• Child Health Nursing Research
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• 제7권3호
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• pp.308-321
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• 2001

Behavior modification is an approach to decrease degree of obesity through changing maladaptive eating habit and life style. It produces small amount of weight loss but it has few side effects and low dropout rate. It also has great effectiveness on maintenance of decreased weight. This study was performed to investigate effects of behavior modification on physical variables, fat and thin habit, and self-esteem in obese elementary school children. Sixty two students of 4th, 5th, and 6th grade were selected from two elementary schools located in the suburbs of Seoul. Thirty four children in one school were assigned to experimental group and twenty eight children in another school were assigned to control group. All subjects were healthy and were not on any type of obesity control. Behavior modification, in this study, was consisted of introduction, self-monitoring and stimuli control, education about diet and physical activities, individual counseling and reinforcement, requesting personal assistance, cognitive restructuring, and closing and long-term planning. Experimental group was received 60～70 minutes of behavior modification once a week for 8 weeks from October 16 to December 22, 2000. Control group was not received any intervention. Data were collected before and after intervention by measuring physical variables, fat and thin habit, and self-esteem. Physical variables consisted of obesity index, skinfold thickness, body fat(percentage of body fat, fat mass, fat free mass), serum lipids(total cholesterol, HDL-C, LDL-C, triglyceride) and serum leptin. The results were as follows ; 1. physical variables 1) Obesity index of the experimental group was significantly decreased after behavior modification. But there was no significant difference between two groups. 2) The increase of skinfold thickness was significantly low in the experimental group compared to the control group. 3) Percentage of body fat and fat mass were significantly decreased in the experimental group. Fat free mass was significantly increased in the experimental group. 4) Total cholesterol, HDL-C, triglyceride and serum leptin between the experimental group and control group showed no significant difference. LDL-C was significantly decreased in the control group. 2. Thin habit score was significantly increased in the experimental group. In subcategories of habit, thin scores of life style, attitude, social relationship, nutrition were signifi- cantly increased in the experimental group. 3. Self-esteem score was significantly increased in the experimental group. These results indicate that behavior modification is effective in decreasing percentage of body fat and fat mass, in less increasing skinfold thickness and in increasing fat free mass, thin habit, and self-esteem. In conclusion, behavior modification can be used as safe and effective strategy for managing obesity in elementary school children.

• 대한간호학회지
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• 제31권6호
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• pp.1034-1043
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• 2001

To determine the frequency of past and present obesity among patients with NIDDM and to identify the differences of body fat, blood pressure and C-peptide/glucose ratio according to obese diabetic patients (BMI$\geq$25 kg/$m^2$) and nonobese (BMI<25 kg/$m^2$). Also the final factor is to observe the anthrometric change patterns in the study. Method: The weight at 20 years-old, previous maximal body weight, and acute weight loss were queried. Current height, body weight, BMI, waist & hip circumferences, waist-hip ratio, skinfold thicknesses, blood pressure, fasting blood glucose, and fasting C-peptide were measured in one hundred sixty-seven NIDDM patients. The differences of the parameters ccording to obese and nonobese, and three anthropometric change patterns were analyzed. Result: Results were as follows: 1. 66.5 % of the NIDDM patients had a history of past obesity as assessed by their maximum weight, while only 33.2% of them were currently obese (p's < 0.001). 2. The waist & hip circumferences, skinfold thicknesses, systolic, diastolic & mean arterial blood pressure in obese patients were greater than those of nonobese patients (all p's < 0.001). 3. The waist and the hip circumferences, and skinfold thicknesses (subscapula & triceps) were highest among the obese-obese group. WHR and abdominal skinfold thickness in the obese-obese and obese-nonobese groups were higher than those in the nonobese- nonobese group. Systolic & diastolic and mean arterial blood pressures in the obese-obese group were higher than those of obese-nonobese and nonobese-nonobese groups(all p's < 0.005). 4. The abdominal and subscapular skinfold thicknesses in female diabetic patients were greater than those of male patients (all p's <0.0001). Conclusion: Although most Korean NIDDM patients were previously obese, many of them were not obese during the course of the study. Greater central and upper body adiposicity and higher blood pressure was shown in obese diabetic patients. Also, greater central and upper body adiposicity was demonstrated in female diabetic patients.

• 한국의류산업학회지
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• 제12권2호
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• pp.233-239
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• 2010

The purpose of this study was to determine the effect of compression clothing on the body shape of the human subjects. Thirty seven healthy females being overweighted with local adiposity on the buttocks and legs between the ages of 20's to 50's were used as the human subjects for the study. The selected subjects wore the compression clothing during 60 days by 8 hours a day. At the start(T0), after 30(T30) and after 60 days of treatment(T60), a cutaneous echography was measured on the right trochanter area of each volunteer in order to assess the thickness of the subcutaneous fatty tissue. At the start(T0), after 30(T30) and after 60 days of treatment(T60), the body weight of each volunteer was taken and the instrumental variations of skinfold measurements of the abdominal fold and inner thigh circumference of the waist, hips and thigh were conducted. The results show that the echography and weight loss of subjects were reduced to 8.34% and 2.08% after 60 days, respectively. Moreover, the skinfold of subjects was also reduced. Finally, skin elastometry of subjects increased.

• 한국식품영양과학회지
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• 제23권2호
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• pp.219-224
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• 1994

The purpose of this study was to investigate the percentage of body fat by measurement of skin-fold thickness and to figure out the relationship between the daily energy intake and expenditure among male and female college students. Measurements of height, weight , skinfold thickness, percent body fat, lean body mass were made, 새심 daily energy expenditure and dietary intake survey were performed on 164 (male 86, female 78) college students. The survey was conducted between October 10, 1993-November 20, 1993. The results are as follows : 1) The average height and wegiht of the surveyed men and women were respectively 172.$\pm$0.6cm, 62.2$\pm$0.8kg and 160.8$\pm$ 0.5cm, 51.5$\pm$0.6kg, BMI of those surveyed were 20.9$\pm$0.2 and 19.9$\pm$0.2 and body density of those surveyed were 1.06$\pm$0.0 and 1.05$\pm$0.0 , and the percentage of body fat of those surveyed were 17.3$\pm$0.5% and 23.2$\pm$0.4% , and IBM of those surveyed were 51.2$\pm$0.6kg and 39.5$\pm$0.4kg. 2) Mean skin-fold thickness at 4 sites of the surveyed men and women were respectively 11.6$\pm$0.5mm and 18.3$\pm$0.6mm. 3) Average calorie intake of male and female were 2121$\pm$54kcal , 1906$\pm$28kcal respectively 70.5:14.2:15.3 and 68.0:14.0:18.0. 5) Activity time record of subjects reveal that there was a trend for males to spend more time in moderate and high activity and less time in light activity compared to females. Total daily energy expenditure of male and female group were respectively 2784$\pm$51kcal and 2073$\pm$32kcal. 6) The skinfold thickness showed negative correlation with body density but it showed positive correlation with the percentage of body fat. The lean body mass showed positive correlation with physical activity and energy intake showed positive correlation with physical activity also.

• 보건교육건강증진학회지
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• 제12권2호
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• pp.62-72
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• 1995

We studied the effects of behavior modification and aerobic exercise on body weight, degree of obesity, % body fat, triceps skinfold thickness, blood pressure and eating behavior among overweight middle school girls. 15 girls participated in the behavior modification program by joining 60-90 minute group session weekly. The aerobic exercise program was given to 13 girls 3 times per week with 60 minutes each time. The data were obtained before treatment, after 4 and 8 weeks after treatment. In analyzing the data, repeated measures ANOVA were adopted. The results were as follows ; 1. For the changes of body weight between 2 groups, body weight of behavior modification groups decreased significantly than these of aerobic exercise group at 4 and 8 weeks after treatment, 2. For the changes of degree of obesity between 2 groups, there were no significant differences over time, 3. The analysis of change of % body fat did not reveal significant differences between 2 groups over time, 4. The changes of triceps skinfold thickness were significant differences between 2 groups over time, 5. For the changes of systolic blood pressure between 2 groups, there were significant differences over time. At 4 weeks after treatment, systolic blood pressure of behavior modification group decreased significantly than these of aerobic exercise group. 6. The changes of diastolic blood pressure were significant differences between 2 groups over time.

• Journal of Nutrition and Health
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• 제15권4호
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• pp.268-276
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• 1982

A nutritional survey was made in 45 healthy Buddhist nuns (age : 20-34 yr) who have been vegetarians for more than 5 years and 20 female college students (aga : 20-22 yr) as a control group in Kyungpook province. Daily calorie intake of the Buddhist nuns and students were 1947 and 1815 kcal, respectively. The ratio of percent calorie of carbohydrate : fat : protein from total calories in the Buddhist nuns was 84 : 11 : 5 and that of the students was 70 : 15 : 15, respecting. The Buddhist nuns had significatly higher carbohydrate intake but markedly lower lipid intake than the students. Daily intakes of thiamin, niacin and ascorbic acid in the Buddhist nuns were higher, but those of iron, calcium and vitamin A were lower than the recommended daily allowances. Compared with the students, the Buddhist nuns had greater intakes of ascorbic acid, vitamin A, thiamin, niacin, and calcium. Anthropometric measurement showed that the Buddhist nuns had significantly higher values than the students in body weight, skinfold thickness, body surface area, and obesity index. There were highly significant correlations between anthropometric measurements and obesity index(0.55< r <0.99). On the other hands, correlation coefficients between nutrients intakes and skinfold thickness and obesity were very low(0.01< r <0.37). The Buddhist nuns and students showed similar normal values of hemoglobin concentration, hematocrit, and blood pressure.

• Journal of Nutrition and Health
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• 제26권1호
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• pp.76-88
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• 1993

Maternal body weight, skinfold thickness and circumference measurements were examined in 23 lactating women and 10 nonlactating women longitudinally from 1 week to 12 weeks postpartum. The dietary intakes of Korean lactating and nonlactating women were measured by 24-hour recall method and effects of maternal energy intake on body weight change were analyzed by Pearson correlation. The mean daily energy intake of breast-feeding(BF, n=12), combination of breast and formula-feeding (CF, n=11), and formula-feeding (FF, n=10) mothers were 1941kcal, 187kcal and 1727kcal, respectively. A significant decrease in weight was observed at all group. Weight losses at 12 weeks of postpartum in BF, CF and FF motheres were 3.18kg, 3.91kg and 5.15kg respectively. Weight losses increased as calorie intake decreased (${\gamma}$2=0.3803, p<0.05). The skinfold thickness and circumferences on all regions were decreased significantly except triceps and upper arm circumferences. However, there were no significant differences between lactating and nonlactating women. Anthropometric measurements decreased at the trunk but not at the limbs. Weight change was significantly correlated with changes of the scores for proximal circumference (${\gamma}$2=0.4999, p<0.05). There results suggest that lactation does not promete weight loss in well-nourished women and that the Korean RDA for energy in lactation may be too high.

• 대한가정학회지
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• 제29권3호
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• pp.85-98
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• 1991

To investigate dietary habits and health and nutritional status of the elderly with cerebrovascular disease(CVD), 31 hospitalized patients and 28 old people who had experienced stroke and were living at home were interviewed for the dietary habits and drinking and smoking habits. Their blood pressure and triceps skinfold thickness were measured and biochemical assessment of blood samples were conducted. The results were compared with those from 30 healthy elderly. Ca Index reflecting ca intake and intake of dietary fiber were significantly lower in the patient elderly groups than in the healthy elderly. Cholesterol intakes were not significantly different among the groups. Although salt intakes were almost similar among the groups, patient elderly tended to like salty taste as compared to the healthy elderly. Systolic and diastolic blood pressures of the patient elderly were significantly higher than those of the healthy elderly. Triceps skinfold thickness and serum total protein and albumin were significantly lower in patient groups than the healthy elderly. Serum cholesterol and hemoglobin concentrations were not different among groups. Among the above variables only Ca index was inversely correlated with blood pressure significantly.

• Journal of Nutrition and Health
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• 제30권8호
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• pp.1009-1017
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• 1997

This study was designed to assess the iron nutritional status and growth development of children provided with and without the national school -lunch program(NLSP). The subjects consisted of 590 elementary school children (313 boys, 277 girls) in the 2nd, 4th and 6th grades provided with (n=390) and without (n=200) NSLP. anthropometric measurements were taken for body weight, height, triceps skinfold thickness and body fat percentage. Nutrient intakes were assessed by a modified 24 -hour recall method. Fastinig blood samples were obtained and analyzed for hemoglobin concentration, hematocrit, serum iron and total iron binding capacity. The results obtained are summarized as follows. No significant differences between children provided with and without NSLP were found in height and body weight, but triceps skinfold thickness and body fat(%) were significantly higher in children without NSLP than in those with NSLP. There was no significant difference in hemoglobin concentration and hematocrit between children provided with and without NSLP. However, serum iron concentration and transferrin saturation were higher in the children provided with NSLP(81.9$\mu\textrm{g}$/dl and 22.8%) than in the children without NSLP(73.1$\mu\textrm{g}$/dl and 20.9%). When comparing iron and vitamin C intakes , iron intake was significantly higher in children provided with school-lunch, but vitamin C intake was significantly higher in children provided without school-lunch. Percentages of iron -deficient anemia in underweight, normal and obese children when judged by total iron binding capacity were 14.9%, 12.5% and 25.8% respectively.

• 대한영양사협회학술지
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• 제5권2호
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• pp.145-152
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• 1999

This study was to investigate the risk factors for the development of diabetes mellitus on healthy offsprings of Korea non-insulin dependent diabetes mellitus(NIDDM) patients. Forty four offsprings who have at least 1 parent with NIDDM and age, sex and body mass index(BMI) matched forty four healthy control subjects were collected for this study. BMI, skinfold thickness, waist/hip circumference ratio(WHR), fasting blood glucose, serum insulin, serum lipid profile, nutrient intakes and food behaviors were measured. There were no significant difference in BMI, WHR, fasting blood glucose, insulin, total cholesterol, triglyceride and daily nutrients intake between offsprings and controls. But skinfold thickness, LDL-cholesterol level and sweety food eating frequency were significantly higher in male offsprings than in male controls. And HDL-cholesterol was significantly lower in male offsprings than in male controls. Although there were no significant difference, offsprings had a overeating habit and ate more confectionery and greasy food than controls.