• 한국식품영양학회지
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• 제26권3호
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• pp.476-484
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• 2013

This study was conducted to investigate the anthropometric data, nutrient intakes and serum profiles in premenopausal and postmenopausal women living in Gyeonggi-do Province, Republic of Korea. The subjects were 49 premenopausal women and 63 postmenopausal women who are not taking any hormone or cardiovascular drugs. Anthropometric measurements were taken by a trained practitioner and the data for dietary intakes were obtained by a 24-hour recall method. Serum samples were collected and analyzed for the total cholesterol, triglyceride (TG) and lipoprotein fractions. The mean age of the premenopausal women was $45.17{\pm}3.28$ years and that of the postmenopausal women was 2$62.5{\pm}4.14$ years. The height and weight were $157.86{\pm}$4.35 cm, $58.75{\pm}6.01$ kg in premenopausal women and $156.42{\pm}3.62$ cm, $57.63{\pm}5.38$ kg in postmenopausal women, respectively. WHR (waist hip ratio) in postmenopausal women was significantly higher than that of premenopausal women (p<0.05). There were no differences between the pre-and postmenopausal women in the intakes of energy, protein, fat, Ca, Fe, vitamin A, vitamin $B_1$, vitamin $B_2$, niacin, vitamin C and vitamin E. However carbohydrate and Na intakes in postmenopausal women were significantly higher than those of premenopausal women. In postmenopausal women, Ca intake was below and Na intake was extremely high considering KDRIs (Dietary Reference Intakes for Koreans). Serum triglyceride in postmenopausal women was positively correlated with age, BMI (body mass index) and WHR. Serum total cholesterol and triglyceride in postmenopausal women showed significantly negative correlations with fiber intake. These results suggest that it is necessary to help postmenopausal women maintain a healthy body weight. Postmenopausal women needs to increase Ca (calcium) intakes and diet quality by decreasing the intakes of Na (sodium). In addition, an adequate intakes of fiber is recommended for postmenopausal women to prevent cardiovascular disease.

• 한방비만학회지
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• 제4권1호
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• pp.67-80
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• 2004

Objectives: Obesity is a growing epidemic with subsequent health consequences leading not only to reduced quality of life but also to increased medical costs. Recently nutritional balances are emphasized in the field of obesity, and especially maintaining proper equilibriums of minerals. The correlation of minerals obtained from the method of HTMA(Hair Tissue Mineral Analysis) with obese degree has not been studied in Korea yet. We studied any significant difference of mineral concentrations and components according to the obese degree. Methods: 78 subjects were analyzed who visited Garosero clinic of oriental medicine to lose their weight from June to November 2004. We used BMI(Body Mass Index), PBF(Percent Body Fat), WHR(Waist-Hip Ratio) and abdominal circumference obtained by bio-electrical impedance analysis as an obese degree. And we analyzed correlation with mineral concentrations and ratios obtained from HTMA. Results & Conclusion: 1. Na, K, Zn, Se had significant correlation with obese degree in case of nutritional minerals from HTMA. Especially, K had high significance. 2. Toxic minerals from HTMA had no significance with obese degree. 3. Rb had significant correlation with obese degree in case of additional minerals from HTMA. 4. Among important ratios from HTMA, Na/K had significant correlation with obese degree, but Ca/K had correlation except PBF, and Na/Mg had correlation except WHR. 5. Among toxic ratios from HTMA, Se/Hg had significant correlation with obese degree, but S/Hg had correlation except BMI. 6. Na, K, Zn, Rb, Na/K, Ca/K had significant differences between obesity groups classfied by BMI. Ob II group had sinificant difference from NW group in cases of K, Zn, Rb, Na/K, and Ob II group had sinificant difference from OW group in case of Ca/K.

• 대한한의학회지
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• 제26권1호
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• pp.85-92
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• 2005

Objective: A number of candidate genes have been in implicated in the pathogenesis of obesity in humans. Tumor necrosis factor-alpha $(TNF-{\alpha})$ is expressed primarily in adipocytes, and elevated levels of this cytokine have been linked to obesity and insulin resistance. Recently, the A allele of a polymorphism at position 308 in the promoter region of $TNF-{\alpha}$ (G-308A) has been shown to increase transcription of the gene in adipocytes. Therefore, we designed this study to test whether obese and non-obese subjects differ in $TNF-{\alpha}$ genotype distribution, and how the genotypes affect anthropometric parameters, including degrees of body mass index (BMI). Methods : The study included 153 obese but otherwise healthy women ($BMI{\geq}kg/m^2$, range 25-54.7, age range 15-40 years) and 82 non-obese healthy women ($BMI, age range 15-40 years). Total fat mass and percent body fat were determined by dual-energy X-ray absorptiometry. Genomic DNA was extracted and used for Ncol restriction fragment length polymorphism (RFLP) based genotyping of $TNF-{\alpha}$. Results: No differences were observed for allelic and genotype frequencies between the obese ($BMI{\geq}25$) and non-obese women. Also, no association of TNF-(l polymorphism was observed with body mass index (BMI) for genotype in obese women. In addition, age, pertent body fat, BMI, and cholesterol levels did not differ by $TNF-{\alpha}$ genotype. However, waist-to­hip ratio (WHR) was significantly lower in subjects with $TNF-{\alpha}$ GA or AA genotype (0.94 0.07 vs. 0.920.03, P<0.005). Conclusion: These results suggest that $TNF-{\alpha}$ promoter polymorphism at position-308 is not a significant factor for BMI, but affects the WHR in obese healthy women from Koreans.

• 대한임상검사과학회지
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• 제54권4호
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• pp.316-324
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• 2022

Polycystic ovary syndrome (PCOS) is a complex endocrinopathy in women of reproductive age. The genetics of PCOS is heterogeneous with the involvement of number of genes in the steroid synthesis pathway. The CYP11B2 encodes aldosterone synthase and the genetic variants might increase aldosterone secretion in PCOS cases. CYP1A1 is known to enhance the intraovarian catechol estrogen production and thus the propensity for PCOS. The present case-control study analyzed a total of 619 females for CYP11B2 (rs1799998) and CYP1A1 (rs4646903) polymorphisms. Obesity was examined according to body mass index (BMI) and waist hip ratio (WHR) categorization. Biochemical (lipid profile) analysis was performed in PCOS females. BMI (P=0.0001) and WHR (P=0.0001) revealed a statistically significant difference between PCOS cases and controls. The overall levels of triglycerides were higher in PCOS females. The genotype frequency distribution of CYP11B2 (rs1799998) polymorphism revealed statistically significant difference between PCOS cases and controls (P=0.017). However, CYP1A1 (rs4646903) polymorphism did not showed any association with PCOS. The present case-control association analysis is first from our region for CYP1A1 and CYP11B2 polymorphisms and is suggestive of genetic predisposition of steroidogenic genes among PCOS patients in the North-Indian Punjabi females.

• 보건교육건강증진학회지
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• 제24권5호
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• pp.103-118
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• 2007

가족 내 아동 구성에 따라 가정주부들이 가족들의 비만 관련 변인을 어떻게 인지하는지 조사되었다. 90명의 가정주부가 자신과 가족들에 대한 사회인구 정보, 체중인지, 식습관행동인지, 신체활동인지를 묻는 설문지에 응답하였다. 이들은 가족의 아동 구성에 근거하여 세 그룹; 아들만 있는 가정(BO), 딸만 있는 가정(GO), 아들 딸 모두 있는 가정(BG), 으로 편성되었다. BO의 아들들은 GO의 딸들에 비해 높은 수치의 신장, 체중, WHR을 보였으나(p <.05), 이 두 그룹 간에 BMI와 허리둘레는 차이가 없었다. BO의 엄마들은 아들들이 활동적이라고 인지한 반면 GO의 엄마들은 딸들이 비활동적이라고 인지하였다(p <.05). GO의 딸들은 BO의 아들들이나 BG의 딸들에 비해 덜 규칙적인 식사를 하였다. 일반적으로 가정주부들은 가족구성원의 체중을 BMI 및 허리둘레와 연관되어 인지하였다. 엄마의 BMI 가 증가할수록 BO의 아들의 BMI는 동반 상승하였으나(p <.05), 다른 그룹에서는 나타나지 않았다. 칼로리 섭취와 신체활동 권장에 대한 엄마의 인지는 신체형태에 근거하지 않았다. 이 결과들은 가정주부들이 가족 내 아동 구성에 따라 비만 관련 변인을 다르게 인지함을 제시하고 있다.

• 생명과학회지
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• 제17권12호
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• pp.1744-1753
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• 2007

비만 여중생을 대상으로 하여 12주간 행동수정 프로그램을 포함한 걷기운동을 실시한 결과 비만 여중생의 체조성, 체력, 대사증후군의 유병률 및 대사증후군 위험인자에서 긍정적인 변화를 가져오는 것을 확인하였다. 또한 다중선형회 귀분석 결과 체조성의 상완위팔근육둘레, 허리둘레, 신체발달지수, 체수분, 체지방량의 개선과 체력의 50m달리기 향상이 BMI, WHR, HDL-C, 공복혈당, 수축기혈압, HOMA지수를 개선시킬 수 있는 것으로 나타나 유산소성 걷기운동과 행동수정 프로그램에 의한 식사량조절과 식습관 변화가 비만청소년에 있어서 대사증후군에 의한 심혈관질환과 당뇨병, 심리적 우울증에 효과적인 프로그램이 될 수 있다고 생각된다. 그러나 피험자 수가 적고, 실험기간이 짧아 실험결과를 일반화하기에는 주의가 필요하며, 실험이후에 학생들의 지속적 운동 습관을 유지하기 위한 프로그램의 개발이 필요하다고 생각된다.

• 대한방사선기술학회지:방사선기술과학
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• 제36권1호
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• pp.39-47
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• 2013

본 연구의 목적은 방사선 조사 용적 내 포함되는 소장의 용적 감소를 위해 복부판(Belly board, 벨리보드)과 소장변위도구(Small Bowel Displacement Device, SBDD)를 사용한 직장암 환자에서 방사선 치료 영역 내 포함되는 소장의 용적과 비만도 와의 상관성을 보고, 비만지표의 적용을 통해 SBDD의 사용지표를 삼고자 한다. 실험은 2012년 1월부터 4월까지 수술 전 혹은 수술 후 벨리보드와 SBDD를 사용해 골반부위에 방사선치료를 받은 29명의 직장암 환자를 대상으로 분석하였다. 방사선 치료는 3문 조사로 시행하였으며 1.8 Gy의 분할선량으로 중심점에 45 Gy를 조사한 계획만을 분석하였다. 환자의 키, 몸무게, 체질량지수(body mass index, BMI), 허리 엉덩이 둘레비(waist hip ratio, WHR)를 측정하여 비만도를 조사하였다. 조사되는 선량의 90%이상 들어가는 소장의 용적(high dose volume of small bowel, $HDV_{sb}$)과 33%이상 들어가는 소장의 용적(low dose volume of small bowel, $LDV_{sb}$)을 방광의 총 용적(total volume of bladder, $TV_{bladder}$) 및 비만도에 따라 비교하여 그 상관관계를 통계학적으로 분석하였다. 분석결과 수술여부 및 성별 WHR은 $HDV_{sb}$, $LDV_{sb}$에 크게 미치는 영향이 없었고 $HDV_{sb}$, $LDV_{sb}$와 BMI(p=0.031/0.083), $TV_{bladder}$ (p<0.05)는 통계적으로 유의하였다. BMI가 $HDV_{sb}$와는 유의 하지만 $LDV_{sb}$와는 크게 유의하지 않았다. (p=0.031, p>0.05) BMI는 $HDV_{sb}$와 음의 상관관계(${\beta}$=-0.402)가 있었으며 $TV_{bladder}$는 $HDV_{sb}$, $LDV_{sb}$와 음의 상관관계(${\beta}$=-0.497/-0.522)가 있었다. 특히 BMI 23 미만인 경우(BMI Group2)보다 그 이상인 경우 $HDV_{sb}$에 영향을 미치며 음의 상관성(${\beta}$=-0.525)이 있었다.($LDV_{sb}$, $HDV_{sb}$와 유의확률 각각 p=0.059, p=0.027) BMI가 23 이상인 집단(BMI Group1)에서는 $TV_{bladder}$와 $HDV_{sb}$, $LDV_{sb}$가 통계학적으로 유의하였고(p<0.04) 음의 상관성을 보였다. 비만지표인 BMI가 23 이상인 과체중 및 비만군의 직장암 방사선 치료 시 벨리보드와 SBDD를 동시에 사용하는 경우 조사용적 내 포함되는 소장의 용적을 감소시키는데 더 효과적이었다. 그러므로 벨리보드를 사용하는 직장암의 방사선 치료 시 BMI 23 이상인 한국인 환자에게는 소장변위도구를 동시에 사용 할 것을 권장한다.

• 한방비만학회지
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• 제11권1호
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• pp.15-24
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• 2011

Objectives Our purpose of this study was to evaluate the association between depression, stress, and obesity indexes. Methods This study was performed in 110 healthy overweight and obese(BMI${\geq}23\;kg/m^2$) women in Korea. Subjects underwent abdominal CT(computed tomography) scanning and were asked to complete Beck depression inventory(BDI), social readjustment rating scale(SRRS), and stress response inventory(SRI) questionnaires. Weight, body-mass index(BMI), waist circumference(WC), and waist-hip ratio(WHR) were evaluated. Subjects were given written consent and this study was performed under permission of institutional review board of KyunHee University Hospital at Gangdong. Results 1. BDI and SRI were significantly correlated with VFA(visceral fat area)(p<0.05). However, other obesity indexes were not significantly correlated with BDI and SRI(p>0.05). 2. SRRS was not significantly correlated with all obesity indexes(p>0.05). Conclusions This study suggests that depression and stress might be correlated with visceral fat, and this result would be helpful for planning a treatment schedule of obese patients with depression or stress in the clinic.

• Nutrition Research and Practice
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• 제4권2호
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• pp.128-135
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• 2010

Obesity was characterized in Korean elementary students using different obesity assessment tests on 103 overweight elementary students from three schools of Jeonbuk Province. The body mass index (BMI) and obesity index (OI) were compared, and the data using DEXA and CT were compared with the data using BIA and a tape measure. The results of this study are as follows: first, 27 students who were classified as obese by OI were classified as overweight by BMI, and 3 students who were classified as standard weight by BMI were classified as overweight by OI. Secondly, by DEXA and BIA measurements, there was 1.51% difference in body fat percentage (boys 1.66%, girls 1.17%) and the difference in body fat mass between boys and girls was 0.77 kg (boys 0.85 kg, girls 0.59 kg), but those differences in body fat percentage and mass were not statistically significant. Thirdly, the average total abdominal fat (TAF) measured by CT scans of obese children was more significantly related with subcutaneous fat (r = 0.983, P < 0.01) than visceral fat (r = 0.640, P < 0.01). Also, TAF were highest significant with waist circumference by a tape measure (r = 0.744, P < 0.01). In summary, as there are some differences of assessment results between two obesity test methods (BMI, OI), we need more definite standards to determine the degree of obesity. The BIA seems to be the most simple and effective way to measure body fat mass, whereas waist/hip ratio (WHR) using a tape measurer is considered to be the most effective method for assessing abdominal fat in elementary students.

• 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.