• Fashion & Textile Research Journal
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• v.21 no.5
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• pp.677-686
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• 2019

This study helps out-size consumers purchase ready-made clothes and improve fitness by classifying the lower bodies of abdomen-obese adult males in their 20s and older; in addition, it creates a size system based on each size interval of obesity type. The criteria for the 559 male subjects surveyed in this study were over $25kg/m^2$ of BMI, over 90 cm of waist, and over 0.85 waist hip ratio. The results are as follows. First, the higher the age group, the higher the degree of abdominal obesity in each age group. The degree of obesity then decreases somewhat as their age increases; however, the risk of abdominal obesity also increases. Second, 3 clusters were categorized by cluster analysis, into abdominal obesity, larger oval-type, trapezoid-type and small cylinder-type. Third, the size system establishment according to lower-body types resulted in basic body sizes and reference body sizes being different according to types even in commonly-appeared size names in the sections of respective types. The above research findings show it is necessary to understand obesity types according to waist and hip sizes that represent basic sizes and to design patterns in consideration of the characteristics of obese body shapes when lower-half body clothes are designed among obesity groups.

• Journal of Korean Academy of Nursing
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• v.37 no.4
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• pp.453-458
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• 2007

Purpose: The purpose of this study was to compare metabolic syndrome (MS) risk factor prevalence by obesity and age in middle-aged women. Method: Two hundred and fifty-one subjects were recruited from the health promotion center of a tertiary care hospital in an urban city. MS was defined by the third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults(Adult Treatment Panel III)(ATP III), and obesity was determined by body mass $index(BMI){\geq}25kg/m^2$. Results: The mean blood pressure, fasting glucose, total cholesterol, and triglyceride were significantly higher in the obese group than in the non-obese group. The prevalence of MS, hypertension, and impaired fasting glucose were significantly higher in the obese group than in the non-obese group. In the forties, blood pressure was significantly higher in the obese group than in the non-obese group. In the fifties, body fat, systolic blood pressure, fasting glucose, total cholesterol, and triglyceride were significantly higher in the obese group than in the non-obese group. Conclusions: These results show that the nurse should focus on the obese fifty year old female patients for improvement of the MS risk factors.

• Korean Journal of Adult Nursing
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• v.28 no.6
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• pp.701-708
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• 2016

Purpose: This study investigated Korean women in between age 30 to 60 who were obese or overweight in order to explore their self-perception based on lifetime phase. Methods: Focus group interviews were performed four times with six to eight participants in each group (a total of 27). Data were analyzed using inductive thematic analysis. Results: The data analysis from the interviews revealed recurring common themes: heavy heart, heavy body, resigned acceptance of their own condition, and compromise. The study also found that each age group had different concerns: concerning others' gaze on their obese appearances (30s), realizing their aging obese appearances (40s), recognizing red flags of their health with obesity (50s), and becoming ambivalent about their obese appearances (60s). Overall, their perceptions of being overweight were negative and stressful. Women in their 30s and 40s were more interested in their appearances, and thus were more obsessive about weight gain. In contrast, women in their 50s and 60s were more accepting of their physical appearances, and thus were more concerned about living healthy than losing weight. Conclusion: These results may be useful to consider when developing tailored weight-control programs for obese and overweight Korean women. Additionally, strategic approaches for successful and effective programs targeting healthy weight should be based on better understanding about women's self-perceptions and motivations.

• Fashion & Textile Research Journal
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• v.11 no.6
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• pp.904-910
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• 2009

The aim of this study is to help out-size consumers purchase the ready-made clothes and improve clothing fitness by classifying the lower bodies of abdomen-obese adult males and by setting up some size system according to each size interval of obesity types. The including criteria for subjects in this study was over 25 kg/$m^2$ of the BMI, over 90 cm of waist, and over 0.85 of WHR, and a total of 538 adult males satisfying them were enrolled. Results are as follows; 1st, the higher the age bracket was, the more increase in each age bracket's lower-degree obesity rate there was along with the more decrease in moderate-degree, while the higher the age bracket was, the more increasing tendency toward each age bracket's abdominal obesity there was. 2nd, 3 clusters were categorized by cluster analysis, into abdominal obesity, high-degree-type, trapezoid-type and cylinder-type. And 3rd, as a consequence of size system establishment according to lower-body types, the basic body sizes and reference body sizes were different according to types even in commonly-appeared size names at sections of respective types. The research findings above suggests that it is necessary to figure out the obesity types according to waist and hip sizes representing basic sizes and to design the patterns in consideration of the characteristics of obese body shapes when lower-half body clothes are designed among obesity groups. And it may be used as a basic data to decide the desirable output of production according to respective body types.

• Biomedical Science Letters
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• v.18 no.3
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• pp.260-267
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• 2012

Obesity is associated with cardiovascular risk factors, such as dyslipidemia, hypertension and diabetes. However the presence of the obesity related deranged metabolic profiles varies widely among obese individuals. These individuals, known as 'metabolically healthy obese phenotype (MHO)', despite having excessive body fatness, display favorable metabolic profiles characterized by insulin sensitivity, no hypertension, as well as less dyslipidemia, less inflammation. The purpose of this study was to compare cardiac characterization and clinical profile of MHO and Non-MHO (nonmetabolically healthy obese) subjects in men. We measured treadmill exercise capacity (METs) and maximum blood pressure (BP) in 210 subjects through a medical checkup at J General Hospital. Metabolic syndrome was defined according to the modified Adult Treatment Panel III definition criteria. Both MHO and Non-MHO subjects showed statistically significant changes in the left ventricular mass index (P<.001, P<.01, respectively), A-velocity (P<.01, P<.001, respectively), E/A ratio (P<.01, P<.001, respectively), E'-velocity (P<.001, P<.001, respectively), HOMA-IR (P<.01, P<.001, respectively) and maximum systolic BP (P<.01, respectively) compared with the MH-NO (metabolically healthy non obese) subjects. In conclusion, MHO participants were at increased risk of cardiovascular disease and partly metabolic disorder.

• Journal of Korean Public Health Nursing
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• v.36 no.2
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• pp.170-183
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• 2022

Purpose: This descriptive survey-based study aimed to identify the factors associated with obese adults' quality of life (QOL) using a secondary analysis of data collected through the 8th Korea National Health and Nutrition Examination Survey (2019). Methods: In this study, factors affecting the health-related quality of life of obese adults were analyzed by categorizing them into three independent variables: general characteristics, health behaviors, and mental health characteristics. Using t-test and analysis of variance (ANOVA), an analysis was performed to determine the differences in obese adults' QOL depending on their general characteristics, health behaviors, and mental health conditions. A hierarchical regression analysis was performed to identify the factors that affect obese adults' QOL. Results: In obese adults' general characteristics, the risk factors for QOL were older age, male, lower-income level, presence of spouse, and occupation. With regard to health behaviors, the risk factors were lack of exercise. In terms of mental health conditions, the risk factors were stress and suicidal ideation. Conclusion: Obese adults' QOL was affected by age, sex, income level, absence/presence of a spouse, occupation, health behaviors (e.g., exercise), and mental health conditions (e.g., stress and suicidal ideation).

• The Research Journal of the Costume Culture
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• v.19 no.5
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• pp.1009-1018
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• 2011

The purpose of this study was to develop slacks patterns for middle-aged abdomen-obese adult males by using the 3D virtual-twin and virtual-garment simulation system. The criteria for subjects in this study were males who had over $25kg/m^2$ of BMI, over 90cm of waist, and over 0.90 of WHR. A total of 211 adult males who met these criteria were enrolled. The results were as follows: first, a new slacks pattern considerate of abdomen-obese men was development. The basic numerical formula were as follows: front and back hip girth H/4+3.5, front waist girth W/4+1+0.5, back waist girth W/4+1-0.5, front crotch extension H/16, back crotch extension H/8-0.5, front pleats amount 2.7, and back dart amount 1.5. Second, according to the results of the new slacks patterns appearance evaluation, the new slacks pattern scored more highly than the existing pattern in silhouette and ease amount, confirming that the new slacks pattern is appropriate for the abdomen-obese men. Also, the new slacks pattern was evaluated allowing proper space length of waist, abdomen and hip. Virtual models of production through data from a 3D body scan, pattern draft and virtual garment digital program were applied to a prototypic design method in order to enhance the fitness of ready-made garments. The use of the virtual twin made it impossible to comprehend the appearances and ease correspondent to motions. In order to evaluate wearing fitness, therefore, the system should be improved so as to change arm positions and perform various motions.

• Fashion & Textile Research Journal
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• v.21 no.3
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• pp.308-317
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• 2019

This study provided data for classifying and characterizing the lower half of the body shape for obese adult men in their 30s and 40s. Data of 492 adult males who were obese with a WHO criteria of >25 BMI were used for analysis. The results of the study are as follows. Six factors extracted from the factorial analysis as independent factors for cluster analysis were classified into three types. Type 1 (65.4%) had the lowest height of the lower half of the body with short circumference and length. Type 2 (20.3%) had the lowest height of the lower half of the body with the largest thickness, width and circumference from the back to the hip, but short in length. Type 3 (14.2%) had the lowest height of the lower half of the body with medium height and waist-height; however, the curve from the waist to the hip was the largest with the largest waist circumference, hip circumference, and width and thickness of the lower half of the body. This study will help to design a slack pattern that utilizes body shape characteristics of men in their 30s and 40s. In a follow-up study, we analyze the slack pattern and educational pattern by the company and study the necessity for a slack pattern for obese males.

• The Journal of Internal Korean Medicine
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• v.43 no.3
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• pp.413-422
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• 2022

Objectives: To investigate the weight loss effect of Gambi-tang in obese and overweight adults. Methods: From September 1, 2016 to December 31, 2021, a retrospective chart analysis was conducted on adult men and women who were prescribed Gambi-tang to address obesity and overweight in the National Medical Center (NMC). Partial analysis by age, obesity (Body Mass Index, BMI), duration of dose, and cumulative dose was also conducted. Results: The weight and BMI of the study subjects showed a significant decrease of more than 5% on average before and after treatment. In an analysis of age, significant differences by age could not be confirmed. In the analysis by obesity level, the effect of reducing weight, body fat, and abdominal fat rates in the obese and highly obese groups was greater than in the normal and overweight groups. There was no significant difference by group in the analysis by dosage period. In the analysis by cumulative dose, the greater the cumulative dose up to 1,800 g, the greater the decrease in weight and body fat. The side effect that patients appealed to the most was misjudgment, but not to a serious extent. Conclusions: Gambi-tang has been shown to be effective in weight and body fat loss for both obese and overweight adult men and women.

• Journal of Korean Academy of Nursing
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• v.53 no.2
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• pp.260-273
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• 2023

Purpose: This study aimed to explore the weight loss experience of highly obese young people who underwent bariatric surgery. Methods: Data were collected, from October 2021 to April 2022, through individual in-depth interviews with eight highly obese young adults who underwent bariatric surgery and analyzed using Colaizzi's phenomenological method. Results: The following four theme clusters were extracted. First, 'The unbearable sorrow of obese people' explains the process of choosing bariatric surgery after fluctuations and frustration despite countless repeated weight loss attempts. Second, 'The impact aftermath of bariatric surgery' revealed participants struggling in the face of unexpected changes due to bariatric surgery. Third, 'Efforts to rebuild a healthy myself' demonstrated the struggle to regain health by using the surrounding support system to overcome the difficulties of this surgical procedure. Lastly, 'Facing life by getting rid of the yoke of obesity' displayed the experiences of the participants who felt ambivalent about their changed appearance, but coping positively with the new life. Conclusion: This study provides an in-depth understanding of the weight loss experiences of highly obese adolescents who underwent bariatric surgery and presents a new perspective on clinical practice. The results of this study are expected to be useful in developing and applying systematic and customized nursing interventions before and after bariatric surgery.