• 제목/요약/키워드: obesity program

검색결과 843건 처리시간 0.023초

비만아동 및 청소년의 체중조절 경험과 비만관리 의도에 영향을 미치는 요인 (Factors influencing weight control behavior and intention of obese children and adolescents)

  • 강윤주;손명세;진기남;김한중;오희철;서성제
    • Journal of Preventive Medicine and Public Health
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    • 제31권2호
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    • pp.199-214
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    • 1998
  • This study was undertaken to explain weight control behavior and intention of obese children and adolescents as measured by the elements of the health belief model. A total of 732 obese students from 28 schools in Seoul metropolitan area and their mothers were assessed with a self-administered questionnaire. The analyzed results are as follows; 1. Among obese students, 45.3% of male students and 57.2% of female students, a significantly higher portion than male students, reported that they had tried to lose weight within the recent year. Exercise was the most frequently used method to lose weight followed by diet control, drug use, and specialized clinic visits, in descending order. 2. Male students were more likely to try to lose weight if they perceived a low threat level and their mother had a job, and female students were more likely to try to lose weight if they were younger in age, perceived a low threat level and had strong external motivating factors. 3. Female students showed a significantly higher level of intention to obesity control than male students, and the intention level of their mothers also showed the same trend. 4. In male students, the degree of weight dissatisfaction, weight control experience, the level of obesity related beliefs of students, the educational level of the mother and economic status of the family were significant predictors of intention to obesity control, and in females, age, the level of obesity related beliefs of students and intention of their mothers were significant. In the mothers of male students, obesity index of students, age of the mother and the level of obesity related beliefs of the mother were significant predictors of intention of the mother, and in the mothers of female students, obesity index of students, occupational status of the mother and obesity related beliefs of the mother were significant. 5. According to the path model of intention to obesity control, the degree of weight dissatisfaction had the most powerful effect in male students, and perceived net benefit level was the most important variable in female students. Since the weight control behavior and intention of obese students were more predictable by the degree of weight dissatisfaction than the obesity index, we can conclude that only the students dissatisfied with their weight are well motivated for obesity control. There can be a discrepancy between the mother and her child's beliefs and intention status(especially in male students), so the therapists should also assess the student's opinion as well as the mother's. In female students, the perceived net benefit level wag the most important predictor of intention to obesity control, therefore the intervention program should pay particular attention to the positive benefits of weight control rather than negative aspects(threats) of obesity.

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A Study on Weight Control Program for 4th and 5th Grade Obese Children in Elementary School

  • Chang, Soon-Ok
    • Nutritional Sciences
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    • 제1권1호
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    • pp.34-41
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    • 1998
  • This study examined the proper roles of dietitian and nurse-teacher in the weight control program (WCP) in schools and the effect of the WCP on subjects with respect to anthropometric measurements, nutrition knowledge, dietary attiude, and behavior changes. The program consisted of six sessions of nutrition education and frequent face-to-face nutrition counseling. Subjects were 22 obese children in the 4th and 5th grade who underwent counseling and 18 obese children in another school who served as a control group. After two months of WCP, obesity index such as .elative body weight (RBW, from 135.7 to 132.5), tricep skinfold thickness (TSFT, from 34.9 to 32.8 mm), and body fat content (from 32.0 to 29.8%) had decreased significantly in the experimental group, while the control group showed no significant differences in these indices. The reductions in obesity indices were maintained in the experimental group except for fat content (32.6%), which returned to its original value within six months. The control group significantly increased fat content in the same period (from 31.2% to 36.2%). Both groups decreased RBW, TSFT, and fat content while midarm circumference and waist/hip ratio remained the same after one year. Subjects' nutrition knowledge was improved with average test scores from 15.1 to 16.7 while nutrition attitude and behavior test scores remained unchanged suggesting that behavior modification may require more time than knowledge acquirement. These results suggest that proper nutrition counseling can initiate weight reduction. However, the maintenance of controlled weight requires changes in attitude and behavior which have not been achieved by the present WCP. The role of school dietitian for WCP in this study was limited to assisting the nurse-teacher in nutrition education. Expansion of dietitian's role in nutrition education and counseling is needed.

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비만아동과 그 부모에 대한 영양교육 효과의 평가(II)-영양지식, 식행동, 식습관과 영양소섭취를상태를 중심으로- (Effect of Nutrition Education Program in Obese Children and Their Parents(II) - Focus on Nutrition Knowledge, Eating Behaviors, Food Habit and Nutrient Intakes -)

  • 신은경;이혜성;이연경
    • 대한지역사회영양학회지
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    • 제9권5호
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    • pp.578-588
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    • 2004
  • The present study was conducted to investigate the effect of nutrition education program on nutrition knowledge, eating behaviors, food habit, nutrient intakes in obese children and their parents 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 for the subjects was carried out by the professional personnel such as doctors, professors, and dietitians. The children were provided with well-balanced lunch meals and had 40 min-lectures on the reasonable weight management, 40 min-games and also had regular exercises (stretching, swimming) for 90 mins everyday during 2 weeks of the program. The parents had 90 min-lectures on childhood obesity, diet therapy, behavior modification, and exercise for 6 times. The nutrition knowledge, eating behaviors and food habits were surveyed by using questionnaires before and after the education. The nutrition intakes of the children were surveyed before and after the education by 3-day food record method. The nutrition intakes of the parents were surveyed before and after the education by using semi-quantity questionnaires. After the education, the mean nutrition knowledge scores were significantly improved compared with the pretest scores in both children and parents. After the education, all subjects' eating behaviors were significantly changed positively and calorie and carbohydrates intakes were significantly decreased and vit. C was significantly increased in obese children. The food habits of the parents were significantly improved after the education. These findings show that the well-designed nutrition education program for obese children and their parents can be an effective approach to help them to improve their nutrition knowledge and to establish desirable food habits and eating behaviors.

울산지역 중학교 여학생의 비만실태에 관한 연구 (Obesity among Secondary School Girls in Ulsan Area)

  • 김혜경
    • 동아시아식생활학회지
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    • 제6권1호
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    • pp.33-39
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    • 1996
  • 울산시의 여중생을 대상으로 비만 실태와 이에 영향을 미친다고 생각되는 일반환경요인, 식 습관과 식품섭취빈도, 영양지식 등을 조사한 결과는 다음과 같다. 1. 조사대상자의 평균 연령은 13.7세(12-15세)이고, 평균 신장과 체중은 각각 155.0cm, 46.6kg을 나타냈으며, BMI에 의한 비만율은 4.5%이었고 평균 BMI는 19.3을 나타냈다. 가족 수는 4-5명이 가장 많았고, 아버지와 어머니의 연령은 40-49세가 대부분을 차지하였고 거주형태는 아파트(52.8%)가 가장 많았다. 부모의 학력은 모두 고졸이 많았으며 월수입은 81-120만원(43.6%)이 가장 많았다. 2. 식 습관 조사에서는 부모의 편식율은 15.2%로 낮으나 조사대상자의 편식율은 48.1%로 높게 나타났다. 부모의 가려서 먹지 않는 편식식품은 돼지고기, 나물류, 복숭아로 나타났고, 조사대상자 자신의 편식식품은 양파, 육류, 생선, 계란, 버섯, 김치, 콩 등 종류가 다양하였다. 운동을 규칙적으로 하는 경우는 42.0%이었으며, 종류로는 가볍게 할 수 있는 줄넘기(32.5%), 배드민턴(16.7%), 달리기(11.5%) 등이 있었으며, 구기종목인 농구, 배구, 피구는 학교 체육수업 중에 하는 것으로 보인다. 그밖에 훌라후프, 수영, 테니스, 자전거, 걷기 등을 하는 것으로 나타났다. 3. 식품섭취 빈도점수는 평균 36.6점(10-61점)이 나왔고 상대적으로 BMI 21이상군에서 유의적으로 더 높게 나왔다(p<0.05). 간식으로 섭취하는 음식의 종류에서는 우유가 82.2%로 가장 높게 나타났고, 다음은 과자류, 아이스크림, 빵, 라면, 떡볶이, 요플레 순으로 나타났다. 4. 비만과 관련된 일반적인 영양지식은 10문항의 조사결과 10점 만점에 평균 6.5점(2-9점)으로 대체로 높게 나타났는데 이는 대중매체와 신문, 잡지류를 통한 지식의 정보가 많기 때문으로 생각된다 비만 정도에 따라서는 유의적인 차이를 보이지 않았다. 5. 비만 정도와 상호간의 관계를 보면 BMI 수치가 높을수록 비만인 형제수가 많았으며, 자신의 비만 자각도도 높았다. 편식율은 비만 정도가 낮을수록 높았으며, 식품섭취 빈도 점수는 비만군에서 높았으나, 저녁식사 후 간식섭취는 BMI가 높은 군에서 하지 않는 비율이 더 높았는데 이것은 감수성이 예민한 여학생들이 자신의 외모에 대한 의식적인 노력으로 보인다. 이상과 같은 결과를 종합해 볼 때 중학교 여학생들은 학교수업을 중심으로 비교적 규칙적인 생활을 하고 따로 운동을 할 시간이 많지 않은 것으로 나타났다. 비만과 관련하여서는 유전적인 요인도 중요하지만 식습관 개선과 식품이 적절한 선택 등을 강조하여 연령과 생활환경에 맞는 영양교육이 필요하다고 본다.

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직장인에서 비만과 혈액지표와의 상관성에 관한 연구 (A Study for the Correlations between Obesity and Blood Parameters at the Worksite)

  • 노성윤;조여원
    • 대한영양사협회학술지
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    • 제8권4호
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    • pp.333-341
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    • 2002
  • Obesity, a state of having excessive body fat enough to attack one's health, is most blamed for causing chronical degenerative illness such as hypertension, diabetes mellitus as well as arteriosclerosis. According to many studies, the program for the weight control was the most demanded at the worksites. This study was designed to investigate the correlation between the degree of obesity and blood parameters of the employees at the worksites. The results of periodic medical examination for 571 employees(male: 418, female: 153) were analyzed; Age, BMI, systolic blood pressure(SBP), diastolic blood pressure(DBP), hemoglobin(Hb), fasting blood sugar(FBS), total-cholesterol(TC), serum glutamic oxaloacetic transaminase (sGOT), serum glutamic pyruvic transaminase(sGPT) and $gamma$-glutamyl transpeptidase($gamma$-GTP). Pearson correlation coefficient was used to find out the correlation between BMI and each blood parameters. In the case of male, 27.3% of the subjects were over-weight. The subject's age and their blood levels of uric acid, FBS, sGOT and sGPT did not show any significant difference regardless of BMI's, while SBP, DBP, Hb, TC and $gamma$-GTP levels of the overweight group were significantly higher than those of normal group. In the case of female, 9.2% of the subjects were over-weight. This study shows that the implementation of weight control program is required at the worksites

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청소년의 신체활동 및 운동 실태와 관련 요인 (The State and Factors Associated with the Level of Physical Activity and Exercise in Adolescents)

  • 문영희
    • 한국보건간호학회지
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    • 제21권1호
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    • pp.75-84
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    • 2007
  • Purpose: The purpose of this study was to investigate the state and factors associated with level of physical activity and exercise in adolescents. Method: The subjects in this study included 528 adolescents registered at two junior high schools and two senior high schools in J City. The data were collected between October 20 and 30, 2006. Result: The study results showed that 23.8% of the adolescents engaged in vigorous activities for at least 20 minutes, three times a week, while 3.8% of the adolescents participated in moderate activities for at least 30 minutes, five times a week. The subjective level of health was determined to be $3.51\pm.91$ points on a 5-point scale. The level of stress was $2.58\pm.83$ points on a 4-point scale. The obesity index was $4.26\pm20.84$ points. Significant correlations were found between the subjective level of health and level of stress (r=-.201, p=.000), the subjective level of health and the obesity index (r=-.135, p=.004), and between the level of stress and the obesity index (r=.107, p=.024). Conclusion: These results showed that developing a health promotion program that includes an exercise program specific to gender and level of education, individualized strategies of stress control and optimal weight control is required.

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Prevalence Rates and Risk Factors of Non-Insulin-Dependent Diabetes Mellitus in Minorities in the United States

  • Sohn, Ae-Ree
    • Korean Journal of Health Education and Promotion
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    • 제2권1호
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    • pp.97-114
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    • 2000
  • Minority populations in the United States have a higher prevalence of non-insulin-dependent diabetes mellitus (NIDDM) and more persons die of the disease than white persons. This study was to review and compare risk factors and prevalence rates of NIDDM in African Americans, Hispanic s, Korean Americans and Native Americans in the United States. The risk factors of NIDDM, including family history of diabetes, obesity, physical inactivity, diet and age, were reviewed in the minority populations. Risk factors such as obesity, physical inactivity and family history of diabetes occurred to a greater extent in some minority populations than in the white population. Diabetes should be treated as a public health problem for minority populations. Due to the increase of older populations and the increased prevalence of obesity and sedentariness, NIDDM in minorities is nearing epidemic proportions. Good diet and regular exercise can reduce the incidence of NIDDM but an understanding of the cultural aspects of diabetes is imperative in order to provide adequate community health education programs because those programs involve diet and behavior changes, characteristics that are often culturally determined. In summary, it is important to plan a community health education program targeted on NIDDM in a culturally adapted manner that will be received with both comprehension and acceptability. In particular, the program for high-risk populations should be stressed so to prevent diabetes. Preventive approaches to diabetes should be considered because they can be both therapeutic and cost effective.

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초등학교 비만아동에 대한 교육적 효과 (The Educational Effects to The Obese Children in Elementary School)

  • 이선미;김영혜
    • 한국학교보건학회지
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    • 제16권1호
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    • pp.149-160
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    • 2003
  • The purpose of this study was to analyze the effects after having the obesity education with obese elementary school children. The subjects were made up of 31 obese children out of U elementary school in B town as experimental group, and also were selected 34 children out of S elementary school under the same circumstance as control group. They ranged from the third to sixth grades with over 30% body fat ratio. The proceeding of obesity education consisted of three stage; stage for preparation, stage for practice, and stage for finish. The stages mentioned above were put into practice in turn for eleven weeks beginning on Oct. 8, 2001 through Dec. 22, 2001, while two stages only, stage for preparation and finish, were put into practice on the control group. The contents of the education for eleven weeks obesity regulation contained counseling and taking regular exercises once a week by professional gym teacher. In order to evaluate the effects of the education, physical characteristics, body composition, physical fitness, knowledge of obesity, dietry habit and attitude were measured. The obtained data were analyzed using SPSS program, the effects of pre and post obesity education in experimintal group were measured by paired-t test. The conclusions of this study were as follows : 1. Body fat ratio was significantly reduced after obesity education in experimintal group(p=.003). 2. The height with experimental group got taller remarkably(p=.000), but weight showed no signeficance after obesity education(p=.258). 3. Triceps and subscapular skinfold thickness showed remarkable decrese after obesity education(p=.000), percentage body fat and body fat amount got down remarkably after obesity education(p=.000). Percentage lean body mass and lean body mass amount got down remarkably after obesity education(p=.000). 4. Body flexibility, agility and muscle endurance graded up remarkably after obesity education(p=.009, p=.000, p=.000). 5. The grade in obesity knowledge got up remarkably after obesity education(p.000), but dietry habits and its life showed no significance in figures after obesity education(p=.335, p=.112). Through the results shown above, the obesity education caused body fat ratio, physique, body composition to grade up and physical fitness elevated, while dietry habits and its life showed no significance.

20대 남성 비만인의 자세에 따른 가슴우리 확장과 폐기능 특성분석 (Analysis of the Chest Expansion and Pulmonary Function in the 20s men Obesity according to Position Change)

  • 김현애;서교철;임상완;김희탁;김경
    • 대한물리의학회지
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    • 제6권3호
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    • pp.247-256
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    • 2011
  • Purpose : The purpose of this study were to determine whether changes of position might effect the chest expansion and pulmonary function of the 20s men obesity. Methods : Thirty subjects with obesity(M:30, % fat>25.0) and thirty normal subjects(M:30, % fat<24.9) were participated in experiment. Subjects were assessed according to position changes(supine position, $45^{\circ}$ lean sitting position, $90^{\circ}$ sitting position) using chest length(chest length for resting, chest expansion) and pulmonary function (Tidal volume, Inspiratory capacity, Vital capacity, Inspiratory reserve volume, Expiratory reserve volume) by the CardioTouch 3000S(BIONET, USA). Repeated measure ANOVA was used to compare each region data of chest length and pulmonary function according to changes of position with obesity and normal subjects. Results : These findings suggest that the obesity can be appear to low chest expansion and pulmonary function than normal subjects on position method. In comparison of three experimental position, supine position was more low. Conclusion : This study showed position of the obesity appear low chest expansion and function of pulmonary volume than normal subjects, and thus it indicates that the pulmonary function of the obesity will be suggest objective respiratory data through the exercise program.

30-79세 한국 성인의 비만과 치주염의 관계에 대한 융합연구 (A convergence study on the association between obesity and periodontitis in Korean adults aged 30-79)

  • 한수진
    • 한국융합학회논문지
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    • 제11권6호
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    • pp.95-103
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    • 2020
  • 본 연구는 성인의 비만과 치주염 사이의 연관성을 확인하고, 비만의 각 단계에서 치주질환과 건강행동의 융합적 관계를 확인하는 것이었다. 국민건강영양조사 제7기 원시자료를 활용하여 30-79세 성인 10,056명을 추출하였으며, 가중치를 적용한 복합표본설계를 반영하여 카이제곱 검증과 다변량 로지스틱 회귀분석을 수행하였으며, 인구사회학적 특성과 건강상태로 보정하였다. 비만단계가 높아질수록 치주염 위험이 증가되는 것을 확인하였다. 흡연과 구강관리용품 사용, 구강검진 비수검이 치주염과 유의한 관련이 있었으며, 비만의 단계에 따라 영향요인에 차이가 있는 것을 확인하였다. 비만 단계의 증가는 치주염 유병에 부정적인 영향을 미친다. 따라서 구강건강프로그램은 비만관리 과정에 적용되어야 한다.