• Journal of Sasang Constitutional Medicine
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• v.34 no.3
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• pp.41-49
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• 2022

Background Abdominal obesity, a major public health concern, is related to many health problems. In addition, it is influenced by individual characteristics. We investigated sleep quality and physical activity (PA) as risk factors for abdominal obesity, according to the Sasang constitutional medicine. Methods In this cross-sectional study, we analyzed data from 5,221 community-based participants. Sleep quality and PA were measured using structured questionnaires, and abdominal obesity was classified according to waist circumference. Sasang constitution (SC) was classified as Taeeumin (TE), Soeumin (SE), or Soyangin (SY) type, using an established SC questionnaire. Chi-square test and logistic regression analysis were performed to access the association of sleep quality and PA with abdominal obesity in individuals stratified according to the SC types. Results The percentage of poor sleep quality and inactive PA was the highest in the SE type, and the higher prevalence of abdominal obesity was found in the TE type. After adjusting for variables, inactive PA was associated with abdominal obesity in the TE type (OR=1.694, 95% CI=1.42-2.021), and in the SE type, abdominal obesity was associated with poor sleep quality (OR=1.688, 95% CI=1.091-2.611) and low PA (OR=2.127, 95% CI=1.163-3.89). Moreover, the combination of these two factors were also significantly associated with abdominal obesity in the TE and SE types. Conclusion Abdominal obesity was associated with sleep quality and PA, and these results were different in each SC type. Taking various associated lifestyles and individual characteristics in consideration may contribute to better management of abdominal obesity in clinical practice.

• Archives of Plastic Surgery
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• v.50 no.6
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• pp.535-540
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• 2023

Background Abdominoplasty with abdominal plication increases intra-abdominal pressure (IAP) and has been previously associated with limited diaphragmatic excursion and respiratory dysfunctions. Many factors found in abdominoplasties and among postbariatric patients predispose them to a higher occurrence. This study aims to evaluate the impact of abdominal plication among postbariatric patients, assess whether the plication increases their IAP, and analyze how these IAP correlate to their postoperative outcome. Methods This prospective study was performed on all patients who underwent circumferential Fleur-De-Lis abdominoplasty. For this intended study, the IAP was measured by an intravesical minimally invasive approach in three stages: after the initiation of general anesthesia, after a 10-cm abdominal wall plication and skin closure, and 24 hours after the procedure. Results We included 46 patients, of which 41 were female and 5 were male. Before the bariatric procedure, these patients had an average maximum weight of 121.4 kg and an average maximum body mass index of 45.78 kg/m²; 7 were grade I obese patients, 10 were grade II, and 29 were grade III. Only three patients were operated on with a gastric sleeve and 43 with gastric bypass. We presented six patients with transitory intra-abdominal hypertension in the first 24 hours, all of them from the grade I obesity group, the highest presented was 14.3 mm Hg. We presented 15% (7/46) of complication rates, which were only four seroma and five dehiscence; two patients presented both seroma and wound dehiscence. Conclusion Performing a 10-cm abdominal wall plication or greater represents a higher risk for intra-abdominal hypertension, slower general recovery, and possibly higher complication rate in patients who presented a lower degree of obesity (grade I) at the moment of the bariatric surgery.

• Journal of the Ergonomics Society of Korea
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• v.31 no.2
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• pp.337-343
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• 2012

Objective: The aim of this study was to determine the effect of abdominal-compression belt in one leg standing on balance in normal adult. Background: With the effects of increased intra-abdominal pressure, the abdominal-compression belt is contributing to a static balance control. However, specific study is still insufficient. Method: Forty subjects were randomly allocated to two groups: control(n=20) and experimental group(n=20), respectively. The experimental group used an abdominal-compression belt, whereas the control group did not that. All subjects were educated using pressure biofeedback unit and ultrasound imaging for exact application by abdominal-compression belt. Main outcome measurement was used a general stability index, fourier harmony index, weight distribution index, and fall index in tetrax balance system. Results: Experimental group improved significantly on general stability, only 2 factors(eyes closed with head turned forward and eyes closed with head turned backward) among fourier harmony index, and fall index, However, weight distribution index did not revealed significant difference. Conclusion: The findings suggest that application of abdominal-compression belt could be effective on improving balance ability in one leg standing of normal adults. Application: The results of the abdominal-compression belt might help to control balance in workers.

• The Journal of Korean Medicine
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• v.37 no.3
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• pp.1-12
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• 2016

Objectives: The abdominal examination is a diagnosis method for determining a morbid condition of the chest and abdomen by touching and pressing. This study reviewed research trends concerning the abdominal examination and suggested of future research directions for quantification of abdominal examination. Methods: A systematic literature search was carried out for relevant articles published between 2000 and 2016 in five databases such as Korean studies Information Service System(KISS), Oriental Medicine Advanced Searching Integrated System(OASIS), DataBase Periodical Information Academic (DBpia), National Digital Science Library and PubMed based on the Keywords 'abdominal examination'. Results: 128 articles were collected for analysis. Overview on the abdominal examination based on selected 17 articles. Then selected articles have been reclassified by diseases of clinical research and parameters for diagnosis of abdominal examination. Conclusions: Taken together, instrument for quantitative evaluation of abdomen characteristic fit to the traditional Korean Medicine have not yet developed. It is suggested that in order to dominate the market about abdominal examination in advance, more concern should be paid to establishing appropriate development of quantitative criteria and instrument. This review will help researcher to systematically understand and to develop Korean medical device as globally competitive device.

• Journal of Korean Public Health Nursing
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• v.31 no.3
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• pp.478-491
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• 2017

Purpose: This study was conducted to determine whether alcohol drinking patterns (drinking frequency, drinking quantity, binge drinking frequency and risk drinking) were related to obesity and abdominal obesity. Methods: A total of 6,749 adult men from the sixth Korea National Health and Nutrition Examination Survey were evaluated. Multivariate logistic regression analyses were employed to determine if obesity and abdominal obesity was associated with alcohol consumption patterns after adjusting for covariates. Results: No relationship was observed between drinking frequency and obesity. The odds ratio vs. nondrinkers for obesity was significantly low for individuals who consumed 5 to 6 drinks per typical occasion and monthly binge drinking. However ${\geq}7$ drinks per typical occasion resulted in a significantly higher odds for obesity relative to nondrinkers. The odds ratio vs. nondrinkers for abdominal obesity was significantly lower in response to monthly binge drinking, whereas ${\geq}10$ drinks per typical occasion and daily binge drinking resulted in significantly higher odds for abdominal obesity. Risk drinking had higher odds for abdominal obesity than non-risk drinking. Conclusion: Although moderate alcohol drinkers have a lower prevalence of obesity and abdominal obesity than nondrinkers, higher drinking quantity and frequent binge drinking are indicators of a higher prevalence of obesity and abdominal obesity in men.

• Journal of Trauma and Injury
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• v.22 no.1
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• pp.119-122
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• 2009

Traumatic abdominal wall hernia after blunt abdominal trauma is rare. The prevalence of traumatic abdominal wall hernia in published series is approximately 1%. Recently, by the use of computed tomography has increased the number of occult traumatic abdominal wall hernias (TAWH). A 47-year-old woman presented to the emergency room soon after a traffic accident. She was fully conscious and complained of diffuse, dull, abdominal pain. She had a seat belt on at the time of the accident. Initial computed tomography showed that the lower left abdominal wall had a defect and that a part of the small bowel had herniated through the defect. During the operation, we made an incision at the defect site and confirmed the defect. The defect size was about $15{\times}5cm$. The muscle layers were repaired in layers with absorbable sutures. Prolen mesh was layed down and fixed on the site of the repaired muscle defect. After 6 months, hernia had not recurred, and no weakness of the repaired abdominal wall layers was identified. The patient's postoperative body functions were normal.

• Journal of Korean Clinical Health Science
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• v.7 no.2
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• pp.1318-1324
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• 2019

Purpose. The study was conducted to find out the effects that women in their 20s with abdominal obesity can get from sling-based flanks. Methods. The study used In-Body to determine the weight and body fat rate of women in their 20s who were overweight at H University and used a tape measure to measure the circumference of the abdomen. Plank exercise using slings to reduce weight, body fat and abdominal circumference led to muscle stabilization and abdominal obesity reduction. The collected data were analyzed using the SPSS ver. 23.0 statistics program. Results. The results of the study showed statistically significant differences in the weight, body fat rate and abdominal circumference of the subjects before and after intervention. Conclusions. Steady abdominal muscles exercise help stabilize the abdomen, reduce abdominal body fat rate, and are effective in managing obesity.

• Journal of Preventive Medicine and Public Health
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• v.39 no.1
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• pp.59-66
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• 2006

Objectives: This study was performed to identify the socioeconomic factors, the psychosocial factors and the heath behavior factors that have an influence on abdominal obesity, as measured by using the waist circumference. Methods: Data was obtained from individuals aged above 20 years who had their waist circumference measured on the Korean National Health and Nutrition Examination Survey 2001, which was a cross-sectional health survey. Results: Regression analysis of the factors that affect abdominal obesity showed that the education level, income, smoking, duration of smoking, drinking consumption, frequency of exercises and sleeping were the associated factors for abdominal obesity. For men, the duration of smoking, education level, income and drinking consumption were the associated factors for abdominal obesity. For woman, the education level, income, duration of smoking, drinking consumption and frequency of exercise were the associated factors for abdominal obesity. Conclusions: Abdominal obesity is a risk factor for morbidity and mortality, and it is associated with chronic diseases, including cardiovascular disease and diabetes. Based on the findings, it is essential to modify heath behaviors for preventing abdominal obesity, which is a condition associated with the incidence of chronic disease.

• Journal of Chest Surgery
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• v.52 no.4
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• pp.227-231
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• 2019

Background: There is no established surgical procedure for the treatment of epiphrenic esophageal diverticulum. The aim of this study was to compare the clinical outcomes of esophageal diverticulectomy using abdominal and thoracic approaches. Methods: We retrospectively reviewed 30 patients who underwent esophageal diverticulectomy through the thoracic or abdominal approach for an epiphrenic diverticulum at a single center between 1996 and 2018. We compared clinical outcomes, including the postoperative length of stay, time from the operation to oral feeding, leakage rate, and reoperation rate between the 2 groups. Results: The median age was 56 years. Of the 30 patients, 18 (60%) underwent diverticulectomy via the thoracic approach and 12 (40%) underwent the abdominal approach. The median hospital stay was 10 days (range, 5-211 days) in the thoracic approach group and 9.5 days (range, 5-18 days) in the abdominal approach group. The median time from the operation until oral feeding was 6.5 days (range, 3-299 days) when the thoracic approach was used and 5 days (range, 1-11 days) when the abdominal approach was used. In the thoracic approach group, the leakage rate was 16.67% and the reoperation rate was 27.78%. However, there were no cases of leakage or reoperation in the abdominal approach group. Conclusion: The abdominal approach for esophageal diverticulectomy is a feasible and appropriate alternative to the thoracic approach.

• Journal of Korean Physical Therapy Science
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• v.29 no.1
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• pp.55-63
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• 2022

Background: This study investigated the effect of erector spinae and quadratus lumbar kinesio taping and support surface conditions on abdominal muscle activity during plank exercise. Design: Within-Group design. Methods: A total of twenty-three healthy men and women participated in this study. Abdominal muscle (both external obliques and internal oblique muscle) contraction was analyzed through EMG measurement with the presence or absence of kinesio taping applied to the erector spinae muscle and quadratus lumborum muscle during plank exercise and the difference between the support surfaces (stable surface and unstable surface) as variables. Abdominal EMG was attached to the right external oblique, left external oblique, right internal oblique, and left internal oblique. Results: The results showed that Abdominal left and right external obliques and internal obliques showed significant increases in activity when kinesio taping was applied to the erector spinae and quadratus lumborum muscles and unstable ground (p<0.05). Conclusion: In this study, we confirmed that the activity of the abdominal muscles was significantly increased during the plank operation in the state where the kinesio tape was attached. In addition, it was confirmed that the activity of the abdominal muscles was significantly increased during the plank operation on the unstable surface. These results suggest that in the state of kinesio tape attached and instability, plank motion has a positive effect on abdominal muscle activity.