• Applied Biological Chemistry
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• 제48권4호
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• pp.375-381
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• 2005

본 연구는 흰쥐와 과체중인에서 솔잎, 홍차 및 녹차 추출물의 항-비만효과와 관련기전을 알아보기 위하여 시행되었다. 흰쥐는 무작위로 솔잎, 홍차, 녹차 및 추출물 혼합물 군으로 분류되었다. 대조군은 흰쥐 chow 식이로 사육되었으며 추출물군은 각각 0.5, 1, 2, 4 및 8% 추출물을 흰쥐 chow 식이에 첨가하여 5주간 사육하였다. 추출물 혼합물은 솔잎 :홍차 :녹차를 2 : 1 : 1의 비율로 만들어 흰쥐 chow 식이에 첨가하여 제조하였다. 솔잎과 혼합물 추출물 1, 2, 4 및 8% 첨가군은 대조군에 비하여 유의하게 체중과 내장지방을 감소시켰다. 홍차와 녹차추출물 1, 2, 4% 첨가군은 대조군에 비하여 유의하게 체중과 내장지방을 감소시켰다. 추출물 혼합군이 다른 군에 비해서 체중과 내장지방 감소효과가 컸다. 5주간의 식이동안 총 식이 섭취량은 녹차 및 홍차 8% 첨가군을 제외하고는 그룹간 차이가 없었다. 5주간의 식이에서 총 변량은 솔잎, 녹차 및 추출물 혼합 1, 2, 4% 첨가군에서 대조군보다 많았다. 과체중인에서는 추출물 혼합물이 대조군에 비하여 체중과 체지방을 유의하게 감소시켰다. 솔잎, 홍차 및 녹차의 작용기전을 알아보기 위한 시험관실험에서 솔잎은 췌장의 lipase 및 ${\alpha}-amylase$ 활성도를 억제하지 않았다. 반면에 홍차와 녹차는 농도 의존적으로 췌장의 lipase 및 ${\alpha}-amylase$ 활성도를 억제하였다. ${\alpha}-amylase$의 억제효과는 홍차가 녹차보다 컸으나 lipase의 활성 억제는 반대였다. 결론적으로 흰쥐에서 솔잎, 홍차 및 녹차의 항-비만 효과가 관찰되었으며 추출물 혼합물의 항-비만 효과가 같은 조건에서는 가장 컸다. 과체중인에서 추출물 혼합물은 대조군에 비하여 체중 및 체지방 감소효과를 보였다. 홍차와 녹차의 항-비만효과는 부분적으로는 위장관에서 췌장 lipase와 ${\alpha}-amylase$의 활성 억제에 의한 탄수화물과 지방의 소화감소에 기인하는 것으로 생각된다.

• 한국융합학회논문지
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• 제6권3호
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• pp.19-28
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• 2015

본 연구의 목적은 중년기 여성을 대상으로 비만의 원인을 규명하기 위하여 필요한 다양한 관련요인을 분석함으로서 향후 비만 정책방향에 기초자료를 제공하는데 있다. 2014년 4월부터~11월까지 인천지역의 N 병원 건강증진센터를 방문한 건강한 중장년 여성들 중 본 연구의 목적에 동의한 195명의 여성을 대상으로 실시하였으며, 신체계측, 체성분검사, 복부 지방분포는 복부지방단층촬영(Fat-CT)을 이용하였다. 그리고 골밀도는 정량적전산화 단층촬영(Q-CT)을 이용하여 측정하였다. 복부지방단층촬영 결과 '피하지방' 76명(39%), '내장지방'은 119명(61%)이었으며, 체질량지수(BMI)는 '저체중($18.5kg/m^2$)'은 13명(6.7%), '과체중($25kg/m^2$이상)'은 60명(30.8%), 평균값은 $23.5{\pm}4.11kg/m^2$이었다. 그리고 허리둘레, 확장기혈압, 수축기혈압, 중성지방에서 유의수준 5%내에서 통계적으로 유의한 것으로 나타났다. 본 연구의 결과를 통해 나이가 들수록 근육감소가 복부비만으로 인한 체중 증가를 상쇄시킨다는 점을 알 수 있었고, 따라서 비만에 대한 차후연구에서는 이러한 특성을 이해해야 한다.

• Journal of Acupuncture Research
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• 제34권2호
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• pp.49-59
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• 2017

Objectives : This study evaluated the efficacy of electroacupuncture therapy using an insulated needle in adults with abdominal obesity. Methods : This study was a randomized, double-blind, parallel-designed pilot trial. Sixteen participants eligible according to the inclusion and exclusion criteria were randomly divided into an insulated needle group and a control group. Insulated or common needles were inserted at acupoints located on the abdomen (CV12, CV6, ST25, ST27, SP15) and were electrically stimulated for 30 minutes (16 Hz, within tolerable strength). A total of 10 sessions of treatment were performed twice per week for 5 weeks. All participants were requested to maintain their usual diet and lifestyle. The outcome measures were waist circumference (WC), waist-to-hip ratio (WHR), and abdominal computed tomography (CT) of the total fat area (TFA), subcutaneous fat area (SFA), and visceral fat area (VFA). Results : A total of 12 participants divided into the insulated needle group (n = 5) and the control group (n = 7; common needle) were treated for 10 sessions and analyzed per-protocol (PP). WC decreased significantly after 10 sessions in both groups. The WC, TFA, SFA, and VFA of abdominal CT in the insulated needle group decreased more than in the control group; however, there were no significant differences in any parameter between the insulated needle group and the control group. Patients in the insulated needle group were more strongly stimulated with electrical stimulation than patients in the control group. Conclusion : Electroacupuncture using insulated needles in adults with abdominal obesity might be a more effective treatment than common needles. Additional studies are required to compensate for the limitations of this pilot study and to verify the results and efficacy.

• PNF and Movement
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• 제8권1호
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• pp.21-29
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• 2010

Purpose : The purpose of this research is to examine the effects of circuit weight training and aerobic exercise on the bodily formation and abdominal fat area of obese female college students. Methods : The female college students whose BMI is over $25kg/m^2$ were divided into the circuit weight training group and the aerobic exercise group and circuit weight training and aerobic exercise were conducted on the respective group five times a week. Resultlts : 1. The tendency of statistically significant reduction in weight, body fat percentage, and BMI was shown in both the circuit weight training group and the aerobic exercise group but there were no significant differences between these groups. 2. The tendency of statistically significant reduction in total abdominal fat area, and subcutaneous fat area was shown in both the circuit weight training group and the aerobic exercise group but there were no significant differences between these groups. 3. Visceral fat area was reduced more in the aerobic exercise group than in the circuit weight training group Conclusion : It was confirmed that exercise alone in the state of no dietary treatment being given could cause obese people bodily formation.

• 한방비만학회지
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• 제7권2호
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• pp.15-25
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• 2007

Objectives In clinical studies, the visceral fat obesity has been emphasized because of its correlation with the metabolic syndrome. But the subcutaneous adipose tissue also would correlate with the risk factor of metabolic syndrome. Especially deep tissue, which is a subdivision of the subcutaneous adipose tissue would be more related. This study is to investigate the relationship between subcutaneous adipose tissue and various diseases. Methods We searched for papers which had subcutaneous adipose tissue, deep subcutaneous adipose tissue and obesity for subjects in the Pubmed site. Results : 24 papers were found. Subcutaneous adipose tissue, deep subcutaneous adipose tissue especially, was related with the insulin resistance, metabolic syndrome, sex hormones and other diseases. Conclusions Subcutaneous adipose tissue is a risk factor of insulin resistance but not lipoprotein. But deep subcutaneous adipose tissue was related with lipoprotein. So deep tissue, which is a subdivision of the subcutaneous adipose tissue is a more important risk factor of the metabolic syndrome.

• 대한한의학방제학회지
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• 제17권2호
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• pp.133-142
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• 2009

Objective : Recently, obesity has increased at an alarming rate and is now a worldwide health problem. Natural dietary supplement, $CharmSlim^{(R)}$(C), is mixed pills, which consists of beans, black sesames, kelps, onions, adlay seeds, anchovies, pyogo mushrooms, green tea. Our study was performed to determine the weight-loss effects of natural dietary supplement, based on natural ingredients, in mice fed high-fat diet with an abundance of carbohydrates. Methods : Four groups of male ICR mice were fed different diets during 6 weeks: normal diet(NOR), high-fat (15%, w/w) diet(HF), high-fat supplemented with natural dietary supplement powdered 5%(C5) and 10%(C10) groups. We measured the changes of food intake, body weight and adipose tissues weights. Also we examined levels of lipid profiles in serum. Results : Body weight, liver weight and food efficiency ratio were significantly higher in the HF group than in NOR group. After 6 weeks of treatment, body weight, liver weight and adipose tissues weights (epididymal, perinephric, visceral and BAT) were significantly decreased in the C10 group when compared to the control HF group. The C10 group had markedly lower serum levels of total cholesterol and triglyceride when compared with HF group. Conclusion : These results demonstrate that this dietary supplement can suppress the increased lipid profiles, body weight and fat gains, thus could be considered as an effective adjunct in the treatment of obesity.

• 한국식품과학회지
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• 제36권6호
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• pp.1014-1019
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• 2004

김치유산균추출물의 비만억제 및 지질 저하 효과를 20%(w/w) 고지방식이를 섭취시킨 횐 쥐에서 살펴보았다. 제한식이를 하였음에도 불구하고 HFD의 체중은 ND에 비해 약 50%증가 하였고, HFK10 및 HFK20에서는 HFD에 비해 각각 13%그리고 15%(p<0.01) 감소하였다. HFD의 복부지방의 함량은 ND에비해 98% 증가하였고(p<0.01), HFK10 및 HFK20에 서 각각 42%, 48% 유의적으로 감소하여(p<0.01) 체중 저하 효과 보다 복부지방 축적을 억제하는 효과가 더 높은 것으로 나타났다. 혈장 중성지방의 농도는 HFD가 ND에 비해 약 55% 증가하였고(p<0.01), HFK10 및 HFK20은 HFD에 비해 26%, 및 35% 농도 의존적으로 감소하였다(p<0.01). 혈장 총 콜레스테롤 농도 역시 HFK10 및 HFK20에서 농도의존적으로 유의적인 감소를 보였고(p<0.01) LDL 농도는 HFD가 ND보다 61% 정도 증가하였고(p<0.01), HFK10 및 HFK20에서 약 8%, 33%감소하여(p<0.01)총 콜레스테롤 보다 LDL의 감소가 더 현저하였다. HDL은 증가하여 김치유산균추출물의 첨가에 의한 지질 개선 효과가 관찰되었다. 김치 유산균 추출물의 간 기능 개선 효과는 고지방 식이에 의해 유발된 지방간 현상으로 정상대조군에 비해 상승되었던 혈장 AST 및 ALT 활성이 감소됨으로서 관찰되었다. 분변의 지방농도를 HFD와 HFK10 및 HFK20간에 비교하였을 때 중성지방 농도는 각 62%와 111% 정도 현저하게 증가하였고, 콜레스테롤 농도는 HFK20에서 약 31% 정도 증가하였다(p<0.05). 이상의 결과에서 사균의 형태인 김치유산균 추출물은 비만을 억제하고 혈장 지질을 저하시키는 효과가 있음이 확인되었으며, 간 기능 보호효과도 확인되었다. 이러한 김치유산균 추출물의 효과는 장내에서 지방의 흡수를 억제하기 때문으로 생각된다.

• 대한본초학회지
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• 제25권3호
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• pp.1-9
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• 2010

Objectives : This study was undertaken to verify the effects of Gyeongshingangjeehwan18 (GGEx18) on obesity using ob/ob male mice. Methods : Eight-week old mice (wild-type C57BL/6J and ob/ob) were used for all experiments. Wild-type C57BL/6J mice were used as lean control and obese ob/ob mice were randomly divided into 5 groups: obese control, GGEx15, GGEx16, GGEx17, and GGEx18. After mice were treated with several kinds of GGEx for 11 weeks, body weight gain, feeding efficiency ratio, plasma lipid and glucose metabolism. Results : 1. Compared with obese controls, GGEx-treated mice had lower body weight gain and feeding efficiency ratio, the magnitudes of which were prominent in GGEx16 and GGEx18. 2. Consistent with their effects on body weight gain, GGEx16 and GGEx18 not only decreased plasma triglycerides levels, but also increased HDL-cholesterol concentration. 3. CT analysis revealed that visceral fat areas were decreased in all treatment groups compared with obese control mice. The decrease in visceral fat area was prominent in GGEx16 and GGEx18, although they were not statistically significant. 4. The size of adipocytes were significantly decreased by GGEx18, whereas the adipocyte number per unit area was significantly increased, suggesting that GGEx18 decreased the number of large adipocytes. Hepatic lipid accumulation was decreased by GGEx16 and GGEx18, and the inhibitory effect was most effective in GGEx18. 5. Plasma GOT and GPT concentrations were significantly lower following GGEx16 and GGEx18 treatment compared with obese controls. Organ weights were not changed by GGEx treatment, indicating GGEx do not show any toxic effects. Conclusions : These results suggest that GGEx may regulate obesity. Of the 4 compositions, GGEx18 seems to be most effective in improving obesity and lipid disorders.

• Journal of Obesity & Metabolic Syndrome
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• 제27권4호
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• pp.213-222
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• 2018

Bariatric surgery has evolved from a surgical measure for treating morbid obesity to an epochal remedy for treating metabolic syndrome as a whole, which is represented by type 2 diabetes mellitus. Numerous clinical trials have advocated bariatric or metabolic surgery over nonsurgical interventions because of markedly superior metabolic outcomes in morbidly obese patients who satisfy traditional criteria for bariatric surgery (body mass index [BMI] >$35kg/m^2$) and in less obese or simply overweight patients. Nevertheless, not all diabetes patients achieve the most desirable outcomes; i.e., diabetes remission after metabolic surgery. Thus, candidates for metabolic surgery should be carefully selected based on comprehensive preoperative assessments of the risk-benefit ratio. Predictors for diabetes remission after metabolic surgery may be classified into two groups based on mechanism of action. The first is indices for preserved pancreatic beta-cell function, including younger age, shorter duration of diabetes, and higher C-peptide level. The second is the potential for an insulin resistance reduction, including higher baseline BMI and visceral fat area. Several prediction models for diabetes remission have been suggested by merging these two to guide the joint decision-making process between clinicians and patients. Three such models, DiaRem, ABCD, and individualized metabolic surgery scores, provide an intuitive scoring system and have been validated in an independent external cohort and can be utilized in routine clinical practice. These prediction models need further validation in various ethnicities to ensure universal applicability.

• Journal of Nutrition and Health
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• 제50권6호
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• pp.578-584
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• 2017

Purpose: Excess intake of sodium is a major diet-related risk factor for human diseases including hypertension and cancer as well as obesity and inflammation. However, findings are still controversial, and evidence is lacking in Koreans. Therefore, for better understanding of the role of dietary sodium intake in disease etiology, this study investigated the effects of dietary sodium intake on adiposity, inflammation, and hormones in Koreans. Methods: A total of 80 males and females joined the study. The general characteristics and dietary intake data were investigated by trained interviewers using a questionnaire and 24-h dietary recall, respectively. For the markers of adiposity, body weight, body mass index, percent of body fat, visceral fat area, and waist and hip circumference were measured. For the inflammation and hormone markers, leptin, adiponectin, insulin, tumor necrosis $factor-{\alpha}$, and interleukin-6 were also analyzed. Results: Multivariate linear regression analyses suggested that dietary sodium intake was not associated with adiposity. However, dietary sodium showed a significant association with insulin level: Plasma insulin concentration increased with sodium intake independent of other dietary intake or percent of body fat (${\beta}=0.296$, adjusted $r^2=0.276$, p < 0.01). Other markers for inflammation and hormonal responses were not associated with dietary sodium intake. Conclusion: Findings suggested that dietary sodium intake may be a critical modifying factor in the level of plasma insulin. However, it showed a limited effect on obesity and other inflammation markers and hormone levels. These findings should be confirmed in larger, well-designed investigations.