• 대한간호학회지
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• 제40권2호
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• pp.264-276
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• 2010

Purpose: The purpose of this study was to propose and to test a predictive model that could explain and predict the health promotion behavior of obese school-age children in Korea. Methods: Participants for this study were 365 students from 13 elementary schools located in Jeonbuk Province, Korea. The data were analyzed using SPSS 15.0 program and Amos 7.0 program. Results: The results verified the factors that influence health promotion behavior of the participants. Important direct factors were prior health-related behavior, perceived self-efficacy, and commitment to a plan of action and indirect factors were perceived barrier and activity-related effect. These factors explained 75.3% of variance in the participants' health promotion behavior. The proposed model was concise and extensive in predicting health promotion behavior of the participants. Conclusion: Findings may provide useful assistance in developing effective nursing interventions for maintaining and promoting health promotion behavior in obese school-age children.

• 대한지역사회영양학회지
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• 제6권3호
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• pp.495-506
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• 2001

This study was conducted to investigate the nutrient intake, dietary and weight control behaviors and iron deficiency of adolescent girls. The subjects were 216 female middle school students living in urban and rural areas of Inchon. Thin cross- sectional study was conducted by questionnaires and data were analyze by SAS program. Nutrient intakes collected from 3 day-recalls were analyzed by the Computer Aided Nutritional Analysis Program(CAN-pro). The mean height, weight. BMI and obesity index for the subjects were 158.2 cm, 51.1kg, 20.4 and -5.3 % in urban students and 155.9 cm, 49.3 kg 21.1 and -8.2% in rural students, respectively. Easting blood samples were obtained and analyzed for iron nutritional status. The mean obesity index of the urban students was higher than that of the rural students. The proportion of the overweight group was higher in urban students compared to rural students, However, over 10% of both area students belonged to the low weight group, respectively. Most students of both areas skipped breakfast and the main reason was on appetite and lack of time. Urban students were more concerned with body image. The nutrients which showed a lower mean intake as percentile of RDA were Ca, iron, vit A an Vit B$_2$ and most nutrient intakes of urban students were significantly higher compared to those of rural students. These results indicate that nutrient intakes in the female middle school students were considerably lower than the RDA. Also they had undesirable food habits and lower self-satisfaction with their body image, There were significant differences in the mean MCV, TIBC and serum ferritin between urban and rural area subjects. Mean Hb, Hct, MCH, MCHC and TS, bowaver, were not significantly different. Prevalence of iron deficiency greatly varied by indices from urban(11.5%) and rural (8.7%) when judged by Hb to urban(23.1) and rural (23.3%) by serum ferrition. Therefore, proper nutrition education is required for good nutrition desirable food habits, weight control, and guidance for iron deficiency in anemic female of adolescents.

• Child Health Nursing Research
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• 제26권4호
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• pp.445-453
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• 2020

Purpose: Community child centers (CCCs) were introduced to provide after-school activities and care, including meal services to children from low-income families. The assistant cooks, who have the main responsibility for making and serving food at CCCs, are a major factor influencing the eating habits of children using CCCs. In this study, we tried to identify and understand who the assistant cooks are, what their job responsibilities are, and what they need in order to be able to provide children with healthy meals. Methods: Three focus group interviews were held with 17 workfare program participants who worked as assistant cooks at CCCs, and content analysis methods were applied using the NVivo 12 qualitative data analysis software. Results: The assistant cooks reflected on their perceptions of the children's health at the CCCs, their own cooking style, and their role at the CCCs. Additionally, barriers to the optimal provision of their services were pointed out, and improvements were suggested. Conclusion: The results of this study can be used as a fundamental resource for the development of tailored interventions that consider a child's unique environment to address health disparities, specifically with respect to childhood obesity.

• Journal of Korean Biological Nursing Science
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• 제18권2호
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• pp.87-93
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• 2016

Purpose: This study was done to identify the relationships between body mass index, nutritional knowledge and the health promotion behavior of nursing students. Methods: Participants consisted of the entire 330 members of the student body of a Korean nursing college. Variables included body mass index, nutritional knowledge and health promotion behavior as well as demographic variables. Data was analyzed by frequencies, ANOVA and Pearson's correlation with the SPSS/Win 21.0 program. Results: The mean score for body mass index was $20.23kg/m^2$ for nutritional knowledge, $14.27{\pm}3.07$ on a total 20-point scale, and for health promotion behavior, $3.03{\pm}0.34$ on a 4-point scale. Nutrition knowledge positively correlated with health promotion behavior (r=.368, p<.001). Health promotion behavior positively correlated with underweightness (r=.120, p=.005), normal weight (r=.212, p<.001), negatively correlated to overweightness (r=-.351, p<.001), and obesity (r=-.413, p<.001). Nutrition knowledge positively correlated to underweightness (r=.155, p=.005), and normal weight (r=.346, p<.001), negatively correlated to overweightness (r=-.548, p<.001), and obesity (r=-.342, p<.001). Conclusion: In order to enhance the effective health promotion behavior of nursing students, it is important to actively intervene to improve body weight control behavior and nutritional knowledge. Therefore, developing an educational program for improving nutritional knowledge and body weight control behavior of nursing students is recommended.

• 대한영양사협회학술지
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• 제17권4호
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• pp.349-363
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• 2011

The purpose of this study was to investigate the nutrient intakes, nutritional knowledge, food habits, and lifestyle behaviors of moderately or severely obese children living in the Kyonggi-do area. The subjects in this study were 37 obese children with an obesity index higher than 130% in the forth to sixth grades of elementary school. Anthropometric measurements, 24-hour recall of dietary intakes, and a survey on nutritional knowledge, food habits, and lifestyles behavior were conducted in the 37 obese children (25 boys and 12 girls). The average age, body weight, BMI, and R$\ddot{o}$hrer Index were 12.4 years, 68.6 kg, $29.6kg/m^2$, and 194.9 in boys and 12.7 years, 65.7 kg, $29.8kg/m^2$, and 201.8 in girls, respectively. The percentage of correct answers on nutritional knowledge and nutritional attitude score/max score were 85.8% and 23.0/50 in boys and 87.0% and 17.5/50 in girls, respectively. Except for calcium (85.3%) in girls and calcium (62.7%) and folic acid (83.3%) in boys, the average daily nutrient intakes percentages of nutrients were greater than the DRIs values (107.9~327.3% in boys and 103.0~416.0% in girls). This study showed the existence of some problems associated with obesity, such as higher frequency of skipping breakfast, irregular meal times, unbalanced diet, lack of intake of some nutrients, low nutritional attitude, lack of physical activity, and time management in obese children. These results suggest that a systematic education program including nutritional education on balanced diet, good eating habits and behaviors, and importance of eating breakfast and meal regularity must be emphasized to improve nutrient intakes and food habits in obese children. Obese children also require a more concentrated program that includes physical activity, weight reduction, and weight maintenance strategies to improve their life habits.

• Nutrition Research and Practice
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• 제8권1호
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• pp.94-102
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• 2014

Diet attrition and failure of long term treatment are very frequent in obese patients. This study aimed to identify pre-treatment variables determining dropout and to customise the characteristics of those most likely to abandon the program before treatment, thus making it possible to modify the therapy to increase compliance. A total of 146 outpatients were consecutively enrolled; 73 patients followed a prescriptive diet while 73 followed a novel brief group Cognitive Behavioural Treatment (CBT) in addition to prescriptive diet. The two interventions lasted for six months. Anthropometric, demographic, psychological parameters and feeding behaviour were assessed, the last two with the Italian instrument VCAO Ansisa; than, a semi-structured interview was performed on motivation to lose weight. To identify the baseline dropout risk factors among these parameters, univariate and multivariate logistic models were used. Comparison of the results in the two different treatments showed a higher attrition rate in CBT group, despite no statistically significant difference between the two treatment arms (P = 0.127). Dropout patients did not differ significantly from those who did not dropout with regards to sex, age, Body Mass Index (BMI), history of cycling, education, work and marriage. Regardless of weight loss, the most important factor that determines the dropout appears to be a high level of stress revealed by General Health Questionnaire-28 items (GHQ-28) score within VCAO test. The identification of hindering factors during the assessment is fundamental to reduce the dropout risk. For subjects at risk, it would be useful to dedicate a stress management program before beginning a dietary restriction.

• 한국산학기술학회논문지
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• 제16권8호
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• pp.5180-5188
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• 2015

본 연구는 복부비만 노인여성 25명을 대상으로 12주간 아쿠아로빅 운동을 적용한 후 대사증후군 및 건강체력의 효과를 규명하는데 목적이 있다. 연구결과 아쿠아로빅 운동 후 복부비만 노인여성의 허리둘레(87.40/82.76cm, p<.01)는 유의하게 감소하였고, 고밀도지단백콜레스테롤(41.13/45.42mg/dl, p<.05)은 유의하게 증가하였다. 혈압과 중성지방은 유의하지 않았지만 감소하였다. 또한, 근력(17.06/19.08kg, p<.01)은 유의하게 증가하였고 유연성, 근지구력, 심폐지구력의 증가와 체지방률의 감소는 긍정적인 효과를 보였다. 이상과 같은 결과를 통하여 볼 때 아쿠아로빅 운동은 복부비만을 해결하고 대사증후군과 건강체력을 긍정적인 방향으로 변화시켜 노화로 인해 저하된 근골격계 기능을 향상 및 증진시켜 건강한 생활을 영위할 수 있을 것으로 생각되며 아쿠아로빅 운동이 지상에서의 유산소 운동 및 저항 운동을 대체할 수 있는 유용한 운동이라 할 수 있다.

• 보건교육건강증진학회지
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• 제19권4호
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• pp.19-31
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• 2002

Purpose : This study examines the differences in self-efficacy and health promoting behavior between obese students and normal weight students by gender; it tries to obtain basic data for the health guidance of obese students. Methods : Data were collected from 360 students (90 normal weight males, 90 obese males, 90 normal weight females, 90 obese females) using questionnaires about general characteristics, self-efficacy, and health promoting behavior. There were analyzed with descriptive statistics (frequency, percentage, mean, standard deviation), and a x$^2$ test, ANCOVA, and a Pearson's correlation of coefficient at the 0.05 significance level by using the SAS (version 8.01) Win Program. Results : The score of self-efficacy appears that in the case of boys, obese students are significantly lower than their normal weight counterparts (F=25.85, p=<.0001), while in the case of girls there is no significant difference between the two groups (F=.01, p=.9118). The score of health promoting behavior appears that in the case of boys, obese students are significantly lower than their normal weight counterparts (F=28.61, p=<.0001), while in the case of girls there is no significant difference between the two groups (F=1.25, p=.2643). The relation of self-efficacy and health promoting behavior shows a statistically significant correlation in all cases: obese boys (r=.69, p=<.0001), normal weight boys (r=.51, p=<.0001), obese girls (r=.67, p=<.0001), and normal weight girls (r=.49, p=<.0001). Conclusions : An evaluation study needs to see whether a program to encourage the self-efficacy of obese boys can be effective in health promoting behavior or weight control in the long run. As in this study more than half of the obese girls have mild-level obesity, a follow-up study should be conducted to examine the self-efficacy and health promoting behavior between middle or highly obese students and normal weight students.

• 생명과학회지
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• 제22권3호
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• pp.380-386
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• 2012

본 연구는 비만유아 7명과 정상체중유아 7명을 대상으로 유아체육프로그램이 신체조성, 체력, 혈중지질 및 성장관련인자의 변화를 분석하기 위해 실시되었다. 본 연구에서 실시한 유아체육프로그램이 체지방량을 감량시키는데 효과적인 결과를 얻지 못하였지만 비만군과 정상체중군 모두 체력은 향상되는 것으로 나타났다. 그리고 정상체중유아들의 경우 HDL-C와 제지방량의 증가는 본 연구에서 실시한 유아체육프로그램이 성인기의 비만과 성인병 예방 측면에서 정상체중유아들에게 권장될 수 있는 것으로 사료된다. 또한 성장관련인자 IGF-I은 성장을 촉진하는 활성 물질로 성장호르몬 분비의 증가에 따라 IGF-I 농도 역시 상승한다. 본 연구에서도 정상체중군에서 긍정적인 효과가 나타나 유아체육프로그램이 성장기 유아의 성장호르몬의 분비를 활성화시키고 성장을 촉진시키며 신체발달을 증진시키는데 도움을 줄 수 있을 것으로 생각한다.

• Journal of Nutrition and Health
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• 제54권5호
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• pp.474-488
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• 2021

Purpose: Malnutrition in children with cerebral palsy (CP) is a significant factor affecting their adequate growth and development. This study aimed at conducting surveys and evaluating the dietary intake of children with CP according to their BMI classification and to thereby highlight the dietary factors affecting the nutritional status of these children. Methods: A total of 16 children were enrolled between the age of four and twelve. These subjects were further classified into three groups, namely underweight, normal and obese, with 6, 8, and 2 children in each group, respectively. The general characteristics, motor disturbances, body composition, feeding problems, eating habits, nutritional intake, dietary variety, and food frequency for children with CP were evaluated. Results: It was observed that motor disturbances tended to increase in underweight children with CP. A significant decrease (p < 0.05) in disturbances related to oral feeding was observed with an increase in obesity. The pattern of eating habits revealed that subjects in the underweight group consumed unbalanced meals, while those in the obese group tended to consume larger meals at a faster pace. The feeding disturbance data revealed that those in the underweight group could not prepare their meals while the obese group had the problem of overeating and consuming an unbalanced diet (p < 0.05). Conclusion: It is necessary for both children with CP, who have a high degree of disability, and their caregivers to take lessons on adequate nutrient intake to prevent malnutrition. Moreover, it is necessary for the caregivers and children with CP having a low degree of disability to take lessons on providing and consuming a balanced diet and to focus on the intake of sufficient calcium in order to prevent obesity.