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Association Between Socioeconomic Status and Obesity in Adults: Evidence From the 2001 to 2009 Korea National Health and Nutrition Examination Survey

  • Kim, Jihye;Sharma, Shreela V.;Park, Sung Kyun
    • Journal of Preventive Medicine and Public Health
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    • v.47 no.2
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    • pp.94-103
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    • 2014
  • Objectives: The present study examined relationships between socioeconomic status (SES) and obesity and body mass index (BMI) as well as the effects of health-related behavioral and psychological factors on the relationships. Methods: A cross-sectional population-based study was conducted on Korean adults aged 20 to 79 years using data from the 2001, 2005, and 2007 to 2009 Korea National Health and Nutrition Examination Survey. Multivariate logistic and linear regression models were used to estimate odds ratios of obesity and mean differences in BMI, respectively, across SES levels after controlling for health-related behavioral and psychological factors. Results: We observed significant gender-specific relationships of SES with obesity and BMI after adjusting for all covariates. In men, income, but not education, showed a slightly positive association with BMI (p<0.05 in 2001 and 2005). In women, education, but not income, was inversely associated with both obesity and BMI (p<0.0001 in all datasets). These relationships were attenuated with adjusting for health-related behavioral factors, not for psychological factors. Conclusions: Results confirmed gender-specific disparities in the associations of SES with obesity and BMI among adult Korean population. Focusing on intervention for health-related behaviors may be effective to reduce social inequalities in obesity.

Association of Waist Circumference with Risk Factors for Coronary Artery Diseases in Women Patients with Chest Pain (흉통을 호소하는 여성 환자에서 허리둘레와 관상동맥질환 위험인자간의 관계에 관한 조사연구)

  • Yun, Kyung Soon;Cho, Sook-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.20 no.3
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    • pp.248-258
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    • 2013
  • Purpose: The purpose of this study was to compare the associations of body mass index (BMI) and waist circumference (WC) with coronary artery diseases (CAD) in women patients with chest pain. Method: BMI, WC, and flow-mediated vasodilation (FMD) were measured for 162 women patients with chest pain whose mean age was $54.9{\pm}9.2$ years. CAD was diagnosed by coronary angiography. Results: In comparing BMI and WC, WC was found to be more strongly associated with cardiovascular risk factors. For example, correlations with the high density lipoprotein cholesterol were r=-.266, p=.001 (WC) vs. r=-.131, p=.104 (BMI), and for homocystein, r=.378, p<.001 (WC) vs. r=.150, p=.068 (BMI). Obstructive CAD develops more frequently in women patients with abdominal obesity than in patients without abdominal obesity. Conclusion: The results of the study indicate that WC is a better index of adiposity than BMI.

A Study on the Growth, Development and Obesity Index of Breast-feeding Infants (부산지역 모유수유아 선발대회 참가 영아의 성장발달 특성 및 비만도)

  • Ju Hyeon-Ok;Lee Hwa-Za;Kim Young-Hae
    • Child Health Nursing Research
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    • v.7 no.4
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    • pp.511-518
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    • 2001
  • This study is to identify the characteristics of the growth and deveolpment, and to assess Obesity Index, BMI and Kaup Index of infants paticipated in a healthy breast-feeding contest. The subjects of this study were 94 breast- feeding infants, ages from 6 to 8 months. Their weight and height were measured and compared with Korean Standards. Their developmental state was tested by DDST(Denver Develop- mental Screening Test) standardized in Korea. The data were analyzed by using the SPSS-WIN 10.0. The result is as follows : 1. The weight of infants was more than Korean Standards, but the height was less. 2. There were statistically significant differences in Obesity Index, BMI and Kaup Index. Obese infants estimated by Obesity Index were about 10%, but by BMI and Kaup Index were 35.1% and 27.7%. 3. Spearman's rhos of Obesity Index and Kaup Index, Obesity Index and BMI, and Kaup Index and BMI were individually 0.526, 0.528 and 0.753. In conclusion, BMI should be added to the criteria for assessing healthy breast-feeding infants.

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Relationships among Lifestyle, BMI, BP, and Serum Lipid Profiles in Working Men (성인 직장 남성의 생활습관과 체질량지수, 혈압 및 혈중지질농도의 상관성)

  • Kim, Myoung-Soo;Kim, Kyung-Ae;Kim, Jung-Soon
    • Korean Journal of Adult Nursing
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    • v.21 no.1
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    • pp.23-33
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    • 2009
  • Purpose: The purpose of this study was to examine lifestyle, BMI, BP, and lipids profiles in male subjects and to explore the relationships among variables. Methods: A total of 148 male subjects were recruited from one life insurance company from December 1, 2005 to February 28, 2006. Data collection methods were structured questionnaire, anthropometry and serum analysis. The relationships among lifestyle, BMI, BP, and serum lipid profiles were assessed by descriptive analysis, t-test, ANOVA, and partial Pearson's correlation coefficient of variables after controlling for age, educational level, and economic status. Results: The mean BMI of the participants was relatively high as 25.38(range: 18.38 - 32.83). The differences of serum lipid profiles according to age, educational level, and economic status were significant. 'Use of caffeine and drugs'(r = -.187, p < .05) and 'consciousness of safety'( r= -.200, p < .05) was negatively related to BMI. Higher score of 'type of personality' domain was correlated with lower systolic BP(r = -.221, p < .01) and lower diastolic BP(r = -.195, p < .05) and was positively correlated with HDL(r = .191, p < .05). Conclusion: 'Use of caffeine and drugs', 'consciousness of safety' and 'type of personality' of lifestyle as well as 'dietary habit' and 'exercise' played a key role in circulatory disease.

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Investingation on the Relationship Scoliotic Curve and BMI, Cervical Lordosis Lumar Lordosis and Ferguson Angle in Spinal Scoliosis Patient (척추측만증 환자의 척추만곡도에 관한 고찰)

  • Lee, Sang-Ho;Youn, You-Suk;Woo, In;Ha, In-Hyuck
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.2
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    • pp.93-100
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    • 2006
  • Objectives: To invesgate correlation between the scoliotic curve and BMI, cervical lordosis, lumbar lordosis and Ferguson angle in spinal scoliotic patient. Methods: The study was composed of 14 scoliosis patients beyond cobb'a angle $10^{\circ}$ (sample I group) and 15 scoliosis patients over cobb'a angle $10^{\circ}$ (sample II group). The patients were evaluated with X-ray findings of full spine AP and lateral views and statistically analyzed. Results: 1. Sample II group showed a significant decrease in BMI as compared with Sample I group(P<0.05). 2. Scoliotic curve had s negative relationship with $BMI({\gamma}=0.406)$ 3. Scolotic patients had a lower cervical angle than normal man. Conclusion: 1. The larger the scoliotic angle, the lower BMI 2. There are no concemed scoliotic curve and cervical lordosis, lumbar lordosis and Ferguson angle.

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Effects of Body Mass Index, Self-esteem, and Sociocultural Attitude toward Appearance on Diet Awareness (신체질량지수, 자아존중감, 외모에 대한 사회문화적 태도가 다이어트 인식에 미치는 영향)

  • Park, Kwanghee
    • Fashion & Textile Research Journal
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    • v.18 no.2
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    • pp.176-183
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    • 2016
  • This study examined differences in body mass index (BMI), self-esteem, sociocultural attitude toward appearance, and diet awareness between genders as well as the effect of BMI, self-esteem, and sociocultural attitude toward appearance on diet awareness. This study surveyed adults between the ages of 20 and 29 who lived in Daegu and Uijeongbu from November $17^{th}$ to December $14^{th}$ 2014. Data collected from 258 respondents were analyzed using descriptive statistics, t-test, regression analysis, and ${\chi}^2$ test. The study results showed that the respondents could be divided into three groups (underweight group, standard weight group, and overweight group) by BMI and a large percentage of respondents were in the standard weight group. The percentage of standard weight females was higher than standard weight males. There were significant differences in BMI, sociocultural attitude toward appearance (such as self-awareness), and diet awareness between genders; however, there was no difference in self-esteem. Men also had a higher BMI than women; however, women were more self-aware of sociocultural standards for appearance, desired a slim body and wanted educational information on diet. BMI and sociocultural attitude toward appearance had positive effects on diet awareness. Self-awareness was a strong predictor of diet awareness and self-esteem had no significant effect on diet awareness.

The Relationship between Body Mass Index(BMI), Adipocyte Size and Leptin and Angiotensin II Secretion in Human Adipose Tissue

  • Heo Young-Ran;Moustaid-Moussa Naima
    • Journal of Community Nutrition
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    • v.8 no.2
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    • pp.69-75
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    • 2006
  • Adipose tissue has now been recognized as a rich source of metabolically active molecules that include leptin and angiotensinogen (AGT), the precursor of angiotensin II (Ang II). Both of which have been implicated in the pathogenesis of metabolic alteration and hypertension associated with obesity. In this study, we examined the relationship between body mass index (BMI), adipocyte size, leptin, Ang II secretion and mRNA expression in human adipose tissue obtained from female subjects. Leptin and Ang II were analyzed using specific radioimmunoassay kits following a 48hour tissue culture. Leptin and Ang II secretion varied from 1.4 - 72.1ng/g and 0.8 - 57.3pg/g of tissue respectively. These large individual variations limit significant correlation between BMI, leptin and Ang II secretion. Ang II secretion was significantly higher in the obese than the non-obese (p < 0.05) and positively correlated with BMI. However, no difference in leptin secretion between the obese and the non-obese was observed and leptin secretion showed negative correlation with BMI. No difference in leptin and AGT mRNA expression in adipose tissue between the obese and the non-obese was observed. Although several limitations of this study, we found increased Ang II secretion in obese patients compared with non-obese patients, and positive correlation between AGT and BMI. Observed difference in AGT expression between the obese and the non-obese in this study might be of importance in relation with obesity related hypertension. (J Community Nutrition 8(2): 69-75, 2006)

The Influence of the Sociocultural Attitudes toward Appearance and BMI on Body Image and Body Satisfaction (외모의 사회문화적 태도와 신체비만도가 신체이미지와 신체만족도에 미치는 영향)

  • Hong, Keum-Hee
    • Fashion & Textile Research Journal
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    • v.8 no.1
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    • pp.48-54
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    • 2006
  • This study was designed to find out how the sociocultural attitudes toward appearance, BMI(Body Mass Index) of adult women affect their body image and body satisfaction. A questionnaire was prepared in the survey and a total of 456 adult women were selected by way of stratified random sampling. The research findings are as follows. The sociocultural attitudes toward appearance were shown in two factors of 'internalization' and 'recognition' The body image was shown in three dimensions of 'care for appearance,' 'concern about weight,' and 'appearance attractiveness'. Internalization, recognition, and BMI affected care for appearance. Concern about weight was affected by internalization, and BMI. Appearance attractiveness was affected only by BMI. Most people were not satisfied with their weight and overall body shape in spite that they in fact had normal or lean figures except 3.3% of the total samples. From the above research findings, adult women's satisfaction with their body was shown high when they were subjectively satisfied with their appearance attractiveness. And the results indicate that adult women are under pressure of socioculturally distorted image of beauty.

A Study of Energy Intake and Body Fat Percent of College Students in Seoul

  • Na, Hye-Bok;Kim, Sei-Ran
    • Journal of Community Nutrition
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    • v.2 no.2
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    • pp.105-109
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    • 2000
  • To investigate the correlation between college women's energy intake and body fat percentage, this study was undertaken with 116 college women aged 19-24 years. The subjects were 20.9 years old on the average, and mean height and weight was 161.3 cm, 51.2 kg. Blood pressures were 112.4 mm Hg(systolic pressure), 70.2 mmHg(diastolic pressure). The number of pulse was 75.5 count/min. The energy intake and percent body fat were examined. The average intake of energy was 7652kcal/day(82.3% of RDA), which was lower than the recommended amount. It was similar to the level of energy intake of Korean women. BMI was 19.7 and body fat percent was 24.4%, so they appeared plump. According to BMI, 43.1% of subjects was grouped into normal, 56.9% was thin ; there was no difference between groups in age and stature. Also, normal group(27.1%) shoed significantly higher body fat percent(27.1%) than thin group(22.3%). But, body fat percent of thin group according to BMI was shown normal. Therefore, it may be thought that BMI is unsuitable indicator in this study. As a result of analyzing the correlation between body-measuring value and food intake, body fat percent against body weight and BMI was significant at the level p<0.001, but thee was no significant correlation with food intake. Therefore, it is desirable to recommend a healthful dietary lifestyle and activities for young women who want to reduce body weight due to excessive concerns regarding their outward figure.

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Angiotensin-converting enzyme gene insertion/deletion polymorphism is not associated with BMI in Korean adults

  • Kwon, Insu
    • Korean Journal of Exercise Nutrition
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    • v.24 no.1
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    • pp.24-28
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    • 2020
  • [Purpose] Recent studies have demonstrated a probable association between ACE I/D polymorphism and obesity. Thus, this study aimed to investigate whether ACE I/D polymorphism influenced the susceptibly of developing obesity in Korean adults. [Methods] A total of 353 healthy Korean adults aged between 30 and 82 years were recruited, including 157 males and 196 females. Among the participants, 103 (29.2 %) were classified as normal (BMI < 23 kg/m2), 117 (33.1 %) as overweight (23 kg/m2 ≤ BMI < 25 kg/m2), and 133 (37.7 %) as obese (BMI ≥ 25 kg/m2). ACE polymorphism (rs1799752) analysis was performed using the MGB TaqMan® SNP Genotyping assay with 3 types of primers and 2 types of probes. The distributions of the ACE genotypes and allele frequencies were analyzed among the three groups using the Hardy-Weinberg equilibrium, chi-square tests, and multiple regression analysis. [Results] The distribution of the ACE genotypes were as follows: normal [II: n=38 (36.9 %), ID: n=46 (36.8 %), DD: n=19 (18.4 %)], overweight [II: n=43 (36.8 %), ID: n=55 (47.0 %), DD: n=19 (16.2 %)], and obese [II: n=41 (30.8 %), ID: n=76 (57.0 %), DD: n=16 (12.0 %)]. Unexpectedly, the I allele, rather than the D allele, was common in the obese group. [Conclusion] ACE I/D polymorphism is not associated with BMI in Korean adults. Thus, it is unlikely to be a powerful candidate gene for obesity in Korean adults.