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A Comparative Study on Physical Self-concept, Academic Self-concept and Depression of Obese and Over-weight and Normal Weight Children in Elementary Schools (비만, 과체중 아동과 정상체중 아동의 신체자아개념, 학업자아개념 및 우울 정도 비교 연구)

  • Sung, Kyung Mi;Ham, Ok Kyung;Lee, Hanju
    • Journal of the Korean Society of School Health
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    • v.25 no.2
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    • pp.192-203
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    • 2012
  • Purpose: The purpose of this study was to compare physical self-concept, academic self-concept and depression among obese and over-weight and normal weight children. Methods: The 6th grade children in two elementary schools (n=287) completed self-report questionnaires measuring self-concept and depression. Results: The mean score of depression and self-concept in normal weight children were 9.76 and 92.59. In obese and over-weight children, depression and self-concept were 12.31 and 86.69 respectively. Subjects who were obese and over-weight showed significantly lower scores of physical self-concept (t=-4.621, p<.001) but not significantly low in academic self-concept (t=-1.065, p=.288) than normal weight children. Meanwhile, this study shows that subjects who were obese and over-weight were significantly higher level of depression than subjects in normal weight (t=2.480, p=.014). Conclusion: In conclusion, obese and over-weight children showed negative aspects in the developmental course. This study demonstrates that obese and over-weight children should be treated as a risk group who needs any professional help such as a school mental health program for normal development.

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Triglycerides and C-peptide are Increased in BMI over than $23kg/m^2$ Diabetic Patients (BMI $23kg/m^2$ 이상의 비만 당뇨병 환자에서 중성지방과 식후 2시간 C-peptide 증가)

  • Kim, Hee-Seung;Song, Min-Soon
    • Journal of Korean Biological Nursing Science
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    • v.5 no.1
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    • pp.5-12
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    • 2003
  • The purpose of this study to compare of clinical profile between obese and nonobese type 2 diabetic patients. The subjects were consist of 111 obese (50 male, 61 female) and 159 non obese (79 male, 80 female) type 2 diabetic patients underwent fasting blood glucose, 2-hour postprandial blood glucose, $HbA_1c$, total cholesterol, triglyceride, high density lipoprotein, microalbuminuria, fasting C-peptide and 2-hour postprandial C-peptide were measured. Diabetes was diagnosed according to the American Diabetes Association (ADA) criteria. Obesity was defined as body mass index (BMI, kilograms per meters squared) ${\geq}23$. Data analyses were t-test, chisquare test in SAS program. The results were as follows : 1) Triglycerides and 2-hour postprandial C-peptide were significant higher in obese than non-obese patients. 2) Systolic blood pressure, Diastolic blood pressure, fasting blood sugar, 2-hour postprandial blood glucose, $HbA_1c$, total cholesterol, high-density lipoprotein, microalbuminuria and fasting C-peptide were no difference between obese and non-obese groups. These data indicate that obesity is a risk factor for the development of coronary heart disease (CHD) in diabetic patients. Therefore, weight reductions have beneficial effects on insulin action and glycemic control in obese type 2 diabetic patients.

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The Effect of Food Habits in the Obesity of Middle School Girls in Inchon Area (인천지역 여자 중학생의 식습관이 비만에 미치는 영향)

  • 정미영;우경자
    • Journal of the East Asian Society of Dietary Life
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    • v.7 no.1
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    • pp.71-86
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    • 1997
  • The 297 middle school girls in Inchon were devided into three groups according to body mass index(BMI), the under weight group, the normal weight group and obese group to find out relationship between their food habits, food preference, and obesity. The average height and weight are 159.40cm, 67.02kg for obese group, 158.17cm, 39.11kg for under weight group, 156.93cm, 53.78kg for normal weight group. Obese group feels that they are healthy and fat, and their parents are fat also than the other groups. Obese group took more exercise. Total Food habits scores of obese group were lower than the other two groups. In terms of supper, bedtime-smack, unbalanced diet, balanced intake of five basic food groups obese group had lower scores. Especially, intake of carbohydrate, protein, milk group were irregular. There is no significant different in size of meal, overeating eating speed. The preferences of fast food, instant food, high caloric density food were lower in obese group than in the other two groups. The mother of obese group prepared meals according to food composition and prepared little snakes.

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A Study on Body Satisfaction and Fitness Apparel Based on Body Type by Body Mass Index: In Women 20-50's Years of Age (BMI지수에 의한 신체유형별 신체만족도와 의복적합성에 관한 연구: 20~50대 여성을 중심으로)

  • Kweon, Soo-Ae;Sohn, Boo-Hyun
    • Journal of the Korean Home Economics Association
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    • v.48 no.6
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    • pp.1-8
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    • 2010
  • The purpose of this study is to classify body type by BMI and to inquire about body satisfaction and fitness apparel depending on body type among women 20-50years of age. As a result, body types are classified into three groups: lean, normal, and obese figures. On front silhouette, the normal type occupies most in women belonged to lean figure group, the obese lower part of the bodytype in normal figure group, and the obese upper part of the body type in obese figure group. On the other, in side silhouette, the slender type is prevalent in lean figure group, hip obesity in normal figure group, and trunk obesity in obese figure group. In particular, women in the obese figure group were distributed among the various body types. The obese figure group had a lower fitness apparel in the measurement of circumference(e.g., chest, waist, and hip) related to obesity in comparison with measurement of length. Therefore, the development of an optimal sizing system in response to the various body types in the obese figure group is needed to provide more diversity in aesthetic design and continuity among various sizing systems.

Comparison of the Effects of Internet Diabetic Education on Obesity in Type 2 Diabetic Patients (제 2형 당뇨환자 비만도별 인터넷 당뇨 교육 효과 비교)

  • Kim Hee-Seung;Kim Kyung-Mi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.11 no.3
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    • pp.275-280
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    • 2004
  • Purpose: The purpose of this study was to evaluate the effects on obesity of nurse education using the short message service (SMS) of cellular phones and wire Internet. Method: Forty patients in an experimental group, which was assessed pre- and post intervention, completed this study. The patients were divided into two groups according to degree of obesity. The goal of the intervention was to keep blood glucose concentrations close to the normal range. The intervention was applied weekly for 3 months. Participants were requested to input the blood glucose level everyday at http://www.biodang.com by cellular phone or wire internet. The researcher sent optimal recommendations to each patient using SMS of cellular phones and wire Internet. The plasma glucose levels and serum lipids were measured before and after the intervention. Results: After 3 months of education, Glycosylated hemoglobin (HbAlc) decreased by 1.4% in non-obese patients and 0.7% in obese patients. Fasting plasma glucose (FPG) decreased 22.6mg/dl in non-obese patients and 22.3mg/dl in obese patients. Two-hour plasma glucose (2HPG) decreased 97.0mg/dl in non-obese patients and 67.8mg/dl in obese patients. Conclusion: These results indicate that a nurse SMS intervention would improve HbAlc, FPG, and 2HPG in both non-obese and obese patients.

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Neuro-cognitive Ramifications of Fasting and Feeding in Obese and Non-obese Cases

  • Mostafavi, Seyed-Ali;Khaleghi, Ali;Vand, Safa Rafiei;Alavi, Seyyed Salman;Mohammadi, Mohammad Reza
    • Clinical Psychopharmacology and Neuroscience
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    • v.16 no.4
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    • pp.481-488
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    • 2018
  • Preliminary studies have claimed that short term fasting would negatively affect school performance and cognition. In contrast some other studies have reported not important decline in cognition and executive function as a result of fasting. Also limited attention was generally devoted to dietetic regimens, nutritional status and body weight. Yet neuroscience and neuro-cognitive aspects of acute hunger on the electroencephalogram and differences between obese and non-obese cases is not well understood. Hence, we decided to design and perform a case study in a more controlled situation similar to reality. Therefore, we performed several examinations including subjective tests (for eating status) and objective tests (cognitive tests such as Stroop effect and Sternberg search and electroencephalogram measures such as steady-state visual evoked potential and auditory steady-state responses) for an obese and a non-obese academic case before and after a simple breakfast. The results showed that the breakfast effects on the neuro-cognitive functions depend on either obesity status, nutritional status of the case or the type of cognitive task (visual or auditory). This paper would open a new insight to answer some important questions about the neuro-cognitive implications of fasting and feeding in obese and non-obese human cases.

Effects of Palmijihwangtang (PMT) and Exercise on Glucose Metabolism in Myocardium Cell Membrane and Pancreas $\beta$-Cell of Zucker Diabetic Fatty Rats

  • Lee Myeong-Jong
    • The Journal of Korean Medicine
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    • v.25 no.4
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    • pp.200-208
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    • 2004
  • Objective: Non-insulin Dependent Diabetes Mellitus (NIDDM) is characterized by insulin resistance, which affects the glucose transportation inside the cell. The purpose of this study was to find out how Palmijihwangtang (PMT) and exercise influence the glucose transport metabolism in the organ muscles of ZDF (zucker diabetic fatty) rat with insulin resistance. Methods: Using three male normal zucker rats and twelve male obese rats, they were divided into a normal lean group (N=3), obese control group (N=3), obese exercises group (N=3), obese medication group (N=3), obese exercise and medication group (N=3). Treadmill exercise were repeated with 27m/min speed for an hour a day, five days a week, for 8 weeks. And 20β/sub ¢/ of PMT was orally administered twice a day for 8 weeks, after that a period blood sample was exsanguinated by heart perforation and was analyzed. Results: The body weight of the OM and OEM group showed a significant decrease among all the obese groups. The blood insulin level increased significantly of all groups in comparison with the N group. All of the OE, OM and the OEM groups showed a significant decrease of insulin level compared with the OC group; especially the OEM group demonstrated the most among obese groups. Regarding GLUT-4 level, OEM was the unique group showed a significant increase among all the obese groups. The VAMP-2 level in myocardium cell membrane was increased significantly at OC group in comparison with the N group, whereas the OEM group only showed significant decrease of it. In addition, the VAMP-2 level in pancreas β-cell was significantly decreased at all the obese groups in comparison with the N group. Only the OEM group showed significant increase among all the obese groups. Conclusion: Palmijihwangtang (PMT) and exercise could effectively promote the insulin metabolism in pancreas β-cells and activate the glucose transport process in myocardium cell membrane by lowering the insulin resistance of ZDF rats.

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Establishment of Dimension System for Obese School Age Children - Focusing on 3-5 Grade Elementary School Boys in Seoul Metropolitan City - (학령기 비만아동의 치수 체계 정립 -서울지역 초등학생 $3{\sim}5$차년 남아 중심으로-)

  • Kim, Min-Jung;Park, Sun-Kyung
    • Journal of the Korean Society of Costume
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    • v.59 no.3
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    • pp.67-81
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    • 2009
  • Body shape of a child in elementary school is distinguished by physical differences in the form of low weight, normal weight and obesity, which are influenced by various periodic environments. In particular, there are hardly any patterns for obese children in elementary school to choose. To this end, the purpose of this study is to supplement the problems with the production lines of the companies for children's patterns as well as an analysis on the physical characteristics of obese children and to suggest the patterns appropriate to obese children. This study employed obese children from the 3rd- to 5th-grade elementary school students whose number has been rapidly increasing and conducted a questionnaire regarding the draft of the patterns for obese children on their mothers and the makers of children's clothing. Based on the results, the study compared and analyzed ordinary children's patterns to the patterns in question by suggesting a dimension system for Korean obese children. The results are as follows. The obesity rate of the children in elementary school has been grown in significant numbers every year, whereas obese children's sense of self-identity and degree of satisfaction with their patterns appeared to be much lower than other ordinary children in the peer group; also, the satisfaction level their mothers with their children's patterns appeared to be low. In order to verify the degree of the children's satisfaction with their patterns, the study suggested a dimension system for the obese children and displayed appropriateness by comparing the children patterns from ordinary companies and the patterns in question.

Prevalence of Obesity, Food Habits, and Daily Nutrient Intakes of 4th Grade Elementary School Students in Daejeon (대전지역 초등학교 4학년 학생의 비만율과 식습관 및 영양 상태에 대한 연구)

  • Wang, Soo-Gyoung
    • Korean Journal of Human Ecology
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    • v.16 no.3
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    • pp.631-642
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    • 2007
  • This study was an investigation of obesity, food habits and daily nutrient intakes of the 4th grade elementary school students in daejeon. A total of 148 children(male:71, female:77) participated in the study. We classified the subjects into normal group and obese group according to the grade of obesity indices by body fat ratio(BFR), 70% of the male and 31% of the female were obese group. The average height, weight were $140.1{\pm}4.9cm$, $33.0{\pm}3.6kg$(obese group), $141.9{\pm}5.7cm$, $42.0{\pm}3.6kg$(normal group) for the male, $141.2{\pm}6.4cm$, $42.4{\pm}6.2kg$(obese group), $139.5{\pm}6.4cm$, $33.0{\pm}4.5kg$(normal group) for the female. Weight showed a noticeable increase in the obese group, but height was not statistically significant. In dietary habits, it wasn't statistically significant but male obese group showed statistically increase in terms of eating fast(p>0.05) and eating snacks before sleeping(p>0.01) and female obese group was higher in frequency of eating out a month than normal group. Energy intakes of obese group was more than normal group and the average intakes of Vit. A, folic acid, Ca, were below the RI. The average intakes of vit A, vit C, folic acid, Ca, were also below the RI in normal group. The average intakes of vit A, folic acid, Ca, Fe were below the RI in female. Especially in female the intake of Ca was only 53.6%(obese group), 56.4%(normal group) of RI. From these results, we knew prevalence of obesity in elementary school students were high and obese groups were high in energy intakes but low in essential nutrients. Therefore we have to try to prevent and treat childhood obesity. So nutrition education of balanced diet and good dietary habits is needed for elementary school students.

Insulin Resistance in Obese and Non-obese Patients with Polycystic Ovarian Syndrome (다낭성 난소 증후군 환자에서 비만군과 비비만군에서의 인슐린 저항성)

  • Lim, Y.K.;Lee, B.S.;Cho, E.J.;Cha, D.H.;Park, W.I.;Park, K.H.;Cho, D.J.;Lee, K.;Song, C.H.;Lee, E.J.
    • Clinical and Experimental Reproductive Medicine
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    • v.21 no.1
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    • pp.83-88
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    • 1994
  • This study was designed to investigate the relationship between insulin resistance and obesity in the pathogenesis of polycystic ovarian syndrome(PCO). Twenty-two women with PCO, of whom thirteen were non-obese with body mass index(BMI, kg/$m^2$) of <25 and nine were obese with BMI${\geq}$25 were studied. Eight non-obese control women and seven obese control women were studied. Serum concentrations of testosterone, lutenizing hormone(LH)/follicle-stimulating hormone(FSH) ratio, and insulin-like growth factor I (IGF-I) were found to be significantly higher(P<0.05) in PCO women compared with control women, which clearly is not related to obesity. Serum glucose, insulin, and C-peptide levels were measured during a 2-hour oral glucose tolerance test(OGTT). Non-obese and obese women with PCO both(P<0.05) compared with control women demonstrated significant hyperinsulinemia after OGTT. The degree of hyperinsulinemia was found to be significantly higher in the obese women with PCO compared with the non-obese women with PCO. We concluded that obesity may contribute to hyperinsulinemia, however may not playa central role in the pathogenesis of PCO.

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