• Journal of Nutrition and Health
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• v.54 no.5
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• pp.474-488
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• 2021

Purpose: Malnutrition in children with cerebral palsy (CP) is a significant factor affecting their adequate growth and development. This study aimed at conducting surveys and evaluating the dietary intake of children with CP according to their BMI classification and to thereby highlight the dietary factors affecting the nutritional status of these children. Methods: A total of 16 children were enrolled between the age of four and twelve. These subjects were further classified into three groups, namely underweight, normal and obese, with 6, 8, and 2 children in each group, respectively. The general characteristics, motor disturbances, body composition, feeding problems, eating habits, nutritional intake, dietary variety, and food frequency for children with CP were evaluated. Results: It was observed that motor disturbances tended to increase in underweight children with CP. A significant decrease (p < 0.05) in disturbances related to oral feeding was observed with an increase in obesity. The pattern of eating habits revealed that subjects in the underweight group consumed unbalanced meals, while those in the obese group tended to consume larger meals at a faster pace. The feeding disturbance data revealed that those in the underweight group could not prepare their meals while the obese group had the problem of overeating and consuming an unbalanced diet (p < 0.05). Conclusion: It is necessary for both children with CP, who have a high degree of disability, and their caregivers to take lessons on adequate nutrient intake to prevent malnutrition. Moreover, it is necessary for the caregivers and children with CP having a low degree of disability to take lessons on providing and consuming a balanced diet and to focus on the intake of sufficient calcium in order to prevent obesity.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.12 no.2
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• pp.207-214
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• 2009

Purpose: Childhood obesity can be complicated by hypertension, hyperlipidemia, non-alcoholic fatty liver disease, and diabetes mellitus. The aim of this study was to evaluate the prevalence of obesity and metabolic complications of children and adolescents based on the degree of obesity. Methods: We analyzed the records of 8,880 students who received student health examinations between May 2006 and October 2008 at the Eulji General Hospital. The prevalence of obesity was evaluated by the body mass index and obesity index. A total of 1,076 obese students had blood tests. We analyzed aspartate aminotransferase (AST), alanine aminotransferase (ALT), fasting glucose, total cholesterol, and blood pressure according to the degree of obesity. Results: According to the body mass index, the overall prevalence of obesity was 7.2% (7.8% of male and 6.5% of female students). Based on the obesity index, 12.3% of students (mild: 6.3%, moderate: 5.0%, and severe: 1.0%) were obese. The prevalence of hypercholesterolemia, ALT elevation, and hypertension were increased as a function of the degree of obesity (p<0.05), but hyperglycemia showed no significant differences (p=0.298). The overall prevalence of ALT elevation was 17.7% (mild obese group, 10.4%; moderate obese group, 20.5%; and severe obese group, 46.8%). The prevalence of hypercholesterolemia, hypertension, and hyperglycemia were significantly higher in the elevated ALT group (24.7%, 42.6%, and 5.2%, respectively) compared to the normal ALT group (11.1%, 29.8%, and 2.0%, respectively; p<0.05). Conclusion: Hypercholesterolemia, liver function test abnormalities, and hypertension were associated with the degree of obesity. We should focus our attention on managing obese children and adolescents to prevent metabolic complications.

• Journal of Nutrition and Health
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• v.20 no.4
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• pp.272-280
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• 1987

This research is intended to reveal the correlations between diabetes and dietary and other related factors. We were studied for 257 diabetics, in t도 9 general hospitals, located at Seoul, From August 109 to September 3, 1986. The result of this study can be follow ; 1) Distribution of the subjects according to their general characteristics ; The sex ration of the subjects is 1.06 ; 1.00 (male ; female), and the average age is 54.7 $\pm$10.9 years. Among the subjects 28.8% have a family history of diabetes ; the closer the genetic relationship, the more hereditory factors play a part. 2) Distribution of the scores according to their socioeconomic status ; As the socioeconomic status goes p, the intake of calories and fiber increases ; however, the frequency of eating out and the degree of physical activity decrease. 3) Relationship between obesity prevalence and each variable ; Among the subjects 27.2% are obese, and 60.3% have been obese in the past. Even though there is no significant relationship between the food habit and obesity, the number of people who are obese shows a significant increase as the socioeconomic status improves. 4) The effect of sex on each variable ; The intake of calories, sugar, alcohol and coffee is higher in male subjects, as is the frequency of eating out. In regular exercise and physical activity, there are significant differences between male and female subjects.

• Journal of Nutrition and Health
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• v.31 no.5
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• pp.957-964
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• 1998

The study was undertaken to assess the degree to which subjects were compliant with a specific metabolic diet in a controlled outpatient feeding study. The study consisted of a two-week control period in which subjects consumed a control diet consisting of 38-40% fat, 18-20% protein, 40-42% carbohydrate, followed by a three-week experimental period during which each subject consumed the control diet plus one of the four fiber supplements(20g/4ay) assigned on a random basis on the trust day. All meals were prepared and eaten in a metabolic feeding laboratory, with the exception of Saturday and Sunday meals that were packed for take-out. Fifty-seven healthy adult men, aged 18-65 years participated in the study. Dietary compliance index(CI) defined as the percent deviation of actual consumption from the prescribed food's and unconsumed prepared foods. The CI reflected the additional 'non-prescribed foods' and unconsumed 'prescribed foods'. A CI was calculated for all subjects. A CI of 5% or more was defined as poor compliance. Overall, dietary compliance was substantially improved for the entire group over the course of the study. Significant increase in compliance far energy and macronutrient intake occurred between the baseline and experimental periods. Within a non-obese group, dietary compliance fir energy improved from 5.5% to 3.3% by the end of the study(week 1vs week 5, respectively, p<0.05). However, between non-obese and obese group, dietary compliance was not different. (Korean J Nutrition 31(5) : 957-964, 1998)

• Journal of Korean Public Health Nursing
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• v.27 no.3
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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.

• Women's Health Nursing
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• v.10 no.4
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• pp.368-372
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• 2004

Purpose: This study was performed to investigate the correlation between mother's characteristics and obesity index, percentage of body fat, total cholesterol, and serum leptin levels in obese children. Method: Sixty two students in 4th, 5th, and 6th grades were selected from two elementary schools located in the suburbs of Seoul. Mother's characteristics were collected by questionnaires. Biophysical indexes were as follows; obesity indexes were calculated by height and weight, percentages of body fat were measured by a bioelectrical impedence fatness analyzer, total cholesterol levels were measured by a Hitachi automatic analyzer, and serum leptin levels were measured by the immunoradiometric assay method. Result: The degree of mother's concern for their children's obesity showed a statistically significant positive correlation with biophysical indexes such as obesity index and serum leptin level in obese children. However, there were no significant correlations between mother's economic state, education level, occupation and biophysical indexes. Also, there were no significant correlations between mother's concern for their children's obesity and percentage of body fat, and serum cholesterol levels. Conclusion: These results indicate that mother's concern for their children's obesity is one of the most important factors in child obesity.

• Journal of the Korean Society of Food Culture
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• v.10 no.1
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• pp.19-28
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• 1995

The relationship of obesity and related behaviors was analyzed among 361 primary school children, 4th and 5th grade, in one of private school in Seoul in July 1994. Compared to 1985 Korean Children's Growth Standard, the surveyed children have shown remarkable growth, which is the secular trend in growth of Korean children accompanied with rapid economic growth. But the relative incremental weight was far larger than that of height and this trend was more evident among children over 50th percentile, which shows a wide prevalence of obesity of the surveyed children. By WLI index, 15% of the children was overweight and 13% was obese. The higher the WLI, the more frequent and stronger stress they had. The nutrition knowledge score of obese children was higher compared to others. They were especially sensitive to their physical fitness but many normal or underweight-children also experienced stress due to their body weight and have tried to lose weight by incorrect methods. On the other hand many obese children thought they were optimal or underweight. These results reasserts the importance of nutrition education focused on children aheading puberty. They need to know the correct degree of obesity and to get appropriate education through teachers, dietitians, parents and doctors. The findings of this study could be applied to a nutrition implementation policy to ensure better physical fitness of children aheading puberty in the future.

• Journal of the Korean Society of Food Science and Nutrition
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• v.34 no.9
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• pp.1381-1387
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• 2005

This study was intended to evaluate the weight control program for 18 obese female college students during 9 weeks. The weight control program was composed of periodical counsel for self-control of dietary attitude and exercise with personal/group program. The female college students were average 21.3 years old and average 161.8 cm of height. The subjects were classified into 2 groups based on BMI: overweight group $25\le{BMI}<27$, obese group BMI$\ge$27. The subjects were average 71.56 kg of weight and $27.25 kg/m^2$ of BMI before they joined the program. The prompt of joining was less self-confidence for appearance. After 9 weeks, the overweight group lost their weight about 3.28 kg and also reduced 1.61 percentage of body fat. The obese group also lost their weight about 3.0 kg but reduced only 0.8 percentage of body fat. The serum levels of total cholesterol and LDL-cholesterol dropped significantly (p<0.05) in the overweight group. The $VO_2$ max inclosed 2.71 mL/kg/min in the overweight group. The obese group reduced caloric intakes from $109.2\%\;to\;86.5\%$ of RDA. The scores of dietary attitude such as eating speed, snack frequency, watching TV or reading during the eating were significantly increased (p<0.05) in obese group. These overall results suggest this program would be effective in self-weight control of overweight people. But the obese group assumed negative attitude in self-exercise program. So it is necessary to manage weight control programs, as considering obesity degree of subjects.

• Korean Journal of Community Nutrition
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• v.21 no.3
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• pp.284-292
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• 2016

Objectives: This study compared the differences of postmenopausal women's bone mineral density in relation to the degree of obesity, metabolism index and dietary factors that affect bone mineral density. Methods: The subjects included in the study are 39 postmenopausal women of normal weight with body mass index less than $25kg/m^2$ and 32 postmenopausal who are obese. Anthropometry and biochemical analysis were performed and nutrient intakes and DQI-I were assessed. Results: Normal weight women were $56.03{\pm}3.76years$ old and obese women were $58.09{\pm}5.13years$ old and there was no significant difference in age between the two groups. The T-score of bone mineral density was $0.03{\pm}1.06$ in normal weight women and $-0.60{\pm}1.47$ in obese women and this was significantly different between the two groups (p<0.05). Blood Leptin concentration was significantly lower in normal weight women ($6.09{\pm}3.37ng/mL$) compared to obese women in ($9.01{\pm}4.99ng/mL$) (p<0.05). The total score of diet quality index-international was $70.41{\pm}9.34$ in normal weight women and $64.93{\pm}7.82$ in obese women (p<0.05). T-score of bone mineral density showed negative correlations with percentage of body fat (r = -0.233, p=0.05), BMI (r = -0.197, p=0.017), triglyceride (r = -0.281, p=0.020) and leptin (r = -0.308, p=0.011). The results of multiple regression analysis performed as the method of entry showed that with 22.0% of explanation power, percentage of body fat (${\beta}=-0.048$, p<0.05), triglyceride (${\beta}=-0.005$, p<0.05) and HDL-cholesterol (${\beta}=0.034$, p<0.01), moderation of DQI-I (${\beta}=-0.231$, p<0.05) affected T-score significantly. Conclusions: The results of the study showed that obese women have less bone density than those with normal weight women. In addition, the factor analysis result that affect bone mineral density showed that intake of fat is a very important factor. Therefore, postmenopausal women need to maintain normal weight and manage blood lipid levels within normal range. They also need to take various sources of protein and reduce consumption of empty calorie foods that have high calories, fat, cholesterol and sodium.

• Journal of the Korean Society of Clothing and Textiles
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• v.23 no.8
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• pp.1149-1160
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• 1999

In order to investigate the influence of being self-consciousness of one's body size on clothing behavior we measured body size of Korean female college students directly and examined by questionnaire the degree of being self-conciousness of their body size the aspired clothing behavior and the actual clothing behavior. In addition after classifying the subjects into groups according to the degree of obesity we also examined the difference in the actual clothing behavior among the groups./ The results are as follows: 1) On the item of girth of the body parts the subjects felt thicker in the proximal and lower part of the body than in the distal and upper part of the body. And with respect to the style which exposes body silhouette the disparity between the aspired and actual clothing behavior was greater in the parts that the subjects felt thick. 2) After investigating the relationship between the aspired and the actual clothing behavior we found out that the style which subjects wanted to put on but actually did not was the style that exposes body silhouette and the style which subjects didn't want to put on but actually did was the style covers the body silhouette. 3) There was significant correlation between the subjects' consciousness of their body size and their actual clothing behavior. The self-consciousness of body size on actual dressing tend to influence the clothing for lower body more than the other parts. 4) The subjects were classified into lean normal and obese groups. There were significant differences among the groups in the frequency of wearing the clothing that expose body silhouette. The obese group had a tendency to avoid this clothing style.