• 한방비만학회지
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• 제7권2호
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• pp.61-75
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• 2007

Objectives : The purpose of this study was to investigate correlation between obese degree, result of hair tissue mineral analysis and bony maturation. And we also wanted to compare the differences between early bony maturation group(EBM) and late bony maturation group(LBM). Methods : 146 subjects who visited growth clinic were measured by BMI, PBF(percent body fat), percent BMI, bone age esimation and HTMA(hair tissue mineral analysis). The patients were classified into two groups - EBM, LBM group - according to the gap of bone age and chronological age. It was analysed that the correlation of bony maturation and obese degree, nutritional elements, heavy metals, significant ratio of nutritional elements. Also, analysed the differences between groups. Results : 1. BMI, percent BMI had a correlation with bony maturation, PBF however didn't have a correlation with it. 2. Ca, Mg, Zn and P had a positive correlation with bony maturation, and also K, Cr and Mo had a negative correlation. 3. U, As and Cd had a negative correlation with bony maturation. 4. Ca/P, Na/K, Ca/K and Zn/Cu had a positive correlation with bony maturation, and also Na/Mg, Ca/Mg had a negative correlation. 5. Percent BMI, Ca, Mg, Mn and Ca/p were higher in EBM group. 6. K, Mo and Hg were lower in EBM group. Conclusion : According to this study it could be suggested that maintaining proper percent BMI and accumulation of nutritional elements, heavy metals to prevent early bony maturation.

• Journal of Acupuncture Research
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• 제22권5호
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• pp.99-109
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• 2005

Objectives : The purpose of this study was to examine the effects of Auricular acupressure with semen sinapis in obese children over a specific period of time. Methods : The study subjects included 27 obese children who were evaluated as such using Broca's Index at an elementary school located in M city. The data was collected throughout March 2, to May 31, 2005. In order to collect data, as a pre-test, characteristics of obesity and general characteristics were examined. Experimental treatments were used on Shinmun, Kijeom, Wijeom, Bijeom and Naebunbijeom. Among the auricular spots, one pill of semen sinapis was placed and pressed for five seconds at a time with exerted force and the subjects endured pain. This procedure was conducted ten tunes every morning, noon and evening for a period of six weeks. As a post-test, the degree of obesity were examined two weeks, four weeks and six weeks after acupressure had been applied. The data was collected and analysed using the SPSS/WIN 10.0 program by number, percentage, mean standard deviation, and Repeated Measure ANOVA. Result : The first hypothesis that 'The obesity of the children who had auricular acupressure with semen sinapis will show no difference over time' (two weeks, four weeks and six weeks after acupressure had been applied) was rejected(p=.000). A statistically significant difference in the obesity of the children who had auricular acupressure with semen sinapis was shown over time. The children's obesity degree reduced from 35.85% before auricular acupressure with semen sinapis to 28.67% six weeks after acupressure. Thus after six weeks of acupressure the relative degrees of obesity were reduced by 7.18%. Conclusion : Bases on the above results, it can be determined that auricular acupressure with semen sinapis can be used as an effective method of treatment in Korea, for reducing degrees of obesity in children.

• 한국보건간호학회지
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• 제16권2호
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• pp.436-444
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• 2002

This study surveyed 146 obese elementary school children(94 male and 52 female) in Seoul, and measured height, body weight, degree of obesity, blood pressure, fasting blood sugar, serum lipid profiles and liver function. The hypertension was above 95 percentile depending on age and sex. and the hyperglycemia was defined as above 110mg/dl. The hypercholesterolemia and hypertriglyceridemia were defined as above 200mg/dl, 160mg/dl, repectively. The abnormal liver function was considered as elevated alanine aminotransferase(ALT>35IU/L)or aspartate aminotransferase(AST>35IU/L). The results were as follows: 1. The mean degree of obesity was $29.56\pm12.56\%$, and the percentage of overweight was $18.5\%$, mild obesity $41.1\%$, moderate obesity $35.6\%$, severe obesity $4.8\%$ respectively in surveyed children. 2. The systolic blood pressure was $108.34\pm13.73mmHg$, diastolic blood pressure was $67.46\pm8.27mmHg$. 3. FBS was $93.79\pm6.51mg/dl$. 4. Total cholesterol, triglyceride, ALT and AST were $183.34\pm31.38mg/dl$. $115.55\pm56.43mg/dl,\;24.08\pm18.42IU/L,\; 28.73\pm10.45IU/L,$ respectively. 5. The prevalence of complications was $47.2\%$ : hypertension$(13\%)$, hyperglycemia$(0.7\%)$, hypercholesterolemia$(23.3\%)$, hypertriglyceridemia$(17.1\%)$, and liver dysfunction$(21.9\%)$. In conclusion. childhood obesity is associated with various risk factors. Therefore, the aggressive approaches to successful prevention, early detection, and effective treatment of obesity in children are urgently required.

• 한국지역사회생활과학회지
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• 제24권4호
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• pp.447-456
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• 2013

This study was conducted to find out the weight control experiences, body image perception and eating disorder status of high school students in Yantai City, Shandong Province, China. The subjects of the study were 457 high school students in Yantai City. The results were as follows. The ratio of underweight and overweight and obesity of the subjects were 20.0% and 12.6% respectively. And 35% of the subjects had weight control experiences. There were significant differences according to the students' gender, location and BMI. In body image perception, the subjects who were normal and underweight overestimated their body figure, and the subjects who were overweight and obese underestimated their body figure. The girls wanted to have extremely skinny figure than standard figure and the degree of dissatisfactions with their figure was high. In the case of overweight and obese students, it showed a high degree of dissatisfaction of their body image. The ratio of the eating disorder group and eating disorder risk group were 7% and 19.3%, Compared to the students in rural areas, downtown students had significantly higher ratio of eating disorder. In conclusion, the education of healthy body weight and body image is necessary to the students in Yantai City, China. Especially the female students who live in downtown are considered to be the most important subjects of nutrition education.

• 지역사회간호학회지
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• 제17권4호
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• pp.501-511
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• 2006

Purpose: The purpose of this study was to investigate BMI, self-esteem and attitude toward body shape perceived by obese adults. Method: The subjects were 129 adults selected from visitors to the obesity clinics of three university hospitals in Seoul and Gyeonggi-do. Results: 1) Of the subjects. 26.3% appeared normal. 2) The mean BMI was 27.38. 3) The degree of self-esteem showed above average as 29.1 on the average. 4) The degree of attitude toward body shape showed above average as 27.2 on the average. 5) There were significant differences in BMI according to educational level (F=4.102, p=.019), in self-esteem according to sex (t=2.484, p=.014), educational level (F=2.781, p=.044), and medication or not (t=2.003, p=.048) and in attitude toward body shape according to age (F=3.059, p=.019), sex(t=-5.281, p=.000), diet or not(t=-3.286, p=001), exercise or not (t=-3.286, p=.001), and medication or not(t=-3.659, p=.000). 6) There were significant correlations between BMI and attitude toward body shape (r=.353, p=.000) and between self-esteem and attitude toward body shape (r=-.310, p=.000). Conclusion: The results of his study suggest that nurses need to help their patients have correct information about obesity.

• 한방비만학회지
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• 제1권1호
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• pp.77-83
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• 2001

We wanted to study the effect of Taeyeumjowee-tang and electroacupunctre combined-therapy on obese patients. From 1 March, 2000 to 30, September, 2000 we studied 33 out-ward patients who clinically diagnosed obesity and classified Tae-Em-In by QSCC(Questionnaire of Sasang Constitution Classification). We treated the patients by electroacupuncture therapy and taeyeumjowee-tang for 6 weeks, We investigated the change of mean body weight, mean body mass index, mean obesity degree, percent body fat and waist-hip circumference ratio. To analyze the results we used repeat measure method by SPSS ver 7.5. The results were as follows: 1. From $70.4{\pm}11.4\;to\;64.9{\pm}8.7$, mean body weight was significantly decreased according to combined-therapy. 2. From $27.2{\pm}3.2\;to\;24.6{\pm}2.7$, mean BMI was significantly decreased according to combined-therapy. 3. From $116.7{\pm}13.9\;to\;104.4{\pm}12.1$, mean obesity degree was significantly decreased according to combined-therapy. 4. From $32.1{\pm}6.8\;to\;27.4{\pm}7.5$, percent body fat was significantly decreased according to combined-therapy. 5. From $0.90{\pm}0.06\;to\;$0.86{\pm}0.06$, waist-hip circumference ratio was significantly decreased according to combined-therapy. In this study we knew the combined-therapy of electroacupuncture and taeyeumjowee-tang is very efficient in obese patient.

• 대한한의학회지
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• 제27권2호
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• pp.145-154
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• 2006

Objectives : Methods to evaluate obesity are growing to be important in studying links between health and disease. Physicians are using BMI (body mass index) to evaluate obesity, but they can't know how much fat the body has by using that method. Even though there are several assessments, there are different scales, so patients are diagnosed as obese, by some but not by others. These studies are limited in evaluating obesity; it is necessary to study based on new knowledge. According to Oriental Medical Theory, obese people are categorized into 3 types, Fei, Kao and Liu Ren. They have different pathology and body shapes than non-obese people. The relationship between Oriental Medical Theory and BMI and assessment of body fat is a fundamental need to easily approach and treat obesity. Methods : At 00 Oriental Medical Center, 145 female subjects who intended to lose weight were given physical tests and grouped into 5 types of obesity. The physical tests were height measurement, BMI, body composition (body fat mass and lean body mass), skin elasticity and physical strength tests. One-way analysis of variance was done to compare the means of physical tests between the five types of obese women. There was some relationship between characteristics of the five types based on physical tests and Fei, Kao and Liu Ren based on Oriental Medical Theory. Least significant difference (LSD) was used in multiple comparisons. Results : 1. According to the skin elasticity test, obesity type 5 placed between obesity types 3 and 4 and obesity types 1 and 2. Obesity types 3 and 4 were in the low skin elasticity result group; obesity types 1 and 2 were in the high ones (p<0.1).Based on Oriental Medical Theory, Fei Ren and Kao Ren can be distinguished by skin elasticity degree. This result should form the basis of obesity diagnosis. 2. According to Oriental Medical Theory, Fei Ren is smaller than others. Based on height measurement, obesity types 3 and 4 were significantly lower than other obesity types (p<0.1), so there is a relationship between Fei Ren and obesity types 3 & 4. 3. There were significant differences between obesity type 2 and obesity type 4 in the body fat mass result (p<0.1). This study did not have large enough a sample size to distinguish Liu Ren. Conclusions : Further clinical research is necessary to study measurement methods of body shape type and skin elasticity for distinguishing Fei Ren from Kao Ren. The diagnosis and treatment based on the relationship of these types should be studied further.

• 동의생리병리학회지
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• 제20권6호
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• pp.1732-1741
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• 2006

Obesity is chronic disease which influenced on health severly. The causes of obesity have been known as life change, lack of excercise, genetic factor, mental and social economic factors. Especially the obesity of women increased the risk of the diseases such as DM, osteoarthritis, cardiovascular disease, breast cancer and infertility. The limitations of the widely used negative definition of health as the absence of disease and WHO's 1946 definition of health as total social, psychological and physical well-being have long been recognized (WHO 1958). The Quality of Life (QoL) includes functional ability, the degree and quality of social and community interaction, psychological well-being as somatic sensation and life satisfaction. I investigated to compare the differences between obese women (n=63), non-obese women (n=37) in clinic and general women (n=43, control) on baseline characteristics and WHO QoL-BREF. The purpose of this study is to assist the diagnosis and treatment of obesity. WHO QoL-BREF is self administered type which consisted of 26 questions. The prospective question is calculated with 5 scores by Likert's method. The results are as follows : The means of physical, psychological, social, overall and total scores of QoL were significant among BMI group (P<0.05). The score of control group (BMI < 25) was higher than other groups significantly (P<0.05). In multiple regression analysis, the variable of high school/below middle school was significant in environmental and overall domain of QoL scores (P<0.05). The variable of college/below middle school was significant in environmental, overall domain and total score of QoL scores (P<0.05). The variable of above university/below middle school was significant in physical health, environmental, overall domain and total score in QoL scores (P<0.05). The variable of Health perception (moderate/bad) was positively significant in physical health, environmental, overall domain and total score of QoL scores (P<0.05). The variable of Health perception (good/bed) was positively significant in physical health, environmental, social, overall domain and total score of QoL scores (P<0.05). The variable as BMI non-=obese women/control was negatively significant in social domain of QoL scores (P<0.05). Above the results, It suggests that the variable as BMI did't affect on the QoL in patients and control, but the variables as education and health perception affected on the QoL scores. Further study is required to conduct QoL differences between before and after treatment of obese patients.

• 한국건강관리협회지
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• 제4권1호
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• pp.12-27
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• 2006

"본 논문은 대한내과학회지 2006년 제70권 제3호에 실렸던 논문으로 대한내과학회 편집위원회의 승인을 득하고 본 협회지에 게재함. Background : Diabetes mellitus is a major independent risk factor for atherosclerosis. In recent years non-invasive high resolution B-mode ultrasound methods have been developed to measure the intima-media thickness(IMT) of the carotid artery as an indicator for early atherosclerosis. Itis known that obesity plays a role in the development of type 2 diabetes and cardiovascular disease, and it has also been reported that not only the amount but also the distribution of body fat is important. This study investigated the relationship between obesity and the development of carotid atherosclerosis in type 2 diabetic patients. Methods: Carotid IMT was measured by ultrasound B-mode imaging in 144 patients with type 2diabetes mellitus. All subjects underwent assessment for the degree and distribution of obesity, the presence of coronary artery disease risk factors, and the presence of diabetic complications. Resuts: Carotid IMT was increased in the abdominal obese group defined by waist circurference. However, there was no significant difference in carotid TMT between the non-obese group and obese group as defined by body mass index, waist to hip ratio, and total body fat percent measured by bio electrical impedance analysis. There were positive correlations between carotid IMT and age, duration of diabetes, systolic blood pressure, and waist circumference. Multiple linear regression analysis revealed the variable that interacted independently with carotid IMT was age in type 2 diabetic patients. Carotid IMT was significantly increased in type 2 diabetic patients with macrovascular complications and microvascvlar complications .Conclusion: This study suggested that abdominal obesity rather than general obesity was associated with carotid atherosclerosis reflected by increment of carotid IMT in type 2 diabetic subjects.

• 한국식품영양학회지
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• 제22권4호
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• pp.650-661
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• 2009

In this study, 230 female college students in Seoul area were surveyed to evaluate their eating habits and behavior, physical activities, and patterns of purchasing diet/low-calorie food. Their body composition was also determined using bioelectrical impedance(Inbody 520). The subjects were divided into two groups according to their BMI index with a mean BMI of 20.2$\pm$1.5(normal) weight and 25.0$\pm$1.7(obesity). Overall, 85.7% of the subjects reported that the food they purchase depends more on their preferences than the nutritional value of the food. When the two groups were compared there was no significant difference in the frequency or experience of purchasing diet-foods. Indeed, 69.3% of all female college students had purchased diet foods, and most consumed these foods 2~3 times a week. Obese group preferred a savory taste, while normal group preferred a sweet taste. The majority of the subjects(80.8%) answered that they "read nutritional labels carefully upon purchasing diet food", and that they examined calories(61.8%) and total fat(48.5%) most carefully. Of the types of low-calorie/diet foods purchased, beverages were the most commonly obtained; followed by noodles, diet-bars, and snacks. The most commonly purchased low calorie snacks were "potato-type C(hot-flavor)" and "potato-type A(salty-flavor)", while the most commonly purchased diet-bars were "low calorie-type A"(55.3%) and "high protein-bar"(32.3%). The most commonly purchased noodles were "thick noodle type"(65.1%), while the most commonly purchased drinks were "cereal tea"(65.1%) and "mixed herb tea"(66.0%). Overall, factors such as self-esteem or the degree of body satisfaction, rather than obesity(BMI index) itself, were significantly correlated with the frequency of purchasing diet-foods.