• 제목/요약/키워드: obesity.

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비만 기전에 관여하는 칠정(七情)에 대한 벡터적 연구 (The Study on the Physical Vectors of the Seven Passions in the Pathophysiology of Obesity)

  • 곽승혁
    • 한방비만학회지
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    • 제6권1호
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    • pp.45-50
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    • 2006
  • Objectives : The purpose of this study is to analyze the seven passions in terms of physical vector, and to understand the point of actions and directions. The result of this study will help us understand the aspect that the seven passions result in obesity and contribute in finding effective treatments. Methods : The characters of each seven passions were identified according to ${\ulcorner}$Hwangjenaekyung-Huangdineijing${\lrcorner}$. Results and Conclusions : 1. Each of the seven passions differs individually in physical characters in terms of points of actions and directions. 2. As the vector points of each seven passion work closely to digestive metabolism, and if the directions of vector clash into normal physiology, huge effects on obesity can be brought about. 3. Obesity, as a pathological situation, can be approached by canceling out all the vector elements of the seven passions. Here, the vector elements are basically regarded as the sources of obesity. 4. Psychological models of obesity can be applied for prevention and treatment.

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날트렉손/부프로피온 복합제 및 여러 기전의 약물을 이용하여 비만과 동반 대사질환을 치료한 고도비만환자 (Morbidly Obese Patients Treated Obesity and Metabolic Diseases Using Naltrexone/Bupropion Extended Release and Other Drugs of Various Mechanisms)

  • 조수현
    • 비만대사연구학술지
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    • 제1권2호
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    • pp.83-88
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    • 2022
  • Obesity increases the risk of developing metabolic diseases such as hypertension, type 2 diabetes, hyperlipidemia, and cardiovascular diseases, as well as some cancers. To prevent the occurrence of these diseases and death, it is essential to manage obesity. Though there are several treatments for obesity, lifestyle interventions, such as diet and exercise, and drug therapy are most widely used in clinical practice. Among the anti-obesity drugs available, the weight loss effect of naltrexone/bupropion has been well-proven. We present a case study in which naltrexone/bupropion, a glucagon-like peptide-1 agonist, and a sodium-glucose transporter 2 inhibitor showed significant weight loss and improved metabolic parameters. Additionally, the management of type 2 diabetes and hypertension, which are common diseases in patients with obesity, was also included.

수술 후 갑상선기능저하가 동반된 고도비만환자의 펜터민염산염/토피라메이트의 저용량 오프라벨 사용 (Low-Dose Off-Label Use of Phentermine/Topiramate in the Individual with Morbid Obesity and Postoperative Hypothyroidism)

  • 박정하
    • 비만대사연구학술지
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    • 제1권1호
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    • pp.43-45
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    • 2022
  • Intensive lifestyle modifications and anti-obesity medications are essential for obesity treatment. Antiobesity medications should be selected according to the patient's comorbidities, symptoms, and preferences. This case report describes the treatment of a morbidly obese patient with a history of depression, who complained of tingling and numbness after total thyroidectomy for papillary thyroid cancer. Very low-dose controlled-release phentermine/topiramate was prescribed and intensive lifestyle modifications were encouraged. As a result, the patient effectively lost weight and reached a near-normal weight without adverse drug effects. This implies that even an off-label anti-obesity medication low dose may be better for some patients, and the most important factor in obesity treatment is patient-tailored treatment.

비만 역설-편향 혹은 실제 (Obesity Paradox-Bias or Fact?)

  • 김범택
    • 비만대사연구학술지
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    • 제1권1호
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    • pp.33-38
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    • 2022
  • Although it has been confirmed that excessive body fat increases health risks and all-cause mortality, several epidemiological studies have reported that overweight or obesity in patients with chronic diseases and in older adults is advantageous with respect to mortality. Several mechanisms have been proposed to explain the biological basis of this obesity paradox. The marked heterogeneity of findings observed across studies and the possibility of systematic errors in these studies have cast doubt on the actual existence of the obesity paradox. However, the obesity paradox questioned the validity of body mass index as the best indicator for obesity in terms of predicting its comorbidities and urges clinicians to focus more on changes in body composition and related metabolic derangements, rather than body weight per se.

동반 질환을 가진 고도 비만 환자의 증례: 생활습관 교정이 왜 중요한가? (A Case of Morbid Obese Patient with Comorbidities: Why a Lifestyle Modification is Important)

  • 신은진;이선영
    • 비만대사연구학술지
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    • 제2권2호
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    • pp.64-70
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    • 2023
  • Obesity is a complex multifactorial disease that is associated with various complications, including cardiovascular diseases. The prevalence of obesity among young adult males has increased, and this has increased the prevalence of several comorbidities. This trend was closely linked to lifestyle factors, including heavy drinking, smoking cigarettes, and an imbalanced diet. This emphasized the necessity of lifestyle improvements for effective obesity management. In this case, the comprehensive lifestyle changes and adjuvant medication resulted in weight loss and improvement in several comorbid conditions in a young adult male. The case highlighted the importance of a comprehensive approach to managing obesity. Furthermore, it emphasized the importance of a healthy lifestyle in addressing obesity and its complications.

What is the disease burden from childhood and adolescent obesity?: a narrative review

  • Eun Byoul Lee
    • Journal of Yeungnam Medical Science
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    • 제41권3호
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    • pp.150-157
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    • 2024
  • The prevalence of childhood and adolescent obesity has increased and exacerbated during the coronavirus disease 2019 pandemic, both in Korea and globally. Childhood and adolescent obesity poses significant risks for premature morbidity and mortality. The development of serious comorbidities depends not only on the duration of obesity but also on the age of onset. Obesity in children and adolescents affects almost all organ systems, including the endocrine, cardiovascular, gastrointestinal, reproductive, nervous, and immune systems. Obesity in children and adolescents affects growth, cognitive function, and psychosocial interactions during development, in addition to aggravating known adult comorbidities such as type 2 diabetes mellitus, hypertension, dyslipidemia, nonalcoholic fatty liver disease, obstructive sleep apnea, and cancer. Childhood and adolescent obesity are highly associated with increased cardiometabolic risk factors and prevalence of metabolic syndrome. The risk of cardiovascular and metabolic diseases in later life can be considerably decreased by even a small weight loss before the onset of puberty. Childhood and adolescent obesity is a disease that requires treatment and is associated with many comorbidities and disease burdens. Therefore, early detection and therapeutic intervention are crucial.

DITI로 측정한 비만 환자의 체표 온도 분포 양상 (DITI of the Obesity Patients Compared with Non Obesity Group)

  • 하지연;조정훈;장준복;이경섭
    • 대한한방체열의학회지
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    • 제2권1호
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    • pp.43-48
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    • 2003
  • Obesity is excess body weight, defined as a body mass index (BMI) over 30 kg/m2. or 20% over than relative body weight (RBW). We can consider the surface temperature of obesity patients is related with fat distribution and differs from that of non obesity people. The temperature is measured by using Digital Infrared Thermal Imaging(DITI). DITI was taken on 109 people without any specific disease. Among those subjects, obesity group is 77 and non obesity is 32. We measured the surface temperature by describing regular square on the upper arm, lower arm, palm, upper leg, lower leg, foot, upper abdomen and lower abdomen. The temperature of upper leg, upper abdomen and lower abdomen was low (p<0.001) and that of palm and foot was high (p<0.05) in obesity group. The temperature and the difference of lower arm to palm and lower leg to foot correlated with RBW. These results suggest the surface temperature in obesity group differ remarkably from that in non obesity group.

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한방비만프로그램의 체중감량 경과 관찰 (The Change of Weight Loss of Oriental Obesity Treatment)

  • 이윤재;류은경
    • 한방비만학회지
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    • 제9권1호
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    • pp.53-58
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    • 2009
  • Objectives The purpose of this study was to investigate the clinical effect of oriental medical therapy on obesity and the progress of weight loss through an oriental obesity program. Methods The subjects were treated from January 2008 to February 2009 in J Korean Medical Hospital. Herbal medical Hospital. Herbal medicine, electrolipolysis, auricular acupuncture were performed during the treatment period. We checked the change of weight every treatment time and measured the body composition by bioelectrical impedance analysis(BIA) every 2 weeks. Results The progress of weight loss was steady in the first 4 weeks except for the sixth weight check. After 4 weeks treatment, the weight loss was 3.52${\pm}$1.98Kg and 4.83${\pm}$2.68%. Total fat mass measured by BIA significantly decreased 2.58${\pm}$1.30Kg after 4 weeks. Age and the weight loss were significantly negative correlated. Conclusions Oriental obesity treatment could be effective on obesity, but further studies would be needed for the foundation of a clinical guideline reflecting various factors.

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An Update on Mental Health Problems and Cognitive Behavioral Therapy in Pediatric Obesity

  • Kang, Na Ri;Kwack, Young Sook
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제23권1호
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    • pp.15-25
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    • 2020
  • Prevalence of pediatric obesity has increased worldwide in the last 20 years. Obese children suffer not only physical complications but also mental health problems such as depression, attention deficit hyperactivity disorder (ADHD), and eating disorders, as well as psychosocial impairments, such as school adjustment problems, bullying, and low self-esteem. Recently, there have been some studies on the association of mental health problems and pediatric obesity. In the treatment of pediatric obesity, many previous studies suggest multidisciplinary treatment. However, cognitive behavioral therapy (CBT) has attracted attention because obese children are accompanied by body image distortion, emotion dysregulation, and difficulties in stimulus control. This review is a narrative summary of the recent studies on mental health problems and CBT in pediatric obesity. The relationship between depression/anxiety and pediatric obesity is still inconsistent but recent studies have revealed a bidirectional relation between depression and obesity. Additionally, some studies suggest that obese children may have eating disorder symptoms, like loss of control eating, and require therapeutic intervention for pediatric obesity treatment. Furthermore, impulsivity and inattention of ADHD symptom is thought to increase the risk of obesity. It has also been suggested that CBT can be very effective for mental health problems such as depression, impulsivity, and body image distortion, that may coexist with pediatric obesity, and use of multimedia and application can be useful in CBT.

Effects of Purslane Extract on Obesity and Diabetes in High-Fat Diet-Induced Obese Mice

  • Kang, Kwang-Soon
    • 한국컴퓨터정보학회논문지
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    • 제21권7호
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    • pp.61-66
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    • 2016
  • The frequency of obesity has risen dramatically in recent years but only few safe and effective drugs are currently available. In addition, obesity can induce type 2 diabetes (T2DM), hyperlipidemia and fatty liver disease. Recently, protective effect of purslane extract (PE) on obesity has been reported, but little is known about the role and mechanism of PE in obesity. This study aimed to evaluate the effect of PE on obesity and diabetes in obese mice. In addition, the effect of PE was compared with anti-obesity and diabetes drugs. High-fat diet (HFD)-induced obese mice were treated for 8 weeks with drugs as follows: PE, orlistat, metformin, voglibose or pioglitazone. While PE mixed with normal diet did not have any effects on BW in non-obese mice, PE mixed with HFD significantly reduced BW gain, insulin resistance, and glucose intolerance, without affecting food intake and appetite in obese mice. The effect was comparable to the effects of anti-obesity and diabetes drugs. Furthermore, PE significantly increased the activity of hepatocellular anti-oxidant enzymes, leading to protection of liver from oxidative stress in obese mice. These results suggest that PE treatment may be a useful tool for preventing obesity and complication of obesity.