The Korean Journal of Food And Nutrition (한국식품영양학회지)

The Korean Society of Food and Nutrition (한국식품영양학회)
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Comparison of the Effectiveness of Dietary Intervention between Calorie Restriction Diet and Food Selective Method according to Yin and Yang Constitution in Obese Woman

열량제한식과 체질식에 따른 비만 여성의 체중감량 효과

  • Received : 2015.02.02
  • Accepted : 2015.04.16
  • Published : 2015.04.30
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Abstract

This study was conducted to evaluate the effects of constitutional diets in comparison with general low calorie diets in obese women. The subjects were 52 adult obese women that participated in a calorie restriction diet program (control group, n=16) or a constitutional diet program (experimental group, n=36) for 8 weeks. The subjects in the experimental group were classified as negative (Yin) or positive (Yang) constitution. The obesity management program focused on the calorie restriction diet (300~400 kcal reduction per day) for the control group, whereas, for a constitutional diet without calorie restrictions was allowed for the experimental group. Daily intakes of nutrient and food were assessed using a 24 hr recall method. Body measurements and blood biochemical parameters were measured at baseline and after 8 weeks. After the intervention, weight, body fat, BMI, waist circumference and hip circumference decreased significantly in both the control and experimental group. Energy intake increased from 1,679.6 kcal to 1,810.6 kcal along with significant increase in protein, carbohydrate, fiber, calcium, phosphorus, iron, zinc, vitamin A, vitamin $B_1$, vitamin $B_2$, niacin and vitamin C in the experimental group. Calcium intake increased from 54.0% to 72.4% of DRI in the experimental group. Hemoglobin concentrations were significantly decreased in the control group, but were increased in the experimental group. In addition, blood glucose, serum total cholesterol and triglyceride were significantly decreased in the experimental group. In conclusion, consumption of a constitutional diet without calorie restrictions for 8 weeks was effective for weight reduction with improvement of blood glucose, serum cholesterol and triglyceride.

본 연구는 비만 여성을 대상으로 1일 300~400 kcal의 섭취 열량을 제한하는 프로그램(대조군)과, 열량의 제한은 없이 음양 체질에 따라 식품의 종류를 선택하는 프로그램(실험군)을 8주간 실시하여 체중 감량 효과를 비교하였고, 결과는 다음과 같다. 1. 대조군과 실험군 모두 체중감량 프로그램 참여 후 유의적인 체중 변화가 있었으며, 대조군은 평균 1.1 kg, 실험군은 2.8 kg의 체중이 감량되었고, 실험군 내에서는 음체질이 3.3 kg, 양체질이 2.3 kg 감량을 보였다. 프로그램 참여 후 대조군과 실험군 모두 체지방, 체질량지수, 허리둘레, 엉덩이둘레가, 실험군은 체지방, 체질량지수, 가슴둘레, 허리둘레, 엉덩이둘레가 유의적으로 감소하였으며, 실험군이 대조군에 비해 감소폭이 더 큰 경향을 보였다. 2. 대조군의 경우, 1일 섭취 열량이 프로그램 실시 전 2,061.0 kcal에서 실시 후 1,588.4 kcal로 약 17%가 감소하였다. 반면, 실험군은 프로그램 실시 전 1,679.6 kcal 에서 체중감량 프로그램 실시 후 1,810.6 kcal로 약 7% 증가하는 상반된 결과가 나타났다. 영양소 섭취 상태를 살펴보면 대조군은 체중 감량 프로그램 실시 후 지방과 단백질, 당질, 나트륨, 콜레스테롤, 나이아신, 비타민 $B_1$, 아연, 인, 칼슘의 섭취가 각각 유의적으로 감소하였다. 실험군은 탄수화물과 식이섬유, 칼슘, 인, 철분, 비타민 A, 비타민 $B_2$, 비타민 C의 섭취량이 유의하게 증가하였다. 3. 대조군과 실험군 모두 프로그램 실시 전 음양 식품의 섭취빈도에 차이가 없었으나, 프로그램 실시 후 실험군에서 양체질인은 음성식품을, 음체질인은 양성식품을 섭취하는 빈도가 유의하게 증가하였다. 4. 프로그램 실시 후 대조군은 헤모글로빈 수치가 유의적으로 감소하였으나, 실험군은 헤모글로빈 수치가 유의적으로 증가하였고, 혈당, 혈중 총 콜레스테롤과 중성지방이 유의적으로 감소하였다. 이상과 같이 본 연구에서는 체질식이를 섭취한 경우, 체중감소가 더 효과적으로 나타나고, 영양소 섭취상태도 개선되는 것으로 나타났다. 이에 앞으로 식습관과 질병의 연관성 및 질병에 따른 체질식품의 효과 유무에 대해 더 많은 연구가 필요하다고 사료된다.

Keywords

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