• Clinics in Orthopedic Surgery
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• 제10권4호
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• pp.491-499
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• 2018

Background: Advances in surgical techniques, implant technology, radiotherapy, and chemotherapy have increased the recovery chances of patients with bone sarcomas. Accordingly, patients' expectations on life quality have also increased, highlighting the importance of objective evaluation of the functional results of reconstruction. Methods: Thirteen patients with distal femoral endoprosthesis, who had been followed for an average of 2.9 years were evaluated. Postural stability, daily energy expenditure, muscle power, and range of motion were the four parameters analyzed in this study. The Musculoskeletal Tumor Society (MSTS) score and Toronto Extremity Salvage Score (TESS) were used to assess postoperative function and examine correlations with other parameters. Results: Patients had sedentary activities in 84% of their daily lives. They exhibited a slower speed in the walk across test and a higher sway velocity in the sit-to-stand test (p = 0.005). MSTS scores were significantly correlated with the daily energy expenditure and walking speed. Conclusions: Objective functional results acquired from various clinics will provide significant data to compare reconstruction techniques, rehabilitation protocols, and surgical techniques. In this way, it will be possible to satisfy the expectations of patients that increase in relation to enhanced recovery.

• Journal of Nutrition and Health
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• 제22권6호
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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 Nutrition and Health
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• 제27권4호
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• pp.336-346
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• 1994

balance and to estimate daily energy requirement in 43 Korean female college students maintaining their usual diet and activity level. Energy intake and expenditure were measured in two separate periods about one month apart, each period lasting for 3 days. All the subjects participated in both periods. Energy intake was assessed by two methods ; weighed diet record and duplicate portion analysis of diet minus fecal and urinary excretion. Mean daily energy intake level calculated from diet records was 28.5 kcal/kgB.W(1, 476 kcal/day), and similar to the level of 27.8 kcal/kgB.W(1, 438 kcal/days) obtained from the chemical analysis of duplicate portions. Mean daily energy expenditure, calculated from activity records of each subject, was 34.6 kcal/kgB.W, or 1.39 times BMR, which corresponds to light activity level. Mean daily energy balance of subjects was -5.9 kcal/kgB.W. Mean daily requirement of energy, calculated from the activity records of the subjects, was 34.6 kcal/kgB.W, similar to the level of the Korean RDA for light activity level. The results of this study indicate that 1) the activity level of the study subjects corresponds to the sedentary level ; 2) present Korean RDA for energy for light activity is adequate for the subjects ; and 3) the subjects should increase their energy intake since they are largely in negative energy balance.

• Journal of Nutrition and Health
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• 제55권5호
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• pp.533-542
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• 2022

The total energy expenditure (TEE) consists of the basal energy expenditure (BEE), physical activity energy expenditure (PAEE) and the thermic effect of food. The PAEE accounts for a significant portion of the TEE and can be changed according to individual efforts, and the difference between individuals of PAEE is large. Even for the same physical activity, there is a difference in energy expenditure between adults and children. Therefore, a physical activity classification table for youth is needed to classify the physical activity recorded in the physical activity diary prepared to evaluate children's energy expenditure. It is also necessary to calculate the physical activity level required to set the estimated energy requirement in the Dietary Reference Intakes for children and adolescents in Korea. This paper reports a physical activity classification table for Korean youth using the 2017 Youth Compendium of Physical Activities in the United States. This physical activity classification table includes 110 specific activities classified into 14 major categories by four age groups (6-9, 10-12, 13-15, and 16-18 years old) and their metabolic equivalent values. Of these, 87 physical activities were selected from the 2017 Youth Compendium reported in the United States. Nine physical activities such as washing and going to the bathroom, which are daily activities of children and adolescents not included among them, were selected from the another list (2008) of physical activities in America. The remaining 15 physical activities were selected from the research results, which measured the energy expenditure of Korean children and adolescents. Activity categories were divided into 4 areas: daily activity (A), movement (B), school work (C), exercise and sports (D). This physical activity classification table will help standardize the interpretation and scoring process of physical activity of youth in related studies and community health surveys.

• Journal of Nutrition and Health
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• 제45권6호
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• pp.511-521
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• 2012

The purposes of this study were to assess the physical activity level (PAL) and the total daily energy expenditure (TEE) as well as to evaluate the validity of prediction equation for the estimated energy requirement (EER) in normal weight and overweight or obese children and adolescents. The subjects comprised of 100 healthy Korean students aged between 7-18. The anthropometric data was collected. PAL was calculated from the physical activity diary by the 24-hour recall method, and the resting metabolic rate (RMR) was measured by an open-circuit indirect calorimetry using a ventilated hood system. Daily energy expenditure was PAL multiplied by RMR. EER was calculated by using the prediction equation published in KDRIs. There was no significant difference in the means of age and height between the 46 obese subjects and 54 nonobese subjects. The weight and BMI of the obese group (60.2 kg, $25.3kg/m^2$) were significantly higher than those of the nonobese group (42.4 kg, $18.4kg/m^2$). However, PAL was not significantly different between the two groups (nonobese 1.45, obese 1.46). TEE of the obese group (2,212 kcal/day) was significantly higher than that of the nonobese group (1,774 kcal/day). EER (individual PA) and EER (light PA) were significantly higher than TEE (p < 0,001); however, EER (sedentary PA) was not significantly different with TEE in the two groups. These results showed that the levels of physical activity were the same as the sedentary activity both in the nonobese and obese Korean students; moreover, the predictive equation for EER published in KDRI overestimated the TEE of Korean children and adolescents. Therefore, in further research, a new predictive equation for EER should be developed for Korean children and adolescents through the doubly labeled water method.

• 대한영양사협회학술지
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• 제12권1호
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• pp.44-54
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• 2006

The study was conducted to assess the energy expenditure of 102 elementary school children. Body weight and height were measured and one-day activity diaries were collected by interviewing with children. The children spent about 9 hours 14 minutes sleeping ; 3 hours 40 minutes resting. They spent 86.4% of 24 hours (one day) in 'very light activities' and 13.3% in 'light activities'. Activity coefficient (1.41$\pm$0.11) of boys was significantly higher than that of girls(1.35$\pm$0.07). Activity coefficient (1.41$\pm$0.11) of 4th grade elementary school children was higher than those of 2nd and 6th grade school children(p<0.05). Resting energy expenditure estimated by Harris-Benedict formula, formula based on body surface area and DRI formula for Koreans were 1240.9$\pm$147.4kcal/day, 1386.5$\pm$206.9kcal/day and 1284.5$\pm$199.8 kcal/day. And daily energy expenditure by using Harris-Benedict formula, body surface area formula and DRI formula were 1708.4$\pm$258.8kcal, 1909.8$\pm$341.8kcal and 1771.1$\pm$341.9kcal/day. These results suggested that nutrition and exercise program to increase the energy expenditures of primary school children should be developed.

• 대한지역사회영양학회지
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• 제7권3호
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• pp.336-344
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• 2002

In this study, nutrient intake status and energy expenditure were examined to investigate the nutritional status of the elderly in a rural community. The results obtained by questionaries, the 24 hour recall method, and time-diary were as follows: The elderly men surveyed were 73.8 years old, on the average. The elderly women surveyed were 73.5 years old, on the average. The proportion of the elderly with diseases was 51.9%. Most of the subjects (86.1%) had a regular meal pattern of consuming three meals a day. The average daily energy intake of the rural elderly was much lower than the Korean RDA. The dietary assessment data showed that each energy intake of the males and the females was 79.5% and 84.3% of the RDA, respectively. The dietary intake of Ca, Fe, niacin, thiamin, and riboflavin was lower than the Korean RDA, and that of P and Vitamin C was adequate. The Fe intake was significantly different with respect to age and sex (p < 0.05). Although, in both elderly men and elderly women it decreased with age, the elderly men's intake was lower than the elderly women's. The heights of the elderly men and the elderly women was 159.7 cm and 147.5 cm, respectively, and the weights were 60.0 kg and 52.2 kg, respectively, and the BMI was in the moderate range. Heights significantly decreased with age (p < 0.05). According to daily living schedules, leisure time (11.0 hour) was the longest, physiological time (9.6 hours) was next, and work time (3.4 hours) was the shortest. Energy expenditure significantly decreased with age (p < 0.01). Energy intake also decreased with aging. Energy balance (energy expenditure/energy intake) was 93.4% in elderly men and 104.0% in elderly women. Especially, in elderly men in the 65 to 74 age range, the energy balance was the lowest, and the nutrient intake was also much lower than that of elderly women.

• 대한지역사회영양학회지
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• 제8권3호
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• pp.270-279
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• 2003

Middle and high school students in Korea spend a lot of time at school. In other words, many Korean teenagers spend most of their time studying, and have little time for other activities, such as physical workouts. Fewer physical activities, and consumption of many snacks, etc. may lead to overweight or obesity in some teenagers. This study was conducted to find out the activity levels of teenagers' in order to calculate their daily energy expenditures. A total of 1,192 students (461 middle school students and 731 high school students) who lives in either a city or a country area were recruited for this study. One-day Activity Diaries were collected using questionnaires and analyzed by means of SPSS /win. The participating students spent about 7 hours 24 minutes resting including sleeping; 6 hours 28 minutes studying ,4 hours 4 minutes in leisure activities , 1 hour 32 minutes in personal hygiene activities such as washing, dressing and undressing, etc., 50 minutes on transportation : and 23 minutes on household chores such as cleaning, doing the laundry, etc. The average activity factor was 1.49. That of middle school female students was the lowest at 1.47, followed by middle school male students at 1.48, high school female students at 1.49, and high school male students at 1.51. The daily energy expenditure of middle and high school male students was 2,289 kcal and 2,600 kcal, respectively. That of female students was 1,959 kcal and 2,067 kcal, respectively.

• 한국식품영양과학회지
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• 제22권4호
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• pp.367-373
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• 1993

본 연구는 15~16세의 여자 고등학생 7명을 대상으로 4주간 평상시와 같은 생활양식과 식생활 환경하에서 에너지 섭취량(GE)과 체내 에너지 보류량(BE)의 변동을 측정하므로써 (에너지 평형법) 에너지 소비량을 산출하였다. 에너지 섭취량과 대변으로의 에너지 손실량(FE)은 열량계로 측정하였고 소변으로의 에너지 손실량 (UE)은 질소 배설량으로부터 환산하였다. 체내 지방조직량 (FM)은 피부두께를 측정하여 산출한 신체 밀도법에 의하였다. 총 에너지 섭취량에 대한 당질, 단백질 및 지방질의 구성비는 각각 70.1$\pm$1.8%, 12.2$\pm$0.7% 및 17.7$\pm$2.0% 이었다. 총 에너지 섭취량에 대한 대변으로의 에너지 손실율은 2.8%이었다. 대변과 소변으로의 에너지 손실량을 감하여 산출한 1일 1인당 평균 대사에너지량(ME)은 2022 $\pm$50㎉ 이었다. 28일동안의 체성분 변동량으로부터 산출한 체내 총 에너지변동량(BE)은 평균 2400$\pm$950㎉ 가 증가하였다. 1일 1인당 평균 에너지 소비량은 1958$\pm$87㎉로서 체중 kg당 39$\pm$2㎉ 이었다.

• 대한영양사협회학술지
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• 제12권3호
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• pp.277-288
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• 2006

The purpose of this study was to assess the energy expenditure and investigate the relationship between related variables of 57 dieticians in Youngdong-area. The average daily number of steps was found to be 9358.0$\pm$2714.3 steps/day on weekdays and 7862.9$\pm$2504.9 steps/day during weekends. Hourly step rates on weekdays and weekends came to 570.6$\pm$249.8 steps/hr and 564.0$\pm$224.8 steps/hr, respectively. Activity coefficient of subjects was higher on weekdays (1.56) than weekends (1.51, p<0.05). Resting energy expenditure estimated by the Harris-Benedict formula, WHO/NAO/FAO formula as well as formulas based on body surface area and DRIs (Dietary Reference Intake for Koreans) were calculated to be 1333.7$\pm$89.5kcal/day, 1351.0$\pm$123.3kcal/day, 1388.5$\pm$100.3kcal/day and 1295.9$\pm$90.8kcal/day, respectively. Using these resting energy expenditures and the activity coefficients, daily energy expenditures were calculated to be from 2039.7kcal/day to 2183.5kcal/day on weekdays and from 2016.1kcal/day to 2159.2kcal/day on weekends. Meanwhile energy intakes of subjects on weekdays and weekends were 1594.7$\pm$698.3kcal and 2152.9$\pm$768.0kcal, respectively. The activity coefficient (1.49) of dieticians who managed less than 500 meals per day was significantly lower than that of dieticians who served more than 500 meals per day. Dieticians of schools located in rural areas had higher activity coefficient (1.59) than those of schools located in urban or island settings. These results suggest that work analysis and development of management strategies are necessary to improve dieticians' productivity.