• 한방비만학회지
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• 제2권1호
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• pp.73-82
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• 2002

Objectives: The purpose of this study is to investigate the effect of the aerobic exercise and weight training combined with VLCD(very low calorie diet) and chegameuyiin-tang(體減薏苡仁湯) on the change of the body composition during 15 days of hospitalization treatment. Methods: Twenty four female obese patients were observed. Exercise regimen was composed with aerobic exercise and weight training program, and the intensity of aerobic exercise were 50% HRmax(maximal heart rate) twice time a day and weight training were 50% 1RM(one repetition maximum) a day. All subjects diet regimen was VLCD of 600kcal/day. Results & Conclusions. 1. There was no significant difference between the aerobic exercise and the weight training groups in the change of body weight, fat mass, and percent body fat, waist-hip ratio, body mass index and resting metabolic rate. 2. In the comparison of the change rate of FFM(fat free mass), weight training group preserved FFM better than aerobic-exercise-only-group with no statistical significance.

• 한국식품영양과학회지
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• 제19권1호
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• pp.1-12
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• 1990

To investigate effects of ethanol and dietary fat on growth and bichemical indices of liver tissue and blood in rats 40 male rats of Sprague-Dawley wtrain weighing about 160g were divided into 5 groups (low-fat diet group ethanol-administered low-fat diet group high-fat diet group ethanol-administered high-fat diet group and commercial diet group) and fed expe-rimental diets for 8 weeks. Ethanol-administered groups consumed ethanol corresponding to 22 cal% which was considered as moderate drinking. Neither the ethanol intake nor the dietary fat level affected calorie intake. Nonetheless the low-fat diet group with ethanol had the lowest growth rate and 2-fold increase in the concentration of plasma triglyceride. There was no effect of ethanol and dietary fat level on contents of protein lipid and lipid composition of liver tissue. The level of lipid peroxide of liver tissue tended to be increased by ethanol intake but the increase was statistically insignificatnt. The low-fat ethanol group had lowered hepatic mitochondrial respiration rate and deformed structure of mitochondria of hepatocytes.

• 대한지역사회영양학회지
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• 제10권4호
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• pp.525-535
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• 2005

This study was conducted to investigate the effect of a 3 week low calorie diet (LCD) and a 9 week of behavior modification (BM) program on the weight loss, mineral and vitamin status in 22 obese women. The subject were healthy, obese (PIBW> $120\%$) women aged 20 - 50 Yr and not taking any medications known to influence body composition, mineral or vitamin metabolism During the LCD program, subjects were provided commercial liquid formulas with 125 kcal per pack and were instructed to have a formula for replacement of one meal and at least one regular meal per day within the range of daily 800 - 1200 kcal intake. During the BM program the subjects weekly attended the group nutrition counseling session to encourage themselves to modify their eating behavior and spontaneously restrict their energy intakes. The BM program focused on stimulus control, control of portion sizes and modification of binge eating and other adverse habits. The initial mean energy intake of subjects was 2016.9 $\pm$ 129.8 kcal ($100.8\%$ of RDA) and dropped to 1276.5 $\pm$ 435.7 kcal at the end of a 3 week of LCD program and elevated to 1762 $\pm$ 329.3 kcal at the end of a 9 week of BM program. Carbohydrate, protein and fat intakes were significantly decreased at the end of the LCD but carbohydrate was the only macro nutrient that showed significant decrease (p < 0.05) at the end of the BM program compared to baseline. Calcium and iron intakes decreased significantly (p < 0.01, respectively) with no significant changes in other micronutrients at the end of the LCD. The mean weight of the subjects decreased from 73.8 $\pm$ 8.0 kg to 69.2 $\pm$ 7.7 kg with LCD and ended up with 67.7 $\pm$ 7.1 kg after 9 weeks of BM. The 3 weeks of LCD reduced most of the anthropometric indices such as BMI, PIBW, fat weight, wast-to-hip ratio and subscapular and suprailiac skinfold thickness. The 9 weeks of behavior modification showed slight change or maintenance of each anthropometric measurements. Weight loss and decreased WHR with the diet program induced significantly decreased systolic blood pressure. SGOT, SGPT and serum insulin levels with improved serum lipid profiles. Biochemical parameters related to iron status such as hemoglobin, hematocrit were significantly decreased (p < 0.01) at the end of the LCD. But their mean values were within normal range. The mean serum 25 (OH) vitamin $D_3$ level significantly increased after whole diet program. Serum folate level significantly decreased after 12 weeks of diet program. In conclusion 3 weeks of LCD brought 4.6 kg reduction in body weight without risk of iron, zinc or vitamin D deficiency and 9 weeks of the BM was effective to maintain nutritional status with slightly more weight reduction (1.5 kg). However calcium intake and serum folate should be monitored during the LCD and BM because of increased risk of deficiencies.

• 한방비만학회지
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• 제5권1호
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• pp.87-95
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• 2005

Objectives : The weight reduction program with very low calorie diet(VLCD) for women generally reduce bone mineral density(BMD). So many treatments were done to prevent side effect of the weight reduction program and herbal diet meditation were often used in oriental medicine. This research were done in order to study the effect of VLCD and herbal diet meditation, Chegamuiyiin­tang on BMD. Methods : This clinical research carried out 22 cases of pre-menopausal outpatients with obesity during 1 month. To evaluate the effect Chegamuiyiin-tang with VLCD on BMD, the weight, BMI, percent body fat, WHR, BMD(T-score) were estimated in pre-treatment and post-treatment. Results : The mean weight reduction after 1 month was $6.87{\pm}1.54\;Kg$(10.28 % of initial weight), BMI reduction was $2.35{\pm}0.65\;Kg/m^2$, percent body fat reduction was $3.40{\pm}1.01%$, WHR reduction was $0.04{\pm}0.01$. But BMD(in T-score) had significant increase. Conclusions : Generally VLCD were estimated to reduces BMD, but VLCD with herbal diet meditation, Chegamuiyiin-tang has positive effect on BMD in pre-menopausal women during short term(1 month).

• 한방비만학회지
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• 제13권2호
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• pp.58-65
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• 2013

Objectives: The objective of this study was to analyse the methods being used to control food intake and physical activity in RCTs of human obesity. Methods: A total of 21 randomized controlled trials (RCTs) were investigated. Nine of which were domestic studies from "http://oasis.kiom.re.kr" and the other of which were foreign studies from systematic reviews of RCTs on herbal medicine for treatment of human obesity. Results: According to domestic studies, "low calorie diet" were recommended in five cases of the domestic studies, "maintain current dietary habit" were recommended in two and no information on diet was two. Considering the seven cases where the information on diet was available, patients' food intake were checked at every visit in six cases. Only two cases among the six had been dropped owing to the violation of dietary habit by patients. Exercises were prohibited in two cases, "maintain current level of phisical activity" were recommended in three cases and, from the rest, no information was available. The level of physical activity were not strictly controlled by any means hence no drop out. According to foreign studies, "low calorie diet" were recommended in two cases, "very low calorie diet (less than 700 kcal/day)" in one case, "maintain current dietary habit" in two cases, "do not eat fat" in two cases and no information was available in the rest five cases. Exercises which concerns spending about 300 kcal/day was recommended in one case, "moderate exercise" were recommended in three cases, "maintain current level of physical activity" were recommended in three cases and no information available in the rest five cases. Conclusions: In order to improve the accuracy of RCT, for the dietary side, researchers should record patient food intake at every visit by means of 24-hour dietary recall methods. This can be supplemented by multiple choice survey that are designed to help patients to diagnose themselves more accurately leading to less bias. For the exercise side, it is highly recommended to confine the exercises to walking only so as to quantify the amount of physical activity more easily by using pedometer.

• Journal of Nutrition and Health
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• 제21권5호
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• pp.295-304
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• 1988

High PUFA식이와 vitamin E 함량이 흰쥐 간장내의 지질과산화에 미치는 영향을 알아보기 위하여, 45Kcal% 고불포화 옥수수유의 정상적 vitamin E함량을 가한 식이군(PF군)과 45Kcal% 고불포화 옥수수유의 가한 PF군에 vitamin E를 5배 첨가한 식이군(PFE군), 45Kcal% 고불포화 옥수수유 식이에 vitamin E를 가하지 않은 식이군 (PFO군)을 실험군으로 하여 3주, 6주 및 9주간 사육한 후 간장에서의 vitamin E 함량과 과산화지질량 및 SOD와 GPX활성을 조사하였다. High PUFA식이에 vitamin E를 정상적으로 가한 PF군은 대조군과 차이가 나타나지 않았으나, vitamin E를 충분히 첨가한 식이 PFE군은 식이내 vitamin E 공급이 부족한 PFO군보다 vitamin E 함량과 GPX활성이 증가하였고, SOD활성과 과산화지질향은 현저하게 감소하였다. 식이 투여기간별로 PF군과 PFE군에 비해 PFO군이 실험기간이 경과할수록 vitamin E 함량과 GPX활성이 감소하였으나, SOD활성과 과산화지질향은 현저히 증가하였다.

• Journal of Nutrition and Health
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• 제21권3호
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• pp.154-163
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• 1988

Effects of alchohol and fat content in a balanced diet on chemical composition and morphology of liver were investigated in growing rats. Fourth eight male rats of Sprague-Dawley strain weighing about 160g were divided into 4 groups ; high fat diet group, alcohol-administered high fat diet group, low fat diet group and alcohol-administered high fat diet group, low fat diet group and alcohol-administered low fat diet group. High and low fat diets supplied 30% and 12%, respectively, of total calorie intake from fat, and alcohol was given by adding ethanol in drinking waster at 10%. Diets contained adequate amounts of all nutrients required for rats, including lipotrpoic agents(choline and methionine) to minimize effects of factors other than alcohol on liver damage. Ratios of liver weight to body weight were statistically different among groups. Liver/dody weight ratios alcohol-administered rats were significantly higher than those of non-alcohol groups after 6 weeks treatment. Although total lipid and triglyceride per gram liver were increased in alcohol-administered rats, especially low fat diet fed rats, the values were not significantly different. Opticmicroscopical observation revealed increase in cell size and no change in morphology of liver. Examination of hepatocytes by electron microscopy showed that fat droplets were observed in all groups but enlarged in the alcohol-administered low fat diet fed rat. Contents of protein, cholesterol and phospholipid were not affected by alcohol consumption. The level of lipid peroxide was significantly lower in the livers of alcohol-administered rats than in the livers of non-alcohol groups. The results of this study indicate that even moderate alcohol drinking and dietary fat content did not affect any significant change in composition and morphology of liver until 6 week treatment but that even moderate alcohol drinking caused some signs of steatosis of liver.

• 한방비만학회지
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• 제10권1호
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• pp.49-56
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• 2010

비만 환자를 대상으로 절식요법을 시행한 결과 체성분의 변화에서 체지방량의 감소에 비해 근육량의 감소가 적었으며, 혈액학적인 변화에서도 호전을 나타내었기에 보고하는 바이다.

• 한방비만학회지
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• 제1권1호
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• pp.13-20
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• 2001

비만이란 음식물로 섭취한 칼로리가 신체활동으로 소모된 칼로리보다 많은 경우 잉여 칼로리가 체지방으로 축적된 경우로서 심장병, 고혈압, 동백경화증, 고지혈증, 뇌졸중, 당뇨병, 지방간 등의 유병율을 높여 현대인의 건강을 위협하는 중요한 원인이 된다고 알려지고 있다. 최근 저자는 비만과 고지혈증, 슬관절의 퇴행성 관절염으로 체중증가, 슬관절통, 하지방산통을 주소로 하는 환자 1례를 초저열량식이요법, 한약요법, 운동요법과 한방물리요법을 시행한 결과 체중감소와 체성분의 변화, 혈액학적 변화, 자각증상의 개선의 효과를 보았기에 치료내용과 경과를 보고하는 바이다.

• 한국식품과학회지
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• 제38권1호
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• pp.147-151
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• 2006

본 연구에서는 저열량식이요법의 부작용 증세중 체력저하를 개선할 수 있도록 동의보감의 처방중 체력 증진과 연관된 보음(補陰), 보혈(補血) 기능을 갖는 사물탕(四物楊)을 기반으로 하여 개발된 생약 조성물의 체력 증진 기능을 규명하고자 실시하였다. 저열량식이요법의 모델로서 섭취 식이량의 50%를 제한하는 제한식이를 2주간 실시한 결과 제한식이를 섭취한 군은 강제 수영 모델에서 총 수영 시간이 감소하고 근육내 ATP 함량의 감소, 혈액중 젖산 함량의 증가가 나타나 식이 제한에 의해서 체력 감소가 나타남을 확인할 수 있었다. 본 연구에서 사용된 산야초 추출물을 동일하게 식이제한을 한 실험동물에게 섭취시킨 결과 총수영시간의 증가와 근육내 ATP의 증가, 젖산 함량의 감소가 나타나 저열량식이에 의한 부작용인 체력 저하를 산야초 추출물이 완화시킬 수 있는 기능이 있음을 확인 할 수 있었다. 또한, 산야초 추출물의 투여는 체력과 높은 연관성이 있는 것으로 알려진 혈중 IGF-1의 농도를 증가시키는 것이 관찰되어 체력 향상에 도움을 주는 것으로 추측된다. 식이 제한 환경에서 나타날 수 있는 천연물 추출물의 독성을 확인하기 위하여 간기능 지표인 GOT, GPT를 측정한 결과 특별한 변화가 나타나지 않아 산야초 추줄물의 안전성을 확인할 수 있었다.