BACKGROUND/OBJECTIVES: There are various factors that affect metabolic abnormalities related to obesity. The purpose of this study is to analyze the differences in dietary intakes and body compositions of obese women according to metabolic risks and to classify them as metabolically healthy obese (MHO) or metabolically abnormal obese (MAO). SUBJECTS/METHODS: This study was conducted on 59 obese Korean women aged 19 to 60 years. NCEP-ATPIII criteria were applied and the women classified as MHO (n = 45) or MAO (n = 14). Body composition of each subject was measured by using dual-energy x-ray absorptiometry (DEXA). Three-day food records were used to analyze dietary intake. Eating habits and health-related behaviors were determined through questionnaires. Indirect calorimetry was used to measure resting metabolic rate and respiratory rate. RESULTS: The average age of the subjects was 43.7 years. The analysis of body composition according to phenotype revealed significantly higher body fat mass (P < 0.05), arm fat mass (P < 0.05), and android fat mass (P < 0.05), as measured by DEXA, in the MAO group than in the MHO group. There was no significant difference in the dietary intake of the two groups. However, eating behaviors differed. Compared to the MHO group, the MAO women had a shorter meal time (less than 10 minutes), a preference of oily foods, and a tendency to eat until full. Therefore, the eating habits of MHO women were more positive than those of MAO women. CONCLUSIONS: The results suggest that fat distribution in each body region affects various metabolic abnormalities. A high level of arm fat mass in obese Korean women may increase metabolic risk. In addition, eating habits of obese Korean women are considered to be environmental factors affecting the metabolic phenotype of obese Korean women.
This study aims to identify the dietary patterns relevant to obesity of Korean women among low income classes. Adults 20-64 years were used as study subjects from the data of 2005 Korea National Health and Nutrition Examination Survey. We compared obese and normal-weight women in terms of their nutrients intake, diet quality and food patterns. Diet quality was assessed by using the Nutritional Adequacy Ratio (NAR) and Index of Nutritional Quality (INQ). Our results showed higher prevalence of obesity among lower socioeconomic status women. In men, there were no significant associations with socioeconomic status and prevalence of obesity. Higher risk of nutritional inadequacy was observed among obese women compared to normal weight women. Obese women showed significantly lower INQ for nutrients such as Ca, Fe, Vitamin A, Thiamin, Riboflavin and Vitamin C compared to other women. They consumed significantly higher amount of rice (p < 0.05) and lower amount of vegetables (p < 0.01). By contrast, obese men from low income classes showed higher intake of those nutrients. Obese men also consumed significantly higher amount of meats than normal weight men. Therefore, this study suggests that gender-specific approaches based on economic situation should be considered in developing the intervention program for managing obesity for low income classes.
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.
Body image is important as it is related to self-esteem and can be enhanced by clothing and the degree of enhancement is related to clothing fit. The purpose of the paper is to find the adequate ease distribution of jacket pattern for the obese women who want to slenderize their shape by optical illusion. Subjective evaluation of the visual appearance we collected and, at the same time, 3D clothing air volume was observed for the nine types of experimental jackets with different ease distribution. As results it was found that jacket pattern for the obese women is that the front width of pattern is wider than what of back width in waist and abdomen. It was also noted that there was distance between clothing and skin in the girth around hip of jacket. 3D scanner clearly demonstrated the distribution of ease is useful to find the pattern variables responsible for the slender appearance of the obese women. The ready-to-made clothes for the obese women's clothing should be manufactured systematically in due consideration of the diversity and scarcity of the obese women's body shape.
Purpose: The purpose of this study was to investigate the relationship between obesity, body image perception, and weight control for obesity management in adult women. Methods: The subjects of this study were 3,617 women aged over 19 years, who participated in the Seventh Korea National Health and Nutrition Examination Survey 2016. Data were analyzed through complex sampling design data analysis. Results: Right body image perception according to obesity was apparent between 70.6-81.7% of women and 76.5% of women with abdominal obesity perceived that they were normal. Obese women performed more weight control than non-obese women. Women with only abdominal obesity performed less weight control than non-obese women, and 47.3% of them performed weight control. Women who perceived themselves as obese performed more weight control than women who perceived themselves as non-obese (odds ratio, 2.08; confidence interval, 1.69-2.57), but body mass index was not observed to be associated with weight control. Conclusions: Education on abdominal obesity should be provided to increase awareness about abdominal obesity and its effective management, especially in women with only abdominal obesity. In addition, interventions for right body type perception should be provided for proper weight control along with prevention and management of obesity.
The purpose of this study was to classify the upper torso body types of obese Korean adult women using the 7th Korea National Anthropometric Study data and compare the body type differences according to three age groups: 20s~30s, 40s~50s, and 60s. A total of 548 adult women whose BMI was in the obese range of 25 or higher and whose age ranged from 20s to 60s were selected from the anthropometric database. Twenty-nine body measurements related to torso and arm areas important for torso and sleeve pattern development were chosen. Five drop values by differences between bust, waist, and hip circumferences were also chosen for analysis. The number of obese women increased with age. The results revealed seven factors according to the factor analysis and three obese body types based on the cluster analysis. Body type 1 (47.3% of obese women) was characterized by narrow shoulders, a small or medium torso, and a straight waist. Body type 2 (42.4% of obese women) was characterized by a defined waist and a larger lower torso than upper torso. Body type 3 (10.3% of obese women), the largest obese body type among the three types, was characterized by a large bust, large abdomen area, and long upper torso. Women in their 20s to 30s were most likely to have body type 2, women in their 40s to 50s were evenly distributed between body types 2 and 3, and women in their 60s were most likely to have body type 1.
Objectives: The purpose of this study was to compare predictions and measurements of the resting energy expenditure (REE) of overweight and obese adult women in Korea. Methods: The subjects included 65 overweight or obese adult women ranging in age from 20~60 with a recorded body mass index (BMI) of 23 or higher. Their height, weight, waist-hip ratio, and blood pressure were measured. The investigator also measured their body fat, body fat percentage, and body composition of total weight without fat using Dual energy X-ray absorptiometry (DXA) and measured resting energy expenditure by indirect calorimetry. Measured resting energy expenditures were compared with predictions from six methods: Harris-Benedict, Mifflin, Owen, WHO-WH, Henry-WH, and KDRI. Results: Harris-Benedict predictions showed the smallest differences from measured resting energy expenditure at an accurate prediction rate of 70%. The study analyzed regression between measured resting energy expenditure and body measurements including height, weight and age. The formula proposed by this research is as follows: Proposed REE equation for overweight and obese Korean women = $721-(1.5{\times}age)+(0.4{\times}height)+(9.9{\times}weight)$. Conclusions: These findings suggest that age is a significant variable when predicting resting energy expenditure in overweight and obese women. Therefore, prediction of resting energy expenditure should consider age when determining energy requirements in overweight and obese women.
In order to improve the problems with obese women's ready-to-wear by age range, this study surveyed the actual clothing purchase and wearing of women in their 20s and 30s with normal and obese body types, and compared and analyzed their satisfaction with ready-to-wear by age and body type. First, for normal body types, both women in their 20s and 30s use department stores the most. Meanwhile, obese women in their 20s make most of their purchases at internet shopping malls, while those in their 30s mostly go to department stores. For criteria for purchasing clothing, normal women both in their 20s and 30s value design most whereas, obese women put size and fit before design regardless of their age. Normal women in their 20s and 30s both were most unsatisfied with standardized design because they could not find designs they wanted. Obese women in their 20s and 30s also showed disapproval of unvaried sizes, indicating a distinct difference in body types and age. As well, the study found that both normal and obese women wear casual style the most, followed by semi-formal style. Also, regarding the images they were seeking when wearing clothing, the normal women wanted to look fashionable, while obese women wanted to look slim, regardless of age. Both body-type groups generally like preferred semi loose-fits the most, followed by tight-fit. They however, dislike relaxed loose-fitting.
The purpose of this study were to examine how people categorize obese individuals and if they have stereotyping about obese individuals. Twenty-five female volunteer subjects participated in this study. Subjects were undergraduate students in Textiles and Clothing courses at a midwestern university, US. Subjects were asked to give their one-word responses to four statements or questions regarding their impressions of six stimuli. The six stimuli consisted of magazine photographs of women; the magazines were general interest and fashion publications. Subjects then recorded their answers in the boxes for each of the six pictures. As the results, the relevant question as to whether or not more negative attributes would be assigned to the obese model's photographs was confirmed for the Description of Model variable, but not for the Personality of Model or for the Liking the Model variables. There was significant difference in means between the positive and negative descriptions of the Description of Model variable in the direction of negativity toward the obese group seems to confirm that, not only do people categorize others based on appearance, but there was a tendency to favor the average-size group and to view as negative the obese group.
This study conducted a survey to compare the size of ready-made clothes for different body shapes and body sizes, and to discover the differences in satisfaction with the size of ready-made clothes. The subjects were women in their 208 and 308 from Busan and Gyeongnam. The women were classified into groups: normal weight, overweight, and obese, using the Body Mass Index (BMI). The comparison of the body size showed a significant difference among the shapes; the average BMI in overweight women was 24.2 while that of obese women was 27.6. For the clothing size for each body shape, obese women most often wore size 77 and size 88, regardless of the sizes of upper and lower garments. The size consistency of upper and lower garments was the lowest in obese women. However, in most of the shapes, women tended to choose larger-sizes for lower garments than for upper ones. The more obese the subject, the less inclined they were to wear garments for their real body size. Satisfaction with the clothing size was significantly different between body shapes; the more obese, the lower the level of satisfaction with the size. As well, satisfaction with the fit of clothing at certain parts was shown to be low especially in the bust measurement, shoulder width, upper garment length, crotch length, and thigh circumference. When surveyed about the use of alterations for different body shapes, the results were that over 65% of subjects did not alter upper garments regardless of their body shape. Comparatively, 68% or above of all body shapes did do alterations to lower garments for example, the length of pants or skirts.
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