Effects of Very Low Calorie Diet using Meal Replacements on Psychological Factors and Quality of Life in the Obese Women Aged Twenties

식사대용식을 이용한 초저열량 식사요법이 20대 비만 여성들의 심리적 요인과 삶의 질에 미치는 효과

  • Published : 2007.10.30

Abstract

This study was performed to investigate the effects of very low calorie diet (VLCD) using meal replacements that contain the wild grass extracts based on Samul-tang ingredients on psychological factors and quality of life in the obese women $(BMI{\geq}25kg/m^2)$ for four weeks. Seventy five women $(20{\leq}age<26)$ participated in this experiment. Subjects were randomly classified three groups: 1) General diet group (GD roup, n=27) consumed 3 regular meals within 600 kcal/day 2) Meal replacements group (MR group, n=27) consumed 1 regular meal and 2 meal replacements within 600 kcal/day 3) Herbal Meal replacements group (HMR group, n=27) consumed 1 regular meal and 2 meal replacements within 600 kcal/day. Physical factors (weight, BMI, fat (%)) of the HMR group significantly decreased more than those of GD and MR groups. Moreover, binge eating habit and environmental factors (surrounding support, emotional reaction, expression of opinion) of the HMR group significantly decreased more than those of GD and MR groups. Psychological factor and quality of life were no significant differences among three groups during the experimental period, because both were significantly decreased in all groups after 4 weeks. Therefore, very low calorie diet using meal replacements that contain the wild grass extracts based on Samul-tang ingredients for 4 weeks was effective on improvement of psychological factor and quality of life as well as weight reduction in the obese premenopausal women.

Keywords

References

  1. Schutz Y. Micronutrient and energy balance in obesity. Metabolism 1995; 44(9): 711
  2. Westerterp-Plantenga MS. Fat intake and energy balance effects. Physiology& Behavior 2004; 83: 579-585
  3. Huh KB. Symposium: Recent progress in obesity. J Korean Nutr 1990; 23(5): 333-336
  4. Bramlage P, Pittrow D, Wittchen HU, Kirch W, Boehler S, Lehnert H, HorflerM, Unger T, Sharma AM. Hypertension in overweight and obese primary care patients is highly prevalent and poorly controlled. Am J Hypertension 2004; 17: 904-910 https://doi.org/10.1016/j.amjhyper.2004.05.017
  5. Livingston EH, Ko CY. Effect of diabetes and hypertension on obesity related mortality. Surgery 2005; 137: 16-25 https://doi.org/10.1016/j.surg.2004.05.049
  6. Wadden TA, Stunkard AJ. Controlled trial of very low calorie diet, behavior therapy, and their combination in the treatment of obesity. Journal of Consulting and Clinical Psychology 1986; 54 (4) : 482-488 https://doi.org/10.1037/0022-006X.54.4.482
  7. Chang KJ. Tratment of obese women with low calorie diet, aerobic exercise and behavior modification. J Kor Soc Food Nutr 1995; 23(4): 510-516
  8. Weinstock RS, Huiliang D, Wadden TA. Diet and exercise in the treatment ofobesity. Arch Intern Med 1998; 158: 2477-2483 https://doi.org/10.1001/archinte.158.22.2477
  9. Heber D, Ashley JM, Wang HJ, Elashoff RM. Clinical evaluation of minimal intervention meal replacement regimen for weight reduction. J Am CoIl Nutr 1994; 13 (6): 608-614 https://doi.org/10.1080/07315724.1994.10718456
  10. Rothacker DQ. Five-year self-management of weight using meal replacement: comparison with matched controls in rural Wisconsin. J Nutrition 2000; 16: 344-348 https://doi.org/10.1016/S0899-9007(99)00280-4
  11. Lee BG, Lee KR, Park MH. Sort-term weight management using meal replacement (meal replacement trial in Korean obese women). J Korean Soc Study Obes 2002; 11 (2): 131-141
  12. Heymsfield SB, van Mierlo CA, van der Knaap HC, Heo M, Frier HI. Weight management using a meal replacement strategy: meta and pooling analysis from six studies. Int J Obes Relat Metab Disord 2003; 27 (5): 537-549 https://doi.org/10.1038/sj.ijo.0802258
  13. Lee JH, Huh GB. Very-Low-Calorie Diet. J Kor Soc Study Obes 1994; 4 (1): 15-21
  14. Kim SS. Popular diet-fact and fiction. J Kor Soc Study Obes 2002; 11(1): 11-18
  15. Hwang SW, Kim KJ. The Effects of Boiungikaitang, Samooltang and Variantson the starvation. J Kor Oriental Asso Study Obes 1989; 4 (1): 55-67
  16. Kim JY, Kim SY, Jung KA, Chang Y. Effects of very low calorie diet using replacements on weight reduction and health in the obese adult women. Korean J nutr 2005; 38 (9): 739-749
  17. Read JL. The new area of quality of life assessment. Kluwer Acad Publishers; 1993. p. 3-10
  18. Finkelstein MM, Body mass index and quality oflife in a survey ofprimary care patients. J Family Practice 2000; 49 (8): 734-737
  19. Jebb SA, Goldberg GR. Efficacy of very-low-energy diets and meal replacements in the treatment of obesity. J Hum Nutr Diet 1998; 11 (3): 219-226 https://doi.org/10.1046/j.1365-277X.1998.00101.x
  20. Nam MS. Editorial: Effect of a traditional Korean very low calorie diet on obese patients. J Kor Assoc Inter Med 2002; 62 (3): 241-243
  21. Korean Society for the Study of Obesity. Obesity treatment-Behavior therapy. J Kor Soc Study Obes 1998; 7 (2): 103-123
  22. Kim HJ, Lee IS , Kim JH. A study of the reliability and validity of the korean version of the eating behavior questionnaire. J Kor Psycho Assoc: Clinic 1996; 15 (1): 141-150
  23. Van Strien T, Frijters JER, Bergers GPA, Defares PB. The Dutch eating behavior questionnaire (DEBQ) for assessment of restrained, emotional and external eating behavior. Int J Eat Dis 1986; 5 (2): 295-315 https://doi.org/10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>3.0.CO;2-T
  24. Korean Medical Association of Prevention. Standard study for data collection and survey of health statistical data; 1993
  25. Han HM, Aum TH, Sin YW, Kim KH, Yun OJ, Jung OJ. Beck depression inventory (Korean edition). J nervous medical science 1986; 25 (3): 487-520
  26. Beck AT. Depression. Clinicial, Experimental and Theoretical Aspects. New York, Harper & Row Publishers; 1967
  27. Hong MR. A medel of weight control and self adjustment on obesity.A doctoral thesis (dissertation) Kyunghee University; 1995
  28. Korean Society for Study of Obesity. Behavior guideline; 1998
  29. Thompson MA, Gray JJ. Development and validation of a new body image assessment scale. J Personality Assessment 1995; 64 (2) : 258-269 https://doi.org/10.1207/s15327752jpa6402_6
  30. Cella OF. Quality of life: Concepts and definition. J Pain and Symptom Management 1994; 9(3): 186-192 https://doi.org/10.1016/0885-3924(94)90129-5
  31. Rogerson RJ. Environmental and health-related quality of life: conceptual and methodological similarities. J Soc Sci Med 1995; 41 (10): 373-1382
  32. Ware JE, Kosinski M, Gandek B. SF36 Health survey: Mannual & interpretation guide. Lincoln, Rl. Quality metric Incorporated; 2002
  33. Ann JO, Yoo GY. Statistical analysisof medical science. SPSS acdemy, Korea; 2002
  34. Kim H. Study for dongeubogam ofhur Joon, Iljisa: 2000. p. 89
  35. Rodin J. Current status ofthe internal-external hypothesis for obesity. American Psych 1981; 36(4): 361-372 https://doi.org/10.1037/0003-066X.36.4.361
  36. Park YS. Effects of multidisciplinary weight management program on food behavior, obesity and comorbidity risk factors in the obese premenopausal women, A doctorial dissertation, Hanyang University; 2000
  37. Willner P, Moreau JL, Nielsen CK, Papp M, Sluzewska A. Decreased hedonic reponsiveness following chronic mild stress is not secondary to loss of body weight. Physiology & Behavior 1996; 60(2): 129-134 https://doi.org/10.1016/0031-9384(95)02256-2
  38. Ferreira MF, Sobrinho LG. Endocrine and psychological evaluation of women with recent weight gain. Psychoneuroendo 1995; 20 (1): 53-63 https://doi.org/10.1016/0306-4530(94)E0041-7
  39. Gu SY. Analysis of the effect of a self help and a commercial weight loss program on obesity and ecological factors in the obese adult woman in seoul, korea. A master's thesis ofHanyang University; 2004
  40. Kim OS. A study on ecological characteristics and perceptions of body-image of women participating in commercial weight management program. A master's thesis ofHanyang University; 2001
  41. Hallstrom T, Noppa H. Obesity in women in relation to mental illness, social factor and personality traits. J Psychosomatic Res 1981; 25 (2): 75-82 https://doi.org/10.1016/0022-3999(81)90093-3
  42. Brehm B, Rourke K, Ches RN, Cassell C. Improved psychosocial outcomes of young female participants in a multidisciplinary weight loss program. J Am Diet Assoc 1998; 93 (9): 122
  43. Bandura A. Self-efficacy: Toward a uniting theory of behavior change. Psy Rev 1977; 84 (2): 195-215
  44. Wing RR, Jeffery RW. Benefits of recruiting participants with friends and increasing social support for weight loss and maintenance. J Consult Clin Psychol 1999; 67 (1): 132-138 https://doi.org/10.1037/0022-006X.67.1.132
  45. Moses M, Banilivy M. Finder of obesity among adolescent girls. Pediatrics 1989; 3 (3): 393
  46. Ryu HK. A survey of adolescents: Concern and perception about body image - at Miryang City -. Kor J Community Nutr 1997; 2 (2): 197-205
  47. Sarwer DB, Wadden TA, Foster GO. Assessment of body image dissatisfactionin obese women: specificity, severity, and clinical significance. J consulting and Clinical Psycho 1998; 66 (4): 651654 https://doi.org/10.1037/0022-006X.66.4.651
  48. Fontaine KR, Barofsky I, Andersen RE, Bartlett SJ, Wiersema L, Cheskin LJ, Franckowiak SC. Impact of weight loss on healthrelated quality of life. Quality of Life Research 1999; 8: 275-277 https://doi.org/10.1023/A:1008835602894