• The Korean Journal of Food And Nutrition
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• v.18 no.2
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• pp.115-126
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• 2005

This Quantitative study was investigated to examine the relationship between self-esteem on body image and disordered eating patterns in some university students. This study used a cross-sectional study design. Total 347 students participated in this study (88 male and 259 female) among three universities. The assessment of eating disorder was conducted by Eating Attitudes Test (EAT-26), a score of >or=20 identified individuals likely have an eating disorder, including anorexia nervosa and bulimia nervosa. Ideal body weight and current body weight were completed with self-evaluation. A distorted body image was independently related to the eating problem in the Logistic regression analysis. There were stronger relationships between their EAT-26 scores and their expected weight changes and weight control behaviors. Compared with the men, women showed highly wishful to loss for current body weight. In the relationship between score of EAT-26 and BMI distance by sex, levels of eating disorder showed linearly elevated toward increased BMI distance (Ideal BMI-Current BMI) (F-value=18.794, p<0.0001) in women, but there were not significant in men (F-value=2.028, p>0.05). In estimate on state-trait anxiety inventory according to quartile of BMI distance by sex, levels of state-trait anxiety were not significant difference by degree of body dissatisfaction in all sex. In addition, higher distorted body image was significantly increased numbers of weight control method and experience of side effects in female, but there were not showed significant relation between two variables in male.

• The Korean Journal of Food And Nutrition
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• v.19 no.2
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• pp.111-125
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• 2006

This quantitative study was conducted to examine the relationship between weight control behaviors and disordered eating patterns in some university students. This study used a cross-sectional study design. A total of 347 students from three universities participated in this study (88 male and 259 female) Eating disorders were assessed using the Eating Attitudes Test (EAT-26); a score of =20 identifies individuals who likely have an eating disorder, including anorexia nervosa and bulimia nervosa. A score for healthy dietary behaviors was obtained by self-assessment on a healthy diet scale (20-item questionnaire), and the severity of any state-trait anxiety was calculated by the state-trait anxiety inventory (40-item questionnaire). In the analyzed results, the percentage of participants with experience of weight control was 58% in male and 73% in female. The subjects with a high risk of an eating disorder (score of =20 of EAT-26) were 44.3% ($mean{\pm}S.D;\;18.9{\pm}13.4$) of the males, and 57.9% ($mean{\pm}S.D;\;23.2{\pm}11.6$) of the females. Higher Body Mass Index (BMI) was significantly related with an increased risk for an eating disorder in females, but not in males. In the group who had attempted weight control of all types, there was a severe risk of an eating disorder. Increased eating disorder risk was significantly related with weight control behaviors such as a higher number of attempts at weight control, having used medication, having experienced side effects, and having experienced disease for both sexes. Therefore, the results of this paper showed that detrimental behaviors of weight control are connected to an increased risk of eating disorders. Consequently, education regarding the correct, behaviors of weight control is necessary to prevent eating disorders in adolescents.

• Korean Journal of Health Education and Promotion
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• v.19 no.4
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• pp.33-44
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• 2002

This study was conducted to investigate the relationship between an eating disorder, body image, depression and self-esteem amongst a subject group of 282 college women between Jan.,1st and 30th,2002, to provide base data for eating disorder levels of college women and to provide base data for health control. The evaluative instrument was a constructive questionnaire that consisted of 8 items of general characteristics and weight control questions, 24 questions relating to eating disorders, 17 questions pertaining to body image, 10 questions pertaining to depression and 10 questions pertaining to self-esteem. To identify the levels of an eating disorder, body image, depression and self-esteem perceived by subjects, the researcher used means and SDs. To test the significance of a subject's eating disorder, body image, depression and self-esteem according to the BMI, the researcher used the t-test. To test the correlation between the BMI, an eating disorder, body image, depression and self-esteem, the researcher used Pearson correlation coefficient. The results of this study are as follows. The mean score for anorexia nervosa was 31.52 and the mean score for bulimia nervosa was 24.12. Differences between the underweight group and the normal weight group in the level of eating disorders were significant (t=-6.94, p=.000). There were high positive correlations between the BMI and an eating disorder (r=.383, p<.01), between an eating disorder and depression (r=.161, p<.01), between body image and self-esteem (r=.653, p<.01). In addition, there were high negative correlations between an eating disorder and body image (r=-.214, p<01), between an eating disorder and self-esteem (r=-.196, p<.01), between depression and body image (r=-.541, p<.01), and between depression and self-esteem (r=-.537, p<.01). These results indicate that Korean college women need more education and counseling on dietary habits. Also, the systemic efforts reestablish the social standard of the beauty should be taken. Further empirical and experimental studies would be required for investigating for the factors influencing the eating attitude of the college women and discriminating the variables affecting the various specific dimensions of the eating attitude.

• Women's Health Nursing
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• v.4 no.3
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• pp.388-401
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• 1998

The purpose of this study is to investigate the relationship between the eating disorder, physical symptoms and mood status among college women. Data has been analyzed by SPSS/PC using frequency, percentage, mean, standard deviation, t-test, Pearson correlation coefficient. The results of this study are as follows : 1. The mean of body weight and height of the subjects were 52.74kg, 163.10cm. 2. Depending upon BMI, the obesity subjects were very rare(2.2%) and the rest(97.8%) were underweight or normal. 3. The total mean score of anorexia nervosa was higher than bulimia nervosa. 4. The total mean score of perceived physical symptoms was 20.68 and subjects in this study showed the tendency giving the highest core on the item of autonomic nerve system and mensural status. 5. The total mean score of mood status was 58.49. 6. The scores of eating behavior differed significantly by the BMI : The score was highest in the group of normal body weighted(t=5.75, p<.05). 7. The scores of physical symptoms differed significantly by the BMI : The score was highest in the group of the underweight(t=7.35, p<.01). 8. No significant difference was found on over all mood status scores according to the BMI. 9. There was high positive correlation between BMI and eating disorder(r=.1633, p<.01), between eating disorder and physical symptoms(r=.2497, p<.0001), between eating disorder and mood status(r=.2328, p<.0001), and between symptoms and mood status(r=.5051, p<.0001). From the results of this study, the eating disorder among college woman was very serious and the perception of their body weight was distorted. Therefore, to prevent the eating disorder, professional intervention is needed.

• Women's Health Nursing
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• v.6 no.1
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• pp.129-141
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• 2000

The purpose of this study is to investigate the relationship between eating disorders, body image, and self-esteem of high school girls. Data were analysed by SPSS/PC using frequency, percentage, mean, standard deviation, ANOVA, & Pearson correlation coefficient. The results of this study are as follows. 1. The mean of body weight and height of the subjects were 52.49kg, 161.16cm. As defined by BMI, the obese subjects were very rare(2.1%) and the rest(97.9%) was under weight or normal. 2. More than 53% of the subjects perceived their weight as overweight, while 2.1% of the women were obese as defined by BMI. Ninety-three percent of the subjects were not satisfied with their body shape. 3. For the need for weight control, subject's own judgement(70.8%) was the highest percentage. High percentages of the women reported a decrease in the amount of eating(22.9%), and an increase in the amount of exercise(52.8%) as effective methods of weight control. 4. The total mean score of anorexia nervosa was higher than bulimia nervosa. 5. The scores of eating disorders did not differ significantly by the BMI score : The score of eating disorders was highest in the group os the overweight. 6. The score s of body image did not differ significantly by the BMI score : The score of body image was highest in the group of the overweight. 7. No significant difference was found in over all self esteem scores according to the BMI scores. 8. There was high positive correlation between BMI and eating disorders(r=.2158, p=.0094), between self-esteem and body image(r=.4288, p=.0001), and positive correlation between BMI and self-esteem(r=.1569, p=.0604), and between BMI and body image(r=.1354, p=.1056).

• Journal of the Korean Society of School Health
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• v.18 no.1
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• pp.71-82
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• 2005

Purpose: This study was undertaken in order to examine relations of eating disorders, health locus of control of college women, and to determine factors affecting eating disorders of college women. Method: The subjects were 282 students at a university in Busan. The instrument used for this study was a questionnaire on general characteristics, eating disorders (24 items), health locus of control (11 items) and self-esteem (10 items). Data were analyzed using means, percentages, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression with a SPSS WIN 11.0 program. Result: Depending on BMI, there was no obese subject, 62.0% of the subjects were underweight, and 37.9% were normal. Over 40% of the subjects perceived them to be overweight while 62.1% of the women were underweight as defined by BMI. The total mean score of anorexia was higher than bulimia nervosa. There were significant differences in eating disorders according to BMI, perceived view of appearance, body satisfaction, experienced weight-control, and predictors of weight control method. Eating disorders showed a significant negative correlation with health locus of control and self-esteem. Stepwise multiple regression analysis revealed that the most powerful predictor of eating disorders was BMI. Experienced weight control, health locus of control and self-esteem and body appearance had significant effects on eating disorders. These predictive variables of eating disorders explained 27% of variance. Conclusion: The result of this study showed that eating behaviors among college women developed into eating disorders or were seriously disturbed. Therefore, to prevent eating disorders, health education should be provided to college women in relation to eating behaviors for health management.

• Journal of Oriental Neuropsychiatry
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• v.34 no.3
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• pp.235-245
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• 2023

Objectives: The aim of this study was to analyze public and researcher interests in suicide and related illnesses and acupuncture and acupressure treatment using Google Trends and some electronic databases. Methods: Search results for keywords "suicide," "acupuncture," "acupressure," and several illnesses related to suicide were analyzed in Google Trends from January 2004 to June 2023. Illnesses included anxiety, depression (including major depressive disorder), schizophrenia, bipolar disorder, post- traumatic stress disorder (PTSD), eating disorder (including anorexia nervosa and bulimia nervosa), substance use disorder, autism spectrum disorder, personality disorder (including borderline person- ality disorder), and chronic pain. Search results were extracted using relative search volume (RSV) scores between 0 and 100. Search terms were also searched in online databases, including PubMed, CNKI, and OASIS, to estimate the number of related studies, and descriptive analysis was conducted. Results: Google Trends analysis showed a strong positive correlation between the RSVs of "suicide and depression," "acupuncture and chronic pain," and "acupressure and PTSD." The electronic database search results produced numerous studies published on "suicide and depression," "acupuncture and depression," and "acupressure and anxiety." High interest in "suicide and depression," "acupuncture and chronic pain," and "acupressure and anxiety" was seen among the public and researchers. Interest in "suicide and chronic pain," "acupuncture and eating disorder," and "acupressure and PTSD" was higher in the public than among researchers, while "anxiety and suicide" and "anxiety and acu- puncture" showed opposite trends. Conclusions: The results of this research enable an understanding of public and researcher interest in suicide, acupuncture, acupressure, and suicide-related illnesses. The results also provide a basis for fu- ture research and examining public health implications in Korean medicine.

• The Korean Journal of Community Living Science
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• v.18 no.1
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• pp.97-105
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• 2007

This study was carried out to find the relationship between the eating disorder associated with BMI(body mass index) and nutrition knowledge by surveying 476 middle school girl students in Won Ju, Gang-Won Province, South Korea. BMI is a standard suggested for oriental people and it was differentiated into the underweight, the normal weight and the overweight. To determine the eating disorder, EAT-26(Eating Attitude Test-26) was used and in order to find out the level of nutrition knowledge DGE (Deutsche Gesellschaft fur Ernahrung) was used after some modifications and supplementations. And the results are as follows; 1) Out of the students surveyed, 22% are in underweight group, 64% are in normal weight group and just 12% are in overweight group. Except the students in underweight group, most of the surveyed students wish to lower the weight below normal weight. 2) Relationship was found between BMI and EAT-26 score that is related with eating disorder behavior, Total score was higher in overweight group than in underweight and normal weight group (P<0.001). When the score for individual question about eating disorder is considered in detail, the score for the questions preoccupied with the weight reduction was higher in overweight group than in underweight and normal weight group(P<0.001). For the questions about bulimia there was no difference according to BMI, however, for the questions about restraining food intake the score was high in overweight group(P<0.001). 3) The score of nutrition knowledge in line with BMI was different. It was found that the total score and the score for the questions about fat, calorie requirement, and calorie content in food were different. The total score showed the highest in overweight group in comparison with the ones in underweight and normal weight group. (P<0.05). Out of maccronutrient like carbohydrate, fat and protein, only the fat showed significant difference according to BMI and it was lower in overweight group than in underweight and normal weight group.(P<0.05) Out of the questions about calorie requirement, significant difference was found in the score for the questions about calorie requirement and calorie content in food. It was lower in overweight group than in underweight and normal weight group (p<0.05).

• Journal of Acupuncture Research
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• v.27 no.6
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• pp.43-57
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• 2010

Objectives : To investigate the effects of electroacupuncture on parameters related to obesity in adults with abdominal obesity. Methods : A three arm randomized single blind pilot study was conducted from Jan 4 to March 25, 2010 in Kyung Hee Oriental Medical Hospital. The subjects were 39 adults with abdominal obesity and were randomly divided by computer generated random table into 3 groups; EA(electroacupuncture), sham EA(sham electroacupuncture) and waitlist groups. Acupuncture points located at abdomen($CV_{12}$, $CV_6$, $ST_{25}$, $SP_{15}$, $SP_{14}$) and extremities($LI_4$, $LI_{11}$, $ST_{36}$, $ST_{44}$) were inserted by disposable stainless steel needles and were stimulated 30 minutes with 24Hz, 0.27~1.3mA(tolerable strength), asymmetric biphasic continuous pulse wave form by STN-111 Stratek device in EA group. Two treatment sessions per week for 5 weeks(10 sessions in total) were done in EA and sham EA groups. The primary outcome measurement was WC(waist circumference), and the secondary outcome measurements included WHR(waist hip ratio), ASF(thickness of abdominal subcutaneous fat), and inbody measurements of BW(body weight), BMI(body mass index), BFR(body fat ratio) and VFA(visceral fat area), and also scores of BULIT-R(bulimia test revised), KoQoL(Korean obesity of QoL) and BSQ(body shape questionnaire). Results : All of 39 subjects were included in ITT(intention-to-treat) analysis. There were significant reductions in WC, WHR and ASF after 5-week electroacupuncture treatments and the percentage reductions were significantly greater than sham EA or waitlist group. There were no significant differences between groups in percentage reductions of other parameters(BW, BMI, BFR, VFA, BULIT-R, KoQoL and BSQ). But, there were continuous reductions in BW, BMI, BFR and VFA at 3 weeks after the end of treatment and there was significant reduction in BW compared with the baseline value in EA group. No seriously adverse effects were reported during the period. Conclusions : Electroacupuncture was more effective than sham electroacupuncture or no intervention on the reduction of WC, WHR and ASF in adults with abdominal obesity.

• Korean Journal of Community Nutrition
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• v.12 no.6
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• pp.724-741
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• 2007

This study was carried out to investigate the body weight controls and eating disorders of university students in Gunsan. The subject of the present study included 229 male students (53.8%) and 197 female students (46.2%), totalling 426 students from Kunsan University. The subjects consisted of 56 underweight (13.1%), 265 with normal weight (62.2%), and 105 overweight (24.6%). Especially, in females, 20.8% of them were underweight, which is 6.6% higher than males, showing a significant difference (p<0.001). Regarding body image, 21.8% of the males thought they were fat, while 40.6% of the females thought they were fat. Regarding the perceived body type, shown in the difference between their own size and the ideal size, males recorded 0.03, while females recorded 1.75, showing a major significant difference (p<0.001). Regarding body satisfaction, 33.2% of the males were unsatisfied, while 52.8% of the females were unsatisfied (p<0.001). The social expectations of the male subjects' sizes and weights recorded 2.04, while that of females recorded -2.51, showing that people's opinions expected the female subjects' bodies to be thinner (p<0.001). Additionally, the social expectation of the subjects' weight control recorded an average of 15.22 (13.92 for males, 16.73 for females), showing that the female subjects' felt that people's opinions wished them to lose their weight (p<0.001). Regarding the recognition on weight control, interested males were 49.4%, while interested females were 86.8%, showing the females superior rate (p<0.001). The beliefs in relation to weight control recorded an average of 62.01, with the score of females of 67.89 being significantly higher than that of males which was 56.96. The subjects showed a relatively positive response towards weight control (p<0.001). EAT-26 score was employed to determine the eating attitudes in relation to gender. Here, the final score of males was 15.46, which was significantly lower than that of females, which was 22.21 (p<0.001). Furthermore, regarding the score of eating attitudes in relation to obesity index, the eating disorder scale scores on the questions related to bulimia and diets to lose weight as weight increases were high. However, the eating disorder scale score on oral control, which actually controls food, was low. To control the expansion of excessive weight control attempts and their side effects, the recognition of the students' body types needs to be corrected, and nutrition education programs on eating habits and eating disorders to foster proper weight loss are deemed necessary.