obesity percent rate of male student were significantly higher on that of female student in OI method. 3. Examining obesity between male and female, there were statistically different between male students and female students in OI, but there were not statistically different in BMI. With regard to grade level(4th, 5th, 6th), there were statistically different among grade levels. 4. Examining correlation between eating habits(eating behaviors) and obesity, there were statistically significant in some cases. For example, there were statistically significant correlation between fast eating habit and obesity. And the relation analysis of general environments and obesity showed that there were statistically significant in some cases. These results suggest that the number of overweight students can be increased due to the amount and kinds of food children have as well as the general causes of overweight such as genetic, environmental and psychological reason. Surveying about children's eating habits, eating behaviors this study methodically. Working with parents is necessary and comparison of eating habits, eating behaviors and nutrition knowledge between the past and their presents are also needed in a future.

• 대한한방소아과학회지
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• 제27권3호
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• pp.29-40
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• 2013

Objectives The purpose of this study is to evaluate the effect of hot spring bath in obese children. Methods The study was conducted with 20 obese children whose BMI were over 20 ($kg/m^2$). The hot spring bath program was performed in the hot-spring facilities with temperature of $32{\sim}36^{\circ}C$. The children bathed four times from June to July, 2012. Prior to their bath, their heights, weights, and body compositions were measured every time. They were also confirmed their obesity index and obesity degree during the program. Results After the bathing program, degree of obesity has changed, three obesity judgment index (BMI, RI and OI) of the children have decreased (BMI, RI, OI on the $1^{st}$ day: $25.99{\pm}3.47$, $177.63{\pm}17.43$, $37.74{\pm}13.42$; on the $4^{th}$ day: $25.06{\pm}3.08$, $168.4{\pm}14.8$, $30.60{\pm}12.12$), so have body fat mass and percent body fat (BFM, PBF on the $1^{st}$ day: $21.83{\pm}7.03$, $38.24{\pm}3.36$; on the $4^{th}$ day:$19.55{\pm}6.35$, $34.20{\pm}3.77$), but skeletal muscle mass has increased (SMM on the $1^{st}$ day: $18.37{\pm}4.24$ ; on the $4^{th}$ day: $19.80{\pm}4.44$). Conclusions This study shows that hot spring bath could be an effective way of managing and treating obesity.

• 대한한방소아과학회지
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• 제27권4호
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• pp.57-67
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• 2013

Objectives The purpose of this study is to investigate the safety and effect of Biman-tang (BMT) on two different administration periods in the treatment of childhood overweight and obesity. Methods In retrospective study, 39 overweight and obese ($85^{th}$ percentile ${\leq}$ Body Mass Index (BMI)) children were treated with BMT from January 2006 to April 2013 at Korean Medical Clinic in Suwon, Korea. The primary outcomes were the changes in BMI and Obesity Index (OI) from baseline to the treatment groups. Secondary outcomes included the changes in height, weight and safety of the medicine. Comparisons of BMI, OI, height and weight between the short-period (SP) treatment group and the long-period (LP) treatment group were done by using ANCOVA. Results The change of the mean of BMI ($-0.5{\pm}0.6kg/m^2$ vs $-1.4{\pm}0.8kg/m^2$, respectively; p=0.003) and OI ($-3.6{\pm}3.9%$ vs $-9.7{\pm}4.7%$, respectively; p<0.001) showed significant reduction both in SP (n=16) and LP treatment group (n=23). The mean height showed no significant difference in both groups. The mean weight of LP treatment group showed significant reduction compared to SP treatment group ($-0.2{\pm}1.3kg$ vs $-1.6{\pm}1.6kg$, respectively; p=0.006). Most of the children were compliant to the medication and no serious adverse events were found in two groups. Conclusions These findings emphasize that BMT is effective in the treatment of childhood obesity and it requires at least 45 days of treatment for the best result.

• 한국식품영양과학회지
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• 제26권2호
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• pp.291-299
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• 1997

에너지 섭취량은 남학생이 권장량의 89.7%, 여학생이 100% 섭취하고 있었다. 남학생의 열량 섭취량이 권장량 및 활동량에 비해 많은 양이 부족하게 섭취되고 있었다. 반면, 여학생은 섭취열량, 권장량, 활동량 간의 균형이 잘 이뤄지고 있는 것으로 조사되었다. 권장량에 비해 남학생은 총열량, 칼슘, 철의 섭취량이 약간 부족하였고, 여학생은 철의 섭취량이 미달되는 것으로 나타나 이 부분에 대한 영양교육이 이루어져야 할 것이다. 그러나 전반적으로 영양소의 섭취상태는 양호한 것으로 나타났다. 탄수화물과 단백질, 지방의 열량에 대한 구성비는 남학생이 64 : 16 : 20, 여학생이 62 : 16 : 22로 나타나 이상적인 섭취비율과 비슷한 비율을 보였다. 조사대상자의 평균 신장은 남학생이 160.0cm, 여학생이 155.5cm였고, 평균 체중은 남학생이 49.4kg, 여학생이 48.9kg으로 구미지역 중학생들의 발육상태가 양호한 것으로 나타났다. 상완위 둘레는 남학생이 23.1cm 여학생이 22.6cm로 평균적인 발육상태를 보였다. Caliper로 측정한 상박부 전 후면, 좌측 견갑골, 장골절, 종아리 부위의 피하지방 두께는 남학생이 7.3mm, 13.9mm, 11.4mm, 15.4mm, 21.2mm 여학생이 11.2mm, 18.4mm, 16.7mm, 18.4mm, 21.6mm로 나타났다. 비만으로 판정된 학생은 RBW는 남학생 5%, 여학생 6%, BMI는 남학생 4%, 여학생 10%였고, RI는 남학생 7%, 여학생 13%로 나타났으며, OI는 남학생 4%, 여학생 9%로 나타나 체격지수에 의한 비만판정에는 여학생이 남학생 보다 높은 비만율을 보였다. 상박부후면의 피부두겹 두께에 의한 비만판정은 남학생이 16mm, 여학생이 20mm 이상으로 이에 해당하는 남학생은 43명(24%), 여학생은 66(34%)명으로 나타나 체격지수에 의한 비만 보다 훨씬 높게 평가되는 경향을 보였다. Slaughter의 방법으로 비만으로 판정된 학생은 남학생이 105명(59%), 여학생이 58명(30%)으로 판정되었다. BMI를 이용한 Deurenberg의 방법에 의한 비만학생은 남학생이 27명(15%) 여학생이 13명(7%)으로 판정되었다. Siri의 방법에 의한 비만학생은 남학생 24명(14%), 여학생 2명(1%)으로 판정되었다. 체격지수와 부위별 피지후와의 상관관계에서 RBW는 네부위의 합과 가장 높은 관련 (.6776)을 보였고, BMI(.7542), RI(.7669), OI(.7675), %fatII(.8007)는 모두 견갑골과 가장 높은 상관관계를 보였다.

• Nutrition Research and Practice
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• 제2권4호
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• pp.308-316
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• 2008

The purpose of this study was to investigate the nutrition and diet related knowledge, attitude, and behavior of elementary school children in Seoul. The subjects included were 439 (male 236, female 203) elementary school children in the 4th to the 6th grades, The statistical analysis was conducted using SPSS 12.0 program. The average obesity index (OI) was 104.98 and 99.82 for male and female subjects, respectively. The average percentage of underweight, normal, overweight and obese of subjects was 33.7%, 32.8%, 12.3%, and 19.4%, respectively. The percentage of the underweight group of female subjects was higher than that of the male subjects. The percentage of the obese group of male subjects was higher than that of the female subjects. The average score of nutrition knowledge, nutrition attitude and dietary behavior was 6.8, 7.44, and 7.34, respectively. Dietary behavior of male subjects was positively correlated with parents' education levels, monthly household income and nutrition attitude. Dietary behavior of female subjects was positively correlated with monthly household income, nutrition knowledge and nutrition attitude. Dietary behavior of female subjects was positively correlated with obesity index (OI). Proper nutrition education and intervention are required for the improvement of elementary school children's nutrition knowledge, nutrition attitudes and dietary behaviors.