• Title/Summary/Keyword: Obesity treatment

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The Comparison of Heart Rate and Energy Expenditure between Male and Female During Twist Exercise (트위스트 운동 시 성별에 따른 심박수와 에너지 소모량의 비교)

  • Jeon, Byeong-Hwan
    • Journal of Fisheries and Marine Sciences Education
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    • v.27 no.1
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    • pp.243-252
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    • 2015
  • The present study, to examine the effect of the exercise for weight control, compares the difference of the heart rate and energy expenditure by sex during Twist exercise. Twenty eight adults (male 14, female 14) were carried out Twist exercise for 7 minutes and 14 minutes. During performing the exercise program, to perform HR and related variables were measured for 7 minutes and 14 minutes. Through a twist exercise treatment and the following results were obtained. 1. Females had slightly higher, without statistical significance, number of heart beat, minimum heart rate, maximum heart rate, and average heart rate than male had for both 7 minutes and 14 minutes of Twist exercise. 2. In the case of energy consumption, significant differences did not appear until 7 minutes to perform Twist exercise. On the other hand, the energy consumption for 14 minutes of performance was significantly higher in male than in female (p<.05). However, energy expenditure for the period per minute per unit weight (kcal/min/kg) showed no difference. 3. If more than 30 minutes duration were preformed the Twist exercise, males were expected to consume significantly higher than females (p<.05). To consume calories for the 10,000 step walk of, it would be required about 76 minutes for Twist exercise time without distinction of sex. Through the above findings, twist exercise is a form of aerobic exercise for obesity prevention and weight control, as well as it might be beneficial to practice and maintain the health and physical fitness with offering a variety of exercise opportunities in the public.

Analysis of Community-based Health Promotion Program Targeting School-aged Children and Program Using Forest: Based on National Community Health Plan (학령기아동 대상 지역사회 건강증진 프로그램 및 숲을 활용한 프로그램 분석: 전국 지역보건의료계획을 기반으로)

  • Lee, Insook;Bang, Kyung-Sook;Kim, Sung-Jae;Choi, Heeseung;Hwang, Inju;Kim, Jieun
    • Korean Parent-Child Health Journal
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    • v.17 no.1
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    • pp.8-17
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    • 2014
  • Purpose: The purpose of this study is to analyze community-based health promotion program for school-aged children and program using forest. Methods: Seventeen health promotion programs focused on school-aged children from Community Health Plan were selected to analyze after assembling 227 of the 5th National Community Health Plans. The analysis duration was from 2012 July to November. Results: Among 17 programs, the health promotion program targeting school-aged children were included in 16 programs except one program focusing on community- orientated rehabilitation program. Eight health promotion programs using forest in 7 different areas were found. The majority of the community-based health promotion programs were focused mainly on smoking cessation, obesity, physical activity, nutrition, mental health programs. Furthermore, there was a limitation of programs utilizing forest as a health promotion resource and most of the programs using forest were located in Jeollanamdo and focusing mainly on atopy prevention and treatment. Conclusion: The importance of this study is that it analyzed nation-wide community health plan systematically, and analyze community-based health promotion program targeting school-aged and the program using forest. The results of the analysis can be used as baseline data for developing physical and mental health promotion programs using forest targeting school-aged children.

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Laparoscopic Distal Gastrectomy for Gastric Cancer in Morbidly Obese Patients in South Korea

  • Jung, Ji Hoon;Ryu, Seong Yeop;Jung, Mi Ran;Park, Young Kyu;Jeong, Oh
    • Journal of Gastric Cancer
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    • v.14 no.3
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    • pp.187-195
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    • 2014
  • Purpose: Laparoscopic gastrectomy in obese patients has been investigated in several studies, but its feasibility has rarely been examined in morbidly obese patients, such as in those with a body mass index (BMI) of ${\geq}30kg/m^2$. The present study aimed to evaluate the technical feasibility and safety of laparoscopic gastrectomy in morbidly obese patients with gastric cancer. Materials and Methods: A total of 1,512 gastric cancer patients who underwent laparoscopic distal gastrectomy (LDG) were divided into three groups: normal (BMI< $25kg/m^2$, n=996), obese (BMI $25{\sim}30kg/m^2$, n=471), and morbidly obese ($BMI{\geq}30kg/m^2$, n=45). Short-term surgical outcomes, including the course of hospitalization and postoperative complications, were compared between the three groups. Results: The morbidly obese group had a significantly longer operating time (240 minutes vs. 204 minutes, P=0.010) than the normal group, but no significant differences were found between the groups with respect to intraoperative blood loss or other complications. In the morbidly obese group, the postoperative morbidity and mortality rates were 13.3% and 0%, respectively, and the mean length of hospital stay was 8.2 days, which were not significantly different from those in the normal group. Subgroup analysis showed that postoperative complication rates were not high in morbidly obese patients, independent of the type of anastomosis technique used and level of lymph node dissection. Conclusions: LDG is technically feasible and safe in morbidly obese patients with a BMI of ${\geq}30kg/m^2$ and early gastric carcinoma. Except for a longer operating time, LDG might represent a reasonable treatment option in these patients.

The Extract from Lysimachia foenum-graecum Induces Apoptosis in MCF-7 Breast Cancer Cells (MCF-7 유방암 세포에서 영릉향 추출물에 의한 Apoptosis 유도에 관한 연구)

  • Lee, Se Hee;Kim, Guen Tae;Kim, Jong Il;Lim, Eun Gyeong;Kim, In Seop;Kim, Young Min
    • KSBB Journal
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    • v.28 no.5
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    • pp.303-309
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    • 2013
  • The extract from Lysimachia foenum-graecum (LFE) has been known to possess various instructive characters including anti-oxidant, anti-obesity, fungicidal activities. However, the accurate mechanism of those effects of LFE is not well known. In that respect, we evaluated the apoptotic effect and anti-cancer efficacy of extracts of LFE in MCF-7 breast cancer cells. In this study, we hypothesized that LFE may exert cancer cell apoptosis through regulating p53 and mitochondria-mediated apoptotic proteins. And this substance can generate ROS to cause free radical-induced apoptosis. Accordingly, the generation of ROS by LFE triggers the activation of p53 which are accompanied by pro-apoptotic protein activation and suppression of pro-survival proteins. We determined with MTT assay, flow cytometry for detection of intracellular ROS and Annexin V-PI staining, Western blotting. Consequently, our researches demonstrated that the treatment of LFE to breast cancer cells resulted in an activation of p53, Puma, Bax, cleaved-PARP and an inhibition of Bcl-2 expressions.

Introduction of Bong Chuna Manual Therapy (봉 추나요법의 개요)

  • Oh, Won-Kyo;Shin, Byung-Cheul
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.2 no.1
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    • pp.99-114
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    • 2007
  • Objectives : The purpose of this study was to introduce the Chuna Manual Therapy (CMT) using Bong (a type of stick which is called 'bong') as a part of Oriental Medicine. Methods : We searched several traditional methods of CMT using Bong, either individual contact to specialist of CMT using Bong or referred to publications, and summarized briefly for introduction. Authors also made a comparative study between existing CMT and CMT using the bong. Results & Conclusions : The indications of Bong CMT are regarded as acute or chronic pain syndrome, whiplash associated disorders, facet syndrome, vertebral misalignment, chronic fatigue syndrome, obesity and also lower extremity length difference caused by malalignment of vertebrae and pelvic bone. The Meridian Muscle Therapy by pressing down using the Bong can be carried out on the imbalances of the muscle by shortening and lengthening contraction. CMT with Bong is considered more effective than other existing CMT in terms of effectiveness. In the case of pelvic correction which needs a tremendous amount of force, it can reduce the force required effectively. This fact can be inferred by the theory of composition and decomposition of force during the transmission of power. We can perform Bong CMT feeling less fatigued subsequently than general CMT. Pressing down with flexed fingers to grip bong acts on the contraction of flexor digiti and extensor digiti muscle, this protects the $doctor^{\circ}{\emptyset}s$ wrist joints from injury. The bong which acts as a tool between the doctor and the patient, while being given treatment, absorbs and spreads out the direct impact from the patient to the doctor. CMT with Bong is able to apply to both existing massage therapies with the hand. The bong appliance can be used in all applications, particularly, but not limited to; Orthopedic and Manual Correction Therapy, Meridian Muscle Pressing, Exercise Therapy, and Meridian Point Manual Pressing Therapy. CMT with Bong belongs to the category of oriental rehabilitation and Chuna manual medicine.

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A Study on Physical Indices, Food Habits and Nutrient Intakes in Patients with Hypertension (고혈압 환자의 체격지수, 식습관 및 영양소 섭취상태에 관한 연구)

  • Jeon Sang-Mi;Kim Sung-Mee
    • Journal of the East Asian Society of Dietary Life
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    • v.15 no.3
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    • pp.271-282
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    • 2005
  • This study analyzed the physical indices, food habits and nutrient intakes of patients with hypertension, to provide better research data for the prevention and the cure for disease as well as basic data for nutrition education. The subjects were 44 patients who visited the general hospital, located in Daegu, to receive hypertension treatment The lifestyle, food habit, nutrient intakes, anthropometric measurements, body fat and blood pressure were measured as main indices. By the BMI, $72.8\%$ of the patients were over weight or obesity $(>23\;kg/m^2)$. In the male group, the WHR tended to increase according to the BMI (p<0.05). In the female group, the body fat tended to increase according to the BMI (p<0.05). The group with more monthly income showed lower systolic blood pressure than the group with smaller monthly income (p<0.05). The scores about food habits concerning balanced diet and preference for salt were low, which implied that food habits of subjects were not desirable. The intakes of riboflavin and calcium didn't meet the RDA requirements. Especially, the lack of calcium was more ap~nt in the female patients than the male ones. Despite this, they had more than enough protein, vitamin C, and iron. The physical indices according to blood pressure revealed that the group of higher blood pressure showed greater WHR (p<0.001). The male group with higher systolic blood pressure showed greater BMI than one with lower systolic blood pressure (p<0.05). As for nutrient intakes according to blood pressure, the group with higher blood pressure had more sodium and iron than one with lower blood pressure (p<0.05). The patients with hypertension tended to be more overweight or obese, preferred salty foods, and were in an unbalanced state of nutrient intakes. Thus more systematic and ongoing measures should be pursued to take care of patients with hypertension.

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Effects of Amomum cadamomum Linne Extract on TNF-α-induced Inflammation and Insulin Resistance in 3T3-L1 Adipocytes

  • Kang, Kyung-Hwa;Song, Choon-Ho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.30 no.1
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    • pp.54-60
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    • 2016
  • Amomum cadamomum Linne (ACL) has long been utilized against the inhibited qi movement related diseases such as dyspepsia, acute gastroenteritis, vomiting and diarrhea in Korean medicine. We speculated that ACL could improve the metabolic disorders such as obesity and type 2 diabetes through removing the phlegm-dampness and promoting the qi movement or stagnation. This study was designed to investigate effects and molecular mechanisms of ACL extract on the improvement of adipocyte dysfunction induced by TNF-α in 3T3-L1 adipocytes. Potential roles of ACL extract in the lipogenesis, inhibition of inflammatory cytokines and insulin resistance, were investigated in this study. Also, we examined the adipose genes and signaling molecules related to insulin resistance and glucose uptake to elucidate its mechanism. Our data demonstrated that TNF-α significantly incresed the release of lipid droplets and the production of MCP-1 and IL-6 from adipocytes. In gene expression, TNF-α reduced the expression of aP2, PPARγ, C/EBPα, GLUT4, and IRS-1 related to lipogenesis and insulin sesitivity, while TNF-α increased the expression of MCP-1 related to inflammation. In addition, TNF-α down-regulated the PPARγ and IRS-1 protein and up-regulated the IRS-1 Ser307 phosphorylation. These alterations induced by TNF-α were prevented by the treatment of ACL extract. Thus, our results indicate that ACL extract can be used to prevent from the TNF-α-induced adipocyte dysfunction through insulin and PPARγ pathways.

Inhibitory Effects of Albizziae Cortex Extracts on Adipocyte Differentiation (합환피 추출물의 지방세포 분화 억제 효과)

  • Lee, Su Ho;Lee, Young Rae;Ryu, Do Gon;Kim, Ha Rim;Kim, Mi Seong;Kim, Byung Sook;Kwon, Kang Beom
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.30 no.6
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    • pp.447-451
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    • 2016
  • In this study, Albizziae Cortex extracts (ACE) have potent effects on adipogenesis and on lipolysis in OP9 cells. There was no cytotoxicity while cells were treated with ACE in designated time intervals, unaffected by various concentrations. In the cells with ACE-treated, increases in fat storage were inhibited, and also confirmed by Oil red O. To understand the underlying mechanism at the molecular level, the effects of ACE were examined on the expression of the genes involved in adipogenesis by using real-time PCR. In this cell model, the mRNA level of adipogenic genes such as peroxisome-proliferator-activated receptors gamma ($PPAR{\gamma}$) and CAAAT/enhancer binding protein alpha ($C/EBP{\alpha}$) were decreased by ACE treatment, comparing with those of control group. Collectively, our data suggest that ACE may have great potential as a novel anti-obesity agent.

Calcium Mobilization Inhibits Lipid Accumulation During the Late Adipogenesis via Suppression of PPARγ and LXRα Signalings

  • Kim, Seung-Jin;Choi, Ho-Jung;Jung, Chung-Hwan;Park, Sung-Soo;Cho, Seung-Rye;Oh, Se-Jong;Kim, Eung-Seok
    • Food Science of Animal Resources
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    • v.30 no.5
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    • pp.787-794
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    • 2010
  • Calcium plays a role as a signaling molecule in various cellular events. It has been reported that calcium suppresses adipocyte differentiation only in the early phase of adipogenesis. Herein, we demonstrate that treatment of A23187, a mobilizer of intracellular calcium, on day 4 post adipocyte differentiation could still reduce lipid accumulation in differentiating 3T3-L1 cells for 48 h. In addition, luciferase reporter gene and RT-Q-PCR assays demonstrate that A23187 can selectively inhibit transcriptional activities and expression of PPAR$\gamma$ and LXR$\alpha$, suggesting that A23187 may reduce lipid accumulation in the late phase of adipogenesis via downregulation of PPAR$\gamma$ and LXR$\alpha$ expression and transactivation. Moreover, inhibition of HDAC activity by trichostatin A (TSA) partially blocked A23187-mediated downregulation of transcriptional activities of PPAR$\gamma$ and LXR$\alpha$. Together, our data demonstrate that calcium mobilization inhibits expression and transcriptional activities of PPAR$\gamma$ and LXR$\alpha$, resulting in reduced lipid accumulation in differentiating adipocytes, and thus, mobilization of intracellular calcium in adipocytes may serve as a new preventive and therapeutic approach for obesity.

Comparison of Appropriate Piperacillin/Tazobactam Doses in Korean Obese Patients with Cancer Based on Different Body Size Descriptor Equations in a Tertiary Care Hospital (국내 3차 병원의 비만 암환자에서 각각 다른 체중 측정 공식들을 적용한 piperacillin/tazobactam의 용량 적절성 비교 연구)

  • Kim, Ji Hyun;Yang, Young-Mo;Yoon, Hyonok;Choi, Eun Joo
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.2
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    • pp.83-91
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    • 2017
  • Background: Piperacillin/tazobactam (TZP) is an antibiotic against a broad spectrum of gram-positive, gram-negative, and aerobic and anaerobic strains of bacteria. Due to changes in its pharmacokinetic and pharmacodynamic parameters by TZP-treated patients' renal functions and obesity, it is important to administrate and monitor TZP based on their renal functions and Body Mass Index (BMI) levels. The purpose of this study was to determine the appropriateness of administration doses of TZP based on renal functions of obese cancer patients in a tertiary hospital. Methods: This study was retrospectively conducted with obese cancer patients with $BMI{\geq}30kg/m^2$ in a tertiary hospital, Korea from September 2004 to August 2014. Data were collected through Electronic Medical Record (EMR) which contained laboratory data and TZP dosing of each patient. Results: Among 7,058 patients during the study period, 102 prescriptions were selected based on inclusion and exclusion criteria and classified by their renal functions. Although TZP should be used based on patients' renal functions to adjust its dose, its initial dose and dosing interval were consistently used without considering patients' renal functions on a regular basis. Especially, in the comparison with FDA dosing standard of TZP, approximately twice patients with $20mL/min{\leq}CrCl{\leq}40mL/min$ received domestically 4.5 g instead of 2.25 g as the TZP starting dose. Conclusion: The appropriate doses of TZP were administered to almost all of obese cancer patients; however, the recommended TZP dose was different between Korea and other countries by twice the amount. Further related studies are necessary to clearly determine the results, to optimize TZP treatment for obese patients with cancer in clinical practice, and to design and develop new TZP formulations for them in pharmaceutical industry.