• Research in Community and Public Health Nursing
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• v.12 no.3
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• pp.828-837
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• 2001

Purpose: This study was aimed to identify the difference of the self-efficacy and the health promoting behaviors between obese and normal-weight middle school students. Method: Data were collected from a convenient sample of 360 middle school students (180 normal-weight students and 180 obese students) in Pusan from November 22nd to December 20th. 2000. based on self-report questionnaires. The following instruments were used in the study after being reconstructed by the researcher with the consultation of experts and the literature review: General Self Efficacy Scale(Sherer et al.. 1982). and Health Promoting Lifestyle Profile (Walker. Sechrist & Pender. 1987). The data were analyzed with descriptive statistics, chi-square test. and t-test and Pearson's correlation coefficient. Results: 1. There were significant differences in father's obesity (p=.014) mother's obesity (p= .007), sibling's obesity (p=.00l), and school record (p=.001) between obese and normal-weight students. 2. There were statistically significant differences in the score of self-efficacy between the obese and normal-weight students (p=.0001) 3. There were statistically significant differences in health promoting behavior (p= .000) and in six sub-i terns: personal relationship (p =.000), exercise (p=.001), responsibility for health (p=.003), stress management (p = .015), self-actualization (p =.043) between the obese and normal weight students. 4. There were very statistically significant negative correlations between obesity and the self-efficacy (r=-.19. p<.001), health promoting behavior (r=-.18. p<.001), specifically personal relationship(r=-.20. p<.001), stress management (r=-.12. p<.05), responsibility for health (r=-.15. p<.01), and self-actualization (r=-.14. p<.01). Conclusion: According to the above results it is concluded that self-efficacy and health promoting behavior influence the obesity of middle school students. Therefore I recommend adding programs that can lead to improve self-efficacy and health promoting behavior to the obesity prevention programs for middle school students.

• Journal of Korean Home Economics Education Association
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• v.24 no.4
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• pp.105-116
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• 2012

The purpose of this study was to investigate the effects of body appearance satisfaction(BAS) and the self-esteem on the obesity stress(OS). A survey sample drawn from the total of 664 middle school students(324 of females and 340 of males) were analyzed with the suggested conceptual model by employing the latent variables such as BAS and OS. By using the AMOS statistical program, we found that the conceptual model fitted well with the data set and paths in the model significantly predicted the OS. The middle schoolers' BAS had significant direct effects on the OS and self-esteem as well as a indirect effect via self-esteem on the OS. Self-esteem had a significant direct effect on the OS which was larger than the total effects from BAS on OS. Therefore, self-esteem could be buffered the negative influences from the BAS on the OS.

• Journal of Korean Academy of Nursing
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• v.50 no.3
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• pp.459-473
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• 2020

Purpose: This study was conducted to identify the effects of a lifestyle intervention program on weight gain, dietary habits, fatigue and pregnancy stress, blood pressure, and neonatal birth weight, using Cox's interaction model of client health behavior for overweight and obese women. Methods: This was a quasi-experimental research with a non-equivalent control group pre-post test design. A total of 52 patients who met the selection criteria, including 25 in the experimental group and 27 in the control group, were the subjects of the study; they comprised overweight and obese pregnant women who were receiving prenatal care at A and B women's hospital in J province. The lifestyle intervention program ran for 12 weeks in total and consisted of interactions involving affective support, health information, and professional/technical competencies. The data collection period was from February 1, 2017 to August 31, 2017. Results: This study showed differences in the appropriate weight gain rate (χ²=6.17, p=.013), suppression of an increase in fatigue (t=-2.32, p=.012), and an increase in pregnancy stress (t=-1.87, p=.034). Yet, no differences in physical activity, dietary habits change, blood pressure, and neonatal birth weight (p>.05) were found. Conclusion: The study findings indicate that this program could be an effective intervention for the control of appropriate weight gain, fatigue, and pregnancy stress. Therefore, a lifestyle intervention program based on Cox's interaction model of client health behavior could be an efficient strategy for a positive health outcome of overweight and obesity pregnant women.

• Journal of Korean Academy of Nursing
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• v.37 no.1
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• pp.105-113
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• 2007

Purpose: The purpose of this study was to identify the effects of a multi agent obesity control program in obese school children. This program was composed of strategies to modify diet and exercise habits and to change cognitive behavior variables(stress, coping, and self-efficacy). Method: The subjects were 40 obese school children who participated in our project voluntarily via homepage, TV, newspaper, public paper and school official documents. The program was implemented daily for 4 sessions per day for ten days from August 16 to 26, 2004. The daily program consisted of exercise therapy, dance therapy, cognitive behavior therapy and aroma therapy. The data was analyzed by paired t-test using the SPSSWIN program. Result: There was a significant decrease in children's waist-hip ratio(p=.04) and in children's stress(p=.00) after the program. There was a significant increase in children's self-confidence after the program(p=.02) and a significant decrease in children's diet habit after the program(p=.02). Conclusion: This study provides evidence that a multiagent obese control program is effective in changing waist-hip ratio, stress, self-confidence, and diet habits in obese school children.

• The Journal of Korean Physical Therapy
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• v.12 no.3
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• pp.331-338
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• 2000

Objectives: The objective of this study was to investigate the experience and point prevalence rate and factors related with Low Back Pain (LBP) in bin drivers. Methods: Questionnaires were completed by 200 drivers at 2 bus companies in Andong city in October.2000. The information was used to estimate odds ratio (OR) and $99\%$ confidence intervals (CI) for factors relation to LBP. A cross-section study design was used. Results: The experience rate for LBP was $53.5\%$, point prevalence rate was $31.5\%$. Variables significantly associated with LBP experience were employ duration and stress related occupation. The higher subjects had experienced stress. the higher experience for LBP was (OR=2.9, $95\%$ Cl 1.2-7.2). The longer subjects had employ duration in bus company, the higher experience far LBP was (OR=1.3, $95\%$ Cl 1.2-7.2). Significant factors relation to a week point prevalence far LBP were obesity and employ duration. LBP increased as weight increased (OR=4.1, Cl 1.6-10.7). The longer subjects has employ duration at bus company, the higher LBP is (OR=1.4. $95\%$ Cl 1.6-2.9). Conclusions: Results from this study indicated that a statistically significant factor relation to LBP was stress related occupation. employ duration, and obesity.

• Journal of Korean Clinical Health Science
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• v.6 no.2
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• pp.1106-1114
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• 2018

Purpose: This study was conducted to identify factors influencing the weight control behavior of female college students. Method: The subjects included female college students in the U City area, and data were collected through a self reported structured questionnaire from July 01 to 28 of 2017. Totally 220 subjects were analyzed. Analyses consisted of descriptive statistics, ANOVA, Pearson's correlation analysis, and stepwise multiple regression analysis. Results: The findings showed dissatisfaction of female college students' perceptions of their bodies based on BMI, body satisfaction and obesity stress, which had special impacts on their weight control behaviors. Weight control behaviors was closely influenced by obesity stress (${\beta}=.848$, p<.001) accounted for 48.7% of the weight control behaviors (F=71.97, p<.001). Conclusion: These findings indicate that it is necessary to develop and implement information programs and design appropriate prevention programs that can induce healthy weight control behaviors. Such programs should include health education, as well as intervention programs to identify such predictors and help college students judge and perceive positive body image so that they control their weight in a proper manner.

• The Journal of Korean Medicine
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• v.25 no.4
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• pp.43-50
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• 2004

Objective : Obesity is associated with degenerative arthropathy giving stress on joints. It also amplifies loads of weight bearing joints by changing the gravity line of the body. Our aim is to investigate the correlation between obesity and lumbar lordosis in obese pre-menopausal Korean females. The hypothesis was tested that there is a correlation between obesity and lumbar lordosis. Methods : A cross-sectional evaluation of 44 Females (baseline age 30.77 ± 6.46) with BMI 31.53 ± 3.82 (kg/㎡) was done. Body composition was measured using bio-impedance analysis (BIA), and anthropometry was done by the same observer. A lateral whole spine X-ray was taken in standing position to measure the lumbar lordotic angle (LLA), Ferguson angle (FA) and lumbar gravity line (LGL). A Pearson correlation was used to measure the correlation between obesity and lumbar lordosis (SPSS 10.0 for windows). Results : Body mass index (BMI kg/㎡) had a negative relationship with LLA((equation omitted)=-0.469), FA((equation omitted) =-0.347) and LGL((equation omitted)=-0.389). Body fat rate had a negative relationship with LLA only(γ=-0.385). Waist circumference had a negative relationship with LLA((equation omitted)=-0.345) and LGL((equation omitted)=-0.346). WH ratio had no relationship with lumbar lordosis. Conclusion : These data show that obesity is related to mechanical structures, such as lumbar lordosis. BMI was the most useful index, which reflects a change of mechanical structure of lumbar, more than other variables in this study.

• Korean Journal of Clinical Laboratory Science
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• v.48 no.3
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• pp.196-201
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• 2016

An effective strategy for obesity intervention should include demographic, health-related, and work-related factors that are most relevant to the target population. Factors most strongly associated with obesity may differ for groups of individuals across industries or age categories. The purpose of this study was to provide current knowledge about the possible association between psychosocial job stress and immune parameters in blood. We assessed obesity-related parameters as well as the natural killer cell activity (NKCA) in female workers. There was a significant difference in the obesity-related blood parameters, i.e. fasting blood sugar level, according to age (p<0.05). Moreover, it showed a significant difference in NK cell activity between the obese and non-obese factor groups (p<0.05). Pearson correlation analysis demonstrated that NKCA was closely correlated with obesity related factors. In the future, it would have to study the biological changes which increase the activity of the immune factors to the immunological response.

• Journal of Korean Academy of Nursing
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• v.29 no.6
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• pp.1192-1207
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• 1999

The purpose of this study was to clarify the dynamic relationships among risk factors of arteriosclerosis and to develop and examine a model which could explain this relationship clearly. Data were collected from medical records of 400 male clients who visited a university hospital located in Inchon for physical examinations, from May 1996 to December 1996. Data were analyzed using the LISREL (Linear Structural Relationship) 8 program. To test the fitness of the hypothesized model, chi-square, RMSR (root mean square residual), GFI (goodness of fit index), CN (critical number) and Q-plot were used. Most of the fitness measurements, except the chi-square showed that the hypothesized model complimented the real data. According to the results, there were trends that obesity and hyperlipidemia were prevalent in heavier smokers, higher alcohol intakers, and groups who excercised less. Also, hypertension was more prevalent in older age, higher alcohol intaker, and higher serum lipid level groups. In contrast to the hypothesis, alcohol intake did not significantly affect serum lipid levels. This might be due to the serum lipid measurements (total cholesterol and trigryceride) used in this study to estimate hyperlipidemia. The direct effect of smoking on hypertension was not significant. However, the total effect of smoking on the hypertension was significant since indirect effects of smoking on hypertension, such as obesity and hyperlipidemia, were significant. The total effect of obesity on hypertension was significant since the indirect effect of obesity on hypertension via hyperlipidemia was significant, although the direct effect of smoking on hypertension was not significant. The degree of explaining hyperlipidemia with smoking, exercise, and obesity was high (60%), however, the degree of explaining obesity with age, smoking, alcohol intake, and exercise was very low (7%). On the basis of these results, high risk factors of arteriosclerosis such as hypertension, hyperlipidemia, or obesity are either directly or indirectly correlated each other. Therefore, it is difficult to predict outcomes for increasing or decreasing the risk factors by simply modulating a factor. Smoking, alcohol, and exercise both directly and indirectly affected major risk factors of arteriosclerosis. Therefore, correcting these variables is required to decrease risk factors. Finally, the relationship among other risk factors which have been known to be related with arteriosclerosis (diet, stress or hereditary) should be clarified in further studies.

• The Journal of Korean Society for School & Community Health Education
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• v.11 no.2
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• pp.89-102
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• 2010

Objectives: This study was conducted to compare health behavior between obese children and those with standard body weight, analyzing the correlation in their health behavior, and further making it useful data for the development of programs for a better education on health. Methods: To achieve the goal of this survey as mentioned, we have carried out a research targeting on a total of 636 elementary school students, 505 children of standard body weight and 131 children of obesity, all of whom belong to elementary school students in Seoul, the capital city of Korea. And we have itemized the research into 'eating habits', 'physical activity, 'dieting experience in the past', and 'stress and release management' in order to spot the specific health behavior leading to obesity. Results: 1. Factors for diseases mainly from obesity were statistically significantly differentdepending on degree of the subjects' self-respect and a history of obesity in their families, father($x^2$=7.172, p=.007), mother($x^2$=9.011, p=.003), and siblings($x^2$=12.431, p=.000). 2. Regarding the subjects' eating habits, some items were statistically significantly different: taking algae($x^2$=3.324, p=.043), eating breakfast($x^2$=6.070, p=.010), and eating fast($x^2$=8.551, p=.002). 3. There were some statistically significant differences in the subjects' dieting experience. For the latest 1 year, they made some attempts for that: fasting($x^2$=4.229, p=.040), reduction of eating($x^2$=25.377, p=.000), eating one meal a day($x^2$=5.582, p=.018) 4. OR(Odd Ratio)of Percieued obesity was 0.15 in the subjects' under weight than normal weight. And there was OR(Odd Ratio) 11.72 in the subjects' over weight. We can witness obese children think that they are over weight(p=.000).