• Journal of the East Asian Society of Dietary Life
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• v.17 no.2
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• pp.183-191
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• 2007

The purpose of this study was to investigate the relationship between serum leptin, lipids, bone metabolism markers and nutrient intakes of obese middle-school girls compared to those of normal subjects. Each subject was assigned to either the normal(n=22) or obese groups(n=25) according to their BMI. The subjects were asked for their general characteristics and nutrient intakes using a questionnaire and 24-hr recall method. The serum leptin, lipids and osteocalcin(bone metabolism marker) were measured using blood analyses. The average ages of the subjects in the normal and obese groups were 13.9 and 14.0 years, respectively. The average weight(p<0.001) and BMI(p<0.001) of normal group were significantly lower than those of the obese group. The plant protein intake of the girls in the obese group was lower than that of the normal group(p<0.01). The levels of serum leptin in the obese and normal groups were 18.0 and 10.0 ng/mL, respectively(p<0.001). The serum LDL-cholesterol(p<0.01) and triacylgeride(p<0.05) of the obese girls were higher than those in the normal group. Also, the serum osteocalcin(bone formation marker) in the obese group was lower than that in the normal group(p<0.001). The BMI was negatively correlated to osteocalcin(p<0.001), but positively correlated to the serum leptin(p<0.001). The serum osteocalcin was also positively correlated to the plant protein intake(p<0.05). In conclusion, the excessive increase in weight and % body fat in middle-school students appeared to have a negative impact on bone health. Based on these results, further studies will be needed on the effects of bone metabolism markers, obesity and nutrient intakes for proper bone health.

• The Korean Journal of Food And Nutrition
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• v.30 no.2
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• pp.257-268
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• 2017

The purpose of this research was to evaluate the correlation between obesity, threshold of salty taste, optimal saltiness and blood pressure in middle school students in a fishing village. The subjects were 115 boys and 103 girls in middle school in a fishing village. The BMI index and systolic and diastolic blood pressures of subjects were measured, and the subjects were divided into a normal and obese group according to their BMI. The threshold of salty taste and salt preference for a semisolid dish (steamed egg dish), liquid dish (bean sprout soup), and a solid dish (raw radish salad), were estimated by sensory evaluation. Calorie intake was measured using the weighing plate method. The boys in the obese group showed significantly higher systolic and diastolic blood pressures than those in the normal, but girls did not. Furthermore, calorie intakes of the boys in the obese group were significantly higher than those in the normal group, but this was not shown in girls. On the threshold of salty taste, both boys and girls in the obese group needed higher concentration of salt than those in the normal group. The threshold of salty taste were significantly positively correlated with systolic pressure and diastolic pressure in boys. Regarding the salt preference in the steamed egg dish, bean-sprout soup, and raw radish salad, both boys and girls in the obese group preferred higher concentrations. The higher concentration they preferred, the higher the systolic and diastolic pressures were in boys, but only systolic blood pressure was higher in girls. From these results, it is evident that a nutritional education program is needed in school to help restricting middle school students salt consumption and decreasing obesity to prevent hypertension.

• Nutritional Sciences
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• v.5 no.4
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• pp.234-244
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• 2002

This study was conducted to compare the rates of hyperlipidemia, hypertension, high blood glucose, and liver dysfunction, between 64 obese children (24 boys and 11 girls who were moderately obese, and 21 boys and 8 girls who were severely obese) and 45 normal weight children (31 boys and 14 girls) from 13 elementary schools in Kangnung city. Among the boys with severe obesity, the levels of serum triglycerides and LDL-cholesterol (133.60 $\pm$ 49.99 mg/dl and 105.00 $\pm$ 41.12 mg/dl( respectively) were significantly higher compared to the normal Weight group (81.16 $\pm$ 23.59 mg/dl and 87.74 $\pm$ 32.095 mg/dl, respectively) of moderately obese group (102.30 $\pm$ 36.03 mg/dl, 89.99 $\pm$ 32.10 mg/이, respectively). In girls, only serum triglycerides were significantly higher in the severely obese group (154.30 $\pm$ 46.84 mg/dl), compared with the normal weight group (80.00 $\pm$ 25.31 mg/dl) or moderately obese group (106.40 $\pm$ 41.73 mg/dl). In boys, blood pressure in the severely obese group (systolic: 120.5 $\pm$ 9.74 mmHg; diastolic: 80.95 $\pm$ 10.44 mmHg) was significantly higher compared with the groups of normal weight or moderately obese children. The rate of hypertriglyceridemia was significantly different among normal weight, moderately obese, and severely obese boys (9.7%, 41.7%, and 76.2%, respectively). The proportion of boys who had an Atherogenic Index(AI) higher than 3 was found to be significantly higher in the severely obese group (28.6%), compared to 6.5% in the normal weight group and 4.1% in the moderately obese group. Among boys, a significantly higher rate of hypertension was found in the severely obese group, which showed high systolic blood pressure and high diastolic pressure (81.0% and 81.0%), compared with the normal weight group (16.1% and 22.6%) and moderately obese group (33.3% and 33.3%). In conclusion, the diagnosis and management of obese children needs to be tailored to gender and the degree of obesity. Furthermore, a systematic management program needs to be developed for early screening and detection of obesity in order to minimize the risk of hyperlipidemia and hypertension, especially in severely obese children.

• Journal of the Korean Dietetic Association
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• v.2 no.2
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• pp.168-180
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• 1996

This study was accomplished to investigate the prevalence of obesity among the 229 elementary school children(boys; 115 persons, girls; 114 persons) during 4 years by retrospective study. The results were as follows; 1. The mean height and weight of 229 subjects were 143.2cm(boys;143.4cm, girls; 142.7cm), 38.8kg(boys;40.4kg, girls;36.9kg), respectively. And other anthropometric body index such as the mean BMI, Rohrer Index, WLI and Obesity Index of subjects were 18.8(boys;19.5, girls; 18.0), 1.31(boys;1.36, girls; 1.26), 115.5(boys;121.4, girls; 108.9) and 110.6(boys;114.5, girls; 106.7), respectively. 2. The mean percentile values of height and weight of subjects were higher than the '85 Korean Children's Growth Standard, respectively. In the case of boys, the 75th percentile value of weights was larger than that's 97th's. And in the case of girls, the 75th percentile value of weights was equalled to the that's 90th's. 3. When the subjects were classified into 4 groups such as obese, overweight, normal, and lean groups according to Obesity Index, their percentages were 28.8%(boys; 38.3%, girls; 19.3%), ll.8%(boys; 9.6%, girls; 14.0%), 50.7%(boys; 47.0%, girls; 54.4%) and 8.7%(boys; 5.2%, girls; 12.3%), respectively. And only I person(3.3%) is classified into normal group and 2 persons(6.7%) are classified into overweight group when they become 5 grade among 30 persons(13.1%) who were classified into obese group when they were I grade. 4. Changes in percentage of subjects differentiated by 3 indices during 4 years(from I grade to 5 grade) were as follows; In the case of BMI were 5.2%, 5.2%, 11.8%, 21.0%, 27.5%. In the case of Roher index were 13.1%, 11.8%, 14.4%, 14.8%, 17.8%. And in the case of WLI were 15.7%, 21.6%, 29.5%, 32.2%, 36.7%. 5. There was no significant difference among 4 groups on the skip rate of breakfast(obese;48.5%, overweight;55. mean meal time of subjects took about 10 minutes which was short, and the eating rate of obese group was significantly shorter than that of other groups(p<0.05). There was a tendency that the rate of the obese or overweight group eating together in breakfast and dinner was lower than that of normal or lean group. The mean T.V. watching time and the rate of eating out of subjects were 1-2 hours/day and 1 or 2 times/week. In conclusion, the subjects have been grown remarkably compared to the '85 Korean Children's Growth Standard, especially boy's weight. In order to the elementary school children to be grew as healthful citizen they should recognize the importance of meals of everyday, the balanced meals, and desirable eating habits. In addition to these, we should educate the ways of meal-life to them. We also are in need to develope the methods of education for the students themselves and their parents so that could prevent the increase rate of obesity.

• Korean Journal of Community Nutrition
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• v.9 no.5
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• pp.566-577
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• 2004

The present study was conducted to investigate the effect of nutrition education program on anthropometric values and boichemical index in obese children who live in Gumi city. The subjects were 16 obese boys, 20 obese girls with obesity index over 130 and 36 of their parents. The nutrition education was carried out by the professional personnel such as doctors, professors, and dietitians. The children were provided with well-balanced lunch meals and had 40min-lectures on the reasonable weight management, 40 min-games and also had regular exercises (stretching, swimming) for 90 mins everyday during 2weeks of the program. The parents had 90 min-lectures on childhood obesity, diet therapy, behavior modification, and exercise for 6times. After the program, obesity index, BMI, % body fat were significantly decreased (p < 0.05) in boys and obese index, BMI, % body fat and WHR were significantly decreased (p < 0.05) in girls. Blood cholesterol and TG levels of girls were significantly decreased (p < 0.05). These findings show that the well-designed nutrition education program for obese children can be an effective approach to help them to improve their anthropometric values and biochemical index.

• Korean Parent-Child Health Journal
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• v.13 no.1
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• pp.1-7
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• 2010

Purpose: The purpose of this study was to investigate the relationships among TV involvement, body image concern, restrained eating behavior and self-esteem of middle school students in one city. Methods: A cross-sectional survey design was used. A total of 229 boys and 267 girls enrolled in the middle schools completed self report questionnaire in June, 2009. The data was analyzed by using SPSS/WIN 17.0. Results: Of boys, 24.5% was over-weight/obese while 12.7% of girls was over-weight/obese. Compared to boys, girls involved more in TV (p<.001), and showed more body image concern, and restrained eating behavior (p<.001), but had lower self-esteem (p=.020). A significant positive correlation between TV involvement and body image concern was found in both boys and girls. However, only girls showed a negative association between TV involvement and self-esteem, and as well as between restrained eating behavior and self-esteem. As grouped by BMI, both boys and girls showed significantly different scores in restrained eating behavior (p<.001). Conclusion: These results suggest that the increased number of obese young adolescent need a weight management program including control for unhealthy eating behavior. The influence of mass-media on distorted body image for adolescents should be corrected. Also, an intervention for young obese girls to promote their self-esteem needs to be developed.

• Journal of the East Asian Society of Dietary Life
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• v.17 no.2
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• pp.192-197
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• 2007

The purpose of this study was to evaluate the energy intake and energy expenditure of obese children. The body weight and height were measured, and the daily energy intake and activity pattern assessed for one day, using the 24 hour recall method and interviews in 83 elementary school children (59 boys and 24 girls). The average age, height, weight, ideal body weight and obesity index in boys and girls were 11.8 years, 144.8 cm, 54.2 kg, 39.9 kg and 35.9% and 11.5 years, 140.8 cm, 48.9 kg, 36.9 kg and 33.7%, respectively. The mean daily energy intakes of boys and girls were 1,670.5 and 1,656.5 kcal; these being 76.4 and 88.5% of estimated energy requirement for Koreans, respectively. The energy intake ratio from carbohydrates, proteins and fats in boys and girls were 61.5:14.7:23.6 and 62.0:14.7:23.7, respectively. The resting energy expenditure, as estimated by the Harris-Benedict, WHO/NAO/FAO and Korean DRI formulae in boys and girls were 1,452.7, 1,239.2 and 1,629.2 kcal and 1,323.9, 1,156.0 and 1,252.4 kcal, respectively. The activity coefficient for both the boys and girls was 1.39. The daily energy expenditure of boys (1,990.7 kcal) was significantly higher than that of girls (1712.1 kcal). No significant correlations were found between the obesity index, energy intake and energy expenditure. These results suggested that a nutrition and exercise program is required to increase the energy expenditure of elementary school children. Further research will be needed to assess multiple dietary factors and dove]lop a standard method for assessing the energy expenditure of obese children.

• Journal of Nutrition and Health
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• v.31 no.2
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• pp.159-165
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• 1998

This study was undertaken to examine relations between obesity and birthweight, parental weight and serum biochemical levels(lipids , glucose, insulin and aminotransferase) in elementary school children aged 10-12 . The weight of obese girls was higher than that of obese boys, while WHR was higher in obese boys than in obese girls. The birth weight of the obese children was significantly higher than that of the non-obese children(p<0.01), and was positively correlated with current weight. The concentrations of serum TG, LDL, VLDL, LDL-cholesterol, glucose, insulin and ALT in obese children were much higher than those in non-obese children . However, the serum HDL -cholesterol concentration of the obese children was significantly lower compared with that of the no-obese children. On the other hand, little differences in these levels were found between genders. The concentrations of PL, TC and AST in the groups showed no significant differences. In the obese children, serum concentrations of TG, LDL-cholesterol , glucose and ALT were more closely associated with GMI than with WHR. No significant correlation was found with serum insulin , glucose and TG levels. These data show that childhood obesity may be related to hyperlipidemia , atherosclerosis, hypertension, diabetes mellitus and fatty liver.

• Korean Journal of Community Nutrition
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• v.11 no.5
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• pp.575-586
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• 2006

This study was performed to compare nutrient intakes, diet quality and serum indices (TG, Total cholesterol, LDL-cholesterol, HDL-cholesterol, RBC, Hb, Hct, Serum iron, ferritin, MCV) of obese and normal weight children. The subjects were 149 children living in the Seoul and Gyeonggi areas. Each subject was assigned to one of such as normal weight group ($15th{\le}BMI$ percentile < 85th, n = 82) or obese children ($85th{\le}BMI$ percentile, n = 67) according to their percentile of BMI by The Korean Pediatric Society. Data on dietary intakes, body composition and serum indices were obtained. Differences of all the above variables were assessed. Energy, carbohydrate, fat, cholesterol, total fatty acid, SFA, MUFA, PUFA, phosphate, potassium, zinc, vitamin $B_1$ and vitamin $B_6$ intakes of girls in the obese group were higher than those of the normal weight group (p<0.05). The intake of fiber was as insufficient as below 50% of KDRIs in both groups. Nutrient adequacy ratio of calcium, iron, phosphate, zinc and folate in obese boys were lower than those of normal weight boys (p<0.05). Energy intakes of grain and milk and dairy food in the obese girl group ($905.9{\pm}344.5kcal,\;210.9{\pm}166.4kcal$) were higher than those of normal weight girls ($671.2{\pm}360.7kcal,\;184.0{\pm}103.5kcal$) (p<0.05). HDL-cholesterol level of obese boys ($52.7{\pm}6.3mg/dL$) was significantly lower than that of normal weight boys ($65.3{\pm}15.6mg/dL$). Serum iron level of obese boys and girls (boys: $79.4{\pm}32.6mg/dL$, girls: $98.3{\pm}16.2mg/dL$) was significantly lower than those of normal weight children (boys: $104.8{\pm}38.6mg/dL$, girls: $106.7{\pm}28.9mg/dL$) (p<0.05). These results suggest that there should be sensible food selection and more intakes of fruit and vegetable are needed to improve the nutritional status in obese children.

• The Research Journal of the Costume Culture
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• v.19 no.2
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• pp.245-254
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• 2011

The purpose of this study was to develop uniform pattern of obese junior-high school girls by using the virtual twin and 3D virtual garment simulation system. The results were as follows; first, by using 3D virtual garment simulation, new uniform pattern considered obese junior-high school girls was development. The basic numerical formula were as follows; bust girth=B/2+2.5, armhole depth=B/4, front waist girth=W/4+1.8, back waist girth=W/4+1, front hip girth=H/4+1, back hip girth=H/4+1, chest width=chest width+1.5, back width=back width+1 and back neck width 8cm. Second, according to the results of the new uniform pattern's appearance evaluation, it estimated more highly than existing pattern in silhouette and ease amount, confirming that new uniform pattern is appropriate for the obese junior-high school girls. Also, new uniform pattern was evaluated to allow proper space length of bust, waist, abdomen and hip. Virtual models production through 3D body scan data, pattern draft and virtual garment digital program were applied to prototypic design method so as to enhance the fitness of ready-made garments. This study is expected to serve as one of important basic data for ensuing studies that may utilize 3D virtual garment simulation system with 2D patterns, and also for future 3D pattern production program development.