• Nutrition Research and Practice
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• v.4 no.5
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• pp.433-437
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• 2010

In order to develop an obesity management program for teenagers, we compared obese and non-obese girls attending high schools in terms of their dietary practices related to snack consumption. Dietary records were collected for 7 days. No significant differences were found for the average daily energy intake between obese and non-obese girls. However, the highest energy intake was greater for obese girls while not much difference was found for the lowest amount of energy intake. Obese girls had significantly lower intakes in calcium (P < 0.01), vitamin A (P < 0.001) and folate (P < 0.01). Mean energy intake from snack ($594.1{\pm}312.1kcal$) was significantly higher for obese girls than for non-obese girls ($360.1{\pm}173.1kcal$) (P < 0.001). A significant, positive correlation was observed between energy intake from snack and total daily energy intake (r = 0.34 P < 0.01) only for obese girls. In case of dietary behaviors, obese adolescent girls consumed significantly greater number of items for snacks and fewer foods for regular meals compared to non-obese girls (P < 0.05). This study suggested that obesity management programs for adolescents should focus on providing strategies to reduce snack through enhancing balanced regular meals.

• Korean Journal of Community Nutrition
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• v.9 no.5
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• pp.578-588
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• 2004

The present study was conducted to investigate the effect of nutrition education program on nutrition knowledge, eating behaviors, food habit, nutrient intakes in obese children and their parents who live in Gumi city. The subjects were 16 obese boys, 20 obese girls with obesity index over 130% and 36 of their parents. The nutrition education for the subjects was carried out by the professional personnel such as doctors, professors, and dietitians. The children were provided with well-balanced lunch meals and had 40 min-lectures on the reasonable weight management, 40 min-games and also had regular exercises (stretching, swimming) for 90 mins everyday during 2 weeks of the program. The parents had 90 min-lectures on childhood obesity, diet therapy, behavior modification, and exercise for 6 times. The nutrition knowledge, eating behaviors and food habits were surveyed by using questionnaires before and after the education. The nutrition intakes of the children were surveyed before and after the education by 3-day food record method. The nutrition intakes of the parents were surveyed before and after the education by using semi-quantity questionnaires. After the education, the mean nutrition knowledge scores were significantly improved compared with the pretest scores in both children and parents. After the education, all subjects' eating behaviors were significantly changed positively and calorie and carbohydrates intakes were significantly decreased and vit. C was significantly increased in obese children. The food habits of the parents were significantly improved after the education. These findings show that the well-designed nutrition education program for obese children and their parents can be an effective approach to help them to improve their nutrition knowledge and to establish desirable food habits and eating behaviors.

• Safety and Health at Work
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• v.8 no.1
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• pp.89-93
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• 2017

Background: Rates of overweight and obese Australians are high and continue to rise, putting a large proportion of the population at risk of chronic illness. Examining characteristics associated with preference for a work-based weight-loss program will enable employers to better target programs to increase enrolment and benefit employees' health and fitness for work. Methods: A cross-sectional survey was undertaken at two Australian mining sites. The survey collected information on employee demographics, health characteristics, work characteristics, stages of behavior change, and preference for workplace assistance with reaching a healthy weight. Results: A total of 897 employees participated; 73.7% were male, and 68% had a body mass index in the overweight or obese range. Employees at risk of developing obesity-related chronic illnesses (based on high body mass index) were more likely to report preference for weight management assistance than lower risk employees. This indicates that, even in the absence of workplace promotion for weight management, some at risk employees want workplace assistance. Employees who were not aware of a need to change their current nutrition or physical activity behaviors were less likely to seek assistance. This indicates that practitioners need to communicate the negative effects of excess weight and promote the benefits of a healthy lifestyle to increase the likelihood of weight management. Conclusion: Weight management programs should provide information, motivation. and trouble-shooting assistance to meet the needs of at-risk mining employees, including those who are attempting to change and maintain behaviors to achieve a healthy weight and be suitably fit for work.

• Child Health Nursing Research
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• v.19 no.4
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• pp.262-269
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• 2013

Purpose: The aims of this study is to analysis the effects of obesity management programs for children and to measure the differences in the effects by type and dependent variables in order to analyze the structures of the programs. Methods: Sixty-one peer-reviewed journals including child obesity and intervention studies published between 2000 and 2010 were included for meta-analysis. Effect size and statistics of homogeneity were by STAT 10.0. Results: A total of 61 studies were used in the analysis, and the effect size of the independent studies was determined to be -0.23 (95% CI, -0.32 ~ -0.15). Serum Leptin and Insulin were the big effect size among the studies that used dependent variables. The theses used in the research did not display publishing bias. Conclusion: Obesity management programs that have been confirmed to be effective need to be developed into regional protocols. A continuous control of obese children and research for effective intervention program are in need.

• Journal of the Korea Convergence Society
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• v.11 no.6
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• pp.95-103
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• 2020

The aim of this study was to confirm the association between obesity and periodontitis in adults and identify the convergence relationship between periodontal disease and health-related behavior at each stage of obesity among 10,058 adults aged 30-79 years from the 7th National Health and Nutrition Survey data. We performed chi-square tests and multivariate logistic regression analyses, adjusting for demographic characteristics and health status. We found that the higher the obesity stage, the higher the risk of periodontitis. Smoking, not using oral care products, and not attending dental check-ups were associated with periodontitis. In addition, we found a difference in influence factors according to the stage of obesity. Increase in obesity stage is a negative influence on the prevalence of periodontitis. Hence, an oral health program should be applied to the obesity management process.

• The Korean Journal of Food And Nutrition
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• v.26 no.3
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• pp.535-546
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• 2013

This study was carried out to analyze the relationship between body mass index (BMI) and general characteristics, psychological factors, eating habits, dietary behaviors, and health related quality of life using survey of 335 women aged 20 to 29 years in the Seoul and Kyungin areas. The 335 study subjects were divided into 4 groups by BMI ($kg/m^2$) levels; normal group($18.5{\leq}BMI{\leq}22.9$), overweight group($23.0{\leq}BMI{\leq}24.9$), mild obesity group($25.0{\leq}BMI{\leq}29.9$), and heavy obesity group ($BMI{\geq}30$) by Asian-Pacific obesity index criteria. The family income of the heavy obesity group was significantly (p<0.05) less than that of the normal weight group. Psychological factors, such as stress and depression of the normal weight group tended to be higher than those of overweight and obesity groups. The higher BMI level had the lower self-efficacy(p<0.05) among all subjects. As the BMI level increased, the preference for sweet, salty, and hot taste was significantly high. We found that normal weight women had healthier eating habits and dietary behaviors and a higher level of health-related quality of life than did those who were overweight, mildly obese, and heavily obese women. Overweight and mildly and heavily obese women were strongly associated with decreased physical and mental health related quality of life. Therefore, weight loss is desirable, and is likely to be beneficial for health-related quality of life in obese adult women. In conclusion, this study contains evidence to suggest that obesity management programs including different strategies according to obesity are required to determine the types of programs that are suitable for adult women, prior to their initiation of a program. The findings are helpful to inform researchers and practitioners who are seeking to implement appropriate strategies to create positive changes in the health behaviors of obese adult women.

• Journal of Korean Public Health Nursing
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• v.23 no.2
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• pp.273-284
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• 2009

Purpose: The study examined obesity conditions and related factors in middle aged Korean women who had been diagnosed as obese based body mass index (BMI) or waist circumference (WC) measurement. Presently, BMI alone, WC alone, or BMI + WC were used as obesity measures. Methods: Subjects were 488 women 40~64 years of age living in one city, Korea. Structured questionnaires concerning general characteristics, health behavior practices, and chronic disease history were completed by each subject. Results: The proportions of obesity were 42.4% by BMI, 39.3% by WC, and 51.3% by the combination of both measurements. Chi-square test revealed significant associations of obesity with age, education level, menopausal status, frequency of excessive eating, and history of diabetes mellitus or hypertension. These associations were similar for the three measurement schemes. There was significant positive relationship between BMI and WC, whereas the relationship between BMI and WHR (waist-hip ratio) was not significant. Conclusions: The combination of BMI and WC measurement may be a valid way to evaluate the obesity status in middle-aged women. Developing an obesity management program that includes control of excessive eating, and consideration of menopausal status and history of chronic diseases would be prudent.

• Journal of the Korea Convergence Society
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• v.12 no.8
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• pp.345-356
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• 2021

The aims of this study is to analysis the effects of obese management program for obese young adults. Nineteen studies were included for meta-analysis and SIGN was used for quality assessment. Effect size was analyzed by CMA 3.0 and Revman 5.4. Overall effect size on obese program was big (d=-0.91) and high heterogeneity (I²=81%). BMI (d=-0.83) and body fat (d=-0.93) shown the big effect size and TG (d=-0.76) and LDL (d=-0.59) were medium effect size among the studies that used dependent variables. Intervention with aerobic and combination exercise, middle and high exercise intensity, over 1 hour exercise were effective. Based on current findings, obesity management programs have significant effects for young adults.

• The Journal of Korean Medicine
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• v.43 no.3
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• pp.65-78
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• 2022

Objectives: The purpose of this study is to analyze the weight loss and the adverse events of overweight and obese adults on weight loss program with face-to-face treatment (FTF) and non-face-to-face treatment (NFTF) in 6 Korean Medicine obesity clinics. Methods: From March 2nd to March 10th, 2021, we collected data with a retrospective way from overweight and obese adults (body mass index, BMI≥23 kg/m²) who registered for a 12-week Gamitaeeumjowi-tang prescription program. After matching initial information of the FTF group and the NFTF group using propensity matching score, weight loss and BMI change were analyzed, and adverse events were evaluated in terms of causality, severity and system-organ classes. Results: Weight and BMI change from baseline to 12 weeks was -7.98±3.09kg (10.41±3.57%), -3.03±1.14kg/m² and -7.30±3.11kg (9.59±3.45%), -2.76±1.15kg/m² for FTF group and NFTF group, respectively. Body weight and BMI significantly decreased before and after treatment in both groups, and there was no significant difference in weight loss and BMI change between the two groups. No serious adverse events were reported. Conclusions: This study showed the potential that NFTF weight management treatment could be a good alternative way to FTF weight management treatment without serious adverse events.

• The Journal of Korean Academic Society of Nursing Education
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• v.27 no.2
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• pp.175-185
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• 2021

Purpose: The aim of this study was to identify core keywords and topic groups in the 'Gestational diabetes mellitus (GDM) and Breastfeeding' field of research for better understanding research trends in the past 20 years. Methods: This was a text-mining and topic modeling study composed of four steps: 1) collecting abstracts, 2) extracting and cleaning semantic morphemes, 3) building a co-occurrence matrix, and 4) analyzing network features and clustering topic groups. Results: A total of 635 papers published between 2001 and 2020 were found in databases (Web of Science, CINAHL, RISS, DBPIA, RISS, KISS). Among them, 3,639 words extracted from 366 articles selected according to the conditions were analyzed by text network analysis and topic modeling. The most important keywords were 'exposure', 'fetus', 'hypoglycemia', 'prevention' and 'program'. Six topic groups were identified through topic modeling. The main topics of the study were 'cardiovascular disease' and 'obesity'. Through the topic modeling analysis, six themes were derived: 'cardiovascular disease', 'obesity', 'complication prevention strategy', 'support of breastfeeding', 'educational program' and 'management of GDM'. Conclusion: This study showed that over the past 20 years many studies have been conducted on complications such as cardiovascular diseases and obesity related to gestational diabetes and breastfeeding. In order to prevent complications of gestational diabetes and promote breastfeeding, various nursing interventions, including gestational diabetes management and educational programs for GDM pregnancies, should be developed in nursing fields.