• 대한지역사회영양학회:학술대회논문집
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• 대한지역사회영양학회 2005년도 10th Anniversary International Symposium
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• pp.66-66
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• 2005

• 한국식품영양학회지
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• 제14권2호
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• pp.113-119
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• 2001

1. 수축기 혈압은 운동을 하고 있는 군에서 약간 낮았으나 이완기 혈압은 유의성 있는 차이를 보이지 않았다. 운동을 하고 있는 여대생의 경우 체지방량이 낮게 나타난 반면 제지방량은 변화가 없어 운동 여부에 의한 차이가 거의 보이지 않았다. 또 혈중 포도당 함량은 규칙적인 운동을 하고 있는 여대생에서 다소 높은 수준이었다. 2. 체지방율은 지속적인 운동을 하고 있는 여대생에 서 유의성은 없었지만 약간 낮았으며 혈청 총 콜레스테롤과 중성지방의 농도 역시 유의성 있게 낮게 나타났다. HDL 콜레스테롤 농도는 두 군 모두 거의 비슷한 수준으로 군간에 뚜렷한 차이를 보이지 않았던 반면 LDL 콜레스테롤의 경우 운동에 의해서 유의성 있게 낮게 나타났다. 따라서 규칙적인 운동에 의해서 HDL-Chol/Total-Chol 비율은 증가되었으며 LDL-Chol/HDL-Chol의 비율은 낮았다. 3. 혈액중 지단백질의 상대적인 분포는 HDL(%)의 경우 지속적인 운동을 하고 있는 여대생의 경우 일반 여대생에 비해 거의 차이가 없었고 LDL(%)는 유의성 있게 낮았던 반면 VLDL( %)는 오히려 높게 나타났다. Plasma의 지방산 조성중 포화 지방산 함량은 운동을 하고 있는 여대생에서 약간 높았지만 다가 불포화 지방산 함량은 같은 수준으로 두 군간에 차이를 보이지 않았다.

• Journal of Nutrition and Health
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• 제43권3호
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• pp.260-272
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• 2010

This study examined how the participation rates contribute to subjects' outcomes after a nutrition education (once/week) and exercise (3 times/week) intervention program for 12 weeks in 44 obese female subjects. The subjects were divided into two groups: high-participator (HP) or low-participator (LP) groups according to their participation levels based on the median visit value (30 visits out of a total of 48 visits). Daily nutrient intakes assessed by a 24-hour recall, body composition, blood lipid profiles and physical fitness were measured at baseline and after 12 weeks. After the intervention, weight, BMI, percent body fat, and the waist-hip ratio were significantly decreased in the HP group. In addition, the HP group had a greater rates of changes in weight (HP group: -6.6% and LP group: -3.1%, p < 0.01), BMI (-7.0% and -3.2%, p < 0.01), percent body fat (-7.8% and -4.2%, p < 0.05), and waist-hip ratio (-3.1% and -0.4%, p < 0.01) compared to the LP group. Energy-adjusted protein, fiber, potassium, vitamin $B_1$, vitamin $B_6$, and vitamin C were significantly increased in the HP group. The HP group showed a significant increase in HDLcholesterol and a decrease in blood pressure, total cholesterol, LDL-cholesterol, triglycerides, and atherogenic index (AI). While the muscle endurance, muscle strength, power, agility and flexibility were significantly increased in the HP group, agility and balance were improved in the LP group. In addition, dietary behavior score was significantly increased and stress score decreased in the HP group compared to the LP group. High participation rates were correlated with the improvement of the nutrient density (protein, fiber, potassium, Vitamin $B_1$, Vitamin $B_2$, Vitamin $B_6$ and folate), anthropometric parameters (body weight, BMI and percent body fat), serum lipid profiles (HDL-cholesterol, Triglyceride, and AI) and physical fitness (muscle endurance) adjusted for age, menopausal status, alcohol drinking, nutritional supplement use and baseline BMI. Our results suggest that high participation in nutrition education and exercise program was effective not only for weight reduction but also for the improvement of physical fitness in obese women.

• 대한지역사회영양학회지
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• 제11권1호
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• pp.52-62
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• 2006

This study was conducted to investigate dietary macronutrient and $VO_{2}$ by BMI The subjects consisted of 50 female college students. They were divided into three groups: Below BMI 18.5 kg/$m^{2}$ (n = 9), BMI 18.5 - 23 kg/$m^{2}$ (n = 28), above BMI 23 g/$m^{2}$ (n = 13). Health-related questionnaires, dietary macronutrients, macronutrient compositions, food frequency questionnaires, body compositions and $VO_{2}$ were studied. Macronutrient compositions that macronutrient intakes were expressed by the percentage of daily energy intakes. There were significant differences in body fat, percent of body fat, and fat distribution by BMI Also, significantly increasing of basal metabolic rate (BMR) was shown by BMI, but BMR per body weight was decreased by BMI Overall, there were no significant differences in health-related questionnaires, food frequency questionnaires (FFQ), dietary macronutrients and $VO_{2}$ by BMI but salty taste preferences and carbohydrate intakes, FFQ of beans, white vegetables rand, yellow-green vegetables in the above BMI 23 g/$m^{2}$ group were significantly higher than other groups. There were no significant differences in macronutrient composition but the lipid composition of subjects was shown above $20\%$. Also, energy intakes of subjects were shown to be low; especially the below BMI 18.5 kg/$m^{2}$ group was very low ($55\%$ of RDA). Significantly positive correlation was found in BMR and body composition such as skeletal muscle & lean body mass, but significant correlation was not found in BMR and dietary macronutrients. Overall, researched energy metabolism factor was not different by BMI Only in the BMI 18.5 23 kg/$m^{2}$ (normal) group, significantly positive correlation was found in $VO_{2}$peak and body fat oxidation. Therefore, proper nutritional education for female college students is needed in order to improve their obesity-related health. Moreover, a nutritional survey method of finding diverse factors that affect their health should be developed to meet various needs.

• 대한의생명과학회지
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• 제16권3호
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• pp.169-177
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• 2010

Osteoporosis is a disease that increases the fracture rates and a major cause of increased mortality and morbidity in the elderly people. This study is to determine which components of body composition and metabolic syndrome risk factors are important to bone health, we analysed the relationship among bone mineral density (BMD), body composition and metabolic syndrome risk factors in females. Totally 630 females participated in a medical check-up program (mean age 47 years) were selected for this study. Body composition analysis was performed by segmental bioelectrical impedance method, muscle mass, and percent body fat were measured. We also measured metabolic syndrome risk factors including abdominal obesity, HDL-cholesterol, triglyceride, blood pressure and fasting glucose level. Metabolic syndrome was defined by NCEP-ATP III criteria. The lumbar spine and femoral neck BMD were measured using the dual energy X-ray absorptiometry. Osteopenia and osteoporosis were observed in 180 and 51 persons, respectively. Muscle mass and HDL-cholesterol decreased in osteopenia and osteoporosis groups compared to the control group, and the grade was shown progressively by the symptoms. Significant positive correlation between BMD and muscle mass was observed. Multi variable regression analyses showed that % body fat and muscle mass were independent predictors of BMD after adjustment of age, height and weight. In conclusion, the BMD showed negative correlation with the metabolic and body composition was associated with BMD.

• 지역사회간호학회지
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• 제27권3호
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• pp.231-241
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• 2016

Purpose: This study was conducted to examine effects of sarcopenic obesity on metabolic syndrome in Korean elders. Methods: This study is based on the analysis of the Korea National Health and Nutrition Examination Survey (KNHANES) with 1,155 subjects (524 men, and 631 women) aged 60 or older, from 2008 to 2011. Sarcopenia was defined as an appendicular skeletal muscle (ASM), divided by weight (%) of <1 SD (standard deviation) below the sex-specific mean for young adults. Obesity was defined as a total body fat percent (men${\geq}$25%, women${\geq}$35%). Results: The prevalence of SO (sarcopenic obesity) was 13.3% among men and 22.5% among women. Both sexes showed a higher total body fat percent, and the SMI (skeletal muscle index) was the lowest in the SO group. Metabolic syndrome was highly prevalent in the SO group (52.5% men, 60.4% women). The SO group showed a higher risk for metabolic syndrome (odds ratio men 6.57 [95% CI 5.19~7.27], women 3.89 [95% CI 2.41~6.29]) than the obese group (men 3.14 [95% CI 1.76~4.14], women 2.54 [95% CI 1.38~4.65]). Conclusion: SO is a major risk factor for metabolic syndrome in Korean elders. Therefore, a nursing program should be given to the Korean elderly SO group to prevent metabolic syndrome.

• 기본간호학회지
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• 제16권1호
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• pp.14-20
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• 2009

Purpose: The purpose of this study was to identify how accurately body mass index (BMI) and waist circumference (WC) detect obesity in young adult women. Method: Measurements of height, weight, WC, and percent body fat (% BF) were obtained and bioelectrical impedance analysis was used to estimate body fat in 329 female college students. The sensitivity and specificity to screen obesity by BMI and WC were determined using SPSS. Received operating characteristic (ROC) curve analysis was used to assess the appropriate BMI and WC predicting % BF. Results: % BF-defined obesity $(\geq30%)$ had higher prevalence than BMI-defined obesity $(\geq25kg/m^2)$ and WC-defined obesity $(\geq80cm)$. BMI $\geq25kg/m^2$ and WC $\geq80cm$ had high specificity (both, 100%), but low sensitivity (respectively, 13.5% and 22.9%) in detecting % BF-defined obesity. The BMI and WC cutoff values corresponding to % BF-defined obesity were 21.2kg/$m^2$ and 73cm, which were lower than recommended reference values for Korean women. These values decreased specificity but increased sensitivity to detect obesity. The areas under the ROC curve were good (0.84, 0.86) for BMI and WC. Conclusion: BMI and WC have good specificity but miss more than $77\sim86%$ of people with excess fat. Therefore, BMI and WC cutoff values need to be revised and body fat should be considered when screening for obesity in young adult women.

• 대한임상검사과학회지
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• 제50권3호
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• pp.297-303
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• 2018

본 연구는 대사성질환 관련 위험 인자를 가지고 있는 제주 지역주민을 대상으로 마을 기반 건강프로그램의 효과성을 입증하기 위해 수행되었다. 50명의 실험군은 BMI가 25 이상인 지역주민으로 3주 동안 고유수용성신경근촉진(PNF) 트레이닝과 스트레칭을 포함한 운동요법 7회, 영양관리 식습관 개선을 위한 쿠킹테라피 프로그램 4회 그리고 대체의학활용 프로그램인 힐링터치 마사지 프로그램 3회의 건강중재프로그램에 참여하였다. 건강프로그램 중재의 효과성 평가를 위해 프로그램 중재 전과 후에 체 성분, 혈액의 지질 프로파일, 혈당 및 허리둘레를 측정하여 비교하였다. 건강프로그램 중재 후에는 중재 전에 비해 TC, HbA1C, 이완기혈압, 체지방 그리고 허리둘레가 크게 감소하여 거의 정상수치가 되었고 특히 HbA1C, 체지방 그리고 허리둘레는 유의한 수준으로 감소 (P<0.001)되었다. 그러나 반대로 건강프로그램 중재를 받지 않은 대상군의 경우 HbA1C, 체지방 및 허리둘레가 유의한 수준으로 증가 (P<0.001)하는 부정적 결과를 보였다. 이상의 결과로부터 대사성질환 관련 인자들은 건강프로그램의 중재로 개선되어 호전될 수 있음을 알 수 있었다. 본 연구에서는 건강중재프로그램인 운동과 쿠킹테라피 효과를 구분하여 조사하지는 않았지만 3주간의 단기간에 보여진 효과가 두 가지를 병행해서 수행함으로써 나타난 결과임을 암시하며 식사조절과 운동을 병행하는 것이 대사성질환 개선에 보다 효과적임을 제시하고자 한다.

• 한방재활의학과학회지
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• 제30권1호
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• pp.105-113
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• 2020

Objectives Excess weight and obesity are a crucial public health problem worldwide and are considered as the main cause of many chronic diseases. The present study evaluated the effects of Aronia melanocarpa extract (AMEX) supplementation on body compositions in overweight or obese people. Methods This randomized, double-blind, placebo-controlled clinical trial was carried out on 66 healthy overweight or obese peoples. The eligible subjects were divided into AMEX and placebo supplement treatment for 12 weeks. Anthropometrics, body composition (dual-energy X-ray absorptiometry), and blood analysis were performed preand post intervention. Results We observed significant reductions in the body weight and body mass index in both groups; however, the decrease was higher in the AMEX group. Body fat mass and percent body fat showed a tendency to decreases after AMEX supplementation. No clinically significant changes were observed for any safety parameter. Conclusions In conclusion, the data of this trial indicate that AMEX were not effective in reducing body compositions, but as a safe supplement, it may help weight loss in overweight or obese people.

• 혜화의학회지
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• 제9권1호
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• pp.503-511
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• 2000

This case study was done on a 37 year old female patient at the department for rehabilitation in Bundang Cha Oriental hospital who was treated for 70 days by traditional Acupuncture and Herbal medicine therapy as well as fasting with saengshig(生食), air bath(風浴) and cold-hot-bath(冷溫浴) for skin revitalisation, furthermore by Doinangyo and exercise for improvement of general condition and colon-hydrocleansing. The results are as following: 1. The body weigth was reduced by 14.5kg from 87.4kg to 72.9kg 2. The obesity degree reduced from 159% to 133% 3. The BMI reduced from 33.3 to 27.8 4. The WHR reduced from 0.96 to 0.88 5. The amount of body fat reduced by 7.7kg from 27.2kg to 19.5kg 6. The fat distribution of the abdomen reduced from 0.92 to 0.85 7. The percent body fat was reduced from 31.1% to 26.7 % 8. Except of a mild systemic pruritus the clinical symtoms like kneepain, fatigue, chilling, headache, indigestion, menorrhalaia improved significantly.