• The Journal of Korean Medicine
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• v.24 no.1
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• pp.122-132
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• 2003

Objectives: To effectively improve the treatment of obesity through oriental medicine and to prepare basic material for proper classification of different types of obesity. Methods: After deciding on four types of obesity based on 'DongYiBaoJian', a questionnaire consisting of 38 items was constructed to decide to which type an individual belonged. 212 women were asked to the complete the questionnaire. To verify that the cluster of four types of obesity was acceptable, a cluster analysis and a factor analysis were conducted as well as an evaluation on the distinction of each type. Also, a canonical discriminant analysis was done to categorize the individuals into one of four types of obesity. Results: 1. Developed a reliable questionnaire consisting of 38 items for the purpose of classifying four types of obesity. 2. Obesity types were divided into four groups. Type I was designated as GanChengPi (肝乘脾類型), Type II as PiWeiJuWang(脾胃俱旺類型), Type III as PiWeiJuXu (脾胃俱虛類型), and Type IV as Tan TanYin(痰飮類型). These types were verified and classified through the use of a cluster analysis as well as a factor analysis (p<0.05). 3. By the use of a questionnaire, four types of obesity were correctly classified with a hit ratio of 87.3%, 40.64% higher than the maximum chance criteria (Cmax) in unselected grouped. The hit ratios for obesity types I, II, III and IV were 93.3%, 93.3%, 78.6% and 50%(p<0.05). Conclusion: Further clinical research is necessary into the four types of obesity explored. By analyzing various test results, characteristics these types should be further explored.

• The Journal of Korean Medicine
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• v.25 no.1
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• pp.172-187
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• 2004

Objectives : To characterize four types of obesity and to effectively improve the treatment of obesity through Oriental medicine Methods : At 00 Oriental Medical Center, 203 female subjects who intented to lose weight were requested to complete a questionnaire. These participants were also given physical tests. The Questionnaire consisted of questions both about general life style and obesity in oriental medicine framework. The physical tests were blood tests, a body composition via Inbody 2.0, and physical strength tests. One-way analysis of variance was done to compare the means of items and physical tests between four types of obesity. Duncan was used by post hoc test. Results : 1. Significant differences between obesity type III and obesity type IV in ever tried to lose weight, childhood obesity and excercise times were observed in the questionnaire of general life style(p<0.05). 2. Ducan test showed significant differences between four obesity types in diseases (p<0.05). 3. Significant differences between four obesity types in height, % body fat muscular endurance, soft lean mass, fat mass, Trigliceride, Total cholesterol and ${\gamma}-GTP$ were observed (p<0.05). Conclusions : Further clinical research is necessary in the four types of obesity explored. The diagnosis and treatment based on these types should be further studied.

• The Journal of Korean Medicine
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• v.27 no.2 s.66
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• pp.145-154
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• 2006

Objectives : Methods to evaluate obesity are growing to be important in studying links between health and disease. Physicians are using BMI (body mass index) to evaluate obesity, but they can't know how much fat the body has by using that method. Even though there are several assessments, there are different scales, so patients are diagnosed as obese, by some but not by others. These studies are limited in evaluating obesity; it is necessary to study based on new knowledge. According to Oriental Medical Theory, obese people are categorized into 3 types, Fei, Kao and Liu Ren. They have different pathology and body shapes than non-obese people. The relationship between Oriental Medical Theory and BMI and assessment of body fat is a fundamental need to easily approach and treat obesity. Methods : At 00 Oriental Medical Center, 145 female subjects who intended to lose weight were given physical tests and grouped into 5 types of obesity. The physical tests were height measurement, BMI, body composition (body fat mass and lean body mass), skin elasticity and physical strength tests. One-way analysis of variance was done to compare the means of physical tests between the five types of obese women. There was some relationship between characteristics of the five types based on physical tests and Fei, Kao and Liu Ren based on Oriental Medical Theory. Least significant difference (LSD) was used in multiple comparisons. Results : 1. According to the skin elasticity test, obesity type 5 placed between obesity types 3 and 4 and obesity types 1 and 2. Obesity types 3 and 4 were in the low skin elasticity result group; obesity types 1 and 2 were in the high ones (p<0.1).Based on Oriental Medical Theory, Fei Ren and Kao Ren can be distinguished by skin elasticity degree. This result should form the basis of obesity diagnosis. 2. According to Oriental Medical Theory, Fei Ren is smaller than others. Based on height measurement, obesity types 3 and 4 were significantly lower than other obesity types (p<0.1), so there is a relationship between Fei Ren and obesity types 3 & 4. 3. There were significant differences between obesity type 2 and obesity type 4 in the body fat mass result (p<0.1). This study did not have large enough a sample size to distinguish Liu Ren. Conclusions : Further clinical research is necessary to study measurement methods of body shape type and skin elasticity for distinguishing Fei Ren from Kao Ren. The diagnosis and treatment based on the relationship of these types should be studied further.

• Journal of Korean Medicine for Obesity Research
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• v.9 no.2
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• pp.21-32
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• 2009

Objectives Identification of individuals predisposed to obesity is an important issue for prevention and control of the obesity. It was reported that a high prevalence of obesity appeared in Taeumin among Sasang constitutions, but Enneagram personality-types has not been used to classify the patterns of obesity. These two classification methods were employed in combination in the current study, and it was analyzed whether the morbidity pattern of obesity can be characterized in further detail. Methods The subjects were 125 University students(62 males and 63 females) who answered both questionnaires for Sasang constitutions and Enneagram personality types. The obesity of students was classified by the obesity index and BMI. Results Only Taeumin group of Sasang constitutions was overweight, and the male of the group was overweight or obese. Analysis of the obesity index and BMI according to the Enneagram personality types showed significant differences(p<.05) between the types in the female group. These values were highest at the type 3 and lowest at the type 4. The physical indices according to both the centers of Enneagram and Sasang constitutions showed that only Taeumin female group had significant differences(p<.05) in the obesity index and BMI. Taeumin male group was overweight or obese in all centers of Enneagram and Taeumin female group was overweight or obese only in heart-center. Conclusions Diagnosis of the present data suggest that the classification of obesity patterns using Enneagram personality types in addition to Sasang constitutions is very useful to prevent and control the obesity.

• Fashion & Textile Research Journal
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• v.21 no.5
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• pp.677-686
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• 2019

This study helps out-size consumers purchase ready-made clothes and improve fitness by classifying the lower bodies of abdomen-obese adult males in their 20s and older; in addition, it creates a size system based on each size interval of obesity type. The criteria for the 559 male subjects surveyed in this study were over $25kg/m^2$ of BMI, over 90 cm of waist, and over 0.85 waist hip ratio. The results are as follows. First, the higher the age group, the higher the degree of abdominal obesity in each age group. The degree of obesity then decreases somewhat as their age increases; however, the risk of abdominal obesity also increases. Second, 3 clusters were categorized by cluster analysis, into abdominal obesity, larger oval-type, trapezoid-type and small cylinder-type. Third, the size system establishment according to lower-body types resulted in basic body sizes and reference body sizes being different according to types even in commonly-appeared size names in the sections of respective types. The above research findings show it is necessary to understand obesity types according to waist and hip sizes that represent basic sizes and to design patterns in consideration of the characteristics of obese body shapes when lower-half body clothes are designed among obesity groups.

• Fashion & Textile Research Journal
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• v.11 no.6
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• pp.904-910
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• 2009

The aim of this study is to help out-size consumers purchase the ready-made clothes and improve clothing fitness by classifying the lower bodies of abdomen-obese adult males and by setting up some size system according to each size interval of obesity types. The including criteria for subjects in this study was over 25 kg/$m^2$ of the BMI, over 90 cm of waist, and over 0.85 of WHR, and a total of 538 adult males satisfying them were enrolled. Results are as follows; 1st, the higher the age bracket was, the more increase in each age bracket's lower-degree obesity rate there was along with the more decrease in moderate-degree, while the higher the age bracket was, the more increasing tendency toward each age bracket's abdominal obesity there was. 2nd, 3 clusters were categorized by cluster analysis, into abdominal obesity, high-degree-type, trapezoid-type and cylinder-type. And 3rd, as a consequence of size system establishment according to lower-body types, the basic body sizes and reference body sizes were different according to types even in commonly-appeared size names at sections of respective types. The research findings above suggests that it is necessary to figure out the obesity types according to waist and hip sizes representing basic sizes and to design the patterns in consideration of the characteristics of obese body shapes when lower-half body clothes are designed among obesity groups. And it may be used as a basic data to decide the desirable output of production according to respective body types.

• Fashion & Textile Research Journal
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• v.25 no.5
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• pp.615-625
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• 2023

This study aimed to analyze the characteristics of the lower-body shape of middle-aged males with abdominal obesity by type and consider dimensional distribution to present a suit-pants size. The criteria were having a waist circumference greater than 90 cm and a waist-to-hip ratio(WHR) greater than 0.90; a total of 566 middle-aged males were surveyed. The findings revealed that, first, compared to standard lower-body types, the average body size of abdomenobese middle-aged males was significantly larger, especially in the horizontal area than in the vertical ares. Second, through a cluster analysis, a total of three categories of abdominal obesity were defined: small oval, large cylinder, and trapezoid type. The coverage rates of each type were 93.8%, 75.9%, and 93.0%, respectively. Finally, the suit-pants size system established according to lower-body types indicated the basic body size and reference body size were different for each type and also for the KS K 0050 male adult's garments size system. According to the definition of abdominal obesity, the types of abdominal obesity and the dimensions of each area are different, even if they belong to the same obesity group, suggesting that it is necessary to develop a pattern based on the analysis of obesity types.

• Journal of Sasang Constitutional Medicine
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• v.34 no.3
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• pp.41-49
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• 2022

Background Abdominal obesity, a major public health concern, is related to many health problems. In addition, it is influenced by individual characteristics. We investigated sleep quality and physical activity (PA) as risk factors for abdominal obesity, according to the Sasang constitutional medicine. Methods In this cross-sectional study, we analyzed data from 5,221 community-based participants. Sleep quality and PA were measured using structured questionnaires, and abdominal obesity was classified according to waist circumference. Sasang constitution (SC) was classified as Taeeumin (TE), Soeumin (SE), or Soyangin (SY) type, using an established SC questionnaire. Chi-square test and logistic regression analysis were performed to access the association of sleep quality and PA with abdominal obesity in individuals stratified according to the SC types. Results The percentage of poor sleep quality and inactive PA was the highest in the SE type, and the higher prevalence of abdominal obesity was found in the TE type. After adjusting for variables, inactive PA was associated with abdominal obesity in the TE type (OR=1.694, 95% CI=1.42-2.021), and in the SE type, abdominal obesity was associated with poor sleep quality (OR=1.688, 95% CI=1.091-2.611) and low PA (OR=2.127, 95% CI=1.163-3.89). Moreover, the combination of these two factors were also significantly associated with abdominal obesity in the TE and SE types. Conclusion Abdominal obesity was associated with sleep quality and PA, and these results were different in each SC type. Taking various associated lifestyles and individual characteristics in consideration may contribute to better management of abdominal obesity in clinical practice.

• Journal of Korean Medicine for Obesity Research
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• v.5 no.1
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• pp.109-119
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• 2005

Objective : The purpose of this study was to evaluate the effectiveness of obesity management program on height and body Composition and its correlationship with constitution types, obesity grade, and the frequency of attendance among the elementary school student. Methods : The subjects consisted of 75 elementary school student who participated in the obesity management program and got the constitution type test and height and height-body composition test(2 times). The program contained proper lifestyle education, dietary education, exercise and so on once a week for nine weeks. The data were analyzed with SPSS 12.0 for Windows. Results : Height and body composition were significantly improved at the post-test. Among constitution types, obesity grade, and the frequency of attendance, obesity grade by BMI was correlated with the change of height and body composition. Conclusion : These results provides evidence that obesity management program is effective in improving height and body composition for elementary school student.

• Health Policy and Management
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• v.30 no.3
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• pp.345-354
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• 2020

Background: This study purposed to examine the difference in the prevalence of obesity at each stage among people with and without disabilities considering the severity and type of disability. Methods: The study targeted a total of 1,315,967 people, including 68,418 disabled and 1,247,549 non-disabled, who completed the national health screenings. Logistic analysis and average marginal effect analysis were conducted in three stages (pre-obesity, obesity, severe obesity). Those analyses were conducted considering the severity and type of disabilities. Results: People with disabilities were more likely to be at all stages of obesity than non-disabled people. In severely disabled people, the probability of obesity was higher than non-disabled people at all stages of obesity, but mildly disabled people had a higher only in the severe obesity stage, no difference in obesity stage, and a low in the pre-obesity stage. In physical and mental disabilities, the probability of obesity was higher than non-disabled people at all stages of obesity, but external physical function and internal organs disabled had a lower in the obesity and pre-obesity stage, and no difference in severe obesity stage. Conclusion: This study found that people with disabilities had a higher relationship with obesity than people without disabilities. In addition, severity and types of disabilities have different effects on the stage of obesity. Therefore, it is necessary to care about the health inequality and health of disabled people considering their severity and types of disabilities.