• Korean Journal of Community Nutrition
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• v.21 no.6
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• pp.545-557
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• 2016

Objectives: This study was performed to compare the diet quality and diversity according to types of obesity categorized by body mass index and waist circumference among Korean adults aged 19-64 years. Methods: This study used the data of the 5th Korea National Health and Nutrition Examination Survey (KNHANES-V) and included 11,081 study participants. Type of obesity was categorized into 4 groups (Type 1: BMI obesity + abdominal obesity; Type 2: BMI obesity only; Type 3: abdominal obesity only; Type 4: Normal). To compare the diet quality and diversity according to obesity type, ANCOVA (Analysis of covariance) was used with stratification of age groups (19-44 years, 45-64 years). Results: With regard to comparative analysis of diet quality, there were significant differences between diet qualities in energy, protein, thiamin, riboflavin, niacin, phosphorous and iron and type of obesity in the 19-44 age group, while there were significant differences between diet qualities on protein, vitamin C, phosphorous and type of obesity in the 45-64 age group. There was no significant difference between diet diversity score and type of obesity in Korean adults. Conclusions: This study showed that in Korean adults, diet qualities of some nutrients were different among obesity types, while diet diversity was not. These observations should be considered in an effort to improve intake of over-and deficient nutrients and in further studies to evaluate the effects of nutrient quality on obesity.

• Fashion & Textile Research Journal
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• v.21 no.5
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• pp.677-686
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• 2019

This study helps out-size consumers purchase ready-made clothes and improve fitness by classifying the lower bodies of abdomen-obese adult males in their 20s and older; in addition, it creates a size system based on each size interval of obesity type. The criteria for the 559 male subjects surveyed in this study were over $25kg/m^2$ of BMI, over 90 cm of waist, and over 0.85 waist hip ratio. The results are as follows. First, the higher the age group, the higher the degree of abdominal obesity in each age group. The degree of obesity then decreases somewhat as their age increases; however, the risk of abdominal obesity also increases. Second, 3 clusters were categorized by cluster analysis, into abdominal obesity, larger oval-type, trapezoid-type and small cylinder-type. Third, the size system establishment according to lower-body types resulted in basic body sizes and reference body sizes being different according to types even in commonly-appeared size names in the sections of respective types. The above research findings show it is necessary to understand obesity types according to waist and hip sizes that represent basic sizes and to design patterns in consideration of the characteristics of obese body shapes when lower-half body clothes are designed among obesity groups.

• The Research Journal of the Costume Culture
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• v.23 no.5
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• pp.755-767
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• 2015

This study analyzed the body-type characteristics of 340 old-aged obese women that had been on the rise as a part of efforts to activate the silver clothing industry. The subjects were in the age range of 60-79 and met some obesity requirements, including a Rohrer Index of 1.6 or higher, a BMI of 25 or higher, and a WHR of 0.85 or higher. Old-aged obese women showed increased thickness of the torso with age, which suggests that they revealed the characteristics of regardless of gender. In other words, they became bigger in the waist and abdomen, shorter in height, slimmer in the lower body, and thicker in the torso. There are three types of obesity: Type 1 is lower-body obesity with a higher degree of obesity in the abdomen than the upper body. Type 2 is abdominal obesity with a higher degree of obesity in the upper body than in the lower body. Type 3 is whole-body obesity with balanced obesity of the whole body. As for changes to the types of obesity according to age, those who are in their sixties usually fall into the categories of upper-body and whole-body obesity, and those who are in their seventies are much more concentrated in the categories of abdominal obesity and upper-body obesity with a decreased percentage of whole-body obesity. It is apparent that the percentage of abdominal and upper-body obesity rises with age due to fat accumulation in the abdomen.

• Journal of the Korean Society of School Health
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• v.21 no.2
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• pp.61-73
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• 2008

Purpose: Several health behavior factors affect the incidence of type 2 diabetes. Especially, obesity, which causes insulin resistance, is the most important determinant of diabetes. Therefore, we expect the risk factors associated with insulin resistance and type 2 diabetes are affected by obesity and, additionally, the related factors with diabetes caused by obesity can be controlled. Methods: This study used data collected from the 2001 Korea National Health and Nutrition Examination Survey (KNHANES). A stratified multistage probability sampling method was applied and the final sample included 5,500 subjects over 30 years old who had completed necessary health examinations and health behaviors survey. Results: The risk factors associated with type 2 diabetes are affected by obesity. According to logistic regression model stratified by body mass index (BMI) and sex, abdominal obesity and age were the significant risk factors of diabetes regardless of sex and BMI. However, drinking, smoking, total energy consumption, and protein consumption were risk factors for women with normal BMI, while carbohydrate consumption was a risk factor for man with normal BMI. Sleeping hours affected diabetes for women with obesity and fiber consumption was a risk factor for both women and men with obesity. In addition, statistically the family history of diabetes was a significant risk factor only in the group with normal weight, not in the group with obesity. Conclusion: The study results will provide information for implementing a regional initiative of type 2 diabetes prevention by BMI.

• The Journal of Korean Medicine
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• v.24 no.1
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• pp.122-132
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• 2003

Objectives: To effectively improve the treatment of obesity through oriental medicine and to prepare basic material for proper classification of different types of obesity. Methods: After deciding on four types of obesity based on 'DongYiBaoJian', a questionnaire consisting of 38 items was constructed to decide to which type an individual belonged. 212 women were asked to the complete the questionnaire. To verify that the cluster of four types of obesity was acceptable, a cluster analysis and a factor analysis were conducted as well as an evaluation on the distinction of each type. Also, a canonical discriminant analysis was done to categorize the individuals into one of four types of obesity. Results: 1. Developed a reliable questionnaire consisting of 38 items for the purpose of classifying four types of obesity. 2. Obesity types were divided into four groups. Type I was designated as GanChengPi (肝乘脾類型), Type II as PiWeiJuWang(脾胃俱旺類型), Type III as PiWeiJuXu (脾胃俱虛類型), and Type IV as Tan TanYin(痰飮類型). These types were verified and classified through the use of a cluster analysis as well as a factor analysis (p<0.05). 3. By the use of a questionnaire, four types of obesity were correctly classified with a hit ratio of 87.3%, 40.64% higher than the maximum chance criteria (Cmax) in unselected grouped. The hit ratios for obesity types I, II, III and IV were 93.3%, 93.3%, 78.6% and 50%(p<0.05). Conclusion: Further clinical research is necessary into the four types of obesity explored. By analyzing various test results, characteristics these types should be further explored.

• Journal of Sasang Constitutional Medicine
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• v.34 no.3
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• pp.41-49
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• 2022

Background Abdominal obesity, a major public health concern, is related to many health problems. In addition, it is influenced by individual characteristics. We investigated sleep quality and physical activity (PA) as risk factors for abdominal obesity, according to the Sasang constitutional medicine. Methods In this cross-sectional study, we analyzed data from 5,221 community-based participants. Sleep quality and PA were measured using structured questionnaires, and abdominal obesity was classified according to waist circumference. Sasang constitution (SC) was classified as Taeeumin (TE), Soeumin (SE), or Soyangin (SY) type, using an established SC questionnaire. Chi-square test and logistic regression analysis were performed to access the association of sleep quality and PA with abdominal obesity in individuals stratified according to the SC types. Results The percentage of poor sleep quality and inactive PA was the highest in the SE type, and the higher prevalence of abdominal obesity was found in the TE type. After adjusting for variables, inactive PA was associated with abdominal obesity in the TE type (OR=1.694, 95% CI=1.42-2.021), and in the SE type, abdominal obesity was associated with poor sleep quality (OR=1.688, 95% CI=1.091-2.611) and low PA (OR=2.127, 95% CI=1.163-3.89). Moreover, the combination of these two factors were also significantly associated with abdominal obesity in the TE and SE types. Conclusion Abdominal obesity was associated with sleep quality and PA, and these results were different in each SC type. Taking various associated lifestyles and individual characteristics in consideration may contribute to better management of abdominal obesity in clinical practice.

• Journal of Nutrition and Health
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• v.30 no.9
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• pp.1084-1087
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• 1997

A sample of 450 women who attended a physical fitness program in the Ulsan area was selected to study some environmental factors associated with obesity. The women were grouped into two categories, obese and nonobese, based on body mass index(kg/$m^2$). Average BMI of the total subjects was 24.3$\pm$4.8, but 34.7% of the subjects rated equal to or ore than 25 type, which can be considered as obese. The results showed that age, employment status, family type, and food frequency score have a statistically significant association with obesity. However, education level, nutrition knowledge, availability of housemaids, family history of obesity, and house type are not related to obesity . There were no differences in sources of nutrition information between the obese and the nonobese. The above results suggest that health education programs should consider environmental factors as well as health factors in preventing obesity obesity in the community.

• Herbal Formula Science
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• v.29 no.1
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• pp.9-17
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• 2021

Childhood obesity leads to adult obesity in case of failure of obesity treatment in childhood. It has been reported recently that the various risk factors that cause childhood obesity may lead to diabetes and arteriosclerotic cardiovascular disease in adulthood, thus the treatment of childhood obesity is more important. Sasang Typology advocated by the Korean traditional medical doctor in the late Joseon Dynasty, Je-Ma Lee (李濟馬), separated into four types of human constitution. It is known that Tae-Eum type (太陰人) is likely to be obese compared with other constitutions. This study examined the effects that influence on indicators related obesity and metabolic diseases through conducting aquatic application program at Tae-Eum type children who are severely obese (BMI > 30) during 12 weeks. Moreover, this study investigated the herbal prescriptions for obesity of Tae-Eum type (太陰人).

• Fashion & Textile Research Journal
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• v.25 no.5
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• pp.615-625
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• 2023

This study aimed to analyze the characteristics of the lower-body shape of middle-aged males with abdominal obesity by type and consider dimensional distribution to present a suit-pants size. The criteria were having a waist circumference greater than 90 cm and a waist-to-hip ratio(WHR) greater than 0.90; a total of 566 middle-aged males were surveyed. The findings revealed that, first, compared to standard lower-body types, the average body size of abdomenobese middle-aged males was significantly larger, especially in the horizontal area than in the vertical ares. Second, through a cluster analysis, a total of three categories of abdominal obesity were defined: small oval, large cylinder, and trapezoid type. The coverage rates of each type were 93.8%, 75.9%, and 93.0%, respectively. Finally, the suit-pants size system established according to lower-body types indicated the basic body size and reference body size were different for each type and also for the KS K 0050 male adult's garments size system. According to the definition of abdominal obesity, the types of abdominal obesity and the dimensions of each area are different, even if they belong to the same obesity group, suggesting that it is necessary to develop a pattern based on the analysis of obesity types.

• Health Policy and Management
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• v.30 no.3
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• pp.345-354
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• 2020

Background: This study purposed to examine the difference in the prevalence of obesity at each stage among people with and without disabilities considering the severity and type of disability. Methods: The study targeted a total of 1,315,967 people, including 68,418 disabled and 1,247,549 non-disabled, who completed the national health screenings. Logistic analysis and average marginal effect analysis were conducted in three stages (pre-obesity, obesity, severe obesity). Those analyses were conducted considering the severity and type of disabilities. Results: People with disabilities were more likely to be at all stages of obesity than non-disabled people. In severely disabled people, the probability of obesity was higher than non-disabled people at all stages of obesity, but mildly disabled people had a higher only in the severe obesity stage, no difference in obesity stage, and a low in the pre-obesity stage. In physical and mental disabilities, the probability of obesity was higher than non-disabled people at all stages of obesity, but external physical function and internal organs disabled had a lower in the obesity and pre-obesity stage, and no difference in severe obesity stage. Conclusion: This study found that people with disabilities had a higher relationship with obesity than people without disabilities. In addition, severity and types of disabilities have different effects on the stage of obesity. Therefore, it is necessary to care about the health inequality and health of disabled people considering their severity and types of disabilities.