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Analysis on Intervention Studies of Sasang Constitutional Diet : Participant, Intervention, Comparison, and Outcome (PICO) (사상체질 식이중재연구 현황분석 : Participant, Intervention, Comparison, Outcome (PICO)를 중심으로)

  • Kim, Ji Hwan
    • Journal of Sasang Constitutional Medicine
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    • v.33 no.1
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    • pp.90-101
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    • 2021
  • Objectives The purpose of this study was to evaluate intervention studies on Sasang Constitutional diet (SCD) through the checks of Participant, Intervention, Comparison, and Outcome (PICO) Methods Randomized controlled trial (RCT) and non-randomized study for intervention (NRSI) about SCD were searched in 4 Korean core databases and other sources, and then PICO was checked. Results 1. Total 10 studies were conducted with 1 RCT and 9 NRSIs. 2. Participants were people with no specific disease, or patients with essential hypertension, hyperlipidemia, obesity, or stroke with diabetes or hyperlipidemia. Most studies were conducted on groups of various Sasang Constitutional types except Taeyangin. 3. Two studies provided participants with meals and exercise. Three studies, instead of providing meals directly, taught participants how to eat SCD on their own. 4. NRSIs have tested the effectiveness of various outcome measures without the presentation of primary outcome, and then concluded that all outcomes were ineffective or some are effective. 5. There was no mention of adverse events. In most studies, a single doctor of Korean medicine diagnosed Sasang Constitution the QSCC II questionnaire. The intervention period ranged from three weeks to three months, and recent studies have conducted interventions for 12 weeks. Conclusions Intervention studies about SCD which were conducted so far have shown problems on the study design of PICO items. The study design and implementation that carefully consider how to maintain similarity between groups, minimize the risk of bias, set primary outcome measure, and control the diet are required.

Research on Elderly's Experience for 'YangSaeng Exercise as a Recreational Welfare Service (여가복지서비스 활동으로서 노인의 양생(養生)체조 참여경험 탐색)

  • Kim, Sueyeon;Won, Youngshin;Lee, Sanghee
    • 한국체육학회지인문사회과학편
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    • v.57 no.1
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    • pp.347-367
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    • 2018
  • The purpose of this study is to explore the meaning of YangSaeng exercise as a recreational activity for older adults. Twelve older adults who participated in the 'YangSaeng Exercise' at the S Senior Welfare Service Center were interviewed through purposeful sampling method. Each participant was interviewed two times, and data were analyzed using Strauss and Corbin's(1988) grounded theory method. Centralization was appeared as 'An addiction to YangSaeng exercise' and causal conditions were appeared as 'Visiting Welfare Center' and 'Participation in YangSaeng exercise program' and situational context were appeared as 'Self-management of old ages' and 'For possession of Independent Life' as the results of Axial Coding. Moreover, arbitrational conditions were 'Coexistence of Regret and Attraction' and interaction strategies were appeared as 'Accept', 'Effort and Easing Mind' and 'Share Together'. As a result, 'Appreciation', 'YangSaeng Exercise that comes in my Life' and 'Softly Pitapat' were derived. Core category of 'Living Joyfully with comforted and eased' was selected through outline of story which means it contains Positivity and Expectations, Acceptance and Acknowledgement, Satisfaction and Appreciation, and Commitment and Hope. Based on the findings, we acknowledge that YangSaeng exercise plays a role in improving quality of life of older adults as a recreational activity. This study sheds light on the possibility of implementing 'YangSaeng Exercise' as a health promotion activity among older adults.

Kinematic analysis of rowing exercise using a motor-assisted rowing machine for rowers with spinal cord injury: a case report

  • Jeong, Ju Ri;Lee, Bum Suk;Park, Dae-Sung
    • Physical Therapy Rehabilitation Science
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    • v.3 no.1
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    • pp.69-75
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    • 2014
  • Objective: We developed a Motor-Assisted Rowing Machine (MARM) for Spinal Cord Injury (SCI), by modification of the Concept II rowing machine, so that the seats could be operated automatically in a backward and forward direction by a motor. Design: Case report. Methods: Motor rowing consisted of a chair with inclination control, a motor system, control button, monitor, program, leg supporter, safety belt, and seat. The patients were 2 men rowing athletes with SCI, classified as American Spinal Injury Association class B, participated in the study. Level of thoracic injury ranged from T8 to T10. The subjects rowed at a self-selected stroke rate with 50 watts. Two different rowing methods (static rowing without movement of the seat, dynamic rowing using MARM) were assigned to each participant during 10 minutes; 34 reflective markers were attached to their full bodies. Kinematic data were collected using the Vicon motion analysis system. Based on the full body model provided as a default by the equipment. In the rowing exercise, the rowing motions were divided into Drive Phase and Recovery Phase. Results: The two rowing methods differ in handle range, seat range, handle and seat ratio, handle velocity, and seat velocity during static and dynamic rowing. The rowing exercise using a rowing machine developed MARM increased tendency to the range of motion in the dynamic method compared to the static method. Conclusions: The newly developed MARM could be a useful whole body exercise for people with SCI.

Comparison of Muscle Activity According to Hip Abduction Angle during Hip Extension Exercise in Prone Position (엎드린 자세에서 엉덩관절 폄 운동 시 엉덩관절 벌림 각도에 따른 근활성도 비교)

  • Cho, Youn-Ho;Lee, Han-Suk;Park, Sun-Wook
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.4
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    • pp.123-129
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    • 2018
  • PURPOSE: This study was conducted to investigate the influence of hip abduction angle on the muscle activity of the Gluteus Maximus (GM), Biceps Femoris (BF) and Tensor Fascia Lata (TFL) during Knee Flexed Prone Hip Extension exercise. METHODS: The subjects of this study were 42 healthy individuals. All participant consented to participate in this study. Subjects performed exercise, using the Knee Flexed Prone Hip Extension exercise in three hip abduction position $0^{\circ}$, $15^{\circ}$ and $30^{\circ}$. Subjects rested two minutes, between changing hip abduction position. Data were analyzed using a Noraxon MR-XP 1.08 Master Edition EMG to determine average amplitude, for each angle and muscle. All data were processed by Multivariate analysis of variance (MANOVA). There were a total of three groups. the GM muscle, BF muscle, TFL muscle. RESULTS: GM muscle activity was greatest in the $30^{\circ}$ hip abduction position (p<.05), followed by $0^{\circ}$. Between $0^{\circ}$ and $30^{\circ}$ has significant difference in muscle activity. However, the BF and TFL amplitude were greatest at $0^{\circ}$ hip abduction position followed by $30^{\circ}$. Moreover, the TFL differed significantly between $0^{\circ}$ and $30^{\circ}$, but, BF did not (p<.05). CONCLUSION: Hip abduction at $30^{\circ}$ was found to be the most appropriate position for GM muscle activity.

Impact of concurrent inspiratory muscle and aerobic exercise training on pulmonary function and cardiopulmonary responses (흡기근육 훈련과 유산소운동의 동시적용이 심폐반응과 폐기능에 미치는 영향)

  • Jung, H.J.;Lee, D.T.
    • Exercise Science
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    • v.21 no.3
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    • pp.373-384
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    • 2012
  • The effects of inspiratory muscle training in conjunction with aerobic exercise on inspiratory muscle strength, pulmonary function, and maximal oxygen uptake(VO2max) were examined. Twenty four healthy collegiate men were divided into three groups; respiratory muscle training group(RTG; n=8), running exercise group(REG; n=8), and both respiratory muscle training and running group(BTG; n=8). Their pulmonary function, maximal inspiratory pressures(PImax), and VO2max were assessed before and after intervention. RTG underwent inspiratory muscle training(IMT) with load set to 50 % of PImax, 30 times per session, twice a day, 4 days a week REG ran on a treadmill at 70-75 % of VO2max for 30 min a day, 4 days a week. BTG participated both IMT and the running exercise. Participant's anthropometric parameters and pulmonary function were not changed. VO2max increased by 6.1±3.3 %, 5.9±6.6 %, and 10.0±8.3 % in RTG, REG, and BTG, respectively(p< .05), and PImax also increased by 21.7±14.3 %, 19.7±12.0 %, and 27.0±12.1 % in RTG, REG, and BTG, respectively, but no group differences were found. Based on the study, although statistically insignificant, BTG showed the biggest increase of VO2max and PImax indicating a possible synergic effect of inspiratory muscle training and aerobic exercise on respiratory responses.

The Evaluation of Beneficial Walking Elements to Identify Motivations for Walking Habit Formation

  • Max Hanssen;Muneo Kitajima;SeungHee Lee
    • Science of Emotion and Sensibility
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    • v.26 no.2
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    • pp.117-128
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    • 2023
  • This study aimed to build on past findings about differences in personal walking experiences by demonstrating what elements were beneficial to participants with different walking habits. Accordingly, this study established the relationships between valued walking elements and people's motivation to walk, by dividing participants into three groups: Group W for people with a walking habit, Group HW for people who walk occasionally but not regularly, and Group NW for people who do not walk habitually. Participants walked a familiar and an unfamiliar route with a wearable device that recorded their heart-rate variability and electrodermal activity. Changes in the biometric data helped to identify the defining moments in each participant's walk. Participants discussed these moments in one-on-one interviews with a researcher to pinpoint their valued walking elements. As a result, this study classified walking elements into six themes: "Surroundings," "Social," "Exploration," "Route Plan," "Physical Exercise," and "Mental Thinking." A walking habit development model was made to show how "Route Plan" and "Exploration" were beneficial to Group NW, "Social" and "Surroundings" were beneficial to Group HW, and "Route Plan," "Mental Thinking," and "Physical Exercise" were beneficial to Group W.

The Effects of Tai Chi Exercise on Physiologic, Psychological Functions, and Falls among Fall-Prone Elderly (태극운동이 낙상 위험 노인의 신체적, 심리적 기능 및 낙상발생에 미치는 효과)

  • Choi, Jung-Hyun;Moon, Jung-Soon;Sohng, Kyeong-Yae
    • Journal of muscle and joint health
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    • v.10 no.1
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    • pp.62-76
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    • 2003
  • This study was a quasi-experimental study of non-equivalent control group pretest and posttest design. The purpose of this study was to determine the effect of Tai Chi exercise program on physical functions, psychological functions, and fall among the fall-prone elderly. The data were collected from September 19, 2001 to January 31, 2002. The study, conducted at two facilities located in Kwang-ju, was targeted to the ambulatory aged 60 years or older who had at least one of the key fall risk factors. Experimental group participated in Tai Chi exercise for 40 minutes per one time and three times a week for 12weeks at an auditorium. Fifty nine fall-prone elderly were assigned to 12-week Tai Chi exercise program (n=29) and control group (n=30). They underwent tests of lower muscle strength, time for chair stand, balance, flexibility, depression, falls efficacy, fear of falling, and numbers of fall at the baseline and at the 12th week. Numbers of fall and fall injuries were monitored for 16 weeks(12-weeks intervention plus 4-week follow-up periods) using fall calendar. Each participant was given a calendar to record the numbers of fall per day for a month. The calendars were collected at the last week of each month. 1. Tai Chi exercisers showed significant improvement in the strength of knee flexors, and ankle dorsiflexors and plantarflexors compared to the control group. The experimental group had improvement in the strength of knee extensors while the control group did not, with no statistical significance. 2. Tai Chi exercisers reported positive change in the average time of chair stand as compared to the control group. 3. Tai Chi exercisers had significant improvement in flexibility as compared to the control group. 4. There was no significant difference in the depression between the two groups, even though the Tai Chi exercisers maintained depression score in the same level while the others were increased. 5. Tai Chi exercisers showed significant improvements in the falls efficacy as compared to the control group. The falls efficacy was significantly improved among the experimental group while the opposite was identified among the control group. 6. The experimental group reported the significant reduction of the fear of fall, whereas control group reported the opposite. 7. Of the 59 subjects for 16weeks(12weeks intervention period and 4weeks follow up), 9 (31.0%) of the 29 in exercise group and 15 (50%) of the 30 in the control group fell (relative risk=0.62. 95% CI 0.32-1.19), even with no statistical difference. The results suggest that the Tai Chi exercise program can improve the strength of knee flexors, ankle dorsiflexors and plantarflexors, chair stand. flexibility, falls efficacy, and fear of falling for the fall-prone elderly.

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The Effects of an Aquatic Exercise Program with Obesity Management Education on Physical Function of Obese Women in Community (비만관리 교육을 포함한 수중운동 프로그램이 지역사회 비만여성의 신체기능에 미치는 효과)

  • Kim, Jong Im;Park, Ju Ah;Kim, Ji Young;Lee, Li Na;Jeon, Hye Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.267-274
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    • 2019
  • The purpose of this study is to investigate the effect of a practiced aquatic exercise program on the body function of obese women in the community, with knowledge of obesity preceded by obesity management education. The subjects were 20 obese women aged 51 to 79 who participated in the program for 8 weeks among the participants of health program in S healthcare center in D city. The aquatic exercise program, which includes obesity management training, consists of a total of 110 minutes, including twice a week, 20 minutes of obesity management training, and 60 minutes of aquatic exercise program. Obesity management education focuses on physical activity practice and dietary training. The results of this study showed that the aquatic exercise program including the 8 - week obesity management training decreased abdominal circumference, body weight and body mass index (p <.001, p <.001, p <.001),increased grip strength(P <.05), which is an effective program for reducing obesity and improving muscle power. In the follow-up study, it is necessary to increase the number of subjects and to develop the experimental design study with the control group and the participatory obesity management underwater exercise program that the participant directly participates and leads. It also suggests that additional strategies for continuous lifestyle improvement are needed.

Influence of Hypoxic Exercise at Head Down Tilt on Cardiovascular Responses (머리하향기울기 자세에서 운동 중 저산소호흡이 심혈관계반응에 미치는 영향)

  • Kim, Kyong-Tae;Lee, Dae-Taek
    • Aerospace Engineering and Technology
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    • v.8 no.1
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    • pp.207-214
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    • 2009
  • The purpose of this study was to examine the influence of hypoxic exercise at head down tilt (HDT) on cardiovascular responses. Eight men ($23{\pm}2$ yrs, $176{\pm}4$ cm, and $75{\pm}8$ kg) underwent four separate exercise testing sessions; seated normoxia (SN), seated hypoxia (SH), HDT normoxia (HN), and HDT hypoxia (HH). Each participant performed the leg cycling at predetermined 40% of maximal aerobic capacity relevant to each posture for 15 min. Heart rate was higher in SH than SN and higher also in HH than SH (p<0.05). Blood oxygen saturation was lower in SH than SN (p<0.05). During resting, diastolic blood pressure and mean arterial pressure was significantly lower in HDT than seated posture (p<0.05). No differences were found between conditions in hemoglobin and hematocrit and electrolytes including, sodium, potassium, and chloride. Lactate was higher in SH than SN. In conclusion, there was no effect for cardiovascular responses to duplicate stimuli both hypoxia and posture.

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The Effect of Nutritional Management and Exercise on Serum Homocystein Level and Antioxidant Intake in Middle Aged Obese Women (영양관리와 운동이 중년 비만여성의 혈중 호모시스테인 수준과 항산화 영양소 섭취에 미치는 영향)

  • Han, Jung-Soon;Kim, Ae-Jung
    • The Korean Journal of Food And Nutrition
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    • v.27 no.3
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    • pp.470-477
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    • 2014
  • The purpose of this study was to investigate the association of homocysteine and antioxidant nutrients with obesity in Korean middle aged women. The study subjects included were middle-aged obese women (n=36) whose body mass index (BMI) was greater than $25kg/m^2$. A total of 36 participants were randomly divided into two groups. They were assigned to either the Nutritional Management and Exercise (NME) program or the Exercise Management (EM) program, which were both conducted for 3 months. We measured serum homocysteine, total cholesterol and HDL cholesterol levels of the participant. We also measured the dietary intakes of antioxidant nutrient, cholesterol, body weight, body mass index, blood pressure, and $VO_2$. At the end of both programs, please confirm this change. It was unclear when these measurements were shown to have decreased. The body weight and BMI of NME group were decreased compared to those of EM group. The serum total cholesterol levels of the participants in NME group were significantly decreased, in contrast to EM group. Also, serum homocysteine levels of NME group participants were decreased compared to EM group, but the difference was not statistically significant. In the NME group, there were significant differences in the change of dietary cholesterol and vitamin C intake. These results showed that participating NME program will continuously promote the healthy status of the middle aged obese women, compared to participating only in the EM program.