• Title/Summary/Keyword: 비만예방

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Comparison of peripheral vascular compliance between normal and diabetic groups using the second derivative of photoplethysmogram (PPG 2차 미분을 이용한 정상인과 당뇨병 환자의 말초혈관 탄성도 비교)

  • Kim, Sung-Woo;Lee, Ju-Hyung;Nam, Ki-Chang;Kim, Su-Chan;Cha, Eun-Jong;Kim, Deok-Won
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.44 no.4 s.316
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    • pp.15-20
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    • 2007
  • Recently the prevalence rate of diabetes in Korea has been increasing rapidly due to high growth of economy and changes in dietary lifestyle. Vascular complication is one of diabetic complications which have frequently occurred by obesity, hyperglycemia and impaired glucose metabolism. Photoplethysmogram(PPG) measured from finger and toe is very useful for evaluation of vascular aging and sclerosis level since the PPG signal represents characteristics of peripheral vascular Several researchers have reported that second derivative of the finger PPG waveform was useful to evaluate vascular compliance and developed various analysis methods for vascular compliance. However, peripheral vascular compliance study for diabetic patient was never evaluated by using second derivative of PPG. Therefore, we aimed to objectively compare and to assess normal(n=850) and diabetic(n=50) groups vascular compliance using the second derivative of PPG waveform in this study. The evaluated factors of the second derivative of PPG are 'a', 'b', 'c', 'd', 'e' and b/a rapresents vascular compliance. This study found out that when vascular compliance is decreased, the absolute value of b/a is decreased. The average vascular compliance of 50 diabetic patients with neuropathy, $-1.09{\pm}0.14$ is statistically lower than the normal group, $-0.81{\pm}0.09$ (p<0.05). In conclusion, we suggest an objective evaluation of peripheral vascular compliance for diabetic patients and prevention of vascular complication.

The Bibliographical Study on Antenatal Training with Reference to Sasang Constitutional Medicine (문헌(文獻)에 나타난 태교(胎敎)의 사상의학적(四象醫學的) 고찰(考察))

  • Park, Seong-jin;Kim, Sun-ho
    • Journal of Sasang Constitutional Medicine
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    • v.11 no.2
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    • pp.301-339
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    • 1999
  • In Sasang Constitutional Medicine, Sungjung(性情) and physiological characteristics differ depending on one's constitution and in turn, the treatment and regimen must differ for each person. Therefore, by observing that antenatal training during pregnancy should be different depending on one's consitution in order to be more effective, antenatal training was compared to the constitution-specific regimen. The importance of antenatal training in Sasang Constitutional Medicine is based on the fact that the constitution of the parents determines the fetus' constitution and mothers' regimen during pregnancy effects the fetus' health. Since Kyungrakyangtaesul(經絡養胎設) supports weak Dangyuh(黨與), it can be used as a constitution-specific regimen during pregnancy.

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Antiproliferative Effect of Mistletoe Extract Added Kimchi in Human Lung Carcinoma A549 Cells (겨우살이 물추출물 첨가 김치의 A549 인체 폐암 세포 증식저해 효과)

  • Kil, Jung-Ha
    • Journal of Life Science
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    • v.27 no.12
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    • pp.1507-1514
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    • 2017
  • The purpose of this study aimed at examining the antiproliferative effect of kimchi (kimchi B) adding mistletoe extract known as an anticancer function to improve the functions of kimchi. The study investigated the antiproliferative effect through hemocytometer counts and MTT assay, apoptosis induction through DAPI staining, and mRNA expression through RT-PCR using human lung carcinoma A549 cells. The standardized kimchi (Kimchi A) was used as a control group. As a result of hemocytometer counts and the MTT assay, it was found that kimchi samples inhibited the growth of A549 cells in a concentration-dependent manner. Kimchi B induced apoptosis in A549 cells through DAPI staining. The apoptosis induced by kimchi B was associated with the increase in the expression of pro-apoptotic Bax and with the decrease in the expression of anti-apoptotic Bcl-2 and Bcl-xL. Also, kimchi B influenced the increase in the expression of p21 mRNA, but did not have the effect on the expression of p53 mRNA. In conclusion, the antiproliferative effect of kimchi B was due to apoptosis induced by increasing Bax and decreasing Bcl-2, and increasing p21. The findings will be utilized to develop kimchi with the improved function for the patients having cancer.

일부 폐경전 성인여성의 골밀도와 신체계측 및 식이인자에 관한 연구

  • 임화재
    • Proceedings of the KSCN Conference
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    • 2003.11a
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    • pp.1071-1071
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    • 2003
  • 본 연구는 폐경전 성인여성들의 골격상태를 알아보고 신체계측 및 식이섭취실태가 골밀도에 미치는 영향을 평가하기 위해서 성인여성 61명을 대상으로 신체계측을 실시하고 24시간 회상법으로 영양소 및 주요 식품군의 식품섭취실태를 조사하고 DEXA를 사용하여 요추와 대퇴부 3부위의 골밀도를 측정하였다. 1) 대상자들의 평균 연령은 37세였으며, 평균 신장과 체중은 158.17cm, 54.55kg였으며, 평균 BMI와 WHR은 21.82, 0.78로 대상자들의 비만도는 정상이었다. 2) 평균 골밀도는 요추(L24) 1.04 g/$\textrm{cm}^2$, 대퇴경부 0.76g/$\textrm{cm}^2$, 대퇴전자부 0.66g/$\textrm{cm}^2$, 와드삼각부 0.69g/$\textrm{cm}^2$이었다. 3) T-score로 판정시 요추(L24)의 경우 골다공증군 3.28%, 골감소증군 14.75%, 대퇴경부의 경우 골다공증군 9.84%, 골감소증군 52.46%, 대퇴전자부의 경우 골다공증군 1.64%, 골감소증군 34.43%, 와드삼각부의 경우 골다공증군 6.56%, 골감소증군 45.90%였다. 4) 영양소중 칼슘(78.75%), 철분(69.75%) 및 비타민 A(92.17%) 영양소의 1일 평균 섭취량은 영양권장량보다 낮은 수준이었다. 5) 신체계측 및 영양소섭취량과 골밀도와의 상관관계분석에서 신체계측에서 체중(p < 0.05), 엉덩이둘레(p < 0.01), 제지방함량(p < 0.05), 총수분함량(p < 0.05)이 높을수록 요추골밀도가 유의하게 높았으나, 영양소섭취량은 골밀도와 유의한 상관성을 보이지 않았다. 6) 주요 식품군의 식품섭취실태와 골밀도와의 상관관계분석에서 버섯군의 식품섭취횟수(p < 0.05, p < 0.05)가 많을수록 요추(L3, L24)의 골밀도가 각각 유의하게 높았으며, 유지류군의 섭취식품수(p < 0.05)가 많을수록 와드삼각부의 골밀도가 유의하게 높았으나 곡류군의 섭취식품수(P < 0.01, p < 0.05, p < 0.05)가 많을수록 대퇴부 3부위 (대퇴경부, 대퇴전자부 및 와드삼각부)의 골밀도가 각각 유의하게 낮은 것으로 나타났다. 이상의 결과에서 폐경전 성인여성의 경우 요추보다는 대퇴부 3부위의 경우 골다공증이나 골감소증의 비율이 상대적으로 높았으며, 특히 대퇴경부에 있어서 골다공증이나 골감소증의 비율이 가장 높았음을 알 수 있다. 또한 요추와 대퇴부 3부위의 골밀도는 영양소섭취량과 유의한 상관관계를 보이지 않았으나 체중, 엉덩이둘레 등의 신체계측요인과 곡류군, 버섯군 및 유지류군 등의 주요 식품군의 식품섭취실태와 밀접한 상관관계를 보이고 있음을 알 수 있다. 따라서 성인여성에 있어서 골밀도손실을 예방하기 위해 평상시 적절한 체중유지와 아울러 식생활지침에 있어서 주요식품군별로 적절한 섭취식품의 수, 섭취량 및 섭취빈도에 대한 영양교육이 필요한 것으로 생각된다.

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Hypoglycemic Effects of Crude Extracts of Prunus mume (오매 추출물의 혈당 강하 효과)

  • 고병섭;박성규;최수봉;전동화;장진선;박선민
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.33 no.6
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    • pp.951-957
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    • 2004
  • Hypoglycemic effect of Prunus mume (PM) extract containing in Sangjinyangheul-tang and Hwangkeumtang, one of the diabetic herbal medicines, was determined by investigating insulin-like action, insulin sensitizing action and a-glucoamylase suppressing action. Insulin-like activity of 3T3-L1 fibroblast was not shown with the treatment of PM methanol extracts. However, treatment with 20% or 40% PM methanol extracts and differentiation inducers significantly decreased the differentiation of 3T3-L1 fibroblasts to adipocytes. A significant insulin sensitizing activity was observed in 3T3-L1 adipocytes, giving PM extracts (60%, 80% and 100%) with 1 ng/mL insulin to reach glucose uptake level increased by 50 ng/mL of insulin alone. In addition, 20% and 40% methanol extracts of PM suppressed the a-glucoamylase activity by 30% in vitro. However, there was no significant differences in the peak of serum glucose levels and area under the curve in Sprague Dawley male rats treated with PM ethanol extract or cellulose and 2 g maltose or dextrin/kg body weight. These data suggested that PM extracts contain effective insulin sensitizing compounds, lipid synthesis suppressing compounds and possibly a-glucoamylase suppressing compounds. Therefore, PM extracts are beneficial for anti-diabetic treatment in obese diabetic patients.

Strategies for Development of Anti- diabetic Functional Foods (항당뇨 기능성 식품의 개발 전략)

  • Park, Sun-Min
    • Food Science and Industry
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    • v.40 no.2
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    • pp.46-58
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    • 2007
  • 제2형 당뇨병은 대사성 질환으로 간, 근육 그리고 지방 조직 세포에서 인슐린 작용의 장애로 나타나는 인슐린 저항성으로 혈당의 이용이 감소하여 혈당이 높아짐에도 불구하고 췌장의 베타세포에서 인슐린 분비가 충분하지 못할 때 유발된다. 서구에서는 비만 등으로 인해 인슐린 저항성이 증가하면 인슐린 분비가 높은 고인슐린혈증을 나타내어 당뇨병으로의 진전은 늦다. 하지만 우리나라를 비롯한 아시아의 사람들은 인슐린 저항성이 증가할 때 인슐린 분비가 충분치 못해 혈청 인슐린 농도가 정상인과 비슷하거나 더 낮은 상태에서 당뇨병으로 진전된다. 이러한 차이는 우리나라를 비롯한 아시아 사람들에게서 제2형 당뇨병의 발생이 급격하게 증가할 것이라는 보고되었다. 결국 당뇨병은 간, 근육 및 지방조직에서의 인슐린 작용의 장애와 췌장의 베타세포에서 인슐린 분비의 부족의 복합적인 장애에 의해서 나타나고 이것은 공통적으로 각 조직에서의 인슐린/insulin growth factor (IGF)-1 신호전달의 장애와 관련이 있다. 베타세포에서의 인슐린분비 자체는 인슐린/IGF-1 신호전달과 관계가 없지만 간접적으로 관련이 있다. 인슐린 분비능은 베타세포의 증식과 생존에 의한 베타세포의 양과 밀접한 관련이 있는데 인슐린/IGF-1 신호전달은 베타세포의 증식과 생존을 조절한다. 그러므로 혈당 조절에 관여하는 기능성 식품은 인슐린 작용을 향상시키는 인슐린 민감성 특성을 가지거나, 혈당이 높아질 때 인슐린 분비를 촉진시키는 insulinotropic 작용을 하는 성질을 가지고 있어야 하겠다. 전자의 대표적인 약은 1999년에 미국 FDA에서 승인 받은 peroxisome proliferator-activated receptor $(PPAR)-{\gamma}$ agonist 인 thiazolidinedione 계통의 약물인 troglitazone, pioglitazone, rosiglitazone 등이 있고, 후자는 2007년에 승인 받은 Exenatide는 glucagon like peptide (GLP)-1 agonist이다. 이 두 가지 약은 모두 자연계에 존재하는 동식물에서 유래된 것으로 식품에도 많이 다양한 종류의 인슐린 민감성 물질이나 insulinotropic 작용을 하는 물질이 함유되어 있을 것이다. 이러한 기능 이외에 혈당조절 약이나 식품으로 사용되는 것은 탄수화물의 소화를 방해하는 것으로 탄수화물 소화효소인 a-amylase 또는 maltase의 활성을 억제하여 식후 혈당의 급격한 상승을 방지하는 것이 있다. 우리나라 사람들은 탄수화물의 섭취가 너무 많아서 실제로 이러한 식품이나 약의 효능이 높지 않을 것이다. 혈당을 조절하는 기능성 식품은 이 세 가지 효능 중 일부를 가지고 있는 것이 될 수 있다. 이러한 기능을 스크리닝하기 위해서 3가지 단계를 거쳐야 한다. 먼저 시험관에서 또는 세포 실험을 통해서 앞서 언급한 3가지 기능을 가지고 있는 지 여부를 각각 조사한다. 이중에서 효과가 있는 것은 당뇨 동물 모델을 사용하여 in vivo에서 혈당 강하기능과 혈당 강하기전을 조사하는 실험을 한다. 효과가 있는 식품이 우리가 전통적으로 식품으로 섭취해 왔다면 독성 검사를 거쳐야 할 필요가 없지만 한약재이거나 특수 식품의 경우에는 in vivo 실험 전에 GLP 기관에서 반드시 독성 실험을 거쳐 독성 유무를 확인할 필요가 있다. 동물 실험에서 효과적인 것은 인체 실험을 거쳐 혈당 조절 기능성 식품으로 식약청에서 허가를 받을 수 있겠다. 결론적으로 식품에는 항당뇨 특성을 가진 물질들이 함유되어 있는 것들이 상당히 많다. 혈당 조절기능이 있는 기능성 식품으로 개발할 때 고려해야 할 것은 1) 그 양이 혈당 강하 기능성 식품으로 지정받을 수 있을 정도로 충분히 함유되어 있느냐, 2) 혈당을 강하시키는 기전이 단순히 당의 배설을 촉진시켜서 혈당을 저하시키는 것이 아니라, 인슐린 작용을 촉진시키거나, 포도당 자극에 의한 인슐린 분비를 촉진시키거나 탄수화물의 소화 흡수를 억제시킴으로 혈당을 강하시키는 지 등을 파악하는 것이다. 이러한 조건을 만족시키는 식품은 지속적으로 섭취할 때 당뇨병을 예방하거나 진전을 지연시킬 수 있는 혈당조절기능이 있는 기능성 식품으로 개발 가능성이 있겠다.

The Effects of Judo Training of Male University Students Security Martial Art Majoring on Body Composition, Behavioral Fitness, Growth hormone and IGF-1 (경호무도전공 남자대학생들의 유도수련이 신체구성, 행동체력, 성장호르몬 및 IGF-1에 미치는 영향)

  • Yang, Sang-Hoon
    • Korean Security Journal
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    • no.57
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    • pp.85-110
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    • 2018
  • The bodyguard is continuously training basic physical training and security art martial to protect the privacy of security target, prepare and deal with external contingencies and threats. Currently, university students majoring in security are required to take a judo class, one of their security art martial, which can use a technology to catch, crush and repress opponent. Therefore, this study identified the effects of systematic training on body composition, Performance fitness, growth hormones, and IGF-1 among male university students through a 10-week judo training program so that it was committed to providing objective data to enhance the value of judo as a security art martial and as a result, we have a conclusion as follows: After 10 weeks of judo training, muscle mass increased significantly, and body fat rate and BMI decreased significantly. The muscular strength and power of Performance fitness were shown to increase significantly, and growth hormones were shown to increase significantly. In total, the above results showed that for judo training university students, overall body composition improved positively, the muscular strength and power of active physical fitness improved, and growth hormones increased. Thus, the increase in muscle strength and growth hormones through judo training will encourage fat breakdown due to the development of the body's muscles and increase bone density in the spine, thereby reducing the risk of fractures and preventing injury to the trainees who are performing a security art martial. It will also greatly help your health by preventing obesity, cardiovascular and metabolic diseases, which eventually will enhance your bodyguard function and prolong your life as a bodyguard.

Dehydration Risk from Age, BMI, and Disease Exposure (연령, BMI, 질병노출로 인한 탈수 위험)

  • Kim, Sun-Hee;Chun, Sung-Soo;Choi, Myung-Sup;Yun, Mi-Eun
    • Korean Public Health Research
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    • v.44 no.4
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    • pp.35-49
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    • 2018
  • Objective : The purpose of this study was to investigate the risk factors of dehydration from the subjects who underwent anthropometric and blood parameters testing during a comprehensive health screening. Methods : For the study analysis, 5,391 samples with valid data of the levels of Sodium($Na^+$), BUN (Blood Urea Nitrogen) and FBS(Fasting Blood Sugar) were selected to calculate a dehydration indicator of plasma osmolality. The study data was collected from the health screening examinees who visited Sahmyook Medical Center Seoul Adventist Hospital Comprehensive Health Check-up Center from 2014.01.01 to 2015.12.31. The relationship between dehydration and age group, BMI, disease exposures(hypertension, diabetes mellitus, dyslipidemia, kidney disorder) were analyzed by gender. Results : The odds ratio of dehydration showed statistical significance from age ${\geq}50$ in both male and female, respectively. The female obese group was vulnerable to dehydration while the male study group showed no statistical significance in the BMI difference. The disease exposed groups(hypertension, diabetes mellitus, dyslipidemia, kidney disorder) were vulnerable to dehydration. Also, the more types of disease carried by the exposed patients, the higher odds ratio and susceptibility to dehydration. Conclusions : Aging, increasing BMI, and exposed to diseases were found to be the risk factors for vulnerability to dehydration. To prevent dehydration, special caution to be taken for those in the ${\geq}50s$ group, along with controlling BMI and chronic diseases. Further studies are suggested to investigate the risk factors of dehydration that may affect increasing plasma osmolality as a potential stimulus mechanism in disease outbreaks.

Socioeconomic and Sociodemographic Factors related to Allergic Diseases in Korean adolescents based on the 14th Korean Youth Risk Behavior Survey (청소년의 알레르기성 질환과 관련된 사회경제적 및 사회인구학적 요인: 제14차 한국청소년건강행태조사를 기반으로)

  • Kim, Bong Hee;Kim, Hae Ran
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.494-502
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    • 2019
  • Various international reports have shown strong proof that socioeconomic and sociodemographic variables are correlated with allergic diseases, yet little is known about how these variables affect Korean adolescents. This study was conducted to identify the socioeconomic and sociodemographic risk factors for allergic diseases of Korean adolescents, and to provide information for preventing and managing such conditions. Data from the 2018 Korean Youth Risk Behavior Survey (KYRBS) of 60,040 adolescents was used for this study. An anonymously administered online survey was conducted to collect information on the dependent variables. The independent variables were asthma, allergic rhinitis and atopic dermatitis. Multivariate logistic regression analysis was performed to analyze the correlations between the dependent variables and the independent variables. Low economic status, living with mother, high education level of parents, high school record, obesity, drinking and smoking were the risk factors for asthma. Low economic status, the place of residence, living with mother, high education level of the parents, gender, high school record, obesity, drinking and smoking were the risk factors for allergic rhinitis. Low economic status, living with mother, high education level of parents, genderhigh school record, obesity and drinking were the risk factors for atopic dermatitis. We found that low socioeconomic status and unhealthy behavior were the risk factor for allergic diseases of Korean adolescents. Balanced economic growth in the community and controlling unhealthy behavior can help reduce the prevalence of allergic diseases.

Effects of Piperine on Insulin Resistance and Lipid Accumulation in Palmitate-treated HepG2 Cells (Palmitate처리된 인간 간세포주 HepG2 세포에서 piperine의 지질 축적과 인슐린 저항성 기전에 대한 연구)

  • Jung, Hee Jin;Bang, EunJin;Jeong, Seong Ho;Kim, Byeong Moo;Chung, Hae Young
    • Journal of Life Science
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    • v.29 no.9
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    • pp.964-971
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    • 2019
  • Hepatic lipid accumulation and insulin resistance increases in patients with non-alcoholic fatty liver disease. Piperine is a major compound found in black pepper (Piper nigrum) and long pepper (P. longum). Piperine has been used in fine chemical for its anti-cancer, anti-obesity, anti-diabetic, anti-inflammatory and anti-oxidant properties. However, the signaling-based mechanism of piperine and its role as an inhibitor of lipogenesis and insulin resistance in human hepatocyte cells remains ill-defined. In the present study, we explored the effects of piperine on lipid accumulation and insulin resistance, and explored the potential underlying molecular mechanisms in palmitate-treated HepG2 cells. Piperine treatment resulted in a significant reduction of triglyceride content. Furthermore, piperine treatment decreased palmitate-treated intracellular lipid deposition by inhibiting the lipogenic target genes, sterol-regulatory-element-binding protein 1c (SREBP-1c) and fatty acid synthase (FAS); whereas the expression of carnitine palmitoyl transferase (CPT-1) and phosphorylation of acetyl coenzyme A carboxylase (ACC) gene involved in fatty acid oxidation was increased. Moreover, piperine also inhibited the phosphorylation of insulin receptor substrate (IRS)-1 (Ser307). Piperine treatment modulated palmitate-treated lipid accumulation and insulin resistance in HepG2 cells with concomitant reduction of lipogenic target genes, such as SREBP-1 and FAS, and induction of CPT-1-ACC and phosphorylation of IRS-1 (Tyr632)-Akt pathways. Therefore, piperine represents a promising treatment for the prevention of lipid accumulation and insulin resistance.