• The Journal of Korean Medicine
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• v.37 no.3
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• pp.62-73
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• 2016

Objectives: Dropout and weight regain are common problems in most obesity treatments. The purpose of this study was to review previously published study results of the predictive factors associated with dropout during weight loss treatment and weight loss maintenance after successful weight loss. Methods: Authors searched for the articles related to dropout and weight loss maintenance, published from 2007 to 2016 found on Pubmed, Scopus, RISS, and KISS. A total of 19 articles were finally selected. From the study results, unchangeable and changeable predictors were extracted, and these predictors were examined according to dropout and weight loss maintenance categories. Results: The unchangeable predictors of dropout were younger age, lower education level and female, whereas the changeable predictors of dropout were lower initial weight loss, symptoms of depression and body dissatisfaction. The strongest factor for predicting the dropout was initial weight loss. The unchangeable predictors of weight loss maintenance were old age, male and family history of obesity, whereas the changeable predictors of weight loss maintenance were regular exercise, dietary restraint, self-weighing and low depressive symptoms. Initial weight loss, depressive symptoms, body image, dietary restraint, physical activity, weight loss expectation and social support were considered to be dominant factors for weight loss treatments. Conclusions: Our review results suggest that unchangeable and changeable predictors of dropout and weight loss maintenance should be carefully examined during treatments of obesity.

• Journal of Korean Medicine for Obesity Research
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• v.19 no.2
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• pp.119-136
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• 2019

Objectives: People often fail to maintain their weight even though they have succeeded in weight loss. The purpose of this study was to review previously published study results with regards to the predictive factors associated with weight loss maintenance after successful weight loss. Methods: The authors searched for the articles related to weight loss maintenance after successful weight loss, published up until June 2019 on PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), Embase, Research Information Sharing Service (RISS), and Koreanstudies Information Service System (KISS). A total of 76 articles were finally selected. From the study results, changeable and unchangeable predictors were extracted, and these predictors were examined according to detailed categories. Results: The changeable predictors of weight loss maintenance included behavioral factors, psychological factors and treatment process-related factors, whereas the unchangeable predictors included genetic and physiological factors, demographic factors, history of treatment on obesity-related factors. The main factors of weight loss maintenance were changeable predictors such as healthy eating habits, dietary intake control, binge eating control, regular exercise and physical activity, depression and stress control, social supports, self-regulation, self-weighing and initial weight loss and unchangeable predictors such as low initial weight and maximum lifetime weight. Conclusions: The results of our review results suggest that changeable and unchangeable predictors of weight loss maintenance should be carefully examined during treatments of obesity.

• Archives of Obesity and Metabolism
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• v.2 no.1
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• pp.6-10
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• 2023

Compensatory changes in energy consumption and neuro-hormonal changes following weight loss make it difficult to maintain the reduced weight and may cause weight regain. Therefore, establishing a long-term weight control plan and strategy starting from the initial weight loss period is necessary. Both the patient and doctor should know that weight loss cannot occur continuously, and that maintaining weight after the weight loss period is the basic course of obesity treatment. No single dietary pattern is effective for weight maintenance, and a variety of dietary control methods - such as calorie restriction and healthy proportions of carbohydrates, proteins, fats, and meal replacements - should be used to target an integrated and healthy dietary habit. An increase in physical activity is needed for weight loss and maintenance; however, rather than recommending an excessive amount of exercise, it is better to set realistic and long-term achievable goals. It is necessary to reset the goal according to the patient's weight maintenance stage and continuously apply behavioral therapies, such as self-monitoring and stress management. In previous studies, since the degree of weight loss and changes in behavioral patterns over the course of one year were important factors in maintaining long-term weight loss, obesity therapists should closely examine patient data and behavioral patterns across a period of one year and actively intervene when needed.

• Nutritional Sciences
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• v.5 no.4
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• pp.221-227
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• 2002

The objective of this study was to examine the effects of a weight loss program on the degree of obesity and levels of resting energy expenditure (REE) in overweight subjects according to their mitochondrial uncoupling protein 2 (UCP 2) genotype. Twenty-three subjects with a body mass index (BMI) greater than 27 were recruited from the Obesity Clinic of the Kyung-Hee University Hospital during the period of December 2000 - August 2001. The subjects were genotyped for the exon 8 allele; 15 subjects were found to be of del/del genotype, 8 were del/ins, and none were of ins/ins genotype. No significant association was found between the different UCP 2 genotypes and the initial levels of weight, fat mass (FM), lean body mess (LBM), BMI, REE, and REE/LBM ratio. After 12 weeks of a weight loss program, body weight and FM were significantly decreased, while LBM, total body water (TBW), and REE were not changed, irrespective of UCP 2 genotype. Initial fasting plasma levels of albumin, glucose, triglyceride, lipoprotein cholesterol, insulin, free triiodo-thyronine (T3), free fatty acid (FFA), and leptin were not different according to the UCP 2 genotype; furthermore, these blood parameters were not changed after the 12-week weight loss program. However, plasma levels of leptin decreased in both the del/del and ins/del genotypes, from 18.7 ng/ml to 13.4 ng/ml (p<.05), and from 18.1 ng/ml to 13.9 ng/ml (p＜.05), respectively, after the weight loss program. In conclusion, this study found no significant association between the del/del or del/ins UCP 2 genotypes and differing levels of REE or differing degrees of obesity, either before or after a weight loss program. This study provided evidence that a well- managed weight loss program could maintain levels of REE, which plays an important role in the maintenance of energy balance.

• Journal of Nutrition and Health
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• v.46 no.3
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• pp.276-284
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• 2013

This study compared levels of health and dietary behavior practices and health beliefs according to the stage of weight loss behavior change of Korean male workers. A self-administered survey questionnaire was collected from 411 male adult workers residing in Seoul, Kyeonggi, Chungcheong region. Practices of health related behavior, including smoking, drinking, exercise, work related physical activity, and dietary behavior according to dietary guidelines were evaluated. In addition, the levels of perceived benefit, perceived barrier, perceived susceptibility, perceived seriousness, and perceived cue to action from the health belief model were measured according to the stages of weight loss behavior change. Significant differences in BMI, level of daily exercise, and practices of dietary behavior according to dietary guidelines were observed among stages of weight loss behavior change. Subjects who were in action/maintenance stage showed a more desirable level of health behavior and health belief model variables, except perceived barrier. Based on the findings of this study, it is suggested that subjects with different stages of behavior change need an appropriate specific nutrition education method and material for improvement of nutrition education efficacy.

• Journal of Nutrition and Health
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• v.40 no.7
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• pp.658-666
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• 2007

Among current health-related issues, obesity is considered one of the foremost, and the importance of this subject has fostered a national interest in body weight loss. In this study, the differences in recognition of body weight loss according to age and gender are investigated. The subjects of the study were 720 (male: 360 and female: 360) aged between 10-60 years, who had experienced to try body weight loss during 6 months prior to this study. Anthropometrics, general characteristics, personal reasons for body weight loss, comprehension of body weight loss, and a knowledge of diet-related issues were assessed through a questionnaire. The anthropometric measurements showed significant differences in height, body weight (present and desired) and BMI (p < 0.05) by age and gender. The difference between desired body weight and actual body weight was greater for younger subjects or female, regardless of whether they had under- or normal body weight (p < 0.05). Reasons for body weight loss varied; younger subjects and female tended to lose body weight "to enhance their appearances", whereas the older subjects and male desired "to improve their health" (p < 0.05). Subjects had different concepts concerning body weight loss; younger subjects and female considered body weight loss as "maintenance of a slender figure, or becoming more lean". On the other hand, older subjects and male thought body weight loss to be "effects approaching normal body weight" (p < 0.05). From our studies, it can be concluded that attitude on concerning body weight loss varied according to a age and gender. Thus, consideration of this individual differences would be vital in developing contents of a particular nutritional education program for body weight loss.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.22 no.49
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• pp.89-98
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• 1999

The objective of this study is to develop an improved algorithm for layout problems. Computerized facility layout program was also applied to solve the layout problem in locomotive maintenance workshop. The current facility layout is structured in the large space without considerations of many variable factors. For this reason, effectiveness of layout results in loss on effective space utility. This study is to develop an algorithm in the consideration of importance weight and desirable shape of specific department in the computerized layout planning and quantitative relationship rating between each department was used. Standard process duration of locomotive maintenance workshop was used to select the main activities of locomotive maintenance work. This study could generate more efficient facility layout design to reduce the number of movement frequency and travel distance in maintenance workshop.

• Journal of Biosystems Engineering
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• v.35 no.5
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• pp.316-322
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• 2010

The packaging of fruits is very important because appropriate packaging can optimize the maintenance of freshness of fruits during their distribution in low or normal temperatures until the products reach consumers. The focus of this study was on the use of functional packaging materials for the post-harvest maintenance of the freshness of fruits. Oak charcoal has excellent far infrared emission and ethylene absorption qualities, and we developed a charcoal-processing packaging linerboard to evaluate the possibility for the use of charcoal as a functional packaging material for pears. Oriental pears of the Niitaka cultivar used in this study account for about 70% of pears harvested every year, and are a very popular domestic fruit in Korea. Pears packaged in packaging materials processed with charcoal were of significantly higher quality (p<0.05) than those packaged with conventional packaging materials, suggesting that charcoal-processed packaging materials can be used as functional packaging material for extending the storability and distribution time of fruits. Charcoal-coated linerboard was shown to be the most appropriate packaging material based on its compression strength, ethylene absorption performance, and the firmness and minimal weight loss of pears.

• Journal of Nutrition and Health
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• v.22 no.6
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• pp.423-437
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• 1989

A 4-week energy balance study was conducted to estimate the energy expenditure (EE) of 16 college age men and women, 20 to 26 year of age, by measurement of energy intakes and changes in body energy(BE) content(intake/balance technique), keeping their normal living pattern and maintenance body weight. Energy intake was measured by bomb calorimetry and estimated by food table. Fecal energy loss was calculated from nitrogen excreted. Fat mass was determined from body density estimated from skinfold tickness. 1) Gross energy (GE) intakes calculated from food table was not only 13.4% lower than those of bomb calorimetry but also lower 4 and 5% than metabolizable energy(ME) intakes for the male and female subjects, respectively. 2) Fecal energy loss was 7.2% and 6.9% proportion of the gross energy intake for the male and female subjects, respectively. 3) Mean daily metabolizable energy intakes estimated by subtract fecal and urinary energy loss was 2467kcal for the male subjects and 1897kcal for the female subjects. 4) Total body energy change estimated from body composition change over 31 days was decreased 7672kcal for the male subjects and 2689kcal for the female subjects. 5) Mean daily energy expenditure was 2714kcal (45kcal/kg of body weight) for the male subjects and 1984kcal(40kcal/kg of body weight) for the female subjects. 6) The estimated energy expenditure of college-age subjects in this study provide evidence to support the Recommended Dietary Allowances for energy of Korean normal adult.

• Journal of the Korean institute of surface engineering
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• v.51 no.4
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• pp.218-223
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• 2018

In this study, we proposed a new ultrasonic-chemical decontamination process for decontaminating radioactive corrosion products during the maintenance of reactor coolant pump (RCP). The actual decontamination process was reproduced in the laboratory. And the corrosion characteristics of stainless steel (STS), constituting the RCP interior parts, were examined. The weight-loss measurment and polarization experiment were carried out in order to determine the corrosion characteristics of STS 304 and STS 415 by repeated decontamination processes. The STS 304 presented a little corrosion damage, which was almost indistinguishable from visual observation. The weight-loss rate of STS 304 was also significantly lower. On the other hand, STS 415 showed severe corrosion damage on its surface, greater weight-loss rate and higher corrosion current density than STS 304.