• Journal of Nutrition and Health
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• 제49권4호
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• pp.223-232
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• 2016

Purpose: We investigated the potential interaction between the G-protein beta-3 subunit gene (GNB3) C825T polymorphism, a risk factor for chronic disease in various ethnicities, and obesogenic environments in overweight/obese Korean children. Methods: The present study was conducted as a cross-sectional study using measures of anthropometry, blood pressure (BP), and fasting blood samples as well as 3-day food records. Subjects were recruited from seven elementary schools in an urban district in Seoul, South Korea, between 2007 and 2008. A total of 1,260 children aged 8-9 years were recruited in the study, including 633 boys (50.3%) and 627 girls (49.7%). Results: The allele frequencies of the GNB3 polymorphism were C allele = 49.7% and T allele = 50.3% in subjects. In general, boys with T allele had higher BMI, systolic BP (SBP), and triglycerides, although their energy intake was not significantly different from boys with C allele. In contrast to boys, girls with T allele had lower BMI but higher SBP and energy intake than those with C allele. The girls with T allele had a significantly lower BMI and waist circumference in both the normal weight group and obese group (OB). T allele carriers in both genders had significantly higher TC than C allele carriers in the OB group. At last, girls with T allele in OB appeared to have significantly lower HOMA-IR than those with C allele. Conclusion: Unlike higher risk for negative health outcomes by the GNB3 polymorphism in various ethnicities, GNB3 polymorphism did not influence obesogenic environments in overweight/obese Korean children.

• 동아시아식생활학회지
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• 제17권2호
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• pp.192-197
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• 2007

The purpose of this study was to evaluate the energy intake and energy expenditure of obese children. The body weight and height were measured, and the daily energy intake and activity pattern assessed for one day, using the 24 hour recall method and interviews in 83 elementary school children (59 boys and 24 girls). The average age, height, weight, ideal body weight and obesity index in boys and girls were 11.8 years, 144.8 cm, 54.2 kg, 39.9 kg and 35.9% and 11.5 years, 140.8 cm, 48.9 kg, 36.9 kg and 33.7%, respectively. The mean daily energy intakes of boys and girls were 1,670.5 and 1,656.5 kcal; these being 76.4 and 88.5% of estimated energy requirement for Koreans, respectively. The energy intake ratio from carbohydrates, proteins and fats in boys and girls were 61.5:14.7:23.6 and 62.0:14.7:23.7, respectively. The resting energy expenditure, as estimated by the Harris-Benedict, WHO/NAO/FAO and Korean DRI formulae in boys and girls were 1,452.7, 1,239.2 and 1,629.2 kcal and 1,323.9, 1,156.0 and 1,252.4 kcal, respectively. The activity coefficient for both the boys and girls was 1.39. The daily energy expenditure of boys (1,990.7 kcal) was significantly higher than that of girls (1712.1 kcal). No significant correlations were found between the obesity index, energy intake and energy expenditure. These results suggested that a nutrition and exercise program is required to increase the energy expenditure of elementary school children. Further research will be needed to assess multiple dietary factors and dove]lop a standard method for assessing the energy expenditure of obese children.

• 한국식품영양학회지
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• 제13권3호
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• pp.273-280
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• 2000

This study investigated the correlations among nutrient intakes and biochemical status in Anyang obese children. The average age of the subjects was 11.34${\pm}$1.36yrs. The average BMI was 25.78kg/㎡ in boys and 25.09kg/㎡ in girls. The average percentage of body fat was 25.62 %. Percentages of subjects at dyslipidemia based on corresponding criteria of total cholesterol, triglyceride, HDL-cholesterol, LDL-cholesterol, atherogenic index were 24.05%, 27.85%, 13.92%, 18.99%, 58.23%, respectively, There were significant difference in dietary fat, vitamin A and niacin in subjects by sex. There were no significant difference in energy, carbohydrates, protein, fat, iron, vitamin A, vitamin B$_1$with respect to BMI, but calcium intakes were found significantly correlated with BMI(p<0.05).The percentage of body fat was also positively correlated with animal fat intake, animal calcium intake, diastolic blood pressure and negatively correlated with HDL-cholesterol, atherogenic index, LHR, plant calcium intake, Based upon this study, the children nutritional education is required for better growth and health promotion of primary school children.

• 대한간호학회지
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• 제37권4호
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• pp.568-575
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• 2007

Purpoes: The study was done to investigate the effects of an exercise program on body composition, cardiopulmonary function and physical fitness in obese children. Methods: Thirty nine children in grades 4, 5, and 6 in elementary school were employed: experimental group(20) and control group(19). The subjects in the experimental group participated in an exercise program for 8weeks, thirty five minutes per session, four times per week. This data was analyzed by ANCOVA and paired t-test. Result: The Height(F=2.615, p=0.027) of the experimental group was significantly different from the control group. Also, in the experimental group, there were significant differences of height(t=4 79, p=0.000), cardiac rate(t=-6.461, p=0.000), body mass index(t=-2.13 p=0.046), muscle strength(t=3.48, p=0.003), and muscle endurance(t=3.20, p=0.005). Otherwise, in the control group, there were significant differences of weight(t=2.27, p=0.036), waist-hip ratio(t=3.16, p=0.005), and muscle endurance(t=-2.38, p=0.030). Conclusion: Jumping rope improved the body composition, cardiopulmonary function, and physical fitness for obese children.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제23권1호
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• pp.15-25
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• 2020

Prevalence of pediatric obesity has increased worldwide in the last 20 years. Obese children suffer not only physical complications but also mental health problems such as depression, attention deficit hyperactivity disorder (ADHD), and eating disorders, as well as psychosocial impairments, such as school adjustment problems, bullying, and low self-esteem. Recently, there have been some studies on the association of mental health problems and pediatric obesity. In the treatment of pediatric obesity, many previous studies suggest multidisciplinary treatment. However, cognitive behavioral therapy (CBT) has attracted attention because obese children are accompanied by body image distortion, emotion dysregulation, and difficulties in stimulus control. This review is a narrative summary of the recent studies on mental health problems and CBT in pediatric obesity. The relationship between depression/anxiety and pediatric obesity is still inconsistent but recent studies have revealed a bidirectional relation between depression and obesity. Additionally, some studies suggest that obese children may have eating disorder symptoms, like loss of control eating, and require therapeutic intervention for pediatric obesity treatment. Furthermore, impulsivity and inattention of ADHD symptom is thought to increase the risk of obesity. It has also been suggested that CBT can be very effective for mental health problems such as depression, impulsivity, and body image distortion, that may coexist with pediatric obesity, and use of multimedia and application can be useful in CBT.

• 대한한방소아과학회지
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• 제15권1호
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• pp.183-194
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• 2001

Purpose : This Study was conducted to find out whether Gwakhyangjunggi-san gamibang has effects on obesity. Method : Before and after medication, we measured height, weight, Bioelectrical Impedance and calculate BMI, and obesity index from 9 obese children who participated in '2001 the 2nd Hur-jun children contest' sponsored by Kyunghee Oriental Medical Center and compared them. Results and Conclusions : 1) After medication, there was reduction of weight, but it has no statistical significance. 2) After medication, there was statistical significant reduction of BMI, obesity index. 3) After medication, there was statistical significant reduction of total fat weight and the percentage of body fat, and significant increase of muscle mass. As above statement, Gwakhyangjunggi-san gamibang has effects on obesity with significant and it is considered that additional and complement study is needed.

• 한국식생활문화학회지
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• 제8권3호
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• pp.275-287
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• 1993

An ecological survey of food and nutrition was conducted in April and May, among 278 children, 6 to 12 years old, of the Youido elementary school, which offers no school lunch program, and is situated in Youido delta of Han River side of Seoul, known as the location of one of the socioeconomically high groups; Eighteen percent and 18.3% of subjects were proven to be overweight and obese, respectively. With regard to frequency of skipping breakfast, 28.4% of the subjects skipped breakfast often and 2.5% of subjects skipped breakfast every morning. Obese children showed good appetite and the time consumed for eating was shorter than those of normal or overweight children. Most serious anxiety among the mothers for those children was food habit of `eating rapidly' and `overeating'. Another striking observation was that 14.4% of the subjects ate only one side-dish with boiled rice, and such a pattern was more often found in the normal or slim group. Most of the subjects had their snacks after being back in home from school. Thirty-one percent of the children had snacks when they felt hungry, 69% had snacks for various reasons such as `habitually', `for unwinding', and `mother gives me snacks'. Thirty-eight percent of the boys and 19% of the girls had physical exercise everyday and overweight and obese children got exercise more frequently. But the time consumed for exercise was much more shorter than that of normal subjects. Most of the children liked fruits, meats, and biscuit, in contrast, lowest preferency was for vegetables, fermented fish products, and boiled rice mixed with other grains. Obese children experienced more kinds of food than normal or slim group. The study found that habits of overeating due to good appetite and eating rapidly were recognized as one of dominant reasons causing obesity among children. On the other hand, serious dietary problem of children of normal or slim group was eating less variety of food. Active nutrition education for both children and mothers will be recommended with joint participation of teachers.

• 한국식품영양과학회지
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• 제25권3호
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• pp.433-440
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• 1996

To assess the relationship between serum cholesterol level and dietary intake in obese children, 50 subjects were selected as an obese group and 50 subjects as a normal group depending upon body mass index. Fasting blood samples were obtained and analyzed for serum total cholesterol(TC), high density lipoprotein cholesterol(HDLC), low density lipoprotein cholesterol(LDLC) and triglyceride(TG). The dietary intake and information on dietary behavior and family environment were obtained by questionaire using 24 hour dietary recall method for 2-consecutive days. The concentrations of TC, LDLC, HDLC and TG of obese group were estimated to be 193.3mg/dl, 122.5mg/dl, 53.7mg/dl and 86.0mg/dl, respectively. The obese group showed higher TC, LDLC, TG level(p<0.001) and lower HDLC level(p<0.001) than normal group. Food intakes in obese group were similar to those of normal group except meats & fishes(P<0.01), milk & dairy products, fruits(p<0.05), and green & yellow vegetables(p<0.001). Nutrient intakes in obese group exceeded Korean recommended dietary allowance for the corresponding ages. Saturated fatty acid(p<0.05) and cholesterol(p<0.001) intakes in obese group were higher than those of normal group. In correlation analysis, meats & fishes, eggs and milk & dairy products intakes were positively related to serum TC, LDLC and TG ; on the contrary, green & yellow vegetables and fruits intakes were negatively related to serum TC, LDLC and TG ; but positively to HDLC. Obesity index, serum cholesterol level, cholesterol and saturated fatty acid intake were positively correlated with parent's obesity index, frequency of snack per day, eating rate and late snack.

• 생명과학회지
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• 제12권2호
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• pp.226-232
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• 2002

남자 비만 초등학생들을 대상으로 체지방률에 따른 경도비만(%fat 20∼24.9%), 중도비만(25∼29.9%), 고도비만 (30%이상)으로 분류하여 인슐린, leptin 및 혈청지질을 분석·평가하였다. 인슐린은 고도비만 초등학생들이 다른 집단에 비해 유의하게 높게 나타났으며, leptin은 경도비만 초등학생들에 비해 중도비만 초등학생들과 고도비만 초등학생들이 유의하게 높게 나타났다. T-C는 경도비만 초등학생들에 비해 고도비만 초등학생들이 유의하게 높게 나타났으며, 체지방률이 높을수록 HDL-C가 높아지는 경향이 있으나 유의한 차이는 없었다. TG는 고도비만 집단이 다른 집단에 비해 유의하게 높게 나타났다. LDL-C는 체지방률이 높아질수록 조금씩 증가하는 경향이 나타났으나 유의한 차이는 없었다. 이상의 결과에서 비만 초등학생들 중에서도 체지방률에 따라서 인슐린, leptin, T-C 및 TG에서 유의한 차이가 나타나 비만을 관리 하는데 있어서 체계적이고, 세분화된 프로그램의 개발이 시급한 실정이다.

• 정신신체의학
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• 제5권2호
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• pp.168-175
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• 1997

본 연구에서는 부모의 체질량 지수로 알아보는 비만의 가족력, 출생시 체중, 모유 또는 분유 수유, 어린이의 식사습관 및 생활 습관, 부모의 학력 부모의 식이제한 태도 등의 변수들과 아동의 비만과의 상관관계를 검토하여 보았다. 1) 전체 대상 아동 110명중 20.1%인 23명이 OBI가 20%이상인 비만아였다. 두 군에서 평균체중과 OBI는 유의한 차이를 나타내었고(p<0.01), 남아에서 유의하게 비만이 많았으며(p<0.05), 출생시 체중이나 수유의 종류 및 출생 순위등은 유의한 차이가 없었다. 2) 식사 및 생활 습관을 비교해 보면, 비만아에서 음식 먹는 속도가 빠른 경우가 유의하게 많았다(p<0.01) 먹고 싶은 충동을 견디기 어렵다는 경우, 불규칙한 식사, 인스턴트 식품이나 패스트 푸드를 좋아한다는 답변, 간식을 많이 한다, 기름진 음식을 좋아한다는 답변 등은 두군간에 유의한 차이가 없었다. 텔레비젼 시청이나 전자오락을 좋아한다는 답변도 두군간에 차이가 없었다. 3) 비만군에서 아버지의 연령 (p<0.05) 및 교육수준(p<0.05)이 유의하게 높았으며, 부모의 BMI는 두군간에 유의한 차이가 없었다. 4) 비만아동의 어머니에서 인지적 제한 요소인 factor 1과 탈억제 요소인 factor 2가 유의하게 높았으며(p<0.05). 공복감 요소인 factor 3은 두군간에 유의한 차이를 보이지 않았다. 어머니의 교육수준과 TFEQ의 factor 1은 상관관계를 보였으며(r=0.39, p<0.05), factor 1(r=0.38, p<0.05)과 factor 2의 점수가 높을수록 아동의 비만도는 증가하였다(r=0.34, p<0.05). 5) 만 5세 아동의 비만은 부모의 체질량 지수와 같은 유전적 요인보다는 아동 자신의 식사 습관이나 어머니의 식이제한 태도에 더 많은 영향을 받는다고 볼 수 있다.