• Women's Health Nursing
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• v.22 no.3
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• pp.162-169
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• 2016

Purpose: This study was done to investigate the prevalence and factors affecting body shape misperception among Korean adult women. Methods: We analyzed raw data from the fourth Korean Longitudinal Survey of Women and Families, for 7,658 women over 20 years of age. For the multiple logistic regression model, the dependent variable was existence of misperception (yes/no). Results: The prevalence of body shape misperception was 42.6% (overestimation 6.5%, underestimation 36.1%). Multiple logistic regression analysis revealed that age, education level, marital status, economic status and BMI were significantly associated with body shape underestimation. Education level and BMI were significantly associated with body shape overestimation. Conclusion: An effective obesity intervention program for women must reflect and monitor body shape perception as well as BMI.

• Nutrition Research and Practice
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• v.8 no.2
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• pp.213-219
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• 2014

BACKGROUND/OBJECTIVES: There is little information on the association between weight misperception and eating behavior in Korean adolescents. Therefore, we investigated the association of food intake habits and dieting method and disturbed eating behavior (DEB) in relation to weight misperception. SUBJECTS/METHODS: Data was collected by using a nationwide online panel survey from 6,943 adolescents enrolled in middle/high school. DEB was measured with the Eating Attitudes Test (EAT-26) and those who scored ${\geq}20$ on the EAT-26 were considered to have eating disorder. Logistic regressions were conducted to examine the association between weight misperception based on self-reported weight status and dieting method and eating behaviors. RESULTS: The proportion of weight underestimation was 23.5% and that of overestimation was 24.0%. Weight overestimating girls were more likely to engage in various unhealthy dieting practices (OR = 1.69 for fasting; OR = 1.88 for laxative or diuretic use; OR = 2.05 for self-induced vomiting after meals; P < 0.05). Moreover, there was a strong association between overestimation and undesirable eating behaviors, especially among girls, e.g.: having breakfast (OR = 0.85), high consumption of fast foods (OR = 1.28) and regular sodas (OR = 1.39), but not among boys. In both genders, weight overestimation appears to be a major risk factor for DEB (OR = 1.34 for boys and OR = 1.41 for girls; P < 0.05). CONSLUSIONS: Weight overestimation is associated with unhealthy weight control practices and eating behaviors. We particularly found a significant association between weight overestimation and DEB among nationwide Korean adolescents.

• Journal of the Korean Society of Food Culture
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• v.25 no.2
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• pp.170-178
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• 2010

We conducted this study to determine the factors associated with childhood obesity. The subjects were 170 preschool children in Busan. Data were collected by using questionnaires which asked for information about socioeconomic status, parental perception of their child's weight status and dietary/physical activity behavior. BMI was calculated for each child and their classification was determined, according to their age and sex, as follows: "overweight" at or above the 85th percentile, "normal" for the 15th-85th percentile, and with a BMI below the 15th percentile the children were deemed as underweight. Classification according to BMI percentile showed that 23.5% ($18.25{\pm}1.33\;kg/m^2$) of the children were overweight, 62.9% ($15.51{\pm}0.76\;kg/m^2$) normal, and 13.5% ($13.23{\pm}2.86\;kg/m^2$) were underweight. Socioeconomic status, as represented by the parents' level of education, the occupation of the father and the household income, did not affect the results. However, mothers working outside the household was a factor that was more likely to affect the weight status (p<0.05). Among mothers whose children were overweight, 30% underestimated their children's weight status (believing them to be of normal weight when they were overweight), and 25% failed to recognize the necessity of weight control for their overweight children. While sedentary activity and total daily activity levels were not related to BMI, the level of physically active leisure activity was inversely correlated with BMI (p<0.05). Although there were no differences in total energy intake, dietary behavior was significantly related to weight status. Overweight children had poor eating tendancies: they eat faster (in less than 15 minutes), overeat, and eat late at night. Based on our findings where hereby recommended the following interventions to help limit weight problems in Korean pre-schoolers: early promotion of active leisure behavior and healthy eating habits, along with attempting to correct parental misperception of healthy weight status for children.

• Journal of the Korean Regional Science Association
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• v.35 no.2
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• pp.19-31
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• 2019

There have been a growing number of studies that show huge discrepancies between individuals' perceptions of relative economic position and the economic position based on the reported income in the survey. If this is the case, it is expected that the impact of perceived income status on individual happiness can be different from that of objective income status based on the reported income. The aim of this study is to investigate the factors affecting the discrepancies between perception and reality with respect to relative income status, focusing on the 'Reference group theory'. This study also tries to extend existing knowledge of the relative status on the happiness level of individuals, by examining how individual's happiness can be changed by providing the accurate information about their objective income level. There are systematic biases in perceived income status. A majority of people who actually rank in the lower part of income ladder place themselves in higher positions, while a significant portion of rich individuals underestimate their actual income status. Secondly, the misperception about the income distribution is affected by a variety of individual, household characteristics and reference group income. Thirdly, providing individuals with accurate information has a considerable effect on their happiness level.

• The Korean Journal of Community Living Science
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• v.13 no.3
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• pp.69-80
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• 2002

This study was conducted to investigate the relationship among body image Perception, eating behavior and health status in young females. The survey was carried out by self-questionnaires for 293 female high school students(HS) and 164 female college students(CS) living in Daegu and suburbs of Daegu. For the perception of body image, 9-grade body figure drawings were used based on average Korean body size. EAT-26 and Rosenberg Self-Esteem Scale were used to measure the tendency of eating disorder and self-esteem. It appeared that 40.5% of the subjects were off the normal range of body weight; especially 34.2% of the subject were underweight. The subjects' perception about current body image was within normal range. Almost of all the subjects believed that the ideal body image was thinner than their own current body image, and they wanted to be thinner than their current body image. The change of eating behaviors related to weight control of CS was significantly higher than that of HS students. EAT-26 score, self-esteem score, and subjective health status score were no difference between groups. The cut-off point of the eating disorder in this study was equal to or greater than 20 in EAT-26 score. The rates of the eating disorder were very high as 9.6% of HS and 8.5% of CS. Eating disorder was positively correlated with BMI, current body image, dissatisfaction of body image and the change score of eating behavior. But eating disorder was negatively correlated with health status. From the results of this study, we suggested that one of causes related to the eating disorder behaviors in adolescent females was resulted from misperception about ideal body image. There is a great need to provide nutrition educations concerning appropriate perception of body image and weight control among adolescent females.

• Child Health Nursing Research
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• v.23 no.2
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• pp.249-257
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• 2017

Purpose: The aim of this study was to assess the body weight perception of adolescents and to investigate the difference between mental health and weight control behavior according to body weight perception. Methods: Study data on 12-18 years old adolescents with normal BMI was obtained from the 6th Korea National Health and Nutrition Examination Survey (2013-2015). Rao-Scott Chi-square test and ANOVA were used for the analysis. Results: The percentage of adolescents with a misperception of body weight was 43.3%, and their subjective health status (p=.013), stress perception (p=.001), and depression (p=.001) were worse than for adolescents who had the correct perception of their body weight. The percentage of adolescents who were trying to lose weight while perceiving their body weight as normal was 36.9%. Body weight control behavior had significant differences according to dietary intake (frequency of eating dinner (p=.015)), energy intake (p=.004), and carbohydrate intake (p<.001), but there was no significant difference according to exercise. Conclusion: Parents, school teachers, and nurses should make efforts to ensure that Korean adolescents perceive their body weight correctly, and prevent unhealthy weight control behaviors.

• Nutrition Research and Practice
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• v.4 no.6
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• pp.499-506
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• 2010

The study aimed to analyze the lifestyles, weight control behavior, dietary habits, and depression of female university students. The subjects were 532 students from 8 universities located in 4 provinces in Korea. According to percent ideal body weight, 33 (6.4%), 181 (34.0%), 283 (53.2%), 22 (4.1%) and 13 (2.5%) were severely underweight, underweight, normal, overweight and obese, respectively, based on self-reported height and weight. As much as 64.1 % and only 2.4%, respectively, overestimated and underestimated their body weight status. Six overweight subjects were excluded from overestimation group for the purpose of this study, resulting in overestimation group consisting of only underweight and normal weight subjects. Compared to those from the normal perception group, significantly more subjects from the overestimation group were currently smoking (P=0.017) and drank more often than once a week (P=0.015), without any significant differences in dietary habits. Despite similar BMIs, subjects who overestimated their own weight statuses had significantly higher weight dissatisfaction (P= 0.000), obesity stress (P= 0.000), obsession to lose weight (P = 0.007) and depression (P = 0.018). Also, more of them wanted to lose weight (P = 0.000), checked their body weights more often than once a week (P=0.025) and had dieting experiences using 'reducing meal size' (P=0.012), 'reducing snacks' (P=0.042) and 'taking prescribed pills' (P = 0.032), and presented 'for a wider range of clothes selection' as the reason for weight loss (P = 0.039), although none was actually overweight or obese. Unlike the case with overestimating one's own weight, being overweight was associated with less drinking 0.035) and exercising more often (P=0.001) and for longer (P=0.001) and healthier reasons for weight control (P=0.002), despite no differences in frequency of weighing and depression. The results showed that weight overestimation, independent of weight status, is associated with risky lifestyles, weight control behaviors, and mental conditions. Preventive interventions should focus not only on obesity, but also on body weight overestimation.

• The Korean Journal of Food And Nutrition
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• v.30 no.3
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• pp.473-481
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• 2017

The purpose of this study was to investigate the fad dieting status and needs of nutrition education on healthy dieting in male and female collegians according to the desired loss weight. The subjects were 611 students (287 males, 324 females) from universities in Gyeonggi and Gangwon provinces in Korea. The subjects were divided into the following four groups based on the difference between their current body weight and their desired body weight: no desired weight loss (WL0), desired weight loss less than 5 kg (WL5), desired weight loss 6 to 10 kg (WL10), and desired weight loss more than 11 kg (WL11). The fad dieting status was surveyed using a questionnaire about 11 selected trendy dieting methods. The higher desired weight loss group showed higher current weight and BMI in both males and females. Self weight overestimation was higher in the females than in the males, and in the WL10 group than in the other groups of males. As desired loss weight increased, weight loss trials and experienced trendy dieting types increased in both males and females. In the male subjects, the experience of the half meal diet and the chicken breast diet was significantly associated with the desired loss weight. In females, trials of more trendy diet types including the half meal diet, cereal diet, fasting, and Atkins diet were significantly associated with the higher desired loss weight. The need for nutrition education on healthy dieting was high among all the different desired weight loss groups, showing that a minimum of 60% of subjects in each group answered 'necessary and strongly necessary', with the highest in the WL11 group in both males and females. From these results, desired loss weight is associated with higher current weight status, unhealthy weight control practices, and needs for nutrition education in both male and female subjects. Therefore, in the future, nutrition education programs should give greater attention to providing healthy dieting methods for young collegians who desire more weight loss.

• Journal of Physiology & Pathology in Korean Medicine
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• v.26 no.2
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• pp.248-252
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• 2012

This study aimed to evaluate the perception of informed consent for subjects who are participated in oriental medicine clinical trials and over 60 years old. In this research, 215 subjects who were participated in clinical trials were surveyed between Apr. 13, 2011 and Jul. 20, 2011. And the collected data was analyzed with computer software of SPSS 17.0. In the case of objective perception, almost all of subjects answered that they have ever heard of the consent form. However, 50.7 points were collected for the question of "As I already signed the consent form, I have to participate in the clinical trials", which showed the subjects had misperception about quitting the clinical trials. In the case of subjective perception, subjects well knew that the purpose of clinical trial is research, not medical treatment. However, the perception about the purpose of clinical trials that they are participated in was low. In the both cases of objective and subjective perception with general characteristics, they showed differences (p<0.045) with the marital status of subjects, however other categories did not show any difference. In conclusion, researchers should provide sufficient explanation as well as adequate Information in order to protect the personality of subjects, so that the subjects can make a right decision.

• Sleep Medicine and Psychophysiology
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• v.27 no.1
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• pp.24-31
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• 2020

Objectives: Subjective-objective discrepancy of sleep (SODS) is a common symptom and one of the major phenotypes of insomnia. A distorted perception of sleep deficit might be related to abnormal brain reactivity to insomnia-related stimuli. We aimed to investigate differences in brain activation to insomnia-related stimuli vs. general anxiety-inducing stimuli among insomnia patients with SODS, insomnia patients without SODS, and healthy controls (HCs). Methods: All participants were evaluated for subjective sleep status using a sleep diary and questionnaires; occult sleep disorders and objective sleep status were assessed using polysomnography and actigraphy. Task functional magnetic resonance imaging was performed during insomnia-related stimuli (Ins) and general anxiety-inducing stimuli (Gen). Brain reactivity to Ins versus Gen was compared among insomnia with SODS, insomnia without SODS, and HC groups, and a combined insomnia disorder group (ID, insomnia with and without SODS) was also compared with HCs. Results: In the insomnia with SODS group compared to the insomnia without SODS group, the right precuneus and right supplementary motor areas showed significantly increased BOLD signals in response to Ins versus Gen. In the ID group compared to the HC group, the left anterior cingulate cortex showed significantly increased BOLD signals in response to Ins versus Gen. Conclusion: The insomnia with SODS and ID groups showed higher brain activity in response to Ins versus Gen, while this was not observed in the insomnia without SODS and HC groups, respectively. These results suggest that insomnia patients with sleep misperception are more sensitive to sleep-related threats than general anxiety-inducing threats.