• 보건의료산업학회지
• /
• 제13권2호
• /
• pp.81-92
• /
• 2019

Objectives: The purpose of this study was to discuss the overall and oral health conditions that affect obesity in middle-aged women in Jeju and to help them operate the effective obesity program in the future. Methods: Participants of this study were 171 middle-aged women living in Seogwipo City, Jeju Special Self - Governing Province. Data were collected through the convenience sampling method. Body mass index and waist circumference of each participant were measured, and a self-report questionnaire was applied. Results: The overall health status of obesity comprised depression, stress, diabetes, and menopause. The oral health conditions affecting obesity were bad breath and chewing. Hypertension was the main factor affecting body mass index and depression was the main factor influencing waist circumference. Obesity was more influenced by overall health status factors than by oral health status factors. Conclusions: The results of this study are expected to be useful as basic data for efficient health care services in the prevention of obesity.

• 농촌의학ㆍ지역보건
• /
• 제47권3호
• /
• pp.166-180
• /
• 2022

본 연구는 팬데믹 시기 비대면 비만관리 프로그램의 개발하여 적용한 후 그 효과를 평가하고자 하였다. 근거기반 비대면 비만관리 프로그램 개발은 Intervention Mapping Protocol (IMP)를 이용하였다. 프로그램의 운영은 대구광역시 시민건강 놀이터 온라인 채널을 통해 참여를 신청한 과체중 및 비만 성인 48명을 대상으로 2020년 9월 14일부터 11월 13일까지 8주 동안 실시하였다. 효과평가는 프로그램 전·후 자가 신체 계측 측정, 건강행태 설문 및 만족도 설문 분석을 통해 평가하였다. IMP를 통한 중재 프로그램의 개발은 IMP 6단계의 과정을 적용하였고 1단계 요구사정은 간호·영양·운동 교육자 면담을 통해 대상자 선정 기준, 프로그램 운영 방법 등을 결정하였다. 2단계 목표 설정은 비만관리를 위한 행동 변화목표 3가지를 설정하였고 3단계에서는 건강·영양·운동 영역별 근거기반으로 건강행태 변화를 위한 중재 방법 및 수행 전략을 선택하였다. 4단계 프로그램 설계는 8주 동안 대상자의 수행 과제 및 인증방법 등 구체적으로 프로그램을 설계하였고 5단계에서는 개발된 프로그램의 실행 계획을 작성하고 실제 적용하였으며 6단계에서는 적용한 프로그램의 효과를 평가하였다. 비대면 비만관리 프로그램 참여 전·후 신체 계측 값을 통한 효과 평가 결과 평균 체중은 1.2kg이 감량되었고, 허리둘레는 3cm가 감소하였으며, 체질량지수(BMI)는 0.8kg/m² 감소하였다(p<0.05). 대상자의 건강행태 설문을 통한 효과 평가 결과는 프로그램 참여 전·후 1일 평균 섭취 열량, 과일 섭취, 걷기 운동 실천 등의 생활습관이 긍정적으로 개선되었고 통계적으로 유의한 차이가 있었다(p<0.05). 프로그램 과정 평가를 위한 만족도는 4.57±0.63점으로 높게 나타났다. 본 연구 결과에 근거하여 비대면 비만관리 프로그램은 팬데믹 시기에 시간과 장소의 제약 없이 전문가의 개별상담과 자가 신체 계측 측정 및 기록을 통한 대상자의 적극적인 참여가 가능한 프로그램으로 지역사회 성인 대상 비대면 비만 관리에 유용하게 활용될 수 있을 것이다. 그러나 비대면 비만관리 프로그램은 앱 사용 등 대상자의 나이에 따라 비대면 프로그램 참여에 일부 제약이 있다. 따라서 본 연구로 개발된 비대면 프로그램과 함께 필요시 대면 프로그램의 병행을 제언하며, 추후 장기적인 프로그램의 운영에 따른 효과 평가를 검증하기 위한 지속적인 연구들이 필요할 것으로 사료된다.

• 성인간호학회지
• /
• 제20권3호
• /
• pp.418-430
• /
• 2008

Purpose: This study was to examine the effects of Seogeum therapy for middle-aged abdominal obese women. Methods: Seogeum therapy combined cupping, stepping on ion aluminum board, adhering to Seoam moxibustion and Seoam pellet. The subjects consisted of 30 middle-aged abdominal obese women between 40 and 59 years of age: fifteen were assigned to experimental group, fifteen to control group. The data collection and treatments were performed from June to October, 2007. The subjects of experimental group participated in Seogeum therapy for 5 times per week during 8 weeks. The data were analyzed with Chi-square test, Wilcoxon signed rank test and Wilcoxon rank-sum test with SPSS/Window 12.0 program. Results: Seogeum therapy experimental group showed significant difference in change of general obesity indexes(body weight, body fat amount, body fat ratio, BMI) than control group supporting hypothesis 1. Experimental group showed significant difference in change of abdominal obesity indexes(abdominal fat ratio, waist circumference, hip circumference) than control group supporting hypothesis 2. Conclusion: Obesity management of Seogeum therapy had a positive effect for middle-aged obese women. Therefore, it is concluded that the obesity management of Seogeum therapy can be applied as a nursing intervention to decrease the obesity for middle-aged women.

• 대한지리학회:학술대회논문집
• /
• 대한지리학회 2006년도 연례 학술대회
• /
• pp.175-177
• /
• 2006

• 한국임상수의학회:학술대회논문집
• /
• 한국임상수의학회 2009년도 추계학술대회
• /
• pp.72-79
• /
• 2009

• 성인간호학회지
• /
• 제14권2호
• /
• pp.233-243
• /
• 2002

Purpose: This study is aimed at testing the effect of health promotion program on health promoting behavior and cardiovascular risk factors of middle-aged women. Method: The research design was the nonequivalent control group pre-post test. Twelve middle-aged women were the experimental group and ten were the control group. The 8-week health promotion program was given to the experimental group. There were health promotion theories, flexibility and muscle strength exercise, cardiopulmonary endurance exercise, nutrition, stress management, cancer prevention and early detection, management of menopause and wrap-up in health promotion program for middle-aged women. The measurement tool was Health Promoting Behavior developed by researcher using serum cholesterol, obesity rate, systolic blood pressure, and diastolic blood pressure as cardiovascular risk factors. Result: The experimental group showed a higher score of health promoting behavior than the control group. There were no differences on cardiovascular risk factors(cholesterol, obesity rate, diastolic blood pressure) between the experimental and control groups except systolic blood pressure. Conclusion: Conclusively, this health promotion program for middle-aged women was effective in increasing health promotion behaviors, but wasn't effective in decreasing cardiovascular risk factors except the systolic blood pressure. It seems it's necessary to re-study this using more samples and a longer duration of the program, and smaller mortality rate.

• 지역사회간호학회지
• /
• 제11권2호
• /
• pp.526-537
• /
• 2000

This study was conducted to contribute to the expansion of activity areas for school nurses in the field of health promotion services whose importance are increasing daily. To achieve such goals the researcher proposed that health promotion programs for obesity management in overweight schoolchildren conducted by literature review to apply to school settings. In this program, the principal components developed a behavior modification program and an exercise program, which could be educated and managed by a nursing staff during for 9 weeks, three times per week, 60 minutes each. The program consisted of exercise, health education. health counseling, and a direct nursing care. This kind of approach may support the need of behavior modification programs and exercise programs on a regular base via the social organization, which may mean an intentional change of life style. A comprehensive approach to health promotion services proposed by this research would contribute greatly to the effectiveness of school health services and to promote health in overweight schoolchildren.

• 한국학교보건학회지
• /
• 제22권1호
• /
• pp.119-128
• /
• 2009

Purpose : The purpose of this study was to examine the effects of a self-efficacy promotion program on obesity in elementary school students. Methods : Forty five obese children from a elementary school were select for an experimental group and 53 obese children from another elementary school were chosen for the control group. Both schools located in Kimpo area. Obesity was defined as children whose age-specific BMI was 85th percentile or higher. Pre and post test were conducted to examine the effects of the self-efficacy promotion program. Chi-square test, t-test, paired t-test were used for analyses. SPSS 10.0 was used. Results : The decrease of BMI was significantly greater in the experimental group than the control group. Students' knowledge about obesity was significantly increased in the experimental group compared to the control group. Self-efficacy score was significantly increased in the experimental group. In addition, self-care behavior score was significantly increased in the experimental group. Therefore, the experimental group showed significant improvement in their knowledge, self-efficacy and self-care behavior compared to the control group. Conclusion : The results of this study suggest that self-efficacy promotion programs may have significant effects on the management of obesity in elementary school children. Thus, the results strengthen further research to develop effective intervention programs focusing on self-efficacy for obesity in elementary school children.

• International Journal of Contents
• /
• 제13권2호
• /
• pp.14-20
• /
• 2017

The purpose of this study was to investigate the association of obesity with medical care use and costs according to overall diseases, cerebrovascular diseases (CVD), ischemic heart disease (IHD), hypertension (HTN) and diabetes mellitus (DM). The final sample was a group of persons who were free of diseases mentioned above and were not underweight. Their baseline screening program data and health insurance contribution data were connected with a 7-year medical claim database. The participants were classified according to their baseline BMI into normal, overweight, obese, and severely obese groups. Given the disease type, the total costs of DM showed the largest difference in each obesity group in both males and females. Also, the pharmacy costs for DM were more relevant than any other type of service to the obesity level. Considering the high prevalence of obesity and the relevantly increased medical care use and costs, there is a need for reduction in medical costs through obesity prevention efforts.

• 한국치위생학회지
• /
• 제20권4호
• /
• pp.421-433
• /
• 2020

Objectives: The aim of this study was to examine the relationship between periodontitis, obesity, and health behavior according to sex and age in Korean adults. Methods: Data on 11,032 adults aged 19-79 years were obtained from the 7th Korea National Health and Nutrition Examination Survey (KNHNES). We used multivariate logistic regression analysis to test for associations. Results: The final model that was adjusted for demographic characteristics and health status, showed a higher risk of periodontitis with increasing body mass index (BMI), smoking, failure to use oral care products, and no dental check up. In the sub-group analysis, only smoking was significant in the 19 to 39-year-old age groups. In the 40 to 64-year-old age group, a BMI of 30 or higher, and smoking, use of oral care products, and dental check-up were significantly associated with periodontitis. In the female group, BMI, smoking, use of oral care products, and dental check-up were significantly related to periodontitis. However, in males, only smoking was significant. Conclusions: Obesity management can be helpful for periodontal health as periodontitis prevalence in adults increased as BMI increased. For periodontal health, an oral health program should include smoking cessation and the use of oral care products and dental check up as part of obesity management.