• 제목/요약/키워드: obesity program

검색결과 842건 처리시간 0.024초

국내 아동간호학 분야의 연구개념 고찰 Ⅱ- 간호실무, 대상자 간호사, 환경 영역을 중심으로 (An Analysis of the Concepts in Child Health Nursing Studies in Korea (2) : The Practice, The Client-Nurse, The Environmental Domain)

  • 한경자;김현아;김정수;김숙영;조경미
    • Child Health Nursing Research
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    • 제10권2호
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    • pp.165-172
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    • 2004
  • The main purpose of this study is to examine the concepts appeared on research and provide future research directions in field of child health nursing. 205 studies of the total 318 studies had been analyzed first for the concepts of the client domain and this time 113 studies were analyzed for the practice, the client-nurse and the environmental domain in nursing. The practice domain includes mentalistitic, enactment, knowledge utilization, role related phenomenon, the client-nurse domain includes touch, communication, interaction phenomenon, and the environmental domain includes physical, social, symbolic environment. All were originally published between 1990 and 2000 in Korea. An analysis of concepts for this study was used the metaparadigm framework for nursing proposed by H. S. Kim(2000). 1. 103 studies belonged to the practice domain. Among them, 56(54%) studies used concepts related to enactment phenomenon like education(21.4%), giving information(7.1%), breast feeding(5.4%), caring(5.4%), airway suction(5.4%), nonnutritive sucking(5.4%). 44(43%) studies used concepts related to knowledge utilization like program development and evaluation of smoking, mother-infant interaction, home health nursing, obesity management. And only 3(3%) studies used role related concepts like quality of nursing, direction of health education, contents of child health nursing education. 2. Only 2(0.006%) studies belonged to the client-nurse domain. One concept is empathy in communication phenomenon and the other concept is role conflict in interaction phenomenon. 3. 8(0.02%) studies belonged to the environmental domain. Among them, 3 studies related to physical environment like space, noise and 5 studies related to social environment like social support, home environment. But the concept of symbolic environment was not used. The findings of this study provide the evidence that research related to the client-nurse domain and the environmental domain should be conducted actively to improve the practice of child health nursing. So that the research in field of child health nursing should be dealt with the concepts of four domains to develop knowledge systematically.

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한국 성인 여성의 수면시간과 치주염과의 관련성 (Relationship between Sleep Duration and Periodontitis in Korean Adult Women: Data from KNHNES 2014)

  • 도경이;이은선
    • 치위생과학회지
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    • 제17권4호
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    • pp.298-305
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    • 2017
  • 본 연구는 한국 성인 여성의 수면시간과 치주염과의 관련성을 확인하기 위해 국민건강영양조사 제 6기 2차년도(2014) 자료를 바탕으로, 만 19세 이상의 한국 성인 여성 총 3,292명을 대상으로 연구를 수행하였다. 대상자의 일반적 특성(연령, 교육수준, 소득수준, 당뇨, 고혈압, 비만)에 따라 치주염의 차이를 확인할 수 있었으며, 흡연과는 관련성이 없는 것으로 나타났다. 수면시간이 7시간 이상인 대상자에 비해 7시간 미만인 대상자의 치주염 위험도가 1.37배(crude OR, 1.37; 95% CI, 1.13~1.65) 높았다. 그러나 대상자의 일반적 특성(연령, 교육수준, 소득수준, 당뇨, 고혈압, 비만)을 보정한 후의 수면시간이 치주염에 미치는 영향력은 더 이상 유의하지 않았다. 따라서 후속연구에서는 두 요인의 직접적인 인과관계를 밝힐 수 있는 전향적 코호트 연구가 수행되어야 하며, 성인 여성의 적절한 수면습관을 도모하고 아울러 구강건강 증진을 위한 포괄적 건강증진 프로그램의 시행이 필요하다고 생각된다.

향요법과 복부마사지의 복합처치가 중년 여성의 체 성분 변화에 미치는 영향 (The effect that the composition handling of aromatherapy and abdominal massage treatment reaches the middle-aged woman's body ingredient transformation)

  • 김연숙
    • 한국생활과학회지
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    • 제17권6호
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    • pp.1225-1236
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    • 2008
  • The purpose of this study is to determine the effect of aromatherapy, showing how the composition handling of aromatherapy and abdominal massage treatment reaches body ingredient transformation. The subjects for this research were total 18 middle-aged females in Seoul; aroma massage group of 7 females, aroma inhalation and water bathe group of 5 females, abdominal massage group of 6 females by jojoba oil without any medical effect. This clinic trial was held from July 1, 2008 to Aug.14, 2008. I held this clinic trial under the same condition after and before this clinic. A standard tape and OLYMPIA 3.5 of S hospital were used at the body measuring for subjects after and before clinic trials. I got Average and standard deviation by data analysis by SPSS Win. Ver.14.0. I did paired t-test for the comparison of before and after, and repeated measure ANOVA for between two groups or among three groups'. The verification was held Duncan Test. The results of this study were as follows: 1. Body mass quotient (F=2.86, p= .063) and Body region (F=1.34, p= .279) among three groups showed no meaningful difference, but weight meaningful difference and aroma massage group showed the greatest difference of body measure change quantity. 2. In change quantity of abdomen girth, Waist circumference and WHR, abdomen girth (F=4.56, p= .012) and Waist circumference (F=4.37, p= .031) showed a meaningful statistical difference. The result of subsequent inspection showed that there was a meaningful difference among three groups and aroma massage group was best. 3. In Cell quantity, Body region quantity and Muscle volume, Body region quantity (F=2.76, p= .182) and Muscle volume (F=3.12, p= .054) showed no difference, but Cell quantity (F=3.79, p= .040) showed a meaningful difference. In the comparison of three groups there was no difference, but aromatherapy group showed more change quantity than any other group. According to the result of this study, the composition handling of aromatherapy and body massage was effective in the decrease of Abdominal fatness and Waist circumference, Weight and the increase of Cell quantity. so I suggest that woman use this therapy in the program of obesity management for her health improvement.

한국 중년 성인의 이상지질혈증과 관련된 건강행태 및 영양상태 비교 - 2007~2010 국민건강영양조사자료 이용 - (Comparison of Health Behaviors and Nutritional Status related to Dyslipidemia in Korean Middle-Aged Adults - From the Korean National Health and Nutrition Examination Surveys, 2007~2010 -)

  • 신명곤;윤기홍;송미영
    • 한국식품영양학회지
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    • 제29권5호
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    • pp.724-734
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    • 2016
  • The purpose of this study was to determine the health behaviors and nutritional status related to dyslipidemia in Korean middle-aged adults (between 50 and 64 years old) from the Korean National Health and Nutrition Examinations Survey data (2007~2010). A total of 4,721 subjects were analyzed in this study. The subjects were divided into three groups (normal, borderline, and dyslipidemia) according to serum lipid levels. Parameters included in this study were drinking and smoking, anthropometric parameters, blood and nutritional parameters. The latter parameter included food/nutrients intake. All data was adjusted by sex, region, education level, and age. General linear model and logistic regression model were used for statistical analysis. The dyslipidemia group was comprised of more men than women. By contrast, the borderline group was comprised of more women than men (p<0.001). No significant differences were observed for other general characteristics. There were more smokers and drinkers(drinking per time) in the dyslipidemia group (p<0.05). Anthropometric data showed significant difference, ie, height (p<0.05), weight, body mass index, waist circumference, percent body fat, and blood pressure were higher in the dyslipidemia group (p<0.001). Only blood urea nitrogen showed no significant difference among groups. The HbA1c (p<0.01), fasting blood glucose, GOT, GPT, creatinine levels were higher in the dyslipidemia group (p<0.001). So it is required for the management of obesity in dyslipidemia group. The dyslipidemia group ate less sea food (p<0.05). The nutrients intake of energy and protein, thiamin, riboflavin, niacin, calcium, phosphorus were lower in the dyslipidemia group (p<0.05). Therefore, to lower dyslipidemia prevalence rates, it is necessary to increase the intake of foods containing ${\omega}-3$ fatty acids. We also suggest a meal management program and nutritional education to recognize the risk of dyslipidemia, especially for people such as the individual in the borderline and dyslipidemia study groups.

하타요가 운동이 비만중년여성의 신체조성, 혈청지질 및 건강체력에 미치는 영향 (Effects of Hatha Yoga Exercise on Body Composition, Serum Lipids, and Health-Related Fitness of Obese Middle-Aged Women)

  • 김도연;이정아;양점홍
    • 생명과학회지
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    • 제21권4호
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    • pp.521-528
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    • 2011
  • 본 연구는 체지방률이 30% 이상인 비만중년여성 18명을 대상으로 하타요가 운동이 체조성과 혈청지질 및 건강체력에 미치는 효과와 내장지방에 영향을 미치는 요인을 규명하기 위하여 하타요가 운동을 16주간 운동군과 비운동군으로 나누어 주3회, 80-90% ROMmax, 60분간 실시한 후 운동 전과 후의 신체조성, 내장지방, 혈청지질, 에너지대사 및 건강체력을 측정하여 비교 분석하였다. 본 연구의 결과 운동 후에 하타요가집단은 체중, 체지방률(%BF), 체질량지수(BMI), 허리엉덩이둘레비(WHR) 및 내장지방면적(VFA)이 유의하게 감소하였다. 총콜레스테롤(TC), 중성지방(TG), 저밀도지단백 콜레스테롤(LDL-C), 유리지방산(FFA)은 유의하게 감소하였으나, 고밀도지단백 콜레스테롤(HDL-C)은 유의하게 증가하였으며, 인슐린 저항성지수(HOMA-IR)는 유의하게 감소하였다. 하타요가 집단은 악력, 배근력, 팔굽혀펴기, 윗몸일으키기, 하버드스텝테스트 및 앉아 윗몸앞으로 굽히기는 유의하게 증가하였다. 따라서 장기간의 규칙적이고 지속적인 요가운동이 비만중년 여성의 심혈관질환의 예방에 도움이 되고 비만해소와 대사합병증예방에 긍정적인 효과가 있을 것으로 사료된다.

12주 걷기운동이 비만과 일반 여중생의 건강관련요소, GH, IGF-1 및 leptin에 미치는 영향 (Effects of 12-Week Walking Exercise on Health-related Factors, Growth Hormone, IGF-1 and Leptin in the Obese and the Normal Middle School Girls)

  • 김종원;곽이섭;윤병곤;김도연
    • 생명과학회지
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    • 제19권11호
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    • pp.1644-1650
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    • 2009
  • 본 연구는 운동을 하지 않는 여자 중학생을 대상으로 걷기운동이 체구성, 체력, 심혈관 기능, 혈청지질, GH, IGF-1 및 Leptin에 미치는 효과를 분석하기 위하여 걷기운동을 12주간 수행한 결과 비만집단과 일반집단 모두 체구성, 체력 심혈관 기능, 혈청지질 및 인슐린 인자에서 긍정적인 변화를 보였으며, 특히 비만집단은 체지방의 감소효과가 컸고, 일반집단은 근육량의 향상에 효과가 컸으며, 두 집단 모두 체력요인의 향상이 있었고 심혈관 기능과 혈청지질 및 인슐린 인자의 변화에도 여러 요인에서 유의한 효과가 있었다. 이러한 결과는 청소년시기에 바쁜 생활패턴에서 걷기운동만으로도 여중생의 체구성과 체력을 정상적으로 유지시킬 수 있는 좋은 운동 프로그램이 될 수 있음을 나타내고 있다. 그러나 이러한 긍정적인 변화를 지속시키기 위해서는 올바른 식습관(diet)과 보다 긴 걷기운동시간이 필요하다. 본 실험의 대상자들 또한 실험기간 중 정해진 운동시간외에 개인적 걷기운동량이 하루 15분정도 증가하였다. 운동추후의 연구에서는 운동기간의 증가와 운동 강도의 증가에 따른 지속적인 변화의 분석을 위한 연구가 필요하다고 생각된다.

대사증후군에 대한 사상체질별 허리둘레 및 체질량지수의 절단값에 대한 연구 (Cut-off Values of Waist Circumference and Body Mass Index for Metabolic Syndrome according to Sasang Constitution)

  • 최재완;유준상
    • 사상체질의학회지
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    • 제26권4호
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    • pp.365-378
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    • 2014
  • Objectives This study was performed to investigate the cut-off values of abdominal circumference and Body Mass Index(BMI) according to Sasang Constitution. Methods A total of 1,773 persons, namely 440 male people and 1,333 female people, in ages from 40 to 69 years old, participated in this research. They are all included in the community based Genomic cohort in Wonju in years from 2006 to 2013. The diagnostic criteria of metabolic syndrome was used followed by the National Cholesterol Education Program in Adult Treatment Panel III (NCEP ATP III) and Asian pacific guideline for only abdominal obesity. Results The prevalence of metabolic syndrome was 34.8% for men and 37.6% for women in this research. Taeeumin was the highly significant risk type for the metabolic syndrome in both sexes. Cut-off values of abdominal circumference were 88.3 cm in men, 80.3 cm in women, and cut-off values of BMI were $24.2kg/m^2$ in men and $25.3kg/m^2$ in women. For men, cut-off values of abdominal circumference were 79.5cm in Soyangin, 88.8 cm in Taeeumin and 79.5 cm in Soeumin, and cut-off values of BMI were $23.2kg/m^2$ in Soyangin, $25.6kg/m^2$ in Taeeumin and $20.6kg/m^2$ in Soeumin. For women, cut-off values of abdominal circumference were 76.3 cm in Soyangin, 80.3 cm in Taeeumin and 76.8 cm in Soeumin, and cut-off values of BMI were $22.4kg/m^2$ in Soyangin, $24.9kg/m^2$ in Taeeumin and $21.3kg/m^2$ in Soeumin. Conclusions Although 90 cm in men, 80 cm in women as an Asian pacific guideline were regarded as quite approximate to the mean value of abdominal circumference and $25kg/m^2$ to BMI. But if the results could be allocated in terms of the Sasang constitutional method, the cut-off values for Soyangin and Soeumin should be lowered than now.

(+)-Catechin 가열처리에 의한 항산화 활성물질 분리 및 pancreatic lipase 저해활성 평가 (Isolation of Antioxidative Products and Evaluation of the Pancreatic Lipase Inhibitory Activity of (+)-Catechin via Thermal Treatment)

  • 손아영;이진태;권오준;김태완;김태훈
    • 한국식품저장유통학회지
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    • 제20권2호
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    • pp.242-249
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    • 2013
  • (+)-Catechin을 $121^{\circ}C$에서 0, 1, 2, 3, 6, 12 h 동안 가열처리 하여 각각의 결과물에 대하여 DPPH 및 $ABTS^+$ radical 소거능 및 pancreatic lipase 저해활성을 평가하였다. DPPH 라디칼 소거능은 (+)-catechin의 3 h 가열결과물에서 가장 강한 활성인 $6.3{\pm}0.4{\mu}g/mL$$IC_{50}$값을 나타내었으며 6 h 가열결과물에서 $6.5{\pm}0.3{\mu}g/mL$$IC_{50}$ 값을 나타내었으며, 이들 활성은 (+)-catechin과 비교하였을 경우에도 높은 활성을 나타냄을 확인하였다. 또한 $ABTS^+$ 라디칼 소거능은 (+)-catechin의 3 h 가열결과물에서 가장 강한 활성인 $1.8{\pm}0.1{\mu}g/mL$$IC_{50}$값을 나타내었으며, 3 h 가열반응물로부터 분리한 화합물 중 화합물(1)과 화합물(2)가 이들 활성에 관여함을 시사하였다. 항비만 활성평가에 활용되고 있는 pancreatic lipase를 이용한 효능 평가에서 3 h 반응물의 $IC_{50}$값이 $377.1{\pm}11.1{\mu}g/mL$임을 확인하였고, 가열처리군별 HPLC 크로마토그램 및 상대함량으로 부터 (+)-catechin의 가열처리에 의해서 생성됨을 물질분리를 통해 구조결정한 (+)-epicatechin 및 protocatechuic acid 이외에 pancreatic lipase 저해활성을 나타내는 물질의 존재가 시사되었다. 향후 식품 및 음료에 광범위하게 존재하는 (+)-catechin의 가열조건에 따른 활성변화에 대한 보다 다양한 조건에서의 체계적인 연구가 필요하며 본 연구결과는 화합물의 구조변환을 통한 활성물질 개발을 위한 기초자료로 이용될 수 있을 뿐만 아니라 단일물질의 화학적 변화와 관련된 성분연구에 대한 기초자료로 활용가능하리라 사료된다.

복합운동이 과체중 및 비만청소년의 신체구성, 혈중지질 및 BDNF에 미치는 영향 (Effects of Combined Exercise on Body Composition, Blood Lipids, and BDNF in Obese Adolescents)

  • 신석민;김철형
    • 생명과학회지
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    • 제22권9호
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    • pp.1231-1236
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    • 2012
  • 비만은 여러 가지 질환을 유발하는데 이중에서도 뇌신경세포의 활성 및 생성에도 부정적인 영향을 미치는 것으로 보고되고 있어 이에 대한 추가적인 연구가 필요하다. 본 연구는 과체중 및 비만 청소년의 BDNF 개선을 위한 운동 효과를 검증하고자 12주 복합운동에 따른 신체구성, 혈중지질, BDNF의 변화를 분석하였다. 이를 위해 과체중 및 비만 청소년 18명을 복합운동군 9명, 대조군 9명으로 무선표집하여 연구를 진행하였다. 연구 결과 통계적으로 집단간 차이를 보이며 체중(p<0.01), BMI (p<0.05), 체지방률(p<0.05), 체지방량(p<0.01)이 감소하고, 제지방률(p<0.05)이 증가하였다. 또한 TC와 LDL-C의 평균은 운동군이 대조군보다 더 많은 감소 경향을 나타내었고, HDL-C는 두 집단 모두 감소하는 경향을 보였으나 모두 집단간 차이는 나타나지 않았다. 또한 BDNF의 평균은 운동군이 대조군보다 더 많은 증가 경향을 나타내었으나 집단간 차이는 나타나지 않았다. 본 연구를 통하여 12주 복합운동 프로그램은 과체중 및 비만 남자 청소년의 체중, BMI, 체지방률, 체지방량, 제지방률은 개선시킬 수 있으나 혈중 지질 및 BDNF의 변화에는 영향을 미치지 못하는 것을 알 수 있었다. 본 연구를 통하여 12주 복합운동 프로그램은 과체중 및 비만 남자 청소년의 체중, BMI, 체지방률, 체지방량, 제지방률은 개선시킬 수 있으나 혈중 지질 및 BDNF의 변화에는 영향을 미치지 못하는 것을 알 수 있었다.

비만 중.고등학생의 스트레스와 대처방법에 관한 연구 (Study on the Obese Students' Stress and Coping Method in Middle and High Schools)

  • 김이순
    • 지역사회간호학회지
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    • 제12권3호
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    • pp.732-745
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    • 2001
  • This study attempted to identify obese students' stress and coping method in middle and high schools. The data were collected from the total of 600 obese students from middle and high schools in Pusan. The author used a convenience sampling method. The data collection was done from March 2 to April 30. 2001. The analysis of the data was done with SPSS Win(10.0) for descriptive statistics. t-test. and ANOVA. The instrument used for the obese students' stress and coping method was a questionnaire developed by Kim. Yi-Soon and Kim. Young-Hae(200l). The tool was composed of 65 items (33stress items: 32coping method items) with the five-point Likert scale. The results were as follow: 1. The average score of stress was 2.49 (SD = .86) points in the male students. and 2.83(SD= .86) points in the female students. The subcategories were: (outward appearance), (boyfriend/girlfriend), (occurrence of an outbreak of a disease), (relationship within the family), (an obese appearance), (difficulty in exercise). The highest degree of stress came from 'an obese appearance' for the male students (mean=2.64. SD=0.87) and (mean=2.64. SD=0.87) for the female students. 2. The subcategories of the coping method were: (be concerned about other matters), (recreation activities), (self-violence), (relaxation), (hobby activities), (avoid a situation), (communication), (music), (negative behavior), (positive thinking). The highest degree of coping method were (recreation activities) in the male students (mean=3.07. SD=0.86) and (music) in the female students (mean=3.47. SD=1.01). 3. The results comparing stress with demographic variables were significant for gender (t=7.010. p=0.000). grades at school (F=2.918. p=0.02l), degree of obesity (F=5.205. p=0.006). grades (F=2.550. p=0.027). standard of living(F=8.277. p=0.000). the state of health (F=2.882, p=0.022), relationship with the father (F=4.790, p=0.001), relationship with the mother (F=6.080, p=0.000), and the educational level of the father (F=3.192, p=0.013). 4. The results comparing the coping method with demographic variables were significant for gender (t=4.597. p=0.000). These findings contribute to the understanding of the degree of stress and the type of coping methods of obese students in middle and high schools. Therefore, the result of this study aids in an effective nursing intervention to improve the mental health program for the obese.

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