• 대한임상검사과학회지
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• 제49권3호
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• pp.248-255
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• 2017

대사적으로 건강한 비만인(metabolically healthy obese, MHO)은 대사적 합병증을 동반하지 않으며, 과도한 체지방에도 불구하고 인슐린 감수성을 유지하는 비만의 표현형이다. 이 연구는 20세 이상 70세 이하의 남성을 대상으로 비만과 대사적 이상 유무에 따라 MHNO, MHO와 MAO군으로 분류하여 간 효소의 차이를 알아보고 대사적으로 건강한 비만남성에서 간 효소가 대사적 이상을 예측할 수 있는 지표인지 그 임상적 의의를 확인하고자 하였다. Executive Summary of The Third Report of The National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III) 진단기준으로 대사적 이상을 평가하였으며, 비만 진단기준은 WHO에서 제시하는 아시아인의 기준을 따라 세 군으로 분류하였다. 최종 연구 대상자 9,683명 중 대사적으로 건강한 정상체중군(metabolically healthy non obese, MHNO) 2,878명, 대사적으로 건강한 비만군(metabolically healthy obese, MHO) 5,427명, 대사적으로 이상이 있는 비만군(metabolically abnormal obese, MAO) 1,378명 이었다. AST, ALT, GGT는 MAO군보다 MHO군에서 통계적으로 유의하게 낮았으나(각각 p<0.001), MHO군은 MHNO군보다는 간 효소치가 높게 나타났다(각각 p<0.001). 또한 간 효소는 대사증후군 위험요인과 관련이 있으며, 허리둘레, 공복혈당, 총콜레스테롤, 중성지방, HDL-C은 AST, ALT, GGT에 영향을 미치는 위험요인으로 나타났다. 결론적으로 대사적으로 건강한 비만남성에서 간 효소가 대사적 이상을 예측할 수 있는 지표인 것을 확인하였다.

• 한국컴퓨터정보학회논문지
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• 제24권4호
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• pp.129-136
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• 2019

The purpose of this study was to provide basic data necessary for the development of clothing that can improve the satisfaction of body shape of elderly men by examining subjective characteristics and characteristics of perception type of older men's body shape. Using the Q methodology, I investigated and analyzed the process of formation and main characteristics of subjectivity of various types of recognition that elderly men express about their body shape. There were four types of perception of body shape in elderly men: flat hip and bird legs skinny body, back bent and abdominal obese body, thick neck and upper body development body, forward cervical neck and protruding abdomen obese body. The actual body shape of elderly men was classified according to the bust, waist circumference, hip circumference, and body part angle. But recognition body shape of elderly men was classified by visual factors like the abdomen, the angle of the neck, the inclination of the back, the slope of the waist, and the degree of obesity. It is necessary to consider the trend of silver fashion which is increasing in demand. In addition, it is necessary to develop clothing patterns of comfortable fit through ergonomic study on the physical characteristics of older men. Consideration should be given to the design and pattern that can reduce the difference between the ideal body shape and the body shape recognized by older men.

• 한국의류산업학회지
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• 제21권3호
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• pp.308-317
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• 2019

This study provided data for classifying and characterizing the lower half of the body shape for obese adult men in their 30s and 40s. Data of 492 adult males who were obese with a WHO criteria of >25 BMI were used for analysis. The results of the study are as follows. Six factors extracted from the factorial analysis as independent factors for cluster analysis were classified into three types. Type 1 (65.4%) had the lowest height of the lower half of the body with short circumference and length. Type 2 (20.3%) had the lowest height of the lower half of the body with the largest thickness, width and circumference from the back to the hip, but short in length. Type 3 (14.2%) had the lowest height of the lower half of the body with medium height and waist-height; however, the curve from the waist to the hip was the largest with the largest waist circumference, hip circumference, and width and thickness of the lower half of the body. This study will help to design a slack pattern that utilizes body shape characteristics of men in their 30s and 40s. In a follow-up study, we analyze the slack pattern and educational pattern by the company and study the necessity for a slack pattern for obese males.

• 가정∙방문간호학회지
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• 제16권1호
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• pp.12-21
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• 2009

Purpose: The survey-based study aimed to determine the distribution and clustering tendency of metabolic syndrome risk factors in urban residents, and cluster odds ratios. Methods: Cluster sampling involved 827 urban participants and analysis of the collected data. Results: Regarding the prevalence of metabolic syndrome risk factors used for diagnosis, abdominal obesity was higher in women(69.5%) than in men(34.3%), high blood pressure was higher in men(57%) than in women(46.5%), and blood sugar was higher in men(6.9%) than in women(5.7%). Clustering increased with increasing body mass index(BMI), weight:height ratio(W/Ht) and abdominal obesity Risk factors for females were 1.7 times higher than for males. Participants with a family history of metabolic syndrome displayed related risk factors 1.5 times more than participants without a family history. Participants having a BMI ranking them as obese were 9.5 times more likely to display metabolic syndrome risk factors than non-obese participants. Obese participants were 20 times more likely to display risk factors than non-obese participants. Conclusion: BMI, W/Ht and abdominal obesity correlate with clustering of metabolic syndrome risk factors. The risk is increased by smoking and family history. Exercise weight control and non-smoking are recommended for comprehensive management of clustering of metabolic syndrome risk factors.

• 한국의류산업학회지
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• 제12권6호
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• pp.789-795
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• 2010

The purpose of this study was to examine the appropriate surplus of clothing for a jacket bodice pattern of middle-aged obese men by using the 3D virtual twin and virtual garment simulation system. The results were as follows ; 1. BMI rate of middle-aged males was 28.13 which was equivalent to mild obesity, whereas WHR(W/H ratio from waist to hips) rate was near 1.00 which was highly dangerous against their obesity. In case of middle-aged obese men, the WHR was significantly higher than the entire middle-aged men's average and the section shape in which their thickness was relatively more than width. 2. As a result of appearances evaluation through virtual garment simulation, the cut-off amount of the side seam and the center back was regulated accordingly. Hereby, the final tolerance range was set up at 21.15 cm at the hips, so that the appearances became better and the bilateral distribution of the cross section and space length was formed symmetrically. Especially in case of increasing the cross amount of hems to produce a natural silhouette of the waist-to-hips parts, the ease of buttocks was judged to be moderate, but it turned out that a wavy cross section was made and the silhouette was not good. Thus it was found to be not good that the ease of the hips became excessively increased in proportion as circumference of waist and belly were increased in obesity. The use of the virtual twin made it impossible to comprehend the appearances and ease correspondent to motions. In order to evaluate wearing fitness, therefore, the system should be improved so as to change arm positions and perform various motions.

• 동아시아식생활학회지
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• 제21권5호
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• pp.637-648
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• 2011

This study was designed to investigate the relationship between the nutrient intakes, antioxidants, and inflammatory markers of overweight and obese adults (46 females and 16 males) in Yeongdong area. The study was conducted through questionnaires, anthropometric checkups, 2-day 24 hr recalls and blood biomarker analyses. Body fat was significantly higher in women compared to men. Diastolic blood pressure (DBP) and systolic blood pressure (SBP) were significantly higher in men compared to women. There were no significant differences in height, weight, body mass index, and waist size among the two groups. The intake of nutrients was significantly higher in men compared to women. Ferric reducing ability plasma (FRAP) was significantly higher in men compared to women. Body fat was positively associated with blood IL-6 and IL-8 levels. DBP was positively associated with FRAP. The intake of protein was negatively associated with IL-6 levels. The intake of carbohydrates was negatively associated with total antioxidant capacity (TAC). Prostaglandin E2 (PGE2) levels were negatively associated with TAC. These results suggest that antioxidant and inflammatory markers may be related to the body fat percentage and dietary intake in overweight and obese adults.

• 한국의류학회지
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• 제39권6호
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• pp.812-825
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• 2015

This study explored various issues related to the quality-of-life for obese Korean men. In-depth interviews were conducted with thirty men over BMI 25 whose age ranged from 20's to 50's. Projective techniques along with semi-structured interviews were used. The results of interviews were analyzed based on grounded theory. "Stress" was the main phenomenon resulting from the causal conditions of obesity and stigma. Stress consisted of social, psychological, physical and environmental factors. Contextual conditions mediating the relationship between causal conditions and main phenomenon were obesity level, pressure, and public appearance. Avoidance, change of personal traits, and insensitivity were the action/reactions to the main phenomenon. Various factors due to obesity disappeared and quality-of-life increased when they succeed in weight reduction; however, factors related to obesity and lowered condition of quality-of-life continued if they experienced a weight gain/loss yo-yo.

• 한국의상디자인학회지
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• 제14권2호
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• pp.89-100
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• 2012

The purpose of this research is to compare the body proportion of the Mongolian and Korean men and women in their 20' s by comparing the characteristics of the body type that uses the body indexes, in order to provide the base data for the increased fit of the apparels. The results are as follows. 1) Histogram of the Rohrer' s Index for the Mongolian men and women in their 20s was examined. the Mongolian men, normal body type took up 48.0% while small body type comprised 50.0% and obese body type comprised 2.0%. the Mongolian women, normal body type comprised 61.5%, small body type comprised 22.1% and obese body type comprised 16.4%. 2) The body proportion of Korean men has 1:1.62 with upper body and low body part on a waist basis, and Mongolian men has 1:1.65. Thus Mongolian men has longer pan of lower body than Korean men. 3) Mongolian women has longer part of lower body and has higher rates of hip height, crotch height, knee height than Korean women. Mongolian women has high rate of hip line and calf length. 4) As a result comparison using the body index of Mongolian and Korean women (bust thickness/ bust width, waist thickness / waist width, hip thickness / hip width, when regarding the height as 100 ), it was found that Mongolian women are flatter than korean women.

• Journal of Preventive Medicine and Public Health
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• 제41권1호
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• pp.45-50
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• 2008

Objectives : To determine the relationship between exercise and the incidence of type 2 diabetes in an impaired fasting glucose group. Methods : This prospective cohort study was conducted in 19,440 men and 4,297 women, aged 30-69 years, with impaired fasting glucose at baseline who had undergone biennial medical evaluation through the National Health Insurance Corporation from 2000 to 2004. Impaired fasting glucose was defined as fasting glucose of 100 to 125 mg/dl and the subjects were divided into 3 groups depending on weekly exercise frequency. Multivariate logistic regression analysis was used to evaluate the association between the baseline exercise status and incidence of type 2 diabetes. Results : During the 4-year follow-up, a total of 3,239 men and 283 women developed type 2 diabetes, a cumulative incidence of 16.6% for men, and 6.5% for women. Also, 1,688 men (21.2%) and 127 women (15.2%) developed type 2 diabetes in the obese group. The adjusted relative risk (RR) of developing type 2 diabetes in non-exercising men was significantly higher than exercising men regularly (RR= 1.375, 95% CI=1.236-1.529)(p<0.0001), and the RR for non-exercising women was higher than exercising women regularly (RR=1.124, 95% CI=0.711-1.778). The RR for non-exercise men/women in the obese group was 1.571 (95% CI=1.351-1.827)(p<0.0001)/1.869 (95% CI=0.846-4.130). Conclusions : Regular exercise is effective in preventing type 2 diabetes in people with impaired fasting glucose, and particularly in obese people. People with risk factors for diabetes should participate in a regular exercise program.

• 한국융합학회논문지
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• 제11권10호
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• pp.155-162
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• 2020

이 연구는 비만 중년 남성을 대상으로 복부비만 유무에 따른 체질량지수와 인슐린저항성 및 베타세포 기능간의 관련성을 알아보고자 하였다. 2018년 1월부터 2020년 6월까지 경기도 소재 종합병원에서 건강검진을 받은 비만 중년 남성 797명을 대상으로 하였다. 복부비만 동반군은 327명, 복부비만을 동반하지 않은군은 470명이며, 두 군간에 공복혈당(p<0.001), HbA1c(p=0.003), 인슐린(p<0.001), HOMA-IR(p<0.001)은 차이가 있었다. 체질량지수는 복부비만 동반 유무와 관계없이 인슐린저항성 및 베타세포 기능에 영향을 미치는 요인이었다. 또한 체질량지수는 복부비만 동반 유무와 관계없이 인슐린저항성 및 베타세포 기능저하의 질환 발병과 관련이 있었다. 따라서 중년 비만 남성의 건강관리를 위한 운동 프로그램 수행 및 정기적인 검진을 통해 체질량지수의 지표 관리가 필요할 것으로 사료된다.