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A Case-Control Study on the Risk Factors of the Low Birth Weight (저체중아(低體重兒) 출산 관련요인에 관한 사례-비교군 연구)

  • Meng, Kwang-Ho;Lee, Sang-Yoon;Lee, Hae-Chun
    • Journal of Preventive Medicine and Public Health
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    • v.17 no.1
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    • pp.251-257
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    • 1984
  • Low birth weight baby, defined as the baby born with less than or equal to 2,500g of body weight by WHO has been a great concern in the fold of maternal and child health since the low birth weight is a major cause of high perinatal mortality. Any measure to prevent the low birth weight baby is most desirable not only for saving the life of a baby but also for levelling up the health of the whole society. The authors attempted to figure out how some known maternal risk factors are related to the low birth weight and to measure their strengh of associations in terms of relative risk using hospital birth records. For this study, hospital birth records of 66 low birth weight cases and sex-parity matched 198 normal controls were chosen from Kangnam St. Mary's Hospital, Catholic Medical Center, and the data were analyzed in regards to several maternal factors. The risk factors studied were mother's age, mother's ABO blood type, previous histories of abortion, low birth weight baby, fetal wastage, and maternal diseases represented by anemia, hypertension, proteinuria, and glucosuria. The results obtained in this study were as follows: 1. The mean body weight of the cases and controls were 1,955g and 3,251g, respectively, and the heights were 41cm for cases and 50cm for controls. Mean gestation periods of cases and controls were 34 weeks and 39 weeks, respectively. 2. Young mother(less than or equal to 20 years of age) or old mother(more than or equal to 30 years of age) experienced more frequently the delivery of low birth weight babies than mothers in between 21 and 29 years of age. But the difference was not statistically significant. 3. Mothers whose blood type was O tended to have slighty higher frequency of low birth weight babies while B mothers have lower frequency. But the difference was not statistically significant too. 4. Those mothers who had experienced low birth weight baby in the past tended to give more births of low birth weight babies. This factor is even statistically significant and the relative risk of the prior experience of low birth weight was 6.7. 5. Mothers with experience of fetal losses and mothers of more than two pregnancies had higher frequency of low birth weight than the mothers with no fatal losses and of first pregnancy, but the difference was not statistically significant. 6. Statistically significant higher frequency of low birth weight were found in mothers with hypertension(odds ratio=4.07), anemia(odds ratio=22,33), and proteinuria(odds ratio=2.79). In summary, these study results strongly suggest that in order to prevent the low birth weight, special care should be made when the mother is too young or too old, and when the mother has experienced deliveries of low birth weight and fetal deaths. Medical control for the maternal diseases such as anemia and hypertension is also needed before or during the pregnency.

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A Study on How Height and Weight Affects Glomerular Filtration Rate (신장과 체중의 변화가 사구체 여과율에 미치는 영향)

  • Park, A Rang;Choi, Jong Sook;Lee, Young Hee;Jung, Woo Young
    • The Korean Journal of Nuclear Medicine Technology
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    • v.23 no.1
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    • pp.40-44
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    • 2019
  • Purpose Glomerular filtration rate (GFR) is an important index for evaluation of renal function, renal disease diagnosis and progress monitoring. Therefore, accurate measurement of GFR is clinically important. Among the factors that affect the GFR result, there have been many discussions on the methods such as the correction of the kidney depth, net syringe count, and the method of setting the ROI. However there has been no consideration of counting in the most basic factors like height and weight measurement. In this study, we investigate how height and weight changes affects the result of GFR and review the importance of standardized body measurements. Materials and Methods Fifty patients who underwent GFR test were randomly sampled and examined for changes in height and body weight within one month. From the normal patients without renal disease to the patients with severely decreased GFR, we applied the GFR formula of Gate with varying height and weight. Results: The result showed variation of the height at maximum three centimeters and six kilograms of weight. The first calculation of GFR was done with fixed height value and control variable as weight. Weight was incremented by one kilogram each time up to six kilograms. The GFR showed increased result with increasing weight. The result of GFR showed ten percent increase with six kilograms of weight increase. On the other hand, when height value was incremented by one centimeter up to three centimeters showed decreased GFR result with fixed weight value. Up to three centimeters of height increase showed two percent of decreased GFR with fixed weight. Conclusion This study showed varying GFR result when height and weight changes. Therefore it is clinically crucial not only to maintain and manage body measuring instrument but also to have a standardized measurement methods to derive accurate measured values and to achieve reproducibility.

Anthropometric and Body Compositional Measurements and Pregnancy Outcomes (임신부의 체위와 체조성 및 임신의 결과)

  • 이종임;임현숙;조영숙
    • Journal of Nutrition and Health
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    • v.31 no.6
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    • pp.1057-1065
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    • 1998
  • Anthropometric and body compositional changes and the outcomes of the pregnancies of 90 healthy Korean women were investigated in a longitudinal study. Their weight increased from 51.3$\pm$5.9kg to 65.1$\pm$7.8kg during their pregnancies. The total weight gain was 13.8$\pm$4.5kg, and therefore, weekly weight gain was 340$\pm$110g during the entire period of the pregnancy. The weight gain was composed of approximately 50-60% fat mass and 40-50% fat-free mass. Skinfold thicknesses, both of triceps and subscapular, increased during the pregnancies. The fat mass calculated from skinfold thickness and that measured with bioelectrical impedance analysis went on increasing during the pregnancies. Although there was a considerable difference with respect to the fat mass observed using the three methods, fat mass gain was 5.0-6.1kg and fat-free mass gain was 4.0-5.3kg from the first trimester to the third trimester of pregnancies. There were significant correlations between maternal anthropometric parameters and indices of pregnancy outcomes. Especially, the infant's birth weight was associated with maternal pre-pregnancy weight and weight gains during the pregnancies. The infant's birth length was related to the maternal weight observed at term(p<0.05) and weight gain during the entire pregnancies (p<0.05) . Neither increase of fat mass nor fat-free mass affected the outcomes of pregnancy. These results show that maternal weight gain during pregnancy is led by increments of approximately above 50% fat mass. The fat mass increase seems to be larger in central areas than in subcutaneous areas. Maternal weight gain during pregnancy, especially during late pregnancy, is a factor affecting the birth weight and length of infant. On the basis of the body compositional changes, it can be predicted that the additional energy requirement for pregnancy in Korean women is more than 200-230 MJ (64,500-76,250kca1). (Korean J Nutrition 31(6) : 1057-1065, 1998)

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Effects of the Weight Management Program Based Self-Efficacy for Body Composition, Blood Lipid Profile, Weight Self-Efficacy Lifestyles, Depression in Middle-Aged Obese Women

  • Park, Nam-Hee;An, Hye-Gyung
    • Journal of Korean Academy of Nursing
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    • v.36 no.8
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    • pp.1359-1366
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    • 2006
  • Purpose. This study was done to determine the effects of weight management program using self-efficacy in middle-aged obese women. The study also attempted to measure the effects of the program on the weight efficacy lifestyle, body composition, and depression. Method. The research design of this study was a nonequivalent control group pretest-posttest design. The experimental group consisted of 21 middle-aged obese women and another 21 middle-aged obese women in the control group. The women in the experimental group participated in the weight management program for 12 weeks using self-efficacy. The weight management program using self-efficacy included education on effects of exercise for weight control, aerobic exercise program, muscle training and counseling through the telephone. Results. After 12 weeks of participation in the program, BMI (p <.0001), body fat % (p <.0001), abdominal fat (p <.0001), in the experimental group were significantly decreased compared to the control group. Weight self-efficacy lifestyle (p <.0001) and depression (p =.006) in the experimental group were significantly improved after the program compared to the control group. According to these findings, weight management program self-efficacy for middle-aged obese women could increase weight efficacy lifestyle, and decrease depression, BMI, body fat, and abdominal fat. Conclusion. The result also suggested that the increasing weight efficacy and lifestyle help the obese women to perform and continue exercise. This program could be used in the community such as public health center for weight care and mental health promotion of middle-aged obese women.

Seasonal Adaptation of Rural Residents with Focus on Clothing Weight (착의량을 중심으로 본 농촌지역주민의 계절적응에 관한 연구)

  • Jeong Young Ok
    • Journal of the Korean Society of Clothing and Textiles
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    • v.15 no.4 s.40
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    • pp.417-430
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    • 1991
  • The purpose of this study is to evaluate the level of seasonal adaptability of rural residents from a viewpoint of clothing weight. In this study, the 631 rural residents of both sexes and all generations were selected from 5 rural districts of Kyunggi, Kangwon, Chungnam, Chonnam and Kyungbuk province, and the survey on clothes worn by subjects carried out 4 times-once in each season-from 1989. 7 to 1990. 4. The clothing weight per a unit body surface area that is the index of clothing insulative value was calculated and the seasonal variations of clothing weight were investigated in each region, sex and age. The results of this study were as follows. 1. The clothing weight changed with the season and that increased in order of summer, autumn and spring, winter. But there was no significant difference between spring and autumn. 2. In general, the clothing weight of males was havier than that of females through out the year But the underwear clothing weight of males was lighter than that of females. 3. There were significant differences of clothing weight among age groups in the spring, autumn and winter and $14\~29$ age group had smallest clothing weight. Clothing weight increased with age above 29 years and decreased with age below 20 years. In the summer there was no significant di florence of clothing weight among age groups except that clothing weight of $14\~19$ age was significantly havier than the others. 4. The thermal sensation of the clothed body was comfortable in the spring, autumn and winter but that was warm in the summer. 5. The seasonal adaptability of rural adults from a viewpoint of clothing weight was relatively good but the children's clothing life had some problem because they wore too much.

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A Study of Concern about Weight Control, Nutrition Knowledge, Eating Behavior and Nutrients Intake according to Weight Control Attempt among High School Girls in Seoul (서울 여고생의 체중조절 시도 여부에 따른 체중조절 관심도, 영양지식, 식행동 및 영양소 섭취 상태에 관한 연구)

  • 박선주;박양자
    • Journal of the East Asian Society of Dietary Life
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    • v.11 no.5
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    • pp.856-867
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    • 2001
  • The purpose of this study is to investigate the relationship between of weight control attempts with concern about weight control. nutrition knowledge, eating behavior and nutrients Intake among high school girls in Seoul, Korea. A self-administered questionnaire was distributed to 355 subjects. The subjects were then divided into two groups, one with experience in attempting to control their weight, and one with no experience in attempting to control their weight. The mean averages of height, weight. obesity index (OI) and BMI of the subjects were 161.1cm, 53.1kg, -5.2% and 20.4, respectively. 49% of the subjects were experienced in attempting weight control. The majority of the group that had experience in weight control expressed dissatisfaction of with their self body image (66.7%), and was concerned about weight control (94.9%). This group also had more abnormal eating habits than the group that had no experience in weight control attempts, such as missing meals, eating irregularly, not eating a variety of foods and snacking. The mean averages of perceived knowledge (PK) and correct knowledge (CK) regarding nutrition on a 30 point scale were 23.6 (78.7% of total score) and 15.8 (52.7%), respectively. There were no significant differences of the PK's and the CK's between the two groups. Nutrients intakes of the two groups were not significantly different and the mean nutrient intakes revealed adequate consumption of energy. protein, Fe, Ca. thiamin. riboflavin, niacin, vitamin A and C. The higher the dissatisfaction of their self body image, PK score. and abnormal eating habits, the higher the level of concerns about of being overweight.

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Weight Control and its Related Factors among Children: A Gender-based Approach (아동의 성별에 따른 체중 조절 실태 및 관련 요인에 관한 연구)

  • Kim, Yu-Jeong
    • Journal of the Korean Home Economics Association
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    • v.45 no.4
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    • pp.113-122
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    • 2007
  • The purpose of this study was to investigate weight control and the relative influence of individual variables affecting children's attempts to control weight. The study subjects were 319 elementary school children. First, the average body height and weight of the children who participated in this study was somewhat larger in boys and similar in girls, as compared with the normal body shape of Korean children. More boys were classified as overweight than girls, based on BMI. Both boys and girls were dissatisfied with their body shape, and especially the girls showed higher dissatisfaction rate than the boys did. Almost half of the children were concerned about weight control and girls had higher concern than boys. Of the children, 38.8% had controlled their weight; however there was no difference between their sexes. There were significant differences between children who had and had not experienced weight control in the following variables: stress caused by obesity, body satisfaction, BMI, subjective body shape perception and concern about weight control. Therefore, discriminant function analysis was performed to determine the discrimination of these variables between the two groups. From the analysis results, the most critical factor was BMI in the boys and concern about weight control in the girls. This finding should be reflected in the design of weight control programs for children i.e., boys should be encouraged to perceive correctly their own body shape and to control weight by maintaining a well-balanced diet and moderate exercise over a long period of time, rather than by skipping meals, while girls should be inspired with sound values and attitudes regarding their body shape, rather than provided with the concrete information on how to control weight.

Estimation of the Ratio of Fin Weight to Body Weight of Sharks for the Korean Tuna Longline Fishery in the Eastern Pacific Ocean (동부태평양 한국의 다랑어 연승어업에서 상어류 체중대비 지느러미 중량 비율 추정)

  • An, Doo-Hae;Kwon, You-Jung;Moon, Dae-Yeon;Hwang, Seon-Jae;Kim, Soon-Song
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.42 no.2
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    • pp.157-164
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    • 2009
  • The National Fisheries Research and Development Institute (NFRDI) conducted a circle hook experiment to compare the catch rates of target and bycatch species between J hook and circle hooks in the tuna longline fishery of the Eastern Pacific Ocean, which is located between $9^{\circ}13'S-1^{\circ}36'N$ and $126^{\circ}00'-138^{\circ}21'W$. Sampling was conducted from September 20 to October 23, in 2006. In this survey, we collected shark data to obtain the ratio of fin weight to body weight of sharks. Overall, 413 sharks belonging to 9 species were caught on 62,464 hooks. The total weight of the sharks caught was 11,093 kg. The ratio of wet fin weight to body round weight of sharks by species ranged from 3.7% to 7.7%, while the mean was 5.4%. The total ratio of wet fin weight to the dry fin weight of sharks ranged 0.38 to 0.70 and the mean value was 0.53. The ratio of dry fin weight to the body round weight of the sharks was estimated to be 2.86%.

Korean Medicine with Self-monitoring for Weight Control and Factors Associated with Weight Loss: a Retrospective Observational Study (자기감시를 병행한 한의비만치료에서 체중감량 및 감량에 영향을 미치는 요인 분석: 후향적 관찰연구)

  • Jang, In-Yeong;Yim, Ju-Hyuk;Park, Ji-Seon;Kim, Ji-Seong;Kim, Tae-Hun
    • The Journal of Korean Medicine
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    • v.43 no.1
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    • pp.87-98
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    • 2022
  • Objectives: The purpose of this study was to investigate the effect of weight loss in Korean Medicine (KM) obesity treatment combined with self-monitoring and to identify the relevant factors which are related to successful weight loss. In addition to this, adverse events reported by the patients were analyzed to assess the safety of KM treatments for obesity Methods: This was a retrospective observational study that analyzed the medical records of the patients that participated in the 10-week of KM treatment. All patients took herbal medicine for weight loss and were instructed to reduce calorie intake and adhere to self-monitoring. Clinical data including body weight were collected for evaluating the effect of the treatments. Behavior factors affecting weight loss were collected. The correlation between each factor and weight loss was analyzed. Adverse events (AEs) were collected at each time to evaluate the safety of the intervention. Results: One hundred eighteen patients' records were included in this study. The average weight loss was 7.64kg(74.59kg to 66.95kg). 94.9% of patients lost 5% or more of their initial weight. The degree of weight loss was identified to be related to self-assessment of diet control and self-assessment of appetite control. The average self-weighing frequency significantly increased(2.45 times/week before treatment and 4.70 times/weeks during treatment). Constipation, insomnia, and dizziness were found to be the most frequent AEs, and except for one case, most AEs were mild cases. Conclusion: From this study, we found that KM obesity treatment combined with self-monitoring showed significant weight loss without serious AE.

A Study on the Mechanical Properties to the Weight Loss of Polyester Fabric (C.D.R., Liquor-flow, Tank type) (감량률에 따른 폴리에스테르 직물의 역학적 특성에 관한 연구 (연속식, 액류식, 탱크식))

  • 허만우;서말용;이석영;김삼수;강연희;김수창;조인술
    • Textile Coloration and Finishing
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    • v.12 no.2
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    • pp.121-128
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    • 2000
  • This study discussed the mechanical properties such as bending and shear of polyester fabric treated with a several weight reduction machine. With the increase in the rate of weight loss, the bending rigidity of the warp and weft of treated fabric decreased regardless of the weight reduction machine. At 6.5% weight loss, the bending rigidity of warp and weft yarn decreased to $0.035\;gfcm^2/cm$ and $0.017\;gfcm^2/cm$, respectively, and these values show 54% and 94% of their untreated warp and weft. At same rate of the weight loss, the bending rigidity of polyester fabric treated with C.D.R slightly higher than that of the tank type or liquor-flow type. On the other hand, below 6.5% weight loss, the shear rigidity of the warp and weft of the treated fabric rapidly decreased. But with the increase in the above 6.5% rate of weight loss, the decreasing tendency of the shear rigidity declined. At same rate of the weight loss, the shear rigidity of fabric treated with tank type nearly equal to the that of the liquor flow type. But at same rate of the weight loss, the shear rigidity of the fabric treated with C.D.R type higher than that of the tank or liquor-flow type.

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