• 정신신체의학
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• 제3권2호
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• pp.197-206
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• 1995

Obesity is a major nutritional problem in the developed countries. The prevalence of obesity may range from 10 to 50 per rent or mort of adult population and it may be increasing tendency. Many efforts have been made to understand the pathogenesis of obesity, but except a few metabolic obesities in the most of obese patients, the mechanisms are not understood. The treatment modalities of obesity, ranging from dietary and pubilc health intervention through the pharmacological and surgical therapy, have been developed and tested. In the obese patients mortalities and mobilities are significantly increased than non obese subjects due to hypertension, diabetics, and other problems. There are four possible mechanisms by which energy balance might be altered to enhance metabolic efficiency. futile metabolic pathway, alteration of protein rum over, alteration in sodium-potassium ATPase and alteration in uncoupled oxidation in brown adipose tissue are considered as possible mechanisms. Low calory and very low calory diets are recommended as a dietary program. Several pharmacological agent such as benzphetamine, fenfluramine, mazindol and fluoxetin are currently popular drugs for the treatment of obesity.

• 수산해양교육연구
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• 제23권4호
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• pp.568-581
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• 2011

This thesis is the study about application development for management obesity and personal health matters systematically based on Android smart phone system. Growing obesity problem for students organized by the lack of a device or program to manage at home has been favored as a serious problem. Currently developed smart phones has come into wide use by portable features and many applications. And to support populations of these features smart phones will be available for obesity management in your home without any equipment using. Accordingly, this paper is the study about application development for management obesity for growing students at home based on the latest smart phone platform Android.

• 비만대사연구학술지
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• 제1권2호
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• pp.59-65
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• 2022

Obesity is a serious health concern, which has been linked to an increased risk for cardiovascular diseases and some cancers. The traditional obesity control program is expensive. Moreover, it is difficult to maintain a healthy body weight as well as reduce body fat. The long-term use of effective and tolerable medication is carefully recommended to control body weight. In addition to obesity control medications, health functional foods, related to body weight control, have become popular in the commercial market. Known mechanisms include lipolysis, appetite control, inflammation reduction, and lean body mass maintenance. Previous clinical trials have documented the efficacy of some health functional foods; however, there are limitations. Studies on the potential roles and efficacy of some health functional foods, including caffeine, green tea, protein supplement, probiotics, and arginine, were reviewed. More large-scale and randomized placebo-controlled trials should be conducted eventually.

• 농촌의학ㆍ지역보건
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• 제31권2호
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• pp.177-185
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• 2006

2004년 5월부터 7월까지 광주광역시 일부지역 관내 28개 초등학교 31,510명(남자 16,653명, 여자 14,857명)의 신장과 체중의 자료를 수집하였다. 수집된 자료는 대한소아과학회(홍창희, 2003)에서 나온 소아발육표준치를 기준으로 신장별 표준 체중표를 이용하여 비만도(%)=(실측체중-신장별 표준체중)/신장별 표준체중*100로 산출하였다. 산출된 비만도는 20~29.9%는 경도비만, 30~49.9%는 중증도 비만, 50%이상은 고도비만으로 분류하여 SAS PC+ 8.0 program을 이용하여 분석한 결과는 다음과 같다. 1. 신장과 체중은 학년이 올라감에 따라 남학생과 여학생 모두 학년 간에 유의하게 향상하였다 (p<.001). 저학년에서는 여학생이 남학생 보다 신장이 작았으나 4학년때 키가 비슷해지고 5, 6학년에는 여학생이 남학생보다 신장이 큰것으로 나타났으며, 4학년을 제외한 모든 학년에서 남학생과 여학생의 신장은 통계적으로 유의한 차이가 있었다(p< .001). 모든 학년에서 남학생의 체중은 여학생의 체중보다 무거웠으며, 6학년을 제외하고는 남학생과 여학생의 체중은 통계적으로 유의한 차이가 있었다(p< .001). 2. 초등학교 학생의 비만율은 전체가 10.3%이었고, 남학생 (11.6%)이 여학생(8.8%)보다 비만율이 높았으며, 통계적으로 유의한 차이가 있었다(p< .001). 특히 4학년 남학생의 비만율이 13.7%로 가장 높았다. 비만아동의 분포는 남학생의 경우는 경도비만이 6.5%, 중등도비만 4.4%, 고도비만 0.7% 순이었고, 여학생의 경우는 경도비만 5.2%, 중등도비만 3.1%, 고도비만 0.4% 순으로 나타났다. 3. 비만도별 비만아동 실태는 전체 비만아동은 3,231명으로 경도비만이 57.4%, 중등도비만이 37.1%, 고도비만이 5.5%로 나타났다. 남학생의 경우는 경도비만 55.9%, 중등도비만 38.0%, 고도비만 6.0% 순이었고, 여학생의 경우는 경도비만 59.5%, 중등도비만 35.8%, 고도비만 4.7% 순으로 나타났다. 또한 비만도가 30% 이상인 중증도 이상의 비만아동은 여학생보다 남학생의 비율이 높았다. 4. 학년에 대한 성별 비만율은 1학년 (p< .05), 4-6학년 (p< .001)에서 남학생이 여학생보다 비만율 높았으며 이는 통계적으로 유의한 차이가 있었다. 5. 고학년 학생 (11.0%)의 비만율이 저학년학생(9.5%)보다 높았으며 이는 통계적으로 유의한 차이가 있었다(p< .001). 이상의 결과들을 종합하여 보면 초등학생의 비만율은 여학생보다 남학생에서, 저학년보다 고학년에서 더 높게 나타났다. 아동비만은 점차 증가하고 있고 질병의 이환과 밀접한 관계가 있으므로 비만을 예방하고 체계적으로 관리할 수 있는 프로그램을 개발 실시하되, 비만율이 높은 고학년의 남학생을 중점적으로 관리해야함을 시사한다.

• 대한임상검사과학회지
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• 제44권3호
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• pp.147-154
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• 2012

Metabolic syndrome and homocysteine are associated with increased independent risk factors of cardiovascular disease. We investigated the difference between the degree of obesity, metabolic syndrome risk factors, plasma homocysteine and anthropometric obesity factors. Totally 398 participated in a medical check-up program were selected for this study. Subjects were categorized into three groups according to the number of metabolic syndrome components present as defined by the NCEP-ATP III criteria; Absent (0 criteria, n=124), Pre-MetS (1-2 criteria, n=220) and MetS (${\geq}3$ criteria, n=54). Body mass index (BMI) is a measure used to distinguish between normal weight, overweight and obesity. MetS presented higher homocysteine than Absent (p<.05) and obesity higher than normal weight (p<.01). When Absent+Pre-MetS was used to classify obese or not, obesty presented higher homocysteine than non-obese (p<.05). Further homocysteine levels positively correlated with weight, BMI, waist circumference, hip circumference and waist-hip ratio (WHR). Especially WHR is not only MetS (r=0.378, p<.001) but also Absent+Pre-MetS (r=0.305, p=0.029) significantly positively correlated with homocysteine. The results of our study indicate that homocysteine is related closely to obesity. Although obesity has not been diagnosed with metabolic syndrome, obesity related with increased homocysteine.

• 한방비만학회지
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• 제1권1호
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• pp.33-42
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• 2001

Objectives: This study was to investigate the reductive effects of oriental medicine on the body fat and abdominal obesity, Methods: The subject were selected among the patients who were treated with 4weeks total program, visited our obesity clinic from October 1999 to August 2000, We practiced combined therapy such as herbal medicine, acupuncture therapy, moxibution therapy, negative therapy, auricular acupuncture, electrolipolysis, colon hydrotherapy, heat therapy, Chuna therapy, low-calorie diet teaching, exercise teaching, and correcting life style for 4 weeks. Results and Conclusion: 1. Body weight, RBW, and BMI were significantly reduced each by 5.4kg, 10.4% and $2.2kg/m^2$ (p<0.01). 2. % Body fat was significantly reduced by 3.3%. Fat mass was reduced by 4.0kg(17.0%) and soft lean mass was reduced by 1.5kg(3.7%), thus it was acknowledged that fat mass was significantly reduced compared to soft lean mass by oriental medicine treatment for obesity. 3. WHR was significantly reduced by 0.02. Waist circumference was reduced by 6cm(6.6%) and hip circumference was reduced by 4.5cm(4.6%), thus it was acknowledged that waist fat was significantly reduced compared to hip circumference by oriental medicine treatment for obesity.

• Asian Pacific Journal of Cancer Prevention
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• 제17권5호
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• pp.2565-2571
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• 2016

A cross-sectional survey was conducted among 730 participants from 4 rural districts of Nakhon Ratchasima province, Thailand, with a reported high incidence of liver fluke infection. This study was aimed to examine and evaluate the nutritional status in relation to Opisthorchis viverrini infection. Participants were purposive selected from Chum Phuang, Mueang Yang, Bua Yai, and Kaeng Sanam Nang districts. Stool samples were prepared by Kato Katz technique and then assessed by microscopy. Anthropometry was evaluated according to the body mass index from weight and height. Descriptive statistics and Spearman rank correlation coefficients were used to evaluate the association between the nutritional status and O. viverrini infection. Of 1.64% infected with O. viverrini the highest proportions were found in age groups ${\geq}61$ and 41-50 years old, Mueang Yang district. The majorities of participants had normal weight (32.2%), followed by class II obesity (28.1 %), class I obesity (21.8%), underweight (10.3%), and class III obesity (8.63%). Nutritional status with class II obesity (rS=0.639, p<0.01) and class I obesity (rS=0.582, p<0.05), had moderately statistical significant correlations with O. viverrini infection. Meanwhile, normal weight (rS=0.437, p<0.05) and class III obesity (rS=0.384, p<0.05) demonstrated lower statistical significance. These findings raise the possibility that infection with O. viverrini may contribute to fat deposition and thereby have long-term consequences on human health. Further studies are needed to better understand whether O. viverrini contributes directly to fat deposition and possible mechanisms.

• Journal of Obesity & Metabolic Syndrome
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• 제25권3호
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• pp.138-148
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• 2016

배경: 한국의 중년여성의 복부비만 유병률은 급속하게 증가하고 있으나 복부비만 관리프로그램의 종류와 그 효과가 다양하고 효과적인 중재 방법을 선택하는 데 어려움이 있다. 따라서 본 연구의 목적은 한국의 중년 비만여성을 대상으로 실시한 복부비만관리 프로그램의 효과를 체계적이고 종합적으로 규명하여 학문적 기초자료를 제시하는데 있다. 방법: 학술지 392편, 학위논문 380편으로 총 772편의 논문 중 중복된 자료를 제외한 647편에서 조사연구이거나 나이에 적합하지 않거나 대조군이 선정되지 않는 등, 선정기준에 부합하지 않는 604편을 제외하여 총 43편의 복부비만관리 프로그램 논문을 분석대상으로 선정하여 주요 비만지표의 효과크기를 분석하고, 각 효과크기의 이질성에 대한 설명을 위해 메타 ANOVA와 메타회귀분석을 활용하여 조절효과분석을 실시하였다. 또한 출간오류분석을 통해 연구 결과의 타당성을 확인하였다. 결과: 본 연구의 결과는 다음과 같다. 비만 중년여성을 대상으로 실시한 복부비만관리 프로그램의 표준화된 평균 효과크기는 0.22로 작은 효과크기를 나타냈고, 염증성 지표와 지방분포율은 각각 0.36으로 중간 정도의 효과크기를 나타냈으며, 대사성 지표는 0.21, 신체계측 지표는 0.18로 작은 효과크기를 보였다. 이질성은 중간 정도의 이질성($I^2=44.5%$, Q = 844.57, P<0.001)을 보였고, Randomized Controlled Trial (RCT) 여부나 출판여부에 따라 효과크기에 차이가 없었다. 결론: 본 연구 결과에 근거하여 최근 대두되고 있는 비만 여성에 대한 건강 증진 및 복부비만 개선에 대한 중재효과를 계량적으로 분석한 점에서 복부비만프로그램 중재의 효과파악을 위한 근거 자료로 활용될 수 있을 것이다.

• 대한간호학회지
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• 제34권7호
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• pp.1224-1233
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• 2004

Purpose: This study was to investigate the effects of problem solving group counseling on the index of obesity and health habits for obese children. Method: Forty seven obese children participated in the study(Exp.=22, Cont.=25). Children were recruited from the forth and fifth grade with higher than $20\%$ of the obesity degree. The problem solving counseling lasted for 10 weeks. In order to evaluate the effects of counseling, physical characteristics and health habits were measured three times; pretest, posttest, and at 10 weeks follow-up. The obtained data was analyzed by $x^2-test$, t-test, and repeated measures ANOVA, using the SPSS WIN 10.0program. Result: Problem solving group counseling was effective on the physical characteristics(BMI, obesity degree, body fat ratio, waist measurement) and health habits over time. Children in the experimental group controlled their body weight better and reported lower scores in the index of obesity than children in the control group at 10 weeks follow-up. Conclusion: This counseling program helped obese children modify their health habits so that they could decrease their scores in the obesity index. It can be concluded that problem-solving counseling enhanced problem-solving abilities of obese children, which could help modify their ordinary health habits.

• 한국병원경영학회지
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• 제21권1호
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• pp.14-31
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• 2016

Obesity of adolescents causes mental and physical problems as well as social problems, which need prevention and management. Although a number of systematic reviews and meta-analyses on obesity programs for adolescents were conducted, there is no study evaluating the programs based on CCM(Chronic Care Model), an organizing framework for improving chronic illness care. This study was conducted to review the features of studies in obesity management programs and interventions of the selected studies were evaluated in terms of inclusion of components of the Chronic Care Model. 4 databases were searched for relevant studies in obesity management programs, which were published from 1994 to 2014 in Korea. Results were analyzed in a qualitative way. 14 studies were satisfied inclusion criteria. The interventions most frequently utilized the elements of self-management support(66.7%) and only 1 of the studies included more than three components of CCM. This study presents the direction of health policies about managements of metabolic syndrome, which means that we identified effective process of the obesity management programs for adolescents in Korea and also this study will be used as a basic information for the development of obesity management program.