• Journal of Korean Biological Nursing Science
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• 제15권1호
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• pp.8-14
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• 2013

Purpose: The purpose of this study was to investigate factors related to obesity of mid-age women and to examine the relationship between obesity and chronic diseases including diabetes, hypertension, and heart disease. Methods: Using data from Korean American adults living in California, we analyzed the health behavior (diet, exercise, smoking, and binge drinking) and psychological stress of obese women with body mass index ${\geq}25$ by using chi-square test. Logistic regression was used to investigate independent effects of obesity on chronic diseases, after controlling for risk factors. Results: The prevalence of obesity appeared about 16.9%. The Obese group was less likely than the non-obese group to eat vegetables and more likely feel psychological stress. There were no significant differences in smoking, alcohol intake, and physical exercise between the two groups. Obesity was strongly related to chronic diseases (OR=4.642, 95% CI=1.328-16.222). Conclusion: This study suggests that obesity of mid-age women could be reduced by encouraging health behavior such as eating vegetables daily, performing physical exercise regularly, and taking care of emotional stress. Diet and physical activity interventions and emotional supports should be developed for weight loss and prevention of weight gain in mid-age women.

• 한국학교보건학회지
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• 제21권2호
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• pp.1-11
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• 2008

Purpose: Few studies have attempted to explain the childhood's sociality issue in Korea. This study was conducted to investigate the association between obesity stress and sociality factors. Methods : The study subjects were 4th, 5th, and 6th grade students from the elementary schools in Kwangju, Anyang, and Hwasung city. The cross sectional study was carried out through the self-reported questionnaire survey about obesity stress, sociality, and socio-demographic characteristics. The data was analyzed by multiple regression analysis using SPSS 12.0 version. Results : Overall, the findings of this study were consistent with previous studies. The measures of obesity stress showed significant negative relationships with measures of childhood sociality. Specifically, the association between mental stress from obesity and socialization was more higher than other variables. In addition, multiple regression analysis found that the effect of mental stress from obesity on childhood sociality was more higher than the effect of stress from physical discomfort and the effort to overcome the obesity stress. Conclusion : Findings provide evidence for the notion that the measures of obesity stress is significantly associated with childhood sociality.

• Journal of Preventive Medicine and Public Health
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• 제47권2호
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• pp.94-103
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• 2014

Objectives: The present study examined relationships between socioeconomic status (SES) and obesity and body mass index (BMI) as well as the effects of health-related behavioral and psychological factors on the relationships. Methods: A cross-sectional population-based study was conducted on Korean adults aged 20 to 79 years using data from the 2001, 2005, and 2007 to 2009 Korea National Health and Nutrition Examination Survey. Multivariate logistic and linear regression models were used to estimate odds ratios of obesity and mean differences in BMI, respectively, across SES levels after controlling for health-related behavioral and psychological factors. Results: We observed significant gender-specific relationships of SES with obesity and BMI after adjusting for all covariates. In men, income, but not education, showed a slightly positive association with BMI (p<0.05 in 2001 and 2005). In women, education, but not income, was inversely associated with both obesity and BMI (p<0.0001 in all datasets). These relationships were attenuated with adjusting for health-related behavioral factors, not for psychological factors. Conclusions: Results confirmed gender-specific disparities in the associations of SES with obesity and BMI among adult Korean population. Focusing on intervention for health-related behaviors may be effective to reduce social inequalities in obesity.

• 한국보건간호학회지
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• 제27권3호
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• pp.619-632
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• 2013

Purpose: The purpose of this study was to develop an obesity management program for obese children and examine its effects on body composition, self-efficacy, and health promotion. The obesity management program was based on a KAP & HBM mixed model and consisted of health education and group playing exercises. Method: This study was implemented at one elementary school in K city for a total of 12 weeks. The study subjects were a single group, and their body composition, self-efficacy, and health promotion were assessed at both pre-treatment and post-treatment. Data were analyzed by Wilcoxon Signed Rank Test using SPSS WIN 20.0. Result: After the program, the average height of subjects increased by 0.9cm (p=.001), whereas BMI decreased by $0.64kg/m^2$ (p=.003), obesity index decreased by 3.79% (p=.003), and body fat decreased by 1.34% (p=.002). There were significant effects on diet self-efficacy (p=.027), exercise self-efficacy (p<.001), and health promotion (p=.001). Conclusion: This obesity management program reduced the degree of obesity and improved self-efficacy and health promotion. Therefore, the obesity management program is an effective intervention method for elementary-aged obese children.

• 동아시아식생활학회지
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• 제20권3호
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• pp.352-362
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• 2010

This study was conducted to investigate the influence of obesity stress on the eating behavior of elementary school students. Using a questionnaire, 300 students in the sixth grade from 2 schools in Kyunggi-do were surveyed (Boys: N=145, Girls: N=155). Data analysis was managed by SPSS software (version 13.0). The link between obesity stress and eating habits or behaviors was dependent on physical discomfort. There was also a large group of students experienced irregularity in their meal times during the day. Furthermore, there were significant differences in mealtime among boys under psychic stress caused by obesity. In the case of dairy intake during breakfast, the significant signs of obesity stress for were physical discomfort for boys and psychic stress for the girls. It was found for both boys and girls that more frequent midnight snacking decreased the efforts to overcome obesity stress. Therefore, a professional nutrition program that can educate school children must be implemented both in school and at home. In addition to overweight or obesity children, normal weight and underweight children can also benefit from this program that includes health counseling for weight and eating behaviors.

• 부모자녀건강학회지
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• 제11권1호
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• pp.25-36
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• 2008

The purpose of this study was to investigate the level of obesity and sexual knowledge between age-matched 168 postmenarcheal and 168 premenatcheal girls among 6th grade elementary school girls in Busan. Anthropometric measurements were taken for height and body weight of subjects for obesity and a questionnaire for sexual knowledge representing 5 categories was developed by researcher. For the statistical analysis of the collected data, frequency, Chi-square, t-test, ANOVA, and Pearson correlation were performed by SPSS WIN Vesion 12.0 program. These measurements of menarcheal grils were significantly higher than those of non-menacheal girls in height, body weight, BMI and obesity level. The sexual knowledge was low, expecially they didn't know well about sexual disease and contraception. There was no significant difference between two groups, but there was significant difference among obesity level, obesity group had sexual knowledge than others. And there were significant positive relations between the menarche and the obesity. The most important findings in the study showed that is needed the systemic and concrete sexual education in home, school and community, and especially by the professionals in the sex education field.

• 한국학교보건학회지
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• 제20권2호
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• pp.1-12
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• 2007

Purpose: This study was to examine the effects of a obesity management program for obese children at a urban elementary school. Methods: The study subjects were fifty five 4^th-6^th graders (experimental = 29, control = 26) whose obesity indices were 120% or over fiunr two schools in a urban area. Obesity management program was conducted weekly 12 sessions with 60-day morning group exercises. Study instruments were Imbody 310 (BIOSPACE, 2005) and summated scales. Data were collected from April 6 to June 22, 2006 and analysed by descriptive statistics, X²-test and ANCOVA using SPSS/PC+ 14.0 program. Results: 1. Obesity management program was effective to reduce body weight (t = -2.54, p = .014), fat mass percent (t = -2.37, p = .021) and to increase muscle mass (t = 2.36, p = .022). And all these were also significant statistically in ANCOVA 2. Obesity management program were also effective to decrease level of obesity (t = -3.28, p = .002), and that of stress (t = -2.19, p = .033) and to improve food habit (t = 2.52, p = .016). And all these were also significant statistically in ANCOVA. Conclusion: School-based obesity management program for obese children was effective to reduce weight, fat mass percent, obesity, and stress; increase muscle mass; and improve food habit. School-based obesity management program, therefore, can be recommended as a health promotion measure in elementary school as curricular basis.

• Asian Pacific Journal of Cancer Prevention
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• 제15권22호
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• pp.10027-10031
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• 2014

Background: We investigated the risk of cancer mortality according to obesity status and metabolic health status using sampled cohort data from the National Health Insurance system. Materials and Methods: Data on body mass index and fasting blood glucose in the sampled cohort database (n=363,881) were used to estimate risk of cancer mortality. Data were analyzed using a Cox proportional hazard model (Model 1 was adjusted for age, sex, systolic blood pressure, diastolic blood pressure, total cholesterol level and urinary protein; Model 2 was adjusted for Model 1 plus smoking status, alcohol intake and physical activity). Results: According to the obesity status, the mean hazard ratios were 0.82 [95% confidence interval (CI), 0.75-0.89] and 0.79 (95% CI, 0.72-0.85) for the overweight and obese groups, respectively, compared with the normal weight group. According to the metabolic health status, the mean hazard ratio was 1.26 (95% CI, 1.14-1.40) for the metabolically unhealthy group compared with the metabolically healthy group. The interaction between obesity status and metabolic health status on the risk of cancer mortality was not statistically significant (p=0.31). Conclusions: We found that the risk of cancer mortality decreased according to the obesity status and increased according to the metabolic health status. Given the rise in the rate of metabolic dysfunction, the mortality from cancer is also likely to rise. Treatment strategies targeting metabolic dysfunction may lead to reductions in the risk of death from cancer.

• 한국직업건강간호학회지
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• 제25권3호
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• pp.199-207
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• 2016

Purpose: The purpose of this study was to identify the obesity stress, weight bias and health care on Body Mass Index (BMI) in soldiers of non-combat area and to provide data for improving the quality of their life. Methods: This research involved 165 soldiers working in non-combat area. Data collection was conducted from November 1 to 20, 2015. Statistical analysis of the collected data were t-test and ANOVA, $Scheff{\acute{e}}$ method post hoc analysis, Pearson's correlation coefficients, and multiple liner regression using IBM SPSS 22.0. Results: The mean score of obesity stress was moderate ($19.05{\pm}5.28$). The mean score of weight bias was 69.03 and health care was 2.41 points. There are a positive correlation between obesity stress and BMI (r=.19, p<.05). Weight bias (r=-.19, p<.01) and health care (r=-.26, p<.01) among the subjects had negative correlations with BMI. In a multiple liner regression, obesity stress (${\beta}=.18$, p<.05), health care (${\beta}=-.18$, p<.05) were associated with BMI. Conclusion: Based on the findings that obesity stress and health care influence BMI, there is a need to control stress and to properly set proper guidelines on health care for soldiers.

• 한국융합학회논문지
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• 제10권6호
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• pp.347-353
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• 2019

본 연구는 제6기 국민건강영양조사(2015년)의 원시자료를 이용하여 한국청소년의 알레르기질환에 영향을 미치는 비만, 흡연, 음주를 파악하기 위한 서술적조사연구이다. 연구대상은 만 12세에서 18세 청소년 535명이었고, Rao-Scott $x^2$. 복합표본 로지스틱 회귀분석을 실시하였다. 연구결과는 청소년의 천식 진단율 5.4%, 아토피피부염 진단율 15.5%, 알레르기비염 진단율 22.8%순으로, 비만, 흡연, 음주 여부에 따른 천식, 아토피피부염, 알레르기비염 진단율의 차이는 나타나지 않았다. 반면에. 알레르기 진단의 위험을 높이는 변수로 천식은 비만, 아토피피부염은 음주가 유의하게 나타났다. 본 연구결과를 바탕으로, 알레르기 질환을 진단받은 청소년에게 질 높은 삶을 중재하기 위한 차별화된 간호를 제공하기 위하여 비만, 흡연, 음주와 관련된 건강증진 프로그램 개발의 기초자료를 제공하고자 한다.