• Title/Summary/Keyword: 비만증

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Korean Medicine Treatment (Banhabakchulchunma-tang) for an Obese Patient With Hypothyroidism: Two Case Reports (갑상선 기능 저하증을 동반한 비만 환자에게 반하백출천마탕 투여 후 호전된 증례 2예)

  • Sang-Song Shim;In-Hye Park;Chang-Eun Park;Won-Seok Chung
    • Journal of Korean Medicine for Obesity Research
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    • v.23 no.1
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    • pp.42-50
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    • 2023
  • Obesity often develops to hypothyroidism patients because thyroid hormone is associated with changes in body weight, body temperature, and energy expenditure. Obesity is not only pointed out as the cause of various other diseases, but also can worsen thyroid function, so obesity treatment is essential for hypothyroidism patients. But there is lack of studies about obesity treatment for hypothyroidism patients in Korea. In this study, two obese patients who diagnosed hypothyroidism were treated by Korean medicine. We prescribed herbal medicine (Banhabakchulchunma-tang) for about 2 months. A total of 6.5 kg and 4.5 kg of weight loss were observed respectively, and there were no serious side effects. Further large-scale clinical trials are needed to evaluate the anti-obesity effect and the effect of thyroid function improvement.

Liver Plasma Membrane and Nuclear $T_{3}$ Receptor Binding in the Obese (ob/ob) Mouse (비만 쥐(ob/ob mouse)의 간 세포막과 핵에 있는 $T_{3}$ 수용체의 결합능력에 관한 연구)

  • Kim, Kyung-Ah;Lachance, Paul A.
    • Journal of Nutrition and Health
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    • v.24 no.4
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    • pp.356-365
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    • 1991
  • $L-Triiodothyronine(T_3)$ binding to purified plasma membrane and to isolated nuclei from the same liver in obese(ob/ob) mice and their lean littermates was examined. The maximal binding capacity(Bmax) for $T_3$ receptor of liver nuclei, as compared to lean control, was significantly lower in the obese mouse$(obese 527{\pm}80fmol/mg\;DNA ; lean 883{\pm}62fmol/mg\;DNA)$, without an apparent difference in dissociation constant(Kd). The finding that obese mice have fewer liver nuclear $T_3$ receptors confirms previous reports. The Bmax and Kd of liver plasma membrane $T_3$ receptor were not significantly different between obese and lean mouse, which suggests no defect to be occurring in the function of the plasma membrane $T_3$ receptor and reinforces the view that the peripherally impaired thyroid hormone action in obese mice is a post plasma membrane receptor event. These results further support the hypothesis that the major defect of the thyroid hormone metabolism in genetic obesity occurs at the level of the nuclear receptor.

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A Mechanism how Obesity to Attain A Status of Disease (비만의 질병지위 획득 메커니즘)

  • Park, Hye Kyung
    • Journal of Science and Technology Studies
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    • v.14 no.2
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    • pp.165-198
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    • 2014
  • This study investigated a mechanism of naming a disease, as examining how obesity attain a status of disease. WHO(World Health Organization) warned 'The obesity is definitely a disease to need medical treatment' in 1996 and 1997. However, before then, obesity was classified as unusual or nonstandard body status but it was not categorized as a disease. In order to examine a mechanism how obesity attain the status of disease, this study examined the historical process of construction to obesity in discourse of disease and ontological reality of pathological epidemiological to obesity. As a result of this research, it was found that the medical community manipulated BMI(Body Mass Index) and deliberately narrowed the range of person's normal weight, and institutionalized sizism. Especially, it was found that as the medical community associated the body state of obesity with high blood pressure, diabetes, and etc that causes burden of medical expenses to patients, that was fatphobia. And it tried to from a medical control mechanism to assign obesity to an independent status of a disease. Based on this examination, this study found an entailment: the noninfectious disease such as obesity attains the status of disease not because of the pathologic reason but because of cultural or socio-economical reason which han nothing to do with any medical source.

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A Case Study on Inferility with Obesity and Polycystic Ovary (다낭성난소 소견을 동반한 비만여성 불임 치험 1례 : 증례보고)

  • Lee, Jae-Sung
    • Journal of Korean Medicine for Obesity Research
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    • v.5 no.1
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    • pp.157-163
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    • 2005
  • Obesity may induce an amenorrhea and ovulation disorder resulted from endocrine dysfunction, and so it is closely linked to infertility. Recently I've experienced a case that a woman complained of infertility with ovulation disorder, polycystic ovary and obesity has succeeded in pregnancy and delivery by the treatment of weight reduction during 2 months.

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Prevalence of Diabetes Mellitus and Associated Diseases in Yeungnam Province Area (영남지방에서의 당뇨병 유병율과 이에 관련돈 질환의 빈도에 관한 연구)

  • Cho, Ihn-Ho;Choi, Jung-Gyu;Yun, Sung-Chul;Choi, Soo-Bong
    • Journal of Yeungnam Medical Science
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    • v.4 no.2
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    • pp.65-73
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    • 1987
  • To know the prevalence of the diabetes mellitus and associated diseases, we analysed the data of the 3,088 subjects who were examined with the Computed Automated Medi-Screening Test System which consisted of 65 parameters including blood glucose determination fasting and one hour after 100g of oral glucose load. We grouped the subjects by the modified criteria of National Diabetic Data Group. Followings are the results of the various analysis : 1. The prevalence of diabetes mellitus and impaired glucose tolerance is 2.27% and 18.26% respectively. 2. The prevalence of diabetes mellitus is 2.63% In male and 1.66% in female. There is no statistically significant difference between male and female. 3. There is tendency of increasing prevalence of diabetes mellitus as the age increases. From second to eighth decade, the prevalence of diabetes mellitus Increases as 0.0, 0.45, 0.67, 2.28, 3.47, 5.36, 10.00% respectively. 4. There is no statistically significant difference of prevalence of obesity between normal and diabetes: that is, 18.03%, 22.86% respectively.($P{\geq}0.1$) 5. There is no statistically significant difference of prevalence of impaired glucose tolerance and diabetes between non-obese and obses group. ($P{\geq}0.1$) 6. There is statistically significant increases of frequency of proteinuria, azotemia, hypertension as the glucose tolerance decreases. ($P{\leq}0.05$)

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Anti-obesity and Anti-inflammation Effects of Cheonggukjang in C57Bl/6 mice with High Fat Diet Induced Obesity (고지방식이로 유도된 비만 마우스에서 청국장의 항비만 및 항염증 효과)

  • Kim, Jiyoung
    • Journal of Life Science
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    • v.27 no.11
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    • pp.1357-1368
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    • 2017
  • The purpose of this study was to investigate the anti-obesity and anti-inflammation effect of the cheonggukjang (a soybean paste fermented for only a few days) in diet induced obesity mice. Weight gain was significantly decreased in the mice fed cheonggukjang compared High Fat Diets (HFD). The HFD plus cheonggukjang (CGJ) were also effective in improving the lipid metabolism. The levels of plasma triglyceride, cholesterol, ALT, AST, leptin, glucose, and insulin were significantly lower in CGJ than HFD group (p<0.05). The adiponectin level of CGJ group was significantly increased compared to the HFD group (p<0.05). In the CGJ group, the mRNA expression of adipogenic genes in the liver and adipose tissues, which are transcription factors crucial for adipogenesis, were significantly suppressed (p<0.05). The number of $CD11b^+F4/80^+$ T cells, $Gr-1^{int}CD11b^{high}$ cells, and $Gr-1^{int}CD11b^{high}$ cells were significantly higher in HFD group than CGJ group (p<0.05). The size of adipocyte was significantly reduced in CGJ group compared to HFD group. In addition, the contents of liver lipid droplets were significantly downregulated in the CGJ mice than HFD mice (p<0.05). Collectively, these data suggest the novel function of cheonggukjang in modulating adipogenesis through an immune function-alteration involving downregulation of adipogenic transcription factors and macrophage activation.

Analysis of Physical Factors and Obesity Condition in Cascade Stomach Group (폭포상위를 가진 검진자의 신체적 요인 및 비만상태 분석)

  • Park, Myung-Je;Ji, Tae-Jeong;Im, In-Chul
    • Journal of radiological science and technology
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    • v.30 no.4
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    • pp.343-347
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    • 2007
  • Cascade Stomach is commonly found in obese patients. This study examined the physical factors, such as gender, age, height, weight and level of obesity, associated with a cascade stomach. Over a 12 month period between 2007 a series upper gastrointestinal examinations were carried out on 3,320 people, which included 564 patients with a Cascade Stomach. The results are as follows : 1. A cascade stomach was observed in 564(16.9%) out of 3,320 subjects. 2. A body mass index(BMI) > 120% was observed in 226 of the 564 cascade stomach patients. 3. Among those with a BMI > 120, 63.7% were female, 45.6% were aged between 50-59 years, 49.1% were between 151-160 cm in height and 31.0% were above 76 kg in weight. 4. The symptoms observed in the cascade stomach and obesity groups were subclinical(62.6% and 57.5%, respectively), dyspepsia(16.8% and 17.3%, respectively) and gastric soreness(10.8% and 15.0%, respectively). The incidence of a cascade stomach is higher in those with obesity. In addition, there is a higher incidence in females, those aged between 50 and 59, those between 151 and 160 cm in height and those weighing more than 76 kg. The main symptoms observed were subclinical, followed in order by dyspepsia and gastric soreness. This study showed a strong association between a cascade stomach and obesity. However, more studies will be needed to confirm this.

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Effects of the Obesity Therapy with Korean Herbal Medicine on Liver Function: Case Series (한방비만치료가 비만환자의 간기능에 미치는 영향 증례보고)

  • Lee, Ji-Hyeon;Jeon, Woo-Hyeon
    • Journal of Korean Medicine for Obesity Research
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    • v.17 no.1
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    • pp.54-60
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    • 2017
  • Many obesity patients were affected by depressed liver function including hepatosteatosis. The aim of this study was to investigate the clinical effect of the obesity therapy with Korean herbal medicine (KHM) on obese patient with abnormal liver function. This is a retrospective observational study performed on obesity patients with abnormal liver function. All subjects have taken serum liver function tests (LFTs) before treatment. Ten patients showed abnormal LFTs. They were treated with KHM at least 15 days. During this treatment, LFTs were evaluated afterwards. Body weight and body mass index of the patients were decreased during treatments. Five of 10 subjects recovered normal levels of LFTs. While other subjects remained at abnormal level but their levels were decreased. This study shows that the obesity therapy including KHM could be effective to improve liver function on obese patient. Additional large scale studies are necessary for more evidences.

Anti-inflammatory Effect of Skate Collagen Peptide through Attenuation of Oxidative Stress (홍어 콜라겐 펩타이드의 산화적 스트레스 완화를 통한 항염증효과)

  • Jeong, Kap Seop;Noh, Jeong Sook
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.4
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    • pp.1369-1378
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    • 2018
  • The purpose of this study was to investigate the effect of skate skin collagen peptide (SCP) according to its molecular weight (<1,000 Da or >1,000 Da) which was divided using the ultrafilatration method. The 200 mg/kg collagen peptide was administrated to obesity-induced db/db mice for 8 weeks. As the results, in collagen peptide-treated groups, body weight gain was decreased, the plasma and hepatic concentration of reactive oxygen species decreased and oxidative stress was alleviated. In addition, SCP-treated group showed the significant reduction of the protein expressions of nuclear transcription factors($NF-{\kappa}B$), enzymes(COX2, iNOS), and inflammatory cytokine(IL-6) in hepatic tissue, compared with those of the obese control group. There was a slight difference depending on the molecular weight of collagen peptide, but overall it was not significant. Therefore, SCP effectively inhibited the obesity-induced inflammatory response through attenuation of oxidative stress in the liver.

The Relationships between UCP-1 Polymorphism and the Degree of Obesity or Plasma Lipid Profile in Prepubertal Children (소아에서의 UCP-1 다형성과 비만도 및 혈액 지질수치와의 관련성에 관한 연구)

  • Oh, Hyun-Hee;Shin, Eun-Jung;Lee, Myoung-Sook
    • Journal of Nutrition and Health
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    • v.41 no.8
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    • pp.767-775
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    • 2008
  • Uncoupling protein-1 (UCP-1) plays a major role in thermogenesis at brown adipose tissues and has been implicated in the pathogenesis of obesity and metabolic disorders. The purpose of this study was to estimate the effects of A-3826G polymorphism in 117 Korean prepubertal children aged 8-11 years olds. Anthropometry by bioelectrical impedance analysis method, plasma lipid profiles by auto-biochemical analyzer and UCP-1 genotyping by PCR-RFLP were done. The frequencies of UCP-1 genotypes were AA; 17.7%, AG; 57.8%, GG; 26.6%. The frequencies of each G allele (55.5%) was similar to Japanese's (49%) and higher than Caucacian's (25%). No correlation UCP-1 polymorphism and BMI (kg/$m^2$) or the degree of obesity described by the relative percentiles of the standard weight according to height in prepubertal children. However, plasma total- and LDL-cholesterol were significantly increased in G allele when sex, age and weight were adjusted. Our results suggested that G allele of UCP-1 gene was stronger risk factors in hyperLDLcholesterolemia than A allele. This impact might be progressed as the precaution against the revalence of obesity based-metabolic disease.