Purpose: To analyze the associations among the degrees of nonalcoholic fatty liver disease (NAFLD) by ultrasonography and metabolic syndrome, degrees of obesity in children, and degrees of parental obesity. Methods: A total of 198 children with obesity who visited a pediatric obesity clinic were prospectively enrolled in this study. The severity of NAFLD based on ultrasonography was classified into no, mild, moderate, or severe NAFLD group. The degree of obesity based on the percentage over standard weight for height per sex was classified into mild, moderate, or severe. Results: Of 132 patients evaluated for the degree of NAFLD and metabolic syndrome, the p-value of correlation between the two factors was 0.009. Therefore, metabolic syndrome might significantly affect the degree of NAFLD. Of 158 patients evaluated for the degree of NAFLD and the degree of obesity, the p-value of correlation between the two factors was 0.122. Of 154 patients evaluated for the degree of obesity and father's obesity, the p-value was 0.076. Of 159 patients evaluated for the degree of obesity and mother's obesity, the p-value was 0.000, indicating that mother's obesity could significantly affect the degree of obesity in children. Of 142 patients evaluated for the degree of obesity and metabolic syndrome, the p-value was 0.288. Conclusion: Metabolic syndrome might significantly affect the degree of nonalcoholic fatty liver in children. In addition, mother's obesity might be a significant factor that affects the degree of obesity in children.
This study aimed to find out the relationship between the body shape and the degree of obesity and the eating attitude influenced by the eating disorder among male and female college students. Followings are the summary of the results obtained in this study : 1. Male students perceived their own body shape properly, however female students perceived their body shape fatter than their real one even if almost all of them were maintaining normal weight. 2. For both male and female students the EAT-26 score was high when they perceived themselves fat, and in the group of students perceiving themselves fat the F I score was high and the F III score was low. Contray to this, in the group of students perceiving themselves thin the F nt score was high. The EAT-26 of female students marked higher than that of males in total questionares. 3. The EAT-26 score was high for both male and female students whose degree of obesity was high. The higher the degree of obesity the higher the F I score, and the lower the degree of obesity the higher the F III score. 4. For both male and female students the dieting frequency was high when they were in the group perceiving themselves fat and in the group with the high degree of obesity. And the number of females' is higher than that of males'. For male students there was no significant difference of dieting frequency in accordance with the perceived body shape and the degree of obesity. However, for female students the frequency was high when they were in the group perceiving themselves fat and in the group with the high degree of obesity. The frequency was high when they were in the group perceiving themselves thin and in the group with the low degree of obesity. 5. For the matter of relationship between the degree of obesity and the frequency of buying meals there was significant difference only in the female students and the frequency of buying meals was higher when the degree of obesity was higher.
The prevalence of obesity in children has steadily risen during recent years in developed countries. Child obesity has become a major concern to health providers since it has grown to epidemic proportions over the past few decades. This study was conducted to investigate the biochemical status, dietary habits and life styles according to the obesity degree among obese children residing in the Gyungbuk area. The subjects were 148 elementary school students (boy 103, girl 45) and classified as mildly obese (n = 56), moderately obese (n = 61) and severely obese (n = 31) by the obesity index. The average body weight and height increased significantly according to the obesity degree (p < 0.05, p < 0.001). Serum cholesterol concentration came under the normal level in all groups. Serum AST activity increased according to the obesity degree but it was not significant. Serum ALT activity increased according to the obesity degree (p < 0.05). Dietary habit score was lower significantly according to the obesity degree (p < 0.01). Life style of the subjects was significantly different for the level of 'healthy state (p < 0.05)', 'body perception (p < 0.01)', 'watching TV and video (p < 0.05)', 'normal sleeping hour (p < 0.05)' and 'degree of stress (p < 0.05)' according to the obesity degree. A positive relationship between obesity index and blood pressure, ALT has been shown in the subjects. Obesity index and dietary habit scores were negatively associated. Therefore, these results suggest that a practical nutrition-exercise education program for the prevention of child obesity should be provided to elementary school children. (Korean J Community Nutrition 14(4) : 441${\sim}$450, 2009)
This study was designed to investigate the effects of behavior medication and aerobic exercise on the degree of obesity, eating behavior, depression and self esteem among adolescent girls who were overweight and obese. Forty seven subjects were selected from one girl's middle school located in Seoul. Seventeen girls received the behavior modification program by joining 60-90 minute group session weekly. Behavior modification, in this study, consisted of self-monitoring, changing patterns of life style and attitudes, teaching nutrition and physical activities, and asking personal help. The aerobic exercise program was given to 16 girls 3 times per week with 60 minutes each time. Forteen girls received both behavior modification and aerobic exercise. These interventions continued for 8 weeks. Changes after intervention were examined twice after 4 weeks and 8 weeks for degree of obesity and once after 8 weeks only for eating behavior, depression and self esteem. The results were as follows ; 1. Degree of obesity was significantly decreased after 4 weeks and 8 weeks in 3 groups. Degree of obesity after 4 weeks and 8 weeks were not significantly different among 3 groups. 2. The mean score of eating behavior related to obesity decresed significantly after intervention in the behavior modification group only. There was significant difference in eating behavior among 3 groups after intervention. 3. The behavior modification group showed no significant changes in depression and self esteem after intervention. In the aerobic exercise group and group who participated in both behavior modification and aerobic exercise, the level of depression decreased significantly and the level of self esteem increased significantly. There were no significant differences in the level of depression and self esteem among 3 groups after intervention. These findings indicate that behavior modification might be effective in decreasing degree of obesity and eating behavior related to obesity, aerobic exercise be effective in decreasing degree of obesity and the level of depression, and also in increasing the level of self esteem.
The purpose of this study was to compare the dietary status of elderly people according to the degree of obesity and mid-arm circumference in order to provide individualized and efficient nutrition management according to the physical condition of the elderly. Among the total 328 subjects, 72.2% were female, and the mean age and body mass index of the subjects were 76.5 years and $23.4kg/m^2$, respectively. The distribution of obesity degree was 47.9% for the normal group, 23.5% for the overweight group, and 28.7% for the obesity group. The distribution of mid-arm circumference was 18.0% for the under-21 cm group, 37.2% for the 21~22 cm group, and 44.8% for the over-22 cm group. About 82.9% of the subjects were consumed at least three meals a day, and 67.8% of the subjects regularly ate alone. The responses for meal time, regular meal, and meal reduction for 3 months were highest in the 10~20 min. (43.4%), yes (79.3%), and no (58.5%) group, respectively. The responses for eating alone were significantly highest in the overweight group (97.4%), followed by the normal group and obesity group according to the degree of obesity (P<0.05). There were no significant differences in preference for five flavors according to the degree of obesity and mid-arm circumference. Among the dietary habits, 31.1% of all subjects ate milk and dairy products more than once a day, and the response for eating vegetables and fruits more than three times a day was highest in the over-22 cm group (61.9%) while the drinking rate was highest in the under-21 cm group (27.1%; P<0.05). In conclusion, the degree of obesity was related to eating ability, and mid-arm the circumference was related with fruit and vegetable consumption and drinking rate.
Purpose: The purpose of this study was to investigate body composition, blood pressure, blood lipids, and glucose according to obesity degree by body fat percentage in female university students. Methods: A total of 231 subjects were participated between July and December 2010. The anthropometric measures and blood analyzer were used. Data were analyzed using descriptive statistics, ANOVA, and Pearson's correlation coefficient with SPSS 18.0. Results: Percentage of body fat (PBF)-defined obesity had higher prevalence than body mass index (BMI)-defined obesity. Weight, BMI, PBF, fat mass, Waist to hip ratio (WHR), Systolic blood pressure (SBP), Diastolic blood pressure (DBP) in obesity group were higher than normal group and Soft lean mass and Low density lipoprotein (LDL) in obesity group were lower than normal group. There were significant correlations between PFB, SBP, DBP, Triglyceride (TC), High density lipoprotein (HDL), and LDL. Conclusion: In conclusion, when screening for obesity in female university students, body fat should be considered. It is needed to develop obesity management program according to obesity degree and to identify the effectiveness.
Objectives: Obesity is a growing epidemic with subsequent health consequences leading not only to reduced quality of life but also to increased medical costs. Recently nutritional balances are emphasized in the field of obesity, and especially maintaining proper equilibriums of minerals. The correlation of minerals obtained from the method of HTMA(Hair Tissue Mineral Analysis) with obese degree has not been studied in Korea yet. We studied any significant difference of mineral concentrations and components according to the obese degree. Methods: 78 subjects were analyzed who visited Garosero clinic of oriental medicine to lose their weight from June to November 2004. We used BMI(Body Mass Index), PBF(Percent Body Fat), WHR(Waist-Hip Ratio) and abdominal circumference obtained by bio-electrical impedance analysis as an obese degree. And we analyzed correlation with mineral concentrations and ratios obtained from HTMA. Results & Conclusion: 1. Na, K, Zn, Se had significant correlation with obese degree in case of nutritional minerals from HTMA. Especially, K had high significance. 2. Toxic minerals from HTMA had no significance with obese degree. 3. Rb had significant correlation with obese degree in case of additional minerals from HTMA. 4. Among important ratios from HTMA, Na/K had significant correlation with obese degree, but Ca/K had correlation except PBF, and Na/Mg had correlation except WHR. 5. Among toxic ratios from HTMA, Se/Hg had significant correlation with obese degree, but S/Hg had correlation except BMI. 6. Na, K, Zn, Rb, Na/K, Ca/K had significant differences between obesity groups classfied by BMI. Ob II group had sinificant difference from NW group in cases of K, Zn, Rb, Na/K, and Ob II group had sinificant difference from OW group in case of Ca/K.
R$\ddot{o}$hrer index, Vervaeck index and Body Mass Index(BMI) are frequently used in order to judge obese subjects in clothing & textiles field. However, there are no certain criteria of judging the degree of obesity. Each researcher utilized these obesity indices according to their own criteria so far. Therefore, the purpose of the study is to suggest a reliable obesity index and new criteria for judging the degree of obesity. The results are as follows; Utilizing frequency analysis, main percentiles, minimums, maximums and ranges were presented by 5 age groups from twenties to sixties. Obesity rates dramatically increased, the subject got older. Especially, obesity rate of the subjects in their fifties and sixties were much higher than other age groups. 1.6 & higher can be used in the R$\ddot{o}$hrer index, 98 & higher can be used in the Vervaeck index, and 25 & higher can be used in the BMI as the Optimal criteria of the obesity. Total of 24 body measurements and 3 obesity indices were used for analyzing the correlation analysis. All heights measurements showed negative correlation with the 3 obesity indices. It is determined heights measurements have high correlation with R$\ddot{o}$hrer index compare to other indices. Crotch height, interscye back, neck shoulder point to breast point, bust circumference, waist circumference, upper arm circumference and armscye circumference have high positive correlation with all obesity indices. According to the ANOVAs by each percentile group of the R$\ddot{o}$hrer and Vervaeck indices, there are big significances in all measurements and obesity indices except arm length. In general, heights decreased significantly by getting bigger, while circumferences and lengths, widths and indices increased rapidly by getting bigger. The results of the analysis by each percentile group in the BMI, it showed the significant differences in the all measurements except cervical height and arm length. There were similar tendency of differences according to the degree of the obesity in BMI percentile groups. It was confirmed that the BMI is the most reliable index for judging the obesity owing to the high correlations and significant differences with other measurements.
본 연구는 혈청지질과 비만 및 혈압과의 관련성을 검토하기 위하여 2011년 1월부터 12월까지 1년 동안에 대전광역시의 한 대학병원에서 종합건강검진을 받았던 30세에서 69세의 여성 1,381명을 대상으로 TC, TG, HDL-C, LDL-C, SBP, DBP, 비만도, 체지방률을 측정하여 혈청지질과 비만 및 혈압과의 관련성을 분석하였다. 연구결과, TC, TG, LDL-C, 비만도, 체지방률은 30대에서부터 60대에 걸쳐 단계적으로 상승하는 경향을 보였다. TC, TG 및 LDL-C는 혈압이 높아짐에 따라 상승하였으며, 정상혈압군에 비해 고혈압군에서 유의하게 높은 값을 보였다. TC, TG, SBP 는 비만도가 높아짐에 따라 단계적으로 상승하였고, 정상군에 비해 비만군에서 유의하게 높았으며, HDL-C는 비만도가 높아짐에 따라 감소하는 경향을 보였고, 정상군에 비해 비만군에서 유의하게 낮았다. TC, TG, LDL-C, 체지방률 및 비만도는 상호간에 유의한 정상관을 보인 반면, HDL-C와는 음의 상관을 보였다. 주성분분석 결과 제1주성분은 고혈압 인자, 제2주성분은 비만관련 인자, 제3주성분은 연령과 고지혈증 인자, 제4주성분은 고단백지콜레스테롤 인자가 선정되었다. HDL-C와 관련된 요인을 다중회귀분석을 사용하여 검토한 결과 HDL-C에 영향을 미치는 변수로는 연령, TC, TG 및 체지방률이 선정되었다. 위와 같은 결과는 비만도가 높고 혈압이 높은 군일수록 혈청지질치가 높아짐을 시사하고 있다.
Purpose: This study is to investigated the eating behavior, physical activities and obesity degree of the adolescents. Methods: The subjects of research were 1,092 third year students in middle school and high school randomly chosen of N city area and L gun area in Chonbuk province. The data was collected by an anonymous questionnaire. A survey tool developed in Ministry of Health and Welfare(2005) was used to investigate eating behavior, physical activities and obesity degree of subjects. The data was analyzed with the SPSSWIN 15.0 Programs. Results: 37.2% of adolescents only had positive eating behavior. 43.4% of adolescents did regular physical exercise, 10.8% did moderate physical exercise, and 43.3% did active physical exercise. 76.6% of adolescents did muscular strength exercise. So, the majority of adolescents were doing physical exercise. The percentage of adolescents who had normal weight range was 90.6%. The percentage of over weight range was 5.2%, which was higher than the percentage of under weight range, 4.2% Conclusion: This study is a descriptive research for investigating the eating bahavior, physical activities and obesity degree of adolescents. The results provided the baseline data for improving eating behavior, and improving physical activities and relieving obesity degree in adolescence. Therefore an effective national policy must study and develope a program to establish the positive eating behavior, and to promote the physical activities, and to prevent the adolescents' obesity.
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